HomeMy WebLinkAboutC&D FORM.pdfCity of Diamond Bar
DIAMONEI BAR'
<<<oA� , 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 to: ureendb ..diamondbarea.gov
Complete before obr:uning 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
Appli
ant Contact Information:
Name
Alex Liu Title Superintendent Company DCW Homes
Addre
s 22589 Pacific Lane City Diamond Bar State CA Zip 91765
Phone
(909)784-8108 Email ALiu@hpcpg.com
Project
Information: Indicate Waste- •
Permit
No. ❑ Valley Vista ❑ WM 0 Self Haul
Project
Address 22589 Pacific Lane Diamond Bar, CA Zip 91765
Project
Type: ® New COM II-I(CtiOl7 ❑ Additionl.4lieration ❑ Den7OIX017
Building
Type: ❑ Corninercial ❑ Residential
Estima
ed Square Feet 18,499 S.F. TO BE FILLED OUT BY CITY STAFF
C&D Deposit' Paid $
Estima
ed Start Date June / 1 2021
Staff Initials Date Paid
Estima
ed Completion Date June / / 2023
Fill out
the table with estimated quantities in tons for each material that will be generated by your project. Note: A * B = C
A B
C
Applicant Self
Certified Recycling
aterial Type
Estimated Salvage,: Estimated
Estimated Total
Haul (check)
Facility or
Reuse or Recycle ? Disposal (Trash)
Debris Quantity
Disposal Destination
Asphall
& Concrete
Brick /
asonry / Tile
Cabinets,
Doors, Fixtures,
❑
Windo
s (circle all [liar apply)
Cardbo
ard
Carpet,
Padding / Foam
Ceiling
Tile (acoustic)
Dirt
Drywal
30 T
Landsc
pe Debris
Mixed
&D Debris
80 T
Mixed
nerts
Roofin
Materials
[]
Scrap IN
fetal
Stucco
Unpain
ed Wood & Pallets
40 T
Garbag
/ Trash
Other:
TOTAL
To estimate Recycling Rate: (Total A/Total C) x 100 = RecycIing % 0.00%
ant Name: Alex Liu Signature: Date:
Appli
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
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