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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 . $76.50 ;,;.RAP Ml::.1 N PfilCIN,, P[-11<...E:C.. 1-l u,: I I.IA rf-LJAIL Y BASt':D ON ,:_OMf.K•orr·,· MARhETS, Al-JY \:FRAP M~.TAL Pl_lkCl--l,11,S[S THAl t·1[ECI TU Bl: SOFdED BY DUR t:MPLOYFE-c; WI! l REClf.VE A 1 tS~,,-,i:, PRl,:E THAN IF t,,v>,.lERIA.1 1::, :;_:C•R1fll N-0 READY TO UF f-'r~<J(ES.oED AtJD 1/V[:-.IGHT. BY c:-,IGNIN<:> THI.$ 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 c;,,Kt1r,n 12700) of [W1s1or1 ~ of 11,0 Cal1tc,m1& Elus111>J5S ,111J f-Tr,f,.ss1on<, ,~udf. a,11rnniste1 .;,,I t.,y ttM OMs.wr, of M.,a,urc1mt111I Sb,1darctc. ut U--10 (,:illt"n11a DB\rartmer,t of f,:>,J.J and }\gnculll.1re f\lLl •, tf-SA.! [. I Wdf I il!ll that I Ell r, \tl0 ,rovriilr (,)1 own ... r',, 1,;p1 ~,,.,r,t.:,t1vil) c.i \I 1c> rriat .. nal d0c,c11hed t..irtoon c111.:I hav<il tt1., ns1tit to ,,i,11 s~n1<il, t11at rt ,,011la1n~ nu Hdlardous Mdt011als .is rJ.:,fuw,1 l,y any i .. d..,ral "r Sl<itB IJW 1111<1 lhoil fur µay,·110111 hbfc'tJy re,; .. 1,1ecl, \ sell and ,.-.,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 •