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Home My WebLink About1170 TAMARACK AVE; ; CBR2023-4303; Recycle{'Cityof 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 ADD I TIONS 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 recyc ling 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. CBR2023-4303 1170 Tamarack Avenue Project Title Project Address 1170 Tamarack Avenue Applicant Name Calderon, Luis APN 205-430-20-00 Contractor Other [Z] □ Last First ApplicantAddress PO Box 2685, Carlsbad, CA 92018 Phone 760 259-2476 E-mail Address permits@snapadu.com Applicant Mailing Address _S_a_m_e ___________________________ _ (if different than project address) Project Type (check all that apply): Residential [Z] Commercial □ Brief Description Addition of 497 SF ADU Public Building □ Project Size497 Estimated Cost of Project $_1_0_0_,_0_0_0 __________ _ (square footage) 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. I ✓ j I plan on using a City Approved hauler and will provide all receipts at the final occupancy inspection. D 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. Print Name Luis Calderon Signature L~ Cet-ld,e.yon,, Date 3/6/24 Page 1 of 4 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: .... 11,i.••· Permit No. CBR2023-4303 Project Title Macl eod ADU Project Address 1170 Tamarack Avenue APN 205-430-20-00 Applicant Name Luis, Calderon -SnapADU Phone 760-259-24 76 Last First -.. ... 3'~·••n.,■: Complete the following table with estimated waste tonnage to be generated by your project. This is your plan for construction w aste management. Changes can 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(✓) check Place a ( ✓) check next Place a ( ✓) 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-of/ bins. Mixed C&O Debris Parking lot Asphalt & Concrete .01 X Brick / Masonry/ Tile Mixed Inert Debris .05 X Cabinets, Doors, Fixtures, Windows (circle all that apply) Carpet Carpet Padding / Foam Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) .01 X Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets .01 X Concrete Roofing Materials Scrap Metal 1.0 X Stucco .01 X Other: TOTAL .. ,,..u,m• To meet 65% Diversion Requirement (estim ate} X 0.65 = tons Total Estimated Waste from above Minimum Required Diversion Contractor/Owner Signature L-~ ~CN'v Date 3/6/24 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): 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. CBR 2023-4303 Print Name Danielle Boulila Address 1172 Tamarack Ave. Date 08/07 /24 SECTION B Use this Final Log below to track loads of materials as they leave the job site. <O><O>SAVE RECEIPTS<O><O> 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 Exam le: Palomar Transfer Station, 5960 El 01/01/2020 Concrete (broken) 5tons Camino Real -760 603-0153 05/06/24 Mixed C&D Debris 1.39 tons Palomar Transfer Station, 5960 El C min Re I 7 1 07/01/24 Mixed C&D Debris 3.54 tons Palomar Transfer Station, 5960 El 08/01/24 Mixed C&D Debris 1.07 tons Palomar Transfer Station, 5960 El <D>TOTAL 6tons SECTION C Total of columns A + 8 + C DIVERSION Contractor/Owner Signature-1-~~~,q_-A~l-c,.,,C.-'-==--,,,,,_ __ Date 08/07 /24 Attach the following docume • 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 Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 Rev. 04/22 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESIDENTIAL-Yr. 2 GROSS 25,160 TARE 18,080 NET :rac king Qty: 7,080 0.00 Qty 3 .54 Unit Description TN MSW Scale In Tare Out ':-i4 Ticket #: 2714776 Weighmaster: cisneadl In: July 01, 2024 Out: July 01 , 2024 Vehicle: Al04498 Ref: BOL: INBOUND CASH Rate Extension $101.2] $358.28 Tax $0.00 Origin: CARLSBAD 100% Siqnat.ure: Total Paid Change .EDIT CARD-SCALE 8:26 am 8:26 am Total $358.28 $358.28 $358.28 $0.00 V PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESIDENTIAL-Yr . 2 GROSS 20,860 Scale In TARE 18 ,080 Tare Out NET 2 ,7 80 Tracking Qty: 0.00 Qty Unit Description 1. 39 TN MSW 54 Ticket #: 2691939 Weighmaster: cisneadl In: May 06, 2024 Out: May 06, 2024 Vehicle: A104498 Ref: BOL: I NBOUND CASH Rate Extension S96.28 $133.83 Tax $0.00 Origin: CARLSBAD 100% Signature: Total Paid Change .EDIT CARD-SCALE ✓ 10:13 am 10:13 am Total $133.83 $133.83 $133.83 $0.00 V ?A'!:., _1MAR TRANSFER • :,~60 EL CAMINO REAL •';ARLSBAD , CA 92008 {760)603-0153 C00999 -CASH AND CHECK CUSTOMER ADDRESS t~i:'ir lsbad, CA 92008 C:ont.ract: RESIDENTIAL-Yr. 2 GROSS 20,220 Scale In TARE 18,080 Tare Out NF.T 2 ,140 ':'racking Qty: 0 . 00 Unit Description ~. O"i TN MSW Ticket #: 2728419 Weigh.master: martios3 In: August 01, 2024 Out: August 01 , 2024 Vehicle : Al04498 Ref: BOL : INBOUND CASH Rate Extension $:i.01.21 $108 .29 Tax $0.00 Origin: CARLSBAD 1 00% S.i.gr.at.ure: Total Paid Change .EDIT CARD-SCALE 3 :16 pm 3 :16 pm ✓ To tal $108.29 $108 .29 $108.29 $0.00 V