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Home My WebLink About1950 CAMINO VIDA ROBLE; 100; CBC2022-0268; Recycle(city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Developm_gnt$gr:t,1ices Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov APPLICABLE TO NEW CONSTRUCTION, ALL RESIDENTIAL ADDITIONS AND ALTERATIONS AND COMMERCIAL ADDITIONS AND ALTERATIONS OVER $200K. If you have questions about the recycling requirement or completing this form, please contact Republic Services at (760) 332-6464 a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2700. Please note: Unless you are self-hauling, Republic Services 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,,be,,rozz-Dru~ _Project Title Project Address APN Applicant Name ____________ _ ____ □ c~r lJrt □ ~Vlfc l 00 Last First Applicant Address \((Qf MW Phone tto\q) Yf/f1 "lttrlL E-mail Address lean@Wbilf (OOS±rlACti ln l nc. Cfil1 Applicant Mailing Address (if different than project address) Project Type (check all that apply): Residential Commercial □ [Kl Brief Description Of'Pl(c :to CP'Pi (C Tl Public Building □ Project Size \ '2 ( ,';J.d I Estimated Cost of Project$ ________________ _ (square footage) Please check the appropriate box: I plan on using REPUBLIC SERVICES roll-off bin(s] for all materials and will provide all receipts after construction. I plan on self-hau Ii ng to a certified recycling facility and will provide a II receipts after construction. This is a proposed LEED certified project and I plan on separating materials on site in conjunction with REPUBLIC SERVCES. 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. PrintNamel{QV\~ 80 Signature~.~.) Date /Dlt'5l'la2,2, Page 1 of 3 Rev. 05122 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: l!t ... u11l'•·· Permit No. Project Title ---------- Project Address APN ------------------ Applicant Name Phone ( ) ------ Last First ~ -.-,=-•.r11>1■~-Complete the following table with estimated waste tonnage to be generated by your project. This is your plan far construction waste management. Changes can be made on the final recycle report. Goal: the diversion rate shall be 65% by weights of debris. A B C Material Type Estimated Place a (0) check Place a (i.i) check next Place a (0) check next Waste Quantity next to items to be to items to be to items to be (tons) reused or salvaged recycled disposed at landfill Complete this line of the table only if only using WASTE MANAGEMENT roll-off bins. Mixed C&D Debris □ □ □ Asp ha It & Concrete □ □ □ ... Brick/ Masonry/ Tile □ □ □ Mixed Inert Debris \ _Q □ □ □ Cabinets, Doors, Fixtures, □ □ □ Windows (circle all that apply) ·--- Carpet D □ □ Carpet Padding/ Foam □ n n Cardboard □ □ □ ~-----····------- Ceiling Tile (acoustic) □ □ □ Drywall (used, new, scrap) D n □ ------·----. ---- Landscape Debris (brush, trees, □ □ □ stumps, etc.) No dirt. Unpainted Wood & Pallets □ □ □ Roofing Materials □ □ □ Scrap Metal □ □ □ ---~•L Stucco □ n •-••-----D Other: □ □ □ TOTAL -- .... ., , .......... \ 0 To meet 65% Diversion Requirement (estimate) -X 0.65 = -3~ tons Total Estimated Waste from above Minimum Required Diversion Contractor /Owner .Signature ~Jj . hlJ ~J ,re Date 4l1¥t»1..) 1.- Page 2 of 4 Rev. 05122 Republic Services, Inc. Tonnage ReportA Account: WHITE CONSTRUCTION Account Nu Total Service Count: 5 Total Weight: 8.41 Tons Container ID# 66110027860000101 66110027860000101 66110027860000101 66110027860000101 66110027860000101 Site Name WHITE CONSTRUCTION WHITE CONSTRUCTION WHITE CONSTRUCTION WHITE CONSTRUCTION WHITE CONSTRUCTION "Large containers (roll-off or compactors) only. ber: 6611002786 Site Address Site Number Container Name 1950 Camino Vida Roble Carlsbad, CA 92008 00001 WASTE CONTAINER 10 CU YD 1950 Camino Vida Roble Carlsbad, CA 92008 00001 WASTE CONTAINER 10 CU YD 1950 Camino Vida Roble Carlsbad, CA 92008 00001 WASTE CONTAINER 10 CU YD 1950 Camino Vida Roble Carlsbad, CA 92008 00001 WASTE CONTAINER 10 CU YD 1950 Camino Vida Roble Carlsbad, CA 92008 00001 WASTE CONTAINER 10 CU YD Haul Date 12/21/2022 01/20/2023 01/26/2023 02/03/2023 02/24/2023 Disposal Arrival Time 14:35 12:34 9:00 17:40 16:53 Container Size 10.00 10.00 10.00 10.00 10.00 Compactor Special Handling Waste Type struction/demolition De other struction/demolition De Other struction/demolition De other struction/demolition De Other struction/demolition De other Unit of Post Collection Account Type Schedule Tonnage Measure Site Ticket Number PO Number Temporary OnCall 1.13 Tons PT Tyler Temporary OnCall 2.50 Tons PT Construction Wh Temporary OnCall 118 Tons PT Tyler Temporary OnCall 1.22 Tons PT Tyler Landreth Temporary OnCall 2.38 Tons PT Tyler Landreth TOTAL TONS 8.41