HomeMy WebLinkAbout2830 WHIPTAIL LOOP; ; CBC2023-0384; Recycle.. -------------~--------------·----··----···-··-------·--
f"' City of
Carlsbad
CONSTRUCTION WASTE
MANAGEME NT PLAN
8-59
Oe ~·dopment Services
Building Diwision
163:-Faraday Avenue
ww-1t1.carlsbadca.gov
1o---------------------u--------••·-----••-=•••-••-••--•----
This form shall be completed for all demolitions and new construction, additions, and alterntions.
The California's Green Building Standards Code (CALGreen) requires t hat at least 6S% oh:onstr uction site
debris generated during demolition. projects, most new construction, as well a:; th'e 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 bu ilding permit application i; approved
STEP 2: The permit holder shall utilize a waste management company t hat can prO\,icl ,= veri·fi 3ble
documentation that meet s 65% waste diversion. Republic Services. is t he exclusive r,:,rnchise
1
cl waste hau·er in
t he City of Carlsbad.
• Option A-Roll-Off Bins: Call Cust omer Service (760) 332-64~4 and ask for a C~ .. D accou0t for waste
diversion. Republic Services will provide roll-off bins for construction wastf!.
• Opt ion B -Self Haul to Republic Services or other dump site t hat can provide verifiable
documentation. It must be a Certified Source Separated Recycling Facifity. Wh1?n you enter t he sitr?,
explain to gate operator that this is C&D material. When you exit the site, requ1ist a re :eipt and
certificate from gate operator for waste diversion.
STEP 3: Prior to permit close-out (permit final), the permit holder shall complete PA1n-·2 of t his form and
submit all t rash and recycling weight receipts t o the building inspector. Waste log, admowlEClgement, .ind
tickets must be submitted to release your certificate of occupancy.
C&D CERTIFICATION:
!XI I certify under penalty of perjury under the laws of t he Stat e of California t hat th:! infcn nation
provided in and with this form pertains to construction and demolition debri, generat•?d only fro11 the
project listed in PART 1, that I have reviewed the accuracy of the inforrnatior, and that the
IXl
IXl
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 tt is Construc:ion
Waste Management Plan pursuant to California Green Building Standards CocJ,~ 4.40B. 2 or 5.408.1.1.
Failure to provide documentation of C& D reporting, reporting of waste divNsi ;n less than 65%, and
failure to provide adequate weight receipts, may result in enforcement act ior ·c1gainst me or other
responsible parties, including a notice of violation, citations, and any other rn•nedies,provided in
Chapters 1.08 and 1.10 of the Carlsbad M unicipal Code. Project.; are riiquin~d 1;o subrn t their Waste
Log, Acknowledgement Form, and Weight Receipts prior to Certificate of O~c:upancy (CO) issuanCE!.
This project does not involve disposal of universal or hazardous waste OR, this project ncludes dis.)osal
of universal or hazardous waste in a responsible, safe and verifiable manner. Disposal of asbestos ..
containing materials, batteries, electronic waste, fluorescent bulbs, lead ba
0
s1?cj painb, mercury
containing equipment and refrigerants, require special processing prio r to c:crn1T1enceinent of
• I construction or demolition activities.
Date: __ _
Signature of Applicant
Page 1 of 4 rev 4/24
"'
PART 1 Complete and submit this form when apolying for a building permit. Permit ;~Tij·;~~~;~;ued J
without a completed Construct ion Waste Mar agement Plan. -----------~-----------
:11TI1r----------::-----------------,-------·------------·-----
Permit No. Project Title lonis Tl
ess_~-~-----Ue-~~~~~-.-c:a:r_ls-_b_a_-d_,~C~A~~~~~~-M-~ ...... J'~r _14_,_/_,e,....,\¥',__
----------
~
_Y_a_ng_, _N_o_r_m_a_n _________________ Phone
Last First
Complete t he fpllowing table ·w ith estimated wast e t c>r1riage t o b~ ge1rer:l ed bv ·ro ur proj_ect.
-----------------.--' --------,,-• ;_ _____ '! ... -';_,.,:_ ' ---A U ', C
M a1erial Type
Complete this line of the table only if
only using WAST£ MANAGEMENT
roll-off bins.
M ixed C&D Debris
Asphalt & Corcrete
Estimated
Waste Quant ity
(tons)
1153
Place a (✓) check
next to items to be
reused or salvaged
Place a ( ✓) check next·
to items to be
recycled
)(
Brick/ Masonry/ Tile ------------------------------------"'T'----------
Mixed Inert Debris
Cabinets, Doors, Fixtures,
Windows (circle all that apply} -----=------.:....:.....:...:...-1------------1-----------1---------------
Carpet
Carpet Padding/ Foam
Cardboard
Pl,u:e a (✓) check next
to items to be
cJi ;posed at landfill -----
------------1-----------1----------t-------------------
Ceiling Tile (acoustic)
Drywall (used, new, scrap) 165
Landscape Di!bris (brush, trees,
stumps, etc.) No dirt. l----'--'----'-------1--------------------t---------·---
Unpainted Wood & Pallets -~-----------------------------------------165
Roofing Materia Is
Scrap Metal I----'--------------------------------------·--·-165
Stucco
i-:0:.:t:..re::r..:..: ========~~--------4------------------------
TOTAL 1648 ______ .._ ________________________ ' ·-------,--
To meet 65% Diversion Requirement (estimate) ___ 1_6_4_8 ___ ,c 0.65 = ____ • -~~~~-~ _____ tons
Total Estimated Waste from ,move Mini.mt•tr ~equirca Diversion
Applicant Signature~~;;....~..P"" ____ DatE!
-------------------
Page 2 of 4 rev 4/2~
•
Docuslgn Envelope ID: 99CA079A-A004-4549-8320-8030O1BF42E2
{"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 101, acknowledgement, and
tickets must be submitted to release your certificate of occupa(lcy.
c&D CERTIFICATION:
!XI 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.
IXI 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.
IXI 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. Dlsposal of asbestos-
containing materials, batteries, electronic waste, fluorescent bulbs, lead based paints, mercury
containing equipment and refrigerants, require special processing prior to commencement of
construction or demolition activities.
~~ ...... ~by. u~ 8/13/2025 I 9:34 AM PDT Date: __________ _
Signature of Applicant 118575506800149<: ...
Page 1 of 4 rev4/24
~sign Envelope ID: 99CA079A-A004-4549-8320-8030D1 BF42E2
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.
SECTION A
Last First
SECTION B Complete the followln1 table with estimated waste tonnas• to be 1enerated by your project.
Material Type
Complm this 11M of the table only If
only using WAST£ MANAGEMENT
rok/fblns.
Mixed CAD Debris
Asphalt & Concrete
Brick/ Masonry / TIie
Mixed Inert Debris
Cabinets, Doors, Fixtures,
Windows (circle all that apply)
Carpet
Carpet Padding/ Foam
Cardboard
CelUng TIie (acoustic)
DfyWall (used, new, scrap)
Landscape Debris (brush, trees,
stum s etc. No dirt.
Unpainted Wood & Pallets
Roofing Materials
Sen Metal
Stucco
Other:
TOTAL
SECTION C
Estimated
Waste Quantity
(tons)
1153
165
165
165
1648
To meet 65% Diversion Requirement (estimate)
Page 2 of 4
A B C
Place a(✓) check Place a(✓) check next Place a(✓) check next'
next to items to be to items to be to Items to be
reused or salvapd recycled disposed at landfill
✓
___ 1_64_8 ___ >< 0.65 = ____ 10_7_1_._2 ____ tons
Total Estimated Waste from above Minimum Required Diversion
rev 4/24
Docusign Envelope ID: 99CA079A-A0044549-8320-8030O1BF42E2
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.
SECT ION A Permit No. ___________ Project Title _lo_n_i_s_T_I ___________ _
Project Address 2866 eazel!4ryrt,-farlsbad, CA~ w, ¢1-1 "f '4ft
Applicant Name._Y_a_n_,g:.:.,_N_o_rm_an _______________ Phone
Last First
APN
858-354-4521
Use this Flnal Log below to track loads of materials as they leave the Job site.
@<D>SAVE RECEIPTS<D><D>
Indicate FINAL quantities In 120! for each material and save receipts and documents from facllltles 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 Material Type Actual Amt Actual Amt Actual Amt Destination Facility
Reused or Recyded Disposed In (Name, Address, Phone)
Salva1ed Landfill
Extnno~: Palomar Transff!r Station, 5960 El
01/01/2020 Concntf! (brokf!n) Stons CaminoRf!al
-760 603-0153
0121/24 -5/23/2 Metal 45.65 Tons Lee's Iron & Metal
10/15/24 C&D 3.88 Tons OtayC&D
9/4/24 -7/1/25 Cardboard 10.89 Tons Palomar Recycle
12/16124 -7/1/25 Wood 53.17 Tons Otay C&D
6126124 -5/23/2 Drywall 120.98 Tons Otay C&D
2/10/25-6/30/25 Trash 140.36 Tons Otay Landfill
5/1 /24 -6126124 Concrete 78.93 Tons
OTOTAL 313.5 Tons 140.36 Tons
SECTION C
Diversion Rate Achieved __ 3_1_3_.5_T_o_n_s_----J/ ___ 4_5_3_.8_6_T_o_n_s ___ = 69.1 % c!:65%
Total of columns A + 8 Total of columns A+ 8 + C DIVERSION
Attach the following documentation tothls Report: Return completed form and documentation to:
• Original recycllna weight tickets, landfill weiaht tickets City of Carts~d
• Original donation receipts with photos and/M itemized descriptions Buildin1 Division (1st Floor)
1635 Faraday Avenue
Cartsbad, CA 92008
• Any other relevant Information to support Recycllna Report
SECT ION D
I certify under penalty of p-erjury 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 acCtJracy of the Information, and that the Information Is true and correct to the best of my knowledge
and bellef.
Applicant Signature ___ _,G"=~"",.,..,"""""IM,\., ... ..,,_· .... qmr--"---------Date _____ a,_1_31_20_2_5_1_9_:34_A_M_P_o_r_ ti6515505U001~
Page 3 of4 rev4/24
Docusign Envelope ID: 99CA079A-A004-4549-8320-8030D1 BF42E2
CONVERSION TABLE FOR COMMON CONTRUCTION WASTE. This document is informational only and may be
used to convert truckload quantities to tons.
ColumnA Column B Column C
Category Material volume Tons[Utdt Tons
Mixed Debris Construction cy X 0.18 =
Demolition cy X 1.19 =
Asphalt (broken) cy X 0.70 =
Concrete (broken) cy X 1.20 =
cy X 1.30 =
Brick/Masonry/Tile cy
X 0.70 = cy
X 1.51 = cy
Tile sq ft X 0.60 =
Building Materials (cabinets, doors, windows, cy X 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 TIies 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) X 0.09
Demo/used (by cu. yd.) X 0.0008 =
• Landscape Debris (brush, trees, etc.) X 0.00105 =
Asphalt Composition 0.25 Shingles, asphalt Shingle = cy
Unpainted Wood/Pallets By board foot bd ft 0.15 =
By cubic yard cy X 0.22 = Trash/Garbage cy
X
Other (estimated weight) cy
X = cy
cy X 0.18 =
cy X estimate =
Total All =
Page 4 of4 rev4/24
Docusign Envelope ID: 99CA079A-A004-4549-8320-8030O1BF42E2
RepubUc Services, Inc.
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1111DOIN4-0DDCl2 2 ONlZLY MTM. AENTALS 2131 'MIPTAI.LC:X,, ..... 1112/21 .... I ...
N11DOIN4-0DDCl2 2 ONZZLY RETA&. flJENTALS 2131 VIHPTAI.UX,, ..... 111125 ..... No .. , ,.........,, 2 OfUlZl. y RET M. NJrfTM.I 2131 YMf'f Al. LOOP ..... 111121 .... 1 ... .. , 1 D0IN4-0DDCl2 2 OIIIIZZLY IIIETM. N:NTALS 2t31'Mll'l'AI.UX), ..... 112/21 ..... 1 ...
tl1100IIM,G0002 2 GNZ'ZL V RETM. NHTALS 2131..,.AI.LOOP ..... 5121121 ..... No .. ,,~ 2 ONlZLY MTM. MNTALS 2'31'Mtl'TM.LOO, ..... .,..,,. -...
tl11DOIN4-0DDCl2 2 ONZZI.YRETAl.fllENTALS 2131 ..,.-Al. LOO, ..... 5111125 -No .. ,,..........,, 2 Oltlm.Y RETM. MNTALS 2Ul'M9PTM.l00P ..... 11111/2S .... ...
N1100llli&-oooct2 2 GNlZLYMTM.MNTM.I 2111'Mll'1'AI..LOOP ..... 51121211 -...
11110DNl4-00002 2 ONlZLY MTM. JIIENTM.S 2UI ....,.Al. LOOP ..... 111125 -1 ... .. ,,DOIN4-0DDCl2 2 ORltZLY ltETM.NHTALS 2111__.,.Al.lOOP ..... 111125 .... ...
11110CINM-00002 2 ORllZl. Y RETM. MNTALS 2131 wtW'TAl. l00P ..... 511125 ..... ...
111100lll4-00002 2 OIIUZZl. Y lltETM. IIENTM.S 2111...-rA1.L00P ..... 4121125 .... 1 ...
11110DIIIM-OOCI02 2 ORllZl. Y RETA&. ADITALS 2UI Wt9'TAI. LOOP -"'2Al25 .... No .. , 100IIIM-00002 2 GAIZZLY ftfTM. ll&fTALS 2Ul'Mll'1'M.l00P ..... 4121125 .... No
111100IN4-00002 2 OfllZZLY IIIETM. MNTALS 2Ul..,M.LOOI' ..... •117"5 ..... 1 No
l81100lll4-00002 2 GNZZLY MTM. fllENTALS 2131MtPTAI.L00P ..... .,,_ -No
181100Mll4-00002 2 ONlZLY RETA&. fllENTM.S 2131 WMPTAL u:x:i, ..... A/1D/21 ..... No .. , ,~ 2 ONZZLY MTM. "9ffALS 2UI WHPTAI. LOO, ..... u,m -...
111100IIM-00002 2 ONZZl Y MTM. l'IENfALS 2831__,.AI.LOOP ..... .,.,.. ..... ...
111100lllil-G0002 2 ONZZl. y RETA&. l'IEM'Al.S 2131 'Ma'TAI. LOO, ..... S/31125 ..... ...
N1100IIM.Q0002 2 ONlZI. Y MTM. l'lfNTALS 2131Wtel'TA1.LOO, ..... 1127125 ..... 1 ... .. , 100IIM-00002 2 GIUlll.Y RETM. IWHTALS aa 'MtPTAL ux:i, ..... .,..,,. .... 1 ...
111100IIN-00002 2 OfHm. Y MTM. l'lfNTALS 2t31wt,a,TM,.LOO, ..... 3l2MI •uo ...
• ,,_,.-00002 2 OIIRZl.Y MTM. IIIENTALS 2131 MWTM. LOOP ..... 3117"5 .... ...
• , 100IIIM-00002: 2 ORllZl. Y MTM. IIENTALS 2131 MWTM. LOO, ..... 3113125 ..... 1 ...
N1100IIN-00002 2 OIUZZL.YMTM.JWNTM.S 2131'Mtl'TM.LOO, ..... ""D/21 .... ... ., t......«NJ02 2 ONZZl. y MT M. '8f1'M.I .. ..,.Al. LOCI' ..... 3N25 ..... 1 ...
111 100IIIM-00002: 2 ONZ2l. Y RETM. l'llfNTALS 2Ul'Mtl'TM..LOO, ..... :IIJ/25 ..... ...
M1100lll4-00002 2 ONlZL Y RETM. NNTALI 2Ul'Mtl'TM.LOO, -2127125 .... No
tl1100IN4-00002 2 OIIRZl.Y lltETAL IIIIHTM.S 2131 _,.,M. LOOP ..... 212.m .... 1 ... .. , 100IIN-00002 2 OflllZl Y lltETM. flJENTALS tal'Mtl'TALLOOP ..... 2/20/25 ..... ...
811100lll4-00002 2 GftlZZI..YRETM.IIIENTAl.S 2Ul'Mtl'TM. LOOP -2/17125 ... ... .. , 10Dall4-00002 2 OIIRZl.Y RETM.IIIENTALS 2131WHPTM. L00P ..... 2/1D/21 .... "'
DfnWAU. REC'l'CLE r__, --r__, --·---r__, --r__, --r__, --r__, --r__, --r__, --r__, --r__, --·---T---, --T---, --·---r___, --·---r__, --r___, --·---·---·---r__,, --r__,, --r___, ,_ -·---r__,, --r__,, --r__,, --r__,, --r__,, --r__, -,_ r__,, --r__,, ,_ -,__,, --r__,. --,__,, ,_ -r__, ,_ -,__,, --,__,, -,_ r_..
°"""" 7.20
°"""" •n
QoC.o , ...
°"""" 1.71
°"""" ....
°"""" ...
°"""" UI
QoC.o ....
°"""" ....
°"""" ....
°"""" ....
°"""" "'
°"""" ....
QoC.o ,..
°"""" ....
°"""" 110
°"""" ....
°"""" -°"""" .,.
°""""
..,.
°"""" U1
°""""
,.,.
°"""" , .
°"""" UI
°"""" U>
QoC.o 1.27
°"""" ...
°"""" ...
°"""" L17
°"""" 1.7'
°"""" ....
°"""" . ..
°"""" , ...
°"""" ..
°"""" ....
°"""" ....
°"""" ...
°"""" , ..
°"""" 111
°"""" ....
°"""" 1M
RECYCLE TOTAL 234 57
SOUDWASTf 140 36 TOTAL
GRAND TOTAL 374.93
TN OlAYC&D
TN OfAYLNCN=l.l
TN afAYlAHDFIJ..
TM C1JAYLNC>fl.L
TM OfAY lNC>flJ.
TN OfAYI.NC>flJ..
TN fJrAY LANDFIJ.
TN OTAYlAHDFIJ.
TN OTAY LAN0fl.L
TN OfAYUHDfU
TN OfAYLANDfl.L
TM OTAY lAHDFIJ.
TN fYrAYLANDFIJ.
TM '1fAYlAHDFIJ.
TN afAYLANDFl.1.
TN C,,AYl.ANOFIJ.
TN OTAYLNC>FU
TN OTAYlNC>FIJ.
TN OTAYL.ANJA.l
TM OIAYlAHDFIJ.
TM OfAYlAHDFIJ.
TN C1rAYLANDfl.1.
TM 01AYLNOl.l
TM aJAYLAHDAU.
TN OfAYlANDA.L
TM OfAYUM>FLL.
TN OfAYLAHDAU.
TN fflAYUMlfl.L
TN fflAYLANDfl.L
TN OfAYLAHDFLL
TN fflAY UMlfl.L
TM OfAl'~
TN fflAYLANDfl.1.
TN OTAYLANDFI.L
TM OfAY l.ANDflJ.
TM OfAYLANDfl.1.
TM OfAVUHDFl.l
TM OfAV LAN0FLl
TN fflAVUHDA.1.
TN OTAYlANDA.L
TM OTAV lAHDfU.
~cont.lnn,nnot~'NeWUpnMdedfl:wlfflllcont.N'l9f"t .. o,riy..,,_..and .. beNc:10ft't(MaCOf'IUIMrttz.multiplledti-,1herunbtfofaohecMldhaw•""°""'~~IN....-ltdWIIINlof1DOl,e:pwaA,le)'MlfcwWNt410tSOIIIPM"cubk:)19J11tot-~
Docusign Envelope ID: 99CA079A-A004-4549-8320--8030O18F42E2
Eco Pan Concrete & Lanscape Recycling
Container Conlainer Compact DHcriptl WaM• Account i::::111::1--,1144;4:1: SiH Cly or on Typ• Typt Schedule Tonnag
2&36-All LOOI' ...,.2,
2S36 _.._ LOOI' ,.,._2'
2S36 _.._ LOOI' 111-2'
2S36 -All LOOP ....,.2'
No CONCRETE IIEOCLf Temporo,y OnColl
No CONCRETE IIEC'ICl.f Temporo,y OnColl
No CONCRETE ltEC'ICl.f Temporo,y OnColl
No CONCRETE IIEC'IClf Temporo,y OnColl
....
Zl.73
tCU4
•• =~~;~~ 78 93
I
TN
TN
TN
F tedT-:
jwnte:
fr-wutoDlwofslon:
313.s!
.;g
~• conuiners •• noc. wei.ghe-d. WeiJhU prCMded fot smMI contH'ltrs ue ont, ntirNites •nd •re b,sed on~ conuiner slz.t multiphd by the numbtr of scheduled Muts per month rnuklpffed by the •ssumed ~ts of 1 ootbs per C\lbk: y,rd for wHte « SOlbs per oj)k y.wd for recycll"IC,