The URL can be used to link to this page

Home My WebLink About1905 CALLE BARCELONA; 125; CBC2023-0154; RecycleCcityof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $60K VALUATION AND COMMERCIAL ADDITIONS AND ALTERATIONS 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 PermitNo.C6(,U)2J, Ols-<I. ProjectTitle VUORI -RETAIL TENANT IMPROVEMENT Project Address 1905 CALLE BARCELONA, SUITE 125, CARLSBAD, CA 92026 APN 255-012-04-00 Applicant Name LABRUM, RYAN □ CEr' r✓r El------ Last First Applicant Address 731 S. HWY 101, SUITE 1 M, SOLANA BEACH, CA 92075 Phone 1619 l 307.3378 E-mail Address RYANL@AOARCHITECTS.COM Applicant Mailing Address 731 S. HWY 101, SUITE 1 M, SOLANA BEACH, CA 92075 (if different than project address) Project Type (check all that apply): Residential □ Commercial 0 Public Building □ Brief Description TENANT IMPROVEMENT FOR A CLOTHING RETAIL STORE. Project Size 5,275 Estimated Cost of Project $_3_0_0_,_0_0_0_._0_0 ___________ _ (square footage) Please check the appropriate box: D I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. I ✓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 RYAN LABRUM Signature __ ~"=-='-;;;e""'"""':==~=---Date 05 /25 /20 23 Page 1 of4 Rev. 2. 10.21 PART 1 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. ___________ Project Title VUORI -RETAIL TENANT IMPRC,, Project Address 1905 CALLE BARCELONA, SUITE 125, CARLSBAD, CA 92026 APN 255-012-04-00 Applicant Name LABRUM, RYAN Phone 619.307.3378 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. 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) Car et 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 Sera Metal Stucco Other: TOTAL SECTION C Goal: the diversion rate shall be 65% by weights of debris. Estimated Waste Quantity (tons) 0.25 0.25 0.5 A B C Place a(✓) check next to items to be reused or salvaged Place a(✓) check next to items to be recycled Place a ( ✓) check next to items to be disposed at landfill X X X To meet 65% Diversion Requirement (estimate) _________ .x 0.65 -_o_.6_5 __________ t,ons Total Estimated Waste from above Minimum Required Diversion Contractor/Owner Signature _________________ .Date Page 2 of4 Rev. 7/1/20 PART 2 complete before final Inspection, obtain WASTE MANAGEMENT signature, and return ,vlth receipts prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): Acknowleqement 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. Address Print Name Use this Final Log below to track loads of materials as they leave the job site. OOSAVE RECEIPTSO □ lndiCdte FINAL quantities in tons fur each material and save receipts and documents from facilities where material Is taken. Addltlonal Project Log pages are available if necessary. Use City Conversion Table to convert volume t<1 tons. A B C Date Material Type Actual Amt Actual Amt Actual Amt Destination Faclllty Reused or Recycled Disposed In (Name, Address, Phone) Salvaged landfill &amgll,: Palomar Tronsjer Station, 5960 El 01/05/2018 Concrete {broken) 5tons Camino Real -(760} 603-0153 Diversion Rate Achieved Totalo otal of columns A + B + C DIVERSION Date /Dlt ?J\ v~ Contractor/Owner Signature C Attach the following documenta • Original recycling weight tickets, landflll weight tlckets • Orlglnal donation receipts with photos and/or itemized descriptions • Any other relevant Information to support Recycllng Report Retum completed form and documentation to: City of Carlsbad Bulldln1 OMslon (1st Floor) 1635 Faraday Avenue Carlsbad1 CA 92008 Rov. Ml/2022