580, Construct a new attached 3-car, ApplicationCity�
o Rolling
PROPERTY OWNER:
OWNER'S ADDRESS:
TELEPHONE NO.:
PROPERTY ADDRESS:
LEGAL DESCRIPTION:
t�d[6 INCORPORATED JANUARY 24, 1957
VARIANCE
REOUEST FOR HEARING
NO.2 PORTUGUESE BEND ROAD
ROLLING HILLS. CALIF. 90274
(310) 377.1521
FAX: (310) 377.7288
Cub) 3 • t5t 1
6 I ',i' tY.5. t Wtt13 I tLL ,
LOT NO. (tom
ASSESSOR'S BOOK NO.
AGENTS NAME:
AGENTS ADDRESS:
TELEPHONE NO.:
PAGE PARCEL
ilLA•ZA Aretb 51317._ £ I `WAC1r ' `,IFOI
WO) Colt i e%I
Describe in detail the nature of the proposed use, including what aspects of the project
require a Variance.
f I. A 1D. ITt .._. t116f\ AM A 11E1%1
&W 6fl T 1 61f 'fit.' R)f- \ oF "ME 1. T .
imiTONVITAF7 FrADtff A 1. tW +Ta- or LofArton
A ma e, ..%fAr-b WrfAc- -•
Criteria to be satisfied for Brant of Variance
Such change is based upon the following described exceptional or extraordinary
circumstances or conditions that do not apply generally , to other property in the same
vicinity and zone.
Tom• 51 KI Of W ? U tt lt1&'1'#D t� 1-E ..
(3\t,`f Vtt t - I tbe For ' A 11 W 6A f ' I in oFatib { •
AbFAIArE_-Tt*194\ •NzeiftD q'r .-E. 111 ' 'T ofilM(A -
ftkOST 15E- t Pord in`iz� 5n t—`f , Gnu. **
Such change will not be materially detrimental to the public welfare nor injurious to the
property or improvements in such vicinity and zone where property is located because
-roc r Atzt-onnv3tL r r e n4- •:� •. - -�
11* V u L tr E \'te n car.% fr-OFF or— F GM
nft56DtOtsci, V1\0-P AT\IVet r4V g. Mt_ f
, f . 11iy 4 Cr!c uaL4_ . nr1
FILING FEE
A filing fee must accompany the application. Make check payable to: THE CITY OF
ROLLING HILLS.
REOUEST FOR HEARING
FOR SITE PLAN REVIEW
PROPERTY OWNER: Vg..4 ni� . M1NA VM
OWNER'S ADDRESS: i 1b 9JII \ i SUJ(4s- P
TELEPHONE NO: (VC) 14' ' �a►`3�
PROPERTY'S ADDRESS: 8 VCY S \r1 1) E '.-Ltflt utLI.
LEGAL DESCRIPTION: LOT NO. I L2
ASSESSORS BOOK NO. PAGE PARCEL
AGENTS NAME:
AGENT'S ADDRESS:
TELEPHONE NO:
126Etrill trorro4 Afcgi-M
/2:2.4o ? Amo iq 2 n cruiTANIE c,65�
Cub) (64$.8`3(%l
NATURE OF PROPOSED PROTECT
Describe in detail the nature of the proposed project, including what aspects of the project require
a Site Plan Review:
" 'P6 r t 1 cr A r :i tTiAL.._. t-rion. Ant), t1 ,►J
Q.3 c o ,-I forim r.- --mom L6r. -r 4 ,.
ii Iri ,' P utf A 4 t ff-Yteill' 1b A V
Mite. O l t t o tf (j L e5!D7—
• s
,SnZp.AN REYIEW CBXEERIA
Site plan review criteria upon which the Planning Commission must make an affirmative finding.
Describe in detail the project's conformance with the criteria below:
A. Is the project compatible with the General Plan, the Zoning Ordinance and surrounding uses? Explain how it
compares to the sizes, setbacks and other characteristics of neighboring houses.
MAE. rfb.15sr is c611 TEAT I . i t Tyr. 611 _ KIT\ , TN-+ za1u ttn.
5u-01111c:114 Ire . VEIN i' rflit E AN ATt6n 'TM 1-ka . t '
SP 1, \ n t a f4n% tiarTaW7 kinit tiwcA VIst ►%.
B. How does the project preserve and integrate into the site design, to the maximum extent feasible, existing natural
topographic features of the lot including surrounding native vegetation, mature trees, drainage courses, and land
forms (such as hillsides and knolls)? Explain how the project preserves and integrates existing natural features.
P-KtSTLIVN. (Arty. ib10s-fkrPlC.. r tutu_ t r .
ISTlrl(z• A'A V.51- \fait►J Ara) ZMZ Or-i�{
LiCA-fr[ Ilia i1 tg,,., MU.- A qD. "-totbi\a&
tnn V)l1L. /ttv.
C. How does the site development plan follow natural contours of the site to minimize grading? Extensive grading
and recontouring of existing terrain to maximize buildable area shall not be approved. Graded slopes shall be
rounded and contoured so as to blend with existing terrain. Grading shall not modify existing drainage redirect
drainage flow unless into an existing drainage course. Explain the nature and 'extent of the impact of grading
and proposed minimization on lots. •
4Ttfl(. Wf 11s (IYATATD I►1 �'. tlt�'�- I� T�%.
A f W --L 1'AIT TA WAG- ,nr - Al:t . "tom r . t'' 3 ttt! - 5 KID
`TE�� Y��,1►1rs ds[t1r4-R Tt . f-asul tn& t`cc 6IL. t►Jtt.L T E.
Gattli 1t.S'f' A4 "rtt. f `fit A' ANVicfftr Ei '( sl '
D. To what extent does the site development plan preserve surrounding native vegetation and supplement it with
landscaping that is compatible with and enhances the rural character of the community? Landscaping should
provide a buffer and transition zone between private and public areas. Explain how the project preserves native
vegetation, integrates landscaping and creates buffers.
xtsit r UJtt ... ;v.11►1 s' T tk tW 1 `t\
ft YAT 1 •'Tb fi 'tv-Na 11/3- t dtt sct Pea4
• •
E. How does the site development plan preserve the natural and undeveloped state of the lot by minimizing building
coverage? Lot coverage requirements shall be regarded as maximums and the actual amount of lot coverage
permitted should depend upon the existing buildable area of the lot. Explain how the lot coverage proposed
compares with lot coverage square footage and percentages on neighboring lots.
' A(.7 T A (in -Me C11 \ cLG rA iti?.. ^-_ _
.p!�Ivl rat � c tu r cs PAD Nu t!AVT AI l E
'1674 fr-K fat Wi'J TWA ins
F. Is the site development plan harmonious in scale and mass with the site, the natural terrain and surrounding
residences? Setbacks shall be regarded as minimums and more restrictive setbacks shall be imposed where
necessary to assure proportionality and openness. Explain how the proposed project setbacks compare with the
existing setbacks of neighboring properties.
p 6.\51- t Wr+'mto t ri. __06L.E t t MtriS U: Cf W-W "n it- sq. iivE
G. Is the site development plan sensitive and not detrimental to convenience and safety of circulation for pedestrians
and vehicles? Explain how the number and types of vehicles relate to the driveway location, design, trip data,
landscaping and other on -site parking or storage areas.
11 1Eq Vitt - or\ 'Ppbe5 1 Of- YFAAtcL: ---
1121effic 6 \ JVJ -tr '� • T - Y s nr Vs- Dr -IV . la Y
H. Does the site development plan conform with the requirements of the California Environmental Quality Act?
Explain how the project impacts the environment, e.g. significant impact, proposed mitigation measures.
1. friAr<T WS AD Ott f frikiVa or. Tom- fV't fsrIE T.
• •
I hereby certify that the statements furnished above, and in attached exhibits, presents the data and
information required for the site plan review criteria evaluation to the best of my ability; and, that
the facts, statements and other information presented are true and correct to the best of my
knowledge and belief.
Date: L%
v' r
Signature
For:
Applicant
C KLTST FOR PLAN SUBMITTAL
The following information must be included on any plan submitted for checking to the Rolling Hills
Planning Commission for:
1. Conditional Use Permit (including grading requirements):= . -= -.. - --- -- _.-----
2. Variance (including grading requirements). - -
3. Site Plan Review (including grading requirements).
4. Subdivisions and Lot Line Adjustments
Provide fifteen (15) sets of plans that show the following:
1. Name, address and telephone no. of applicant, and name, address and telephone
number of architect and civil engineer.— - ' ° = = - -
2. Plot plans must be stamped by a licensed civil engineer or land surveyor.
3. Vicinity map drawn to scale with requested improvements dimensioned to property
line and residences of all contiguous properties.
4. North arrow and scale of plans.
5. Existing contours of the entire lot.
6. Show setbacks, easements, horse trails on entire lot.
7. Outline and show square footage of building padswithin allowable setbacks in
accordance with Municipal Code Title 17 (form attached).
8. Computation of lot coverage in accordance with Municipal Code Title 17 (form
attached).
9. All slopes shall not be steeper in slope than two horizontal to one vertical, or exceed
a vertical height of thirty feet (30'). All slopes shall be marked with grade.
(Municipal Code Title 15).
10. Shade all cut and fill slopes. Show shaded area square footage, cut and fill totals,
and the percentage of lot to be disturbed. (Title 15).
11. Show all retaining walls and sections through walls, height and elevations. Show
height for all buildings.
12. Show proposed drainage pattern of graded areas.
13. Designate the area(s) for which the Variance, Conditional Use Permit or Site Plan
Review is requested.
14. Show outline of residence and any additional structures. All structures must be
physically measured and square footage of each structure must be shown on drawing.
A note must be on the drawing certifying to those measurements.
•City °Moiling
INCORPORATED JANUARY 24, 1957
COMPUTATION OF LOT COVERAGE
NO.2 PORTUGUESE BEND ROAD
ROLLING HILLS, CALIF. 90274
(310) 377.1521
FAX (310) 377-7288
E-mail: cltyofrh@aol.com
LOT COVERAGE (TITLE 17)
Main buildings, accessory buildings, structures, tennis courts, swimming pools, service yards
(enclosed or unenclosed), stables, or an area of not less than 1,000 square feet for the construction
of a stable and corral (with vehicle access thereto) shall not cover more than twenty percent (20%)
of the net lot area, provided further that in addition to the above described improvements, the areas
included within driveways, parking space, walks, patios, decks and asphalt or concrete paving of
any kind excepting roads maintained by the Rolling Hills Community Association, shall not cover
more than thirty-five percent (35%) of the net lot area.
For the purposes of this Section "net area" shall exclude: a) the entire area within a recorded
roadway easement plus the area within ten (10) feet measured perpendicular to the edge of the
roadway easement; (b) the ten (10) foot perimeter of the lot perpendicular to the property lines; (c)
any private drive or driveway that provides access to any other lot or parcel; and (d) the access strip
portion of a flag lot.
COMPUTATION OF BUILDABLE AREA AND COVERAGE THEREOF
A policy of the City is to address coverage of an identified "EXISTING BUILDABLE AREA".
Coverage thereof is based upon the calculation of the "footprint" square footage of the residence,
garage, stable (barn), and other accessory structures proposed and/or developed on said "buildable
area."
For purposes of this calculation, "buildable area" shall be defined as stated in Section 17.12.020 of
the Rolling Hills Municipal Code which declares existing "buildable area" as the portion of a lot
that constitutes the existing building pad and any other contiguous portion of the lot WITHIN
ALLOWABLE SETBACKS THAT HAS AN AVERAGE SLOPE OF TEN PERCENT
(10%) OR LESS. If there is no existing building pad, it shall mean that portion of a lot within
allowable setbacks that has an average slope of ten percent (10%) or less.
December 12, 1996
es
ii
Prnnlel on Reryeletl Pap ,
•
Property Line
Easement Line
Setback Line
NET LOT AREA
i
•
ROADWAY
EASEMENT
EXCLUDE
10 FEET AT PERIMETER
PLUS ROADWAY EASEMENTS
•
DATE ZONING CASE NO.
BUILDING AREAS
NET LOT AREA IE 1)7sq.ft.
BUILDING PAD(S) t2. fl Fsq.ft.
RESIDENCE
GARAGE
SWIMMING POOL/SPA
STABLE •
RECREATION COURT
( )
SERVICE YARD
OTHER
TOTAL STRUCTURES
% STRUCTURAL
COVERAGE .
16,11
MCP
t •Cn
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
% TOTAL PAD
COVERAGE %
DRIVEWAY 126') sq.ft.
PAVED WALKS AND
PATIO AREAS ce-5 sq.ft.
POOL DECKING
TOTAL FLATWORK
% TOTAL FLATWORK
COVERAGE
sq.ft.
efff[ sq.ft:
TOTAL STRUCTURAL & FLATWORK
COVERAGE 7")2. sq.ft.
% TOTAL COVERAGE 4 %
_ ADDRESS
APPLICANT
CALCULATION OF LOT COVERAGE
EXISTING PROPOSED TOTAL
sq.ft. 163t t',51sq.ft.
sq.ft. L2 1') sq.ft.
$b sq.ft. p54 sq.ft.
�.l sq.ft. Co8t sq.ft.
sq.ft. ,_-
sq.ft.. f sq.ft.
sq.ft.
sq.ft.
sq.ft.
tp21 sq.ft.
sq.ft.
2e sq.ft.
- sq.ft.
— sq.ft.
%
sq.ft.
(„p sq.ft.
sq.ft.
66 sq.ft.
40%
sq.ft.
sq.ft.
sq.ft.
sq.ft.
110I1 sq.ft. 6 f1 , sq.ft.
PAD NO. 1
BUILDABLE PAD AREA
RESIDENCE
GARAGE
STABLE (BARN)
POOL
RECREATION COURT
( )
OTHER
• • DATE ZONING CASE NO.
f. .
_ ADDRESS
APPLICANT
gALCULATION OF BUILDING PAD COVERAG1
Of U3t 'n
sq.ft. Ate ^"A'
;,165sq.ft. 6letf747r� 114
D a561)
CAE sq.ft.
sq.ft.
sq.ft.
sq.ft.
3 sq.ft.
TOTAL STRUCTURES ON PAD NO. 1 121811. sq.ft.
% BUILDING PAD COVERAGE 1.).Z. %
PAD NO. 2
BUILDABLE PAD AREA
RESIDENCE
GARAGE
STABLE (BARN)
POOL
RECREATION COURT
( )
OTHER
TOTAL STRUCTURES ON PAD NO. 2
% BUILDING PAD COVERAGE
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
OWNER'S DECLARATION
I (We) declare under penalty of perjury that the foregoing is true and correct.
Executed at
this day of
By:
By:
Address
, California,
,19
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: jralfl, trZNA
COMPANY ADDRESS:
T WL 6705M
COMPANY PHONE NO. (2al)') Cola`PfYot
PROJECT ADDRESS:
6 lbADM KO-E. iflNb MIT 1-4tL1
DATE FILED
FEE:
RECEIPT NO:
BY:
ZONING CASE NO:
TENTATIVE HEARING DATE:
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 , 19
By:
By:
Address
City
CITY OF ROLLING BILLS
ZONING CASE
CERTIFIED PROPERTY OWNER'S LIST
AFFIDAVIT
STATE OF CALIFORNIA )
COUNTY OF LOS ANGELES ) ss
CITY OF ROLLING HILLS )
I,
, 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:
8 rOsAXiit 4F-M6E. fOND t H-u t
t t� of RILL 2.61 ,11 Erg
TIE f1-L 151 r
Executed at , California, this
day of ,19
SIGNATURE
Conditional Use Permit
Variance
Site Plan Review
Zone Change
ZONI CASE NO. <; ADDRESS _;6
APPLICANT
CALCULATION OF LOT COVERAGE
BUILDING AREAS
NET LOT AREA
BUILDING PAD(S)
RESIDENCE
GARAGE
SWIMMING POOL/SPA
STABLE
RECREATION COURT
SERVICE YARD
OTHER
TOTAL STRUCTURES
% STRUCTURAL
COVERAGE
% TOTAL PAD
COVERAGE
DRIVEWAY
PAVED WALKS AND
PATIO AREAS
POOL DECKING
EXISTING
tP t � 7 sq.ft.
iz.11s5 sq.ft.
2,F.''Ln sq.ft.
etc?
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
Ef4`I sq.ft.
lL4 %
(a.& sq.ft.
11ri.t 1 sq.ft.
sq.ft.
TOTAL FLATWORK-P I sq.ft.
% TOTAL FLATWORK
COVERAGE
TOTAL STRUCTURAL
COVERAGE
% TOTAL COVERAGE
& FLATWORK
31SAE sq.ft.
4 %
PROPOSED TOTAL
sq.ft.
sq.ft.
sq.ft.
Sr; sq.ft.
sq.ft.
sq.ft.
does
a
sq.ft.
sq.ft.
sq.ft.
1E leiS7 sq.ft.
1214)5 sq.ft.
ji5 sq.ft.
(pQ. sq.ft.
sq.ft.
4 sq.ft.
643
sq.ft.
sq.ft.
sq.ft.
q.ft. �j� �1/
\ 8 % %
—2.2117 .sq.ft.
202, sq.ft.
sq.ft.
-1(p sq.ft.
tIO L t sq.ft.
%
2,`ZCo sq.ft.
«'S°) sq.ft.
sq.ft.
sq.ft.
2.4 %
sq.ft. g/F.-2
/ %
CALCULATION OF BUILDING PAD COVERAGE
FAD NO. 1
BUILDABLE PAD AREA
RESIDENCE
GARAGE
STABLE (BARN)
POOL
RECREATION COURT
OTHER
TOTAL STRUCTURES ON PAD NO. 1
% BUILDING PAD COVERAGE
PAD NO. 2
BUILDABLE PAD AREA
RESIDENCE
GARAGE
STABLE (BARN)
POOL
RECREATION COURT
OTHER
TOTAL STRUCTURES ON PAD NO. 2
% BUILDING PAD COVERAGE
tsep
5,&12.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
5 %60 sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
,J sq.ft.
8
n5 ... TAI5Pra 1 1855 e .1.
a PIA A Wrilk -tug
� :•. IF T�1t'� Aff..A cert.
ADDM Tb ZKE
a)u-b:n(,- PAD, -WE Pew t' 'J $
/a:E 141054.T.
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
this
, California
-t`" day of /- 9-:%P , 19
By: t(J �'' -/A( k
U
By:
Address
OWNER'S DECLARATION
I (We) declare under penalty of perjury that the foregoing is true and correct.
Executed at ((/✓vy ,
---j-4.1 /1--,od,
this i U-- day of U 42v1-6)
1
, California,
,19 /�
By: " ( c �4�
By:
471
Address '
iii C4 9o2�-y
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: MV!(l 5(\ /1\010.
COMPANY ADDRESS:
COMPANY PHONE NO. 0.61 ( t '&%'t
PROJECT ADDRESS:
8 511't 'i fOP MIRY RW '
DATE FILED 41eig
FEE: Z-, qv)
I
RECEIPT NO: to (n % f'
BY:
ZONING CASE NO: icSt)
TENTATIVE HEARING DATE:
6/tg1q
/ /
•
City o/ iiu
ENVIRONMENTALINFORMATION FORM
(To Be Completed By Applicant)
•
INCORPORATED JANUARY 24, 1957
NO. 2 PORTUGUESE BEND ROAD
ROLLING HILLS, CALIF. 90274
(310) 377.1521
FAX (310) 377.7288
E•mait cityotrh@aol.com
Date Filed Zoning Case No.
QENERAL INFORMATION
1. Applicant(s) 4 Ytfa -D t113 Tel. (310) 644 . clef,
Address 8 re5 Jt.tl I- 64) i t '�'41.J ..1/N- H{L±
2. Legal Owner(s) " Tel. ( )
Address
3. Project Address CY t.��11 t k s-
Assessor's Book No. Lot No. I (2.
4. Other related permits and other public approvals required for this project, including those required by
city, regional, state and federal agencies:
1o6ff,V 4 rtTE•.- f 'MAKI) rff►rt ft Arirdri&- liliflW:4G(\
5. Existing zoning district
6. Proposed project/use of site 12-F.GtMITIVAL, AtOritaiN 1 t ' ' AtiY.TIM
PROJECT DESCRIPTION •
7. Site size ttb (c KZ.s.f . (3.6t Acir)
8. Net lot area (6( / / is.P. "Net Lot Area" means the total area included within the lot lines
of a lot or parcel bf property, -exclusive of: (a) the entire area within a recorded roadway easement
plus the area within ten (10) feet measured perpendicular to the edge of the roadway easement; (b)
the ten (10) foot perimeter of the lot perpendicular to the property lines; (c) any private drive or
driveway that provides access to any other lot or parcel; and (d) the access strip portion of a flag lot."
9. Total square footage of structures ' . et4A'1t5 . (►3/ Q{ ,A
10. Number of floors of construction (3
11. Basement square footage A/A
12. Total combined flatwork and structural lot coverage _- 49 L UJ/ { eltre
13. Will any exterior walls be removed or relocated? Which walls? � r5 116 t(►3(tj_,.
14. Will any interior walls be removed or relocated? Which walls?. fb
15. Will the entire building structure require a new roof? 1
-1-
!415.97
eh. • tor; a. p..•• ,..1
• •
16. Will the existing roof remain intact, with less than 200 square feet added? nO
17. Grading quantites shalt be balanced. Amount cut - 41, c•y. . Amount fill 41 C.T. .
(Include any basement cut in grading quantities.)
18. Area of disturbance. 40% maximum; any remedial grading (temporary disturbance), any graded
slopes and building pad areas, and any rongraded area where impervious surfaces will remain or are
proposed to be added. Square feet 2.% ^ S.�- Percentage of Net Lot Area (. % .
19. If residential, include the unit size. Square feet1-155E &"if{ . -- Y&S '. 2?c°) 44,-1.-.*
20. If commercial, indicate the type of project, whether neighborhood, city or regionally oriented, square
footage of sales area, estimated employment per shift and loading facilities.
(VA
21. If industrial, indicate the type of project, estimated employment per shift, and loading facilities.
(VA
22. If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project.
NiA
23. Attach plans.
24. Proposed scheduling. \ Ae=
25. If the project involves a site plan review, variance, conditional use or rezoning application, state this
and indicate clearly why the application is required.
A VA - Ara) 'CT rLA(\ `t'JJ Art - ,,U b DUr.
lb Ile A1T16 UY-A7 -it t 114€ G1� W
Are the following items applicable to the project or its effects? Discuss below all items checked yes (attach
additional sheets as necessary).
YES j1Q
26.
'!0 27.
Change in existing features of any bays, tidelands, beaches, lakes or hills, or
substantial alteration of ground contours.
Change in scenic views or vistas from existing residential areas or public lands or
roads.
28. Change in pattern, scale or character of general area of project.
- 2 -
YES NQ
29. Significant amounts of solid waste or litter.
30. Change in dust, ash, smoke, fumes, or odors in vicinity.
_ 31. Change in ocean, bay, lake, stream or ground water quality or quantity, or alteration
of existing draining patterns.
____ ' 32. Substantial change in existing noise or vibration levels in the vicinity.
_ 33. Site on filled land or on slope of 10 percent or more. .
34. Use or disposal of potentially hazardous materials, such as toxic substances, flammable
or explosives.
', 35. Substantial change in demand for municipal services (police, fire, water, sewage, etc.).
36. Substantially increased fossil fuel consumption (electricity, oil, natural gas, etc.).
. 37. Relationship to a larger project or series of projects.
ENVIRONMENTAL SETTING
38. Describe the project site as it exists before the project, including information on topography, soil
stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing
structures on the site, and the use of the structures. Attach photographs of the site. Snapshots or
polaroid photos will be accepted.
"Ckt SCT . \WST r - An Pas trv3- strttsmfArkef t. l ON.
twit►E ii AFA-.AR - c rt&
ICI lb LemMIN3ke4grab r' . A Ua s,
t .ftl 'T) A- cA tYISI`i ��'V( )_ i .
39. Describe the surrounding properties, including information on plants and animals and any cultural,
historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.), intensity of land
use (one -family, guest house, office use, etc.) and scale of development (height, frontage, set -back, rear
yard, etc.). Attach photographs of the vicinity. Snapshots or polaroid photos will be accepted.
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ENVIRONMENTAL IMPACT'S
(Please explain all 'yes' and 'maybe' answers on separate sheets.)
YES MAYBE liQ
40. Earth. Will the proposal result in:
Unstable earth conditions or in changes in geologic
substructures?
b. Disruptions, displacements, compaction or overcovering
of the soil? -<
c. Change in topography orground surface relief features?
d. The destruction, covering or modification of any unique
geologic or physical features?
e. Any increase in wind or water erosion of soils, either on
or off the site?
f. Changes in deposition or erosion of beach sands, or changes
in siltation, deposition or erosion which may modify the
channel of a river or stream or the bed of the ocean or any
bay, inlet or lake?
Exposure of people or property to geologic hazards such as
earthquakes, landslides, mud slides, ground failure, or
similar hazards?
41. Air. Will the proposal result in:
a. Substantial air emissions or deterioration of ambient air
quality?
b. The creation of objectionable odors?
c. Alteration of air movement, moisture or temperature, or any
change in climate, either locally or regionally?
42. Water. Will the proposal result in:
a. Changes in currents, or the course or direction of water
movements, in either marine or fresh waters?
b. Changes in absorption rates, drainage patterns, or the rate
and amount of surface water runoff?
c. Alterations to the course or flow of flood waters?
d. Change in the amount of surface water in any water body?
e. Discharge into surface waters, or in any alteration of
surface water quality, including but not limited to
temperature, dissolved oxygen or turbidity?
44.
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YfoS MAYBE ,iQ
f. Alteration of the direction or rate of flow of ground waters?
g•
Change in the quantity of ground waters, either through
direct additions or withdrawals, or through interception
of an aquifer by cuts or excavations?
h. Substantial reduction in the amount of water otherwise
available for public water supplies?
i. Exposure of people or property to water -related hazards
such as flooding or tidal waves?
j. Significant changes in the temperature, flow, or chemical
content of surface thermal springs?
43. Plant Lifq. Will the proposal result in:
a. Change in the diversity of species, or number of any species
of plants (including tress, shrubs, grass, crops, microflora
and aquatic plants)?
b. Reduction of the numbers of any unique, rare or endangered
species of plants?
c. Introduction of new species of plants into an area, or in a
barrier to the normal replenishment of existing species?
d. Reduction in acreage of any agricultural crop?
44. Animal Life. Will the proposal result in:
a. Change in the diversity of species, or numbers of any species
or numbers of any species of animals (birds, land animals
including reptiles, fish and shellfish, benthic organisms,
insects or microfauna)?
b. Reduction of the numbers of any unique, rare or endangered
species of animals?
• c. Introduction of new species of animals into an area, or result
in a barrier to the migration or movement of animals? _
t
r.a
.96
d. Deterioration to existing fish or wildlife habitat? A
45. Noise. Will the proposal result in:
a. Increases in existing noise levels?
b. Exposure of people to severe noise levels?
46. Lieht and Glare. Will the proposal produce new light or glare?
47. Land Use. Will the proposal result in a substantial alteration of the
present or planned land use of an area?
/4446
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YES MAYBE iQ
48. Natural Resources. Will the proposal result in:
a. Increase in the rate of use of any natural resources?
b. Substantial depletion of any nonrenewable natural resource?
49. Risk of Uoset. Will the proposal involve:
a. A risk of an explosion or the release of hazardous substances
(including, but not limited to, oil, pesticides, chemical or
radiation) in the event of an accident or upset conditions?
b. Possible interference with an emergency response plan or an
emergency evacuation plan?
50. Population. Will the proposal alter the location, distribution,
density, or growth rate of the human population of an area?
51. Housing. Will the proposal affect existing housing, or create a
demand for additional housing?
52. Transportation/Circulation. Will the proposal result in:
a. Generation of substantial additional vehicular movement? — —�
b. Effects on existing parking facilities, or demand for new
parking? —
c. Substantial impact upon existing transportation systems? —o
d. Alterations to present patterns of circulation or movement of
people and/or goods?
e. Alterations to waterborne, rail or air traffic?
f. Increase in traffic hazards to motor. vehicles? _
53. Public Services. Will the proposal have an effect upon, or result in
a need for new or altered governmental services in any of the following
areas:
a. Fire protection?
b. Police protection?
c. Schools?
d. Parks or other recreational facilities?
e. Maintenance of public facilities, including roads?
f. Other governmental services?
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YES
54. Energy. Will the proposal result in:
a. Use of substantial amounts of fuel or energy?
b. Substantial increase in demand upon existing sources of
energy, or require the development of new sources of energy?
55. mtifilita. Will the proposal result in a need for new systems, or
substantial alterations to the following utilities:
a. Power or natural gas?
b. Communications systems?
c. Water?
d Sewer or septic tanks?
e. Storm water drainage?
f. Solid waste and disposal?
.56. Human Health. Will the proposal result in:
a. Creation of any health hazard or potential health hazard
excluding mental health?
b. Exposure of people to potential health hazards?
57. Aesthetics. Will the proposal result in the obstruction of any
scenic vista or view open to the public, or will the proposal
result in the creation of an aesthetically offensive site open to
public view?
58. Recreation. Will the proposal result in an impact upon the
quality or quantity of existing recreational opportunities?
59. Cultural Resources.
a. Will'the proposal result in the alteration of or the
destruction of a prehistoric or historic archeological
site?
b. Will the proposal result in adverse physical or aesthetic
effects to a prehistoric or historic building, structure,
or object?
c. Does the proposal have the potential to cause a physical
change which would affect unique ethnic cultural values?
d. Will the proposal restrict existing religious or sacred
uses within the potential impact area?
MSYBE .L.Q
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60. Mandatory Findings of Signifrcancc.
1ES MAYBE iQ
a. Does the project have the potential to degrade the quality of
the environment, substantially reduce the habitat of a fish
or wildlife species, cause a fish or wildlife population to
drop below self-sustaining levels, threaten to eliminate a
plant or animal community, reduce the number or restrict the
range of a rare or endangered plant or animal or eliminate
important examples of the major periods of California history
or prehistory?
b. Does the project have the potential to achieve short-term, to
the disadvantage of long-term, environmental goals? (A short-
term impact on the environment is one which occurs in a
relatively brief, definitive period of time while long-term
impacts will endure well into the future.)
c. Does the project have impacts which are individually limited,
but cumulatively considerable? (A project may affect two or
more separate resources where the impact is relatively small,
but where the effect of the total of those impacts on the
environment is significant.)
d. Does the project have environmental effects which will cause
substantial adverse effect on human beings, either directly
or indirectly?
-8-
• •
NOTE: Before the Lead Agency can accept this application as complete, the applicant must consult the lists
prepared pursuant to Section 65962.5 of the Government Code and submit a signed statement indicating whether
the project and any alternatives are located on a site which is included on any such list, and shall specify any list.
HAZARDOUS WASTE AND SUBSTANCES STATEMENT
The development project and any alternatives proposed in this application are contained on the lists compiled
pursuant to Section 65962.5 of the Government Code. Accordingly, the project applicant is required to submit
a signed statement which contains the following information:
1.
Name of applicant: _ticIr4 rill'. EavaAp Via.
Address:
fistAiRts--141LLe-7.
3. Phone Number: (SO) 544. SFr)
4. Address of Site (street name and number if available, and ZIP code):
ibssurA r- x . 126,
ftW J U (')62.71-
5.. Local Agency (city/county): God I ` l (s f A157
6. Assessor's book, page, and parcel number:
7. Specify any list pursuant to Section 65962.5 of the Government Code: STATE OF CALIFORNIA
HAZARDOUS WASTE AND SUBSTANCES SITES LIST (available at City Hall).
8. Regulatory identification number:
9. Date of List: JULY 1992
Date
For
Signature
Applicant •
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NOTE: In the event that the project site and any alternatives are not listed on any list compiled pursuant to
Section 65962.5 of the Government Code, then the applicant must certify that fact as provided below.
I have consulted the lists compiled pursuant 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.
Date ` — c q r
For
Signature
Applicant
CERTIFICATION: I hereby certify that the statements furnished above and in the attached exhibits present the
data and information required for this initial evaluation to the best of my ability, and that the facts, statements,
and information presented are true and correct to the best of my knowledge and belief.
Date 1 b
forms\cnvironm.app
Signature
For
Applicant
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