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Home My WebLink About1079 CHINQUAPIN AVE; ; CBR2023-4375; Recycle{city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Developm_gnt Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov APPLICABLE TO NEW CONSTRUCTION, ALL RESIDENTIAL ADDITIONS AND ALTERATIONS AND COMMERCIAL ADDITIONS AND ALTERATIONS OVER $200K. If you have questions about the recycling requirement or completing this form, please contact Republic Services at (760) 332-6464 a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2700. Please note: Unless you are self-hauling, Republic Services or approved haulers must be used for all construction projects within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued without a completed Construction Waste Management Plan. Applicant Information Permit No. _____________ Project Title Project Address (o~q C-M"4~ UY/sbJ.. Cit 91....<C~-=:_=--"<.f ___ APN Applicant Name (-kt\,t1 ~ 0 Co or l~~r Last First AOb-lP.0,-3 9:oo Other □-- Applicant Address (0~'1 ~"1"4f s" 4v) ~l~ ~,..J.. tJ\ <}~& Phone _(1/,0) 69f,. zr--z...' E-mail Address 1U:,,,..bot ~0 Applicant Mailing Address (if different than project address) Project Type (check all that apply): Rer2it)al Co□cial Public Building □ Brief Description 41c.loeit l¥,irt1t; rof'tl. Project Size _ _,°?,'--()_O _________ Estimated Cost of Project$ ~:c,-,ro ___________ _ (square faatage) Please check the appropriate box: I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. I plan on using a City Approved Hauler and will provide all receipts after construction. This is a proposed LEED certified project and 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. ,/ /),1 ~· Print Name~..,,~-=-ttte.c.__c_=lt.,.,~.,._ _____ Signature £fl"-: 7 Date Page 1 of 3 Rev. 05'22 PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will (cont'd) not be issued without a completed Construction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: SECTION A Permit No. ____________ ,Project Title Project Address ( 01-'f ~t\\c/4f th, kJ) c:.rb bd. Applicant Name 1-fte b,t1 a A::foM Phone Last First SECTION B 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 (0) check Place a (0) check next Place a (0) check next Waste Quantity next to items t o 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-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, trees, □ ii □ stumps, etc.) No dirt. Unpainted Wood & Pallets I!] □ Roofing Materials □ □ Scrap Metal □ □ Stucco □ Other: □ □ TOTAL J,a SECTION C To meet 65% Diversion Requirement (estimate) _ __:./_._8 ___ .x 0.65 = ___ o__:.:...._;;_<J_~ ____ tons Tata/ Estimated Waste from above Minimum Required Diversion ~!0> Contractor/Owner Signature _ _,~'""""'-==--'~..IL..--1----------'Date Page 2 of 4 Rev. 05122 PART 2 Complete before final inspection, obtain WASTE MANAGEMENT signature, and return with receipts prior to final building approval. DEBRIS RECYCLING REPORT {ACTUAL): Acknowledgement I certify under penalty of perjury under t he laws of the State of California that the information provided in and w ith 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 t he information, and that the information is true and correct to the best of my knowledge and belief. Perm it No·--=---=..:..=--=G~0~2=--=3:......-_ _,'-/1----3L.....a7L...!:e.S::_,..__ __ Pri nt Name Address I 0-'7'---'-r __ c----=--~'-'-;..,_t'\~t'"-'u=a..:,-f=.....;....;; V\:.....,.... __________ _ Use this Final Log below to track loads of materials as they leave the job site. □□SAVE RECEIPTS(l □ 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. 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: 01/05/2018 Concrete (broken) 5 tons Polomor Transfer Station, 5960 El Camino Real -(760) 603-0153 D 0 □TOTAL Diversion Rate Achieved Toto/ of columns A + 8 + C DIVERSION Contractor/Owner Signature-:1"~.L.!.=-~!;__-~~-----Date -? /,_, f&. / Z-'-( 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 Rev. 516/2022 C cityof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN 8-59 part 2 Development Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov Your project qualifies for t he City of Carlsbad Construction Waste Management Plan (CWMP): Section 4.408.1 and Section 5.408.1 of the 2019 California Green Building Standards 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 wast e generated from your project by choosing: Waste Management or Self Haul. STEP 2 -During the Project a. Save all receipts and/or documents from reuse facilit ies, 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 w ith 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://www.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. 516/2022 I ·- MOODYS !1u 6:EANSIDE BL VD BONSALL, CA. 92003 760-631-0342 SALE REF#: 00000002 Batch #: 439 09/23/24 APPR CODE: 023588 ENCRYPTED BY ELAVON Trace: 2 VISA AMOUNT SURCHARGE TOTAL 08:40:20 Chip $150.00 $4.50 $154.50 APPROVED VISA CREDIT AID: A0000000031010 TVR: 80 80 00 80 00 TSI: 68 00 THANK YOU CUSTOMER COPY PALOMiT-\G Tr-6NSFER 5960 EL CAMINO REAL CARLSBAD , CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract : RESIDENTIAL-Yr . 2 GROSS 11 ,380 Scale In TARE 9 ,180 Tare Out NET 2 ,200 Tracking Qty : 0 .00 Qty 1 .10 Unit Descript ion TN MSW 'A Ticket #: 2725516 Weighmaster: perezj26 In : July 26, 2024 Out: Jul y 26, 2024 Vehicle: A54211 Ref : BOL: I NBOUND CASH Rate Exte nsion $101.2] $111.33 Tax $0.00 Origi n : CARLSBAD 100% Signature : Total Paid Change EDIT CARD-SCALE 9 :43 am 9 : 43 am Total $111 .33 $111 .33 $111 .33 $0 .00 V I PALOMAR I RANSftR SW I 5960 EL CAMINO REAL CARLSBAD, CA 92008 07 26 20,~ Ccrd Chip Card· AID. ~bJ Batd1 :;· !~NOICE Awoval Code. En~~ f.lett'kXJ Mode fax Nnomt. CREDir CARD VISA SALE XXXXXXXXXXXXI 71 ! CAPITAL ONE VISt AOOOOOOOO 310 IC· II 5. 11 02357(. C1:.1tattlcs• Issue, $0 0(, SAlE AMOUNT $1llJ CUSTOMER COPY I 'PAL8i1AR TRANSFER S960 EL CAMINO REAL CARLSBAD , CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract : RESIDENTIAL-Yr. 2 GROJS 10,620 Scale In TARE 9 ,180 Tare Out NET 1 ,440 Tracking Qty : 0 .00 Qty 0 . 72 Unit Description TN YARD WASTE/COMPOST 'J•1 Ticket #: 2736056 Weighmaster : macaral In: Out : Vehicle : Ref : BOL : August 20, 2024 August 20 , 2024 A54211 INBOUND CASH Rate $94 .39 Extension $67 .96 Tax $0 .00 Origin : CARLSBAD 100% Signature: Total Paid Change .EDIT CARD-SCALE 7 :59 am 7 :59 am Total $67.96 $67 .96 $67 .96 $0 .00 V ------------------ I PALOMAR TRANSFER ST All 5960 EL CAMINO REAL CARLSBAD CA 92008 08 20 2024 CREDIT CARD VISA SALE 01'59 2J: (ard ll XXXXXX'/J.XXXX4 71i Chip Ca1d: CAPITAL OME VlSt AID· A00000000310IC1 SEQ,; IJ Batch ;;· 7; INVOICE I~. iwroval Code: 07853( Entry Method· Contactle5'. Mode· l5$llel Tax Amomt: $0 0(1 SALE AMOUNT ~7.% CU5TOMEll COPY