HomeMy WebLinkAbout1923 CALLE BARCELONA; ; CBC2025-0216; RecycleCONSTRUCTION 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 ut ilize 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
0 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.
0 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 .
0 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 Jonah Banks
Date: 2025.04.01 10:31 :39 -07'00' Date: 3/31/25
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 Title Tecovas Forum Mall
Project Address 1923 Calle Barcelona Carlsbad CA 92009 APN
818-292-2870 Applicant Name_B_a_n_k_s ___________ Jo_n_a_h ________ Phone
Last First
SECTION B 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 rv-ANAGRl/'JENT □ 0 □ roll-off bins. 6 Mixed C&O 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) 1 □ 0 □
Drywall (used, new, scrap) 1 □ 0 □
Landscape Debris (brush, trees, □ □ □ stumps, etc.) No dirt.
Unpainted Wood & Pallets □ □ □
Roofing Materials □ □ □
Scrap Metal □ □ □
Stucco □ □ □
Other: □ □ □
TOTAL 8
SECTION C
To meet 65% Diversion Requirement (estimate) x 0.65 = 5-2 tons ---------------------8
Total Estimated Waste from above Minimum Required Diversion
(a ~ Digitally signed by Jonah Banks 3/31/2 5 Applicant Signature _____ ~ _______ o_._ie_: 2_02_s._04_.0_11_0,_n_,s_4-_01_·00_· ___ Date
Page 2 of 4 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. • ____________ Project Title
Project Address 1923 Calle Barcelona Carlsbad CA 92009
Applicant Name Banks Jonah Phone
APN
818-292-2870 ----------------------Last 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.
Date
Example:
01/01/2020
, SECTION C
Material Type
Concrete {broken)
@TOTAL
A B C
Actual Amt Actual Amt Actual Amt
Reused or Recycled Disposed in
Salvaged Landfill
5 tons
,.5 o/'ft>D
/ .t-J C '?fl.>
2,32,-0
,5"2,.0
2...1 -..0
0 0 0
Destination Facility
(Name, Address, Phone)
Palomar Transfer Station, 5960 El
Camino Real ~
-{760) 603-0153
It
(/
II
Diversion Rate Achieved ____ '7_)_~--~J-~/_1_4~3_D ___ = 4~ % ;::: 65%
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
• ·original donation receipts with photos and/or itemized descriptions
• Any other relevant information to support Recycling Report
SECTION D
City of Carlsbad
Building Division (1st Floor)
1635 Faraday Avenue
Carlsbad, CA 92008
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.
~ Digitally signed by Jonah Banks / / Applicant Signature _____ ~ ______ o_a_1._, 2_02_s.0_4_.01_1_0,_33_:s4_-o_,_·oo_· __ Date 3 31 25
Page 3 of 4 rev 4/24
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ALOHAR. TRANSFER 960,EL CAMINO REAL AR.LSBA!>, CA 92008
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rltract: INDUSTRIAL YR 200
GROSS 35,640 ...
TARE 33,520
. NET •• 2,120
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Unit Description
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Rate . •• Extension
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SERVICES
66100034580000101 JRM CONSTR WEST
66100034580000101 JRM CONSTRWEST
A Large cont.:1lners (roll-off or compactors) only.
1911 Calle Barcelona Carlsbad
191 1 Calle Barcelona Carlsbad
1911 Calle Barcelona Carlsbad
10.00 NONE
WASTECONT.10CUYD 1013125 16:52 10.00 NONE
WASTE CONT. 10 CU YD 10/8/25 16:08 10.00 NONE
SW
SW OnCall 5.59
SW OnCall 1.06
SW OnCall .75
13.07
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Tons PT
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