The URL can be used to link to this page

Home My WebLink About111 SEQUOIA AVE; G; CBR2025-1999; RecyclePage 1 of 4 rev 4/24 CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue www.carlsbadca.gov Thisform shall becompleted 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. C&DCERTIFICATION: I certify under penalty of perjury under the laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge and belief. I understand the waste diversion requirements of the State of California and submit this Construction Waste Management Plan pursuant to California Green Building Standards Code 4.408.2 or 5.408.1.1. Failure to provide documentation of C&D reporting, reporting of waste diversion less than 65%, and failure to provide adequate weight receipts, may result in enforcement action against me or other responsible parties, including a notice of violation, citations, and any other remedies provided in Chapters 1.08 and 1.10 of the Carlsbad Municipal Code. Projects are required to submit their Waste Log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy (CO) issuance. This project does not involve disposal of universal or hazardous waste OR this project includes disposal of universal or hazardous waste in a responsible, safe and verifiable manner. Disposal of asbestos- containing materials, batteries, electronic waste, fluorescent bulbs, lead based paints, mercury containing equipment and refrigerants, require special processing prior to commencement of construction or demolition activities. _______________________________________________ Date:______________________ Signature of Applicant 10/13/2025 Page 2 of 4 rev 4/24 PART 1 Complete and submit this form when applying for a building permit. Permits will not be issued without a completed Construction Waste Management Plan. SECTION A Permit No. ProjectTitle Project Address APN Applicant Name Phone Last First SECTION B Complete the following table with estimated waste tonnage to be generated by your project. Material Type Estimated Waste Quantity (tons) A Place a () check next to items to be reused orsalvaged B Place a () check next to items to be recycled C Place a () check next to items to be disposed at landfill 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 Scrap Metal Stucco Other:________________ TOTAL SECTION C To meet 65% DiversionRequirement (estimate) x 0.65 = tons Total Estimated Waste from above Minimum Required Diversion Applicant Signature Date 111 Sequoia Ave Unit G Carlsbad, CA 92008 760-815-8639 Gordon Martin 0.3 0.2 0.4 0.15 CBR2025-1999 Balcony Remodel 206 013 20 07 x x x x 1.05 1.05 0.68 10/13/2025 Page 3 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. ProjectTitle Project Address APN Applicant Name Phone Last First 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. Date Material Type A Actual Amt Reused or Salvaged B Actual Amt Recycled C Actual Amt Disposed in Landfill Destination Facility (Name, Address, Phone) Example: 01/01/2020 Concrete (broken) 5 tons Palomar Transfer Station, 5960 El Camino Real – (760) 603-0153 TOTAL SECTION C Diversion Rate Achieved / = % 65% Total of columns A + B Total of columns A + B + C DIVERSION Attach the following documentation tothis Report: Return completed form and documentationto: 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 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 Date Carlsbad, CA 92008 CBR2025-1999 Balcony Remodel 111 Sequoia Ave Unit G Carlsbad, CA 92008 206 013 20 07 Gordon Martin 760-815-8639 12/31/2025 Tile, unpainted wood, roofing materials, windows, doors Palomar Transfer 5960 El Camino Real Carlsbad CA 92008 1.44 Tons 1.44 1.44 100 1.44 Tons 2/2/2026 Page 4 of 4 rev 4/24 CONVERSION TABLE FOR COMMON CONTRUCTION WASTE. This document is informational only and may be used to convert truckload quantities to tons. Category Material Mixed Debris Construction Demolition Asphalt/Concrete Asphalt (broken) Concrete (broken) Concrete (solid slab) Brick/Masonry/Tile Brick (broken) Brick (whole, palletized) Masonry brick (broken) Tile Building Materials (cabinets, doors, windows, etc.) Cardboard (flat) Carpet By square foot By cubic yard Carpet Padding/Foam Ceiling Tiles Whole (palletized) Loose Drywall (new or used) 1/2” (by square foot) 5/8” (by square foot) Demo/used (by cu. yd.) Landscape Debris (brush, trees, etc.) Asphalt Composition Shingles, asphalt Shingle Unpainted Wood/Pallets By board foot By cubic yard Trash/Garbage Other (estimated weight) Column A Volume cy cy cy cy cy cy cy cy sq ft cy cy sq ft cy sq ft cy cy sq ft sq ft cy cy cy bd ft cy cy cy cy cy cy Column B Column C Tons/Unit Tons x 0.18 = x 1.19 = x 0.70 = x 1.20 = x 1.30 = x 0.70 = x 1.51 = x 0.60 = x 0.00175 = x 0.15 = x 0.05 = x 0.0005 = x 0.30 = x 0.000125 = x 0.0003 = x 0.09 = x 0.0008 = x 0.00105 = x 0.25 = x 0.15 = x 0.22 = x 0.001375 = x 0.15 = x 0.18 = x estimate = Total ALL =