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Home My WebLink About1087 CHINQUAPIN AVE; ; CBR2022-1803; Recycle(city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services 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 $200K. If you have questions about the recycling requirement or completing this form, please contact Republic Services at (760) 332-6464 a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2700. Please note: Unle~uou a~~elf-~aulin&J{epublic ~ervic~or _E_e_eroved l'lauler~ must be used for .3_1i__fonstruction _ _E>rgkct~ 1Nith in ___1b_e_ City __Qf_ C:~_bad: PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued without a completed Construction Waste Management Plan. Applicant Information Permit No. C BfJ...:l.D;)..) -l So 3 _Project Title A.e,~"tle-f:S flt; U _ _ __ _ Project Address Jo'.3 7 __ CJ'1. ·, ''-!J.Y-~-~,'\ AvevtvL ------_APN '2(}___b:_j Z-0 .._j_ D -OQ_ - Applicant Name /~Ot'i,Uj-------Se__~ ----□ CD4or Er □ Last First ApplicantAddress \=,oy..... l_~~f----Co,...,.r(sk~_qzo13 _______________ _ Phone _Clti)) 5/L96~8 _____ E-mai1Address Se.-~~De.H¼-~~o_~/ .. CCJlli_ ____ _ Applicant MailingAddress _________________________ _ (if different than project address) Project Type Re~ial Co□rnmercial Pub□lic Building ln□al (check all that apply): ~ Brief Description _ D e..--\-a.. c_h~J A l)U __________________________ _ Project Size_ C,00 _t/l ________ Estimated Cost of Project$ _____________________ _ (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 using a City Approved Hauler and will provide all receipts after construction. This is a proposed LEED certified project and 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. ·_ J -_ Jf-1_ /,, Print Name~"? e_'{t, lfoevt !S-__ Signature_/_-J...e __ ~--~---· ____ Date r/~s-/zo~_'Z- Page 1 of 3 Rev. 05/22 PART 2 Complete before final inspection, obtain WASTE MANAGEMENT signature, and return with receipts prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): E=--••·l.,••-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 lnformation is true and correct to the best of my knowledge and belief. . .. Permit No. C l?z p.__ d-O;J. ;i._ _. l '%" 0 ~ Print Name c; e_+-f,__ t-+o~~ <\ Address [D8r Ct-ti V\a.u¥ ;r. t4 V CM 1../ e__ Date S'" /-2..../zt,c..... -S ..... . 1::a•■r11~,•~• 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. A B C Material Type Actual Amt Actual Amt Actual Amt Destination Facility Date Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill Examl!_/e: Palomar Transfer Station, 5960 El 01/05/2018 Concrete (broken) 5 tons CaminaReal -(760) 603~0153 2-. { z. zj z ? hll.'7 Pttlo,/l/l t,ir-l.fc'oS ~e..,.r 1-In I z. 1 .b f,,,_l.,)1111"<"" -~Ct~• s*,€...-1 tt { l. z_Jz, 2.J 1 / I!,/ z_z_ z. 1'1 t!>O Ii y 5 . 7 bO·-{,~j-03 • m6T~( '·,'ti'!:'!"'' 1ii1i!::;;,;;,,, .. -..,::1.l[t ·z_ 3. ·3 0 t ~ 65% Diversion Rate Achieved = % ~6s%E ro,mJ;t~ :o<alof wl"mn< A •8 •C DIVERSION t;-/z/2"2-7 -Contractor/Owner Signature . -· -✓-s;: Date Attach the following documentation to this Report: 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 Flood • Any other relevant information to support Recycling Report 1635 Faraday Avenue Carlsbad, CA 92008 Rev. 5/612022 I INSTALLATION CERTIFICATE (Page 12 of 12) CF-6R : Site Address i 1085 Chinquapin Ave Carlsbad, CA ! County Subdivision Description oflnsulation (Formerly IC-1 Form) l. RAISED FLOOR Material -------------Thickness (inches) _______ _ 2. SLAB FLOOR/PERIMETER Material ____________ _ Thickness (inches) ________ _ Perimeter Insulation Depth (inches) __ _ 3. EXTERIOR WALL Frame Type __________ _ A. Cavity Insulation Permit Number Lot Number Brand Name Thermal Resistance (R-Value) Brand Name Them1al Resistance (R-Value) Brand Name Johns Manville Material fibergla_s_s _b_at~t_s ___ _ Thickness (inches) -=5'-----=--'1/....::2,_ ___ _ Thermal Resistance (R-Value) R21 620 sq ft B . Exterior Foam Sheathing Material __________ _ Brand Name Thickness (inches) _______ _ Thermal Resistance (R-Value) 4. FOUNDATION WALL Material ____________ _ Brand Name Thickness (inches) ________ _ Thermal Resistance (R-Value) S. CEILING Batt or Blanket Type fiberglass batts Brand Name Johns Manville -C...--------,,,,.-~------=---T hick n es s (inches) 12" Thermal Resistance (R-Value) R38 900 sq ft Loose Fill Type ---~------Brand Contractor's min installed weight/ft2 __ lb Minimum thickness ___ inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) 6. Title 24 Air Infiltration caulking and foam included Declaration ✓ t1 l hereby certify that the above insul~tion ~as i~st~lled in_ the building at the above location in conf?nnance_ wi~h the current Energy EJficiency Standards for rcs1denual bmldmgs (Title 24, Part 6, Cahfomia Code of Regulations) as indicated on the Certificate of Compliance, where applicable. l!em#s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) ~; 2:;i~ 1/17/2023 General Contractor (Co. Name) OR Owner OR Window Distribu1or v ~/4 rbr-es J & L Insulation, nc Lie No 472996 Itcm#s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Residential Compliance Forms April 1005 MOODYS 3210 OCEANSOE BL VD · , BONSALL, CA. 92003 760-631-0342 SALE REF#: 00000012 Batch #: 121 09113/22 APPR CODE: 095452 ENCRYPTED BY ELAVDN Trace: 12 VISA ···········•2000 AMOUNT SURCHARGE TOTAL APPROVED CAPITAL ONE VISA AID: A0000000031010 TVR: 08 80 00 80 OD TSi: EB 00 THANK YOU CUSTOMER COPY 11:53:17 Chip "*/** $50.00 $2.00 $62.00 P.O. CASH CHECK NAME CITY OF ORIGIN JOB LOCATION PU 'TRAILER LOAD COUNT 1 2 #LOADS SIGNATURE MOODY'S EL CORAZON RECLAMATION POBOX969 BONSALL, CA 92003 (760) 433-3316 • FAX (760) 433-6691 JOB# DATE CHARGE COMMERCIAL RESIDENCE TIME rlATBED BOBTAIL 110-WHEEL I ENO DUMP IT & T MATERIAL 3 4 5 6 7 8 9 X PRICE OTHER CHARGES $ TOTAL 10 All bills due upon presentati~n unless otherwise arranged in advance. Open accounts subject to 1 1/2% monlh, charge after 30 days unpaid balance. TRUCK# MOODY'S is not responsible for damage to vehicle while being loaded or unloaded in yard. JOB COPY PALOMAR TkAN.SFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESIDENTIAL-Yr. 2 GROSS 10,460 TARE NET 9,180 1,280 Tracking Qty: 0.00 Qty 0.64 Unit Description TN MSW Scale In Tare Out ', 1 Ticket #: 2516058 Weighmaster: rivernol In: Out: Vehicle: Ref: BOL: INBOUND CASH February 22, 2023 February 22, 2023 A542 ll Rate Extension $87.54 $56.03 Tax $0.00 Origin: CARLSBAD 100%; Signature: Total Paid Change EDIT CARD-SCALE 12:35 pm 12:35 pm Total $56.03 $56.03 $56.03 $0.00 V PALOMANRANSFER ST A 5960 EL CAMINO REAL CARLSBAD, CA 92008 02122/2023 Card# Chip Card: AID: SEQ rt Batch #: INVOICE Approval Code: Entry Method: Mode: Tax Amount: CREDIT CARD VISA SALE 12:35:31 XXXXXXXXXXXX4 223 CAPITAL ONE VISA A0000000031010 70 Sil 70 05930G Chip Read Issuer $0,00 SAlE AMOUNT ~56,03 CUSTOMER COPY PALOMAR "'TRA1~.::>FER 596D EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESIDENTIAL-Yr. 2 GROSS 10,280 TARE NET 9,180 1, 100 Tracking Qty: 0.00 Qty 0.55 Unit Description TN MSW Scale In Tare Out ,,\ Ticket #: 2524159 Weighmaster: reyesma3 In: Out: Vehicle: Ref: B01: March 17, 2023 March 17, 2023 A54211 INBOUND CASH Rate $87.54 Extension $50.07 Tax $0.00 Origin: CARLSBAD 100% Signature: Total Paid Change .EDIT CARD-SCALE 8:13 am 8:13 am Total $50.07 $50.07 $50.07 $0.00 V FALOMAK I RANSFER STA 5960 EL CAMINO REAL CARLSBAD, CA 92008 03/17/2023 08: 14:20 Card# Chip Card: AID: SEQ;;: Batch If: INVOICE Aj)proval Code: En1ry Method·. Mode: Tax Amou,t: CREDIT CARD VISA SALc XXXXXXXXXXXX 4 223 CAPITAL ONE VISA A0000000031010 10 564 10 I 02627G Chip Read Issuer , $0.00 I SALE AMOUNT $50,07 CUSTOMER COPY Agri Service, Inc. El Corazon Corrrpost Facility Agri Service Inc Oce-Jnside, CA 9205Ei (760) .295-6255 I Authorization: 062136 Receipt: TpOl US DEBIT AID AO 00 00 00 98 08 40 Tipping x 1 Total Visa 9213 (Contactless) Visa Cardholder Apr 24, 2023 11:23AM $29.28 $29.28 $29.28 \ Agri Service, Inc 3720 Oceanic Way Suite, ")04 Oceanside CA, 92056 Customer: CASH Cash Customer Truck; 16 License: Location: 0 Remarks: Thanks 9213 v Weigh Master: Signature: MATERIAL G40 -Greenwaste Tipping at El Corazon No of Axles: Oceanside QTY 0.61 tn Gross: Tare: Net UNIT-$ . Delivery $ $29.28 $0.00 Ticket No: Date: Phone: Fax: Job No: Loads: Tons: 6,460 lb 5,240 lb 1,220 lb 0.61 tn Material$ Delivery$ Misc$ Tax$ Total$ Received$ CHECK#: Misc$ $0.00 379188 4/24/2023 11 :03 AM (760) 295-6255 (760) 295-6262 G40 Greenwaste40 26 14.93 1 1 Out 11:24 AM In 11:03AM $29.28 $0.00 $0.00 $0.00 $29.28 $29.28 4 Tax$ $0.00 Total$ $29.28 $29.28 \