Professional Documents
Culture Documents
Preliminary
R:
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OO995HA
s"7
7 11 -1177
1. Owner/Applicant Information
PROPERTYOWNERS NAME:
ZIP CODE:
94104
TELEPHONE:
06 ) 920-7003
n@pigott.com
APPLICANTS NAME:
Same as Above
El
ADDRESS:
ZIP CODE:
TELEPHONE:
94103
(415 ) 252-0888/8388
APPLICANTS EMAIL:
rn.dimalanta@dscheme.com
-
Eli
or Applicant
LI
ADDRESS:
ZIP CODE:
94103
TELEPHONE:
(415 ) 252-0888/8388
j.isidoro@dscheme.com
Request a meeting with PPA planner(s)? YES
NO
El
3. Project Description
Please Check
New Construction
Demolition
Alteration
El
Change of Use
El
Change of Hours
El
Other
El
RECEIVED
JUL 3 2015
CITY & COUNTY OF S.F
PLANNING DEPARTMENT
NEIGHBORHOOD PLANNING
Additions to Building:
Rear LI
Front LI
Height LII
Side Yard El
EXISTING USES
TO BE RETAINED
EXISTING USES
PROJECT TOTALS: _J
Residential 0
Retail
1,720 S.F.
Office 0
17,704S.F.
17,704 S.F.
1,720 S.F.
1,955 S.F.
1,955 S.F.
0
0
lndustrial/PDR
Prd,,tho,,, Distsbotion,
& Repeir
Parking 0
TOTAL GSF
20,009 S.F.
20,009 S.F.
PROJECT FEATURES
Dwelling Units
Hotel Rooms
,0
Parking Spaces
Loading Spaces
Number of Buildings
65-0
28
Please describe any additional project features that are not included in this table:
(Attach a separate sheet it more space is needed)
65-0"
7
Application for
Please answer each question to the best of your ability. If the answer is unknown, please state so and provide a brief
explanation. Please note that providing more information about the proposed project may result in additional and/or
more detailed feedback from the Department.
1. Would the project involve a major alteration of a structure constructed 50 or more years
ago or a structure in an historic district?
LI
YES
2. Would the project involve demolition of a structure constructed 50 or more years ago or a
structure located in an historic district?
YES
3. Would the project result in excavation or soil disturbance/modification greater than 10 feet
below grade?
LI
YES
4. Is the project site located in an area of potential geotechnical hazard as identified in the
San Francisco General Plan or on a steep slope or would the project be located on a site
with an average slope of 20% or more?
LI
YES
[9
NO
5. Would the project result in ground disturbance of 5,000 gross square feet or more?
LI
YES
ER
NO
LI
YES
[2
NO
LI
YES
[R
NO
B. Would the project involve work on a site with an existing or former gas station, auto repair,
dry cleaners, or heavy manufacturing use, or a site with underground storage tanks?
LI
YES
ER
NO
LI
YES
LI
YES
NO
Li
NO
NO
NO
10. Is the project in a Community Plan Area (for example, Market/Octavia)? If yes, please
identify the area.
[A
NO
MIXED-USE: R-2/ B
BUILDING TYPE:
TYPE I-B
TOTAL GROSS SQUARE FEET OF CONSTRUCTION:
BY PROPOSED USES:
$5,000,000
ESTIMATE PREPARED BY
PROJECT SPONSOR
FEE ESTABLISHED:
Applicants Affidavit
Under penalty of perjury the following declarations are made:
a: The undersigned is the owner or authorized agent of the owner of this property.
b: The information presented is true and correct to the best of my knowledge.
c: The other information or applications may be required.
Date:
Signature:
7/?/z
Application for
CHECKLIST
APPLICATION MATERIALS
Elevations
)OtS
Photographs
---
Some applications will require additional materials not listed above. The above checklist does not include material
needed for Planning review of a building permit. The "Application Packet" for Building Permit Applications lists
those materials.
No application will be accepted by the Department unless the appropriate items on this checklist is completed.
Receipt of this checklist, the accompanying application, and required materials by the Department serves to open a
Planning file for the proposed project. After the file is established it will be assigned to a planner. At that time, the
planner assigned will review the application to determine whether it is complete or whether additional information
is required in order for the Department to make a decision on the proposal.
Date:
Signature:
7zo /
JUL 312015
Date:
By:
SAN FRANCISCO
PLANNING
DEPARTMENT
Central Reception
1650 Mission Street, Suite 400
San Francisco, CA 94103-2479
TEL: 415.558.6378
FAX: 415.558.6409
WEB: http://www.sfplanning.org
TEL: 415.558.6377
...
D-Scheme Studio
Dream - Ideas:: Design - with a purpose:: Develop - relationships
I tj
-tE
,955
I authorize Marc Dimalanta / D-Scheme Studio to act as my agent to obtain necessary permits
for the work described above.
W/ciio7,
Property Owr).Si6nafure
5_/
Address
- 2cPhone
Date