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Home My WebLink About2649 OCEAN ST; ; CBR2024-0472; RecycleC Cityof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN 8-59 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 IO NS AND ALTER AT ION S 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 Republic 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. CBR2024-04 72 Project Title Ocean Street Renovation Project Address 2649 Ocean St. Carlsbad APN 203-140-09 Applicant Name Fargo Dean Contractor [Z] Other □ Last First Applicant Address 1055 Torrey Pines Rd. #201, La Jolla, CA 92037 Phone 858 442-4643 E-mail Address dean@4x4construction.com Applicant Mailing Address (if different than project address) Project Type (check all that apply): Residential Commercial IZ] □ Brief Description Remodel Single Family residence Public Building □ Project Size 6358 Estimated Cost of Project $ _ _..{½--'\()"'--""0-=0C41.-0tJ=--~'------------ (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. I ✓ j 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 t information is true and correct to the best of my knowledge and belief. Print Name Dean Fargo 9-25-24 Page1of4 Rev. 2.10.21 PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will not be issued without a completed Construction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: -.-,;i1111mh'•· Permit No. CBR2024-0472 Project Title Ocean St renovation Project Address 2649 Ocean St. Carlsbad APN _2_0_3_-1_4_0_-0_9 ____ _ Applicant Name._F_a-'rg=--o ___________ D_e_a_n _____ Phone 858-442-4643 Last First 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. Material Type Complete this line of the toble only if only using WASTE MANAGEMENT roll-off bins. Mixed C&D Debris Parking lot Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle all that apply) Carpet Carpet Padding/ Foam Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Concrete Roofing Materials Scrap Metal Stucco Other: TOTAL ..... , .. ,,.. .. 1 Goal: the diversion rate shall be 65% by weights of debris. A 8 C Estimated Place a(✓) check Place a(✓) check next Place a(✓) check next Waste Quantity next to items to be to items to be to items to be (tons) reused or salvaged recycled disposed at landfill 5 2.5 2.5 2.5 2.5 1.5 1.5 3.5 3 3 3 .5 .5 15.5 10.5 5 To meet 65% Diversion Requiremm~nt (e~timate ~) .,,-~a1_ 1 5_._.s ________ x 0.65 = 10.75 tons Waste from above Minimum Required Diversion Contractor/Owner Signature_1-+--=-~-J,L..--\l...-------Date 9-25-24 V I Page 2 of 4 Rev. 7111'20 r- L Cicyof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN 8-59 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. APPLICANT CERTIFICATIONS: CHECK EACH BOX )CJ 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. 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 Date: 7 ( I I 7-0-Z...5 Page 1 of4 rev 4/24 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 Permit No. Project Address Z-loLj<-j Ck¢?.('\ S-\-Gx,\s\ooc,ol CA-'\ :z.ooi APN 2..0::>-\ I-\ 0 -OCf Applicant Name tC\<'j0 Qeg,<\ Phone Lost First q, 5g-4 L{ 2. -4 b 4 3 SECTION B Complete the following table with estimated waste tonnage to be generated by your project. A B C M aterial Type Estimated Place a ( ✓) check Place a (✓)check next Place a (✓)check next Waste Quantity next to items to be to items to be to items to be (tons) reused or salvaged recycled disposed at landfill Complete this line of the table only if only using WASTE MANAGEMENT □ ■ □ roll-off bins. 3TONS Mixed C&D Debris Asphalt & Concrete □ □ □ Brick / Masonry / Tile □ D □ Mixed Inert Debris □ □ □ 5.72 TONS □ ■ □ Carpet □ □ Carpet Padding / Foam □ □ □ Cardboard □ □ □ Ceiling Tile (acoustic) □ □ □ Drywall (used, new, scrap) □ □ □ Landscape Debris (brush, trees, □ □ □ stumps, etc.) No dirt. Unpainted Wood & Pallets □ □ □ Roofing Materials □ □ □ Scrap Metal □ □ □ Stucco □ □ □ Other: □ □ TOTAL 0 SECTION C To meet 65% Diversion Requirement (estimate) _i_. 7_2.. ___ x 0.65 =_s_. ~_0_i ____ tons Total Estimated Waste from above Minimum Required Diversion Page 2 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. _,Gs:<..f,-'><--'-'Q.._-_z::;;_o;;_Z_'-i_:__-_O_;4_;7....:::2.::.....__Project Title Project Address Z(p l.(Cj C)CeC1.t""\ ~.\--C,,"dS beig CJ\ qt:908 APN t..<:::J3-l L{0~<::>9 Applicant Name Tuv--B o Deeo Phone <g'5 '6' -"l 'f z. -4 ~ ~ 3 Lost First SECTION B 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 Material Type Actual Amt Actual Amt Actual Amt Destination Facility Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill ExameJe: Palomar Transfer Station, 5960 El 01/01/2020 Concrete {broken) 5 tons Camino Real -(760) 603-0153 3/10/25 MIXEDC&D 3TONS ESCONDIDO RESOURCE RECOVERY 1021 W. MISSION AVE. -760-745-3203 2/28/25 CABINETS, DOORS, 5.72 TONS FALLBROOK WASTE & RECYCLING FIXTURES, WINDOWS 550 W. AVIATION, FALLRBOOK 760-728-ol 14 @TOTAL 0 0 SECTION C Diversion Rate Achieved % ~ 65% Total of columns A+ B Toto/ 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 City of Carlsbad • Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 • Any other relevant information to support Recycling Report SECTION D 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 andbeUef. ~ ~ Applicant Signature ~ ~ Date 7 /I/ 2.02...5 Page 3 of4 rev 4/24 • Concrete Saw: $60 / day $200/day · HEPPA Filter (includes fi1ters): Jackhammer: $60/day Blades: $10/ea SawZaw Blades and Skill saw Protection: Ram Board(400sqft): $65/ea Tape:$10/ea Carpetmask:$40/ea Masonite (1) smooth side 3/8" thick: $26/ea 3 guys½ day with a½ load of trash is $1250 Plastic: $25/ea Rosin paper: $2 5 / ea 3/8" Plywood: $25/ea Zipper door: $25 3 guys all day for 8 hours plus a full load of trash is $2500 4 guysl/2 day with a½ load of trash is $1625 4 guys all day for 8 hours plus a full load of trash is $3250 For all T&M jobs $200.00 will be charged at the beginning of each day to cover all gas charges to and from job as well as to and from dump. Thank you! 1:-J]k,~ -~from ?J,d'. fy (PM name) ~ (compayname) Declare that I have walked the job and cleared all work has been completed to the satisfaction of the T &M scope. Any additional work that was not part of the initial scope is to be started only after the schedule is checked on behalf of Reliable Hauling to ensure we don't have any conflicts. ft ~ ~ ,\OVI .. ,"' (V'-,Q)~:, c., s-\ u ~ :. FALLBROOK WASTE & RECYCLING 550 WEST AVIATION FALLBROOK, CA 92028 (760) 728-6114 Customer : 0000 Ticket: Date: DREAM DEMOLITION&HAULING Commodity Units 20 COMMERCIAL REFUSE 3.36 [Gross (In): 12.39 tons Scl#l RODRIGO 45836 02/28/25 Rate In: 15:02 Out : 15 :02 125 .00 per TON INVOICE ~ Truck: 0101 Container: Route: 05620 Origin: 056 FALLBROOK Tare 9.03 tons Stored Net: Extended Charge 420 .00 3 . 36 tons) PAID CREDIT CARD 420.00 Driver •