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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 .