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Home My WebLink About2285 RUTHERFORD RD; ; CBC2024-0334; RecycleC cityof 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 shall 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 gate operator that this is C&D material. When you exit the 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: !XI I certify under penalty of perjury under the laws of the State of Ca lifornia 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. 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 adequate 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 constrnion or demoo/irctivities. ~h& ,LA< ~. ~~ Signature of Applkant • sc:- 12-11-2024 Date: __________ _ Page 1 of4 rev 4/24 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. ___ c_s_c_20_2_4_-o_3_34 ______ Project Title QUIDELORTHO -L YO Project Address ___ 2_2_8_5_R_U_T_H_E_R_FO_R_D_R_D_, c_A_R_L_S_B_A_D_C_A_. ___________ APN 212-062-08-00 Applicant Name ___ N_ic_k_L_in_n_e_l_S_k_y_lin_e_c_o_n_s_tr_uc_t_io_n __________ Phone 619-253-7312 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 Example: 01/01/2020 12/28/2024 12/28/2024 Material Type Concrete {broken) Concrete -Slab on Grade Removable Rec clable Concrete -Slab on Grade @TOTAL A Actual Amt Reused or Salvaged B Actual Amt Recycled 5 tons 3.1 Tons 3.5 Tons C Actual Amt Disposed in Landfill Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -(760) 603-0153 Escondido Resource Recovery, 21 W Mission Ave, Escondido CA, 92025 -760-745-3203 Esoondido Resource Recovery, 21 W Mission Ave, Diversion Rate Achieved ___ 6_.6 _____ ~ ____ 6_.6 _______ = __ 1_0_0 __ % ~ 65% Total of columns A + B Total of columns A + B + 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 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 t he information is t rue and correct to the best of my knowledge and belief. 1/«4 LiHl,ee 9/15/2025 Applicant Signature ______________________ Date _______________ _ Page 3 of 4 rev 4/24 dido Resource Recovery 1 w Mission Ave oncfido. CA 92025 0) 745-3203 0000 Ticket: 79001 Date: 12/28/24 SHANNOO HUNT Conood1ty Units Rate IHV01CE Truck 0000 Coota:\ner: Route: 08614 Origin: 086 Car1s~d 14 HlXEO C & 0 3.10 fGross(lo) 16.500. lbs Scli5 128 00 per Tare 10.300. I ScliS Extended Charge 396.80 Net. 6.200 lbsJ PAIO CREDIT CARD 396.80 Coi:tstruction & Demolition Diversion Certificate --Diversion Percentage 65\ T~i.s certifies that the company listed above has utilized an EDCO facility to d "tth LEED regub:ement. The di version tOnnage is based on an overall tonnage pe TIU! FOLLOWl G CONl>ITJO S AIUS't BB OBSERVED 1 Stay clear of mowng truckis 1 '1. Dumping c,fhaurdo1.t& tn11. • ~dCA, .and other ~w,nn,rit !ti th.ls ) SALVAGING o( du,.._,. lttiah or llqwd at lhl.s la~lltyis pruh1l> ,t SPB D LIMIT ... ,... .. matttlab 1$ prohl'bilc!d, ISSMPH. !, Prott<th"C! ~ and gl h t, All cllUdri-n and &n)'OQ OYt$ lgbJy ttco~n~td. You unlo~ nu• 1, Dump only in the dai e not cng.ap In urdoading muit re.nwn In 8. haJmlci or d grt•ltd ope,taling araa 1U du«ttd a.tad .kttp leaving~ p= per,om or ~uipmrai CAUSED SY OUR EQ SI. Bllter at your own risk. l\01 rcs:poswilM for tire d.un 10. You the customtt are raponalb~ for die ~0~ yo,u, own uni&fdy OJ>ffal Ing or malfunctlbnlng tquspmcnt ls not tlle mpon GUIENTES ONOICIONES DD SER OBSERVAD ~ton may aoa «e )'OU or my ~de.setttt\. wt be ptos«IJ~d. r!Ulll~,nd odl~r ~ulpm~nt 1n or ender >·our ~"C'hJ~. must be reported lmmNl~tdy 10 opti:2ting ptrsonnd before /cqulprncnL IJ~lng of m~terial. CJ your f~Msbtllty. Any ity ol £000. I. Mlntimpu akJlldo ck c:.unlones. ~ )' otr~~WP-0' en ~len~ «i nt• ltl!ll y, q~wi opn.dott-.s poslh!e-menle! ~ usled ol a los pc•l«>M& o,;, 10 vun 11 2. $e prohJbc tinr mataiaJa O Uquklos ~ ffl CSW !mulat . ~ (nfl"Kto,~ suan pro«Mdos. l, St protubc RESCATAJl ~ <k-scdudo.. 4 f!L UMJTE DE VELQCIDAD es S MPH. S. Sc recomicnda muc.ho war pantes y caludo de prott.:don ~cedlp:aJltl m~aWeu iu p,q,10 nc,go. 6. Los nl60s r ru pusonu que now~ a deuarg;ar ~ ddKJ n«:cf"m d \'ffl!Q&lo 7. Vk-rta la basuta s6lo eis cl w de ~n dcsignada r irJ!'ltcn putrtaf trucns ~ y las httmru,:ruaii y OUga .,..,u...,.._ d de su WhkU)bo dtbajode6.. --. • .,..,,. t'ntro 8. Cu.tlquJu lraon o da6<' a penoiw o e,qwpo CAUS!d.>0 E'O O EQUJPO dtbt rq>clrUrk fnmedia~ aJ Persona.I d .. opmeJ6n ••no ck salir dd lcx;.al ,.. ,. F.ntrea w. p,opio rlnfp, La emprcsa ~-':f°~~k d~ ~osh 10 Wed. ct dJcnte. a ~le de la .,,....._,,a u.csu prop o \~ equfpo quc ftusaonc de (onna no~ o que fundone tncone La dac:arp de~ q $U rnpo~ . J,DcsmpGQSal>illdaddc.£DCO, I~ C~Jn., "'-~r Resour c.e Recovery 1ss'fon Ave ldO , CA 92025 ]45·3203 0000 Ticket: 78725 Date 12/28/.24 Co·rloodHy Um ts Rate lNrOICt inic,. 0000 lq 10 li conta111er· 08614 ~t to 23 Rou Le 1 hod ongH'-086 car s 14 MlXCD C & 0 3.53 [Gross(In ). 17.560 lbs Scl/5 128. 00 per Toti Tare 10.SOO lhs 5cl.i:!5 Extended Cha rge 451 8'1 ICL'. 7 .060 lb5] PMD CRfOH CI\RD 1\5] 81\ Construct.ion & Demolition Dive:rsion cer_1!~cutQ. --Diversion J?ercenta e 65% This certifies that the company li!ted :tlx:rJe h~~ utilized an EDCO facility to di wi t:h LBRD requirement. 1'be diversion t 0tmagc. 1s based on an overall tonnage per, GRE<i