HomeMy WebLinkAbout2725 UNICORNIO ST; ; CBR2020-2601; Recycle..
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Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
8-59
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 ~bout 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.
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Permit No. c_g '2. 2,.o:z_o-7 b O 1 Project Title h
Project Address 2-11-s OY',u::>v ~; o S'± APN 21S'3SDl4oO
Architect Other
00--_o • -~L ~--~} =-""--'=. =--------J' eoontractor Applicant Name Yul 1 L7 S ..., -e.,.S S \Lb--
Last First
Applicant Address _2-===......,J-='2-=-S-=------""'l)""--"--'v\.l..:\ l.:=:O;__rv\_,'_.c,o_ ....... 5i__,_+_-=C,..=--r\___;_:::_s-=b..:....~-=+f-CA=--i._+1-7..00=:......i9~
,fJ[B, 1.Q S-710 3 E-mailAddress jtSS:IU--:,f '-'JYll> Q_j ~l 1 · C.O.,A,'\ Phone
Applicant Mailing Address
(if different than project address)
Project Type
(check all that apply}:
Brief Description
Commercial
Project Size ____ 1_._7_.__ ______ .Estimated Cost of Project $ __ 1'.b~➔,-=0=-0=--'0=------------
(squarefootage)
Please check the appropriate box:
DI plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction.
~Ian 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.
Print Name J e~ s I CA PiA+rv.s Slgnature~-+--1----¥---=---"---=------·Date
Page 1 of 4 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:
Permit No. {' (3 R WW -Zb D I Project Title
P~s ()"',~~~2t
Last First
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 toble only If
only using WASTE MANAGEMENT
roll-off bins.
Mixed C&D Debris
Asphalt & Concrete
Brick/ Masonry/ Tile
Mixed Inert Debris
Cabinets, Doors, Fixtures,
Windows (circle all that apply)
Car et
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
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
To meet 65% Diversion Requirement {, / 15' x 0.65 aa O , ] 1 tons
Toto/ Estimated Waste from obove Minimum Required Diversion
)I
Page 2 of 4 Rev. 11/12118