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Home My WebLink About1384 CYNTHIA LN; ; CBR2024-2574; Recycle{_ City of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $6OK VALUATION AND COMMERCIAL ADD IT IONS AND ALTER AT IONS OVER $ 2 0 0 K . You are required to list materials that will be reused, recycled or disposed from your project. If you have questions about the recycling requirement or completing this form, please contact Republic Services at (760) 332-6464, a certified C&D recycler, or the Carlsbad Building Division at {442) 339-2719 Please note: Unless ou are self-haulin Re ublic Services or a roved haulers must be used for all construction ro·ects within the Cit of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued Permit No. CB2024-257 4 Project Address 1384 Cynthia Ln Applicant Name Michael Gallagher Lost Applicant Address 1384 Cynthia Ln Applicant Information Project Title Coastal Dream Homes APN First Phone (858 L 449-4785 E-mail Address mjg.homes@gmail.com Applicant Mailing Address (if different than project address) Project Type (check all that apply): Residential [l] Commercial □ Public Building □ Brief Description Single family dwelling -interior remodel, addition, detached structure. 156-231-53-00 □ Project Size 1982 Estimated Cost of Project $_8_0_,_0_0_0 ____________ _ (square footage) Please check the appropriate box: D I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. I ✓ I I plan on using a City Approved hauler and will provide all receipts at the final occupancy inspection. D This is a proposed LEED certified project. I plan on separating materials on site in conjunction with Republic. Acknowledgement: I certify under penalty of perjury under the laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge and belief. Print Name Michael Gallagher Signature ~ £chae.l, G~ Date 12.12.202'+ Page 1 of4 Rev. 2.10.21 PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will not be issued without a completed Construction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: SECTION A Permit No. CB2024-2574 Project Title Coastal Dream Homes Project Address 1384 Cynthia Ln APN 156-231-53-00 Applicant Name._G_a_ll_ag::..h_e_r _______ M_ic_ha_e_l ______ Phone 858-449-4785 Last First SECTION 8 Complete the following table with estimated waste tonnage to be generated by your project. This is your plan for construction waste management. Changes can be made on the final recycle report. Goal: the diversion rate shall be 65% by weights of debris. Material Type Complete this line of the table only if only using WASTE MANAGEMENT rail-aft bins. Mixed C&D Debris Parking lot Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle all that apply) Car et Carpet Padding/ Foam Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Concrete Roofing Materials Sera Metal Stucco Other: TOTAL SECTION C Estimated Waste Quantity (tons) 4 0 0 0 1 .25 .25 0 0 0 0 0 0 0 .25 4.75 To meet 65% Diversion Requirement (estimate) Contractor/Owner Signature Michael Gallagher A Place a(✓) check next to items to be reused or salvaged 1 1 5.75 B Place a ( ✓) check next to items to be recycled 4 4 C Place a ( ✓) check next to items to be disposed at landfill .25 .25 .25 .75 x 0.65 = 3.73 tons -------------------Total Estimated Waste from above Minimum Required Diversion Date 12.12.2024 Page 2 of 4 Rev. 7/1i20 PART 2. Complete and submit this form before final inspection. Projects are required to submit their Waste Log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy (CO) issuance. Failure to provide documentation, reporting of waste diversion less than 65%, and failure to provide adequate weight receipts, may render the Project non-compliant and the responsible parties subject to code enforcement. SECTION A Permit No. ' [) R 2..0 l '{-i.S lf Project Title ProjectAddress /~ 0'[/L"(; ,t,. APN Applicant Name ~(_j=~ _ _ 4 //,.~ ,( ,,,,.,.-Phone last First Use this Final Log below to track loads of materials as they leave the job site. @@SAVE RECEIPTS@@ Indicate FINAL quantities in tons for each material and save receipts and documents from facilities where material is taken. Additional Project Log pages are available if necessary. Use City Conversion Table to convert volume to tons. A B C Date Example: 01/01/2020 Material Type Concrete (broken) c.4D C(D @TOTAL Actual Amt Reused or Salvaged Diversion Rate Achieved Total of columns A + B Attach the following documentation to this Report: • Original recycling weight tickets, landfill weight tickets Actual Amt Recycled 5 tons 2... Actual Amt Disposed in Landfill C..,.8 = Total of columns A + B + C Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -(760} 603-0153 DIVERSION Return completed form and documentation to: City of Carlsbad • Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 • Any other relevant Information to support Recycling Report SECTION D I certify under penalty of perjury under the laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge and belief. Applicant Signature_,,}('--"-"'"'"' c_h-'t-'""'.rc:+-/ _ _,Q_.....0...,_//4'--'<;'-'lij'""""-'-/ _______ Date -~.3~/4~;~'~/_1._0_2-...,.;:~----- Page3of4 rev 4/24 EDCO Transfer Station 3660 Dalbergia St. San Diego, CA 92136 (619} 234-0848 Customer: 0000 SAN DIEGO CLEAN UP Ticket: 70389 Date: 03/27/25 Commodity Units Rate In: 13: 09 Out: 13:09 Truck: Container: Route: Origin: INVOICE 8407 I 02030 020 SAN DIEGO 30 Roll Off Refuse 4.79 [Gross(In): 18.82 tons Scl#l 125.00 per TON Tare 14 .03 tons Stored Net: Extended Charge 598.75 4. 79 tons} PAID CHECK# 1285 BRANDON Driver i 598.75 .} ~$;0 . O() 54 Ticket#: 2802835 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 Weighmaster: aceveos (760) 603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract : RESI -GATE Yr. 2 GROSS 38, 500 Scale In TARE 29,180 Tare Out NET 9,320 Tracking Qty: 0.00 Qty Unit Description 4.66 TN MSW Origin: CARLSBAD 100% In : Out: Vehicle: Ref: BOL: February 03, 2025 February 03, 2025 a53197 INBOUND CASH 12:25 pm 12:25 pm Rate Extension $101.2] $471.64 Tax ,Total $0.00 $471.64 -} v{\lJ .C}O ~ ~ V.lO~ PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESI -GATE Yr. 2 GROSS 38,560 TARE 29,180 NET 9,380 Tracking Qty: 0.00 Qty 4.69 Onit Description TN MSW Scale In Tare Out S4 Ticket #: 2811533 Weighmaster: lopezse3 In: February 26, 2025 Out: February 26, 2025 Vehicle: a53197 Ref: BOL: INBOUND CASH Rate Extension $101.2] $474.67 Tax $0.00 Origin: CARLSBAD 100% 10:14 am 10:14 am (Total $474.67 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESIDENTIAL-Yr. 2 GROSS 36,540 Scale In TARE 28,360 Tare Out NET 8,180 Tracking Qty: 0.00 Unit Description TN C&D 54 Ticket it: 2796108 Weigh.master: martios3 In: January 17, 2025 Out: January 17, 2025 Vehicle: A51286 Ref: 1384 cvnthia lane BOL: INBOUND CASH Rate Extension $101.2] $413.95 Tax $0.00 Qty 4.09 Origin: CARLSBAD 100% 7:40 am 7:40 am Total $413.95 4fo.oo PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760) 603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESIDENTIAL-Yr. 2 GROSS TARE NET Tracking Qty: 35,760 28,360 7,400 0.00 Qty Unit Description 3 .70 TN C&D Scale In Tare Out 54 Ticket #: 2785701 Weighmaster: gomezda In: December 18 , 2024 Out: December 18, 2024 Vehicle : A51286 Ref: 1737 HUNSAKER ST BOL: INBOUND CASH Rate Extension $101. 2] $374 . 48 Tax $0.00 Origin : OCEANSIDE 100% 12 :05 pm 12 :0 5 pm , Tot al $374.48 iJS0-0() ~ <a 1Y.L\i TRANSFER 60 EL CAMI O REAL LSBAD , CA 92008 {760) 603-0153 00 0999 -CASH AN D CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESIDENTIAL-Yr. 2 GROSS 38,540 Scale In TARE 28,360 Tare Out NET 10,180 Tracking Qty: 0.00 Qty Unit Description 5.09 TN C&D Origin: CARLSBAD 54 Ticket#: 2782505 Weighmaster: lopezse 3 In: December 10, 2024 Out: December 10, 2024 Vehicle: A51286 11:28 am 11:28 am Ref: 1384 cvntia lane carlsbad BOL: INBOUND CASH Extension $515.16 Tax $0.00 Total $515.16