HomeMy WebLinkAbout1950 BASSWOOD AVE; ; CBR2022-2219; Recycle,,:.\\'·-[ , ____ ·,. _-·, -'
Development Services
Building Division
1635 Faraday Avenue
442-339-2719
www.carlsbadca.gov
App I i cab I e to ALL N E,WY:c·e•N·s RUCTION, AD_DITI O NS AND AL TE RATIONS . 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 (442) 339-9400, a
certified C&D recycler, or the Carlsbad Building Division at (442) 339-2700. Please note: Unless you are self~
hauli,rl&__ 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.9,i.:u,22--'2"1-l~ ___ ProjectTitle Taylor Residence -------
Project Address 1950 Basswood -----APN 205-080-58-00
Applicant Name Aramburo, Hector ----□ Coto, 1';r □
.,.,~,.,.,~,:~•545 Gregory s,;;,:" San~Diego, CA 92ffi2~~ ;:
Phone 1§_19 _J 517-8881 _____ E-mai1Address _t,_@ohmsarchitects.com --------
Applicant Mailing Address _______________________________ L) __ _
fif different than project address)
Project Type
{check all that apply):
Residential ~ Commercial □ Public Building □
Brief Description The scope of work includes the remodel and addition to the existing single-family residence.
Project Size _____________ Estimated Cost of Project$ 200K ___ _ ______ _
(square footage)
Please check the appropriate box:
Iv'! I plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction.
0 I plan on self-hauling to a certified recycling facility and will provide all receipts after construction.
D 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 Hector Aramburo Signature_ ---~---:__,_,._/~--~--Date 06/19(2022
Page 1 of 4 Rev. 04122
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:
SECTION A Permit No. Project Title
Project Address _________________________ ~APN
Applicant Name _____________________ Phone
Last First
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 using 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 (acoustic)
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)
To meet 65% Diversion Requirement (estimate)
Contractor /Owner Signature ____ _
A B C
Place a(✓) check Place a(✓) check next Place a(✓) check next
next to items to be
reused or salvaged
to items to be
recycled
to items to be
disposed at landfill
_________ x 0.65 = ____________ tons
Total Estimated Waste from above Minimum Required Diversion
Date
Page 2 of 4 Rev. 04122
THIS FORM NEEDS TO BE COMPLETED AND HANDED TO THE INSPECTOR WITH RECEIPTS
AT THE FINAL INSPECTION. FINAL WILL NOT BE APPROVED UNLESS THIS FORM WITH
RECEIPTS IS ACCEPPTED BY THE CITY.
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. ,..
C f'? (7 \ fh I -") ~lµ,j1-~·~--
Permlt No. t .) \L OU~ _..,,. Print Name
Address ~J '1 S-D (14 ~ ~ \,.J"" ,..,t .Jl " (
Use this Flnal Log below to track loads of materials as they leave the Job site.
@®SAVE RECEIPTS®@
Indicate FINAL quantities int~_!!~ 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 Material Type
Example:
01/01/20 _ j_ _ Concrete /broken)
2 ./, ~-cb_~c.(~f('
2 /J..s/2 J_ ..t111~ <c_-10P
A 8 C
Actual Amt Actual Amt Actual Amt
Reused or Recycled Disposed In
Salvaged Landfill
Destination Faclllty
(Name, Address, Phone)
Palomar Transfer Station, 5960 El
Camino Real
-/760) 603-0153 __
J lb J. .M l__;i.-< 1 -=-c-'--+-"'o~f--~ s/o"'j L~rA!:.a ... ,A
r .... lt,--:r 1c "~rr:'<. r
~/o.._: 1"'r,-th'(
P~I•-· r-'f'r ... ~'Sh( ~~-1--·-, ) ";-· ---------
s' J l u ; $f-v.~c..~c.--=-o_----,f---~
/ L.'f__ ~-4 Dr 1v,.I/
1/ ?,,.__ L ~-A--c"' ~ _
t~~~1:f~ ~/~A i1~-
IIDTCrrAL
I
1~~ S-
I,-;~-
• -;i5-
d-l-1r ,l"li < ,.,__. r '(.,t:, ... ,<,&>l)
. -Fs,b-<'A,,lo n~~i.(, iL<v,
I ------+· . /,) . ., )
i P~I.J>.J-. <r re <~rfi I
FINAL INSPECTION WILL NOT BE APPROVED UNLESS THIS SECTION IS COMPLETED.
Diversion Rate Achieved
Total of columns A
Contractor/Owner Signature ~
Attach the following documentation to this Report:
Original recycling weight tickets, landfill weight tickets
'1 do.~ ,
ate/ of columns A + B + C DIVERSION
_____ Date ~/z_LfJuJ
Original donation receipts with photos and/or itemized descriptions
• Any other relevant information to support Recycling Report
Page 3 of 4
~65%8
Rov. 2110/21
PART 1 CnmpletP, obt;iin 1,1grutur1•, ,rnrl ,11hmit thi<.. fn,m whPn ,1p11lymg for ,'l Budrline PPrmit Notp· PPrm1t~ will
not be is~ued without a completed Construction Waste Management Plan.
DEBRIS RECYCLING ESTIMATE:
PermltNo. -----·-·----·-ProJectTltle f._1/,c.~!~"-Ad, ,'ry,..,
IS I qS"D e...._(,Sv--1bt-) 4ve. .. -__ APN Jo(0£'6 >t t)J
me~T_c.._1.,..1 ~'· ..... < -~~~£,_?.._-_,,\~t2~"-t~, ~K:~<-~h~· (~_Phone 76 () 7 / J. -5 I:, Y: U
La.st Fir.st
Complete the followlna table with estimated waste tonnage to be aenerated 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 wel hts of debris.
A B C
Material TVP• Estimated
Waste Quantity
(tons)
Place a(✓) check
next to items to be
reused or salvaged
Place a(✓) check next Place a(✓) check next
to items to be to items to be
recycled disposed at landfill
Complete this line of the table only If 1 only using WASTC MANAGCM£N1 ,
rofl•off bins. S"'
l-'-'M""lx:,ed::..,C,:&,:Dc,D:c,O,:b,,ris::_. ___ -4 ___ • _______________ +-___ ¥c_ __________ _
Parking lot Asphalt & Co~crete
. Brick/ Masonry/ Tile
--! k,_ ___ . -··-··--··-·-·-··
Mixed Inert Debris
Cabinets, Doors, Fixtures,
Windows (circle all that apply) ...
-~a.rpe~_
Carpet Pc1dding / Foam
~ d. -s-
o
Cl
CJ
c-,
Cardboard , d. 5-
1-C_ei'--lin~g~T_il_e·""~: ... c_:._·•c.t;cc,~----···~~~~~~~~~~~O~)>------· ~-----·
Drywall (used, new, scrap) --·-___ • ..$ ________ _
Landscape Debris (brush, trees, ~
stumps, etc.) No dirt. • ...J
Unpainted -~ood & Pallets -5
<-__ c~.n~~~t_e Roofing Materials ..:>
Sera Meta.I ______ _
Stucco
Other:
TOTAL
SFCTION C
• co(~
I, S-
---r
To meet 65% Diversion Requirement (estimate) X 0.65 =
Total Estimated Waste /ram above
Contractor/Owner Signature __ --S ..,c:?" Date
Page2of4
.:y
___ tons
Minimum ReQuired Diversion
Rov. 711120
PALOMAR TRANSffR STA
5960 El CAMINO REAL
CARLSBAD, CA 92008
: 16 2023 11:13:50
CREDIT CARD
Id:;
p Ca'd
)
~;
xo,,I Code·
ry 1-'tthod:
le
JAMOUNT
D!SCVR SALE
XXXXXXXXXXXX4561
Di!coY!I Credit
A0000001523010
➔l
5]5
jJ
01697R
Chl)Reacl m
$229.35
CUSTOMER COPY
Signature:
Yr. 2
. 4, 3 60
9, 620
·iptior.
Ticket #: 2513804
Weighmas:er: aceveos
Scale !n
Tare Out
100%
Vehic:e:
Ref:
BCI..:
INBOUNl.1
CASH
February 16, 2023
February 16, 2023
a60225
Rdle Extension Tax
$87.54 S229.35 SO.OD
Total
Paid
Change
.EDIT CARD~ SCALE
11: 13 am
11: 13 am
Total
$229.35
S?79."JS
$229.35
$U.UU
V
/
c.'-.LOMAR TRANSFER
,;oo EL CAMINO R:::.:,::.
:~RLSBAD, CA 92C::
-ml 603-0153
: : : 999 -CASH ,;:;: :"::: ::t: CUSTOMER
.:-.::RESS
::==lsbad, C'A 9::~:
==~~ract: RES: -
GROSS
TARE
NET
:~acking Qt:;:
,;;..-:::: Yr. 2
:1,280
9,620
1,660
0.00
PALOMAR TRANSffR ST A
5960 El CAMINO REAL
CARLSBAD, CA 92008
02.23 2023
Ca-d •
o,~ Ci'd:
AID·
SfQ •·
8ill!1#:
IINOICE
Apiro,aiCo<fe:
Erry ~:
Mode:
~Alf AMOUNT
CREDIT CAAO
OISCW SALE
IIQ:33:IM
~4561
/ •• £.~!::.Credit A0OOOOO!S23010
10
542
10
02364R
~
Issuer
CUSTOMER COPY
Signature:
iption
Scale =~-
Ta re cu;:
·,;eighmaste:: :r.acara.:.
In: ,e;bruary 23, 2023
Out: ~ebruary 23, 2023
·:ehicle: a.60225
R~f:
BOL:
INBC::::;:
CASH
Rate Extens i or.
$87. 54 $72. 66 $0.00
Total
Paid
Change
EDIT CARD-SCALE
9:32 am
9:32 am
Total
$72.66
$72.66
$72. 66
$0.00
disc
E.~;U:,11(6 ii:s&.Lct I,
liiU Iii ~S1Hl£Tm, AUE (SCON)JOJ, CA. 9282ft·U ,Z
7"::E ?4&-3fl3 ry
xmxxxxxxxx41'1
Dl&:O\'ER
Force 111 l C .at: (o~ k •'Cl..
Total: $
M!23
11'11 I: illllllN8
lc>Prvd: Onlini
Discover Crtd!t
AID: 1&1123!10
TVR: 80 80 !Ul ii
151: EBII!
EntrY Mood: ChiP ket: 25346
105 _00 •ate: 03/02/23
In: 12:50
Out: 13:01
;3:01: l6
~ (ode, ll.mlR
In its
.~8
,cl#S
1.00
Rate
98.00 per TON
Tare 9. 960. lbs Scl#5
30.00 per lon
Truck:
Container:
Route:
Origin:
0000
08611
086 Carlsbad
Net: 960.
Extended
Charge
7o.OO
lbsl
30.00
rr~w Vlll• PAID CREDIT CARD~ 711
Driver ~ ?~ • S' 7J,.
F scondi do Resource Recovery
1021 W Mission Ave
Escondido. CA 92025
(760) 745-3203 INVOICF
Customer: 0000 Ticket: 82091
Date: 01/03/23 In: 11:17 Truck: 0000
Out: 11:27 Container:
r-RANK M Route: 03011
Corrrnodity Rate 11 S~L~HAUL REFUSE
IGross(In): 14.560.
Units
2.25
lbs Scl#5 98.00 per TON
Tare 10.060. lbs Scl#S Net: 4. 500.
Extended
Charge
220.50
lbs l
Escondido Resource Recovery
1021 W Mission Ave
Escondido. CA 92025
(760) 745-3203
Customer: 0000 Ticket: 82185
Date: 01/03/23 In: 13:29
Out: 13·3~
FllANK M
Co111nodity
ll SELrHAUL REFUSE
[Gross(Inl: 10.980.
Units
.47
lbs Scl#S
Rate
98.00 per TON
Tare 10.040. lbs Scl#5
PAID CREDIT CARD
river
IN
220.50
fSCCWllliO ltESlUC£ R 1844 W llllltl16TIII fWl lSClllf)JOl, ca. 92121>•Un f i;a.1 ... ,m I
Force l
xnx»Uh.dk61
1 ruck: 0000 DISCIMR Entrv l!lr.id: tilP
62.1,10
!3:l5:~
lffl, (odr: IQJ
Container: Route: 08411
Net: 940. l t
Totali l
81183123
Inv U: Mii54
l!Plirvd: Onl!nt
Dinier Cridlt AID: ilM1523!11
111: II fl0 l1HUIJ
!SI: E8 I
PAID CREDIT CARD Unto--=r CoPY
river
I
ii
'I
'
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760) 603-0153
000999 -CASH AND CHECK CUSTOMER
ADDRESS
carlsbad, CA 92008
Contract: REST -GATE Yr. 2
GROSS
TARE
NET
Tracking Qty:
12,560
9,620
2,940
0.00
Qty
1. 47
Unit Description
TN MSW
ticale In
Tare out
•:4 Ticket #: 2478660
Weighmaster; reyesma3
In:
Out:
Veh lcle:
Ref:
BOL:
INBOUND
CASH
November 10, 2022
November 10, 2022
a60225
Rate ~xtension
$87.54 $128.68
Tax
$0.00
100%
-,
L
Total
Paid
Change
CHECK-SCALE
11: 47 am
11: 4'1 am
Total
$128.68
$,28.68
$128. 68
$0.00
648C
Escondid
1021 W ~
Escondic
~ --ES:rtl JIOO l&ctule[ ~ U)U ~ 1-ASHIJl,1 (Jl AVE
lSCllUJDl, CA, 9292fdf72 7 i@-7◄5-32113
(760) 74 / Force
Customer ~ DIOO En!N ffetr«: Proxiai~Y
FRANK M Total: $ 98. 9:e
Commodi
11 SELF
[Gr·oss (
Escondi,
1021 W I
Escondi
(760) 7
02,il23 14:56:ll
Inv I: ililllii2 rm, (odt: a
/llllr,d: Onli!!!
OixMr
AID: Alllliliil523lli
M: Iii Ill Iii Ill 00
ISi: ~ Ill
ts :cw r 11 n lo!t:5:0ll!Ct ~
. 11)-H M l,.flSHJNCii~ AVI:
£SC(lt)Jb,J, Dt 92ffi~ lE rl
7 it> i' 45 3293
Force
m • .,.. u,,fioj
Custome 0100 Entrv Mhod: il1,P
:l14. 6,6
j;liJ:11
ri>Pr (ode: lllSliR
Total: $
FRANK ~ iliiMS
Commod
11 SEL!
[Gross
lnvl: ~
lilPrvrl; Onlini
Di1.owr Cmit
AID: IM1523lli
T\f: 111111 Ill Ill ii
JS!: EB Ill
r:~, -j -
B In: 14:21
3/23 Out: 14:55
Rate
98.00 per TON
, re 10 . 020 . 1 bs Sc l #5
INVOICE
Truck: 0000
Container:
Route: 08611
Extended
Charge
98.98
Net: 2. 020. lbs J
PAID CREDIT CARD 98.98
river
ltJS-o f
JJ1r,.s WtJI d
INVOICE
;75
)9/23
Rate
In: 14:43
Out: 15:00
98. 00 per TON
are 10.040. lbs Scl#5
Truck: 0000
Container:
Route: 03011
Extended
Charge
114. 66
Nel: 2.340. lbs]
PAID CREDIT CARD 114.66
river
PALOMAR TRANSFER
S%0 EL CAMINO REAL
~APT.~PAD, CA 0200Q
17601 iiO'l-01 'i'l
000949 -CASH AND CHECK CUSTOMER
ADDRESS c~rlshad, CA 9~008
Contract: RESI -GATE Yr. 2
GROSS 12,040
TARE
NET
Tracking Qty:
9,620
2,420
O.OC
Qty
1 . 7 ·1
Unit Description
TN MSW
Scale In
Tare Out
T.i.ckel #-: 248101S
WeiqhmastPr: qomezda
Out-:
Ret:
BOL:
INBOUND
CASh
November 16, 2022
November 16, 2022
R3.te r~xtension Tax
lOOI
,
S i9:-1at.ure:
Total
Paid
Change
CHECK-SCALE
11 : ':'. 7 c:1.m
Tot.J.l
no~.92
$105.92
6503