COUNT 'Az ~~r~ - 533 F1's3~~15Cf9 O Y ~~38 ~. , 0 51 PR~~ECT APPLICATION(PR!) G~i~~RA~ I~~f~~~'~~T~~~1 Information ~ ~ ~ ~f Project Address: ~~~~ ~~ I l ~ O~ 3 Block/Lot(s): Owner's Information Name: ~ ~~~~~ /~, Email Address: ~, V ~'9 p~ Addres ~~~ Telephone: Applicant Information ❑ Same as above Name: ~~V l/~ 1 r~__ ~'~~~'~.L Company/Organization: ~~ ~ ''~f2 v~~ cl Please Selec ❑ Applicant ❑owner Please Select Billing Contact: Email: ~ rimary Project Contact: -~~1a 3 Telephone: ~ ~ Name:~'~ J✓~S~i,C~ ' Email Address: :~~v ~~ . p ~~Other(see below for details) 4. SUS Applicant ❑Owner ~~ O ^~ ~~/ Phone• ❑Billing RELAT~~ APPLI~ATi~NS Related Building Permit Applications ~a, ` C~ c7`tiS {'~ ~n f \f n ~( ~ `~,~ Building Permit Applications No(s): (~ fn'`~ S~—~ ~- ~ ~C1~ ~ U ~l.J c ~C Related Preliminary Project Assessments(PPA) /A PPA Application No(s): PAGE 2 ~ PLANNING APPLICATION - PPOJER APPLICATION PPA Letter Date: V.OB.07.2018 SAN FRANCISCO PLANNING DEPARTMEPfT 1650 MISSION STREET, #400 SAN FRANCISCO, CA 94103 WWW.SFPLANNIN6,ORG A Project Application must be submitted for any Building Permit Application that requires an intake for Planning Department review, including for environmental evaluarion or neighborhood notification, or for any project that seeks an entitlement from the Planning Department, such as a Conditional Use Authorization or Variance. For more, see the Proiect A~~licarion Informational Packet. For more information call 415.558.6377, or email the Planning Information Center(PIC) at ~icC~sf~ov.org. Espanol: Si desea ayuda sobre Como llenar esta solicited en espanol, por favor llame x1415.575.9010. Tenga en cuenta que el Departamento de Plaruficacion requerira al menos un dia habit para responder ~'~~ ~A~1~~'~1~{~~~'~t~~~~5~i~a~~~'•J~~~l, A~~~415.575.9010o a~:~B, ~~~~p(~~~~~~~~—~ 21'~~~Cp7F~e Tagalog: Kung gusto mo ng tulong sa pagkumpleto ng application na ito sa Filipino, paki tawagan ang 415.575.9010. Palo tandaan na mangangailangan ang Planing Department ng hindi kukulangin sa Tsang araw na pantrabaho Para makasagot. ~~~~~~9~~~ ~~~a~l~~~ ~~~~.~~~'~~~~~~ HOW TO SUBMIT: ~~~~~~~~ ~~39 HOW TO SUBMIT: For Building Permit Applications that require intake for Planning Department review, present this Project Application together with the Building Permit Application at the Planning Information Center (PIC), 1660 Mission Street, Ground Floor. For projects that require an entitlement hom the Planning Department (e.g., Conditional Use, Variance), schedule an intake appointment to submit this Project Application and any required supplemental applications by sending an Intake Request Form to CPC.IntakeC~sfgov org. TO SUBMIT: WH/~TTO SUBMIT: One (1)complete and signed application. ~~ One (1) complete and signed application. Two (2) hard copy sets ofplans that meet Department of Building Inspection submittal standards. Please see the Departrnent's Plan Submittal Guidelines for more information. ~ , One (1) hard copy set of reduced sized (11"x17") plans. Please see the Department's Plan Submittal Guidelines for more information. A Letter of Authorization from the owners) designating an Authorized Agent to communicate with the Planning Department on their behalf,if applicable. ~A Letter of Authorization from the owners) designating an Authorized Agent to communicate with the Planning Department on their behalf; if applicable. ❑ ❑ Pre-Application Meeting materials, if required. See the Pre-A~~lication Meeting Informational Packet for more. Note: The applicable fee amount for Building Permit Applications will be assessed and collected at intake by the Department of Building Inspection at the Central Permitting Bureau at 1660 Mission St, Ground Floor. Pre-Application Meeting materials, if required. See the Pre-A~~lication Meetin~Informational Packet for more. Current or historic photographs) of the property. c ~ — ❑ All supplemental applications (e.g., Conditional Use) and information for environmental review, as indicated in this Project Application or in the reliminary Project Assessment(PPA)letter. (See Fee Schedule and/or Calculator). C~' A digital copY(CD or USB drive) of the above materials. Payment via check, money order or debit/credit card for the total fee amount for all required supplemental applications.(See Fee Schedule and/or Calculator). PAGE I ~ PLANNING APPL1CAilON -PROJECT APPLICATION V. OB.07.2018 SAN FflANCI5C0 PLANNING OEPApTMENT ~:`~~~~ ~N~~a cription: e a narrative project description that summarizes the project and its purpose. Please list any special authorizations or changes to the Planning Code or Zoning Maps if applicable. ' ` W ~~~n ~S~f~,~e a~~ ` ~~ ~;rQ lJ~e V ~ ~ J2~~ ~-~ I ~~ ~-~-t `~r~-l' ~z`~~ ~(~~ ~ 0 ~ ~ ~ _ I~~ c L-Q 020 C D ~ ~d~~I~ ~~~~C- ~~''` c~) -~~~~~~ s cis ~ ~~~s ~-~--~~~ s~~ff~~s Project etails: Change of Use ❑ Additions Residential: ❑ New Construction ❑Demolition ❑ Legislative/Zoning Changes Facade Alterations ❑Lot Line Adjustment-.Subdivision ❑ROW Improvements ❑Other ❑Senior Housing ❑ 100% Affordable ❑Student Housing ❑Dwelling Unit Legalization ❑ Inclusionary Housing Required ❑State Density Bonus Indicate whether the project proposes rental or ownership units: Non-Residential: ❑Formula Retail ❑ Financial Service ❑Accessory Dwelling Unit ❑Rental Units ❑Ownership Units ❑Don't Know ❑Medical Cannabis Dispensary ❑ Tobacco Paraphernalia Establishment ❑Massage Establishment ❑ Other: b'~j Estimated Construction Cost: CgGE 7 ~ PLANNING APPLICATION: PNOJER APPLICATION V. 08.07.2018 SAN FRANCISCO PLANNING DEPApTMENT 1 P~~9~C~':~~l~ ~~,~~ l~~~T~3lE~ ` Proposed Existing Parking GSF 1 Residential GSF _--_ _ _. _ _ __ j- ---._ Retail/Commercial GSF ---- OfficeGSF industrial-PDR ' l Z ~ Medical GSF ~ - i d U~ ~ ~ U~ ~ 1~~ L( '~ ~ ' -- Vsitor GSF ~ CfE (Cultura(,'fnstitutional, Educational) _ ~ ~ i ~~ i Useable Open Space GSF i _. _~-~_ Public Open Space GSF _~ Dwelling Units-Affordable'' Dwelling Units -Market Rate Dwelling Units -Total Hotel Rooms Number of Buildings} ' Numbero€Stories ~~ Parking,5paces 3 PAGE4 ~ PLANNING APPLIGITION-PROJER APPLICATION ~ ~2 ~. OB.a7.1a18 SAN FPANCISCO PLANNING ~EPAHTMENT This form will determine if further environmental review is required. If you are submitting a Building Permit Application only, please respond to the below questions to the best of your knowledge. You do not need to submit any additional materials at this time, and an environmental planner will contact you with further instructions. If you are submitting an application for entitlement, please submit the required supplemental applications,technical studies, or other information indicated below along with this Project Application. Environments{Topic Information ~ Applicable to f it? ' Propose Notes/Requirements 1a. General Estimated construction duration (months): 1b. General Does the project involve replacement or repair of a building foundation? If yes, please provide the foundation design type (e.g., mat foundation,spread footings, drilled piers, etc) Yes 2. Transportation Does the project involve a child care facility or school with 30 or more students,or a location 1,500 square feet or greater? ❑Yes No If yes, submit an Environmental Supplemental- School and Child Care Drop-Off &Pick-Up Management Plan. 3. Shadow Would the project result in any construction over 40 feet in height? ❑Yes No If yes, an initial review by a shadow expert,including a recommendation as to whether a shadow analysis is needed, maybe required, as determined by Planning staff.(If the project already underwent.Preliminary Project Assessment, refer to the shadow discussion in the PPA letter.) N/A o ~ ~f ~(,L An additional fee for a shadow review maybe required. 4. Biological Resources Does the project include the removal or addition oftrees on, over, or adjacent to the project site? ❑Yes No If yes: Number of existing trees on,over,or .adjacent to the project site: Number of existing trees on,over, or adjacent to the project site that would be removed by the project: Number o trees on,over, or adjacent to the project site that would be added by the project: 5a. Historic Preservation 5b. Historic Preservation ~~ , Would the project involve changes to the front fa4ade or an addition visible from the public right-of-way of a structure built 45 or more years ago or located in a historic district? ❑Yes No If yes,submit a complete Historic Resource Determination Supplemental Application. Include all materials required in the application, including a complete record (with copies) of all building permits. Would the project involve demolition of a structure constructed 45 or more years ago, or a structure located within a historic district? ❑Yes No Ifyes, a historic resource evaluation (HRE) report will be required.The scope ofthe HRE will be determined in consultation with CPC-HRE(a~sfgov.org. Please see the Property Information Mayor speak with Planning Information Center (PIC) staffto determine if this applies. PAGE 5 ~ PLANNING APPLICATION - PpOJECT APPLICATION V,08.07107 B SAN FRANCISCO PLANNING DEPARTMENT ---.._~ Information Environmental Topic 6. Archeology ~ Would the project result in soil disturbance/modification greater than two (2)feet below grade in an archeologically sensitive area or eight(8)feet below grade in anon-archeologically sensitive area? Notes/Requirements Appiicableto Proposed Proje ? ❑Yes No IfYes, provide depth of excavation/ disturbance below grade (in feet*): *Note this includes foundation work 7. Geology and Soils ~ Is the project located within a Landslide Hazard Zone,Liquefaction Zone or on a lot with an average slope of 20% or greater? ❑Yes No _ ________________________ Area of excavation/disturbance (in square feet): A geotechnical report prepared by a qualified professional must be submitted if one of the following thresholds apply to the project: ~ The project involves: O O Amount of excavation (in cubic yards): excavation of 50 or more cubic yards of soil, or building expansion greater than 1,OOo square feet outside of the existing building footprint. • The project involves a lot split located on a slope equal to or greater than 20 percent. ~eotechnical report may also be required for other circumstances as determined by Environmental Planning staff. 8. Air Quality ~ Would the project add new sensitive receptors (specifically, schools, day care facilities, hospitals, residential dwellings, and senior-care facilities) within an Air Pollutant Exposure Zone? 9a. Hazardous Materials Would the project involve work on a site with an existing or former gas station, parking lot, auto repair, dry cleaners, or ~se,or a site with heavy man~f3' underground storage tanks? 9b. Hazardous Materials ~, Is the project site located within the Maher area and would it involve ground disturbance of at least 50 cubic yards or a change of use from an industrial useto a residential or institutional use? ❑Yes No Yes ❑ No ❑Yes No Ifyes,the property owner must submit copy of initial filed application with department of public health. More information is found here. If yes,submit a Phase I Environmental Site Assessment prepared by a qualified consultant. If yes,submit a copy of the Maher Application Form to the Department of Public Health. Also submit a receipt of Maher enrollment with the Project Application. For more information about the Maher program and enrollment, refer to the Department of Public Health's Environmental Health Division. Maher enrollment may also be required for other circumstances as determined by Environmental Planning staff: 0Please see the Property Information Map or speak with Planning Information Center (PIC)staffto determine if this applies. PAGE 6 (PLANNING APPLICATION - PpOJER APPLICATION V. 08.071018 SAN FRANCISCO PLANNING DEPARTMENT ~o~~~i~3~'~ ~~-~~~~~ P~4~' ~h~~~~~i:5 ~~~~~~9 ~ .. - .. .. 1. That existing neighborhood-serving retail uses be preserved and enhanced and future opportunities for resident employment in an ownershi f such busineCss s enhance ` ~d, ~ ~ ~~ ~ r Q/v~ ~ J ,j ~ ~ G~ ~~-- .~~ -~- ,~ 2. That existing housing and neighborhood character be cons ved and protected in order to preserve the cultural and eco omit diversity of our neighborhoods; S ~ 3. That t e City's supply of affordable housing be pres ed and enhanced; c ;~~/~1~ •~- S ~~ -S'-- a~~ ~-- '~ 4. Tha commuter traffic not impede Muni transit service or overburden our streets or neighborhood parking; i ~ ~ ~ i 5. That a diverse economic base be maintained by protecting our industrial and service sectors from displacement due to commercial office development,and that future opportunities for resident employment and ownership in these sectors be enhanced; ~ ~~ ~o ~C ~~ C~C~~ i 6. That the City achieve the greatest possible preparedness to protect against injury and loss of life in an earthquake; CU j 1 i 7. That I i marks and historic buildings be preserved; and 6 e ( c ~~" `— ~ ~ i 8. That our parks and open space and their access to sunlight and vistas be protected from development. ice , I PAGE 7 ~ PLANNING APPLICATION - PflOJECT APPLICATION ~ ~i~ ~~~ ~o G ~~--~- ~ ~.08.07.2018 SAN FRANCISCO PLANNING DEPAHTMEM ~' .~ ~~ ~~ U nder penalty of perjury the following declarations are made: a) The undersigned is the owner or authorized agent of the owner of this property. b) The information presented is true and correct to the best of my knowledge. c) Other information or applications may be required. d) I herby authorize City and County of San Francisco Planning staff to conduct a site visit of this property as part of the City's review of this application, making all portions of the interior and exterior accessible through completion of construction and in r onse to the monitoring of any condition of approval. ~~ Relationsh ~~~ Name( int ) Signature o oject ~ ~ Pho e ~~ ~3 ~~r~rs/1. C~ Em (i.e. Owner, Architect, etc) For Departrnenc UseAnly Date. 7AGE8 ~ PLANNING APPLJCATION-PflOJER APPLICATION ~~~~#~+'i V,08.07.2018 SAN fRANCI5C0 PLANNING DEPAflTMENT