HomeMy WebLinkAbout1923 CALLE BARCELONA; ; CBC2022-0348; Recycle{'City of
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59
P!!.ve_lppmef'JtServi~e_$
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $60K
VALUATION AND co MME RCI AL ADDITIONS AND AL TE RATIONS OVER $ 200 K . 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. CBC2022-0348 Project Title Apple Store -Carlsbad
Project Address 1923 Calle Barcelona, Carlsbad, CA 92009 APN
Applicant Name Yingling Shaun Contractor ~ last First
ApplicantAddress 11390 W Olympic Blvd, Los Angeles, CA 90064
Phone (702 } 468-6996 E-mail Address syingling@shawmut.com
Applicant Mailing Address
(if different than project address)
Project Type
(check all that apply):
Residential Commercial □ ~
Brief Description Main store BOH renovation and new remote break room
Pub[jlding
255-012-04-00
Other □--
Project Size 3,500 Estimated Cost of Project $_$_1_,0_0_0_,_0_0_0 __________ _
(square footage)
Please check the appropriate box:
jtl' I I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction.
D 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 Shaun Yingling Signature S h a u n Y i n g I i n g Date 10/20/22
Page 1 of 4 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 Perm it No. CBC2022-0348 Project Title Apple Store -Carlsbad
Project Address 1923 Calle Barcelona, Carlsbad, CA 92009 APN 255-012-04-00
Applicant Name._Y_in_g_ling _________ Sh_a_u_n _______ Phone 702-468-6996
Last First
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
Estimated
Waste Quantity
(tons)
0.25
0.15
0.10
0.20
0.15
0.20
0.15
0.25
2.45
To meet 65% Diversion Requirement (estimate)
A
Place a ( ✓) check
next to items to be
reused or salvaged
X
2.45
B
Place a(✓) check next
to items to be
recycled
X
X
X
X
X
C
Place a(✓) check next
to items to be
disposed at landfill
X
X
X
X
x 0.65 = 1-5925 tons ----------' -----------
Total Estimated Waste from above Minimum Required Diversion
Contractor/Owner Signature._S_h_a_u_n_Y_in_g_lin_g ___________ Date 10/20122 --------------
Page 2 of 4 Rev. 7111'20
PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final
building approval.
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.
Permit No. CBC2022-0348 Print Name Shaun Yingling
Address 1923 Calle Barcelona, Carlsbad CA 90028 Date 10/20/22
------------------------~ -----------1
SECTION B Use.this Final Log below t9 track ••4s of materl111ls as they leave thtt Job site.
@(O)SAVE RECEIPTS(O)f.Q>
lnditate FIN~l quan~Jtles in ton~ for ea,* mater,al: and save receipts and doc~rn-~ts fr~ facilities where material Is taken.
Additional ~roject 1.ogpages areavaHabl.elf necessary. UseClty Conve.rsion Tableto convert volume to tons.
Date
Example:
01/01/2020
Material Type
Concrete (broken)
A B C
Actual Amt Actual Amt Actual Amt
Reused or Recycled Disposed in
Salvaged Landfill
5 tons
,?
.t-1 ;').0
2,..l-{':Z
~ L-\ \
g.25
Destination Facility
(Name, Address, Phone)
Palomar Transfer Station, 5960 El
Camino Real
A, !'111
Diversion Rate Achieved _ __,__9_✓"1_.;_1-_~l~-'---Y~-92_1~_= D-?B %
~65%
~65%
Total of columns A+ B Total of columns A + 8 + C DIVERSION
Contractor/Owner Signature_S_h_au_n_Y_i_ng_t_in_g __ ~ ______ Date
Attach the following documentation to this Report: Return completed form and documentation to:
• Original recycling weight tickets, landfill weight tickets City of Carlsbad
• Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor)
• Any other relevant information to support Recycling Report 1635 Faraday Avenue
Carlsbad, CA 92008
Page 3 of4 Rev. 04122
Conversion Table for Common Construction Waste
This document is informational onlv. It is here to helo vou convert truckload auantities to tons. if necessarv.
Column A Column B Column C
Category Material Volume Tons[Unit Tons
Mixed Debris Construction cy X 0.18 =
Demolition cy X 1.19 =
Asphalt/Concrete Asphalt (broken) cy X 0.70 =
Concrete (broken) Cy X 1.20 =
Concrete (solid slab) cy X 1.30 =
Brick/Ma son ry /Ti le Brick (broken) cy X 0.70 =
Brick (whole, palletized) cy X 1.51 =
Masonry brick (broken) cy X 0.60 =
Tile sq ft X 0.00175 =
Building Materials (cabinets, doors, windows, etc.) cy X 0.15 =
Cardboard (flat) cy X 0.05 =
Carpet By square foot sq ft X 0.0005 =
By cubic yard cy X 0.30 =
Carpet Padding/Foam sq ft X 0.000125 =
Ceiling Tiles Whole (palletized) cy X 0.0003 =
Loose cy X 0.09 =
Drywall (new or used) 1/2" (by square foot) sq ft X 0.0008 =
5/8" (by square foot) sq ft X 0.00105 =
Demo/used (by cu. yd.) Cy X 0.25 =
Landscape Debris (brush, trees, etc.) cy X 0.15 =
Asphalt Composition
Shingles, asphalt Shingle cy X 0.22 =
Unpainted Wood/Pallets By board foot bd ft X 0.001375 =
By cubic yard cy X 0.15 =
Trash/Garbage cy X 0.18 =
Other (estimated weight) cy X estimate =
cy X estimate =
cy X estimate =
cy X estimate =
Total all =
Page 4 of 4
Rev. 2.10.21
AMSV\IED NC
~mswede Recycling
149 REED CT
cttLl.A VISTA, CA. 91911-5
619--425-9450
149 Reed Court
SALE
Chula Vista, Ca 91911
Office Phone: (619) 425-9450
,·.
REF#: 00000006
B.11ch ti; 871
State Permit # 37-AA-09S2 :. .
"•r ;,. I •,:.
ficate of Recycled Mafe1'iis1' 02101/rJ ll8:05m
APPR CODE. 040511
Trnat: 6
VISA
AMOUNT
MarwJCP
$263.00
APPROVED
THANK YOU
12 • '-\ 1 tons ' loads of
~ Recycling 'QC., %
Lted from:
·,.· ._J,;.
.. • --.:~. ',
~ • :. ., .,)) .~
CO-).'~\ ·'m,is be~~·diverted at our facility
~:;:.}·· "· ·,. __ •, -~ -... (:•:/· ...
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.. , • ·by_".{...:;.,,~-~,.;---"-..l,,.~..,t...::,_.-~4.L.~--,l!.:.....J,......---.... • . ., .. Date: ~ ••
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· :::. •-.•· -:.~, \-"' ·.-•:'Signature of Receiver
... ·.:.(;;,. ·,I:.. .. • • -+------.....=,-...c.;._--------
Di/ ;'·•. "'· •• -l!!. ~···,~·;.::..~·----
ris Inert:
100% APPROVED BY ~
Red Brick: 100% §ENTERED ~
Dirt: 100% JOB# ?...+Ji 0
Green Waste: 100% CODE S-: OaO
J
Wood Waste: .100%
149 REED CT
Cl-ti.A VISTA, CA. 919M
619,-425-9450
SALE
REF#: 00000078
Batch #: 780
:tf/01/22 15:35:12
APPR CODE; 023518
Trace: n
VISA Manual CP
AMOUNT $315.00
APPROVED
lliAl'f< YOU
Red Brick:
Dfrt:
Green Waste:
wooawaste:
m de Recyding
149 Reed Court Chula Vista CA 91911
Office Phone: (619)42.5-9450
Stilte Permit# 37-AA-0952
Certificate of Recycl d Materials
hat~ .. ~/ tons !}_ loads oll L has been diverted at our ftlcllfty for
: RecycHn/;;~ %
100'6
100%
100% •
APPROVED BY f I(
@"ENTERED-!:~~
JOB # ;22..../ I 0
CODE si:eoO
66110033780000101 DESIGN & Carlsbad, CA 92009 03/21/2023
*Small containers are not weighed. Weights provided for small containers are only estimates and are
based on your container size multiplied by the number of scheduled hauls per month multiplied by the
assumed weights of 1 00lbs per cubic yard for waste or S0lbs per cubic yard for recycling.
66110030510000102 DESIGN &
SHAWMUT
66110030510000102 DESIGN &
Carlsbad.CA 92009
1923 Calle Barcelona
Carlsbad, CA 92009
40 CU YD 12/21/2022
WASTE CONTAINER
40 CU YD 02/18/2023
40.00
40.00
Compacto
r
Compacto
r
Description Waste Type
None Solid Waste
Description Waste Type
None Solid Waste
None Solid Waste
Account Type
Temporary
Account Type
Temporary
Temporary
Schedule Tonnage
RECYCLE TOT AL .00
OnCall 4.20
SOLID WASTE TOT AL 4.20
GRAND TOT AL 4.20
Schedule
RECYCLE TOT AL
OnCall
OnCall
Tonnage
.00
2.42
8.25
SOLID WASTE TOT AL 4.20
GRAND TOT AL 10.67
Unit of
Post
Collection
Measure Site Name
TN
Unit of
Post
Collection
Measure Site Name
TN
TN
PT
PT
Jim
Jim
Leslie