HomeMy WebLinkAboutDOC112.pdfApplication Information
Application Number PR20240000919
Type B&S - Building Residentia
Status Issued
Inspector Frank Santana v
Descri ption Type
Proppoy Alert
8292016a60 Property
................................................................................................................................:..........................................
2}910SANTAOUINDR._DIAMOND-BAIL.CA_9 i Address
Moderate
_.......... -........ ................
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Description
Amount Owing
Selected Fee Amount Owing $250.00
Date Due
Fee Calculation Rate (If Applicable)
Payments
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A
w
Entered By Esmeralda Magallanes ..
Date Entered 07/30/2024
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A
City of Diamond Bar
WAMOND BAR
e.LIrenei. 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 mars als u t in forfeit �Ft P r_
and weiuht tickets can be
Complete before obtaining a building, combination or demolition permit
Submit this form and your deposit to the Building and Safety Division located at: 21810 Copley Dr. Diamond Bar, CA. 91765
ApplicanContact Informatiion:
/�
Name P/0� x- L •� Title Alk a
Company
Address Oo G ; L -.1
City u Statt2 Zip
Phone _3_1, ^ �.., U a� Email as }00
71dG� cr P r%VI!' ; / , c-,
Project Information: Indicate
Permit No. 4- �i 1 g ❑ Vallev Vista
❑ WM ❑ Self Haul
Project Address2-/ /(0 ,1 �h ; M Or P`
��„� �,�� r Zip
Project Type: O New Construction O Addition/Alteration O Demolition
Building Type: O Commercial O Residential
Estimated Square Feet ) ,
TO BE FILLED OUT BY CITY STAFF
Estimated Start Date / /
"C&D Deposit" Paid $ Q � . c�
,�
Estimated Completion Date /�/
� $0 2
Staff Initials �� Date Paid 4
Fill out the table with estimated quantities in tons for each material that will be generated by your project. Note: A + B = C
Material Type
A i B
Estimated Salvage,: Estimated
C
Estimated Total
Applicant Self
Haul (check)
Certified Recycling
Facility or
Reuse or Recycle ; Disposal (Trash)
Debris Quantity
Disposal Destination
Asphalt & Concrete
0.00
Brick / Masonry / Tile
0.00
Ll
Cabinets, Doors, Fixtures,
00
❑
Windows (circle all that apply)
Cardboard
0.00
Carpet, Padding / Foam
0.00
Ceiling Tile (acoustic)
0.00
Dirt
0.00
Drywall
0.00
Landscape Debris
0.00
Li
Mixed C&D Debris
0.00
Mixed Inerts
0.00
Roofing Materials
0.00 3r, 7;0
Scrap Metal
0.00
Stucco
0.00
Unpainted Wood & Pallets
0.00
Garbage / Trash
0.00
Other:
0.00
TOTAL
0.00 :0.00
0.00
To estimate Recycling Rate: (Total A/Total C) x 100 = Recycling % 0.00%
Applicant Name:::Je Signature: Date:
For information on construction and demolition waste management plans contact the City of Diamond Bar
Environmental Services at 909.839.7015 or via email to greendb@diamondbarca.gov
- 1 - 09/28/17