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HomeMy WebLinkAbout1855 ARTEMISIA CT; ; CBC2019-0111; Recycle• • {gityof Car lbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 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 'l9._I!_ ~~ self-hauling, Waste Mana ergient r o approved haulers must ~ed for all construction er_ojects within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued .. •-~--withou!_!i ~ompleted Construction Waste Management Plan. Applicant Information Permit No. C ~ l d O fJ -· 0 I If Project Title Project Address ) fi' S-5 fJ /<T f f(I I S /-}1 Treviso -Phase 15 and Rec Center APN Applicant Name J-.,, n /IO(' tlv lhc:...5,· Last First Applicant Address /JL-ro _,J Pt"-0Y <;fe' ~ t-5 J J?L} liJ e., J 1-~ Phone 1949 1 466-9704 Applicant Mailing Address (if different than project address) Project Type (check rl!Pf apply): Brief Description Residential ~ pt,o! Project Size L/J§ <j; (square footage) Please check the appropriate box: E-mail Address Joseph Nastasi <Joseph.Nastasi@Lennar.com> _Estimated cost of Project$ DI plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction. lvl 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 _Signature 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 .. Address SECTION B Print Name Date 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. Additlonal 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 Exam~le: Palomar Transfer Station, 5960 £1 01/01/2020 Concrete {broken) 5 tons Camino Real -(760) 603-0153 05/21/2021 Clean Plaster/Stucco 10.00 10.00 0.00 RAMCO 05/21/2021 Clean Plaster/Stucco 10.00 10.00 0.00 RAMCO 05/28/2021 Trash 0.76 0.00 0.76 Palomar Transfer 06/15/2021 Trash 0.36 0.00 0.36 Palomar Transfer 34.34 29.00 5.34 SECTION C Diversion Rate Achieved 29.00 /34.34 =84% % 2:65%0 Total of ct5')mns A+ B Contractor/Owner Signature_ lj\;~ Total of columns A + B + C DIVERSION ~l-Date 'r) ~/~ -J---) 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 Floorr) 1635 Faraday Avenue Carlsbad, CA 92008 Page 2 of 3 Rev. 2110/21 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO , CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS 19,980 Scale In TARE 17,040 Tare Out NET 2,940 Tracking Qty: 0.00 Qty l. 47 Unit Description TN MSW 54 Ticket #: 2260282 Weighmaster: marticy I n: June 15, 2021 Out : June 15, 2021 Vehicle : A53870 Ref : BOL : INBOUND INVOICE Rate Extension $83.04 $122.07 Tax $0.00 Origin: CARLSBAD 100% 9:40 am 9 :40 am Total $122.07 -. --------------------------------------- PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760 )603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO, CA 92142-0040 Contract: COMM-GATE Yr . 200 GROSS 21 ,060 Scale I n TARE 18 ,000 Tare Out NET 3 ,060 Tracking Qty: 0.00 Qty 1. 53 Unit Description TN MSW ~4 Ticket #: 2252 609 Weighmaster: gomezda In : May 2 8 , 2 0 21 Out : May 28, 2021 Vehicle: a57616 Ref: BOL: INBOUN D INVOICE Rate Extension $79. 09 $121. 01 Tax $0.00 Origin: CARLSBAD 100% 9:31 am 9:31 am Total $121. 01 PLANT ADDRESS: 8354 Nelson Way · Escond i do CA 92026 DATE: 5/21/2021 TIME: 11: 23: SSAM CUSTO:MER: DISPOSAL RECEIPT 2605-CAPACITY CONSTRUCTION, INC. TRUCK NO. COMMODITY: 7 J 04695 10 Wheel Load PO: Carlsbad ~ CUST JOB: .-c, ffi COMMENTS: \ \ ~~ CONTACT INFO: 760-205-1797 Fax:7 60-7 49-1717 Clean Plaster/Stucco -Ten tons average per load Diversion PercentaqgN100% X il/l .::!.L \r -f-c I,-I. ,r-c, t--d.:,~ DRIVERS SIGNATURE PLANT ADDRESS: 8354 Nelson Way Escondido CA 92026 DATE: 5/21/2021 GROSS: TARE: NET: 0.00 0 .00 0 .00 Load Other Total CONTACT INFO: 760-205-1797 Fax:760-749-1717 CUSTOMER: DISPOSAL RECEIPT 2605-CAPACITY CONSTRUCTION, INC. TRUCK NO. COMMODITY: PO: CUST JOB: COMMENTS: 7J04695 1 0 Wheel Load Carlsbad . 5 ROOFING TILE X \\A.0-~ V\. Co i..-cl.dc::a.. DRIVERS SIGNATURE Clean Plaster/Stucco -Ten tons average per load Non-Spec Material Diversion Pefcentage 100% Load Other Total 125.00 0.00 125 .00 125.00 40.00 165.00 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO , CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS 19,840 Scale In TARE 17,040 Tare Out NET 2 ,800 Tracking Qty : 0 .00 Qty 1. 40 Unit Description TN MSW S4 Ticket #: 2249129 Weighmaster: marticy In: May 20 , 2021 Out: Ma y 20, 2021 Vehicle : A53870 Ref: B01: INBOUND INVOICE Rate Extension $79.09 $110.73 Tax $0 .00 Origin: CARLSBAD 100% 2:21 pm 2:21 pm Total $11 0 .73 PALOMAR TRANSFER 5960 EL CAMINO REAL 'CARLSBAD , CA 92008 (7 60)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO, CA 92142-0040 Contract : COMM-GATE Yr . 200 GROSS 21,060 Scale In TARE NET 18,060 Tare Out 3,000 Tracking Qty : 0.00 Qty l. 50 Unit Description TN MSW 54 Ticket #: 2246218 Weighmaster: marticy In: May 14, 2021 Out: May 14, 2021 Vehicle: a48995 Ref: BOL : INBOUND INVOICE Rate Extension $79 .09 $118 .64 Tax $0.00 Origin : CARLSBAD 100% 9 :55 am 9:55 am Total $118.64 Escondido Resource Recovery 1021 W Mission Ave Escondi do, CA 92025 (760) 745 -3203 Customer : 0104 Ticket : 5214 CAPACITY CONSTRUCTION P.O. BOX 420040 SAN DI EGO , CA. 92142 Date: 05/04/21 Co111T1odity Un its Rate INVOICE In: 11 :29 Truck : 10698 Out: 12 :01 Container : Route : 01611 Origin : 016 Escondido 11 SELFHAUL REFUSE 1.85 88 .00 per TON [Gross(In): 22 ,020 . lbs Man Wt Tare 18,320. lbs Scl#S Extended Charge 162 .80 Net: 3,700 . lbs] TOTAL DUE 162.80 RAFAELA Driver / I PALOMAR TRANS FER 5960 EL CAMINO REAL CARLS BAD, CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO , CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS 23,940 TARE 18,060 NET Tracking Qty: 5,880 0 .00 Qty 2.94 Unit Description TN MSW Scale In Tare Out 5'1 Ticket #: 2236871 Weighmaster: marticy In: April 23, 2021 Out : April 23, 2021 Vehicle: a48995 Ref: B01: INBOUND INVOICE Rate Extension $79.09 $232 .52 Tax $0 .00 Origin: CARLSBAD 100% 9:05 am 9 :05 am Total $232.52 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760) 603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO, CA 92142-0040 Contract : COMM-GATE Yr. 200 GROSS 21 , 180 Scale In TARE 18,060 Tare Out NET 3,120 Tracking Qty: 0 .00 54 Ticket #: 2233719 Weighmaster: marticy In : Apr i 1 16, 2 0 21 Out: April 16, 2021 Vehicle: a48995 Ref: BOL : INBOUND INVOICE Rate Extension $79.09 $123.38 Tax $0 .00 Qty 1. 56 Origin : Unit Description TN MSW CARLSBAD 100% 10:08 am 10:08 am Total $123.38 Construction & Demoijtion Diyersion Certificate 3 5 4 7 6 Received at: INLAND PACIFIC RESOURCE R~Y, L\ Date: <~CJ \"7 \ Proceed at: 12650 Slaughterhouse Canyon Rd, takeslde, CA 92040 Customer: ~(_~\,_.~\....J,.-1.~:..__;...:,...._:a,.___;:,,.====---,-:..;....:::.....,....,,.;,,,-. Project: Percentage: 100% Signature: \ · ' \ . (l This certifies that the company list~ above has utilized o Jertlfied lac Illy lo divert construction demollllon materials In accordance with LEED requirements. The diversion yardage Is based on on overall yardage percentage of the respective green wqsle facility. \.[.3__=2 tons Clean Wood/ Six tons average per load Diversion Percentage ~ 00% PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO , CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS 22,740 Sca l e In TARE 18,060 Tare Out NET 4 ,680 Tracking Qty: 0.00 Qty 2 .34 Uni t Description TN MSW 5 4 Ticket #: 2221025 Weighmaster : marticy In: March 19, 2021 Out : March 19, 2021 Vehicle: A53962 Ref: 801 : INBOUND INVOICE Rate Extens ion $79.09 $185.07 Tax $0 .00 Origin: CARLSBAD 100% 10:12 am 10 :12 am Total $185.07 Construction & Demolition DiYersion Certi\icate ,0 5 4 4 ~ Received at: INLAND PACIFIC RESOURCE RECOVERY, LLC Date: ~ \ 'C::, ( \ \ )/\__] Proceed at: 12650 Slaughterhouse Can on Rd, Lakeside CA 92040 Customer: \--'-\_\r-1,'0,"--'{.._. ---;F----,-,-,----'-:',:---+-:=-.....,..,,...,= Signature: 100% This certifies that the company listed bove has utmzed a Certllle facjOty to divert nstruction demolition materials In accordance with LEED requirements. The diversion yord~ge Is based on an av~all yardage percJntoge of the respective green waste facility. '1/ ?1 =4tons Clean Wood/ Six tons average per load Diversion Percentage 100% l Construction & Demolition Diversion Certiqcate ~ 0 5 4 3 5 Received at: INLA~D PACIFIC RESOURCE E OVERY LC Date:~ \ t')\....,\ \ 7_ ,, \ / \ ~ 100% Clean Wood/ Six tons average per load Diversion Percentage 100%