HomeMy WebLinkAboutPlanning Application Form_ExecutedPLANNING APPLICATION
The Planning Application review process applies to all projects requiring a discretionary action. Discretionary refers
to projects that involve a level of judgement and discretion by the decision-maker in taking action to approve,
approve with conditions or deny a project, with findings. Depending on the level of review, a decision-maker on a
discretionary project is the Director of Community Development, Planning Commission or City Council. Typical
types of projects that require a discretionary action include Conditional Use Permits, Design Review, General Plan
Amendments, Tentative Parcel or Tract Maps, Variances, and Zone Changes.
PROPERTY INFORMATION
Address: APN(s):
General Plan Designation: Zoning Designation:
Current Use/ Description of the Property:
PROJECT INFORMATION (Check all that Apply)
☐ Annexation ☐ Substantial Conformance
☐ Conditional Use Permit ☐ Specific Plan
☐ Design Review
Industrial Commercial Residential Minor ☐ Sign Program
☐ Extension of Time ☐ Surface Mining and Reclamation Plan
☐ General Plan Amendment ☐ Tentative Parcel Map
☐ Public Convenience or Necessity ☐ Tentative Tract Map
☐ Planned Unit Development ☐ Variance
☐ Preliminary Application Review ☐ Zone Change
FOR CITY STAFF USE ONLY
PA#: Date Submitted:
Project #(s):
Project Description:
CONTACT INFORMATION
PROJECT OWNER* APPLICANT
Name: Name:
Mailing Address: Mailing Address:
City/State/Zip Code: City/State/Zip Code:
Phone: Phone:
Email: Email:
ARCHITECT ENGINEER
Name: Name:
Mailing Address: Mailing Address:
City/State/Zip Code: City/State/Zip Code:
Phone: Phone:
Email: Email:
* For additional property owners, attach a separate page with APN(s), address, contact information, and signature.
PROPERTY OWNER/ APPLICANT SIGNITURE
I hereby certify that I am the applicant or designated agent named herein and that I am familiar with the rules and regulations with respect
to preparing and filing this petition for discretionary action, and that the statements and answers contained herein, and the information
attached are in all respects true and accurate to the best of my knowledge and belief. Please not all correspondence will be directed to the
designated applicant.
The property owner further certifies that they are the legal owner of the property, consent to the filing of this application, and have
authorized the applicant below to represent them with respect to the processing of this application.
Finally, I understand that incomplete applications cannot be transmitted or processed. To process a care in an expedition manner, a
complete application package is necessary.
PROPERTY OWNER(S)
Name (Print): Signature: Date:
Name (Print): Signature: Date:
APPLICANT
Name (Print): Signature: Date:
☐ Please check this box if you are willing to receive staff reports via email.
Submittal Requirements Annexation CUP DR (C,I, & R) EOT GPA PCN PUD PAR SC Specific Plan SP SM & RP TPM TTM VAR ZC Legend:
= Necessary Documents
N/A = Documents not Needed
Application and Filing Fee
Signed Cost Recovery
Agreement
Preliminary Title Report
and all supporting
documents
Environmental
Information Form N/A
Hazardous Waste/Well
Site Information Form N/A N/A
Preliminary Drainage,
Geology, & Hydrology
Studies
N/A N/A N/A N/A N/A N/A N/A N/A N/A
Preliminary Water
Quality Management
Plan if priority water
project
N/A N/A N/A N/A N/A N/A N/A N/A N/A
Digital Copy of all
Application Materials
Colors and Materials
Information N/A N/A N/A N/A N/A N/A N/A N/A
Letter of Intent –
Describing the proposed
project
Planning Application Submittal
Requirements
Plans listed in this block MUST be assembled together in sets and stapled (sets are site plans, preliminary grading plans,
architectural elevations, floor plans, conceptual utility plans) and folded to a MAXIMUM size of 8 ½” X 11”
Submittal Requirements Annexation CUP DR (C,I, & R) EOT GPA PCN PUD PAR SC Specific Plan SP SM&RP TPM TTM VAR ZC Legend:
= Necessary Documents
N/A = Documents not Needed
Site Plans or Tract/Parcel
Maps (Full Size 24”x 36”),
Preliminary Grading and
Drainage Plans (Full Size) N/A N/A N/A N/A N/A N/A N/A N/A
Architectural Elevations,
(Full Size) N/A N/A N/A N/A N/A N/A N/A N/A
Floor Plans (Full Size) N/A N/A N/A N/A N/A N/A N/A N/A N/A
Conceptual Dry and Wet
Utilities Plans, (Full Size) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Conceptual Landscaping
Plans (Full Size) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Fence and Wall Plan N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
11 x 17 reduction of
COMPLETE SETS of
required plans
City of Lake Elsinore
Planning Department
Agreement for Cost Recovery
Project Name: _______________________________________________________
Planning Application Number(s): ________________________________________
CRS Number(s): ______________________________________________________
The application(s) for the above referenced project may generate processing costs in excess of the
amount of the filing fee. If applicable, your initial deposit amount of $________________ will be
applied toward your application. Draws against this deposit will be made based on staff time and
materials needed to process your application. Statements will be sent to you documenting the
draws against your deposit. If the deposit reaches a balance of $500.00 or less, you will be asked
to make a subsequent deposit. You will be expected to pay these bills within 30 days of invoice
date. The remaining $500.00 or less will be used to reconcile your final bill. If there is a balance
remaining after reconciling the final bill, a refund check will be mailed to you.
I _________________________________* (as responsible party), agree that actual recorded
costs plus overhead, incurred in the processing of this application(s) will be paid to City of Lake
Elsinore, c/o Lake Elsinore Planning Department, 130 S. Main Street, Lake Elsinore, CA 92530.
Additionally, I understand that, in the event that my account is not paid within 30 days of the
invoice date, processing will be suspended until such time that payment is made.
In order to implement the cost recovery provisions, please sign this statement indicating your
agreement to the cost recovery procedure. The signed agreement is required for your application
to be accepted for processing.
Responsible Party’s Signature: ________________________
Date: _____________________
Date Filed:
Planning Application No.:
GENERAL INFORMATION
Developer or Applicant:
Contact Person:
Address:
Telephone:
Email:
Address of Project:
Proposed Use of Site:
Assessor’s Parcel Numbers
(APNs):
FOR RESIDENTIAL DEVELOPMENT
Number of Units:
Unit Sizes:
Units per Acre:
Lot Sizes:
Number of Parking Spaces:
FOR COMMERCIAL AND OTHER DEVELOPMENT
Type of Development:
Number of Buildings:
Size of Buildings:
Number of Parking Spaces:
ENVIRONMENTAL INFORMATION
Please provide a separate written response for questions #1-4, it is recommended that photographs be
provided in support of submitted answers.
1.Describe the project site as it exists before the project, including information on topography, soil
stability, plants, and animals, and any cultural or scenic aspects.
2.Describe any existing structures onsite and use of these structures.
Environmental Information Form
3.Describe the surrounding properties, including information on plants and animals and any
cultural, historical, or scenic aspects.
4.Describe the types of surrounding land use, intensity of land use, and sale of development.
5.Identify any other related permits and other public approvals requires for this project
including those required by the City, regional, State, Federal agencies, not including
approvals from the City, fire department, sheriff’s department, and Elsinore Valley
Municipal Water District.
Is any part of the Project, on-or off-site, located within a Criteria Cell pursuant to the
Multiple Species Habitat Conservation Plan (MSHCP)? If so, what are the Criteria Cell#(s)?:
If not known, please enter all APNs at the following website to run a report:
https://wrcrca.maps.arcgis.com/apps/webappviewer/index.html?id=2b9d4520bd5f4d35ad
d35fb58808c1b7
The City is a Lead Agency under CEQA, and is required under State law to ensure compliance.
All projects are subject to a review under the California Environmental Quality Act (CEQA) and
will consist of one (1) or more of the following:
•If not exempt, preparation of technical studies will be required to support
determination of appropriate CEQA process, as described below.
•Determination by Planning Division that all project impacts are less than significant or
can be mitigated to less than significant. As such, the City will direct preparation of a
Negative Declaration (ND) or Mitigated Negative Declaration (MND).
•Determination by Planning Division that at least (1) project impact cannot be mitigates
to less than significant levels. As such, the City will direct preparation of an
Environmental Impact Report (EIR).
All CEQA documents must be prepared either by City Staff OR by a qualified, City-approved
consultant under direct contract with the City but funded by the Applicant.
Depending on the environmental impacts potentially resulting from your project, technical
studies that may be required, but may not be limited, included:
•Air Quality Analysis
•Noise Study
•Traffic Impact Analysis
•Geotechnical Study
•Phase I Environmental Site Assessment (Hazardous Materials)
•Hydrology Study or Conceptual Drainage Plan
•Conceptual Water Quality Management Plan
•Biological Resources Study (also used to support MSHCP consistency work)
•Cultural Resources Study
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.
Signature: ___________________________________ Date: _________________
Government Code Section 65962.5, which became effective July 1, 1987, requires the applicant
for any development project to consult specified state-prepared lists of hazardous waste sites
and submit a signed statement to the local agency indicating whether the project is located on
or near an identified site. Under the statute, no application shall be accepted without the
signed statement.
PART A
To determine if your project is on or near an identified Hazardous Waste Site, please refer to any
State identifies Hazardous Waste Sites as listed on CalEPA’s Cortese List Data Resources.
Is the project located on or near a State identifies Hazardous Waste Site? Yes ☐ No☐
(If you answered yes to the above question, please fill out the information below. If you answered no,
please sign and date the certification below.)
Name of Applicant:
Address:
Phone Number:
Address of Site:
Local Agency (City/County)
APN(s)
Specific any list pursuant to
Section 65962.5 of the
Government Code
Regulatory ID Number
Date of List
PART B
To determine if your project is within one (1) mile radius of a public well site, which could
potentially be affected by hazardous waste generator, please refer to State identified Public Well
Sites.
Is your project within a one-mile radius of an identified public well? Yes ☐ No ☐
If yes, please identify: ____________________________________________________________
Hazardous Waste Site & Public Well
Site Information
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.
Signature: ___________________________________ Date: _________________
SITE PLAN CONTENT
Scale: Engineering scale not to exceed 1”- 40’
The following information shall be included on the plan:
☐ Licensed land surveyor or registered civil engineer shall sign, seal, and provide their California
registration or license number and the date of expiration of such number.
☐ List the names, addresses, and telephone numbers of the owners of record, and the surveyor,
or engineer preparing the map.
☐
List the names, addresses, and telephone numbers of all utility companies which will serve the
project including, but not limited to, water supply, sewage disposal, telephone, cable, electrical
and natural gas.
☐ Clearly show the north arrow (directed toward the top of the map), the scale of the plan, the
boundary lines, dimensions of project and the date of preparation of the plan.
☐
Provide a vicinity map at a scale of one (1) inch equals eight hundred (800) feet of the area
showing the proposed subdivision in relation to the adjacent subdivision, established roads,
landmarks, etc., within one – quarter (1/4) mile of the exterior boundaries of the proposed
project.
☐ List the Assessor’s Parcel Number (s) for the entire project.
☐ Provide a legal description of the land including within the proposed project.
☐
Provide information demonstrating legal, dedicated access to the subdivision and all proposed
lots within the subdivision. Also demonstrate that no adjoining parcels are landlocked
subsequent to the proposed project.
☐ Show all boundary lines of the proposed project with appropriate bearings and distances.
☐
Show the General Plan land use designation, zoning district classification and land use or uses of
the adjoining property within one hundred (100) feet of the proposed project, including that
which is across any streets. Indicate the distances from all property lines and use of any
structures on adjoining property.
☐ Show the locations, names, and existing rights -of all adjoining highways, streets, alleys and/or
ways, roads, etc. If none exist, show access to property.
☐ Show the centerline profile and grade for each proposed highway, street or drainage
improvement shown on the plan.
☐ Show the width and location of all recorded and/or proposed easements, desiccation of streets
or rights-of-way.
☐ Show the radius of all curves on highways and streets.
☐
Show the location and outline, to scale, of each existing building, utility pole or other above
ground structure. Note on the map whether such building, pole or structure is to be removed
from, or remain within the project.
☐ Show the location of existing and proposed water lines, sewers, culverts, bridges, drainpipes,
fire hydrants and water wells within the project.
☐ Total square footage of each building, number of stories, number of size of dwelling units and
number of bedrooms, if applicable.
☐ Number of parking and loading spaces requires and provided
☐ Square footage and percent of the site devoted to building, landscaping, and paved areas for
parking and circulation.
☐ Property lines, dimensions, and net lot area (lot coverage).
☐ Footprint of all structures and any overhangs or projections.
☐ Location of all entrances and loading doors
☐ All setbacks and distances between building and/or structures.
☐ Location, typical dimensions, and type of surfacing for all driveways, parking spaces and loading
areas.
☐ Location of all trash enclosures, transformers, and any equipment outside of building.
☐ Location, height, and materials of all walls and fences.
☐ Location of all existing fire hydrants.
☐ Proposed phases of project (if any).
PRELIMINARY GRADING AND DRAINGAGE PLAN CONTENT
Scale: Engineering scale not to exceed 1”- 40’
The following information shall be included on the plan:
☐ Name, address, phone and fax number of applicant, architect and/or engineer
☐ Graphic Scale (with bar scale) and north arrow
☐ Vicinity Map
☐ Estimated quantities of earth to be moved
☐ Direction of drainage flow with slope in percentage
☐ Location of onsite and offsite drainage and utility facilities
☐ Location and width of adjacent rights-of-way and onsite easements.
☐ Location of existing and proposed improvements
☐ Proposed grades and elevations
☐ All existing contours and structures within 25’ of the boundaries of the site
☐ Location and elevation of all existing and proposed circulation and drainage improvements and
drainage courses within 100’ of the boundaries of the site.
BUILDING ELEVATION (S) CONTENT
Scale: Architectural No less than 1/4” (large projects no less than 1/8” with 1/4” details).
Building elevations showing all sides of the proposed buildings and enhances rear and side elevations for
buildings visible to the public. All building elevations shall be in color. Provide building elevations for
each architectural style. All floor plan options that require changes to the exterior elevations shall be
provided.
The following information shall be included on the elevations plans:
☐ Name, address, and phone number, of applicant, architect and/or engineer.
☐ Location of building address
☐ Shading, as applicable, to give the elevations some graphic dimension
☐ A schedule for colors and materials (which corresponds to the color and material board) and
specific location of their use for all building types.
☐ Height of buildings with dimensions
☐ Location of sign enveloped on applicable elevations (Commercial, Industrial)
☐ Show spandrel glass locations (Commercial, Industrial)
☐ Show all sides of proposed structures
☐ Show cross-sections of all proposed buildings
☐ Type of stucco finished proposed, if applicable
☐ Label specific type of architectural style proposed for the building(s) onsite
☐ Show location of all exterior wall mounted light fixtures.
☐ Provide details of all exterior wall mounted light fixtures. Fixtures must compliment/enhance
architectural style
FLOOR PLAN/ROOF PLAN CONTENTS
Scale: Architectural the scale used on the floor and roof plans shall be no less than 1/4” per foot. (Large
projects no less than 1/8” with 1/4” details).
The following information shall be included on the floor plans:
☐ Proposed use for each room
☐ Proposed square footage for each room
☐ Bathrooms
☐ Exits
☐ Provide the interior dimensions of the garage (Code requires a minimum of 20 ft x 20 ft clear)
(Residential)
☐ Patios
☐ Elevators
☐ Fire sprinkler riser room (with direct exterior access), (Multi-Family, Commercial, Industrial)
☐ Location of Knox Box (Multi-Family, Commercial, Industrial)
☐ Location(s), dimensions, and total square footage of private open space areas required by the
Zoning Ordinance (Multi-Family Residential)
☐ Location, number, and type of laundry facilities requires by the Zoning Ordinance (Multi-Family
Residential)
☐ Location, dimensions, and total footage of exterior storage spaces required by Zoning
Ordinance (Multi-Family Residential)
The following information shall be included on the roof plan:
☐ All roof pitches and direction of fall
☐ Location and detail of all mechanical equipment (Multi-Family, Commercial, Industrial)
☐ Spot elevations or other cross-sections necessary to verify that mechanical equipment is fully
screened (Multi-Family, Commercial, Industrial)
COLORS AND MATERIALS INFORMATION
Size: 8 ½ X 11”. The colors and materials information is intended to provide a fair representation of the
major exterior materials to be used on the project together with colors and stains.
The list shall show the following:
☐ Sample of all roofing materials
☐ Sample of window glazing
☐ Sample of all wall materials including textures(s) (i.e. Santa Barbara stucco finish, wood, tile,
rock, etc.
☐ Samples of all paint and stain colors to be used on the buildings applies to the surface of actual
exterior building material samples.
☐ Manufacturer’s name and identification numbers of paint colors that correspond to the
proposed materials.
CONCEPTUAL LANDSCAPE PLAN CONTENT
Scale: Engineering scale not to exceed 1” =40’.
☐ Plant palette and sizes of materials.
☐ Locations and numbers of trees, shrubs, and acres of ground covering, including spacing of
ground cover. Identify slope areas.
☐ Proposed wall & fences and their materials.
☐ For Tentative Tract Maps landscape plans should address streetscapes, entry statements, and
public spaces such as detention basins.
FENCE AND WALL PLANS CONTENT
Scale: Engineering scale not to exceed 1” =40’.
☐ Legend (indicating all existing and proposed walls, fences, and gates)
☐ Location of all types of fencing being proposed with dimensions from building and property
lines
☐ Dimensioned elevation drawings with details of all types of fencing, walls and gates proposed
including colors and materials
☐ Identify location of all proposed entry statements and elevations (Multi-Family Residential,
Commercial, Industrial)
☐
Show dimensioned details of all proposed entry statements and gates including colors and
materials, sign envelope areas and dimensions (Multi-Family Residential, Commercial,
Industrial.)
TENTATIVE TRACT MAP CONTENT
Scale: Engineering scale not to exceed 1” =40’.
☐ Name, addresses, and telephone number of owner and developer of subject property
☐ Name, address, and telephone number of persons preparing plan
☐ The words “Tentative Tract Map” shall be printed conspicuously on the map
☐ North arrow and scale
☐ Tract Map Number assigned by County Surveyor/Engineer
☐ Sufficient legal description of the land included on the map to define the boundaries of the
tentative map
☐ Scale of map (preferred scale is 1” = 40’. Maximum scale is 1” = 100’.)
☐ Date map was prepared
☐ Provide a lot summary table which identifies the total lot size and pad area for each proposed
lot along with the overall average lot size, minimum lot size and maximum lot size
☐ Name and address of utility companies, including water, sewer, electric, gas, cable, and
telephone companies
☐ A vicinity or area map showing the existing major street pattern and major watercourses, and
flood control channels within one-half mile of exterior boundaries of the subdivision.
☐ All boundary lines of the subdivision with appropriate bearings and distances described with
identifying tree rows, dikes, or channels
☐ Existing buildings or structures identified by use, including those within 100’ of tract boundary,
noting if they are to remain or be removed
☐ All watercourses, if applicable
☐ Identify the 100-year flood plain (Base Flood Level), if applicable
☐ Existing and future adjacent streets with widths of right-of-way and proposed connections to
existing streets
☐ Proposed street grades
☐ Proposed street cross-sections
☐ Centerline radii of all street curves
☐ Adjoining property lines and land uses, including adjacent tract numbers, if any
☐ The drainage areas tributary to the land division and a preliminary plan of proposed on-site and
off-site drainage system
☐ All proposed lot lines and dimensions
☐ The width and approximate locations of all existing and proposed easements for railroads,
flood-control channels, public utilities, or other easements of right-of-way
☐ Grading pattern including adjacent land
☐ Existing trees having a truck diameter of 4 inches or more
☐ Locations of all streets, easements, pedestrian ways, trails, and other lands, whether for public
or private purposes, to be dedicated or offered for dedication
☐ Location of lands intended to be dedicated for park purposes and/or statement as to whether
fees are proposed to be paid in-lieu therefore
☐
The location of existing wells, water lines, cesspools, sewers, culverts, drainpipes, underground
structures, or sand, gravel, or other excavations within the land division and within 200 feet of
any portion of the subdivision noting thereon whether or not they are to be abandoned,
removed, or used
☐
The contour of the land at intervals of not more than 2’ if the general slope of the land is less
than 10% or if not more than 5’ if the general slope of the land is more than 10%. All elevations
shall be based on U.S.G.S. datum, or other datum acceptable to the City Engineer. Copies of
U.S.G.S. maps are not acceptable
☐
Type of improvement, including but not limited to streets, drainage, water, sewer, grading,
utilities, pedestrian ways, streetlights, and tree planting, which are proposed to be installed,
and the time at which such improvements are proposed to be completed
☐ Proposed method of sewage disposal and sewer connection point
☐ Existing and proposed zoning and general plan designation of property to be divided
☐ Appropriate net acreage of each lot containing an area of one acre or more
☐ Proposed use of all lots
☐ If private streets are proposed, the method by which their maintenance will be accomplished
and financed
☐
Such other information as the City Engineer, Community Development Director, Planning
Commission, or City Council determines is necessary to properly consider the proposed division,
including, but not limited to, proposed grading
☐ Provision of future passive or natural heating or cooling opportunities. Refer to Government
Code Section 66473.1 (Subdivision Map Act)
☐ Copies of grant deeds for the existing parcel(s)
☐ If the required information cannot be placed on the tentative map, then a report containing the
material shall be submitted with the map
☐
If the proposed map is not being submitted in conjunction with a proposed development or
previously approved development, an illustrative plan shall be submitted demonstrating that
the property can be developed in accordance with City Standards
TENTATIVE MAINTENANCE PLAN
Scale: Engineering scale not to exceed 1” =40’.
Provide a Tract Maintenance Plan (including a map and written summary table) which identifies the
responsible parties for the construction, ownership, and maintenance of the following improvements.
☐ Public and/or private streets
☐ Public and private parks
☐ Public and private trails
☐ Common landscape areas
☐ Maintained and/or natural common slope areas
☐ Public and private walls, fences, and entry monumentation and signage
☐ Flow control and drainage facilities and structures
☐ Other onsite utilities
DEVELOPMENT PHASING PLAN CONTENT
Scale: Engineering scale not to exceed 1” =40’.
☐ Name, address, and phone number of applicant, architect and/or engineer, and property
owner(s)
☐ Graphic scale (with bar scale) and north arrow
☐ Location of all proposed lots, streets, parks, and common areas withing the development
☐ Location and labeling of proposed development phase lines
☐ Onsite pedestrian and vehicular circulation patterns associate with each development phase
☐ Demonstrate how onsite parking requirements will be complied with an association with each
development phase
☐ Show emergency vehicle access patterns and turn around areas associated with each
development phase
☐ Show construction traffic circulation patters associated with each development phase
☐ Show infrastructure connections associated with each development phase
☐ Show location and type of interim landscaping improvements and/or other screening methods
on undeveloped phase areas
☐ Demonstrate compliance with N.P.D.E.S. requirements in association with each development
phase.
ENGINEERING DIVISION
130 South Main Street, Lake Elsinore, CA 92530, P 951.674.3124, F 951.674.8761
www.lake-elsinore.org
PRELIMINARY
WATER QUALITY MANAGEMENT PLAN (WQMP)
PLAN CHECK SUBMITTAL APPLICATION
Instructions
1. Complete Checklist on reverse side. If any question is answered “YES”, a project-specific WQMP is required.
2. Complete form below and submit with land use application. If WQMP is required, submit, below-listed documents & fees
NOTE: THE PROJECT APPLICATION CANNOT BE DEEMED COMPLETE UNTIL SUCH TIME THAT THE
PRELIMINARY WQMP IS APPROVED
PROJECT LOCATION APN (S):
DECIMAL DEGREES: (ex, 33.0000/-117.0000)
PARCEL/TRACT NO: WATERSHED:
PROJECT STREET ADDRESS:
CROSS STREETS: PROJECT AREA (to 0.1 acre) :
LIST PROPOSED BMPS:
CONTACT INFORMATION SUBMITTED BY: COMPANY:
STREET ADDRESS
CITY/STATE/ZIP:
PHONE: EMAIL:
ENGINEER: COMPANY:
STREET ADDRESS
CITY/STATE/ZIP:
PHONE: EMAIL:
OWNER/APPLICANT: COMPANY:
STREET ADDRESS
CITY/STATE/ZIP:
PHONE: EMAIL:
SUBMITTAL CHECKLIST SUBMIT THE FOLLOWING ITEMS WITH THIS APPLICATION
1 Copy Preliminary WQMP in approved format. - FORMAT: Use WQMP Guidance Document and
Template for Santa Ana Region 8, Riverside County
1 Copy of Proposed Tentative Map and/or Site Plan
$1,850.00 Application Fee ($1,750.00 Plan Check Fee + $100 Administrative Fee)
NOTES:
Plan Check Fee covers 3 reviews/plan checks. If more plan checks are required, then additional charges based on time and
material will be assessed and due
City Plan Check Turnaround Standard: 3 weeks 1st submittal / 2 weeks each subsequent submittal. Expedited plan check of 2
weeks/1 week available at additional charge of 50% of original plan check fee ($875.00)
U:\engr\Forms\Engineering Forms\APPLICATIONS\WQMP Submittal Sheet-preliminary.doc
Checklist for Identifying Projects Requiring a
Project-Specific WQMP within the Santa Ana Region
Project File No.:
Project Name:
Project Location:
Project Description:
Proposed Project Consists of or Includes: Yes No
Significant Redevelopment: The addition or replacement of 5,000 square feet or more of impervious surface on an already
developed site. Does not include routine maintenance activities that are conducted to maintain original line and grade,
hydraulic capacity, original purpose of the constructed facility or emergency redevelopment activity required to protect public
health and safety.
Residential developments that create 10,000 square feet or more of impervious surface (collectively over the entire project
site), including residential housing subdivisions requiring a Final Map (i.e., detached single family home subdivisions, multi-
family attached subdivisions, condominiums, or apartments, etc.).
New industrial and commercial development where the land area1 represented by the proposed map or permit is 10,000
square feet or more.
Mixed use developments that create 10,000 square feet or more of impervious surface (collectively over the entire project
site).
Automotive repair shops [Standard Industrial Classification (SIC) codes2 5013, 5014, 5541, 7532, 7533, 7534, 7536, 7537,
7538, and 7539].
Restaurants (SIC code 5812) where the land area of development is 5,000 square feet or more.
Hillside developments disturbing 5,000 square feet or more which are located on areas with known erosive soil conditions or
where the natural slope is 25 percent or more.
Developments of 2,500 square feet of impervious surface or more adjacent to (within 200 feet) or discharging directly into
ESAs. "Directly" means situated within 200 feet of the ESA; "discharging directly" means outflow from a drainage
conveyance system that is composed entirely of flows from the subject development or redevelopment site, and not
commingled with flows from adjacent lands.
Parking lots of 5,000 square feet or more exposed to stormwater, where "parking lot" is defined as a land area or facility for
the temporary parking or storage of motor vehicles.
Retail Gasoline Outlets that are either 5,000 square feet or more of impervious surface with a projected average daily traffic
of 100 or more vehicles per day.
Public Projects, other than Transportation Projects, that are implemented by a Permittee and similar in nature to the priority
projects described above and meets the thresholds described herein.
Condition of Approval requires preparation of a WQMP.
1 Land area is based on acreage disturbed.
2 Descriptions of SIC codes can be found at http://www.osha.gov/pls/imis/sicsearch.html.
DETERMINATION: Circle appropriate determination
Any question answered "YES" Project requires a project-specific WQMP.
All questions are answered "NO" Project requires incorporation of Site Design BMPs and Source Control BMPs
imposed through Conditions of Approval or permit conditions.
Contact the City NPDES Coordinator for more information or visit the City’s Stormwater/NPDES webpage at
www.lake-elsinore.org.
U:\engr\Forms\Engineering Forms\APPLICATIONS\WQMP Submittal Sheet-preliminary.doc