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HomeMy WebLinkAbout2581 BROOM LANE; ; CBRA2023-0249; Recycle{city of Carlsbad City of Carlsbad Develo ment Services CONSTRUCTION WASTE DEC I I 2024 8 'Id' o· · · UI mg /VIS/On MANAGEMENT PLAN BUILD -1635 Faraday Avenue 8~59 ING DIVISION 760-602-2719 www. car/sbadca. gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $6OK VALUATION AND COMMERCIAL ADDITIONS AND ALTERATIONS OVER $200K. You are required to list materials that will be reused, recycled or disposed from your project. If you have questions about the recycling requirement or completing this form, please contact Republic Services at (760) 332-6464, a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2719 Please note: Unless you are self-hauling, Republic Services or approved haulers must be used for all construction projects within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued Applicant lnformcition Permit No. CBRA2023-0247, 0246, 0245, 0244, 0243, 0242 Project Title Marja Acres ( Coral Springs, Phase M6 Project Address 2590, 2572, 2554, 2536, 251Jf Broom Lane APN 207-102-03-00 Architect Other Applicant Name KB Home Coastal Inc. I Attn: Elizabeth Shoemaker 171 coo• □□-- Last First ApplicantAddress 9915 Mira Mesa Blvd, Suite 100, San Diego, CA 92131 Phone ( 760 > 550-1957 E-mail Address eshoemaker@kbhome.com Applicant Malling Address 9915 Mira Mesa Blvd, Suite 100, San Diego, CA 92131 (if different than project address) Project Type (check all that apply): Residential [l] Commercial □ Brief Description Marja Acres -Coral Springs, Phase 4 Public Building □ Project Slze ___________ Estlmated Cost of Project$ _______________ _ (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. l✓I I plan on using a City Approved hauler and will provide all receipts at the final occupancy inspection. D Th is 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 _____________ Slgnature ____________ Date Page 1 of4 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: • • Permit No . csRA202J-0241, 0246, 024s, 024-4, 0243, 0242 Project Tltle Marja Acres (Coral Springs, Phas~ Project Address 2509, 2527, 2545, 2563, 2581, 2599 Broom Lane APN 207-102-03-00 Applicant Name KB Home Coastal, Inc./ Attn: Elizabeth Shoemaker Phone 760-550-1957 Last First r • , .'C . ·f . • • : , • .. Comple~e -~_he foll.owing ~.bl~ .~Ith estlma~d ~a5'e tpn,nage to b~ .&~n~rated by your ·proJ~ct. : ~ .. -This Is your plan for constru~ioil .waste .management. Changes c'aiJ be ~ade on th~ fl,:,al recycle r'.eport. • •• .. ,.fl ., ' : •, ·, . • .;.., Goal: the diversion rate shall be 65" by weights of debris. . . . . -'>' A 8 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-off bins. Mixed C&D Debris Parking lot Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle all that apply) Carcet Carpet Padding/ Foam Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Concrete Roofing Materials Scrap Metal Stucco Other: Trash TOTAL -To meet 65% Diversion Requirement (estimate) X 0.65 = tons Total Estimated Waste from above Minimum Required Diversion Contractor /Owner Signature Date Page 2 of 4 Rev. 7111'20 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. CBRA2023-0247, 0246, 0245, 0244, 0243, 0242 Print Name KB Home Coastal Inc. ------------------Address 2509, 2527, 2545, 2563, 2581, 2599 Broom Lane Date • : T~{J -~\.:·:;, !; u~;t~is,iii1ai t~g-beldw· t~itrattloads\:,t rri;teri~1s:as·.tfi€y ,,~ve. the job site/>··~ :r ". . . : ; , ... • _ .. ,: ~--f·0r :': .:,.~·:-.:-:,/1.,,(iL :-'·/' \;/ >\.@@S~VE-~Rit e1~r~@©/~,: ;'.': · .' ',j-!... :·: ,:., · ., .... : ··--·,:, -~-· =, '., ";,,•:·~·-·, i l~d1tit~-_F_i~A~ At~!l~itie~· in'.~ti~~~i~t ea~ti tn:a·t~·at.1 __ ah~ Ja~~:l ~p~ip,t~--~~idd~u,m~~:~ts:ft~iri/atlii:(~s wh~re 'ma.terl~I i~ ta.~~~;'.~ . • /['., •. ·_=: ..Xd.ditional;P~ojeGt-Log page~·.are'.avallable.i( iiecessacy. _ l:Jse,City .~011ve.rsiqriJable t~,~bnv~rt;.vplun(e to ,t<1r1~, :, Date Example: 01/01/2020 05/11/2024 06/18/2024 06/20/2024 06/26/2024 07/11/2024 07/22/2024 08/02/2024 08/15/2024 08/26/2024 Material Type Concrete {broken) Clean Wood Trash Clean Wood Clean Wood Trash Clean Wood Trash Clean Wood Trash A B C Actual Amt Actual Amt Actual Amt Destination Facility Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill Palomar Transfer Station, 5960 El 5 tons Camino Real -760 603-0153 3.00 3.00 0.00 Inland Pacific Resource Recovery 0.64 0.00 0.64 Miramar Landfill 3.00 3.00 0.00 Inland Pacific Resource Recovery 2.00 2.00 0.00 Inland Pacific Resource Recovery 0.42 0.00 0.42 Palomar Transfer 3.00 3.00 0.00 Inland Pacific Resource Recovery 0.50 0.00 0.50 Miramar Landfill 3.00 3.00 0.00 Inland Pacific Resource Recovery 0.47 0.00 0.47 Palomar Transfer Diversion Rate Achieved = % -------~--------------- Total of columns A + B Toto/ of columns A + B + C DIVERSION Contractor/Owner Signature ______________ Date 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 of4 Rev. 04122 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. CBRA2023-0247, 0246, 0245, 0244, 0243, 0242 Print Name KB Home Coastal Inc. -------------------1 Address 2509, 2527, 2545, 2563, 2581, 2599 Broom Lane Date Use tHls Fln,1 log· ~~low to tracli loads of JJ:t~te~lals _as-th,ey lea~e·the j~b site. -.· .... :. • · ' .' .<D>(Q)SAVERECEiP.TS<l!>,(Q) .. •••• ••• • •. • ... -... Indicate: FINAL_ quaotlties In tons for ~ac~ material and save receipts and ,dociJ.m~n~ from facilities where material is taken:· • :, Addlt_iooal Project Log pages .al'fl available if nec;~~sa"r}\ .. Use City Conversion Tab!~Jo cohvert vq!ume to tons; . A B C Date Material Type Actual Amt Actual Amt Actual Amt Reused or Recycled Disposed In Salvaged Landfill Examp_le: 01/01/2020 Concrete (broken) 5 tons 08/28/2024 Trash 0.78 0.00 0.78 09/06/2024 Trash 0.71 0.00 0.71 09/06/2024 Clean Wood 1.50 1.50 0.00 09/11/2024 Trash 0.63 0.00 0.63 09/20/2024 Trash 0.41 0.00 0.41 10/09/2024 Trash 0.64 0.00 0.64 10/10/2024 Clean Plaster/Stucco 10.00 10.00 0.00 10/28/2024 Trash 0.86 0.00 0.86 31.56 25.50 6.06 Diversion Rate Achieved 25.50 / 31.56 = -------~----------Total of columns A+ B Total af columns A + B + C Contractor/Owner Signature ______________ Date Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -760 603-0153 Miramar Landfill Palomar Transfer Inland Pacific Resource Recovery Palomar Transfer Miramar Landfill Miramar Landfill ARCOSA Inland Pacific Resource Recovery 81 % DIVERSION 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. 041'22 Coral Springs (Modern) Phase M6 (B_ldg. MS-units 142-147 ,.-::, < • . '"• • • ••-. ' ~.. .•,I Permit# Lot#147 CBRA2023-024:7 Lot #146 CBRA2023-0246 Lot #145 CBRA2023-0245 Lot #144 CBRA2023-0244 Lot #143 CBRA2023-0243 Lot #142 CBRA2023-0242 Construction & Demo Received at: INLAND PACIFIC RESOU Proceed at: Project: Total Yards Receive Signature: • ersion· Certificate 3 0 9 9 3 ~- Date: S J /.;;ll/ ercentage: 100% This certlnes that the company listed above has utilized a Certified f Illy to divert constn.Jc'tton demolition materlals In accordanc& wtth LEED requirements. The diversion yardage Is based on an overallyardage percenta_ge 61 the respective green waste facility . \ I Ye • ,,;;,.;,, : (tak:-lttltf' It «·tt' ,.,.. •• . ... , •••• It lr •• 01 $\S ••• ':e-w S· ft , ·,., t' • 1◄t IP The Cityo/ THE C:ITY OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION SAN• DIEGO]J 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 • (858) 694-7000 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 Transaction#: 13921566 Account#: 8133613/CAPACITY CONSTR Date: 1·019/2024 14:01 :09 Decal#: 65332, 0, 0 Scale Operator: CSL Fleet#: Tag#: 41658N3 Incoming /FB 03 ~ Transaction Type: 01/BUS.--NON RESIDENTIAL~ -~·f)' y_p,.0 '$~]'>: :, Payment Type: 01/CHARGE (i'~ A j\~ Hauler Type: 01/BUS.--NON RESIDENTIAL ·i ~-j, H'ffi' ~~'\{~\ Vehicle Type: 070/MEDIUM HEAVY ,~ ~~~ \~\ Mate,;aI Type, 001/REFUSE 32.3_'!% of Sfflnd remains Origin: 001/SAN DIEGO CITY \.) iii -.-· ~~g Special Fees: ~ -:a."'5JzS -~ '-!'. ~~£l,p ~' / .. ,, .. >----1~ The Miramar landfill will be closed on Thursday, -1f6;~~\\,~ ,. 11/28/2024 (Thanksgiving Day). ~ LBS Gross Weight 22620.00 Tare Weight 17560.00 Net Weight 5060.00 Tip Fee Spec Fee RCBus Tax Recycle Total 0\-. --·--1 ~, • :r~r~\ CAJ . '\// ~ '\ \ (___)-I l/ l~iil CA ACITl C0NSTRUCTI0IL.,: ... ~ •,1\1,o •• II• ,,otl __.•, ' 1 ' f'' . . ... ··'• . • •. TONS 11.31 8.78 2.53 $ 187.00 $0 $ 20.00 $ 33.00 $ 240.00 iJ~8133b13-.• ·.; .... r,··. ES-072 (REV. 7-09) PW/PS-333 ,., ---------------- This Information Is avallable In alternative formats upof\.r~est.-.~.~1,., SIGNATURE : •, ARCOS,\ CRUSHED CONCRETE DATE: DISPqSAL TICKET B354 Nelson Way 760-205-1797 ~ Escondido CA 92026 TICKET NO:~ DISPOSAL RECEIPT CUSTOMER: TRUCK NO. COMMODITY: 12169630-CAPACITY CONSTRUCTION INC 92269Y2 DATE: 10/10/2024 TIME: 10:26:3B1\M PO: 10 WHEEL LOAD MIXED CARLSBAD Per Load Energy Surcharge Fee CUST JOB: COMMENTS: CAPACITY CONST. #105 MARTIN CORDOVA ~ IIEIGHMASTER R_.· Cy, GROSS: 0.00 Load 150.00 TARE: 14.63 * Other 5.00 X I\ ) r.i ...,_-/-, ' '- NET: 0.00 Total 155.00 * P. T. DRIVERS SIGNATURE PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO, CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS TARE NET 23,440 Scale In 18,280 Tare Out 5,160 Tracking Qty: 0 .00 Qty 2.58 Unit Description TN MSW Origin: CARLSBAD 100% 54 Ticket #: 2765526 Weighmaster: marticy In: October 28, 2024 Out : October 28, 2024 Vehicle: Al06316 Ref: BOL: INBOUND INVOICE Rate Extension $101. 2] $261.12 Tax $0.00 10:19 am 10:19 am Total $261.12 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO, CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS 23,480 Scale In TARE 18,500 Tare Out NET Tracking Qty: 4,980 0.00 Qty 2 .49 Unit Description TN MSW Origin: CARLSBAD 100% 54 Ticket #: 2745453 Weighmaster: marticy In: September 11, 2024 Out: ~epternber 11, 2024 Vehicle: Al5000 Ref: BOL: INBOUND INVOICE Rate Extension $101 . 2] $252. 01 l • Tax $0.00 9:28 am 9: 28 am Total $252.01 The City of THE CllY OF SAN 0IEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION SAN DIEGO~ 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 (858) 694-7000 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 Transaction#: 13900925 Account#: 8133613/CAPACITY CONSTR Date: 9/20/202414:13:34 Decal#: 65939, 0, O Scale Operator: EWE Fleet#: Tag#: 87741C3 Incoming /FB 03 Transaction Type: 01/BUS.--NON RESIDENTIAL A~~ Payment Type: 01/CHARGE ::y;i .;/'~ ~. ~:~~ t c.~ :.d'.:. fj~;•!l :!!.~~>,~ Hauler Type: 01/BUS.--NON RESIDENTIAL t,-.. •~-. ~, ~5 ';:-1. Vehicle Type: 070/MEDIUM HEAVY f: ~t~~t_:-) ".'f'Jl ~- Material Type: 001/REFYSE 67.98% of Surety Bond remains Origin: 001/SANplEGO CITY ~a~\, il\~/♦~,;,w~l' f Special Fees ~~~~-/ ~~~-~..:.~-• ► The Miramar Landfill will be closed on Thursday, .!rft'Rv,i.:-\\:~~:-, 11/28/2024 (Thanksgiving Day). ~-~· LBS TONS Gross Weight 20980.00 10.49 Tare Weight :17700.00 8.85 Net Weight 3280.00 1.64 Tip Fee $121 .00 Spec Fee $0 RCBus Tax $ 13.00 Recycle $ 21 .00 Total $ 155.00 ES-072 (REV. 7-09) PW/PS-333 This information Is available in alternative formats upon request. SIGNATURE . ···--·-------- PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD , CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO, CA 92142-0040 Contract: COMM-GATE Yr.· 200 GROSS 2 4,200 Scale In TARE 18,560 Tare Out NET 5,640 Tracking Qty: 0 .00 Qty 2.82 Unit Description TN MSW 54 Ticket#: 2743456 Weighmaster: marticy In: September 06, 2024 Out: September 06, 2024 Vehicle: A106249 Ref:· BOL: INBOUND INVOICE Rate Extension $101. 2] $285. 41 Tax $0.00 Origin: CARLSBAD 100% -------· ---·-·--. 10:24 am 10:24 am Total $285.41 _Construction & Demo • Received at: INLAND PACIFIC RESOU Proceed at: Total Yards Receive Signature: ercentage: 100% This certlfles that the company listed above hos utlllzed a Certtfled f ltly to divert construction demolltton moterlols In accordance wtth LEED requirements. The diversion yardage Is based on on overall ordoge percentage of the respective green waste toclllly. t'' ' Construction & Demo~t:~~J¼1ij~',;~rsion Cer~cat~ 3 i 11 7 4 Received at: INLAND PACIFIC RESOurtetib~bJi•&faLc Date: o\ ~~ \ 1_..':::::\ • • • :v~Tj'i'.~·~s?~~~ ~;{~fSt, , Proceed at: 12 Customer: ----+----'--+-~,,.,...,e..,;:.a.--""'~.,_._,_,>-:."'""'-'=#-'! •!i ~ket #: ____._r_/) ____ _ Project: Number/0 ercentage: 100% S• • t V 1gna ure: . .. , . . ~~-... .r.=-------- Thls certifies tho! the company listed above hos utilized o Certlfled-:f ·•~Illy lo divert construction demollllon molerlols In occordonce with LEED requirements. The diversion yordoge Is based on on overall yardage percentage of !he respective green waste foclllty. n -, u:irC]J\_ PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760 )603-0153 010258 -CAPACITY CONSTRUCTI ON INC PO BOX 420040 SAN DIEGO, CA 92142-0040 Contract : COMM-GATE GROSS TARE NET Tracking Qty: Yr . 200 22,220 18,500 3,720 0.00 Qty Unit Description 1. 86 TN MSW Scale In Tare Out 54 Ticket #: 2738641 Weighmaster: marticy In: August 26, 2024 Out: August 26, 2024 Vehicle: Al5000 Ref: BOL: INBOUND INVOICE Rate Extension $101. 2] $188. 25 Tax $0.00 Origin: CARLSBAD 100% 8:55 am 8:55 am Total $188.25 The City of SAN • DIEGO]J THE CITY .OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION 9601 RIDGEHAVEN CT., .SUITE 310 • SAN DIEGO, CA 92123-1636 (858) 694-7000 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 Transaction#: 13876010 Account#: 8133613/CAPACITY CONSTR Date: 8/28/2024 14:28:43 Decal #: 63675, 0, 0 Scale Operator: CBA Fleet#: Tag#: CG83R94 lncomin /F • ..:B:....O-i--5--.. Transaction Type: 01/BUS.--NON RESIDENTIAL Payment Type: 01 /CHARGE Hauler Type: 01/BUS.--NON RESIDENTIAL •~ Ii'._, •• Vehicle Type:. 070/MEDIUM HEAVY . ~•-;;;,::-J .. . Material Type: 001/REFUSE 12.28% of Surety Bond remains Origin: 001/SAN DIEGO CITY ,a_ BK~v.··. Special Fees: ~~ • ~' '<'. The Miramar Landfill will be closed on Monday, 09/02/2024 (Labor Day). ·" ~ { D-l .::::::.i e;\\ \ 1 _::; ' ✓ ES-072 (REV. 7-09) PW/PS-333 1/y LBS TONS Gross Weight 23880.00 11.94 Tare Weight 17660.00 8.83 Net Weight 6220.00 3.11 Tip Fee $ 230.00 Spec Fee $0 RCBus Tax $ 25.00 • Recycle $ 40.00 Total $ 295.00· \ Received at: INLAND PACIFIC RESOU Proceed at: Project: Total Yards Receive ' •• • ersion Certifint ,3 1 0 2 81 C Date: J _l,7-/ ½d . I ~rcentage: 100% ,, Signature: ·. . • ·.·•"'' \ . This certlrtes that the company listed above· hos utlllzed o Certified 1 lily to divert construction demollil~'~ mol~r1ols In accordance · with LEED requirements. The diversion yardage Is based on on ovef • ft ordoge percentage of the l'bspectlve green waste facility. !-.: ':. • .--:.; The City o/ THE CITY OF SAt:J DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION SAN • DIEGOJ) 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1 636 (858) 694-7000 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 Transaction #: 13847524 Account#: 8133613/CAPACITY CONSTR Date: 8/2/202414:06:05 Decal#: 65332, 0, 0 Scale Operator: AMI Fleet#: Tag#: 41658N3 Incoming /FB 03 , Transaction Type: 01/BUS.--NON RESIDENTIAL ~i~, Payment Type: 01/CHARGE /4>-£ ~ ~~ Hauler Type: 01/BUS.--NON RESIDENTIAL 1.~,... ;-Xi:~ m• ~ ~; Vehicle Type: 070/MEDIUM HEAVY J::: ~--~~ ~•- Material Type: 001/REFUSE 55.60% of Surety Bond remains Origin: 001/SAN DIEGO CITY \lJ~-• ~~~ & Special Fees: \~; . ' l f.!:: ~ ,,~. ~-.. fil',2 ~~ ,✓.-.. :, -... '-~-.. --~~ LBS Gross Weight 21500.00 • Tare Weight 17560.00 Net Weight 3940.00 Tip Fee Spec Fee • ;1RCBus Tax Recycle The Miramar Landfill will be closed on Monday, . lfr:~-n vit \",,,l\· • 09/02/2024 (Labor Day). 1t~Jtffi COKS TR UC TI OR :.,t ";1~1 . ·-1 $..," .. ,,I ;.i,., ~If • fJ ; t ES-072 (REV. 7-09) PW/PS-333 This Information is available In alternative formats upon request SIGNATURE • -.-.. ---------- TONS 10.75 8.78 1.97 $ 146.00 $0 $ 16.00 $ 26.00 $ 188.00 The Cityo/ THE CITY OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION SAN • DIEGO]) 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 MIRAMAR LANDFILL 5180 CONVOY·STREET SAN DIEGO, CA 92111 The Miramar Landfill will be closed on Thursday, 07/04/2024 (Independence Day). ES-072 (REV. 7--09) PW/PS-333 1111s Information Is ayallab/e In altematlve formats uoon reauest (858) 694-7000 . , LBS Gross Weight 22660.00 Tare. Weight -17560.00 Net Weight 5100.00 Tip Fee Spec Fee RCBus Tax Recycle Total CAPACITY COKSTRUCTIOH 8133613-·> ' ~- , .. ~ ..... ~l,GNATURE TONS 11 .33 8.78 2.55 $ 148.00 $0 $ 20.00 $ 33.00 $ 201.00 Received at: INLAND PACIFIC RESOU • ersion Certitcatei_ 3 0 9 .9 7-1 •• -~\~ C ·Date:\0 • •.. ·_ ~. \ Proceed at: '--ProJect: Number/ Total Yards Receive ercentage: 100% Signature: This certifies that the company listed a ove has, uti_llze_d a CertlHed r Illy to divert construction demolltton materials In accordance wtth LEED requirements. The diversion yardag~· ls:·.b1~ed on an overall ardage percentage· of the respective green waste facfllty. f." . • ·tte •··c,e · ttt •,;·' . . ¢1 ~-,···+ • ·or\ ~be':-»"lit (. b' ··Fit'>£ I ht· ·i>a '1 ti'rt& Cb ., t 'rt MI "t 'st it t 11 It AtdmerA t .. TT-;-~·•~i-.i>i§lj;~ .. ~~·;.~~-•.t!~~:-r•·~,.\~1~\,-if~:..r,--.:-:,7}(.ij",~Y~: •-tr. :'~: .. :...,,n.~" .. :,.,..,..----r-;.i,~--o-~----r-;-:-~T'!-·· I Construction & Demo Received at: INLAND PACIFIC RESOU Proceed at: 12650 Slaughterhquse C ·,....."'\_.· ' Total Yards Receive Signature: : :• l ercentag,:· ~ 1. QO¾ This certifies that the company listed above has ulfllzed a Certified f Illy to divert construction demolition mater1ols In accordance with LEED requirements. The diversion yardage Is based on an 6veroll ardoge percentage of the respective green waste facility. , /..3 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD , CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO, CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS 21 ,820 Scale In TARE 18,500 Tare Out NET 3,320 Tracking Qty: 0.00 Qty 1. 66 Unit Description TN MSW Origin: CARLSBAD 100% 54 Ticket #: 2718995 Weighmaster: aceveos In: July 11 , 2024 Out: July 11, 2024 Vehicle: Al5000 Ref: BOL: INBOUND INVOICE Rate Extension $101. 2) $1 68. 01 Tax $0.00 9:08 am 9:08 am Total $168 .01