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HomeMy WebLinkAboutimage2City of Dianlonfl Bar 4W DIAMOND 8(C AR Construction & Demolition &D) Debris Plan Required for all covered projects, 1,000 sq. 0 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. Complete forme Arainme o WIM16 w enmhmmmn or too permit. Submit this fmmun0 your deposit to Ibe Building and Wi ty nke ion Ineand al: 218I0 Cbpler Dr. mean nil Bar, CA. 54765 Applicant Contact lnfornlation; Name Joseph Yuen Title Mr. Company. Address 403 S. Palo Cetlro Dr Ciry Diamond Bar State CA Zip 91765 phone 62"78-1708 Email karenyanhk®hotmall.mm Project Information: a Permit No. ❑ Valley Vista ❑ WM Q Self Haul Project Address 403 S. Palo Cetlro Dr. Diamond Bar Zip 91765 beet Type: O Are -Construction AP Addition]Alleratiml O Denlalition Budding Type; O Contmesial p Ressldeminl rmi 3 Fsvrated Square Far 3000 TO BE FILLED OUT Bl' CtTY STAFF Enameled Sane et,Fe /15 /24 ['ffC&D Depnsil"PoidSFsimalN Completion Dalf 12 )16 /3q lnitials Dale Paid Fill out the table with eadvarr ed quundlies in Ions for each mmedid that will he generated by your project. Note: A+B=C Material Type Eslirruted Salvage,] Estimated Estimamd Total Applicant Self Certified Reryding Reuse or Recycle iDBppsal lTr I%h) Debris Qlmmim Haul (Check) FalDealr fah @ Coacrge 25 1.00 Dis osvl pesdnnrian Brick/ Masonry/Tile 0.00 GbiMs, Dmrs, Fimlllq WlndnW3 (riek Jlaa 1 c°`ds°vre 0.00 ❑ 0.00 Curpn. Padding / Faam 0.00 Ceiling Tile lammus) i 0.00 pin 0.00 Dpwall 0.00 daall a Debris t0.00 ed C@D Debris 0.00 Mired tnena 0. 0 Reaming Materials 0. 0 S Mew 0.00 smnw 0.00 unnainl i wood @ Paden Garbage /Trash .0 0.00 Omer. 0.00 TOTAL 1.25 i0.00 1.25 1'a csrlumte Recycling time: (Trial Arfmul C)1 100 = Rccyeluld % 0.00% Applicant Name: Joseph Yuen Signature: Joseph Y. der:`.,'.: Date: 11/30/24 a For Information on wnsirs on and demolition rvlme naamgomoel plans contact the City of Diamond Bar _p Eavimmnenml Reimers at nnu Ban vu o.....:____ s.. .. _.. grecl Mb(falRalmedbarat pro 09/28It]