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HomeMy WebLinkAbout2405 COUGAR DR; ; CBC2018-0006; RecycleWII... :..® WASTE MANAGEMENT DUMPSITE/LANDFILL Palomar Landfill (PAL) 5960 El Camino Real Carlsbad, CA, 92008 GENERAL CONTRACTOR: GBC CONCRETE AND MASONRY 2405 COUGAR DR CARLSBAD, CA. 92010 Construction & Recycling Services - 5701 S. Eastern Ave.. STE 300, Commerce, CA 90040 714-480-2317 (Direct) 866-459-3985 (Fax) C&D SORT & TRANSFER FACILITY Acct: 350-73163 EDCO CDI Recycling & Buy Sack Center Sales Rep: Victoria Brown-Delgado 224 S Las Posas Rd rebecca)obcconstruct,on.con San Marcos, CA. 92078 Prepared Date: 03/11/2020 I DATE OF SERVICE SVC TICKET SI BIN SIZE MATERIAL TYPE Total Tons Tons RCY RECY RATE % FACILITY 12/28/2018 45097 10YD CL CONCRETE 10.00 10.00 100.00% MOOD'Y CONCRETE (MOO) 1/28/2019 53915 10YD CL CONCRETE 10.00 10.00 100.00% M000'Y CONCRETE (MOO) 2/27/2019 62477 10VO CI CONCRETE 1.0.0(1 10.00 100.00% MOODY CONCRETE (MOO) 3/19/2019 999408 10YD CL CONCRETE 10.00 10.00 100.00% MOODY CONCRETE (MOO) 4/16/2019 77526 10YD CL CONCRETE 10.00 10.00 100.00% MOODY CONCRETE (MOO) 7/23/2019 108222 10YD MSW / TRASH 9.45 0.00 0.00% PALOMAR LANDFILL (PAL) 8/7/2019 113669 10YD MSW / TRASH 6.66 0.00 0.00% PALOMAR LANDFILL (PALi 8/14/2019 115161 10YD MSW / TRASH 7.20 0.00 0.00% PALOMAR LANDFILL (PAL) Total Tons 73.31 Total Tons Diverted 50.00 Total Tons l.andfilled 23.31 building approval. DEBRIS RECYCLING REPORT (ACTUAL): 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. o?g Name __Print Address 'fiTtcf7L?9IZ j)' Date 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. A B C Date Material Type Actual Amt Reused or Salvaged Actual Amt Recycled Actual Amt Disposed In Landfill Destination Facility (Name, Address, Phone) &amDle! 02/05/2018 Concrete (broken) 5 tons Palomar Transfer Station,, 5.960 El Camino Real —(760) 603.0153 -10 4, ¼ J ©TOTAL /cJ? I1g.it Diversion Rate Achieved <- 65%% Total of calumnef 8 Total of columns A + + C DIVERSION Contractor/Owner Signature " Date - Attach the following documentation to this Report: Return completed form and documentation to: Original recycling weight tickets, landfill weight tickets City of Carlsbad Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor) Any other relevant information to support Recycling Report 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 Rev. 11112/18 PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will t'd) not be issued without a corn DEBRIS RECYCUNG ESTIMATE: Construction Waste Management Plan. _________ Permit No. Project Tide jiJ(çf i-W Si9 Project Address 2 4,7tç Q!U9 . 1?2 - APN Applicant Name LA v4 Phone Last First I1ILshI: 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. _ A B C Material Type Estimated Place a (1) check Place a (1) check next Place a (1) check next Waste Quantity next to items to be to items to be to items to be (tons) reused or salvaged recycled disposed at landfill - Complete this line of the table only if only using WASTE MANAGEMENT roll-off bins. .1 Mixed C&D Debris Asphalt & Concrete '7 c Brick/Masonry/Tile _ . . Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle all that apply) -•1 Carpet Padding / Foam Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Rooting Materials Scrap Metal Stucco Other: TOTAL Ma To meet 65% Diversion Requirement (estima x 0.65 = 7 lb tons Total E mated Waste/ram above Minimum Required Diversion Contractor/Owner Signature __Date - (City of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Building Division 1635 Faraday Avenue 760-602.2719 www.carisbadca.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-haulrng, Waste Management or approved haulers must be used for all constructLoq 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. j Permit No.LiLt —00 Project Title Project Address. 17L ....... APN J 1 (9 Owner Contra tor Archltct Other Applicant Name t4 0 0 Last First Applicant Address . I 1/2 7/i2. Phone ii 1E-mail Address 51,461 IA IWT I t47oJ 4i2 Applicant Mailing Address (If different than project address) Project Type Residential Commercial PubIiiding Ind n n at (check all that apply); IR Li Brief Description _34Lf4W/~bE_._ Project Size __Ole._______________Estimated Cost of Project $ (square footage) Please check the appropriate box: I plan 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. 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 ge kerated only from the project listed in PART 1, that I have reviewed th accuracy of the information, and , th I rmation is true and correct to the best of my knowledge and bell . Print Nameo!-'~;' _Signature Date Page 1 of 4 Rev. 11/12/18 4:08 PM Roll Off Dispatch Closed Ticket Display 3/11/2020 Opened by AQTJINTAN 350-73163 GBC CONCRETE AM MASONRY Closed by LBELTRAN 2405 COUGAR DR CARLSBAD CA 92010 Ticket 115161 Driver code KGSER Requested by JOSE Dumpinfo:Site PAL T Tkt 273XXXX Qty 7.20 Tax Load type DNR Equipment code - Points 0 Status Code * Additional comments exist for this ticket * Date Time Time Dispatched: 8/14/2019 9:37 Arrived at customer: 9:56 Loaded / Drop off: 10:06 Stop Ticket: 10:28 Restart Ticket: 11:00 Arrived at landfill: 11:13 Finished at landfill: 12:01 Ticket completed: 12:01 Waste Svc Quantity Price Special Description Job Il Type Tax T/P DTN 7.20 47.52 T 1OY 1.00 233.92 MSW T Bottom F3sExit F11=View Dates F12Prev F13=Additional Comments P17=Top FlO"Bottom F20=Profile 408 PM Roll Off Dispatch Closed Ticket Display 3/11/2020 Opened by KLUJ11 350-73163 GEC CONCRETE AM MASONRY Closed by LBELTRAN 2405 COUGAR DR CARLSEJW CA 92010 Ticket 113669 Driver code IG]MOR Requested by ALEJANDRO 951 805 3171 Dumpinfo:Site PAL T Tkt 959XXXX Qty 6.66 Tax Load type E/R Equipment code - Points 0 Status Code * Additional comments exist for this ticket * Date Time Time Dispatched: 8/07/2019 11:26 Arrived at customer: 11:48 Loaded / Drop off: 11:49 Stop Ticket: Restart Ticket: Arrived at landfill: 11:51 Finished at landfill: 12:17 Ticket completed: 12:35 Waste Svc Quantity Price Special Description Job # Type Tax T/P DTN 6.66 47.52 T bY 1.00 233.92 MSW T Bottom F3=Exit F11.View Dates F12=Prev F13Additional Comments F17=Top F18=Bottom F20uProfi1e 4:08 PM Roll Ott Dispatch Closed Ticket Display 3/11/2020 Opened by KLUThN1 350-73163 GBC CONCRETE AND MASONRY Closed by TLOVELA1 2405 COUGAR DR CARLSBAD CA 92010 Ticket 108222 Driver code KJMOR Requested by ALEJANDRO 951 805 3171 Dumpinfo:Site PAL T Tkt 741XXXX Qty 9.45 Tax Load type E/R Equipment code - Points 0 Status Code * Additional comments exist for this ticket * Date Time Time Dispatched: 7/23/2019 8:20 Arrived at customer: 8:30 Loaded / Drop off: 8:31 Stop Ticket: 9:40 Restart Ticket: 10:10 Arrived at landfill: 9:21 Finished at landfill: 10:10 Ticket completed: 10:29 Waste Svc Quantity Price Special Description Job # Type Tax T/P DTN 9.45 47.52 T bY 1.00 233.92 T Bottom 13=Exit P11-View Dates 712=Prev F13=Additional Comments P17-Top F18=Bottoni F20-Profile MOODY'S EL CORAZON RECLAMATION P0 BOX 969 BONSALL, CA 92003 (760) 433 •336 • FAX (760) 433-6691 PU ITRAILER I FLATSED - [:~ I., 1007AIL PL j ENO DUMP LOAD COUNT 1 2 3 456 7 89 10 / _ •1"• 4$ LOADS x OTHER CHARGE;: $ TOTA. 'JZ42 . . . . SIGt'TU C TRUCK Al bills due upon prnsentat'on unless otherw MOODY S k n sponsi'-. for da.aeto arranged to advance Ope; accounl subjec; t- veh''- wflje • 1 142% month, charge char 30 days npai balance . 49 2 -! MOODYS EL CORAZON RECLAMATION P0 BOX 969 BONSALL CA 92003 (760) 433-3316' FAX (760) 4336691 P1) TRAILER FLATOED lO.)tEE _f.MD DUMP 1. & T. LOAD COUNT MA 1 1 2 3 4 5 6 7 8 9 10 #LOADS X PRICE OTHER CHARGES S. TOTAL ' UM SIGNAThRt -- TUCIC AIJ'bitis duo upon piesentailon unless ollleiwise M000YS is not responsible for chtnaga to arranged in advance. Open accounts su*ject to vehicle while being loaded or unloaded in 1/2% montti cflotge oust 30 days unpaid yard. balance. O- 13'3 253104 tis -1I_, JOB COPY MOODY'S EL CORAZON RECLAMATION P0 BOX 969 BONSALL, CA 92003 (760) 433-3316• FAX (760) 433--6691 JOB LOCA lION •: / Pu TRAILER LATEO E08TA1L 106W,EEt. ENODUMP T &T LOAD cov MA __ LOAOS x PACE OTHER CHARGES SQfJATURE All bills d.je upc,ri p,esnhitiost aniess fltt.urwi, ar.angeti in advance Opom airis srrbje:i lo 1 112% mcnth. r.tiarqo jjUr 30 drys unpaid bfanc13 560-1311,03 TOTAL TRUCK C McooyS is nul sespi stle for uar,io o vehicin whille being lodod or unIoaed in yarO 251953 MOODYS EL CORAZON RECLAMATION P0 BOX 969 BONSALL CA 92003 (760) 433-3316 • FAX (760) 433-6691 PU TRit F'LAT ED 1i5BTA;L 110 Wj1(EL lEND DUMP T & T MArLOAD COUNT 1 2 3 4 5 6 7 8 9 10 LOADS x PRICE OTperHARG.S $ TOTAL ! • '//U:...... / SI9I4ATLIRE TflUCK AbIts due upon presentation unless otherwise M000YS s not responsible for damage to atranged in advance Open accounts Subject to vehicle while being loaded or unloaded in I 1/2% month. charge after 30 days unpaid yard balance 350-13LP3 249485 4 q5o11 JOB CPV MOODYS .1 V EL CORAZON RECLAMATION P0 BOX 969 BONSALL, CA 92003 (760) 433-3316 • FAX (760) 433-6691 .-..' '3 I •, •J . t __ , __I __ J JOB. 1T ATt srTQeK pA coac , -7o j .. S.- .. .: CITY OF ORIGIN JOB LOCATION PU 1TRAILER rLATBEbOOTAIL JE-tIODUMP f:F & 1' LO ADC flUt'JT J - - IMIERIRu1 I ( - 1 2 3 J_4 5 & 7 8 9 10 WLOADS x - PAME OTHER CHARGES $ TOTAL SIGNATURE TRUCK All bidr, due upon presentation unless. olhorwiss MOODVS is not iesponsthte loi daunagu to arranged in advance Open accounts Aubocs SO vehcie whitü being loaded or unloaded in I 112% month, charge alter 30 clays unpaid yard balance 250630 5;;,jo.,3