HomeMy WebLinkAbout2633 BANBURY CT; ; PC2022-0007; RecycleC Cityof
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
Many of the materials generated from your project can be recycled. 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 you are self-hauling, Waste Management 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 .. __ ftL......>,,LJZ4~....::'t_Z,_-_O=...:Q,,,_O-=--il-___ Project Title
Project Address 2633 Banbury Ct APN
Applicant Name Musick Construction Inc Contractor
[Z]
Last First
ApplicantAddress 1818 Peacock Blvd., Suite E , Oceanside CA 92056
Phone I 760 > 994-8434 E-mail Address kyle@musickinc.com
Applicant Mailing Address Same as applicant address
(if different than project address)
Project Type
(check all that apply):
Residential
[l]
Commercial
□
Public Building □
Brief Description Build ADU by converting 222 sq ft of garage + 179 sq ft addition
208 131 08 00
Other □--
Project Size 401 sq ft Estimated Cost of Project $_$_2_2_0_,0_0_0_.0_0 _________ _
(square footage)
Please check the appropriate box:
DI plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction.
I ✓ I 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 t he
best of my knowledge and belief.
Print Name Kyle Musick s;gnature 1«~ Date
Page 1 of 3 Rev. 2.10.21
PART 2. Complete and submit this form before final inspection. Projects are required to submit their Waste
Log, Ackno~led~ement Form, and Weight Receipts prior to Certificate of Occupancy (CO) issuance. Failure to
provide dotum~ntation, reporting of waste diversion less than 65%, and failure to provide adequate weight
receipts, may r~1ider the Project non-compliant and the responsible parties subject to code enforcement.
Last First
Use this Final Log below to track loads of materials as they leave the job site.
j
• @@SAVE RECEIPTS@@
Indicate Fl AL antities in tons for each material a·nd·save receipts and documents from facilities where material is taken.
Ad itio el Project Log pages are available if necessary. Use City Conversion Table to convert volume to tons.
I.
A B C
Date Material Type Actual Amt Actual Amt Actual Amt Destination Facility
Reused or Recycled Disposed in (Name, Address, Phone)
Salvaged Landfill
Palomar Transfer Station, 5960 El
Concrete (broken) 5 tons Camino Real -03-0 53
\~-.W~ 0 \ .Gt (i ~
TOTAL
I I
• I
Diversion RatJ Achleved
'I I►
I
Attach tht:i folt wing documentation to this Report:
_3_, q_1.n __ ____,1 __ 3_:,_°1_2D ____ . __ l_.:;_00 __ %
Total of columns A + B Total of columns A + 8 + C DIVERSION
;;: 65%
Return completed form and documentation to:
City af Carlsbad • Original ~ecyc(ihg weight tickets, landfill weight tickets
• Original ~ona\ipn receipts with photos and/or itemized descriptions
• Any othef rel,1ant information to support Recycling Report
Building Division (1st Floor)
1635 Faraday Avenue
Carlsbad, CA 92008
• • Jt
I certify ul1der ~enalty of perjury under the laws of the State of California that the information provided in and with
this form ert ins to construction and demolition debris generated only from the project listed in PART 1, that I have
reviewed he Ji:curacy of the information, and that the information is true and correct to the best of my knowledge
and belief~ l11
Applicant t gn~ture i%:: _..... > Date 6 Y -1.,.\.,,\ -'Z,o '7)v\
, 11
rev 4/24
(J>$
L,,, ..... 5 E \l-i:: 13 µ A-i-.JY /
EDCO WASTE & RECYCLING SERVICES, INC
224 S. LAS POSAS RD
SAN MARCOS, CA 92078
(760) 744-2700
t-~c \.-tC{__e
1(2-A-$ ti
c-eie-,~
INVOICE
Customer: 0000 Ticket: 4401
Date: 02/23/23
In: 8: 37
Out: 8:52
Truck: 0000
Container:
Route : 08045
CASH CUSTOMER Origin: 080 SAN MARCO
SEREBRIANY
Commodity Units Rate
45 C & D MIX 1.96 83.00 per TON
[Gross(In): 14,200. lbs Scl#l Tare 10,280. lbs Scl#l
Extended
Charge
162.68
Net: 3,920. lbs]
PAID CHECK# 2852 162.68
Construction & Demolition Diversion Certificate --Diversion Percentage 77%
This certifies that the company listed above has utilized an EDCO facility to divert construction demolition materials in accordance
with LEED requirement. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility.
CRUZ Driver