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Home My WebLink About- - Penalties for Non-Compliance Attach. 3 - 12/7/2010ATTACHMENT City of Costa Mesa City permitted Haulers for Job Sites CERTIFICATION FORM FOR PROJECTS WITH VALUATION OF $10,000 OR MORE City Assigned Permit No. Date: Project Address: PART ONE: CITY REGULATIONS REGARDING CITY -PERMITTED HAULERS City Regulations Section 8-83(h), Regulations, of Title 8 of the Costa Mesa Municipal Code indicates that "for any type of solid waste collection in the City, it shall be unlawful for any person to use the services offered by a person, service, or enterprise that has not obtained all the required permits from the City." For demolition, grading, or building permits involving projects with a valuation of $10,000 or more, the contractor must use a City permitted hauler(s) (see Exhibit A, reverse side) to haul any debris or solid waste from the job site. Administrative Penalty Use of a City permitted hauler for this project is the responsibility of the designated contractor on this form. Non- compliance is subject to an administrative penalty as follows: $1,000 or 3% of the total project value, whichever is greater. PART TWO: COMPLIANCE AND DOCUMENTATION Proof of Compliance Prior to issuance of final certificate of occupancy or release of utilities (whichever occurs first), the contractor shall demonstrate compliance by attaching all hauling receipts/invoices or other appropriate documentation as deemed by City staff from the City permitted hauler used for the project. A copy of this form shall be attached, and the documents shall be submitted to: City of Costa Mesa, Department of Public Services, 4t" Floor, 77 Fair Drive, Costa Mesa, CA 92628 PART THREE: DESIGNATED PROJECT CONTRACTOR INFORMATION Business Name: Phone: Business Address: City, State, Zip: Contact Person: Title: Project Start Date: Project Completion Date: Collection Service Needed circle all that apply): BIN ROLL -OFF OTHER: Estimated volume or weight of materials to be hauled off-site: PART FOUR: ACKNOWLEDGEMENT As the authorized representative of the project contractor, I am verifying that I understand the requirements for lawful waste hauling in the City as well as related penalties. Signature: Date: EXHIBIT "A" FULL SERVICE HAULING COMPANIES (PROVIDE BOTH BIN AND ROLL -OFF SERVICE) Hauler Name Phone Number Website CR&R 714 826-9049 crrwasteservices.com Rainbow Disposal 714 847-3581 rainbowdisposal.com Robert's Waste & Recycling 714 557-2533 robwaste.com Universal Waste Systems 800 631-7016 uwscompany.com Ware Disposal 877 714-9273 waredisposal.com Waste Management 866 729-6476 wmorangecounty.com Hauler Name Phone Number Website Direct Disposal 888 551-7797 directdisposal.net Federal Disposal Service 714 259-0908 federaldisposal.com Ivey Disposal 323 721-5441 keydisposalinc.com Tight Quarters 714 557-7901 tightquarters.net Only the permitted haulers listed above are legally entitled to collect debris and other solid wastes from your construction/deconstruction project.