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HomeMy WebLinkAbout1818 MARRON RD; 103; CBC2023-0337; Recycle(city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $6OK VALUATION AND COMMERCIAL ADDITIONS AND ALTERATIONS OVER $200K. 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 Republic Services at (760) 332-6464, a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2719 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 Applicant Information Permit No.CBC2023-0337 Project Title KIMCO OFFICE Project Address 1818 MARRON ROAD APN 156-301-1600 PHIL CUDABACK Owner Contractor Architect Other Applicant Name □ □ 0 □ Lost First ApplicantAddress 3268 GOVERNOR #141 , SAN DIEGO CA 92122 Phone c858 1357-5509 E-mall Address PCUDABACK@LAHAINA-ARCHITECTS.COM Applicant Malling Address 3268 GOVERNOR #141 , SAN DIEGO CA 92122 (if different than project address) Project Type (check all that apply): Residential □ Commercial 0 Public Building □ Brief Description Tenant Improvement from wellness space to office space Project Size2•443 sq.ft. (square footage) Estimated Cost of Project $_1_0_0_,0_0_0 ____________ _ Please check the appropriate box: D I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. 0 I plan on using a City Approved hauler and will provide all receipts at the final occupancy inspection. □ This is a proposed LEED certified project. I plan on separating materials on site in conjunction with Republic. Acknowledgement: I certify under penalty of perjury under the laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge and belief. P 1 t N Phil Cudaback -t-l • nc 1111iii.1 r n ame _____________ Slgnature_ ~ ___ Date 04.22.2024 Pagelof4 Rev. 2. 10.21 PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will not be issued without a completed Construction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: Permit No. ---:. __________ Project Title APN : 181~;$'."~s ••••• Last First fji 412-z11~~tt1 Complete the following table with estimated waste tonnage to be 1enerated by your project. This is your plan for construction waste management. Changes can be made on the final recycle report. Material Type Complete this llne of the table only If only using WASTE MANAGEMENT roll-oft bins. Ml>1ed C&D Debris Parking lot Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle all that apply) Car et Carpet Padding / Foam Cardboard Ceilin Tile acoustic) Drywall (used, new, scrap) Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Concrete Roofing Materials Sera Metal Stucco Other: TOTAL Goal: the diversion rate shall be 65% by weights of debris. A B C Estimated Waste Quantity (tons) Place a(✓) check next to items to be reused or salvaged Place a(✓) check next to items to be recycled Place a(✓) check next to items to be disposed at landfill To meet 65% Diversion Requirement (estimate) ~ I ~ x0.65= ste from above Page 2 of 4 Rev. 711120 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): 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._~----------~~~---P,rlnt Name Address / ~ ~ fdit,{~tJA/ iJ/{ 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 Examl!,le: Palomar Transfer Station, 5960 El 01/01/2020 Concrete (broken) 5 tons @TOTAL Diversion Rate Achieved 'f_ I s-= /Q % Tot + B Total if columns A+ B + C DIVERSION ~65%□ SGS% Contractor/Owner Signature ,,,.,___,. .,-, . _Date § /1 /;L1J~1" Attach the following documentation to 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 Page 3 of 4 Rev. 04/22 Conversion Table for Common Construction Waste This document is informational onlv. It is here to helo vou convert truckload auantities to tons if necessarv. Column A Column B Column C Category Material Volume Tons[Unlt Tons Mixed Debris Construction cy X 0.18 = Demolition 'fJ-cy X 1.19 = I /<:::1/ Asphalt/Concrete Asphalt (broken) cy X 0.70 = Concrete (broken) fl-cy X 1.20 = /. ~() Concrete (solid slab) cy X 1.30 = Brick/Masonry/Tile Brick (broken) cy X 0.70 = Brick (whole, palletized) cy X 1.51 = Masonry brick (broken) cy X 0.60 = - Tile sqft X 0.00175 = Building Materials (cabinets, doors, windows, etc.) cy X 0.15 = Cardboard (flat) cy X 0.05 = Carpet By square foot sq ft X 0.0005 = By cubic yard cy X 0.30 = Carpet Padding/Foam sq ft X 0.000125 = Ceiling Tiles Whole (palletized) cy X 0.0003 = Loose cy X 0.09 = Drywall (new or used) 1/2" {by square foot) sq ft X 0.0008 = 5/8" (by square foot) sq ft X 0.00105 = Demo/used (by cu. yd.) cy X 0.25 = Landscape Debris ( brush, trees, etc.) cy X 0.15 = Asphalt Composition Shingles, asphalt Shingle cy X 0.22 = Unpainted Wood/Pallets By board foot bd ft X 0.001375 = By cubic yard cy X 0.15 = Trash/Garbage cy X 0.18 = Other (estimated weight)-cy X estimate = cy X estimate = cy X estimate = cy X estimate = Total all = -:1 ~q --' Page 4 of 4 Rev. 2.10.21 PALOMAR TRANSFER STATION -4517 PO BOX 31001-2265 PASADENA, CA 91110 (520)519-4826 ©©~~ ROSENBACH COMPANY INC. 1870 JOE CROSSON DR. SUITE 200 EL CAJON, CA 92020 tR"li ~i REPUBLIC SERVICES INVOICE Invoice Date 05/15/2024 Invoice No 4517-000020189 Customer No 4-4517-0333339 Page No Due Date Current Charges I $474.13 I Paqe 1 of 1 UPON RECEIPT Total Amount Due 1 $1,203.40 1 Please pay total amount due BIiiing Questions? can (520) 519-4826 Thank you for your business! Please be sure to remit payments to our lockbox address shown on the bottom of the Invoice. ~~te c~~e l?~ptjon Reference ~te Quc!ntjty A~o~,:i~. 5/01 AA MSW 54-2689973 ✓ 96.28 1.13 TN $108.80 5/01 AA Reference: JOB: 1717 Marron Road 5/01 AA Contract: COMM-GATE Yr. 2007 54-2690064 / 5/01 AA MSW 96.28 0.82 TN $78.95 5/01 AA Reference: JOB: 9154 5/01 AA Contract: COMM-GATE Yr. 2007 5/01 AA MSW 54-2690124 ✓ 96.28 0.61 TN $58.73 5/01 AA Reference: JOB: 1717 Marron 5/01 AA Contract: COMM-GATE Yr. 2007 5/01 AA MSW 54-2690233 ./ 96.28 0.76 TN $73.17 5/01 AA Reference: JOB: 9154 5/01 AA Contract: COMM-GATE Yr. 2007 5/02 AA MSW 54-2690394 ✓ 96.28 0.86 TN $82.80 5/02 AA Reference: job reference : 9154 5/02 AA Contract: COMM-GATE Yr. 2007 5/02 AA MSW 54-2690520 ✓ 96.28 0.69 TN $66.43 5/02 AA Reference: JOB: 9154 5/02 AA Contract: COMM-GATE Yr. 2007 5/15 28 ADMINISTRATION FEE SC16537 5.25 1.00 $5.25 ......... .. .... .. . ............... Matedal l E~ SUlllllli.l[Y AA MSW 4.87 TN $468.88 28 ADMINISTRATION FEE 1.00 $5.25 Current 31-60 O~ys 61-90 Days Over 90 Days Total Amount Due $1,203.40 $0.00 $0.00 $0.00 $1,203.40 ____ please return thi!_Portion below wi~your ~a.'£!rlent. Do not attach check stub. _____ _ REPUBLIC SERVICES • PALOMAR TRANSFER STATION -4517 PO BOX 31001-2265 PASADENA, CA 91110 (520) 519-4826 Please write your account number on your check and make payable to: Please PALOMAR TRANSFER STATION -4517 Return PO BOX 31001-2265 Payment to: PASADENA, CA 91110 • Please Note the Envlronmental Recovery Fee has Increased. For more Information contact your company representative at the phone number on this Invoice". Invoice Date 05/15/2024 Invoice No 4517-000020189 Customer No 4-4517-0333339 Current Charges Total Amount Due Amount Paid: ROSENBACH COMPANY INC. $474.13 $1,203.40 1870 JOE CROSSON DR. SUITE 200 EL CAJON, CA 92020 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 333339 -ROSENBACH COMPANY INC. 1870 JOE CROSSON DR . SUITE 200 EL CAJON , CA 92020 Contract: COMM-GATE Yr . 200 GROSS 13,440 Scale In TARE 11,180 Tare Out NET 2 ,260 Tracking Qty: 0 .00 Qty Unit Description 1. 13 TN MSW Origin: OCEANS I DE 100% Signature: S4 Ticket #: 2689973 Weighrnaster: marticy In: May 01 , 2024 Out: May 01, 2024 Vehicle: Al04124 Ref : JOB : 1717 Marron Road BOL: INBOUND INVOICE Rate Extension Tax Total Paid Change 9 :08 am 9:08 am Total PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 333339 -ROSENBACH COMPANY INC. 1870 JOE CROSSON DR. SUITE 200 EL CAJON, CA 92020 Contract: COMM-GATE Yr. 200 GROSS 12,860 TARE 11,220 NET 1 ,640 Tracking Qty: 0.00 Qty Unit Description 0 . 82 TN MSW Scale In Tare Out 54 Ticket #: 2690064 Weighmaster : marticy In: Out: Vehicle: Ref: BOL : INBOUND INVOICE May 01, 2024 May 01, 2024 Al06131 JOB : 9154 Rate Extension Origin: CARLSBAD 100% Signature : Total Paid Change 11 :10 am 11:10 am PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 333339 -ROSENBACH COMPANY INC. 1870 JOE CROSSON DR. SUITE 200 EL CAJON, CA 92020 Contract: COMM-GATE Yr. 200 GROSS 12,400 Scale In TARE 11,180 Tare Out NET 1,220 Tracking Qty: 0.00 Qty 0.61 Unit Description TN MSW 5 4 Ticket #: 2690124 Weighmaster: marticy In: May 01, 2024 Out: May 01, 2024 Vehicle : A104124 Ref: JOB: 1717 Marr...on BOL: INBOUND INVOICE Rate Extension Tax Origin: OCEANSIDE 100% Signature : Total Paid Change 12 :29 pm 1 2 :29 pm Total PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760) 603-0153 333339 -ROSENBACH COMPANY INC. 1870 JOE CROSSON OR . SUITE 200 EL CAJON , CA 92020 Contract: COMM-GATE Yr. 200 GROSS 12,940 Scale In TARE 11 ,220 Tare Out NET 1,720 Tracking Qty: 0 .00 Qty 0 .86 Origin: Signature : Unit Description TN MSW CARLSBAD 100% 54 Ticket #: 2690394 Weighmaster: martios3 In: May 02, 2024 Out: May 02, 2024 Vehicle: A106131 Ref: iob reference 9154 BOL : INBOUND INVOICE Rate Extension Tax Total Paid Change 7 : 40 am 7:40 am Total PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD , CA 92008 (760)603-0153 333339 -ROSENBACH COMPANY I NC . 1870 JOE CROSSON DR . SUITE 200 EL CAJON, CA 92020 Contract: COMM-GATE Yr. 200 GROSS 12 ,740 TARE 11 ,220 Scale In Tare Out NET Tracking Qty: 1 ,520 0.00 Qty Unit Description 0 .76 TN MSW Origin: CARLSBAD Signature: 100% 54 Ticket #: 2690233 Weighmaster: marticy In: May 01, 2024 Out: May 01 , 2024 Vehicle: Al06131 Ref : JOB : BOL: INBOUND INVOICE Rate Extension Tax Total Paid Change 2:44 pm 2:44 pm Total PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD , CA 92008 (760)603-0153 333339 -ROSENBACH COMPANY INC. 1870 JOE CROSSON DR. SUITE 200 EL CAJON, CA 92020 Contract : COMM-GATE Yr. 200 GROSS 12,600 Scal e In TARE 11,220 Tare Out NET 1 ,380 Tracking Qty: 0.00 Qty 0.69 Origin: Signature : Un i t Description TN MSW CARLSBAD 100% 54 Ticket #: 2690520 Weighmaster: marti cy In : May 02, 2024 Out: May 02, 2024 Vehicle : Al06131 Ref: JOB : 915 4 BOL : INBOUND INVOICE Total Paid Change 10:48 am 10 :48 am Total PALOMAR TRANSFER STATION -4517 PO BOX 31001-2265 PASADENA, CA 91110 (520) 519-4826 ROSENBACH COMPANY INC. 1870 JOE CROSSON DR. SUITE 200 EL CAJON, CA 92020 INVOICE Invoice Date 04/15/2024 Invoice No 4517-000020061 Customer No 4-4517-0333339 Page No Due Date Current Charges I s32e.94 I Paqe 1 of 1 UPON RECEIPT Total Amount Due I $353.15 I Please pay total amount due Billing Questions? can (520) 519-4826 Thank you for your business! Please be sure to remit payments to our lockbox address shown on the bottom of the lnvolm. ~-il~ ~~~ ~a:fptj~_,, 4/08 AA MSW 4/08 AA Reference: 4/08 AA C.Ontract: 4/08 AA MSW 4/08 AA Reference: 4/08 AA Contract: 4/08 AA MSW JOB: 1818 Morron COMM-GATE Yr. 2007 JOB: 1818 Morron COMM-GATE Yr. 2007 4/08 AA Reference: Job: 1818 Morron 4/08 AA C.Ontract: COMM-GATE Yr. 2007 4/15 28 ADMINISTRATION FEE l!!:{erence 54-2680380 54-2680534 54-2680656 SC16419 Material I Fee summary AA ZS MSW ADMINISTRATION FEE 96.28 96.28 5.25 1.40 TN 0.48 TN 1.00 3.25 TN 1.00 Amount $131.90 $134.79 $55.00 $5.25 $321.69 $5.25 Curceot $353.15 31-60 Oav.s $0.00 61-8.0 Qays $0.00 O.v~r 8.0.D~v, IQtatA111Q.1JOt Due $0.00 $353.15 ____ PLease return thi!._Portlon below wi~your~a~ent. Do not attach check stub. _____ _ REPUBLIC SERVICES PALOMAR TRANSFER STATION -4517 PO BOX 31001-2265 PASADENA, CA 91110 (520) 519-4826 Please write your account number on your check and make payable to: Please PALOMAR TRANSFER STATION -4517 Return PO BOX 31001-2265 • Payment to: PASADENA, CA 91110 " Please Note the Environmental Recovery Fee has Increased. For more Information contact your company representative at the phone number on this Invoice". Invoice Date 04/15/2024 Invoice No 4517-000020061 Customer No 4-4517-0333339 Current Charges Total Amount Due Amount Paid: $326.94 $353.15 ROSENBACH COMPANY INC. 1870 JOE CROSSON DR. SUITE 200 EL CAJON, CA 92020 'PALOMAR TRANS FER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760) 603-0153 333339 -ROSENBACH COMPANY I NC . 1870 JOE CROSSON DR . SUITE 200 EL CAJON , CA 92020 Contract: COMM-GATE Yr . 200 GROSS 13, 920 Scale In TARE 11,180 Tare Out NET 2 ,740 Tracking Qty : 0 .00 Qty Unit Description 1. 37 TN MSW Origin : CARLSBAD 100% Signa t ur e : 54 Ticke t #: 2680380 Weighmaster: marticy In: Out : Vehicle : Apri l 08, 2024 April 08 , 2024 Al04124 Ref : JOB : 1818 Morron BOL : INBOUND INVOICE Rate Extension Tax Total Paid Ch a nge 8 : 48 am 8 :48 am To tal 'PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 333339 -ROSENBACH COMPANY INC . 1870 JOE CROSSON DR . SUITE 200 EL CAJON, CA 92020 Contract: COMM-GATE Yr. 200 GROSS 13,980 TARE 11,180 Scale In Tare but NET 2,800 Tracking Qty: 0 .00 Qty Unit Description 1 . 40 TN MSW Origin: CARLSBAD 100% Signature: 54 Ticket #: 2680534 Weighmaster : marticy In : Apr i 1 0 8 , 2 0 2 4 Out : Ap ril 08 , 2024 Vehicle : A104124 Ref : JOB : 1818 Morron BOL : INBOUND INVOICE Rate Extension Tax Total Paid Change 12:09 pm 12 :09 pm Total 'PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 333339 -ROSENBACH COMPANY INC. 1870 JOE CROSSON DR. SUITE 200 EL CAJON , CA 92020 Contract: COMM-GATE GROSS TARE NET Tr acki ng Qt y: Yr . 200 12 ,140 11,180 960 0 .00 Qt y 0 .48 Unit Desc ription TN MSW Sca le I n Tare Out 54 Ticket#: 2680656 Weighmast e r: marti cy In: Apri l 08, 2024 Out: April 08, 2024 Ve hicle: A104124 Ref: Job: BOL : INBOUND INVOICE 1818 Morron Rate Extension Tax Origin: CARLSBAD 100% Signa ture: Tot a l Paid Change 2 :32 pm 2 :32 pm Total w HM of California, Inc. -RC#7186 lOQl W. Bradley Ave WASTE MAN-11Mi&ir Cajon, CA, 92020 Original Ticket# 1068667 Ph : 619-596-5100 Customer Name ROSENBACH ROSENBACH COMPAN Carrier CASH -PUBLIC CASH -PUBLIC Ticket Date 05/04/2024 Payment Type Credit Account Manual Ticket# Hauling Ticket# Time Scale In 05/04/2024 09:17:31 Scal el Out 05/04/2024 09:17:31 Comments Product 1 MSWP-MSW PUBLIC 2 EVF-P-Standard Environme 3 FUEL-Fuel Surcharge -Tr 4 RCR-P-Regulatory Cost Re Driver's Signature 100 100 100 100 Ck# Vehiclet 11 Container Driver Destination Volume 9l54- Operator mcontre7 mcontre7 Inbound Gross Tare Net Tons 13260 lb 11300 lb 1960 lb 0.98 Qty UOM Rate Tax Amount Origin 0 .98 Tons 83. 48 $166.96 El Cajon % 20.00 $33.39 El Cajon % 20.70 $34 .56 El Ca jon % 3.60 $6.01 El Cajon Total Tax Total Ticket $240.92 w WM of California, Inc. -RC#7186 10.Ql W. Br adley Ave WASTE MANAOIEMllii,ir Cajon, CA, 92020 Original Ticket# 1 068438 Ph: 619-596-5100 Customer Name ROSENBACH ROSENBACH COMPAN Ticket Date 05/02/2024 Payment Type Credit Account Manual Ticket,1/ Carrier CASH -PUBLIC CASH Vehicle# 11 -PUBLIC Volume Hauling TickeU Time Scale In 05/02/2024 13:07:01 Scale2 Out 05/02/2024 13:07 :01 Comments P!"oduct 1 MSWP-MSW PUBLIC 2 EVF-P-Standard Environme 3 FUEL-Fuel Surcharge -Tr 4 RCR-P-Regulatory Cost Re Dr:ver's Signatur e LD% 100 100 100 100 Ckt Operator mcontre7 mcontre7 Qty UOM 0 .52 Tons % % % Conlainer Driver Deslination Inbound Gross Tare Net Tons Rate Tax Amount 83 ./48 $166. 96 20.00 $33.39 20.70 $34 .56 3 .60 $6.01 Total Tax Total Ticket 12340 lb 11300 lb 1040 lb 0.52 Origin El Cajon El Cajon El Cajon El Cajon $240.92 ' ~ of Cal ifornia, Inc. -RCf7186 lQQl W. Bradl ey Ave WASTl!MANAOEMll!Mr Cajon, CA, 92020 UJ F'fo:iginal Ticket# 1065845 Ph: 619-596-5100 Customer Name ROSENBACH ROSENBACH COMPAN Carrier CASH -PUBLIC CASH -PUBLIC Ticket Date 04/09/2024 Vehicle# 12 Volume Payment Type Credit Account Ck# Container Driver Q \~4 Manual Ticket# Hauling Ticketf Time Scale In 04/09/2024 14:27:21 Scalel Out 04/09/2024 14:45:21 Scalel Comments Product WRONG TARE WEIGHT LO% 1 2 3 4 MSWP-MSW PUBLIC 100 EVF-P-Standard Environme 100 FUEL-Fuel Surcharge -Tr 100 RCR-P-Regulatory Cost Re 100 Driver's Signature Destination ~ L J• Operator rncontre7 rncontre7 • Manual Weight Qty UOM 1.38 Tons % % % Rate 83.48 20.00 21. 46 3.60 Inbound Tax Gross Tare Net Tons Amount $166.96 $33 .39 $35.83 $6 .01 Total Tax Total Ticket 14200 lb* 11440 lb* 2760 lb 1. 38 Origin San Diego San Diego San Diego San Diego $242.19