THISBOXFORCITYPLANNINGS7AFFUSEONLY
CaseNumber EnvCaseNumber
AppiicationType CaseFiiedWith(PrintName) DateFiled
Applicationinciudesiette「「equesting:
□Waivedhea「ing □Concu「renthearing □Hearingnotbescheduiedonaspecifiedate(e.g・VaCationhoId) ReIatedCaseNumbe「
齢鍬扉d㊨藷縮鍾紬鵜融細謡糖鮮鎌彊㊧腺餓繕怠納轡,舶雛梯揮纏酷紡融舗親藩廟繭熊翻瑳癌餓鮮凝結錨総勢鶴細や
Al/ fems /n t航s document are app〃cabIe to the singular as we/′ as fhe p/ural foms of such fe仰s・
1. PROJECTしOCATION
StreetAdd「ess1 900 S. Fique「oa; 901 S. FIowe「 St; 700 W, 9th St. Los Anqe看es CA Unit/Space Numbe「
Lega- Desc哩On2 (Lot, B-ock, T「act) ±里l’B-ock None, T「act TR 62367-C声率一武{二
Assesso「 Pa「∞l Numbe「 5138017097 & see DIot pIan∴ Total Lot Area app「OX" 96・491 s.f・
2, PROJECT DESCRiPTION
P「esent Use Vacant/「eta=
Proposed Use Master CUB fo「 up to 4 「estaurants with service of b&w/fu= aicohoI; 1ive entertainment
P「Qject Name (if appIicable)
Describe in detai冊e cha「acteristics, ScoPe and/o「 ope「ation of the p「oposed project MCUP for up to 4 new 「ests.' 2
w/fu= ai∞hoi仕ype 47 1icenses), 2 w化ee「 & wine仕ype 41 ii∞nSeS)1 uP tO I wIIive music, W/ up to 628 seats totai w凧
16,045 s,f. int. & 1,059 s.f. mezzanine, uP tO 96 seats on l,874 s.f. ofpatio a「ea, 6am-2am daiIy言n C4-2D-SN zone
Additiona=nfomation attached 団YES □ NO
CompIete and check a= that appIy:
Existina Site Conditions
□ Site is undeveioped o「 unimproved (i・e" Vacant) □ Site is iocated within 500 feet of a f「eeway or raii「Oad
田Sife has existing buiidings (P「OVide copies of bu皿ng 田Site is Iocated within 500 feet ofa sensitive use (e.g, SChool, Pa「k) Perm its )
□ Site is/was developed with use仙at couid 「eIease □ Site has special designation (e・g. National Historic hazardous materials on soii and/o「 g「Oundwate「 (e・g. Registe「, Survey LA) d「y cIeaning, gaS Station, autO 「ePa巾ndustrial)
1 Street Add「esses must inciude a= add「esses on the subject/app=cation site (as identified in ZIMAS-http:/Izimas・Iacity.org) 2 Legal Description must inc-ude aiI contiguousiy owned p「operties (even if they are not a part of the proposed p「oject site)
Pagel of8 CP-7771.1 [revised O6/23/2017] Proposed P「oiect Information
□ Demo圃on of existing bu脚ngs/structures □ New const「uction: Square feet
□ ReIoc∈ition of existing bu=dings/StⅢctureS □ Accessory use (fence, Sign, WireIess, CarPOrt, etC・)
田Interior tenant improvement □ Exterior renovation or aIte「ation
圏Add師ons to existing buildings 口Change of use a出生[ hou「S Of operation
□ G「ading □ Haul Route
□ Removal of any on-Sife t「ee □ Uses o「 st「uctu「es in public right-Of-Way
□ Removai of any street tree □ Phased project
Housinq ComDOnent Information
NumberofResidentiaiUnits: Existing 689 - DemoIish(ed)3 0 + Adding_P_ = Total_ゼ塑
Numb。「。fAffo「dable Units4 Existing_」L_ - Demolish(ed) _」」 十Addjng一〇〇L =丁otai O
Numbe「ofMa.ketRateUnits Exis軸g 689 - Demolish(ed) 0 + Adding_P_ = Tota上_哩
Mixed Use P「qiects, Amount of Non-Reside「ltiaI Fioo「 Area: 22,963 Square feet
Public Riqht“of"Wav lnformation
Have you submittedthe PIaming Case Refe汀aI Form to BOE? (required) □ YES 田NO
Is you「 p「oject 「equired to dedicate iand to the pubiic right-Of-Way? □ YES 田NO
lf so, What is/are you「 dedication requi「ement(S)? nla ft.
if you have dedication 「equi「ements on muItipie st「eets, Please indicate:
3. AcTiON(S) REQUESTED
Provide the Los Angeies MunicipaI Code (LAMC) Section that autho「izes the 「equest and (if appiicabIe) the LAMC
Section or the Specific Pian/Ove「lay Section from which 「eiief is sought; fo=ow with a desc「iption ofthe requested action.
Does the project inciude Muitipie Approvai Requests pe「 LAMC 12.36? 口YES 囲NO
Au皿orizing section 12.24 W.1 Section什om which 「eIief is 「equested (if any):
Request: MCUP forthe app「ovai ofup to 4 new restau「ants, 2 w/fu= alcohoi (type 47), 2 w/ beer &wine, W/ up to I w/
live musicw/in 16,045 s.f. ofint. grd冊「etaii s ace & 1059 s.f. mezzanine, 1,874 s.f. ofoutdoo「 area (up to 628 seats
W/ 96 outside) hou「s of operation 6am- 2am daily, located in the C2-4D-SN zone,
Authorizing section Section f「om which 「elief is 「equested (if any):
Request二
Autho「izing section Section f「om which 「e=ef is 「equested (if any):
Request:
AdditionaI Requests Attached 口YES 囲NO
3 Number of units to be demoiished andlo「which have been demolished w軸in the iast five (5) vea「s. 4 As determined by the Housing and Communfty Investment Depa血Ient
CP-7771 ,1 [revised O6/23/2017] Page 2 of8 4. RELATED DEPARTMENT OF CITY PLANNING CASES
Are there previous o「 pending cases/decisions/environmental cIearances on the p「Oiect site?田YES □ NO
lf YES, list a= case number(S) ENV-2005-1674-MND; V丁丁62367, VTT 62367-Ml, -M2, -M3; ZA-2005-1673-ZV-ZAA-
SPR, SPR-PAl , -PA2; DIR葛2015-97-SPR・ SPR-1A
lf the app=cationlDrOiect is di「ectly reIated to one of the above cases, list the pe巾nent case numbers below and
∞mPIete/check a= that appiy (PrOVide copy)"
Case No, Ordinance No.:
□ Condition compIiance review □ Ciarification of Q (Qualified) classification
□ Modification of conditions □ Cla「ification of D (Deveiopment Limitations) classification
□ Revision of approved plans □ Amendment to T (丁entative) classification
□ RenewaI of entitiement
□ Pian ApprovaI subsequent to Maste「 ConditionaI Use
Fo「 pu「poses ofenvironmentaI (CEQA) anaiysis, is the「e intentto deveiop a large「 p「oject? □ YES 田NO
Haveyou fiIed, O「isthere intenttofiie, a Subdivisionwiththis p「oject? 田YES □ NO
lf YES, tO either ofthe above, describe the othe「 parts of the prQjects or the la「ge「 prqject beIow, Whether o「 not cur「ent看y
filed with the City:
V丁丁62367 and subsequent modifications and extensions pertain to the deve10Pment Ofthe Site, Which
is a Ia「qe, Phased, mixed-uSe P「Oiect incIudinq 「esidentiai apa巾TlentS and condominium units. The
request fo「 a Maste「 CUP is ope「ationaI oniy and pertains to the q「ound-floo「 comme「ciaI space"
5, O丁HER AGENCY REFERRALSIREFERENCE
To heip assigned staff coordinate with other Departments that may have a 「Ole in the proposed project’PIease check
a= that appiy and provide 「efe「ence numbe「 if known・
Are there any outstanding O「ders to Comply/citations at this p「operty? □ YES (PrOVide copy) 囲NO
Arethe「e any reco「ded Covenants, a冊davits o「 easements on this p「ope巾y? □ YES (PrOVjde copy) 団NO
□ Deveiopment Services Case Management Numbe「
□ Bu囲ing and Safety Plan Check Numbe「
□ Bureau of Enginee「ing Piaming Refe「raI (PCRF)
□ Bureau of Enginee「ing Hiiiside Refe「ral
□ Housing and Commu両ty lnvestment Department Application Numbe「
□ Bureau of Engineering Revocable Permit Number
□ Bu「eau of Sanitation, Low lmpact Development (LiD) Referra看
□ Other-SPeCify
CP-7771.1 [revised O6/23/2017] Page 3 of8 6, PROJECT TEAIVl lNFORMA¶ON (Compiete a= appiicable fields)
Applicant5 name Thomas D. Wa汀en
Company/Firm 900 South Fique「Oa Street Pad lnvesto「S' LLC
Address: 5OOO E, Sprinq St. Unit/Space Numbe「亘QQ
City Long Beach State CA Zip Code: 90815
TeIephone 562-285-5300 E-mail:twar「en@hoilandpartne「group.com
Are you in esc「ow to pu「chase the subject p「operty? ロYES 田NO
Prope巾I Owner of Record 田Same as appIicant 田D肺e「ent什om applicant
Name砕d肝e「ent f「om applicant) 900 S" Fiqueroa St" Apartment investo「S LLC
Add「ess 455 Market St「eet Unit/Space Numbe「 1000
City San Francisco State CA Zip Code: 94105
丁eiephone 415 538 4800 E-maiI:matt.Wilson⑰ubs,COm
Agent/Representative name VaIerie Sacks
Company/Firm LiquorLicense・COm
Add「ess: 2222 Damon Street Unit/Space Number
City Los Angeies Sta teCA
丁elephone 310 500 6282 E-maii二Vaie「ie@看iquo両cense.com
Other (Specify A「chitect, Enginee「, CEQA Consultant etc.)
Name
Company/Fi「m
Address: Unit/Space Number
City Zip Code:
丁eiephone E-ma旺
Prima「y Contact for P「Ojec=nformation □ Owne「 口Appiicant 乍eIect only g42) 囲Agent/Rep「esentative □ Other
丁o ensure notification of any pubiic hea「ing as we= as decisions on the p「oject, make su「e to inciude an individuaI ma冊g
IabeI fo「 each member of the p「Oject team in both the Prope巾y Owners List, and the Abutting P「operty Owners List"
5 An app=cant is a person with a lasting inte「est in the compieted project such as the p「operty owne「 or a iesseeluse「 ofa project. An appiicant is not someone fiiing the case on behaif of a cIient (i.e. usuaiIy not the agent/representative).
CP-7771.1 [「evised O6123/2017] Page4of8 _ AP馨し冒隠A蝕了
1 0, AppL霊CANT DECLARA丁ION. A separate signature f「om the app"cant, whether t鵬y a「e the p「operty owner o「 nct, a賞eSting まo軸e垂訓OW恒g言S 「e即i「ed be千〇「e t轟隼applica駒n c台n be accepted・
A言hereby ce「豊ify that the輔ormation provided in this application, including plans軸d other at!achmenis言S aCCu「包te and co「rect to the best of my knowIedg㊦教Fur航ermore, Shou】d the stated information be fo聞d false or insufflcie融 to軸剛the requi「ements of緬e Depa「師ent of City Plann高g, l ag「ee to revise the irfrormation as appropriate.
B.用ereby ce輔y that同ave fu母informed the City of the nature Qf the project for purposes o白he Califomia E高ironmentaI Quality Act (CEQA) and have not subm浦ed this app"cation with the活tention of segmentjng a Iarge「
Pr。ject in violation of CEQA教同nderstand that sho購the City dete「mine tha掴he pr。ject is p緬Of a larger prQject for purposes of CEQA言he Cfty may revoke any app「ovals and/o「 siay any subseque面en軸ements or pe「mits (蛤c山djng ce輔icates of occupancy)面il a軸I and compiete CEQA ana霊ysis is reviewed and appropriate CEQA Cl粥rance is adopted 。r Cer輔edl
C. 1 understand that the environmerlね両eview assocjated with this application is pre“minary, and that afte「 further eva饗uation. additiona廿epo「ts, Studies, aPPifeations and/o「 fees may be req涌red‥
D. l踊derstancl and agree蛤at any repo競, Study書maP O「 Other輔o「matiorl Sub面tted to the City in fur軸e「ance of t雄s 尋pp"cation w紺be treated by緬e City as pu輔c records which may be reviewed by any person and if requested,蛤at a copy w紺be provided by the City to any pe「son upon the payment of its direct costs of dup待cation・
E, l understand軸at the burden of proofto substantiate the request is the responsib梱y ofthe applicant. Addition訓y, i unde雨and that planning staff are not permitted to assist the app鴫ant Or OPPOnents Of the prQject in prepar蛤g a「gume油sね「 o「 aga前s‡ a 「eq鵬sし
F. 1 understand that there is no guarantee, eXP「eSSed or imp撮ed, that any permit or app鉦oation w紺be g「急面ed. l understand that each matter must be carefu町y eva妃ated and tha=he resu臨g rec。mmendation o「 decision may be contrary to a position屯ken o「 imp鳴d in any p「e圧minary discussions・
G.同nde「stand tha信f細S aPP航eation is denied言here is no refund o描ees pald'
H. 1 unde雨and and ag「ee to defend言ndemnify, and hold ha「面ess言he City言ts office「s, agentS, emPIoyees, and VO)unteers (CO=ectiveIy “City), f「Om any and訓!egal actions, Claims, Or P「OCeedings (including adm面strative o「 aite「闇twe dispute 「esolution (CO=ectwely factions’一), arising o融of鍋y City process or approval prompted by this Action, either in who!e o白n p蚤rt. Such actions include but are not "mited to: aCtions to attack, Set aSide, VOid, O「 Other面se modify, an en軸ement app「ova上envi「onmenta口eview, Or Subsequent permit decisわn; aCtions for
pe「sonal o「 p「opefty damage; aCtions based on an a”egation∴Of an u面a面ul pa鵬m∴and practice言nverse condemn盆tion actions; and civ陣ights or an action based on the protected status ofthe pe輔one「 or claimant under Sねte o「 federalねw (箆.g. ADA or Unruh Act).同nderstand and agree to re面burse the Cfty fo「 any and a11 costs incurred in defense of such actjons. This incIlldes, but it no川面ted to,拙e paymerlt Of a" courf costs and a壮o「neys’ fees, a町udgme面s or awards, damages, and setifement costs・ The indem雨y language i両his pa「ag「aph is intended to be諏erpreted to軸e b「oadest extent perm礁ed by law and shall be in add繭on to any other indem冊ication language agreed to by the app“cant葵
主 題y my signature below言declare unde「 pen急Ity of pe函ry, under theぬ鵬of the State of Califomia言hat aH statements contained in輔s app)ication and any accompanying documents a「e t「ue and correct, With fu= knowIedge that a" s屯tements made活this app"cation are subject to investigation and that any faIse o「 dishonest answer (O any quesfron may be grounds for de両al or subs合quent revocation of license or per面t.
77?e C母′胎q面fes an o鳴海a/ sg垢a蝕胎from fhe app/ica庇∵rhe app栂antもsig個妬e be/OW does not鵬ed fo be noね夜ed・
Signatu「e: 。a講第線鑑塾鑑
900 South Figueroa Street Pad面VestOrS, LしC, A Deはwar訓mited “ab諏y cQmPany By: HPG Ape紺, LLC膏Washington同mitec川ab時COmPany言ts Managing Member Print Name: RE苫罵嵩鴇蒜g瑞精霊蒜霜鳥精霊a胸mf。
CPイ771 ,1 [revjsed O6/23/2017】 Page70f8 P東eP冨博すY o棚測距R
9. PROPERTY Ow随R AFF膚AV!T. Befo「e油e appIiea撮m can be accepted,軸e owne「Of蝕ch property invoIved mllSt PrOVide a notarized signature to verify the application is being紬ed w臨their knQWledge葵Staff will confirm ownership based on the records ofthe City Engineer o「 County Assessor.旧he case of pa血erships. co「po「ations, LLCs or trusts肌e agent for service of process o「 an o価cer of the ow鵬rship entity so authorized may sign as stipulated below.
賃 Ownership DiscIosure.旧he p「operty is owned by a pa輔ersh臨COrPOration, LLC o白rust, a disctosure
identjfying蛤e agent for service or p「ocess or an o節cer of the owne「sh主p entity mしISt be sub面tted. The C!isctosure must =st the names and addresse§ Of the principal owners (25% interest or g「eater). The sjgnatory must appear irl this =st of names. A letter of authorization, aS described betow, m急y be subm軽ed provided the Signatory of the letter is included in the Ownership DiscIosure・ inc山de a copy o白he curr合nt parinership agreement, COrPO「ate articles, Or truSt document as appifeable.
優 しetter of Authorization (LOA〉. A LC)A from a properiy owne「 g「an輔g sQmeOne eise permission to sign the
急pp"cation form may be provided if the prope「ty is owned by a pa軸ership】 CO「POratton, LLC or t「ust or in rare Circumstances when an individual p「operty owne「 is unable to sign the app=catio両orm To be considered fo「 acceptance言蛤e LOA must indicate the narne of the pe「son being authorized the紬e, their reぬtionship to the ow鵬r or pやjec=he site addre§S, a general desc「iption of the type of appiication being filed and must also indude the language ir‖tems Å-D betow. in the case of pa柵ers輔ps, CO「PO「ations- LLCs or trusts the LOA mus( be signed and notarized by the autho「ized signatory as shown on the Ownership DiscIosure or i両he case Of private owne「shゆbythe property owner. ProQf of Owners輔p for the signatory ofthe LOA mLISt be subm蛤ted W軸saidletter.
瞳 Gr謝亀Deed. Provide a Copyofthe Gra融Deed lfthe ownership ofthe property does not match City Reco「ds andlor if緬e app‖cation is for a Coastal Devefopment Pe「面t. The Deed must co「「espQnd ± with約e OWne「Ship栂ed on蛤e app"cation.
寄 Muttiple Owne手善言fthe property is owned bymo「e t軸one indjviduaI 〈e.g. John and Jane Doe or Mary Sm触
and Mark Jones) not貧rized signatures are required of a" owners.
A言hereby ce輔y tha= am the owner of record of the herein previous」y descr船ed property Iocated in the Cfty of Los Angeies which is invoIved jn軸s app“c観fron o「 have been empowe「ed to sign∴aS姐e owrler On behaIf of a
PartnerS噂, COrPOration, LLC o「 trust as evi露e「一Ced by the documents attached here!o.
B言 hereby co鵬ent to the f剛g of蛤is app"cation on my property for proce§Sing by the Depa「tme-1t of City Plar面ng.
C.同rlderstand剛he app鵬ation is approved, aS a Part Of the process the Crty w脱apply con掘ions of approv鉦whjch may be my 「esponsib潤y to satisfy両ctud面gぅbut no=imited to, reCOrding the decision and a= con輔ons in the County Deed Records for the property.
D. By my slgnatu「e below, ideclare under pen親y of pe申ry under the faws ofthe State of C劉fomねthat the foregoing StatementS are true and cor「ect.
Prope旬/ O筋erもsignatu胎s must be s高郷ed布ota夜ed /掴he presence ofa NoねIy短め鯨 77?e C砂篤qu所es an o婦na/鴫ra妃l℃ from fhe prope句′ Omer W筋的e ‘’wet’’notary sta肋p. A NotaIγ Acknowledge朋ent /s ave施b/eわ手your co研e証ence o両班)励ng page.
Signa他「e 。急講繊』鶴 900 South Figuero釜Stree† Pad lnvestors工LC, A Delaware臨雨ed胞b冊y company P巾nt Name茸鴇碧郡部瀧豊嵩聴講詩語嘉島鶉諾講和。By: HPG Apex町LLC, a Washingto佃mited胞b組y company言ts ManagIng鵬mber
Sig閥亡u「e
P「int Name
CP-7771 ,1 trevised O6/23/2017] 甲a轡e 50f8 9裏 声RO醐TY O鮒離A搾ID飾T・邑e軸e the app鵬翻on c鍋be accepte硝he QWne「 of each property invo-ved剛s申o湖e a nQtarked signature to verify the app)ica南on is being鵬d w繭their kno面edge・ Sfaff w潮confirm ownership based on 蹄e record§ Of the City巨ngjne釘or Coun(y Asses§Or言剛he case of函nershipsタCOrPO「atiens, LLCs or trusts鵬agent 駕「 s諦Ce 〇千p「ocessむけ約〇櫛ce「 o告白e ow競e聡hip e輔車SQ程蘭扇之e寄m魯y si9n合S S場面a融b合low.
郵 Ow鵬膳噂Disclosure.旧he property is o鮒箆d By a pert鵬鵬蛤jp, CorPOration工LC or航st, a discIoきu脂 鵬融卿ng軸e急ge∩(融se相手ce o「 p「oc合ss o「翻o融合「 o柵e o細e「s輔p en時剛st be s蘭m鵬乱 丁h患 disGIosure剛S掴St the names a雨addresses融鴨princ軸OW鵬rs (25緋nterest or greater). The sign盆tory 刷St急pP閑「臨場‖s踊れames・ A闘e「 Qf盆的。南急く廊裁S desc「鵬掴e!ow, may b合Sub刷te串「ovided臨合 §ig随to「y o亨書he融e口s臨Iuded i機鵬○鮒e「鍋陣Dis融s間接t 咽ude a c○py of鮒e cu「「ent pa血e「s噂 急g「㊧eme申G○巾O「ate a璃cほs, O「 t「競St docu爪きれt蚤雪辱p輔Cab船
種 L融e博f Authori諭締on 〈LOA). A LOA from a property owner g削油g someone else permissio両o s郎蛤e
app!icatio両orm may be p「ovided if鵬prQPe噂is owned by a pa面ers噂, COrPOratjon, LLC or t甑s亀or i冊a「e Cir鎚mstances when a面ndividua時roperty o駒er恵踊蚤b廊o sign the app"ca胸n form. TQ bきconside「edねr accePtanCe言he LOA must indica鳴掘e name of the persQ両eing a幽orized the綱e, their re融ions噂to the O薄れe「 O「 p垂ec吊轟e s船add「ess, a望鮒e「a同合sc呼iQ冊子船e亀y弼〇千ap函C急くi°調be両9鵬d紬d剛s七割SQ include掘e language i両fems A-D beねw言n l鵬case of pertne「ships, CO巾O融ons,しLCs or trLISts栂e LOA 部面s唖e signed a雨nota南ed by船e急u鵬「i重合d sig勲魂的聖徳馨Sho糊on章he Owne「s輔p Dis崩せs蹄e o「活蛤e鞘Se 扇面Va鳴鮒陣e「S輔p by th印I℃pe母o騨e「裏戸手機涌0軸合融ip fo再集合款gnatory o唖e 」OA輔St b合$蘭m轍ed 画船sa絹!e鵬「.
照 Grant Deed. Provide a Copyof蛤e G「ant Dee描約e Q鵬鋪hip of掘e propertydoes not m急tch City Records
堕麹if the app油eatねn is如a CoastaさI ev軸呼ent Per融・ The D合ed mllSt COrreSpend f壁fi w臨the °W競合「S捕撃=sted o細据e印plicatio乱
筆 鵬踊哩鴫O駒e聡言fthe property is脳髄d hy rrr聡統an c鵬輔vidual (e.g. John and Jane DQe Or鵬ry S贈融h 鮒d棚諭「k Jo鵬s) no†a庇ed si即at競脂S a聡「箆〔再婚鋼of都の離職電場.
A一極予めy ce明神a= am t白e owne「 o下手eoo咄掘れe瞳脂短日「eVio舶或y desc「鵬d即OP合母loca‡ed両he C時o青しos Angeles which is invo!ved由∴輔s app#ca融en or ha櫓been e噂e薄ered to sign as the owner on be曲f of a
pertfterS崎, COrPOration, LLC or t「卿s[ as e融er!Ced b串he documents a織ached hereto.
B.略ereby con§ent tO the航g of this ap函Catien鍋聞揮贈pe母fo岬ocessing by the Departme撮of City P融涌g.
C・圧肌ders(and商船e app雁atio両s approved, aS a P頑強擁a pr℃ceSS the City榊apply conditions of approval which m急y be my responsib鵬y to sa融sfy incitjd血g, b取融鮎s融威to吉ecording the decision and a州cond葡C鵬in船台 Ce競噂輸eきd Rec○雨sね「蛤e即OPe母.
D. By mysig繭ure belo画decIare踊der pr綱a噂c}f画噂u融e唖e laws of the State of Ca臨nia {hat theforegoing S絶te駒e競tS a「e t間e釜nd co「「ecし
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CPイ了7出 蒔Vise慮O6/23I201了う 膝喝e辱of8 鏡溝ね間ね Civ盲l code暮1189
A n01a「y p幽c or ot轟e「 o髄「 c○競軸臨g掘s ce欄ca{e ve輔es 〇両圧he ide噂Q唖e臨軸a白面o s勧ed軸e dooum軸to w曲調s cer鞠e会te is a船ched, and n蝋h箆t「踊uiness, aCCuraCy誹融dity o柵at document.
Staie °干Cai蘭「nia
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beめ「e m合,
(恒se轟N合議e Q梱o治や Pu鋤c霞麟d丁i鵬
pe「so旧時急ppe轡聡d p「oved to me on軸eと描開園圏圏醒悪霊墓園墨壷露悪圏 instru鵬n雨d ackno融e鳴箆d to me tha刷dshe′they executec朝e same唖謝e鵬r純臨orize。 capacity(ies恒n。 that 卵輸e幽ei「 sig醜鴫Onくれe転調鵬面抽e pe「son(S〉, O「されe e噂岬〇両g闘o冊陳唖㊧阿SO強くs) ac勘
I ce噂under PE触LTY OF鷺RJURY踊der the -aws of the State of Ca闘ia臓t闘o嘲oing pa「謁「急ph is true and
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卿醐総巨細CcO間的 撃om棚i§Si鍋蒋芝0鱗欄9 賦網戸櫨賄- G細朝雨∴萎 翰両手細説§CO C鋤噂 同和部.敵弾i「8§ 駒y舘. 2削8
CP-7771 ・ 1 【「さvised O6i23!20叩 P急ge 6 0了8 c轟f〇両轡A醇肌poS合A軸o湖edg珊鍋‡ C綱Code当1 89
Anofarypu輔CO「Otheroffice「COmPleting掘sce輔cateve「jfiesonlytheidentityoftheindividualwh。Signedthe document,tOW輔ch師sce離icateisattache生andnotthetruth軸ness,aCCu「aCy,OrVa圃tyofthatdocument.
S(ate of Ca酷0「nia
County o干
befo「e me,
(lnsert Name of N。tary Pu帥c an
。。「S。na咽。ea「e。 :璃鍋雛凱 歌頬噸臆臆臆臆臆臆臆臆臆臆臆臆臆臆臆臆 臆臆臆臆臆臆臆臆臆臆臆臆臆臆臆臆臆臆臆臆∴臆臆臆 臆つWh。
PrOVed to me on the basis of satsfactory evidence to be the person(S) whose name(S) is/are subscribed to the融hin instrument and acknowledged to me [hat he/she勅ey executed the same in his/he「Itheir au軸orizec! capacity(ies), a雨th盆t by his/her/their sjgnature(S) on the instrument the person〈s), O「 the entity upon beh郡0n W捕c掴he person(S) acted, executed the instrument.
l ce輔y unde「 P巨NALTY 0F PERJURY踊de白he laws of the Sta(e of Califomia tha=he foregoing parag「aph is true and
CO「「eCt.
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CP-7771.1 【revised O6!23/2017] Page 6 0f8 博AppLIC鮒寄ECLA融T章ON. A separate signature from the applicant whether they are the property o軸er Qr n鴫attesting to the fo"owing言s reqllired before the ap却Cation ca両e accepted。
A.冊ereby cef噂that the緬ormatien provided i両his app書icatio両的胴ng p融s an。 cther attachments言S acourate and correct to the best of my knowledge. Fu謝ermore, Should the stated info「m急tion be fou雨false or insu櫛Gient to fu酬the胎quireme鵬of the D印ar緬ent of City Plaming言ag「ee to 「evise the infom融on as apprapriate.
B言hereby ce噂tha旧i aVe醐y緬o「med鵬City of the nature of the pr垂Ct for purposes o吊he Ca陶rnie Envi「onme油al Qua噂yAct (CEQA輝d have雨t sub棚ed拙s appifeation w融the inte雨on ofsegme幽g a larger Prqect in vio闘on of CEQA・ ! un。ers漣剛hat shQ棚the City detemine that the proje鉦s part of a larger prdyect for pu「poses of CEQA,蛤e City may 「evoke any approva-s and′or stay any subsequent entitlements o「 per面S (inc曲れg ce輔cates of occup轡ncy〉録潮a輔貧nd c○申ete臓QA ana-ysis is場面e鵬d a融印p「op「盲ate C毒QA C(ea「a∩ce is adopied o「 ce「t鵬d.
C言unde「st釦d細a=he合間i「on鵬nta汗ev虚騨貧SSOCiated面t輔圭s ap函a紬r=s p輔面白a「y, a雨t圃a鵬「鉦亜he「 evaluat軸, ad itiona汗eports' Studies】 aPP"cations and/o再ees m盆y be 「eq両red‥
D・ l understand and agree that any repo塙Study川aP Or Other輔o間ation submitte掴o t鴫City in航herance of掘s aPP"cation w冊e t篤ated by鵬筋ty稲p輔c records which may be reviewed by any per弧- a輔f requeste卵hat a copy w間be p「ovided by鮎e働ty !o any perso剛pon the paymen( Of its direct costs of d哩C約h,
E. 1囲de「sta剛hat the bu「den of proof to substan治te the re。ueS。s the responsi興y of the a囲lican㌦ Additiona"y, 両derstand that pia柵ing staff are not permitted to assist the app"cant or oppor`ents Of鵬prQjec緬preparing a「9u請e照tSめ「 o「 aga活st a昭恥辱S書.
千・両de「standくれ家出h轡「e is oo即a略融②執e坤「eSSed 〇両p勘聴any pe輔o「 ap函a融w湘be g「創証ed言 unde「stand that each ma鵬「 m鵬t be c負r軸ty evalua融and that the res朝涌g recQmmend象緬or decision may be ○○n舶「y to a pos妬めn由来鮒o「 i胴囲e即n釦y P「e臨両脚y discussions.
G言胴dersta雨tha硝his app鵬tiowis denied’the「e is no refund o置ees pald.
乱同門de「stand and盆g「合eもo de知d言両軸噂鮒掴棚ha「m嶋ss言he舗y膏S o純鋪膏9e鴫e請かOy轡eS㍉md VOf面eers (COl霊ectively `’C鴫申涌m any a雨al‖egal actions, C-aims, Or ProCeedings (i軸ud臨g ad面njs融ve or altemative dispute reso略ron (CO融ive町actio鵬笥arising out of any Cfty process or approval prompted by this Action’e軸e「 in whoIe o両亘ari. Such actions incfude but are not細ted to: actierlS tO attack, Set aSicIewid】 O「 O軸erwise m軸y’an en鵬meni approv鎖一・ e踊i「orlmenfa=eview’Or Subsequent per融decisto理a融ens fo「
PerSOnal or property damage; actio鵬鵬sed on an al'egation of an踊霊awful pa鵬「n and practic:e; inve「se corldemnation actions; and c剛ig輔s or an action based on the p「ofected sta血s ofthe pet鵬鵬r or繭mant under State Or federa"aw (e'g・ A聯or Ur血h触)言understand and agree to re涌burse糠e C時for a噂and a腔osts inc胴ed in defense of suc塙ctionsg This i融des’bu冊o冊ited to誰e payment Qfall cou的osts and a的m告ys, feesタ劉judgme鵬O「急Wa鴫d急mages事a鴫d se鵬請飢t C○S{s・丁雨indem噂Iang嘩e両his p急「ag語p轟is intended to be諏erpreted to th箆broadest ex軸permitted by law and §ha一口施in add軸tQ a噂othe「 indem輔cati〇両霞nguag轡合g陀ed記もy緬e印郎Ca面
上∴By my signature beiow言decfare under pe融y of pe申y-踊der the laws of the S脚e of C劉fomia∴帥a潮 Sfatemenls con繭ned i唖s a卿lication and鮒y accompanyirIg documents are true and c脚ect'融th軸冊ow~edge that all slatements macle両l is app“ca軸are s噂ect to invest圃On and that any繭se or dishcmest answer tQ any q鵬stion may be groun。sねr c軸鉦er subsequ削t revocation of liee鵬e or permit.
77?e C海所equ嬢s an o/勧al細融鵬fro筋跡e a解約a性f・筋e ap雄治鵬sg加ature be励盛盛J塑f鵬d離e f)O勧Zed.
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CPイ了7工1事「ev冶ed O6!23/201了う Page 7 0閥
ENVIRONMENTAL ASSESSMENT FORM
THIS BOX FOR CITY PLANNING STAFF USE ONLY
Environmental Case Number:
Related Case Numbers:
Case Filed With (Print Name): Date Filed:
EAF Accepted By (Print Name): Date Accepted:
All terms in this document are applicable to the singular as well as the plural forms of such terms.
Project Address1:
Assessor’s Parcel Number: Major Cross Streets: Community Plan Area: Council District:
APPLICANT (if not Property Owner) PROPERTY OWNER
Name: ______Name: ______
Company: ______Company: ______
Address: ______Address: ______
City: ______State: ____ Zip Code: ______City: ______State: ____ Zip Code: ______
E-Mail: ______E-Mail: ______
Telephone No.: ______Telephone No.: ______
APPLICANT’S REPRESENTATIVE ENVIRONMENTAL REVIEW CONSULTANT
Name: ______Name: ______
Company: ______Company: ______
Address: ______Address: ______
City: ______State: ____ Zip Code: ______City: ______State: ____ Zip Code: ______
E-Mail: ______E-Mail: ______
Telephone No.: ______Telephone No.: ______
1 Project address must include all addresses on the subject site (as identified in ZIMAS; http://zimas.lacity.org)
CP-1204 [11.10.2016] Environmental Assessment Form Application Page 1 of 11
ENVIRONMENTAL ASSESSMENT FORM
THIS BOX FOR CITY PLANNING STAFF USE ONLY
Environmental Case Number:
Related Case Numbers:
Case Filed With (Print Name): Date Filed:
EAF Accepted By (Print Name): Date Accepted:
All terms in this document are applicable to the singular as well as the plural forms of such terms.
Project Address1: 900 S. Figueroa; 901 S. Flower St; 700 W. 9th St. Los Angeles CA 90015
Assessor’s Parcel Number: 5138017097 Major Cross Streets: Figueroa Street/Olympic Boulevard Community Plan Area: Central City Council District: 14
APPLICANT (if not Property Owner) PROPERTY OWNER
Name: ______Name: ______Matt Wilson
Company: ______Company: ______900 S. Figueroa St Apartment Investors LLC
Address: ______Address: ______455 Market Street, Suite 1000
City: ______State: ____ Zip Code: ______City: ______San Francisco State: ____CA Zip Code: ______94105
E-Mail: ______E-Mail: [email protected]
Telephone No.: ______Telephone No.: ______(415) 538-4800 APPLICANT’S REPRESENTATIVE ENVIRONMENTAL REVIEW CONSULTANT
Name: ______Valerie Sacks Name: ______
Company: ______LiquorLicense.com Company: ______
Address: ______2222 Damon Street Address: ______
City: ______Los Angeles State: ____CA Zip Code: ______90012 City: ______State: ____ Zip Code: ______
E-Mail: [email protected] E-Mail: ______
Telephone No.: ______(310) 500-6282 Telephone No.: ______
1 Project address must include all addresses on the subject site (as identified in ZIMAS; http://zimas.lacity.org)
CP-1204[11.10.2016] Environmental Assessment Form Application Page 1 of 11
OVERVIEW CEQA, or the California Environmental Quality Act, is a statute that requires state and local agencies to identify the significant environmental impacts of their actions and to avoid or mitigate those impacts, if feasible. CEQA requires public agencies to conduct environmental review before making a determination on a project. The environmental review process examines the potential impacts your project will have on the property and its surroundings, and makes recommendations (mitigation measures) on how to minimize or reduce those impacts that are found to be significant. The purpose of this application is to assist staff in determining the appropriate environmental clearance for your project. Please fill out this form completely. Missing, incomplete or inconsistent information will cause delays in the processing of your application.
1. PROJECT DESCTIPTION A. Briefly describe the entire project and any related entitlements (e.g. Tentative Tract, Conditional Use, Zone Change, etc.). The description must include all phases and plans for future expansion.
Additional information or Expanded Initial Study attached: YES NO
B. Will the project require certification, authorization, clearance or issuance of a permit by any federal, state, county, or environmental control agency, such as Environmental Protection Agency, Air Quality Management District, Water Resources Board, Environmental Affairs, etc.? YES NO
If YES, please specify:
2. EXISTING CONDITIONS A. Project Site. Lot Area: square feet Net Acres: Gross Acres:
B. Zoning/Land Use. Existing Proposed Zoning Use of Land General Plan Designation
CP-1204 [11.10.2016] Environmental Assessment Form Application Page 2 of 11
C. Structures. 1. Does the property contain any vacant structure? YES NO If YES, describe and state how long it has been vacant:
2. Will any structures be removed/demolished as a result of the project? YES NO If YES, provide the number: , type: , total square footage: and age: of structures to be removed.
If residential dwellings (apartments, single-family, condominiums etc.) are being removed indicate the number of units:
D. Trees. Are there any trees on the property, and/or within the public right-of-way next to the property, that will be removed or impacted* as a result of the project? YES NO
If YES complete the following:
Tree Quantity Quantity Quantity Quantity Quantity Status Existing Tree Types Removed Relocated Replaced Impacted*
Non-Protected
(8” trunk diameter and greater)
Oak Tree Protected (excluding Scrub Oak) (4” trunk diameter
and greater Southern California Black Walnut
Western Sycamore
California Bay * Impacted means that grading or construction activity will be conducted within five (5) feet of, or underneath the tree’s canopy.
Additional information attached: YES NO If a protected tree (as defined in Section 17.02 of the LAMC) will be removed, replaced, relocated, or impacted, a Tree Report is required.
E. Slope. State the percent of property which is: Less than 10% slope: 10-15% slope: over 15% slope: If slopes over 10% exist, a Topographic Map will be required.
CP-1204 [11.10.2016] Environmental Assessment Form Application Page 3 of 11
F. Grading. Specify the total amount of dirt being moved: 0-500 cubic yards More than 500 cubic yards If more than 500 cubic yards (indicate amount): cubic yards
G. Import/Export. Indicate the amount of dirt to be imported or exported: Imported: cubic yards Exported: cubic yards Location of disposal site: Location of borrow site:
Is the Project Site located within a Bureau of Engineering (BOE) Special Grading Area? YES NO If YES, a Haul Route is required.
H. Hazardous Materials and Substances. Is the project proposed on land that is or was developed with a dry cleaning, automobile repair, gasoline station, or industrial/manufacturing use, or other similar type of use that may have resulted in site contamination? YES NO
If YES, describe:
If YES, a Phase I Environmental Site Assessment (ESA) is required.
I. Historic, Cultural and/or Architecturally Significant Site or Structure. Does the project involve any structures, buildings, street lighting systems, spaces, sites or components thereof which are designated or may be eligible for designation in any of the following? If YES, please check and describe: