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Home My WebLink About1170 CHINQUAPIN AVE; ; PC2022-0037; RecycleI ;, ___ . ______ A_vu ______ ____ (city of Carlsbad Development Services CONSTRUCTION WASTE MANAGEMENT ~ N-\\/£0 B-59 r,-~ .....,, Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov APP LI CABLE TO NEW CONSTRUCTION, ALL RESIDEN{IAl r ADDITIONS AND ALTERATIONS AND COMMERCIAL ADD ITIONS AND ALTERATIONS OVER $200K. If you have quest ions 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 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 without a completed Construction Waste Management Plan. Applicant Information Permit No. ____________ Project Title Project Address Applicant Mailing Address (if different than project address) Project Type Refirl Commercial Public Building ln~I ~~~~~~ □ □ LJ Brief Description .UCJA.l 800 S.f. AQU Q\oo'Je, \\tW 800 5 .f': a\~ sa~- Project Size ___ oo=-...:::...._ _______ Estimated Cost of Project $_--BC)___,,~t~D:oc....,D(.......,._')..__· _________ _ (square footage) Please check the appropriate box: El □ □ I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. I plan on self-hauling to a certified recycling facility 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 SERVCES. 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.----'& .... \""c.,_:;.>' ..... 't:.,..__.~=~~V\_.,_ ___ signatur~ ~ ~~ Date Page 1 of 3 Rev. 05122 • {cityof Carlsbad CONSTRUCTION WASTE Development Services -.• -· I • -._. • • --.- Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov APPLICABLE To NEw coNsTRucT1ON, ALL REs1DENT1At A-gp1T10Ns· _A .. No ··ALTERAT10Ns 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 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 without a completed Construction Waste Management Plan. - Applicant Information Permit No. _____________ Project Title ProjectAddress l\]j C\i1t1~uO\fiV\ ~ Applicant Name A<c1,a(.W\ [;}ro-c, APN l.l){, -2(,( ... u -9( tJ CEr Acr ~ r2,,((1~[' Last First . Applicant Address ':flf _, ~j,oc V,cw & 6'0 ™ Af\tA•, CA C\WY:1 &tt,v :c.. ·@-~~V\ob~"': O,W\ Phone {S56 ) '-14 l; . g$ Z. k E-mail Address Applicant Mailing Address {if different than project address) Residential Project Type (check all that apply): Brief Description ~MA~e\ Project Size Z 1G\,SZ, (square footage) Please check the appropriate box: • Coc~:j'ial Pu boding JnEr u.,s\-i'"'~-6~2 t1 0,ve-rco\ ;,~\io ;A-(Jiho • Estimated Cost of Project $-_~$}~ft~•!:'.;i~' tO:.tOS2:tfYL ________ _ -' bf~ 1 1,35. '=3 ~ I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. ~-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 REPUBLIC SERVCES. 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. PrintName ~"Ce ~,,..._ Signature ~ f?rn. Date tg/15.lwut- Rev. 05122 Page 1 of 3 ·/ PART 2 Complete before final inspection, obtain WASTE MANAGEMENT signature, and return with receipts prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): Acknowledgement I certify under penalty of perjury under the laws of the Stat e of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project fist ed 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. Perm it No. C,{s£!:,t.,. 'lo 7-t'h ,... b \--Z I Address \\°A) C "ti ~ l'r2CI,,) Au€; Print Name 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. Date Example: 01/05/2018 Material Type Concrete (broken} □TOTAL Diversion Rate Achieved A B C Actual Amt Reused or Salvaged Actual Amt Recycled 5 tons Actual Amt Disposed In Landfill Destination Facility (Name, Address, Phone} Polomor Transfer Station, 5960 El Camino Real % -603-01 3 2: 65% ~65%0 Toto/ of colu~x +~umill.A.:t...8 + C DIVERSION Cont,actor/Owne,s;gnature ~ «J Date \'2./=/ ,z, ':, . Attach the following documentation to this Report: Return completed form and documentation to: • Original recycling weight tickets, landfill weight tickets • Original donation receipts with photos and/o~ Itemized descriptions • Any other relevant Information to support Recycling Report City of Carlsbad Building Division (1st Floor} 1635 Faraday Avenue Carlsbad, CA 92008 Rev. 516/2022 Gmail Pickup donation receipt from 1 message dispatch@sandiegohabitat.org <noreply@relationhq.com> Reply-To: dispatch@sandiegohabitat.org To: mjG.homes@gmail.com Michael Gallagher <mjg.homes@gmail.com> Fri, Dec 30, 2022 at 1 :27 PM San Diego Donation Receipt Habitat ' for Humanity~ Thank you for your donation to: San Diego Habitat for Humanity 8108 Mercury Court SAN DIEGO, CA 92111 Contact: Restore Dispatch Ph.: (619) 516-5267 Fax: (619) 516-5264 Email: dispatch@sandiegohabitat.org Web: http://sand1egohabitat.org Name Coastal Dream Homes Phone number E-mail mjG.homes@gmail.com Address 1170 Chinquapin Ave Carlsbad, CA 92008 Pickup date 11/10/2022 Kitchen cabinet Custom item (fireplace) Counter top Interior door Items picked up Window Microwave Oven Exterior door Bathroom vanity Sink San Diego Habitat for Humanity Restore thanks you for your donations of the items listed. Donations like yours help us build simple and decent, affordable homes in partnership with local families in need and also to keep surplus building materials out of our landfills. San Diego Habitat for Humanity is a 501 (c)(3) non-profit organization with Federal Tax ID #33-0259190. Your donation is taxdeductible to the extent allowed by law. No goods or services were provided In exchange for this donation. By law, it is your responsibility to keep detailed records of the items donated and how you determined the value. Internal revenue code sec. 170(F)(8) and code of Federal Regulations, Chapter 26, Section 1.170A-13(F)2. The AO~company inc 559 lee circle Chula Vista, Ca 91911 US arturolomeli6@yahoo.com https://www.theadcompanyinc.com INVOICE BILL TO Michael Galagher Costal Dream Homes Lie DATE ACTIVITY Custom Amount Job name 1170 chinquapin ave Carlsbad ca -Demo off house lo studs and sub floonng -Removal off stucco -Removal off extenor trees -Removal off curve on entry way and Alphalt and Key stones -removal off decks and extenor shed Provided all equipment needed to get the Job done Total 32.500.00 DESCRIPTION BALANCE DUE No Job to small Page 1 of 1 INVOICE DATE TERMS DUE DATE QTY 547 11/02/2022 Due on receipt 11/02/2022 RATE 10,000.00 AMOUNT 10,000.00 $10,000.00 The AD. company inc 559 lee circle Chula Vista, Ca 91911 US arturolomeli6@yahoo.com hllps ://www. I head com panyinc. com INVOICE BILL TO Michael Galagher Costal Dream Homes Lie DATE Total ;ob 32,500 Draw 101< Draw 8.!>00.00 Owed 14,00 00 ACTIVITY Custom Amount Custom Amount DESCRIPTION Job name : 1170 chinquapins ave Carlsbad ca : -Demo off house to studs and leave to sub flooring -removal off stucco -removal off all exterior -removal off curve and entry Alphalt and all keystone BALANCE DUE No Job to small Page 1 of 1 INVOICE 643 DATE 11/10/2022 TERMS Net 30 DUE DATE 12/10/2022 QTY RAlE: AMOUNT 1 8,500.00 8,500.00 8,500 0.00 0.00 $8,500.00 The AD. company inc 559 lee circle Chula Vista, Ca 91911 US arturolomeli6@yahoo.com hltps://www.theadcompanyinc.com INVOICE BILL TO Michael Galagher Costal Dream Homes Lie DATE ACTIVITY Custom Amount DESCRIPTION Job name: 1170 Chinquapin Ave, Carlsbad 92008 Demo off house Removal off Alphalt BALANCE DUE No Job to small Page 1 of 1 INVOICE 789 DATE 11/17/2022 TERMS Net30 DUE DATE 12/17/2022 QTY RATE M10UNT 1 8,500.00 8,500.00 $8,500.00