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806, New garage and sport court, ApplicationN• M• OWNER'S DECLARATION I (We) declare under penalty of perjury that the foregoing is true and correct. Executed at San Pedro , California, this 13th day of September 4 , 20 10 By: / Tk vs7—c--E By: 461 W. 6th Street, Suite 300 Address San Pedro, CA 90731 City NOTE: The Owner's Declaration can only be used if this application is signed in California. If this application is signed outside of California, the applicant should acknowledge before a Notary Public of the State where the signature is fixed, or before another officer of that State authorized by its laws to take acknowledgements, that he (it) owns the property described herein, and that the information accompanying this application is true to the best of his (its) knowledge and belief Attach appropriate acknowledgment here. Ann L. Johnson and Alan C. Johnson Trustees, APPLICANT: Ann Leslie Johnson Family Trust of 1983 DATE FILED REPRESENTATIVE:Agnieszka Kaleta FEE: COMPANY NAME: Michael Burch &Assoc. RECEIPT NO: COMPANY ADDRESS: BY: 5357 Alta Canyada Road ZONING CASE NO La Canada, CA 91011 TENTATIVE HEARING DATE: COMPANY PHONE NO. (323 ) 254-4277 PROJECT ADDRESS:17 Crest Road E. Rolling Hills, California -20- Ile • w• OWNER'S ACKNOWLEDGEMENT Property development in Rolling Hills is governed by ordinances of the CITY OF ROLLING HILLS ("City") and by private deed restrictions enforced by the ROLLING HILLS COMMUNITY ASSOCIATION ("RHCA"). The land development permit process of the City and the RHCA are completely independent and separate. Both must be satisfied and approval given by both the City and the RHCA to develop property in Rolling Hills. An approval by either the City or the RHCA does not mean or imply or ensure approval by the other. The suggested sequence of property development is to obtain City approvals first. I, (We), the undersigned, acknowledge that the above statement has been fully read and its admonition is completely understood. Executed at San Pedro this 13th day of September California ,202010 . By: By: 461 W. 6th St., Suite 300 Address San Pedro, CA 90731 City -21- M• N• CITY OF ROLLING HILLS ZONING CASE CERTIFIED PROPERTY OWNER'S LIST AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF LOS ANGELES ) §§ CITY OF ROLLING HILLS ) I, Ann L. Johnson, Trustee Ann Leslie Johnson Family Trust of 1983 declare under penalty of perjury that the attached list contains the names and addresses of all persons to whom all property is assessed as they appear on the latest available assessment roll of the County within the area described and for a distance of one thousand (1,000) feet from the exterior boundaries of property legally described as: See attached Legal Description Executed at San Pedro this 13th day of September California, 20 2010 PUBLIC:PLANNING MASTERS:City of Rolling Hills Conditional Use Permit Application rev. 2010.doc -22- 114 ExhibitONE" TITLE REPORT No.49006337 FIDELITY NATIONAL TITLE COMPANY REPORT DATED MAY 27, 2003 THAT PORTION OF LOT "H" OF THE RANCHO LOS PALOS VERDES, IN THE CITY OF ROLLING HILLS, COUNTY OF LOS ANGELES, STATE OF CALIFORNIA, ALLOCATED TO JOTHAM BIXBY BY DECREE OF PARTITION IN ACTION "BIXBY ET AL.,VS. BENT, ET AL, CASE NO. 2373, IN THE DISTRICT COURT OF THE 17 T' ' JUDICIAL DISTRICT OF SAID STATE OF CALIFORNIA, IN AND FOR SAID COUNTY OF LOS ANGELES, AND ENTERED IN BOOK 4 PAGE 57 OF JUDGMENTS, IN THE SUPERIOR COURT OF SAID COUNTY, DESCRIBE AS FOLLOWS: PARCEL NO. 1 BEGINNINGAT THE MOST SOUTHERLY CORNER OF LOT 125, ROLLING HILLS, AS PER MAP RECORDED IN BOOK 201 PAGE 29 AND 35 OF MAPS, RECORDS OF SAID COUNTY; THENCE SOUTH 29 DEGREES 01 MINUTES 50 SECONDS 50.00 FEET, TO A POINT IN A LINE PARALLEL WITH AND 50.00 FEET, MEASURED AT RIGHT ANGLES, SOUTHWESTERLY FROM THE SOUTHWESTERLY LINE OF SAID ROLLING HILLS, THENCE SOUTHEASTERLY ALONG THE ARC OF A CURVE CONCAVE SOUTHWESTERLY, HAVING A RADIUS OF 600 FEET AND TANGENT TO SAID PARALLEL LINE, A DISTANCE OF 479.97 FEET; THENCE SOUTH 15 DEGREES 08 MINUTES 10 SECONDS EAST 235.13 FEET TO THE BEGINNING OF A TANGENT CURVE NORTHEASTERLY AND HAVING A RADIUS OF 750.00 FEET; THENCE SOUTHEASTERLY ALONG THE ARC OF SAID LAST MEN TIONED CURVE 196.55 FEET, TO THE TRUE POINT OF BEGINNING ; THENCE CONTINUING ALONG SAID MENTIONED ARC SOUTHEASTERLY 310.01 FEET; THENCE RADIALLY TO SAID LAST MENTIONED CURVE SOUTH 36 DEGREES 09 MINUTES 55 SECONDS WEST 50.00 FEET; THENCE SOUTH 28 DEGREES 04 MINUTES 55 SECONDS WEST 330.37 FEET; THENCE SOUTH 4 DEGREES 44 MINUTES 40 SECONDS WEST 374.90 FEET; THENCE SOUTH 82 DEGREES 44 MINUTES 55 SECONDS 124.68 FEET; THENCE NORTH 50 DEGREES 46 MINUTES 00 SECONDS WEST 109.08 FEET; THENCE NORTH 18 DEGREES 13 MINUTE S 00 SECONDS WEST 190.00 FEET; THENCE NORTH 49 DEGREES 30 MINUTES 30 SECONDS WEST 146.68 FEET'; THENCE NORTH 70 DEGREES 30 MINUTES 30 SECONDS WEST 176.99 FEET; THENCE SOUTH 59 DEGREES 16 MINUTES 40 SECONDS WEST 100.00 FEET TO A POINT OF HEREINAFTER REFERRED TO AS "POINT Al THENCE NORTH 30 DEGREES 43 MINUTES 20 SECONDS WEST 43.37 FEET, TO THE BEGINNING OF A TANGENT CURVE CONCAVE NORTHEASTERLY AND HAVING A RADIUS OF 200.00 FEET; THENCE NORTHWESTERLY ALONG THE ARC OF SAID CURVE 120.00 FEET; THENCE NORTH 3 DEG REES 39 MINUTES 20 SECONDS EAST 71.32 FEET TO A BEGINNING OF A TANGENT CURVE CONCAVE SOUTHWESTERLY AND HAVING A RADIUS OF 180.00 FEET; THENCE NORTHWESTERLY ALONG THE ARC OF SAID CURVE 96.68 FEET, TO A POINT HEREINAFTER REFERRED TO AS "POINT B" ; THENCE NORT H 62 DEGREES 52 MINUTES 50 SECONDS EAST 283.76 FEET; THENCE NORTH 59 DEGREES 50 MINUTES 55 SECONDS EAST 489.70 FEET, TO THE TRUE POINT OF BEGINNING SAID PARCEL IS ALSO KNOWN AS PARCEL 9 OF RECORD OF SURVEY, AS SHOWN ON RECORD OF SURVEY, FILED IN BOOK 57, PAGES 4 THROUGH 8, INCLUSIVE, OF RECORDS OF SURVEYS IN THE OFFICE OF THE COUNTY RECORDED OF LOS ANGELES COUNTY. PARCEL NO. 2: AN EASEMENT FOR ROAD PURPOSES OVER A STRIP OF LAND 100 FEET WIDE, 50 FEET, MEASURED AT RIGHT ANGLES OR RADIALLY, ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNINGAT THE SOUTHWESTERLY CORNER OF THE ABOVE DESCRIBED LOT 125; THENCE ALONG THE SOUTHERLY PROLONGATION OF THE WESTERLY LINE THEREOF SOUTH 2 DEGREES 17 MINUTES 10 SECONDS WEST 55.99 FEET TO A POINT IN A LINE PARALLEL WITH AND 50 FEET, MEASURED AT RIGHT ANGLES SOUTHWESTERLY, FROM THE SOUTHWESTERLY, FROM THE SOUTHWESTERLY LINE OF SAID ROLLING HILLS, THENCE ALONG SAID PARALLEL LINE SOUTH 60 DEGREES 58 MINUTES 10 SECONDS EAST 376.28 FEET TO A POINT THEREIN WHICH I S SOUTH 29 DEGREES 01 MINUTES 50 SECONDS WEST 50.00 FEET FROM THE MOST SOUTHERLY CORNER OF SAID LOT 125 AND THE BEGINNING OF A TANGENT CURVE CONCAVE SOUTHWESTERLY HAVING A RADIUS OF 600.00 FEET; THENCE SOUTHEASTERLY ALONG THE ARC OF SAID CURVE 479.97 FEET; THENCE SOUTH 15 DEGREES 08 MINUTES 10 SECONDS EAST 235.13 FEET TO THE BEGINNING OF A TANGENT CURVE CONCAVE NORTHEASTERLY AND HAVING A RADIUS OF 750.00 FEET; THENCE SOUTHEASTERLY ALONG THE ARC OF SAID 196.55 FEET TO MOST NORTHERLY CORNER OF THE ABOVE DESCRIBED PARCEL NO. 1; THENCE CONTINUING SOUTHEASTERLY ALONG THE ARC OF SAID LAST MENTIONED CURVE 310.01 FEET. THE SIDE LINES TO BE EXTENDED AND SHORTENED TO TERMINATE IN THE SOUTHWESTERLY LINE OF SAID ROLLING HILLS AND TO FORM A CONTINUING LINE AT THE ANGLEPOINT. EXCEPT THERE FROM THAT PORTION THEREOF LYING WITHIN THE LINES OF THE ABOVE DESCRIBED PARCEL NO. 1. PARCEL NO. 3: • EASEMENTS FOR ROAD PURPOSES OVER THE LAND DESCRIBED IN ROADS NO. 1 AND NO. 2 AND PARCELS A, B, C, D, AND E, IN SECTION 6 (A) ARTICLE V OF DECLARATION OF RESTRICTIONS, RECORDED IN BOOK 14065 PAGE 345, OFFICIAL RECORDS OF SAID COUNTY, AND AS AMENDED IN DESCRIPTION BY THE MODIFICATION OF SAID DECLARATION, RECORDED IN BOOK 14311 PAGE 58, OFFICIAL RECORDS OF SAID COUNTY, AND OVER THE LAND DE SCRIBED IN ROAD NO. 3 IN DECLARATION OF RESTRICTIONS, RECORDED IN BOOK 14710 PAGE 166, OFFICIAL RECORDS. ASSESSOR'S PARCEL NO.: 7567-011-018 i DATE ZONING CASE NO. ADDRESS CONCEPTUAL LANDSCAPE PLAN REQUIREMENTS THE FOLLOWING PROPOSED ELEMENTS MUST BE SHOWN ON THE SITE I'LAN SUBMITTED WITH PLANNING APPLICATION PLANTING AREA 1. NEW AREA(S) TO BE LANDSCAPED EXISTING LANDSCAPING TO BE ALTERED (RE - LANDSCAPED) 3. TOTAL LANDSCAPING: NEW AND ALTERED AREAS OTHER LANDSCAPE ELEMENTS -0- sq. ft 34,020 sq. 1 34,020 sq. ft. 4. CHECK OFF ANY OF THE FOLLOWING ELEMENTS THAT MAY BE PROPOSED, AND SHOW LOCATIONS ON PROJECT SITE PLAN: WATER FEATURE: al GARDEN WALL (< 3-FT TALL) SITTING WALL / BENCH ❑ WALKWAY OR PATIO TRELLIS, CANOPY OR SIMILAR STRUCTURE PROFESSIONAL CERTIFICATION (Projects Approved Administratively ("Over the Counter")) I, , certify, warrant and represent that the plans I prepared and which are submitted concurrently herewith for and on which I have affixed my stamp conform in all material respects to the plans approved administratively by City staff on , the City's Building Code and zoning ordinance. I understand and acknowledge that failure of City officials, employees and agents to identify discrepancies, inaccuracies or errors in the plans does not exculpate me from responsibility for submitting plans that comply materially with the administratively approved plans. I further understand and acknowledge that I may be subject to administrative proceedings, penalties and/or fines should the submitted plans be inconsistent with the approved plans, the Building Code or the zoning ordinance. I (We) declare under penalty of perjury that the foregoing is true and correct and that the information accompanying this application is true to the best of my (our) knowledge and belief. NOTE: If this certification is signed outside of California, it must be acknowledged before a Notary Public of the State ivhere the signature is fixed, or before another officer of that State authorized by its laws to take acknowledgements. Attach appropriate acknowledgment here. Executed at , California, this day of , 20 By: By: Company Name Address City Phone & E-mail ea, e6'al&wo r''e! &a I, PROFESSIONAL CERTIFICATION (Projects Approved by Resolution) , certify, warrant and represent that the plans I prepared and which are submitted concurrently herewith for and on which I have affixed my stamp conform in all material respects to Resolution No. approving this project and all of the conditions set forth therein and the City's Building Code and zoning ordinance. I understand and acknowledge that failure of City officials, employees and agents to identify discrepancies, inaccuracies or errors in the plans does not exculpate me from responsibility for submitting plans that comply materially with the Resolution, Building Code or zoning ordinance. I further understand and acknowledge that I may be subject to administrative proceedings, penalties and/or fines should the submitted plans be inconsistent with Resolution No. , the Building Code or zoning ordinance. I (We) declare under penalty of perjury that the foregoing is true and correct and that the information accompanying this application is true to the best of my (our) knowledge and belief. NOTE: If this certification is signed outside of California, it must be acknowledged before a Notary Public of the State where the signature is fixed, or before another officer of that State authorized by its laws to take acknowledgements. Attach appropriate acknowledgment here. Executed at , California, this day of , 20 By: By: Company Name Address City Phone & E-mail gaff e/ ,rall6ro9 Mlle Yolanta Schwartz, Planning Director, Citu of Rollin. Hills: • All involved in the project must answer to three agencies/entities: City of Rolling Hills Planning Department (Yolanta Schwartz) Building and Safety-Willdan Engineering (Richard Kellogg -inspector) Rolling Hills Community Association (Kathryn Bishop, Architectural Inspector) • Follow City's conditions of approval listed on the plans, including but not be limited to the following: - Any changes/modifications must be reviewed and approved by all 3 agencies Submit final approved grading and drainage plans to City- (Willdan will provide) - Dirt from grading to be balanced on site All measurements of the structures are taken from the EXTERIOR walls Comply and observe the limits of grading The slopes beyond the construction area must be continually vegetated and maintained Utility lines to be placed underground Certification by a third party civil engineer of the ridgeline of the residence is required for this project (City will contract for this service and bill the applicant) No dumping of any debris anywhere on site. Project to be watered and kept clean. No food wrappers anywhere Delineate/stake property line, easement line and setback line in the area of construction. Keep it up throughout the construction process Working hours 7am to 6 pm, Mon -Saturday only - Comply with "No smoking" requirements of the City. Assure that all subs are aware • Construction and Demolition (C & D) permit will be required to show recycling efforts (51% of construction material must be recycled). Permit to be obtained from City Hall • Keep the road clean and clear of traffic. Use flagmen whenever the road could be blocked • Don't block driveways • Erect construction fence above Johns Canyon Road and sides • Bea good neighbor CLr bJVec — 7 n ‘`3/(- /14(ia,-(7 `- et, ta