Rev. 6/16/15
City of RANCHO PALOS VERDES
Community Development Department
30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275
Phone: (310) 544-5228 Fax: (310) 544-5293
Website: www.rpvca.gov
Email: planning@rpvca.gov
UNIFORM PLANNING APPLICATION
Planning Case No: (To be assigned by City Staff)
Project Address:
APPLICATION(S) (Please check all that apply):
Site Plan Review Major
Grading Permit
Height Variation
Extreme Slope Permit
Fence, Wall and Hedge Permit
Revision/Amendment
Coastal Permit
Appealable or Non-appealable?
Minor Exception Permit
Variance
Landslide Moratorium Exception
Geologic Investigation Permit
Conditional Use Permit
Other Application:
Additional Reviews:
Neighborhood Compatibility Analysis
Foliage Analysis
CONTACT INFORMATION
PROPERTY OWNER: APPLICANT:
Name Name
Address Address
City
State
Zip City State Zip
Telephone
Telephone
Email Email
City Business License No. (Required for architects and design professionals)
PROJECT DESCRIPTION (Use additional paper, if needed)
2
PROJECT INFORMATION (fill in as applicable)
A.
EXISTING DEVELOPMENT
1.
Square footage of Lot
2.
Square footage of total existing floor area:
First Story Second Story Garage
Other
(accessory structures)
3. Square footage of existing structure footprint (including any accessory structures, attached or detached)
4.
Square footage of driveways, parking areas and impervious surfaces
(EXEMPT: impervious surfaces less than 5 feet in width and/or one patio areas less than 500 square feet in areas)
5.
Square footage of existing lot coverage [line A3 + line A4]
6.
Percentage of existing lot coverage [line A5 ÷ line A1 x 100]
7. Height of existing structure, as measured from highest point of exist. grade covered by structure to the
highest ridgeline (for structures on sloping lots, please refer to the Height Variation guidelines handout for height require.)
B.
PROPOSED Development
1. Square footage of proposed new floor area:
First Story Second Story Garage
Other
(accessory structures)
2.
TOTAL square footage of structure footprint (existing + new)
3.
TOTAL square footage of driveways, parking areas and impervious surfaces (existing + new)
(EXEMPT: impervious surfaces less than 5 feet in width and/or one patio areas less than 500 square feet in areas)
4.
TOTAL square footage of proposed lot coverage [line B2 + line B3]
5.
Percentage of new lot coverage [line B4 ÷ line A1 x 100]
6. Height of proposed structure, as measured from highest point of exist. grade covered by structure to the
highest ridgeline (for structures on sloping lots, please refer to the Height Variation guidelines handout for height restrictions)
7.
Linear feet of existing interior and exterior walls Linear feet of walls to be demolished
(If demolishing 25% or more)
C.
GRADING INFORMATION
Cubic yards of:
Fill
+
=
TOTAL
Maximum height of: Fill
Cubic yards of: Import
Cut
Cut
Export
D.
HEIGHT VARIATION EARLY NEIGHBORHOOD CONSULTATION PROCESS
1. Number of individual parcels under separate ownership within 500 foot radius of subject parcel
2. Number of individual parcels under separate ownership within 100 foot radius of subject parcel
3. Number of total signatures within 500 foot radius Percentage of total (D1 ÷ D3 x 100)
4. Number of total signatures within 100 foot radius Percentage of total (D2 ÷ D4 x 100)
3
INFORMATION TO DETERMINE IF A FOLIAGE ANALYSIS IS NECESSARY
1. Does the proposed project involve an addition or structure which is 120 square feet or more in size and which
can be used as a gathering space and viewing area (i.e., decks, covered patios)?
Yes
No
2. Does the proposed project involve an addition or structure which consists of 120 square feet or more of
habitable space (i.e., room expansions, additions, conversions)?
Yes
No
If the answer is “yes” to either question, a foliage analysis must be conducted by staff to determine if
any existing foliage on the applicant’s property which exceeds 16 feet or the ridgeline of the primary
residence, whichever is lower, impairs a view from any surrounding properties.
PROJECT SILHOUETTE WAIVER (Required for Neighborhood Compatibility Analysis & Height Variation)
I,
, am the owner of property located at
(property owner) (project address)
in the City of Rancho Palos Verdes and wish to apply to the City for permission to construct:
(brief project description)
I understand that, pursuant to Section 17.02.040(C)(1)(d), I must construct and maintain a temporary frame
as a visual aid for evaluating the impacts of the proposed structure. I hereby waive any claim against the City of
Rancho Palos Verdes for any damage or injury caused by the construction of the frame or by any subsequent
failure of the frame.
Property Owner Signature:
HAZARDOUS WASTE & SUBSTANCE STATEMENT (REQUIRED FOR ALL PROJECTS)
Pursuant to California Government Code Section 65962.5(f), before a city can accept as complete an application for
any development project which will be used by any person, the applicant shall consult the lists sent to the
appropriate city or county and shall submit a signed statement to the city indicating whether the project and any
alternatives located on a site that is included on any of the lists compiled and shall specify any list.
The California Environmental Protection Agency (Cal/EPA) has compiled lists of Hazardous Waste and
Substances Sites for the entire State of California, which identifies the following site in Rancho Palos Verdes (as of
1/22/2018):
I have consulted the most current lists compiled pursuance to Section 65962.5 of the Government Code and hereby
certify that the development project and any alternatives proposed in this application are not contained on these
lists.
Property Owner Signature:
PROPERTY OWNER’S CERTIFICATION (REQUIRED)
I hereby certify, under penalty of perjury, that the information and materials herein and submitted with this
application are true and correct. I also understand that projects involving new construction and additions
or tear-down rebuilds will require approvals from the Los Angeles County Fire Department.
Property Owner Signature
Date
-Point Vicente (Palos Verdes Dr. and Hawthorne Blvd.)
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