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HomeMy WebLinkAbout2572 CHAMOMILE LN; ; CBRA2024-0129; Recycle{city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Develooment 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 Republ ic Services at (760) 332-6464, a certified C&D recycler, or the Carlsbad Building Division at {442) 339-2719 Please note: Unless you are self-hauling, Republic Services or approved haulers must be used for all construction projects within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued Applicant Information Permit No. CBRA2024-0127 to 132 ProJectTitle Marja Acres (Coral Ridge) Building F19 Project Address 2548, 2556, 2564, 2572, 2580, 2588 Chamomile Lane APN 207-102-06-00 Applicant Name KB Home Coastal Inc. / Attn: Elizabeth Shoemaker 171 c□or □ct □ Last First ApplicantAddress 9915 Mira Mesa Blvd., Suite 100, San Diego, CA 92131 Phone (760 l 550-1957 E-mail Address eshoemaker@kbhome.com ApplicantMailingAddress 9915 Mira Mesa Blvd., Suite 100, San Diego, CA 92131 (ff different than project address) Project Type (check all that apply): Residential [l] Commercial □ Public Building □ Brief Description Marja Acres Coral Ridge Phase F8 {Bldg. F19 -Units 56S to 61S) Project Size ___________ Estimated Cost of Project$ _______________ _ (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. l✓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 Elizabeth Shoemaker Signature ~ab<lft SM~ Date 5/27/2025 Page 1 of4 Rev. 2.10.21 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL}: SECTION A 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. Permit No. CBRA2024-0127 to 132 Print Name KB Home Coastal Inc. -----------------~ Address 2548, 2556, 2564, 2572, 2580, 2588 Chamomile Lane Date 5/27/25 ------------1 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 ftom facilitles 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 12/30/2024 01/03/2025 01/03/2025 01/10/2025 01/20/2025 01/22/2025 01/20/2025 01/30/2025 01/31/2025 Material Type Concrete (broken) Clean Wood Construction Trash Clean Wood Construction Trash Construction Trash Construction Trash Clean Wood Construction Trash Construction Trash Actual Amt Reused or Salvaged 1.50 0.59 6.00 0.66 0.64 0.49 3.00 0.70 0.37 Actual Amt Recycled 5 tons 1.50 0.00 6.00 0.00 0.00 0.00 3.00 0.00 0.00 Actual Amt Disposed In Landfill 0.00 0.59 0.00 0.66 0.64 0.49 0.00 0.70 0.37 Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5950 El Camino Real -750 503-0153 Inland Pacific Resource Recovery Palomar Transfer Inland Pacific Resource Recovery Miramar Landfill Palomar Transfer Miramar Landfill Inland Pacific Resource Recovery Palomar Transfer Escondido Resource Recovery Diversion Rate Achieved _______ __, __________ = ____ % Total of columns A + 8 Total af columns A + 8 + C DIVERSION Contractor/Owner Slgnature ______________ Date Attach the following documentation to this Report: Return completed form and documentation to: • Original recycllng weight tickets, landflll weight tickets • Original donation receipts with photos and/or itemized descriptions • Any other relevant Information to support Recycling Report City of Carlsbad Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of4 Rev. 0412.2 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): SECTION A 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. Permit No. CBRA2024-0127 to 132 Print Name KB Home Coastal Inc. ------------------! Address 2548, 2556, 2564, 2572, 2580, 2588 Chamomile Lane Date 5/27/25 -----------i 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 01/28/2025 02/05/2025 02/07/2025 02/10/2025 02/12/2025 02/28/2025 03/03/2025 03/20/2025 03/21/2025 Material Type Concrete (broken) Clean Wood Construction Trash Clean Wood Construction Trash Construction Trash Construction Trash Construction C&D Construction Trash Construction Trash Actual Amt Reused or Salvaged 3.00 0.51 3.00 0.54 0.54 0.74 1.08 0.74 0.59 Actual Amt Actual Amt Recycled Disposed In Landfill Stons 3.00 0.00 0.00 0.51 3.00 0.00 0.00 0.54 0.00 0.54 0.00 0.74 0.82 0.26 0.00 0.74 0.00 0.59 Destination Faclllty (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -760 603-0153 Inland Pacific Resource Recovery Miramar Landfill Inland Pacific Resource Recovery Palomar Transfer Miramar Landfill Palomar Transfer EDCO WSTE & Recycling Services Palomar Transfer Palomar Transfer Diversion Rate Achieved _______ __, __________ = ____ % Total of columns A + 8 Total of columns A + 8 + C DIVERSION Contractor/Owner Slgnature ______________ Date 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 City of Carlsbad Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 Rev. 04122 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): SECTION A Acknowledgement I certify under penalty of perjury under the laws of the State of California that the information provided in and with t his form pertains to construction and demolition debris generated only from the project list ed 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. Permit No. CBRA2024-0127 to 132 Print Name KB Home Coastal Inc. ---------------------1 Address 2548, 2556, 2564, 2572, 2580, 2588 Chamomile Lane Date 5/27 /25 ----------~ SECTION B Use this Final log below to track loads of materials as they leave the Job site. <O><a>SAVE RECEIPTS(Q)(Q) 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 B C Actual Amt Reused or Salvaged Actual Amt Actual Amt Recycled Disposed In Landfill Destination Facility (Name, Address, Phone) Example: 01/01/2020 Concrete (broken) 5 tons Palomar Transfer Station, 5960 El Camino Real -760 603-0153 04/02/2025 Clean Plaster/Stucco 10.00 10.00 0.00 FJ WIiiert 04/18/2025 Construction Trash 0.90 0.00 0.90 Miramar Landfill 35.59 27.32 8.27 Diversion Rate Achieved __ 2_7_._32 ___ ~/ __ 3_5._5_9 _____ = 77 % Total of columns A + 8 Tata/ of columns A + B + C DIVERSION Contractor/Owner Signature ~ae<l.ft Sk~ Date . 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 City of Carlsbad Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 Rev. 04/22 Ct!JJacity Construction :Post Office 2Jox 420040 San :Diego, Calf/01?tia 92142-0040 (858) 569-0351 (858) 560-4610 fax KB Home Coastal, Inc. Coral Ridge, Building F19 36310 Inland Valley Drive Lots 56-61 Wildomar, California 92595 WO #'FINALREPORT 05282025 Today's Date: May 28, 2025 05/28/2025 Provided Citv Of Carlsbad Waste Manaaement Final report for Coral Ridae Buildina F19 As reauested bv Elizabeth Shoemaker Administrative Fee Total of 2.5 hours(@ $90.00 per hour $225.00 Work Ordered by: Elizabeth Shoemaker. Total= $225.00 I hereby acknowledge the satisfactory completion of the above described work: Signature Date The City of SAN DIEGO') THE CITY OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT SUPPORT SERVICES DIVISION 9601 RIDGEHAVEN CT., SUITE 31 b • SAN DIEGO, CA 92123-1636 (858) 694-7000 Transaction#: 14110176 Account #: 8133613/CAPACITY CONSTR Date: 4/18/2025 14:40:53 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 LBS TONS Decal #: 63675, 0, O Scale Operator: KUV Fleet#: Tag #: CG83R94 Incoming /F_B-_0~5---Gross Weight 23040.00 11 .52 Transaction Type: 01/BUS.--NON RESIDENTIAL -GO• f5 Payment Type: 01/CHARGE '1i,. Hauler Type: 01/BUS.--NON RESIDENTIAL j m -. Vehicle Type: 070/MEDIUM HEAVY . ~;.lt J , Material Type: 001/REFUSE 53 .67% of Surety Bond remains Origin: 001/SAN DIEGO CITY '{..) ~~--• Special Fees: 1~ .' '.t -✓,,, The Miramar Landfill will be closed on Monday, 05/26/2025 (Memorial Day). ES-072 (REV. 10.24) PW/PS-333 This lnformotion is ovol/oble in o/ternotlve formats upon request Tare Weight 17660.00 8.83 Net Weight 5380.00 2.69 Tip Fee $ 199.00 Spec Fee $0 RCBus Tax $ 22.00 Recycle $ 35.00 Total $ 256.00 SIGNATURE '1869 Nirvana Avenue • Chula Vista, CA:919,11 Phone:.619.421.1980 • Fax:619.42~-~1i10 • • l j I ·1 I l TfC9'i!-2029209 .r ~ •. I CONSTR.UCTION & DEMOLITION DIVERSIO~._CERTIFIC~TE. • CRUSHER PLANT: FJW Crusher Plant DATE: 04/02/2025 Diversion·~'""" ..;..10_0 _____ _ iROCK ,.; _1"-'0;;..;5;._ _________ _,;. __ _.;;,;.,·..,.___,..~ BIWNG CUSTOM.ER: Capacity Constrlfction, l~·c~ " POINT OF ORIGIN· Coral Ridge : \· f f11,Concrete [ )'Rock .·s~c l HUoi')~ • ~~ :::· .. . I l [ ] Se:~:ttoJ\"(Oun, ;2 tOflS ) [ l Mixed Ld C J Ex ort ( J Base C J Obie BottorifDum -25 tons ·I ( , c< •t'/ Cr,hbl: ii__,_..:,. . I T~klng_ . _Pri~\~~m.e -\; j ··, 1 • F. llertSlgn·~ure " • l Truck Driver Slgnittµre • • i . .(• .; • 1 Th1s certifies that the company ab~ has utllliid a 'rteydlog facll">' ~ divert l coris~_ctton defT!.olltlo_!l .!'1~!1!rlit1s 1n:~~nc.e ~J~h'IHD ll!~ul!"!)'!e;nu.~, ~,s1on , :~ is base<! on an o\letall _tonnage ~ntage of dle respe~f~lty. • • . . , , PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO , CA 92142-0040 Contract: COMM-GATE GROSS TARE NET Tracking Qty: Yr. 200 22,500 18,060 4,4 40 0.00 Qty 2 .22 Unit Description TN MSW Scale In Tare Out 54 Ticket #: 2820226 Weighmaster: m_articy In: March 20, 2025 Out: March 20 , 2025 Vehicle: A53962 Ref: BOL: INBOUND INVOICE Rate Extension $101. 2] $224. 69 Tax $0.00 Origin: CARLSBAD 100% PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 010258 -CAPACITY GONSTRUCTION INC PO BOX 420040 SAN DIEGO, CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS 22,100 Scale In TARE 18,560 Tare Out NET 3,540 Tracking Qty: 0.00 Unit Description TN MSW 54 Ticket #: 2820700 Weighmaster: marticy In: March 21 , 2025 Out: March 21, 2025 Vehicle: Al06249 Ref: BOL: INBOUND INVOICE Rate Extensio n $101.2] $179.14 Tax $0.00 Qty 1. 77 Origin: CARLSBAD 100% 10:59 am 10:59 am Total $224.69 10:28 am 10:28 am Total $179.14 EDCO WASTE & RECYCLING SERVICES, INC 224 S. LAS POSAS RD SAN MARCOS, CA 92078 (760 ) 744-2700 Customer: 0003 CAPACITY CONSTRUCTION TRUCK# 118 Ticket: 6062 Date: 03/03/25 Commodity Units Rate In: 10:44 Out: 10:47 45 C & D MIX 4.32 108.00 per TON INVOICE Truck: 1242/1242 Container: Route: 08045 Origin: 080 SAN MARCO [Gross(In): 27,080 . lbs Man Wt Tare 18,440. lbs Man Wt Extended Charge 466.56 Net: 8,640. lbs] TOTAL DUE 466.56 Construction & Demolition Diversion Certificate --Diversion Percentage 76% This certifies that the company listed above has·utilized an EDCO facility to divert construction demolition materials in accordance with LEED requirement. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility. CRUZ Driver •• r -• •·------------------------------------ PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760) 603-0·153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO , CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS 2 1 ,860 Scale In TARE 17,420 Tare Out NET Tracking Qty: 4,440 0.00 Qty Unit Description 2 .22 TN MSW Origin: CARLSBAD 100% 54 Ticket #: 2812396 Weighrnaster: marticy In: February 28, 2025 Out: February 28, 2025 Vehicle: A106133 Ref: BOL: INBOUND INVOICE Rate Extension $101. 2] $224 . 69 Tax $0.00 9:19 am 9 :19 am Total $224.69 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION I NC P O BOX 420040 SAN DIEGO, CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS 21,700 TARE 17 ,420 NET Tracking Qty: 4 ,280 0.00 Qty 2 .14 Unit Description TN MSW Scal e I n Tare Out 54 Ti cket #: 2805451 We i ghmaster : marticy I n: February 10, 2025 Out: Feb r uary 10, 2025 Ve hicle: A1 06133 Ref : BOL: I NBOUND INVO I CE Rate Extens ion $101. 2) $216. 59 Tax $0 .00 Origin : CARLSBAD 100% 10 :22 am 10 :22 am Total $216 .59 The Cityo/ SAN • DIEGOlJ THE CllY OF SAN DIEGO ENVIRONMENTAL 6ERVICES DEPARTMENT SUPPORT SERVICES DIVISION . 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636. (858) 694-7000 MIRAMAR LANDFILL 51 80 CONVOY STREET SAN DIEGO, CA 92111 Transaction#: 14047189 Account#: 8133613/CAPACITY CONSTR Date: 2/12/2025 13:19:29 Decal #: 63675, 0, O Scale Operator: SRE Fleet#: Tag#: CG83R94 Incoming /F~B,_0_5 ____ Transaction Type: 01 /BUS.--NON RESIDENTIAL Payment Type: 01/CHARGE Hauler Type: 01/BUS.--NON RESIDENTIAL ~ . •• Vehicle Type: 070/MEDIUM HEAVY . ~,-'Jt 7 _ Mate,;a1 Type, 001/REFUSE 38.6_'!% of S~md remains Special Fees: ~ Origin: 001/SAN DIEGO CITY ,. W°' _ 1• ' '-t'. The Miramar Landfill will be closed on Monday, 05/26/2025 (Memorial Day). , ' ... LBS TONS Gross Weight 21920.00 10.96 Tare Weight 17660.00 8.83 Net Weight 4260.00 2.13 Tip Fee $ 158.00 Spec Fee $0 RCBus Tax $ 17.00 Recycle $ 28.00 Total $ 203.00 ... Construction & Demo Received at: INLAND PACIFIC RESO.U Project: Total Yards Receive ercentage: 100% Signature: This certifies tho! the compony Hsted above hos utilized o Certified f Illy lo divert construction demofitlon molerlols In accordance with LEED requirements. The diversion yordoge Is based on on overall ordoge percentage of the respective green waste foclllty. ; .. The Cityo/ SAN DIEGO~ THE CITY OF SAN DIEGO ENVIRONMENTAL.SERVICES DEPARTMENT SUPPORT SERVICES DIVISION 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 921 23-1636 . (858) 694-7000 Transaction #: 14040858 Account#: 8133613/CAPACITY CONSTR Date: 2/5/2025 14:02 :22 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 LBS TONS Decal #: 65939, 0, 0 Scale Operator: DAM Fleet#: Tag#: 87741C3 • Incoming /F-=.B ... 0 .. 5-~ Gross Weight 21780.00 10.89 Transaction Type: 01/BUS.-NON RESIDENTIAL Payment Type: 01/CHARGE Hauler Type: 01/BUS.-NON RESIDENTIAL ·• - Vehicle Type: Material Type: Origin: Special Fees: 070/MEDIUM HEAVY 001/REFUSE 001/SAN DIEGO CITY The Miramar Landfill will be closed on Monday, 05/26/2025 (Memorial' Dayf . . ..... ~ 50.32% of s~ond remains ... '.,i;.'!"'--~• Tare Weight 17700.00 8.85 Net Weight 4080.00 2.04 Ttp Fee $ 151 .00 Spec Fee $0 RCBus Tax $ 16.00 Recycle $ 27.00 Total $ 194.00 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO , CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS 20 ,220 Scale In TARE 17, 420 Tare Out NET 2 ,800 Tracking Qty: 0.00 Qty 1. 40 Unit Description TN MSW 54 Ticket #: 2801499 Weighmaster: marticy In: January 30, 2025 Out: January 30, 2025 Vehicle: Al06133 Ref: BOL: INBOUND INVOICE Rate Extension $101. 2) $141. 69 Tax $0.00 Origin: CARLS BAD 100% Escondido Resource Recovery 1021 W Mi ssion Ave Escondido. CA 92025 (760) 745-3203 INVOICE Customer: 0104 Ticket: 96652 In : 15:19 Truck: 9999/9999 Date : 01/31/25 Out : 15 :29 Container: CAPACITY CONSTRUCTION P.O . BOX 420040 SAN DIEGO . CA . 92142 COITTTiodity Units 11 SELFHAUL REFUSE 1.46 [Gross(In): 21.50 0. lbs Scl#5 VINCE Rate . 125.00 per TON Tare 18.580 . lbs Scl#5 Route: 01611 Origin: 016 Escondido Extended Charge 182.50 Net: 2. 920. lbs J TOTAL DUE 182 .50 Dri ver 1:53 pm 1:53 pm Tot al $141. 69 --------------· Received at: INLAND PACIFIC RESOU Project: Total Yards Recelv ercentage: 100% Signature: This certifies that the company fisted obqve t\o,i utlllzed o Certified I Oty to divert construction demontton moter1c;fls i,:;· oct:O{clonce with LEED regulrements. The diversion yardage Is based on on overall ordoge percentage of the respective green waste foclllty. I I . I f' PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO, CA 92142-0040 Contract: COMM-GATE GROSS TARE NET Tracking Qty: Yr. 200 22,080 18,280 3,800 0.00 Qty 1. 90 Unit Description TN MSW Scale In Tare Out 54 Ticket #: 2797170 -Weighmaster: rnarticy In: January 20, 2025 Out : January 20, 2025 Vehicle: A106316 Ref: BOL : INBOUND INVOICE Rate Extension $101 . 2] $192. 30 Tax $0 .00 Origin: CARLSBAD 100% 9:44 am 9 :44 am Total $192.30 The City of SAN• D IEGO]) THE CITY OF SAN DIEGO ENVIRONME~TAL SERVICES DEPARTMENT SUPPORT SERVICES DIVISION MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1 636 (858) 694-7000 Transaction #: 14026503 Account#: 8133613/CAPACITY CON?!R LBS Date: 1/22/2025 14:05:15 Scale Operator: KBT Decal#:65332, 0, 0 Fleet#: Tag#: 41658N3 Incoming /F:B:..0;;.;5~--Gross Weight 20460.00 Transaction Type: 01/BUS.-NON RESIDENTIAL Payment Type: 01/CHARGE Hauler Type: 01 /BUS.--NON RESIDENTIAL ~ ._ ~ Vehicle Type: 070/MEDIUM HEAVY . , .IJ.t 7 . , Material Type: 001/REFUSE Origin: 001/SAN DIEGO CITY Special Fees: The Miramar Landfill will be closed on Monday, 05/26/2025 (Memorial Day). 29.04% of Surety Bond remains \~_w~ -~✓-~ Tare Weight 17560.00 Net Weight 2900.00 Tip Fee Spec Fee RCBus Tax Recycle Total TONS 10.23 8.78 1.45 $ 107.00 $0 $ 12.00 $ 19.00 $ 138.00 Construction & Demo Received at: INLAND PACIFIC RESOU Proceed at: Project: Total Yards Receive Signature: • ersion Cer~catp 310 8 5 6 C Date: 1..-C) \ ~ ercentage: 100% This certllles that the company d above hos utlRzed a Certified f Nty to divert construction demoNllon materials In accordance with LEED requirements. The dlverslon yordpge Is based on on overall ordoge percentage of the respective green waste foclllly. I J'. The City of THE CITY OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT SUPPORT SERVICES DIVISION MIRAMAR LANDFILl 5180 CONVOY STREET SAN DIEGO, CA 92111 SAN •· DIEG011 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 (858) 694-7000 Transaction#: 14014352 Account#: 8133613/CAPACITY CONSTR Date: 1/10/2025 13:43:43 Decal#: 62129, 0, 0 Scale Operator: ZRO Fleet#: Tag#: 72968F3 Incoming /F~B_,..0~5--- Transaction Type: 01/BUS.--NON RESIDENTIAL Payment Type: 01/CHARGE Hauler Type: 01/BUS.--NON RESIDENTIAL Vehicle Type: 080/HEAVY j . ,. . . ..... .. Material Type: Origin: Special Fees: 46.43% of Sfflmd remains \~. '' 001/REFUSE 001/SAN DIEGO CITY The Miramar Landfill will be closed on Monday, 05/26/2025 (Memorial Day). ts.on (REV. 10-24) PW/PS-333 This Information Is avo/lable In alternative formats upon request. LBS TONS Gross Weight 23420.00 11.71 Tare Weight 18140.00 9.07 Net Weight 5280.00 2.64 Tip Fee $195.00 Spec Fee $0 RCBus Tax $ 21 .00 Recycle $ 34.00 Total $ 250.00 SIGNATURE f ' PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD , CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO, CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS 22,100 Scale In TARE 17,420 Tare Out NET Tracking Qty: 4,680 0.00 Qty 2 .34 Unit Description TN MSW Origin: CARLSBAD 100% 54 Ticket#: 2790770 Weighmaster: marticy In: January 03, 2025 Out: January 03, 2025 Vehicle: A106133 Ref: BOL: INBOUND INVOICE Rate Extension $101 . 2] $236. 83 r . Tax $0.00 1: 45 pm 1:45 pm Total $236 .83 Construction & Demo • Received at: INLAND PACIFIC RESOU Proceed at: Projact: Signature: •_:, ----· ·-· .···------------ ersion Ce1cat~ . ~._i□ 7 9 7 C Date: ~ '.(3;\~ ercentage: 100% This certifies that the company Hsted above hos utilized a Certified f Illy to divert constn.Jctlon demolition materials In accordance with LEED requirements. The diversion yardage is based on an overan ordage percentage of the respective green wost~ focHlty. J' • ---. --···-------·------------ Project: ercentage: 100% Signature: This certifies that the company llsled above hos utilized a Certified foclllty to divert construction demolition materials In accordance with LEED requirements. The diversion yardage Is based on on overall yardage percentage of the respective green waste foclUty. --~~-~-------------------------------