HomeMy WebLinkAbout2210 FARADAY AVE; 150; CBC2020-0299; Recycle(cityof
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 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 ou are self-hauling Waste Mana ement or a roved 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. __ C_B_C2020-0299 ______ Project Title
Project Address
Applicant Name
6.N~ I Q;\~fi.~IQ _APN ~1-si'L -u, z.a,
Phone J 8..5:&) ".'2.,\ o • S Lft.i.~+---E-mail Address
Applicant Mailing Address
(if different than project address)
Project Type
(check all that apply):
Residential Commercial
Owner Contractor Architect Other
----0 Q 0 O ·---
~W~,--.. W. ........ 4-½.<e&-_
~Yl:b-tc.e .. f' =ht <;.e,. ~ S.'V o.C. ~ .. ., V'\, Co 1--(
Industrial □ □
Brief Description 1\
4r'?.r ~
~
\ ~ -:\ ,z_r-l-.2
Project Size Estimated Cost of Project $ --L•oto-e11>
(square footage) RECE,VED
Please check the appropriate box:
JAN 2 0 2021 D I plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction.
CITY OF C,\1 . SPAD
I plan on self-hauling to a certified recycling facility and will provide all re ceipts aft!t§ffil:i.!Ht~~'b!VISION
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 t he 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, ~~-----\ ~1 \_) ,z.o
Page 1 of 4 Rev. 11/12/18
PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will
_(~<:>r:i!'~J not be issued without a completed Construction Waste Management Plan.
DEBRIS RECYCLING ESTIMATE:
...... ,, .. ,. Permit No . ___________ Project Title -'-~~.,..~-'J..,.r_r:,"'°-__,Oe._l~-"""'---r--+--'---\-------1
Project Address_ '2 .. :1,..\ o ~~-~":l__J,.\l_6.,,,,,___,,41______,C\~Q...;~½..,e,.-Cb=6...,.,.k2.,_ ___ APN '"2.fj • S2..'2--2'., V\ I _ I
Applicant Name \-~c.£=: ~Mi Phone ( ~"l,) Z\ o -1::, \ (p--::,..
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.
M aterial Type
Complete this line of the table only if
only u5ing WASTE MANAGEMENT
roll-off bins.
Mixed C&D Debris
Asphalt & Concrete
Brick/ Masonry/ Tile
Mixed Inert Debris
Goal: the diversion rate shall be 65% by weights of debris.
A B C
Estimated
Waste Quantity
(tons)
Place a (✓) check
next to items to be
reused or salvaged
Place a(✓) check next
to items to be
recycled
I
Place a ( ✓) check next
to items to be
disposed at landfill
-·-··-·· -··· ----+-------.----------·-•r-----
-1-------·-·----· ---··· ---------t--------Cabinets, Doors, Fixtures,
Windows (circle all that apply) ·-·· ... ·----··----·--I _c;;_arpe~
Carpet Padding/ Foam
Cardboard
Ceiling Tile (acoustic._)_
Drywall (used, new, scrap)
Landscape Debris (brush, trees,
stumps, etc.) No dirt.
UnpaintedWood&Pallets _
Roofing Materials
Scrao Metal
Stucco
Other:
TOTAL
m■,,1
-... ··--+·· ---------t----~-----l
-------<-
✓ -·-· ··t---------+-----------,
--------
----t---·--···--. --· . --··· ---------+-----------;
------~-.. ----·-··-· -----·-t--------------------1
O.+ ✓ ,
--r-1. \
To meet 65% Diversion Requirement (ek\.imate) \7. \ x 0.65 = T J Toto/ Estimated Waste from above
___ \\.\'2.. tons
Minimum Required Diversion
Cont,acto,/Owne, s ;gn•t"H ;> Date
Page 2 of4 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. __________ Project Title hl-tJ.A."-'? <J~ \\.
~~ '=t J...\l<z. , I CA (l...Y)(bA.IQ _APN "2.-:::J..J....::...' ~?:;;~~=----!::3~4--1
~-=u~ ____ Phone _L~~) Z,\o-~ <e""f
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.
Goal: the diversion rate shall be 65% by weights of debris.
Material Type
Complete this line of the table 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)
.9.!"Pl'_!t
Carpet Padding/ Foa_m
Cardboard
-~~iling Tile (acoustic)
DrywallJused, new, scrap)
Landscape Debris (brush, trees,
stumps, etc.) No dirt.
Unpainted Wo?!} & Pallets
Roofing Materials
Sera Metal
Stucco
Other:
Estimated
Waste Quantity
(tons)
o.
\ 1. \
To meet 65% Diversion Requirement (e
A B C
Place a(✓) check
next to items to be
reused or salvaged
\7. \
Page 2 of 4
Place a ( ✓) check next
to items to be
recycled
Place a ( ✓) check next
to items to be
disposed at landfill
✓
X 0.65 = \ \~ \ -z.. tons
Minimum Required Diversion
Rev. 11/12/18