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Home My WebLink About2808 ROOSEVELT ST; 101; CBC2021-0180; RecycleDEBRIS RECYCLING REPORT (ACTUAL): SECTION A 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. CBC2021-0180 Print Name Decor Retail S ace Address SECTION B _2_4_51_B_l_m..;..p_al_a_D_r_iv_e_, C_ar_ls_b_a_d_, C_A_. 9_2_0_1_0 ____________ ,Date 07/09/2021 Use this Final Log below to track loads of materials as they leave the Job site. @@SAVE RECEIPTS@@ Indicate FINAL quantities in 1Qfil 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 Actual Amt Actual Amt Destination Facility Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill Example; Palomar Transfer Station, 5960 El 01/01/2020 Concrete (broken) 5 tons Camino Real -760 603-0153 06/14/2021 Mixed C&D Debris 4.82 tons 3.47 tons 1.35 tons Escondido Resource Recovery, 1021 W. Mission Ave. Escondido CA 92025 06/16/2021 Mixed C&D Debris 2.88 tons 2.07 tons .81 tons Escondido Resource Recovery, 1021 W. Mission Ave. Escondido CA. 92025 06/17/2021 Metal .75 tons .75 tons -0-Lee's Metal Recycling, 13151 Lee Drive, Vista, CA. al>TOTAL 8.45 tons 6.29 tons 2.16 tons SECTION C Diversion Rate Achieved ___ 1_4_.7_4 ___ __J/ __ 1_6_.9 _______ = 87 % ~65%□ Total of columns A + B Total of columns A+ B + C DIVERSION Contractor /Owner Signature , Pro·ect Coordinator Date Attach the following documentation to this Return completed form and documentation to: • Original recycling weight tickets, landfill weight tickets • Original donation receipts with photos and/or itemized descriptions • Any other relevant information to support Recycling Report City of Carlsbad Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 Page 2 of 3 Rev. 2110/21 Conversion Table for Common Construction Wa ste This document is informational onlv. It is here to help vou convert truckload auantities to tons. if necessarv. Column A Column B Column C category Material Volume Tons/Unit TQm Mixed Debris Construction cy X 0.18 = Demolition cy X 1.19 = Asphalt/Concrete Asphalt (broken) cy X 0.70 = Concrete {broken) cy X 1.20 = Concret e (solid slab) cy X 1.30 = Brick/Masonry/Tile Brick (broken) cy X 0.70 = Brick {whole, palletized) cy X 1.51 = Masonry brick (broken) cy X 0.60 = Tile sq ft X 0.00175 = Building Materials (cabinets, doors, windows, etc.) cy X 0.15 = Cardboard (flat) cy X 0.05 = Carpet By square foot sq ft X 0.0005 = By cubic yard cy X 0.30 = Carpet Padding/Foam sq ft X 0.000125 = Ceiling Tiles Whole (palletized) cy X 0.0003 = Loose cy X 0.09 = Drywall (new or used) 1/2" (by square foot) sq ft X 0.0008 = 5/8" (by square foot) sq ft X 0.00105 = Demo/used (by cu. yd.) cy X 0.25 = Landscape Debris (brush, trees, etc.) cy X 0.15 = Asphalt Composition Shingles, asphalt Shingle cy X 0.22 = Unpainted Wood/Pallets By board foot bd ft X 0.001375 = By cubic yard cy X 0.15 = Trash/Garbage cy X 0.18 = Other (estimated weight) cy X estimate = cy X estimate = cy X estimate = cy X estimate = Total all = Page 3 of 3 Rev. 2.10.21 C cityof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 760-602-2 719 www.carlsbadca.gov Applicable to ALL NEW CONSRUCTION, ADDITIONS AND ALTERATIONS . 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. _____________ Project Title Home Decor & Gift Sales Center Project Address 2808 Roosevelt Drive Suite 101 203-182-04 Contractor Other Applicant Name Malley, Sean -Vice President □ 0 □--Last First Applicant Address 2524 Gateway Road, Carlsbad, CA. 92009 Phone ( 760 ) 931-1130 E-mail Address natalie@whiteconstructioninc.com Applicant Mailing Address _S_a_m_e ___________________________ _ (if different than project address) Project Type (check all that apply): Residential □ Brief Description Tenant Improvement Commercial 0 Public Building □ Project Size_1_,_1_7_4 _________ Estimated Cost of Project$ ________________ _ (square footage) Please check the appropriate box: I ✓ I I plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction. I ✓ I 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 Natalie Ortega, Project Coordinator Signature Project Coordjnator Date 07/09/2021 Page 1 of 3 Rev. 2.10.21 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: SECTION A Permit No. ____________ Project Title Dynamis Space Project Address 2808 Roosevelt Drive, Suite 101 APN 203-182-04 Applicant Name Ortega, Natalie -Project Coordinator Phone (760) 931-1130 Last First SECTION B Complete the following tabl~ 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 4.0 only using WASTE MANAGEMENT roll-of/ bins. Mixed C&D Debris As halt & Concrete Brick / Mason / Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows circle all that a I ) Car et Carpet Padding/ Foam Cardboard Ceilin Tile acoustic Drywall (used, new, scrap) Landscape Debris (brush, trees, stumps, etc.) No dirt. Un ainted Wood & Pallets Roofin Materials Sera Metal Stucco Other: TOTAL SECTION C Estimated Waste Quantity (tons) To meet 65% Diversion Requirement (estimate) Contractor/Owner Signature I .I. I ... '1. ., A Place a(✓) check next to items to be reused or salvaged B Place a(✓) check next to items to be recycled X C Place a ( ✓) check next to items to be disposed at landfill ________ .x 0.65 = ___________ tons Toto/ Estimated Waste from above Minimum Required Diversion , Project Coordinator Date 07/09/2021 Page 2 of 4 Rev. 711120 Escondido Resource Recovery 1021 W Mi ss i on Ave Escondido . CA 92025 (760) 745 -3203 Customer: 0000 Ti cket: 28615 Date: 06/14/21 Q DEMO Corrmodity Un its Rate INVOICE In: 10:52 Truck : 3191/3191 Out: 11:10 Container : Route: 08614 Origin: 086 Carlsbad 14 MIXED C & D 2.41 [Gross(In): 15 .460. lbs Sc l#S 98.00 per TON Tare 10.640 . l bs Scl#5 Extended Charge 236 .18 Net: 4.820. lbs] PA ID CREDIT CARD 236.18 Construction & Demolition Diversion Certificate --Diversion Percentage 72% This certifies that the company listed above has utilized an EDCO facility to di with LEED requirement . The diversion tonnage is based on an overall tonnage per ' RAFAELA Driver Escond ido Resource Recovery 1021 W Mission Ave Escondido. CA 92025 (760) 745-3203 Customer: 0000 Ticket: 29903 Date: 06/16/21 Q DEMO Commodity Units Rate INVOICE In : 10:34 Truck : 3191/3191 Out: 10:56 Conta i ner: Route: 08614 Origin: 086 Carlsbad 14 MIXED C & D 1.44 [GrossCin): 13.320. lbs Scl#5 98.00 per TON Tare 10.440. lbs Scl#5 Extended Charge 141 .12 Net: 2.880. lbs] PAID CRED IT CARD 141.12 Construction & Demolition Diversion Certificate --Diversion Percentage 72% This certifies that the company listed above has utilized an EDCO facility t o di with LEED requirement. The diversion tonnage is based on an overall tonnage per RAFAE LA Driver 1111111111111111111111 \IIIII IIIII Ill lllliil 1111111 C i# 1 P ,10 'REPLICA OF #1458291 Customer opy ,.. , @ Lee's Metal Rec v cl•,:1 _9 ~--4%Effl.¥!JDj~~aG~~~,:liw· L------ -,. --7 -•-1:PO RC257442 001 1315 UH, DI Vista c~. 92U8-> ,oO·, .::~ ~ Tit'<atit 145834 Gross fare Printed on Thursday 06/1712021 03:26:51PM Weight ltl : 03:15:30 PM Weight OUT : 03:25:13 PM Started hy Kelsey K Pnld by Kelsey K Net Price Amount LIGHT IRON 12060 10560 1500 S120.00 GT $80 36 G,oss ~'\'&ighnn ste1 l<else,, K Tare l/Ve1gh~1ast9r_ Kelsei,· K PRECISION DEMOLITION Total--> S80.36 Pay by A TM: $80. 00 SERVICES ID/Lic e >1aa ua•• ow11ership: I hereby S!i'lte t tia1 I am the lawful owner of the material described heron, that I have a right to sell same. that an State redemption material listed is in fact vatid State redem ption material and that fo.r payment received in full, hereby acl<nowfedged, I sell and conwiy title or same to LEE' s MET Al RECYCLING. X •i9na.t.ure Ho111s of Opi!ratio11 l;,1onda,• Thrn Frida i 8am-'1 JOpnc Satwdav 8am-1 prn \'J.:1Jt,eo tv Deputy W;,1Qhni.3ster l,f·JSS 1N~IOl1Ua•;t;H Kelsey K Tar,; Weli;inl.-laste,. K&ISE:) " •:,riH s \'1Gi1Jlilila5ter s,r,n . t"".1.n.g•rpr .int