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%