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HomeMy WebLinkAbout2520 EL CAMINO REAL; ; CBC2025-0043; Recycle, ✓L Cicyof 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. APPLICANT CERTIFICATIONS: CHECK EACH BOX IZ] 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. IZ] 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. IZ] 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 construction or demolition activities. Signature of Applicant Page 1 of 4 Digitally signed by Jessie Robertson ON: cn:Jessie Robertson, o•Grafflin Construction, ou, email=jgtafflin@grarmncons1ruetion.com, c:US Dale: 2025.0S.01 13:57:16 ·0TOO" Date: 05/01/2025 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. -.,iiil.l[ln..,•• Permit No. Project Title WF-Carlsbad Project Address 2520 El Camino Real APN 1670305000 Applicant Name Robertson Jessica Phone 951-847-2471 Last First 11.11•■111.,■~-Complete the following table with estimated waste tonnage to be generated by your project. A B C Material 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 4 IZl □ □ roll-off bins. Mixed C&D Debris 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 □ □ □ Roofing Materials □ □ □ Scrap Metal □ □ □ Stucco □ □ □ Other: □ □ □ TOTAL 20 -..'l:i•Mrll•'■ To meet 65% Diversion Requirement (estimate) 4 X 0.65 = 2•6 tons Total Estimated Waste from above Minimum Required Diversion A I• IZl s· pp 1cant 1gnature J~r.uv :::~::.::::::::.:::::::::::.~-~~·-·• .. -... ---05/01/2025 _, ........ ,..,w Date Page2of4 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 enforceme_nt. SECTION A Permit No. ____________ ProjectTitle _W_F-_C_.a_r_ls_b_a_d_~---------- Project Address 2520 El Camino Real APN 1670305000 Applicant Name ______________________ Phone 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 Material Type Concrete (broken) t-------+-----------+-l @TOTAL A B C Actual Amt Reused or Salvaged Actual Amt Actual Amt Recycled Disposed in Landfill 5 tons Please see attached 0 0 0 Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -{760) 603-0153 Diversion Rate Achieved --------~-----------= _____ % 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 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 and belief. • Applicant Signature-~--_·---~------------Date_/_D~/~2_of~/~2~0_2_S-___ _ Page3of4 rev 4/24 A Actual Amt Date Material Type Total (in tons) Reused or Salvaged 07/25/2025 MIXEDC&D 1160 n/a 08/04/2025 MIXEDC&D 860 n/a 08/04/2025 MIXEDC&D 2680 n/a 08/11/2025 MIXEDC&D 2560 n/a 08/11/2025 MIXEDC&D 1640 n/a 08/20/2025 MIXEDC&D 1820 n/a 08/28/2025 MIXEDC&D 2020 n/a 09/06/2025 MIXEDC&D 1680 n/a 09/06/2025 MIXEDC&D 3020 n/a 09/06/2025 MIXEDC&D 3320 n/a 09/07/2025 MIXEDC&D 1980 n/a 09/09/2025 MIXEDC&D 1760 n/a 09/09/2025 MIXEDC&D 1000 n/a 09/26/2025 MIXEDC&D 480 n/a 10/01/2025 MIXEDC&D 1000 n/a 10/04/2025 MIXEDC&D 1620 n/a 10/13/2025 MIXEDC&D 2120 n/a 10/17/2025 MIXEDC&D 1180 n/a 8 n/a 09/04/2025 ASPHALT 20 n/a 09/04/2025 ASPHALT B C Actual Amt Actual Amt Disposed in Recycled Landfill 754 406 559 301 1,742 938 1,664 896 1,066 574 1,183 637 1,313 707 1,092 588 1,963 1,057 2,158 1,162 1,287 693 1,144 616 650 350 312 168 650 350 1,053 567 1,378 742 767 413 8 n/a 20 n/a Destination Facility (Name, Facitility, Phone) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 WMlsslonAve Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diven,lon) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diven,lon) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 WMlsslonAve Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 WMissionAve Escondido, CA 92025 760-745-3203 (65% diven,lon) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% diversion) Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 760-745-3203 (65% dive .. lon) Esoondldo Resource Recovery 1021 WMlsslonAve Escondido, CA 92025 760-745-3203 (65% diversion) Moody's -El Corazon Redamatlon 3210 Oceanside Blvd, Oceanside, CA 760-433-3316 (100% diven,lon) Moody's w El COrazon Reclamation 3210 Oceanside Blvd, Oceanside, CA 760-433-3316 (100% diversion) Escondido Resource Recovery 1021 w Mission Ave Escondido, CA 92025 (760) 745-3203 Customer: 0000 Ticket: 2485 Date: 10/17/25 OSCAR SILVA Commodity Units Rate In: 12:39 Out: 12:40 11 SELFHAUL REFUSE .59 135.00 per TON INVOICE Truck: 7557/7557 Container: Route: 08611 origin: 086 Carlsbad [Gross(In}: 11,900. lbs Scl#2 Tare 10,720., lbs Scl#2 Extended Charge 95.00 Net: 1,180. lbs] PAID CREDIT CARD 95.00 ARTURO Driver Escondido Resource Recovery 1021 w Mission Ave Escondido, CA 92025 (760) 745-3203 Customer: 0000 OSCAR SILVA Ticke Dat Commodity Units 11 SELFHAUL REFUSE .81 [Gross(In): 12,340. lbs Scl#2 RAFAELA Escondido Resource Recovery 102¥ W,Mission Ave Escondido, CA 92025 (760) 745-3203 6531 10/04/25 e In: 12:44 Out: 12:45 35.00 per TON Tare 10,720. lbs Scl#2 INVOICE Truck: 7557 Container: Route: 08611 Origin: 086 Carlsbad Extended Charge 109.35 Net: 1,620. lbs] PAID CASH 109.35 Driver INVOICE Customer: 0000 Ticket: 304 In: 13:26 Out: 13:28 Truck: 7557/7557 Container: Date: 10/13/25 Route: 08614 OSCAR SILVA Origin: 086 Carlsbad Commodity Units Rate 14 MIXED C & D 1.06 140.00 per TON [Gross(In): 12,840. lbs Scl#2 Tare 10,720. lbs Man Wt Net: Extended Charge 148.40 2,120. lbs] PAID CREDIT CARD 148.40 Construction & Demolition Diversion Certificate --Diversion Percentage 65% 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. ALMA Driver Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 {760) 745-3203 Customer: 0000 Ticket: Date: 0 OSCAR SILVA Commodity Units ll SELFHAUL REFUSE .24 [Gross(In): 11,200. lbs Scl#2 RAFAELA Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 {760) 745-3203 ·-----, _....//. ' 214 26/25 Rate /~ / ) In: 10:44 Truck: out:/10 :44 ontainer: ( Route: • / origin: _.,,.. INVOICE 7557 08611 086 Carlsbad 135.00 per TON Extended Charge 95.00 480. lbs] Tare 10,720. lbs Scl#2 Net: PAID CASH 95.00 Driver INVOICE Customer: 0000 Ticke 4889 In: 13: 14 Out: 13:15 Truck: 7557 Container: Dat : •• 10/01/25 Route: 08614 OSCAR SILVA Origin: 086 Carlsbad Commodity per TON 14 MIXED C & D [Gross{In): 11,720. lbs Tare 10,720. lbs Scl#2 Extended Charge 95.00 Net: 1,000. lbs] PAID CREDIT CARD 95.00 Construction & Demolition Diversion Certificate --Diversion Percentage 65% 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. ALMA Driver (76 ) 745-3203 Escondido Resource Recovery 1021 W Mission Ave Esc~ndido, CA 92025 Cus omer: 0000 Ticket: 93253 Date: 09/09/25 OSCAR SILVA Commodity Units Rate In: 6:50 Out: 7:26 INVOICE Truck : 7557 Container : Route: 08614 Origin: 086 Carlsbad 14 MIXED C & D .88 [Gross(In): 12,480. lbs Scl#5 140.00 per TON Tare 10,720 . lbs Scl#5 Extended Charge 123.20 Net : 1.760. lbs] PAID CREDIT CARD 123 .20 Construction & Demolition Diversion Certificate --Diversion Percentage 65% This certifies that the company listed above has utilized an EDCO facility to di with LEED requi~ement. The diversion tonnage is based on an overall tonnage per GREG Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 (760) 745-3203 Customer: 0000 OSCAR SILVA Commodity Units 14 MIXED C & D .SO [Gross(In): 11,720. lbs Scl#2 Rate In: 10:09 Out: 10:10 140.00 per TON Tare 10,720. lbs Scl#2 INVOICE Truck: 7557 Container: Route: 08614 Origin: 086 Carlsbad Extended Charge 95.00 Net: 1,000. lbs] PAID CREDIT CARD 95.00 Construction & Demolition Diversion Certificate --Diversion Percentage 65% 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. ALMA Driver Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 (760) 745-3203 INVOICE Customer: 0000 Ticket: 92234 Date: 09/07/25 In: 8: 29 Out: 8:29 Truck: 7557 Container: Route: 08611 OSCAR SILVA origin: 086 Carlsbad Commodity Units Rate 11 SELFHAUL REFUSE .99 135.00 per TON [Gross(In): 12,280. lbs Scl#2 Tare 10,300. lbs Scl#2 Extended Charge 133.65 Net: 1,980. lbs] RAFAELA Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 (760) 745-3203 Customer: 0000 Ticket: 74529 Date: 08/04/25 OSCAR SILVA 2520 EL CAMINO REAL CARLSBAD,CA92008 Commodity Units Rate PAID CREDIT CARD Driver INVOICE In: 7:22 Truck: 0000 Out: 7:46 Container: Route: 08614 Origin: 086 Carlsbad 14 MIXED C & D 1.34 [Gross(In): 13.220. lbs Scl#5 140.00 per TON Tare 10.540. lbs Scl#5 Extended Charge 187 .60 Net: 2.680. lbs] PAID CREDIT CARD 187.60 133.65 Construction & Demolition Diversion Certificate --Diversion Percentage 65% This certifies that the company listed above has utilized an EDCO facility to di with LEED requirement. The diversion tonnage is based on an overall tonnage per VINCE Driver Escond1do Resource Recovery 1021 W Mission Ave Escondido, CA 92025 (760) 745-3203 Customer: 0000 OSCAR SILVA Ticket: 91890 Date: 09/06/25 Commodity Units Rate INVOICE In: 11:34 Truck: 0000 Out: 12:32 Container: Route: 08611 Origin: 086 Carlsbad 11 SELFHAUL REFUSE 1.51 135.00 per TON [Gross(In): 13,520. lbs Man Wt Tare 10,500. lbs Scl#5 Extended Charge 203.85 Net: 3,020 . lbs] VINCE ~ll ,---=;, Escondido Resource Recovery 1021 W Mission Ave Escondido , CA 92025 (760) 745-3203 Customer: 0000 OSCAR SILVA Ticket: 91637 Date: 09/06/25 Commod·i ty Uni ts Rate PAID CREDIT CARD 203.85 Driver INVOICE In: 8:38 Truck : 0000 Out: 9:19 Container: Route: 01611 Origin : 016 Escondido "11 SELFHAUL REFUSE 1.66 135.00 per TON [Gross(In): 13,840 . lbs Man Wt Tare 10,520. lbs Scl#5 Extended Charge 224 .10 Net : 3,320. lbs] PAID CREDIT CARD 224.10 VINC ~ --.~ Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 (760) 745-3203 INVOICE Customer: 0000 Ticket: 92002 Date: 09/06/25 In: 14:02 Out: 14:02 Truck: 7557 Container: Route: 08611 OSCAR SILVA Origin: 086 Carlsbad Commodity Units Rate 11 SELFHAUL REFUSE .84 135.00 per TON [Gross(In): 11,980. lbs Scl#2 Tare 10,300. lbs Scl#2 Extended Charge 113.40 Net: 1,680. lbs] RAFAELA Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 (760) 745-3203 Customer: 0000 Ticket: 87158 Date : 08/28/25 GRAFFLIN CONSTR. Rate PAID CREDIT CARD INVOICE In 9:24 Truck: 0000 Out:. 10:05 Container : Route: 01611 Origin : 016 Escondido Commodity Units ~l SELFHAUL REFUSE 1.01 [Grnss(In): 12.860. lbs Scl#5 135.00 per TON Tare 10,840. lbs Scl#5 Extended Charge 136.35 Net: 2,020. lbs] VINCE PAID CASH CHANGE GIVEt-J 150.00 -13.65 113.40 Escondido Resource Recovery 1021 W Mission Ave Escondido. CA 92025 (760) 745-3203 Customer: 0000 GRAFLIN CONST Ticket: 78309 Date: 08/11/25 2520 EL CAMINO REAL CARLSBAD CA Commodity Units Rate INVOICE In: 11:24 Truck: 0000 Out: 11:44 Container: Route: 08614 Origin: 086 Carlsbad 14 MIXED C & D .82 140.00 per TON [Gross(In): 12.800. lbs Man Wt Tare 11.160. lbs Scl#5 Extended Charge 114. 80 Net: 1.640. lbs] PAID CREDIT CARD 114. 80 Construction & Demolition Diversion Certificate --Diversion Percentage 65% This certifies that the company listed above has utilized an EDCO facility to di with LEED requirement. The diversion tonnage is based on an overall tonnage per Escondido Resource Recovery 1021 W Mission Ave Escondido. CA 92025 (f60) 745-3203 C~stomer: 0000 ,, OSCAR SILVA T-l cket: B2807 Date: 08/20/25 2520 EL CAMINO REAL CARLSBAD Driver INVOICE In: 7:04 Truck: 0000 Out: 7:28 Container: Route: 08614 Origin: 086 Carlsbad Commodity Units Rate 14 MIXED C & D • . 91 140. 00 per TON [Gross(In): 12,920. lbs Man Wt Tare 11.100. lbs Scl#5 Extended Charge 127.40 Net : 1. 820 . lbs J PAID CREDIT CARD 127.40 Construction & Demolition Diversion Certificate --Diversion Percentage 65% This certifies that the company listed above has utilized an EDCO facility to di with LEED requirement. The diversion tonnage is based on an overall tonnage per GREG Driver Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 (760) 745 -3203 Customer: 0000 Ticket: 74804 Date : 08/04/25 GRAFFLIN CONST 2520 EL CAMINO REAL CA 92008 Commodity Units Rate In: 13 :10 Out: 13 :24 INVOICE Truck : 0000 Container: Route: 08614 Origin: 086 Carlsbad 14 MIXED C & D .43 [Gross(In): 11.540 . lbs Scl#5 140 .00 per TON Tare 10,680. lbs Scl#5 Extended Charge 95 .00 860. lbs] Net : PAID CREDIT CARD 95 .00 Construction & Demolition Diversion Certificate --Diversion Percentage 65% This certifies that the company listed above has utilized an EDCO facility to di with LEED requirement. The diversion tonnage is based on an overall tonnage per V1NCE Escondido Resource Recovery 1021 W Miss ion Ave Escondido , CA 92025 (760) 7 45-3203 Customer: 0000 Ticket : 78085 Date: 08/11/25 GRAFFLIN CONSTR. 2520 EL CAMINO REAL CARLSBAD CA 92008 Commodity Units Rate Driver INVOICE In : 7:21 . Truck: 0000 Out: 7:46 Container : Route : 08614 Origin : 086 Carlsbad 14 MIXED C & D 1.28 [Gross(In): 13,800 . lbs Scl#S 140.00 per TON Tare 11.240. lbs Scl#S Extended Charge 179.20 Net: 2,560 . lbs] PAID CREDIT CARD 179 .20 Construction & Demolition Diversion Certificate --Diversion Percentage 65% This certifies that the company listed above has utilized an EDCO facility to di with LEED requirement. The diversion tonnage is based on an overall _tonnage per VINCE Driver Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 (760) 745-3203 Customer: 0000 Ticket: 74529 Date: 08/04/25 OSCAR SILVA 2520 EL CAMINO REAL CARLSBAD,CA92008 Commodity Units Rate INVOICE In: 7:22 Truck: 0000 Out: 7:46 Container: Route: 08614 Origin: 086 Carlsbad 14 MIXED C & D 1.34 [Gross(In): 13,220. lbs Scl#5 140.00 per TON Tare 10,540 . lbs Scl#5 Extended Charge 187.60 Net: 2,680. lbs] PAID CREDIT CARD 187.60 Construction & Demolition Diversion Certificate --Diversion Percentage 65% This certifies that the company listed above has utilized an EDCO facility to di with LEED requirement. The diversion tonnage is based on an overall tonnage per VINCE Driver scondido Resource Recovery 021 W Mission Ave scondido. CA 92025 /60) 745-3203 us Lomc)r: 0000 Ticket: 69670 Date: 07/25/25 il<AFFLIN CONST >520 EL CAMINO REAL CARLSBAD CA 92008 :ommod·i ty Uni ts Rate INVOICE In: 12:28 Truck: 0000 Out: 12:43 Container: Route: 08614 Origin: 086 Carlsbad 4 MIXED C & D .58 Gross(In): 12.080. lbs sc·l#5 140.00 per TON Tare 10,920. lbs Scl#5 Extended Charge 95.00 Net: 1. 160. ·1 bs] PAID CREDIT CARD 95.00 :onstruction & Demolition Diversion Certificate --Diversion Percentage 65% rhis certifies that the company listed above has utilized an EDCO facility to di Mith LEED requirement. The diversion tonnage is based on an overall tonnage per KIMBERLY Driver