HomeMy WebLinkAbout2461 IMPALA DR; ; CBC2022-0368; Recycle(city of
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59
Deye_/opmeflt Sgrvic_es
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $6OK
VALUATION AND COMMERCIAL ADDITIONS AND AL TE RATIONS 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 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. CBC2022-0368 Project Title
Project Address 2461 lmapla Dr., Carlsbad, Ca 9201 0
Rexford 2461 Impala
APN
Applicant Name Norman, Leah PC Contractor
0
Last First
Applicant Address 1808 Aston Ave Suite 1 00, Carlsbad, CA 92008
209-041-14-00
Phone I 619 1 889-6052 E-mail Address leah@whiteconstructioninc.com
Applicant Mailing Address
(if different than project address)
Project Type
(check all that apply):
Residential □ Commercial
0
Public Building □
Brief Description T_en_a_n_t_lm_p_r_o_ve_m_en_t _____________________________ _
Project Size_±_?_,_2_9_4 ________ Estimated Cost of Project $_2_0_6_,_1_4_2 ____________ _
(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.
j ✓ I 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 Leah Norman Date 2/2/2023
Page 1 of 4 Rev. 2.10.21
PART l Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will
not be issued without a completed Construction Waste Management Plan.
DEBRIS RECYCLING ESTIMATE:
SECTION A Permit No. _c_s_c_20_2_2-_0_3s_s ______ ProjectTitle Rexford 2461 Impala
Project Address_2_4_61_lm~p_a_la ______________________ .APN
Applicant Name Norman, Leah PC Phone 619-889-6052
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 fine of the table only if
only using WASTE MANAGEMENT
roll-off bins.
Mixed C&D Debris
Parking lot As halt & Concrete
Brick/ Mason / Tile
Mixed Inert Debris
Cabinets, Doors, Fixtures,
Windows circle a II that a I )
Car et
Carpet Paddin / Foam
Cardboard
Ceilin Tile acoustic)
D all (used, new, scrap)
Landscape Debris (brush, trees,
stumps, etc.) No dirt.
Un ainted Wood & Pallets
Concrete Roofin Materials
Sera Metal
Stucco
Other:
TOTAL
SECTION C
10
Estimated
Waste Quantity
(tons)
.05
.02
.75
.150
.25
11.25
To meet 65% Diversion Requirement (estimate)
A B C
Place a ( ✓) check
next to items to be
reused or salvaged
Place a ( ✓) check next
to items to be
recycled
X
X
Place a ( ✓) check next
to items to be
disposed at landfill
X
X
X
_1_1_.2_5 ______ x 0.65 -_7_.3_1 _________ tons
Minimum Required Diversion Total Estimated Waste from above
Contractor/Owner Signature.cl,4,__,=,1,('--M_...fM"""-b.,.,.&:~--------Date 02/7/2023
Page 2 of 4 Rev. 7/1/20
DEBRIS RECYCLING REPORT (ACTUAL):
SECTION A 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.
SECTION B 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
Date Material Type Actual Amt
Reused or
Salvaged
Example;
01/01/2020 Concrete (broken)
2/27/23 Metals
·-· ·-•-,------
3/3/23 C&D certified
----------
3/5/23 C&D certified
--------~--~ ---~----
3/5/23 C&D certified
----·-----_______ ., ________
3n123 Metals
---·--·
3n123 Mixed
-~--·--·-----.. -··--·-----------·-·-··-··-
@TOTAL
SECTION C
Diversion Rate Achieved 9.05
Contractor/Owner Signatu
Attach the following documenta •
• Original recycling weight tickets, landfill weight tickets
Actual Amt Actual Amt Destination Facility
(Name, Address, Phone) Recycled
5 tons
.3
2.2
3.05
1.8
1.7
------··
9.05
Disposed in
Landfill
----+--
Palomar Transfer Station, 5960 El
Camino Real
-(760) 603-0153 ------
Lee's Metal Recycling
Edco Station -+----Edco Station
----3.9
3.9
Edco Station
Allied Recycling
Escondido Resource
____ =_69 --%
DIVERSION
___ Date 1/Js/z3
Return completed form and documentation to:
City of carlsbad
Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor)
1635 Faraday Avenue
Carlsbad, CA 92008
• Any other relevant information to support Recycling Report
Page 3 of4 Rev. 04122
E 11111\HIIHIIIIIIII
Tran No f;71 fi:'\4 3nl2023 12:23:55 P
ALLIED RECYCLING
1425 N MAGNOLIA AVE
EL CAJON.CA 92020
Phone 619-390-6637
RC-296210 001
OPEN 6 DAYS A WEEK
Seller ID
DriverLlc
PAID BY C Veh Plate
Material
Gross Tare Net
606 SHORT IRON
13,8800 12,180.0 1,700.0
Total Payment
$/Lb Shk¾ Amount
00
$1008/GT $7650 .
$76.50
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t·1[ECI TU Bl: SOFdED BY DUR t:MPLOYFE-c; WI! l REClf.VE A
1 tS~,,-,i:, PRl,:E THAN IF t,,v>,.lERIA.1 1::, :;_:C•R1fll N-0 READY TO
UF f-'r~<J(ES.oED AtJD 1/V[:-.IGHT. BY c:-,IGNIN<:> THI.$ RfCIEPI YOU
ACr\H•)Ll:::DGE lHE FN:'f
WElt~Hl MA:'.fLR (E:RTH'K Alt -fH!:_; IS H) CERTIFY tnillthe
1011,,.,.1119 de1(..nbect cumrnu<'.l1t,, v;i,,, Wttli"Ji"•f<l. rntJ.1su1 e,i, or counted by o
w,:;,<Jll1r,as\<,f. M1c:,sa -:;1r.111ill.Urn 1:. ,~, this ,_ erll!1u,to2t. whu 1s a re,;ogruzed
jLJ(f,,-,11ty uf acc.,uacv, &, p1,:iscr1b<i1d IN, :1,ai:,t&r 7 (cv•nm0nrwg witti
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,,i,11 s~n1<il, t11at rt ,,011la1n~ nu Hdlardous Mdt011als .is rJ.:,fuw,1 l,y any
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,.-.,nwiv ~ti"' Lu trus Recyc.11ng ,~ .:;nt;,r
1 K•l (J l lAPMU?.SS AGRE::EME.Nf ;',o}ilf:<i WIii JI ,(l,;mn!!y anr1 r101,j t,uyer
l1e:a1ml"ss tr,Jr11 ,1;,mages, r.1'<'111amls a11d hat·111he'>, 1ri,;iud,r1~ reas,,11a1,1.:;
cJlt,:,rr,,:,y's tc,>c<'>, , e.<<;,ull1ng (r,;r11 u·10 IJ1"f:lad1 (.f anv wart anlv hrn ,;un,teu ,md
,Jnv,;r ..;gr .;.ie, t,, t .. , , ,,sp, ,11s1r>le for ,t.:.irnd•J•• 1;, v..,t·,1clc: <iul'II ,g urdoatl1ri.;
EXECUTED AT EL CAJON, CA 3n12023
I !
111111111 11 HI ;
Cu•tomer Copy# 1 -PAID
@ Lee. •.s M .. etal ltecycl1ng
11§1 r:¥1''JfJl!'BCD1fN1111
1315 Lee Dr. Vista CA gzos3 760-724.-r310 R.GJ5?44.2 O-fJ 1
Ticket# 180697
Gross Tare
CAT 5 WIRE
344
Gross Weighm.aster;
Tar.i Weighmaster.
SHEET ALUMINUM
80
26 6
Gross Weighmasler
Tare Weighmnte,
Net
2€4
20
Printed on Monday
0212712023
10:28:09A"1
Weight IN;
Weight OUT;
Started hy Caahier
Paid hy Cashier
Price Amount
sO 99 lb ,261 36
s0.28 lb
Total--> $266. 96
EDCO Station
818~ommercial St.
La M sa, CA 91942
(61) 466-3355
Customer: 0000
Q DEMO
8184 COMMERCIAL ST
LA MESA, CA 91942
Commodity
Ticket: 31325
Date: 03/03/23
Rate
In: 6:10
Out: 6:27
105.00 per TON
INVOICE
Truck: 7807/7807
Container:
Route: 02055
Origin: 020 SAN DIEGO
•
55 C&D Certified
[Gross ( In) : 7. 32
Units
1.43
tons Scl#2 Tare 5.89 tons Scl#2 Net: 1.43
Extended
Charge
150.15
tons] ,
PAID CREDIT CARD 150.15
Construction & Demolition Diversion Certificate --Diversion Percentage 76%
This certifies that the company listed above has utilized an EDCO facility to divert construction demolition materials in accordance
with LEED requirement. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility.
RAUL T.
• tco Station
184 Commercial st.
a Mesa, CA 91942
(619) 466-3355
Customer: 0000
Q DEMO
8184 COMMERCIAL ST
LA MESA, CA 91942
Commodity
Ticket: 32059
Date: 03/05/23
Rate
In: 8:21
Out: 8:22
105.00 per TON
Driver
INVOICE
Truck: 6084/6084
Container:
Route: 02055
Origin: 020 SAN DIEGC
55 C&D Certified
[Gross(In): 8.51 tons
Units
3.05
Scl#l Tare 5.46 tons Stored Net: 3.05
Extendec
Charge
320.25
tons]
PAID CREDIT CARD 320.25
Construction & Demolition Diversion Certificate --Diversion Percentage 76% •
This certifies that the company listed above has utilized an EDCO facility to divert construction demolition materials in accordance
with LEED requirement. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility.
RAUL T. Driver
EDCO Station
~:8.;!,_84 Commercial St.
INVOICE
/
Mesa, CA 91942
19) 466-3355
Customer: 0000 Ticket: 32094
Date: 03/05/23
In: 9:27
Out: 9:27
Truck: 7569/7569
Container:
Route: 02055
Q DEMO Origin: 020 SAN DIEGO
8184 COMMERCIAL ST
LA MESA, CA 91942
Commodity
55 C&D Certified
[Gross { In) : 7. 32
Units
1.80
tons Scl#l
Rate
105.00 per TON
Tare 5.52 tons Stored
•
Net: 1.80
Extended
Charge
189.00
tons)
PAID CREDIT CARD 189.00
Construction & Demolition Diversion Cert~icate --Diversion Percentage 76%
This certifies that the company listed above has utilized an EDCO facility to divert construction demolition materials in accordance
with LEED .requirement. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility.
RAUL T.
Escondido 'Resource Recovery
1021 W Mission Ave
Escondido. CA 92025
(760) 745-3203
Customer: 0000 Ticket: 27989
Date: 03/07/23
Q DEMO
Rate
Driver
INVOICE
In: 15:19 Truck: 3191/3191
Out: 15:51 Container:
Route: 01614
Origin: 016 Escondido
Commodity
14 MIXED
[Gross(In): 14.580.
Units
1. 99
lbs Scl#5
105.00 per TON
Tare 10,600. lbs Scl#5
Extended
Charge
208.95
3,980. lbs] Net:
PAID CREDIT CARD 208.95
Construction & Demolition Diversion Certificate --Diversion Percentage 69%
This certifies that the company listed above has utilized an EDCO facility to di
with LEED requirement. The diversion tonnage is based on an overall tonnage per
RAFAELA Ori ver
•