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Home My WebLink About2345 CAMINO VIDA ROBLE; ; CBC2025-0032; RecyclePage 1 of 4 rev 4/24 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 ☐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 construction or demolition activities. _______________________________________________ Date:______________________ Signature of Applicant 4 4 4 4 Lauren Cossio Digitally signed by Lauren Cossio DN: C=US, E=lauren@crewbuilders.com, O=Crew Builders Inc, OU=Business, CN=Lauren Cossio Date: 2025.05.15 11:54:47-07'00' 5/15/25 , L City of Carlsbad □ □ □ ■ Page 2 of 4 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 Project Address APN Applicant Name Phone Last First SECTION B Complete the following table with estimated waste tonnage to be generated by your project. Material Type Estimated Waste Quantity (tons) A Place a () check next to items to be reused or salvaged B Place a () check next to items to be recycled C Place a () check next to items to be 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 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 SECTION C To meet 65% Diversion Requirement (estimate) x 0.65 = tons Total Estimated Waste from above Minimum Required Diversion Applicant Signature Date 2345 Camino Vida Roble 2345 Camino Vida Roble Carlsbad, CA 9.03 1.28 .27 148.12 10.58 6.877 Lauren Cossio Digitally signed by Lauren CossioDN: C=US, E=lauren@crewbuilders.com, O=Crew Builders Inc, OU=Business, CN=Lauren Cossio Date: 2025.05.15 11:55:01-07'00'5/15/254 4 4 4 4 □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ l!] Page 3 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 APN Applicant Name Phone 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 Material Type A Actual Amt Reused or Salvaged B Actual Amt Recycled C Actual Amt 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 TOTAL SECTION C Diversion Rate Achieved / = % ≥ 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 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 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 Carlsbad, CA 92008 3/6/25 Mixed C&D 0 1.51 0.81 Resource & Recovery Escondido 3/7/25 Mixed C&D 0 4.36 2.35 Sanco 3/10/25 Refuse 0 0 0.27 EDCO 3/18/25 Carpet 0 1.28 0 Los Angeles Fiber Company 0 71.5 30.87 7.15 10.58 68 Lauren Cossio Digitally signed by Lauren CossioDN: C=US, E=lauren@crewbuilders.com, O=Crew Builders Inc, OU=Business, CN=Lauren CossioDate: 2025.05.15 11:55:19-07'00'5/15/25l!] Page 4 of 4 rev 4/24 CONVERSION TABLE FOR COMMON CONTRUCTION WASTE. This document is informational only and may be used to convert truckload quantities to tons. Category Material Mixed Debris Construction Demolition Asphalt/Concrete Asphalt (broken) Concrete (broken) Concrete (solid slab) Brick/Masonry/Tile Brick (broken) Brick (whole, palletized) Masonry brick (broken) Tile Building Materials (cabinets, doors, windows, etc.) Cardboard (flat) Carpet By square foot By cubic yard Carpet Padding/Foam Ceiling Tiles Whole (palletized) Loose Drywall (new or used) 1/2” (by square foot) 5/8” (by square foot) Demo/used (by cu. yd.) Landscape Debris (brush, trees, etc.) Asphalt Composition Shingles, asphalt Shingle Unpainted Wood/Pallets By board foot By cubic yard Trash/Garbage Other (estimated weight) Column A Volume cy cy cy cy cy cy cy cy sq ft cy cy sq ft cy sq ft cy cy sq ft sq ft cy cy cy bd ft cy cy cy cy cy cy Column B Column C Tons/Unit Tons x 0.18 = x 1.19 = x 0.70 = x 1.20 = x 1.30 = x 0.70 = x 1.51 = x 0.60 = x 0.00175 = x 0.15 = x 0.05 = x 0.0005 = x 0.30 = x 0.000125 = x 0.0003 = x 0.09 = x 0.0008 = x 0.00105 = x 0.25 = x 0.15 = x 0.22 = x 0.001375 = x 0.15 = x 0.18 = x estimate = Total ALL = 0 3825 Bancroft Drive, Spring Valley, CA 91977 P - 619-589-6001 F - 619-589-7158 CONSTRUCTION AND DEMOLITION DEBRIS RECYCLING LOG Daily Log of Construction and Demolition (C&D) Materials Removed or Reused on Job Site Date:5/13/2025 Job No:25022 Project:2345 Camino Vida Roble Customer:Crew Builders Address:2345 Camino Vida Roble, San Diego, CA DATE TICKET NO.DESTINATION LOCATION WEIGHT (TONS) RECYCLED WEIGHT (TONS) TRASH % RECYCLABLE MATERIAL TYPE 3/6/25 13219 Escondido Resource & Recovery Escondido, CA 1.51 0.81 65%Mixed C&D 3/7/25 32398 Sanco Lemon Grove, CA 4.36 2.35 65%Mixed C&D3/10/25 5879 Edco La Mesa, CA 0.27 0%Refuse 3/18/25 250324F Los Angeles Fiber Company Carlsbad, CA 1.28 100%Carpet 7.15 3.43 * 10 wheeler holds 20,250 lbs of concrete with allowable air space TOTAL RECYCLED: Name of Person Verifying Accuracy: 68% Signature:____________________________________ Angela Horton f Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 (760) 745-3203 Customer: 0106 Ticket: 13219 Date: 03/06/25 CASPER COMPANY 3825 BANCROFT DR SPRING VALLEY CA 91977 LtS C111r;1110 ii/ d Commodity Units Rate 14 MIXED C & D 2.32 In: 9:53 Out: 10: 09 INVOICE Truck: 0040/0040 Container: Route: 08614 Origin: 086 Carlsbad [Gross(In): 39,740. lbs Scl#5 128.00 per TON Tare 35,100. lbs Scl#5 Extended Charge 296.96 Net: 4. 640 . lbs J TOTAL DUE 296.96 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 SANCO Resource Recovery 67~0 Federal Blvd. te~on Grove, CA 91945 (619) 287-7555 Customer: 0569 CASPER CO 3825 BANCROFT DR SPRING VALLEY CA 2345 CAMINO VIDA Ticket: 32398 Date: 03/07/25 Rate In: 10:08 Out: 10:20 108.00 per TON INVOICE Truck: 0040/0040 Container: - Route: 02034 Origin: 020 SAN DIEGO Commodity Units 34 CONSTRUCTION/ DEMOL 6.71 [Gross(In): 47,500. lbs Scl#I Tare 34,080. lbs Scl#l Extended Charge 724.68 Net: 13,420. lbs] TOTAL DUE 724.68 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. -~····---Christian Guerrero Driver Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 (760) 745-3203 Customer: 0106 Ticket: 657 Date: 03/10/25 CASPER COMPANY 3825 BANCROFT DR SPRING VALLEY CA 91977 Commodity Units Rate INVOICE In: 14:18 Truck: 0002/0002 Out: 14:32 Container: Route: 02311 Origin: 023 Oceanside 11 SELFHAUL REFUSE 4.26 [Gross(In): 42,040. lbs Scl#5 125.00 per TON Tare 33,520. lbs Scl#5 Extended Charge 532.50 Net: 8,520. lbs] TOTAL DUE 532.50 VINCE Driver EDCO Station 8184 Commercial St . La Mesa, CA 91942 (619) 466-3355 Customer : 0171 CASPER CO '3 825 BANCRO F'I D!L c;gpJ.U NG VAT,T,E Y CA 91977 Ticket : 5879 Date : 03/10/25 In: 16:45 Out : 16:45 - "2-ol...\-S-COtt'Y' l no v 'l c:AO\ 12-olo\ e. Commodity Units Rate 20 Commercial Refuse .27 [Gross(In): 5 .67 tons Scl#l Tare 5.40 tons Stored INVOICE Truck: 1057/1057 Container: Route: 02020 Origin: 020 SAN DIEGO Ex tended Charge 90.00 Net : .27 tons] TOTAL DUE 90.00 RAUL T . Driver Certification for Recycled Used Carpet I); t..~ Rs ~S ANGELES FIBER COMPANY INC. • Certification: 250324F • Date: March 18, 2025 • Location: Crew Builders 2345 Camino Vida Roble Carlsbad, CA • Square Yards: 285 (2,562 square feet) • The carpet removed from your premises was sent to our recycling facility, processed and recycled into new products and new uses. None of the carpet was sent to a landfill. Thank you for making a difference in our environment, our community, and our future.