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Home My WebLink About2665 WILSON ST; ; CBR2024-2295; Recycle( City of 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 Cert ified 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. C&D CERTIFICATION: □ 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. D 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. D 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 Page 1 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 ?.h(o5° LJ P.--~l)N ~I CA-RL17zlQ:2 Applicant Name M 1/(P ½FS 12-Phone APN /56 -/80 -/?-tJV 7 ¢.0 'f/£-<g<JIJI Last First SECTION B Complete the following table with estimated waste tonnage to be generated by your project. Material Type 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, 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: 6C,'J:;;A P hd) IYJ'B£J¢., TOTAL SECTION C Estimated Waste Quantity (tons) SDDLB -- IOOl> I.J3 To meet 65% Diversion Requirement (estimate) A B C Place a ( ✓) check next to items to be reused or salvaged Place a ( ✓) check next to items to be recycled V \ODD L1$ Place a ( ✓) check next to items to be disposed at landfill V V V V __ z_a--'--"5="--TT>--"---'-J-=------'x a.Gs= f225" L ?3 = 2 "/DtS -t--tons Total Estimated Waste from above Minimum Required Diversion Applicant Signature __ TJ.i..,.:::;.....:....Y't..c.....:....V-L..JDi-=:.-_tfi2.<-----+-=-f-e.-r'""""";::;_?J?-,-"-----'-----Date ____./'----:2=--..L.f _----'2=£'------- 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 faUure to provide adequate weight receipts, may render the Project non-compliant and the responsible parties subject to code enforcement. Permit No. Project Title ___.:...;)...-=l.r.,-=lo-5 _..Lu=..,..;( L:;;;.;$0::..;:__;_IJ___,;;;;§t",.:,...a....' ________ __;APN /fb l 3D / 7(X) ,_"D--=-A.~V ..:...o:lb::;.....Lt:iD--'-""'-'H._E.=~==--------Phone 7 t,D lflt;' -<t;f7/ Last First Use this Final log below to track loads of materials as they leave th'e 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 flS.am{!_/e: Palomar Transfer Station, 5960 El 01/01/2020 Concrete (broken J 5 tons . Camino Rea/ -(760} 603-0153 '7 Diversion Rate Achieved r;.L l,!l~'1, ,rn __ ___, ____ = 71/P % Total of columns A + B 2!:65% Total of columns A + B + C DIVERSION Attach the following documentation to this Report: • Original recycling weight tickets, landfill weight tickets • Original donation receipts with photos and/or itemized descriptions • Any other relevant information to support Recycling Report Return completed form and documentation to: 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, an hat the information is true and correct to the best of my knowledge • and belief. Page 3 of4 rev4/24 E f u0bt.Pt> 1i!! RE;source Recovery Mission Ave .lido, CA 92025 J 745-3203 J.Stomer: 0000 Ticket': Date: DAVID R HOFER Commodity Units 11 SELFHAUL REFUSE 1.33 [Gross(In): 13,500. lbs Scl#2 RAFAELA In: 11:18 Out: 11:18 INVOIC! T·ruck: 35 71/3 5=7 J Container: Route : 08011 Origin: 080 San Mc Exte1 Rate Chai 125.00 per TON 166 Tare 10,840. lbs Scl#2 Net: 2,660 . lbs] PAID CREDIT CARD G Driver t (J /: 05123125 ti & Commodity Units Rate 14 MIXED C & D 1.63 [Gross(In): 14,100. lbs Scl#5 128.00 per TON Tare 10 ,840 . lbs Scl#5 Truck: Container: Route: Origin: INVOICE 3571/3571 08014 080 San Marco Extended Charge 208.64 Net : 3 , 260 . 1 b ---------------------P-A-W CREDIT CARD 208. 64 ~g__r11.ct_ion & J?em.oJ:..it_i.on Diversion Certificate .,~l -Diversion Percentage 65% This certifies that the company ·listed above has utilized an EDCO facility to d: with LEED requirement. The diversion tonnage is based on an overall tonnage peJ GREG •. , .-00999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESI -GATE Yr. 2 GROSS 13,860 Scale In TARE 10,760 Tare Out NET 3,100 Tracking Qty: 0.00 Qty 1. 55 Unit Description TN MSW 54 Ticket #: 2820794 Weighmaster: GordiWe In: March 21, 2025 Out: March 21, 2025 Vehicle: a666 Ref: BOL: INBOUND CASH Rate Extension $101.2] $156.88 Tax $0.00 Origin: CARLSBAD 100% Signature: Total Paid Change .EDIT CARD-SCALE 12:14 pm 12:14 pm Total $156.88 $156.88 $156.88 $0.00 V , , ,,::::oNDIDO RESOURCE RECOV "!044 v,J WASHINGTON AVE t:SCONOIDO r.11 """'n~ •◄r- ecovery Ticket: ., 2515 Date: 03/14/25 Rate In: 12:58 Out: 12:59 --ffiVOICE Truck: 3571/3571 Container: Route: 08614 Origin: 086 Carlsbad Units 1. 98 lbs Scl#2 128.00 per TON Extended Charge 253.44 Net: 3,960. lbs] Tare 10,760. lbs Scl#2 PAID CREDIT CARD 253.44 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. ARTURO Driver t CJ overy I " Is (j Commodity /' 14 MIXED C & D [Gross(In): 14 .440. ~ck.et : ·&3-14-_ In : 16 : 0 2 \_ D_at~:... __ 02/20/25.) Out : 16: 20 Units 1. 84 lbs Scl#5 Rate 128.00 per TON Tare 10.760 . lbs Scl#5 Truck: 3571/3571 Container : Route: 086]4 ---------. rigin: 086tarl sbad l Extended Charge e:\ 235.52 Net : 0.}lbsJ _/ ---- . . . . . ~ .. G"Arn CREDIT CARD 235.52~ 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 PALOMAR i-~J\11~:fER STAll 5960 El. ct.~· !NO REAL rt.RLS ~/\ll. 1:,1, 92008 15:1'3:i'. --.....__ ':BCK CUSTOMER RESI uROSS TARE NET Tracking Qty: _JOB -GATE Yr. 2 13,860 10,760 3,100 0.00 Qty 1. 55 Origin: Unit Description TN MSW CARLSBAD Signature: Scale In Tare Out 100% 54 Ticket #: 2810831 Vehicle: Ref: BOL: INBOUND CASH a666 Rate Extension $101. 2]{ ,· $156. 88 ;) Tax $0.00 ' . / ,., .J-~ ... ---·,~·--- Total Paid Change .EDIT CARD-SCALE Total $156.88 $156.88 $156.88 $0.00 V J ~ASH AND CHECK CUSTOMER ~Dad, CA 92008 Contract: RESI - GROSS TARE GATE Yr. 2 12,820 10,760 2,060 Scale In Tare Out NET Tracking Qty: 0.00 Qty Unit Description 1.03 TN YARD WASTE/COMPOST Origin: CARLSBAD 100% Signature: s,1 Ticket #: 2810575 In: Out: Vehicle: February 24, 2025 a666 Ref: BOL: INBOUND CASH Rate Ex te_!lS.l..QQ_ / -..--... , )"" $94.39 /$97.22 \ ( ) / / ( \._ ~/ ,,.,.,, '~------- Tax $0.00 Total Paid Change .EDIT CARD-SCALE 9:54 am Total $97.22 $97.22 $97.22 $0.00 V