HomeMy WebLinkAbout1 LEGOLAND DR; ; CBC2024-0016; Recycle(city of
Carlsbad
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
0 I certify under penalty of perjury under the laws of the State of California that the information
provided in and with this form pertains to construction and demolition debris generated only from the
project listed in PART 1, that I have reviewed the accuracy of the information, and that the
information is true and correct to the best of my knowledge and belief.
0 I understand the waste diversion requirements of the State of California and submit this Construction
Waste Management Plan pursuant to California Green Building Standards Code 4.408.2 or 5.408.1.1.
Failure to provide documentation of C&D reporting, reporting of waste diversion less than 65%, and
failure to provide adequate weight receipts, may result in enforcement action against me or other
responsible parties, including a notice of violation, citations, and any other remedies provided in
Chapters 1.08 and 1.10 of the Carlsbad Municipal Code. Projects are required to submit their Waste
Log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy (CO) issuance.
0 This project does not involve disposal of universal or hazardous waste OR this project includes disposal
of universal or hazardous waste in a responsible, safe and verifiable manner. Disposal of asbestos-
containing materials, batteries, electronic waste, fluorescent bulbs, lead based paints, mercury
containing equipment and refrigerants, require special processing prior to commencement of
construction or demolition activities.
Date:~l 2~/---1I <-Ji-+-/_J-0~2-_ff __
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.
Permit No. CBC 2024-0016 Project Title LEGOLAND DRIVING SCHOOL RELOCATION
Project Address 1 Legoland Drive APN 211-100-09
Applicant Name._L_iu_,_F_l_o_ra ___________________ Phone (760) 681-8652
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, 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
Scra p Metal
Stucco
Other:
TOTAL
SECTION C
Estimated
Waste Quantity
(tons)
\
<;:).S
() .'LS
0
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
□
□
□
□
□
Place a ( ✓) check next
to items to be
disposed at landfill
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
__ __:I_C\,__ __ x 0.65 = __ )_L_t _3_S ____ tons
Total Estimated Waste from above Minimum Required Diversion
Applic~t Signature -~-=-='-'-a_..~---=--~=--.,~'-=---'-------Date __,lc...,:7-::::...,/,-:1__.:C(4/----'7-::....!0_,.1c..l.~-----
Page 2 of 4 rev 4/24
PART 2. Complete and submit this form before final inspection. Projects are required to submit their Waste Log,
Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy (CO} issuance. Failure to provide
documentation, reporting of waste diversion less than 65%, and failure to provide adequate weight receipts, may
render the Project non-compliant and the responsible parties subject to code enforcement.
SECTION A Permit No. ____________ Project Title
Project Address ___________________________ APN
Applicant Name _______________________ Phone
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.
Date
Example:
01/01/2020
Material Type
Concrete (broken)
@TOTAL
A
Actual Amt
Reused or
Salvaged
0
B C
Actual Amt Actual Amt
Recycled Disposed in
Landfill
5 tons
0 0
Destination Facility
(Name, Address, Phone)
Palomar Transfer Station, 5960 El
Camino Real
-(760} 603-0153
Diversion Rate Achieved ________ J ___________ = _____ % ~ 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)
1635 Faraday Avenue
Carlsbad, CA 92008
• Any other relevant information to support Recycling Report
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 ---"-f _W___,_V....._(A~-'-~-'_V\__,,c...;a--=~-=-=c......a.....----=---"'--~---Date __ J_.2_/_I j-'-----'-/_).J_0_).._4,~---7
Page 3 of 4 rev 4/24
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. CBC2024-0016 Print Name Will Leonard
Address 1 Legoland Drive Date 05/06/2025 ----------------------------
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.
A B C
Date
Example:
01/01/2020
10/16/24
10/18/24
10/21 /24
10/22/24
10/23/24
11/06/25
02/03/25
01/16/25
See attached log
SECTION C
Material Type Actual Amt
Reused or
Salvaged
Concrete (broken)
Concrete
Concrete
Concrete
Concrete
Concrete
Concrete
Concrete
Concrete
@TOTAL
Actual Amt Actual Amt Destination Facility
Recycled Disposed in (Name, Address, Phone)
Landfill
Palomar Transfer Station, 5960 El
5 tons Camino Real
-760 603-0153
345tons 0 Moody's El Corazon Reclamation, P Box 969 Bonsall, CA 92003
210 tons 0 Moody's El Corazon Reclamation, P Box 969 Bonsall, CA 92003
134 tons 0 Moody's El Corazon Reclamation, P Box 969 Bonsall, CA 92003
60 tons 0 Moody's El Corazon Reclamation, P Box 969 Bonsall, CA 92003
75 tons 0 Moody's El Corazon Reclamation, P Box 969 Bonsall, CA 92003
30 tons 0 Moody's El Corazon Reclamation, P Box 969 Bonsall, CA 92003
45tons 0 Moody's El Corazon Reclamation, P Box 969 Bonsall, CA 92003
17.41 0 Ramco
947.13 7.31
Diversion Rate Achieved _9_4_7_.1_3 _____ ~/_9_5_4_.4_4 ________ =_9_9 ____ %
Total of columns A+ B Total of columns A + B + C DIVERSION
Contractor/Owner Signature_W_i_ll _Le_o_n_a_rd __________ Date 05/06/25
Attach the following documentation to this Report: Return completed form and documentation to:
• Original recycling weight tickets, landfill weight tickets
• Original donation receipts with photos and/or itemized descriptions
• Any other relevant information to support Recycling Report
City of Carlsbad
Building Division (1st Floor)
1635 Faraday Avenue
Carlsbad, CA 92008
Page 3 of 4 Rev. 04/22
LEOLAND DRIVING SCHOOL -DIVERSION LOG
NATON ENGINEERING INC.
Date Commodity Dumpsite
10/16/24 Concrete Moodys
10/18/24 Concrete Moodys
10/21/24 Concrete Moodys
10/22/24 Concrete Moodys
10/23/24 Concrete Moodys
11/06/25 Concrete Moodys
02/03/25 Concrete Moodys
01/16/25 Concrete Ramco
10/11/24 Concrete FJ Willert -Paseo crusher site
10/08/24 Greens/ Compost El Corazon
10/09/24 Greens / Compost El Corazon
10/16/24 Trash Palomar Transfer Station
10/22/24 Trash Palomar Transfer Station
Loads Tons
23 345.00
14 210.00
9 135.00
4 60.00
5 75.00
2 30.00
3 45.00
1 17.41
1 19.00
1 4.91
1 5.81
1 4.98
1 2.33
TOTAL TONS: 954.44
5/5/2025
Diversion Tons
% Diverted
100% 345.00
100% 210.00
100% 135.00
100% 60.00
100% 75.00
100% 30.00
100% 45.00
100% 17.41
100% 19.00
100% 4.91
100% 5.81
0% 0.00
0% 0.00
99% 947.13
CONSTRUCTION & DEMOLITION DIVERSION CERTIFICATE
RECE IVED AT: MOODY'S -EL CORAZON RECLAMATION
PROCESSED AT: 3210 OCEANSIDE BLVD., OCEANSIDE, CA
(760) 433-3316
pi~-C), 'l JOL-t-~ D \ Cl. Y\cl DATE l) 1. . t> 2> . l '5
CASH CHECK CHARGE
C-~
NAME
CITY OF ORIGIN
JOB LOCATION
PU TRAILER FLATBED
C~AL RESIDENCE
BOBTAIL
TIME •1 FEB3'251l·
~RSION
J 100%
T&T
MATERIAL
LOAD COUNT "' (: 1 2 3 4 5
x -PRICE
SIGNATURE
This certifies that the company above has utilized a
recycling facility to divert construction demolition
materials in accordance with LEED requirements.
The diversion is based on an overall tonnage
percentage of the respective facility.
6 : 7 8 9 10
OTHERCHA~Et)
$ \Sl\JG\}
TOTAL DUE
MOODY'S is not responsible for damage to
vehicle while being loaded.or unloaded in
yard.
OFFICE COPY 353243
i\RCO 8354 Nel.son Way
Escondido CA 92026
DISPOSAL TICKET
760-205-179 7
TICKET NO: 1984003661 CRUSHED CONCRETE
DATE: DISPOSAL RECEIPT
CUST~R:
·rnucK NO.
COMMODITY:
PO :
CUST .;roa:
COMMENT S:
Wll:IGHMAS1'l!IR R.Jl t.fa
X
12169609-NATON ENGINEERING INC
9G93825
SEMI/END DUMP LOAD MIXED
LEGOLAND
3 UNITS FOR RE BAR
DARRc;N
NATON 1901 9G93825
--------
DRIVERS SIGNATURE •
EnergySurcharge-LA
Rebar-WireMesh-ACCLA
WEIGHW>,STERR .. ·t.r
IQfili
GROSS: 0. 00
TARE; 1 7 . 41 *
NET: 0.00
* p . 'l'.
DATE: l/16/2025
TIME : l:15:09PM
Semi.-Er
Other
Total
225.00
J.~5.00
380 .00
P.O.
CASH CHECK
NAME
CITY OF ORIGIN
JOB LOCATION
PU TRAILER
LOAD COUNT
1 2
MOODY'S
EL CORAZON RECLAMATION
PO BOX 969
BONSALL, CA 92003
(760) 433-3316 • FA 433-6691
JOB# TE 2 \ . \).
TIME
NOV 6'2414:05
FLATBED ENO DUMP T & T
3 4 5 6 7 8 9 10
11 X 200
# LOADS X PRICE
SIGNATURE
All bills due upon presentation unless otherwise
arranged in advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
OTHER CHARGES
$ 1200
TOTAL
MOODY'S is not responsible for damage to
vehicle while being loaded or unloaded in
yard.
OFFICE COPY 350487
P.O.
CASH CHECK
NAME
Cl
JOB LOCATION
PU TRAILER
LOAD COUNT
1 2
' # LOADS
MOODY'S
EL CORAZON RECLAMATION
POBOX969
BONSALL, CA 92003
(760) 433-3316 • 760) 433-6691
FLATBED ENO DUMP T & T
3 4 5 6 7 8 9
tC. .... 12_0_0_ ...... D
OTHER CHARGES
10
X
$ lf{f1200
SIGNATURE ~ '
All bills due upon presentation unless otherwise
arranged in advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
TOTAL
MOODY'S is not responsible for damage to
vehicle while being loaded or unloaded in
yard.
OFFICE COPY 350486
P ..
CASH CHECK
NAME
CITY OF ORIGIN
JOB LOCATION
PU TRAILER
LOAD COUNT
1 2
s
#LOADS
SIGNATURE
MOODY'S
EL CORAZON RECLAMATION
POBOX969
BONSALL, CA 92003
(760) 433-3316 • FAX (760) 433-6691
JOB#
RESIDENCE
END DUMP T & T
3 4 5 6 7 8 9
X OTHER CHARGES
TOTAL
10
All bills due upon presentation unless otherwise
arranged in advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
MOODY'S is not responsible for damage to
vehicle while being loaded or unloaded in
yard.
OFFICE COPY 349897
P ..
CASH CHECK
NAME
CITY OF ORIGIN
JOB LOCATION
PU TRAILER
LOAD COUNT
1 2
SIGNATURE
MOODY'S
EL CORAZON RECLAMATION
POBOX969
BONSALL, CA 92003
(760) 433-3316 • FAX (760) 433-6691
JOBI DATE
·._. -~_, • !:... . .:..... :..-
RESIDENCE TIME
FLATBED BOBTAIL END DUMP T & T
MATERIAL
3 4 5 6 7 8 9 10
X
X
0
OTHER CHARGES _J
$ f3aQu ~
fY'_AW 7P-K 90;l
'fRUCK#
All bills due upon presentation unless otherwise
arranged in advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
MOODY'S is not responsible for damage to
vehicle while being loaded or unloaded in
yard.
OFFICE COPY 349844
P.O.
CASH CHECK
NAME
PU TRAILER
LOAD COUNT
1 2
SIGNATURE
MOODY'S
EL CORAZON RECLAMATION
POBOX969
BONSALL, CA 92003
(760) 433-3316 • FAX (760) 433-6691
JOB# DATE
RESIDENCE
(2__
BOBTAIL
10/21/2024
All bills due upon presentation unless otherwise
arranged in advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
MOODY'S is not responsible for damage to
vehicle while being loaded or unloaded in
yard.
OFFICE COPY 349797
P ..
MOODY'S
EL CORAZON RECLAMATION
POBOX969
BONSALL, CA 92003
(760) 433-3316 • FAX (760) 433-6691
JOB# DATE
10/18/2024
CASH CHECK CHARGE ~CIAL RESIDENCE
NAME
Cl OFORIGIN
JOB LOCATION
PU TRAILER
MATERIAL
LOAD COUNT
1 2 3 4
PRICE
SIGNATURE
All bills due upon presentation unless otherwise
arranged in advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
END DUMP T & T
$
TOTAL
1~\~y>'r\ ,,i
4DSj::~'("'\ \ 1":)
TAU K#
MOODY'S is not responsible for damage to
vehicle while being loaded or unloaded in
yard.
OFFICE COPY 349739
P.O.
CASH CHECK
JOB LOCATION
PU TRAILER
LOAD COUNT
1 2
#LOADS
MOODY'S
EL CORAZON RECLAMATION
POBOX969
BONSALL, CA 92003
(760) 433-3316 • FAX (760) 433-6691
FLATBED END DUMP T& T
X PRICE OTH~HARGES
SIGNATURE~~ \ (S\
All bills due upon presentation unless otherwise
arranged in advance. Open accounts subject to
11/2% month, charge after 30 days unpaid
balance.
MOODY'S is not responsible for damage to
vehicle while being loaded or unloaded in
yard.
OFFICE COPY 349630
P ..
CASH CHECK
MOODY'S
EL CORAZON RECLAMATION
POBOX969
BONSALL, CA 92003
(760) 433-3316 • FAX (760) 433-66
JOBLOCATION ~ DV' \b DO
PU TRAILER FLATBED DDUMP T&T
LOAD COUNT
1 2 3 4 5 6 7 8 9
#LOADS~ X
a
OTHER CHARGES
TOTAL
10
~~'[\\\\02
SIGNATURE
All bills due upon presentation unless otherwise
arranged in advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
TRUCK#
MOODY'S is not responsible for damage to
vehicle while being loaded or unloaded in
yard.
'
OFFICE COPY ··' 34967 4
• 1869 Nirvana Avenue -Chula Vista CA 91911
• Phone 619-421-1980-Fax 619-421-1910
)ate: Ticket No.
_10_1_1_11_2_02_4 _____________ _,] [1855618
:rusher Plant:
PASEO CRUSHER
rRUCK # and Name of Trucking Co.
901 Naton
=Jw Billing Customer:
:redit Card Customer (Company Name):
NATON ENGINEERING
:ash Customer (Company Name):
=Jw Job#
'oint of Origin (If Not FJW Job)
Legoland
,ection:
;urcharge Photo:
Name:
--:::L;:;;~~ · f · · · · · · · · · · · · · · ·
;ignature:
Name: Darren
Timestamp: r 10/14/2024 9:16 AM (-07:00) at 32°33'5.6"N 116°55'24.3"W : .. . .. . . ................................................................................................................. .
Status: i Current
rhis certifies that the company above has utilized a recycling facility to divert construction
:iemolition material in accordance with LEED requirements. The diversion is based on an
)Ve ra II tonnage percentage of the respective facility.
WM El Corazon ComRosting ,acility
3210 Oceanside Blvd Oceanside, CA, 92056
Ori ginal
Customer Name
Ticket Date
Volume
Ti ckett57325
NATONENGINEERING-I NATON ENGINE
10/09/2024 Carrier
Payment Type Credit
Manual Ticketl
Route
P04
Account
Time Scale
In 10/09/2024 07 :39: Scale 1
Out 10/09/2024 07:53: Scale 1
nico nico
Vehi cl el
License
Bi llingl
Driver
Hauling
Operator
imoto
imot o
CONTMINATED DEU TO WIRE AND PLASTIC PIPES
NATON
9g93825
0000215
DARIN
Ticket#
Inbound
Comments
Product LDt Qty UOM Rate Tax
GWCT-GREEN WASTE CON 100 5.81 Tons 67 .26
Gross
Tare
Net
Tons
Amount
$390.78
Total Tax Total Ticket $390.78
WEIGHMASTER CERTirICATE
47900 lb
36280 lb
11620 lb
5.81
Origin
THIS IS TO CERTirY that the following described commodity was wei ghed, measured, or
counted by a wei ghmaster, whose signatu~e is on this certificate, who is a recognized
authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of
Division 5 of the California Business and Professions Code,administered by the Divisi on
of Measurement Standards of the California Department of rood and Agriculture .
Driver~s
lignature
WM El Corazon Composting Facility • W-T■ MANAG■M■NT 321Q Oceanside Blvd Oceanside, CA, 92056
Original
Customer Name
Ticket Date
Volume
NATONENGINEERING-I NATON ENGINE
10/08/2024 Carrier
Vehicle#
License
Billing#
Driver
Ha u ling
Payment Type Credit
Manual Ticket #
Route
PO#
Account
Ti me Scale
In 10/08/2024 08:42: Scale 1
Out 10/08/2024 08 :59: Scale 1
Operator
dahlia gutierrez
dahlia gutierrez
CONTAM.I~TED WITH IRRIGATION PIPING
NATON
9F24710
0000215
Tic ket#
I nbound
Comments
Product LD% Qty UOM Rate Tax
1 GWCT-GREEN ~ASTE CON 100 4.91 Tons 67 .26
Gross
Tare
Net
Tons
Ticket#57153
46320 lb
36500 lb
9820 lb
4. 91
Amount Origin
$330.25 OCEANSIDE
Total Tax Total Ticket $330.25
WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was weighed, measured, or
counted by a weighmaster, whose signature is on this certificate,. who is a recognized
authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of
Division 5 of the California Business and Professions Code;administered by the Division
of Measurement Standards of the California Department of Food and Agriculture.
Driver's
Signature