HomeMy WebLinkAbout2701 Loker Ave W; 100; CBC2019-0313; Recycle( City of
Carlsbad . C
CONSTRUCTION WASTE
MANAGEMENT PLAN
) 8-59
Development Serviles
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
JU,~ 2 8 2019 NOISl/\10 8NI071n8
CITY (Ji= C ~LSBAD ~ ,
Many of the materia ls gen~a, dcJ~p , ',(O\JQIP.J~'dt ca n be recycled . Yom~r;es-~uirecl to list materials that will be
reused, recycled or disposed ram your project. If you have questions about the recycling requirement or completing
this form, please contact Waste M anagement at (760) 929-9400, a certified C&D recycler, or the Carlsbad Building
Division at (760) 602-2700. Please note: Unless Y.@ are self-haJ:!!ing,_ Waste Mana ement or a[>_proved 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. ____________ Project Title
Project Address 2JD1. Lo~ev AveV\,ue suLte 100
Applicant Name WviLte COV\-StvuctLoV\,
Last First
Applicant Address 2524 yClteWClyj RoClcl, CClrLsbClcl, CA cpoo9
Owner
0
APN
Contractor Architect Other
® 0 0
Phone _L._"J-_b_0__,_-=3_3_1._.1._1._3_0 ______ E-ma i I Address Vl,{;l V\,C,rj@WV1 LteCOV\-StvuctLoV\,LV\,C. COV\lc
Applicant Mailing Address
(if different than project address)
Project Type
(check all that apply):
Brief Description
Res1dent1al
□
Commercial g Public Building □ Industrial □
Project Size 3,000 sf
(square footage)
Estimated Cost of Project$ __________________ _
Please check the appropriate box:
D I plan on using WASTE MANAGEM ENT roll-off bin(s) for all materials and will provide all receipts after construction.
~ I plan on se lf-hau ling to a certified recycling facility and will provide all receipts after construction.
D This is a proposed LEED cert ified project and I plan on separating materials on site in conjunct ion with WASTE
MANAGEMENT.
Acknowledgement: I certify under penalty of perjury under the laws of the State of Ca lifornia that the information
provided in and with this form pertains to construction and demolition debris generated only from the project listed
in PART 1, t hat I have reviewed the accuracy of t he information, and that the information is true and correct to the
best of my knowledge and belief.
Print Name NClV\,C,f-1 youV\-g -Pv~ject Signature ...)! ~,_ _____ Date b/2g11.~
M ClV\-Clgev -w viLte CoV\,stvuctLoV\, ~~
Page 1 of 4 Rev. 11/12/H
PA'H 1 Complete, obtain signature, and submit Hi• form when applying for a Building Permit. Note Permits will
\con 'd) not be issued without a completed Construction Waste Management Plan.
DEBRIS RECYCLING ESTIMATE:
SECTION A Permit No. _________ Project Title
Project Address 27-0i Lo~ev AVeV\.ue SuLte 100
Applicant Name WviLte C-OV\.StructLoV\,
Last First
Phone
APN
( 7-Go l _331.1i3O
SECTION B Complete the following table with estimated waste tonnage to be generated by your project.
This is your plan for construction waste management. Changes can be made on the final recycle report.
Goal: the diversion rate shall be 65% by weights of debris.
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,
Estimated
Waste Quantity
(tons)
A B C
Place a ( ✓) check
next to items to be
reused or salvaged
Place a ( ✓) check next Place a ( ✓) check next
to items to be to items to be
recycled disposed at landfill
Windows (circle_a_ll_t_ha_t_a~p~p~ly~) ---1-----__ _,
Car et
Carpet Padding /_Fo_a_m ___ --+-----------4----------+----------+----------t
Cardboard
Ceiling Tile (acoustic)
Drywall (used, new, scrap)
Landscape Debris (brush, trees,
stumps, etc.) No dirt.
Unpainted Wood & Pallets
Roofing Materials
Sera Metal
Stucco
Other:
TOTAL
SECTION C
=
To meet 65% Diversion Requirement (estimate)
X
X.
X 0.65 = i3 t0V\.S ---------
Tata/ Estimated Waste from above Minimum Required Diversion
Contractor/Owner Signatur.:.....,t<:" Q~ ~ Date
Page 2 of 4
tons
Rev. 11/12/18