HomeMy WebLinkAbout2599 CREST DR; ; CBR2021-1677; 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. C..£:>.K.ciOd\--::\.bJ"1 ___ Project Title .Dt::.\l~ -Ottti .u~~,u...ti {\Ql)
Project Address c).Sqc\_ C. ca..s.\ ~ _______ APN \?b \~Q(,QQ
Applicant Name V\()..,c.D Cc.SA~~\.,~------rm C□oc ·er □
Applicant Address
1
:.SC\J ~<CL~r '0-c-c.~\~~a.1 c.~ g~o~
Phone ~-~------E-mail Address "('f\O,.(CCC..~~\\\_c:, q:)@ ~w-a.,\, t.DYI\
Applicant Mailing Address
(if different than project address)
Project Type
{check all that apply):
Brief Description
Commercial □ Public Building □
Project Size 7 l\.7 S!l,uGu(L Vw.~stimated Cost of Project$ ~.J._,,~J~,5-0~0~D~D ______ _
(square footage) {
Please check the appropriate box: RECEIVED
~I plan on using WASTE MANAGEMENT roll-off bin(s) for all materials:and will;pmvide all receipts after construction.
I plan on self-hauling to a certified recycling facility and will prJ;/JeYa~ii"cel~affililtd])struction.
BUILDING DIVISION
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 hl..euco ~\-~\_ Signature _ _,,""'~-~-----· _____ Date
Page 1 of 3 Rev. 2.10.21
PART 2 Complete before final inspection, obtain WASTE MANAGEMENT signature, and return with receipts prior to final
building approval.
DEBRIS RECYCLING REPORT {ACTUAL):
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. C,P,R ;:).0.;}\-\toll
Address ,},_5..qq t.c-c<~<;.,\-De
Print Name
C.c:..A~\x.~ c.c..: CfW?~
SECTION B Use this Final Log below to track loads of materials as they leave the job site.
□□SAVE RECEIPTS □□
Indicate FINAL quantities in~ 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
Example:
01/05/2018
Material Type
Concrete (broken)
□TOTAL
A B C
Actual Amt
Reused or
Salvaged
Actual Amt Actual Amt
Recycled Disposed in
Landfill
5 tons
Destination Facility
(Name, Address, Phone)
Palomar Transfer Station, 5960 El
Camino Real
-/760) 603-0153
SECTION C
Diversion Rate Achieved ________,_-(b s-tJ
Toto/ of columns A+ 8 Toto/ of columns A+ 8 + C ~
~ 65%
~65%
Contractor/Owner Signature._,,,i]J!~--"21,.-"---«a:c.~ _____ Date
Attach the following document Return completed form and documentation to:
• Original recycling weight tickets, r ndfill weight tickets City of Carlsbad
• Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor)
• Any other relevant information to support Recycling Report 1635 Faraday Avenue
Carlsbad, CA 92008
Rev. 11/12/18
EDCO WASTE & RECYCLING SERVICES, INC
224 S. LAS POSAS RD
SAN MARCOS, CA 92078
(760) 744-2700
Customer: 0000 Ticket: 1305
Date: 04/01/22
CASH CUSTOMER
Commodity Units Rate
In: 15:13
Out: 15:25
45 C & D MIX 2.01 81.00 per TON
INVOICE
Truck: 0000
Container:
Route: 08145
Origin: 081 ALL COUNT
[Gross(In): 17,560. lbs Scl#l Tare 13,540. lbs Scl#l
Extended
Charge
162.81
Net: 4,020. lbs]
Construction & Demolition Diversion Certificate --Diversion Percentage 80%
PAID CASH
CHANGE GIVEN
180.00
-17.19
This certifies that the company listed above has utilized an EDCO facility to divert construction demolition materials in accordance
with LEED requirement. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility.
JENNIFER Driver
EDCO WASTE & RECYCLING SERVICES, INC
224 S. LAS POSAS RD
SAN MARCOS, CA 92078
(760) 744-2700
Customer: 0000 Ticket: 963
Date: 03/11/22
GILBERTO ESTRELLA
Commodity Rate
In: 10:36
Out: 10:47
81. 00 per TON
INVOICE
Truck: 0000
Container:
Route: 08145
Origin: 081 ALL COUNT
45 C & D MIX
[Gross(In): 15,840.
Units
1.15
lbs Man Wt Tare 13,540. lbs Scl#l Net: 2,300.
Extended
Charge
93 .15
lbs]
PAID CHECK# 1554 93.15
Construction & Demolition Diversion Certificate --Diversion Percentage 80%
This certifies that the company listed above has utilized an EDCO facility to divert construction demolition materials in accordance
with LEED requirement. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility.
CRUZ Driver
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WASTE MANAGEMENT
How To Contact Us
, Visit wm.com I
To setup your onlire_ profile, sign up for_ p,3perless I I
statements, manage yrur accoont, view hohday sch?dules,
pay ya.Jr invace or schedule a pickup I
I
L
Customer Service:
(BOO) 596-7444
Previous Balance +
0.00
INVOICE
Customer ID:
Customer Name:
Service Period:
Invoice Date:
Invoice Number:
Your Payment Is Due
Due Upon Receipt
If full payment of the invciced am:::x.int is mt received
within yoor cmtractual terms, yoo may t:e charg.>d a
rronthly late charge of 2.5%of the unpaid amoont, with a
minimum m:xrt:hlycharge of $5, or such late charge
allowed under appjicable law, regulatim or contract.
+ +
Current Invoice
Charges
l~ __ oo__ _J L_ 166.07
I -~-~-~---~--~-
Details for Service Location:
Castillo, Marco, 2597 Crest Dr, Carlsbad CA 92008-1503
Description
DeliVer"yDE:1-103-LID
Ticket Total
3 Yard lnsta Bin Demo Recycling Per ADC:1-ID3 LID
Ticket Total
Page 1 of 2
26-23261-33005
CASTILLO, MARCO
04/01/22-04/30/22
05/01/2022
1300029-0274-5
$166.07
Total Current Charges 166.07
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WASTE MANAGEMENT
How To Contact Us
Visit wm.com
To setup yrur ailine profile, sign up fcr p,3perless
statements, manage yoor acca.mt, view ldday schedules,
pay yoor invdce cr schedule a pckup
Customer Service:
(800) 596-7444
+
Details for Service Location:
Payments
0.00
INVOICE
Customer ID:
Customer Name:
Service Period:
Invoice Date·
Invoice Number:
Your Payment Is Due
Due Upon Receipt
If full peyment of the invdced anu .. mt is rot received
within yoor CO'ltractual terms, you may be charged a
maithly late charge of 2.5% of the unp,3id amoont, with a
minimum m:xit~y charge of $5, cr sud1 late charge
allowed under applica~e law, regulatiai cr cmtract.
_J ,_
+ +
_J '
i
Current Invoice
Charges
506.73
Page 1 of 2
24-92517-23009
CASTILLO, MARCO
06/01/21-06/30/21
07/01/2021
4624992-027 4-7
Your Total Due
$506.73
Total Account
Balance Due
506.73
Customer ID: 24-92517-23009
Castlllo, Marco, 2597 Crest Dr, Carlsbad CA 92008-1503
I Description
DELIVERY 40 YD OPEN TOP
DE:1-400
1
Ticket Total
i 40 YO ROllOFF
1 DISPOSAL PER TON
i Ticket Total
Total Current Charges
Date
06/18/21
06/29/21
Ticket
303958
310012
Quantity
1.00
1.00
4.28
Amount
61.4 7
0.00
61.47
238.88
206.38
445.26
506.73
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