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Home My WebLink About2850 GAZELLE CT; ; CBC2022-0325; Recycle{city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN 8-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Applicable to ALL NEW CONSRUCTION, ADDITIONS AND ALTERATIONS. 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 Waste Management at (760) 929-9400, a certified C&D recycler, or the Carlsbad Building Division at (760) 602-2700. Please note: Unless ou are self-haulin Waste Mana ement or a roved haulers must be used for all construction ro·ects within the City of Carlsbad. f 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. CBC 2022-0325 Project Title lonis Conference Center Office T.I. Project Address 2850 Gazelle Court Applicant Name Sanders, Wayne last Owner 0 First Applicant Address 2855 Gazelle Court, Carlsbad, CA 9201 O APN tr Phone 760 603-2562 E-mail Address wsanders@ionisph.com Applicant Mailing Address (if different than project address) Project Type (check all that apply): Residential Commercial □ 0 Brief Description Remodel of existing tenant improvements Public Building □ 209-120-20-00 □------ Project Size5,000 Sf aprox. Estimated Cost of Project$ ----------------- • (squarefootage) Please check the appropriate box: I ✓ I I plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction. D I plan on self-hauling to a certified recycling facility and will provide all receipts after construction. D This is a proposed LEED certified project and I plan on separating materials on site in conjunction with WASTE MANAGEMENT. 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 Good & Roberts LLC Signature 4£, fn 7 Date 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 (cont'd) not be issued without a completed Construction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: I SECTION A Permit No. CBC 2022-0325 Project Title lonis Conference Center Office T.I Project Address 2850 Gazelle Court APN 209-120-20-00 Applicant Name_S_a_nd_e_rs_,_w_a_y_ne _______________ Phone 760-603-2562 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. Goal: the diversion rate shall be 65% by weights of debris. Material Type Complete this line of the toble 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 Celling Tile (acoustic) Drywall (used, new, scrap) Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Concrete Roofing Materials Sera Metal Stucco Other: c«>«oto TOTAL SECTION C Estimated Waste Quantity (tons) 1 26.81 2 2 2 To meet 65% Diversion Requirement (estimate) A B C Place a ( ✓) check next to items to be reused or salvaged Place a(✓) check next to items to be recycled X X X X Place a ( ✓) check next to items to be disposed at landfill X X 33.81 x 0.65 = 12.91 tons ------------------- Total Estimated Waste from above 4.C... Page 2 of 4 Minimum Required Diversion Rev. 7/1120 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. CBC 2022-0325 Print Name Good & Roberts LLC 2850 Gazelle Court Address Date 4/25/23 -------------------------------------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 Material Type Actual Amt Actual Amt Actual Amt Destination Facility Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill Examl!_le: Palomar Transfer Station, 5960 El 01/01/2020 Concrete {broken) Stans Camino Real -760 603-0153 08/05/22 C&D 4.72 Republic 08/09/22 C&D 4.65 Republic 08/1 0/22 C&D 5.59 Republic 08/11/22 C&D 3.95 Rebublic 07/29/22 C&D 5.98 Republic 08/02/22 C&D 5.69 Republic 08/23/22 C&D 3.23 Republic 10/07/22 C&D 5.4 Republic Thru 2/03/23 C&D 15.57 Republic <ll>TOTAL 54.78 SECTION C Diversion Rate Achieved _5_4._7_8 _____ ___,/_5_4_.7_8 ________ =_3_5._6 ___ % 2: 65% l ✓I Total of columns A + B Total of columns A + B + C DIVERSION Contractor/Owner Signature~~ ~ Date :.__:rZS'Z:3 I/ ~9'itfl;;bo-,k Li..G ..dj I Attach the following docum~atio: othis ~ Return co:~lete~ 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. 2/10/21 · f'cR~ REPUBLIC' •-v SERVICES 5960 El Camino Real Carlsbad CA 92008 Account Number Invoice Number 3-0661-1001839 0661-000209468 October 31, 2022 II Customer Service (760)332-6464 RepublicServices.com/Support Important Information Invoice Date Previous Balance Payments/Adjustments Current Invoice Charges $139.24 -$139.24 $852.78 Please remit your payment to Republic Services #661, PO Box 78829 Phoenix AZ 85062-8829 or utilize www.republicservices.com/pay-bill; please do not use the Carlsbad return address on this invoice for payments Total Amount Due I Payment Due Date $852. 78 November 30, 2022 PAYMENTS/ADJUSTMENTS Description Payment -Thank You 10/24 CURRENT INVOICE CHARGES Reference 7572 Amount -$139.24 Description Reference Quantity Unit Price Amount Good And Roberts Lie Temp Ro 2850 Gazella Ct CSA S011464445 Carlsbad, CA Contract: 9661001 (C20) 1 Waste Container 40 Cu Yd, On Call Service Construction/Demolition Debris Disposal/Recycling 10/07 2464479 5.4000Tons Receipt Number 47815 Pickup Service 10/07 Joe Espinoza 1.0000 $278.87 $395.71 $278.87 $178.20 $852.78 Receipt Number 47815 Rental 10/01-10/31 $178.20 CURRENT INVOICE CHARGES Simple account access at your fingertips. Download the Republic Services app or visit RepublicServices.com today. RECEIVED NOVO 7 2022 15960 El Camino Real Carlsbad CA 92008 Return Service Requested Please Return This Portion With Payment Total Enclosed I I I h 111, hm111I11111I1111111 ,I 11'1111•111• 11 ,I 1111111111 I I 11 I I Total Amount Due Payment Due Date Account Number Invoice Number □ F ,:,r B ll1n~ Address :::i1an9;.;, ,:;, ec~ Bo~ a d Cornpk.te r, ·erse Make Checks Payable To: $852.78 November 30, 2022 3-0661-1001839 0661-000209468 GOOD AND ROBERTS LLC : JOE ESPINOZA .. ~:: 2455 IMPALA DR E: CARLSBAD CA 92010-7227 11111111111 'I' 1111 II 11111III1111111111111111 I, 111 I Ii I, 11111 I I h 'I REPUBLIC SERVICES #661 POBOX78829 PHOENIX AZ 85062-8829 3 □6611 □01839 □□□□00□2 □9468000085278000 □852783 'c.R~ REPUBLIC. 5960 El Camino Real •-v SERVICES Carlsbad CA 92008 Customer Service (760)332-6464 RepublicServices.com/Support Important Information Account Number Invoice Number Invoice Date Previous Balance Payments/Adjustments Current Invoice Charges 3-0661-1001839 0661-000248597 December 31 , 2022 $38.96 -$38.96 $788.90 Please remit your payment to Republic Services #661, PO Box 78829 Phoenix AZ 85062-S829 or utilize www.republlcservices.com/pay-bill;please do not use the Carlsbad return address on this invoice for payments Total Amount Due I Payment Due Date $788.90 January 30, 2023 PAYMENTS/ADJUSTMENTS Description Payment-Thank You 12/22 CURRENT INVOICE CHARGES Reference 7915 Amount -$38.96 Description Reference Quantity Unit Price Amount Good And Roberts Lie Temp Ro 2850 Gazella Ct CSA S011464445 Carlsbad, CA Contract: 9681001 (C20) 1 Waste Container 40 Cu Yd, On Call Service Constructlon/Demolltlon Debris Disposal/Recycling 12/12 2490395 6.5000Tons Receipt Number 66724 Pickup Service 12/12 Online Request 1.0000 $278.87 Receipt Number 66724 $331.83 $278.87 $178.20 $788.90 Rental 12/01-12/31 $178.20 CURRENT INVOICE CHARGES RECEIVED JAN O 9 2023 Simple account access at your fingertips . ~ _ _:_ -.: I -~--@)~-:_..: r/!."P REl'UBUC' i,\t - 8980 El Camino Real Carlsbad CA 92008 Download the Republic Services app or visit RepublicServices.com today. Please Return This Portion W~h Payment Total Enclosed Return Service Requested 11 111111II11111111111111111' 111111111 •I 111 I 1111•II111I11111 111111 Total Amount Due Payment Due Date Account Number Invoice Number LJ Fo: 8,11ng .\duress Cl·an\alec. ~r,ec~ n'" ;nr1 ornp ;,\e R.-•, "aC Make Checks Payable To: . ---,:, ~ $788.90 January 30, 2023 3-0681-1001839 0661-000248597 GOOD AND ROBERTS LLC ! _ JOE ESPINOZA ., .. 2455 IMPALA DR i: CARLSBAD CA 92010-7227 11 lj 11 I I hi• II hf 111 II 11111111 I I h 11 I• 1t 1,,,1 f I I II Im I 11 I I lllf II REPUBLIC SERVICES #661 PO BOX 78829 PHOENIX AZ 85062-8829 3 □6611□□1839 □□□□□□□248597 □□□□7889□□□007889□9 ~~ REPUBLIC. ·~ SERVICES 5960 El Camino Real Carlsbad CA 92008 Customer Service (760)332-6464 RepublicServices.com/Support Important Information Please remit your payment to Republic Services #661, Account Number Invoice Number Invoice Date Previous Balance Payments/Adjustments Current Invoice Charges 3-0661-1001839 0661-000281873 January 31, 2023 $788.90 -$788.90 $632.17 PO Box 78829 Phoenix AZ 85062-8829 or utilize www.republicservices.com/pay-bill; please do not use the Carlsbad return address on this invoice for payments Total Amount Due I Payment Due Date $632.17 March 02, 2023 PAYMENTS/ADJUSTMENTS Description Payment-Thank You 01/27 CURRENT INVOICE CHARGES Reference 8119 Amount -$788.90 Description Reference Quantity Unit Price Amount Good And Roberts Lie Temp Ro 2850 Gazella Ct CSA S011464445 Carlsbad, CA Contract: 9661001 (C20) 1 Waste Container 40 Cu Yd, On Call Service Construction/Demolition Debris Disposal/Recycling 01/10 2499966 3.4300Tons Receipt Number 73074 Pickup Service 01/10 Online Request 1.0000 $278.87 $175.10 $278.87 $178.20 $632.17 Receipt Number 73074 Rental 01/01-01/31 $178.20 CURRENT INVOICE CHARGES REC8VED FEBO 1 2023 Simple account access at your fingertips. 6980 El Camino Real Carlsbad CA 92008 Download the Republic Services app or visit RepublicServices.com today. Please Return This Portion With Payment Total Enclosed Return Service Requested Total Amount Due Payment Due Date Account Number Invoice Number ~ i=or B11l1ng Aadre;,s Cha~ges v!l<::CK 8ox a: ,-1 Con p'ete Re··e,se Make Checks Payable To: $632.17 March 02, 2023 3-0661-1001839 0661-000281873 I• I 11111 I I I 1111• 11 I j I I 111 •II 11111111, •1I1111 I I I• I I I I 11 • 11 II I 11 I 11 GOOD AND ROBERTS LLC RANDY VALLES : :: 2455 IMPALA DR i:,:: CARLSBAD CA 92010-7227 1111111111111 I hi,, 1111111•1 I 111h 1 • 11111111111 I 111 ,I 1111111•1 ,, I REPUBLIC SERVICES #661 PO BOX78829 PHOENIX AZ 85062-8829 30bb11 □□1839□□□□0□0281873 □□□□63217 □000b3217b 5960 El Camino Real Carlsbad CA 92008 Customer Service (760)332-6464 RepublicServices.com/Support Important Information Account Number Invoice Number Invoice Date Previous Balance Payments/ Adjustments Current Invoice Charges 3-0861-1001839 0661-000286113 February 28, 2023 $632.17 -$632.17 $870.37 Please remit your payment to Republic Services #661, PO Box 78829 Phoenix AZ 85062-8829 or utilize www.republicservices.com/pay-bill; please do not use the Carlsbad return address on this invoice for payments Total Amount Due I Payment Due Date $870.37 March 30, 2023 PAYMENTS/ADJUSTMENTS Description Payment-Thank You 02/23 CURRENT INVOICE CHARGES Reference 8217 Amount -$632.17 Description Reference Quantity Unit Price Amount Good And Roberts Lie Temp Ro 2850 Gazella Ct CSA S011464445 Carlsbad, CA Contract: 9661001 (C20) 1 Waste Container 40 Cu Yd, On Call Service Construction/Demolition Debris Disposal/Recycling 02/03 2509039 5.6400Tons Receipt Number 78603 Pickup Service 02/03 Randy Valles 1.0000 $278.87 $413.30 $278.87 $178.20 $870.37 Receipt Number 78603 Rental 02/01-02/28 $178.20 CURRENT INVOICE CHARGES Simple account access at your fingertips. Download the Republic SeNices app or visit RepublicSeNices.com today. RECE\VED MAR O 7 2023 6960 El Camino Real Carlsbad CA 92008 Return Service Requested Please Return This Portion Wtth Payment Total Enclosed ,, I I 11111111I11111111, ,I 111 •I 11•'1111lll11•11111111111111111 I 1111 Total Amount Due Payment Due Date Account Number Invoice Number □ Fm B1lhng AddrFSS Change$ ~ieck Bo) and CO""•plete Re-.e,se Make Checks Payable To: !:'"----1 --,, ---a . .:. ·1 -=-, -• -=-. ' --... ' =-- $870.37 March 30, 2023 3-0661-1001839 0681-000288113 GOOD AND ROBERTS LLC ; RANDY VALLES : ~ 2455 IMPALA DR : : CARLSBAD CA 92010-7227 111' ,, 11, 1,111, .. , 1, 11 I 11111 I 111•11M111I 11111 ,I I 111 I 11 I ,I ,,,111 REPUBLIC SERVICES #661 PO BOX 78829 PHOENIX AZ 85062-8829 3 □bb110 □1839□□□aaa □28b113□□□□87037 □□□□87 □37b