HomeMy WebLinkAbout2382 Faraday Ave; 275; CBCA2018-0092; Recycle( City of
Carlsbad
WASTE MANAGEMENT
PLAN
B-59
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
Owner: lD5e-;;, ~7 ~ Contractor: q, co✓ fjtda-/
Phone Number: ¥Li' -"Ju l -)"?-~ (.,_., Job Address: t, 3b Z... 00~ 6Y€"
Permit#: Cf:(A '7.-0i 8 -c>.;;,'f~ Estimated Cost of Project: $ _____________ _
D Demolition Type of Project:
(check all that apply)
D New Construction ',d:emodel or T.I. D Residential D Commercial
D Other------------------------------
Non-hazardous construction waste generated during the course of this project shall be recycled and/or salvaged for re-use at a
minimum of 65% per CALGreen Sec. 5.408.1. Failure to comply may result in a penalty fee up to $1,000. For projects which
consist of mainly equipment and/or racking, that have a combined weight of new construction disposal that does not exceed 2
lbs per square foot of building area affected by this permit, may be deemed to meet the 65% minimum requirement upon
approval of Building Department. ,
ALTERNATIVE FORMS OF COMPLIANCE: (If selected, do not complete Tables 1 & 2 below)
D Construction waste shall not exceed 2 lbs. per sf. of area. All receipts shall be provided to the Building Official prior to
final. (This option not applicable for most construction projects.)
Square feet of construction area, ________ X 2 lbs. = ________ lbs. of allowable waste.
D I plan on using a WASTE MANAGEMENT roll-off bin. All receipts shall be provided to the Building Official prior to final.
Table 1 -Estimated Waste (To be filled out prior to permit issuance -refer to example on Page 2.)
MATERIALS lbs. of waste to be taken to lbs. of waste to be Waste Hauling Company or Re-Use Method LANDFILL RE-USED or RECYCLED
Asphalt/ Concrete
Brick/ Masonry
Cardboard
Drywall
Landscape Debris
Lumber/ Wood
Metals
Mixed Waste
Trash/ Garba~e •
Other:
TOTAL lbs:
Estimated Percentage to be Re-Used or Recycled ______ %
I certify that the information provided herein, to the best of my knowledge, is true and correct.
Contractor or Owner (print name)
Contractor or Owner (signature) Date
Official Use Only
D Plan Approved D Plan Denied D Project Valuation Approved
Reviewed/ Approved by: _________________ _
Page 1 of 2 REV.01-2017
J
Table 2 -Actual Waste (To be completed after construction.)
MATERIALS lbs. of waste taken to lbs. of waste
LANDFILL RE-USED or RECYCLED
Asphalt/ Concrete
Brick/ Masonry
Cardboard
Drywall
Landscape Debris
Lumber/ Wood
Metals
Mixed Waste ~74 tffb/-
Trash/ Garba•e
Other:
TOTAL lbs.:
Actual Percentage Re-Used or Recycled_~L-,.Z_,"2~--%
Official Use Only
Waste Hauling Company or Re-Use Method
(complete only if different than Table 1)
fl~SoWZ..,J,~ ,z ----
•
~ 65% Goal Achieved D 65% Goal Not Achieved D Alternative Compliance Achieved Penalty Paid $ _______ _
Reviewed/ Approved by: _________________ _
EXAMPLE: Use the following example as a guide to completing this form.
MATERIALS lbs. of waste to be taken to lbs. of waste to be
LANDFILL RE-USED or RECYCLED
Asphalt / Concrete 0 3000
Brick/ Masonry 100 050
Cardboard 0 1'o0
Drywall 0 50
Landscape Debris 0 120
Lumber/ Wood 500 0
Metals 300 200
Mixed Waste 1500 0
Trash I Garbage 300 0
Other: "Pool c;uv,,lte 0 'JOO
TOTAL lbs_: -2700 5,370
Percentage to be Re-Used or Recycled 6 7 %
Formula:
Total Re-used or Recycled X 100 = % Re-Used or Recycled
(Total Combined Waste)
Waste Hauling Company or Re-Use Method
A1sC 1-tnull1M> Co.
WM / Re-w;ed 1svldz ovc-slte
"-B,C f+a ullw> Cn.
A1sC 1-tnullvcn Co.
Mulcvied s Re-used ovc-slte
wnste MnvcnC1eV1A.evct
WM/ A"&C H~ullvcg
WM
WM
l.,{_sed ns cvusvied 1snse ovc-slte
5370 X 100 = 67% Re-Used or Recycled
(2700 + 5370)
Since 67% exceeds the minimum requirement of 65%, this plan complies.
Page 2 of 2
PART 2 Complete before final inspection, obtain WASTE MANAGEMENT signature, and return with receipts 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.
Address
SECTION B
L 8( ACX Q I g-QD 9 d\ Print Name a.,r-1· ti..,
"""-"~-=-3......,_~....,..:.J•a,l-------'--Fa..=.,,,_.:;_n~~-'""'Ld==a.j~-a____;;___:_ve=-------Sc...e....cck'-------'---'6l____._1 ......... S:_oate
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 Actual Amt
Recycled Disposed In
Landfill
Destination Facility
(Name, Address, Phone)
Example:
01/05/2018 Concrete (broken) 5tons
Palomar Transfer Station, 5960 El
Camino Real
SECTION C
Diversion Rate Achieved ________ .J ___________ = _____ %
• Tot~columns A + B Total of columns A + B + C -D:ERSION
Contractor/Owner SignaturM I~ G/kLla> Date d. l l '1
-760 603-0153
~65%
s6s%0
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. 11/1~
•
3ANCO Resource Recovery
5750 Federal Blvd.
i..emon Grove. CA 91945
(619) 267-7555
INVOICE
:::ustomer: T'.iclireil:: 19129
Date; ]<(0/'16/lliti
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Container:
8YCOk c~:N. CON'I'. , I NC.
6490 MAlUNDfJSTRY PLACE #IA
SAN DIEGO, CA, 9212ll.
Gommod.ity t!D:it.s
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