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HomeMy WebLinkAbout111 Anza Boulevard - Agency Approval Letter (3)Map ID Direction Distance Elevation Site MAP FINDINGS METRIGEN INC (Continued) 5ignificant Non-Complier With a Compliance Schedule Universe: Financial Assurance Required: Handler Date of Last Change: Recognized Trader-Importer: Recognized Trader-Exporter: Importer of Spent Lead Acid Batteries: Exporter of Spent Lead Acid Batteries: Recycler Activity Without Storage: Manifest Broker: Sub-Part P Indicator: Hazardous Waste Summary: Waste Code: Waste Description: Waste Code: Waste Description D001 IGNITABLE WASTE D038 PYRIDINE No Not reported 2004-06-08 17:48:01. 0 No No No No Not reported Not reported Not reported 1007370172 Waste Code: F002 Waste Description: THE FOLLOWING SPENT HALOGENATED SOLVENTS: TETRACHLOROETHYLENE, METHYLENE CHLORIDE, TRICHLOROETHYLENE, 1,1,1-TRICHLOROETHANE, CHLOROBENZENE, 1,1,2-TRICHLORO-1,2,2-TRIFLUOROETHANE, ORTHO-DICHLOROBENZENE, TRICHLOROFLUOROMETHANE, AND 1,1,2, TRICHLOROETHANE; ALL SPENT SOLVENT MIXTURES/BLENDS CONTAINING, BEFORE USE, A TOTAL OF TEN PERCENT OR MORE (BY VOLUME) OF ONE OR MORE OF THE ABOVE HALOGENATED SOLVENTS OR THOSE SOLVENTS LISTED IN F001, F004, AND F005; AND STILL BOTTOMS FROM THE RECOVERY OF THESE SPENT SOLVENTS AND SPENT SOLVENT MIXTURES. Waste Code: F003 Waste Description: THE FOLLOWING SPENT NONHALOGENATED SOLVENTS: XYLENE, ACETONE, ETHYL ACETATE, ETHYL BENZENE, ETHYL ETHER, METHYL 150BUTYL KETONE, N-BUTYL ALCOHOL, CYCLOHEXANONE, AND METHANOL; ALL SPENT SOLVENT MIXTURES/BLENDS CONTAINING, BEFORE USE, ONLY THE ABOVE SPENT NONHALOGENATED SOLVENTS; AND ALL SPENT SOLVENT MIXTURES/BLENDS CONTAINING, BEFORE USE, ONE OR MORE OF THE ABOVE NONHALOGENATED SOLVENTS, AND A TOTAL OF TEN PERCENT OR MORE (BY VOLUME) OF ONE OR MORE OF THOSE SOLVENTS LISTED IN F001, F002, F004, AND F005; AND STILL BOTTOMS FROM THE RECOVERY OF THESE SPENT SOLVENTS AND SPENT SOLVENT MIXTURES. Waste Code: F005 Waste Description: THE FOLLOWING SPENT NONHALOGENATED SOLVENTS: TOLUENE, METHYL ETHYL KETONE, CARBON DISULFIDE, ISOBUTANOL, PYRIDINE, BENZENE, 2-ETHOXYETHANOL, AND 2-NITROPROPANE; ALL SPENT SOLVENT MIXTURES/BLENDS CONTAINING, BEFORE USE, A TOTAL OF TEN PERCENT OR MORE (BY VOLUME) OF ONE OR MORE OF THE ABOVE NONHALOGENATED SOLVENTS OR THOSE SOLVENTS LISTED IN F001, F002, OR F004; AND STILL BOTTOMS FROM THE RECOVERY OF THESE SPENT SOLVENTS AND SPENT SOLVENT MIXTURES. Handler - Owner Operator: Owner/Operator Indicator: Owner/Operator Name: Legal Status: Date Became Current: Operator METRIGEN INC Private 2002-08-14 00:00:00. EDR ID Number Database(s) EPA ID Number TC6362151.2s Page197 � �--e, , s��e.. STATE OF GALIFORNIA EDMUND G. BROWN JR., Governor SAN FRANCISCO BAY CONSERVATION AND DEVELOPMENT COMMISSION 30 VAN NE55 AVENUE ' PHONE A 573686 CALIFORNIA 94102 � I� f'► E� V E� G 01 iNOVI 161981 � �p��WN�NG �N�E November 13, 1g81 Anza Shareholders' Liquidating Tru�t 300 North Bayshore San Mateo, California 91+�+01 ATTENTION: David H. Keyston, Trustee SUBJECT: Amendment No. 3 to BCDC Permit No. 6-79 Gentlemen: Attached is amended Permit No. 6-79 incorporating the amendment requested in your letter dated October 23, 1981. In the amended permit, deleted language has been ��xe� ea� and added language has been underlined. I am issuing the amendment, which i� included in the attached amended perm.it, on behalf of the Commission and upon the following findings and declarations: l. This amendment to the �eraiit is not a material alteration, as defined in Regulation Section 10722, of the project author- ized by the amended permit because the amendment authorizes the deletion of a cul-de-sac area that does affect or change the use of the project nor the amount of public access provided. 2. This amendment to the permit is consistent with the San F ranci�co Bay P1an and with the McAteer-Petris Act because it will have no adverse impact on public access to and enjoyment of the Bay. Please sign the acknowledgment section of the original amended permit indicating that you understand the contents and agree to all terms and condi- tions and forward the entire original amended permit, along with one copy, to The Seabreeze Partner�hip, Attention: John A. Raiser, for its acknowledg- ment and recordation of the amended permit before returning it to us. Please maintain one copy of the amended permit for your records. Enc . MBW�LMP�mm cc: Seabreeze Very truly yours, � "j ,^ ,`. , ?, - �'T1C:'sC. �i�_ ,`�,'/ _.Y MICHAEL B. WILMAR Executive Director Partner�hip, Attn: John A. Raiser ` -� STATE OF CALIFORNIA EDMUND G. BROWN JR., Gorernor SAN FRANCISCO BAY CONSERVATION AND DEVELOPMENT COMMISSION 30 VAN NE55 AVENUE � SAN FRANCISCO, CALIFORNIA 94102 PHONE: 557�3686 PERMIT N0. 6-79 (Issued on Augu�t 13, 1979, As Amended Through November 12, 1981) AMENDMENT N0. THREE The Seabreeze Partnership c�o Raiser Construction Company 800 South Claremont San Mateo, California 94402 ATTENTION: John A. Raiser � � Anza Shareholders' Liquidating Trust 300 North Bayshore San Mateo, California 9�+401 ATTENTION: David H. Keyston, Trustee Gentlemen: On July 19, 1979, the San Francisco Bay Conservation and Development Commission, by a vote of 19 affirmative, 0 negative, approved the resolution pursuant to which the original permit had been issued. Moreover, on July 1�+, 1980, exd September 29, 1980, and November 12Z 1981, pursuant to Regulation Section 10722, the Executive Director approved Amendment Nos. 1Z ��d 2Z and 3 as follows: I. Authorization A. Subject to the conditions stated below, Anza Shareholders' Liquidating T�ust and TY�ie Seabreeze Part��ership, the p�rmittees, are granted per�ission to do the following within the 100-foot shoreline band on property described as Parcel "W" and a portion of State Parcel 11 at 35 Bayview Place, at the westerly end of a tidal lagoon on the Anza property in the City of Burlingame, San Mateo County: 1. Parcel "W"• a. Construct and use a 7,250-square-foot portion of a two-story parking deck; b. Construct and use a 2�+-foot-wide by �+0-foot-long access ramp to the parking deck; and .� ,. PERMCT N0. C-79 (Issued on August 3, �979, As Amended Through November 12, 1981) AMENDMENT N0. THREE The Seabreeze Partnership and Anza Shareholders' Liquidating Trust Page 2 c. Construct and use 32 parking spaces, 13 of which are for public use. 2. State Parcel 11: a. Construct a landscaped public access corridor varying in width from 31 to 100 feet wide along 260 lineal feet of the lagoon �horeline that includes a path which has a minimum width of 10 feet; and b. Construct and use a 28-foot-wide by 110-foot-long portion of a public street. B. This amended authority is generally pursuant to and limited by the application received on March 28, 1979, including its accompanying exhibits, your letters of May 8, 1980, and May 25, 1980, requesting Amendment No. l, e�s� your letter of September 3, 1980, requesting Amendment No. 2, and your letter of October 23Z 1981, requesting A:nendment No. 3i deleting the cul-de-sac area on State Parcel 12 shown on 1p ans entitled, "Seabreeze P1aza Layout,' Sheet L-1, Exhibit "S rprepared by Peter Callander Associates Landscape Architects, dated June l�, �g81, and revised October 21, 19 1, but subject to the modificationti required by conditions hereto. C. Work authorized herein must com.mence prior to December l, 1980, or thiti amended permit will lapse and become null and void. Such work must also be diligently prosecuted to completion and must be completed by December l, 1981, unless an extension of time is granted by a further amendment of �ke thi� amended permit. D. This project wi11 provide 20,�+00 square feet of new public access to and along the �horeline. San Mateo Square Associates will provide and maintain pub 1ic acc�ss improv�ments on 16,695 square feet on State Fa�cel 11. Anza Share- holders' Liquidating Trust and The Seabreeze Partnership, the permittees, will provide and maintain improvements on 3,705 square feet on S�ate Parcel 11. II. Special Conditions The amended authorization made herein �hall be subject to the following special conditions, in addition to the �tandard conditions in Part N: A. Specific P1ans and Plan Review 1. Plan Review. No construction or use whatsoever sha11 be made of any facility authorized herein until final precise site, engineering, grading, architectural and landscaping plans and any other relevant criteria, specifications, and plan PERMIT N0. 6-79 (Issued on August 3, 1979, As Amended Through November 12, 1981) AMENDMENT N0. THREE The Seabreeze Partnership and Anza Shareholders' Liquidating Trust Page 3 information for that portion of the work have been submitted to, and approved in writing by or on behalf of the Commission. a. Architectural Plans. Architectural plans submitted for review shall consist of exterior elevations with building details which indicate the location, dimensions, exterior treatment, and color of all structures, outside signs and other fixtures. b. Landscaping Plans. Landscaping plans shall be prepared and signed by a licensed landscape architect and may be submitted as part of the architeetural plans or submitted separately. In either case, such plans shall consist of grading, staking, planting, and irrigation sheets showing the location, types and dimensions of all pathways, public access areas, structures, parking spaces, benches, tables, trash containers, lighting, and a list of the names and quantity of all plant species to be used. Architectural and landscaping plans submitted for review shall be accompanied by a letter requesting plan approval, identif�ing the type of plan sub- mitted, the portion of the project involved, and indicating whether the plan is final or preliminary. Approval of disapproval shall be based upon (a) completeness of the plan in showing the features required above, (b) consistency of the plan, eriteria and information with the specific terms and conditions of this amended ep rmit, and (c) consistency of the plan with the recommendations of the Design Review Board. In eaeh instance, plan review shall be completed, by or on behalf of the Commission, within thirty (30) days after receipt of the plan(s) to be reviewed, and shall consist of a letter specifically referring to the submitted plan whieh indicates whether the plan has been approved or disapproved. 2. Changes to Approved Plans. After final plans have been approved pursuant to Special Condition II-A, no change shall be made to such approved plans without first obtaining written approval of PERMIT N0. 6-79 (Issued on August 3, 1979, As Amended Through November 12, 1981) AMENDMENT N0. THREE The Seabreeze Partnership and Anza Shareholders' Liquidating Trust Page 4 the proposed change by or on behalf of the Commission. Approval or disapproval shall be made within thirty (30) days after the proposed change in plan has been submitted for approval and shall be based on a finding that the change complies with this =�`-'-_---_`-__ amended ep rmit and would not detrimentally affect publie aceess, landscaping, open space, open water or other public benefits. 3. Conformity with Approved Plans. All leases, contract specifications, and all structures and improvements at the project site shall conform to the final plans approved pursuant to this condition. No structure shall be placed nor any improvement undertaken that is not clearly shown and indicated on the approved final plans. After construction, no noticeable changes to the exterior of any structure shall be made, no additional structures shall be built, nor shall park, open space, open water, landscaped or public aceess areas be altered without first obtaining written approval by or on behalf of the Commission pursuant to Special Condition II-A-2. B. Notice to Private Developers and State Lands Commission. All plans required to be submitted to BCDC pursuant to Special Condition II-A-1 of this amended permit, shall be submitted to San Mateo Square Associates, or its successor in interest, to the City of Burlingame, and to the State Lands Commission. In addition, a copy of this amended permit and the approved plans shall be provided to any person or entity leasing or otherwise obtaining a right to use any area sudject to this amendea permit or participating in the construction of any building or other uses on the property. A copy of t�t � ir� this amended ep rmit and any amendments thereafter and the approved plans shall be provided to sueh person or entity prior to the execution of the contract or other instrument or the commencement of construc- tion, whichever is earlier, and shall be accompanied by a written statement specifically calling attention to the provisions of this amended permit regarding publie access, park, plan review, and design controls. C. Public Aecess 1. Area. Prior to the lease of any facility authorized herein, the permittees shall, by instrument or instruments acceptable to counsel for BCDC, dedicate to a public agency or otherwise permanently guarantee rights for access for walking, sitting, viewing, PERMIT N0. 6-79 (Itisued on August 3, 1979, As Amended Through�November 12, 1981) AMENDMENT N0. THREE The Seabreeze Partnership and Anza Shareholdery' Liquidating Trust Page 5 fishing, and other related purposes to the following public access areas approximately as shown on Exhibit D of the Staff Summary dated June 8, 1979� a. An area which varies in width from 47 to 100 feet along 2�+0 lineal feet of the lagoon �horeline; and b. An area which varies in width from 31 to 69 feet along 20 feet of the lagoon shoreline immediately to the north. 2. Instruments. Instru.ments submitted to counsel for BCDC approval pursuant to Special Condition II-C sha11 create permanent rights in favor of the public for the purposes indicated and sha11 include a map that shows the property lines and dimensions of such areas, the 6.2 Mean Sea Level contour line (USGS, 1929 datu.m), and contains a metes and bounds description of the areas. The in�tru.ments shall be in a form suitable for recording in the county where the property is located. Approval or disapproval of the instruments shall occur within thirty (30) days after submittal for ap�roval and shall be based upon the suf- f iciency of the instruments to create the rights and duties indicated in the condition. Within sixty (60� days after approval, the perm.ittees shall record the in�truments and tihall provide evidence of recording to the Co:r�mission. 3. Public Access Improvements. Prior to the use of anjr facility authorized herein, the permittees or thier assigns shall com- plete the following public access improve�ents, all in accord with the preliminary landscape plan entitled "Anza Baylands Master Plan--Develop�ent P1an," Sheet 2 of 2, prepared by Peter Callendar A�sociates, Landscape Architects, dated May 11, �97g, and as shown on revised plans submitted, dated October 21, 1981, and with con�truction drawings approved pursuant to Special Condition II-A; a. Place:nent of berms, an irrigation :ystem, and landscaping in the areas ferred to in Special Condition II-C-1, between the two-story parking garage, Bayview Place and the lagoon; PERMIT N0. 6-79 (Issued on August 3, �979, As Amended Through November 12, 1981) AMENDMENT N0. THREE The Seabreeze Partnership and Anza Shareholders' Liquidating Trust Page 6 b. Placement of a paved pathway not less than 10 feet in width with a seating area and lighting and other improvements; and c. Not less than two (2) public access signs of a size, design, and with information approved by or on behalf of the Commission placed at locations shown on the plans approved pursuant to Special Condition II-C-3 above. 4. Maintenance. All areas and improvements required by Special Condition II-C, including landscaping, signs, and public paths shall be permanently maintained by, and at the expense of, the permittees, any assignees, and sublessees. Maintenance shall include repairs to all path surfaces, replacement of any plant material that dies or becomes unkempt, periodie elean-up of litter and other materials, and assuring that public access signs remain in plaee and visible. Within thirty (3�) days after notification by staff, the permittees shall correct any maintenance deficiency noted in a staff inspeetion of the site. D. Permit Recording. The permittees shall record this amended permit or notice referring to this amended permit with San Mateo County within thirty (30) days after execution of this ---"--''----� amended ermit and shall provide evidence of recording to the Commission. E. Assignment. The permittees may make a full or partial assignment of the rights and/or duties under this amended permit provided that the assignee is acceptable to the Commission. The assignment shall be made in writing and clearly indicate which portions are assigned and which portions remain unassigned. Any assignee shall sign a written statement to the effect that he or she has read and understands the conditions of this amended permit and agrees to be bound by all terms and conditions hereof. Prior to undertaking any work or uses on Parcel "W," the permittees shall assign that portion of this amended permit relating to such work and uses on State Parcel 11, indicated in Special Condition II-C-la, to San Mateo Square Associates or its successor in interest. F. Waiver of Exemption for a Portion of State Parcel 11. Within ten (10) days of the date of this amended permit, the permittees shall submit a letter that waives all rights whatsoever they have or may have to claim that any work or uses pursuant to this amended permit for State Parcel 11 are exempt from the permit requirements of the Co�nission pursuant to any pro- vision of the McAteer-Petris Act or under common law. Such waiver shall be in a form acceptable to counsel for the Commission. PERMIT N0. 6-79 (Issued on August 3, 1979, As Amended Through November 12, 1981) AMENDMENT N0. THREE The Seabreeze Partnership and Anza Shareholders' Liquidating Trust Page 7 III. Findings and Declarations This amended authorization is given on the basis of the Commission's findings and declarations that the work authorized is consistent with the McAteer-Petris Act, the San Francisco Bay Plan, and the California Environmental Quality Act for the following reasons: A. Use. The proposed commercial use and parking facilities is not in any area designated on Bay Plan Map 9 for any priority use and is therefore consistent with the Bay Plan. B. Publie Access. The proposed projeet, subject to Special Condition II-C stated herein, would provide the maximum feasible public aecess to the Bay shoreline, consistent with the projeet, and this aecess area would be improved and permanently set aside for the use and enjoyment of the public. The Commission specifically finds that without the public access areas required by Special Condition II-C, it could not issue this amended permit because it could not find that maximum feasible public access consistent with the project would be provided as required by Section 66632.4 of the Government Code. C. Title. The State of California owns State Parcel 11 in fee and has leased the area to the permittees. The State Lands Commission, administrator of the state's land, stated in a letter dated May 9, 1979, that no further review of the lease was required for road improvements and public access improvements which would be provided on State Parcel 11, nor does the State Lands Commission object to the agreement between the permittees and San Mateo Square Associates to provide the public aceess improvements on State Pareel 11. D. Environmental Impact Report. The City of Burlingame, the lead ageney, certified a Negative Declaration for the project on May 16, 1979. H. Exemption. In submitting the original application, the permittees had reserved the right to claim an exemption pursuant to Section 66632.1 of the McAteer-Petris Act. The permittees have agreed by aceepting the terms and conditions of this amended permit to waive the exemption elaim as it relates to that portion of State Parcel 11, which is the subjeet of this amended permit. I. Conelusion. For all the above reasons, the public benefits from the project elearly exeeed any public detriment. The Commission flirther finds, deelares, and certifies that the activity or activities authorized herein are consistent with the Commission's Amended Management Program for San Francisco Bay, as approved by the Department of Commerce under the Federal Coastal Zone Management Aet of 1972, as amended. PERMIT N0. 6-79 (Issued on August 3, 1979, As Amended Through November 12, 1981) AMENDMENT N0. THREE The Seabreeze Partnership and Anza Shareho_lders' Liquidating Trust Page 8 IV. Standard Conditions A. All required permissions from governmental bodies must be obtained before the commeneement of work; #�.s these bodies includee, but � are not limited to, the U. S. Army Corps of Engineers, the State Lands Co�ission, the Regional Water Quality Control Board, and the city and/or county in whieh the work is to be performed, whenever any of these may be required. This amended permit does not relieve the permittees of any obligations imposed by State or Federal law, either statutory or otherwise. B. The attached Notice of Completion shall be returned to the Commission within thirty (30) days following completion of the work. C. Work must be performed in the precise manner and at the precise locations indicated in your application and your letters dated May 8, 1980, May 25, 1980,-er� September 3, 1980, and November 4 L 1981. D. Work must be performed in a manner so as to minimize muddying of waters, and if diking is involved, dikes shall be waterproof. If any seepage returns to the Bay, the permittees will be subject to the regulations of the Regional Water Quality Control Board in that region. E. Unless other provided in this amended permit, all the terms and conditions of this amended ermit shall remain effective for so lon as the amended e� rmit remains in effect or for so long as � use or construction authorized � this amended ermit exists, whichever is longer. F. Unless otherwise provided in this amended, the terms and conditions of this amended ep rmit shall bind all future owners and f�Zture possessors of a� legal interest in the land and shall run with the land. G. Unless otherwise provided in this amended permit, a� �aork authorized herein shall be completed within the time limits specified in this amended permit, or, if no time limits are specified, within three ey ars• If the work is not completed � the date specified in this amended permit, or, if no date is specified, within three years from the date of this amended permit, this amended ep rmit shall become null and void. If this amended ep rmit becomes null and void for a failure to com 1 with these time limitations, a� fill 1p aced in reliance on this amended ep rmit shall be removed � the permittees or their assignee(s) upon receiving written notification � or on behalf of the Commission to remove the fill. �-E: H. Except as otherwise noted, violation of any of the terms of this amended permit shall be grounds for revocation. The Commission may revoke any permit, or amended permit, for sueh violation after a public hearing held on reasonable notice to the permittees or to their assignee(s) if the permit, or amended permit, has been effectively assigned. If this amended ep rmit is revoked, the Co�ission � determine, if it deems appropriate, that all or PERMIT N0. 6-79 (Issued on August 3, �979, As Amended Through November 12, 1981) AMENDMENT N0. THREE The Seabreeze Partnership and Anza Shareholders' Liqu��dating Trust Page 9 part of a� fill or structure 1p aced pursuant to this amended ermit shall be removed � the permittees or their assignee(s) if this amended ep rmit has been assi�ned. � I. This amended permit shall not take effect unless the permittees execute the original of this amended permit and returns it to the Commission within fifteen (15) ten (10) days after the date hereof of the issuanee of this amended permit. No work shall be done until the acknowledgment is duly executed and returned to the Commission. J. A� area subject to the iurisdiction of the San Francisco B� Conservation and Development Commission under either the MeAteer-Petris Act or the Suisun Marsh Preservation Act at the time this amended ep rmit is granted or thereafter shall remain subjeet to that jurisdiction notwithstand- i�n the placement of � fill or the implementation of an substantial cha e in use authorized � this amended permit. K. A� area not sub ect to the jurisdiction of the San Franeisco � Conservation and Development Commission that becomes, as a result of � work or ro ect authorized in this amended permit, subject to tidal action shall become subjeet to the Commission's "bay" iurisdietion up to the line of highest tidal aetion. L. Unless the Commission directs otherwise, this amended ep rmit shall become null and void, if a� term, standard condition, or special condition of this amended ep rmit shall be found illegal or unenforceable through the appli_ cation of statute, administrative ruli or court determination. If this amended ermit becomes null and void, � fill or structures 1p aced in reliance on this amended ep rmit shall be subject to removal � the permittees or their assignee(s) if this amended ep rmit has been assi�ned to the extent that the Commission determines that such removal is appropriate. A� uses authorized shall be terminated to the extent that the Commission determines that such uses should be terminated. � PERMIT N0. 6-79 (Issued on August 3, 1979, As Amended Through November 12, 1981) AMENDMENT N0. THREE The Seabreeze Partnership and Anza Shareholders' Liquidating Trust Page 10 Executed at San Francisco, California, on behalf of the San Francisco Bay Conservation and Development Commission on the date first above written. `..1..� • �.�.1�?�, � J/ •'�•�� } ' ,�'� f i a 1��.�i, �::i��,'. lli��. �._��. l."l- � MICHAEL B. WILMAR Executive Director Enc. NIBW/LP/ffan cc: U. S. Army Corps of Engineers, Attn: Regulatory Funetions Branch S. F. Bay Regional Water Quality Control Board, Attn: Certification See tion En,wironmental Proteetion Agency, Attn: Eric Yunker, E-4-2 L�ity of Burlingame, Attn: John Yost, Assistant City Planner San Mateo Square Associates, Attn: John Raiser * �t � �t � � � * * �t Receipt acknowledged, contents understood and agreed to: Executed at Applicant On BY� Title � � � s � � � � * � Receipt acknowledged, contents understood and agreed to: Executed at Applicant On BY� Title � F. PERMIT N0. 6-79 (Issued on August 3, 1979, As Amended Through November 12, 1981) AMENDMENT N0. THREE THE SEABREEZE PARTNERSHIP AND ANZA SHAREHOLDERS' LIQOIDATING TRUST NOTICE OF COMPLETION San Francisco Bay Conservation and Development Commission 30 Van Ness Avenue, Room 2011 San Franeisco, California 94102 Gentlemen: You are hereby informed that the work authorized by the above-referenced permit was completed on Executed at � > 19 By: Title