HomeMy WebLinkAboutPR24-0919.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
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08/05;2024 07:18 All PDi
SANITATION DISTRICTS OF LOS
ANGELES COUNTY - PUENTE HILLS
13130 CROSSROADS PARKWAY SOUTH
CITY OF INDUSTRY, CA 91746
TERMINAL NAME: E7708302
ORDER# 185949120
PAYMENT
SOLID WASTE FEE $3G7.8E
AGENCY SUBTOTAL: 5367.8E
LEXISNEXIS SERVICE FEE: SO.00
TOTAL USD: 5367.8E
................................
CARD #: 9508 MASTERCARC
PAYMENT: CREDITCHIP READ-CONTACI
MODE:
ISSUEF
AUTH CODE:
04639S
APP LABEL:
MASTERCARE
CVM:
NO SIG REOUIREE
AID:
A0000000041OI(
AROC:
AIB565BBOA22350E
AMOUNT:
5367.8E
*** PRE-AUfH
--------------------------------
SUCCESSFUL ***
AMOUNT PAID:
$367.88
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AGENCY COPY
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OB/05 2021 03:13 PM PUT'
SANITATION V15Tq_r Ic nF LOS
ANGELES COUNTY - P.CNTE I'SLI_S
13130 CROSSRO405 PARKWAY SOUTH
CITY OF INfUSTHY, CA 91146
TERMINAL NAME- F7/08302
ORDER# 186004230
PAYMENT
SOLID WASTE rEE $410.52
AGE14CY SUBTOTAL S410. 52
LEXISNEXIS SEnvii , i-FL SO t-0
{01Ai USU $410.52
---------------------------------
CARD /1: 9508 NASTERCARD ~
PAYMENT: CREUITLH)P READ-LONTACT
MODE: ISSUER
AUTH CODE: ISSUER
APP LABEL; MASTERCARD
CYM: NO SIC, REQUIRED
AID: AUOOO000041010
AROC: 6U3F4141028C341D
AMOUNT: $410.52
*** PRE-AUlH SUCCESSFUL ***
--------------------------
AMOUNT PAID:
$410.52
IiIIIIAIIIII�YIUNII III
186009230
