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Home My WebLink About1081 CHESTNUT AVE; ; CBR2023-2508; Recycle{cityof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 DevelQPment Services Building Division 1635 Faraday Avenue 760-602-2719 www. car/sbadca. gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERAT IONS OVER $6OK VA LUATION 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 1081 Chestnut ADU Permit No. CBR2023-2508 1081 Project Title Project Address 1 081 Chestnut Avenue Applicant Name Hill, Whitney APN 205-190-06-00 □ Contractor [Z] Last First ApplicantAddress PO Box 2685, Carlsbad, CA 92018 Phone (760 > 259-2476 E-mail Address permits@snapadu.com Applicant Mailing Address _S_a_m_e ___________________________ _ (If different than project address) Project Type {check all that apply): Residential [Z] Commercial □ Brief Description Addition of 980 SF ADU Public Building □ Project Size 980 Estimated Cost of Project $_1_3_2_,_3_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_W_h _itn_e_y_H_ill _______ Signature __ w_~_· _ ___,_.__H_UL ____ ,Date 8 /2 9(2 3 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: I . Permit No. Project Title Project Address APN Applicant Name Phone Last First -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. A B C Material Type Estimated Place a(✓) check Place a(✓) check next Place a(✓) check next Waste Quantity next to items to be to items to be to items to be (tons) reused or salvaged recycled disposed at landfill Complete this line of the table only if only using WASTE MANAGEMENT rail-off bins. Mixed C&D Debris Parking lot Asphalt & Concrete .01 X Brick/ Masonry/ Tile Mixed Inert Debris .05 X Cabinets, Doors, Fixtures, Windows (circle all that apply) Carpet ~rpet Padding / Foam ---- Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) .01 X Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets .01 X Concrete Roofing Materials Scrap Metal 1.0 X Stucco .01 X Other: TOTAL I To m eet 65% Diversion Requirement (estimate) X 0 .65 = tons Total Estimated Waste from above Minimum Required Diversion Contractor/Owner Signature w~ HUL Date 8/19/23 Page 2 of 4 Rev. 711120 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): IH.,•• 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 t he information is true and correct to the best of my knowledge and belief. -- Permit No. CBR2023-2508 Print Name Danielle Boulila Address 1081 Chestnut Ave, Unit B Date 05/10/24 Eln•h•■:-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 Actual Amt Actual Amt Destination Facility Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill Examole: Palomar Transfer Station, 5960 El 01/01/2020 Concrete {broken) 5 tons Camino Real -(760) 603-0153 12/02/23 Mixed C&D Debris .8 ton Escondido Resource Recovery -1021 W Mission Ave-1760)745-3203 12/28/23 Mixed C&D Debris 1 ton Palomar Transfer Station, 5960 El Camino Real-1760\603~ 01/31/24 Mixed C&D Debris 1.9 tons Palomar Transfer Station, ,:;q~nEIr.~minoRPal-(760)603-0153 04/01 /24 Mixed C&D Debris .93 tons Palomar Transfer Station, ,:;q.60£LC.amino..8eak (.Z60~ 603-0153 05/06/24 Mixed C&D Debris .59 tons Palomar Transfer Station, 5960 El Camino Real 17601 6()1-01 <;1 @TOTAL • ~ 65% Diversion Rate Achieved 0 5.22 :0 % ~ 65%1VI --~ 71' Tata/ of c Total of columns A + B + C DIVERSION Contractor/Owner Signature_ Date 05/10/24 - V v 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 RECORD COPY 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 City of Carlsbad MAY 1 5 2024 BUILDING DIVISION Rev. 04122 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: 24 MINIMUM-CASH 2 GROSS TARE NET Tracking Qty: 1.00 Scale In Scale Out :.,.J Ticket #: 2642290 Weighmaster: macaral In: December 28, 2023 Out : December 28, 2023 Vehicle: M23 Ref: B01: INBOUND CASH Rate Extensi on $55.00 $55 .00 Tax $0.00 Qty 1.00 Origin: unit Description EA MSW OCEANSIDE 100% Signature: Total Paid Change .EDIT CARD-SCALE 3:45 pm 3: 45 pm Total $55.00 $55.00 $55 .00 $0.00 V PALOMAR "'f'AANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 Co-(u, \ \ °' C~tn"'r .,o ('l6C} 603-0153 ,.\\ l'\5 3 000999 -CASH AND CHECK CUSTOMER ADDRESS ca~lsbad, CA 92008 Contract: RESIDENTIAL-Yr. 2 GROSS 21,880 Scale In TARE 18,080 Tare Out NET 3 ,800 Tracking Qty: 0.00 Qty Unit Description 1. 90 TN MSW :,~ Ticket #: 2654866 Weighmaster: diazadl In : January 31 , 2024 Out : January 31, 2024 Vehicle: Al04498 Ref: BOL : INBOUND CASH Rate Extension $96 .28 $182 .93 Tax $0 .00 Origin: CARLSBAD 100% •.,·· .. · . Signature: Total Paid Change .EDIT CARD-SCALE 1 :20 prr. 1:20 pm j Total $182.93 $182.93 $182.93 S~LOO V PALOMAR TRANS FER 596C EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 00 0999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract : RESIDENTIAL-Yr . 2 GROSS 19,940 Scale In TARE 18 ,080 Tare Out NET 1 ,860 Tracking Qty: 0 .00 Qty Unit Description 0 .93 TN MSW 54 Tic ket #: 2677857 Weighmaster: martios3 I n: April 01 , 2024 Out: April 01, 2024 Vehicle : A104498 Ref : BOL : INBOUND CASH Rate Extension $96 .28 $89.54 Tc.X $0 .00 Or.:..gin: CARLSBAD 1 0G% Signature: Total Paid Change .EDIT CARD-SCALE 2 :28 pm 2 :28 pm Total $89 .5 4 $89 .54 $89 .54 $0.00 V ✓ Escondido Resource Recovery 1021 W Mission Ave Escondido, CA 92025 (760) '745-3203 Customer: 0000 Ticket: 80366 Date: 12/02/23 LIGHTWEIGHT DEBRIS REMOV Rate In: 13:29 Out: 13:30 Commodity Units 100.00 per TON INVOICE Truck: 7294 Container: Route: 07636 Origin: 076 Poway 36 Self Haul Greens .80 [Gross (In): 20,780. lbs Scl#2 Tare 19,180. lbs Scl#2 Extended Charge 80.00 Net: 1,600. lbs] PAID CREDIT CARD 80.00 RAFAELA Driver PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 9200B (760) 603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESIDENTIAL-Yr. 2 GROSS 19,260 Scale In TARE 18 ,080 Tare Out NET 1,180 Tracking Qty: 0.00 Qty 0.59 Uni t Description TN MSW 54 Ticket#: 2692004 Weighmaster: macaral In: May 06, 2024 Out: May 06, 2024 Vehicle: A104498 Ref: BOL: INBOUND CASH Rate Extension $96.28 $56 .81 Tax $0 .00 Origin: CARLSBAD 100% Signature: Total Paid Change .EDIT CARD-SCALE 11: 28 am 11: 28 am Total $56.81 $56.81 $56 .81 $0.00 V