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HomeMy WebLinkAbout2560 FARADAY AVE; ; CBC2019-0308; Recycle(_ City of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN 8-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.car/sbadca.gov Many of the materials generated from your project can be recycled. 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 Waste Management at (760) 929-9400, a certified C&D recycler, or the Carlsbad Building Division at (760) 602-2700. Please note: Unless you are self-hauling, Waste Mana ement 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. ~~ \ q -0 °2)0 ~ Project Title Project Address Applicant Name Hunter Last David First Oakmont of Carlsbad Owner Contractor 0 © Applicant Address 9240 Old Redwood H~ Suite 200, Windsor, CA 95492 APN 209-120-01-00 Architect Other 0 0 -- Phone ~-7'--'0;....c7_,_5.;;;..3;c..;5'--.=.;32=-0;....c0'--_____ E-mail Address David.Hunter~kmontsl.com Applicant Mailing Address (if different than project address) Project Type (check o/1 that apply): Resldentlal □ Commercial ~ Publll]lding Brief Description senior livi=n '-'== including three detached buildings~ain -assisted livin buildin a memory care building and a markeli!!Q buildh Project Size 128,314 Main Bldg. alo119 with a Estimated Cost of Project $20M Main Bigg. and 7M for the other two buildi1!9Jtotal $271 (square footage) 42,479 Memory Care and 5,338 Marketing Bldg. Please check the appropriate box: EJ I plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction. D I plan on self-hauling to a certified recycling facility and will provide all receipts after construction. D This is a proposed LEED certified project and I plan on separating materials on site in conjunction with WASTE MANAGEMENT. 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 David Hunter s;gnattjLIJ//Jc Date 911wn19 Page 1 of 4 Rev. 11112/18 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: Permit No. -~~~~-2o-1~9~·~o~l-o~l'>-_____ Project Title Oakmont of Carlsbad .__,2"""5'-"'6""0'--'-F-"a..,._ra""d...,a~yuA'-'-v_..,e,.,_n"'u""e_._. ,,,_C_,,,_a!...Crls,,.b.csa,.,.d,.._ • .,,.C'-'-A.,__ __________ APN 209-120-01 -00 -~H~u~n~t~e~r _________ ~D~a~v~id,,,_ ______ Phone 707) 535-3200 Last First 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. Material Type Complete this line of the toble 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) Car et Carpet Padding/ Foam Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Roofing Materials Sera Metal Stucco Other: TOTAL SECTION C = Estimated Waste Quantity (tons) 360 20 0 2 4 0 28 24 80 18 7 60 ll2... To meet 65% Diversion Requirement (est imate) A B C Place a ( ✓) check next t o 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 __ 7.:....;'?.:c..;2.=-____ x 0.65 = y 7 S" tons Total Estimated Waste /ram above Minimum Required Diversion (, l'f O Page 2 of 4 Rev. 11/12/18 PART 2 Complete before final inspection, obtain WASTE MANAGEMENT signature, and return with receipts prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): SECTION A 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. ________________ Print Name Address SECTION B ___________________________ Date 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 Example: 01/05/2018 Palomar Transfer Station, 5960 El Concrete (broken) 5 tans 2.10 2.10 tO Sl 01..,"l'> 02....., ~ 00, 20 oo.zo @TOTAL SECTION C Diversion Rate Achieved ________ _, ___________ = '1],9 % Total of columns A + B Total af columns A + B + C DIVERSION Contractor/OwnerSignatu~ Date tj,,../202. / Camino Real -760 603-0153 \ ~ 65% ~65%0 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. 11/12118