HomeMy WebLinkAbout2828 Cacatua St; ; CBR2019-0941; Recycle(city of
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59
Oevelopment 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.
Permit No.
Project Address 2i2i ~ )I~ Oilil(I
~~ (\ 6\JC{.-Applicant Name
Last
Applicant Address
Phone I .°?) \D l °t9-J -7"\7?,
Applicant Mailing Address
{if different than project address)
Project Type
/check all that apply):
Brief Description
Applicant Information
Project Title
'7;) ~ . APN
~-@ Contractor Architect Other
A.1'{\(t, ,/\OJ,l... 0 0 0 First
E-mail Address lli$ C\\'YIO,Ml\ fod r~\)r::LQ 'luhoo. I 111b
Commercial
□ Publi□lding Industrial □
Project Size
I \\
\\tit) ;;:,, \\'.\'Y\tA,\, t cv\J , Estimated Cost of Project $--1\~~_,._,'-------"L=----------
(square }ootage)
Please check the appropriate box:
~Ian on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction.
□ I plan on self-hauling to 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. m
Print Name -b~vh ~ck ( 'bt)ll• Signature dbJ~19 IJ-___ / Date '} / lljn 'i,
Page 1 of 4 Rev. 11/12118
PART l 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 2-Z?S< G:,, Q hili ';y,-.
Applicant Name Q (}(1{\9\\1 c:z:__ _____ frrro=/1\=M=~----Phone
Last U First
APN
("2,\l) } G\
SECTION B Complete the following fable 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
raff-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
Sera Metal
Stucco
Other:
TOTAL
SECTION C
Goal: the diversion rate shall be 65% by weights of debris.
=
Estimated
Waste Quantity
(tons)
\
A B C
Place a(✓) check
next to items to be
reused or salvaged
Place a(✓) check next
to items to be
recycled
Place a(✓) check next
to items to be
disposed at landfill
V
··-----·--------+---------+---------1
To meet 65% Diversion Requirement (estimate) ___ 4_.__ ___ .x 0.65 = _ _,,2.,_,_, _,,U"--_____ tons
Total Estimated Waste from above Minimum Required Diversion
Date
Page 2 of 4 Rev. 11/12/18