HomeMy WebLinkAbout2742 STATE ST; 200; CBC2020-0297; Recycle{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
Permit No. CP;('.207.0 -025·3 ProjectTitle vJl½'4 Sh:t-) D\B~D Uff:f&I?
Project Address 2-J 4 2-K-Pff? .S~, CMl$8Af) C:A cy...oo2, APN ~3-/8 /-· I Cf~ 00 ~ {'}-r-T Owner Contractor Architect Other
ApplicantName 7!MAS ~ Q -Q 0------
Last First
Applicant Address f,oJ $ C-(?OM ME #22-0 SoLAt-Jft: fJE?b(t\-CA C/2-o75
Phone c3CJ~} "2-'eS -1'3~1b E-mail Address ~(t:.. v2$D. C-Ol'A
Applicant MailingAddress f r,7 5 Gef)f-ro MB''""ZW , SO<.Jtt.fft 8P:ACH: CA 9Z.:OJ5 ' (if different than project address)
Project Type
(check all that apply):
Residential
□
Commercial
~
Brief Description oF'Flt,E TfaJfrtJT I /11\.P?e\J~M.e,.J) ttJ excsn/Jv
Project Size [21r::n:n:> Estimated Cost of Project $_.1.Zoc...1M--=. ____________ _
(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.
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 ITT &\ l'A.t\S Signature ~~ o, lu/1--02--, r 1 Date
Page 1 of4 Rev. 11/12118