HomeMy WebLinkAbout2290 COSMOS CT; ; CBC2022-0373; Recycle{city of
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59
Development 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 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. CBC2022-0373 Project Title Reef Exterior Improvements
Project Address 2290 Cosmos Court, Carlsbad, CA 92011 APN 213-050-44
Applicant Name C2 Building Group □ cr✓r' [~r □
Last First
Applicant Address 107 S. Cedros Ave, Unit 200, Solana Beach, CA 92075
Phone ( 858 l 245-0271 E-mail Address _b_la_k_e_@_c_2_s_d_.c_o_m ___________ _
Applicant Mailing Address
(if different than project address)
Project Type
(check all that apply):
Residential □ Commercial
0
Public Building □
Brief Description Exterior improvements consisting of new exterior doors, landscaping and the addition of exterior decks and hardscaping
Project Size 9.485 SF Estimated Cost of Project $_1_,_0_0_0_,0_0_0 ___________ _
(square f ootage)
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 materia ls 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 Blake Humann Signature m...,½ity of CarlsbaBate
MAY 1 0 2024 ECORD COPY Page 1 of 3
BUILDING DIVISION
4/23/2024
Rev. 05122
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:
SECTION A Permit No. CBC2022-0373 Project Title Reef Exterior Improvements
Project Address 2290 Cosmos Court, Carlsbad, CA 92011 APN 213-050-44
Applicant Name Humann, Blake Phone &58 ) 77 4-8193
Last First
SECTION B Complete the following table with estimated waste tonnage to be generated by your project.
This is your plan for construct ion waste management. Changes ca n 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 (u) check Place a (u) check next Place a (u) 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
roll-off bins.
M ixed C&D Debris □ □
Asphalt & Concrete 10 tons □(u) □
Brick/ Masonry/ Tile □ □
Mixed Inert Debris □ □
Cabinets, Doors, Fixtures, □ □ Windows (circle all that apply)
Carpet □
Carpet Padding/ Foam
Cardboard
Ceiling Tile (acoustic) □ □
Drywall (used, new, scrap) □
Landscape Debris (brush, trees, 1 ton □(ul □ stumps, etc.) No dirt.
Unpainted Wood & Pallets □
Roofing Materials □
Scrap Metal
Stucco
Other: □ □ □
TOTAL = 11 tons
SECTION C
To meet 65% Diversion Requirement (estimate) 22,000 x 0.65 = 7-15 tons -------------------
Total Estimated Waste from above Minimum Required Diversion
Contractor/Owner Signature ___ tJL., __ L-_____________ Date 1/30/24
Page 2 of 4 Rev. 05122
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. CBC2022-0373 Print Name Blake Humann
Address 2290 Cosmos Court. Carlsbad, CA 92011 Date 4/23/2024 --------------------------
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
Example:
01/01/2020
SECTION C
Material Type
Concrete (broken)
Concrete (broken)
Concrete (broken)
Asphalt (broken)
Concrete (broken)
Concrete (broken)
Concrete (broken)
Concrete (broken)
@TOTAL
Actual Amt Actual Amt
Reused or Recycled
Salvaged
5 tons
100% (2.75 tons) 2.75 tons
100% (1.15 tons) 1.15 tons
100% (1 O tons) 10 tons
100% (10 tons) 10 tons
100% (10 tons) 10 tons
100% (1 o tons) 10 tons
100% (1 O tons) 10 tons
53.9 tons 53.9 tons
Actual Amt Destination Facility
Disposed in (Name, Address, Phone)
Landfill
Palomar Transfer Station, 5960 El
Camino Real
-760 603-0153
0 3660 Dalbergia st. San Diego CA 92136
0 3660 Dalbergia st. San Diego CA 92136
0 Moody's El Corazon Reclamation PO Box 969 Bonsall, CA 92003
0 Moody's El Corazon Reclamation PO Box 969 Bonsall, CA 92003
0 Moody's El Corazon Reclamation PO Box 969 Bonsall, CA 92003
0 Moody's El Corazon Reclamation PO Box 969 Bonsall, CA 92003
0 Moody's El Corazon Reclamation PO Box 969 Bonsall, CA 92003
0
Diversion Rate Achieved _5_3_.9 ______ __J/_5_3_.9 _________ =_1_0_0 ___ % ~ 65% l ✓I
Total of columns A+ B Toto/ of columns A + B + C DIVERSION
Contractor/Owner Signature.......::~~-"/3 __ -__________ Date 4/23/2024
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/or itemized descriptions
• Any other relevant information to support Recycling Report
City of Carlsbad
Building Division (1st Floor)
1635 Faraday Avenue
Carlsbad, CA 92008
RECORD COPY City of Carlsbad
MAY 1 0 2024
BUILDING DIVISION Page 3 of 4 Rev. 04122
-----~~-------------------
EDCO Transfer Station
3660 Dal bergia St.
San Diego, CA 92136
(619) 234-0848
Customer: 0017
CEMENT CUTTING
Ticket: 56667
Date: 08/14/23
Commodity Units Rate
20 Commercial Refuse 2 .78
In: 13:15
Out: 13:15
INVOICE
Truck: 0024/0024
Container :
Rou te: 02 020
Origin : 020 SAN DIEGO
[Gross ( In) : 7. 93 tons Scl#l Tare 5 .15 tons Man Wt Ne t:
Extended
Charge
319.70
2 . 78 tons]
TOTAL DUE 319.70
RBOT E Driver
EDCO Transfer Station
3660 Dal bergia St.
San Diego, CA 92136
(619) 234-0848
;)J_q () COJ1VJ05 c-j-
c(Jlr/.rb{?Jf d I COJ
INVOICE
Customer: 0017 Ticket: 55768
Date : 08/09/23
In : 14:04
Out: 14:04
Truck : 0016/0016
Container:
CEMENT CUTT I NG
Commodity Units
20 Commercial Refuse 1.15
[G ross(In): 6.15 tons Scl#l
RBOTE
Route: 02020
Origin: 020 SAN DIEGO
Rate
Tare 5.00 tons Stored Net:
Extended
Charge
132.25
1. 15 t.ons]
TOTAL DUE 132.25
Driver
MOODY"S
cL CORAZON RECLAMATION
PO BOX 969
BONSALL. CA 92003
(760) 433~3316 • FAX (760) 433-6691
JOB# OATE
CASH CHECK CHARGE COMMERCIAL RESIDENCE TIME
NAME
CITY OF ORIGIN
JOB LOCATION
PU TRAILER FLATBED BOBTAIL 10-WHEEL ENO OUMP T&T
MATERIAL
NT
1 2 3 4 5 6 7 8 9 10
#LOADS X PRICE OTHER CHARGES
$
TOTAL
SIGNATURE
Att bills due upon presentation unless otherwise
arranged In advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
TRUCK#
MOODY'S is not responsible for damage to
vehicle while being loaded or unloaded In
yard.
10 tons 100%
recycling
JOB COPY
1 5112
ABC Industrial Services Inc.
1411-1419 N. Magnolia Ave., El Cajon, CA 92020
619.579.1992
ABCDumpsite@gmail.com
A
Customer Name, 1··efhc~ i-L ~ate 0.J'-'7'1 • I ✓-r.i9-1
Rec.By I Charge I Credit Card I 1::'ash Check
Description Amount
Dump Fee
□ 1 Ton Truck $
D Single Axle Trailer $
□ Dual Axle Trailer $
□ Bobtail Truck $
a'-Ten-Wheeler $ floe.
□ Super 10-Wheeler $
D Boosters $
□ End Dump/Sem, s
□ Other/Surcharge $
□ Note: s
□ Additional Charge : 0 Red Brick
□oversize 0 Petromat □Dirt 0 Trash
$
Loading Fee
□ Yards Amount $
12 tons 100% C , )., I Total $~t?Ci
recyc_lir::ig• _:
·po # --~--~---Job Name:
T~uck_ing ~~~p~ny:· _· ---;Jii~
Driver Signature: • • • :, .. • ... • /i.
Print Name:
JOB#
CASH CHECK CHARGE
AM
CITY OF ORIGIN
JOB LOCATION
PU I TRAILER I FLATBED
I l"IAD COUNT
1 2 3 4
COMMERCIAL
BOBTAIL
MATERIAL
. .,
5
Y'S
CLAMATION
.969
:A 92003
I( (760) 433-6691
DATE
RESIDENCE TIME
l 10-WHEEL
1
END DUMP r & T
6 7 8 9 10
# LOADS X PRICE OTHER CHARGES
10 tons 100% c. • ~
recycling
SIGNATURE
All bills due upon presentation unless otherwise
arranged in advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
$
TOTAL
TRUCK#
MOODY'S is not responsible for damage to
vehicle while being loaded or unloaded in
yard.
JOB COPY
CASH CHECK
N
CITY OF ORIGIN
JOB LOCATION
PU I TRAILER
1 nAD COUNT
1 2
# LOADS
10 tons 100%
recycling
SIGNATURE
JOB#
CHARGE
I FLATBED
3 4
X
,1OODY'S
1N RECLAi\1ATION
BOX 969
.LL. CA 92003
• FAX (760) 433-6691
DATE
COMMERCIAL RESIDENCE TIME
BOBTAIL 110-WHEEL
1
ENO DUMP r & T
MATERIAL
5 6 7 8 9
PRICE OTHER CHARGES
$
TOTAL
10
All bills due upon presentation unless otherwise
arranged in advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
TRUCK#
MOODY'S is not responsible for damage to
vehicle while being loaded or unloaded in
yard.
JOB COPY
CASH CHECK
NAM
CITY OF OAIGIN
JOB LOCATION
PU rAAILER
I OADCOUNT
1 2
.. -· '•
~
#LOADS
1Otons100%
recycling
SIGNATURE
--------------------
MOODY'S
ZON RECLAMATION
PO BOX 969
SALL, CA 92003
(760) 433-3316 • FAX (760) 433-6691
JOB• DATE .. '
CHARGE COMMERCIAL RESIDENCE TIME
' . \
rLATBED BOBTAIL
11~--~~E~L I END DUMP IT & T
MATERIAL
"'· , :..,·· '\ .,, i .. '· ·.
3 4 5 6 7 8 9 10
X PRICE OTHER CHARGES
$
TOTAL
. ,. ._
All bills due upon presentation unless otherwise
arranged In advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
TRUCK#
MOODY'S Is not responsible for damage to
vehicle while being loaded or unloaded in
yard.
JOB COPY
CASH CHECK
NAM
ciTY OF ORIGIN
JOB LOCATION
PU I TRAILER
LOADC.:l'lllNT
1 2
#LOADS
SIGNATURE
·s
:LAMATION
PO BOX 969
BONSALL, CA 92003
(760) 433-3316 • FAX (760) 433-6691
JOB f OATE
CHARGE COMMERCIAL RESIDENCE TIME
IFLATBEO BOBTAIL 110-WHEEL I END DUMP IT & T
MATERIAL
3 4 5 6 7 8 9
X PRICE OTHER CHARGES
$
TOTAL
10
Aa bills due upon presentation unless otherwise
arranged in advance. Open accounts subject to
1 1/2% month, charge after 30 days unpaid
balance.
TRUCK#
MOODY'S Is not responsible for damage to
vehicle whlle being loaded or unloaded in
yard.
10 tons 100%
recycling JOB COPY