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Home My WebLink About2772 Loker Ave W; 100; CBC2019-0043; Recycle{cicyof Carlsbad NONRESIDENTIAL GREEN BUILDING CODE STANDARDS MANDATORY MEASURES CERTIFICATION CHECKLIST 8~52 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov This form, signed and completed, and all receipts for the recycled materials shall be submitted to the Building Inspector prior to Final Inspection. Site Development Mandatory 5.106.1 Storm water pollution prevention plan. For projects of one acre or less, develop a Storm Water Pollution Prevention Plan (SWPPP) that has been designed specific to its site, conforming to (X) the State Storm water NPDES Construction Permit or local ordinance, whichever is stricter, as is required for projects over one acre. The plan should cover prevention of soil loss by storm water run-off and/or wind erosion, of sedimentation and/or of dust/particulate matter air pollution. 5.106.4 Bicycle parking and changing rooms. Comply with Sections 5.106.4.1 and 5.106.4.2; or (X) meet local ordinance, whichever is stricter. 5.106.4.1 Short-Term bicycle parking. If the project is expected to generate visitor traffic, provide permanently anchored bicycle racks within 200 feet of the visitor's entrance, readily visible to (X) passers-by, for 5 percent of visitor motorized vehicle parking capacity, with a minimum of one two- bike capacity rack. 5.106.4.2 Long Term bicycle parking. For buildings with over 10 tenant-occupants, provide secure bicycle parking for 5 percent of tenant-occupied motorized vehicle parking capacity, with a minimum (X) of one space. 5.106.5.2 Designated parking. Provide designated parking for any combination of low emitting, fuel-efficient and carpool/van pool vehicles as shown in Table 5.106.5.3.1. (X) 5.106.8 Light pollution reduction. Comply with lighting power requirements in the California Energy Code and design interior lighting such that zero direct-beam illumination leaves the building (X) site. Meet or exceed exterior light levels and uniformity ratios for lighting zones 1-4 as defined in Chapter 1 0 of the California Administrative Code, using the following strategies: 1. Shield all exterior luminaries or use cutoff luminaries (X) 2. Contain interior lighting within each source (X) 3. Allow no more than .01 horizontal foot candle 15ft. beyond the site (X) 4. Contain all exterior lighting within property boundaries (X) Exception: See part 2, Chapter 12, Section 1205.6 for campus lighting requirements for parking facilities and walkways. 5.106.10 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how site grading or drainage system will (X) manaAe all surface water flows. Water Efficiency and Conservation Indoor Water Use 5.303.1 Meters. Separate meters shall be installed for the uses described in Sections 503.1.1 (X) through 503.1.3. 5303.1.1 Buildings in excess of 50,000 square feet. Separate sub-meters shall be installed as follows: (X) 1. For each individual leased, rented, or other tenant space within the building projected to consume more than 100 gal/day. 2. For spaces used for laundry or cleaners, restaurant or food service, medical or dental office, laboratory or beauty salon or barber shop proiected to consume more than 100 f:ial/day. 8-52 Page 1 of 5 /,,-.. _ Rev. 5/17 5.303.1.2 Excess consumption. Any building within a project or space within a building that is projected to consume more than 1,000 gal/day. 5.303 Percent savings. A schedule of plumbing fixtures and fixture fittings that will reduce the overall use of potable water within the building by 20 percent shall be provided (Calculate savings by Water Use Worksheets or utilize Table 5.303.2.3). 5.303.2.1 Multiple showerheads serving one shower. When single shower fixtures are served by more than one showerhead, the combined flow rate of all the showerheads shall not exceed the maximum flow rates specified in the 20 percent reduction column contained in Table 5 303.2.3 or the shower shall be designed to allow only one showerhead to be in operation at a time. 5.303.6 Plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the requirements listed for each type in items listed in Table 5.303.6. 1. Water closets (toilets) -flushometer type 2. Water closets (toilets) -tank type 3. Urinals 4. Public lavatory faucets 5. Public metering self-closing faucets 6. Residential bathroom lavatory sink faucets 7. Residential bathroom lavatory sinks 8. Residential showerheads 9. Sinqle shower fixtures served by more than one showerhead Outdoor Water Use 5.304.1 Water Budget. A water budget shall be developed for landscaping irrigation use. 5.304.2 Outdoor potable water use. For new water service, separate meters or submeters shall be installed for indoor and outdoor potable water use for landscaped areas between 1,000 and 5,000 square feet. 5.304.3 Irrigation design. In new nonresidential projects with between 1,000 and 2,500 square feet of landscaped area (the level at which the MLO applies), install irrigation controllers and sensors which include the following criteria and meet manufacturer's recommendations. 5.304.1.1 Irrigation controllers. Automatic irrigation system controllers installed at the time of final inspection shall comply with the following: 1. Controllers shall be weather-or soil moisture-based controllers that automatically adjust irrigation in response to changes in plant's needs as weather conditions change. 2. Weather based controllers without integral rain sensors or communication systems that account for local rainfall shall have separate wired or wireless rain sensors which connects or communicates with the controller(s). Soil moisture-based controllers are not required to have rain sensor input. Construction Waste Management Plan 5.408.1 Construction waste diversion. Establish a construction waste management plan or meet local ordinance, whichever is more stringent. 5.408.2 Construction waste management plan. Submit plan per this section to enforcement authority within the city. 5.408.1.4 Documentation. Provide documentation of the waste management plan {see form B-59) that meets the requirements listed in Section 5408.1.1 thru 5.408.1.3 and the plan is accessible to the enforcement authority. 5.408.3 Construction waste. Recycle and/or salvage for reuse a minimum of 50 percent of nonhazardous construction and demolition debris or meet local ordinance, whichever is more stringent. Exceptions: 1. Excavated soil and land-clearing debris 2. Alternate waste reduction methods, developed by working with local agencies if diversion or recycle facilities capable of compliance with this item do not exist. 5.408.3 Excavated soil and land clearing debris. 100 percent of trees. Stumps, rocks and B-52 Page2of5 (X) (X) (X) As applicable (X) (X) (X) (X) (X) (X) (X) (X) (X) (X) (X) (X) As applicable (X) (X) (X) (X) (X) Rev. 5/17 associated vegetation and soils resulting primarily from land clearing shall be reused or recvcled. Building Maintenance and Operation 5.410.1 Recycling by occupants. Provide readily accessible areas that serve the entire building and are identified for the depositing, storage and collection of nonhazardous materials (X) for recycling. 5.410.2 Commissioning. For new buildings 10,000 square feet and over, building (X) commissioning for all building systems covered by T24, Part 6, process systems and renewable energy systems shall be included in the design and construction processes of the building project. Commissioning requirements shall include items listed in Section 5.410.2. - 5.410.2.6 (X) 5.410.2.1 Owner's Project Requirements (CPR). Documented before the design phase of the project begins the QPR shall include items listed in Section 5.410.4. (X) 5.410.2.2 Basis of Design (BOD). A written explanation of how the design of the building systems meets the OPR shall be completed at the design phase of the building project and updated periodically to cover the systems listed in Section 5.410.2.2. (X} 5.410.2.3 Commissioning plan. A commissioning plan describing how the project will be commissioned shall be started during the design phase of the building project and shall include items listed in Section 5.410.2.3. (X) 5.410.2.4 Functional performance testing shall demonstrate the correct installation and operation of each component, system and system-to-system interface in accordance with the (X) approved plans and specifications. 5.410.2.5 Documentation and training. A Systems manual and systems operations training are required. (X) 5.410.2.5.1 Systems manual. The systems manual shall be delivered to the building owner or representative and facilities operator and shall include the items listed in Section 5.410.2.5.1. (X) 5.410.2.5.2 Systems operations training. The training of the appropriate maintenance staff for each equipment type and/or system shall include items listed in Section 5.410.2.5.2. (X) 5.410.2.6 Commissioning report. A complete report of commissioning process activities undertaken through the design, construction and reporting recommendations for post construction phases of the building project shall be completed and provided to the owner or representative. 5.410.4 Testing and adjusting. Testing and adjusting of systems shall be required for ( X) buildings less than 10,000 square feet. 5.410.4.2 Systems. Develop a written plan of procedures for testing and adjusting systems. (X) Systems to be included for testing and adjusting shall include, as applicable to the project, the systems listed in Section 5.410.3.2. (X) 5.410.4.3 Procedures. Perform testing and adjusting procedures in accordance with industry best practices and applicable national standards on each system. (X) 5.410.4.3 HVAC balancing. Before a new space-conditioned system serving a building or space is operated for normal use, the system should be balanced in accordance with the procedures defined by national standards listed in Section 5.410.3.3.1. (X) 5.410.4.4 Reporting. After completion of testing, adjusting and balancing, provide a final report (X) of testing signed by the individual responsible for performing those services. maintenance instructions and copies of guaranties/warranties for each system prior to final inspection. 5.410.4.5 Operation and maintenance manual. Provide the building owner with detailed operating and maintenance manual 5.410.4.5.1 Inspection and reports. Include a copy of all inspection verifications and reports required by the enforcinq aqencv. B-52 Page 3 of 5 Rev. 5/17 Environmental Quality Fireplaces 5.503.1 Install only a direct-vent sealed-combustion gas or sealed wood-burning fireplace or a sealed woodstove and refer to residential requirements in the California Energy Code, Title 24, Part 6, Subchapter 7, Section 150. 5.503.1.1 Woodstoves. Woodstoves shall comply with US EPA Phase II emission limits. Weather Resistance and Moisture Management 5.407.1 Weather protection. Provide a weather-resistant exterior wall and foundation envelope as required by California Building Code Section 1403.2 and California Energy Code Section 150, manufacturer's installation instruction instructions or local ordinance, whichever is more stringent. 5.407.2 Moisture control. Employ moisture control measured by the following methods: 5.407.2.1 Sprinklers. Prevent irrigation spray on structures. 5.407.2.2 Entries and openings. Design exterior entries and openings to prevent water intrusion into buildings. Pollution Control 5.504.3 Covering of duct openings and protection of mechanical equipment during construction. At the time of rough installation or during storage on the construction site and until final start up of the heating and cooling equipment, all duct and other related air distribution component openings shall be covered with tape, plastic, sheet metal or other methods to reduce the amount of debris or duct which may collect in the system. 5.504.5.3 Filters. In mechanically ventilated buildings, provide regularly occupied areas of the building with outside and return air prior to occupancv that provides at least a MERV of 8. 5.504.4 Finish material pollutant control. Finish materials shall comply with Sections 5.504.4.1 through 5.504.4.6 5.504.4.1 Adhesives, sealants, caulks. Adhesives and sealants used on the project shall meet the requirements of the following standards: 1. Adhesives, adhesive bonding primers, adhesive primers, sealants, sealant primers and caulks shall comply with local or regional air pollution control or air quality management district rules where appHcable or SCAQMD Rule 1168 voe limits as shown in Tables 5 504.4.1 and 5.504.4.2. 2. Aerosol adhesives and smaller unit sizes of adhesives and sealant or caulking compounds (in units of product, less packaging, which do not weigh more than one pound and do not consist of more than 16 fluid ounces) shall comply with statewide voe standards and other requirements, including prohibitions on use of certain toxic compounds, of California Code of Regulations, Title 17, commencing with Section 94507. 5.504.4.3 Paint and coatings. Architectural paints and coatings shall comply with Table 5.504.4.3 5.504.4.3.1 Aerosol paints and coatings. Aerosol paints and coatings shall meet the Product- Weighted MIR limits for ROC in Section 94522 (a)(3) and other requirements, including prohibition on use of certain toxic compounds and ozone depleting substances (CCR, Title 17, Section 94520 et seq.). 5.504.4 Carpet systems. All carpet installed in the building interior shall meet the testing and product requirements of one of the standards listed in Section 5.504.4.4. 50504.4.4.1 Carpet cushion. All carpet cushion installed in the building interior shall meet the requirements of the Carpet and Rug Institute Green Label Program. 5.504.4.4.2 Carpet adhesive. All carpet adhesive shall meet the requirements of Table 804.4.1. 5.504.4.5 Composite wood products. Hardwood, plywood, particleboard and medium density fiberboard composite wood products used on the interior or exterior of the building shall meet the requirements for formaldehyde as specified in Table 5.504.4. 5.504.4.5.2 Documentation. Verification of compliance with this section shall be provided as requested by the enforcing agency. Documentation shall include at least one of the following: 1. Product certification and specifications 2. Chain of custody certifications 3. Other methods acceptable to the enforcing agency 5.504.4.6 Resilient flooring systems. Comply with the voe emission limits defined in the 2009 CHPS criteria and listed on its Low-emitting Materials List (or product registry) or certified under the FloorScore proqram of the Resilient Floor Coverinq Institute. B-52 Page4 of 5 (X) As Applicable (X} (X) (X) (X) (X) (X) (X) Rev. 5/17 .. Indoor Moisture and Radon Control 5.505.1 Indoor moisture control. Buildings shall meet or exceed the provisions of the California Building Code, Title 24 Part 2, Sections 1203 (Ventilation) Chapter 14.1. (X) Air quality and Exhaust 5.506.1 Outside air delivery. For mechanically or naturally ventilated spaces in buildings, meet the (X) minimum requirements of Section 121 of the California Energy Code, CCR, Title 24, Part 6 and Chapter 4 of CCR, Title 8 or the applicable local code, whichever is more stringent. 5.506.2 Carbon DIOXIDE (CO2) monitoring. For buildings equipped with demand control ventilation, CO2 sensors and ventilation controls shall be specified and installed in accordance with the (X) reauirements of the latest edition of the California Energy Code, Title 24, Part 6, Section 120.1.(C) (4). Outdoor Air Quality 5.508.1 Ozone depletion and global warming reductions. Installations of HVAC, refrigeration and fire suppression equipment shall comply with Sections 5.508.1.1 and 5.508.1.2. As 5.508.1 CFCs. Install HVAC and refrigeration equipment that does not contain CFCs. applicable 5.508.1.2 Halons. Install fire suppression equipment that does not contain Halons. (X) (X) I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items listed on this form have been incorporated into the project in order to comply with Title 24, Part 11 of the 2016 California Green Building Standards. All receipts for recycled materials have been attached to this form. Project Address: ~'(f-i Gl!J t£l k:vr; I w Plan Check Number: Print Name: tteG n Q _ (v\-A{L \I M:2---Signed: ~ License Number: JO'=/.: &71 4 b Date: ~/w/r1 8-52 Page 5 of 5 Rev. 5/17 {city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Section 4.408.1 and Section 5.408.1 of the 2016 California Green Building Standards requires at least 65% of non-hazardous construction debris is recycled and/or salvaged for reuse. With the submitting of your application for a Building Permit or permit issuance, you must have completed a Construction Waste Management Plan (CWMP) demonstrating how you will recycle a minimum of 65% of the construction waste generated from your project. NOTICE: Applicant (contractor and subcontractors} shall comply with the project's CWMP. It is the Applicant's responsibility to collect all receipts from thE? facilities that recycle their.materials AND all proj~ct waste/landfill disposal receipts. When working with the City's franchised hauler, Waste Management, one cumulative project receipt is acceptable. However, it is the Applicant's responsibility to confirm that the bins are collected for C&D Recycling. 1. This project shall generate the least amount of waste possible by planning and ordering carefully, following all proper storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible. 2. Waste Management Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The commingled construction roll-off bin will be taken to a Certified Mixed C&D Processing Facility to sort the material and create receipt(s), to demonstrate the project has met a 65% diversion rate or greater. 3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with, the City's exclusive franchised waste hauler, to develop a more specific CWMP. This plan may include using additional roll-off bins for particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible. 4. Contractors/subcontractors hauling their own waste as part of their scope of work (e.g., construction clean up companies, etc.) SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diver.~ion receipts from a Certified Source Separated Recycling Facility. For a current list of Certified Recycling Facilities go to http:/Lwww.santjtego.gov/ e_nviron men ta 1-!iervicesf .r:.~cydi ng/ cd/i ndex. s htm I. 5. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receji:i_~ from a Certified Source Separated Recycling Facility. Part 1 -Before the Project Begins Prior to issuance of a Building Permit, Applicant must submit PART 1 of the Construction Waste Management Plan (CWMP} Table. a. Submit completed and signed form to City with Building Permitapplication. Part 2 -During and After the Project Prior to receiving inspection for final sign off of the Building Permit or Certificate of Occupancy, Applicant must submit the fully completed and approved PART 2 of the Construction Waste Management Plan (CWMP) Table. a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where materials were taken. b. Complete the Debris Recycling Report (ORR) as your project progresses. Recycling/diversion goals are (at a minimum) 65% of the waste generated by your project. c. Return completed form to: City of Carlsbad Building Division -1635 Faraday Ave, Carlsbad, CA 92008 or your inspector prior to requesting final inspection. Rev. 1111211 B (cityof Carlsbad DEMOLITION REQUIREMENTS 8-9 Development $ervices Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov A permit for demolition of a structure can be issued after approval and issuance of a grading permit. ~/ A Please contact the building division with questions on the demolition process. The following Items must be completed prior to issuance of a demolition permit. (T'-+ \) \ 5 Fo~ .~ ne-~o) □ ti-Completed Building Permit~Application (~'!'"~~demolition permit may only be issued to the owner of the property or the State Licensett-Contrac~ that is doing the work. □ v1,.... Four (4) sets of plans: Building, Planning, Engineering and Fire division will review and comment/approve the submittal. □ '1 L..-Letter from Property Owner: The contractor must provide a letter, signed and dated by the property owner, giving permission for the building to be demolished. □ D Demolitlon Asbestos Certification: This certification must be completed, signed and have the correct square footage of the struj;:tur,;I beiru=: demolished, as well as its use. ---------.;. --·------ San Diego Regional Hazardous Materials Questionnaire: For ALL demolition projects, proof of application to County of San Diego Air Pollytion Control District m_!ID also bg pr~. Asbestos or lead paint remediation must occur prior to issuance of a demolition permit by the City □ San Diego Gas and Electric: Applicant must provide a letter from San Diego Gas and Electric stating rJ ~ that the utilities have been disconnected. □ Waste Management Plan (Form B-59): Comply with California Green Code waste disposal and recycling management program (65%). Section 4.408.1 and Section 5.408.1. Complete the attached B-59, Waste Management Plan which estimates the waste to be recycled. □ Public Property: If applicable provide plans and details demonstrating measures to protect public tJ i property and walkways. ff. Additional items that may be required: 1. Water Agency: Arrange for appropriate Water Agency to remove water meter unless construction of replacement structure is to begin shortly. 2. The Planning Division will determine if the structure is in the Village Review area, the South Carlsbad Review area, the Coastal Zone or if discretionary mitigation conditions apply. {760) 602- 4610 3. The Land Development & Engineering Division will determine if a Haul Route, Right-of-Way Permit or Storm Water Permit is required. (760) 602-2750. 4. Fire Department may need the use of the building for training purposes. (760) 602-4665. Rev. 11112118 {city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Many of the materials generated from your project can be recycled. You are required to list materials that will be reused, recycled or disposed from your project. If you have questions about the recycling requirement or completing this form, please contact Waste Management at (760) 929-9400, a certified C&D recycler, or the Carlsbad Building Division at (760) 602-2700. Please 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 PermitNo. __________ ProjectTitle ct.NSL5 -ALO \/\~~ Project Address L<rlle\£-A.\/e·. ~-=1'.-~ _____________ APN 209 -\oo -\\-o~ Applicant Name f'/\ltg\ h!c:Z- Last owner Contractor Architect Other \\ta:~=..,..__ __ 0 <0' 0 0 --- First ApplicantAddress -~~~~---;--~~----\)\2 ___ , ____________ ----,,, _____ _ Phone ( b\~) ~71-Co::>\4 E-mail Address rrovtL r,-e3 tk~@ ~ Applicant Mailing Address (if different than project address) Project Type (check all that apply): Residentlal □ Brief Description 'D8J.0 \.,_..\ S \-t Project Size ~ {yOCJ (square footage) Please check the appropriate box: Co~ Publitjldlng lo'tjial ':JOO I OF b-Y-.t ~l\rJC:::, WALL~\ CJ5\ l,,u.J(:, ki..JJ l..A;tvlf S Estimated Cost of Project $ __ ,ZO~~'~CO~_o_· ~--~~~---- ~Ian on using WASTE MANAGEMENT roll-a.!!_ bin(s) for all materials and will provide all receipts after construction. DI plan on self-hauling to a certified recycling facility and will provide alt 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. j l Print Name \{E,c,ll)ll'_ t-Mf "TI....Q'....-SignatuJt ztvL-----Date 1f A//C1 Page 1 of4 Rev. 11/12118 PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will (cont'd) not be issued without a completed Construction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: SECTION A Permit No. _________ Project Title Project Address 'L T),Z,. l..0¥..e(L Applicant Name \I\ f.....fZ--nt-JGZ~ Last First 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. Material Type Complete this line of the table only If only using WASTE MANAGEMENT roll-off bins. Mixed C&D Debris Asphalt & Concrete Goal: the diversion rate shall be 65% by weights of debris. Estimated Waste Quantity (tons) A Place a ( ✓) check next to items to be reused or salvaged B Place a ( ✓) check next to items to be recycled C Place a ( ✓) check next to items to be disposed at landfill Brick/ Masonry/ Tile ----+----'-..L-----+----------+-----------1--------------1 Mixed Inert Debris Carpet Carpet Paddi---'ng"--/_F_o_a_m ___ -+---------+--- Cardboard Ceiling Tile (acou~tic). ___ ~1--✓ Drywall (used, new, sc_ra~p~)--+-------------'----~-~-----11------'-V ______ +-----------1 landscape Debris (brush, trees, stumps, etc.) No dirt. Stucco Other: TOTAL SECTION C = a~ To meet 65% Diversion Requirement (estimate) ____)_ u__ X 0.65 = I _.,/') A Total Estimated Waste from above ~ Date Contractor/Owner Signature Page 2 of4 tons Minimum Required Diversion ,j-20,jq r I Rev. 11/12118 8:40 AM Roll Off Dispatch Closed Ticket Display 3/27/2019 350-73263 BM CONSTRUCTOR INC Opened by IGUERRE2 Closed by LBELTRAN 2772 LOKER AVE W CARLSBAD CA 92010-6610 Ticket 62664 Driver code KJCAR Requested Dumpinfo :Site PAL T Tkt 613XXXX Qty by HECTOR RAMIREZ 6.00 Tax Load type S/0 Equipment code Status Code * Additional Date Time Dispatched: 2/26/2019 14:06 Loaded/ Drop off: 14:31 Restart Ticket: Finished at landfill: 14:56 Points o comments exist for this ticket* Arrived at customer: Stop Ticket : Arrived at landfill: Ticket completed: Time 14:11 Svc Quantity DTN 6 .00 40D 1. 00 Price 46 .74 227.03 Special Description phone-hector ok msw Job# 14:36 14:56 Waste Type MSW Tax T/P T T Bottom F3=Exit Fll=View Dates F12=Prev Fl3•Additional Comments Fl7•Top Fl8•Bottom F20=Profile 8:41 AM Roll Off Dispatch Closed Ticket Display 3/27/2019 350-73263 HM CONSTRUCTOR INC Opened by ESANTILl Closed by LBELTRAN 2772 LOKER AVE W CARLSBAD CA 92010-6610 Ticket 61142 Driver code KJCAR Requested Dumpinfo:Site PAL T Tkt 484XXXX Qty Load type S/0 Equipment code Status Code * Additional by HECTOR 5.12 Tax Points comments exist for this 0 ticket* Date Time Dispatched: 2/21/2019 13:47 Loaded/ Drop off: 14:18 Arrived at customer: Stop Ticket: Restart Ticket: Arrived at landfill: Finished at landfill: 14:44 Ticket completed: Svc Quantity Price 46.74 227.03 Special Description Job# DTN 5.12 40D 1. 00 Time 13:55 14:24 14:44 Waste Type MSW Tax T/P T T Bottom F3=Exit Fll•View Dates Fl2=Prev F13=Additional Comments Fl7=Top Fl8•Bottom P'20=Profile 8:38 AM Roll Off Dispatch Closed Ticket Display 3/27 /2019 350-73263 BM CONSTRUCTOR INC Opened by MMIRAMON Closed by LBELTRAN 2772 LOKER AVE W CARLSBAD CA 92010-6610 Ticket 64416 Driver code KIRAM Requested Dumpinfo :Site PAL T Tkt 476XXXXCB Qty by 6198846314 MIRIAM M 5 .34 Load type S/0 Equipment code Points O Status Code * Additional comments exist for this ticket* Date Time Dispatched: 3/02/2019 12:38 Loaded/ Drop off : 13:29 Restart Ticket : Arrived at customer: Stop Ticket: Arrived at landfill: Finished at landfill: 14:20 Ticket completed: Svc 40D TRP DTN Quantity 1.00 1.00 5.34 Price 227.03 78.27 46 .74 Special Description EDCO REJ LOAD-TL EDCO REJECTED LOAD Job# Time 13:07 14:04 14: 2 0 Waste Type MSW MSW Tax y y y T/P T T T Bottom F3=Exit Pll=View Dates Fl2=Prev Fl3=Additional Comments Fl7•Top Pl8=Bottom F20•Profile EDCO WASTE & REC YCLING SERVICES, t NC 2 ~4 S. LAS POSAS RD Sf--lN MARCOS, CA '32078 (76~) 744 2700 Cust.ome ~: 10.::4 Ticket: 10582 Date: 03/06/1'3 COASTWASTE /TINA LOVELACE 5 9G0 EL CAMINO REAL CARLSBAD CA 32008 Co1111n od 1 t y 45 C & D MlX Rate In: 12: 20 O•Jt: 12:24 per TON INVOICE Truck: 3'395 Container: Route: 1218545 Origin: 086 CARLSBAD E>itended Charge CG;•oss <Inl: 42,940. Units 4.56 lbs Scl#1 Tare 33,820. lbs Scl#l Net: 9, 12'21. 1 bsJ TOTAL DUE Construction & De■olitibn Diversion Certificate -Diversion Percentage 83~ This certif1es that the co1pany l1ited above hi\ utilized an EDCO facility to divert con,truction de1olit1on aaterials in aC'COrdance Kith LEED r~qu1re1ent. The diversion tonnage is based on •n overall tonnage percentage of the respective £OCO facility. --------------~------GULIVER f) CC 'f-/f 3 S{] -01)/ 5 :J-.{, 3 'hcrf# 67/l( ~ EDCO WASfE & RECYCLING SERVICES, INC ~24 S. LAS ~OSAS RD SAN MARCOS, CA 92070 INVOICE (7C~ I 7ltit-27t.Z10 fl Cl< et : l ll\E,5(?1 Dat;l': 03/13/lq COASTWASfE/TINA LOVELRCE 5':jE:.0 EL CAMHJO HEAL CARLSBAD C~ 92008 (~onmodity In: 9: 53 01.1t: 10:lltZ Tr1.11::-.k: 4011'3 Container: Ro11t1;-: 08G1,5 Origin: tl18o CARLSBAD F>< t Pnclr-d C. ,argc '+ 5 C t~ U 111 I X [tir·os.~(lnl: 44,'t80. Units 5. 18 lb!,; Scl#l Tai·e 3 11 1 120. lbs Man Wt Net: 112•, 360. lbs] TOTAL DUE Construction & Deaolition Diversion Certificate --Div~rsion Percentage 83~ Thi~ cerlifil'~ thal the coopany li,led abovp ha, •1til1nd an EDCO fac11lty lo c.Jiverl can~trucbon dP1101lt10n ■atenals tn ,m:onlance 1ulh LEED requtreaent. The diversion tonnage is bosl'd on an over.ill tonnaqe percent~'le of lhe res!l!dive EOCO fac1hty. ----·-------------crrdo!lr~ 3 -/3'i7 GUL I VER I) .. EOCO l-if!STE & l~ECYCL I NG SER1J ICES, l ML 224 S. LAS POSAS RD SAN MA~COS, LA 92078 INVOJCE ( 7E,0) 7 Lt It c700 Cust c,met : 1024 Ticket: 1121617 Oat~: 03/V.t'.3/1'3 ~OASTWASTE/TINA LOVELACE ~9L0 EL CAMINO REAL LARI SOAO CA 92008 Commodity Units ~c C & D MIX 5.~0 In: 13:13 Out: 13: 13 per TON T r•.1c:k : 417149 / Qitlll211?, Container: Route: 08645 □Y1gin: 086 CARLS8AD Ext 1rnded Charge 1.Gtos <In>: 44,800. lb5ManWt Tare 33,800. lbs Scl~l Net: 11,1211210. lbsJ TOTAL DUE Construction & Demolition Diversion Certificate --Diver&ion Percentage 83~ This certifies that the co■pany listed abpye has utilized an EilCO facility to divert construction deaolition ■aterials 1n accordance with LEED requ1rnent. The d1vtrs1on tonnage is ba~~ on an overall tonnag, pm:·,ntage of tht respective EDCO ficility. ----------------__ Gi-ll I VER -Waste Management Form -Part II Construction & Demolition (C&D) Debris Deposit Program Required for projects described in Municipal Code §66.0601-66.0610. 1• .. •.: .. ":,•,•.i1",.l·'I '; r_ R \." I (:_ L ~ I'.~ r.-,. \' ' \ Complete Part II after final inspection. Submit with ALL trash, salvage, reuse and recycling weigh tickets. Please refer to Information Bulletin 119 for details on acceptable documentation. Send this completed form and all documentation: By Mail By Fax By Email City of San Diego Attn: C&D Diversion Coordinator ESD _ CD@sandiego.gov Environmental Services Department (858) 492-5089 Attn: C&D Diversion Coordinator 9601 Ridgehaven Court, Suite 320 San Diego, CA 92123-1636 Applicants must submit refund requests within 180 days from project final inspection. Requests submitted after 180 days will not be eligible for a refund. Refunds will not be issued if all requested information and documentation is not provided. Refunds will be mailed within 45 business days following receipt of all proper forms and documentations. If the minimum required recycling rate specified in Information Bulletin 119 is not met, the deposit refund will be prorated. Project Information Approval/Permit No. Project No. ProjectTitle CENSUS-AGO EL CAJON Final Inspection Date __ / __ / __ Project Address 8787 COMPLEX DR Affirmation Applicant is advised of San Diego Municipal Code section l 1.0401(b) which states: "No person willfully shall make a false statement or fail to report any material fact in any application for City license, permit, certificate, employment or other City action under the provisions of the San Diego Municipal Code." 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 I, 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. Name EDWARD ADATO Title OWNER company PWI COMPLEX, LP Signature Date Payment Information Check will be made payable to the Refundable Party identified on the Development Services Department's paid invoice on which the "C&D Deposit" was assessed. Please provide complete mailing address below. If payment is to be made to a different party, the Refundable Party must sign in the box below, designate to whom the check will be payable, and provide complete mailing address. By signing my name, I . ' , Refundable Party on invoice (print name) Company Signature authorize the refund check to be made payable to: Refund Mailing Address City · State __ Zip+4 For more information, please contact the City of San Diego Environmental Services Department: (8S8) 694-7000 or visit www.r!l£YClinK!!orks.com ES-008 -2- -Waste Management Form -Part I Construction & Demolition (C&D) Debris Deposit Program Required for projects described in Municipal Code §66.0601-66.0610. Deposit will be fully refunded if at least 50%* of ALL debris generated from the project is recycled. ~ Lr, ·-,i~u'l,;."lil '\,i .\l 'li._f_ r.: v,, '"· ( ... •~ l .' ~ I \1 I ·• If the minimum required recycling rate is not met, the deposit refund will be prorated. Deposit refund requests must be accompanied by weigh tickets for ALL debris generated, including all trash, salvage, reuse and recycling, and be submitted within 180 days from final inspection. Refer to Information Bulletin 119 for details on acceptable documentation. Complete Part I before obtaining a building, combination or demolition permit. Submit this form and your deposit to the Development Services Department staff at permit issuance. Refundable Party Contact Information: Name EDWARD ADATO Title OWNER company PWI COMPLEX, LP Address 550 W B STREET City SAN DIEGO State CA Zip 921 01 Phone (619) 661-7200 Email EDWARD@WLINV.COM Project Information: Approval/Permit No. Project Title CENSUS-ACO EL CAJON Project Address 8787 COMPLEX DR. Zip 92123 Project Type: D New Construction D Addition/Alteration Iii Demolition Building Type: D Commercial D Residential Estimated Square Feet 6900 TO BE FILLED OUT BY DSD STAFF Estimated Start Date 2 ;20 ;2019 "C&D Deposit" Paid$ Estimated Completion Date 3 ;20 I Invoice# Date Paid Fm out the table with estimated quantities in tons for each material that will be generated by your project. Note: A+ B = c Please use the City Construction and Demolition Debris Conversion Table if converting from volume to tonnage . A . B C . Certified Recycling Material Type Estimated Salvage,: Estimated Estimated Total Hauler Facility or Reuse or Recycle Disposal (Trash) Debris Quantity Disposal Destination Asphalt & Concrete 0 0 Brick / Masonry / Tile 0 0 Cabinets, Doors, Fixtures, 0 0 Windows (circle all chat apply) Cardboard 0 0 Carpet, Padding/ Foam 5 0 5 Ceiling Tile (acoustic) 2 . 0 2 Dirt 0 : 0 Drywall 2 0 2 Landscape Debris 0 : 0 Mixed C&D Debris 0 . 0 Mixed Inerts 0 : 0 Roofing Materials 0 . 0 Scrap Metal 0 . 0 Stucco 0 0 . Unpainted Wood & Pallets o : 0 Garbage/ Trash ~ 0 Other: : 0 TOTAL 9 0 9 To estimate Recycling Rate: (Total Affotal C) x 100 = Recycling °lo MINIMUM RECYCLING RATE FOR ALL DEBRIS FROM YOUR PROJECT IS CURRENTLY 50%* "'Recycling rate is subject to change; check Information Bulletin 119 for current rate. C&D debris may contain paint, asbestos, mercury switches, light bulbs, ballasts or other lw.ardous wast.es that require removal prior to disposal. The Miramar Landfill cannot accept hazanious waste. For infonnation on waste acceptance at the Miramar Landfill, call (858) 694-7000. ES-008 • 1 -9/12/11 DUMPSITE/LANDFILL Palomar Landfill (PAL) 5960 El Camino Real Carlsbad, CA, 92008 C&DSO.R GENERAL CONTRACTOR: HM CONSTRUCTOR INC 2772 LOKER AVE W CARLSBAD CA 92010 Construction & Recycling Serv1ces 5701 S. Eastern Ave., STE 300, Commerce, CA 90040 714-480-2317 (Direct) 866-459-3985 (Fax) EDCO CDT Recycling & Buy Back Center 224 S Las l Acct: 350-73263 Sales Rep: Victoria Brown-Delgado miriam622@gmail.com Prepared Date: 03/27/2019 San Marco DATE OF SVC TICKET MATERIAL Total Tons REC\' RATE¾ SERVICE # BIN SIZE TYPE Tons RCY FACILITY 2/21/19 61142 40yd MSW/ TRASH 5.12 0.00 0.00% PALOMAR LANDFILL (PAL) 2/26/19 62664 40yd MSW I TRASH 6.00 0.00 0.00% PALOMAR LANDFILL (1 "L) 3/2/19 64416 40yd MSW/ TRASH 5.34 0.00 0.00% PALOMAR LANDFILL (PAL) l-3_16 __ 1_19 ____ -+-6_5_08_8 ___ .. 4 __ 0_y...,.d_-+MIXED----....... ___ D __ E ___ M ____ O_,..4 __ .5 __ 6,---t-,.~-. ..,,.7_s:' _+1 9 __ "_"_" __ " __ , .;=~-=-=-::~=~--~--_m_• _~_· _· _· _·--·~--' 3/9/19 66581 40yd MIXEDDEMO 5.50 4_.5,6 ~J.UV7o )bU~V uvu"'"'"•'""''"'""'",'·""" 1-3-/1_3_/1_9 ___ ---ll-,6,-4--71-6--6,----+-4--0-y'""d--+MIXED----...... __,,D--E""'M~0-+-5--.-.8~==;4~.=30~---:-c8c-c3,..,.oc-,:-o%·-· EDCOTRAN:Sl:'bh.;:Hh.UV•" \Luu/ ~------+-----+----+------+----+---+===-={~==~·-,.-==--~---·=--·=····~=~ --~-~ Total Tons 31.70 Total Tons Divertei 12.65 Total Tons Landfill d 19.05 Total Diversion 39.90%