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Home My WebLink About2318 PIO PICO DR; ; CBR2023-4237; Recycle, _____________ , __________ , __ {city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov APP LI CA BL E TO NEW CONSTRU CTION, ALL RES IDENTIAL ADDITIO NS AN D A LTERATIONS AN D COMMERCIA L ADDITIONS AND ALTER ATI ONS OVER $200K. If you have quest ions about the recycling requirement or completing this form, please contact Republic Services at (7 60) 332-6464 a certified C&D r ecycler, or the Carlsbad Building Division at (442) 339-2700. Please note: Unless you are self-hauling, Republic Services or approved haulers must be used for all construction projects within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued without a completed Construction Waste Management Plan. Permit No.~$>\<., 2{)Z.~ -lf-Z ~] Project Title PrnjectAdd,ess_'Z-A l'Q_ fio Pt Ct' P r Applicant Name a r I 2-t: au ~ APN 15 (, 0'? l ()7 00 □ CEr' P?r □ Last First Applicant Address -~~3~0-~+---Q..,..__._V\.-v~~ft_O_~_;t __ ()~~--~~{ de~.,--01-~-.-- Phone i-ncyu l ? 7, f7 [-ma u Add ,e,s 0-1!1 n e_ fL_ ct v-&, ;-/e_ct--@ ') rrt et ; /. co"" Applicant Mailing Address (if different than project address) Please check the appropriate box: Q □ □ I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. I plan on using a City Approved Hauler and will provide all recei pts after construction. This is a proposed LEED certified project and 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 inform ation is true and correct to the best of my knowledge and belief. PrintName ± £()_ (12..t"ttU Date 1-4-z/f Page 1 of3 Rev. 05122 PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will (cont'd) not be issued without a completed Construction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: • ' Permit No . Project Title Project Address APN Applicant Name Phone ( ) Last First 11,.-,-1..,.■llh•■: 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. A B C Material Type Est imat ed Place a (li) check Place a (li) check next Place a (li) check next Waste Quantity next to items to be to items to be to items to be (to ns) reused or salvaged recycled disposed at landfill -Complete this line of the table only if only using WASTE MANAGEMENT roll-off bins. Mixed C&D Debris □ □ □ Asphalt & Concrete □ □ □ Brick/ Masonry / Tile □ □ □ Mixed Inert Debris □ □ □ Cabinets, Doors, Fixtures, □ □ □ Windows (circle all that apply) Carpet □ □ I □ Carpet Padding/ Foam □ n n Cardboard □ □ □ Ceiling Tile (acoustic) □ □ □ Drywall (used, new, scrap) □ n □ Landscape Debris (brush, t rees, □ □ □ stumps, etc.) No dirt. Unpainted Wood & Pallets □ □ □ Roofing Materials □ □ □ Scrap Metal □ □ D Stucco □ n n Other: □ □ □ TOTAL -- _,-1.•1111 To meet 65% Diversion Requirement (estimat e) X 0.65 = tons Total Estimated Waste from above Minimum Required Diversion Contractor/Owner Signature Date Page 2 of 4 Rev. 05122 Conversion Table for Common Construction Waste This document is informational onlv. It is here to help vou convert truckload auantities to tons if necessarv. Column A Column B Column C Category Material Volume TonsfUnit 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/Til e Brick (broken) cy X 0.70 = Brick (whole, palletized) cy X 1.51 = Masonry brick (broken) cy X 0.60 = Tile sq ft X 0.00175 = Building Materials (cabinets, doors, windows, etc.) cy X 0.15 = Cardboard (flat) cy X 0.05 = Carpet By squa re foot sq ft X 0.0005 = By cubic yard cy X 0.30 = Carpet Padding/Foam sq ft X 0.000125 = Ceiling Tiles Whole (palletized) cy X 0.0003 = Loose cy X 0.09 = Drywall (new or used) 1/2" (by square foot) sq ft X 0.0008 = 5/8" (by square foot) sq ft X 0.00105 = Demo/used (by cu. yd.) cy X 0.25 = Landscape Debris (brush, trees, etc.) cy X 0.15 = Asphalt Composition Shingles, asphalt Shingle cy X 0.22 = Unpainted Wood/Pallets By board foot bd ft X 0.001375 = By cubic yard cy X 0.15 = Trash/Gar·bage cy X 0.18 = Other (estimated weight) cy X estimate = cy X estimate = cy X estimate = cy X estimate = Total all = Page3of3 Rev .. 05122 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): -.,,.•11•w•• 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 informat ion, and that the information is true and correct to t he best of my knowledge and belief. Permit No. Cf? I?.. )..o~~ -lf 2-37 Print Name l\~Y.€.-7vl. 17e..✓ Address ~,Ii ~(O p(c.o dt1-~, kb" J c.,_ qltrJ Date '4/7,,., I,,,- I 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 t o tons. A B C M aterial Type Actual Amt Actual Amt Actual Amt Destination Facility Date Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill Examale: Palomar Transfer Station, 5960 El 01/01/2020 Concrete (broken) 5 tons Camino Real -1760) 603-0153 10/q U/ f'fl 1'/eJ c., 11.rf w,sk <;,33to.1., to I if 7,if. /VIIY,J f'M.ft ,.,,.~k Io, 91 +n~\ ~,ra. ,.,,_., /,,_Jlf( l. M' ,,,. f\J. l'ltd (" l\'it I ,, .. ,lP c;-. ~~i> [he p,-("'4A.M t-rD.Mrk1 ~Ix+:,,_ ~, ~-A< i,., r,,,, 5 Z>Ii,,{ f¼l'<e~ { "/\~t w~-,'tf r u10 lb{ {f(q,t.di/r, ~Q<tfvl c.D Rq,.,..Df.,. '"'H '" 1o ,,,,,o ] 2( ~ l 'P J loo ._ l..v c..:,"fe 2. 9-io tl,c ~~~MW 't)'.11,., 1-,., tJ Ct,.,-. .v '~) ~ I . @TOTAL .r i/2 3ob . ,,,.,_,::a-•Ulll"• Diversion Rate Achieved = % ~65%~ ~ 65% Total of columns A+ B Toto/ of columns A + B + C DIVERSION Contractor/Owner Signature ~,Le. ~ J-..,AJ,,...._ Date i,i--/ 1£' - Attach the following documentation to this Report: Return co leted form and documentation to: . Original recycling weight tickets, landfill weight tickets City of Carlsbad . Original donation receipts with photos and/or itemized descriptions Building Division {1st Floor) . Any other relevant information to support Recycling Report 1635 Faraday Avenue Carlsbad, CA 92008 "';t:1 t)" 11--l AJcO{) y{sl,..) Page 3 of 4 Rev. 04/22 {:'city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 part 2 Development Services Building Division 1635 Faraday Avenue 422-339-2719 www.carlsbadca.gov Your project qualifies for the City of Carlsbad Construction Waste Management Pla n (CWMP): Section 4.408.1 and Section 5.408.1 of the California Green Building Standards Code requires at least 65% of non-hazardous construction debris is recycled and/ or sa lvaged for reuse. NEXT STEPS: STEP 1. Before the project - a. Review your CWMP completed prior to permit issuance. (copy is attached to your job card) This plan demonstrates how you will recycle a minimum of 65% of the construction waste generated from your project by choosing: Republic Services or Self Haul. STEP 2 -During the Project a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where materials were taken. b. Complete the Debris Recycling Report (ORR) on the next page as your project progresses. Recycling/diversion goals are (at a minimum) 65% of the waste generated by your project STEP 3 -After the Project a. Prior to receiving inspection for final sign off the Building Permit or Certificate of Occupancy, Applicant must submit t he fully completed and approved (ORR) of the Construction Waste Management Plan (CWMP) Table. b. Provide the ORR and receipts to your building inspector. FOR MORE INFORMATION: NOTICE: Applicant (contractor and subcontractors) shall comply with the project's CWMP. It is the Applicant's responsibility to collect all receipts from the facilities that recycle their materials AND all project waste/landfill disposal receipts. When working wit h the City's franchised hauler, Republic Services, one cumulative project receipt is acceptable. However, it is the Applicant's responsibility to confirm that the bins are collected for C&D Recycling. 1. This project shall generate t he least amount of waste possible by planning and ordering carefully, following all proper storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible. 2. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The commingled construction roll-off bin will be taken to a Certified Mixed C&D Processing Facility to sort the material and create receipt(s), to demonstrate the project has met a 65% diversion rate or greater. 3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with the City's exclusive franchised waste hauler to develop a more specific CWMP. This plan may include using additional roll-off bins for particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible. 4. Contractors/subcontractors hauling their own waste as part of their scope of work (e.g., construction clean up companies, etc.) SHALL NOT be excluded from complying w ith the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recycling Facility. For a current list of Certified Recycling Facilities go to http://www. sand iego.gov /environ me nta I-se rvices/recycl i ng/ cd/i nd ex .shtm I. 5. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, t hey SHALL NOT be excluded from complying with t he CWMP and shall provide weight and waste diversion receipts from a Certified Source Separat ed Recycling Facility. Rev. 05122 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 16,620 TARE 13,740 NET 2 ,880 Tracking Qty: 0.00 Qty 1. 44 Unit Description TN MSW Origin : CARLSBAD Signature : Scal e I n Tare Out 100% 54 Ticket #: 2862422 Weighmaster: cantihy In: Out : Vehicle: Ref : BOL : INBOUND CASH June 30, 2025 June 30, 2025 A666 Rate Extension Tax $0 .00 $104 . 3~ $150 . 29 Total Paid Change .EDIT CARD-SCALE 12 :55 pm 12 :55 pm Total $150 .29 $150 .29 $150 .2'9 $0 .00 V Escondido Resource Recovery 1021 W Mission Ave Escondido. CA 92025 (760) 745 -3203 INVOICE Customer: 0000 Ticket: 37906 Date: 05/25/25 In: 10:13 Truck: 0000 Out: 11:00 Container : RICHARD REED Commodity Units 11 SELFHAUL REFUSE .80 [Gross(In): 9,880. lbs Scl#5 KIMBERLY Route: 01611 Origin: 016 Escondido Rate 125.00 per TON Tare 8.280. lbs Scl#5 Ext ended Charge 100 .00 Net: 1.600. lbs] t •,CONDIDO RESOURCE RECOV 1044 V'J V'JASHINGTON AVE ESCONDIDO, CA. 92025-167 760-7 45-3203 FORCE SALE REF#: 00000025 ll,itth #: 624 {, )/2:i/25 11:01:16 ill'P : CODE: 124427 I ,d~II 25 Contactless ' '***"5325 **/** "MOUNT $100.00 APPROVED \ l~J DEBIT 1 ,II) A0000000031010 1 VH 00 00 00 00 00 THANK YOU CUSTOMER COPY PAID CREDIT CARD 100. 00 Driver THE FOLLOWING CONDITIONS MUST BE OBSERVED <..... 1. 2. 3. Stay clear of moving trucks, loaders, and other equipment in this area as their operators may no~you or any pedestrian. Dumping of hazardous materials or liquids at this facility is prohibited. Violators will be prosecuted. 4. 5. 6. 7. 8. 9. SALVAGING of dumped materials is prohibited. SPEED LIMIT IS 5 MPH. Protective shoes and gloves highly recommended. You unload materials at your own risk. All children and anyone not engaged in unloading must remain in vehicle. Dump only in the designated operating area as directed and keep tools, tailgates, and other equipment in or under your vehicle. Injuries or damage to persons or equipment CAUSED BY OUR EQUIPMENT must be reported immediately to operating personnel before leaving the premises. Enter at your own risk, not responsible for tire damage. 10. You the customer are responsible for the operation of your own vehicle/equipment. Unloading of materials is your responsibility. Any unsafely operating or malfunctioning equipment is not the responsibility of EDCO. LAS SIGUIENTES CONDICIONES DEBEN SER OBSERVADAS ?" 1. Mantengase alejado de camiones, cargadores y otros equipos en movimiento en esta area ya que sus operadores posiblemente no Jo vean a usted ni a los peatones. 2. Se prohibe tirar materiales o liquidos peligrosos en estas instalaciones. Los infractores seran procesados. 3. Se prohibe RESCATAR materiales desechados. 4. EL LfMITE DE VELOCIDAD ES 5 MPH. 5. Se recomienda mucho usar guantes y calzado de protecci6n. Usted descarga materiales a su propio riesgo. 6. Los nifios y las personas que no vayan a descargar desechos deben permanecer en el vehkulo. 7. Vierta la basura s6lo en el area de operaci6n designada y mantenga las puertas traseras cerradas y las herramientas y otros equipos dentro de su vehiculo o debajo de el. 8. Cualquier lesi6n o dafio a personas o equipo CAUSADO POR NUESTRO EQUIPO debe reportarse inmediatamente al personal de operaci6n antes de salir de! local. 9. Entre a su propio riesgo. La empresa no es responsable de dafios en los neumaticos. 10. Usted, el cliente, es responsable de la operaci6n de su propio vehiculo/equipo. La descarga de materiales es su responsabilidad. Cualquier equipo que funcione de forma no segura o que funcione incorrectamente no es responsabilidad de EDCO. PALC MA:<. 'l'~NSFEK 5~ n) EL C:Ai.'1 INO PEAL CARLSBAD, SA 92008 (7601601-0 153 .. 000999 -CASH AND CHECK CUSTOMER ,\DORESS CJr :sbad, CA 92008 Contric : RESI -,'.JATE Yr . 2 GROSS 19,100 TARE NET. Tra -king Qty : l3 ,740 5 / ,3 60 • 0 . 00 Qty 2 .68 Unit Description TN MSW Origin : CARLSBAD \ S ignature : Sca.l In -, Ta-· -Out I 100% l . «e f : bOL : Ti.cket ~: 28125~1 Febru~ry 28 , :025 EE-b~uEd-~ 2~, 2025 ~f66 INBOUND CASH Ex~, $ion ..,2'7 • .2 4 Tax S0 .00 Cha!lqe C.ASH -SCALE, 1 J : '3 L a.m Tota} $271 . .2<'.l $2 7," . ,; .. roJiJ/1iJ Roll-Off & Hauling ~Services 560 Barsby Street Vista, CA 92084 (760) 277-2537 Bill To Lowes Contracting Charley (760)573-0635 Quantity Job Location 2318 Pio pico dr Carlsbad, CA Description Delivered 10/08/24 Picked up 10/12/24 I) 40yd trash bin inicludes 4 tons Total weight 10.93 tons. Over weight 6.93 tons P.O.No. Large piece in container. Larger tree trunks and stumps in container. Load had to go to Miramar landfill. Trip fee Invoice Date Invoice # 10/14/2024 1887 Terms Project Rate Amount 890.00 890.00 900.00 900.00 150.00 150.00 Total $1 ,940.00 Roll-Off & Hauling Services 560 Barsby Street Vista, CA 92084 (760) 277-2537 Bill To Reflective remodel Charley (760)573--0635 David Miller (760) 717-1707 Quantity JOb Location 2318 Pio Pico dr Carlsbad, CA Description Delivered 09/24/24 Picked up I 0/05/24 I) 40yd trash bin includes 4 tons Total weight 5.33 tons. Over weight 1.33 tons P.O.No. Invoice Date Invoice# 10/9/2024 1875 Terms Project Rate Amount 890.00 890.00 172.00 172.00 Total $1,062.00