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HomeMy WebLinkAbout1307 LAUREL TREE LN; ; CBC2024-0086; Recycle~ ... ___________________________________________ ,_,. Ccityof Carlsbad CONSTRUCTION WASTE f)evelopme~t _se~~c~s <..-\) Butldmg D1v1s1on MANAGEMENT PLAN\~'\ v 1635 Faraday Avenue B-59 <♦ C.,, • '\_,\)◊ 1-<) 442-339-2719 ~, • ~~-'J. • \ www.carlsbadca.gov <v_SY:> Applicable to ALL NEW CONS RUCTION, ADDITIONS A~D ALTERATIONS. You are required to list materials that will be reused, recycled or disposed from your ~oject. If you have questions about the recycling requirement or completing this form, please contact Waste Management at (442) 339-9400, a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2700. Please note: Unless you are self- hauling, Waste Management or approved haulers must be used for all construction projects within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued without a completed Construction Waste Management Plan. - ------------ -Applicant Information Permit No.• GB(.2.0J-t./ -~ ProJect Title Aviara Apartments C\'Zo(( , Project Address NE Comer LAUREL TREE LANE & AVIARA PARt<JNAY, CARLSBAD, CA s:a99Q.APN Applicant Name Williams Jeff □ □ □ 212-040-56-00 > Other □ Last First 0 Applicant Address 600 California Street, Suite 900 San Francisco, CA 94108 Phone (619 > 814-1281 E-mailAddress jwilliams@bridgehousing.com Applicant Mailing Address 600 California Street, Suite 900, San Francisco, CA 94108 (if different than project address) Project Type (check all that apply): Residential [l] Commercial □ Pub[jlkllng Brief Description 70 Residential Apartments with common Amenity and leasing spaces and surface parking lot on-grade. Project Size 76,644 Estimated Cost of Project$ 11,288,756 ----------------(square footage) Please check the appropriate box: DI plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction. D I plan on self-hauling to a certified recycling facility and will provide all receipts after construction. l ✓I This is a proposed f:EES.certified project and I plan on separating materials on site in conjunction with WASTE MANAGEMENT. <41'-E~ ~1,-ir-~ Acknowledgement: 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. _ 1 /J Print Name __ ~--~-V'\_\_\A.._\_~ __ > ___ Signaturei _ _::di~j_l .:_KlA~~J:::•:=:::~► :_ __ Date ~Av,~~ 1T ~'1)\~~ w Page 1 of4 Rev. 04122 , PART 2 Complete before final Inspection, obtain Oty Approved hauler receipts and return prior to flnal bulldlns approval. DEBRIS RECYCLING REPORT (ACTUAL): --~~-,-... .,._ .• ,J Acknowledgement 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. Permit No. c~n,&:11Yll\ -OOl\'L Print Name _ ~Ml 5A<.DAN°J\ Address r30£. lhJpft :Till( LN I Date 5f-1f-_-,.-'~--- ' ~-,:u:mtrn•I!\ 1 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 B C Actual Amt Reused or Salvaged Actual Amt Recycled Actual Amt Disposed in Landfill Destination Facility (Name, Address, Phone) Example: 01/01/2020 Concrete (broken) 5 tons Palomar Trans/ er Station, 5960 El Camino Rea/ -(760) 603-0153 :~-:-ii~ 2,r; ()fM 1) 1., • ~ D _go Wlv1£-~ f>fC/c.( iN-6.. •----------------1---1------1----'124 s-. LA> P,.SAS PD ,~ }~~-> ~, CJ.. efl~ \ \ @TOTAL {!,-t:l.,r.;,.-:,f;-W,--;,•::;..----------..i...----.... -·----'------..,_------------ .. -.~L l■(•m-E Oiverslon Rate Achleved ___ ___, __ 5_, ~--q __ =_7_6_% Total of columns A + B + C DIVERSION Date Total of columns A+ B Contractor/ Owner Signature t ,A J/1 /1 Attach the following documenta~I to this;;.rt: Return completed form and documentation to: • Original recycllng weight tlckets, landfill weight tickets • Original donation receipts with photos and/or Itemized descriptions • Any other relevant Information to support Recycling Report City of Carlsbad Bulldlng Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 Rev. 04122 (a!Yof Carlsbad ;r CONSTRUCTION WASTE MANAGEMENT PLAN B-59 part 2 Development Services Building Division 1635 Faraday Avenue 422-339-2719 www.carlsbadca.gov Your project qualifies for the City of Carlsbad Construction Waste Management Plan (CWMP): Section 4.408.1 and Section 5,408.1 of the California Green Building Standards Code requires at least 65% of non-hazardous construction debris Is recycled and/ or salvaged for reuse. NEXT STEPS: STEP 1. Before the proiect - a. Review your CWMP completed prior to permit Issuance. (copy is attached to your job card) This plan demonstrates how you will recycle a minimum of 65% of the construction waste generated from your project by choosing: Republic Services or Self Haul. STEP 2 -During the project a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where materials were taken. b. Complete the Debris Recycling Report (DRR) on the next page as your project progresses. Recycling/diversion goals are (at a minimum) 65% of the waste generated by your project STEP 3 -After the Proiect a. Prior to receiving Inspection for final sign off the Building Permit or Certificate of Occupancy, Applicant must submit the fully completed and approved (DRR) of the Construction Waste Management Plan (CWMP) Table. b. Provide the DRR and receipts to your bulldlng inspector. FOR MORE INFORMATION: NOTICE: Applicant (contractor and subcontractors) shall comply with the project's CWMP. It is the Applicant's responsibility to collect all receipts from the facilities that recycle their materials AND all project waste/landfill disposal receipts. When working with the City's franchised hauler, Republic Services, one cumulative project receipt is acceptable. However, it Is the Applicant's responsibility to confirm that the bins are collected for C&D Recycling. 1. This project shall generate the least amount of waste possible by planning and ordering carefully, following all proper storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible. 2. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The commingled construction roll-off bin will be taken to a Certified Mixed C&D Processing Facility to sort the material and create recelpt(s), to demonstrate the project has met a 65% diversion rate or greater. 3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with the City's exclusive franchised waste hauler to develop a more specific CWMP. This plan may Include using additional roll-off bins for particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible. 4. Contractors/subcontractors hauling their own waste as part of their scope of work {e.g., construction clean up companies, etc.) SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recycling Facility. For a current list of· Certified Recycling facilities go to h!te:l/www.sandl91o.gov/envlronmemal-servk:es[recydlnr,/~/lndex.shtml. 5. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SHALL NOT be excluded from complying with the CWMP and shall provlde weight and waste diversion receipts from a Certified Source Separated Recycling Facility. • Rev. 05/22 ~~~.._\..., ·.-: --.. • -~ ·-:-\: RECYCLING SERVICES, INC 0000 Ticket: 6928 Date: 04/23/25 :__~:._·;-_ _:::~ TREE LANE CARLSBAD Rate In: Out: .; 5 C & = I·1IX 108.00 per TON 7:36 7:37 III'IOICE Truck: 1320 Container: Route: 08045 Origin: 080 SAN MARCO :2:.:-css :Ir:,: 20,600. Units 2.99 lbs Scl#l Tare 14,620. lbs Stored Net: 5,980. r:xtended Charge 322.92 lbs] PAID CHECK# 1769 322.92 Co1s~:uction & Demolition Diversion Certificate --Diversion Percentage 76% T':is ce .. !:'"e5 :;-at the company listed above has utilized an EDCO facility to divert construction demolition materials in accordance v:'.:"' LEEC ·e:;__..~ernent. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility. CRUZ Driver E~CC KASTE & RECYCLING SERVICES, INC ::~ S. LAS POSAS RD S.:\...~ ~i~RCOS, CA 92078 \-60' ~44-~700 Ticket: 6922 Date: 04/22/25 RCBEN PRECIADO 1307 LAUREL TREE LANE CARLSBAD Com:nod::..tv Rate In: Out: 45 c & = :.nx Units 2.50 108.00 per TON 15:30 Truck: 1320 15:31 Container: Route: 08045 Origin: 080 SAN M;...RCO [Gross(In): 19,620. lbs Man Wt Tare 14,620. lbs Stored Net: Extended Charge 270.00 5, 0 0 0. lbs] PAID CHECK# 1761 270.00 Construction & Demolition Diversion Certificate --Diversion Percentage 76% 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. CRUZ Driver L. (. Qty of CONSTRUCTION WAS'JE Developm::di:::~ '1 Carlsbad MANP..f:H:MENT ~lA(\! 1635 Faraday Avenue B-59 part 2 422-339-2719 L-=========:.z;=-=========-=·-==-=··:;;.:·· =========-==w..,w ....... w ... c""'a""rl""sb ... a ... a ... c_a::c.gmoe:::v=:::.i Your project qualifies for the Oty of Carlsbad Construction Waste Management Plan (CWMP): Section 4.408.1 and Section 5.408.1 of the California Green Building Standards Code requires at least 65% of non-hazardous construction debris ls recycled and/ or salvaged for reuse. N8ITSTEPS: STEP 1. Before the project - a. Review your CWMP completed prior to permit Issuance. (copy is attached to your job card) This plan demonstrates how you will recycle a minimum of 65% of the construction waste generated from your project by choosing: Republic Services or Self Haul. STEP 2 -During the Pro~ct a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where materials were taken. b. Complete the Debris Recycling Report (DRR) on the next page as your project progresses. Recycling/diversion goals are (at a minimum) 65% of the waste generated by your project STEP 3 -After the Protect a. Prior to receiving Inspection for final sign off the Building Permit or Certificate of Occupancy, Applicant must submit the fully completed and approved {DRR) of the Construction Waste Management Plan (CWMP) Table. b. Provide the DRR and receipts to your building Inspector. FOR MORE INFORMATION: NOTICE: Applicant (contractor and subcontractors) shall comply with the project's CWMP. It Is the Applicant's responsibility to collect all receipts from the faclllties that recycle their materials AND all project waste/landfill disposal receipts. When working with the City's franchised hauler, Republic Services, one cumulative project receipt ls acceptable. However, It Is the Applicant's responsibility to confirm that the bins are collected for C&D Recycling. 1. l11ls project shall generate the least amount of waste possible by planning and ordering carefully, following all proper storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible. 2. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The commingled construction roll~off bin will be taken to a Certified Mixed C&D Processing Faclllty to sort the material and create recelpt(s), to demonstrate the project has met a 65% diversion rate or greater. 3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with the City's exclusive franchised waste hauler to develop a more specific CWMP. This plan may Include using additional roll-off bins for particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible. 4. Contractors/subcontractors hauling their own waste as part of their scope of work (e.g., construction clean up companies, etc.) SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recyding Faclllty. For a current list of Certified Recycling Facilitles go to hUpy'/www.sandlego.aov/tlftVlronm,ntakervlces/f!CYdlnsfcd/lndex.shtml, s. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Se1>arated Recycling Facility. • Rev. 05/22 PART 2 Complete before final Inspection, obtain aty Approved hauler recelptt and return prior toflnal bultdfn, approval. DEBRIS RECVCLING REPORT (ACTUAL): ~i~~i/J!t tj -------·-· Adm~ledgemerrt·---·-· I certify under penalty of perjury under the laws of the State of californla 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. Permli:No. C~1f)1-4.-0\-:}4 PrintName ~An -sA,j~A .Mdt·ess _(J\...,_..l.;_.,Yv%L=~.....__1]ZE......._., ...... E_W=.....;... ______ 1_Date 5-/ I, /2 C, 7 ,.---- Use this Final Log b~low to traclt 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 facliities where material is tclken. Additional Project log pages are available if necessary. Use City Conversion Table to convert volume to tons. Reused or Recycled Disposed In (Name, Address, Phone) -~~-Date M:~lalType ,.,,,:iAmt A<..:.~·-,...,;_ --~nfac:, __ Salvaged landfill _, __________ ---3 E1cample: Palomar Transfer Station, 5960 El 0l/01/2020 Concrete (broken) Stons Camino Real -17601 603-0153 I -----":---------1------1-----+-----1------------I ,.,,,""J,•--..•-M,,._~---....,_,_. ___ • ____ _.,l _____ r __ ---·7-@_1!YJ1_0~}"-'tJ.--~-·-·-----..------·---~=--I-~--.-~-------- ~© Diverslon Rate Achieved __ ____,,_:\_, <(S-"-"') __ = }b " Total of columns A+ B Total (Jj columns A + B + C DIVERSION Date Contractor/OwnerSlgnature 4 Ai,. Attach the following documentatton to this Report: 0 Original recycling weight tickets, landfill weight tickets Return completed form and documentation to: • Original donation receipts with photos and/or itemized descriptions • Any ottier relevant information to support Recycling Report City of Carlsbad Building Dlv\slon (1st Floor) 1635 Faraday Avenue carlsbad, CA 92008 Page 3 of 4 Rev. 04122 IN.JOICE C"J st. c:-:. e : -: 0 0 0 0 Ticket: 6803 In: 13:13 Truck: 1320 Vate: 04/16/25 Out: 13:14 Container: Route: 08045 Rli"'3EN PRECIADO Origin: 080 SAN MARCO ~307 L~~?EL TREE LANE CARLSBAD Com:-:1oc..:.. ·_ • • Uni ts Rate 4 5 C & ._ :-: = X 2 . 4 4 108.00 per TON [Gress '.::·. : 19,500. lbs Scl#l Tare 14,620. lbs Stored Net: Extended Charge 263.52 4,880. lbs] PAID CHECK# 1760 263.52 Construction & Demolition Diversion Certificate --Diversion Percentage 76% This certifies that the company listed above has utilized an EDCO facility to divert construction demolition materials in accordance with LEED req 1Jirement. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility. Driver Ticket: 6791 Date: 04/16/25 R:.:-:SEN PRECIADO :3c~ LAC~EL TREE LANE CARLSBAD Cc~~oj~~-Units Rate In: 7: 2 7 Out: 7:28 ..; 5 C: & : : ·1 I X 2 . 4 1 108.00 per TON Truck: 1320 Container: Route: 08045 Origin: 080 SAN MP-.RC8 :G~css ;::-:,: 19,440. lbs Scl#l Tare 14,620. lbs Stored Net: Extended Charge 260.28 4,820. lbs] PAID CHECK# 1760 260.28 Construction & Demolition Diversion Certificate --Diversion Percentage 76% This certifies that the company listed above has utilized an EDCO facility to divert construction demolition materials in accordance wit'l LEED req:.Jirement. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility. Driver ~City of Carlsbad t?ULD(N h CONSTRUCTION WASTE MANAGEMENT PLAN B-59 part 2 Develoq:;rnent Services Building Division 1635 Faraday Avenue 42 2-339-2 719 www.carlsbadca.gov Your project qualifies for the City of Carlsbad Construction Waste Management Plan (CWMP): Section 4.408.1 and Section 5.408.1 of the California Green Building Standards Code requires at least 65% of non-hazardous construction debris is recycled and/ or salvaged for reuse. NEXT STEPS: STEP 1. Before the project - a. Review your CWMP completed prior to permit issuance. (copy is attached to your job card) This plan demonstrates how you will recycle a minimum of 65% of the construction waste generated from your project by choosing: Republic Services or Self Haul. STEP 2 -During the Project a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where materials were taken. b. Complete the Debris Recycling Report (DRR) on the next page as your project progresses. Recycling/diversion goals are (at a minimum) 65% of the waste generated by your project STEP 3 -After the Project a. Prior to receiving inspection for final sign off the Building Permit or Certificate of Occupancy, Applicant must submit the fully completed and approved (DRR) of the Construction Waste Management Plan {CWMP) Table. b. Provide the ORR and receipts to your building inspector. FOR MORE INFORMATION: NOTICE: Applicant (contractor and subcontractors) shall comply with the project's CWMP. It is the Applicant's responsibility to collect all receipts from the facilities that recycle their materials AND all project waste/landfill disposal receipts. When working with the City's franchised hauler, Republic Services, one cumulative project receipt is acceptable. However, it is the Applicant's responsibility to confirm that the bins are collected for C&D Recycling. 1. This project shall generate the least amount of waste possible by planning and ordering carefully, following all proper storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible. 2. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The commingled construction roll-off bin will be taken to a Certified Mixed C&D Processing Facility to sort the material and create receipt(s), to demonstrate the project has met a 65% diversion rate or greater. 3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with the City's exclusive franchised waste hauler to develop a more specific CWMP. This plan may include using additional roll-off bins for particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible. 4. Contractors/subcontractors hauling their own waste as part of their scope of work (e.g., construction clean up companies, etc.) SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recycling Facility. For a current list of Certified Recycling Facilities go to http:/ /www.sandiego.gov/env!ronmental-services/recycling/cd/index.shtml. 5. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from ci Certified Source Separated Recycling Facility. Rev. 05122 PART 2 Complete before final inspection, obtain City i\pproved hauler receipts and retiJrn prior to fin;.il -] ,__ ____ b_u_i_ld_in_g_a_p_p_r_o_v_al_. ______________________________________ _ DEBRIS RECYCLING REPORT (ACTUAL): ' ; SECTION A r /. Acknowledgement 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. Permit No. C 2,12 ~7Q2¼ -0 \:J ?-Print Name ft;,bA(? SL\~-4 Add,ess (Sn /.A',Jl¾.l --WU. 4-J Date ~f!'-/;~74 ___ ------t 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 f.l_(_ample: 01/01/2020 Material Type Concrete (broken) @TOTAL A B C Actual Amt Reused or Salvaged Actual Amt Recycled 5 tons Actual Amt Disposed in Landfill Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -{760) 603-0153 Diversion Rate Achieved _____ ___, _6~.~-='---~...,____,~~-=---% ~ 65% :5 65% Total of columns A + B Total of columns A + 8 + C DIVERSION Contractor/Owner Signature c;/ --A ...... ..c.~ _________ Date Attach the following docume~ 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 Carlsbad, CA 92008 Page 3 of 4 Rev. 04122 --"'' -. • "' -"\,""' \ c~ -=-=--L\.. Ticket: 4 712 Date: 11/07/24 Rate In: 8:44 Out: 8:45 108.00 per TON -~ --•,--r1-, ,,.._ ... ,,.) ....... _~ True}:: ::..~:?. ~ Container: Route: CJ 2-=. ~:: Origin: G 2 G s..:.:i :,:;.._;;_::8 286.20 .;s C & D MIX ~Grcss(In): 19,920. Units 2.65 lbs Scl#l Tare 14,620. lbs Stored Net: PAID CHECK# 1567 286.20 Construction & Demolition Diversion Certificate --Diversion Percentage 75% 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. CRUZ Driver ~=C·2 ~•;_:._~7:2 & RECYCLING SERVICES, INC ==~ S. ~~S POSAS RD s.:::..:, :,r.:_Rcos, CA 9 2 o 7 s .~i5c· ":~-±-2700 Cus t:orr:2~·: o o o 0 Ticket: 4699 Date: 11/06/24 RlJBEN PEECIADO 1307 LAUREL TREE LN Commodity Units Rate In: 12:56 Out: 12:57 45 C & D MIX 2.55 108.00 per TON -... ----,-,-.1_, . --_ _-:: Truck: 13 2 C, Container: Route: 080-4:5 Origin: o 8 o s.~J n~q:=o [Gross/In): 19,720. lbs Scl#l Tare 14,620. lbs Stored Net: Extended Charge ::'.'75.--10 5,100. lbs] PAID CHECK# 1566 275.--10 Co.nstru~t!on & Demolition Diversion Certificate --Diversion Percentage 75% T~1s cert1f1es 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. C!-'.UZ Driver Your project qualifies for the City of Carlsbad Construction Waste Management Plan (CWMP): Sectlon 4.408.1 and Section 5.408.1 of the California Green Building Standards Code requires at least 65% of non-hazardous construction debris Is recycled and/ or salvaged for reuse. NEXT STEPS: STEP 1. Before the protect - a. Review your CWMP completed prior to permit Issuance. (copy ls attached to your Job card) This plan demonstrates how you will recycle a minimum of 65% of the construction waste generated from vour project by choosing: Republic Services or Self Haul. STEP 2 -Durh1g the Project a. Save all receipts and/or documents from reuse facllitles, recycling centers, processing facilities, and landfllls where materials were taken. b. Complete the Debris Recycling Report (ORR) on the next page as your project progresses. Recycling/diversion goals are (at a minimum) 65% of the waste generated by your project STEP 3 -After the Protect a. Prior to receiving inspection for flnal sign off the Building Permit or Certificate of Occupancy, Applicant must submit the fully completed and approved (ORR) of the Construction Waste Management Plan (CWMP) Table, b. Provide the DRR and receipts to your building inspector. FOR MORE INFORMATION: NOTICE: Applicant (contractor and subcontractors) shall comply with the project's CWMP. It Is the Applicant's responsibility to collect all receipts from the facilities that recycle their materials AND all project waste/landfill disposal receipts. When working with the City's franchised hauler, Republic Services, one cumulative project receipt Is acceptable. However, it Is the Applicant's responsibility to confirm that the bins are collected for Cl?tD Recycling. 1. This project shall generate the least amount of waste possible by planning and ordering carefully, following all proper storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible. 2. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The commingled construction roll-off bin will be taken to a Certified Mh<ed C&D Processing Faclllty to sort the material and create recelpt(s), to demonstrate the project has met a 65% diversion rate or greater. 3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with the City's exclusive franchised waste hauler to develop a more specific CWMP. This plan may Include using additional roll-off bins for particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible, 4. Contractors/subcontractors haullngthelr own waste as part of their scope of work (e.g., construction clean up companies, etc.) SHALL NOT be excluded from complying with the CWMP and shall prn1J\d~ w~laht and waste diversion receipts from a Certified Source Separated Recycling Facility. For a current list of · Certified Recycling Facllitles go to ht;tp:[Jwww.sandlego.gov/e~recycHng/cd/fndex.shtml. S. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recycling Facility. Rev. 05/22 PART 2 OJmplete before flnal Inspection, obtain Qty Approved hauler receipts and return prior to final bullll ... approval. Df:BRIS RECYCLING REPORT (/.\CTUAL): m~~~P~ ·: -----·--------~---7c;.;,;.;dg;;e~-~-~-·~-~·-··--Q 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 rn PART 1, that I have reviewed the accuracy of the information, and that the lnformatlon is true and correct to the best of my knowledge and belief. Permit Mo. C U{l.A-Zc:>"'2lj "" ~ ~ Print Name Address \'JJ1 ~l ~fl(( Lr-l £:X?Af:--=..:..~~---1 Date :r 2_5:e:.._ ___ 1 fil{-)l,} :I Use this Final Log belovJ to traclc loads or ma-~erial!: as they leave th Job site. @®SA.VE RECEIPTS@® Indicate FINAL quantities In tons for each material and save receipts and documents from faclilties where material Is taken. ··-~~rl ~J~-~~~I?z:r1::~Ji::•b~ro~:::::::· -·· Date Material Type Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill ~-r-;,;;;;;;;,;: • "' ·-·-Palomar Transfer Station, 5960 El 01/01/2020 Concrete (bro/cen) 5 tons Camino Real -. ~~:i..-.:~~_.J._~~-i--- R-----J.----------1-----1------+------+-~'--'-cu --i:2.- 9f/'1l) --·-------1---------1------1-----+-----+------------t Dl\1erslon Rate Achie'1ed Total of columns A+ 3 Contractor/Owner Signa-i:ure,_~1.1---..!i~~L-..-----Date DIVERSION Attach the following documentai:l n to this Report: Return completed form and documentation to: • Original recycling weight tickets, land II 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 Carlsbad, CA 92008 ----------~------------ Page 3 of 4 Rav. 04122 E::'-=--..' ;-~_:::. .• •. ·:~· i RECYCLING ::~ S. ~~S F0SAS RD SF.RVICES, INC s.:;.,,,.~ ~~~:~s. CA 92078 \-62\ -..,..;-:-00 Customer: 0000 Ticket: 6219 In: Date: 03/12/25 Out: RUBEN PRECIADO 1307 la~rel tree lane carlsbd Commoditv Units Rate 45 C & D MIX 1.84 108.00 per TON -,--·r -r•--, lcl/..)...__t 7:36 Truck: 1320 7:38 Container: Route: 08045 Origin: 080 SJ:..N ~~co [Gross(In): 18,300. lbs Scl#l Tare 14,620. lbs Stored Net: Extended Charge 198.72 3,680. lbs] PAID CHECK# 1686 198.72 Construction & Demolition Diversion Certificate --Diversion Percentage 76% 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. CRUZ Driver C~stomer: 0000 Ticket: Date: Ru""BEN ?RECIADO 13 0-; LAUREL TREE LANE CARLS.BAD Commodity Units 45 C & D MIX 2.81 6214 03/11/25 Rate In: 15:41 Out: 15:42 108.00 per TON -,-... , -,.. __ .... ,,J .... _~ Truer:: --.,. r .J....:, L. .) Container: Route: G2G4:: Origin: 0 8 0 S .. ~T ;,r.:..?.CJ [Gross(In): 20,240. lbs Man Wt Tare 14,620. lbs Stored Net: ~xt:.e:ided Charge 303.48 5,620. lbs] PAID CHECK# 1685 303.48 Construction & Demolition Diversion Certificate --Diversion Percentage 76% 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. CRUZ Driver ~---------......,.,..~-=~=~,...--=-, l$JILQ!cL~ ___ L'3J~_;_,==-----= ==7 ' 4.f' iQnr of CONSTRUCTION ,~vASTE Develo11ment Services \ -~ -~ 1 Building Division Carlsbad i\il/.\l\!!.\GEf\fi~NT i?tAN 1635 Faraday Avenue 3 .. 59 part 2 422-339-2719 www.carlsbadca.gov = Your project qualifies for the City of Carlsbad Construction Waste Management Plan (CWMP): Section 4.408.1 and Section 5.408.1 of the California Green Building Standards Code requires at least 65% of non-hazardous construction debris Is recycled and/ or salvaged for reuse. NEXT STEPS: STEP 1. Before the project - a. Review your CWMP completed prior to permit Issuance. (copy is attached to your Job card) This plan demonstrates how you will recvcle a minimum of 65% of the construction waste generated from your pro}ect by choosing: Republic Services or Self Haul. STEP 2 -During the Protect a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where materials were taken. b. Complete the Debris Recycling Report (DRR) on the next page as your pro}ect progresses. Recycling/diversion goals are (at a minimum) 65% of the waste generated by your project STEP 3 -After the erotect a, Prior to receiving Inspection for final sign off the Building Permit or Certificate of Occupancy, Applicant must submit the fully completed and approved (DRR) of the Construction Waste Management Plan (CWMP) Table. b. Provide the DRR and receipts to your building Inspector. FOR MORE INFORMATION: NOTICE: Applicant (contractor and subcontractors) shall comply with the project's CWMP. It Is the Applicant's responsibility to collect all receipts from the facllltles that recycle their materials AND all proJect waste/landfill disposal receipts. When working with the City's franchised hauler, Republic Services, one cumulative project receipt is acceptable. However, it Is the Applicant's responsibility to confirm that the bins are collected for C8tD Recycling. 1. This project shall generate the least amount of waste possible by planning and ordering carefully, following all proper storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible. 2. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The commingled construction roll-off bin will be taken to a Certified Mhced C&D Processing Faclllty to sort the material and create recelpt(s), to demonstrate the project has met a 65% diversion rate or greater. 3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with the City's excluslve franchised waste hauler to develop a more specific CWMP. This plan may Include using additional roll-off bins for particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible. 4. Contractors/subcontractors hauling their own waste as part of their scope of work {e.g., construction clean up companies, etc.) SHALL NOT be excluded from complying with the CWMP and shall pm\l\d~ we\ght and waste diversion receipts from a Certified Source Separated Recycling Facility. For a current list of • Certified Recycling Facilities go to Mtp://www.sandlffiO:SOV/envlronmentaJ-servk:esl'ffldins/cd/lndex.shtml- 5. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SI-IALL NOT be excluded from complying wlth the CWMP and shall provide weight and waste diversion receipts from a Certified source Separated Recycling Faclllty. Rev. 05122 PART 2 Complete before flnal Inspection, obtain aty Approved hauler receipts and return prior toflnal bulldfne approval. DEBRIS RF.CVCLII\IG l-=tEPOtrr (ACTUAL): ijil~)~ I -----------~-..........-.., --... _....,. _____ ...,._ Acknowledgement 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 fisted 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. Permit Mo. CS],\2-/.~(U:72 .. \..\ -O\f-:\ f>rint Name ~Af1. .:i1L-.2AN A __ Addmss ,11G1 \..~L ::xru.t LrJ Date ~1---7, $ 11R•@·I Use this Final log below to mck locids of mmeriah: as: the•i leaue the Job site. @@SA.VE RECEIPTS@@ . Indicate FINAL quantities in tons for each material and save receipts and documents from faciilties where material is taken. Additional Project Log pages are available if necessary. Use City Conversion Table to convert volume to tons. ·~----·--------1---••-•--, .. _,. -•• -wwww_,..,,~, A 8 C Actual Amt /.\ctual Amt Actual Amt Destinatton Facility Date Material Type l Reused or Recycled Disposed In (Name, Address, Phone) ___ salvaged . Landfill -~--I.•••• W.mlZ■ •iie·• iKamgle: Palomar Transfer Station, 5960 El 0l/01/2020 Concrete (broken) Stans Camino Real · 1760) 503-0:1.53 3+s/~J ~J"'fl> <1., 'l f~O vJl6~ r ru~'f-c;JIAJ ;, __ ..,_ -------. ...s...f.P-'-'' .K...s '7.-"i4 > LA.s. Po.sA< ~ LM t-AAPco .~ ~'20~, -,bo -::iuu -"2..4.;Joo --- --1--------·--.,- ---~---!!~!:....-~---L----,.·~-----11,.j2:.:r~~----------s•---·,-~.-.,=•··--:;r~~~l ~65% Ol\/etslon Rate Achieved I '2.. ~f1 1t>~..S = -"lb % :S65%e L----' Total of columns A+ B Total of columns A + B.,. C DIVERSION Contractor/OwnerSigna'i:ure /~ .4 Al Date - t . Attach the following documentatlo to this Report: Return completed form and documentation to: • Original recycling weight tickets, landfll weight tickets City of Carlsbad • Original donation receipts with photos and/orltemlzed de$crlptlons Building Division (1st Floor) • Any other relevant Information to support Recycling Report 1635 Faraday Avenue Carlsbad, CA 92008 - Page 3 of 4 Rev. 04/22 ~::::'C C '.·:.:::_~-:-~ i REC\"CLING SERVICES, INC ::~ S. :~s ?OSAS RD 3_:._\ !,:_:...~:: s I c__; 9 2 0 7 8 i-62·· -..;..;-:~co Customer: 0000 Ticket: 6088 Date: 03/05/25 RUBEN PRECIADO 13 07 :;:,,_~/.::?.~L TREE LANE CARLSBAD Commodicv Units ., Rate In: 7: 25 Out: 7:26 45 C & D MIX 2.92 108.00 per TON Truck: 1320 Container: Route: 0804S Origin: 080 SAN MF..RCO [Gross(In): 20,460. lbs Scl#l Tare 14,620. lbs Stored Net: Extended Charge 315.36 5,840. lbs] PAID CHECK# 1673 315.36 Construction & Demolition Diversion Certificate --Diversion Percentage 76% This certifies that the company listed above has utilized an EDCO facility to divert construction demolition materials in accordance with LEED r2quirement. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility. CRUZ Driver COi\!STRUCTION )MASTE 3-59 part 2 ·-----···,-·---] Development Services 1 1 \ 422-339-2719 www.carlsbadca.gov Building Division J 1635 Faraday Avenue b==========:=:==::.==-""· ============"---=-===::.:;:;;:;x:..=nnrm , n:::r:v::r::::r~~-·- Your project qualifies for the City of Carlsbad Construction Waste Management Plan (CWMP): Section 4.408.1 and Section 5.408.1 of the California Green Bullding Standards Code requires at least 65% of non-hazardous construction debris ls recycled and/ or salvaged for reuse. l\!EXTSTEPS: STEP 1. Before the proJect - a. Review your CWMP completed prior to permit Issuance. (copy ls attached to your job card) This plan demonstrates how you will recycle a minimum of 65% of the construction waste generated from your project by choosing: Republic Services or Self Haul. STEP 2 -During the Proigct a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where materials were taken. b. Complete the Debris Recycling Report (ORR) on the next page as your project progresses. Recycllng/dlverslon goals are (at a minimum) 65% of the waste generated by your project STEP 3 -After the ProJect a. Prior to receiving Inspection for final sign off the Building Permit or Certificate of Occupancy, Applicant must submit the fully completed and approved (ORR) of the Construction Waste Management Pian (CWMP) Table. b. Provide the DRR and receipts to your building inspector. FOR MORE INFORMATION: NOTICE: Applicant (contractor and subcontractors) shall cornply with the project's CWMP. It Is the Applicant's responsibility to collect all receipts from the facilities that recycle their materials AND all project waste/landfill disposal receipts. When working with the City's franchised hauler, Republic Services, one cumulatlve project receipt is acceptable. However, it Is the Applicant's responsibility to confirm that the bins are collected for C8,D Recycling. 1. This project shall generate the least amount of waste possible by planning and ordering carefully, following all proper storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible. 2.. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The commingled construction roll-off bin will be taken to a Certified Mhced C81D Processing Facility to sort the material and create recelpt(s), to demonstrate the project has met a 65% diversion rate or greater. 3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with the Cltv's exclusive franchised waste hauler to develop a more specific CWMP. This plan may Include using additional roll-off bins for particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible. 4. Contractors/subcontractors hauling their own waste as part of their scope of work (e.g., construction clean up companies, etc.) SHALL NOT be excluded from complying with the CWMP and shall prnv\d~ w~lght and waste diversion rec~ipts from a Certified Source Separated Recycling Facllity. For a current list of • Certified Recycling Facilities go to ht;tp:/fflWW.sandlgo.gov/envlrgnmentakervk:eng/cdjindex.shtml. s. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recycling Facility. Rev. 05/22 PART 2 0aniplete before f1nal Inspection, obtain aty Approved hauler recapts and return prior to final bulldlna approval. DEBRIS P..ECVCUi\JG REPORT (/.\CTUAL): -·-W.,~·,. o , r~ J ·------------..~--~--...-..-..._.-~-= ........ ,__ . .., ____ '""'""""~'"..., • ;, .... _ • _;,t.µ: . Acknowledgement 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 lnformatlon Is true and correct to the best of my knowledge and belief. PermU:I\Jo. c~'2,A'J...D?-9 -0\ ~ 'is Print Name .926Af1 &t}\.J)A,Nd_ __ Address \'J~ I LA\lPfl ~E LN Date 7 /t f, J Z -r;; , I ~-,·:itiW~@ l Use this Final log belovJ to tract, loods of materials as they leave the job site. > :.\f.1, g. '; @®SAVE RECEIPTS@@ . Indicate flNAL quantities In tons for each material and save receipts ancl documcmlS from facilities where material Is taken. Additional Project Log pages are available if necessary. Use Cii:.y Conversion Table to convert volume to tons. •~-----■-•~--•----ili-•-~ ~-r•-,_., __ ,_,. J M 1 1 T l Actu~ A.mt Actu!l Amt Actu:1 Amt Destination i:acllity Date ater a ype Reused or Recycled Disposed In (Name, Address, Phone) Salvaged Landfill -cc:•.r~ /I. --...◄t ·-~ -fxg_mgle: Palomar Transfer Station, 5960 El 01/01/2020 Concret"e (broken} Stons Camino Real , -1760} 603-0.1.53 11/?~ ~-1-.~ -~,-,f O L t]I n N '2-11 ~Dco vJltST+ 4 - (2.fc. ~ (. ( l,J b .. .5f(]Jf lt.$ . - '22'-I -~ l.AJ. Pl>~ ,2, 1-J ')b 1,-~ ~~ f"(0\.\1101'-' '?. 0 C, SA,J M~O..s ~C !i 1J0-::1~ l l -, l t> -l 41..f -7,-=1 OD --, --· ·--- --·-- t) ---@'n>l"f.L --------~1----1 -S-. 'fO .;.-;f.::, --- ~~-~:1 -·-~·-_J-~----------·---~~,.--~~-----·--------··-·--~----'~~--,. ~-l\ (),()lj. Jb ~65% Ol\1erslon Rate Ach\e.ved = % :!:65%□ To~l,mnsA+R Total of columns A+ a.,. c DIVERSION Contractor/Owner Signai:ure_ --A-)/, Da.:e - Attach the following document:a'i:I n to this Report: Return completed form and documentation to: . Original recycling weight tickets, landfill weight tickets City of Carlsbad 0 Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor) • Any other relevant Information to support Recycling Report 1635 Faraday Avenue Carlsbad, CA 92008 ---- Pc1ge 3 of 4 Rev. 04122 2us~c~er: 0000 Ticket: 5983 In: 7:26 Truck: 13L0 Date: 02/26/25 Out: 7:27 Container: Route: 08045 ~1.JBEN PRECIADO Origin: 080 SJ..lJ MJ..P.C:G 1307 LAUREL TREE LANE Commodity Units Rate 45 C & D MIX 2.31 108.00 per TON [Gross(In): 19,240. lbs Scl#l Tare 14,620. lbs Stored Net: Extended Charge 249.48 4, 6 2 0. lbs] PAID CHECK# 1666 249.48 Construction & Demolition Diversion Certificate --Diversion Percentage 76% 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. CRUZ Driver EI'CC' h·.;,s7~ ,\: RECYCLING .SEr~VICES, lNC : 2 ➔ S . :.,.=\.S P0.S.=\.S RD S.~ ~:_~-1S~~s CA 9:o~s ~'"'.'6-:' -~..,;_-.:::'.-0(' Tick.et: 5994 Date: 02/26/25 RL-TBEN PRECI.WO 130~ LAUREL TREE LANE CARLSBAD Commodity Units Rate In: Out: 45 C & D MIX 3.09 108.00 per TON 13:14 Truck: 1320 13:15 Container: P.oute: 08045 Origin: 080 SJ..lT MAECO [Gross(In): 20,800. lbs Scl#l Tare 14,620. lbs Stored Net: Extended Charge 333.72 6,180. lbs] PAID CHECK# 1667 333.72 Construction & Demolition Diversion Certificate --Diversion Percentage 76% 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. CRUZ Driver ,----.ra:~,o=f =-f»=:~::::-==~;:,:~t ~~;;;;I ~ -~ 1 Building Division Carlsbad i\llANt~GEi\/iENT t~LAN 1635 Faraday Avenue B-59 part 2 422-339-2719 t:a:l==-··===================""'··==========="""'""""""-=""'w_w...,~-·c=-=a=r""ls .... b ... ad_c,,..a=.g=o=,!,,_,.-::!.J Your project qualifies for the City of Carlsbad Construction Waste Management Plan (CWMP): Section 4.408.1 and Section 5.408.1 of the California Green Building Standards Code require5 at least 65% of non-hazardous construction debris Is recycled and/ or salvaged for reuse. NE)(TSTEPS: STEP 1. Before the protect - a. Review your CWMP completed prior to permit Issuance. (copy is attached to your Job card} This plan demonstrates how you will recycle a minimum of 65% of the construction waste generated from vour project by choosing: Republic Services or Self Haul. STEP 2 -During the Pro@ct a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where materials were taken. b. Complete the Debris Recycling Report (DRR) on the next page as your project progresses. Recycling/diversion goals are (at a minimum) 65% of the waste generated by your project STEP 3 -After the Protect a, Prior to receiving Inspection for final sign off the Building Permit or Certificate of Occupancy, Applicant must submit the fully completed and approved (ORR) of the Construction Waste Management Plan (CWMP} Table. b. Provide the ORR and receipts to your building inspector. FOR MORE INFORMATION: NOTICE: Applicant (contractor and subcontractors) shall comply with the project's CWMP. It ls the Applicant's responsibility to collect all receipts from the facilities that recycle their materials AND all project waste/landfill disposal receipts. When working with the City's franchised hauler, Republic Services, one cumulative project receipt ls acceptable. However, It Is the Applicant's responsibility to confirm that the bins are collected for C&D Recycling. 1. 11'1s project shall generate the least amount of waste possible by planning and ordering carefully, following all proper storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible. 2. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The commingled construction roll•off bin will be taken to a Certified Mixed C&D Processing Facility to sort the material and create recelpt(s), to demonstrate the project has met a 65% diversion rate or greater. 3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with the City's exclusive franchised waste hauler to develop a more specific CWMP. This plan may Include usihg addltlonal roll-off bins for particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible. 4. Contractors/subcontractors hauling their own waste as part of their scope of work (e.g., construction clean up companies, etc.) SHALL NOT be excluded from complying with the CWMP and shall provld~ weinht and waste dlverslon receipts from a Certified Source Separated Recycling Faclllty. For a current list of· Certified Recycling Facilities go to h!tP:/Jwww.sandlgo.aov/envltpnmentakeMces/reeydtns/cd/lndex.sbqnl. s. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recycling Facility. Rev. 05/22 PART 2 Complete before flnal Inspection, obtain aty Approved hauler receipts and retum prior to'ftnal bulldln, approval. DEBRIS RECVCLlf\JG REPOtrr (ACTUAL): ~~~j --~---.,_.,.,. ----"" ~ Acl<nowledgement I certlf-y 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. Permit No. cr£A'1-0'2~ -0~ ~ 0 Print Name ~~ sAu>AFJA Address Q'-:\3 ~l -fQH, N~ Date -c; I r1f -is l l $i.r<fau•w ~ Use this Final log belm.v 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 faciiitles where materi"l 1s taken. 1,/ ... ._ Additional Pro~t tog 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 Eimml!,le: Palomar Transfer Station, 5960 El 01/01/2020 Concrete (broken) Stans Camino Ilea/ -17601603-0153 iJ\)\i( v\-M\) ~.C\O\ ~Yi O wA-5-cf-~ fltc"-LI 1'J 6 ' I :2,'2-~ $.~ ?0>AS:. \].9 ---I-- S,Jt.r,i. tl\W,o5. c A cno-q <i"< i-\ l1j)I ,, 7.?-~ ' 9{1'17) 7hl1 ~ ~~LI-~Ou I ,,,.._.,.~ .. --......... ®ToTt'.L -•--~rJ----•~-'--•---·•--~] . . .. ,.,. --~ ~-~~'4:. Oiverslon Rate Achieved b I t'i 1~.s.. = :ib " :l!:65%□ 565% Total of columns A+ B Total of columns A + B + C DIVERSION Contractor /Owner Signature r~i .1Jv, Date - Attach the following document.at;Jn to this Report: Return completed form and documentation to: 0 Original recycling weight tickets, landfill weight tickets City of Carlsbad 0 Orlslnal donation receipts with photos and/or Itemized descriptions Building Dlvlsion (1st Floor) • Any other relevant Information to support Recycling Report 1635 Faraday Avenue Carlsbad, CA 92008 Page3 of4 Rev. 04/22 .. EI'C0 i,.;j,_.S'~"E & RECYCLING SERVICES, INC ~~~ s. LAS POSAS RD S.~ ~IA~22S, CA 92078 (-60 \ -44-2700 customer: 0000 Ticket: 7063 Date: 04/30/25 RUBEN PRECIADO ' 1307 LAUREL TREE LANE CRLSBAD Commodity Units Rate ---------- In: 12:41 Out: 12:42 45 C & D MIX 2.99 108.00 per TON INVOICE Truck: 1320 container: Route: 08045 Origin: 080 SAN MARCO (Gross(In): 20,600. lbs Man Wt Tare 14,620. lbs Stored Net: Extended Charge 322.92 5, 980. lbs1 PAID CHECK# 1778 322.92 Construction & Demolition Diversion Certificate --Diversion Percentage 76% 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. CRUZ Driver .. , . Ticket: Date: 7062 04/30/25 In: 12:40 Out: 12:41 130-LAUREL TREE LANE CARLSBAD (4/29/202 Commodity Units Rate 45 C & D MIX 3.25 108.00 per TON Truck: Container: Route: Origin: INVOICE 1320 08045 080 SAN MARCO [Gross(In): 21,120. lbs Man Wt Tare 14,620. lbs Stored Net: Extended Charge 351.00 6,500. lbs] Construction & Demolition Diversion Certificate --Diversion Percentage 76% PAID CHECK# 1778 351.00 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. CRUZ Driver ". \_ City of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 part 2 Development Services Building Division 1635 Faraday Avenue 422-339-2719 www.carlsbadca.gov Your project qualifies for the City of Carlsbad Construction Waste Management Plan (CWMP): Section 4.408.1 and Section 5.408.1 of the California Green Building Standards Code requires at least 65% of non-hazardous construction debris is recycled and/ or salvaged for reuse. NEXT STEPS: STEP 1. Before the project - a. Review your CWMP completed prior to permit issuance. (copy is attached to your job card) This plan demonstrates how you will recycle a minimum of 65% of the construction waste generated from your project by choosing: Republic Services or Self Haul. STEP 2 -During the Project a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where materials were taken. b. Complete the Debris Recycling Report (DRR) on the next page as your project progresses. Recycling/diversion goals are (at a minimum) 65% of the waste generated by your project STEP 3 -After the Project a. Prior to receiving inspection for final sign off the Building Permit or Certificate of Occupancy, Applicant must submit the fully completed and approved (DRR) of the Construction Waste Management Plan (CWMP) Table. b. Provide the DRR and receipts to your building inspector. FOR MORE INFORMATION: NOTICE: Applicant (contractor and subcontractors) shall comply with the project's CWMP. It is the Applicant's responsibility to collect all receipts from the facilities that recycle their materials AND all project waste/landfill disposal receipts. When working with the City's franchised hauler, Republic Services, one cumulative project receipt is acceptable. However, it is the Applicant's responsibility to confirm that the bins are collected for C&D Recycling. 1. This project shall generate the least amount of waste possible by planning and ordering carefully, following all proper storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible. 2. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The commingled construction roll-off bin will be taken to a Certified Mixed C&D Processing Facility to sort the material and create receipt(s), to demonstrate the project has met a 65% diversion rate or greater. 3. Applicants with a goat of recycling greater than 65% of the project's total waste should work with the City's exclusive franchised waste hauler to develop a more specific CWMP. This plan may include using additional roll-off bins for particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible. 4. Contractors/subcontractors hauling their own waste as part of their scope of work (e.g., construction clean up companies, etc.) SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recycling Facility. For a current list of Certified Recycling Facilities go to http://www.sa nd iego.gov /environmental-service s/recycl i ng/cd/i ndex.shtml. 5. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recycling Facility. Rev. 05122 PART 2 Complete before final Inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): SECTION A Acknowledgement 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. Permit No. t:J3(2A"Z,02,y~ Ol~"l Print Name Address 17 4 "S LA)fl~ t :rtzt ~ L rJ 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 Actual Amt Reused or Salvaged Diversion Rate Achieved Total of columns A+ B Contractor/Owner Signa>ure ~ j{ N Attach the followlng documenta~ to this Report: • Original recycling weight tickets, landfill weight tickets Actual Amt Actual Amt Recycled Disposed in Landfill Stans -. b l • b Total of columns A + B + C Date Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real DIVERSION -760 603-0153 ~65%□ SGS% 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 Page 3 of 4 Rev. 04122 E::'C 2 ;,;_:;.s-:::-:::: & RECYCLING :~~ S. ~AS POSAS RD SERVICES, INC s.-:::...:., >L:;...~cos, c_;; 9 2 o 7 s , -6:i' -~~-.:::--00 C'-.:.stomer: 0000 RUBEN ?RECIADO Ticket: 5 809 Date: 02/12;2 5 1307 LAUREL TREE LANE CARLSBAD Commodity Units Rate In: 12: 42 Out: 12:45 45 C & D MIX 1.68 108.00 per TON nrvOICE Truck: 1320 Container: Route: 08045 Origin: 080 SAN MARCO [Gross(In): 17,980. lbs Scl#l Tare 14,620. lbs Stored Net: Extended Charge 181.44 3,360. lbs) PAID CHECK# 1645 181.44 Co_nstru~t!on & Demolition Dive\sion Certificate --Diversion Percentage 76°/~ . . . . . T~1s cert1f1es that the company listed above has utilized an EDCO facility to divert construction demoht1on materials 1n a~~ordance wrth LEED requirement. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility. CRUZ Driver E:2CC' ;,·.~s~E & RECYCLING SERVICES, INC ::~ S. ~AS POSAS RD S.;;N ~L:'.\RCOS, CA 92078 \-60' ~-±4-2700 Customer: 0000 RUBEN PRECIADO Ticket: 5819 Date: 02/12/25 1307 LAUREL TREE LANE CARLSBAD Commodity Units Rate In: 16: 3 7 Out: 16:38 45 C & D MIX 1.61 108.00 per TON 11.f /OICE Truck: 1320 Container: Route: 08045 Origin: 080 SAN MJ..RCO [Gross(In): 17,840. lbs Man Wt Tare 14,620. lbs Stored Net: Extended Charge 173.88 3,220. lbs] PAID CHECK# 1646 173.88 Construction & Demolition Diversion Certificate --Diversion Percentage 76% 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. CRUZ Driver {._ City of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 part 2 Development Services Building Division 1635 Faraday Avenue 422-339-2719 www.carlsbadca.gov Your project qualifies for the City of Carlsbad Construction Waste Management Plan (CWMP): Section 4.408.1 and Section 5.408.1 of the California Green Building Standards Code requires at least 65% of non-hazardous construction debris is recycled and/ or salvaged for reuse. NEXT STEPS: STEP 1. Before the project - a. Review your CWMP completed prior to permit issuance. (copy is attached to your job card) This plan demonstrates how you will recycle a minimum of 65% of the construction waste generated from your project by choosing: Republic Services or Self Haul. STEP 2 -During the Project a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where materials were taken. b. Complete the Debris Recycling Report (ORR) on the next page as your project progresses. Recycling/diversion goals are (at a minimum) 65% of the waste generated by your project STEP 3 -After the Project a. Prior to receiving inspection for final sign off the Building Permit or Certificate of Occupancy, Applicant must submit the fully completed and approved (DRR) of the Construction Waste Management Plan (CWMP) Table. b. Provide the ORR and receipts to your building inspector. FOR MORE INFORMATION: NOTICE: Applicant (contractor and subcontractors) shall comply with the project's CWMP. It is the Applicant's responsibility to collect all receipts from the facilities that recycle their materials AND all project waste/landfill disposal receipts. When working with the City's franchised hauler, Republic Services, one cumulative project receipt is acceptable. However, it is the Applicant's responsibility to confirm that the bins are collected for C&D Recycling. 1. This project shall generate the least amount of waste possible by planning and ordering carefully, following all proper storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible. 2. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The commingled construction roll-off bin will be taken to a Certified Mixed C&D Processing Facility to sort the material and create receipt(s), to demonstrate the project has met a 65% diversion rate or greater. 3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with the City's exclusive franchised waste hauler to develop a more specific CWMP. This plan may include using additional roll-off bins for particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible. 4. Contractors/subcontractors hauling their own waste as part of their scope of work (e.g., construction clean up companies, etc.) SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recycling Facility. For a current list of Certified Recycling Facilities go to http://www.sandiego.gov/ environ menta I-services/recycling/ cd/i ndex.shtml. 5. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recycling Facility. Rev. 05122 PART 2 Complete before final Inspection, obtain City Approved hauler receipts and return prior to flnal building approval. DEBRIS RECYCLING REPORT (ACTUAL): Acknowledgement 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. Permit No. C13f1A'207-4-0llj I PrintName Address \J~~ 4\vF~l 1Jlf€ LrJ 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) @To:J'AL A B C Actual Amt Reused or Salvaged Actual Amt Recycled Stans Actual Amt Disposed in Landfill Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El CominoReal -760 603-0153 Diversion Rate Achieved Total of columns A+ B lo ,16'6-r:or.J,, 1 6" ~65%□ S65% Total of columns A + 8 + C DIVERSION Contractor /Owner Signature _ ____,'R----'-A--.,.t...-1,=--,q.... ____ Date Attach the following documentat 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 Carlsbad, CA 92008 Page3 of4 Rev. 04/22 E:'C'C' i,·.:;sTE & RECYCLING SERVICES, INC ::4 S. LAS POSAS RD s.;;..~ J\L:;...~cos, C . .:i.. 92078 Df./SICE 1-6~' -..;,-1-:-;oo Customer: 0000 Ticket: 5889 Date: 02/19/25 RUBEN PRECIADO 1307 LAUREL TREE LANE CARLSBAD Commodity Units Rate In: 11:44 Out: 11:46 45 C & D MIX 3.64 108.00 per TON Truck: 1320 Container: Route: 08045 Origin: 080 S~..N MARCO [Gross(In): 21,900. lbs Scl#l Tare 14,620. lbs Stored Net: Extended Charge 393.12 7,280. lbs] PAID CHECK# 1651 393.12 Construction & Demolition Diversion Certificate --Diversion Percentage 76% 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. CRUZ Driver EDCO WASTE & RECYCLING SERVICES, INC 224 S. LAS POSAS RD SAN MARCOS, CA 92078 (760) 744-2700 Customer: 0000 Ticket: 5900 Date: 02/19/25 CASH CUSTOMER 1307 LAUREL TREE LANE CARLSBAD Commodity Units Rate In: Out: 45 C & D MIX 3.02 108.00 per TON INVOICE 16:47 Truck: 0000 16:50 Container: Route: 08045 Origin: 080 SAN MARCO [Gross(In): 20,660. lbs Scl#l Tare 14,620. lbs Man Wt Net: Extended Charge 326.16 6, 04 o. lbs] PAID CHECK# 1653 326.16 Construction & Demolition Diversion Certificate --Diversion Percentage 76% 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. JUAN Driver