HomeMy WebLinkAboutTentative Tract Map Application FormPage 1 of 11
CITY OF PALM DESERT
DEPARTMENT OF DEVELOPMENT SERVICES
73510 Fred Waring Drive, Palm Desert, California 92260
Phone (760) 346-0611 ▪ Fax (760) 776-6417 ▪ planning@palmdesert.gov
TENTATIVE TRACT MAP SUBMITTAL HANDOUT
Applicant Name:
Phone:
Mailing Address: Fax:
City: State: Zip: Email:
Property Owner Name:
Phone:
Mailing Address: Fax:
City: State: Zip: Email:
Representative:
Phone:
Mailing Address: Fax:
City: State: Zip: Email:
Please Send Correspondence to (Check One): Applicant Property Owner Representative
Property Address(es):
Assessor Parcel No(s):
Existing Zoning: General Plan Designation:
Project Request (Describe the Specific Nature of Approval Requested – Attach Additional Sheets if needed):
Property Owner Authorization: The undersigned states that they are the owner(s) of the property described and herein
give authorization for the filing of the application.
Print Name: Signature: Date:
Applicant/Representative Signature: By signing this application, I certify that the information provided is accurate. I
understand that the City might not approve what I am applying for and/or might require conditions of approval.
Print Name: Signature: Date:
CITY OF PALM DESERT
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The following instructions are intended to provide the necessary information and procedures to facilitate the
processing of a Tentative Tract Map Application. Cooperation with these instructions will ensure that the application
can be processed in the most expeditious manner possible.
SECTION I – APPLICATION SUBMITTAL REQUIREMENTS
APPLICATION SUBMITTAL REQUIREMENTS - FIRST SUBMITTAL
(COMPLETED BY APPLICANT AND VERIFIED BY STAFF INTAKE)
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Each item listed below is required for submittal unless a waiver is granted by Planning
Division Staff. Any waiver must be confirmed by initialing the form by the staff person granting
the waiver. Refer to Section B for the minimum required information on each item.
APPLICATION INFORMATION
Planning Application Form
Site Photographs
Environmental Assessment Review Form
PROJECT EXHIBITS
Index Sheet
Tentative Map Exhibit
Preliminary Precise Grading Plan
PRIMARY REPORTS AND STUDIES
Preliminary Title Report
Project Specific Water Quality Management Plan Checklist Form
Preliminary Water Quality Management Plan (WQMP) / Best Management Practices (BMP)
Preliminary Hydrology Report
Public Hearing Notice Mailing Labels
FEES
Filing Fees Paid
(Continued on next page)
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SUPPLEMENTAL REPORTS AND STUDIES
(Unless determined as part of a pre-application review meeting with Planning Division staff,
the requirement of the following reports and studies will be determined after review of the
submitted project description and Environmental Information Form)
Traffic Impact Analysis
Community Engagement Plan
Biological Report
Cultural Artifacts/Archeological Report
Paleontological Report
Geotechnical Report
Noise Study
Water Supply Assessment
Energy Capacity Analysis
FAA Part 77 / Riverside County Airport Land Use Commission Approval
SUBMITTAL REQUIREMENTS - PRIOR TO THE PUBLIC HEARING
(ARCHITECTURAL REVIEW COMMISSION AND/OR PLANNING COMMISSION)
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The following items shall be submitted when the project is
scheduled for Architectural Review Commission (ARC). All
items must be received a minimum of 10 business days
prior to the scheduled date of the ARC meeting.
Number of
physical
copies
Electronic
Submittal
California Environmental Quality Act (CEQA) Filing Fees 1 N/A
Public Notification Package 1 1
Written summary of community engagement meeting 1 1
Bound 11" by 17" color copy of complete plan set 10 1
Physical Color and Material Board 1 1
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SUPPLEMENTAL REPORTS AND STUDIES
(Unless determined as part of a pre-application
review meeting with Planning Division staff, the
requirement of the following reports and studies will
be determined after review of the submitted project
description and Environmental Information Form)
Number
of
physical
copies
Electronic
Submittal
Waiver
granted (Staff
Initials)
Biological Report 0 1
Cultural Artifacts/Archeological Report 0 1
Water Supply Assessment / Verification 0 1
Paleontological Report 0 1
Noise Study 0 1
Biological Report 0 1
CITY OF PALM DESERT
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SUBMITTAL REQUIREMENTS - PRIOR TO THE PUBLIC HEARING
(ARCHITECTURAL REVIEW COMMISSION OR PLANNING COMMISSION)
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The following items shall be submitted when the project is
scheduled for Architectural Review Commission (ARC). All
items must be received a minimum of 10 business days
prior to the scheduled date of the ARC meeting.
Number of
physical
copies
Electronic
Submittal
CEQA Filing Fees 1 N/A
Public Notification Package 1 1
Written summary of community engagement meeting 1 1
Bound 11" by 17" color copy of complete plan set 10 1
Full Size (not to exceed 24" by 36" ) complete final colored plan
set 1 0
SECTION II – SUBMITTAL ITEMS CHECKLIST
1. FILING FEES
Application-related filing fees are to be paid at the time of application while CEQA-related fees are to be
paid at the time the application is deemed complete. As part of the submittal process the receipt showing
payment of fees which will be copied and submitted along with the other application materials.
REQUIRED AT TIME OF APPLICATION SUBMITTAL
Tentative Tract Map Application Fee: See Fee Schedule
Environmental Assessment Review Fee: See Fee Schedule
REQUIRED AT TIME APPLICATION IS DEEMED COMPLETE
Environmental Documentation Preparation: Amount*, if any, is dependent on the Environmental Assessment
and will be based on the full cost of preparing the required documentation (Negative Declaration, Mitigated
Negative Declaration, or Environmental Impact Report). The environmental documentation required as well as
the amount of a required deposit will be identified in the City’s Letter of Completion issued at the time the
application is deemed complete. If the project qualifies for an exemption from CEQA, no preparation fee is
required.
REQUIRED AT TIME APPLICATION IS SCHEDULED FOR PUBLIC HEARING
CEQA Filing Fee: Contact Planning Division for updated fee**
State Department of Fish & Game Fee: This fee will be identified in the City’s Letter of Completion issued at
the time the application is deemed complete. If the project is deemed to be exempt from CEQA there will not
be a fee.**
* Payable to the City of Palm Desert
* * Separate check payable to the County of Riverside
2. APPLICATION
The Planning Application form must be completed including the project description, requested information, and
ownership signatures.
3. SITE PHOTOGRAPHS
The submittal shall include high-resolution photographs taken a minimum of 30 days prior to the application submittal,
showing the existing site condition, panoramic views, and site-specific characteristics and/or unique features.
4. ENVIRONMENTAL ASSESSMENT FORM
All project requests shall submit a completed environmental assessment form.
5. PROJECT EXHIBITS/PLAN SET
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A complete Tentative Tract Map handout shall be submitted to the Planning Division. All digital submittals shall
be…INSERT DIGITAL SUBMITTAL LANGUAGE HERE. Physical submittals shall be submitted upon request. Full size
plans, when required, shall be neatly folded so that the size does not exceed 9” by 12” and shall have the title block
facing outwards. Plans which do not adhere to these requirements shall be rejected.
Required Order of Plan Set Contents:
1. Index Sheet
2. Site Plan Sheet
3. Preliminary Grading Plan
Each exhibit shall be prepared to include the following information at minimum:
1. Index Sheet – This exhibit summarizes the project information and shall include the following:
• Title Block
o Map Number
o Plan Sheet Identification Number
o Initial date of drawing and any subsequent revisions
o Name, address, and phone number of the property owner, applicant, and or authorized agent
o Name, address, and phone number of the person preparing the exhibit
o Exhibit Amendment block, which shall be used to notate any changes to the proposed project during the
review process.
• Data Table listing the following:
o Assessor's Parcel Number(s) (book, page, and parcel number)
o Complete legal description of property
o Existing General Plan Designation (and proposed, if applicable)
o Existing Zoning Designation (and proposed, if applicable).
o Existing Specific Plan (and proposed, if applicable).
o Existing and Proposed Land Use
o Total Gross Site Area identified in square-feet and in acres
o Total Net Site Area identified in both square-feet and in acres
o Names of utility purveyors and school district(s) including providers of water, sewer, gas, electricity,
telephone, and cable television. If within a water or sewer provider’s jurisdictional boundary indicate if
service is available at the project site; and if not, how far water lines or sewer lines must be extended to
provide service (distance in feet/miles shown on site plan.)
• List of Plan Sheets
• Vicinity map, showing site relationship to major roads, highways and two access roads. (Proposed and existing
paved roads will be indicated by heavy lines or noted as paved.)
2. Tentative Map Exhibit
• Title block located in the lower right-hand corner of the map which contains the following information and is readily
visible when folded:
• Graphic Scale (Engineering Scale not to exceed 1" = 30')
• North arrow
• Data Table listing all of the following:
o Assessor's Parcel Number(s) (book, page, and parcel number)
o Complete legal description of property
o Existing General Plan Designation (and proposed, if applicable)
o Existing Zoning Designation (and proposed, if applicable).
o Existing Specific Plan (and proposed, if applicable).
o Total Gross Site Area identified in square-feet and in acres
o Total Net Site Area identified in both square-feet and in acres
o Number of buildable lots
o Number of common area, open space, and non-buildable lots
o Average buildable lot size
o Minimum buildable lot size
• Name and number of adjoining tentative and recorded maps
• Names of school district(s) and utility purveyors including providers of water, sewer, gas, electricity, telephone, and
cable television. If within a water or sewer provider’s jurisdictional boundary indicate if service is available at the
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project site; and if not, how far water lines or sewer lines must be extended to provide service (distance in feet/miles
shown on site plan.)
• Source of water supply
• Method of sewage disposal
• Any proposed Phasing with clear identification of areas to be phased as separately recorded final maps with each
phase identified with a sequential numbering, along with a matrix identifying each phase with the number of
developable lots, non-developable lots, and streets for each phase.
• Identification of any contiguous property owned or controlled by the property owner or land divider
• Location and dimension of all:
o Lot lines
o Required and actual setbacks for building to property lines and between buildings
o Location of existing structures (above and below ground)
o Fully dimensioned subject parcel boundaries
o Access and driveway dimensions
o Landscape areas
o Drive aisles, parking stalls, and loading areas
o Pedestrian pathways, including ADA horizontal path of travel
o Trash enclosures
o On-site fuel tanks (above or below ground)
o Fire hydrants onsite and within 500’ of the project site
o Walls and fences including height and material
o Structures, driveways, parking areas, trees and property lines within 50’ of project site perimeter boundary
o Names, locations, rights-of-way widths, and improvements of adjacent existing and proposed streets and
the approximate grades of proposed and existing streets and approximate street centerline radii of curbs.
If private streets are proposed, they shall be so noted on the site plan exhibit.
o Location, widths, and improvements of existing and proposed public utility, easements, transmission lines,
power and telephone poles, and underground utilities on or abutting the property.
o Public improvements including public streets, include cross-sections
o Names, locations, right-of-way widths, and improvements of adjacent existing and proposed streets and
the approximate grades of proposed and existing streets and approximate street centerline radii of curbs.
If private streets are proposed, they shall be so noted on the subdivision map.
o Approximate radii of curbs and interior and exterior turning radius dimensions at entries and drive aisles
for emergency vehicle access
o Existing coverage and drainpipes
o Watercourses and channels, including proposed facilities for control of storm water
o Land subject to overflow, inundation or flood hazard
o Land to be dedicated for public use
o Front, rear, interior side, and street side yard setbacks
o List and accurately show all easements of record (by map or instrument number).
o Elevation and slope information with elevation bench mark reference listed as follows:
Contours with maximum intervals as follows within the proposed subdivision and at least 150 feet
beyond its boundaries
• Slope interval
• 0-2 percent 2 feet
• 3-9 percent 5 feet
• 10 percent or greater 10 feet
• Proposed pad and street elevations and pad elevations of adjoining existing or approved subdivisions
• If private streets or common, utility, or storm water lots are proposed, they shall be shown as lettered lots and the
method by which their maintenance will be accomplished and financed shall be listed
• Name, location, and dimension of all adjacent public streets and right-of-way
3. Preliminary Precise Grading Plan:
• Title block located in the lower right-hand corner of the map which contains the following information and is
readily visible when folded:
o Name of the project
o plan name and sheet identification number
o initial date of drawing and any subsequent revisions
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o name, address, telephone number, signature and credentials stamp and license
o number of person preparing map.
o name, address, and telephone number of owner, applicant, and/or agent
o Exhibit Amendment block, which shall be used to notate any changes to the proposed project during
the review process.
o California License Stamp
• A Grading Exhibit showing all of the following:
o Names of utility purveyors and school district(s) including providers of water, sewer, gas, electricity,
telephone, and cable television. If within a water or sewer provider’s jurisdictional boundary indicate if
service is available at the project site; and if not, how far water lines or sewer lines must be extended
to provide service (distance in feet/miles.)
o Vicinity map showing major street names, other reference points, and landmarks
o North arrow
o Scale, not less than 1”=30’
o General drainage pattern of area to include site and adjacent properties within 100' (use arrows to
show drainage flow to and from site)
o Names, locations, rights-of-way widths, and improvements of adjacent existing and proposed streets
and the approximate grades of proposed and existing streets and approximate street centerline radii
of curbs. If private streets are proposed, they shall be so noted on the site plan exhibit.
o List and accurately show all easements of record (by map or instrument number)
o Existing topography of the property, with the source(s) of the contour lines identified. The contour lines
shall extent 300 feet beyond the exterior boundaries of the subject property when adjacent property is
unimproved or vacant. When adjacent property is improved or not vacant, contour lines shall extend
beyond the exterior boundaries of the subject property a distance sufficient to determine compatibility
with adjacent property. Maximum contour interval should be five feet.
o Existing contours lines with adjacent top of curb elevations of existing or proposed streets
o Proposed locations of structures and drives
o Any access agreements and easements
o Pad elevations of finished floors for proposed structures and existing structures
o Spot elevations (proposed finished elevations) sufficient to demonstrate that streets, driveways,
parking lots, and drainage grades meet minimum requirements. Spot elevations may be necessary at
street FILING INSTRUCTIONS FOR PLOT PLAN, USE PERMIT, REVISED PERMIT, OR VARIANCE
APPLICATION Page 8 of 10 intersections, ends, and cul-de-sacs; beginning and end of all driveways,
parking lot outer limits, entrance and end points, and at all grade breaks.
o Finished grades
o Adjacent pad heights for adjacent structures and grades
o Elevations of existing street centerline
o Any perimeter walls and fences that affect drainage
o All relevant dimensions relation to the location of existing and proposed utilities, service lines, and
easements
o Preliminary grading including all cut/fill, slopes to scale with setbacks from structures and property
lines, the elevations of all individual building pads, the elevations at the perimeter of the subject
property, conceptual drainage facilities (including the location of terraces, terrace drains, down drains,
brow ditches, V-ditches, and lot to lot drainage facilities), existing topography, and the relationship to
adjoining land and development, and any existing grading. Provide an estimated total amount of
grading cut and fill (in cubic yards), and if not balanced on site, identify the anticipated
source/destination of the import/export of soils materials and the anticipated route of travel.
o Size, grate elevation, invert elevation of all inlets or outlets, and drainage swales
o Pipe materials, slopes, and sizes
6. PRIMARY REPORTS AND STUDIES
Preliminary Title Report: A preliminary title report dated within 30 days of the application submittal date shall be
provided.
Project Specific Water Quality Management Plan Checklist: A completed Project Specific Water Quality
Management Plan (WQMP) Checklist Form for the Whitewater River Watershed. If the Checklist Form concludes a
WQMP is required, a Preliminary Project Specific Water Quality Management Plan will be required as well.
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Preliminary Water Quality Management Plan: The Colorado River Regional Water Quality Control Boards have
adopted Board Orders in compliance with the Federal National Pollutant Discharge Elimination System (NPDES)
Municipal Separate Storm Sewer System (MS4) Clean Water Act requirements. These Board Orders regulate the
discharge of pollutants from the Whitewater Regional MS4 permit and requires the City of Palm Desert to implement
measures to mitigate the water quality impacts of new developments within its jurisdiction. In compliance with these
Board Orders, projects submitted for discretionary approval will be required to comply with the Water Quality
Management Plan for Urban Runoff (WQMP) or with the Standard Stormwater Mitigation Plan (SSMP). The
WQMP/SSMP addresses post-development water quality impacts from new development and redevelopment projects.
To comply with the WQMP/SSMP, a developer must submit a “Project Specific” WQMP/SSMP in compliance with the
latest adopted Board Order. This report is intended to, a) identify potential post project pollutants and hydrologic impacts
associated with the development; b) identify proposed mitigation measures (Best Management Practices - BMPs) for
identified impacts including site design, source control and treatment control post-development BMPs; and c) identify
sustainable funding and maintenance mechanisms for the aforementioned BMPs. A template for this report is included
as an appendix to the WQMP/SSMP. Projects requiring Project Specific WQMPs or Project Specific SSMPs will need
to include a PRELIMINARY Project Specific WQMP/SSMP along with the subdivision application package. The format
of the PRELIMINARY report would mimic the format/template of the final report but would be at a much lesser level of
detail. For example, points a, b, and c above would be covered, rough calculations supporting sizing would be included,
and footprint/locations for the BMPs would be identified on the tentative exhibit.
Hydrology Report: A preliminary hydrology report including a hydraulics plan shall be submitted as part of the
application submittal packet. Analysis by a Civil Engineer regarding the sizing of proposed storm water facilities,
and the review of whether adequate capacity of the downstream outfall facilities closest to the project site exists or
were designed to take the storm water run-off volume for the project after development.
Public Hearing Notice Mailing Labels
The applicant shall provide the Department of Development Services with three (3) copies of adjacent owners and their
addresses for all parcels within 300 feet, or 1,000 feet of the project site. Projects that are greater than 5-acres in area
must provide 1,000 foot mailing labels per local ordinance. The three (3) lists shall be typed on self-adhesive mailing
address labels. The lists shall also include the owner of the property under consideration.
7. SUPPLEMENTAL REPORTS AND STUDIES
Traffic Impact Analysis: Unless specifically waived by the Land Development Engineering Division, a traffic
analysis prepared in accordance with the latest adopted County of Riverside Transportation Analysis Guidelines
shall be submitted as part of the application submittal packet. The Land Development Engineering Division is to be
contacted with any questions as to whether a memo or study is required per the Scoping Letter to establish the site-
specific requirements of the memo or study. The analysis shall evaluate project impacts of Vehicle Miles Traveled
(VMT) and Level of Service (LOS) using the latest guidelines adopted by the Land Development Engineering
Division.
Community Engagement Plan: All development projects which are five (5) acres or more shall be required to
submit a community engagement plan. The Community Engagement Plan shall be prepared by the applicant in
accordance with the requirements of Palm Desert Municipal Code Chapter 25.60.160 and shall include:
• Applicant’s method(s) of communication with the public.
• Proposed date, time and location(s) of public outreach. A minimum of one meeting with the public is
required. Staff must be in attendance to observe and summarize concerns raised during the meeting.
Follow-up meetings may be required as requested by the Director of Development Services.
• Written publications distributed to the public that includes any informational items of the project.
• Prior to scheduling public hearings before the project, the applicant must
Biological Report: In accordance with the General Plan Environmental Impact Report (EIR), project applicant(s) shall
retain a qualified biologist to perform a biological resources evaluation for private and public development projects
to determine the presence or absence of non-covered special-status plant species with the potential to occur in and
adjacent to (within 100 feet, where appropriate) the proposed impact area, including construction access routes. It
is required that such surveys be conducted at the proper time of year when rare or endangered species are both
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evident and identifiable. The report shall be prepared consistent with the requirements of the Coachella Valley
Multiple Species Habitat Conservation Plan.
For projects in which special-status species are found, likely to occur, or where the presence of the species can be
reasonably inferred, the City shall require feasible mitigation of impacts to ensure that the project does not contribute
to the decline of affected special-species populations in the region to the extent that their decline would impact the
viability of the regional population in accordance with General Plan EIR Mitigation Measure 4.5-1.
Tables 4.5-1, 4.5-2, and 4.5-3 of the Environmental Impact Report (EIR) list all federally, and state-listed species
with the potential to occur in the City.
Cultural Artifacts/Archeological Report: For projects that require excavation activity (e.g., clearing/grubbing,
grading, trenching, or boring) into native soil and that have the potential to exhibit native ground surface within or in
the immediate vicinity of the excavation footprint, project applicants will be required to conduct archaeological
resources assessments to identify and mitigate potential impacts to archaeological resources.
A Phase 1 Assessment typically consists of identifying known archaeological resources through a records search
and consultation with Native American tribes, a pedestrian survey of the project site, a review of the land use history,
and coordination with knowledgeable organizations or individuals. If warranted, additional analyses such as
archaeological test excavations and/or remote sensing methods can be implemented to identify resources. In
conjunction with these assessments, future project applicants will be required to implement mitigation measures
4.6-2a through MM 4.6-2d of the Palm Desert General Plan EIR.
Paleontological Report: A paleontological report is required if after adequate review of the proposed project,
through either the City’s pre-application review service or formal application process, it is determined by the
Planning Division Staff that this information is required for compliance with the California Environmental Quality Act.
The report shall be prepared by a qualified professional.
Geotechnical Report: A geotechnical report is required if after adequate review of the proposed project, through
either the City’s pre-application review service or formal application process, it is determined by the Planning
Division Staff that this information is required for compliance with the California Environmental Quality Act.
Depending on site conditions and location, the inclusion of a rockfall/slope analysis may be required.
Noise Study: A noise study is required if after adequate review of the proposed project, through either the City’s
pre-application review service or formal application process, it is determined by the Planning Division Staff that this
information is required for compliance with the California Environmental Quality Act or as part of the operations of
the proposed project. The study shall be prepared in accordance with Planning Division guidelines.
Water Supply Assessment (WSA): When required in accordance with California Water Code Section 10910 et
seq., applicants shall submit a WSA prepared in accordance with the requirements of State Law and the Coachella
Valley Water District.
Energy Capacity Analysis: It is highly recommended for Applicant to complete a “Completion of a
Customer/Project Information Sheet” (CPIS) from Southern California Edison (SCE) and submit to SCE. Proof of
CPIS submittal is recommended at time of Precise Plan application and may be required as a condition of approval
of the project. Projects within the service area of the Imperial Irrigation District (IID) are recommended to contact
IID to discuss their project energy needs.
SECTION III – PROCEDURES
1. Schedule a time to discuss the preliminary project plans and zoning with the Development Services Department
staff for project requirements, including necessary application submittals. The applicant should review the City’s
General Plan for land use and street improvements.
2. Submit a complete application, with all required signatures, application fee, environmental assessment form (if
necessary), 300-foot radius map or 1,000 feet for projects greater than five (5) acres in size including
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corresponding mailing labels, and any other applications (for example, Architectural Review, Conditional Use
Permit, etc.).
3. For projects greater than five (5) acres in size, the applicant will consult with Development Services staff to
develop a “Community Engagement Plan” to identify neighborhood and business associations that will require
additional input to the proposed project. The Community Engagement Plan must include community meetings
prior to moving forward for preliminary approval with the City’s Architectural Review Commission (ARC).
4. Staff will review the application and determine if it is complete within 30 days from the date the project is
submitted. Staff will not process the application if it is deemed incomplete. After the application is deemed
complete, the project is circulated to other City departments and local agencies for comments and conditions.
5. Staff will present the project(s) to the ARC (held on the 2nd and 4th Tuesday of each month) after staff’s initial
30-day review period when comments have been received from other departments and agencies, and after an
initial community meeting The ARC hearing may be delayed if the project is deemed incomplete within the 30-
day review period or if any changes are required because of conditions of approval that affect the site plan,
architecture, and/or if the project does not meet one (1) or more required zoning development standards.
6. After the project receives preliminary approval from the ARC, staff will prepare a staff report and resolution, and
schedule the project for a Planning Commission public hearing (held on the 1st and 3rd Tuesday of each month).
Staff publishes and mails a legal notice to adjacent property owners/tenants 10-21 days before the meeting,
and advertise the public hearing approximately six to eight (6-8) weeks after the project submittal. There is a
15-day appeal period from the day of a decision taken by the Planning Commission.
7. If the project involves a Change of Zone, General Plan Amendment, Development Agreement, exceptions, or
if the project is appealed or called up for review, City staff will schedule a public hearing with the City Council
(held on the 2nd and 4th Thursday of each month). Staff will prepare a staff report, and publish and mail a legal
notice to adjacent property owners/tenants 10-21 days before the meeting. This process is approximately two
to four (2-4) weeks after the Planning Commission decision and approximately eight (8) to 12 weeks after the
project has been submitted
8. Once the project has been approved and entitled, staff will mail the final conditions of approval to the
applicant/property owner.
9. Once final plans and conditions of approval have been prepared, final maps, grading, and improvement plans
may be processed through the Development Services Department and final working drawings submitted to the
Building and Safety Division for plan check.
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CITY OF PALM DESERT
BUILDING AND SAFETY DEPARTMENT
SITE ADDRESSING REQUEST FORM
Please complete this Site Addressing Request Form, with a copy of the tentative or recorded tract map showing the Planning
Department and Fire Department approvals for street names.
Date Submitted:
Assessor Parcel Number:
Tract Number:
Lot Number(s):
Current Owner Name:
Owner Address:
City/State/Zip:
Phone No:
Contact Person Name:
Contract Person Phone No:
Please Return Form To: Building and Safety Department
(760) 776-6420