In accordance with Government Code 65103.5, in addition to architectural drawings, a design professional or the owner of a copyright may submit a site plan or a massing diagram for posting online or for distribution to the public. The City of Palo Alto requires that such site plan or massing diagram be provided as a separate electronic file. If the design professional or the owner of the copyright elects not to provide a separate electronic file containing a site plan or massing diagram upon submission of architectural diagrams, they will be deemed to have granted permission for the City to share architectural drawings online and for distribution to the public.
For File Number, Date Received, Fees,
and Project Status please see Accela
(City Database)
bit.ly/PaloAltoACA
For general questions, please email
[email protected]
Application Request
Architectural Review
Conditional Use Permit / Amendment
Design Enhancement Exception
Historic Review
Home Improvement Exception
Temporary Use Permit
Transfer of Development Rights
Property Location
Address of Subject Property: ___________________________________________________________________________________________ Zone District: _____________________ Assessor’s Parcel Number: ________________________ Historic Category (if applicable): ____ ___________ Project Description Housing Development Project as Defined by the State: Yes No ___________________________________________________________________________________________________________________ Property Owner
Name: _______________________________________________________ Email: _________________________________________ Address: _______________________________________________________ Phone 1: _________________________________________ City: ______________________________________ State: ________ Zip: __________ Phone 2: ____________________________ I hereby certify that I am the owner of record of the property described in Box #2 above and that I approve of the requested action herein. If this application(s) is subject to 100% cost recovery of planning costs, I understand that charges for staff time spent processing this application(s) will be based on the Policy and Procedures document provided to me. I understand that my initial deposit is an estimate of these charges and not a fee, and I agree to abide by the billing policy stated.
Signature of Owner: Date:
Applicant/Primary Contact/
Entitlement Recipient
Name: ___________________________
Address: _________________________
_________________________________
City: _____________________________
Zip Code: ______________ State: _____
Phone: ___________________________
Email: ____________________________
Name: _____________________________
Address: ___________________________
___________________________________
City: _______________________________
Zip Code: ______________ State: _______
Phone: _____________________________
Email: ______________________________
Architect Engineer
Primary Contact If Different From
Applicant
Name: _____________________________
Address: ___________________________
___________________________________
City: _______________________________
Zip Code: ______________ State: _______
Phone: _____________________________
Email: ______________________________
Variance
Zone Change
Planned Community or Amendment
Other:
Individual Review
Preliminary AR Review
Council Prescreening
Coordinated Development (SOFA 1)
Site and Design Review
Subdivision
Planning Review Application
Department
of Planning & Development Services 250
Hamilton Avenue, Palo Alto, CA 94301
Appointments are required for all application submittals, please call (650) 329-2496 (ext. 6, option 2)
or email [email protected] to schedule
400 Mitchell Lane 94301
120-31-009
Tree Removal
Matthew Sesody
1250 Ames Rd
Milpitas
95035
CA
925-967-5063
[email protected]
Ramsey Shuayto
[email protected]
415 Broadway 3rd floor
Redwood City
Ca
94063
✔
3/19/25
Ramsey Shuayto
Digitally signed by Ramsey
Shuayto
Date: 2025.03.19 15:10:29 -07'00'
Revised: 7/23/22
DEPARTMENT OF PLANNING & DEVELOPMENT SERVICES
POLICY AND PROCEDURES FOR
APPLICATIONS SUBJECT TO COST RECOVERY
Planning and Development Services, in accordance with the Municipal Fee Schedule adopted by the City Council, has instituted a program of full and partial recovery fees for processing of the following types of applications.
Each of these types of applications may also require review by the Attorneys’ Office as well as the possible preparation of legal documents such as ordinances and/or resolutions, and either a deposit or fee for legal review will be collected:
Appeal Costs Exceeding Appeals Filing Fee
Architectural Review, Major Project
Administrative Extensions and Zoning Letters
Comprehensive Plan change
Development Agreement and Development
Agreement Annual Review
Environmental Documents
Legal Review for Additional Hearings
Major Architectural Review Projects
Major Subdivision
– Tentative Map and Subdivision Final Map
Mitigation Monitoring- EIR
Mitigation Monitoring – MND
Mills Act or Williamson Act – Establish or Withdraw
Planned Community
Pre-Screening
Site and Design
Transfers of Development Rights
Williamson Act – Establish or Withdraw
Wireless Applications
Zone Change
Our policy and procedures for recovering processing costs are as follows:
A deposit in the amount indicated in the Municipal Fee Schedule will be accepted at the time the application is filed. If a project requires multiple entitlements, and any one of those entitlements is subject to cost recovery, as listed above, and the entitlements are being processed concurrently, then the entire processing of the project will be subject to cost recovery. An accounting of staff time charged towards the deposit will be sent to the applicant or property owner.
If the amount incurred exceeds the amount of the deposit, an invoice will be generated. The bill will be sent by the City’s Administrative Services Department and shall be paid within 30 days, or legal interest will accrue. The City reserves the right to suspend application processing or delay issuance of a building permit due to nonpayment. The applicant and property owner are legally responsible for payment of all fees, regardless of whether an entitlement is granted. In the event there are significant anticipated costs for outside consultants in excess of the amount deposited, a deposit for the full cost of the consultant work will be required at the time the consultant agreement is signed plus 25% for contract administration costs. In the event changes to the project result in additional costs, an additional deposit will be required at the time the consultant agreement is amended. Following a final decision on the application and project file closure, a final accounting will be sent, along with either a bill if actual processing costs exceeding the amount on deposit, or a refund if the deposit amount exceeds actual processing costs.
The applicant or property owner applicant will be billed for all time charged to the application. A current table of rates and explanation of charges is printed on the back of this form.
AGREED UPON BY:
Applicant/Owner Name: Signature: Date:
Ramsey Shuayto
3/19/25
Hourly Rates for Deposit Based Fees/Contracts
Positions Effective 8/19/24
Administrative Assistant $ 199.72
Administrative Associate I $ 171.31
Administrative Associate II $ 188.76
Administrative Associate III $ 202.32
Arborist $ 231.19
Assistant Director Planning and Development Services $ 446.72 Associate Engineer $ 282.49
Associate Planner $ 247.09
Building/Planning Technician $ 198.69
Business Analyst $ 288.26
Chief Planning Official $ 397.22
Chief Transportation Official $ 346.85
City Legal Counsel $ 417.82
Code Enforcement Officer $ 242.07
Code Enforcement Lead $ 268.08
Coordinator Transit Management Systems $ 244.88
Director of Planning and Development Services $ 483.96 Engineer $ 229.88
Engineering Tech III $ 169.37
Landscape Architect/Park Planner $ 255.37
Management Analyst $ 257.27
Planning Manager $ 314.41
Planner $ 258.99
Principal Planner $ 306.54
Project Engineer $ 331.22
Senior Engineer $ 272.88
Senior Management Analyst $ 298.44
Senior Planner $ 298.69
Urban Forestry Manager $ 286.04
Building - Inspections and Investigations - Unclassified $ 356.01 Building - Additional Plan Review $ 276.04
Planning - Miscellaneous Plan Check & Inspection $ 278.57 Fire - Additional Hours Over Plan Review/Inspection $ 361.16 Public Works- Miscellaneous Plan Check $ 319.31
Revision Date: 02/23/2023
Questions?
Contact the City’s Watershed Protection Group
Email: [email protected]
Phone: (650) 329-2122
Part 1. PROJECT INFORMATION
Property Address: ___________________________ APN: _________________ Part 2. PCBs PROGRAM SCREENING CRITERIA
Part 3. PCBs PROGRAM COMPLIANCE
The response is “YES” to both 2(a) AND to 2(b). The project must meet Program requirements.
A. Sign and date the certification statement in Part 4 before submitting this application from.
B. The PCB
s Applicant Package must be submitted with the Deconstruction Building Permit Application. Details may be found at cityofpaloalto.org/pcbdeconprogram.
NOTE: Program requirements are considerable, and the required coordination with the Environmental Protection Agency and other agencies may take several months.
It is recommended that projects conduct this
step as early as possible prior to deconstruction (during the project planning process) to minimize delays.
Part 4. CERTIFICATION STATEMENT
I certify that the information provided in this form is, to the best of my knowledge and belief, true, accurate, and complete.
I further certify that I understand my responsibility for knowing and complying with all relevant laws and regulations related to reporting, abating, handling, and disposing of PCBs material and waste. I understand there are significant penalties for submitting false information. I will retain a copy of this form and the supporting documentation for at least 5 years.
Signature: Date:
(Property Owner/Agent/Legal Representative)
Print/Type:
(Property Owner/Agent/Legal Representative Name)
Signature: Date:
(Consultant Completing Application Form)
Print/Type:
(Consultant Completing Application Form)
All buildings to be deconstructed that meet BOTH criteria below must comply with Program requirements:
A. The building to be deconstructed is NOT a wood-framed, single-family residential, or two- family residential (duplex).
B. The building to be deconstructed was constructed or remodeled between January 1, 1950 and December 31, 1980.
YES If the answer to (a) AND (b) are both “YES,” then the project must meet Program requirements. CONTINUE TO PART 3.
NO If the answer to either (a) OR (b) is “NO,” then the project is exempt from PCB requirements.
STOP HERE and sign t
he certification statement (Part 4) and submit this form with planning application materials.
POLYCHLORINATED BIPHENYLS (PCBs ) IN PRIORITY BUILDING MATERIALS
DECONSTRUCTION PROGRAM PLANNING APPLICABILITY FORM
ALL PROJECTS MUST COMPLETE THIS WORKSHEET
3/6/26
Matthew Sesody
3/6/25
Matthew Sesody
400 Mitchell Ln
120-31-009
October 24, 2024
400 Mitchell Lane
Palo Alto Ca 94301
2 Declining Bay Laurel Trees
There are 2 declining Laurus nobilis trees that are a concern to the client and I.
Observations
Tree #26 has a DBH of 24” and is approximately 20-
25’with a canopy spread of 10’ on either side. There is a large cavity at the base of the tree as well as cracked and peeling bark. At the time of inspection there were fungus fruiting bodies on one of the leaders. The tree has lost 30% of its canopy at the time of inspection.
Tree #27 has a DBH of 22” and a height of approximately 20-25’ with a canopy spread of 10’ on either side. The tree has signs of decay at the buttress root and a old fruiting body in the same area. There are multiple leaders on this tree and at the union there is decay. I was able to clean out the union and was able to easily slip my pocket knife 3” into the bark.
Summary
It is my professional opinion that these 2 trees are a hazard and should be removed. The size of the decay in tree #26 is a major concern as well as the decay fruiting bodies along a main leader.
Please reach out with any questions.
Thanks!
Matthew Sesody
Matthew Sesody
Monarch Tree Services
ISA Certified Arborist #WE-12524A
Mobile: 925-967-5063
Email: [email protected]
(5) Shade trees, typ.
(5) QE(3) CR
REMOVE FLAGPOLESAND CONCRETE BASEEXISTINGSHRUBS, TYP.
SHRUBS TO MATCHEXISTING ADJACENTTO BUILDING
(16) ACMOVE SIGN TO EDGEOF SIDEWALK(3) CR
(9) RIEXISTINGSHRUBS(2) HA
(11) AC
MULCH(See note #2)
MULCH(See note #2)
(26) CA
(3) SA
(3) SA(6) SC
01632'
400 MITCHELL / PLANTING PLANUniversity Architect/Campus Planning & Design Scale: 1/16"=1'-0"
Date: 09-19-2024
1.PROVIDE 3" LAYER OF MULCH FOR ALL NEW PLANT BEDS, MAINTAIN 4" OF CLEARANCE AROUNDALL CROWNS, STEMS AND TRUNKS OF PLANT MATERIAL TO MINIMIZE POTENTIAL DISEASES.2.MULCH TO BE ARBOR MULCH BY LYNGSO GARDEN MATERIALS, ph: (650) 364-1730 OR PSSI (ph:650-321-4236) IF AVAILABLE, OR APPROVED EQUAL.3.TEST EXISTING SOILS, AMEND SOIL IN ALL PLANTING AREAS ACCORDING TO SOILS REPORTRECOMMENDATIONS.4.INCORPORATE COMPOST AT A RATE OF AT LEAST FOUR CUBIC YARDS PER 1,000 SQUARE FEETTO A DEPTH OF SIX INCHES INTO LANDSCAPE AREA (UNLESS CONTRA-INDICATED BY A SOILTEST). REFER TO STANFORD FDG SPECIFICATIONS.5.IRRIGATION TO BE DESIGN BUILD. TREES SHOULD BE ON SEPARATE VALVES FROM SHRUBS,MINIMUM TWO BUBBLERS PER TREE. CONTRACTOR TO SUBMIT IRRIGATION DRAWINGS ANDPARTS LISTS FOR REVIEW AND APPROVAL BY STANFORD PRIOR TO INSTALLATION.6.PRIOR TO BEGINNING LANDSCAPE INSTALLATION, A PRELIMINARY SITE WALK SHOULD BE DONEWITH PROJECT MANAGER, LANDSCAPE CONTRACTOR, AND LANDSCAPE ARCHITECT TOIDENTIFY ANY SITE CONDITIONS NEEDING ATTENTION.7.PROTECT EXISTING TREES FROM INJURY AND COMPACTION. HAND DIG WITHIN ROOT ZONE ANDDO NOT CUT ROOTS OVER 2" DIAMETER. IF ANY ROOTS 2" DIAMETER OR LARGER AREENCOUNTERED DURING EXCAVATION NEAR ANY TREE, PLEASE CONTACT STANFORD PROJECTMANAGER.8.STANFORD FDG PLANTING SPECIFICATIONS GUIDELINES AND STANFORD STANDARD PLANTINGDETAILS ARE TO BE FOLLOWED. REFER TO SPECIFICATIONS DIVISION 32, SECTION 32 90 00.9.VERIFY LOCATIONS OF UTILITIES BY CALLING USA BEFORE DIGGING.10.REESTABLISH PROPER FINISHED GRADE PRIOR TO PLACING NEW PLANTS AND POSTCONSTRUCTION.11.PROVIDE MATCHING SPECIES AND FORMS FOR ALL HEDGE PLANTINGS. SPACE EQUALLY. DONOT PLANT WITHIN 2' OF NEW OR EXISTING TREE.12.CONTACT PROJECT MANAGER OR LANDSCAPE ARCHITECT IF PROBLEMS OCCUR WITH PLANTORDERS OR FOR CONSTRUCTION DIRECTION.13.CONTACT PROJECT MANAGER/LANDSCAPE ARCHITECT TO APPROVE ALL PLANT MATERIALSFOR VIGOR AND SPECIES BEFORE PLANTING.14.CONTACT PROJECT MANAGER/LANDSCAPE ARCHITECT FOR REVIEW AND APPROVAL OF PLANTPLACEMENT PRIOR TO INSTALLATION.15.IRRIGATION SYSTEM AS-BUILT PLAN, INCLUDING CONTROLLER, VALVES, LINES, AND HEADS, FORALL NEW PLANTINGS TO BE SUPPLIED TO STANFORD UPON PROJECT COMPLETION.16.COORDINATE TRIMMING OF EXISTING TREES AND SHRUBS WITH CERTIFIED ARBORIST ANDLANDSCAPE ARCHITECT.17.AS PART OF FINAL COMPLETION, ALL AREAS IMPACTED BY LANDSCAPE CONSTRUCTION TO BERESTORED TO ORIGINAL CONDITION, INCLUDING SOILS, PLANTS, IRRIGATIONS, PAVING, ANDOTHERS.18.PROVIDE 90 DAY PLANTING/IRRIGATION MAINTENANCE AND OVER ONE YEAR PLANT/TREEWARRANTY, TO BEGIN AFTER FINAL WALK THROUGH AND PROJECT ACCEPTANCE.
PLANTING NOTES
PLANTING LIST
SHRUBS
SCIENTIFIC NAMECOMMON NAMESIZESPACINGSYMBOLQTYTREES24" BoxAs ShownMesa OakQuercus engelmanniiQE5 Indian Hawthorn5 gal.36" O.C.15 gal.As ShownRay Hatman CeonathusCeanothus 'Ray Hatman'CR6Hoary ManzanitaArctostaphylos canescens var. canescens5 gal.36" O.C.27Heteromeles arbutifolia9Raphiolepsis indicaToyon2ACHARI15 gal.As ShownRock RoseCistus albidus5 gal.30" O.C.26CACleveland Sage5 gal.36" O.C.6Salvia clevelandiiSCWhite Sage5 gal.36" O.C.6Salvia alpianaSA