CEQA Categorical Exemption Determination

Transcription

1 S CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS BLOCK/LOT(S) lass 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an Etivt rppilit ulrtl Epti/rtaliou App/ice! ion is required. CEQA IMPACTS ( l ) he completed by Project Planner) TI ANY box is initialed below an E!lvi/O,lIHnitel Lreliiutioii 11/?1;1icl7tlo17 is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Phase I Environmental Site Assessment iecluired for CFQ\ clearance (EP,tsPs qisnl) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to F P ArcMap > CEQA Catlis Determination Lay cis > Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer to LlArcMap > CEQA CitEs Determination Layers> Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer to PP ArcMap > CEQi\ PalEs Detemination Levers >Topography CONTINUED ON PAGE 2

2 EM CEQA IMPACTS ADVANCED HISTORICAL REVIEW ( lb he completed by Preservation Planner It Condition applies, please in(tia(. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. (Please initial scopes of s o,k in 5 FF1 4 that appli 1 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify If ANY box is initialed in STEP 5, Preservation Planner MUST review initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. GO TO STEP 6 Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. * 9. Reclassification of property status to Category C Preservation Planner Initials a. Per Environmental Evaluation Evaluation, dated: * Attach Historic Resource Eva/nation Report b. Other, please specify * Requires initial by Senior Preseniatiori P/anne! / Preservation Coordinator -. CATEGORICAL EXEMPTION DETERMINATION (To he completed by Project Planner) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) I,-us1 Must file Etieiioti;iit n fal Ezra/nation Applicalioii. No Further Environmental Review Required. Project is categorically exempt under CEQA. Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNING DEPARTMENT

3 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS BLOCK/LOT(S) 1: Existing Facilities ZI-C, Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. El Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an EnviiouHetl tal EFt ahrta!iotl Application is required. CEQA IMPACTS ( To he completed by Project Planner) If ANY box is initialed below an Envoo,i,ut;itnl Eealitatioit Applicafio;i is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Phase I Enviroirmerilel Site Assessment requiied for CEQA clerii acre (F.P irotials is!) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Crier to FP ArcMip > CEQA CitEs Delerni!natiois La\eis > Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer to EPAirMap > CI-QA CatEx Deternsisatioii La5 ens> Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer to ER s\rcnlap CEQA CrOFt> Detcrmiiiation Laci -s >Topography CONTINUED ON PAGE 2

4 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Geotecimical report required and a Certificate or higher level CEQA document required - if uncertain, consult with El Landslide Zone: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Geotechnical report required and a Certificate or higher level CEQA document required - if uncertain, consult with El Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zones? Consult with El initial box below before proceeding to Seep 3 Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? Consult with El to determine the applicable level of CEQA analysis IM PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Peter to: San Francisco Property inforniason Map) El eaannni A. In,nn,n Wietnrir& One.,. Irna.r.b1.tI. -ISa L_J EJCategory B: Potential Historical Resource (over 50 years of age) tesii.1.ii1lp Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) tetsmsiilzd PROPOSED WORK CHECKLIST (lobe completed by Project Planner) If condition applies, please initial. 1. Change of Use and New Construction (tenant improvements not included), check box below before proceeding. V interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. Project is not listed: 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of- less than 4 work way for 150 in each direction; does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. SAN FRANCISCO PLANNING DEPARTMENT

5 M- CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (lobe completed by Preservation Planner) If condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. (Plvusc nutiil s s5vi (if iiiiik in SIT! 4 Soil uppft 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify If ANY box is initialed in STEP 5, Preservation Planner MUST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. GO TO STEP 6] Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. 9. Reclassification of property status to Category C a. Per Environmental Evaluation Evaluation, dated: * Attach Historic Resource Evaluation Report b. Other, please specify GO TO STEP 6] Preservation Planner Initials Requires initial by Senior Preservation Planner! Preservation Coordnialoi -. CATEGORICAL EXEMPTION DETERMINATION (To he completed by Project Planner) El Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Must file Etn ilonlnr llfal P Step 5 (Advanced Historical Review) ES a/!latloll /ippltclltioll. No Further Environmental Review Required. Project is categorically exempt under CEQA. Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNING DEPARTMENT

6 4 CEQA S. 00 Categorical Exemption Determination SAN FRANCISCO Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) 6I V erci r CASE NO PERMIT NO, PLANS DATED 2Ct (j[3t Addition! Alteration (detailed below) Demolition (requires HIRER if over 50 New Construction years old) EXEMPTION CLASS LII Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. EM CEQA IMPACTS ( Fo he completed by Project Planner) If neither class applies, an Etiz irotntim n ttil Eztiliitilioti Application is required. If ANY box is initialed below an Litcitoniucntnl ELGIIII7[IOII Application is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? [ hare I Ens mi mcioal Site \rservwe]1i required for CEQA dearance (EP si,idtr 055/I Of) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to: EP ArcMap > CI(QA CalEx Determination iarcrs > Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer to: E1ArcMap r CFQ:\ CatEr Determination Lavers, Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Ectim In [P ArcElap > C[Q \ CM Ex Er I)ctemniiiialinn Ia err >Topography CONTINUED ON PAGE 2

7 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geotechoical report required and a Certificate or higher level CEQA document required - File an En vronnienial Applica ion Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Geotechnical report required and a Certificate or higher level CEQA document required File an Eu ci rc nmenial Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - ockiding excavation and fit Exceptions: Do not check box for stairs, patio, deck and fence work initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Ceo technical report will likely be required. File an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Environmental Application Is determine the applicable level of CEQA analysis MM DDtDDTV QTATI I - wiqtrdit Al QQCtI I( Property is one of the following: (Refer to: San Francisco Property Information Map) LjjjJcallegory A: Known Historical Resource te1sid1i Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) IcsM.IiI EM PROPOSED WORK CHECKLIST (To be completed by Project Planner) If condition applies, please initial. check box below before proceeding. 1. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. Project is not listed: 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. Project does not conform to the scopes of work: 4 or more work descriptions: less than 4 work descriptions: SAN FRANCISCO PLANNING DEPARTMENT

8 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To be completed by l reser\ ation Planner) If condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. i e-e ruin! nqr..r of is oil. in 51 IT I ho! 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initialed in STEP 5, Preservation Planner MUST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: 9. Reclassification of property status to Category C a. Per Environmental Evaluation, dated: Attach Hisiloisc Resource E,aluation Ropori b Other, please specify Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. tc.itui.1iii Preservation Planner Initials * Requires initial by Senior Preservai,on Planner / Preservation Coordinator.. CATEGORICAL EXEMPTION DETERMINATION (lobe completed by Project Planner) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) tu.ji Must file EItulrol!ll!ci1till Eea/iia [bit Aj rplica [io;t. ESXNo Further Environmental Review Required. Project is categorically exempt under CEQA. Planners Signature Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO P-ANNING DEPARTMENA

9 SAN FRANCISCO CEQA Categorical Exemption Determination Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) CASE NO. j PERMIT NO. PLANS DATED dition/ Alteration (detailed below) Demolition (requires HIRER if over 50 years old) MM EXEMPTION CLASS ass 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; Change of use if principally permitted or with a Cu. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq ft.; accessory structures; utility extensions. LII New Construction If neither class applies, an Environnir tital Esaluat ion Application is required. CEQA IMPACTS (10 be completed by Project Planner) Ii A NY ho\ is ini(i,tled below an Liipiro;ii,n ii(ai Iz uiiialioii /)J)pIicaI!o/i is required. Transportation: Does the project create six (6) or more net new parking - spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, - schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? U iui)tilciii.ii Sift \.i".>rot ni re,1l111t ki fir ( I (,-\ Jr,tr,iiicu (1 P itii!i,ift. lr I/)Ccf) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? PS r f; ii\i\l.rp (i QA Sill I lr rn;n,rti;,i,irrr Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, -. - colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Stir ii: I P \ri\l.p Si QAL,iti -\ ift t uiiin,ifirn I.iwi, > Noise \Iitiiation \rea Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? \r \1,1 I,1 I- I ; Hi SS, [1.1 - I CONTINUED ON PACE 2

10 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work.,.rt Jr fl j.1 ii apart i aqui red and a Certificate or higher icr ci CFQA d acumen t required - File an Fri ii on mer tl App I icotion Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. C a technicil I VrO,i ;_VqF lil 1 zmdi ( rrtifirrte nr hi;r r I J C lid \ I ( 0 Or 0 (I p jr I a urn, at rr quiri d - I a an Seismic: Liquefaction Zone: Does the project involve excavation, square footage expan si on, shoring, under pi n ni ng, retain i ng wall work, grathng initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. a.,r, uun to,,orio, (UQ, U UGA ut/u IC/bC Vu,r,. Cr otechni cal report will likelr be required. File an Fnvironrnen lal Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Environmental \ppl ira lion to dat. rm inc th.rppi ca Fir, level tf C 1 QA a nd, at. DPflDFPTV QTATI I - HITCPICAI PCI IPf Property is one of the following: c. j t lmlcrnco l r,/1 r j I. I at arra Ion Map) El Category A: Known Historical Resource C OMM Category B: Potential Historical Resource (over 50 years of age)... Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) PROPOSED WORK CHECKLIST (lobe completed by Project Planner) If condition appliea, plei tac initial. 1. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. check box below before proceeding. Project is not listed: 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. Project does not conform to the scopes of work: 4 or more work descriptions: 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right -of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. less than 4 work descriptions: PLL (NN.LE T ~-IIT 2 3 Ca

11 rat M CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (Th he completed by Preeervati(n Planner) If condition ppiies, plelse initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. i im iriitirl uir r..st nil in Sill 4 lhal l\l 2. Interior alterations to publicly-accessible spaces. Y\ 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initialed in STEP 5, preservation Planner MUST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials * 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: 9. Reclassification of property status to Category C a Per Environmental Evaluation, dated * Attach Historic Resource Evaluation Report b. Other, please specify: Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. Preservation Planner Initials Requires,rstrrh by Senor Preservation Planner I Preservation Coordinator CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (lii he completed by Project l llnnem (check all that apply) El" No Step 2 (CEQA Impacts) or Must file Eu viiou il/i ll lal 5 (Advanced Historical Review) L liiiiillii tl AJt/tliclltlomm. No Further Environmental Review Required. Project is categorically exempt under CEQA. LfrL Plan S gnature Date Print Name Once signed and dated, this document constitutes a categorical esemptlon pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code.

12 SAN FRANCISCO PLANNING CEQA Categorical Exemption Determination Property Information/Project Description DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) 25 7p ) S CASE NO. PERMIT NO. PLANS DATED Addition! Alteration (detailed below) Demolition (requires HIRER if over 50 El New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. 1= CEQA IMPACTS (lo he completed by Project Planner If neither class applies, in Environmental l - ria111171jo;i Application is required. 1 \NY ho o oiiii/kj below wi Feeeu,iw;itiil Iilttitit;i Apjtlicetteii ic rwpiired. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Char } FIi\ j1iiii]fliuj,11 Site A,ses]neiit RO]iIiOLI Iii C FJ\ ]r,ir,iilce (F Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? CI \onii1 ( Fl.),\C,1is Iirtir,iiiiiiliii, Fi\eiH Archeological Seiisiiie Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? FrIi i tii II \rcnia}h CIiO.\ (atis DrirT - imi tiitn Limo Noise Miligaiiiie,-\rra Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? lii H Ar Ci(F),\ C ass [)rtiriiaiiuiirii L,iiris Topography CONTINUED ON PAGE 2

13 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Ceolechnical report required and a Per ificate or higher level CEQA document required isccitcifl. consuit with PP Landslide Zone: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Ceotechoical report required cccl a Certificate or highcr level CEQA document required - if uncertain, consult w i th PP Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zones? Consult noth PP Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? i initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. OS3 Coons It iv ihi PP to rieterisine rlre applicable level of CEQA analysis PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Peter t. San Francisco Property lirforarattun t\iap) Li Category A: Known Historical Resource LCII11 I.ii Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) EM PROPOSED WORK CHECKLIST (To be completed by Project Planner) It condition applies, please nittal p 1. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-ofway for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. check box below before proceeding. Project is not listed: Project does not conform to the scopes of work: I.l, 4 or more work descriptions: Ic1MiIt2 less than 4 work descriptions: SAN FRANCISCO PLANNING DEPARTMENT

14 ET - CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To he completed by Preservation Planner) If CUditti)t1 tppiie5, pledse ifli(kli. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. (Mei.e 1. S11l4 lii it Jpplk 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: If ANY box is initialed in STEP 5, Preservation Planner MUST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. GO TO STEP 6 Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. * 9. Reclassification of property status to Category C GO TO STEP 6 Preservation Planner Initials a. Per Environmental Evaluation Evaluation, dated: * Attach Historic Resource Evaluation Report b. Other, please specify: R2qiiircS u,..t::l by Syin:,, Piysy,vat, crr Planner / P,ene:val,on Conrd:,,atcr.. CATEGORICAL EXEMPTION DETERMINATION (It he completed bv Project Planner Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) Must File l75rj)f7tfjljf(1 E/ tiolI /-l/rpi!catioll. No Further Environmental Review Required. Project is categorically exempt under CEQA. Planners Signature Date y. / clii Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNING DEPARTMENT

15 COU.V, 11 CEQA 7 Categorical Exemption Determination SAN FRANCISCO Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) J3 EE 124 CASE NO PERMIT NO PLANS TED - o4fl1l ddition/ Alteration (detailed below) Demolition (requires HRER if over 50 El New Construction / years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions If neither class applies, an Enzironi;icutal Lf ailmtioil Application is required. EM CEQA IMPACTS lb he completed by Project Planner) It AN ho\ is IIIiti,IIUd hl IO\V mi Lll iluillcitui EtS7III/?(II))I ApjIicatioi is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I I i,flhrnc,,i1] Sit, \>,,-I11tI1t rlwtiir, d for CII A c(edratice (ER indmis n(lli ret Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Hefei to. II AreItp CIit7\ (tier [tettrti,jitt(iuit I Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? ii:(\i:_ete. Iel,,t,, o,ir,,, I,\rro Noise Mitigation,rea Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? lrlr Se l I \ieei iii) (SuEt ()eter,u,ui,utar, I uttrrstopograpliy CONTINUED ON PAGE 2

16 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geoteclinical report required and a Certificate or higher keel CEQA document required - Pile an En, Application Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining waif work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Geotechnical report required and a Certificate or higher level CEQA document required - File an Ens reonmen 101 Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - Exceptions. Do not check box for stairs, patio, deck and fence work. Geoteclinical report will likely be required. File an Environmental Application initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. GO TO STEP 3 irlrtar Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an En si ronrnen Ia I Application to rioter rune the applicable level of CEQA analysis ii PRflPFRTV qtati IS - WlSTflRI(AI RFSflI IRCF Property is one of the following: (Rotor to San Francisco ircpertv Information Map) )3 Category A: Known Historical Resource tc.fl.i1ii& Category B: Potential Historical Resource (over 50 years of age) tc..i-ii Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) PROPOSED WORK CHECKLIST (To he completed by Project Planner) If condition applies, please initial. 1. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. check box below before proceeding. Project is not listed: 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). Project does not conform to the scopes of work: 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. 4 or more work descriptions: tc*m.1.i I f )5 less than 4 work descriptions: SAN FRANCISCO PLANNING DEPARTMENT

17 S EM CEQA IMPACTS ADVANCED HISTORICAL REVIEW ( fohe completed by Preservation Planner) If condition applies, plcace illitial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. i Ha. tij,,t a plv 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. If ANY box is initialed in STEP 5, Preservation Planner MUST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. GO TO STEP 6] Preservation Planner ln,t,ajs 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a. Per Environmental Evaluation, dated. Attach!hstor ic Hesur;r cc Er a/nation Re:uit b. Other, please specify: Preservation Planner Initials Re.:;? rues uvtial by Senior P,eservat,on P/unset.,n(ecen ahc s Coo:dtcj/c, I1I CATEGORICAL EXEMPTION DETERMINATION (To he completed by Project Planner) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) It.]I Must file Enz it wttt,t iita/ Ealtiatiott Application. No Further Enviro ental Review Required. Project is categorically exempt under CEQA. Planner s Signatuoe Date (7 / J Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code, 3 SAN FRANCISCO PLANNING DEPARTMENT

18 S. CEQA Categorical Exemption Determination SAN FRANCISCO Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) CASE NO. PERMIT NO. PLANS DATED -I o -i is 9rS D -Addition/ Alteration (detailed below) Demolition (requires HRER if over 50 New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; Commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an Environmental Lt aluaboii Application is required. LI11 CEQA IMPACTS Fe be completed by Project F lcnner If ANY he\ i metaled heiev an E;eite,iuitnfel Fealimitiej,.d171,1ma11017 is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Phase I Liv:roii;nviiiiI Site.-\..t-o-,iicnt ret1uuj tot LFQ.\ t le,il title /- P 11, l) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Plt o II CIP.S\niH I-leon terl Archeological Setisilive Are,is Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Peter lii I-Tr\ichiap (U1)\CatF\ I)i-ter:nin,ition I.eersr Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Peter ci: SI Arrhl.ip CIrQACaIEx Determination Laitis-Topography CONTINUED ON PAGE 2

19 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Geoteclinical report required and a Certificate or higher level CEQA document required 11 uucerlaiu, cumuli r itli PP Landslide Zone: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Geoteclinical report required and a Certificate or higher level CEQA document required if uncertain, cousult :s jtli PP Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zones? coli inith pp Project Planner trust initial box below before nyoceedjnc to Step 3 Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? Cumuli with PP lo determine the applicable level of CEQA anal sis PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: Ft : San Francisco Property iirtorclstiru Map) ft. Wnnm,n Wi,sri, I r,r.t.l-iz I.. Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) - PROPOSED WORK CHECKLIST (To be compleied by Frojecf Planner) If condition applies. iplease initial. 1. Change of Use and New Construction (tenant improvements not included), check box below before proceeding. 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review, 3. Reclular maintenance and repair to correct or repair deterioration, decay, or dama to the building. Project is not listed: 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: Me SM Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows Additions that are not visible from any immediately adjacent public right-of- less than 4 work way for 150 in each direction; does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. SAN FRANCISCO PLANNING DEPARTMENT

20 II1 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW ( to (in complrtcd by l reservation Platttier It ttdittoii ipjs(t(s, rl luri nih,). 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. ni irtiai 1 1.i k In n inn i 11,1 iapiy.) 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: If ANY box is initialed in STEP 5, Preservation Planner MUST review initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. GO TO STEP 6 Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. * 9. Reclassification of property status to Category C GO TO STEP 6 Preservation Planner Initials a. Per Environmental Evaluation Evaluation, dated: Attach Historic Resource Evaluation Report b. Other, please specify: lrcqrices astral by Scars, Preservatro,r Planner / P,esv,r at,on Goo,dr,rato, EM CATEGORICAL EXEMPTION DETERMINATION fl Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (to he csinpk(ed by I rnjcct Planner (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) Must file tin/ire;! 111(11 te/ L u/iiitie;i lj tltfici?[1(jll. No Further Enviro ental Review Required. Project is categorically exempt under CEQA. Planners Signature Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNING DEPARTMENT

21 SAN FRANCISCO PLANNING CEQA Categorical Exemption Determination Property Information/Project Description DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) CASE NO. PERMIT NO. PLANS DATED fl Addition! Alteration (detailed below) Demolition (requires HIRER if over 50 New Construction years old) - EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an Environmental Lrti/uatioii Application is required. - CEQA IMPACTS (n be conipleied by l tnjcct Planner ii ANY hon H II1iti1!OJ bcloss in I IUYHC/7)!i(ilhII Lneliiittn;i 111)/?/!H?fiOI7 is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Phase 1 II1,ui(,I1fl1e!SIdl Site Assessnicj,t Tcyuiod toi CI_QA clesreisce (F I Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? CFQ\ctrs F iii I 1\} Archeological Sensitive Are.is Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Iii 1 JAreNlip CI C ) ACiiis D,Ici min,ition il\ei5 Noise Mitigation \rea Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Peter iii I P \icni.ip CE Q.\ CitEs Pelernmsimtmon ioeis>ioporaphy CONTINUED ON PAGE 2

22 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Ceotechnical report requiicd and a Ceililicate or higher level CEQA document rcm d - if uncertain, consult with EP Landslide Zone: Does the project involve any excavation square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Geotechinical report required and a Cectihcete or higher level CEQA document required -if Lincerlain. consult wills PP Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zones? Consult with pp initial box below before proceeding to Step as. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? Consult ivilli [P to rletennisse the applicable level ot CEQA PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Refer to, San Fiancmco rco1aeits IntornsaC so Map) [J Known. Historical I a - 1% R.ieyUI y M. riivwi I flijui Category B: Potential Historical Resource (over 50 years of age) I Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) MM PROPOSED WORK CHECKLIST (To be completed by Project Fleecer) If condition applies, please initial. 1. Change of Use and New Construction (tenant improvements not included), check box below before proceeding. 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner Project is not review. listed: - 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. Project does not conform to the scopes of work: 4 or more work descriptions: 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of- less than 4 work way for 150 in each direction; does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. SAN FRANCISCO PLANNING DEPARTMENT

23 111 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (lobe completed by Preservation Planner) 11 condtlton applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. (Jl. ri.. irt hi II 4 ill 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or smftarbitldigs. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: If ANY box is initialed in STEP 5, Preservation Planner MUST review L1z initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. GO TO STEP 6 Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. * 9. Reclassification of property status to Category C GOTO STEP 6 Preservation Planner Initials a. Per Environmental Evaluation Evaluation, dated: * Attach Historic Resource Evaluation Report b. Other, please specify: - R*qtnies,rrtiaI by Senior Prese,vat,c Planed I Presc,vat,oir Coordri:!atdI CATEGORICAL EXEMPTION DETERMINATION El Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply( Step 2 (CEQA Impacts) or LII Step 5 (Advanced Historical Review) ( In be cltlrtple(ec( lw l IIIjecI l l,tnncr II Must File E;initi,titteital E1 aillttticlll Application. Further Review Required. Project is categorically exempt under CEQA. Planners Signature Print Name c Date Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNING DEPARTMENT

24 / E :.: : <:. IlJ CEQA IMPACTS ADVANCED HISTORICAL REVIEW To be complete dh Pre cr\at1onplanner ) If condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as1etermined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. (Please initial scope s of work in SIEP4thtapp1.) NIN 2 Interior alterations t publicly accessibje spaces 3 Window replacement 01 original/historic windows that are not in kind but are is cnsistønt with existing historic character. 4. FacadeJstorefront alterations that do not remove, alter, or obscure character-defining features. NOTE I If ANY box is initiale.dn STEP 5, Preservation Planner MUST review & initial below. 5. Raising not remove, alter, n st.doe5 or ur 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence or similar buildings 7 Addition(s) including mechanical equipment that are minimally visible from a public right of way and meets the Secretary or the Interiors Standards for Rehabilitation. I EA0seA00 lop M580S O0 8 Other work consistent with the Secretary of the Interior -..1 Standards for the Treatment of Historic Properties Specify: * 9 Reclassification of property status to Category C a. Per Environmental Evaluation Evaluation, dated: *Attach Historic Resource Evaluation Report b. Other, please specify 0=1 X * Requires,roft,uI by Senior Preservation Planner I Preservation Coordinator.. CATEGORICAL EXEMPTION DETERMINATION (To he completed by Project Planner) JJ Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) tep 2 (CEQA Impacts) or US Must Step 5 (Advanced Historical Review) t1i.)ji file Environmental Evaluation Application. No Further Environmental Review Required. Project is categorically exempt under CEQA. Nd 04/16/2013 Planners Si nature OM AR MASRY Print Name Data Once signed and dated, this document constitutes a categorical exemption pursuant Chapter 31 of the Administrative Code. to CEQA Guidelines and 3 SAN FRANCISCO PLANNING DEPARTMENT

25 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geok chnical report required and Certificate or higher level CF.QA document requited - lik all Environmental Application Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Ckotcchnical report required and a Certificate or higher level (EQA document roqoirel Environmental Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zone? Exceptions: Do not check box for stairs, patio, deck and fence work. tin i initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. c.eotechnucal report will likely be required. File an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Environmental Application to determine the applicable level ef CLQA analysis PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: freter to; hair Francisco Propcctr Information Map) Category A: Known Historical Resource fe.1f.11i Category B: Potential Historical Resource (over 50 years of age) Ic50- MTh E?1 Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) EM PROPOSED WORK CHECKLIST (lb he completed by Project Planner) check box below If condition applies please initial. before proceeding. 1. Change of Use and New Construction (tenant improvements not included). Project is not 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible listed: spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. Ic[0 1011llJ 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. Project does not 4. Window replacement that meets the Department s Window Replacement Standards LII conform to the (does not includ storefront window alterations). scopes of work: 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. less than 4 work descriptions: Ia1nzjfl.H*IntImA...].,amnIa.,1..t,q

26 Dl \ddition/ Alteration (detailed below) Demolition (requires HIRER if over 50 New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a Cu. If neither class applies. 7 Class 3: New Construction an Environmental Up to three (3) single family residences; six (6) dwelling units in one building; Evaluation Application is commercia!/office structures under 10,000 sq.ft.; structurcs;.+,h+s, Ieuui1eu, CEQA IMPACTS (To be completed by Project Planner) If ANY box is initialed below an Environmental Evaluation Application is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Phase] Environmental Site Assessment required for CEQA clearance (ER initials required) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to: CF ArcMap> CEQA CatEx Determination Layers> Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer to: rparcmap > CEQA Cat] x Determination Layers Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer to II ArcMap > CEQA CatEx Determination I avers atopography CONTINUED ON PAGE 2

27 Z. CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENr ASE NO Property Information/Project Description f 3 LM $T.ET PkOJe;irFes X- ddition/ Alteration (detailed belowi Demolition (requires HIRER if over 50 L_i New Construction 7 years old) EM EXEMPTION CLASS XClass 1: Existing Facilities Interior and exterior alterations: additions Under 10,000 so, ti change of use if principally permitted or with a CU. FJ Class 3: New Construction Up to three (3) single family residences: six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions, C EQA IMPACTS I To be completed by Project Planner Ii A \Y box i iii i rind heir w an LTnryiro,irizerr tel Ova/us! ion Application is required Transportation: Does the project create six (6) or more net new parking -- spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project acid new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? l ha, I ir,nipani,i A-.-- ml r, mi!.(l CiQA cie,jranca E.P nriiaim niuird Soil Disturbance/Modification: Would the project result in the soil -- disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer lc, CC Arc!\ lap r ( F-QA CaIE Drieriirinrtioi, 1.ave, Archeological Sans! usc Areas Noise: Does the project include new noise-sensitive receptors (schools, -- colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? lo:iar\l,1 >(_! QA C, mtis I inmti n I sners >Noise Mitigation Area I If neither class applies, no invironnu iifnl / i a/iia!ioir Application is required. Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Cm Smr in Pl. :Tap c:im(.r.\ (au 1cI rrninaiion i.ayara >Toporaj frv CONTINUED ON PAGE -2

28 Slope>20%: Does One project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading including excavation or till? L 0 ft n I" J CL()r\u c initial box below before Landslide Zone: Does the project involve any excavation square footage proceedmg to Step?. - expansion, shoring, underpinning, retaining wall work grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Project Can Proceed Lc ftcii,.ai r.poui i usa ci,nj, ("!F", ihc a tu Ar irirrirer ]Avr,i CD]Adocmnurli luwuncd 11 With Categorical unc rer 1 c risul: lb Exemption Review. Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, fooding. or liquesfacfcn zones? C1SLflt i H Serpentine Rock Does the project involve any excavation in a property containing serpentine rock.) Lu, ii s ii, El..1,.,, EL.,, 0 ul CEI.\.1 L The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. c-ti7v EM PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: ategory i.: Known flisloluot ncsourco Category B: Poterit e Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) lw PROPOSED WORK CHECKLIST ( lb be coinpleted by Pi oiuct L.wuses. If condition applies p1mw niral. 1. Change of Use and New Construction (tenant improvements not included). check box below before proceeding. I 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. LII Project is not listed: 4. Window replacement that irteets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the. scores of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions. public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions thnt are not visible from any immediately adjacent public right-of- less than 4 work way for IPC..n each direction; does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features SAN FRAN SON i SARJNLN A,R4HT,2 0 2& AN,,

29 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW ( lii i.n cy.thi i Lv u-. l\utlnfl l Liiinir if hoflllftloil alir ), L,lOU nitii 1 a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. P 1 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not if ANY bo:\ is initialed in STEP 5. "in-kind" but are is consistent with existing historic character. Preservation Planner MUST review & initti bc!ov. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are - minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. R. Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review, 9. Reclassification of property status to Category C Preservation Planner Initials a Per Environmental Evaluation Evaluation rioted * Aped fri,utinc t-tc scra,ci, F",nlurrtis,r Sync,;: b, Other, please specify, * /tequoes i,r;tia? by Senior Preoervat;or trerrie; / Il,espwat io, i1lp CATEGORICAL EXEMPTION DETERMINATION fl Further Environmental Review Required. Proposed Project does not meet scopes of work in either: To be c amplektd Lv Proj i Cl lai intt ) (check all that app/y( LII LII Step 2 (CEQA Impacts) or Step 5 (Advanced Historical v 111/1 lily L Tvnitjri / ion Application. No F ther Environm n Rev Required. Project is categorically exempt under CEQA. Plan i s Srgnatur on Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Curdelinec arid Chapter 31 ol the Administrative Code. 5, N RANCISCO PLANNiNG oeeurrlrr NT ,3

30 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT CASE NO. Property Information/Project Description PROJECT ADDRESS 9( V?Y1 PERMIT NO. Iv BLOCKI1OT(S) ~Zm PLANS DA VA/ Addition! Alteration (detailed below) Demolition (requires HIRER if over 50 El New Construction years old) EXEMPTION CLASS [11 Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a Cu. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an EnvhrouIue;lial EeO/IIOIiOII Application is reepaired. C EQA IMPACTS ( Fe be com pleted by Project Ft anne 11 ANY ho\ is iitit d below m Eteiieiitt,itite/ Fea!itittie;i Applicetieu is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? 1h. I II1\irJroental Site -\,essiocirt ref1ii i -H!FCFQ!\ UCdV(II1LU (1 1 Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? trier t o F! A rsi,5r (]-S)ACatl-r!)Heijeiiia1iiir I irei ArcheoIoicaI Sensitise Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? II Ai-eSti CIbA C,itFr fleterniinalir,ii Li\rr Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? later a SI /\inlip a CLIA\(_.iilbx De!criniiiriioii Career -Topography CONTINUED ON PAGE 2

31 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Geoteclrnicat report equired and a Certificate or higher level CEQA document required - if unceriain, consult with PP Landslide Zone: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Gcoteclinical report required and a Cci bhcato or higher love] CEQa\ document required if uncortam, consult ivoth PP Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zones? Conuliira ts EP Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? Consult aviih PP to sle lei mine the applicable level of CEQA cialysis initial box below before proceeding to Step 3 Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. re.iii. PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Eeter tie Par Francisco Property Information Map) -f Category A: Known Historical Resource Category B: Potential Historical Resource (over 50 years of age) ee1.il Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) PROPOSED WORK CHECKLIST (To be completed by Protect Planner) If condition applies, please initia. 1. Change of Use and New Construction (tenant improvements not included), check box below before proceeding. 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner Project is not review. - listed: 3. Regular maintenance an l repair to correct or repair deterioration, decay, or amage to the building. I\J(s9 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). Project does not conform to the scopes of work: 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of- less than 4 work way for 150 in each direction; does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. SAN FRANCISCO PLANNING DEPARTMENT

32 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To be completed by Preservation Planner) If ii Ittirn tp lice, pleiec niti,ii. & a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. (l]r,-. initial.ryii.i I irr ik ivr P1 FIt that 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: If ANY box is initialed in STEP 5, Preservation Planner MUST review A initial hchtw. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. 9. Reclassification of property status to Category C a. Per Environmental Evaluation Evaluation, dated: el-- ~_ Preservation Planner Initials * A ttach Hrstooc Resource Evaluut,on Report b. Other, please specify: Reqr,r! es i r yilyf by Senior R,esyrvatio,r Planna, / Preservation Coordiriatir, Iii.lP CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (chock all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) (To he completed by I roct Planner) sm Must file Enz it oit,tu tt to! Evalntitiott /l/?p/icfltiohl. No Further Environmental Review Required. Project is categorically exempt under CEQA. Planner s Signa tu re Date Print Nam Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNING DEPARTMENT

33 SAN FRANCISCO CEQA Categorical Exemption Determination PropertyInformation/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) CASE NO. PERMIT NO. PLANS DATED _.,/ddition/ Alteration (detailed below) Demolition (requires HIRER if over 50 years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permifted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. El New Construction 11 neither class applies, an Euz irviiiizr ;itul Liilimtio;i A/JpliCCl[iO/1 is required. - CEQA IMPACTS (lb be completed by Project Planner IF ANY bo initialed below an F;ini,o,iu,r,iini Evnititii/oii Applwetioit is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? hoe I Ho II mental H5 r iur,d i,t(fqaciearince 11 Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to II. ur Mal, CFQ\CiIFs flteun iinilion I mars Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? I\.lslap t,l.l\( ai - s I)rt,oiioaIin liver S Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? in [l Arrfr1p i_ LOA U,itI/s I5eterniiirati, ii I.1mm a topography CONTINUED ON PAGE 2

34 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Ceotechoical report ioquived and a Certificate or higher level CEQA document required - File an hi in roninoirtal App1ica1oir initial box below before proceeding to Step 3. Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - Project Can Proceed including excavation and fill on a landslide zone - as identified in the San With Categorical Francisco General Plan? Exemption Review. Exceptions: Do not check box for stairs, patio, deck and fence work. The project does not Ceotecheical I eport required ancl a Certificate or higher level EEQn\ document required File an Cur irooineutal Application trigger any of the CEQA - Impacts and can proceed Seismic: Liquefaction Zone: Does the project involve excavation, square with categorical exemption footage expansion, shoring, underpinning, retaining wall work, grading - review. II OIULII! IN..! AL.QVQL!U!I cii ui II!! L)i ciii! cii ci.o!ii!v... 1!NaUJNa,, U, iui Exceptions: Do not check box for stairs, patio, deck and fence work. Gee technical report will likely be required. File an Environmental Appi. cc lion Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Co ri rorrrnen tel Application to d eierrrri ire the applicable level of CCQAe no lyric #fldrv TATI I iiotrdi("ai DCQ1 i IDt r n r I I I I I n I - i ii W1 ii n I I I I Property is one of the following: (Rater to Fan Fraricico Property Information Map) Category A: Known Historical Resource MIMP Category B: Potential Historical Resource (over 50 years of age) M.(eIziZ Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) EM PROPOSED WORK CHECKLIST (To he completed by Project Planner) If conch hon applies, please tnt list. 1. Change of Use and New Construction (tenant improvements not included). check box below before proceeding. Project is not 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible listed: spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. I,)t.II I 4J 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building.. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. Project does not conform to the scopes of work: 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. less than 4 work descriptions: SAN FraNcisco PLANNING DE PAR TOENT

35 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To be completed by Preservation Planner) It condition applies, initial. 1 a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. i -r. it:ilial. n i v, rn. in. I F1 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initialed in STEP 5, Preservation Planner MUST review initial hc!)w. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify. 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a. Per Environmental Evaluation, dated: * Attach Hickvi Recv Er a/gallon Rcc,t b. Other, please specify: Preservation Planner Initials I e by S / rr,t (0 J t.. CATEGORICAL EXEMPTION DETERMINATION (To he completed by Project Planner) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) EM Must file Et lltfll tlfell Eiaaliiatiott Application.,,ZNo Fu 0 w Required. Project is categorically exempt under CEQA. Planner s Signature Print Name )-1 A.X Ee Date ( ( Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAN FRANCISCO PLANNING DEPARTMENT

36 (9 S. 0 CEQA Categorical Exemption Determination SAN FRANCISCO Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) i& Jk 7&O CASE NO. PERMIT NO. o).00ji. 1t5 PLANS DATED 2/2Ol/R Addition! Alteration (detailed below) Demolition (requires HRER if over 50 El New Construction years old) FT M- EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions, If neither class applies, an Enviio,niienial Li 17111t71ioii Application is required. CEQA IMPACTS ( Th he completed by Project Planner Ii,\NY ho\ 11 IlliIiled below in F;n ii;iiiieiifiil L7 alh?tuni Ajiji/ici?:ii is rcj111ftj. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I ((iii ic(, mm eiliai Site Asessmeiii re1uuel loi CEQA c]earuice (F P Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? I.(eftr te II..\iNIp CI).,\(rtL I ieniuniiten I Archeological Scnoiiie Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? CF(.i\ (jti. P)rieri,ri etei II\rre Noise Nl(Iigatioii Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Se LI i -enlap Cl((.\ LetF flei]in,ite1 I ever- e]opography CONTINUED ON PAGE 2

37 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Geotcclrnical jepoi t required and a CeO lice In or higher level CEQA document required - ii rineerlain, consult oslo ES Landslide Zone: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Geotechnical report rerivied and a Certificate or higher level CEQA document required - if oncerinin, consult nih El Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zones? Consuli l5]ih SF Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? initial box below before proceeding to Step 3 Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. J Conrail nih ES in deterniine the applicable level vi CEQA anal)is PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: prefer icr San Faucisro Property 1sfuns5cvi Map) Li - I.alegory : Known riustoricai tiesource 9 Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible ( under 50 years of age) I[ IiiL EM PROPOSED WORK CHECKLIST (To be completed by Project Flcnnec) If condition applies: p1csse initial. Project Planner most 1. Change of Use and New Construction (tenant improvements not included), check box below before proceeding. 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). Project is not listed: 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. J 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. J 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. / 9. Additions that are not visible from any immediately adjacent public right-of- less than 4 work way for 150 in each direction; does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. - (o, *r -J _Ac., L 77 (_ SAN FRANCISCO PLANNING DEPARTMENT

38 - ET CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (lobe completed by Preservation Planner) H CUnLI III Ill t[l)t! ILlS, pihdhii IttWrl!. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. IIiIII 1 e F1, Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not If ANY box is initialed in STEP 5, "in-kind" but are is consistent with existing historic character. Preservation Planner MUST review & initial below. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. Further Environmental Review Required. 5. Raising the building in a manner that does not remove, alter, Based on the information or obscure character-defining features, provided, the project requires an Environmental Evaluation 6. Restoration based upon documented evidence of a building s Application to be submitted. historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. 8. Other work consistent with the Secretary of the Interior The project has been reviewed Standards for the Treatment of Historic Properties by the Preservation Planner and can proceed with categorical Specify: exemption review. * 9. Reclassification of property status to Category C Preservation Planner Initials a. Per Environmental Evaluation Evaluation, dated: "Attach Historic Resource Evaluation Report b. Other, please specify: Req ones,, -utssl hy Sen,c.r Pres,vat,o:i Planner! Prese,vst,o,r Ccsrdinato, Il2 CATEGORICAL EXEMPTION DETERMINATION ( a he completed i.v I rrruct Planner) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) Must file EIl!tlronlllL lltal Eealllillioll Application. No Further Environmental Review Required. Project is categorically exempt under CEQA. Planners Signat(J Ue Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. V SAN FRANCISCO PLANNING DEPARTMENT

39 SAN FRANCISCO jj24)5 CEQA Categorical Exemption Determination Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) st-- (2F? ~ 7 /07-s - CASE NO. PERMIT NO PLANS DATED 2oZc7-0. 5o [_ Addition/ Alteration (detailed below) L Demolition (requires HRER if over 50 LIII New Construction years old) - EXEMPTION CLASS HI Class1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction an Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions, If neither class applies, Enviromnenial Evaluation Application is required. CEQA IMPACTS (To be completed by Project Planner) I f ANY box is initialed below an Environmental Evaluation Application is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I ha,c I I,vj, noniai Site..me1 e,ued I (ioa CIe ncr (Li i,!. ;ri) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? P " I er I : ii i \l.p Li Q\ ( M N, i)eierrnin,iin i n)r.. Archeoioi ieai Sensitise Areas Project Planner roust initial box below before CiOcOLdiiTh to Step 3. Project Can Proceed With Categorical Exemption Review. Noise: Does the project include new noise-sensitive receptors (schools, The project does not colleges, universities, day care facilities, hospitals, residential dwellings, and trigger any of the CEQA senior-care facilities) fronting roadways located in the noise mitigation area? Impacts and can proceed K " K. r t IPA em.p (l-q.\ (ui \ )eierm I mi t on L.ursr Noise \Iitigation Area with categorical exemption review. Subdivision/Lot - Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? k kr I In. \rc\i (i(, (,utinx Jekrruuunatiou I a v ers ;iopographv

40 M- PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: SAA Fr.n&co PropertY lrlfoffflatiofl \p) H Category A: Known Historical Resource LI Category B: Potential Historical Resource (over 50 years of age) E33MM Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) 5L PROPOSED WORK CHECKLIST (lb be completed by Project Planner 1 r NO i L 1. Change of Use and New Construction (tenant improvements not included). check box below before proceeding. 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Rcgu!ar maintenance end repair to correct or rpir deterioration. decay. or damage to the building. Project is not listed: 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. Project does not conform to the scopes of work 4 or more work descriptions: 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of- Lii way for 150 in each direction; does not extend vertically beyond the floor level less than 4 work of the top story of the structure or is only a single story in height; does not descriptions: have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (T be completed by Pr(nera(ion Planner) If condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. (Please initial cope II WOIK in that apply.) 2. Interior alterations to publicly-accessible spaces. SAN AnnWISCC PLANNING DEPARTMENT FALL 2011

41 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. If ANY box is initialed in STEP 5, Preservation Planner MUST review & initial below. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the [GO TO STEP 6 Secretary of the Interior s Standards for Rehabilitation. Preservation Planner Initials * 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical 9. Reclassification of property status to Category C exemption review. a Per Envronnrerital Evaluation Evaluation, dated * Attach Historic Resource Evaluation Report b Other, please specify: Preservation Planner Initials * Requires initial by Senior Preservation Planner I Preservation Coordinator CATEGORICAL EXEMPTION DETERMINATION (lobe completed by Project Planner) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) sm Must file L,nrjronmc utal Evaluation Application. *No Furth ntal Review Required. Project is categorically exempt under CEQA. Planner s SA E, Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCIS P_ANNiNG DEPARTMENT FALL 20i I 3

42 SAN FRANCISCO CEQA Categorical Exemption kv Determination Property Information/Project Description PLANNING DEPARTMENT 1RCjCTAOREr 5 1 S J-c- 4-31dU CASE NO D 20J3.O fj. 7; /ts/t 3 \ddition/ Alteration (detailed below) Demolition (requires HREH tl ovor 50 / EXEMPTION CLASS years old) Nn,s Construction, Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a Cu. [] Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions If neither class applies, 1 Lt7T 7l QliJlli iltiii Ev/untioii Application is rer,1u ired. Li.IiJ3 CEQA IMPACTS ( To be complefed by Project Planner A \Y box i 0 inih led below an Fnryiro,,ri,ental Evaluation App/walton is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? l h,,oe I irorir iierroi Ole.\,,,,rwoi rțqumr d hri COi)A eie,rrrrn f P. ndra0 rca,; ied) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer ice [P AceMap > (AQA Cat Ce Ce icr n tics Lacr cr - -" Arclr iiaicri Sensi live Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Reier I,. f Arc r Iri -C)ACri0s i: t iecerrirati,>n Laere. Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Or ie [I \rc[t.r[ :r.(,r.\ C,,ni, D Ir r reereattoe iayr"ro>too[rstrlly CON! INLIED ON PAGE 2

43 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading including excavation or fill? G, nhn:,l JU5 :, ru. al. i. a:i S Sr I:.e cco rrii:ed 1dT1. CI III 5, ii Landslide Zone: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading including excavation and fill on a landslide zone as identified in the San Francisco General Plan? cijdau.:ai rep,)r:,,..,,,.i.. C ft o r,,,o,cr A, ft CiJ. a a1u1: - A n(.artft 1, cu l - r. Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquesfaction zones? consult with Li Serpentine Rock: DOCU cia siujei involve any exc.uation in a property containing serpentine rock? (alibi box below before proceeding to Step I. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. 1 Tk (j/u EM PROPERTY STATUS - HISTORICAL RESOURCE LUANLA 0,550 I U Property is one of the following: is I, ri,: -., 0., oa -c,, Pi tv III f, rma, Lop J CuLejoiy A. Knuwn I flstorical flesourcc Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) EiTh PROPOSED WORK CHECKLIST (lb be.oci Jtad by Projact.Flani -ier) If condition applies, pie u -C - Jo J. 1. Change of Use and New Construction (tenant improvements not included) _ J - 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-ofway for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. NOTE; check box below before proceeding. LII Project is not listed: A [j Project does not conform to the scopes of work: 4 or more work descriptions: E1!1T less than 4 work descriptions: FAN FRAN. C,, NA "ANTA.Nr

44 EM CEQA IMPACTS ADVANCED HISTORICAL REVIEW ( To he completed be Fi rvi)tii.in Planner) II idiliirn,tiis. plc jnc iflhlijit 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entire l y to Scope of Work Descriptions listed in Step : o05l of -.irk- in S FE 4 s 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character -defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition (s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior - Standards for the Treatment of Historic Properties Specify NOT F: If ANY box is initialed in STEP 5, Preservation Planner MUST review & initial be] ow. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. ~re servation Planner Initials Project Can Proceed With Categorical Exemption Review. The project 1 been reviewed by the Preservation Planner and can proceed with categorical exemption review, * 9. Reclassification of property status to Category C a Per Environmental Evaluation Evaluation, dated: Attach Historic ReoojrCe Ev&uatinir Resort b. Other, please specify: Preservation Planner Initials IP CATEGORICAL EXEMPTION DETERMINATION fl Further Environmental Review Required. Proposed Project does not meet scopes of work in either: To be completed by Project Planner (check all that apply) LII Step 2 (CEQA Impacts) or Step 5 (Advanced HistoricaR, iew) Must file Lmmr ircmntmcn iil r rru1mmriiumm Apnhrci!iou. No,rthe tal R - Required. Project is categorically exempt Under CEQA. / Hme Jie Pdrat Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidettoec and Chapter 31 of the.administrative Code. 3 SAN FM ANCiSCO FLANNelS QEPANIMENI

45 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS sp BLOCK/LOT(S) CASE NO. PERMIT NO. 2oJ.3.. PLANS DATED L2AddtiOn1 Alteration (detailed below) Demolition (requires HIRER if over 50 New Construction / a years old) ET EXEMPTION CLASS Class 1: Existing Facilities interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an Enfirolliilciita/ Etoliintioii Application is required. CEQA IMPACTS ( To he completed by Project Planner If ANY box is initialed helms an L/Iz /IoIt///duf/?/ EvGlHniuI/I 1Ip14ic11ti0I7 is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Phjse 1 Ci,, ironmcntal Site \sse,rmu,i/ rc1uired for CEQA clearance (ER ni/ia!> )eqiiiriii) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to: ER AreMap > CEQA CiRCe Determination Layers> Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer I, i:iarenlap ( } ().\ CatEx Deternainal,on Layers> Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer 0: ER ArcElap a CEQ.\ (R,IE, /elerintiialici,i la>eie >Topograpliy CONTINUED ON PAGE 2

46 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geolechuiicat report required and a Certificate or higher level CEQA document required - File an Ens ronmental Application Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Geatechnical report required and a Certificate or higher level CEQA document required - File an En si rorunental Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - inc!uding excavation and fill on either seismic, flooding, or liquefaction zone? Exceptions: Do not check box for stairs, patio, deck and fence work. initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Gee technical report will likely be required. File an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Environmental Application to determine the applicable level of CEQA analysis EGM PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Refer to. San Francisco Property Information Map) Category A: Known Historical Resource ttsil Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible ( under 50 years of age) PROPOSED WORK CHECKLIST (To he completed by Project Planner) If condition applies, please initial. check box below before proceeding. Pd_f 1. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces(i.e. lobby, auditorium, orsanctuary) require preservation planner review. -J,o e-o fr 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines foradding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project is not listed: Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 4 or more work descriptions: 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. less than 4 work descriptions: SAN FRANCISCO PLANNING DEPARTMENT

47 EM CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To be completed by Preservation Planner) If condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. i t -..e initial.c3 cs ii ivorl- in SI I -I that appls.) 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. IF ANY box is initialed in STEP 5, Preservation Planner MUST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. I Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical * Reclassification of property status to Category C exemption review. a Per Environmental Evaluation, dated Attach H,etc,oc Resource Evaluation Report b. Other, please specify Preservation Planner Initials * Requires,,t,t,a/ by Senior Preservation P/anne, / Preservation Coordinator EM CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) (To he completed by Project Planner) Must file E;iviroiitiu utal Ezalualien A/lplical/o;I. No Further Environmental Review Required. Project is categorically exempt under CEQA. (æ PIanner ss Date - Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAN FRANCISCO PLANNING DEPARTMENT

48 00 CE0A Categorical Exemption Determination SAN FRANCISCO Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCFOLOT(S)j ~6 n CASE NO PERMIT NO PLANS TED ddition/ Alteration (detailed below) Demolition (requires HRER if over 50 LIII New Construction years old) - EXEMPTION CLASS fl IL Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an Etivirootoe,i titi E va/n a Lion App/leaf io Ii IS req u i red - CEQA IMPACTS (To be completed by Project Planner) If ANY box is initialed below an Eiiviroiin,cufa/ Eva/nat/cit /Ip/i/iCatiOii is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Pha>e I Ens i r oil isieiilal Site \ees.s snot required for CEQA clearance (El. j,,itiats rsjuired) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? EeOc to: EPA cmap > CEQA CaIEx Detenniisation [avers> Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer In FIArclslaC CFQA Cat Ex Delerniina(ion Layers- Noise Miiigaiion Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer to [P ArrSlafs > CUQ \ LatEx DcIersnhisatjois L>yeis >Topography CONTINUED ON PAGE 2

49 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geutechiical report required and a Certificate or higher level CEQA document required File an Eiis ironmeotal Application initial box below before proceeding to Step 3 Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - Project Can Proceed including excavation and fill on a landslide zone - as identified in the San With Categorical Francisco General Plan? Exemption Review. Exceptions: Do not check box for stairs, patio, deck and fence work. The project does not Ceotechnical report required and a Certificate or higher level C1-:0A document required File an Environmental Application trigger any of the CEQA Impacts and can proceed Seismic: Liquefaction Zone: Does the project involve excavation, square with categorical exemption footage expansion, shoring, underpinning, retaining wall work, grading - review. including excavation and fill on either seismic, flooding, or liquefaction zone? Exceptions: Do not check box for stairs, patio, deck and fence work. Ceotechnical report will likely be required. File an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Environmental Application to determine the applicable level of CEQA analysis riiuri T 0 IMIU - fliiufliml Property is one of the following: (Refer to: San Francisco Property Information Map) Category A: Known Historical Resource LesMsIi& Category B: Potential Historical Resource (over 50 years of age) tc.m.iyii Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) Ics)1s1cIiI PROPOSED WORK CHECKLIST (To be completed by Project Planner) H condition applies, please initial. 1. Change of Use and New Construction (tenant improvements not included). check box below before proceeding. Project is not 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible listed: spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. tc[..lt.1i I 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. LII 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. LI 1 4 or more work 7. Mechanical equipment instllatiqj not yisible from any immediately adjacent descriptions: public right-of-way. tc[sm1iii 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. less than 4 work descriritions r SAN FRANCISCO PLANNING DEPARTMENT OS OS 2015

50 EM CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To be completed by Preservation Planner) If condition applies, please initial 1. a Known Historical Resource (CEOA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. irieie initial >ci cn il is oi* iii P151 4 iii.il oppk 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings, 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is inihaled in STEP 5, preservation Planner MUST review initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a Per Environmental Evaluation, dated: Attach Historic Resource Evoluot,on Report b Other, please specify Preservation Planner Initials * Requires initial by Senior Pioservation Planner / Preservation Coordinator -. CATEGORICAL EXEMPTION DETERMINATION (To he completed by l roject Planner) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) LII Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) Ii(J1 Must file Envll -oti,llc lltul EvalilatiolI AJt(tlicfl!ioll. No Further En nmental Review Required. Project is categorically exempt under CEQA Planner s Signatij 4Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAN FRANCISCO P-ANNING DEPARTMENT

51 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS ELOCI<JLOT(S) L 63q CASE NO PERMIT NO Z13 L(_72_1 PLANS DATED 9.i3 t.j Addition! Alteration (detailed below) Demolition (requires HIRER if over 50 [I New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations: additions under 10,000 sq.ft.: Change of use if principally permitted or with a cu. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under soft; accessory structures; utility extensions. N(YI I.: II I c i iher class applies, fl / l ivirollinclital / IJliI(1IiiY1I J IJ)jl/iCf?IiVil is I eq c CEQA IMPACTS I o he )nlpk Ied b y Project li,rnnir 11 ANY ho. A mit ii led blhov rn I,P!iII/IiF/!(il I. ulealwn Aj jii taii i required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code]. and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I I m ir,nriri,i P11 \--,,m,i Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? I i \rc\1.1 :1 ()A ( Ili 1) -t. I \ici, uoi,ipi Cfliti vpan Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals. residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? I Pr\1,.L I \. :...I. - \i \ltii-,oion \!.F Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision - or lot-line adjustment on a lot with a slope of 20% or more? Iii, Iii I lopopr.1pi1 CONTINUED ON PAGE 2

52 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading including excavation or fill?, Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. N, Ui J hi,(,.,t tsaql or U5SU 5,, 1, 5,}UO initial box Mow before N H" proceeding to Stop 3. Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - Project Can Proceed including excavation and fill on a landslide zone - as identified in the San With Categorical Francisco General Plan? Exemption Review. Exceptions: Do not check box for stairs, patio, deck and fence work.. 1:c -,l, s. h, r I, 0 :.i \. r,.. I Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading!i...! 5U!!U CAUC. CII U!! ci!_! IM U!! C!I!!e! CCC. II! JIItS d!_l! i SUllen? Exceptions: [Jo riot check box for stairs, patio, deck and fence work. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions, DD\rrTV TATI 10 HISTORICAL IIII% f\i irr F1L._sI.JI.JUI_,I_ Property is one of the following:..s lr:$, inn n. Category A: Known Historical Resource -I& Category B: Poter.. ul Historical Resource( over 50 years of age) LII Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age ) EiZIR PROPOSED WORK CHECKLIST i to be Completed lx Proit.1 Manner ) If conditie:::,n Change of Use and New Construction (tenant improvements not included). check box below before proceeding. LII Project is not 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible listed: spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines tot - Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. LIII 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-ct-way for H less than work in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height: does not have a footprint that descriptions: is more than 50 c larger than that of the original building: and does not cause the removal of architectural sqnificant roofing features. 2 I! n so FLANN.NC DL? RIM N

53 111 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW H H v I l.ii\,tt) n l Itnnvr) c()nditioll opplic,, Ii c 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4, wi Il ihip 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs. plans, physical evidence, or similar buildings, II!\N Lr H iflitidjrd in 511,11 5, lrvcer iton E linner MUST review C. I ), Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. 7. Addition(s), including mechanical equipment that are - minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation, Preservation Planner initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a Per Environmental Evaluation, dated 1 l-i,olcric flvsoijrce Evali,,rt ion II, :: b. Other, please specify C Preservation Planner Initials - Requires initial by Senior Preservation PFim;e(j Prrrsivvation Coordi v: I CATEGORICAL EXEMPTION DETERMINATION I lihu ciirrrj"h. d In ("H fllcnncc Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) _JII1 Step 2 (CEQA Impacts) or 111 t (tie llr l/ iill(l(l ttllif LI Step 5 (Advanced Historical Review) P, No Further Environmental ie equired. Project is categorically exempt under CEQA. Planners Signature Print Name (o c(\ Date Once signed and dated, this document constitutes a categorical exemption Chapter 31 of the Administrative Code. pursuant Lo CEQA Guidelines and 3 ANiflflNC ] SCO A OJLNG DEPARTMENT

54 0 CEQA Categorical Exemption Determination,Addition/ Alteration (detailed below) Demolition (requires HRER if over 50 Ll New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a Cu. LII Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an Envii,onnicutal la/nation Application is required. CEQA IMPACTS ( in be completed by Project Planner) If ANY ho\ is initialed below en E,uininir ntril Lea/iiu!ioii Application is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? hoe I Iris rrriinieirii( Sits \.r,s iii, ill rll!urred for GEQ,\ clearance W.P.tr,ilurls :, rjr,ns I) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? R,, 1,, 1 I,: F.Arc!sle I,, CFQi\ (it I -is Deferr,n,nitkri I avr:rs Archeological hens1 FcC Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Net,, tr I An_Flip ( ((pa (POt, I)eI,rinn,,,Ir,,r I_,,o-r, 1 Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Net s (1: [ii ArcNlap > CEQi\ CatEx Determination Levers etopography CONTINUED ON PAGE 2

55 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geotachocal report required and i Certiticte or higher level CEQA document required File a n Er aiyoiiniental ApplicaiJiar Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Geotachnical report required and a Certificate or higher level CEQA document required Em unumeiltal Application File an Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zone? Exceptions: Do not check box for sta,rs, patio, deck and fence work. Project Planner roust initial box below before proceeding to Step 3, Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Ceotechnical report iviii likely he required. File an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Ens ronrneri to I Application Lu dcterrn iiie the a pp 1 ci ble level ol CEQA a nalysis PROPERTY STATUS - HISTORICAL KSUUKL Property is one of the following: leaker ic: Parr Francisco Property Information Map) Category A: Known Historical Resource ttsmi1ci1lt Category B: Potential Historical Resource (over 50 years of age) te(.iiil Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) titi1il PROPOSED WORK CHECKLIST ( To he completed by Project Planner) check box below If condtiion applies, Please initial. 1. Change of Use and New Construction (tenant improvements not included). before proceeding. Project is not 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible listed: spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. I, oii_i I 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. Project does not conform to the scopes of work: 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for less than 4 work 150 in each direction; does not extend vertically beyond the floor level of the top story I escri tions of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. SON FRANCISCO PLANNING DEPARTMENT

56 CEQA IMPACTS ADVANCED HISTORICAL REVIEW (to be completed by I reset\ Rtion l ktitnur) If Coild boil apphus, pica ie iitil. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. 1 ri,r.. iiriti,rl..i j s s "n 1, iii HI F) I th It spplv.) 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initiated in STEP 5, Preservation Planner MUST review initial below Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify, 9. Reclassification of property status to Category C a. Per Environmental Evaluation, dated: Ar/ac!: H,rrtoc s Resource S. a/na/ran Report b. Other, please specify: Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. Preservation Planner initials Requires relic! by Senior Preservation P!vrrrrer / Preservatron Coordinator LIl CATEGORICAL EXEMPTION DETERMINATION (To he completed by Project Plintier Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) I(.iI Step 2 (CEQA Impacts) or Mu st hie Ettzt 1011t]tcIt tn! Step 5 (Advanced Historical Review) Eel/I//Il jr/it Application. /i / No Further Enviro ental Review Required. Project is categorically exempt under CEQA. Planners Signature I q /I Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to Chapter 31 of the Administrative Code. CEQA Guidelines and 3 SAN FRANCISCO PLANNING DEPARTMENT

57 Z CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS BLOCK/LOT(S) I CASE NO. PERMIT NO. PLANS DATED >4ciclition/ Alteration (detailed below) Demolition (requires HRER if over 50 years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; Change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; Commercial/office structures under 10,000 sq ft.; accessory structures; utility extensions. El New Construction If neither class applies, an En ti Eonn IL!] tal Ei alnation Application is required. EM C EQA IMPACTS ( a be coii Ic H by l a jcc I Ian nor if ANY bn\ is initialed below an E;ii j,,,iiii,i,/n/ E iliiu1ewi A1j li,i/i,j,, is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? lime I (en i, ii,iui,(,i Sit, \rnns.iiieiit nsuhr,d (Hr CliO\cleai,i,ice (El,wi,,,ls :eqwlr r Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? liter to I - I AreNlip > CIE),\ CitEs Deteriiiiiiitroii,is Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? i V (TO ACrtE. I)el,rinr]rIis,I1 Lav,:rs Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? liel,i to [I \rei,la. k 1 Q \(..)les L1,terir,iiiitS,,r I.areis>Topography CONTINUED ON PAGE 2

58 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geotchiai cal report repui red id a Certificate or Ii ighe r level CEQA ri ocu men I rerful red - File an hi i iiinoiitiil Applica1u Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Geotechnica) report required and a Certificate or higher level CEQA document required - File an Ens ironirieniel Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - includinci excavation and fill on either seismic, floodinq, or liquefaction zone? Fxceothons Do cot check box for stairs, patio, deck and fence work. initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Ceolechnical report ivill likely be required. File an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an En vim ii mental Application to determine the appl ca file lanai of CEQA analysis PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Refer to. San Francisco Propert\ Lnformitmon Map) Category A: Known Historical Resource LI.(J-i Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) I.)tIii1 PROPOSED WORK CHECKLIST ( To be completed by Project Planner) ii condition applies, please initial. check box below before proceeding. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). Project is not listed: GOTO STEP 5 Project does not conform to the scopes of work: 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 4 or more work descriptions: [c.m.1fi i - 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. less than 4 work descriptions: tcci1-i2p SAN FRANCISCO PLANNING DEPARTMENT OS 08 2TIT

59 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW ( Iii be ciiitiplcted Iw l ieel\ alien Manner It condition applies, pluase initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. l lieii,itial rt ii rid in /IH I lhlt k) 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings, If ANY box is initialed in STEP 5, Preservation Planner MUST review initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Project Can Proceed With Categorical Exemption Review. Specify: f4 44e fs1 1i,~} i) 3 ti4 The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. 9. Reclassification of property status to Category C a.per Environmental Evaluation, dated: Attach /l,c/rir:c Rerror eve Ei aluation Roperd Preservation P/a b.other, please specify: s I-/eqr,rres count by Senior P,eservalioru Planner/ Preservation Coordinator -. CATEGORICAL EXEMPTION DETERMINATION ( To he completed liv Ire ject linuner Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or El Step 5 (Advanced Historical Review) Must file Eiteitort,tic,t to! FI1/il/ //u;/ o F url onmental Review Required. Project is categorically exempt under CEQA. 4 / e) / Planners S/gnat a Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNINIi DEPARTMENT

60 9 00, 0, CEQA Categorical Exemption Determination SAN FRANCISCO Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) / p5 L l/,4ti. CASE NO. PERMIT NO.. PLANS DATED - TRI9 L/ddition/ Alteration (detailed below) Demolition (requires HIRER if over 50 LIII New Construction years old) - EXEMPTION CLASS [/ Iass 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq ft.; accessory structures; utility extensions. If neither class applies, an E,u iro,iniciitu/ IIiInatio;i Application is req u i -ed. - CEQA IMPACTS (In he completed by Project I hnner If ANY L o\ is initialed below an ),ouooiluutul EcnliiI,oi, A1jilicalioii is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I Is,i..r I In, niiinni,tai, itc re,uir d In, CEQ\ I,at,,e (EP enlist Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Eel,, I, FEAr, Is CEQAC1IF\ H, rininslien I.jiei Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Iieler J ),Are\li (l.t.\cs11 )i)eleem,iiale,ii Ls\er-. >Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? FeEr to El ArcMap (-EQA CatEx Determination Layers stopography CONTINUED ON PAGE 2

61 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geotechaical report required aricla Certificate or higher level CEQA document reqrnred - File an E nmentel Application initial box below before proceeding to Step 3. Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - Project Can Proceed including excavation and fill on a landslide zone - as identified in the San With Categorical Francisco General Plan? Exemption Review. Exceptions: Do not check box for stairs, patio, deck and fence work. The project does not Ceotechaicel report required arid a Certificate or higher level CEQA document required - File an Ear ironmeirtel Application trigger any of the CEQA - Impacts and can proceed Seismic: Liquefaction Zone: Does the project involve excavation, square with categorical exemption footage expansion, shoring, underpinning, retaining wall work, grading - review. including excavation and fill on either seismic, flooding, or liquefaction zone? Exceptions - Do not chock box for stairs, patio, deck and fence work. C1 Ceotechnical report will likely be required. File an Enviionnicrital Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Car ] Cr10 mental Application to d elm mine the applicable level of CEQA analysts ri M&M PROPERTY STATUS - HISTORICAL HSUUHU Property is one of the following: (Peter to. San Francisco Property Information Map) Lii Category A: Known Historical Resource 1 I[eIiJ. "Category B: Potential Historical Resource (over 50 years of age) csj[.i-ili Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) PROPOSED WORK CHECKLIST If condition applies, please intttal (To he completed by Project Plannet ) 1. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. check box below before proceeding. Project is not listed: 4 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. Project does not conform to the scopes of work: 4 or more work descriptions: Lct.III.1.i less than 4 work descriptions: tki.1:i I ;I SAN FRANCISCO PLANNING DEPARTMENT

62 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To be completed by Preservation Planner) It condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of /\.lork Descriptions listed in Step 4. vini-e iiiitial eirv i rii ii I it I 11" t Ti 1 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initialed in STEP 5, Preservation Planner MUST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a. Per Environmental Evaluation, dated: Al!, a lfiah,,i c Reaau,cn E b. Other, please specify: Preservation Planner initials Requires inset by Senor Preservation Planner I Preserve Son Cnondinanon.. CATEGORICAL EXEMPTION DETERMINATION (To Lie completed Liv Project Planner) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) Must hie Ettz tiontttciittil Ei aliot/itit 4jI/I/ifiii Further Environmental Review Required. Project is categorically exempt under CEQA. Planner s Sig ature e-f Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAN FRANCISCO PLANNING DEPARTMENT

63 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS z L - BLOCK/LOT(S) \37- /o 12- CASE NO. i Jk PERMIT NO. PLANS DATED Addition! Alteration (detailed below) Demolition (requires HRER if over 50 New Construction years old) I EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a Cu. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an Envii a,zi,,e;i ml L ott/tin hot i Application is required. tv CEQA IMPACTS (1,0 he completed b\1 Project 1 Linncr It ANY hi\ K initniltid below in Fttinninetital Ei Init/on Application is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I I Li,virniimenliI C11 ft \sstv,,incnt re;r;red t,tccj 5.\ t;,;r,iivc (1 P Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? I,,, lei t;; - [I N 1,, p: (I(,S\ (,wi: l riiiintnt lot, ArcIicoIopcaI Scnsitic Artois Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? }T\rc:\l)p CPO\C,;IF, Deiorrnti;otioi; I ow ;; Noise Miligation Arco Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? N lci to: [P Ai;Mop CEQA CoLE,, DotertniitotIon Lot t. Topographv CONTINUED ON PAGE 2

64 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Ceolechnical report required and a Cccli Scale or higher eve1 CFO document required - if unccriaiio. consult with OP initial box below before Landslide Zone: Does the project involve any excavation, square footage proceeding to Stem 3 expansion, shoring, underpinning, retaining wail work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Project Can Proceed Ceotechnicel report required and a Certificate or higher level CEQA document required - if With Categorical uncerlval, consult with OP Exemption Review. Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wail work, grading - including excavation and fill on either seismic, flooding, or liquefaction zones? Coo,li with EP The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? Consul i iv ills OP Lu deteimme the applicable level of CEQi\ analysis - PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: Ler to See Francisco Property tnlovnialirin Map) 11 Category A - Known - II:...:.I Resource Ui) M. rii,jvvui UIILUl U..UI 1JUI / " Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible( under 50 years of age) LJD1i.I - PROPOSED WORK CHECKLIST (To be completed by Project Planner) If condition app] ics. p Icace initial. 1. Change of Use and New Construction (tenant improvements not included) 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. check box below before proceeding. Project is not listed: Lc.I-1J U- 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-ofway for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. Project does not conform to the scopes of work: Me MS -113" 4 or more work descriptions: / )AsI:1 I less than 4 work descriptions: SAN FRANCISCO PLANNING oeporrmenr

65 EM CEQA IMPACTS ADVANCED HISTORICAL REVIEW (To be completed by Preservation Planner) ltr()l1jiti(!ilpiils,plcm!eal. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. k i i. 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: If ANY box is initialed in STEP 5, Preservation Planner MUST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. GO TO STEP 6 Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. * 9. Reclassification of property status to Category C a. Per Environmental Evaluation Evaluation, dated: Attach H,stooc RESOUrCe Evaluation Report b. Other, please specify: Preservation Planner Initials Rqu:;sorrtroI Lrv S!n,cr, Pr ccerr atror: P/anne, I Preservat,c,,, Coo,d,nato, EM CATEGORICAL EXEMPTION DETERMINATION LII Further Environmental Review Required. Proposed Project does not meet scopes of work in either: ( ft) be c mplcted by ( reject Pl,itiner (check all that apply) Li Step 2 (CEQA Impacts) or Must file Ellel lolitlll ll tel /1111 Step 5 (Advanced Historical Review) Eza/eitbii Application. No Further Envirpa ental Review Required. Project is categorically exempt under CEQA. Planner Print Name Au P ASA Date Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN reancisco PLANNING DEPARTMENT

66 SAN FRANCISCO CEQA Categorical Exemption Determination Property Information/Project Description PLANNING DEPARTMENT PROJECTADDRESS BLOCK/LOT( CASE NO. I PERMIT NO. PLANS DA Addition/ Alteration (detailed below) LII Demolition (requires HRER if over 50 New Construction years old) - EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, II) Envbonmenlai IIraliiii!ioii AjijJ/icatiQii is required. - CEOA IMPACTS ( Fo he completed b Project Pltnner 11 ANY box, IN ifliii.loll hclo\v 111 Fui tuieci,tif FciIiiitiru Aj)pIIHiI!L)Il is Ier]UiIed. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Fin irniiineirl,il File Assessnienl rsc1iiiiecl Lu _FC.(..\ cic1r[1nse (LI Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? lose li IF \rr.nl. i r CJCL\ C5r}, I jirsi.. Archeological Ierrsitie Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? hi [l i\ r\la1r CR) \ (ills li malisi I aries> Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Ii: l.ili\iu\iap (JF(.F\ I.lIss Fitciieiiili i in I avcrs 1opiigraphi CONTINUED ON PAGE 2

67 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Geotchnicol report equired eric! a Cc trhcete or higher level CEQAdocument required if uncertain. consult nile PP Landslide Zone: Does the project involve any excavation square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? initial box below before proceeding to Step Project Can Proceed Geoteclinicoi report required an a Certificate or higher level CEQA document required -if With Categorical unccrlviir, coiisriit 1115 PP Exemption Review. Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zones? Cause Ii I The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? Crusuli=ntlr PP tn=c]eternrnne the applicable level of CEQAe=siriysns PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Peter to Pan Francisco Property listorniati so Map) RJ Category : Known i-iistoricai Resource Category B: Potential Historical Resource (over 50 years of age) Me I-lTh Category C: Not a Historical Resource or Not Age Eligible ( under 50 years of age) PROPOSED WORK CHECKLIST ( To be completed by Pro)ech Planner It condition iitpl lea. olceac initial. 1. Change of Use and New Construction (tenant improvements not included) 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. check box below before proceeding. j Project is not listed: GO TO it) 4. Window replacement that meets the Department s Window Replacement Standards ( does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-ofway for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. Project does not conform to the scopes of work: 4 or more work descriptions: MON ISM" / less than 4 work descriptions: Ic*iCe1i SAN FRA3CISCO PLANNING DEPARTMENT

68 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To be completed by Preservation Planner) It Cohn! On ipplic,, H inili ll. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. ii.: ii i I 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify If ANY box is initialed in STEP 5, Preservation Planner MUST review A initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. GO TO STEP 6 Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. * 9. Reclassification of property status to Category C GOTO STEP 6 Preservation Planner Initials a. Per Environmental Evaluation Evaluation, dated Attach H,stuoc Resource Evaluation Report b. Other, please specify: Rnqii/ors hii by Scour, Prese,vchn,q PTh,rrre, / flresc,s at,on Coo, C,, Jnurf CATEGORICAL EXEMPTION DETERMINATION El Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (To he completed by Project Pkitiner) (check all that apply) 11 Step 2 (CEQA Impacts) or Must file Ell/ ilo;tltt lt bil Step 5 (Advanced Historical Review) E. alitiiiiniti 1ipIica[i0;7. No Further Envi mental Review Required. Project is categorically exempt under CEQA. L t Planners signature A Date L Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNING OEPARTMENI

69 CO1J,, CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT CASE NO. N Property Information/Project Description PROJECT ADDRESS LJC"(VV,4, PERMIT NO. \3LtcL/ go c23 ioll) PLANS T f ddition/ Alteration (detailed below) Demolition (requires HRER if over 50 El New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; Change of use if principally permitted or with a Cu. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an Eiwiio,,metita/ Ez Il/LI at ion Application is required. CEQA IMPACTS to be completed by 1 rojet I lanner I It ANY biw is initialed below in Einijinnncufii/ Fee/net/en Ap1/io0ieii ie recjuired. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I His iri iiiiiviit,ii 55, \,,, i ~:, it i,1s,ii -ed fur C FQ\ c[v,ral,ce (P./ Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? CI.\tcNI,i1i (1IQ,\C,OI-r I I,IIS,,IISISt1 I risers - Archeological 5ensitie Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? lie ISSAr,:hIi1, CI C)ACSF\ Pele, iiiiiiii,ii I arer Noise Mitigation Area Subdivision/Lot - Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Rifer hi IfI.\rcMap I.l:Q.\C,,iIs Uctei Is1IIsa1I,ij, Lii,,. l pography CONTINUED ON PAGE 2

70 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Ceolcclsnicsl report required and a Certificate or higher level CEQA document required - if uncertain, con rut I with EP Landslide Zone: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Geolechriical report required and a Certificate or higher level CEQA document required - if uncertain, consult with El Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquesfaction zones? Consult with El initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? Consult with El to determine the applicable level of CEQA analysis EM PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: fester icc Eon Francisco Prcpeiiy lii( ormaliori Flop) Category A: Known Historical Resource 1e7*.IIi3*, Category B: Potential Historical Resource (over 50 years of age) C)(1i4i Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) Me Main" PROPOSED WORK CHECKLIST (lobe completed by Project Planner) lf condition applies, please initial. 1. Change of Use and New Construction (tenant improvements not included) 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public rig ht-of-way. / 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. \ 9. Additions that are not visible from any immediately adjacent public right-ofway for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. check box below before proceeding. [1J Project is not listed: Project does not conform to the scopes of work: I ;jl 4 or more work descriptions: Lc.MiIji ;tjd less than 4 work descriptions: SAN FRANCISCO PLANNING DEPARTMENT

71 - CEQA IMPACTS - ADVANCED HISTORICAL REVIEW ( To he completed by PiesetvIioo PImner It coi.ttloti applies, pie1se intti,ii. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. iniiial scopes of oork iii - I I -I 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: If ANY box is initialed in STEP 5, Preservation Planner MUST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. * 9. Reclassification of property status to Category C a. Per Environmental Evaluation Evaluation, dated: AO*vl, H,00, c llevou,cv Evaluation Report b. Other, please specify: Preservation Planner Initials - Fle-q:n: :;znythi by S...too P:e::00 ot:u,: rva:,,00, / Preseivation Cc, orci,na for -. CATEGORICAL EXEMPTION DETERMINATION (To be completed by Project Phsn lie r) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) N Iu st hie Enviroottir itial Ei a/lllt (/01/ ilppliccitioti. No Further EpY1 mental Review Required. Project is categorically exempt under CEQA. Planner s SignaturIK Date 1 Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNING DEPARTMENT

72 CEQA Categor ical Exemption Determination SAN FRANCISCO PLANNING Property Informat i on/project Description 0 EPA C TM ENT PROJECT ADDRESS o ec tl.00i.oti5) /~o CASE NO PERMIT NO PLANS DATED /20 Edition/ Alteration (detailed hclovd fl Demolition (requires HRER if over 50 H New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.tt.; change of use if principally permitted or with a CU. If neither class applies, Class 3: New Construction an J:liit i;-o0170 ntal F Up to three (3) single family residences; six (6) dwelling units in one building; Evaluation App!icai ion is commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. required. CEQA IMPACTS ( To be corn pl(!led by l ruject Planner) Ii A NY box i.e i nih I ed below an Enviro,rn:entnl Roe/un I ion App//cal ion is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I stei NO :O.,mesI yowi li CiiQAcluanne ro I :buh rcfiil ) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Reier ic, SF \rcklap CEQA CatEs Determ tine Lave narchieoioicd Sensi live Aress Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? IL t, II \rc\1,1. Cifl ceito rs Noise Nith5on Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? RIer in Sr /ncste1 (O(.\ C,OI I"y icni eiinr IcyocscTopogrsrilv CONTINUED ON PACE 2

73 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? urstertairs, i ms.ss.s.0 mh I, ml cc, ms,s,i,,, S Landslide Zone: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? un,.erta mm : IT us ur.d (ms ulu ur hcr istrul CL Arise s,.s ru ;u,, J Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading including excavation and fill on either seismic, flooding, or liquesfaction zones? L,,nsu,t With Its I iowct Planner niu4 jnjtj1 box below lxfore proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does the prajct involve any excavation in o properif containing serpentine rock?,,,. use..0 smss Ic, clot CCIt,sl. ir EM PROPERTY STATUS HISTORICAL RESOURCE Property is one of the following: ft r ft. e nri m Fr 5 steill I! oil \[spi J LII A. Known historical flesourcc Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) JMD PROPOSED WORK CHECKLIST ( to be completed be PrnjectPlonner C condition applies, pie me ii Li. NOrE 1. Change of Use and New Construction (tenant improvements not included), check box below before proceeding. 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. Project is not listed: 4. Window replacement that meets the Department s Window Replacement Standards (does not iric,ud storefront window alterations). 5. Garage work pecitically, a new opening that meets the Guidelines for Adding Cal. sjes and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: - public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. / 9. Additions that are not visible from any immediately adjacent public ight-of- less than 4 work way for 150 in each direction does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; anc does not cause the removal of architectural significant roofing features. AN FRAN,_C "sas SsN D "flta:us 12 SR

74 EM CEQA IMPACTS - ADVANCED HISTORICAL REVIEW Ri he complefed by Prehurvatiun Planner) If (.1 lllliti )lt rypli plua r 1 a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. l.,:rt:al,crrfxn of c,,rk lit ill FP4 that rp v( 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition (s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. S. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: If ANY box is initialed in STEP 5, Preservation Planner MUST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. f rese vaf /on Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. * 9. Reclassification of property status to Category C Preservation Planner Initials a Per Environmental Evaluation Evaluation, dated /trtacir Historic Resource Evaluation Repair b. Other, please specify: RequIres ri0r? iii S-vso, it"izer, Ert;.y. V. n r-: l, nn va:,nrl Cinr, Iurir", fl CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (To be completed by Project Planner) (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) Must hie Lr:,iicntrtttttill Evriltici/toir Application. No Further Envirpnmental view Re ired. Project is categorically exempt under CEQA, Plan Signature Print lame UL AAV} Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN vnwcrscc PLSNSTNG DEPaOtUtNi

75 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS 7k6 LO PP%Ltv\V 2\jc BLOC KJLOT (S) oo4 9 IO*A CASE NO. PERMIT NO. PLANS DATED t-4 VIA -Addition/ Alteration (detailed below) Demolition (requires HIRER if over 50 New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities lir Interior and exterior alterations; additions under 10,000 sq.ft.; Change of use if principally permitted or with a CU. Ll Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq ft.; accessory structures; utility extensions. tt - CEQA IMPACTS ( lu he corn pkted by Project Planner If neither class applies, an Environmental LcilllIntwn Application is req u t reel. P,-\NY ho\ is iitiiicd hclrv,lfl LlIOiieIlHh(iIlnI Lt5Iiit?I1O)i I/iIiCiltlOJt IS required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? i.c.c I isn\irnniciilii Sj(1 \, i.hn]1i rcinr,d 1urCFQ,\cIacaiicc (EP Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Netei 1> Li Ai.Niip > CLQ.S. ills Dcicriiuiiition Lois Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? cc LlAr Ic> -. (TlS5\ Cal Ls I.)eleinimiI iiii Livers> Noise Mitigation,rea Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? lii LI \1 cli5.is) \(_ itl, Ilileillii!lSie,i I in ritopography CONTINUED ON PAGE 2

76 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geotechnicel repori required and a Ceriificaie or higher levul CEQA document required - File an Eimroiiwntal Application initial box below before proceeding to Step 3. Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - Project Can Proceed including excavation and fill on a landslide zone - as identified in the San With Categorical Francisco General Plan. Exemption Review. Exceptions: Do not check box for stairs, patio, deck and fence work. The project does not Geatechmcal report reprured and a Certificate or higher level CEQA document required - File an Ericironmentel Application trigger any of the CEQA - Impacts and can proceed Seismic: Liquefaction Zone: Does the project involve excavation, square with categorical exemption footage expansion, shoring, underpinning, retaining wall work, grading - review. including excavation and fill on either seismic, flooding, or liquefaction zone? Exc potions: Do not check box for stairs, patio, deck and fence work, Map OV-1 14:k 1P Gee technical report will likely be required. File an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Pa vi rclnrnen tel Application to determine he applicable I eve) of CEQA a ialysis IIlc PHOPbHIY SIAIUS - HIS IOHIUAL KbOUK Property is one of the following: (Peter tn San Francisco PI opertc Information Map) Category A: Known Historical Resource I..1 iz Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) IeT-i,I PROPOSED WORK CHECKLIST (To be completed by Project Planner) If condition applies please tntiial. 1. Change of Use and New Construction (tenant improvements not included). check box below before proceeding. Project is not 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible listed: spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review..m.il 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. Project does not conform to the scopes of work: 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. less than 4 work descriptions: SAN FRANCISCO PLANNING DEPARTMENT

77 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW ( I TT be coiupk tecl by l ru.er :1[iun Plotmur If cendibon apptie, IuhCc initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4., i i. injii, iii, ciii i iii,,i 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initialed in STEP 5, Preservation Planner MUST review & illtli//l below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials * 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a. Per Environmental Evaluation, dated, Altacy Ilictvr, C Rc, u,cc Evaluvtion RE pbit b. Other, please specify: GO TO si Preservation Planner Initials * Reqwres,al,aI by Sernot P,eservat,00 Planne, / P,espn, at,cn Coo,d,nntor I1iJ CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or El Step 5 (Advanced Historical Review) (In he completed by Project Planner) sm Must file Enpit oiiinc itfill Ez liltl li!i l tti Ajplici(iioi. No Further Environmental Review Required. Project is categorically exempt under CEQA. Planner s Signature Date cc: ( Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. i2ce too cco 1 N - % ic \AJj VJ 000 D00 (L ON j%c c2,l- 17E FA CAI_Dt 3 SAN FRANCISCO PLANNING DEPARTMENT

78 (1D SAN FRANCISCO PLANNING DEPARTMENT CEQA Categorical Exemption Determination Property Information/Project Description 5~~ LocL )(. PROJECT ADDRESS BLOCILoT(S) CASE NO. PERMIT NO. PLANS DATE Addition! Alteration (detailed below) Demolition (requires HRER if over 50 New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a Cu. El Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an En vito li/ill ) I tal Ei. nitmlio,i 11)1)1ic17ti017 is required. - C EQA IMPACTS ( It) he completed he Erojcct I I a otier It ANY ho i initialed below an Eion oil iut n(al! peyliiitwii Application is requied. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Iliae I Stir icitrirritlil Site,\scs,fl)eIl( Iec1riIced IcrCFQA]circiiee Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas?!eicc I II. crcsi.tp (IQ\LiiF I)eleicninotion [at! ArclicoIocical Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Octet it P[ ArcNIap (IIiQ\ CitEs Deteritmiattini I titers Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Rein in: El Ar\1ap > CISQA PlEas Dvtermcciiiion Layers >Topographv CONTINUED ON PAGE 2

79 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Geotechnical ieport required and a Certificate or higher level CEQA document required - if unuci La iii, consult ivilh PP Landslide Zone: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Geotechnical report required and a Certificate or higher level CEQA document required - if a ricertam, consult ovitla El Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zones? Consult wi tin PP = initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? Cons1 i rn iih PP in Jetermrne the applicable level f CEQA analpais - PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Peter to. San Freirriern Property iiturioorui Map) P1 ( 8ifrinru A L J O1... Known I-Iitnrir8d P ruirr ategory B: Potential Historical Resource (over 50 years of age) lets s1 -I,L Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) ss1-ii.l PROPOSED WORK CHECKLIST (To be completed by Project Planner) If condition app1 ice, plcace initial. 1. Change of Use and New Construction (tenant improvements not included), check box below before proceeding. 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. Project is not listed 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of- \ less than 4 work way for 150 in each direction; does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; LeiSI.I.iI-JP and does not cause the removal of architectural significant roofing features. SAN FRANCISCO PLANNING DEPARTMENT

80 III CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (to he completed by i Iesel\ rtlion Pl,itmer If tiiiii.rtt rtpplies, plerte initinl. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. i i n tri rape of ri!. in SIP 4 liii 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not If ANY box is initialed in STEP 5, "in-kind" but are is consistent with existing historic character. Preservation Planner MUST review & initial below. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. Further Environmental Review Required. 5. Raising the building in a manner that does not remove, alter, Based on the information or obscure character-defining features. provided, the project requires an Environmental Evaluation 6. Restoration based upon documented evidence of a building s Application to be submitted. historic condition, such as historic photographs, plans, physical evidence, or similar buildings. Ic1DI1iI 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. 8. Other work consistent with the Secretary of the Interior The project has been reviewed Standards for the Treatment of Historic Properties by the Preservation Planner and can proceed with categorical Specify. exemption review. [es (si-i 14 Jt 9. Reclassification of property status to Category C Preservation Planner Initials a. Per Environmental Evaluation Evaluation, dated: * Att hhicfoiic Resource Evaluation Report b. Other, please specify: Requires initial by Senior Preservation P/urine, I Preservation Coordinator EM CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) ( To hr cot pk1cd 1a Pr rr. c1 P1,11/ncr Is];I Must file Ellrtirot1tttetttal Epriliii/,o,i,\JtJtlip/7[IplJ.,11 No Further Envir ental Review Required. Project is categorically exempt under CEQA. Planner s Signare Date / Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNING DEPARTMENT

81 SAN FRANCISCO CEQA Caiegorical Exemption Determination Property Information/Project Description PLANNING 0 C P A It TM ENT PROJECT ADDRESS S DCK/IOTS) " owe- R 14 r7s- J CASE NO PETMC NO J,NS DA ED O(b1.Uo 1+1I3 XAddition/ Alteration (detailed below) fl Demolition (requires HRER if over 50 LI New Construction years old) EXEMPTION CLASS. - Class 1: Existing Facilities f- Interior and exterior alterations: additions under sq.tt change of use if princinaiy permitted or with a CU. Ii neither class applies, Class 3: New Construction nil I -,nrironnrr ntr,i r-i Up to three (3) single family residences six ((3) dwelling units in one building; / Iurlior-! Application is commercial/office structures under 10,000 sqjt; accessory structures; utility extensions. re(] -, I lied. - CEQA IMPACTS i, Th he (:ompleled by Piojed Planner A NY box is in I ed he I nv M bin/ru onion li LaIu lion Applical ion is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities?._ Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I Sr,- imnirit,i 511, INri iu I Si tq\,1i.,,r ai P. r,iiat r,iiiiil Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer tc. El ArcNlap CEQA CatE D1errlic,n L. r ArcIieoiog,ical Sens ilive Ar,i Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? it a,sr.,r.- ft -I, C,tI:x L,iei, inlioii i. ernois Eiitgiiion Area - Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision - or lot-line adjustment on a lot with a slope of 20% or more? CONTINUED ON PA GE 2 is 1 A,sSls (:rs1.\ Cat S, l), r,,,i,,,iisn.aysrs Topoi; rap i1v

82 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? accoc.corrcqd1i Landslide Zone: Does the project involve any excavation square footage expansion, shoring, underpi nning, retaining wall work, grading - including excavation and fill on a l andslide zone - as identified in the San Francisco General Plan?. initial box below before proceedmg to atop 3. Project Can Proceed l,idml, H 0i d rrj I " LcH r jghcr a CLQ.\ d..r~ With Categorical Exemption Review. i Seismic, Flooding, and Liquefaction Zones: Does the project involve any The project does not excavation, square footage expansion, shoring, underpinnng, retaining wall trigger any of the CEQA work, grading - including excavation and fill on either seism c, flooding, or Impacts and can proceed liquesfaction zones? with categorical exemption C,flLiit with hi review. Serpentine Rock: Doe tiic project involve any excanzl,on in a prupeib containing serpentine rock? 1:011 SOil wi 15 Ci I, oh 1, mo the.mli tsie 101 "1 of CE05 w1oivsi PROPERTY STATUS HISTORICAL RESOURCE Property is one of the following: H r 1: ho..rci.ie P,or,itv let rmahwi Hap) aegory u. riiuwit fliitoocªi -escurce M. Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) lip PROPOSED WORK CHECKLIST ( to he caumieted by Prcjoei Planner ) If condition apphce, plo o e o, r]: : Change of Use and New Construction (tenant improvements not included), check box below before proceeding. vo 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible i spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. j Project is not listed: 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Gar-iges and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. Lii 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-. less than 4 work way for 150 in each cirection; does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not.. - have a footprint that is more than 50% larger than that of the original building; and does not cause the rcrnoval of architectural significant roofing features.,an FAflNCSCR PLAN-1 OL PAHTMIN 02w?,,,

83 CEQA IMPACTS ADVANCED HISTORICAL REVIEW (7cr be compieft d by Preservation Planner) If rijitir rr oplir s. L initfil 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and - conforms entirely to Scope of Work Descriptions!iste d in Step 4. i: i that ply.) 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify If r\nr box is initialed in STEP 5, Preservation Planner MUST review Ic mi tin) botcw. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. orqigps Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. * 9. Reclassification of property status to Category C Preservation Plainer lrrdlals a. Per Environmental Evaluation Evaluation, dated Atlaclr His toric Rc totjrc e Evalcaficrt Space b. Other, please specify: 11I i)equ. r. s,r,,, ;a, 14 S;v-u, i,eservat,c,. :i,,r,,.- l c n t al,).q (:,c4n,,t CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (To be completed by Project Planner )check all that apply) LII [IIJ Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) Must t file I/it in rn / / Evrli ictltvtt.."t.prl:catt0i I. No Further Environmental view Required. Project is categorically exempt under CEQA. Planner s signature 2 Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. San r RflNC,S 50 P220,1,02. SE P40rM00r

84 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS \3;5 Addition! Alteration (detailed below) L] Demolition (requires HIRER if over 50 years old) - EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. EM CEQA IMPACTS ( lo he compleled by l roject Planner) If neither class applies, an Ett iyottttti ti ttil Eon/tin tioti A pp/ ica t / Oil is required. If ANY box is initialed below an Ltiiito;nocutal Et aluatioi, Application is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Phase I En, ironinental Site \ssessniunt rer1uired for CEQA clearance (ff0 z,,itcds re(uire1) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to EPArcMap > CIfQA Call s Determination Lasers a Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer to EFArcElap a- CFQA Call s Determination Lasers a Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer to El \rrnlap a CL(A\ CitE-, Detei Ili iratiun layers >Topography CONTINUED ON PAGE 2

85 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geotechoica! report required and a Certificate or higher I eve! CEQA document required - File a n initial box below before Environmental Application proceeding to Step 3. Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - Project Can Proceed including excavation and fill on a landslide zone - as identified in the San With Categorical Francisco General Plan? Exemption Review. Exceptions: Do not check box for stairs, patio, deck and fence work. The project does not Geotechnical report required and a Certificate or higher level CEQA document required - File an trigger any of the CEQA Encronmenta! Application Impacts and can proceed Seismic: Liquefaction Zone: Does the project involve excavation, square with categorical exemption footage expansion, shoring, underpinning, retaining wall work, grading review. - including excavation and fill on either seismic, floodina, or liquefaction zone? Exceptions: Do not check box for stairs, patio, deck and fence work. Gee technical report will likely be required. File an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Environmental Application In deteimine the applicable level of CEQA analysis COM PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Refer to. San Francisco Property Information Map) Category A: Known Historical Resource tcism.1ia Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) PROPOSED WORK CHECKLIST (To be completed by Project Planner) If condition applies, please initial. 1. Change of Use and New Construction (tenant improvements not included), 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. check box below before proceeding. [ Project is not listed: GO TO STEP 5 Project does not conform to the scopes of work: 4 or more work descriptions: EMEMM less than 4 work descriptions: tct.t.iii2 SAN FRANCISCO PLANNING DEPORTMENT

86 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW ( To he completed by i resersation Pkrnrter) It condition applies, please initial. 2, 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. 1 we initial es at a oil-, in SI H -I hat apk.) Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings, If ANY box is initialed in STEP 5, Planner MUST review initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. I Preservation Planner initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify. 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a. Per Environmental Evaluation, dated. Attach Historic Resource F -aluati,i Report b Other, please specify - Preservation Planner initials Requires initial by Sen sr Prese,val,op Planner Preservation Coordinator CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) (lobe completed by Project Planner) Step 2 (CEQA Impacts) or -. Must tile Ett c troniti ti til Step 5 (Advanced Historical Review) Eva/Ha tioit Application. No Further Environmental Review Required. Project is categorically exempt under CEQA. Planners Signatur Print Name U 101 Date Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAN FRANCISCO PLANNING DEPARTMENT

87 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS BLOCK/LOT(S) / ~~ 0? /,go/ CASE NO. PERMIT NO. PLANS f Addition! Alteration (detailed below) Demolition (requires HRER if over 50 LI New Construction years old) - EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a Cu. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions If neither class applies, an En vimti nu il (a! Eva/nation Applicat ion is required. - CEQA IMPACTS (To he completed by Project Planner) If ANY box is initialed below an Enoiwtiint ntni Evaluation Application is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Phase I Environmental Site Assessment required for CFQA cle arance (El initials icqialrd) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to: EP ArcMap> CEQA CatEx Determination Levers> Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Retr to: [I ArcNap > CFQA CalEx Determination levers> Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer to: El ArcM.,p > CEQA CIFx Determination levers >Topographiy COI\rFINUED ON PAGE 2

88 Slope =or> 20% Does the project involve excavation footage - includifl t level portion of 1 eiiiii. LILUIIIUII.uIIe. LJU LI ie p1 UJL.t II IVUIV AL..VLIUI I, L.jUaI footage expanon shonng underpinnuig retairung wall work grathng- 1V 11 ai iu iii U i j i il UUIj U juiulu LU1 Exceptions: Do not check box for stairs, patio, deck and fence work. ow CrJinoc1 report will likelo be required File an Environmental \rrloclilon Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an linvironmental Applicai.ion to determine the applicable level of CEQA analtois - 4 DDflDDTV TATI i WiT( DiPA1 Dli idt Property is one of the following Retrte n c P opur Info rmotoon Msp Category A Known Historical Resource fl Category B: Potential Historical Resource (over 50 years of age) Category C Not a Historical Resource or Not Age Eligible ( under 50 years of age) no u: NOTE PROPOSED WORK CHECKLIST (Tobe completed b Project Planner) v k.io:o::o check box below 100: 01T If condition applies, please initial. i before proceeding. 1. Change of Use and New Construction (tenant improvements not included). tenor alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. Project is not listed: 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. LI 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction does not extend vertically beyond the floor level of the top story 4 of the structure or is only a single story in height does not have a footprint that is more than 500/ larger than that of the original building and does not cause the removal of architectural significant roofing features 1 2 less than 4 work descriptions DAN FRANCISCO LANNNs DEPARTMENT

89 EM CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To he completed by Preyervation Manner) If condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. (l l0i initial Lcposlriirk I ii SI FIT 4 that lppli.) 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initialed in STEP 5, Preservation Planner MIdST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner initials * 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: 9. Reclassification of property status to Category C a. Per Environmental Evaluation, dated: Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. "Attach Historic Resource Evaluation Report b. Other, please specify: Prese on Planner initials * Requires initial by Senior Preservation Planner 1 Pr eservatlon Coordinator I= CATEGORICAL EXEMPTION DETERMINATION (To he completed by Project Planner El Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) LII Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) Must tile En itt ll li In! Evaluation Applicalion. Review Required. Project is categorically exempt under CEQA. i PlannersSi natur Date I ( Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNING DEPARTMENT

90 CEQA Categorical Exempflon Determination SAN FRANCISCO Property Information/Project Description PLANNING DEPARTMENT PROJEC1ADOREES CL OCNJ1.OTisi CASE NO. Mvr tvt- - PERMIT NO PLJ,NS ATED H Addition/ Alteration (detailed helo - EXEMPTION CLASS fl Demolition (requires HRER if over 50 years old) [I] New Construction fl Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sqtt.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions N 011: If neither class applies, It tlt 71 O1l)7ii"hifr1/ I in/un f/on Application is required. ld C EQA IMPACTS ( To be completed by Project l lunner If A NY box i Ill ii fled below,-in I ooir I I H/C/ifS I lea/up ion A p//firs ion is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I l.a I. ri)i/,ni II/,, Si ti, A- mar, I I". 1, w If N,l CiOA ala, ra a.:a S sills s Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to: EPAreMap a CEQA Ce/C : Dcbei nwint ioji LOaN a A i cli,- olosiral Sensi live Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Safe, I,. ITA,c,1,5 - Cl - ISA Laths L, Ie,n ip,,ia n liars a Noise l Titiaiion Area Subdivision/Lot-Line Adjustment: Does the pro ject site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? rh- tar to TP.\ia\faj, a t/ (.\ (_a! P, it- crm rstl,)fl laser; >TOjsO5rapiiy CONTINUED ON PAGE 2

91 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpirii ng, retaining wall work, grading - including excavation or fill? I a,..o. tia kj C tiumr rud J1 ProJect Planner niul fllt initial box below before Landslide Zone: Does the project involve any excavation square footage proceedmn to Step 3. expansion, shoi inn, underpiiiriiriq, retaining wall wore, grading - including excavation and fill on a landslide zone as identified in the San Francisco General Plan? Project Can Proceed CAiS(iUiI31 report and C. caia as sighartasat CISC With Categorical uncertahi, con.od,is1 i ii Exemption Review. Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation square footage expansion, shoring, underp nn ng, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquesfaction zones? Consuit The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does inc project involve any excavation in a piopc-cty containing serpentine rock? Consult OILS 1.,, S a, s.i cia a? i ahiale\eiuictd.\anslao EM PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: i.. a. s-".i -co i - i put, ins a \ipi gj L.ategory J: I\[lUeJli flisufllei rteuurce Li Category B: Poten1iat Historical Resource (over 50 years of age) El Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) SEEM EM PROPOSED WORK CHECKLIST ( to be completed by Project I lmrear) C condition applies, please i :j NOt 5: 1. Change of Use and New Construction (tenant improvements not included), check box below before proceeding. 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. j Project is not listed: 4. Window replacement that meets the Departments Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: Deck, terrace construction or fences that are not visible from any immediately adjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right of-way. 8. Dormer installation that meets the requirements for exemption from public - notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions r.. :are tot visible from any immediately adjacent public right-of- less than 4 work way for 1 55 in each direction does not extend vertically beyond the floor level descriptions: of the top story en the structure or is only a single story in height; does riot have a footprint that is more than 50% larger than that of the original holding; and does not cause the removal of architectural significant roofing features. SAN FRANC S3 ANN N, A,AANJAISNI A??? SUIt

92 EM CEQA IMPACTS - ADVANCED HISTORICAL REVIEW t It, i.e completed ho Preiurvntion I lnner If I W ld ititt,lp011eu, }niciel. ui:il. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. wi,, i -itial copes of nit in,o Fr Chat * 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Speci fi2_. LO.i 4-I /4flo& to -rt- 9. Reclassification of property status to Category C a Per Environmental Evaluation Evaivat,on, dated, CrOci Historic Retorrrce Evaluation Pmo;t b. Other, please specify: If ANY box is initialed in STEP 5, Preservation Planner MUST review, P initial bc 1 o,. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. o 1OSTEP6. Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. Preservation Planner initials * lie quues nba! by Senor IOr.!r?CVc)n b-ron, i rrsn"var or, Coo,, CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: check all t hat apply) Step 2 (CEQA Impacts) or [ill Step 5 (Advanced Historical Review) (In be completed by Project Planner) ma I\4uSt Sic flit iiri ni:irri n1 Em tl tie / iou AJJ/)17 (Id I ion No Further Environmental Review Required. Project is categorically exempt under CEQA. Planners Signature 0 Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 r000cr300 1I050UNG

93 1 7. CEQA 9 P Determination Categorical Exemption SAN FRANCISCO Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) CASE NO, 1 PERMIT NO..2o1J-o - 2c/o?r?to3 PLANS DATED AdcMion/ Alteration (detailed below) Demolition (requires HIRER if over 50 Ll New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; Commercial/office structures under 10,000 sq ft.; accessory structures; utility extensions. If neither class applies,,in Ei Z JiLtIlillL /t to! Li tiliintion Application is required. CEQA IMPACTS ( la be completed b l aec( l lttiner If,-\NY [r is jni(liiej belo\\ m IIH/ l1(j/hl5iif1i/ Etsiiistio;i!\jlJ)IlilitUHi I,, IL (luued. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I -it, \.--.s,,i,et rciluired IoiCFQAOe,iranve (El Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? liei,r F1 Ai, M,i1 I CI.-\ Cat Fx Dutcmmiation L\,r Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? IT \r,i.o (J5 -\C,,1E\ I )c Ic I wn, I i. )i i.,\er. oisc Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? to: [P Ar slalr S CEI.(.\ (_stex Deternit StJOT1 Layers atopography CONTINUED ON PAGE 2

94 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Gaotechnrcel report required aerl q Ceriihco leer higher level CEQA document required - File an Er rri -onieenlol Application Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Geotecheical report required and a Certificate or higher level CEQA document required - File an Euviroumen tel Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - includino excavation and fill on either seismic. floodina. or liauefaction zone? Excepiion-s: Do not chocich-oe far stairs, patio, deck and fence work Gee technical report will likely he required. File en Environmental Application initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. o /,/ii Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an En vi roe mental Application to d eterm ne the applicable level of CEQA analysis ULM PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: teeter to. San Francisco Property Information Map) Category A: Known Historical Resource tc.iiei.iai Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) k3t1eiil EM PROPOSED WORK CHECKLIST (To be completed by Project Planner If condition applies please initial. 1. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. check box below before proceeding. Project is not listed: 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent i9 public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. Project does not conform to the scopes of work: 4 or more work descriptions: tct.)i.iaii:l J " less than 4 work descriptions: SAN FRANCISCO PLANNING orpnrrraeur

95 R CEQA IMPACTS ADVANCED HISTORICAL REVIEW (lb he ci iinpkted by Prcers ittion Picimur It cttiition cpplics, plense initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. iii.ti S IT I th:,l lv) 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initialed in STEP 5, Preservation Planner MUST review initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials * 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a Per Environmental Evaluation, dated: - Att.iciI I-lsstor,C Resource Cr aiu,atrov Repsrl b. Other, please specify: t.1(sill Preservation Planner Initials * Reqrares initial by Senior Preservation Planner / Preservation Coordinator CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (Iobe completed by Project Planner) (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) Must file Et t VtO tin it ll tal Ez aluaiioli Application. No Further Environmental Review Required. Project is categorically exempt under CEQA. Planner s Signature Date q/ p/ i Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAN FRANCISCO PLANNING DEPARTMENT

96 SAN FRANCISCO PLANNING CEQA Categorical Exemption Determination Property Information/Project Description DEPARTMENT PPDJECTADDRESS I.00L.DT(S) CASE NO. PERMIT NO 42, P ONS DATED (O dition/ Alteration (detailed below) fl Demolition (requires HRER if over 50 Li New Construction EM EXEMPTION CLASS years old) fl 1 Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 scitt change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences: six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. N OF E: If neither class applies, 1 f.oc trortiut tmtal Fvaluf i fion App/icr? t!q1) is required. C EQA IMPACTS I To he completed by Project Planner li A \ r box i.-; jm ilod below an Eneiro,nren!a/ ice/us Ion Application is required. Transportation: Does the project create six (6) or more net new parking -- spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I ha-.e I ),, ironmnt,i ",id h-...-rcni r, 1,,,rr-i loi C[QA ch-]r,,n,:c F.P. rcquiii dl Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitivo areas? Refer to: it Arch-lap > CEQA Ce C - Coh ro a nation L,ivr-i Archh,oi or ical Scoot I 1w A no- Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? IhI- - lo: -i.tr - \t,1 O[Q-\C,LD L,-i,-o,inat,( n I ocrs>nojse hithgation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? D, lor Ic II - o chop a Ch..-\ CaIT D:Icrminaiian l.nyccwtopogra1l 1 v CONIINUED ON PACE 2

97 Slope>20%: Does the project involve any excavation, square footage expansion, shoring underpinning, retaining wall work, grading - including excavation or fill? IL ec tai r! Ci i..!. i,sfl,.p O. Cl ILQ.,.cLLL..PLL LLILLC - lif Landslide Zone: Dons the project involve any excavation, square footage expansion shoring, underpinning, retaining wall work grading including excavation and till on a ;ands ice zone - as identified in the San Francisco General Plan? LII1I! PlOt! (CLII.. L.t P111 - CC, 1I.,.ICLCI i. a,u p rlrci lara LLC)L\ C 1C I,IICIL1 a U Li It Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding or iquesfaction zones? C.II1L CL! with Serpentine Hock: LJU,Oa iris project involve any exuzvntion in a property containing serpentine rock? I rujccl Pionnur n tus I inijuol box below Moro proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. At Coir I Lilt1 E- 10 ul kc,.tl lila 3 lilalci I IC, d DI COLi.\ aii.1ti la EM PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (i:n1 r it ILL i,l1!l.co Ci, III PiLl, II ICi, Ii) Category A: Known Historical Rcs cur ce Category B: Potential Historical Resource (over 50 years of age) *1Z.N 11D Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) PROPOSED WORK CHECKLIST (To be coniptetud hi Project Fionner) If condition applinu, pine iri1t. 1. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. N OLE: check box below before proceeding. Project is not listed: 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. C 4. Window rcpacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that Ne not visible from any immediately adjacent public i 7. Mechanical equipment installation not visibi m me public right-of-way. Project does not conform to the scopes of work: 4 or more work descriptions: 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent pub ic right-of- less than 4 work way for 150 in each direction -, does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. AN FUANCIS A P LANAI NC A_PAUTI.LP Ni ,

98 EM CEQA IMPACTS ADVANCED HISTORICAL REVIEW (ft he compleled by Preservation Planner) ndittrn applies, please initial 1 a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not If ANY box i; initialed in STEP 5. "in-kind" but are is consistent with existing historic character. Preserv3ttion Planner MUST review & initial below. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. Further Environmental Review Required. 5. Raising the building in a manner that does not remove, alter, Based on the information or obscure character-defining features. provided, the project requires an Environmental Evaluation Application 6. Restoration based upon documented evidence of a building s to be submitted. - historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. Preservation Planner initials Project Can Proceed With Categorical Exemption Review. 8. Other work consistent with the Secretary of the Interior The project has been reviewed Standards for the Treatment of Historic Properties by the Preservation Planner and can proceed with categorical Sp ecify exemption review. * 9. Reclassification of property status to Category C Preservation Planner Initials a. Per Environmental Evaluation Evaluation, dated. AtteSt Historic Pc-source Evaluation Scoot b. Other, please specify: lh qsrns ii, Siti by y;.<,:t I ii it,- i.r, 5 arofl CI Jv", fl CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (Tube completed by Project Planner) (check all that apply) LII Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) Must file IltttircioticttLriI Sort? 1101/UI! App / ic s) ioti. No Further Environmental Review Required. Project is categorically exempt under CEQA. Planner s qnt j,e 01 TCL Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines arid Chapter 31 ot the Administrative Code. in snr.,sco 11*1nrs S OEP*RTaE r 3

99 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS CASE NO Addition! Alteration (detailed below) XEMPTION CLASS 1: Existing Facilities 71nitaessorand exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a Cu. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions If neither class applies, an Eu v/re u ucut tel Eve/ecu/ion App/ice/ton is required. - CEQA IMPACTS (To be completed by Project Planner) If ANY box is initialed below an Euvtottt uncut tel Eve/tie five Application is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I Ens ironmental Site \smssmuist re1uired for CEQi\ clearance (ER. initials oqiired) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to: ER ArcMap > CEQA CatEx Determination [avers> Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer to [l ArcNlap CQA CatEx Determination Lovers> Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Rekr to: ER ArcEDp > CElIA latex Dter III iisation Layers >Topography CONTINUED ON PAGE 2

100 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Gen techoical report required and a Certificote or higher level CEQA document required - File an Eneironmen ol Application Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Geotechnical report required and a Certificate or higher level CEQA document required File an End roninental Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zone? Exceptions: Do not check box for stairs, patio, deck and fence work. - initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Geotechnical report ivill likely be required. File an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Environmental Application to deteimine the applicable level of CEQA analysis PHUHlY biaius - MlSlUl1lAL KUUt Property is one of e following: (Refer to: San Francisco Property Information Map) Cat ry A: Known Historical Resource tt.ii[.j-i Category B: Potential Historical Resource (over 50 years of age) tcsmsiiil Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) PROPOSED WORK CHECKLIST (To be completed by Project Planner) If condition applies please si -anal. 1. Change of Use and New Construction (tenant improvements not included). check box below before proceeding. Project is not 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible - listed: spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. IeT.)i.1i1 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations), 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. Project does not conform to the scopes of work: 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. j J 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. less than 4 work descriptions: SAN FRANCISCO PLANNING DEPARTMENT aois

101 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To he completed by Presc rtaliun Planner If condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. i i- otoi cc ens 01 work in SI H 4 hal nrpi\ 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings, 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initialed in STEP 5, Preservation Planner MUST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify *. 9. Reclassification of property status to Category C a. Per Environmental Evaluation, dated: * Atlacl, Hintonc Resource Evulsatirtn Report b Other, please specify Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. tti;1j; Preservation Planner Initials O Requires,n,t,ul by Senior P,eservalson Planner I Preservation Coordinator CATEGORICAL EXEMPTION DETERMINATION (To he completed by Project Planner) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) MU St file ElleirollnIL ll[ill Evaliia tioii Application. L/iFurther Environmental Review R piannehare Print Name red. Project is categorically exempt under CEQA. pcdoi Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code, "1 1) Z/ /3 ate 3 SAN FRANCISCO PLANNING DEPARTMENT

102 - 0 CEQA Categorical Exemption Determination SAN FRANCISCO Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) CASE NO. PERMIT NO. PLANS DATED ((6 3 ~Ad clition/ Alteration (detailed below) Demolition (requires HRER if over 50 El New Construction years old) EXEMPTION CLASS LII CIass 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions If neither class applies, an Etiei etimeti ttil Evaluation Application is req u ired. - CEQA IMPACTS ( In be completed by l mji.ct l lanner I r AN bo is initialed belts in Liisirou,i,sutu/ Esa/:iatioit /lp/licatiott is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? lies I Fiisiruiiiiiuiit,il kite \e.t.,tnitlit ic1uired ts,rc[q.\ clearance (/1.1. l)lili,lls fe7ii1e() Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? enter In lt[ ArjIa1 CFQ.\Catl\ lieier:1llilatsli I seen Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Iietei I l\e\iaa ( FL.\CatEx Deter liliallen lasers Noise Mitigation Area Subdivision/Lot -Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? infer to: I:l,\r S lad t_iit \ C.itlfs IiterITliIlallO I sees >Topograpliy CONTINUED ON PAGE 2

103 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geotacha i Cal report repro red and a Certi flea to or Iin g hci level CEQA ci ocu meat required - File an Eric courier tat Applica liar Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Geotechnical report required and a Certificate or higher level CEQA document required - File an Environmental Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Exceptions: Do not check box for stain, patio, deck and fence work. Gao technical report will likely be required. File art Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions e an Envi roenien Ia I A pp icr lion to determine the applicable level of CEQA analysis PRflPFPTV TATlI - HlTflRICAl PFSflIIRCF Property is one of the following: )lt.etcr to: Sari Francisco Property Information Map) Category A: Known Historical Resource M.FiA- Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible ( under 50 years of age) Me M PROPOSED WORK CHECKLIST (To he comp et(2d by Project Planner) check box below If conditton applies, please initial. before proceeding. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. Project is not listed: 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). Project does not conform to the scopes of work: 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. 4 or more work descriptions: LIect involves less than 4 work descriptions: c.)t.i-1 li SAN FRANCISCO PLANNING OEPflRTMENT

104 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To be completed by Preservation Planner) If condiuon applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings, 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interiors Standards for Rehabilitation. If ANY box is initialed in STEP 5, Preservation Planner MUST review initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a Per Environmental Evaluation, dated Afl,rclr Historic Resource Evaluation Report b. Oilier, please specify: 1C i11k Preservation Planner initials Re.qrrrrcro rrrt q! hy Senor P,eervahon Skinner,1 i;..escrr:1tr... Coorrn,rrntc,r IT Wi CATEGORICAL EXEMPTION DETERMINATION (Fo he completed by Project Planner) El Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or ts]i Must file Ent irootiienfal Step 5 (Advanced Historical Review) E1rIIIIIIIIIIIII A/lJlIiCuIfi( 1 l1. Further.twiron ReviewRequired. Project is categorically exempt under CEQA. PI-14"s Signature Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAN FRANCISCO PLATeAu DEPARTMENT

105 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS CASE NO. PERMIT NO. 13 Addition! Alteration (detailed below) Demolition (requires HRER if over 50 LII New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities 19 Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. CEQA IMPACTS ( Fo be completed by I rojecl Planner) If neither class applies, en Etiz Iro;inic iitnl L: iliintio,i Application is ret,u ired. It.\N r ho\ is inifeiled below in Ei,eirrn,iir;ifa/ Ets?!HuIiw! A jbcaf inn is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I hoe I Iriir I I, imieiilil Site \,..iii,ii1 rre1riired fe C[QArlearance Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer I II ArMap CRQACaIFx Delenninatirir Isvriss Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer te I Ar_Shin ( ItACatFe Ii)eteiiiiiir,iti,in Lavers Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer to: EP ArcMap CEQ.\ CatEx Determination Layers >Topography CONTINUED ON PAGE 2

106 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geotechnical report required and a Certificate or highr level CEQA document requiied - File an Eoi iroi-ii-neiiinl Application Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Geotechntcal report required and a Certificate or higher love] CEQA document required - File an Enrii riiioental Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - includina excavation and fill on either seismic, floodinq, or liquefaction zone? Exceott ons: Do not check box for stairs, patio, dock and fence work. Ceo technical report will likely be required. File an Erivironmea tel Appluca lion initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. $oftfl Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Environmental Application to determine the applicable level of PEQA analysis LUM PROPERTY STATUS - HISTORICAL FthSOUKL Property is one of the following: Li (Refer to. Sari Frariciaco Property Information Map) Category A: Known Historical Resource [em-i& FJ Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible ( under 50 years of age) Me Snag PROPOSED WORK CHECKLIST (To he completed by Projcct Planner) check box below It condition applies, nleasc tndtal. C Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. before proceeding. Project is not listed: 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. [ Project does not conform to the scopes of work: 4 or more work descriptions: less than 4 work descriptions: tc.bi.i1l SAN FRANCISCO PLANNING DEPARTMENT

107 EM CEQA IMPACTS - ADVANCED HISTORICAL REVIEW ( Tn he cniiipktud Lw l resel\a(i/il lnnnei It Condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4-n,, Eu/ni in El II lit- i 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. If ANY box is initialed in STEP 5, Preservation Planner MUST review is i n i tial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. GO TO STEPS Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a Per Environmental Evaluation, dated: Attac h I/ni:: :c bc-since Era/nation Repot b. Other, please specify: Preservation Planner Initials * bc-c-yarns,n,t:al by Set/Is, P,ese,vat,on Planner / Preservation Coordicutor El Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) am Must tile Ettz i,oitnu ;tfal Et iiiiiiiiiii /\/ JIJIC:?(il)ll.. CATEGORICAL EXEMPTION DETERMINATION (to be coltlpietud be l mnect l Littner No Further rpvironmenjal Review Required. Project is categorically exempt under CEQA. _~;. i, V_ L, 4 ~ Print Name Signatu re Date kj Ck) AJ k 2b Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAN FeaNcisco PLANNING DEPARTMENT

108 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS N I Y-,q I BLOCK/LOT(S) CASE NO PERMIT NO.. PLANS DAT D Addition! Alteration (detailed below) Demolition (requires HRER if over 50 El New Construction - EXEMPTION CLASS years old) Class 1: Existing Facilities lnterior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally ermitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an EflL irountl JttaJ Ecu/na fioti Application is required. - CEQA IMPACTS (lobe completed by Project Planner) If ANY box is initialed below an EItt iioiiiiichtii/ Evaluation Application is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Phoe I Enriron,nenlal Site Assessment i equi red for CEQA cleeroece (E.P.,uitsi?s eqitied) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to. F1 Arc.Map > CEQA Ca/Ex Determination La) cis a Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer to EI ArcNIep CEQ.\ CatFx Deteim/isation Let era> Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer to. El ArMip > CEQA CatEx Dcl,inuriatioi, Let Cr> etopography CONTINUED ON PAGE 2

109 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Ceolechnical report required and a Certificate or higher level CEQA document required - if uncertain, consult with PP Landslide Zone: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Geotecheical report required and a Certificate or higher level CEQA document required - if uncertain, consult with EP Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquesfaction zones? Consult with PP initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? Consult with PP to deteomine the applicable level of CEQA aooelsrs EM PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Refer to: San Francisco Property Information Map) II - U Category A: tflowfl riistoricai Resource tsil.ii Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) Ic.M.1-iiTh - PROPOSED WORK CHECKLIST (To be completed by Project Planner) If condition applies, please initial. 1. Change of Use and New Construction (tenant improvements not included) 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-ofway for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. check box below before proceeding. Project is not listed: Project does not conform to the scopes of work: tei.i.-i i;i 4 or more work descriptions: less than 4 work descriptions: SAN FRANCISCO PLANNING DEPARTMENT

110 - CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (lobe completed by Preservation Planner) If condition applies, please initial. 1. a Known Historical Resource (CEGA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. (neae irrriial copi s )i rsork ir 51IrI -I hit.iphlo) 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not If ANY box is initialed in STEP 5, "in-kind" but are is consistent with existing historic character. Preservation Planner MUST review initial below. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. Further Environmental Review Required. 5. Raising the building in a manner that does not remove, alter, Based on the information or obscure character-defining features, provided, the project requires an Environmental Evaluation 6. Restoration based upon documented evidence of a building s Application to be submitted. historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. 8. Other work consistent with the Secretary of the Interior The project has been reviewed Standards for the Treatment of Historic Properties by the Preservation Planner and can proceed with categorical Specify. exemption review. * tetsi I ll il 9. Reclassification of property status to Category C Preservation Planner Initials a. Per Environmental Evaluation Evaluation, dated: * Attach Historic Resource Evaluation Report b Other, please specify: 1W CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (Tb be completed by Project Planner) Requires rrnntnsl by Senior Preservation Planner / Preservation Coordinator (check all that apply) G. - tvli..tst file Ellytilonlllell (t/ Efra/llat/oll AtpIicatfon. No Furtheironmental Env Review Required. Project is categorically exempt under CEQA. Planners Signature Print Name LII Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) C) Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. q Date ~ ~) SAN FRANCISCO PLANNING sepnntuenr

111 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS 1000 Oc.j BLOCK/LOT(S) 31eo/coi CASE NO. HI. ZAddition/ Alteration (detailed below) 4 - EXEMPTION CLASS PERMIT NO, Demolition (requires HRER if over 50 years old) Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. PLANS DATED O4t5-13 LII New Construction If neither class applies, in EnviroIlllIL IItaI Eea/lIaliOl? Application is required. CEQA IMPACTS ( lobe completed by Project Planner II -\N b1\ IS initialed heie\e 10 PIl1 IlI)Ii)ile/ltUl I17I1e?(!O/I A piini(eii is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I Fin iii 1rntrila} Site AsesnienI e1tirred fur CFO.\ tic,iiiike (F Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? II AirNIip CH)\ (lull. I 50I0 iiir.ifin I :A rc h c oio i icj I Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? ((in (iv F[AicSIu CIQ.\ CuiEs DCInFI II tine 511 err: Noise Nlitig.Ftii)n Are,i Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Si Ill CE(.,-\ Cull Prtermiiiuliun Inter. :Topiigraphv CONTINUED ON PAGE 2

112 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Ceotechnicel iepoi t required and a Cciii Ficale or higher level CEQA document required -if uncertain, consult wills FT -. Landslide Zone: Does the project involve any excavation square footage NOTE initial box below before.... proceeding to Step 3. expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Project Can Proceed Ceoteclsnicol report required and a Certilicete or higher level CEQA document requil ed if With Categorical uncertain, consult with Eli Exemption Review. Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zones? Cniwsdr ivith 5P Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? Consult with Eli in ctetenvine die epplicahle level of CEQA analysis 97 M PROPERTY STATUS - HISTORICAL RESOURCE The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Property is one of the following: (Peter to: San i - c.sncesco Fr(, pertt lntornsafinia Map) H Category A: Known Historical Resource I[SI1OLi1 Category B: Potential Historical Resource (over 50 years of age) tesiz Category C: Not a Historical Resource or Not Age Eligible( under 50 years of age) EccFiiJ PROPOSED WORK CHECKLIST (To be completed by Project Planner) If condition applies, please initial. 1. Change of Use and New Construction (tenant improvements not included), check box below before proceeding. 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. Project is not listed: 3. Regular maintenance and repair to correct or repair deterioration, decay, or Me mall damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of- less than 4 work way for 150 in each direction; does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; - and does not cause the removal of architectural significant roofing features. SAN FRANCISCO PLANNING DEPARTMENT S

113 EM CEQA IMPACTS ADVANCED HISTORICAL REVIEW (lobe completed by Preservation Planner) It condtivn apphes, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. iiw,i I ciit 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not If ANY box is initialed in STEP 5, "in-kind" but are is consistent with existing historic character. Preservation Planner MUST review & initial below. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. Further Environmental Review Required. 5. Raising the building in a manner that does not remove, alter, Based on the information or obscure character-defining features. provided, the project requires an Environmental Evaluation 6. Restoration based upon documented evidence of a building s Application to be submitted. historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. 8. Other work consistent with the Secretary of the Interior The project has been reviewed Standards for the Treatment of Historic Properties by the Preservation Planner and can proceed with categorical Specify. exemption review. * 1I Iui1Z 9. Reclassification of property status to Category C Preservation Planner Initials a. Per Environmental Evaluation Evaluation, dated: Attach Historic Resouice Evaluation Report b, Other, please specify: IR::qu. ;cs in,toi by,sin,or P,c-,se,vaton Planner.. Pre-se.rvatiann Ccardi,ncnfor CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: ( In be completed by Prnjcct Pl,tmincr (check all that apply) Is)iI Step 2 (CEQA Impacts) or -. Must file Lint i oniiieit to) Step 5 (Advanced Historical Review) Eomilimatioii Application. No Further onmental Review Required. Project is categorically exempt under CEQA. I Planner s Signre...) Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code, SAN FHANc:sco PLANNING DEPARTMENT

114 I IL CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information Project Description PROJEcT ADDRESS 21f B CASE NO FFSiAP NO C J,N5 )ATD (34 IS- L/ Addition/ Alteration (detailed bniov Demolition (requires HRER if over 50 Li New Construction years old) 1.ID EXEMPTION CLASS [1 Class 1: Existing Facilities Interior and exterior alterations: addition ; under 1 0,000 sq.tf permitted or with a CU. change of use if principally F: If neither class applies, Class 3: New Construction an Ell r iroirnu nfril Up to three (3) single family residences; six (6) dwelling units in one building; I - i/nut tn;i Application is commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. rcs C EQA IMPACTS To he corn pie ed by Project. Planner ii A\ box colicfled heliuv un [nnronii,trnii/ Lva/unfwn A/2/,I!cutlni; is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project acid new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I r,, ironmiiitid Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Rcf r to Er Arc1 1ap C1.OA CiitEv fl inc r,.iiioii Li : L.> Archeological Sensi icc Areas Noise: Does the project include new noise-sensitive receptors (schools, - - colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? R, fei I, : i l Ari \1a1 _ Cl QA C,iti,x i:i icrniati,n i j,, vrs >Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Ii, I "I \i3o,t, - 11CC u,ili, i1., iaiin I ii, r, >Toporai i i CONI!\L!ED ON PAGE 2

115 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading including excavation or dl? Landslide Zone: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? LIn(arf,.EL corl,,:e,.,ti a La i - iahca ]cc LLif.\ S,.aia - Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquesfaction zones? a nh initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does the oroject involve any excavation in a property containing serpentine rock? a 1ih Li a t 11 ii PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: riaf.. r,,: a Pannacn.co P-a,pLt\ in-s, 11 c5(, POp) Category A: Known Historical Resource LI Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) PROPOSED WORK CHECKLIST to be comcieted by Project Planner), If condition applies, plume irp)i.l. Project Planer n must 1. Change of Use and New Construction (tenant improvements not included), check box below before proceeding. 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e, lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building- Project is not listed: 4. Window replacement that meets the Departments Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of- less than 4 work way for 150 in each direction; does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height: does not have a footprint mat is riomo than 50% larger than that of the original building: and does Faa: 2.ause the rerrovai of architectural significant roofing features. SAN AA5 550 PLflNJN U.S 0, 4N ENS r11 3

116 k ::. ::: :_: ::4 CEQA IMPACTS ADVANCED HISTORICAL REVIEW t,iftiittttfl applies, please initial Fo he completed by Preservation Planner) 1 a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. uih5l ot rr,rtz in H F1 4 tk,t nply.) 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, - or obscure character-defining features. 6. Restoration based upon documented evidence of a building s -- historic condition, such as historic photographs, plans. physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a pliblic right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify if ANY box is initialed in STEP 5, Preservation Planner MUST review z initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. * 9. Reclassification of property status to Category C Preservation Planner Initials a. Pp., Environmental Fivalustion Eivaluation, dated. Annul, Historic flc sc,,ucu Evatuatic,t SepsiS b. Other, please specify: f5 qu:res,,,iti? L1 Lii, rrior T reservat;c, iiliir,&, / r c ne vat in Ti Cc,o il riu u 1gtp CATEGORICAL EXEMPTION DETERMINATION jio n carmnhi tr il Ins l linen) Planner 1 Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (chock alt that apply) Step 2 (CEQA Impacts) or Must file Eitvircrnnien ti? [ Step 5 (Advanced Historical Review) Eraltiatioit Application. No Further v e al eew Required. Project is categorically exempt tinder CEQA. Planner s Signat)re Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Cuidiniiri, s and Chapter 31 of the Administrative Code. sun r040c,sco PLONNING DEPORTE mi

117 ll4 i V i ("MQIA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description FFt0JEC1AODRESS CASE NO. NO IC LflO?_ Addition! Alteration (detailed below) ij Demolition (requires HRER if over 50 EM EXEMPTION CLASS years old Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. 1 Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq ft.; accessory structures; utility extensions. Li New Construction NO-FE: If neither class applies, an I. uivzr-orur,rr ii to! Lr.st/uafiori Apphcatiori is required. C EQA IMPACTS ( To he compkecl by Project Planner 1 11 A N r bn\ K in i l od be I W in Pnr IJO)lliicnlrl 100/1K lion,4ppiic(lf ion U. required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks?.0.., O "I r"juhl, (i C H) \, l -1 Soil Disturbance/Modification: Would the project result in the soil - disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to: or ArCMOP > CEQA c:tt : Deter mimitiun Lasers > Archeological Sensitive Areos Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? heir, i,. i I \r, \1e1 0 Q \ Cat s 051, 1fl,11 cm I,u, rs Noise Miiigatiorc Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? 10 J( 0 (1 ia0 -,io)a ( eli, mioeinn La vcr r >Topographv CON T!NLIED ON PAGE 2

118 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill?. i 0 olihr,i,,,...r-j. nu k,r hig li,n 1,0 CLx -a uniimi,..f i Project Phil Iner etc ci initial box below before Landslide Zone: Does the project involve any excavation square footage - proceeding to Step 3. expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone as identified in the San Francisco General Plan? Project Can Proceed -. u: id - r:t or i,ichcr kid C[iT\ ii,,t - With Categorical 1 CO di "F 0 Exemption Review. IV Seismic, Flooding, and Liquefaction Zones: Does the project involve any The project does not excavation, square footage expansion, shoring, underpinning, retaining wall trigger any of the GEQA work, grading including excavation and fill on either cosmic, flooding, or Impacts and can proceed tquesfacton zones? with categorical exemption ["P review. Serpentine Rock: Does the project involve any excavation in a property containing sorper tine rockn as cc h,., u a,ta dot c0aom. s - PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the to I lowing: a. r - - CU1CCC) Ci.,,., [_J Category M: Known nisluw.w Re-source Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) IMM PROPOSED WORK CHECKLIST (to be completed by Friject 1-tanner If condition applies, plume N Of 8: 1. Change of Use and New Construction (tenant improvements not included). check box below before proceeding. 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. Project is not listed: 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. fl Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately.ndjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions. public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under toning Administrator Bulletin: Cornier Windows. 9. Additions that are not visible from any immediately adjacent public right-of- less than 4 work way for 150 in cccli direction, not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building and does not cause the removal of architectural significant roofing features. AN RAN1 - P fl JNUS DE-11-Nt U

119 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW ( hr he completed by Ftewrvatiun Planner )lrnditiri1tpplir". pile ifliloil 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step P 4 lh,rt 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, - or obscure character-defining leatures. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the interior Standards for the Treatment of Historic Properties Specify 11 ANY box is initialed in STEP 5, Preservation Planner MUST review c initial hclov. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application n - cvc submitted. Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. 9. Reclassification of property status to Category C Preservation Planner Initials a. Per Environmental Evaluation Evaluation. (Ioted AtIacl Historic Ceo o,gce Evaluatin,r Report b. Other, please specify: * lle-qvrec,r,,tv/ b CATEGORICAL EXEMPTION DETERMINATION (to be completed by Project Planner) 111 Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) LII III Step 2 (CEQA Impacts) or I\ lust Step 5 (Advanced Historical Review) tile Lii cii crrttncniril S 014/t, ativti Application. ai No Further Env onmental Review Required. Project is categorically exempt under CEQA. ess,atre Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Gutdcltnes and Chapter 31 of the Administrative Code. 5* aarjoscc PLAuN,Nr DEPARTMENT

120 S 0 CEQA Categorical Exemption Determination SAN FRANCISCO Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS - BLOCK/LOT(S) CASE NO, PERMIT NO. PLANS D TED Z1 o Addition! Alteration (detailed below) Demolition (requires HIRER if over 50 New Construction \ years old) EXEMPTION CLASS Class 1: Existing Facilities qerior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an EnvIrontlIL ota/ Ez olutliou Application is required. - CEQA IMPACTS (To he completed by Project Planner) If ANY box is initialed below an Ettoirotz;ttcttta/ Ewt/untiou Apjtlictttion is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day, care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? FLare I Environnienial Site Assesement required for CEQA clearance (E.T. jsitidls I qsi sf) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to ER ArcElap > CEQA CafEs Detercn,iration l.a I el s S Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refei to EPA rcnlap > CEQ.\ CatEx Determination Lasers> Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer to El ArcMlp > CEQ\ CetEx Determination Lovers >Topography CONTINUED ON PAGE 2

121 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Geotechnical report required and a Certificate or higher level CEQA document required -if uncertain, consult with EP Landslide Zone: Does the project involve any excavation square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Geo tech nical report required and a Certificate or higher level CEQA document required -if uncertain, consult with FI Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquesfaction zones? Consult with PP initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? Consult with PP to determine the applicable level of CEQA analysis EM PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Refer to San Francisco Property information Map) El e..., A. n... J 7 fl. I %I ITV II III IflI I ICCJ1I..0 peaflrai C Category B: Potential Historical Resource (over 50 years of age) tem(.1-ili Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) PROPOSED WORK CHECKLIST (To be completed by Project Planner) TI condition applies, please initial. 1. Change of Use and New Construction (tenant improvements not included), check box below before proceeding. 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or 4 damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. Project is not - listed: Project does not conform to the scopes of work: 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of- less than 4 work way for 150 in each direction; does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. SAN FRANCISCO PLANNING DEPARTMENT

122 EM CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To be completed by Preservation Planner) If condition applies, please initial 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. (PIvse ililidi ripes of rrirvk in St FT I IIrit 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not If ANY box is initialed in STEP 5, "in-kind" but are is consistent with existing historic character. Preservation Planner MUST review & initial below. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. Further Environmental Review Required. 5. Raising the building in a manner that does not remove, alter, Based on the information or obscure character-defining features, provided, the project requires an Environmental Evaluation 6. Restoration based upon documented evidence of a building s Application to be submitted. historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. 8. Other work consistent with the Secretary of the Interior The project has been reviewed Standards for the Treatment of Historic Properties by the Preservation Planner and can proceed with categorical Specify. exemption review. 9. Reclassification of property status to Category C Preservation Planner Initials a Per Environmental Evaluation Evaluation, dated: "Attach Hrslo,rc Resource Evaluation Report b. Other, please specify: * Requires initial by Senior Piesen.,alrcn Planner / Preseivatran Coordinator -. CATEGORICAL EXEMPTION DETERMINATION (To be completed by Project Planner) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) Must file Eiivirotiniy n (ol Ezillllllltioll Application. No Furth Environmental Review Requi d. Project is categorically exempt under CEQA nh -2o Planners Signatuire Date Q24 Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNING DEPARTMENT D13

123 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT Property Information/Project Description PROJECT ADDRESS / 1_? Si -. BLOCK/LOT(S) i127/ O? CASE NO. PERMIT NO. PLANS DATED XAddition/ Alteration (detailed below) Demolition (requires HIRER if over 50 New Construction years old) VC - EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a Cu. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an Etlf irotltur ti It?! Ec?altmtion Application IS required. VT - CEQA IMPACTS (lobe completed by Project fanner) If ANY box is initialed below an Lucito;iit,cutal Liuluatiott Applicatioii is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Pha-e I En ironmental Site,\ssessinent rec1uired for CEQA clearance (C. P. hi/hats reqeiie:t) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to El ArcMap > CEQA CalLs Dcleriniiicition Levers a Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer to: I- I A rend p ( FQA CatEx Determination Levers > Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer to EL z\rvhlap > CLQ\ Cat Ex Determination La\ cci >Topography CONTINUED ON PAGE 2

124 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. E,eotechrical report repaired and a Cerlilicate or higher level CEQA document required File an Environmental Application Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Geotechnical report required and a Certificate or higher level CEQA document required - File an En i-i ronmenil Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zone? Exceptions: Do not check box for stairs, patio, deck and fence work. initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. GeoLechnical report will likely be required. File an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Environmental Application o determine the applicable level of CEQA analysis LEM PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Refer to: San Francisco Property Information Map) Category A: Known Historical Resource t1.m 1Ii1il tl4 Category B: Potential Historical Resource (over 50 years of age) Lel.IL.1-IiJZ Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) EM PROPOSED WORK CHECKLIST If condition applies, please initial.,() J (To he completed by Project Planner) 1. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. check box below before proceeding. Project is not listed: Project does not conform to the scopes of work: 4 or more work descriptions: less than 4 work descriptions: SAN FRANCISCO PLANNING DEPARTMENT

125 - CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (Th be completed by I reserva[ion Manner) If condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. jpi e initial.,s f "olk in SI SI I thtii rrpi 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. If ANY box is initialed in STEP 5, Planner MUST review ini[ial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. I Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify * Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a. Per Environmental Evaluation, dated: * Attach Historic Resource Erairratrun Report tei.1si1iii b. Other, please specify: Preservation Planner Initials * Requires initial by Senior Pivservalron Planner I Preservation Coordinator CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) (To he compleled by Project Planner) It.JiI Ivlust file Euvtruun,cllta/ Eealiialiott Ajplicatio;i. No Further Environmental Review Required. Project is categorically exempt under CEQA. Planner s Signature IA.1l Print Name Date Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAN Fvaucisco PLANNING DEPARTMENT

126 S 0 CE0A Categorical Exemption Determination SAN FRANCISCO Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) CASE NO. PERMIT NO PLANS DATED Addition/ Alteration (detailed below) Demolition (requires HIRER if over 50 LII New Construction years old) OM EXEMPTION CLASS jclass 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. El Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If nei (her class applies, an Enir017tti1 11t7l EVIl//UI 1701! A ppl ication is reci Lt i red. - CEQA IMPACTS ( lo be completed by Project Planner) If ANY box is initialed below an EI11Ir0IIIIICIIta1 LL 171%I1?tUIII Application is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Phase 1 Ens nonmen tal Site \ia.ssnisnt required for CIiQ,\ clearance (P.! nfl Its/s s nn fit]) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refci Is PP ArcN lap a Cl/QA Call/n Determination Layers a Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer to 1/PArcMap ( FQA Call/s Delci -nitrolion Layers a Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? I/eIr-r Ic [P Arc/slap a L[Q.\ CalLs Deterniittaliois i.a) eis >Topography CONTINUED ON PAGE 2

127 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geotechnical report required and a Cerlificate or higher level CEQA document required - File an Er ivironmantal Applicahon Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work.,eotechnical report required and a Certificate or higher level CEQA document required - File an Environmental Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zone? Exceptions: Do not check box for stairs, patio, deck and fence work. initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Geolechni cal report viii likely be required. Pile an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Environmental Application to determine the applicable level of CEQA analysis IMSM PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Refer to: San Francisco Properly Information Map) Category A: Known Historical Resource [c.i(sj-1i& Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) I.s1ii2 PROPOSED WORK CHECKLIST (To he completed by Project Planner) If condition applies, please initial. 1. Change of Use and New Construction (tenant improvements not included) 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. check box below before proceeding. Project is not listed: 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. Project does not conform to the scopes of work: 4 or more work descriptions: less than 4 work descriptions: SAN FRANCISCO PLANNING DEPARTMENT

128 111*Jd CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (TO he completed by Preservation Planner) It condihon applies, please initial, 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. I ].rv initial -ripe a iciil. in SIFI I ihat oppir 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings, If ANY box is initialed in STEP 5, Preservation Planner MUST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. I Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify. 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a. Per Environmental Evaluation, dated: Altar/i His/si -ic Resource 5. atuation Report b. Other, please specify, tce.i1ii Preservation Planner Initials * Requires initial by Sereor Pieservat,on Planner / Preservation Coordinator CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (To he completed by Project Planner) (check all that apply) Eli Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) file Eitvi t tittie iifeil Eztilua!iou Ajrplictiiioit. No Further Environmental Review Required. Project is categorically exempt under CEQA. Planner s Signature Date y_ Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAC FR000i000 PLANNING DepARnecun

129 S. 0" CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING Property Information/Project Description DEPARTMENT IPR0JECTADDRESS BLOCIOLOT(S) 2A-o 5T. 0,4/0I1 CASE NO. PERMIT NO. PLANS DATED lo(7_.2.21.l11o Addition! Alteration (detailed below) Demolition (requires HRER if over 50 LI New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) Single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. NOTE; If neither class applies, art Environmental Evaluation Application is required. CEQA IMPACTS (To be completed by Project Planner) If ANY box is initialed below an Ent. iro,,ntt ntal Evaluation Application is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Phase I Environmental Site Assessment required for CEQA clearance (E.P. initials required) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to: EP ArcMap> CEQA CatEx Determination Layers> Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer to: El ArcMap > CT-QA CatEr. Determination Levers> Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer to: El Ai cmap > CEQA CatEr. Determination Levers >Topography CONTINUED ON PAGE 2

130 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. r,eutechnical report required and a certificate or higher level CEQA document required - File an initial box below before Environmental.Application proceeding to Step 3. Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - Project Can Proceed including excavation and fill on a landslide zone - as identified in the San With Categorical Francisco General Plan? Exemption Review. Exceptions: Do not check box for stairs, patio, deck and fence work..... The project does not,otechriical report. required and a Eerhficate or higher level LhQA document required - File an Environmental Application trigger any of the CEQA Impacts and can proceed Seismic: Liquefaction Zone: Does the project involve excavation, square with categorical exemption footage expansion, shoring, underpinning, retaining wall work, grading - review. Ciii,, i+hr po r,,,fop+ir Exceptions: Do not check box for stairs, patio, deck and fence work. Geotechriical report will likely be required, File an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Environmental Application to determine the applicable level of CEQA analysis ai PRflPFRTV STATuS - HISTflRI(AE. RESOLJRCF Property is one of the following: IRefer to: San Francisco Property Information Map Category A: Known Historical Resource Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) PROPOSED WORK CHECKLIST (To be completed by Project Planner) If condition applies, please initial, 1. Change of Use and New Construction (tenant improvements not included). check box below before proceeding. Project is not 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible listed: spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). Project does not conform to the scopes of work: 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. 4 or more work descriptions: less than 4 work descriptions: SAN FRANCISCO PLANNING DEPARTMENT

131 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To he completed by Preservation Planner) If condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. (PleaSU initial scopes in y)rk in STEP 4 that apply.) 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initialed in STEP 5, Preservation Planner Mi/ST review & initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials * 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: 9. Reclassification of property status to Category C a. Per Environmental Evaluation, dated: Attach Historic Resource Evaluation Report b. Other, please specify: Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. Preservation Planner Initials Requires initial by Server Preservation Planner! Preservation Coordinator!= CATEGORICAL EXEMPTION DETERMINATION (To be completed by Project Planner) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) LII Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) Et JiJI Must file Environmental Evaluation Application. No Further Environmental Review Required. Project is categorically exempt under CEQA. Planners Signature ct Date 411t3 Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 0 OF uc Tc k L 1, cv\ rt 2 e -t- c-j ILA T N Pis P i c- iz 1to to SAN FRANCISCO PLANNING DEPARTMENT 020R 2013

132 r i Determination CEQA Categorical Exemption SAN FRANCISCO Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) LJfrL1eicT.. oob CASE NO. PERMIT NO. PLANS ~ED /? -dition/ Alteration (detailed below) Demolition (requires HRER if over 50 New Construction 7 years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10, 000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq ft.; accessory structures; utility extensions. If neither class applies, an Environmental Ealuafio,i Application is required. CEQA IMPACTS (To he completed by Project Planner) It ANY ho\ is iniliied heki\v in Liioniiiint titn/ Lea/nation /tppluiition is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? hi-, I Iiis ir,iiioerii,ii hil, \ i -,,iii, ii re,.iir, d for CEQ.\ rlearai,ce (0.1. iintnil,i Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Tfeh r ic El. iicnlip CFOALiIFs I)eicr,i,ii,ati, n l.avi rsaarcheological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? I l.-\rcm,i1 - ( l-hac,,tl Deli, om,,iio,i L,i\-eN Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Relic to - El i-\ri:nlap > CEQ.\ (.,IE\ Determination Levers etopography CONTINUED ON PAGE 2

133 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Ceo!echnca! report required and a Cerlificate or higher I eve! CEQA document rechnvecl - File an Er.iioiiiflentil Application Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Geotechnical report required and a Certificate or bighei level CEQA document required - File an Pun ironroerial Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zone? Exceptions: Do not check box for sta/r patio, deck and fence work. Geotechv cci report iv iii I ike! v be required. File an Poe ironrnen toil App]ica lion initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. EcIzMsIii Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. Fie an En vii onmen to! Application to determine the app! cable I eve! of CEQA analysis PHOPENTY STAl US - HIS I OHIAL KSUUHL Property is one of the following: Peter to San Francisco Property Information Map) Category A: Known Historical Resource tcts)e.jii1 ategory B: Potential Historical Resource (over 50 years of age) Ic9201i1Th Category C: Not a Historical Resource or Not Age Eligible ( under 50 years of age) ti.1itaj PROPOSED WORK CHECKLIST ( To he completed by Project Planner ) If condtt:on appses please initial. check box below before proceeding. Change of Use and New Construction (tenant improvements not included). fy\ /),. Interior alterations/interior tenant improvements. V ( U) spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. Note: Publicly-accessible 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project is not listed: GO TO STEP 5] Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. 4 or more work descriptions: 1e1.M.1.ii 7 less than 4 work 7 descriptions: ro SAN FRANCISCO PLANNING DEPARTMENT

134 - CEQA IMPACTS - ADVANCED HISTORICAL REVIEW I ( (( IlL coinpictud by i iecr ation Plannur It COL)d it1on c)})tlllh, pleasu tint al. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4., iii. oor.. H H IT IHi oris 1 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initialed in STEP 5, Preservation Planner MUST review initi al below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a. Per Environmental Evaluation, dated: fltfuc/, HiCto,iC HbSLILIICL r..i nb,at,o,, Rcrioit IS. Other, please specify: Preservation Planner initials fiery men,n,fml by Senior Peeserrat,on Planner / Preservation CoOrd,njfor CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) ( to he completed by Project llirtncr l vlu St file Enz, trotittir tital E iiieia!iiai Arp/ioiiwti. No Further Environ al R ew Required. Project is categorically exempt under CEQA. / Planner s Signature I - Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAN FRANCISCO PLANNING DEPARTMENT

135 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT CASE NO. XAddition/ Alteration (detailed below) EM EXEMPTION CLASS Demolition (requires HIRER if over 50 years old) LII New Construction Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a Cu. El Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an Euzirctt,utc,i bit Etilitutioti Application is required. CEQA IMPACTS ( To be completed by Project Planner) If ANY box is initialed below an ecu tat Eralueticei Applicaticie is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I -tar(! I Em iioninunml Site \.smn I required for CEQa\ clearance (E ll. :i,t tails )nps en) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Refer to: ER ArcMap > CEQA CatFx Determination Lasers> Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Refer It> I PArcH/op C}Qr\ CalLs Determination Lovers> Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Re/vt a: PP Arc/i/op > CEQ.\ i_tie> Determination Layers >l opography CONTINUED ON PAGE 2

136 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geotcchaical report requ:red and a Certificate or higliet level CEQA document required - File an En vironinen lal Application Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. C,eolechnical report required and a Certificate or higher level CEQA document required File an Environmental Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - nc!uding excavation and fill on pithpr sismir., flnndinin. or liquefaction 7One? Exceptions: Do not check box for stairs, patio, deck and fence work. Geo technical report will likely be required. File an Environmental Application - initial box below before proceeding to Step 3. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. GO TO STEP 3 Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. File an Environmental Application to determine the applicable level of CEQA analysis PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: (Refer to: San Francisco Property Information Map) Category A: Known Historical Resource Lc sm.11ij Category B: Potential Historical Resource (over 50 years of age) I.}-IiZ Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) t.m 1uiZ EM PROPOSED WORK CHECKLIST (To be completed by Project Planner) If condition applies, please initial. W 0 1. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or V damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. check box below before proceeding. Project is not listed: LcIIt.1I EJ Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. 4 or more work descriptions: Lc 1.1-il T less than 4 work descriptions: Ic1.FI San FRANCISCO PLANNING DEPARTMENT

137 EM CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To he completed by l rcscl\ short Planner) If condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. Pne inili! opus nt is ork iii Si F1 4 that ripph 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initialed in STEP 5, Preservation Planner MUST review initial below Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify *. 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a. Per Environmental Evaluation, dated: - Altach H,stoi,c Resource troluation Report b Other, please specify Preservation Planner Initials * Requires initial by Senior Preservation Ptenrier / Preservation Coordinator EM CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (To he completed by Project Ptctnner) (check all that apply) Step 2 (CEQA Impacts) or LII Step 5 (Advanced Historical Review) Must file E/lvlronhllL llftli Evaluation Apilica1ioii. No Further Environmental Planner s Signature Print Name o1<.e4i view Required. Project is categorically exempt under CEQA. Date - 19 (3 Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAN FRANCISCO PLANNING oeparrmvnt

138 S., CEQA Categorical Exemption Determination Addition! Alteration (detailed below) Demolition (requires HIRER if over 50 El New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a Cu. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an Environmental Ic aluaiion Application is required. - CEQA IMPACTS (Fe he completed by Project Planner) ii ANY ho A imlialed hclov co FLic iicm!u ;li?i IceI1117tjol! 11p 1 licho;! is reqcli ccl. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I riu:ioutu!,ite -\euilill rrui,cci fur CI -QA tiewirrue (F I < d) Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? IFfer to I P AuFl1 CL (\CilFs I rioiiioliiiir I -i\ ci Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? friar to [lairmap : CIYLAC ails D, tei[oon,ihon I Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Refer lu I P Aiiilup CEF(A CrIEr DeIerlunlliIri]i Lii ir lopographv

139 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Ceotechnical report required and a Ceitibcate or higber lard I CEQA documont required - if uncertain, consult rilh El Landslide Zone: Does the project involve any excavation square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? initial box below before proceeding to Step 3. Project Can Proceed Ceotec]rnical report required and a Certibcate or higher level CEQA document required if With Categorical unceitain, consult with FE Exemption Review. Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liquefaction zones? Cosssli with El Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Consult with El to rietensine the applicable level CFQA analysis PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following: lrefei - to: San Francisco Property tokors,ati,,n Slap) [_J Laiegory M: Known nsiorici i ri esource LJI-I Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) PROPOSED WORK CHECKLIST (To be completed by Proied Planner) It condition sop) ice picese initial. 1. Change of Use and New Construction (tenant improvements not included), check box below before proceeding. _j 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. Project is not listed: 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: urelfsem 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. LII 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. urnmmm 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of- less than 4 work way for 150 in each direction; does not extend vertically beyond the floor level descriptions: of the top story of the structure or is only a single story in height; does not 94 jib have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. SAN FRANCISCO PLANNING DEPARTMENT

140 CEQA IMPACTS ADVANCED HISTORICAL REVIEW (lobe completed by Preservation Fbtllner It condit:ort IffhUS, eoae initiii. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. llt r:invri niarva :rirsl yr - li1 1 ll 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify. It ANY box is initialed in ST EP 5, Preservation Planner MUST review ni 11,11 below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. * 9. Reclassification of property status to Category C IL"o X* Preservation Pl;itials a, Per Environmental Evaluation Evaluation, dated: lilacs Historic Resowce Evaluation Report b. Other, please specify: Requires initial by Senior Presee.rut,oa Planner I Preservation Cosidnirrtot Of: US CATEGORICAL EXEMPTION DETERMINATION ( in he competed by l rlaject l Iolloer) Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) om TAI U St file Etwi txltlttteil tel LrllIlll7I7et1 Application. IAL No Further Environmental Review Required. Project is categorically exempt under CEQA. Planners Signature Date Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. SAN FRANCISCO PLANNING DEPARTMENT

141 SAN FRANCISCO CEQA Categorca Exempt" on Determination Property Information/Project Description PLANNING D EPA IITMENT PPCJNG AD-DRESS ticck/wt(s) c33lf/ CASE NO W17 NO. C. NN DA- ED XAddition/ Alteration (detailed helo fl Demolition (requires HRER if over 50 New Construction years old) EXEMPTION CLASS lass 1: Existing Facilities - and exterior alterations; additions under 10,000 sq. -ft.; change of use if principally permitted or with a CU. NC II neither class applies, Class 3: New Construction on [IL] Enr iro;tjnr rrtal Up to three (3) single family residences; six (6) dwelling units in one building; [h;t7l1f ion Application is commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. requ i red. C EQA IMPACTS...rs he coinplcled by Project Planner I A \ hex i in iii a led below an 000iroIiljienIal liicalua lion Application is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I,,\, ir,)nhi i, rit,il Se....mat Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? Relr In- PP ArcMap CEQA cats Octeri riatinji Lavvr ArcheoIoicaI Sensitive Area Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Cati. Li. r rintrin [.avers, Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? IICiCr ic. PP.\i cn i,p e ( SQ-N( -all s i )arci- r name i..ayi rs Topography CON! IA/LIED ON PAGE 2

142 Slope>20%: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or j - i, COoichn c.,l.. od.cj.i i - nickul hichn - cl son tonirncni re4cicod - initial box below before Landslide Zone: Does the project involve any excavation square footage proccednvns to Step 3 expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone as identified in the San Francisco General Plan? Project Can Proceed c.ociinio r,pon r, o., i,,lciiilicrll CLi?.\. I,: o..1ujici ii With Categorical Exemption Review. Seismic, Flooding, and Liquefaction Zones: Does the project involve any excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on either seismic, flooding, or liq uesf action zones? C.,IiSOi With IT The project does net trigger any of the CEQA Impacts and can proceed with categorical exemption review. Serpentine Rock: Do e uie project involve Li f i y esuacuilion in a property containing serpentine rock? is L:, I -,, -o SO m 0 u i CEQA PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the follow i ng: sir - ii i cnn"co Pr r ci, liii miii in A. I._.. 4 I 0 CD OL9UI FI44 A ;so ca 4czourco ~1 El \ Category B: Potential Historical Resource (over 50 years of age) EISYMM T Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) PROPOSED WORK CHECKLIST (To be coiiittud bp Projoct i hsnnec) If condition cophes, please 1. Change Use and New Construction (tenant improvements not included) 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces i.e. lobby, auditorium, or sanctuary) require preservation planner review. N 01 E: check box below before proceeding. Project is not listed: 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 7. Mechanical equipment installation not visible from any immediately adjacent public right-of-way. B. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-ofway for 150 in each d i rection, does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. Project does not conform to the scopes of work: 4 or more work descriptions: less than 4 work descriptions:

143 EM CEQA IMPACTS - ADVANCED HISTORICAL REVIEW (To be conplc(ed by Preservation Planner I W itd i I ion applies On! 1. a Known Historical Resource (CEQA Category A) as determined by Siep 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. i i sial sn pes to -, - rk Ill 511-P 4 tkrt appk.) 2. Interior alterations to publicly-accessible spaces Window replacement of original/historic windows that are not If ANY box is initialed in STEP 5, in-kind" but are is consistent with existing historic character. Preservation r 1aer MUST review & initial below. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. Further Environmental Review Required. 5. Raising the building in a manner that does not remove, alter, Based on the information or obscure character-defining features. provided, the project requires an Environmental Evaluation Application to be submitted. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. Preservation Planner initials Project Can Proceed With Categorical Exemption Review. 8. Other work consistent with the Secretary of the Interior The project has been reviewed._..- Standards for the Treatment of Historic Properties by the Preservation Planner and can proceed with categorical SPPCIES exemption review. EMMMUD * 9. Reclassification of property status to Category C Preservation Planner initials a. Per Environmental Evaluation Evaluation, dated: v4ttecit Historic PeSOrJiCe Evaluation ireroort b. Other, please specify CATEGORICAL EXEMPTION DETERMINATION (to be completed by Pro(ect Planner) [ Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Mutt fij0 E : L Step 5 (Advanced Historical Review) Evnlmia/iu;i Agatlicaliom I. No Further Environment I eview Required. Project is categorically exempt under CEQA. Planner s S,grrvtare flsr Print Name Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines arid Chapter 31 of the Administrative Code. SAN EflANCISCO Pt finning 0 Caere

144 SAN FRANCISCO CEQA Categorical Exemption Determination Property Information/Project Description PLANNING DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) c.c CASE NO. PERMIT NO PLANS DATED L5 C ft ddition/ Alteration (detailed below) Demolition (requires HIRER if over 50 L New Construction years old) EXEMPTION CLASS Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. El Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions II neither class applies, o 111 1V)f)ll(!I La! liflhi((llioli Applictilioii is req Lii red. CEQA IMPACTS I lu he completed l.)\ l roieli Pliniier II ANY bus k inilikd below in /iiehohiuri!ej /.ui/iialwii Aji1eeIwn is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? I In ir nriniai 5i,\-,.e,,mrt fr (LU,\ (I Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? irto I I \r. I.1 > Li.1 \ (,)ti,\ I). 1, \ r.. \iciieuigic.ti S.,itivc.\ici. Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals. residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area?. LF,\L,Ii ii,i I Nok, \Iiligation Aie,i Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? iir iu: I I \rc\i.ip CI (_t.\(.iis i)ii in ii,iiion I ivers>iopogi.iphv CONTINUED ON PAGE 2

145 Slope =or> 20%: Does the project involve excavation, square footage - expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of N 01 E: site; stairs, patio, deck and fence work. Project l lonner fliust 1,0 t,i,,,... 1, Hiitdv, n.vh-r 0., I CT QA,,. l,1i0,1 ju) box below before proceeding to Step 1 Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading Project Can Proceed including excavation and fill on a landslide zone - as identified in the San With Categorical Francisco General Plan. Exemption Review. Exceptions: Do not check box for stairs, patio, deck and fence work. The project does not.11, 121,1, 1 T1i ii 1. ::.i.(1li ik, ho,- I, -0 ci lu kni - trigger any of the CEQA Impacts and can proceed Seismic: Liquefaction Zone: Does the project involve excavation, square with categorical exemption, footaoe exdansion. shorino. underoinnina. retainina wall work, aradino - review Oion zone? Exceptions: Do not check box for stairs, patio, deck and fence work.. Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. 1, I, " :11111, On,liTi1ll1,1i1i k- 0 f (100 2flai-I, PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following:.. -:1 dinj0c Vnyui k tnfoir,1,lin n, I ) [1/ Category A: Known Historical Resource [,YCategory B: Potential Historical Resource (over 50 years of age) L. MUM [J Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age ). NOTE; PROPOSED WORK CHECKLIST ( To be completed by Project Planner) -., check box below ii onduion n nlic nie w... before proceeding. 1. Change of Use and New Construction (tenant improvements not included). Project ] is not 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible listed: spaces (i.e. lobby, auditorium or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, at damage to the building. fl Project does not 4. Window replacement that meets the Departments Window Replacement Standards L-.J (does not ioc:iud storefront window alterations), conform to the scopes of work: 5. Garage work, specifically, a new opening that meets the Guidelines foradding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. MUM 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. [j 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 8 Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. less than 4 work descriptions:, N C 1111CM.--EPA TM ENT

146 t1i M CEQA IMPACTS ADVANCED HISTORICAL REVIEW Ii H: irnlple(t d H re ierwt(ion Planner) ii Hi itt, r 1 " p lr e,e ii iii. 1 a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. t i,i, -. io. ii -....i Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features. 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. Ii ANY box is initiated in S I FP 5, Preservation Planner MUST revis s initi,il h1 li 11,. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials ther work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify L111( 1 (t NP 4, t4 A-ro-1 Ls 9. Reclassification of property status to Category C a Per Environmental Evaluation, dated Attach H,toii Rvscu,cc Evaluation Flvpu D b Other, please specify: Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed i.. ith categorical exemptior. i.. ipw. Pie ervation Planner Initials Requires initial by Senior Preservation i."er / O -"iinvation Coordinator IIZ CATEGORICAL EXEMPTION DETERMINATION (Ill hr Cimj lr I :I I" l iiiii lrlitnnl.l. 1 [Ii Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) \1 1.1st tile Llli il rliliiil tl)nl ! 11)11 /\PpliL lllwtl. -_ No Further Environmental Review Required. Project is categorically exempt under CEQA. Planner s Signature Print Name f Once signed and dated, this document constitutes a catcgoricsl exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. Date 3,iu rvnuc,sco P:Aiui. Ns or i i.r;een r is

147 * 77 Li I

148 "Z CE0A Categorical Exemption Determination SAN FRANCISCO PLANNING Property Information/Project Description DEPARTMENT PROJECT ADDRESS BLOCK/LOT(S) 12c/1 CASE NO. PERMIT NO. PLANS DATED 17-7-( 1I2- EAdditton/ Alteration (detailed below) Demolition (requires HIRER if over 50 El New Construction years old) EXEMPTION CLASS "Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions. If neither class applies, an Ellzirollltictl to! E ii/ no fiat i Application i s required. M M CEQA IMPACTS ( lobe completed by Project Planner) If ANY I.O\ IS itiliiiled ILIO\V ill Eii /n oil iiu,itill Li7/IiaIl0II A1pliuiluw is required. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health Code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? hey I lie ii irinciilal SiIi \ ie.il,ii I rirr1iired I rcrqadearairce (1 7, 1. in/isis Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? lie/er Ii H ArcNlap CIIQA Ca/TIn 1k/erii li/jell irs Archeological Sensitive Areas Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? Iier I I I \ c\i i ( I C \ Cal Ex I )ei,r ml oiii,in Layer, Noise Mitigation Area Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? Nefi r in: UI\ri:ls1 LlIi.l I. i/irs I Ilnilnillen lrairrs mlopography CONTINUED ON PAGE 2

149 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Geotechorcal report required arid a Certificate or higher level CEQA document required Erie an initial box below before Er is irinaicata! Application proceeding to Step 3. Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - including excavation and fill on a landslide zone - as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work. Geetechorcal report res1rrrred aria a Certr Scale or higher level CEQA document required - ErIe an Ens ironrisectal Application Seismic: Liquefaction Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading - includino excavation and fill on either seismic, floodinq, or liquefaction zone? Exceptions Do not check box for stairs. patio. deck and fence work. Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review. Geotechnical report Ivill likely he required. Erie an Environmental Application Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. Erie an E ret Foresee Ia I Application to P etermrrre the applicable level of CEQA analysis LUM PROPERTY STATUS - HISTORICAL RSOUKCE Property is one of the following: (Rater to: San Francisco Property Information Map) Category A: Known Historical Resource fe.m.i.iu1 Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) (cf.) iij PROPOSED WORK CHECKLIST ( To he completed by Project Planner ) If condition appit its, please initial. 1. Change of Use and New Construction (tenant improvements not included). check box below before proceeding. Project is not 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible listed: spaces (i.e. lobby, auditorium, or sanctuary) require preservation planner review. 3. Regular maintenance and repair to correct or repair deterioration, decay, or damage to the building. 4. Window replacement that meets the Department s Window Replacement Standards (does not includ storefront window alterations). 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. Project does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way. 1c1.I(.1I 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. less than 4 work descriptions: SAN FRANCISCO PLANNING DEPARTMENT

150 LI12 CEQA IMPACTS - ADVANCED HISTORICAL REVIEW ( II he cimpleted by I rl. bervnhivn l lunhiijr II Condition applies, please initial. 1. a Known Historical Resource (CEQA Category A) as determined by Step 3 and conforms entirely to Scope of Work Descriptions listed in Step 4. t l,i iiii,e... m,, i ii i ol,,t. ivt 2. Interior alterations to publicly-accessible spaces. 3. Window replacement of original/historic windows that are not "in-kind" but are is consistent with existing historic character. 4. Fa ade/storefront alterations that do not remove, alter, or obscure character-defining features, 5. Raising the building in a manner that does not remove, alter, or obscure character-defining features. 6. Restoration based upon documented evidence of a building s historic condition, such as historic photographs, plans, physical evidence, or similar buildings. 7. Addition(s), including mechanical equipment that are minimally visible from a public right of way and meets the Secretary of the Interior s Standards for Rehabilitation. If ANY box is initialed in STEP 5, Preservation Planner MUST review initial below. Further Environmental Review Required. Based on the information provided, the project requires an Environmental Evaluation Application to be submitted. Preservation Planner Initials 8. Other work consistent with the Secretary of the Interior Standards for the Treatment of Historic Properties Specify: 9. Reclassification of property status to Category C Project Can Proceed With Categorical Exemption Review. The project has been reviewed by the Preservation Planner and can proceed with categorical exemption review. a Per Environmental Evaluation,.dated: Altjch I It,o C Ruce Et aluotion RCpQC b. Other, please specify It)1II Preservation Planner Initials Requires Initial by Senior Preservation Planner / Preservation Coordinator CATEGORICAL EXEMPTION DETERMINATION Further Environmental Review Required. Proposed Project does not meet scopes of work in either: (check all that apply) Li Step 2 (CEQA Impacts) or Step 5 (Advanced Historical Review) (To he completed by Project Planner) EM Must file Ettzniotitnt ti fit! Eetiltuilitrit /ljt/rllcil!llei. No Further Environmental Review Required. Project is categorically exempt under CEQA. Planners Signatt4j Print Name C i-q- r p? 2. (M Date Y ,45 Once signed and dated, this document constitutes a categorical exemption pursuant to CEQA Guidelines and Chapter 31 of the Administrative Code. 3 SAN FRANCISCO PLANNINS DEPARTMENT 03,

151 CEQA Categorical Exemption Determination SAN FRANCISCO PLANNING DEPARTMENT CASE NO. Property Information/Project Description PROJECT ADDRESS PERMIT NO BLOCK/LOT(S) 7 PLANS DATED H Addition! Alteration (detailed below) H EXEMPTION CLASS Demolition (requires HRER if over 50 years old) Class 1: Existing Facilities Interior and exterior alterations; additions under 10,000 sq.ft.; change of use if principally permitted or with a CU. Class 3: New Construction Up to three (3) single family residences; six (6) dwelling units in one building; commercial/office structures under 10,000 sq.ft.; accessory structures; utility extensions H New Construction N(l)TE: cithcr class applies, 1 ci/iiat ian App/ian! inn is eq In red M CEQA IMPACTS ( IS Sc corn plc[cd by l rojcct I Ianncr I II AN bo\ i initlilud bvlcov an uiu iiiwii,e,i/a/ rcalua(w;i Ap1 /ioi!wii i rcquircd. Transportation: Does the project create six (6) or more net new parking spaces or residential units? Does the project have the potential to adversely affect transit, pedestrian and/or bicycle safety (hazards) or the adequacy of nearby transit, pedestrian and/or bicycle facilities? Air Quality: Would the project add new sensitive receptors (specifically, schools, colleges, universities, day care facilities, hospitals, residential dwellings [subject to Article 38 of the Health code], and senior-care facilities)? Hazardous Materials: Would the project involve 1) change of use (including tenant improvements) and/or 2) soil disturbance; on a site with a former gas station, auto repair, dry cleaners, or heavy manufacturing use, or on a site with underground storage tanks? Iii -, I I 11, ir nii, ti,ii,\., ni 1 t,t ( 0 \ I, (I Soil Disturbance/Modification: Would the project result in the soil disturbance/modification greater than two (2) feet below grade in an archeological sensitive area or eight (8) feet in non-archeological sensitive areas? )\ C dti,\ I.n \iie IoaC.ii ( I1citivc \rej Noise: Does the project include new noise-sensitive receptors (schools, colleges, universities, day care facilities, hospitals, residential dwellings, and senior-care facilities) fronting roadways located in the noise mitigation area? I i \ic\ I Noi \Iititi(,T1 Aica Subdivision/Lot-Line Adjustment: Does the project site involve a subdivision or lot-line adjustment on a lot with a slope of 20% or more? k I, r t I I \rc\ip (I ci I)It nipn,i n I r Iopogrcph CONTINUED ON PAGE 2

152 Slope =or> 20%: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading including excavation or fill? Exceptions: Do not check box for work performed on previously graded level portion of site; stairs, patio, deck and fence work. Seismic: Landslide Zone: Does the project involve excavation, square footage expansion, shoring, underpinning, retaining wall work, grading including excavation and fill on a landslide zone as identified in the San Francisco General Plan? Exceptions: Do not check box for stairs, patio, deck and fence work, F N OIL: Project P 11,11111( 1 oh List lo CIQA doolln, o" " initial box below before proecisiuig to Slop?. I Seismic: Liquefaction Zone: Does the project involve excavation, square footaae exoanion. shorino. underoinnina. retainino wall wnrk araciinn..., ne? Exceptions: Do not check box for stairs, patio, deck and fence work. I,, Project Can Proceed With Categorical Exemption Review. The project does not trigger any of the CEQA Impacts and can proceed with categorical exemption review File all i I vi Io I, nlonifl Serpentine Rock: Does the project involve any excavation in a property containing serpentine rock? No exceptions. PROPERTY STATUS - HISTORICAL RESOURCE Property is one of the following;... i.. 0, fl Category A: Known Historical Resource 4J Category B: Potential Historical Resource (over 50 years of age) Category C: Not a Historical Resource or Not Age Eligible (under 50 years of age) f4jj9 L111 PROPOSED WORK CHECKLIST ( 10 be completed h\ Pi ojr Planner if condition nplii. ple..e mile,. 1. Change of Use and New Construction (tenant improvements not included). 2. Interior alterations/interior tenant improvements. Note: Publicly-accessible spaces (i.e. lobby, auditorium or sanctuary) require preservation planner review, 3. Regular maintenance and repair to correct or repa r deterioration, decay, or damage to the building. NO Ii: check box below before proceeding. Project is not listed: EMIMM 4. Window replacement that meets the Departments Window Replacement ent Standards (does not includ storefront window alterations), 5. Garage work, specifically, a new opening that meets the Guidelines for Adding Garages and Curb Cuts, and/or replacement of garage door in an existing opening. El L..J roject does not conform to the scopes of work: 6. Deck, terrace construction, or fences that are not visible from any immediately adjacent public right-of-way. 4 or more work 7. Mechanical equipment installation not visible from any immediately adjacent descriptions: public right-of-way.. El mma 8. Dormer installation that meets the requirements for exemption from public notification under Zoning Administrator Bulletin: Dormer Windows. 9. Additions that are not visible from any immediately adjacent public right-of-way for 150 in each direction; does not extend vertically beyond the floor level of the top story of the structure or is only a single story in height; does not have a footprint that is more than 50% larger than that of the original building; and does not cause the removal of architectural significant roofing features. LI] less than 4 work descriptions: EMMM 2 AN F h. PLANF,IN3 DLI-11IF111 1,1