HomeMy WebLinkAboutDecorah Rd 24018 (Roof) PR24-0665_Owner Builder.pdfr r City of Diamond Bar
DIAMDND BAR
LALIFaamiA Construction & Demolition (C&D) Deb's.Plan
Required far all covered projects, :1,000 sq: it:or ✓Wore. The deposit shall.beretumedi 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. mly alsp result in forfeit of the deposits.
Receipts and weight tickets can.be submitted to:. >reendliAdialnondbarca.L7ov
Complete before obtaining.a building; enmbination or demolition. permlt,
Submit this form and your deposit to the Building and Safety Division located at: :21811) Copley Dr. Din Won d Bar, CA.. 91765
Applicant Contact Information:
Name. Z—CWeJ
it VGA l z.,
Title. C)LVN-C-6A
Company
Address:
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...._.. _City
G' ke l� �-.State
zip
Phone� c x-) G S.
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Email
,
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ProjectInformation:
Pemlit.No. 011-2-1 &ti 7)� ❑ Valley Vista
Project Address
Project Type: 0 New Construction U Additionl Iteration
Building Type: Q Commercial Residential
Estimated Square Feet 2. 0 Z. T"'
Estimated.Start.Date 1 7 1 2-�(
Estimated Completion Date 7 j .3o
Self Haul
zip
Q DemoIition
TOPE FILLED OUT BY Cli'I'Y STAFF
"C&D epos#'II Paid $ c)5-d c�0' _
Stailt initials.. Date Paid
Fill out the table with estimated quantities in tons for each. Material that will: be. generatedby you project.. Note: A+ B = C.
Material Type
.A $
Estimated Salvage,. Estimated
C
Estimated Total
Applicant salt
Haul.(cixeck}
Certified Recycling
Facility or
Rease or Recycle E Disposal (Trash)
Debris Quantity
Disposal Destination
Asphalt.& Concrete
00
.Brick 1. Masonry. I Tile
0.00
Cabinets, Doors, Fixtures,
0.00
❑
Windows. (circle alldmtappIy)
Cardboard
0.00
Carpet, Padding /Foam
0 00
Ceiling Tile (acoustic)
10.00
Dirt
0.00
Drywall
00
Landscape Debris
0.00
Mixed.C&D. Debris
00
Mixed.1nerts
0.00
Roofing Materials
0.00.1,
Scrap -Metal
0.00
Stucco
00
LJ
Unpainted Wood & Pallets
0.00
Garbage 1 Trash
0.00
Other:
0.00
TOTAL:
0,00 ;.0.00
0.00MOW
To estimate Recycling Rate: (Total A/Total Q X 10.0 = Recycling % . 0.00 %
Applicant Name: } or s :!r.cr 5ighature: Date: �
For inforn ation an construction and demolition.was te:manage dv t plans co tact the City. of Diamond Bar
Environmental Services at:909:839:70.15 or via email to greendb(a dianmondbarca.sov
09128/17