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Home My WebLink About1297 BUENA VISTA WAY; ; CBR2023-5006; Recycle{city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Qevelopment Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov M any of the materials generated from your project can be recycled. You are required to list mat erials that will be reused, recycled or disposed from your project. If you have questions about the recycling requirement or completing this form, please contact Wast e Management at (760) 929-9400, a certified C&D recycler, or the Carlsbad Building Division at (760) 602-2700. Ph~ase 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. C B 12--. --Z...o 2.. 3 -)bO(.p Project Title Project Address \ '2 4 7 15 V e'..v\?\ \} i S.-t?\ !;Vi:;\ y "f2.o\oinson J~ou 0i1o ove.. *Pil""?1'Fs:<- Cg 11 sl?~ 41-w~PN I 5]p 7.?, I I s:n D Applicant Name '\Lo\;Ji n SO/\ CA 11\0\ i CL Last First ApplicantAddress \'7.'1S-BVb\.?\ V1sM WAY I 0;q l(')-$bJ c~ q2oDS' Phone O,t.Jq "2-S-LI -ltJqt...{ E-mail Address Yo'21 "SO'rl {a"-4hl£;:)t'O£:..,'?(.+rn~1'l · COIi"/\ Applicant Mailing Address ) -Z.,ti <;: 8> Ve.A~ V \ s-k W °''I ,• Ce( v\ ~ bgo. C,~ '1 -Z...068" (if different than project address) Project Type (check all that apply): Rosldentlal [81. Commercial □ Public Building □ BriefDescrlptlon .J 'fr-PU Qpov<.. ~"~%<--< Project Size Lt 7 l(; S1# Estimated Cost of Project $_-=>j}-+-.... l"'",~1-....:D'-+-P .,.,O""'OC>o...c..::=------- (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. ~ I plan on self-hauling t o a certified recycling facility and will provide all receipts after construction. D This is a proposed LEED certified project and I plan on separating materials on site in conjunction with WASTE MANAGEMENT. 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. Print Name U (\'.1U CL. <12...o'a\f\St,.V\Slgnature c~ ~ Date VJ /-i..., l Z-<.o Page 1 of 3 Rev. 2.10.21 DEBRIS RECYCLING REPORT (ACTUAL): SECTION A Acknowledgement I certify under penalty of perjury under the laws of the State of California that t he 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. czg.-:z_..oz,3 -S])O l.P Print Name a Y\vh(.,.l.. f2-.t> b M ~L,V) __l,_:_.:..:._~..:....::~=--.:.._--,---,--------; Address \~'15) j 7.,..t:'(7 Bv~ Vi s -te-.. we,.'/ (AI\S~ Date ~ 2--\ V..O t=;_ ?..DD 51 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) A B C Actual Amt Actual Amt Actual Amt Reused or Recycled Disposed in Salvaged Landfill Stons Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -760 603-0153 0 --5~ti D C> 0 ' () -z_,q -rN 0 '-,\ i"N 0 1.,.Z~nJ 0 ~TOTAL '2,'Z.,V' Diversion Rate Achieved _'2-_2_,_lP __ _,/_2...:::......:--Z..:::___...;, v=------= \ 00 % Toto/ of columns A + 8 + C DIVERSION Date (.p / "2-I I plt, Total of columns A+ 8 Contractor/Owner Signature C, 1, ,,.,~ 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 2 of 3 Rev. 2110/21 Conversion Table for Common Construction Waste This document is informational onlv. It is here to helo vou convert truckload auantities to tons if necessary. Column A Column B Column C Category Material Volume Tons[Unit Tons Mixed Debris Construction cy X 0.18 = Demolition cy X 1.19 = \ 0 . \--z._ Asphalt/Concrete Asphalt (broken) cy X 0.70 = Concrete (broken) cy X 1.20 = \ "2..., 4 i Concrete (solid slab) cy X 1.30 = Brick/Masonry/Tile Brick (broken) cy X 0.70 = Brick (whole, palletized) cy X 1.51 = Masonry brick (broken) cy X 0.60 = Tile sq ft X 0.00175 = Building Materials (cabinets, doors, windows, etc.) cy X 0.15 = Cardboard (flat) cy X 0.05 = Carpet By square foot sq ft X 0.0005 = By cubic yard cy X 0.30 = Carpet Padding/Foam sq ft X 0.000125 = Ceiling Tiles Whole (palletized) cy X 0.0003 = Loose cy X 0.09 = Drywall (new or used) 1/2" (by square foot) sq ft X 0.0008 = 5/8" (by square foot) sq ft X 0.00105 = Demo/used (by cu. yd.) cy X 0.25 = Landscape Debris (brush, trees, etc.) cy X 0.15 = Asphalt Composition Shingles, asphalt Shingle cy X 0.22 = Unpainted Wood/Pallets By board foot bd ft X 0.001375 = By cubic yard cy X 0 .15 = Trash/Garbage cy X 0.18 = Other (estimated weight) cy X estimate = cy X estimate = cy X estimate = cy X estimate = -Total all = -z.. -z.,.(_p Page 3 of 3 Rev. 2.10.21 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 \ :,4 Ticket #: 2834888 Weighmaster : GordiWe In: April 24, 2025 160) 603-0153 0999 -CASH AND CHECK CUSTOMER DDRESS Out : April 24 , 2025 Vehi cle : A666 a rlsbad , CA 92008 Contract: RESI GROSS TARE NET Tracking Qty : -GATE Yr. 2 15,580 10,720 4,8 60 0 .00 Qty Unit Description 2 .4~1 TN MSW I I Origin: CARLSBAD / I / Signature: Scale I n Tare Out Ref : BOL : I NBOUN D CASH Ra te Extension $1 01.2 ] $245.94 Tax $0.00 100 % I I .. -,..,..,.~_,,.i -i·-:.,,.,, ' Total Paid Change .EDIT CARD-SCALE 3 :23 pm 3:23 pm Total $245.94 $245 .94 $245.94 $0 .00 V OJH.(')M:l:IR 'T'RANSFER 1~'!!"MJI.R TRANSFER 5960 EL CAMI NO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CAS H AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract : RES! -GATE Yr. 2 18 ,860 10,720 8,140 GROSS TARE NET Track ing Qty: 0 .00 Qty 4 .07 Unit Description TN MSW Origi n: CARLSBAD Signature : Scale In Tare Out 100% 54 Ticket #: 2834506 54 Ticket #: 2834 74 5 Weighmaster : GordiWe In : April 24 , 2025 Out : April 24 , 2025 Vehicle : A666 Ref : BOL : INBOUND CASH Rate Extension $101. 2) $411. 92 Tax $0 .00 Total Paid Change .EDIT CARD-SCALE 12 :52 pm 12:52 pm Total $411. 92 $411. 92 $411. 92 $0.00 V PALOMAR'~tu\N~ER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS car l sbad, CA 92008 Contract: RESI -GATE Yr. 2 GROSS 2 0 ,200 TARE NET 10,720 9 ,480 Tracking Qty: 0.00 Qty 4 .74 Unit Description TN MSW Origin : CARLSBAD Signature: Scale In Tare Out 100 % 54 Ticket #: 2834643 Weighrnaster: macaral In: April 24 , 2025 Out: April 24, 2025 Vehicle: A666 Ref: BOL: INBOUND CASH Rate Extension $101.2) $479. 74 Tax SO.OD Total Paid Change .EDIT CARD-SCALE 10 :59 am 10:59 am Total $479 .74 $479.74 $479.74 $0.00 V PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603 -0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 contr:rt:t: m:sI GROSS I TARE ; NET --Track\ng Qty: I' -GATE Yr. 2 13,200 10,720 2,480 0.00 Qty Unit Description 1. 24 TN MSW Origin: CARLSBAD Signature: I , I Scale In Tare Out 100 % 54 Ticket #: 2834506 Weighmaster: cantihy In: April 24, 2025 Out: April 24, 2025 Vehicle: A666 Ref: BOL: INBOUND CASH Rate Extension $101.2] $125.50 Tax $0.00 Total Paid Change .EDIT CARD-SCALE 7:56 am 7:56 am Total $125.50 $125.50 $125.50 $0.00 discover Pl 5 C RANSFER CAMINO REAL , CA 9 2008 9 -CASH AND CHECK CUSTOMER ss. ~ sbad, c 92008 t ract: RESI -GATE Yr. 2 GROSS 12,800 TARE 10,820 NET 1 ,980 Tracking Qty: 0.00 Qty 0.99 Unit Description TN MSW Origin: CARLSBAD Signature: Scale In Tare Out 100% A Ii 54 Ticket #: 2830501 Weighmaster: cantihy In: April 14 , 2025 Out : April 14, 2025 Vehicl e: A666 Ref: BOL: INBOUND CASH Rate Extension $101. 2] $100 . 20 Tax $0.00 Tota l Paid Change .EDIT CARD-SCALE 12:17 pm 12 :17 pm Total $100 .20 $100.20 $100 .2 0 $0.00 V PALO~~ 'ff'i\NSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH ANO CHECK CUSTOMER ADDRESS c arlsbad, CA 92008 .Contract: RESI -GATE Yr. 2 GROSS 16,620 TARE 10,820 NET Trac king Qty: 5 ,80 0 0 .00 Qty 2.90 Unit Description TN MSW Origin: CARLSBAD -___ ,., Signat ure: Scale In Tare Out 100% 54 Ticket #: 2829363 Weighmaster: GordiWe In: April 11 , 2025 Out : April 11 , 2025 Vehi cle : A666 Ref: BOL: I NBOUND CASH Rate Extension $101.2] $293.51 Tax $0 .00 Tota l Paid Change .EDIT CARD-SCALE 9 :34 am 9:34 am Total $293 .51 $293.51 $293 .51 $0.00 disc PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 "== t $ Contract: RESI -GATE Yr. 2 GROSS 18 ,820 TARE 10,820 NET Tracking Qty: 8 ,000 0.00 Qty 4.00 Unit Description TN MSW Origin: CARLSBAD Signature: Scale In Tare Out 1 00% 54 Ticket #: 2829533 Weighmaster: cantihy In: April 11 , 2025 Out : April 11, 2025 Vehicle: A666 Ref: BOL: INBOUND CASH Rate Extension $101.2) $404.84 Tax $0.00 Total Paid Change .EDIT CARO-SCALE 1:13 pm 1 :13 pm Total $404.84 $404.84 $404.84 $0.00 DISCOVER PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsb\)le G~ 92008 Contract : RESI -GATE Yr. 2 GROSS 15,280 Scale In TARE 10 ,820 Tare Out NET Tracking Qty: 4,460 0.00 Qty 2.23 Unit Description TN MSW ',4 Ticket #: 2829885 Weighmaster: cantihy In: April 12 , 2025 Out: April 12 , 2025 Vehicle: A666 Ref: BOL: INBOUND CASH Rate Extension $101. 2J $225 . 70 Tax $0 .00 Origin: CARLSBAD 100% Signature: Total Paid Change .EDIT CARD-SCALE 11 :17 am 11:17 am Total $225 .70 $225.70 $225.70 $0 .00 discoverv