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Home My WebLink About2261 COSMOS CT; ; CBC2022-0280; Recycle-J _~ ----------------, ~City of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 . ~ f?evelopment Services Building Division 1635 Faraday Avenue 760-602-2719 www.carfsbadca.gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS 61,ND -ALTERATIONS OVER $6OK VALUATION AND COMMERCIAL ADDITIONS AND ALTERATIONS OVE~$ 00K. You are required to list materials that will be reused, · recycled or disposed from you·r project. If yo have questions about the recycling requirement or completing this form, please . contact Republic Services at (760) 3 464, a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2719 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 Applicant Information Permit No. (j?;C, t.O'Z2 -0 2130 ProjectTitle _'j__M c_ A_\_e:6G\_~L:r~y,_(~h1c~f- Project Address_z_z_(p_l __ Co_5..Ml)_LCL-=-_________ APN 2 \ 3 -050 -'/C>-o 0 .. Applicant Name Go_~~\./ M~hcceJ_· __ _ Lost f First Applicant Mailing Address (if differ(!ftt than project address) Project Type (check all that apply): Residential □ Contractor Architect ~ □ P\Jblic Building □ Project Size Z.. ~ Z3J- (squore footage) ____ Estimated Cost of Project $~-r=o_o_o ___ _ Please check the appropriate box: lndur.triat □ ; -□ [Z] I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts aher construction. I plan on using a City Approved hauler and will provide all receipts at the final occupancy inspection. □ 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 reviewe_d the accuracy of the information, and that the information is true and correct to the best of my knowledge and belief. Print Name Y\\c.\.\Gt~\ CoLr J.i ___ s;gnat,,.-::~L~ _____ Date _/o-)Z_"'.l_/7.L_ City of Carlsbad FEB 1 u 2023 REC OR lJ Page 1 of4 Rev. 2.10.21 BUILDING DIVISION PART 2 Complete before final inspection, obtain WASTE MANAGEMENT signature, and return with receipts prior to final building approval. DEBRIS RECYCLING REPO RT (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. <!.~Lzo-z.Z.. -0 l.. iO Print Name Address 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. 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 Recycled 5 tons Actual Amt Disposed in Landfill Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -(760 603-0153 Diversion Rate Achieved ---~L"Z___;_ ... _o_\-'--__,/ ___ l_"?._._o_\ ____ = LOO % ~ 65% ::;65%2' Total of columns A+ B Total of columns A + B + C DIVERSION Contractor/Owner Signature_...L.~L_.!..._.S-,c;e~~------Date Z / 1sh..1 Attach the following documentation to this R Return completed form and documentation to: • Original recycling weight tickets, landfill 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 RECORD co~ City of Carlsbad FEB l u 202J BUILDING DIVISION Rev. 5/612022 P~LP I N E Alpine Asphalt & Concrete Recycling & 1667 S. Mission Road, Suite 0 A S P H A LT Fallbrook CA 92028 C ONCRETE ' RE C y CLING (760) 451-6481 -Office I BILL TO MARZOLA CONSTRUCTION CO INC 17025 INDUSTRY PLACE LA MIRADA, CA Invoice DATE INVOICE# 11/14/2022 7511 ,,' ...... , I \ / Please note: our mailing address has \ : changed. Please update your I \ records. Thank you } ' , ' , , ...... _____________ . ___________ .,. ______ ,,, JOB No. P.O.NO. TERMS REP PROJECT 22-107 Due on receipt 0 2261 COSMO ST, CARLS ... l QUANTITY i- DESCRIPTION 11 LOAD(S) DUMPED AT OUR DURO ROAD DUMPSITE ON 11/14/22 (CLEAN FILL DIRT-SUPER TEN) l LOAD(S) DUMPED AT OUR DURO ROAD DUMPSITE ON 11/14/22. (CLEAN CONCRETE -SUPER TEN) I LOAD(S) DUMPED AT OUR DURO ROAD DUMPSITE ON 11/14/22. (CONCRETE WITH REBAR-SUPER TEN) I LOAD(S) DUMPED AT OUR DURO ROAD DUMPSITE ON I 1/14/22. (M]XED LOADS WITH DLRT-SUPER TEN) I LOAD(S) DUMPED AT OUR DURO ROAD DUMPSITE ON 11/14/22. (OVERSIZED CLEAN CONCRETE -SUPER TEN) I LOAD(S) DUMPED A TOUR DURO ROAD DUMPSlTE ON 11/14/22. (OVERSIZED MIXED LOADS WITH DIRT-SUPER TEN) 14 LOAD(S) DUMPED AT OUR DURO ROAD DUMPSITE ON 11 / 15/22 (CLEAN FILL DIRT -SUPER TEN) CUSTOMER ACKNOWLEDGES THAT TITLE FROM MATERIAL PASSES TO THEM ONCE LOADED AT THE SOURCE. A service charge of l 1/2% per month ( 18% per annum) will be charged on all past due accounts. Past due accounts are subject to additional charucs for all rca.<onahle collection efforts and / or attorney's fees. RECORD co~, RATE 150.00 225.00 475.00 325.00 475.00 575.00 150.00 Total City of Carlsbad FEB 1 C 2023 BUILDING DIVISION AMOUNT 1,650.00 225.00 475.00 325.00 475.00 575.00 2,100.00 $5,825.00 {lJ C r 0 z G) 0 < (/) 0 z ;::o m () 0 ::0 C () 0 ~ ,, rr, ClJ """" D r---.> = r---.> c...:, UAILY ::.1-'KtAU::,Htt I I!,,. Lpl NE □ WILLOWS ROAD FACILITY I I ~ 5690 Willows Rd. Alpine LOAD COUNTER:Qect I TOTAL LOADS pH ALT & CusroMER~Marzola I [aM[Jr0w O rn0 F0 s 16 ~N C R ET E [71 DURO ROAD FACILITY PROJECT LOCATION:~261 Cosmo Cl I ~ Y C L I N G ~ Dure Rd, Escondido CITY: l§ar1sbad I DATE'. [11/14/22 ::::~ruckf BrnbBo~[IJ[ld I i□ T~;oad, """" JC Rodriguez !Concrete wl Me!Mixed Load w/ Q!g_le<:1n Fill Dirt !l¢1ean Fill Dirt H U H j1 , n n 11 :o n n 11 :Super Ten g 10 11 12 13 14 1s 16 .,.. - Comments: □□□□□□□□□□□DI I DI ·· t II II II :u II n I -------~' II tt II tt u u I :~:"'""' 8tEl:=:E3t:Bi I 11 JD[ II i I ~ To~:•d, """" CD 1rucking l!Clean Com;rete11¢1ean Fill Dirt !R:lean Fill Dirt !!Clean Fill Dirt n H n )1 -. s t II IL II 71 11 n )1 . .. ,, c~~:.::~ DtJdtJdtJdtJdbdt II 'i I 'f , t II n n JI II II I , 1 H n II 71 II II 11 :~:ru," 81 ls:sGij l•••55i~i I jojo i i T~•~••'• """" Cabedian Ir.lean ConGl'ete l¢1ean Fill Dirt !!Clean Fill Dirt !!Clean Fill Dirt71 fl . ·· C ~ ~-ersized Load I Ii II _u II I -·· . . -~ ;:.::" □t-ctr!JdtJdtJdtJ 'f 'i . -~ I n n 71 11 I , · --~ ~ t n u 71 11 11 I ~ . 1 2 3 4 5 6 7 8 Total Loads Hours -~re1ght ~•~ame/TrucU 8f 110:2olLJ:3[E]I ID□□ I I 4 .. .. Ara al ~lxed Load wt !Clean Fill Dirt l[gean Fill Dirt flClean Fill Dirt I II II I S ••ersized Load f H II :::J I! 11 Super Ten g 10 11 12 13 14 15 16 . ,,. 1;;.~ ,, ~ ,.,. _, Comments: □□□□□□□□□□□DI I I II I II II II H I 11 •. ~ II If II I 11 I 11 • UAILY :il'Kt:AU:.Httl l!e. L'·~, NE □ WILLOWS ROAD FACILITY I . --I ~ 5690 Willows Rd. Alpine LoAoCouNTER:!Makalia I TOTAL LOADS pH ALT & CuSToMER:IMarzola I 0 M0 r D w 0 TH0 F0 s 14 J'l CRETE G] DURO ROAD FACILITY PROJECTLOCATION:@261 cosmo st I ~ Y C L I N G ~ Duro Rd, Escondido CITY: jcarlsbad I DATE:[11-15-22 'i (~ :::~ru,k• Brn□B□atIJDIJ1 i i Tou~to.d, "'"" JC Rodriguez !Clean Fil Dirt !!Clean Fill Dirt !!Clean Fill Dirt lt1ean Fill Dirt H H II ]1 11 II II II II II l • -, Super Ten 9 10 11 12 13 14 15 16 ~ - Comrnen~: □□□□□□□□□□□DI I I -' I H H H n n H I ... I H fl n n n H I . .~ 0 ;a 0 () 0 " < OJ C r 0 77 rn z CIJ G) -0 C> < ......, C) (/) ......, 0 <..,J z '<I :::::,.a, Elrnt:E•oi l1:4D~ I 1ITJ[J1 i I i r,u~oo~ "'"" CD trucking !Clean Fill Dirt IE::rean Fill Dirt !(clean Fill Dirt !K:lean Fill Dirt !I I! H I .. . •. 1 11 11 n u 11 11 1 ~ . ,,. i··;; _._.,~~--~ : ; Super Ten 9 10 11 12 13 14 1s 16 ·:. '.'. , •· -•. Comrnen~: □□□□□□□CT77□□1 I I II I I' H H I H II I ' ·' I II II I n II I Frei~ht 1 2 3 4 5 6 7 8 Total Loads Hours N,m~;~~•~n #0218 E~L 1~~:gl£•JL I II I IL+JD)I I I I 3 . . ,1 u u u u u 1 . . - ;1 Super Ten 9 10 11 12 13 14 15 16 -· ~ Comm'""' rn□q,□qpqpqp□/, I \ 1 _, , __ Ill I :JI n u II II II I ~ . 1 2 3 4 s 6 7 8 Total Loads Hours t/1 Freight ~r-----_____.g~□g[TJI I IITJDII I I 3 C Name/Truck ti ~L...L::J ~ Acasal !Clean Fil Dirt l!Clean Fill Dirt Hgtean Fill Dirt H H n II I -C ' 11 ,1 11 11 u u 1 .... . . ., Super Ten 9 10 11 12 13 14 15 16 • 1 ' Comments: □□□□□□□□□□□DI I I II 11 0 H H n n I ,, u o II o u 1 -. Ctty of Carlsbad FEB I G 2023 BUILDING DIVISION