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907, Lot line adjustment between 3 , Application
eery o RQaa, gieed INCORPORATED JANUARY 24, 1957 NO. 2 PORTUGUESE BEND ROAD ROLLING HILLS, CA 90274 (310) 377-1521 FAX (310) 377-7288 LOT LINE ADJUSTMENT APPLICATION ZONING CASE NO. The following information is necessary for the review of ALL applications. RECORD OWNER(S): William F. Hassoldt Name 10 Pine Tree Lane Address Rolling Hills, CA City Failure to furnish information will delay action. Attach extra sheets if necessary. APPLICANT'S AGENT: (Engineer, Licensed Surveyor, Other) Judith A. Hassholdt (Co -Trustees) Gary Wynn Name Name APPLICANT: 10 Pine Tree Lane Address Rolling Hills, CA City 90274 ( 310) 377-4114 90274 ( 31 q 377-4114 Zip Phone Zip Phone 27315 Valley Center Rd Address Valley Center, CA City 92082 ( 310) 306-9728 Zip Phone (Attach a separate sheet if necessary, including names and addresses of members of partnerships, joint ventures and directors of corporations.) CONSENT: SIGNED SIGN (Property Owner) the application accoytpanying this request. DATE -- /4, DATE Y/A/7//t CERTIFICATION: I hereby certify under penalty of perjury that the information herein provided is correct to the best of my knowledge. SIGNED (App)4cant or Applicant '§' Agent) LEGAL DESCRIPTION: LOT NO. Parcel 1, 2 and 3 ASSESSOR'S BOOK NO 7569 PAGE 013 DATE: 4-19-2016 CLL [ 016; p 17,7018 APR 21 MI6 Clio of Rolling Hills Page 1 • CITY OF ROLLING HILLS LOCATION: 10, 12 and 14 Pine Tree Lane (Street address or distance from nearest cross street) Between: Portuguese Bend Road and Terminus of Pine Tree Lane In Land Use Zone RAS-2 General Plan Category Residential Present Use of Site Residential and Vacant Residential Proposed Use of Parcel(s) shown on Tentative Map Surrounding Zoning: North East Domestic Water Source Method of Sewage Disposal RAS-2 RAS-2 California Water Co. On -site septic Residential South West District District N/A RAS-2 RAS-2 LEGAL DESCRIPTION (All ownership comprising the proposed lot(s)/project.) If petitioning for a zone change, attach legal description of exterior boundaries of area subject to change: The lot line adjustment is between the 3 lots created by Parcel Map 21400. The current ownership has not changed since recordation by William and Judith Hassholdt, co -trustees. LOT LINE ADJUSTMENT: 1. Lots Existing (Gross each): 2. Total Gross Acres: 2.83 ac, 2.54 ac, 2.47 ac, respectfully 1.80 ac, 1.70 ac, 1.61 ac respectfully 3. Lots Proposed: (Gross & Net each) (1) 2.74 ac, 2.0 ac, (2) 2.50 AC, 2.00 ac, (3) 2.60 ac, 2.14 ac 4. Grading of Lot(s) by Applicant? YES NO X (Show necessary grading design on site plan or tentative map. All grading must be balanced cut/fill.) Amount Cut Amount Fill 5. Pad sizes for each lot: Not proposed at this time 6. Area of disturbance on each lot: (Square Feet) Percentage of net lot (40% Maximum -2- • • OWNER'S DECLARATION I (We) declare under penalty of perjury that the foregoing is true and correct. Executed at , California, this By: By: Address day of . 20 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. APPLICANT: DATE FILED Li I al l i 1 REPRESENTATIVE: FEE: 4 6,1..11 So a= COMPANY NAME: RECEIPT NO: 10 6--0 COMPANY ADDRESS: BY: ZONING CASE NO: O� COMPANY PHONE NO: ( 1 PROJECT ADDRESS: TENTATIVE HEARING DATE: -3- • • 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 , California this day of . 20 By: By: Address -4- RECORDING REQUESTED BY: Mr. and Mrs. William HasseIdt 10 Pine Tree Lane, Rolling Hills CA 90275 When recorded mail to: CITY OF ROLLING HILLS PLANNING DEPARTMENT 2 PORTUGUESE BEND RD. ROLLING HILLS, CA 90274 (310) 377-1521 (310) 377-7288 FAX REQUEST FOR LOT LINE ADJUSTMENT CITY OF ROLLING HILLS 1/WE, the undersigned owner(s) of record of real property within the City of Rolling Hills, County of Los Angeles, hereby REQUEST the City of Rolling Hills, to determine if said real properties described below, in Exhibits "A" "B" and "C" comply with the provisions of the Subdivision Map Act (Section 66410 ed seq., Government Code, State of California) and the City Subdivision Ordinance. Signature TEA ttlA 14SL 5 SO ( art Name, typed or printed Date .4 A/ Signature Name, typed or printed Date Signatures must be acknowledged by a notary public. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 S`�Y�vA-`lv,{'a`C�yVA�i`L�t Yv,FyVA��V�VFtVIV�.F`tV.C`IV.G'IV.rYJFIV.G`itYh"�Y.G�1i Y,('�`tYMYY.GkY,f`an YMtVMtYMVYM YMtVM'nM'I+MtYMt+M'l Ail+A�'lA�'�'MVYMVYMCYMVvf tYMVVA VYM'�vA '1 �; yY� A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of L-os ...4IV7e.( On (' - i 5 - before me Date personally appeared - Lei;1 r A w► (1>4 /2.(-Re4Tn s cy Jrgrky Here Insert Name and Title of the Officer 14AssollAT (Tutr -I Ll AA 55aIcii- Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person s) whose name(s) is, 7 subscribed to the within instrument and acknowledged to me that he/she/executed the same in hisfher/tauthorized capacity(ies), and that by hi&I ter 0 signature(s) on the instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. U MARLEA M. RAMSEY Comm. No. 2128016 NOTARY PUBLIC - CALIFORNIA p LOS ANGELES COUNTY My Comm. Exp. 0ctorber 23, 2019 C Signatur Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document:Re6me,sr d2TR pocument Date: 4 — ( vim -- /' Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 DETERMINATION OF COMPLIANCE I hereby certify that the parcels described in Exhibit A, B and C comply with the applicable provisions of the Subdivision Map Act and of the City Subdivision Ordinance and may be sold, financed or transferred in full compliance with all applicable provisions of the Subdivision Map Act and of the City Subdivision Ordinance. (CITY MANAGER) STATE OF COUNTY OF CTTY OF ROILING HILLS By: Title: Date: } } On , before me, Notary Public, personally appeared ,a , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal Signature: Name of Notary: Date Commission Expires • 7, • DATE 0 9 -15 -16 ZONING CASE NO. '- ADDRESS 14 PINE TREE LANE ALL MEASUREMENTS TO BE TAKEN FROM THE OUTSIDE WALLS OF STRUCTURES ALL STRUCTURES MUST BE SHOWN ON THE PLAN AND LISTED HERE CALCULATION OF LOT COVERAGE AREA AND STRUCTURES EXISTING PROPOSED TOTAL NET LOT AREA 87,429 sq.ft. 87,176 sq.ft. sq.ft. RESIDENCE sq.ft. sq.ft. sq.ft. GARAGE sq.ft. sq.ft. sq.ft. SWIMMING POOL/SPA sq.ft. sq.ft. sq.ft. POOL EQUIPMENT sq.ft. sq.ft. sq.ft. GUEST HOUSE sq.ft. sq.ft. sq.ft. CABANA sq.ft. sq.ft. sq.ft. STABLE (dirt volume to be included in grading quantities) sq.ft. sq.ft. sq.ft. RECREATION COURT sq.ft. sq.ft. sq.ft. ATTACHED COVERED PORCHES sq.ft. sq.ft. sq.ft. ENTRYWAY/ PORTE COCHERE, BREEZEWAYS sq.ft. sq.ft. sq.ft. ATTACHED TRELLISES sq.ft. sq.ft. sq.ft. *DETACHED STRUCTURES: (circle all that applies) SHEDS, TRELLISES, GAZEBO, sq.ft. sq.ft. sq.ft. BARBECUE, OUTDOOR KITCHEN, sq.ft. sq.ft. sq.ft. ROOFED PLAY EQUP.- over 15 ft. sq.ft. sq.ft. sq.ft. high and over 120 sq. ft. in area, WATER FEATURES, ETC. sq.ft. sq.ft. sq.ft. SERVICE YARD sq.ft. sq.ft. sq.ft. OTHER sq.ft. sq.ft. sq.ft. BASEMENT AREA sq.ft. sq.ft. sq.ft. (volume to be included in grading quantities) DEPTH OF BASEMENT TOTAL STRUCTURES % STRUCTURAL COVERAGE TOTAL STRUCTURES EXCLUDING UP TO 5 & UP TO 800 sq. ft. detached structures that are not higher than 12 ft. STRUCTURAL COVERAGE 1' Li�9 t� SEP 1 '9 2016 City of Rolling Hills By 0 sq.ft. 0 % 0 sq.ft. 0 % -16- 0 sq.ft. 0 % 0 sq.ft. 0 % sq.ft. sq.ft. SPR Rev. 2015 City of Rolling Hills • • ALL FLATWORK MUST BE SHOWN ON THE PLAN PRIMARY DRIVEWAY(S) sq.ft. sq.ft. sq.ft. PAVED WALKS, PATIO AREAS, COURTYARDS sq.ft. sq.ft. sq.ft. POOL DECKING sq.ft. sq.ft. sq.ft. OTHER PAVED DRIVEWAYS, ROAD EASEMENTS, PARKING PADS sq.ft. sq.ft. sq. ft. TOTAL FLATWORK 0 sq.ft. 0 sq.ft. sq.ft. % TOTAL FLATWORK COVERAGE 0 % 0 % % TOTAL STRUCTURAL & FLATWORK COVERAGE 0 sq.ft. 0 sq.ft. sq.ft. % TOTAL COVERAGE 0 % 0 % % TOTAL STRUCTURAL & FLATWORK COVERAGE 0 sq.ft. 0 sq.ft. sq.ft. Excl. the allowance of up to 5 — 800 sq. ft. structures from previous page. % TOTAL COVERAGE TOTAL DISTURBED AREA % DISTURBED AREA GRADING QUANTITY (include future stable, corral and access way; basement and all other areas to be graded) 0 0 0 sq.ft. All structures (attached and detached) must be listed. 0 0 0 sq.ft. sq.ft. cubic yards * Free standing accessory structures such as sheds, trellises, covered patios, gazebo, fountains, barbecue, outdoor fire place, etc., are not counted towards coverages and disturbed area, unless their combined area exceeds 800 sq. ft., or if there are more than 5 such structures on the property. -17- SPR Rev. 2015 City of Rolling Hills • • DATE 06-22-16 Z.C. NO. ADDRESS 14 PINE TREE LANE CALCULATION OF BUILDING PAD COVERAGE PAD NO.1 NO PAD #1 PROPOSED BUILDABLE PAD AREA EXISTINIG PROPOSED TOTAL AND STRUCTURES BUILDING PAD sq.ft. sq.ft. sq.ft. RESIDENCE sq.ft. sq.ft. sq.ft. GARAGE sq.ft. sq.ft. sq.ft. POOL/SPA sq.ft. sq.ft. sq.ft. POOL EQUIPMENT sq.ft. sq.ft. sq.ft. CABANA/REC.RM sq.ft. sq.ft. sq.ft. GUEST HOUSE sq.ft. sq.ft. sq.ft. STABLE sq.ft. sq.ft. sq.ft. SPORTS COURT sq.ft. sq.ft. sq.ft. SERVICE YARD sq.ft. sq.ft. sq.ft. ATTACHED COVERED PORCHES Primary residence sq.ft. sq.ft. sq.ft. Accessory structures sq.ft. sq.ft. sq.ft. AREA OF ATTACHED COVERED sq.ft. sq.ft. sq.ft. PORCHES THAT EXCEED io% OF THE SIZE OF RESIDENCE/ACCS. STRUCTURE ENTRYWAY/PORTE COCHERE/ BREEZEWAY sq.ft. sq.ft. sq.ft. ATTACHED TRELLISES sq.ft. sq.ft. sq.ft. ALL DETACHED STRUCTURES sq.ft. sq.ft. sq.ft. (from 1st page) ALL DETACHED STRUCTURES sq.ft. sq.ft. sq.ft. (from 1st page not including allowed deductions) OTHER sq.ft. sq.ft. sq.ft. TOTAL STRUCTURES ON PAD NO. 1 sq.ft. sq.ft. sq.ft. % BUILDING PAD COVERAGE TOTAL STRUCTURES ON PAD NO. 1 sq.ft. silt. sq.ft. Not incl, attached trellises, Not incl, allowed deductions, and incl the area of covered porches that exceed 10% of the size of the residence/accs. structures. % BUILDING PAD COVERAGE -18- SPR Rev. 2015 City of Rolling Hills • • DATE 0 6 — 22 —16 Z.C. NO. ADDRESS 14 PINE TREE LANE CALCULATION OF BUILDING PAD COVERAGE PAD NO.2 NO PAD #2 PROPOSED BUILDABLE PAD AREA EXISTING PROPOSED TOTAL AND STRUCTURES BUILDING PAD sq.ft. cq.ft. sq.ft. RESIDENCE sq.ft. sq.ft. sq.ft. GARAGE sq.ft. sq.ft. sq.ft. POOL/SPA sq.ft. sq.ft. sq.ft. POOL EQUIPMENT sq.ft. sq.ft. sq.ft. CABANA/REC.RM sq.ft. sq.ft. sq.ft. GUEST HOUSE sq.ft. sq.ft. sq.ft. STABLE sq.ft. sq.ft. sq.ft. SPORTS COURT sq.ft. sq.ft. sq.ft. SERVICE YARD sq.ft. sq.ft. sq.ft. ATTACHED COVERED PORCHES Primary residence sq.ft. sq.ft. sq.ft. Accessory structures sq.ft. sq.ft. sq.ft. AREA OF ATTACHED COVERED sq.ft. sq.ft. sq.ft. PORCHES THAT EXCEED 10% OF THE SIZE OF RESIDENCE/ACCS. STRUCTURE ENTRYWAY/PORTE COCHERE/ BREEZEWAY sci.ft. sq.ft. sq.ft. ATTACHED TRELLISES sq.ft. sq.ft. sq.ft. ALL DETACHED STRUCTURES (from 151 page) sq.ft. sq.ft. sq.ft. ALL DETACHED STRUCTURES (from 1"pa a not including allowed slit. sq.ft. sq.ft. deductions) OTHER sq.ft. sq.ft. sq.ft. TOTAL STRUCTURES ON PAD NO. 2 sq.ft. sq.ft. sq.ft. % BUILDING PAD COVERAGE TOTAL STRUCTURES ON PAD NO. 2 sq.ft. sq.ft. sq.ft. Not incl. attached trellises, Not incl allowed deductions, and incl, the area of covered porches that exceed 10% of the size of the residence/accs. structures. % BUILDING PAD COVERAGE % % % -19- SPR Rev. 2015 City of Rolling Hills • • DATE 0 6 - 2 2 -16 Z.C. NO. ADDRESS 14 PINE TREE LANE GRADING AND EXCAVATION INFORMATION Grading Quantities: Cubic Yds. Max. Depth Max. Depth Location CUT/EXCAVATION For house / addition For other structures (i.e. walls) List For driveway(s) For yard areas For basement excavation For pool/spa excavation Overexcavation TOTAL CUT TOTAL EXPORT FILL For house/addition For other structures (i.e.walls) List For driveway(s) For yard areas For basements For basement wells For pool/spa Recompaction TOTAL FILL TOTAL GRADING (Sum of total cut and total fill) PAD/FLOOR ELEVATIONS Existing pad elevations Residential pad Finished floor N/A Finished grade N/A Proposed pad elevations N/A Finished floor Finished grade N/A Basement -finished floor N/A Basement -finished well wall N/A -20- Other pad SPR Rev. 2015 City of Rolling Hills i • DATE 0 6 - 2 2 -16 ZONING CASE NO. ADDRESS 14 PINE TREE LANE CONCEPTUAL LANDSCAPE PLAN REQUIREMENTS THE FOLLOWING PROPOSED ELEMENTS MUST BE SHOWN ON THE SITE PLAN SUBMITTED WITH PLANNING APPLICATION PLANTING AREA 1. NEW AREA(S) TO BE LANDSCAPED 2. EXISTING LANDSCAPING TO BE ALTERED (RE - LANDSCAPED) 3. TOTAL LANDSCAPING: NEW AND ALTERED AREAS OTHER LANDSCAPE ELEMENTS 0 sq. ft 0 sq. ft 0 sq. ft. 4. CHECK OFF ANY OF THE FOLLOWING ELEMENTS THAT MAY BE PROPOSED, AND SHOW LOCATIONS ON PROJECT SITE PLAN: WATER FEATURE: ❑ GARDEN WALL (less than 3-Ft tall) ❑ SITTING WALL / BENCH ❑ WALKWAY OR PATIO ❑ TRELLIS, CANOPY OR SIMILAR STRUCTURE ❑ -21- SPR Rev. 2015 City of Rolling Hills DATE 0 9 -15 -16 ZONING CASE NO. ADDRESS 12 PINE TREE LANE ALL MEASUREMENTS TO BE TAKEN FROM THE OUTSIDE WALLS OF STRUCTURES ALL STRUCTURES MUST BE SHOWN ON THE PLAN AND LISTED HERE CALCULATION OF LOT COVERAGE AREA AND STRUCTURES NET LOT AREA RESIDENCE GARAGE SWIMMING POOL/SPA POOL EQUIPMENT GUEST HOUSE CABANA STABLE (dirt volume to be included in grading quantities) RECREATION COURT ATTACHED COVERED PORCHES ENTRYWAY/ PORTE COCHERE, BREEZEWAYS EXISTING 90,158 ATTACHED TRELLISES *DETACHED STRUCTURES: (circle all that applies) SHEDS, TRELLISES, GAZEBO, BARBECUE, OUTDOOR KITCHEN, ROOFED PLAY EQUP.- over 15 ft. high and over 120 sq. ft. in area, WATER FEATURES, ETC. SERVICE YARD OTHER BASEMENT AREA (volume to be included in grading quantities) DEPTH OF BASEMENT TOTAL STRUCTURES STRUCTURAL COVERAGE TOTAL STRUCTURES EXCLUDING UP TO 5 & UP TO 800 sq. ft. detached structures that are not higher than 12 ft. % STRUCTURAL COVERAGE PS) 4t1.3 sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. 0 sq.ft. 0 % 0 sq.ft. 0 % . ,,�-1 SEP 1 9 2016 City of Rolling Hills By PROPOSED TOTAL 87,179 sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. 0 sq.ft. 0 % 0 sq.ft. 0 % sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. 70 SPR Rev. 2015 City of Rolling Hills • • ALL FLATWORK MUST BE SHOWN ON THE PLAN PRIMARY DRIVEWAY(S) sq.ft. sq.ft. sq.ft. PAVED WALKS, PATIO AREAS, COURTYARDS sq.ft. sq.ft. POOL DECKING sq.ft. sq.ft. OTHER PAVED DRIVEWAYS, ROAD EASEMENTS, PARKING PADS 0 sq.ft. TOTAL FLATWORK 0 sq.ft. % TOTAL FLATWORK COVERAGE 0 % TOTAL STRUCTURAL & FLATWORK COVERAGE % TOTAL COVERAGE TOTAL STRUCTURAL & FLATWORK COVERAGE Excl. the allowance of up to 5 — 800 sq. ft. structures from previous page. sq.ft. sq.ft. 0 sq.ft. sq. ft. 0 sq.ft. sq.ft. 0 0 sq.ft. 0 sq.ft. sq.ft. 0 % 0 % % 0 sq.ft. % TOTAL COVERAGE 0 % TOTAL DISTURBED AREA % DISTURBED AREA GRADING QUANTITY (include future stable, corral and access way; basement and all other areas to be graded) 0 sq.ft. 0 % All structures (attached and detached) must be listed. 0 0 0 0 sq.ft. sq.ft. sq.ft. sq.ft. cubic yards * Free standing accessory structures such as sheds, trellises, covered patios, gazebo, fountains, barbecue, outdoor fire place, etc., are not counted towards coverages and disturbed area, unless their combined area exceeds 800 sq. ft., or if there are more than 5 such structures on the property. -17- SPR Rev. 2015 City of Rolling Hills • • DATE 0 9 15 -16 Z.C. NO. ADDRESS 12 PINE TREE LANE CALCULATION OF BUILDING PAD COVERAGE PAD NO. 1 NO PAD #1 PROPOSED BUILDABLE PAD AREA EXISTING PROPOSED TOTAL AND STRUCTURES BUILDING PAD sq.ft. cq.ft. sq.ft. RESIDENCE sq.ft. sq.ft. sq.ft. GARAGE sq.ft. sq.ft. sq.ft. POOL/SPA sq.ft. sq.ft. sq.ft. POOL EQUIPMENT sq.ft. sq.ft. sq.ft. CABANA/REC.RM sq.ft. sq.ft. sq.ft. GUEST HOUSE sq.ft. sq.ft. sq.ft. STABLE sq.ft. sq.ft. sq.ft. SPORTS COURT sq.ft. sq.ft. sq.ft. SERVICE YARD sq.ft. cq.ft. sq.ft. ATTACHED COVERED PORCHES Primary residence sq.ft. sq.ft. sq.ft. Accessory structures sq.ft. sq.ft. sq.ft. AREA OF ATTACHED COVERED sq.ft. sq.ft. sq.ft. PORCHES THAT EXCEED io% OF THE SIZE OF RESIDENCE/ACCS. STRUCTURE ENTRYWAY/PORTE COCHERE/ BREEZEWAY cq.ft. sq.ft. sq.ft. ATTACHED TRELLISES cq.ft. sq.ft. sq.ft. ALL DETACHED STRUCTURES sq.ft. sq.ft. sq.ft. (from Pt page) ALL DETACHED STRUCTURES sq.ft. sq.ft. sq.ft. (from 1st page not including allowed deductions) OTHER sq.ft. sq.ft. sq.ft. TOTAL STRUCTURES ON PAD NO. 1 cq.ft. sq.ft sq.ft. % BUILDING PAD COVERAGE TOTAL STRUCTURES ON PAD NO. 1 sq.ft. sq.ft. sq.ft. Not incl. attached trellises. Not incl allowed deductions, and incl. the area of covered porches that exceed 10% of the size of the residence/accs. structures. % BUILDING PAD COVERAGE -18- SPR Rev. 2015 City of Rolling Hills • • DATE 0 9 -15 -16 Z.C. NO. ADDRESS 12 PINE TREE LANE CALCULATION OF BUILDING PAD COVERAGE PAD NO.2 NO PAD #2 PROPOSED BUILDABLE PAD AREA EXISTING PROPOSED TOTAL AND STRUCTURES BUILliiNG PAD sq.ft. sq.ft. sq.ft. RESIDENCE sq.ft. sq.ft. sq.ft. GARAGE sq.ft. sq.ft. sq.ft. POOL/SPA sq.ft. sq.ft. sq.ft. POOL EQUIPMENT sq.ft. sq.ft. sq.ft. CABANA/REC.RM sq.ft. sq.ft. sq.ft. GUEST HOUSE sq.ft. sq.ft. sq.ft. STABLE sq.ft. sq.ft. sq.ft. SPORTS COURT sq.ft. sq.ft. sq.ft. SERVICE YARD sq.ft. sq.ft. sq.ft. ATTACHED COVERED PORCHES Primary residence sq.ft. sq.ft. sq.ft. Accessory structures sq.ft. sq.ft. sq.ft. AREA OF ATTACHED COVERED sq.ft. sq.ft. sq.ft. PORCHES THAT EXCEED 10% OF THE SIZE OF RESIDENCE/ACCS. STRUCTURE ENTRYWAY/PORTE COCHERE/ BREEZEWAY sq.ft. sq.ft. sq.ft. ATTACHED TRELLISES sq.ft. sq.ft. sq.ft. ALL DETACHED STRUCTURES (from 1" page) sq.ft. sq.ft. sq.ft. ALL DETACHED STRUCTURES (from 1"page not including allowed sq.ft. sq.ft. sq.ft. deductions) OTHER sq.ft. sq.ft. sq.ft. TOTAL STRUCTURES ON PAD NO. 2 sq.ft. sq.ft. sq.ft. % BUILDING PAD COVERAGE TOTAL STRUCTURES ON PAD NO. 2 sq.ft. sq.ft. sq.ft. Not incl. attached trellises, Not incl. allowed deductions, and incl. the area of covered porches that exceed 10% of the size of the residence/accs. structures. % BUILDING PAD COVERAGE -19- SPR Rev. 2015 City of Rolling Hills • • DATE 0 9 -15 -16 Z.C. NO. ADDRESS 12 PINE TREE LANE GRADING AND EXCAVATION INFORMATION Grading Quantities: Cubic Yds. Max. Depth Max. Depth Location CUT/EXCAVATION For house/addition For other structures (i.e. walls) List For driveway(s) For yard areas For basement excavation For pool/spa excavation Overexcavation TOTAL CUT TOTAL EXPORT FILL For house / addition For other structures (i.e.walls) List For driveway(s) For yard areas For basements For basement wells For pool/spa Recompaction TOTAL FILL TOTAL GRADING (Sum of total cut and total fill) PAD/FLOOR ELEVATIONS Existing pad elevations Residential pad Finished floor N/A Finished grade N/A Proposed pad elevations N/A Finished floor Finished grade N/A Basement -finished floor N/A Basement -finished well wall N/A -20- Other pad SPR Rev. 2015 City of Rolling Hills • • DATE 0 9 -15 -16 ZONING CASE NO. ADDRESS 12 PINE TREE LANE CONCEPTUAL LANDSCAPE PLAN REQUIREMENTS THE FOLLOWING PROPOSED ELEMENTS MUST BE SHOWN ON THE SITE PLAN SUBMITTED WITH PLANNING APPLICATION PLANTING AREA 1. NEW AREA(S) TO BE LANDSCAPED 2. EXISTING LANDSCAPING TO BE ALTERED (RE - LANDSCAPED) 3. TOTAL LANDSCAPING: NEW AND ALTERED AREAS OTHER LANDSCAPE ELEMENTS 0 sq. ft 0 sq. ft 0 sq. ft. 4. CHECK OFF ANY OF THE FOLLOWING ELEMENTS THAT MAY BE PROPOSED, AND SHOW LOCATIONS ON PROJECT SITE PLAN: WATER FEATURE: ❑ GARDEN WALL (less than 3-Ft tall) ❑ SITTING WALL / BENCH ❑ WALKWAY OR PATIO ❑ TRELLIS, CANOPY OR SIMILAR STRUCTURE ❑ -21- SPR Rev. 2015 City of Rolling Hills • DATE 0 9 -15 -16 ZONING CASE NO. ADDRESS 10 PINE TREE LANE ALL MEASUREMENTS TO BE TAKEN FROM THE OUTSIDE WALLS OF STRUCTURES ALL STRUCTURES MUST BE SHOWN ON THE PLAN AND LISTED HERE CALCULATION OF LOT COVERAGE AREA AND STRUCTURES EXISTING PROPOSED TOTAL NET LOT AREA 89,905 sq.ft. 90,677 sq.ft. sq.ft. RESIDENCE 4,051 sq.ft. sq.ft. sq.ft. GARAGE 1,484 sq.ft. sq.ft. sq.ft. SWIMMING POOL/SPA sq.ft. sq.ft. sq.ft. POOL EQUIPMENT sq.ft. sq.ft. sq.ft. GUEST HOUSE 1,309 sq.ft. sq.ft. .sq.ft. CABANA sq.ft. sq.ft. sq.ft. STABLE (dirt volume to be included in grading quantities) 898 sq.ft. sq.ft. sq.ft. RECREATION COURT sq.ft. sq.ft. sq.ft. ATTACHED COVERED PORCHES sq.ft. sq.ft. sq.ft. ENTRYWAY/ PORTE COCHERE, BREEZEWAYS sq.ft. sq.ft: sq.ft. ATTACHED TRELLISES *DETACHED STRUCTURES: (circle all that applies) RELLISES, GAZEBO, 244 sq.ft. sq.ft. sq.ft. BARBECUE, OUTDOOR KITCHEN, sq.ft. sq.ft. sq.ft. ROOFED PLAY EQUP.- over 15 ft. sq.ft. sq.ft. sq.ft. high and over 120 sq. ft. in area, WATER FEATURES, ETC. sq.ft. sq.ft. sq.ft. SERVICE YARD sq.ft. sq.ft. sq.ft. OTHER sq.ft. sq.ft. sq.ft. BASEMENT AREA N/A sq.ft. sq.ft. sq.ft. (volume to be included in grading quantities) DEPTH OF BASEMENT N/A sq.ft. /sq.ft. sq.ft. TOTAL STRUCTURES % STRUCTURAL COVERAGE TOTAL STRUCTURES EXCLUDING UP TO 5 & UP TO 800 sq. ft. detached structures that are not higher than 12 ft. % STRUCTURAL COVERAGE 7,986 sq.ft. 8.9 % 7,986 sq.ft. 8.9 % -16- SEP 1 9 2016 City of Roiling Hills By 7,986 sq.ft. 8.8 % 7,986 sq.ft. 8.8 70 sq.ft. sq.ft. SPR Rev. 2015 City of Rolling Hills • • ALL FLATWORK MUST BE SHOWN ON THE PLAN PRIMARY DRIVEWAY(S) PAVED WALKS, PATIO AREAS, COURTYARDS POOL DECKING OTHER PAVED DRIVEWAYS, ROAD EASEMENTS, PARKING PADS 7,529 sq.ft. 0 320 sq.ft. N/A sq.ft. 0 0 N/A sq.ft. 0 sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq. ft. TOTAL FLATWORK 7' 8 4 9 sq.ft. 7,849 sq.ft. sq.ft. % TOTAL FLATWORK COVERAGE 8.7 % 8.7 % TOTAL STRUCTURAL & FLATWORK COVERAGE % TOTAL COVERAGE TOTAL STRUCTURAL & FLATWORK COVERAGE Excl. the allowance of up to 5-800 sq. ft. structures from previous page. % TOTAL COVERAGE TOTAL DISTURBED AREA % DISTURBED AREA GRADING QUANTITY (include future stable, corral and access way; basement and all other areas to be graded) 15,535 sq.ft. 17.6 % 15,535 sq.ft. 17.1 % sq.ft. % 15,535 sq.ft. 15,535 sq.ft. sq.ft. 17.6 % N/A sq.ft. N/A % All structures (attached and detached) must be listed. 17.1 % N/A sq.ft. N/A % % sq.ft. % cubic yards * Free standing accessory structures such as sheds, trellises, covered patios, gazebo, fountains, barbecue, outdoor fire place, etc., are not counted towards coverages and disturbed area, unless their combined area exceeds 800 sq. ft., or if there are more than 5 such structures on the property. -17- SPR Rev. 2015 City of Rolling Hills • • DATE 0 9 -15 -16 Z.C. NO. ADDRESS 10 PINE TREE LANE CALCULATION OF BUILDING PAD COVERAGE PAD NO. 1 BUILDABLE PAD AREA, EXISTING PROPOSED TOTAL AND STRUCTURES BUILDING PAD RESIDENCE GARAGE POOL/SPA POOL EQUIPMENT CABANA/REC.RM GUEST HOUSE STABLE SPORTS COURT SERVICE YARD 62,870 4,051 1,484 1,309 898 sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. 62,870 4,051 1,484 1,309 898 sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. ATTACHED COVERED PORCHES Primary residence sq.ft. sq.ft. sq.ft. Accessory structures sq.ft. sq.ft. sq.ft. AREA OF ATTACHED COVERED sq.ft. sq.ft. sq.ft. PORCHES THAT EXCEED io% OF THE SIZE OF RESIDENCE/ACCS. STRUCTURE ENTRYWAY/PORTE COCHERE/ BREEZEWAY ATTACHED TRELLISES ALL DETACHED STRUCTURES (from lst page) sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. 244 sq.ft. 244 sq.ft. sq.ft. ALL DETACHED STRUCTURES 244 sq.ft. 244 sq.ft. sq.ft. (from 1st page not including allowed deductions) OTHER sq.ft. sq.ft. sq.ft. TOTAL STRUCTURES ON PAD NO. 1 7' 9 8 6 sq.ft. 7, 9 8 6 sq.ft. sq.ft. % BUILDING PAD COVERAGE 12.7 % 12.7 % % TOTAL STRUCTURES ON PAD NO. 1 7,986 sq.ft. 7,986 sq.ft. sq.ft. Not incl, attached trellises, Not incl, allowed deductions, and incl the area of covered porches that exceed 10% of the size of the residence/accs. structures. % BUILDING PAD COVERAGE 12.7 % 12.7 % -18- SPR Rev. 2015 City of Rolling Hills • • DATE 0 9 -15 -16 Z.C. NO. ADDRESS 10 PINE TREE LANE CALCULATION OF BUILDING PAD COVERAGE PAD NO.2 NO PAD #2 PROPOSED BUILDABLE PAD AREA EXISTING PROPOSED TOTAL AND STRUCTURES BUILDING PAD sq.ft. cq.ft. sq.ft. RESIDENCE cq.ft. cq.ft. cq.ft. GARAGE sq.ft. cq.ft. sq.ft. POOL/SPA cq.ft. cq.ft. cq.ft. POOL EQUIPMENT sq.ft. sq.ft. cq.ft. CABANA/REC.RM cq.ft. sq.ft. cq.ft. GUEST HOUSE sq.ft. sq.ft. cq.ft. STABLE cq.ft. sq.ft. cq.ft. SPORTS COURT sq.ft. sq.ft. cq.ft. SERVICE YARD cq.ft. si.ft. sq.ft. ATTACHED COVERED PORCHES Primary residence ci,ft. sq.ft. cq.ft. Accessory structures sift. sq.ft. sq.ft. AREA OF ATTACHED COVERED cq.ft. sq.ft. sq.ft. PORCHES THAT EXCEED 10% OF THE SIZE OF RESIDENCE/ACCS. STRUCTURE ENTRYWAY/PORTE COCHERE/ BREEZEWAY sq.ft. sq.ft. sq.ft. ATTACHED TRELLISES sq.ft. sq.ft. sq.ft. ALL DETACHED STRUCTURES (from 1" page) cq.ft. sq.ft. cq.ft. ALL DETACHED STRUCTURES (from 1"page not including allowed sq.ft. sq.ft. sq.ft. deductions) OTHER cq.ft. cq.ft. sq.ft. TOTAL STRUCTURES ON PAD NO. 2 sq.ft. sq.ft. sq.ft. % BUILDING PAD COVERAGE TOTAL STRUCTURES ON PAD NO. 2 cq.ft. cq.ft. sq.ft. Not incl attached trellises, Not incl. allowed deductions, and incl the area of covered porches that exceed 10% of the size of the residence/accs. structures. % BUILDING PAD COVERAGE % % % -19- SPR Rev. 2015 City of Rolling Hills • • DATE 0 9 -15 -16 Z.C. NO. ADDRESS Grading Quantities: 10 PINE TREE LANE GRADING AND EXCAVATION INFORMATION Cubic Yds. Max. Depth Max. Depth Location CUT/EXCAVATION For house/addition For other structures (i.e. walls) List For driveway(s) For yard areas For basement excavation For pool/spa excavation Overexcavation TOTAL CUT TOTAL EXPORT FILL For house/addition For other structures (i.e.walls) List For driveway(s) For yard areas For basements For basement wells For pool/spa Recompaction TOTAL FILL TOTAL GRADING (Sum of total cut and total fill) Existing pad elevations Finished floor Finished grade Proposed pad elevations Finished floor Finished grade Basement -finished floor Basement -finished well wall PAD/FLOOR ELEVATIONS Residential pad 106.70 106.20 N/A N/A N/A N/A -20- Other pad SPR Rev. 2015 City of Rolling Hills • • DATE 0 9 -15 -16 ZONING CASE NO. ADDRESS 10 PINE TREE LANE CONCEPTUAL LANDSCAPE PLAN REQUIREMENTS THE FOLLOWING PROPOSED ELEMENTS MUST BE SHOWN ON THE SITE PLAN SUBMITTED WITH PLANNING APPLICATION PLANTING AREA 1. NEW AREA(S) TO BE LANDSCAPED 2. EXISTING LANDSCAPING TO BE ALTERED (RE - LANDSCAPED) 3. TOTAL LANDSCAPING: NEW AND ALTERED AREAS OTHER LANDSCAPE ELEMENTS 0 sq. ft 0 sq. ft 0 sq. ft. 4. CHECK OFF ANY OF THE FOLLOWING ELEMENTS THAT MAY BE PROPOSED, AND SHOW LOCATIONS ON PROJECT SITE PLAN: WATER FEATURE: 0 GARDEN WALL (less than 3-Ft tall) 0 SITTING WALL / BENCH 0 WALKWAY OR PATIO 0 TRELLIS, CANOPY OR SIMILAR STRUCTURE 0 -21- SPR Rev. 2015 City of Rolling Hills 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 VO` `\M 'N `S , California this day of C4 tt-k ,20 l� By: 6crici ,d/\ MmT6Le. B„4/1/L ALA‘4041,-- la Pines •7 - e 411 Address /2th eg )4-k RR S'l cc, 9e 7?V' -4- 1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 C1Q . P.ct 7 ..ry iav y,.v,.-,ay..-,�Y nvc.,�v,Fav c�.v c rv, v, v ••,r tv. av rvv, v,,, v c..v.`vv c,.v cs eyam^ ,.ccv t^.v tivv can ,rvv. .v rc,,F.,.,,Fvv, .vv c.,�,,rvaccv rvv r�v.Fv:.cv.r y A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los M GCL G S On % — I.S" — f 1p Date before me, _Mid lI M r�1sL /I% 7- 4 i.,/ Pt16`i, Here Insert Name and Title of the Officer personally appeared Lt1�'((r`Arn H A.ssof r > J ve1,1'1-k 14 A 550'ctT Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person s) whose name(s) is/ re subscribed to the within instrument and acknowledged to me that ho/sho411129executed the same in his/hc heir uthorized capacity(ies), and that by thei signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. V MARLEA M. RAMSEY Comm. No. 2128016 C? NOTARY PUBLIC - CALIFORNIA p LOS ANGELES COUNTY r My Comm. Exp. 0ctorber 23, 2019 r Place Notary Seal Above WITNESS my hand and official seal. Signature ignature of Notlic d OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document 41,24M14-) Title or Type of Document: / rat e-r5 l� ocument Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Date: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ,rn�nNi �.rn �,.,.._g;c_Ky�r�r•.••.• _ � y` �• �•.•�r rwnrwn�vcw ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 OWNER'S DECLARATION I (We) declare under penalty of perjury ,that the foregoing is true and correct. Executed at /�'l,�/G /1 )1/ / 1 S' , California, this 4 day of cr., f 4 , 20 %� By:��,7Sr�/�- iJ4rJdtBy: /v �f i. 0 MEI' L VA Address 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. APPLICANT: REPRESENTATIVE: COMPANY NAME: COMPANY ADDRESS: COMPANY PHONE NO: ( 1 PROJECT ADDRESS: DATE FILED u 1 Lill FEE: AV 0/..4so41`-' RECEIPT NO: 10 6 ' BY: ZONING CASE NO: 101. A TENTATIVE HEARING DATE: CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 1c Y �vNv.rx. �v� �v �v�v� �vv�v � nv�cs�vnv�v�v�vv� �v�vv �vv�va�w�. cc c. c. r-�. r•,c .� .�:,.�•.,..•., �,r,. ,r •,� A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California / County of t_o s AN r I (� ,S On -- I - / ( before me, Date personally appeared .T I t{- f ( ,A.ilre: A m.RAM.5cV 0711-Ay Ah4 Here Insert Name and Title of the Officer 45sot- U.)' I l l I4 m 1-4- A Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) i subscribed to the within instrument and acknowledged to me that hc/319eqfify executed the same in t authorized capacity(ies), and that by h' - - ignature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. MARLEA M. RAMSEY � Comm. No. 2128016 0 g "' '►`�� NOTARY PUBLIC -CALIFORNIA v Signature LOS ANGELES COUNTY My Comm. Exp. Octorber 23, 2019 i Place Notary Seal Above ature of Notary OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Ccane-t-. DC114 QcT1S rS Document Date: Co (f6 Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: lAhfhN.AACih'CrfA ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907