HomeMy WebLinkAbout1746 CATALPA RD; ; CBR2025-0806; RecycleThis 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: 05.14.2025
Signature of Applicant
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.
-.,:11•11•-Permit No. C ~(l ZdL5-,--rfe;Ofc?projectTitle Frodsham Residence whole-home remodel
Project Address 1746 Catalpa Road Carlsbad, CA 92011 APN 215-516-05-00
Applicant Name AI-Thahabi Saif Phone 858 279 6300
Last First -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 □ □ □ roll-off bins.
Mixed C&D Debris
Asphalt & Concrete 0.20 □ 0 □
Brick/ Masonry / Tile □ □ □
Mixed Inert Debris □ □ □
I Cabinets, Doors, Fixtures, I
Windows (circle all that aoolvl 0.30 □ □ 0
Carpet 0.10 □ 0 □
Carpet Padding/ Foam □ □ □
Cardboard □ □ □
Ceiling Tile (acoustic) □ □ □
Drywall (used, new, scrap) 0.10 □ □ 0
Landscape Debris (brush, trees, □ □ □ stumps, etc.) No dirt.
Unpainted Wood & Pallets □ □ □
Roofing Materials □ □ □
Scrap Metal □ □ □
Stucco □ □ □
Other: □ □ □
TOTAL 1.4
l!•lltrn•
To meet 65% Diversion Requirement (estimate) 0.7 X 0.65 = 0.455 tons
Total Estimated Waste from above Minimum Required Diversion
I• 0 s· App 1cant 1gnature !;~'{ f-Date 05.14.2025
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. C-6 "2-Dz.J· -o 150to Project Title £r~d :l~
Project Address l"?Li,t, Cc. le. IP~ ~ ~r ,,, W ,l ,1 Ci 'loll APN 2,s -Slf.D ~ CJ ~ -UV
Applicant Name l.,a_,,,;oc>.. \.... .:J.t>--Phone g-'5'[(-4~5~0~ Zt..
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.
A B C
Date
Example:
01/01/2020
Material Type
Concrete {broken)
@TOTAL
Diversion Rate Achieved 7 -1~
Actual Amt
Reused or
Salvaged
?-i ~
I
Total of columns A + B
Attach the following documentation to this Report:
• Original recycling weight tickets, landfill weight tickets
Actual Amt Actual Amt
Recycled Disposed in
Landfill
5 tons
0
Destination Facility
(Name, Address, Phone)
Palomar Transfer Station, 5960 El
Camino Real
-(760} 603-0153
/v-1< = ,-12..11-% ;;: 65%
Total af columns A + B + C DIVERSION
Return completed form and documentation to:
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
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 in rmation, and that the information is true and correct to the best of my knowledge
and belief. /
Applicant Signature __:~:::::::::J---\~----------Date __ J_Z_{_ .Z._t-',/t_t---")'--------
Page 3 of 4 rev 4/24
THE CllY OF SAN DIEGO
ENVIRONMENTAL SERVICES DEPARTMENT
SUPPORT SERVICES DIVISION
9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636
{858) 694-7000
Transaction#: 14344793
Account#: 8035501/WATKINS ENVIRON
Fleet#: Tag#:
Date: 12/2/2025 09:40:16
Scale Operator: EWE
Incoming /FB 01
Transaction Type: 01/BUS.--NON RESIDENTIAL
Payment Type: 01/CHARGE
Hauler Type: 01/BUS.--NON RESIDENTIAL
Vehicle Type: 002/TIER II (4 CY)
Material Type: 001/REFUSE
Origin: 001/SAN DIEGO CITY
Special Fees:
The Miramar Landfill will be closed on Thursday,
12/25/2025 (Christmas Day).
DD NO LEAD /ABESTOS
ES-072 (REV. 10-24) PW/PS-333
This information is available in alternative formats upon request.
MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 92111
SIGNATURE
PALOMAR TRANSFER 760-603-0153
5960 EL CAMINO REAL CARLSBAD, CA 92008
333421 -REPUBLIC SERV ICES -CITY OF
CARLSBAD
5960 EL CAMINO REAL
CARLSBAD, CA 92008
Com:rac~: INDUS TRIAL YR 2007
0 .00
Scale In GROSS WEIGHT
Tare Out TARE WEIGHT
51 ,560
36,000
REPRINT
NET TONS
NET WEIGHT
7 .78
YD
tn
Tracking QTY
C&D Origin:C1UU,SB1'.D 100%
54
7 .7 8
15,560
2874971
Alexa M.
7/29/25 2:58 pm
3401
7/29/25 2 :58 pm
PW-CBOX
Transaction#: 14219247
Account#: 8035501/WATKINS ENVIRON
Fleet#: Tag#:
09/17/2025 10:34 DUPLICATE OFFICE COPY
Date: 7/28/2025 08:52:46
Scale Operator: ZRO
Incoming /FB 01
Transaction Type: 01/BUS.--NON RESIDENTIAL
Payment Type: 01/CHARGE
Hauler Type: 01/BUS.--NON RESIDENTIAL
Vehicle Type: 002/TIER II (4 CY)
Material Type: 004/DEMO
Origin: 001/SAN DIEGO CITY
Special Fees:
The Miramar Landfill will be closed on Thursday,
11/27/2025 (Thanksgiving Day).
!,
i • t'·J,'
J-5284PB
1746 CATALPA ROAD, CARLSBAD, CA 92011
WASTE DIVERSION REPORT
_____________________________ q
Landfill ! Type Net Lbs Tons Recycled
MSW/Demo Trash
28-Jul approx. 4,000 2.00 0.00 2.00
2-Dec approx. 2,000 1.00 0.00 1.00
C&D
29-Jul 15,560 7.78 7.78 0.00
TOTAL 10.78 7.78 3.00
Recycled 72.17%
Landfill 27.83%
Total= 100.0%