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Home My WebLink About2460 IMPALA DR; ; CBC2024-0014; RecyclePART 2. Complete and submit this form before final inspection. Projects are required to submit their Waste Log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy {CO) issuance. Failure to provide documentation, reporting of waste diversion less than 65%, and failure to provide adequate weight t and the responsible parties subject to code enforcement. SECTION A Jazzercize Project Address~2~4~6~0~~~~~~~~~~~~~~~---------'APN 209-041-21 Applicant Name_..;;..Ja=c=k-',.;;s~o"""n ________ E~lis;;..;;a;;..._ _____ Phone 760-330-1274 Last First 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 Various dates Various dates Asphalt 2.8 tons Moody's Reclaimation-Oceanside 6/12/24 Cardboard .0015 tons 1185 Park Center Dr. Ste G Vista Ca 92081 -rec cle bin Various dates Cardboard .11 tons Recycled in office bin Various dates Tile Scrap .0225 tons Dumpster on site Various dates Cardboard .01 tons Recycled in office bin Various dates Misc. .0025 tons Dumpster on site Various dates Cardboard .022 tons Recycled in office bin @TOTAL 2.8235 tons .025 tons Diversion Rate Achieved _2_.8_2_3_5_to_n_s _ __,/ 2.8485 tons 99 % DIVERSION ~65% Total af columns A+ B Total of columns A + B + C Attach the following documentation to this Report: • Original recycling weight tickets, landfill weight tickets • Original donation receipts with photos and/or itemized descriptions • Any other relevant information to support Recycling Report Return completed form and documentation to: City of Carlsbad Building Oivision (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 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. Applicant Signature / Travis Shain, President Date --------------6/27/24 Page 3 of 4 rev 4/24 I ....J I }J\j JJJ·' ~ CONSTRUCTION White Construction, Inc. • General Contractors 1808 Aston Ave, Ste 100 Carlsbad, CA 92008 Phone. 760-931-1130 Recycling Deposit Refund Fax.760-931 -1171 •Lie.# 452513 JOB 37-23 -Jazzercise 2460 Impala Dr ADDRESS 2460 Impala Drive, Carlsbad, CA 92010 VENDOR NAME Drum Plumbing, Inc. LIST OF MATERIALS TAKEN OFF OF JOBSITE Card board boxes 44 lbs AND TONNAGE/LBS HOW MANY LBSffONS 44Ibs WAS RECYCLED FOR EVERYTHING THAT WAS RECYCLED DO YOU No receipts, recycling was placed in our card board HA VE A C&D DIVERSION recycling bin at our office location. Weekly pick up by CERTIFICATE AND Edco INVOICE? HOW MANY LBSffONS 0lbs WAS TROWN AWAY DATES YOU WERE ON Various dates from 03/01/2024 to 05/29/2024 THE JOB NOTES m11n1hite CONSTRUCTION White Construction , Inc. • General Contractors 1808 Aston Ave, Suite 100 Carlsbad, CA 92008 Phone.760-931-11 30 Lie. 1023856 JOB ADDRESS VENDOR NAME LIST OF MATERIALS TAKEN OFF OF JOBSITE AND TONNAGE/LBS HOW MANY LBSffONS WAS RECYCLED FOR EVERYTHING THAT WAS RECYCLED DO YOU HA VE A C&D DIVERSION CERTIFICATE AND INVOICE? HOW MANY LBS/TONS WAS TROWN AWAY DA TES YOU WERE ON TREJOB NOTES Mandatory City Recycling Report JAZZERClSE 2460 Impala Drive AAC Painting inc none none none Slbs 2/26, 2/27, 2/28, 2/29. 3/1-3/15, 3/22, 4/1-4/29, 5/22, 6/20/6/21, 6/24-6/27 m1white • ♦ I CONSTRUCTION White Construction, Inc. • General Contractors 1808 Aston Ave, Suite 100 Carlsbad, CA 92008 M d t c·t R 1· R rt Phone.760-931-1130 an 3 ory I Y ecyc 1ng epo Lie. 1023856 Jazzercize JOB ADDRESS 2460 Impala Dr. Carlsbad CA 92010 VENDOR NAME Anchor Construction LIST OF MATERIALS TAKEN OFF OF JOBSITE Cardboard AND TONNAGE/LBS HOW MANY LBS/fONS 20# WAS RECYCLED FOR EVERYTHING THAT WAS RECYCLED DO YOU HA VE A C&D DIVERSION No CERTIFICATE AND INVOICE? HOW MANY LBS/fONS 0# WASTROWNAWAY DATES YOU WERE ON 03/15/24, 06/25/24. THEJOB NOTES Office recycling dumpster provided by WARE. rm vvhite CONSTRUCTION White Construction, Inc. • General Contractors 1808 Aston Ave, Suite 100 Carlsbad, CA 92008 Phone.760-931-1130 Lie. 1023856 JOB ADDRESS VENDOR NAME LIST OF MATERIALS TAKEN OFF OF JOBSITE AND TONNAGE/LBS HOW MANY LBS/fONS WAS RECYCLED FOR EVERYTHING THAT WAS RECYCLED DO YOU HA VE A C&D DIVERSION CERTIFICATE AND INVOICE? HOW MANY LBS/fONS WASTROWNAWAY DATES YOU WERE ON THE JOB NOTES Mandatory City Recycling Report Jazzercise 2460 Impala Drive, Carlsbad, CA 92010 Joseph Madril Flooring cardboard, tile scrap 2201bs no, taken to recycle bin at office 45 lbs tile scrap 2/25/24-06/27 /2024 r'mwhite I ♦ I CONSTRUCTION White Construction, Inc. • General Contractors 1808 Aston Ave, Suite 100 Carlsbad, CA 92008 M d t C "t R I" R rt Phone.760-931-1130 an 3 ory I Y ecyc 1ng epo Lie. 1023856 JOB 15702 Jazzercise-2460 Impala ADDRESS 2460 Impala Drive, Carlsbad, CA 92010 VENDOR NAME H&N Qualitv Doors LIST OF MATERIALS TAKEN OFF OF JOBSITE 3Lbs of cardboard AND TONNAGE/LBS HOW MANY LBS/fONS 3Lbs of cardboard WAS RECYCLED FOR EVERYTHING THAT WAS RECYCLED DO YOU HA VE A C&D DIVERSION N/A CERTIFICATE AND INVOICE? HOW MANY LBS/fONS None WASTROWNAWAY DATES YOU WERE ON 6/12/2024 THEJOB NOTES All of the cardboard was taken back to 1185 Park Center Dr. Ste G Vista, CA 92081 and disposed in our recvcle bin m1white I ♦ I CONSTRUCTION White Construction, Inc. • General Contractors 1808 Aston Ave, Suite 1 00 Carlsbad, CA 92008 M d t C "t R I" R rt Phone.760-931-1130 an a ory I Y ecyc 1ng epo Lie. 1023856 Jazzercise JOB ADDRESS 2460 Impala Drive, Carlsbad VENDOR NAME Golden Ray Services Inc LIST OF MATERIALS TAKEN OFF OF JOBSITE Asphalt material from demo AND TONNAGE/LBS HOW MANY LBSffONS 2.8 tons WAS RECYCLED FOR EVERYTHING THAT WAS RECYCLED DO YOU HAVE A C&D DIVERSION yes CERTIFICATE AND INVOICE? HOW MANY LBSffONS WAS TROWN AWAY none DATES YOU WERE ON April 3 to 12/24 THEJOB NOTES