HomeMy WebLinkAbout2012 SALIENTE WAY; ; CBR2021-2351; 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.~tl\ -J.. 3 S \ Project Title
ProjectAddressI01~_Saliente way -APN 208-180-27 -00
Applicant Name Paul Cruz -------------------
Other
[l]
last First
Applicant Address PO Box 728 Julian Ca 92036
Phone 1760 l 522-7487 E-mail Address paulgabecruz@gmail.com
Applicant Mailing Address
(if different than project address)
Project Type
(check all that apply):
Residential
0
Commercial □
Public Building □
Brief Description 150 SF addition -------------------------------------
Project Size_1_5_0_s_f ________ Estimated Cost of Project $_2_0_0_0_0 ____________ _
(square footage)
Please check the appropriate box:
l ✓l I 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.
Print Name Paul Cruz Signature pa,ul, Cv~ Date 7-12-21
Page 1 of 3 Rev. 2 10.21
DEBRIS 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. Print Name Paul Cruz ----------------------------------------1
Address 2012 Saliente Way Date 7-12-21 ----------------------------
Use this Final Log below to track loads of materials as they leave the job site.
®®SAVE RECEIPTS®®
Indicate FINAL quantities in tons 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.
Date Material Type
A B C
Actual Amt
Reused or
Salvaged
Actual Amt Actual Amt
Recycled Disposed in
Landfill
Destination Facility
(Name, Address, Phone)
Example:
01/01/2020 Concrete (broken) 5 tons
Palomar Transfer Station, 5960 El
Camino Real
-760 603-0153
GlO'l'Al
Diversion Rate Achieved --------~-----------= _____ % ~65%0
Total of columns A+ B Total of columns A+ B + C DIVERSION
Contractor/Owner Signature __ Date
Attach the following documentation to this Report: 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. 2110121
Conversion Table for Common Construction Waste
This document is Informational onlv. It is here to helo vou convert truckload nuantities to tons, if necessarv.
Column A Column B Column C
Category Material Volume Tons[Unit Tons
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 =
Concrete (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 a.as =
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