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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