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Home My WebLink About2726 MORNING GLORY; ; CBR2020-0608; RecycleC Cityaf Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov APPLI CABLE TO NE W CO NSTRU CTION, ALL RESIDENTIAL ADDITION S AND ALTERATIONS AND COMMERCIAL AD DITIONS AND ALTER ATIONS OVER $200K. If you have questions about the recycling requirement or completing this form, please contact Republic Services at (760) 332-6464 a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2700. Please note: Unless you are self-hauling, Republic Services or approved hau lers must be used for all construction project s within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will !10t be issued without a completed Construction Waste Management Plan. Applicant Information Last First Applicant Address d -,;) fo M--C>f!-~S/ N & r;..k DflY l.--/t'N e I ~l-s /1J AO C/ ;;.-oo ~ Phone ( 7 ft?Q ) S -3S ,,. :) ~"' 3 E-mail Address L/6,A. f::A..-( OA > (a) G,vi A-l L-, Corh. 5 .l\,.,n,, ✓, A S ~ ,,..v ?-Applicant Mailing Address _ rr ,,, t:::: ,.,,..,,;,,J v v (if different than project address) Project Type (check all that apply): Residential ~ Brief Description /JrO Ch -n () ,-J Commercial □ I N Ct-,1.4 e--, N & Public Building □ Project Size ?-3 ~ S Estimated Cost of Project$ / t;; (), 000 . _,._ _ _,,'-------------- (square footage) Please check the appropriate box: I plan on using REPUBLIC SERVICES roll-off bin(s) for all mat erials an d w ill provi de all receipts after construction. I plan on self-hauling to a certified recycling facility and will provide all receipt s after construction. This is a proposed LEED ce rtified project and I plan on separating materia ls on site in conjunction with REPUBLIC SERVCES. 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, t hat 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 e..EL-L '--/ Fu f?.<A. Of'r Signatu~ Date Page 1 of 3 Rev. 05122 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: Breh~•• Permit No. (;P;RJ-6:k> , Db08 Project Title PIA10UoA f!.-E S l O ra.J Q; Project Address ) 7 )-b /vtD /!-N I l'J & G-tA> (<!,,-/ uJ APN /5to1.;..ogL{co Applicant Name 1]e..u5T Fu /::::AA O A LL ,J l tJ & 1)2.,us_ f Phone ( 7bo l S3s -J <d:> ~ Last First -Complete the following table with estimated waste tonnage to be generated by your project. This is your plan for construction w aste managem ent. 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 to be to items to be to items to be (tons) reused or salvaged recycled disposed at landfill Complete this fine of the toble only if only vsing WASTE MANAGEMENT roll-off bins. □ Mixed C&D Debris □ □ Asphalt & Concrete /9 □ 153' □ Brick/ Masonry/ Tile c(y-□ □ □ Mixed Inert Debris ~ □ □ □ Cabinets, Doors, Fixtures, .f> □ □ □ Windows (circle all that apply) Carpet -().-□ □ □ Carpet Padding/ Foam -e-□ n n Cardboard .e--□ □ □ Ceiling Tile (acoustic) -b □ □ □ Drywall (used, new, scrap) /fa 't()N I I t; □ n 1><I" Landscape Debris (brush, trees, ~ □ □ □ stumps, etc.) No dirt. Unpainted Wood & Pallets I g □ □ Roofing Materials :).. □ □ 'rxr Scrap Metal -{)-□ □ □ Stucco I □ n D<J , Other: □ □ □ TOTAL -- 1'111111,,■ To meet 65% Diversio n Requirement (estim at e) :iJ.t;' X 0.65 = it./,~ d'<;' tons Total Estimated Waste from above Minimum Required Diversion - Contractor/Owner Signatu~ YJ (!,. ~ ~~ Date 1/10 /;;;- \ t/ I Page 2 o f 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): 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. ~0 .l,-0 -r (O{p {j Print Name Address :2-7)4 M O ie_wt r-.r&--bt,..,D.,(!_'j LAl · SECTION B 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. 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 Palomar Transfer Station, 5960 El Concrete {broken) @TOTAL ~65% Diversion Rate Achieved -------~----------= ____ % ~ 6S%lZJ Total of columns A+ B Total of columns A+ B + C DIVERSION Contractor/Owner Signatur~ __.£_~~<2._ Date S-/3 / /;;..4 - Attach the following docume~tion t~~ 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 of 4 Rev. 11/12/18 PART 2. Complete and submit this form before final inspection. Projects are required to submit their Waste Log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy (CO) issuance. Failure to provide documentation, reporting of waste diversion less than 65%, and failure to provide adequate weight receipts, may render the Project non-compliant and the responsible parties subject to code enforcement. SECTION A Permit No. Project Title Project Address_~_7_;}--_C:: __ {IA,_o_~ __ l_rv_fr~_b_-s-1-._o_f-_....,/ __ UJ ______ APN /Sb { )-.0 3 i/ 0 0 Applicant Name ~lSJ Fi.,c ~ Ok L-t \/ I f'J & --/r2-t,,tS1 Phone ( 7~0) S -35'" -~ lo 3 Last First SECTION B 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 Example: 01/01/2020 SECTION C Material Type Concrete (broken) @TOTAL Actual Amt Reused or Salvaged Diversion Rate Achieved Total of columns A+ 8 Attach the following documentation to this Report: • Original recycling weight tickets, landfill weight tickets Actual Amt Recycled 5 tons Actual Amt Disposed in Landfill Total af columns A + 8 + C Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -760 603-0153 ~ 65% DIVERSION Return completed form and documentation to: City of Carlsbad • Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 • Any other relevant information to support Recycling Report SECTION D I certify under penalty of perjury under the laws of the State of California that the information provided in and with t his 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. Page 3 of 4 rev 4/24 MOODYS PO BOX 969, BONSALL, CA 92003 ACCOUNTING OFFICE (7AQ~ijt..-d¥~ 8"Cf Lfc; FIELD DISPAT 60) ~39\liV. • FAX ( AMOUNT: ID f) ----Invoice DATE: i l-:r-3 f -;r;r' DATE INVOICE NO. 8/8/2022 318161 BILL TO RECYCLING FACILITY MOODYS PACIFIC COAST GRADING, INC. 2726 MORNING GLORY LANE CARLSBAD CA 92008 3210 OCEANSIDE BLVD OCEANSIDE CA 92056 P.O.NO. CITY TERMS CARLSBAD NET30 .. ITEM TICKET# QTY RATE AMOUNT 10 WHEELER-RECYCLE 318161 1 100.00 100.00 Sales Tax 8.25% 0.00 Total $100.00 Bonsall Petroleum Construction, Inc. dba Moodys. CA Contractors License #682742. MOODYS PO BOX 969, BONSALL, CA 92003 ACCOUNTING OFFICE (760) 631-4885 FIELD/ DISPATCH (760) 433-3316 FAX (760) 631-0526 Invoice DATE INVOICE NO. 9/17/2022 319989 BILL TO PACIFIC COAST GRADING, INC. 2726 MORNING GLORY LANE CARLSBAD CA 92008 P.O.NO. ITEM BOBTAIL 5-7 YDS-RECYCLE PAID CK~ AMI DAl - RECYCLING FACILITY MOODYS 3210 OCEANSIDE BLVD OCEANSIDE CA 92056 CITY CARLSBAD TICKET# QTY 319989 1 Sales Tax NO.: <tfll/' )UNT: ¢· . E: I O\t_{l)-'Y Total Bonsall Petroleum Construction, Inc. dba Moodys. CA Contractors License #682742. TERMS NET30 RATE AMOUNT 100.00 100.00 8.25% 0.00 $100.00 MOODYS PO BOX 969, BONSALL, CA 92003 ACCOUNTING OFFICE (760} 631-4885 FIELD/ DISPATCH (760) 433-3316 FAX (760) 631-0526 Invoi ce DATE INVOICE NO. 9/22/2022 320124 BILL TO PACIFIC COAST GRADING, INC. 2726 MORNING GLORY LANE CARLSBAD CA 92008 P.O. NO. .. ITEM BOBTAIL 5-7 YDS-RECYCLE RECYCLING FACILITY MOODYS 3210 OCEANSIDE BLVD OCEANSIDE CA 92056 CITY CARLSBAD TICKET# QTY 320124 1 Sales Tax Total Bonsall Petroleum Construction, Inc. dba Moodys. CA Contractors License #682742. TERMS NET 30 RATE AMOUNT 100.00 100.00 8.25% 0.00 $100.00 MOODYS PO BOX 969, BONSALL, CA 92003 ACCOUNTING OFFICE (760) 631-4885 FIELD/ DISPATCH (760) 433-3316 FAX (760) 631-0526 Invoice DATE INVOICE NO. 10/27/2022 321748 BILL TO PACIFIC COAST GRADING, INC. 2726 MORNING GLORY LANE CARLSBAD CA 92008 P.O.NO. ., ITEM BOBTAIL 5-7 YDS-RECYCLE RECYCLING FACILITY MOODYS 3210 OCEANSIDE BLVD OCEANSIDE CA 92056 CITY CARLSBAD TICKET# QTY 321748 1 Sales Tax Total Bonsall Petroleum Construction, Inc. dba Moodys. CA Contractors License #682742. TERMS NET30 RATE AMOUNT 100.00 100.00 8.25% 0.00 $100.00 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 18,260 TARE 16,840 NET 1 ,420 Tracking Qty: 0.00 Qty Unit Description 0. 71 TN MSW Scale In Tare Out 54 Ticket#: 2519628 Weighmaster: aceveos In: March 04, 2023 Out: March 04 , 2023 Vehicle: A50588 Ref: BOL: INBOUND CASH Rate Extension $87.54 $62.15 Tax $0.00 Origin: CARLSBAD 100% Signature: Total Paid Change .EDIT CARD-SCALE 2:31 pm 2:31 pm Total $62 .15 $ 62. 15 $62.15 $0 .00 V BILL TO MOODYS PO BOX 969, BONSALL, CA 92003 ACCOUNTING OFFICE (760) 631-4885 FIELD/ DISPATCH {760) 433-3316 FAX(760)631-0526 RECYCLING FACILITY MOODYS Invoice DATE INVOICE NO. 3/6/2023 326198 PACIFIC COAST GRADING, INC. 2726 MORNING GLORY LANE CARLSBAD CA 92008 3210 OCEANSIDE BLVD OCEANSIDE CA 92056 P.O.NO. CITY TERMS CARLSBAD NET30 .. ITEM TICKET# QTY RATE AMOUNT BOBTAIL 5-7 YDS-RECYCLE 326198 1 100.00 100.00 Sales Tax 8.25% 0.00 CK#NO.: q,c;; 3 IPAID AMOUNT: I oo,..-- DATE: 9/t'-/l:r'b Total $100.00 Bonsall Petroleum Construction, Inc. dba Moodys. CA Contractors License #682742. Balance Due $100.00 PAL'OMAR"" 1'RANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESIDENTIAL-Yr. 2 GROSS 18,640 TARE 16,840 NET 1 ,800 Tracking Qty: 0.00 Qty 0.90 Unit Description TN MSW Scale In Tare Out 54 Ticket #: 2524839 Weighmaster: macaral In: March 18, 2023 Out: March 18, 2023 Vehicle: A50588 Ref: BOL: INBOUND CASH Rate Extension $87.54 $78.79 Tax $0 .00 Origin: CARLSBAD 100% Total Paid Change .EDIT CARD-SCALE Signature: 2:40 pm 2:40 pm To tal $78 .79 $78 .79 $78 .79 $0.00 V ~ooo~" \ 1, ~ ' '"""' ... #' BILL TO MOODYS PO BOX 969, BONSALL, CA 92003 ACCOUNTING OFFICE (760) 631-4885 FIELD/ DISPATCH {760) 433-3316 FAX (760) 631-0526 Invoice DATE INVOICE NO. 3/25/2023 326842 RECYCLING FACILITY MOODYS PACIFIC COAST GRADING, INC. 2726 MORNING GLORY LANE CARLSBAD CA 92008 3210 OCEANSIDE BLVD OCEANSIDE CA 92056 P.O.NO. CITY TERMS .. CARLSBAD NET30 ITEM TICKET# QTY RATE AMOUNT BOBTAIL 5-7 YDS-RECYCLE 326842 1 100.00 100.00 Sales Tax 8.25% 0.00 PA D CK#NO.: q I I . c;; AMOUNT: ti 0 . ---DATE: '-llsj-) l? Total $100.00 Bonsall Petroleum Construction, Inc. dba Moodys. CA Contractors License #682742. Balance Due $100.00 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 t ontract, RESIDENTIAL -Yr. 2 GROSS 18,860 Scale In TARE 16,840 Tare Out NET 2 ,020 Tracking Qty: 0.00 Qty 1. 01 Unit Description TN MSW :,4 Ticket #: 2577835 Weighmaster: aceveos In: July 26, 2023 Out: July 26, 2023 Vehicl e : A50588 Ref: BOL: INBOUND CASH Rate Extension $96 .28 $97.24 Tax $0.00 Origin: CARLSBAD 100% Signature: Total Paid Change .EDIT CARD-SCALE 9:24 am 9:24 am Total $97.24 $97.24 $97.24 $0.00 V ,., PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSB~D , CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS Carlsbad, CA 92008 Contract : RESIDENTIAL-Yr. 2 GROSS 18,500 Scale In TARE 16,840 Tare Out NET 1,660 Tracking Qty: 0.00 Qty 0.83 Unit Description TN MSW '.A Ticket #: 2594220 Weighmaster: perezj26 I n: September 02, 2023 Out: September 02, 2023 Vehicle: A50588 Ref: BOL: INBOUND CASH Rate Extension $96.28 $79 .91 Tax $0 .00 Origin: CARLSBAD 100% Signature: Total Paid Change .EDIT CARD-SCALE 7:45 am 7: 45 am Total $79.91 $79.91 $79.91 $0 .00 V PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSB~D , CA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESIDENTIAL-Yr. 2 GROSS 17,820 TARE 16,840 NET 980 Tracking Qty: 0 .00 Qty Unit Description 0.49 TN MSW Scale In Tare Out 54 Ticket #: 2624210 Weighmaster: macaral In: November 11, 2023 Out: November 11, 2023 Vehicle: A50588 Ref: BOL: INBOUND CASH Rate Extension $96.28 $55.00 Tax $0 .00 Origin: OCEANSIDE 100% Signature: Total Paid Change .EDIT CARD-SCALE 9:27 am 9:27 am Total $55.00 $55.00 $55.00 $0.00 V MOODYS PO BOX 969, BONSALL, CA 92003 ACCOUNTING OFFICE (760) 631-4885 FIELD/ DISPATCH (760) 433-3316 FAX (760) 631-0526 Invoice DATE INVOICE NO. 12/19/2023 338297 BILL TO PACIFIC COAST GRADING, INC. 2726 MORNING GLORY LANE CARLSBAD CA 92008 P.O.NO. .. ITEM BOBTAIL 5-7 YOS-RECYCLE RECYCLING FACILITY MOODYS 3210 OCEANSIDE BLVD OCEANSIDE CA 92056 CITY CARLSBAD TICKET# QTY 338297 1 Sales Tax Total Bonsall Petroleum Construction, Inc. dba Moodys. CA Contractors License #682742. TERMS NET30 RATE AMOUNT 100.00 100.00 8.25% 0.00 $100.00 Balance Due $100.00 ~OODt,6' ~~ ... _,_,.fl>,#' \ _/J I BILL TO MOODYS PO BOX 969, BONSALL, CA 92003 ACCOUNTING OFFICE (760) 631-4885 FIELD/ DISPATCH (760) 433-3316 FAX (760) 631-0526 Invoice DATE INVOICE NO. 3/7/2024 340742 RECYCLING FACILITY MOODYS PACIFIC COAST GRADING, INC. 2726 MORNING GLORY LANE CARLSBAD CA 92008 3210 OCEANSIDE BLVD OCEANSIDE CA 92056 P.0.NO. CITY TERMS CARLSBAD NET30 .. ITEM TICKET# QTY RATE AMOUNT BOBTAIL 5-7 YDS-RECYCLE 340742 1 100.00 100.00 Sales Tax 8.25% 0.00 c~ #NO.: q4~~ PAID A~ OUNT: '3bO. ~ DJ TE: <-{I ~ Jr f-{ Total $100.00 Bonsall Petroleum Construction, Inc. dba Moodys. CA Contractors License #682742. Balance Due $100.00 BILL TO MOODYS PO BOX 969, BONSALL, CA 92003 ACCOUNTING OFFICE (760) 631-4885 FIELD/ DISPATCH {760) 433-3316 FAX (760) 631-0526 RECYCLING FACILITY MOODYS Invoice DATE INVOICE NO. 3/8/2024 340773 PACIFIC COAST GRADING, INC. 2726 MORNING GLORY LANE CARLSBAD CA 92008 3210 OCEANSIDE BLVD OCEANSIDE CA 92056 P.O.NO. CITY TERMS CARLSBAD NET30 .. ITEM TICKET# QTY RATE AMOUNT BOBTAIL 5-7 YDS-RECYCLE 340773 1 100.00 100.00 Sales Tax ,~----8.25% 0.00 Total $100.00 Bonsall Petroleum Construction, Inc. dba Moodys. CA Contractors License #682742. Balance Due $100.00