HomeMy WebLinkAboutDimond Bar waste.pdfCity of Diamond Bar
NAMOND BAR Construction & Demolition (C&D) Debris Plan
Required for all covered projects, 1,000 sq. ft or more. The deposit shall be returned, to the applicant. without
interest, in total or proportion upon submittal of proof that no less than 75% of the C&D was diverted.
Use of unauthorized waste haulers may also result in forfeit of the deposits.
Receipts and weight tickets can be submitted to: greendb(a diamond barea.gov
Complete before obtaining a building, combination or demolition permit.
Submit this form and your deposit to the Building and Safety Division located at: 21 S10 Copley Dr. Diamond Bar. C.A. 91765
:applicant Contact Information:
Name Carlos Arana Title Owner Company Arana roofing
Address 15243 McDonnell Avenue City Fontana State CA Zip 92336
Phone 323-376-0624 Ema1 aranaroofing@gmail.eom
Project information: Indicate
•✓❑
Permit No. 2,4- AE1 ❑ Vallev Vista ❑ WM Self Haul
Project Address 3528 Crooked Creek Dr, Diamond Bar, CA 91765 7iP91765
Project Type: 0 New Construction J11 AdditionA/teration 0 Demolition
Building Type: 0 Commercial a Residential
Estimated Square Feet 2500 TO BE FILLED OUT BY CIT�YUSTAFF
Estimated Start Date 04 ;17 2024 "C&D sit" Paid �
Staff initia Date Paid � .2
Estimated Completion Date 04 29 2024
Fill out the table with estimated quantities in tons for each material that will be generated by your project. vote: A + B = C
A B
C
Applicant Self
Certified Recycling
Material Type
Estimated Salvage,? Estimated
Estimated Total
Haul (check)
Facility or
Reuse or Recycle : Disposal (Trash)
Debris Quantit}
Disposal Destination
Asphalt & Concrete
0.00
Brick Masonry ; Tile
0.00
Ll
Cabinets, Doors. Fixtures,
0'00
ElWindows
(circleallthatapply)
Cardboard
0.00
Carpet. Padding, Foam
0.00
Ceilin<e Tile (acoustic)
0.00
Dirt
0.00
Drywall
0.00
Landscape Debris
0.00
Mixed C&D Debris
0.00
Mixed inerts
0.00
Roofing Materials'
0.00
✓
Grand Central Recycling
Scrap Metal
0.00
Stucco
0.00
Unpainted Wood & Pallets
0.00
Garbage Trash
0.00 —
EE
Other-
0.00
TOTAL,
10.00 0.00
0.00
To estimate Recycling Rate: (Total A/Total C) x 100 = Recg % 0.00%
pplicant Name: Carlos Arana Signature: Date:'
For information on construction and demolition waste management pl ns contact the City of Diamond Bar
Environmental Services at 909.839.7015 or via email to greendb(i diamondbarca.gov
- 1 - 09/28/17
WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose
signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section
12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of
the California Department of Food and Agriculture.
Weighed at:
GRAND CENTRAL RECYCLING &
TRANSFER STATION INC. CITY OF
INDUSTRY YARD
999 HATCHER AVE
CITY OF INDUSTRY, CA 91748
Customer:
SELF -HAUL
999 HATCHER AVE
CITY OF INDUSTRY, CA 917481016
Customer #: GC-41723
Vehicle ID : SELFHAUL / SELF HAUL-CASH/CREDIT/CHK
License: ARANA9
Comment : 3528 CROOKED CREEK DR ARANA R
Origin Material & Services
DIAMOND BAR C&D
Driver Signature
Received by Weighmaster:
LLURY ANEL-MENDOZA
Ticket #:
84701
Date :
5/21/2024
Time In:
12:47:12PM
Time Out:
12:57:32PM
INBOUND LOAD
SYSTEM GENERATEC
Gross Tare Net Qty Amouni
1 18520 LB 1 12260 LB 6260 LB 3.13 TN 375.6C
Total Qty: 3.13
Total Due: $375.60