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Home My WebLink About1719 Buena Vista Way; ; CBRA2018-0049; Recycle( City of Carlsbad RESIDENTIAL GREEN BUILDING CODE STANDARDS MANDATORY MEASURES CERTIFICATION CHECKLIST Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov 8-51 This form, signed and completed, and all. receipts for the recycled materials shall be submitted to the Building Inspector prior to Final Inspection. Site Development Mandatory 4.106.2 A plan is developed and implemented to manage storm water drainage during construction. (X) 4.106.3 The site shall be planned and developed to keep surface water away from buildings. (X) Construction plans shall indicate how site grading or a drainage system will manage all surface water flows. Energy Efficiency 4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by (X) the California Energy Standards. Water Efficiency and Conservation Indoor Water Use 4.303.1 lndoorwater use shall be reduced by at least 20 percent using one of the following methods: (X) 1. Water saving fixtures or flow restrictors shall be used. 7/01/2011 2. A 20 percent reduction in baseline water use shall be demonstrated. 4.303.2 When using the calculation method specified in Section 4.303.1, multiple showerheads shall not (X) exceed maximum flow rates. 7/01/2011 4.303.3 Plumbing fixtures {water closets and urinals) and fittings (faucets and shower heads) shall (X) comply with specified perlormance requirements. 7/01/2011 Outdoor Water Use 4.304.1 Automatic irrigation systems controllers installed at the time of final inspection shall be weather-(X) based. Enhanced Durability and Reduced Maintenance 4.406.1 Joints and openings. Annular spaces around pipes, electric cables, conduits or other openings in plates at exterior walls shall be protected against the passage of rodents by closing such openings (X) with cement mortar, concrete masonry or similar method acceptable to the enforcing agency. Construction Waste Management Plan 4.408.1 A minimum of 50 percent of the construction waste generated at the site is diverted to recycle or (X) salvage. Recycled material receipts from approved recyclers must be attached to this form. 4.408.2 Where a local jurisdiction does not have a construction and demolition waste management (X) ordinance, construction waste management plan, per form B-59, shall be submitted for approval to the enforcing agency, Building Maintenance and Operation 4.410.1 An ooeration and maintenance manual shall be orovided to the building occupant or owner. (X) Environmental Quality Fireplaces 4.503.1 Any installed gas fireplace shall be a direct-vent sealed-combustion type. Any installed wooclstove or pellet stove shall comply with US EPA Phase II emission limits where applicable. (X) Woodstoves, oellet stoves and fireolaces shall also comolv with aoolicable local ordinances. B-51 Page 1 of2 Rev. 11/15 Pollutant Control 4.504.1 Duct openings and other related air distribution component openings shall be covered during construction. 4.504.2.1 Adhesive, sealants and caulks shall be compliant with voe and other toxic compound limits. 4.504.2.2 Paints, stains and other coatings shall be compliant with voe limits. 4.504.2.3 Aerosol paints and coatings shall be compliant with product weighted MIR. limits for ROC and other toxic compounds. 4.504.2.4 Documentation shall be provided to verify that compliant voe limit finish materials have been used. 4.504.3 Carpet and carpet systems shall be compliant with voe limits. 4.504.4 50 percent of floor area receiving resilient flooring shall comply with VOC-emission limits defined in the Collaborative for High Performance Schools (eHPS) Low-emitting Materials List or be certified under the Resilient Floor Covering Institute (RFCI) FloorScore program. 4.504.5 Particleboard, medium density fiberboard (MDF) and hardwood plywood used in interior finish systems shall comply with low formaldehyde emission standards. Interior Moisture Control 4.505.2 Vapor retarder and capillary break is installed at slab on grade foundations. 4.505.3 Moisture content of building materials used in wall and floor framing is checked before enclosure. Indoor Air Quality and Exhaust 4.506.1 Exhaust fans which terminate outside the buildina are orovided in every bathroom. Environmental Comfort 4.507.1 Whole house exhaust fans shall have insulated louvers or covers which close when the fan is off. Covers or louvers shall have a minimum insulation value of R-4.2. 4.507.2 Duct systems are sized, designed, and equipment is selected using the following methods: 1. Establish heat loss and heat gain values according to AeCA Manual J or equivalent 2. Size duct systems according to ACCA 29-D (Manual D) or equivalent 3. Select heatinQ and coolinQ equipment accordino to ACCA 36-S (Manual S) or eauivalent. Installer and Special Inspector Qualifications 702.1 HVAC system installers are trained and certified in the proper installation of HVAC systems. 702.2 Special inspectors employed by the owner must be qualified and able to demonstrate competence in the discipline they are inspecting. (X) (X) (X) (X) (X) (X) (X) (X) (X) (X) (X) (X) (X) (X) (X) I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items listed on this form have been incorporated into the project in order to comply with Title 24, Part 11 of the 2013 California Green Building Standards. All receipts for recycled materials have been attached to this form. Project Address: Print Name: __ :S_:t'_\v'\. __ 7-l __ ~_t.._c... ______ _ License Number: _ q "2. 7'ZJo~J,..__ B-51 Page2 of2 Rev. 11/15 ~ DEBRIS RECOVERY STATEMENT -Post Demolition/Construction Build It Green 1719 Buena Vista Wy Project Address: Carlsbad 12 -Carlsbad, California (Model) City, Zip: Carlsbad, 92008 Date: May 31, 2019 Contractor: California West Communities Contact: Dave Warren Title: Vice President of Construction Phone: (760) 602-6400 Email: DWarren@CaliforniaWestCommunities.com Identify which materials were reused, recycled or disposed by completing the table below. Check the designated box and provide the name of each facility or service provider and weight of materials. If the materials were reused on site, describe the reuse application under the facilities/service providers column. Salvaged materials from deconstruction should be designated as reuse. Attach copies of receipts, gate tags, or other verifying documentation. Material Reuse Recycle Dispose Documentation Facility/Service Provider Weight Method (tons) Asphalt Brick Cardboard Carpet ~/Stucco/Plaster 10.00 0.00 Receipts Reclaimed Aaoregates 10.00 Dry Wall Metal Pallets Plastics Wood, Lumber ,>0001:t 7.00 0.00 Receipts Inland Pacific Resource Recovery 7.00 >Dlloo: Other Trash 0.00 3.09 Receipts Palomar Transfer 3.09 Other Trash 0.00 0.82 Receiots Escondido Resource Recoverv 0.82 M4 TERIAL GENERATION SYNOPSIS A. Total tons of materials generated for the project: B. Total tons of materials disposed (not recycled): 20.91 3.91 C. Total tons of materials salvaged, reused, or recycled: 17.00 D. Percentage of materials recycled/reused (divide C by A): 82% ---------4---·------------- Construction & Demolition Diversion Certificate 31 ? 1 q 1 Received at: INLAND PACIFIC RESOURCE RECOVERY, LLC Date: ( _J 7 ">-\ '-\ 1 \ Proceed at: 12650 Slaughterhouse Canyon Rd, Lakeside, CA 92040 Customer: Ticket#: __.01-, _f)...._ ___ _ (\ (\ \ Project: Number/Description __,_l---\__,_\J='/\.r-----"'\j'-v-°'-'------'\..,__ ___ (>....J.>'-'--('_,r_\-'-'(''-\--'--C--____ _ Total Yards Received: _ _.7_..co....<. ________ _ Diversion Percentage: 100% Signature: C oJ()) ~ This certifies Iha! fhe company !isled above hos utilized a Cerlified facility to divert construction demolition maferiols in accordance with LEED requ,remenls. The diversion yardage ,s based on on overall yardage percentage of the respective green waste facility. I ....... 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 23,320 Scale In TARE 18 ,500 Tare Out NET 4,820 ---' Tr~ing Qty: 0 .00 / Qty I 2 .41 Unit TN Description MSW S4 Ticket #: 1888983 Weighmaster: gutieas In: March 11, 2019 Out: March 11, 2019 Vehicle: Al5QOO Ref: BOL : INBOUND INVOICE Rate Extension S69.33 $167.09 Tax $0.00 Origin : CARLSBAD 100% --) Q_ (\ \&' Va cJ c , L __ )!3 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760) 603-0153 54 Ticket #: 1894033 Weighmaster: RAMOSAL In: March 22 , 2019 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 Out : March 22 , 2019 Vehicle : Al5000 SAN DIEGO, CA 921 42-0040 Contract : COMM-GATE Yr . 200 GROSS 23,500 TARE NET Tracking Qty: 18,500 5 ,000 0.00 Qty 2 .s,9 Ori;(in: Unit Description TN MSW CARLSBAD Scale In Tare Out Ref : BOL: INBOUND INVOICE Rate Extension $69.33 $173 .33 100% J ,L _ _J ld Jct~l I /Cl_, ,~ Tax $0 .00 10:30 am 10:30 am Total S167.09 10:?.6 am 10 :26 am Total S173 .33 Construction & Demolition Diversion Certificate 3 () ? 215 Received at: INLAND PACIFIC RESOURCE RECOVERY, LLC Date: C'Jvi-()'?_,-\< \ Proceed at: 12650 Slaughterhouse Canyon Rd, Lakeside, CA 92040 Customer: C Cl ~ d I r [HS t Ticket#: _~_0) _____ _ Project: Number/Description _l_;;;._•._-_>"")_· __ -_ 1 _\_,._L---------- Total Yards Received: __ ].....__(.._._) _______ _ Diversion Percentage: _100% Signature: ~\J~\~ Co This certifies !hot the company listed above hos utilized a Certified facility to divert construction demolition materials in accordance with LEED requirements. The diversion yardage is based on on overall yardage percentage of the respective green waste facility. ) 0 .... (',.. .J.c.1c__\~ \L PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 010258 -CAPACITY CONSTRUCTION INC P O BOX 420040 SAN DIEGO, CA 92142-0040 Contract : COMM-GATE Yr. 200 GROSS 22,700 TARE NET Trac_!s.ing Qty: /Qty Unit 2.10 TN 18,500 4,200 0.00 Description MSW Scale In Tare Out "··1 Ticket #: 190 64 4 9 Weighmaster : LOPREAR In: April 18 , 2019 Out: April 18, 2019 Vehicle : Al5000 Ref: BOL : INBOUND INVOICE Rate Extension $69.33 $145 .59 Tax $0 .00 O~n: CARLSBAD 100% I~ l~O~~~ Y3 9:24 am 9:24 am Total $145.59 ICWIID AGGREG~LE! CHULA VISTA FACILITY 855 Energy Way Chula Vista, CA91911 951-682-1091 1951-682-1091 WEIGHED WITH DRIVER ON BOTH GROSS AND TARE WEIGHMASTER CERTIFICATE Ticket Number 2008726 THIS IS TO CERTIFY that Ille following described commodity was weighed, measured, or counled by a weighmastor, whose signature Is on this certillcate, who is a recognized authority of accuracy, as prescribed by Chaptor 7 (commencing with Section 12700) or Division 5 ot the Calffornia Business and Professions Code administered by the DMsion of Measurement Standards of Iha Galifornla Department of Food and Agrlcuhure. BY DEPUTY: Julian Estrada CUSTOMER: CAPCON TRUCK NAME/CARRIER: CAPCON GROSS WEIGHT: 1 un LOADS: 0 MATERIAL PURCHASED: ROLL-OFF BED NOTES: LIGHTWIEGHT STATEMENT AS EVIDENCE BY SIGNATURE, ORIVER.~ARRIER IS HESPONSIBLE FOR THE ACCURACY OF THIS VEHICHLE'S TAAE WEIGHT. 11-IE DRIVER/CARRIER WILL NOTIFY SHIPPER/COSIGNER IF THERE IS ANY CHANGE IN LJGHlWEIGHT DUE TO CHANGES IN EQUIPMENT. FUELING, ETC CALIF B & P CODE SECTION 1 ZT'Z2 A & B. DATE/TIME: 4/23/2019 10:59:50 AM JOB NUMBER: TRUCK ID: 8688 TARE WEIGHT: 0 un DAILY TONNAGE: 0 QUANTITY: 1 un ~ \\ \ .l l1 By Drlver/CllfTler: TEAMS AND CONDITION OF SALE H?. \(I_ PAYMENT TYPE: PURCHASE ORDER: LICENSE PLATE: 5W88688 NET WEIGHT: 1 un oa I I NOTICE: Drrvcrs wll mol<e every ellort lo pince malertal v.l,o,eCuslDmer desi!)nalos. but Rt!daimed Aggege!M h.rlher l<nown as RAJ as1Umes no responsibilty lor d3"111QM in.id<! curb or ?"ope1)' lne No clo,ms alk>wcd unlcu made wherl mat.eriaJ 1s def.ve-red and reoet,ted fOf'. A inance dlatg<! per month on 11e u,pnld bnl1111oe shnl be marged on an ac:coun!S JO clays o, mom past due Cus-agrees lo pay al 00Sts and e,q,enses ol oollec6ofl ot Mr amo1mt 11ereonde<. lndlld!rQ al attorneys' locs lna.,rn!d. RAI "'" mnllc d reesonable effofls 10 dolhlcr al malcrial lo Customer on t,o dale and lime sptd1ed by Cu,tome<, 1114 In tulfdent lnaement.i quantity lo mffl Cu'!lomer's spedlk:allM lherefore When CVS!omer order~ placed. RAJ, lloWeVer, .S.d.lims any respunslblhty fo,lale deRve,y or insulldenl lnaemeulal quanWty deUve,y and cU>tomer .,_,..iy v.elves "da1rn of d.vnngcs. rlghl ol off:sel o, bo.dl charge es e r&Qtll of late delivery or lruutldent lncremen1ai quanUlles detiYered. The ttlO\e WIIM!l' cf damages sttan inducle actual Of con~enlal damages. or any dam;iocs under tie Cnlilonia Comncronl Code. Customer ng~ 10 nobly RAI In wriN\ij of "'1)' olaims Including clLms of defects assodaled With the material defivorcd ond1o< plcl,ed 14> hereunder Will'ln 72 hoUrs aftet' the Its! dale and i~ set faltl en 11,e ~O<t ol the Certllaltla, and lo a~ord RAI Ile oppo,tumty le oorred. a $Jch dolms prior ID C\Jstomerlnc:u!lil,g any 00SI o, expense 111 alle"1)1lng 10 correct sale. RETURN CHECK NOTICE: Sedlon f 719 Cll.lfolria CMI Code has been M1el1ded lo cause the person lnumg a check that has been dishonored 10 be liable lcr rcbte damages In ed<li!Son lo the amounl ol lhe dlshonoreddleck. The labillyshdf not be less lh8n $100.00 ormorelhan $500.00. uooer t,o mechnnlc's lien law (catllOmla Code ot CM Procedue. Sectton 1181 el seq), any o,ntracta . labo<w. suppler o, ottier pe<som Who helps lo lrll)rOve )'OUT property bul Is rot paid ior tis won< o, lllppl!os, hes ll nghl 10 enlcm:e a dalm ogalnst yo\Jf prope11y. This meaos !hill alter a oourt hearing, yourproper,y could be sold by o 00u<1 officer and Iha proceed cf the aaleusal 10 salisly tho lndcblcdncu. Ttis can happen even ii you have pald YOU' 0\\1\ c:on1rac1or In IUII, ii the SUllc0f11ractor.1ooorer or sul)fller remains unl)!l<I. TI0e passes lo l)(JfCha.ser al lhe ame cl loodro, customer ftGJ'"10wtedgoe o..no ae;oopo ••• twallh ha.a:~ ~O<:llled w111 agwr~a»5. ~ph:)..lt. ccme.it or 0111or oonstf\JeltOn prodUcts Dy ~l!UlC• ot SOd't m.-.leriltl• CustomQr rclo.a:.os R~l tor on habolty RSSOCillled ~th such health haza'ds. PROP.65 -WARNING TO CUSTOMERS AND EMPI.OYEES: PRODUCTS SOLD OR USED ON THESE PREMISES MAY CGITAIN CHEMICALS KNOWN TO TliE STATE TO CAUSE CANCER OR BIRTH DEFRECTS. SELLER MAKES NO WARRANTY AS TO SUITABILITY OF MATERIAL FOR AN flTEN0ED USE BY CUSTOMER -SL ~----------·--------------· L • 011rl1 1 Jc, l!•.?so ,.ll-•.:e l~ecovr;-1 ·.• I •J:.' 1_ I ,J r,i i :; :; j O fl (-l V e , 1:~. ,:,r,d .11 1,,. C1l '::J,~ljt,:'.!'5 ( ,-,::,.,,) ~745-,.,~2 1,J3 [.11 ::I i'.•lfle,: l id< e l: : 998;::•1.1 Dc:1 t f.! : f)i1 / ;"J./ 1 ·:'-J 1::..n1.•r 1C I I', CONG THUCT 1 ut•I I'. II. j-'.C1) .-, ,:'1£11,lLI 1(1 r,ru l f• 1 1:.t ,, J. C1-i. --J;':'. 1 ,-, ;:: ~-- I -I ' Ill IA I) d i t \-HLlt p r n : 1 :;: : '1 9 0 1_1 :; : 1 'I ! l(_J;':• 1 I , ,Cl f· Hi JI.JI. nEFUSE f:'.!Zt . \i.)(I pc->r f [11'1 11-1vnrr:r: "f r tl(.:'I:: C •:! n I; e.\ i r, e r : I?,:, 1_1 I, t-: Ct[\L:l I 1 nr l y ·'· II : 1i.)1-)l:, ·~.:\ I) l•i ._; 1 • 1 • [ }( I_ E' II• J •-· .__I 1_: h •:.11 ~ 1 ,_, 1 ':13_. l If/I LL,1 t:,s~ \ 1P J ~ C.:2, .. 7.tffi). ;;Jr; j_ i~ ~ ( : .:c. <i •! 1. 1\s ~;,::-1 -.i T 2.1 1:: J n. BC•l.l. l I> _:i ,~ 1 tt!:i Ne I,: TOT1:iL DU[ --·· -.. --__ .. -------·-----UT UL CTf: Dt i v Pt' 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 22, 900 Scale In TARE 18,500 Tare Out NET 4 ,400 Tracking Qty: 0.00 Qty Unit Description r,,J Ticket #: 1916395 Weighmaster : LOPREAR In : May 10, 2019 Out : May 1 0 , 201 9 Vehicle : AlS000 Ref : B01: INBOUND INVOICE Rate Extension $69 .33 $152 .53 Tax $0.00 2 . 20 I TN MSW Origin: CARLSBAD 100% Ys 6 10:03 am 10:03 am Total $152.53 Pollutant Control 4.504.1 Duct openings and other related air distribution component openings shall be covered (X) during construction. 4.504.2.1 Adhesive, sealants and caulks shall be compliant with voe and other toxic compound (X) limits. (X) 4.504.2.2 Paints, stains and other coatings shall be compliant with VOC limits. (X ) 4.504.2.3 Aerosol paints and coatings shall be compliant with product weighted MIR limits for ROG and other toxic compounds. (X) 4.504.2.4 Documentation shall be provided to verify that compliant voe limit finish materials have been used. (X) 4.504.3 Carpet and carpet systems shall be compliant with VOC limits. 4.504.4 50 percent of floor area receiving resilient flooring shall comply with VOC-emission limits (X) defined in the Collaborative for High Performance Schools (CHPS) Low-emitting Materials List or be certified under the Resilient Floor Covering Institute (RFCI) FloorScore program. (X) 4.504.5 Particleboard, medium density fiberboard (MDF) and hardwood plywood used in interior finish svstems shall comolv with low formaldehvde emission standards. Interior Moisture Control 4.505.2 Vapor retarder and capillary break is installed at slab on grade foundations. (X ) 4.505.3 Moisture content of building materials used in wall and floor framing is checked before (X) enclosure. Indoor Air Quality and Exhaust 4.506.1 Exhaust fans which terminate outside the building are provided in every bathroom. (X ) Environmental Comfort 4.507 .1 Whole house exhaust fans shall have insulated louvers or covers which close when the (X) fan is off. Covers or louvers shall have a minimum insulation value of R-4.2. 4.507 .2 Duct systems are sized, designed, and equipment is selected using the following methods: (X) 1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent. 2. Size duct systems according to ACCA 29-D (Manual D) or equivalent 3. Select heating and cooling equipment according to ACCA 36-S (Manual S) or equivalent. Installer and Special Inspector Qualifications 702.1 HVAC system installers are trained and certified in the proper installation of HVAC (X) systems. 702.2 Special inspectors employed by the owner must be qualified and able to demonstrate (X) competence in the discipline they are insoectino. I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items listed on this form have been incorporated into the project in order to comply with Title 24, Part 11 of the 2016 California Green Building Standards. All receipts for recycled materials have been attached to this form. Project Address: 1719 Buena Vista Wy. (Lot 9 Model) Plan Check Number: PC2017-0048 Print Name: Jim Hall Signed: ~Ila& License Number: 927267 Date: 11/22/2019 B-51 Page 2 of2 Rev. 5/17 ~ DEBRIS RECOVERY STATEMENT -Post Demolition/Construction BuildltG ri Project Address: Carlsbad 12 -Carlsbad, California City, Zip: Date: May 31, 2019 Contractor: California West Communities Contact: Dave Warren Title: Vice President of Construction Phone: (760) 602-6400 Emai I: DWarren@CaliforniaWestCommunities.com Identify which materials were reused, recycled or disposed by completing the table below. Check the designated box and provide the name of each facility or service provider and weight of materials. If the materials were reused on site, describe the reuse application under the facilities/service providers column. Salvaged materials from deconstruction should be designated as reuse. Attach copies of receipts, gate tags, or other verifying documentation. Material Reuse Recycle Dispose Documentation Facility/Service Provider Weight Method (tons) Asphalt --Brick --Cardboard Carpet -~/ Stucco /Plaster 10.00 0.00 Receipts Reclaimed AqgreQates 10.00 Dry Wall Metal Pallets Plastics Wood, Lumbcr,~t 7.00 0.00 Receipts Inland Pacific Resource Recovery 7.00 >6KW Other Trash 0.00 3.09 Receipts Palomar Transfer 3.09 Other Trash 0.00 0.82 Receiots Escondido Resource Recovery 0.82 - MATERIAL GENERATION SYNOPSIS A. Total tons of materials generated for the project: B. Total tons of materials disposed (not recycled): 80.91 3.91 C. Total tons of materials salvaged, reused, or recycled: 17.00 D. Percentage of materials recycled/reused (divide C by A): 82 % ------------· ------------------------ Construction & Demolition Diversion Certificate 31 ? 1 i"t 1 Received at: INLAND PACIFIC RESOURCE RECOVERY, LLC Date: (_ )) \ \ \ ( \ Proceed at: 12650 Slaughterhouse Canyon Rd, Lakeside, CA 92040 Customer: _l,.__,,.,__c_,-\-=-p:_:::. :....:...:i,C,__·...:_, A...1...."-4-·l ___;,G....,,c ..,,.,__, _3..._1L._ __ Ticket#:--'£!--'-(),__ ___ _ (\ (\ . \ Project: Number/Description ___._l::\_.,__,\J:,:,cv---"'<j'-"-°'-'-----'',.,__· _('--'>"'-(\___,(~\..:...(':__;__(_. ____ _ Total Yards Received: --'7'--\..,_.<'--' ________ _ Diversion Percentage: 100% Signature: Co,\~)~ This certifies that the company listed above hos utilized o Certified focmty to divert construction demolition materials in accordance with LEED requirements. The diversion yardage is based on on overall yardage percentage of the respective green waste facility. PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 S4 Ticket #: 1888983 Weighmaster: gutieas In: March 11 , 2019 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 Out: March 11, 2019 Vehicle: Al5000 SAN DIEGO, CA 92142-0040 Contract: COMM-GATE GROSS TARE NET .-- Tr ~td. ng Qty: Yr . 200 23 ,320 18,500 4 ,820 0 .00 I Qty Unit Description 2.41 TN MSW 10rigin : CARLSBAD Scale In Tare Out J 00% Ref: BOL : INBOUND INVOICE Rate Extension $69.33 $167.09 Tax $0.00 ,---) Q 0 \&' fac_\ C \ c__ /3 6-3 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 54 Ticket #: 1894033 Weighmaster : RAMOSAL In: March 22 , 2019 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 Out: March 22, 2019 Vehicle : A15000 SAN DIEGO , CA 92142-0040 Contract : COMM-GATE Yr. 200 GROSS 23 ,500 TARE 18,500 NET 5 ,000 Tracking Qty : 0 .00 Qty I 2.50 Or~n: Unit Description TN MSW CARLSBAD Scale In Tare Out Ref : BOL : INBOUND INVOICE Rate Extension $69.33 $173 .33 100% f ,l / l& _j a~.\., 10___; Ys Tax $0 .00 10 :30 am 10:30 am Total $167 .09 10:26 am 10 :26 am Total $173.33 Construction & Demolition Diversion Certificate 3 () 2 215 Received at: INLAND PACIFIC RESOURCE RECOVERY, LLC Date: C1Ji--(f~\ (-'\ Proceed at: 12650 Slaughterhouse Canyon Rd, Lakeside, CA 92040 Customer: Cu~ d I C' {),st Ticket#:_~_.,__ ____ _ Project: Number/Description _l--"--•·_->_2)_'-_--'-\---<----------- Total Yards Received: __ [~( ..... · _,_) _______ _ Diversion Percentage: 100% Signature: ~\)~(µ Co This certifies !hot the company listed above hos utilized a Certified facility to divert construction demolition moleriols in accordance with LEED requirements. The diversion yardage ,s based on on overon yardage percentage of the respective green wosle focmty. -------- 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 22, 700 Scale In TARE 18,500 Tare Out NET 4,200 Track__ing Qty : / 0 .00 ( Qty/ Unit Description 2 .10 TN MSW ~n: CARLSBAD r,,I Ticket #: 1906449 Weighmaster: LOPREAR In: April 18, 2019 Out : April 18, 2019 Vehicle : AlS000 Ref : 801 : INBOUND INVOICE Rate Extension $69.33 $145.59 Tax S0.00 9:24 am 9 :24 am Total $145.59 AGGREG~J!! CHULA VISTA FACILITY 855 Energy Way Chula Vista, CA 91911 951-682-1091 1951 -682-1091 W EIGHED WITH DRIVER ON BOTH GROSS AND TARE WEIGHMASTER CERTIACATE Ticket Number 2008726 THIS IS TO C€RTIFY that lhe following de&eribed commodity was weighed, measured, or counted by a welghmaster, whose signature is on this certillcate, who Is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the cataornia Business and Professions Code administered by the DMsion of Measurement Standards of Iha Cafffornla Department of Food and Agrlculture. BY DEPUTY: Julian Estrada CUSTOMER: CAPCON TRUCK NAME/CARRIER: CAPCON GROSS WEIGHT: 1 un LOADS: 0 MATERIAL PURCHASED: ROLL-OFF BED NOTES: / (_ ( \J_Ja Cl f: (c__ LIGHTWIEGHT STATEMENT AS EVIDENCE BY SIGNATURE, ORIVER;CAAAIEA IS RESPONSIBLE FOR THE ACCURACY OF THIS VEHICHLE'S TARE WElGHT THE DRIVER/CARRIER Wl.L NOTIFY SHIPPER/COSIGNER IF THE.RE IS ANY CHANGE IN UOHTWEIGHT DUE TO CHANGES IN EOUIPMENT. FUELING, ETC CALIF B & P CODE SECTION 1 'ZTZZ A & B. DATE/TIME: 4/23/2019 10:59:50 AM JOB NUMBER: TRUCK ID: 8688 TARE WEIGHT: 0 un DAILY TONNAGE: 0 QUANTITY: ¾ By Driver/Carrier: TERMS AND CONDITION OF SALE PAYMENT TYPE: PURCHASE ORDER: LICENSE PLATE: 5W88688 NET WEIGHT: 1 un \ ( r lOClC I I NOTICE: OrtVl!rs wl1 m:,ke eve,y ellott lo ploce male<lal 1M1e«, Cu111>mer designates. but Reclaimed AW"fl•leS ltSlher known as RAI assumes no responsibiily tor clllmQOes inside curb or prope1y ine No clmms allowed unless ma<le w!len maie!lal Is delivered and receil\ed ror. A lnonce dlarge per monlh on Ille ~ bllla,,oe shlil be dlcuged on an accounts JO my$ 0< mon, pa.st doc Cuslomer agrees lo pay al IX>SIS and e,penses ol coHec6on ol any amount herelJn<le<. !ndU<llrO al ellomev,· loo5 lncu,rcd. RAI -Mil nuo 31 reasonlll>le efforts to dclivcr al malerutl 10 Customer on t10 dale and lime ,ipedled byCt.,tame<, ill1d In 1Ullcl"1l lnaemen1.i quw ly lo mHI c..-.oo,.,-. spedlcallon lllCretore..tlen Customer ordc< ls J)foa,d. RAJ, hc7,\-eve<. <ls claims MY rasponsll:1111)' 10f late dcRve,y Ot Insufficient lnaemeutal quftllfty dell\'efY nnd cuslomef BX!>teUly Mlv"" e dann ol tlffm&ges. 11{/ht ol off:oet o, bacll charge as e result of late de!IYefY or fnsutldent Incremental quanlllie6 deliYered. The llbove fflllvcf of damages .shall lnducle actual °' consequenlal d~oo. o, any damogcs under lhc Cnliforria Conwncronl Code. Customer agrees to no~ly RAI In wri"1g of Mf olo!ms Including dllims of dele<:IS assodllted with tile material dofi"'3fC<I andl,, pldled 14' her'evndl!r wiUin 72 hoWS ellef Ille mt dale 11/lCl llem set lath on lhe lo-Ott ot the Cetlilcallc,1 and 10 afforo RAI '"' Qppa\UOII)' lo COITCCt a $UC:h dDlms prior to Cuslomertneurril,g any OOSl O< e•peno In allcn1)1lng IO CIOfft:Cl sale. RETURN CHECK NOTICE: Seo.Ion 1719 Ca.lronie CMf Code has been M>ended Lo cause the 1)8(10'1 !numQ a c:hedc lhal has been dishonored IO be liable 1or treble oa~es In adcliUon to 1119 amounl of Ille dishonored d1eck. The labifly shat no1 be feu lhan SI 00.00 or more lhan $500.00. Under the rnedlnnle"s lien law (CalllomlaCode of CM ProcedlXe.Sedlon1181 et seq), any amtiacta. l;abO<w. suppl.,, or olherpe<!ICl'6 ""lOhelps lo Improve your property bul Is rol paid lor !is worl<or ,upptlo$, !>as o righl 10 enlofce a dalm ogalm:t yOUf propetty. This means lhal aner a. oourt nearing. your property a,ulcj be sold by a courtollioef and lhe proceed o1 lhe we used 10 sa.l&ly !ho lndcbledneu. Tlis con happen even 11 yoll have pGld y011 own oont,a.ctor In 11111. 11 lhe SUbcOntractor, lebO<er o, JUpijler remains unpdd Tl!e pns$CS Lo pU!d\aser Ill Ote time of lo!Jdfl). OVstcmcr ocNlOwtedgOG: o.nd acoopt, fffl hoaftl ha.r.ar'da aaodo.tud wta, Q99•'fi2'91ill0s. uph3lt,ccmet1t or off\Of" con.s,t,vcbon pn::,ducts. By t11-00f!ptt11.nce of such mllll.leri,tlaCustomar roloases RAJ 10, di D.lbilry R$$0Cinled with such health ha.za'dS PAOP.65 -WARNING TO CUSTOMERS AND EMPLOYEES: PRODUCTS SOLO OR USEC ON THESE PREMISES MAY CONTAIN CHEMICALS KNOWN TO THE STATE TO CAUSE CANCER OR BIRTH OEFRECTS. saLER MAKES NO w AAAANTY ,.s TO SUITABILITY OF MATERIAL FOO AN NTENOED USE BY CUSTOMER. -SL L -= ~ c•11rJ l •J c1 f?t•:; o•.wce l~ec 1.1vr-i I I.),_' 1_ , •• , ~•Ii :; ,; j C.lfl (-lve L ., ' ,:, rid _I d n' r ,1 32'71,::·5 T l•IIJn T CL r , • • ~ I· (• 111 e r : 1 1 c-k et : 1;l'J821,1 [ n : 17:: 11 9 T r t.tCI': 2: 'ti •.~'I D a I. ~ : 1,'li1 / ,:;1:, / l '-:! Q IJ :_ ~ 1 /I : 1£1 i~' C ,, n l: ~, i 1, e ( : Hi;, u 1; !..': (1[\171 J 1 L,ll-'f !( r I\ UJN3THUCT liJtl Or 1 y J_ ,1: ('If~~) ':i.:i.n 1,1._,. , " I '. i-,. 1-',U;, r, ,::1t.'l1J1.1 t21 '":.,(:,; I D l t.:.t_••J. i"H. •J;::=: 1 11 .:.: C )( I_ "' Tl d '·' d l 1,1111t1orJ it,. f-\atP Lh,:a, ~j IJ B~~. 1,.:)0:1 p@ r' i f .-,C.LF H► l!.JL l~EFUSF. I.Ln 1:,ss ( 1n·, ~ 22:. 7'10. T r-1.t •J 113, 8C.t,~. ':.:'ir: l tt5 Ne I,= 1. '.15. ,·'VI .llJ ::, ] TOT(:.I. DU[ .I •J!:5, , '1/1 IJ T UL ET(": [h j_ I/Pt' ) f \LJ C\CJ( I~ 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 22 ,900 Scale In TARE 18,500 Tare Out NET 4,400 Tracking Qty : 0.00 Qty 2 .20 Unit Description TN MSW Origin: CARLSBAD I 63 100% r..'4 Ticket #: 1916395 Weighrnaster : LOPREAR In : May 10, 2019 Out : May 10, 2019 Vehicle: Al5000 Ref: B01: INBOUND INVOICE Ra Le Extension $69 .33 $152 .53 Tax S0 .00 10:03 am 10:03 am Total $152.53