HomeMy WebLinkAboutBrian Shen C&D 2629 Rising Star Dr (2).pdfDiamond 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 to: greendb@diamondbarca.gov
Deposit (per project): $50.00 for each estimated ton, but no less than $250 and not to exceed $5,000
Complete before obtaining a building, combination or demolition permit
Submit thu form and your deposit to the BuUding and Safety Division located at: 21810 Copley Dr. Diamond Bar, CA. 91765
Applicant Contact Information:
Name Brian Shen Title owner Company
Address 2629 RIslnQ Star DrI City Diamond Bar state zip^
Phone 626-215-9161 Email brlanshen2000@gmail.eom
State CA Zip 91765
Project Information:
Permit No. □ Vallev Vista [Z]WM
Project Address 2629 Rising star Dr., Diamond Bar, CA
Project Type: ^ New Construction O Addition/Alteration Q Demolition
Building Type: O Commercial (^Residential I
Estimated Square Feet ucb
Estimated Start Date /2022 ct ff i
Estimated Completion Date 1^^ /2022
Estimated Start Date 6^
Estimated Completion Date
/2022
" /2022
T
□ Self Haul
.91765
O BE FILLED OUT BY CITY STAFF
"C&D Deposit" Paid $
Staff Initials Date Paid
Fill out the table with estimated quantities in tons for each material that will be generated by your project Note: A -t- B = C
Material Type A
Estimated Salvage,
Reuse or Recycle
B
Estimated
Disposal (Trash)
C
Estimated Total
Debris Quantity
Asphalt & Concrete 0.00
Brick / Masonry / Tile 0.00
Cabinets, Doors, Fixtures,
Windows (circle all that apply)0.00
Cardboard 0.00
Carpet, Padding / Foam 0.00
Ceiling Tile (acoustic)0.00
Dirt 0.00
Drywall 0.00
Landscape Debris 0.00
Mixed C&D Debris 10.40 0.40 0.80
Mixed Inerts ■
•
«
«
•
•
a
•
■
•
•
•
a
$
■
0.00
Roofing Materials 0.00
Scrap Metal 0.00
Stucco 0.00
Unpainted Wood & Pallets 0.00
Garbage / Trash 0.00
Other:0.00
TOTAL 10.40 0.40 0.80
Applicant Self
Haul (check)
Certified Recycling
Facility or
Disposal Destination
applicant Name; Brian Shen
To estimate Recycling Rate: (Total A/Total C) x 100 = Recycling % 0.00%
Date: ( ISignature:_
For infonnation 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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