HomeMy WebLinkAbout1915 CALLE BARCELONA; 134; CBC2021-0060; 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 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 Bulldlng Permit. Note: Permits will not be Issued
without a completed Construction Waste Management Plan.
Applicant Information
Perm It No. C, BC 2. 02. I -0 0 lo O Project Title Lu1h..J\-E'.,\'V'Of'l ·-rn-e. -f'Qf'Ut"\'1
Project Address \ll 15 Ced~ J3qr-c-e.lon q ·-\t \'3\.-\ APN
Applicant Name r\-( t-ec:t!)C\ Gen-c.s..;·,s.
Last First 0
wner Architect
0
other
0--
Applicant Address L-\·t \ 4 (jJ Or iY) 1 f\.'t)iPo ·Ave. . ::fea,:)-e (.A)\ C-1. • U¥t °t·1.,S-Ci 0
Phone ( CtsJ ) ·bl)½ -t1o\t? E-mail Address ~(-~0 @ $0 \-e.,x: ( C){l~ un ~ · CD tYl
Applicant Mailing Address
{If different than project address)
Project Type
(check o/1 that opply):
Residential
□
Brief Description (_QCY\O'.W,C -Ct' ~ \
Project Size ( O I 01,?.,
(square footage)
Please check the appropriate box:
Co,~r Industrial □
·:T<-Ocrt \ "'M'(2:fQv ~±
Estimated Cost of Project $_lO_g_.-...,3=+-, _]_,_r--'-::,'--· 0=---------
J8f, plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction.
DI 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.
P,lntName Gene5;:,. 'f\(~ Slgnatu,./--=-~ Date Ll\1Al-:q
Page 1 of 4 Rev. 11/12118
PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will
(cont'd not be Issued without a completed Construction Waste Management Plan.
DEBRIS RECYCLING ESTIMATE:
• . Permit No . c~c.:2..0·2.\ -OOl,p O Project Title Lu,v \..un,vVt \V\1.1 ·fnn 101
Project Address \q \ 'S C.Pd\~ 'tSet,c. ~ l o (\_~ ·tv 13Ll APN
Applicant Name v:\-Yte,O\.~~ 6~61~ Phone ( cr:n l ~o't?' -17()L,
last First
• : Complete the .following table with estimated wastcftonnage to be generated by your project.
This is your.plan for consvuction waste. management. Changes tan be made'.6 n the final recycle repq_rt.
Go:al: the dhterslon rate shall be 65% by weights of debris. ,
A B C
Material Type Estimated Place a(✓) check Place a (✓) check next Place a ( ✓) check next
Waste Quantity next to items to be to items to be to items to be
(tons) reused or salvaged recycled disposed at landfill
Complete this line of the table only If
only using WASTE MANAGEMENT \6 roll-off bins.
Mixed C&O Debris
Asphalt & Concrete
Brick/ Masonry/ TIie
Mixed Inert Debris
Cabinets, Doors, Fixtures,
Windows (circle all that apply)
Carpet
Carpet Padding/ Foam
Cardboard v
Ceiling TIie (acoustic) V
Drywall (used,a4faw, scrag) ✓
Landscape Debris (brush, trees,
stumps, etc.) No dirt.
Unpainted Wood & Pallets v
Roofing Materials
Scrap Metal ✓
Stucco
Other: WOW 5l-~\) V
TOTAL =
•
To meet 65% Diversion Requirement (estimat e ) i5. X 0.65 = °' ,·1-s tons
Total Estimated Waste from above Minimum Required Diversion
Contractor/Owner Signature ~ ..t::::. ?----Date '-4 l-z1/2-l f--I I
Page 2 of 4 Rev. 11/12/18