PVWF_Submittal Checklist_06052020
City of Malibu
Planning Verification for Disaster Rebuild
Submittal Packet (In-Kind Replacement)
Dear Malibu Resident,
The Planning Verification application is designed to expedite in-kind replacement for a disaster
rebuild. Please note the following information:
Your submittal will need to include information regarding the destroyed or damaged structure(s),
including details about the size and location of the home. Staff understands that there may not
be a complete permit history of the property, however, additional supporting documentation
such as aerial photographs, tax assessor records, previously issued coastal development
permits, etc. may be submitted to best verify the damaged or destroyed structure(s).
Please obtain certification of the property’s onsite wastewater treatment system (septic system) to
demonstrate its function. Additionally, should you intend to make changes to your bathrooms or the
number of bedrooms, please consult with the Environmental Health administrator prior to submittal.
For questions, please contact the Environmental Health Division.
Counter Hours: Tuesdays/Thursdays: 8:00 AM 12:00PM.
Prior to the Planning Verification submittal, please complete the Rebuild Worksheet:
https://www.malibucity.org/DocumentCenter/View/23992/Planning-Verification-Rebuild-Worksheet
This item is required prior to submittal of a Planning Verification application.
Planning Verification Applications may be submitted any time during planning counter hours.
Counter Hours: Monday Friday 7:30 - 5:30pm
Submittals Accepted until one hour prior to closing
To rebuild previously permitted fire damaged or destroyed dwellings and structures that may not
meet current zoning standards (eg. square footage, maximum height, setbacks, parking):
o Submit a planning application by November 8, 2020
o Obtain a building permit by November 8, 2022
Applications and permits which have not been approved and obtained by these deadlines
will still qualify for expedited review; however, they will be required to conform to current
land use and zoning standards.
We’re here to help! Questions about Planning Verification submittal requirements or conditions of
approval? Please contact the Planning Department at mplanning@malibucity.org or 310-456-
2489 ext. 485. For additional information regarding Woolsey Fire recovery updates, please visit:
www.maliburebuilds.org
Thank you,
The Planning Department
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Staff Only General Project Information
Date: PVWF No.:
Extent of Damage: Destroyed Damaged □ Landscape Only
Address / Location:
Project Description:
Fee: PVWF:_
*The City will charge a 2.36% service fee for credit card transactions.
Eligible for Fee Waiver
*To see if you qualify for a fee waiver, please see the Affidavit of Primary Residence
Code Enforcement Review
Review required / No fee Review required / Fee required _ hours =$
Code Enforcement Officer Signature: Date
SUBMITTAL REQUIREMENTS
1. Submittal Checklist (pages 1-4)
(This form completed, with owner or applicant signature)
2. Planning Verification Rebuild Worksheet
3. Application Fee(s) (page 1)
*Or Affidavit of Primary Residence
4. Proof of Ownership
(Grant deed for parcel(s); title report if parcel is vacant)
5. Documentation to verify previously existing structure(s)
(Including but not limited to: previously issued coastal development permits, building permits,
approved plans, tax assessor information, and aerial photographs)
6. Hardcopy Sets of Plans
(See project plan requirements)
click to sign
signature
click to edit
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PVWF_Submittal Checklist_06052020
GENERAL INFORMATION
Property Owner Name:
Property Owner Address:
Property Owner Phone No.: Email:
Applicant Name:
Applicant Address:
Applicant Phone No. Email:
INDEMNIFICATION CLAUSE
The property owners, and their successors in interest, shall indemnify and defend the City of Malibu
and its officers, employees and agents from and against all liability and costs relating to the City's
Sign
actions concerning this project, including (without limitation) any award of litigation expenses in favor
Here!
of any person or entity who seeks to challenge the validity of any of the City's actions or decisions in
connection with this project. The City shall have the sole right to choose its counsel and property
owners shall reimburse the City’s expenses incurred in its defense of any lawsuit challenging the
City’s actions concerning this project.
PROPERTY OWNER SIGNATURE PROPERTY OWNER NAME (PRINT) DATE
APPLICANT/CONTRACTOR ACKNOWLEDGEMENT
I certify that I am presently the legal owner of the above-described property. Further, I acknowledge the filing of this
application and certify that all of the information on the application is true and correct. I grant permission to the City to
conduct site visits necessary to investigate the proposed project. (If the undersigned is different from the legal property
Sign owner, then a letter of authorization must accompany this form.) A licensed contractor is authorized to submit an over-the-
Here!
counter application and obtain permits on behalf of the property owner. I acknowledge that the City strongly encourages
me to immediately calendar the expiration date of this permit, that it is my responsibility to monitor its status and that the
City has no ability to provide relief after a permit has expired.
PROPERTY OWNER SIGNATURE PROPERTY OWNER NAME (PRINT) DATE
_ _
APPLICANT/CONTACT SIGNATURE APPLICANT/CONTACT NAME (PRINT) DATE
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
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Item # Description Required Submitted
5.
Project Plans
a. Cover Sheet
b. Site Plan
c. Architectural Plans
d. Demolition Plan
Four (4) 24" x 36" size hardcopy sets dimensioned to ¼" = 1' or ½" = 1' scale and
collated stapled and folded
One copy may be substituted for an 11” x 17” size.
5. Project Plans
5.A. Cover Sheet
Must include:
Project address, Assessor’s Parcel Number (APN), Malibu Municipal Code (MMC) Zoning
D
esignation, General Plan Land Use Designation, property owner name, applicant name, Nort
h
ar
row, scale of drawing (e.g. ½" = 1');
Gross and Net lot area (see separate handout for description);
Required and proposed setbacks;
Proposed and existing Total Development Square Footage (TDSF);
Proposed and existing unenclosed covered areas (e.g., terraces, balconies and loggias that project
more than 6 feet from the building face);
Proposed and existing impermeable coverage;
Detailed project description (include any green or sustainable features); and
Two-thirds calculation (refer to MMC Section 17.40.040(A)(13)(b))
5.B. Site Plan
Must include:
Project address, APN, property owner name, North arrow, scale of drawing (e.g. ½" = 1')
All proposed structures, including fences and walls;
Required setbacks and lot dimensions;
ESHA and ESHA buffer boundary(ies) (as applicable);
Location of OWTS; existing and proposed (as applicable);
Location of ground mounted equipment;
Fire Department accessways, including driveway, turnaround and a five foot clearance around the
structure(s);
Sustainable building elements (e.g., solar panels, wind turbines, rain capturing devices, etc.);
Easements and any offers to dedicate; and
Bluff-top lots, include required bluff setbacks.
5.C. Architectural Plans
Floor Plans(s), Dimensioned Elevations and Sections the existing and finished grade lines shall
be shown; Roof Plan overlaid on topography with roof slope indicated and equipment depicted;
scale: ½" = 1' is preferred, provided it is legible
Fine grading and drainage plan (if applicable) showing the final grade elevation(s) adjacent to
proposed structure(s) and the location and type of conveyance(s) to an approved drainage device.
PROJECT PLAN REQUIREMENTS
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Item # D
escription
Required
Submitted
5.D. Demolition Plan
Clearly show and label the existing (E) and proposed new (N) exterior walls, doors and large
windows. Highlight those sections to be removed and/or replaced, both visually and in a table
noting the existing and proposed linear feet of all exterior walls, doors and large windows. Account
for removal/replacement of anticipated framing members necessary for the project due to structural
requirements, shear walls, age and/or weathering. Scale: ½" = 1' acceptable provided it is legible.
OUTDOOR LIGHTING SUBMITTAL ITEMS
Please be advised:
Pursuant to the Dark Sky Ordinance outdoor lighting in zones, including but not limited to SF, MF,
MFBF, RR, RD, MH, and I zoning districts shall comply by October 15, 2021.
Should a property owner wish to update the property’s outdoor lighting in conjunction with the fire
rebuild, rather than waiting until the compliance deadline, the following items should be submitted.
Three (3) 24" x 36" size hardcopy sets dimensioned to ¼" = 1' or ½" = 1' scale and
collated stapled and folded
One copy may be substituted for an 11” x 17” size.
GRADING SUBMITTAL ITEMS
Please be advised:
For residents who require any grading as a scope of the rebuild, please be advised the following plans
will be required at the Building Plan Check stage:
Item # Description Required Submitted
6.
Outdoor Lighting Plan OR letter stating none
proposed
7.
Outdoor Lighting Plan shall include:
a. Site Plan depicting the location of existing (e) and
proposed (n) outdoor light fixtures
-
b.
Manufacturer Specifications/Fixture Exhibit
including details regarding the lumen counts and
Kelvin for each fixture
-
c. A photometric plan
-
Item # Description
Required Submitted
6.
Grading Plan OR letter stating none
proposed
7.
Plan needed for:
.
a.a
Reestablish
pre-exisiting
grade
surface
b. Fine grading
c. Removal and re-compaction
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Staff Use Only
Extent of Damage:
Approved for Planning Verification: Date:
Planning Staff
Documentation used to verify previously existing structure(s):
Approved PlansDated: □ Assessor's RecordsDated: _
Certificate of OccupancyDated: □ CCC issued CDP Dated: _
OWTS PlansDated: □ Building Permits Dated:
Aerial Photographs Dated: □ Additional Photographs Dated: _
Additional Documentation:
NOT Approved for Planning Verification: Date:
Planning Staff
Reason not approved or additional information required:
PLANNING CONDITIONS/NEXT STEPS:
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Planning Verification Woolsey Fire Conditions
Standard Conditions
1. Prior to signoff for the foundation, a foundation survey shall be prepared by a
licensed civil engineer or architect that states the finished building pad elevation,
and location on the site. Prior to the commencement of further construction
activities, said document shall be submitted to the assigned Building Inspector and
Planning Department for review and sign off.
2. When framing is complete, a site survey shall be prepared by a licensed civil
engineer or architect that states the finished ground level elevation and the highest
roof member elevation. Prior to the commencement of further construction
activities, said document shall be submitted to the assigned Building Inspector and
Planning Department for review and sign off on framing.
Biology Condition
3. If the applicant intends to replant the same landscaping (in place/in kind) lost in the
fire, please provide a planting plan that identifies what was on site previously. This
will be the same plan required by the Fire Department for Fuel Modification prior to
their approval for Building Permit Issuance. If the applicant intends to implement a
new landscape design, then it will be required to be filed as a minor Administrative
Plan Review (APR). If the new landscape design would be less than 2,500 square
feet, only a detailed planting plan is required. If the new landscape design would
change or expand greater than 2,500 square feet then a complete landscape
documentation package, pursuant to MMC 9.22 would be required as a part of an
APR.
Cultural Resources
4. In the event that potentially important cultural resources are found in the course of
geologic testing or during construction, work shall immediately cease until a qualified
archaeologist can provide an evaluation of the nature and significance of the
resources and until the Planning Director can review this information. Thereafter, the
procedures contained in LIP Chapter 11 and those in MMC Section
17.54.040(D)(4)(b) shall be followed.
5. If human bone is discovered during geologic testing or during construction, work shall
immediately cease and the procedures described in Section 7050.5 of the California
Health and Safety Code shall be followed. Section 7050.5 requires notification of the
coroner. If the coroner determines that the remains are those of a Native American,
the applicant shall notify the Native American Heritage Commission by phone within
24 hours. Following notification of the Native American Heritage Commission, the
procedures described in Section 5097.94 and Section 5097.98 of the California Public
Resources Code shall be followed.
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Environmental Health Conditions
The following submittals must be approved by Environmental Health prior to
building plan check approval.
6. Building Plans: All project plans shall be submitted for Environmental Health review
and approval. The location of the onsite wastewater treatment system(s) (OWTS)
must be depicted on the site/grading plan. All rooms and plumbing drainage fixture
units must be clearly labeled on the floor plans. Bedroom equivalents and plumbing
fixture units must reflect the permitted record on file with the City. Please contact
Environmental Health staff for assistance in determining the permitted amount of
bedrooms and fixture units.
7. Certified Fixture Unit Worksheet: A fixture unit worksheet showing all existing and
proposed bedroom equivalents and drainage fixture units for each structure must
be completed and certified by an Architect, Civil Engineer, Environmental Health
Specialist, City Registered OWTS Practitioner, or an “A”, “C-42”, “C-36” Contractor
License.
8. Onsite Wastewater Treatment System (OWTS) Assessment: An inspection of
the OWTS must be conducted by a City Registered OWTS Practitioner to verify
functionality of the OWTS. The inspection report and fire damage assessment form
must be submitted to the Environmental Health office for evaluation. Any
repairs/replacement must be made prior to utilization of the OWTS.
9. OWTS Plot Plan: The OWTS Plot Plan must depict essential features of the
OWTS, existing improvements, and proposed/new improvements. The plot must fit
on an 11” x 17” sheet leaving a 5” left margin clear to provide space for a City-
applied legend.
10. Environmental Health Review Fee: A fee in accordance with the adopted fee
schedule at the time of approval shall be paid to the City of Malibu for
Environmental Health review of the proposed project, unless eligible for a fee
waiver.
11. Additional items may be required pending site conditions.
Geotechnical Conditions
12. Foundation Certification: If the applicant proposes to utilize the existing
foundation system to support the fire rebuild, then the applicant needs to retain a
structural engineer to certify the foundation system. Documentation of the
engineer’s certification must be submitted to the Building Official for review and
approval, and a copy shall be submitted to City Geotechnical Staff upon the review
of the plans at the public counter (prior to permit issuance).
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13. Geotechnical report: If new foundations are proposed for the rebuild, one hard copy
and a PDF copy of the report on a CD must be submitted to City Geotechnical staff
for review. The report must include, at a minimum:
a. Subsurface exploration and laboratory soils testing
b. Recommendations for foundation type and design parameters
c. Retaining wall design parameters (as applicable)
d. Grading recommendations-site preparation, including removal and re-
compaction
e. Drainage recommendations
f. Current seismic design parameters
g. Geotechnical hazard review/disclosure: (landslides, liquefaction,
earthquake-induced landslide hazard zone, Alquist-Priolo Earthquake
Fault Zone)
h. Other recommendations deemed necessary by the consultant
14. Gotechnical Review Fee: A fee in accordance with the adopted fee schedule at
the time of approval shall be paid to the City of Malibu upon submittal of the
Geotechnical report.
15. Building plan review: City Geotechnical staff will review the final set of building
plans (approved by the Building Safety Division) that have addressed/implemented
all geotechnical conditions on the plans, including stamps and signatures from the
project geotechnical consultant.
Los Angeles County Fire Department
16. The project shall receive a Final Fuel Modification Plan, which has been approved by
the Los Angeles County Fire Department, prior to the issuance of final building
permits.
Public Works Conditions
Subsequent to the Planning Verification approval from the Planning Department, the Public
Works Department will review the plans for the replacement structure. Prior to the issuance
of building and grading permits, the applicant shall comply with the following conditions, if
applicable, to demonstrate conformance with the Malibu Local Coastal Program (LCP) and
the Malibu Municipal Code (MMC).
Street Improvements
17. If the property is located along Winding Way or Murphy Way (formerly DeButts
Terrace), the applicant may require approval from the Los Angeles County Waterworks
District No. 29 for any excavation in the paved right-of-way. Place a prominent note on
the first sheet of plans to this effect.
18. If this project proposes to construct improvements within the City’s right-of-way, a Public
Works Encroachment Permit will be required. Prior to the Public Works Department’s
approval of the grading or building permit, the applicant shall obtain encroachment
permits from the Public Works Department for the proposed work within the City’s right-
of-way. For projects on Dume Drive, Grayfox Street, Fernhill Drive and Wildlife Road the
City received a Safe Routes to School Grant for improving pedestrian safety. Any
proposed street improvements along these streets shall consider the potential impact on
the existing conditions, such as, but not limited to, decomposed granite and wood ties.
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19. If this project proposes to construct a new driveway within the City’s right-of-way, a
Public Works Encroachment Permit will be required. Prior to the Public Works
Department’s approval of the grading or building permit, the applicant shall obtain
encroachment permits from the Public Works Department for the proposed driveway.
The driveway shall be constructed of either 6-inches of concrete over 4-inch of
aggregate base, or 4-inches of asphalt concrete over 6-inches of aggregate base. The
driveway shall be flush with the existing grades with no curbs
20. If this project proposes to construct a new driveway within Caltrans’ right-of-way, a
Caltrans Encroachment Permit will be required. Prior to the Public Works Department
approval of the grading or building permit, the applicant shall obtain encroachment
permits from Caltrans for the proposed driveway.
Grading and Drainage
21. Clearing and grading during the rainy season (extending from November 1 to March 31)
shall be prohibited for development LIP Section 17.3.1 that:
Is located within or adjacent to ESHA, or
Includes grading on slopes greater than 4:1
Approved grading for development that is located within or adjacent to ESHA or
on slopes greater than 4:1 shall not be undertaken unless there is sufficient time
to complete grading operations before the rainy season. If grading operations are
not completed before the rainy season begins, grading shall be halted and
temporary erosion control measures shall be put into place to minimize erosion
until grading resumes after March 31, unless the City determines that completion
of grading would be more protective of resources
22. Exported soil from a site shall be taken to the County Landfill or to a site with an active
grading permit and the ability to accept the material in compliance with the City’s LIP
Section 8.3. A note shall be placed on the project that addresses this condition.
23. A grading and drainage plan shall be approved containing the following information
prior to the issuance of grading permits for the project.
Public Works Department General Notes and the following:
o The project shall not generate more than 10 round trip trucks a day
carrying earth materials or 60 truck trips per calendar week.
o Heavy equipment noise and truck deliveries shall not begin until after
7:00 A.M. no work beyond 4:30 P.M., unless approved by the City.
The existing and proposed square footage of impervious coverage on the property
shall be shown on the grading plan (including separate areas for buildings,
driveways, walkways, parking, tennis courts and pool decks).
The limits of land to be disturbed during project development shall be delineated
on the grading plan and a total area shall be shown on the plan. Areas disturbed
by grading equipment beyond the limits of grading, areas disturbed for the
installation of the septic system, and areas disturbed for the installation of the
detention system shall be included within the area delineated.
The grading limits shall include the temporary cuts made for retaining walls, buttresses,
and over excavations for fill slopes and shall be shown on the grading plan.
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If the property contains trees that are to be protected they shall be highlighted on
the grading plan.
If the property contains rare and endangered species as identified in the resources
study the grading plan shall contain a prominent note identifying the areas to be
protected (to be left undisturbed). Fencing of these areas shall be delineated on
the grading plan if required by the City Biologist.
Private storm drain systems shall be shown on the grading plan. Systems greater
than 12-inch diameter shall also have a plan and profile for the system included
with the grading plan.
Public storm drain modifications shown on the grading plan shall be approved by
the Public Works Department prior to the issuance of the grading permit.
Stormwater
If thisproject is located in an Area of Special Biological Significance (ASBS) as part of the
California Ocean Plan and proposes to modify the existing drainage system, this condition
will be applicable. Drainage systems in the ASBS allows discharge of storm water only
where it is essential for flood control or slope stability, including roof, landscape, road and
parking lot drainage, to prevent soil erosion, only occurs during wet weather, and is
composed of only storm water runoff. The applicant shall provide a drainage system that
accomplishes the following:
Installation of permanent BMPs that are designed to treat the potential pollutants
in the storm water runoff so that it does not alter the natural ocean water quality.
These pollutants include trash, oil and grease, metals, bacteria, nutrients,
pesticides, herbicides and sediment.
Prohibits the discharge of trash.
Only discharges from existing storm drain outfalls are allowed. No new outfalls
will be allowed. Any proposed or new storm water discharged shall be routed to
existing storm drain outfalls and shall not result in any new contribution of waste
to the ASBS (i.e. no additional pollutant loading).
Elimination of non-storm water discharges.
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24. A Storm Water Pollution Prevention Plan (SWPPP) shall be provided prior to the issuance
of the Grading/Building permits for the project. This plan shall include an Erosion and
Sediment Control Plan (ESCP) that includes, but not limited to:
Erosion Controls
Hydraulic Mulch
Hydroseeding
Soil Binders
Straw Mulch
Geotextiles and Mats
Wood Mulching
Sediment Controls
Fiber Rolls
Gravel Bag Berm
Street Sweeping and/ or Vacuum
Storm Drain Inlet Protection
Scheduling
Check Dam
Additional Controls
Wind Erosion Controls
Stabilized Construction Entrance/ Exit
Stabilized Construction Roadway
Entrance/ Exit Tire Wash
Non-Stormwater
Management
Vehicle and Equipment Washing
Vehicle and Equipment Fueling
Vehicle and Equipment Maintenance
Waste Management
Material Delivery and Storage
Spill Prevention and Control
All Best Management Practices (BMP) shall be in accordance to the latest
version of the California Stormwater Quality Association (CASQA) BMP
Handbook. Designated areas for the storage of construction materials, solid
waste management, and portable toilets must not disrupt drainage patterns
or subject the material to erosion by site runoff. If the land disturbance is
greater than one acre, the applicant shall be required to obtain a State
SWPPP.
Miscellanous
25. If applicable, the discharge of swimming pool, spa and decorative fountain water and
filter backwash, including water containing bacteria, detergents, wastes, alagecides or
other chemicals is prohibited. Swimming pool, spa, and decorative fountain water may
be used as landscape irrigation only if the following items are met:
The discharge water is dechlorinated, debrominated or if the water is
disinfected using ozonation;
There are sufficient BMPs in place to prevent soil erosion; and
The discharge does not reach into the MS4 or to the ASBS (including
tributaries)
Discharges not meeting the above-mentioned methods must be trucked to a
Publicly Owned Wastewater Treatment Works.
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The applicant shall also provide a construction note on the plans that directs the
contractor to install a new sign stating “It is illegal to discharge pool, spa or water
feature waters to a street, drainage course or storm drain per MMC
13.04.060(D)(5).” The new sign shall be posted in the filtration and/or pumping
equipment area for the property. Prior to the issuance of any permits, the applicant
shall indicate the method of disinfection and the method of discharging.
26. Prior to the approval of any grading and drainage permit, the applicant shall submit a
PDF of the final plans. If there are further modifications to the plans, the applicant shall
provide the City with an updated PDF.
FEMA
27. If the proposed improvements and/or replacement structure are located within the
Special Flood Hazard Area (SFHA) as determined by the Public Works Department,
the improvements shall meet MMC Chapter 15.20, Floodplain Management. An
Elevation Certificate based on construction drawings is required for any building located
within the SFHA. A survey map shall be attached to this certificate showing the location
of the proposed building in relation to the property lines and to the street center line. The
survey map shall delineate the boundary of the SFHA zone(s) based on the FIRM flood
maps in effect and provide the information for the benchmark utilized, the vertical
datum, and any datum conversion. A post construction Elevation Certificate will be
required to certify building elevations, when the construction is complete, and shall be
provided to the Public Works Department prior to final approval of the construction.
Water Quality/ Water Service
28. Prior to the issuance of a building permit, the applicant shall submit a Will Serve
Letter from Los Angeles County Waterworks District No. 29 to the Planning
Department indicating the ability of the property to receive adequate water service.
Prior to Occupancy
29. The applicant shall request a final Planning Department inspection prior to final
inspection by the City of Malibu Building Safety Division. A Certificate of
Occupancy shall not be issued until the Planning Department has determined that
the project complies with this coastal development permit. A temporary Certificate
of Occupancy may be granted at the discretion of the Planning Director, provided
adequate security has been deposited with the City to ensure compliance should
the final work not be completed in accordance with this permit.
30. Any construction trailer, storage equipment or similar temporary equipment not
permitted as part of the approved scope of work shall be removed prior to final
inspection and approval, and if applicable, the issuance of the certificate of
occupancy.
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ACCEPTANCE OF CONDITIONS AFFIDAVIT
The undersigned applicant(s) and property owner(s) acknowledge and agree to abide by all
terms and conditions of Planning Verification Number for the property
located at .
Date Signature of Applicant
Print Applicant’s Name
Date Signature of Property Owner/Manager
Print Property Owner/ Manager’s Name
PLANNING VERIFICATION REBUILD WORKSHEET
Dear Malibu Resident,
The Planning Verification application is designed to expedite, in-kind and up to 10% expansion of the
building envelope (bulk, height, square footage etc.).The rebuild worksheet serves as a road map to
complete the planning entitlement process, building plan check review and construction phase to get you
back in your home as soon as possible! Below are the necessary steps to complete the rebuild process:
Planning Department
STEP 1: Visit the Fire Rebuild Counter
STEP 2: Pick up your Rebuild Worksheet
STEP 3: Visit the agencies
STEP 4: Schedule a pre-design meeting
STEP 5: Submit project for Planning review/ same day approval - yay!
Building Plan Check Review
STEP 6: Proceed to Building Safety
*If you are processing a PV + APR - submit APR approved stamped plans (includes PV approval) to
Building Plan Check to avoid longer processing time and double fees
STEP 7: Building Plan Check
STEP 8: Permit issuance
Construction
STEP 9: Building Safety Inspections
STEP 10: Planning and other City departments Final Inspection
STEP 11: Certificate of Occupancy issued - you're home!
This preliminary determination is non-binding and is not a zoning approval. It is based solely on
applicable zoning regulations, policies, and interpretations in effect as of this date. Any changes to
applicable zoning regulations, policies, and/or interpretations may result in a different determination at a
later date that may require project modifications.
PVWF_Rebuild Worksheet_o7152o19
1
THIS INFORMATION IS TO ASSIST YOU IN THE PERMITTING PROCESS. Gather the Information below as
you or your design professional meet with each department or agency to discuss your project. Please be
aware that the items noted below are general site attributes that will be discussed when you meet with
Building Safety staff and that additional requirements may arise.
STAFF USE ONLY
DATE PREPARED: PREPARED BY: _
PROPERTY INFORMATION
PROJECT ADDRESS:
ZONING: APPEAL JURISDICTION: YES NO ESHA YES NO
LOT DIMENSIONS:
LOT WIDTH : LOT DEPTH:
GROSS LOT AREA: NET LOT AREA:
MAX ALLOWABLE TDSF: MAX ALLOWABLE IMPERMEABLE COVERAGE:
PLANNING ENTITLEMENT:
□ PV IN-KIND REPLACEMENT □ PV + 10%
EXISTING PERMITTED SQUARE FOOTAGE:
IF PV + 10% PROPOSED SQUARE FOOTAGE:
NOTES:
PVWF-Rebuild Worksheet-07152019
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City Environmental Health Staff Review (for staff use only) Initials:
Date:
OWTS PLOT PLAN - 11X17 SHEET LEAVING 5" MARGIN ON LEFT SIDE. SHOW ALL
IMPROVEMENTS AND OWTS COMPONENTS.
ARCHITECTURAL PLANS- LABEL ALL BEDROOMS AND PLUMBING FIXTURE UNITS.
COMMENTS:
FIXTURE UNIT WORKSHEET:
CITY PERMIT RECORDS INDICATE:
--------BEDROOMS ------------------------------
FIXTURE UNITS
FAIL
CONDITIONAL PASS
PASS
*STATUS OF SYSTEM:
NO
YES
OWTS ASSESSMENT FORM COMPLETED:
REQUIREMENTS FOR BUILDING PLAN CHECK:
N/A
NO
YES
ONSITE WASTEWATER TREATMENT SYSTEM (OWTS):
REQUIRED AGENCIES
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Los Angeles County Fire Department (for staff use only) Initials:
Date:
We strongly recommend speaking to the following agencies prior to submitting your Planning Verification
Application.
City Biologist Staff Review (for staff use only) Initials: Date:
COMMENTS:
REQUIREMENTS FOR BUILDING PLAN CHECK:
* This preliminary determination is non
-binding and is not a zoning approval. It is based solely on
applicable zoning regulations, policies, and interpretations in effect as of this date. Any changes to
applicable zoning regulations, policies, and/or interpretations may result in a different determination
at a later date that may require project modifications.
ADDITIONAL CITY AGENCIES
COMMENTS:
5
PVWF-Rebuild Worksheet-07152019
Geotechnical Staff Review (for staff use only) Initials: Date:
City Public Works Department Review (for staff use only) Initials: _ Date: _
NO
YES
REMOVAL AND RECOMPACTION:
NO
YES
SOILS REPORT REQUIRED:
NO
REQUIREMENTS FOR BUILDING PLAN CHECK:
GEOTECHNICAL REPORT REQUIRED: YES
COMMENTS:
IF PUBLIC STREET AN ENCROACHMENT PERMIT IS REQUIRED
PRIVATE STREET
PUBLIC STREET
NO
YES
ARE YOU REPLACEING YOUR DRIVEWAY APPROACH?
IF YES…
IS YOUR PROPERTY LOCATED ON A:
REQUIREMENTS FOR BUILDING PLAN CHECK:
REQUIRED:
LOCAL SWPPP (CONSTRUCTION EROSION CONTROL PLAN)
IF THERE IS A CHANGE IN GRADING AND/OR DRAINAGE PLEASE PROVIDE A GRADING/DRAINAGE PLAN
COMMENTS:
6
PVWF-Rebuild Worksheet-07152019
Los Angeles County Department of Waterworks District 29 (for staff use only) Initials: _ Date:_
Contact: 23533 Civic Center Way, Malibu, CA 90265 - (877) 637-3661
COUNTY AGENCIES
Comments:
*WILL SERVE LETTER REQUIRED
click to sign
signature
click to edit
click to sign
signature
click to edit
PROJECT ADDRESS:
Please note that the proposed project will not include:
Landscaping
Outdoor Lighting
Fencing
Hardscape
Grading
_
APPLICANT/OWNER SIGNATURE APPLICANT/OWNER NAME (PRINT) DATE
City of Malibu
23825 Stuart Ranch Road ∙ Malibu, California ∙ 90265-4861
Phone (310) 456-2489 ∙ Fax (310) 456-3356 ∙ www.malibucity.org
STAFF USE
CASE #(s): DATE RECEIVED:
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