HomeMy WebLinkAbout2813 VIA CONQUISTADOR; ; CBR2019-2012; RecycleRECEIVED
Servi (City-Y of CONSTRUCTION WASTE EP o3eOment lulu Butift
7,7S
Cr1 , MANAGEMENT 0 CAR LS Bt3SFat(7d0YAVefl11e
B.59 Bu,LDI:\G DIVISION 760-W2-2719
Www.carlsbadco.gov,
Many of the materials generated from your project can be recycled. You are required to list materials that wWbe
MOW, 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 areselfhiullnL Waste Mansiement or approved haulers must be
used for all construction orOlects within the City of Carlsbad.
PART 1 cOmplete and submit this form when applying for a Building Permit. Note: Pennits will 9A be Issued
without a completed Construction Waste Manigement Plan.
____________ProjectTitie
Pr*ctAddressOMll YlC
AppllcantNam. ZIvkovic_.5 1'
Fht
*ppuceetM*essaII Via Coeij
kthb
A'
cwArattor
oQo
Phone )..:!~33.670 E lAddr JI4'XV kviroa(Art,,,ner.cc,r
A*pllcantMalktgMdress Solev%Q
W4ffr,entthanc*ctodths)
Project 1pe CommsMd
(d,eofthatcpØY)x", 0
Brief Description JVIA)
project six. V DO gg -+ Estimated Cost of Project $ ) 9Q 000
(èquorafoiti) 1
Plean ch.di the appropriate b0x C -h
I Ian on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction.
- I plan on self-hauling toe certified recycling facility and will provide all receipts after construction.
0 This Is a proposed tEED certified project and I plan an separating materials on site In conjunction with WASTE
MANAGEMENT.
Admowledlamunt I certify under penalty of perjury under the iiA,s of the State of California thöt the Information
provided In and with this form pertains to construction and demolition debris generated only from the project ilited,
in PART 1, that I have reviewed the accuracy of the Information, and that the Informitlan Is true and correct to the
but of my knowledge and belief.
gba )I %I MstNanJ1' ZikwiL SlSU -
_____
Page 1 of 4 Rev. lfflwiø
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[P:A*T t Complete, obtain signature, and submit this form when applying for a Building Permit Note: Peflnfts wil
nt'd), it be Issued without a completed Construction Waste Management Plan.
DEBRIS RECYCUNG ESTIMATE:
PermftNC8RaOI?-0I_ProjectThle
Project Addres 2911 VC& CØñtU I S+4 d'b r APN
Apliftsant Name ZV kOY l C..1 '77f? Phone
Lan lira
Mff tableth be w g orated by your project
This Is your plan for construction wastemanagment. Changes can be made on the final recycle report.
Goul: the diversion rate il be 55% by weWite of debris.
____________
A B C
Mstedal Estimated Place a (1) check Place a (1) check next Place a (1) check next
Waste Quantity nod to items to be to Items to be to Items to be
(tons) reused or salvaged recycled dbpgsadatlandfill
CcrpktuthpeoJthIto*gU
- W4SThMA?4 EMBff
J
Mk.dceDOshls II I
Mphelt&Canuste
Masonry! Tde
Mbwd Inert Debris
Cabhmta, Doers, Rxtaroa,
Windows (drd. all that apply)
Carpet
Carpet Padding /
Cardboard
9ilHngWs (acowstic)
— (ow n -
Landscapi Debris (brush, to
stumps, etc.) No dirt.
Unpainted Wood & Pallets
Scrap Metal
moo
EEEEE ' TOTAL
To meet 65% DIversion Requirement (estimate) nhIeqLaWdO1Vef7Icfl
1t) i'
COfltr*5t0n10
Date
Pap 2Of4 Rasfrnrne
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