HomeMy WebLinkAbout2140 BASSWOOD AVE; ; CBR2021-1792; RecyclePART 2 Complete before final inspection, obtain WASTE MANAGEMENT signature, and return with receipts prior to final
building approval.
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.
Permit No. C,'6R_, Z.0'2....\ -\7')'2.,_ Print Name
Address 2-\4o ~ to,€, ~$15'li)
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
Example:
01/05/2018
Material Type
Concrete (broken)
Diversion Rate Achieved
Contractor/Owner Signature
Attach the following documentation t
Actual Amt
Reused or
Salvaged
• Original recycling weight tickets, landfill weight tickets
Actual Amt
Recycled
Actual Amt
Disposed In
Landfill
Date
Destination Facility
(Name, Address, Phone)
Palomar Transfer Station, 5960 El
DIVERSION
~65%
~65%0
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
Rev. 11/12118
:.1(J((J11 $
Jl i;J i...-;; !.· 1 .. r~Sif;i: di vt';
BUN$;;,.\ i ;• A :f20I.JJ
SALE
HEF #. 00000022
u,1 ,N ii'lF.U ii'i' t't h,i/ON
Tr~t.:e. ti.
ViSA ~ ' ·t~ll i~
AMOl •
SUHCilA!,6L
TOTAL
CHA$/: Vt~>i~.
AID, .~(i;:1UOUt;~•~1 J 1:1 l'J
TVR. Ou 80 00 80 G'l
lS!· f8 OU
l ttANt, Y wil
120310
"i'.
175.00
$7.00
182.00
GU.S ! i)lvif.~ COPY
.,,..1{\JHI:::
MOODY'S
:lAZON RECLAMATION
POBOX969
)NSALL, CA 92003
-3316 • FAX (760) 433-6691
RESIDENCE
·BOBTAIL 110-WHEEL I END DUMP.: IT & T
MATEA'f ··-· -•-, __ ,_;J
. i .) l--"c.
5 6
-
1'775
/C2
377_wt·
7
-
------.
j
8 9
OTHER CHARGES
$I
TOTAL
l . .,
10
All bt11s due upon p,esentalion unless othe<wise
arranged In advance. Open aoc:ounts subject to
TRUCK#
MOODY'S IS not responsible for damage to
vehicle while being loaded or unloaded In
yard. 1 t/2% month, charge altar 30 days unpaid
balance.
JOB COPY 3111170
~Vt
,..,, -~I:.~~ ~~"\':)
b!.>N~At L. GA 9200.l
760-631-03-1:l
~~ ~~""h ~<o~
)NSALL, CA 92003 --3316 • FAX (760) 433::669.J ----
$ALE
/ REF#. 00000037
Batct/4 463
.,_,-.,c
RESIDENCE TIME "---
05,11122 15:30-.57
APPR COO£ ll172<1G
ENCIWPl[I) DY ELAVON
Trace· 37
:·~-C:) Chip
M O $175.00 BOBTAIL 110-WHEEL IENDDUMP IT&T
s
T
URCHARGE
OTAL
$7.00
$182.00 MATi'AL ) J 12 1 -5
C i. PPROJFn
_.,.....,,1
~275' I
f-/()2 "
~ 3 7 7 -/7;,f-tV!._~
SIGNATURE
All bills due upon presentation unless otherwise
arranged in advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
6 7 8 9 10
NEED TO BrlL CU'!!)S
---OTHER CHARGES
J /,, -·
$ /'-_) •
TOTAL
-TRUCK#
MOODY'S Is not responsible for damage to
vehicle while being loaded or unloaded in
yard.
JOB COPY 314267
IJ
l
l
I
I
.,
Agri service, Inc. El Corazon
Gotfipost Facility
Dec 20. 2022
12:54 PM
~A-~7/{}}6C)p Ticket
Date:
Phone:
367784
:~-/ 121201202212:37
(760) 295-6255 /.-7; i-A.gri Service Inc
Oceanside, CA 92056
(760) 295-6266
Authorization: 03770G
Rccc-1pt rJGA
lipping, l
~: ,@anually Entered)
1,~111c:11Ks: Thanks 8812v
Weigh Master:
Driver Signature:
MATERIAL
G40 -Greenwaste
$81,60
$81.60 ;izon
$81.60 _
I z 9J° /J,-1 /11.
QTY
1.7 tn
UNIT-$
$81.60
Fax: (760) 295-6262 ·,-l·
Job No: G40
Greenwaste40
Loads: 22
Tons: 15.67
llilii 10t111;1.Clffl Gross: ,':t26'1b 1
Tare: 13,020 lb 1
Net 3,400 lb
1.70 tn
Material$
Delivery$
Misc$
Tax$
Total$
Received$
CHECK#:
Dellve_!I $ Misc$
$0.00 $0.00
Out 12:43 PM
In 12:37 PM
$81.60
$0.00
$0.00
$0.00
$81.60
$81.60
4
Tax$ Total$
$0.00 $81.60
$81.60
!
!
Ag~f ervice, Inc. El Corazo/n
co1post Facility
Agri Service lnc Oec 20, 2022
Oceanside. CA 92056 3:07 PM
(760) 295•6256
Authorization: 02072G
Rec('1pt· fr-.2c
'1.1J1'i1Q X 1
'°11:---::::1. Vi~anually Entered)
Weigh Master:
$37,44
$37.44
$37.44
orazon
Tl;uP,
~WlfPP
Gross:
Tare:
Net:
Ticket No: 367824
Date: 12/20/202 3:07 PM
~/
Phone: (760) 295-6255
Fax: (760) 295-6262 ~If-
Job No: G40
Greenwaste40
Loads: 28
Tons: 20.21
14,580 lb 1 Out3:07PM
13,020 lb MAN WT In 3:07 PM
1,560 lb
0.78 In
Material$ $37.44
$0.00 -Delivery$
..k /.' (j c,~ ,~, .' , r... r J ,,,,,.r11 ,
14EEP'1'081U. Misc$ $0.00
Tax$ $0.00
Total$ $37.44
Received$ $37.44
Signature: CHECK#: 4
MATERIAL QTY UNIT•$ Delivery $ Misc$ Tax$ Total$
G40 -Greenwaste 0.78 tn $37.44 $0.00 $0.00 $0.00 $37.44
$37.44
Agrl Service, Inc
3720 O~nic Way
Suite 204
Oceanside CA, 92056
Customer: DMBUILD
DM Building, Inc.
3520 Seagate Way, Suite 130 (y ,r\ ~171
Oceanside Ca, 92056 (l;
Truck: 15 Tipping at El Corazon
License: No of Axles:
Location: 0 Oceanside
Remarks:
Weigh Maste1~
Driver Signature:
MATERIAL QTY
G40 • Greenwaste 3.56 tn
_iila,·m &u.. cusro;;; ,· I
Gross:
Tare:
Net
UNIT-$ Dellve!}'_ $
$170.88 $0.00
licket 371213 (!_,,/
Date: ·1/31/2023 1:42 PM · &r--Phone: (760) 295-6255
Fax: (760) 295-6262
Job No: 1
Greenwaste
Loads: 1
Tons: 3.56
20,980Ib
13,860 lb
7,120 lb
3.56 tn
Material$
Delivery$
Misc$
Tax$
Total$
Misc$
$0.00
1
1
Tax$
$0.00
Out 1:55 PM
In 1:42 PM
$170.88
$0.00
$0.00
$0.00
$170.88
Total$
$170.88
$170.88
MOODY'S
_, ,. MOOOYS ZON RECLAMATION
3211 OCEANSllE BLVD .~ri~16~2003
BONS~~;ioo3@116 • FAX (760) 433-6691
7. ENTERED
DATE
REF#: 00000001 ~MERCIAL RESIDENCE TIME
=f-1 ~
APPR CODE: 163127
ENCRYPTED BY ELA VON
Trace: 1
~
AMOUNT
SURCHARGE
TOTAL
MaM CP
-r
$160.00
$6.00
$166.00
APPROVED
ltfAN( YOU
)BTAIL 110-WHEEL
1
ENDDUMP r & T
\TERIAL .·.
5 6 7 8 9
OTHER CHARGES
$
TOTAL
10
SIGNATURE
All bills due upon presentation unl&iS otherwise
arranged in advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
TRUCK#
MOODY'S is not responstbte for damage to
vehicle whHe being loaded or unloaded In
yard.
JOB COPY 325910
• RANSFER
CAMINO REAL
BAD, CA 92008
018475 -DANIEL MONTIJO OBA OM BUILDING
3520 SEAGATE WAY STE#l30
OCEANSIDE, CA 92056
Contract: COMM-GATE Yr. 200
GROSS 17,940 Scale In
TARE 14,320 Tare Out
NET 3,620
Tracking Qty: 0.00
Qty
1. 81
Unit Description
TN MSW
Origin: CARLSBAD 100%
54 Ticket #: 2580990 ,/
Weighmaster: venegem / /
In: August 02, 2023
Out: August 02, 2023
Vehicle:
Ref:
BOL:
ajil-l.-4~-:\
(~ASS WOO~v ·11;;; , ____ _
INBOUND
INVOICE
Rate Extension Tax
$0.00 $96.28 $174.27
NEED TO B!lL CUSTOMER
t Z 9 s: {.-0 I O f-'-/Z;;lL--
Signature:
"1
-I 7o, .01'} ( 1( Ix ~0. z 1 J
p 7J3_&tJ --;---)
/t0((L(_
Total
Paid
Change
,c;~~
\.r ... il6it:}
' ! -~ '<•u-<' '
12:14 pm
12: 14 pm
Total
$174.27
$174.27
$0.00
$0.00
TRANSFER
CAMINO REAL
AD, CA 92008
) 603-0153
8475 -DANIEL MONTIJO OBA
520 SEAGATE WAY STE#l30
OCEANSIDE, CA 92056
Contract: COMM-GATE Yr. 200
GROSS 15,140
TARE 13,620
NET 1,520
Tracking Qty: 0.00
Qty
0.76
Unit Description
TN MSW
Origin: CARLSBAD
Signature:
DM BUILDING
Scale In
Tare Out
100%
:J4 Ticket #: 2575427
Weighmaster: marticy /,,
/
'/
In: July 20, 2023
Out: July 20, 2023
Vehicle:
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$96.28 $73.17
Tax
$0.00
10:13 am
10: 13 am
Total
$73.17
• ~WQLsn:, 1118 o.i, Qfiiijf'I
Total
Paid
Change
$73.17
$0.00
$0.00
NS FER
CAMINO REAL
D, CA 92008
018475 -DANIEL MONTIJO OBA
3520 SEAGATE WAY STE#l30
OCEANSIDE, CA 92056
Contract: COMM-GATE Yr. 200
GROSS 15,260
TARE 12,920
NET 2,340
Tracking Qty: 0.00
Qty
1. 1 7
Unit Description
TN MSW
Origin: CARLSBAD
Signature:
OM BUILDING
Scale In
Manual Out
',,J Ticket #: 2526084
Weighmaster: IN -cisneacty,ouT -
/
In: March 22, /.[023
Out:
Vehicle:
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$87.54 $102.42
Tax
$0.00
100%
j: -·; ('j ' .,: I J I -:,-r -l~n ,
/
12:56 pm
1: 18 pm
Total
$102.42
1 1/1{1 , 11 .x: o/. 5,1)
NEED T0 P.ILL CUSTOMER ,/
Total
Paid
Change
$102.42
$0.00
$0.00
Building Permit Finaled
Revision Permit
Print Date: 11/21/2023
Job Address: 2140 BASSWOOD AVE, CARLSBAD, CA 92008-1112
Permit No:
Status:
Ccityof
Carlsbad
PREV2023-0033
Closed -Finaled
Permit Type: BLDG-Permit Revision Work Class: Residential Permit Revision
Parcel#: 1671303500
Valuation: $133,263.47
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#: CBR2021-1792
Plan Check#:
Applied: 03/20/2023
Issued: 04/06/2023
Finaled Close Out: 11/21/2023
Final Inspection:
INSPECTOR:
Description: PETERSON: REVISION NEW DETAIL AND CALCULATIONS FOR ROOF AREA// (440 SF) DETACHED WORKSHOP ADDITION// 1·
SF DECK// 1,460 SF REMODEL
FEE
BUILDING PLAN CHECK FEE (manual)
Total Fees: $300.00
Building Division
Property Owner:
CO-OWNERS PETERSON TIMOTHY RAND
PETERSON WENDY A
2140 BASSWOOD AVE
CARLSBAD, CA 92008
Total Payments To Date: $300.00 Balance Due:
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
AMOUNT
$300.00
$0.00
Page 1 of 1
{city of
Carlsbad
PLAN CHECK REVISION OR
DEFERRED SUBMITTAL
APPLICATION
B-15
Development Services
Building Division
1635 FaradayAvenue
442-339-2719
www.carlsbadca.gov
CBR20211792 f'P.e..lJ zo~.3-o O 3 3 Original Plan Check Number ________ Plan Revision Number _______ _
ProjectAddress 2140 Basswood Ave. Carlsbad, CA 92008
General Scope of Revision/Deferred Submittal: Clarification'
r·, ,,--,...., new detail andi,i: i' , ••
calculations for roof ---------------------------"'M=AR 2 0 2023
CONTACT INFORMATION:
NameJill Bartholic
Cr/ , ;
Phone 650.454.4633 Fax;__ ___ _____..[-'-'•~· -
Address 2770 Wilson Street city Carlsbad Zip 92008
Email Address jill bartholic@yahoo.com
Original plans prepared by an architect or engineer, revisions must be signed & stamped by that person.
1 . Elements revised: Iii Plans Iii Calculations D Soils D Energy D Other
2. 3.
Describe revisions in detail List pagefsJ where each
revision is shown
CLARIFY ROOF PEAK AND SUPPORT STRUCTURE S2.1
ADDED SHEAR TRANSFER DETAIL (SEE 24&30) S3.1
CLARIFY ROOF PEAK DETAILS A-1.2
NEW ELEVATION DRAWING FOR FRONT AND SIDE A-2.1
WOOD BEAM DESIGN AND STRUCTURAL CALCULATION 4.1
WOOD BEAM DESIGN AND STRUCTURAL CALCULATION 4.2
WOOD BEAM DESIGN AND STRUCTURAL CALCULATION 17.1
4. Does this revision, in any way, alter the exterior of the project? D Yes jjj No
5. Does this revision add ANY new floor area(s)? D Yes D No
6. Does this revision affect any fire rel sues D Yes jjj No
7. Is this a complete set? D Yes
Date
y Avenue. Carlsbad, CA 92008 Ph: 442·339· 2719 Email: building@carlsbadca.gov
www.carlsbadca.gov
PARTIAL
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