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Home My WebLink About2738 LOKER AVE W; A; CBC2020-0350; Permit (2)(city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $60K VALUATION AND COMMERCIAL ADDITIONS AND ALTERATIONS OVER $200K. You are required to list materials that will be reused, recycled or disposed from your project. If you have questions about the recycling requirement or completing this form, please contact Republic Services at (760) 332-6464, a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2719 Please note: Unless you are _§elf-hauH_ng,_Re_p_l!~lic Services or approved h~ulers must be used f2_r_ ;ii_! construction projects v.1i!hint_~~ City of Carlsbad. P/'.IRT :l Cornp!('tP and wbmit this form when ,1pplyin/; for a Building Pcrniit Note Permits will no,. bf• i'.,'>Ui.'rl ~---~· tithru1t . ..,:u:.i)lllflli·,terl...C.nn..-.i!J.u.1io.n.J!JLL:J-.t:J1'L:~lf..ellli-"-'·1.L!!L, .. ~ ~----------------~ Applicant Information Permit No._~~C20 22-0350 _ Project Title Project Address 2738 Locker Ave. West Applicant Name Jorgensen' Karen Last First Applicant Address ~049 Yerba Anita Way Ricardo Inc. APN 209-081-2900 Architect other □ Iv' I I. Designer Phone (61~ __ } 796:8973 E-mail Address kjorgensen255@gmail.com Applicant Mailing Address (if different than project address) Project Type (check all that apply): Residential □ Commercial 0 Public Building □ Brief Description Renovate __ ~_portio11 ~! an existing Ten~r,~ Improvement Project Size_~~,900 (3,500 of w_°.E~lEstimated Cost of Project$ I 94f~ .'f2_.'7~B'~----- (5quare footage) Please check the appropriate box: D I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. E2J' I plan on using a City Approved hauler and will provide all receipts at the final occupancy inspection. D This is a proposed LEED certified project. I plan on separating materials on site in conjunction with Republic. 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 Karen Jor~ensen ___ Signature ----------+------+ 10/26/2022 Page 1 of 4 Rev. 2.10.21 DEBRIS RECYCLING ESTIMATE: SECTION A Permit No. CBC2022-0350 __ _ ___ Project Title Ricardo Inc. Project Address _??~8 l_o~er A.v_e. West Applicant Name~()-~!;J~_ns_~l"l,~9~~~-------- Last First APN 209-081-2900 Phone 619 796-8973 SECTION B Complete the following table with estimated waste tonnage to be generated by your project. This is your plan for construction waste management. Changes can be made on the final recycle report. Goal: the diversion rate shall be 65% by weights of debris. Material Type Complete this line of the table only if only us,ng WASTE MANAGEMENT roll-off bins. Mixed C&D Debris Parking lot Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris -------------------- Cabinets, Doors, Fixtures, Windows (circle all that apply) Carpet ____________________ _ Carpet Padding/ Foam Cardboard Ceiling Tile (acousticf ------------------ Drywall (used, new, scrap) Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Concrete Roofing Materials ----------- Scrap Metal Stucco Other: TOTAL SECTION C Estimated Waste Quantity (tons) 1 1 1 To meet 65% Diversion Requirement (estimate) Contractor /Owner Signature __ f L A B C Place a(✓) check next to items to be reused or salvaged j Place a ( ✓) check next to items to be recycled X X -_l 3 X 0.65 = 1.95 Place a (✓) check next to items to be disposed at landfill X tons Total Estimated Waste from above Minimum Required Diversion _ Date 10/26/2022 Page 2 of 4 Rev. 7/1/20 t._ City(Jf Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN 8-59 Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $60K VAL U AT I O N AN D C OM M ER CI AL ADD IT IONS AN D ALT E RAT I ON S OVER $ 2 0 0 K . 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 Republic Services at (760) 332-6464, a certified C&D recycler, or the Carlsbad Building Division at (442} 339-2719 Please note: Unless you _ are self-hauling,_ Repu_blic _Servic_~_s or app_~oved haulers_must be used for_all construction proJects withinthe City_of Carlsbad. Applicant Information Permit No. CB~?_?~-~-035o ________ _ ____ Project Title Ricardo Inc. Pro·ect Address 2738 Locker Ave. West J ---------------------------------------------------------------------------------------APN 209-081-2900 Other Applicant Name Jorgens~-~•--~~ren □ct ~ I. Designer Last First Applicant Address ~049 __ ~erba_~nit~ __ Way --------------------------------- Phone (61_~_ ) !-~~-:89!_~ --. ___ E-mail Address kj~~~en~-~~25~~gm~~!-~com Applicant Mailing Address _ (if different than project address) Project Type (check all that apply): Residential □ Commercial ~ Public Building □ Brief Description Re~O".'_t:l~~--~-J)()rt!~~-of ~~~-)(iS!~~~-T~~~~!-I n:ie~()V_~me~t ------. -·------------ Project Size 1 ~:_~-~? ~3' 5_?~ ~! __ l;\'?r~!___ __ Estimated Cost of Project $ ______ I 4 4; __ H-2:, " <c) (square footage) Please check the appropriate box: D I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. ~ I plan on using a City Approved hauler and will provide alt receipts at the final occupancy inspection. D This is a proposed LEED certified project. I plan on separating materials on site in conjunction with Republic. 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. _~gnature I f /_~_Date 10/26/2022 Page 1 of 4 Rev. 2. 10.21 DEBRIS RECYCLING REPORT (ACTUAL): Acknowledgement I certify under penalty of perjury under the laws of the State of califomia 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. CBC2022-0350 Print Name Micke Tedder Address 2738 Loker Ave. West Date 10/26/2022 Use this Final Log below to track loads of materials as they leave the job site. OOSAVE RECEIPTSOO 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. A B C Date Example: 0"1/01/2020 12/14/22 12/15/22 1/13/23 1/19/23 1/19/23 Material Type Concrete {brolt.en) Cardboard Drywall & Metal Ceiling Tile Carpet Mixed Trash @TOTAL Actual Amt Reused or Salvaged Actual Amt Recycled 5tons 1.66 Tons ii 1.51 Tons I 1.58 Tons Actual Amt Disposed in Landfill :! 1.10Tons .94 Tons ;, Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Canino Real -760 603-0153 Paiooi.!'.' 7rdJIIS Slat ~ P c..,..no Real 17flll fil>-0153 Palomar Trans, SI.al 59W B Camono Real (160) 603-0153 Palomar Trans Slat 5960 El camrno Real (760) 603-0153 Pav-,a, T ,a:,s. Sl"1 5900 E! Caffloo Rea! (~~!53 PaucrOlf Y,a.. SW 5%-0 E, carn,,o Real (760) 603-0153 Diversion Rate Achieved __ 4_. 7_5_14_o_n_s __ J __ 6_.7_9_14_o_n_s ___ = 70 % DIVERSION Total of columm A + B Total of columns A+ B + C Contractor/owner Signature ~"[:/)__ Attach the following documentaA:o1'1lisReport: 1 /19123 Date Return completed form and documentation to: • Original recyding weight tickets, landfill weight tickets City of Carlsbad • Original donation receipts with photos and/or itemized descriptions Building Division (1st Floorj 1635 Faraday Avenue Carlsbad. CA 92008 • Any other rek-vant infonnation to support Reojding Report Page3of4 Rev 04/22 DATE: ADDRESS: October 28, 2022 2738 Locker Ave. West, Carlsbad, CA 92010 Raymrmd K. Pliuu, P.E.. Pri11eipul Maurice Yee. P.F.., Senior Associate la11 V Nguyen, P.E., Senior Associme We at RPM Engineers, Inc. have reviewed the corrections and respond to the mechanical/energy compliance comments as follows: MECHANICAL ITEM RESPONSE Tl Total conditioned area is 14,900 sf and the are of work is 3,500 sf. i O 2 Disc: o v e ry. Ir vi n e, CA , 9 2 6 I 8 • Tel: 9 4 9 -4 5 0 -I 2 2 9 Fax : 9 4 9 -4 5 0 -I 4 5 4