HomeMy WebLinkAbout2325 CAMINO VIDA ROBLE; A; CBC2024-0089; Recycle' f
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(_ Cicyof
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59
Development Services
Building Division
1635 Faraday Avenue
www.carlsbadca.gov
This form shall be completed for all demolitions and new construction, additions, and alterations.
The California's Green Building Standards Code (CALGreen) requires that at least 65% of construction site
debris generated during demolition projects, most new construction, as well as the majority of building
additions or alterations be recycled, reused, or otherwise diverted from landfill disposal.
STEP 1: The Applicant must submit PART 1 of this form before a building permit application is approved.
STEP 2: The permit holder shall utilize a waste management company that can provide verifiable
documentation that meets 65% waste diversion. Republic Services is the exclusive franchised waste hauler in
the City of Carlsbad.
• Option A -Roll-Off Bins: Call Customer Service (760) 332-6464 and ask for a C&D account for waste
diversion. Republic Services will provide roll-off bins for construction waste.
• Option B -Self Haul to Republic Services or other dump site that can provide verifiable
documentation. It must be a Certified Source Separated Recycling Facility. When you enter the site,
explain to gate operator that this is C&D material. When you exit the site, request a receipt and
certificate from gate operator for waste diversion.
STEP 3: Prior to permit close-out (permit final), the permit holder shall complete PART 2 of this form and
submit all trash and recycling weight receipts to the building inspector. Waste log, acknowledgement, and
tickets must be submitted to release your certificate of occupancy.
C&D CERTIFICATION:
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.
I understand the waste diversion requirements of the State of California and submit this Construction
Waste Management Plan pursuant to Ca lifornia Green Building Standards Code 4.408.2 or 5.408.1.1.
Fa ilure to provide documentation of C&D reporting, reporting of waste diversion less than 65%, and
failure to provide adequate weight receipts, may result in enforcement action against me or other
responsible parties, including a notice of violation, citations, and any other remedies provided in
Chapters 1.08 and 1.10 of the Carlsbad Municipal Code. Projects are required to submit their Waste
~ Log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy (CO) issuance.
~ This project does not involve disposal of universal or hazardous waste OR this project includes disposal
of universal or hazardous waste in a responsible, safe and verifiable manner. Disposal of asbestos-
containing materials, batteries, electronic waste, fluorescent bulbs, lead based paints, mercury
containing equipment and refrigerants, require special processing prior to commencement of
Date: S--1 ~) f
Signatur
Page 1 of 4 rev 4/24
PART 1 Complete and submit this form when applying for a building permit. Permits will not be issued
without a completed Construction Waste Management Plan.
SECTION A Project Title
APN
Phone 7{(r 2--q'f ,(/J/>2
SECTION B Complete the following table with estimated waste tonnage to be generated by your project.
Material Type
Complete this line of the table only if
only using WASTE MANAGEMENT
roll-off bins.
Mixed C&D Debris
Asphalt & Concrete
Brick/ Masonry/ Tile
Mixed Inert Debris
Cabinets, Doors, Fixtures,
Windows (circle all that apply)
Carpet
Carpet Padding/ Foam
Cardboard
Ceiling Tile (acoustic)
Drywall (used, new, scrap)
Landscape Debris (brush, t rees,
stumps, etc.) No dirt.
Unpainted Wood & Pallets
Roofing M aterials
Scrap Metal
Stucco
Other:
TOTAL
SECTION C
Estimated
Waste Quantity
(tons)
)
A B C
Place a ( ✓) check
next to items to be
reused or salvaged
Place a (✓)check next Place a (✓)check next
to items to be to items to be
recycled disposed at landfill
To meet 65% Diversion Requirement (estimate) ~~-------):;~S: ___ x 0.65 =_--+-/ .__, L__.,_/ ____ tons
Total Estimated Waste from above ~----Minimum Required Diversion
Applicant Signature _ __,,.,,,,,,..___,,,,.'°------------------Date __ g-:: __ 1,_---~J~_,'f~-------
Page 2 of 4 rev 4/24
,
t
I,
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 Ca lifornia that the information provided in and with
this form pertains to construction and demolition debris generated only from t he project listed in PART 1, that I have
reviewed the accuracy of the information, and that t he information is true and correct to t he best of my knowledge
and belief.
Permit No._C.=-'-"""-=-==---'------'------Print Name
Address ----'--'=--__ C_o._V'\'\_,"'-_O=-.__\J_l"'_J _c.__,_~-=--'-b-'--( e,::___ti:-----''4'--____ Date Cf "" z..
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 necessa ry. Use City Conversion Table to convert volume to tons.
Date Material Type
A B C
Actual Amt
Reused or
Salvaged
Actual Amt Actual Amt
Recycled Disposed in
Landfill
Destination Facility
(Name, Address, Phone)
Example:
01/01/2020 Concrete {broken) 5 tons
Palomar Transfer Station, 5960 El
Camino Real
-760 603-0153
Ctv'.)
@TOTAL
Diversion Rate Achieved 67 %
DIVERSION
Contractor/Owner Signature_,-~u....u.....c..__..J...;!.'-1-.==----Date 1 ( bl 2,y
Attach the following documentation to this Report: Return completed form and documentation to:
• Original recycling weight tickets, landfill weight tickets City of Carlsbad
• Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor)
• Any other relevant information to support Recycling Report 1635 Faraday Avenue
Carlsbad, CA 92008
Page 3 of 4 Rev. 04/22
C cityof
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59 part 2
.,
Development Services
Building Division
1635 Faraday Avenue
422-339-2719
www.carlsbadca.gov
Your project qualifies for the City of Carlsbad Construction Waste Management Plan (CWMP): Section 4.408.1 and Section 5.408.1
of the California Green Building Standards Code requires at least 65% of non-hazardous construction debris is recycled and/
or salvaged for reuse.
NEXT STEPS:
STEP 1. Before the project -
a. Review your CWMP completed prior to permit issuance. (copy is attached to your job card) This plan demonstrates how
you will recycle a minimum of 65% of the construction waste generated from your project by choosing: Republic
Services or Self Haul.
STEP 2 -During the Project
a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where
materials were taken.
b. Complete the Debris Recycling Report (ORR) on the next page as your project progresses. Recycling/diversion goals are
(at a minimum) 65% of the waste generated by your project
STEP 3 -After the Project
a. Prior to receiving inspection for final sign off the Building Permit or Certificate of Occupancy, Applicant must submit the
fully completed and approved (ORR) of the Construction Waste Management Plan (CWMP) Table.
b. Provide the ORR and receipts to your building inspector.
FOR MORE INFORMATION:
NOTICE: Applicant (contractor and subcontractors) shall comply with the project's CWMP. It is the Applicant's responsibility to
collect all receipts from the facilities that recycle their materials AND all project waste/landfill disposal receipts. When working
with the City's franchised hauler, Republic Services, one cumulative project receipt is acceptable. However, it is the Applicant's
responsibility to confirm that the bins are collected for C&D Recycling.
1. This project shall generate the least amount of waste possible by planning and ordering carefully, following all proper
storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible.
2. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The
commingled construction roll-off bin will be taken to a Certified Mixed C&D Processing Facility to sort the material and
create receipt(s), to demonstrate the project has met a 65% diversion rate or greater.
3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with the City's exclusive
franchised waste hauler to develop a more specific CWMP. This plan may include using additional roll-off bins for
particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible.
4. Contractors/subcontractors hauling their own waste as part of their scope of work (e.g., construction clean up companies,
etc.) SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from
a Certified Source Separated Recycling Facility. For a current list of Certified Recycling Facilities go to
http:ljwww.sandiego.gov/environmental-services/recycling/cd/index.shtml.
5. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SHALL NOT be excluded
from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated
Recycling Facility.
Rev. 05122
I '
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760)603-0153
000999 -CASH AND CHECK CUSTOMER ADDRESS
carlsbad, CA 92008
Contract : RESI -GATE Yr. 2
GROSS 44,160 Scale In
TARE 29,700 Tare Out
NET 14,4 60
Tracking Qty: 0.00
Qty Unit Description
7 . 23 TN MSW
Origin: SAN DIEGO 100%
Signature:
i:i4 Ticket #: 2669949
Weighmaster: macaral
In: March 12, 2024
Out: March 12, 2024
Vehicle: a666
Ref:
BOL:
INBOUND
CASH
Rate Extension
$96.28 $696 .10
Tax
$0 .00
Total
Paid
Change
CHECK-SCALE
10 :38 am
10:38 am
Total
$696.10
$696.10
$696.10
$0 .00
2084
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD , CA 92008
(760) 603-0153
00 0999 -CASH AND CHECK CUSTOMER
ADDRESS
carlsbad, CA 92008
Contract: RESI -GATE Yr. 2
GROSS 37,980
TARE 29,720
NET 8 ,260
Tracking Qty: 0 .00
Qty Unit Description
4 . 13 TN MSW
Origin: SAN DIEGO
Signature:
Scale In
Tare Out
100%
54 Ticket #: 2 671308
Weighmaster: macaral
In: March 15, 2024
Out : March 15, 2024
Veh icle: a666
Ref:
BOL :
INBOUN D
CASH
Rate Extension
$96 . 28 $397 . 64
Tax
$0 .00
Total
Paid
Change
CHECK-SCALE
9 :49 am
9 : 4 9 am
Total
$397.64
$397.64
$397.64
$0 .00
2144
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 38 ,900
TARE 29 ,620
NET
Tracking Qty:
9 ,280
0 .00
Qty
4.64
Unit Descript ion
TN MSW
Scale In
Scale Out
54 Ticket #: 2673189
We i ghmaster: aceveos
In: March 20, 2024
Out: March 20, 2024
Vehicle : CD
Ref: 38900/BOOck
BOL:
INBOUND
CASH
Rate Extension
$96 .28 $446 .74
Tax
$0 .00
Origin: CARLSBAD 100%
Signature :
Total
Paid
Change
CHECK-SCALE
8 :37 am
8 :49 am
Total
$446.74
$446.74
$446 .74
$0.00
2155
PALOMAR TRANS FER
5960 EL CAMINO REAL
CARLSBAD , CA 92008
(760)603-0153
000999 -CASH AND CHECK CUSTOMER
ADDRESS carlsbad, CA 92008
Contract: RESI -GATE Yr . 2
GROSS 39,040
TARE 29,020
NET 10,020
Tracking Qty : 0.00
Qty
5.01
Unit Descrip tion
TN MSW
Scale In
Tare Out
54 Ticket #: 2672381
Weighmaster : macaral
In: March 18, 2024
Out : Mar ch 18, 2024
Vehicle: a666
Ref :
BOL:
I NBOUND
CASH
Rate Extension
$96. 28 $482. 36
Tax
$0.00
12:23 pm
12:23 pm
Total
$482.36
Origin: CARLSBAD 100%
Signature :
Total
Paid
Change
CHECK-SCALE
$482 .36
$482.36
$0 .00
2147
4f!/JI
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD , CA 92008
(760) 603-0153
000999 -CASH AND CHECK CUSTOMER
ADDRESS
carlsbad, CA 92008
Contr act : RESI -GATE Yr. 2
GROSS 38,140 Scale In
TARE 28,260 Tare Out
NET 9,880
Tracking Qty: 0 .00
Qty Unit Description
4 .94 TN MSW
Origin: CARLSBAD 100%
Signature:
~4 Ticke t #: 2676928
We i ghmaster : macaral
In: March 29, 2024
Out: March 29, 2024
Vehi cle: a666
Ref:
BOL :
INBOUND
CASH
Rate Extension
$96.28 $475.62
Tax
$0.00
Total
Paid
Change
CHECK-SCALE
10:40 am
10:40 am
Total
$4 75 .62
$475.62
$475 .62
$0 .00
2165
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 30,340
TARE
NET
28 ,640
1,700
Tracking Qty: 0.00
Qty
0.85
Unit Description
TN MSW
Scale In
Scale Out
54 Ticket #: 2678846
Weighmaster: diazadl
In: April 03, 2024
Out : April 03, 2024
Vehicle : CD
Ref : 30340/check 600
BOL :
INBOUND
CASH
Rate Extension
$96.28 $81.84
Tax
S0.00
Origin: CARLSBAD 100%
Signature:
Total
Paid
Change
CHECK-SCALE
2:56 pm
3 :09 pm
Total
$81 .84
$81.84
$81 .84
$0.00
2194