HomeMy WebLinkAbout2806 ATADERO CT; 1; CBR2023-2947; Recycle{"Cityof
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59
Develooment Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
APPLICABLE TO NEW CONS RUCTION , RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $60K
VALUATION AND COMMERCIAL ADD IT IONS AND ALTER AT ION S OVER $ 2 0 0 K . 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. _____________ Project Title Sloane ADU
Project Address2806 Atadero Court
Applicant Name Leon Jesse
APN
Architect
[Z]
255-101-24
□
Lost First
Applicant Address 10245 Casa Court, Santee, CA 92071
Phone (619 l 733-8134 E-mail Address jessealeon@hotmail.com
Applicant Mailing Address
(if different thon project address)
Project Type
(check oil thot apply):
Residential
[l]
Commercial
□
Public Building □
Brief Description D_e_ta_ch_e_d_A_D_U ____________________________ _
Project Size_8_4_3 _________ Estimated Cost of Project $_2_4_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 ✓ I 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 • formation is true and correct to the
best of my knowledge and belief.
Print Name Jesse Leon
Page 1 of 4 Rev. 2.10.21
CBR2023-2947
PART 1 Complete, obtain signature, and submit this form w hen 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
Project Address28O6 Atadero Court APN 255-101-54
Applicant Name Fischer Sheen Phone 760-738-6270
Last First
fll'•: Complete the following table with estimated waste tonnage to be generated by your project.
This is your plan for construction waste 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 toble only if
only using WASTE MANAGEMENT
roll-of! bins.
M ixed C&D Debris
Parking lot Asphalt & Concrete -~
~k / Masonry/ Tile
~
Mixed Inert Debris .1 X -
Cabinets, Doors, Fixtures,
Windows (circle all that apply)
Carpet
Carpet Padding/ Foam
Cardboard .1 X
Ceiling Tile {acoustic)
Drywall {used, new, scrap) .1 X
Landscape Debris (brush, trees,
stumps, etc.) No dirt.
Unpainted Wood & Pallets .1 X
Concrete Roofing Materials
Scrap Metal
Stucco
Other:
TOTAL
•
To meet 65% Diversion Requirement (estimate) .4 X 0.65 = .26 tons
Total Estimated Waste from above Minimum Required Diversion
Contractor/Owner Signature Sheen Fischer Date 6/6/2023
Page2of4 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. lBA. J..O -l qy7 Print Name
Address • J.. D 1--Date 6/6/2023 -----------t
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 Camino Real
-760 603-0153
Ip (,.,._ , -l,<:t t.. e.?. Eito ¼4(c,,, LP,,,,~
0. b 3 Pe..lvmc,,,r Ir~.,., u
1..1 o. 3i f c-./11,n
O~ (?_ :i 5
@TOTAL 1,. .. S1
Diversion Rate Achieved 5 .. 7CJ = 73 % -------~---------------
Totul ~ =col,mo, A, 8' C DIVERSION C
Contractor/Owner Signature --------Date //I, /?-.o".1. /
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
Page 3 of4 Rev. 04/22
r--~-::--;:::;;~~lfl~NJrcl\"arn'l'c.-~--,-.,-~-----------------------------
5960 EL CAMINO REAL
MAR TRANSFER
EL CAMINO REAL
SBAD, CA 92008
0)603-0153
999 -CASH AND CHECK CUSTOMER
RESS lsbad, CA 92008
tract; RESIDENTIAL-Yr. 2
GROSS 9 , 600 Scale In
TARE 8,900 Tare Out
NET 700
Tracking Qty; 1.00
Qty
1.00
Unit Description
EA MSW
54 T' l.Ckpt-~. ?"7r\'7"),.,...
f...4 Ticket #:2712745
Weighmaster: aceveos
In: June 26, 2024
Out; June 26, 2024
Vehicle: a57597
Ref :
BOL :
INBOUND
CASH
Rate Extension
$58 .00 S58.00
Tax
$0 .00
8:08 am
8:08 am
Total
$58.00
Origin: CARLSBAD 100%
Signature:
nge
ALE
$58
$58
$0
I TRANSFER CAMINO REAL D, CA 92008
03-0153
)
9 -CASH AND CHECK CUSTOMER ss bad, CA 92008
tract: RESIDENTIAL-Yr . 2
GROSS 10,100 Scale In
Qty
0.60
TARE 8,900 Tare Out
NET 1,200
Qty: 0.00
Unit Description
TN MSW
Origin: OCEANSIDE 100%
gnature :
54 Ticket #: 2707368
Weighrnaster: macaral
In: June 13, 2024
Out: June 13, 2024
Vehicle: a57597
Ref:
BOL:
INBOUND
CASH
Rate.... F:x tens ian
s101.2J ·s60 .73
Tax
$0.00
Total
Paid
Change
CARD-SCALE
8:18 am
8:18 am
Total
$60.73
$60.73
$60.73
$0 .00
V
TRANSFER CAMINO REAL
AD, CA 92008
AND CHECK CUSTOMER
CA 92008
Contract : RESIDBNTIAL-Yr. 2
GROSS 10,060
TARE 8,900
NET 1 ,160
Tracking Qty: 0.00
Qty Unit Description
0.58 TN MSW
Origin: OCEANSIDE
Signature :
Scale In
Tare Out
100%
54 Ticket #: 2701638
Weiglunaster : martios3
In: May 30, 2024
Out : May 30, 2024
Vehicle: a57597
Ref :
BOL :
INBOUND
CASH
Rate Extension Tax
$96 .28 $55 .84 $0 .00
10:34 am
10:34 am
Total
$55 .8
;~,C:H
AND CHECK CUSTOMER
92008
tract: RESIDENTIAL-Yr .· 2
GROSS 10,720 Scale In
TARE 8,900 Tare Out
NET 1,820
Tracking Qty : 0 .00
Qty
0.91
Unit Description
TN MSW
Origin: OCEANSIDE
Signature:
100%
54 Ticket #: 2698487
Weighmaster: macaral
In: May 22, 2024
Out: May 22, 2024
Vehicle : a57597
Ref:
BOL:
INBOU ND
CASH
Rate Extension
$96.28 $87.61
Tax
$0 .00
9 : 28 am
9 :28 am
Total
$87 .61
$87 .6
$87 .
$0 .