HomeMy WebLinkAbout3480 Castle Rock Rd Diamond Bar.pdfCity of Diamond Bar
DIAMOND 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 tw green dWWdiamondbarea.gov
Deposit (per project).- S50.00 for each estimated ton, but no less than $250 and not to exceed $5,000
Complete before obtaining a buttding, combination or demolition permit.
Submit this form and your deposit to the Building and Safety Division located at: 21810 Copley Dr. Diamond liar, CA. 91765
Applicant Contact Information:
Name Angie Smith Title Office Manager Company Hoyt Roofs: Inc
Address 1809 N. Oran ethor a Park City Anaheim State CA Zip 92801
Phone 714-773-1820 Email office@hoytroofs.com
Project Information: Indicate Waste Haulerfor
Permit No. PR20240001267 ❑ Vallev Vista ❑ WM Q Self Haul
Project Address 3480 Castle Rock Rd. Diamond Bard Zip 91765
Project Type: ❑ Ne-vv Construction O AddifionlAlteration Q Demolition
Building Type: ❑ Commercial aResidential
Estimated Square Feet 1,900 TO BE FILLED OUT BY CITY STAFF
Estimated Start Date 10 / 19 / 2024
"C&D Deposit" Paid S
Estimated Completion Date 10 ,129 / 2024
Staff Initials Date Paid
Fill out the table with estimated quantities in torts for each material that will be generated by your project. Note. A + B = C
A B.0 Applicant Self Certified Recycling
e,
g
Material Type Estimated Salvage,,:
alvo Estimated Estimated Total
Haul (check) Facility or
Reuse or Recycle : Disposal (Trash) Debris Quantity Disposal Destination
Asphalt & Concrete 0.00
Brick / Masonry / Tile 0.00
Cabinets, Doors, Fixture;. ElWindows (cimleallthat apply) 0.00
Cardboard 0.00
Carpet, Padding / Foam 0.00
Ceiling Tile (acoustic) 0.00
Dirt 0.00
Drywa I l 0.00
Landscape Debris 0.00
Mixed C&D Debris 1.89 :0.47 2.36 ✓ Madison Material
Mixed inerts 0.00
Roofing Materials LJ
0.00 LJ
Scrap Metal 0.00
Stucco 0.00
Unpainted Wood & Pallets 0.00
Garbage / Trash 0 00
Other: 0.00
TOTAL 1.89 E 0.47 2.36
To estimate Recycling Rate: (Total A/Total C) x 100 = Recycling % 0_00%
Applicant Name: Angie Smith Signature: Date: 11/06/2024,
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
INCOMING TICKET
Ticket# 1036785
Acct# 111810
Name HOYT ROOFS INC.
MADISON MATERIALS
Address 1809 N ORANGETHORPE PK
1035 EAth Street
ANAHEIM, CA 92801
Santa Ana, CA 92701
Date 10/19/24 Pounds; Gross
Status PRINTED Tons: Gross
15120 Tare 11340 Net 3780
Time In 11:15AM JMT
7.5600 Tare 5.6700 Net 1.890D
Time Out 11:15AM JMT Material Type
C&D MIXED
Badge# 91368F3
Rate QtY Amount
101,5000 1.8900 191.84
Trailer -ID 91368F3,1
Origin OTHER '
Payment CHAR�E
TO GUST
I
Tax
TOTAL CHARGE 191.84
Signature I
3480 castl rack rd di mond bar
WeightMaster Jaime Macias_
WE)G-ITMASTER CERTfFICATE
THIS IS TO CERTIFY that the following described commodity was weighed, measured, or
is on this certificate,who is
counted by a weigh master, whose s'
5 of the California Business and Professional Code, signature
a recognized authority of accuracy, as prescribed by Chapter 7(commencing with Section
California Department of Food and Agriculture.
12700 of ivision
administered by the Division of Measurement Standards
of the
eceipt Number:
Receipt Date:
Date Paid:
Full Amount:
R
Payment Details:
Amount Tendered:
Change / Overage:
Contact (Paid By):
Property Address:
FEE DETAILS:
I�
DIAMOND BAR
21810 Copley Dr.
Diamond Bar, CA 91765
RECEIPT OF PAYMENT
2024067973
10/02/2024
10/02/2024
$907.25
Payment Method
Check
Amount Tendered Check Number
$907.25 59243
$907.25
$0.00
HOYT ROOFS INC., Address:1809 N. Orangethorpe Pk., Phone:(714) 773-1820
3480 CASTLE ROCK RD, DIAMOND BAR, CA 91765
Fee description
Building Admin Special Revolving Fund
(Residential)
Building Permit Fees Residential
SMIP Fee (residential)
Building Permit Issuance Fee
Records Retention Fee (per sheet plan)
Permit System Replacment
Recycling & Waste Reduction Deposit
Reference Number
Amount Owing
Amount Paid
PR20240001267
$1.00
$1.00
PR20240001267
$548.02
$548.02
PR20240001267
$2.60
$2.60
PR20240001267
$56.31
$56.31
PR20240001267
$27.40
$27.40
PR20240001267
$21.92
$21.92
PR20240001267
$250.00
$250.00
This receipt only acknowledges payment of fees to the City. It is not proof that a
license, permit or other approval has been issued. This receipt does not authorize
the commencement or conduct of any activity for which a fee has been paid.