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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