The URL can be used to link to this page

Home My WebLink About1301 TAMARACK AVE; ; CBR2022-4036; RecycleC Cityof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Develooment Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov APPLICABLE TO NEW CONSTRUCTION, ALL RESIDENTIAL ADDITIONS AND ALTERATIONS AND COMMERCIAL ADDITIONS AND ALTERATIONS OVER $200K. 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) 339-2700. Please note: Unless ou are self-haulin , Re ublic 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 without a completed Construction Waste Management Plan. Applicant Information Permit No. C82.-U,q:z.-4 0 ~b Project Title Project Address '3 0 l T P.r-M ~:~\CK-Av E Applicant Name i€Ac.\-\ C j-r"f \?,u L..0€~ APN 1 0 ~z,~z. '3'-16 0 Other □ Last First ApplicantAddress 131 ~ ~C'-'~\/JCO S"l Phone (2,3\ ) 713 8'.2 87 E-mail Address C.r\R..\ $C.@8C'g\J f\.-(_CJy\ ApplicantMailingAddress '1?,7 S . \/lr-l €v,JOOD S,1 £S(ONO\D O 92021 (if different than project address) Project Type (check all that apply): Residential ~ Brief Description $"l:cO NJ) STD g..y Commercial □ Public Building □ aop,nof\J G:~Ssi==', ,,o s~ PEc~ Project Size I I L{ IO Sf Estimated Cost of Project $..,.,lr----"3 ........... £\ ...... 0--+/-0_0_0 ________ _ (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. I plan on using a City Approved Hauler and will provide all receipts after construction. This is a proposed LEED certified project and 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 benet. ~ Q Print Name tHtl.l>ToP'-lr!fl.. CA~ Signature_=--_________ Date s/s /23 Page 1 of 3 Rev. 05122 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._C_-:_~_rt_-_2_o_2._'Z_-_Y_o_3_l, _____ Print Name (JJ.Jll..t ':>TO r 1-1a-·1L, Address v c <l;.\/l.. L.50'-' P Date Z -=-,f--"'-t---_.__-------1 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 Exam le: 01/01/2020 SECTION C Material Type Concrete (broken) @TOTAL Diversion Rate Achieved 0 Actual Amt Reused or Salvaged Attach the following documentation to this Report: • Original recycling weight tickets, landfill weight tickets Actual Amt Actual Amt Recycled Disposed in Landfill 5 tons .. 8-Z.. Total of columns A + B + C Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -760 603-0153 DIVERSION 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 of 4 Rev. 04/22 PALOMAR TRANSFER STATION -4517 PO BOX 31001-2265 PASADENA, CA 91110 (480) 627-2172 BEACH CITY BUILDERS, INC. 737 S VINEWOOD STREET ESCONDIDO, CA 92029 tR"fi ~i REPUBLIC SERVICES INVOICE Invoice Date 06/15/2023 Invoice No 4517-000018786 Customer No 4-4517-0333343 Page No Due Date Current Charges 1 $634.23 I Paqe 1 of 1 UPON RECEIPT Total Amount Due I $1.s6s.10 Please pay total amount due Billing Questions? call (480) 627-2172 hank you for your business! Please be sure to remit payments to our lockbox address shown on the bottom of the Invoice. Date Code DescriRtiOn Reference Rate Amount 6/01 AA MSW 54-2554814 96.28 $72.21 6/01 AA Contract: INDUSTRIAL-GATE 2007 6/05 AA MSW 55-10664 96.28 1.25 TN $120.35 6/05 AA Reference: 30311 6/05 AA Contract: COMM-GATE Yr. 2007 6/09 AA MSW 54-2558090 96.28 0.83 TN $79.91 6/09 AA Reference: shop 6/09 AA Contract: INDUSTRIAL-GATE 2007 6/09 FG APPLIANCE/WHITE GOODS 54-2558090 30.00 1.00 EA $30.00 6/09 FG Reference: shop 6/09 FG Contract: INDUSTRIAL-GATE 2007 6/15 ZS ADMINISTRATION FEE SC15200 5.25 1.00 $5.25 6/15 AA MSW 54-2560688 96.28 0.57 TN $55.00 6/15 AA Reference: 20378 6/15 AA Contract: INDUSTRIAL-GATE 2007 6/15 AA MSW 54-2560887 96.28 2.82 TN $271.51 6/15 AA Reference: 20380 6/15 AA Contract: INDUSTRIAL-GATE 2007 •• ·-••• -·-•••••• ■ ••••••••••••••••••••••••••••••• . .. .. . .. -.... -....... . . -............. . . . .. ---.......... --... ---............ ~2teri2I L Fee Summ2,:Y AA MSW 6.22 TN $598.98 FG APPLIANCE/WHITE GOODS 1.00EA $30.00 Z8 ADMINISTRATION FEE 1.00 $5.25 61-90 Da s Over90 Das $0.00 $0.00 ____ please return thi~ortion below wit~your _e_a_l!!'lent. Do not attach check stub. _____ _ REPUBLIC SERVICES PALOMAR TRANSFER STATION -4517 PO BOX 31001-2265 PASADENA, CA 91110 (480) 627-2172 Please write your account number on your check and make payable to: Please PALOMAR TRANSFER STATION -4517 Return PO BOX 31001-2265 Paymentto: PASADENA, CA 91110 " Please Note the Environmental Recovery Fee has increased. For more information contact your company representative at the phone number on this Invoice". Invoice Date 06/15/2023 Invoice No 4517-000018786 Customer No 4-4517-0333343 Current Charges Total Amount Due Amount Paid: BEACH CITY BUILDERS, INC. 737 S VINEWOOD STREET ESCONDIDO, CA 92029 $634.23 $1,565.10 PALOMAR TRANSFER STATION -4517 PO BOX 31001-2265 PASADENA, CA 91110 (480) 627-2172 ~R~ a-,i INVOICE Invoice Date 10/31/2023 Invoice No 4517-000019372 Customer No 4-4517-0333343 REPUBLIC Page No Due Date Paqe 1 of 2 UPON RECEIPT BEACH CITY BUILDERS, INC. 737 S VINEWOOD STREET ESCONDIDO, CA 92029 SERVICES Current Charges 1 $1,41s.12 1 Total Amount Due $1,419.12 Please pay total amount due Billing Questions? call (480) 627-2172 illianl< you for your business! Please be sure to remit payments to our lockbox ddress shown on the bottom of the invoice. ate 10/16 10/16 10/16 10/16 10/16 10/17 10/17 10/17 10/18 10/18 10/18 10/18 10/18 10/18 10/24 10/24 10/24 10/25 10/25 10/25 10/25 10/25 10/25 10/27 10/27 10/27 10/30 10/30 10/30 10/31 10/31 10/31 10/31 Code AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA AA Z8 AA AA AA AA Z8 tion Reference 54-2612626 Contract: COMM-GATE Yr. 2007 MSW 54-2612803 Reference: PO#20352 Contract: COMM-GATE Yr. 2007 MSW 54-2613119 Reference: #20352 Contract: COMM-GATE Yr. 2007 MSW 54-2613704 Reference: PO#20368 Contract: COMM-GATE Yr. 2007 MSW 54-2613893 Reference: PO: 20352 Contract: COMM-GATE Yr. 2007 MSW 54-2616523 Reference: PO#l985/2 RSF Contract: COMM-GATE Yr. 2007 MSW 54-2616729 Reference: 1352 Contract: COMM-GATE Yr. 2007 MSW 54-2616791 Reference: PO#20380 Contract: COMM-GATE Yr. 2007 MSW 54-2617627 Reference: 20383 Contract: COMM-GATE Yr. 2007 MSW 54-2618959 Reference: 20389 Contract: COMM-GATE Yr. 2007 ADMINISTRATION FEE SC15744 MSW 54-2619278 Reference: PO#20380 Contract: COMM-GATE Yr. 2007 Material / Fee Summary MSW ADMINISTRATION FEE Rate 96.28 96.28 96.28 96.28 96.28 96.28 96.28 96.28 96.28 96.28 5.25 96.28 Quanti 2.79 TN 2.36 TN 0.29 TN 0.52 TN 1.57 TN 2.72 TN 0.72 TN 0.34 TN 0.50 TN 1.38 TN 1.00 0.86 TN 14.05 TN 1.00 $227.22 $55.00 $55.00 $151.16 $261.88 $69.32 $55.00 $55.00 $132.87 $5.25 $82.80 $1,413.87 $5.25