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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