HomeMy WebLinkAbout12-1603 (6) i _- .
_��� CITY OF DIAMOND BAR�
! -- DEPARTMEPIT OF COMMUNI'I'Y&DEVELOPIV�NT SERVICES
j 21810 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
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ELECTI?IC G^nUND ' � I IJtJDFR�I.00R DLICT '
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GR�:)UND PLl!i��,BIf�IG �UNC>cR FLGOR COMDUIT I
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FRAMIPIG/VENTILATION j fiPJ�.L BOND BEAM
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ROOF COVER
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ROUGH HcATI�IG �EEf•1C4-IING
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ROUGH ELECTRIC i ROUGH GRADING
ROUGH PLUMBING j FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT.LATH/SIDING �POOL FENCI�G
�VALL INSUi_ATION j POOL FINAL
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SEPTICTANK I LANDSCP,PE/IRRIG.
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SEEP f�IT,�L.L. I OPJ SITE IN1PS.
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FINAL ELECTRIC DEV.FEES PA�D
FIN�1L P�UP/181NG I ENERGY
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FINAL_E�1GI�IEERING � �,�°,�p .�
COMMENTS
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, Attachment A �
Form for Non-Franchise Haulers for Construction and Demolition Debris
Company and Project Info: �
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Name of licensed demolition contractor hauler or self hauling comp ny I C 3 `"�
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Address of Company ��� � �d��S L i r�lC� � �� City fC( C���
Zip Code 1 �� �v Phone Number /�� ' � �>� - ��1�
Address and Name of Project Site
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Type of recycleable material or waste material to be transported for this project ,
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Report Information:
Please submit this information prior to final building inspection. ,
A report reflecting the following information:
• The estimated volume or weight of consh-uction and demolition debris,listed for each
material;
� The estimated volume or weight of construction and demolition debris that can be
diverted listed for each material;
• The estimated volume or weight of construction and demolition debris that will be
landfilled as waste; and
v Identification of the vendor or facility that will collect or receive the construction or
demolition debris.
AB 939 Fee Payment:
Pay AB939 fee of$12.00 per bin and$50 per roll off for all non- franchise hauler containers
Type of Container number of container
, Paid date(office use only) (revenue code CD Waste)
Agreement and Signature:
The property owner agrees to submit documentation to.demonstrate compliance with the 50%diversion
requirement for construction debris and shall indemnify and hold harmless the City for damage and
liability, including any financial liability, fines and penalties, associated with using a non-City
franchised hauler and failing to satisfy diversion requirements.
Property Owner Signature Print Name Date
Self Hauler Signature Print Name Date
Last updated June 26,2008