City of Rancho Palos Verdes

2. Minor Site Plan Review Application
   The Minor Site Plan Review application is required for construction of the following minor residential improvements: chimneys, roof pitch modification, minor equipment (enclosed water heaters, a/c units, pool equipment, etc.), roof mounted equipment which extends less than 6” from the roof surface (skylights, solar panels, etc.), garden windows, deck structures less than 30” in height from existing adjacent grade and uncovered, and any other improvement which does not involve new habitable space, which cannot be used as a gathering space and viewing area, and which does not constitute lot coverage.
4. First Name
5. Middle Initial
6. Last Name
8. Company Name
   (If applicable)
9. Relationship to Property Owner
   (Self, contractor, architect, etc.)
11. Address1
13. Address2
15. City
16. State
17. Zip
19. Phone
20. Email
22. Business License Number
    (If not the property owner)
24. Project Address
    (If there is no address, input assessor’s parcel map number.)
26. Address1
28. Address2
30. City
31. State
32. Zip
34. Project Description
36. Maximum height of project, measured from the finished grade adjacent to the structure to the highest point of the structure:
38. Feet
39. Inches
41. Square footage of the project.
    In feet squared
43. Distance of project to property lines:
45. Front
46. Side
47. Side
48. Rear
50. Fee

    1. $139
52. Proposed Project Documents
    A subsidized filing fee of $71.50 will apply if you propose 1 or more of the following: Energy star mechanical units, Tankless water heaters, Pool / spa pumps with efficient motors, Solar Panels, or Skylights. Attach specification sheets of the proposed project as evidence the subsidized fee applies.
54. Site Plan
    Attach a site plan depicting all property lines and applicable easements, adjacent street right-of-way and the access driveway of the lot, building footprint of existing structures, location of the proposed project, setbacks from the proposed project to respective property lines. Also include a call-out or an elevation showing the maximum height of the proposed structure, measured from highest point of existing grade covered by the structure to the ridge (including any roof tiles, roof shingles or other roof material).
56. I hereby certify, under penalty of perjury, that the information and materials submitted with this application are true and correct.*

    1. I Agree
58. I hereby certify, under penalty of perjury, that I am the legal property owner, or the legal representative of the property owner, or have their authorization to do so).*

    1. I Agree
Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

* indicates a required field