The URL can be used to link to this page

Home My WebLink About2402 BUENA VISTA CIR; ; CBR2024-1061; Recycle,-City of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue www.carlsbadca.gov This form shall be completed for all demolitions and new construction, additions, and alterations. The California's Green Building Standards Code (CALGreen) requires that at least 65% of construction site debris generated during demolition projects, most new construction, as well as the majority of building additions or alterations be recycled, reused, or otherwise diverted from landfill disposal. STEP 1: The Applicant must submit PART 1 of this form before a building permit application is approved. STEP 2: The permit holder shal l utilize a waste management company that can provide verifiable documentation that meets 65% waste diversion. Republic Services is the exclusive franchised waste hauler in the City of Carlsbad. • Option A -Roll-Off Bins: Call Customer Service (760) 332-6464 and ask for a C&D account for waste diversion. Republic Services will provide roll-off bins for construction waste. • Option B -Self Haul to Republic Services or other dump site that can provide verifiable documentation. It must be a Certified Source Separated Recycling Facility. When you enter the site, explain to gat e operator that this is C&D material. When you exit t he site, request a receipt and certificate from gate operator for waste diversion. STEP 3: Prior to permit close-out (permit final), the permit holder shall complete PART 2 of this form and submit all trash and recycling weight receipts to the building inspector. Waste log, acknowledgement, and tickets must be submitted to release your certificate of occupancy. C&D CERTIFICATION: ~ 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 t he best of my knowledge and belief. I understand the waste diversion requirements of the State of California and submit this Construction Waste Management Plan pursuant to California Green Building Standards Code 4.408.2 or 5.408.1.1. Failure to provide documentation of C&D reporting, reporting of waste diversion less than 65%, and failure to provide adequat e weight receipts, may result in enforcement action against me or other responsible parties, including a notice of violation, citations, and any other remedies provided in Chapters 1.08 and 1.10 of the Carlsbad Municipal Code. Projects are required to submit their Waste Log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy (CO) issuance. This project does not involve disposal of universal or hazardous waste OR this project includes disposal of universal or hazardous waste in a responsible, safe and verifiable manner. Disposal of asbestos- containing materials, batteries, electronic waste, fluorescent bulbs, lead based paints, mercury containing equipment and refrigerants, require special processing prior to commencement of Date: 2-/~I wz_ s- Page 1 of 4 rev 4/24 I PART 1 Complete and submit this form when applying for a building permit. Permits will not be issued without a completed Construction Waste Management Plan. tttTON B Complete the following table with estimated waste tonnage to be generated by your project. I Material Type Complete this line of the toble only if ,,,,iy u~iriq WASTE MANAGEMENT rou-onoms. Mixed C&D Debris Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle all that apply) Carpet Carpet Padding/ Foam Cardboard Ceiling Tile (acoustic) I Drywall (used, new, scrap) Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Roofing Materials Scrap Metal , ~tucco I Estimated Waste Quantity (tons) 2- 0 --\ ; \ 0 0 0 _OS cJ . ·3 -~ I 0 C) To meet 65% Diversion Requirement (estimate) I I A B C Place a ( ✓) check next to items to be reused or salvaged ✓ I I Place a ( ✓) check next to items to be recycled ✓ I Place a ( ✓) check next to items to be disposed at landfill ✓ l/ ✓ ✓ __ :J.._._4_~ __ x 0.65 = __ /_,_~_l_1_S--____ tons ~ Tc,a/ Eulmo<,d Wo,<, /,= obo" Applicant Signature -►.c...~_::;__-=---..,.___-'---_ __, ____________ Date _z..__,f~s--_/_z_o_z_s ______ _ Minimum Reauired Diversion Page 2 of4 rev 4/24 , PART Z. 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. C. BR.-2.o 2.. Project Address -< ~~ ~ev ~ It: -lo~ I Project Title ___.A..___,__D_'-0-=--------- \/ ~~ ~ c·,L~le APN C --,... \1 Applicant Name._-=~'----·---=-~-"-'o_-e...;:;;,_:;~-=-... ·'-=Cf----------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. Date Material Type A Actual Amt Reused or Salvaged B Actual Amt Recycled C Actual Amt Disposed in Landfill Destination Facility (Name, Address, Phone) Palomar Transfer Statian, 5960 El Example: 01/01/2020 Concrete (broken) Camino Real -{760) 603-0153 @TOTAL 0 0 0 SECTION C Diversion Rate Achieved --------~ ___________ = _____ % ~ 65% Total of columns A + 8 Toto/ of columns A + 8 + C DIVERSION Attach the following documentation to this Report: Return completed form and documentation to: • Original recycling weight tickets, landfill weight tickets • Original donation receipts with photos and/or itemized descriptions • Any other relevant information to support Recycling Report SECTION D City of Carlsbad Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 I certify under penalty of perjury under t he laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generat ed 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 --"'=.f---~-'--------------Date __ 0,,_1~}-~_~__,i.__2_c_~_c __ =;-__ _ Page 3 of 4 rev 4/24 CONVERSION TABLE FOR COMMON CONTRUCTION WASTE. This document is informational only and may be used to convert truckload quantities to tons. Column A Column B Column C Cat egory M aterial Volume Tons[Unit Tons Mixed Debris Construction cy X 0.18 = Demolition cy X 1.19 = Asphalt/Concrete Asphalt (broken) cy X 0.70 = Concrete (broken) cy X 1.20 = Concrete (solid slab) cy X 1.30 = Brick/Masonry/Tile Brick (broken) cy X 0.70 = Brick (whole, palletized) cy X 1.51 = Masonry brick (broken) cy X 0.60 = Tile sq ft Building Materials (cabinets, doors, windows, etc.) X cy 0.00175 = Cardboard (flat) . cy X 0.15 = Carpet By square foot sq ft X 0.05 = By cubic yard cy X 0.0005 = Carpet Padding/Foam sq ft X 0.30 = Ceiling Tiles Whole (palletized) cy X 0.000125 = Loose cy X 0.0003 = Drywall (new or used) 1/2" (by square foot) sq ft 5/8" (by square foot) sq ft X 0.09 = Demo/used (by cu. yd.) cy X 0.0008 = Landscape Debris (brush, trees, etc.) cy X 0.00105 = Asphalt Composition X 0.25 Shingles, asphalt Shingle = cy Unpainted Wood/Pallets By board foot bd ft X 0.15 = By cubic yard cy X 0.22 = Trash/Garbage cy X 0.001375 = Other (estimated w eight) cy X 0.15 = cy cy X 0.18 = cy X estimate = Total ALL I = 0 Page 4 of4 rev 4/24 ;condido Resource Recovery 121 W Miss ion Ave ;cond ido , CA 92025 760) 745-3203 ist orner : 0000 Ti cket : 87731 Da te: 08/29/25 <A IG G Jmmodity Uni ts Rate INVOI CE In : 10:24 Tru ck: 4028/4028 Out: 10:37 Container: Route: 08614 Origin: 086 Carlsbad i MIXED C & D 1.84 ;ross(In): 17.360. lbs Scl #5 140 .00 per TON Tare 13.680. lbs Scl#5 Extended Charge 257.60 Net: 3,680. lbs] PAID CREDIT CARD 257.60 Jn s t ruc tion & Demolition Diversion Certificate --Diversi on Perc entage 65% his certifies that the company listed above has utilized an EDCO facility to d i ith LEED r equirement. The diversion tonnage is based on an overall t onna ge per VINCE c~cond1 do Resource Recovery 1021 W Mission Ave Escondido. CA 92025 (760) 145-3203 Custome r : 0000 Tic ket: 1658 Date: 09/25/25 GOUDREOU SERVICES Commodi ty Un its Rat e Driver INVOICE In : 10:42 Truck: 0000 Out: 11 :08 Container : Route: 07214 Origin: 072 Encinitas 14 MIXED C & D 2.54 fGros s(In): 18,840. l bs Scl#5 140.00 per TON Tare 13 ,760. lbs Scl #5 Extended Charge 355.60 Net: 5,080. lbs] PAID CREDIT CARD 355.60 Const ruc tion & Demolition Diversion Certificate --Diversion Percentage 65% This certifies that the company listed above has utilized an EDCO facility to d with LEED requirement. The diversion tonnage is bas ed on an over all t onna ge p e KIMBERLY Driver