Form #172

CONSTRUCTION
WASTE MANAGEMENT PLAN
Building and Safety Project Information
Permit Service Center
Project Address:
Complete this form Permit Number:
and submit it along
with your building
permit application Construction Methods
when performing the The following methods will be used to reduce waste generated during construction:
following activities:
Efficient design
1. Any non-residential
projects requiring Careful and accurate material ordering
building permits. Careful material handling and storage
2. Residential new Panelized or prefabricated construction
buildings.
Other:
3. Residential projects
that increase a
building’s conditioned Universal and Hazardous Waste
area, volume, or size. Disposal of asbestos-containing materials, batteries, electronic waste, fluorescent bulbs,
4. Residential projects lead based paints, mercury containing equipment and refrigerants, require special
valued over $100,000. processing prior to commencement of construction or demolition activities. Additional
information can be found at the Bay Area Air Quality Management District, Alameda
5. Demolition permits County Healthy Homes Department, and the City of Berkeley Toxics Management
valued over $3,000. Division.

A minimum of 65% of This project does not involve disposal of universal or hazardous waste.
the waste generated
by construction and This project includes disposal of universal or hazardous waste in a responsible, safe
demolition activities and verifiable manner.
must be diverted
away from landfill
Diversion Documentation
disposal through
any combination of Compliance Documentation will be tracked through one of the following:
recycling, salvage,
reuse or composting. Green Halo Tracking Number:
The manually completed table on the following page. Disposal receipts are required to
be provided to the building inspector prior to or at final inspection.

I understand the waste diversion requirements of Berkeley Municipal Code Section 19.37
and submit this Construction Waste Management Plan pursuant to California Green
Building Standards Code Section 4.408.2 or 5.408.1.1.
Building and Safety
1947 Center St. 3rd floor
Berkeley, CA 94704
510-981-7440 TTY 6903 Name Signature Date
buildingandsafety@
cityofberkeley.info Last Revised 07/01/19
CONSTRUCTION WASTE MANAGEMENT PLAN Page 2 of 2

Waste Processing
Waste will be sorted: On Site Bulk

Waste Quantity will be measured by: Weight Volume

Building Permit Application Construction

DIVERSION WASTE
WASTE MATERIALS* FACILITY DIVERTED
RATE QUANTITY
Asphalt** 100%
Brick, Masonry and Tile
Bulk Waste
Cardboard
Carpet and Padding
Ceiling Tile
Concrete** 100%
Drywall
Packaging
Glass
Metal
Paint
Plastics
Polyethylene
Roofing
Soil, Rock, and Land Debris** 100%
Textiles
Wood - Clean
Wood - Treated or Painted
Other:

* Receipts required at final inspection for all Totals:

waste materials.
**Disposal to the landfill or with bulk waste Diverted ÷ Waste Quantity:
are prohibited by Berkeley Municipal Code
Section 19.37. 65% Diversion rate required for compliance