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HomeMy WebLinkAboutC&D FORM4-91111L City of Diamond Bar -, IfAMOND 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: greendWdiamondbarea.tzov 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 Applicant Contact Information: Name Yue Yin Title Owner Company Address 425 Camaritas Dr City Diamond Bar State CA zip 91765 Phone 6262179112 Email aiiottek@gmall.com Project I ation.Indicate - - o► D Pen -nit ait No. 0c L���Oq M Vallev Vista ❑ WM Self Haul Project Address 425 Camaritas Dr., Diamond Bar, Ca zip91765 Project Type: ❑ New Construction All Additionlrllteration ❑ Demolition Building Type: ❑ Commercial aft Residential Estimated Square Feet 2000 TO BE FILLED OUT BY CITY STAFF Estimated Start Date 06 122 12025 ` "C&D Deposit" PaidStaff Estimated Completion Date 07 101 12025 Initials✓ Date Paid Fill out the table with esdinated quantities in tons for each material that will be generated by your project. Note: A + B = C Material Type A ? 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 : d.50 1 0.50 Brick 1 Masonry 1 Tile 0,00 Cabinets, Doors, Fixtures, 0 00 ❑ W indows [circle all that apply] Cardboard 0.00 Carpet, Padding 1 Foam 0.00 Ceiling Tile (acoustic) 0.00 Dirt :0.05 0.05 ,I Drywall 0.00 Landscape Debris 0.00 Mixed C&D Debris 0.00 Mixed Incrts 0.00 Roofing Materials 0.10 0.10J Scrap Metal 0,00 Stucco 0.00 Unpainted Wood & Pallas 0.00 Garbage 1 Trash 4.00 Other: 0-00 TOTAL 10.00 ::0.65 0.65 To estimate Recycling Rate: (Total AlTotal C) x 100 = Recycling % 0.00% pplicant Name: Yue Yin Signature: Date: 06/18/25 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@diamondbarea.gov - 1 - 09/28/17 BIN RENTAL GUIDE Diamond Bar Exclusive Franchise Haulers WASTE MANAGEMENT: For Single -Family Residential Commercial Department -Builders Direct Phone: (866) 445-8296 Email: socalbdr@wm.com Valley Vista Services: For Commercial, Multifamily or new construction Phone: (80O)442-6454 Email: JoelSimonian@valleyvistaservices.com Weight tickets and/or receipts can be emailed to: greendb@diamondbarca SELF -HAUL CONSTRUCTION AND DEMOLITION FACILITIES Downtown Diversion Grand Central Recycling Madison Materials 2424 E. Olympic Avenue Los Angeles Hours: Monday -Friday 6-6pm Saturday 6:00 a.m.-2:00 p.m. (213) 612-5005 $87/ton $105 minimum 999 S. Hatcher, City of Industry Hours: Monday -Saturday: 6:00 a.m.-5:00 p.m. Office: 626-961-6291 ext. 5578 1035 E. 4th Street Santa Ana Hours: Monday -Friday 8-5pm Saturday 8:00 a.m.- 2:00 p.m. (714) 664-0159 $71/ton *$38 minimum