UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
1960 Tate Street, City of East Palo Alto, CA 94303
TEL: 650 853 3189
E-MAIL: [email protected]
TO BE COMPLETED BY APPLICANT
APN:
PROPERTY ADDRESS/LOCATION:
PLEASE CHECK ALL THAT APPLY:
 Architectural Supervision









Water Verification (check one)
Conditional Use Permit
Design Review (Administrative)
Design Review (PC)
EIR (CEQA)
Mitigated or Negative Declaration (CEQA)
Exemption from CEQA
General Plan Amendment
Parcel Map / Lot Line Adjustment or Merger
Planned Community Permit
__ Will Serve __ Offset ___ H20 Budget ≥ Demand
 Sign Permit
 Special Use Permit
 Temporary Use Permit
 Tentative Parcel Map (4 or fewer lots)
 Tentative Tract Map (5 or more lots)
 Tree Removal Permit
 Variance
 Zone Change & Planned Unit Development
 Other: __________________________
PROPOSED USE:
__ Residential
__ Commercial
__ Industrial
__ Mixed Use
__ Not Applicable
PROJECT PROPOSAL AND DESCRIPTION:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
PLEASE INDICATE IF PROPOSAL INVOLVES ANY OF THE FOLLOWING:
__Building Mounted Wireless Communication Antenna
__Changes to Legal Non-Conforming Use/Structure
__Child Care Center
__Demolition of Buildings
__Development Within the Special Flood Hazard Area
__Drive-Through Use
__Electrical Power Generator
__Freestanding Wireless Communication Antenna
__Gas Station Conversion
__House Conversion to Non-Residential Use
__Late Night Use (Midnight – 6 a.m.) until _____
__
__
__
__
__
__
__
__
__
__
Off-Sale of Alcohol
Off-site or Alternate Parking Arrangement
On-Sale of Alcohol (Drinking Establishment)
Outdoor Uses
Parking Structure (stand alone)
Recycling Facility
Removal of Trees (How many?____________)
Residential Care/Service
Slope Greater than 5%
Temporary Trailer (other than construction office)
PROJECT AND SITE DATA:
Site Acreage:
Gross: __________________
Net: ____________________
PROJECT AND SITE DATA (continue):
Residential Units:
Commercial Square Footage:
Existing: ________________
__________________
Existing: ________________
__________________
Proposed (New + Existing):
Proposed (New + Existing):
Universal App Rev. 5/1/2017
page 1
UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
Industrial Square Footage:
Existing: ________________
__________________
Proposed (New + Existing):
CONTACT INFORMATION
Applicant Name:___________________________________________
Email ____________________________________
Mailing Address:_____________________________________________________________________
Telephone (_______)________________________________________
Property Owner’s Name:____________________________________
Email ____________________________________
Mailing Address:_____________________________________________________________________
Telephone (_______)________________________________________
Engineer’s Name:__________________________________________
Email ____________________________________
Mailing Address:_____________________________________________________________________
Telephone (_______)________________________________________
Architect’s Name:__________________________________________
Email ____________________________________
Mailing Address:_____________________________________________________________________
Telephone (_______)________________________________________
Contact Person’s Name:____________________________________
Email ____________________________________
Mailing Address:_____________________________________________________________________
Telephone (_______)________________________________________
FOR OFFICE USE ONLY:
Fees Collected: ___________________________________
By: ______________________________ (Staff)
Project Manager: ____________________________________________________
Zoning: ____________________________
General Plan: _____________________________
Staff Comments:
_________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
PLEASE VISIT THE PLANNING AND HOUSING DIVISION WEBSITE BELOW
http://www.ci.east-palo-alto.ca.us/index.aspx?nid=408
or e-mail [email protected] to arrange an appointment to submit an application.
Please note that that the fee is required upon application submittal.
FOR ASSISTANCE, CALL (650) 853-3189
Universal App Rev. 5/1/2017
page 2
UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
AFFIDAVIT OF OWNERSHIP AND COMPLIANCE
OWNERSHIP
THE UNDERSIGNED HEREBY DECLARES THAT THE FOLLOWING IS TRUE AND CORRECT:
1.
2.
3.
4.
The undersigned are all the owners of all the property described in Exhibit A – Legal Description of Subject Property.
The development plans submitted with this application show the exact location, size, and use of all easements on the
subject site and all easements on surrounding properties benefiting the subject property.
If there are any existing or deactivated water wells on your property, they must be shown on your plans. The property
which is the subject of this application:
______does contain existing active or deactivated water wells and they are shown on the accompanying plans
______does not contain existing active or deactivated water wells.
In conformance with Section 65962.5 of the California Government Code, I (we) hereby certify that I (we) have reviewed
the list of Hazardous Waste and Substance Sites within the City of East Palo Alto, as compiled by the Secretary for
Environmental Protection to determine if the project area and any alternative sites are included on the lists compiled
pursuant to the above-referenced section. Go to http://www.calepa.ca.gov/SiteCleanup/CorteseList/default.htm to comply
with this requirement and then certify that the project and any alternative site are ______, are not______ included on said
list. If included on the list, the listed item shall be identified on Exhibit B – List of Hazardous Wastes and Substances.
SERVICE AREA
COMPLIANCE
THE UNDERSIGNED__________________ HEREBY AFFIRMS THE FOLLOWING:
Sign above and complete # 5 below
1.
SEWER. Prior to plan submittal for public works permit issuance, the undersigned shall contact the East Palo Alto Sanitary
Sewer District (EPASSD) at (650) 325-9021 or the West Bay Sanitary District (WBSD) at (650) 321-0384) to determine the
service purveyor. EPASSD forms are available at: http://www.epasd.com/sewer_connection.html and WBSD forms can be
accessed at http://www.westbaysanitary.org/education/how-to-get-permits . Prior to connecting sewer lines, the undersigned
will contact underground service alert (“USA”) at http://usanorth811.org/.
2.
WATER. Prior to plan submittal for public works permit issuance, the undersigned shall contact Palo Alto Park Mutual Water
Company, www.paloaltoparkmutualwatercompany.com, at 650 322-6903, the O’Conner Tract Cooperative Water Company at
(650) 321- 2723) or the American Water, http://www.amwater.com, at (650) 322-2083 to comply with the submittal
requirements. Prior to connecting water lines, the undersigned will contact underground service alert (“USA”) listed above.
3.
FIRE. Upon submittal, two (2) additional plan sets will be provided directly to the Menlo Park Fire Prevention District
(“MPFPD”) at 170 Middlefield Road, http://www.menlofire.org/fireprevention/formsanddocs.html Hours can be obtained by
calling (650) 688-8425.
4.
SCHOOL. The undersigned acknowledges that payment of school impact fees may be required and will be paid upon
issuance of building or public works permits. Contact the Sequoia High School District (SUHSD) at http://www.seq.org/?id=106
to verify amount of school fees.
5.
FLOOD INSURANCE RATE MAP. The undersigned certifies that the property ____is NOT, _____ is in the Special Flood
Hazard Area and the base flood, if known, is___.
(check which applies)
6.
SUBMITALS: The above submittals and any revisions thereto will be provided to the Planning and Housing Division.
PRINT NAME OF PROPERTY OWNER
ADDRESS
DAYTIME TELEPHONE:
(
)
FAX TELEPHONE:
(
)
STATE
ZIP CODE
CITY
NAME OF FIRM, IF APPLICABLE
TITLE OR OTHER OFFICIAL CAPACITY*
SIGNATURE (PRINT NAME IF DIFFERENT THAN THE ABOVE PROPERTY OWNER)
DATE
*Please state if you are a partner, president, vice-president, etc.
PROVIDE ADDITIONAL PROPERTY OWNER INFORMATION ON PAGE 5, IF NECESSARY.
Universal App Rev. 5/1/2017
page 3
UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
Exhibit A and Exhibit B
(ATTACHED SEPARATE SHEET OR TYPE HERE)
EXHIBIT A – Legal Description
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Exhibit B – List of Toxic Substances
or Materials
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
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___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Universal App Rev. 5/1/2017
page 4
UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
AFFIDAVIT OF OWNERSHIP
THE UNDERSIGNED HEREBY DECLARE THAT ALL ITEMS ON THIS APPLICATION ARE TRUE AND CORRECT, AND
DECLARE THAT THEY UNDERSTAND THAT ALL ITEMS ON THE FIRST PAGE OF THIS AFFIDAVIT OF OWNERSHIP
APPLY TO THEIR PROJECT:
PRINT NAME OF PROPERTY OWNER
ADDRESS
DAYTIME TELEPHONE:
(
)
CITY
NAME OF FIRM, IF APPLICABLE
FAX TELEPHONE:
(
)
STATE
ZIP CODE
TITLE OR OTHER OFFICIAL CAPACITY*
SIGNATURE (PRINT NAME IF DIFFERENT THAN THE ABOVE PROPERTY OWNER)
DATE
PRINT NAME OF PROPERTY OWNER
FAX TELEPHONE:
(
)
ADDRESS
DAYTIME TELEPHONE:
(
)
CITY
NAME OF FIRM, IF APPLICABLE
STATE
ZIP CODE
TITLE OR OTHER OFFICIAL CAPACITY*
SIGNATURE (PRINT NAME IF DIFFERENT THAN THE ABOVE PROPERTY OWNER)
DATE
PRINT NAME OF PROPERTY OWNER
FAX TELEPHONE:
(
)
ADDRESS
DAYTIME TELEPHONE:
(
)
CITY
NAME OF FIRM, IF APPLICABLE
STATE
ZIP CODE
TITLE OR OTHER OFFICIAL CAPACITY*
SIGNATURE (PRINT NAME IF DIFFERENT THAN THE ABOVE PROPERTY OWNER)
DATE
PRINT NAME OF PROPERTY OWNER
FAX TELEPHONE:
(
)
ADDRESS
NAME OF FIRM, IF APPLICABLE
DAYTIME TELEPHONE:
(
)
CITY
STATE
ZIP CODE
TITLE OR OTHER OFFICIAL CAPACITY*
SIGNATURE (PRINT NAME IF DIFFERENT THAN THE ABOVE PROPERTY OWNER)
DATE
* PLEASE STATE IF YOU ARE A PARTNER, PRESIDENT, VICE-PRESIDENT, ETC…..
IF THERE ARE ADDITIONAL PROPERTY OWNERS, PLEASE ATTACH SEPARATE COPIES OF THIS PAGE TO PROVIDE THE ABOVE
INFORMATION.
Universal App Rev. 5/1/2017
page 5
UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
PLANNING AND HOUSING APPLICATION
Indemnification Agreement
___________________________________________________
Project Address
As part of the application, the applicant and/or property owner agree to defend, indemnify, and hold harmless
the City of East Palo Alto, its agents, officers, council members, employees, boards, commissions, and Council
from any and all claims, actions or proceedings brought against any of the foregoing individuals or entities,
seeking to attack, set aside, void or annul any approval of the application or related decision, or the processing
or adoption of any environmental documents or negative declarations which relate to the approval. This
indemnification shall include, but is not limited to, all damages, costs, expenses, attorney fees or expert
witness fees that may be awarded to the prevailing party arising out of or in connection with the approval of the
application or related decision, whether or not there is concurrent, passive or active negligence on the part of
the City, its agents, officers, council members, employees, boards, commissions, and Council. If for any reason
any portion of this indemnification agreement is held to be void or unenforceable by a court of competent
jurisdiction, the remainder of the agreement shall remain in full force and effect.
The City of East Palo Alto shall have the right to appear and defend its interest in any litigation arising from the
approval of the application or any related decision through its City Attorney or outside counsel selected by the
City Attorney. The applicant shall be required to reimburse the City for attorney's fees incurred by the City in
connection with the litigation.
I have read and agree with all of the above.
______________________________________________
Applicant (please print name)
______________________________________________ ____________________
Applicant signature Date
______________________________________________
Property owner name (if different from the applicant)
______________________________________________ ____________________
Property owner signature (if different from the applicant) Date
Page 6 of 17
UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
APPLICATION COMPLETENESS CHECK LIST
PROJECT LOCATION:
STAFF:
DATE RECEIVED:
DATE REVIEWED:
DOCUMENTS
APPLICATION FORM (correctly filled out)
__Applicant(s) – listed as owner(s) or qualified tenant(s) of subject property
__Signature(s) of owner(s) listed above
__Contact Person identified
__Architects, Engineers and Developers identified
__Affidavit Page signed by owner(s)
__Project Description
__Project and Site Data Information
__Indemnification Form
LEGAL DESCRIPTION
Label as Exhibit A -not applicable for administrative permits
__Single metes and bounds description of entire property with associated Plat Map or
__Plot Map of delineating the Permit Area (8 ½” x 11”) or
__Lot and tract number from recorded subdivision map, and copy of said tract map
DEVELOPMENT PLANS
Please consult attached Chart 2 - Plan Set Requirements and number of plans required based on specific type of permit which may
be different from below. Some permits do not require all of the plans noted below.
__Attached in sets in correct order
__Title Sheet - [Sheet 1]
__Land Use Plan - [Sheet 2]
__Site Plan - [Sheet 3]
__Grading and Drainage - [Sheet 4]
__Impervious Surface Form - [Sheet 5] – 3 pages
__Building Elevations - [Sheet 6]
__Building and site photos on plan street - [Sheet 7]
__Floor Plan - [Sheet 8]
__ Landscape and Maintenance Plan - [Sheet 9]
__ Lighting Plan - [Sheet 10]
__Design Details - [Sheet 11]
__ Lot Line Adjustment [Sheet 12]
__Legible black line plan set
24” x 36” or digital copy - Optical Character Recognition (OCR)-enabled plan set
__Management Plan, if applicable
__8/12 x 11 Plat Map
__Extra Land Use plans
__Extra Site Plans
__Extra Grading Plans
__Extra Landscape Plans
ENVIRONMENTAL REVIEW
__List of toxic materials or substances, check only if applicable. (Label as Exhibit B)
__Draft EIR
__Initial Study which includes:
__Photographs
__Vicinity and location maps
__Signed disclosure forms
__Request for Environmental Exemption
__Some evidence that environmental review has been completed
Page 7 of 17
Architectural Supervision
(minor – less than 10% change)
Conditional Use Permit
Design Review
General Plan Amendment
Lot Line Adjustment/ Merger
Parking Exception
Planned Community Permit
Planned Unit Development
Rezoning
Sign Permit
Special Use Permit
Street Vacation
Tree Removal
Variance
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Affidavit of ownership
Indemnification form
Legal Description
X
X
Affordable Housing Plan
(applicable for
Photos of building, site
& neighborhood
X
X
X
X
Assessor's Parcel Map
Supplemental Forms
(see attached)
Environmental Review
(Pick one below)
X
X
Community and Economic Development Department
Planning and Housing Division
X
X
Zoning Text Amendment
Architectural Supervision
(Major – new projects )
Application form
completed
UNIVERSAL APPLICATION
Tentative /Parcel Map
Application Item:
Appeal
Check Box if Complete
CHART 1 - Application Submittal Requirements and Checklist
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
3
3
3
3
X
X
X
X
X
X
X
X
X
X
X
X
3
3
3
3
3
3
3
3
3
3
3
1
1
1
1
1
1
1
X
Exemption
Initial Study for
Mitigated
Negative
Declaration
(MND)
Reuse of Mitigated
Negative
Declaration
(MND)
Addendum to
EIR or MND
Administrative
Draft EIR
Plat Map
No. of required complete
plan sets (24" x 36")
Digital Copy of Plan set
Number of extra Site
Plans needed
Number of extra
Grading Plans needed
Number of extra
Landscape/Maintenance
Plans needed
8
1
2
1
3
X = Required; (*) = Number of copies required per Subdivision Section 7011
Page 8 of 17
7
7
1
7
2
5
5
Landscape /Maintenance Plans
Site Plan ( Basic, Conceptual,
Comprehensive)
Administrative Use
Permit
Appeal
Architectural
Supervision
Design Review
General Plan
Amendment
Lot Line
Adjustment/Parcel
Merger
Parking Exception
Planned Community
Permit
Planned Unit
Development
Rezoning
Sign Permit
Special Use Permit
Street Vacation
Tentative Map, Parcel
Map, Final Map
Tree Removal Permit
Variance
Zoning Text
Amendment
Digital Plan Set
Plat Map (8 ½ by 11)
Lighting Plan
Floor Plans
Building Elevations
Community and Economic Development Department
Planning and Housing Division
Tentative Map Plan
Other Details(Digital Copy)
Building and site photos
Impervious Surface Form
Grading and drainage plan
Application Type
Title Sheet
UNIVERSAL APPLICATION
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Page 9 of 17
X
X X
X
X X
X
X X
X
X
X
X X
X
X
X
X
X
UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
Universal Application - Contents of Plan Sheets
Please refer to charts 1 and 2 for plan set requirements. Below are the minimum requirements. Under the provisions of
Section 6104 of the Zoning Ordinance additional materials can be requested if it is in the public interest.
Sheet No. 1. Title Sheet:
a. Name of project and description of proposed use, including planning entitlements sought.
b. Table of contents listing all plan set sheets, their content and page number.
Sheet No. 2. Land Use Plan Map
Map of area subject to proposal:
Include a map with the details identified below. All plans in the plan set that following this sheet should be labeled as
“Conceptual” (i.e. conceptual site plan, etc.)
a. Location map at 1" = 500' scale with site denoted.
b. Plan to scale of area to be rezoned showing:
1. Proposed project boundaries fully dimensioned.
2. Include all public and private use areas, clearly identified and shaded, including:
a) All permitted land uses, including unit type (i.e. single family detached, condominium flats, apartments,
etc.) and size for residential uses.
b) Landscape areas, common open space, private open space, and public open space.
c) All public streets, private streets and driveways within, and adjacent to, the proposed project and labeled
“Public Street”, “Private Street” or “Driveway” with total right-of-way width dimensioned (including cross
sections).
d) All public and private easements, including parking, access, utility, and pedestrian easements showing
purpose and beneficiary of each easement.
c. A use table which identifies each permitted use and the area of each and includes a statement of the standards of
residential unit density, and building, parking, vehicular circulation and landscaping intensity.
d. Notes which specify:
1. Development Standards:
a) All setbacks
b) Building height (stories and feet)
c) Parking ratios
d) Minimum lot size, and dimensions if applicable
2. Performance Standards:
a) By reference to specific district in Zoning Ordinance, or
b) Modified to be project specific
3. Clear descriptions of any required off-site work, including street and infrastructure improvements.
4. Clear descriptions of any environmental mitigation requirements, if any.
5. Impervious Surface Form (additional information may be required).
6. Private Infrastructure standards note to meet or exceed Public Improvement standards.
7. Additional graphic (i.e. mapped) information as applicable, including:
a) The location of the closest building, both existing and approved, on all adjacent properties.
b) All existing structures with disposition noted.
c) Perimeter setbacks dimensioned.
8. All significant existing natural features, including:
a) “Ordinance size” trees (40" diameter breast height at 24 inches above grade) and smaller trees which are
significant by virtue of their species, location and/or significance to the site due to the limited amount of
existing vegetation.
b) Creeks and waterways, including top of bank.
c) Rock outcroppings.
9. The location and required height of sound walls.
10. Use Areas.
a) General Building envelopes.
b) General open space landscaping and recreation areas.
Page 10 of 17
UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
c) Parking Areas.
d) Internal circulation drives, width dimensioned.
11. Any project interface problem and solution identified.
Sheet No. 3. Site Plan (*BASIC): (drawn to scale). May require more than one sheet labeled “Site Plan” to include the
information listed below:
a. Location map and Assessor’s Parcel Number(s)
b. Statement and tables:
1. Total acres of subject property (net and gross)
2. Total number of dwelling units
3. Total existing and proposed gross square footage of floor space for each non-residential use
4. Total number of existing and proposed off-street parking and loading spaces if an addition is
proposed
5. Residential density (number of dwelling units per acre)
c. Use of all adjacent properties, including locations of any buildings or freeways within 50 feet of the
proposed improvements.
d. Dimensions of subject property and all existing lot lines. For a project that only affects a small portion
of a property (i.e. less than 20% of site area) a partial site plan may be acceptable.
e. All existing and proposed buildings, structures and wells and their proposed uses, including the
proposed removal of any building (information should be clearly delineated on the site plan)
f. Proposed off-street parking, loading, and circulation areas
g. All existing and proposed easements for parking, access, and all easements on surrounding
properties benefiting the subject property
h. Location of existing and proposed on-site lighting fixtures
i. Name(s) of creek(s) and/or stream(s) should be clearly labeled on the site plan
ALTERNATE Sheet No. 3. Site Plan (CONCEPTUAL): (drawn to scale). May require more than one sheet labeled “Site
Plan” to include the information listed below:
a. Location map and Assessor’s Parcel Number(s)
b. Statement and tables:
1. Total acres of subject property (net and gross)
2. Total number of dwelling units
3. Total existing and proposed gross square footage of floor space for each non-residential use
4. Total existing and proposed net square footage of floor space (85% of gross) for each nonresidential use
5. Total number of existing and proposed off-street parking and loading spaces
6. Percentage of proposed site coverage for buildings, off-street parking and loading, and
landscaping
7. Residential density (number of dwelling units per acre)
c. Use of all adjacent properties, including locations of any buildings or freeways within 50 feet of
property lines
d. Dimensions of entire subject property and all existing lot lines
e. Note all existing and proposed buildings, structures, parking spaces, driveways/circulation elements,
loading areas, landscaped areas, outdoor use areas fences and wells and their proposed uses,
including the proposed removal of any building (information should be clearly delineated on the site
plan)
f. All existing and proposed public and private easements for utility, drainage, sewer, parking, access
and other purposes, and all easements on surrounding properties benefiting the subject property
g. Fully dimensioned public right-of-way improvements for both sides of adjacent streets showing
accurate locations for existing and proposed, facilities such as streets, curbs, sidewalks, sidewalk
planters, street trees, utility poles, electroliers, traffic signs and signals, storm sewers, sanitary
sewers, fire hydrants, median island and median island openings, project driveways, driveways on
opposite street frontages, bus stops, drainage inlets and manholes
h. Cross-sections of the full right of way for all existing and proposed public and private streets, and
driveways, each fully dimensioned
Page 11 of 17
UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
i. Location of existing and proposed on-site lighting fixtures
j. Name(s) of creek(s) and/or stream(s) should be clearly labeled on the site plan
ALTERNATE Sheet No. 3. Site Plan (COMPREHENSIVE): (drawn to scale). May require more than one sheet labeled
“Site Plan” to include the information listed below:
a. Location map and Assessor’s Parcel Number(s)
b. Statement and tables:
1. Total acres of subject property (net and gross)
2. Total number of dwelling units
3. Total existing and proposed gross square footage of floor space for each non-residential use
4. Total existing and proposed net square footage of floor space (85% of gross) for each nonresidential use
5. Total number of existing and proposed off-street parking and loading spaces
6. Percentage of proposed site coverage for buildings, off-street parking and loading, and
landscaping
7. Residential density (number of dwelling units per acre)
c. Use of all adjacent properties, including locations of any buildings or freeways within 50 feet of
property lines
d. Dimensions of entire subject property and all existing lot lines
e. Note all existing and proposed buildings, structures, parking spaces, driveways/circulation elements,
loading areas, landscaped areas, outdoor use areas fences and wells and their proposed uses,
including the proposed removal of any building (information should be clearly delineated on the site
plan)
f. All existing and proposed public and private easements for utility, drainage, sewer, parking, access
and other purposes, and all easements on surrounding properties benefiting the subject property
g. Fully dimensioned public right-of-way improvements for both sides of adjacent streets showing
accurate locations for existing and proposed, facilities such as streets, curbs, sidewalks, sidewalk
planters, street trees, utility poles, electroliers, traffic signs and signals, storm sewers, sanitary
sewers, fire hydrants, median island and median island openings, project driveways, driveways on
opposite street frontages, bus stops, drainage inlets and manholes
h. Cross-sections of the full right of way for all existing and proposed public and private streets, and
driveways, each fully dimensioned
i. Location of existing and proposed on-site lighting fixtures
j. Name(s) of creek(s) and/or stream(s) should be clearly labeled on the site plan
Sheet No. 4. Grading and Drainage Plan:
a. Topography with pad elevations for the site and all properties within 50 feet
b. Existing trees, specifying size, species, condition and disposition
c. All existing and proposed retaining walls, swales and inlets
d. All existing and proposed contours, including slopes and identification of Top of Curb(TOC), Top of
Wall(TOW), Base of Wall(BOW), invert and grate elevations
e. Sections through the property to include adjoining properties, showing the grading and
soundwall/fence at the property line
f. Drainage flows and overland release flows
g. Details of retaining walls, swales and drainage structures
h. Paving materials
Sheet No. 5. Impervious Surface Form:
Please complete the 3 pages attached. Additional forms may be required upon review of the Impervious Surface Form.
Sheet No. 6. Building Elevations:
a. Dimensioned elevations of all exterior walls (Photographs may be substituted for existing elevations
to remain unchanged)
b. Type of roof, wall and trim materials, colors and textures
c. Attached and detached sign details, designs and locations
d. Changes or additions to existing buildings or materials clearly identified
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UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
Sheet No. 7. Building and Site Photos: This sheet is used as a substitute for the creation of a drawing with Building
Elevations where there are no exterior changes proposed.
a. Photographs of all building elevations, areas of the site and adjacent buildings on the same side of
street. Labels shall provided on each photo to describing the photo (i.e. front elevation of subject
building, adjacent building to the south, etc.)
b. Changes or additions to existing buildings or materials clearly identified
Sheet No. 8. Floor Plans:
a. Total gross floor area
b. Total square footage of leasable floor area (i.e. 85% of gross)
c. Identify location of exterior doors and windows
Sheet No. 9. Landscape Plan:
a. All areas to be landscaped, whether maintenance is to be public or private (Public maintenance areas are subject to
City Standards and must be included in improvement plans for a Public Works
Clearance)
b. Location, size and identification of each tree, shrub, ground cover and other landscape feature
c. All property lines and street names
d. Location of existing and proposed walks, driveways, fences, pools, ponds, water features, retaining walls
e. Standards for class of irrigation pipe, depth of pipe and backflow preventers
f. Typical details of spray, ground cover, shrub, and tree irrigation installations
g. Removal of protected tree requires an arborists report and compliance with the East Palo Alto Zoning Ordinance.
Note: A conceptual irrigation plan is required for many projects once the site layout is resolved. Refer to
the Assembly Bill 1881, http://www.water.ca.gov/wateruseefficiency/landscapeordinance/
Sheet No. 10. Lighting Plan:
a. Details for the location of freestanding light fixtures within all outdoor areas.
b. Details for the height and type of freestanding light fixtures within all outdoor areas.
Sheet No. 11 Details:
a. Details for proposed fences, walls, trash enclosures, roof equipment screening and lighting
b. Details for any atypical building features
Sheet No. 12 Details:
Subdivisions (Tentative Maps and Parcel Maps) and Lot Merger /Split: Tentative Maps, Parcel Maps, Lot Mergers
and Lot Splits must be prepared under the direction of a Licensed Land Surveyor or registered California Civil Engineer. It
must be clearly and legibly drawn to scale, be of the size and form prescribed by the Planning and Housing Manager, and
must clearly show and contain the following information:
1. Tract name or designation and property address.
2. Name and address of owner, subdivider and registered civil engineer or licensed surveyor. All required certificate
statements, affidavits and acknowledgments.
3. Locations, names and widths of all adjoining highways, streets or ways, the names of adjacent subdivisions and
the names of all owners of properties adjacent to proposed tract.
4. Width and grades of all highways, streets and ways within such proposed subdivision, with typical cross-sections
showing proposed improvements.
5. Widths and locations of all existing or proposed easements, whether public or private.
6. Radius of all street curves.
7. Total size of property before and after street and right-of-way dedication (gross and net land area calculation).
8. Lot layout, including the dimension of each lot line, and exact square footage of each lot.
9. Location of all water courses and natural drainage channels, locations of all areas covered by water or subject to
inundation, and existing and proposed storm drain facilities.
10. Source of water supply, including conceptual design.
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UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Method of sewage disposal, including conceptual design.
Location of all buildings in close proximity to proposed tract.
Proposed public areas (if any).
Contour lines (existing and proposed) showing one foot contours for ground slopes or less than five feet vertical
and one hundred feet horizontal distance, and five feet horizontal distance, and five foot contours for ground
slopes in excess thereof.
Location or vicinity map, date, north point and scale.
Number or letter identification for each lot.
Location and outline of each existing building and a note as to whether or not it is to be removed.
Each street shown by its actual street name or by a temporary name or symbol for the purpose of identification.
All trees shall be accurately identified and plotted with base grade data, dripline and finished grades within the
dripline.
All fire hydrant locations.
Required yards.
If condominium or townhouse project, two (2) copies of CC&R's and other related documents such as association
by-laws.
Name of utility providers and show location of closest existing services, including gas, electricity, telephone, cable
television.
If hillside, show grading required for roadway construction, including location of all cuts and fills, volumes,
retaining walls or reinforced earth slopes (with top and base elevations), existing and proposed contours.
If hillside, show conceptual driveways, building sites, drainage and sanitary sewers.
Interim erosion control.
Location of any known private groundwater wells
Benchmark elevations shall be on City of EPA datum
For Vesting Tentative Maps, clearly print on its face the words: “Vesting Tentative Map”
If it is impossible or impracticable to place upon the tentative map any of the information required above, such
information shall be furnished on a separate document which shall be submitted with the map, the subdivider and
his engineer shall familiarize themselves with the current subdivision.
Note: Dedications may be required as specified in the Subdivision Map Act (Section 66475). Any required dedications will
be identified and conveyed, in writing, to the applicant during the review of the project.
Plat Map (8 ½ x 11): The plot plan should be 8 ½ x 11, but may be increased to a maximum size of 11"
x 17”. These should be clearly labeled “Plat Map,” and drawn to scale. The plan must include the following information:
a. Location of the property to be zoned relative to existing and proposed public streets.
b. Boundary dimensions of the property to be zoned.
c. Each separate legal parcel within the area to be zoned.
d. The name(s) of the present owner(s) of each separate legal parcel.
e. A north arrow and bar scale.
f. The date the plot plan was prepared.
g. The location of any active or deactivated water well(s) on the property.
h. Exact locations of any buildings, structures, and significant physical features such as rock
outcroppings, trees, and riparian corridors.
i. All plats provided should have the original or wet stamp by the licensed civil engineer.
Management Plan: This is only required for certain projects. Please check with the assigned planner to determine if this
plan should be submitted.
a. Provide details of proposed security measures that the private management staff will provide to
address queuing in the public right-of way due to occupancy limitations and/or when cover charges
are collected, the number of security staff proposed and the hours for such personnel.
b. Identify how and where extra security lighting may be provided and how issues with loud interior and
exterior noise will be addressed to avoid impacts to surrounding uses.
c. Compliance with Chapter 8.5 (Below Market Rate Housing Requirements) shall be required for applicable projects.
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UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
d. If the project is for an affordable housing development, a management plan shall be submitted to demonstrate
compliance with State and Federal rent regulatory agreements.
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UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
MRP PERMIT IMPERVIOUS SURFACE DATA COLLECTION WORKSHEET
(SHEET 5 DATA)
COMPLETE THIS WORKSHEET FOR EACH NEW OR REDEVELOPMENT PROJECT WHERE IMPERVIOUS SURFACE
WILL HAVE BEEN CREATED, ADDED AND/OR REPLACED.
What Projects Apply?
All project applicants proposing to create, add, and/or replace impervious surface on the project site must fill out
this worksheet and submit it to the Planning and Housing Division as early in the planning process as possible and
prior to any building permit issuance. Interior remodeling projects, and routine maintenance or repair projects, such
as re-roofing are NOT required to complete this worksheet.
What is an Impervious Surface?
An impervious surface is a surface covering or pavement of a developed parcel of land that prevents the land’s
natural ability to absorb and infiltrate rainfall/stormwater. Impervious surfaces include rooftops, walkways, patios,
driveways, parking lots, storage areas, impervious concrete and asphalt.
For More Information
For more information regarding selection of best management practices for stormwater pollution prevention, stormwater
treatment management contact: Michelle Daher (650) 853-3197
Project Name: _______________________________APN #__ __ __ - __ __ - __ __ __
Project Description:
Applicant’s Name:
Project address:
1. Project Type (Check all that apply):
-Use
-service Facility
Outlet
Project size:
a. Site/lot size _________sq. ft.
b. Estimated area of land disturbance during construction
(including clearing, grading, or excavating).
Existing
Impervious
Surface, in
square feet.
c. Non-parking impervious surface area
(includes land covered by buildings,
sheds, patios/ covers, streets, sidewalks,
paved walkway)
d. Areas of uncovered parking
e. Off-lot impervious surface (streets,
sidewalks, and/or bike lanes built as part
of new street)
N/A
TOTAL: c through e
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sq. ft.
Proposed Impervious surface in square feet.
Replacem
ent
New
UNIVERSAL APPLICATION
Community and Economic Development Department
Planning and Housing Division
2. Determine Requirements for Stormwater Treatment
a. Check box if total proposed impervious surface is equal to or greater than:
This is NOT a small Project—Use “regulated” project form.
b. Check box if combined area of uncovered parking lot, plus any impervious surface for
auto-service facility, retail gasoline outlet, and/or restaurant, is equal to or greater than:
This is NOT a small Project—Use “regulated” project form
c. Check box if combined area of impervious surface is between:
-5,000 sq. ft.: This is a small Project, the following requirements apply.
3.
Requirements for Small Project
If the project’s impervious surface area is between 0-5,000 sq. ft., the following
requirements apply:
Source Controls
 Construction Best Management Practices Plan Sheet (see staff for sample)
 Wash area/racks, drain to sanitary sewer
 Roofed dumpster area, drain to sanitary sewer
 Adequately sized solid waste service for trash, recycling and green waste
 Swimming pool, fountains and spas drain to sanitary sewer
 Beneficial landscaping only (water efficient irrigation, drought tolerant vegetation
and less toxic pesticides and fertilizers)
 Outdoor material storage protection
 Covers, drains for loading docks, maintenance bays, fueling areas
 Street sweeping, catch basin cleaning
 Use of architectural copper requires additional precautions (inform staff, if
applicable)
Site Design
 Disconnect down spouts, drain to landscaped area or cistern
 Minimize land disturbance
 Cluster structures and pavement
 Disconnect downspouts
 Preserve open space
 No change in runoff hydrograph
 Porous pavement for all new or replaced outdoor walkways and driveway
surfaces
 Preserve trees, plant if possible
 Protect riparian and wetland areas, riparian buffers
Applicant Signature________________________________ Date________________
Title_________________________________
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