CITY OF LOS ANGELES OFFICE OF THE CITY CLERK ROOM 395, CITY HALL LOS ANGELES, CALIFORNIA CALIFORNIA ENVIRONMENTAL QUALITY ACT

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1 CITY CLERK S USE (Article III, Section 3, City CEQA Guidelines) Submission of this form is optional. This form shall be filed with the County Clerk, East imperial Highway, Norwalk, California 90650, pursuant to days. 9 Central Recreation Center Pool and Bathhouse Renovation 8th Biennia! Prop K Competitive PROJECT LOCATION: 1357 E. 22nd Street, Los Angeles, CA The proposed project involves various improvements to the swimming pool and associated support equipment and the interior and exterior of the bathhouse. Bathhouse improvements include renovation of the boys and girls restrooms, showers and changing rooms, including ADA upgrades, and new lighting and plumbing systems and fixtures, painting, concrete work, tile, first aid station, benches, partitions and signage. Poof facility improvements include a new deck, upgrades to the mechanical equipment and plumbing, installation of a permanent pool lift and new lifeguard equipment, and removal of curbing. Community youth and other patrons of the pool facilities and aquatic staff will be the primary beneficiaries of the project... CONTACT PERSON: AREA CODE TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) DECLARED EMERGENCY EMERGENCY PROJECT MINISTERIAL PROJECT E CATEGORICAL EXEMPTION GENERAL EXEMPTION STATUTORY EXEMPTION 31 CITY CEQA GUIDELINES Art. II, Sec. 2a{1) Art II, Sec. 2{a)(2)(3) Art II, Sec. 2b Art. II, Sec. 2(c) See Below Art II, Sec. 2(d) Art. II, Sec. 2(i) 1.4 STATE CEQA GUIDELINES ART. 18, Sec (b)(c) 1(a)(1)(4) Aft 19, Sec(s) Art. Ill, Sec(s). OTHER {See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Operation, repair, maintenance or minor alteration of existing public structures, facilities, or mechanical equipment, involving negligible or no expansion of use beyond that previously existing, including: interior or exterior alterations involving remodeling, or minor construction; and, restoration or rehabilitation of deteriorated or damaged structures, facilities or mechanical equipment and systems to meet current standards of public health, safety and environmental protection. TfTLE: SUPERVISOR FEE $75.00 RECEIPT NO. REC'D. BY: DATE:

2 CITY CLERK'S USE CiTY OF LOS ANGELES ROOM 3SS, CITY HALL {Article III, Section 3, City CEQA Guidelines) FORM RP 1-1-9! Submission of this form is optional. This form shall be filed with the County Clerk, East Imperial Highway, Norwalk, California 90650, pursuant to days, 221 N. Figueroa Street, Suite 100, Los Angeies, CA CHATSWORTH AND DE SOTO POCKET PARK Acquisition and Development PROJECT LOCATION: DeSoto Avenue, Chatsworth, CA The proposed project involves the acquisition of a privately-owned 1.6 acre lot to be developed as a neighborhood ' pocket" park for passive recreational use. Situated on the corner of Chatsworth Street and De Soto Avenue, the park site would feature landscaping, pathways, security lighting, perimeter fencing, benches, drinking fountains, picnic tables, game tables and other related improvements. A two-story residential structure occupies the site and would be targeted for demolition as part of project development activities. Families in the surrounding neighborhoods will be the primary beneficiaries of the project. CONTACT PERSON: AREA CODE TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) DECLARED EMERGENCY EMERGENCY PROJECT MINISTERIAL PROJECT IS CATEGORICAL EXEMPTION GENERAL EXEMPTION STATUTORY EXEMPTION _L 25 CITY CEQA GUIDELINES Art II, Sec. 2a(1) Art II, Sec. 2(a)(2)(3) Art II, Sec. 2b Art II, Sec. 2(c) See Below Art II, Sec. 2(d) Art II, Sec. 2{i) 11 STATE CEQA GUIDELINES ART. 18, Sec. 1S269(b)(c) 1(a)(11) 1(y) Art. ill, Sec(s). O OTHER (See Public Resources Code Sect, 21080(b) and set forth in state & city guidelines provisions) Transfers of ownership of interests in land in order to preserve open space, including lands for park purposes; and, demolition and removal of individual small structures. TJTLE.E NVIRONMENTAl DATE: April 24, 2012 SUPERVISOR FEE $75.00 RECEIPT NO. REC D. BY: DATE:

3 COUNTY CLERK'S USE CITY CLERK S USE (Article ill, Section 3, City CEQA Guidelines) FORM RPW-SI days. 13 ECHO PARK RECREATION CENTER New Skate Plaza PROJECT LOCATION: 1632 Bellevue Ave, Los Angeles, CA The proposed project will consist of the construction of a new poured-in-place concrete skateboard plaza with features such as stair sets, concrete ledges and hubbas, a manny pad, a kicker with a gap feature, and bank to flat transitions throughout the plaza. The new skate plaza will benefit park patrons of the surrounding community. CONTACT PERSON: AREA CODE 213 TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) CITY CEO A GUIDELINES STATE CEQA GUIDELINES n DECLARED EMERGENCY Art II, Sec. 2a(1) EMERGENCY PROJECT Art II, Sec. 2{a)(2)(3) ART. 18, Sec (b)(c) 11 MINISTERIAL PROJECT Art II, Sec. 2b w CATEGORICAL EXEMPTION Art II, Sec. 2(c) See Below 11 GENERAL EXEMPTION Art. II, Sec. 2(d) STATUTORY EXEMPTION Art il, Sec. 2(i) Class 3 6 1(c)(6) O OTHER (See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Art. HI, Sec(s). Construction of new accessory (appurtenant) structures including play areas and play equipment. FEE $75.00 RECEIPT NO. REC'D. BY: DATE:

4 Cl ' :V' i USE CiTY CLERK'S USE (Article III, Section 3, City CEQA Guidelines) Submission of this form is optional. This form shall be filed with the County Clerk, East Imperial Highway, Norwalk, California 90650, pursuant to days. 14 EVERGREEN RECREATION CENTER Facility and Outdoor Improvements PROJECT LOCATION: 2926 E. 2nd Street, Los Angeles The proposed project will consist of ADA improvements to exterior recreation center bathrooms, improvements to basebali bleachers and covered dugouts, and refurbishment of the basketball court. The proposed improvements will benefit park patrons. CONTACT PERSON: AREA CODE TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) DECLARED EMERGENCY EMERGENCY PROJECT MINISTERIAL PROJECT E3 CATEGORICAL EXEMPTION GENERAL EXEMPTION STATUTORY EXEMPTION CITY CEQA GUIDELINES Art. II, Sec. 2a(1) Art. II, Sec. 2(a)(2)(3) Art II, Sec. 2b Art II, Sec. 2(c) See Below Art. II, Sec. 2(d) Art II, Sec. 2(i) STATE CEQA GUIDELINES ART. 18, Sec (b)(c) Class 1 1 1(a)(1) Art. Ill, Sec(s). Art. ill, Sec(s). OTHER (See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Interior or exterior alterations involving remodeling, or minor construction where there will be negligible or no expansion of use. FEE $75.00 RECEIPT NO. REC D. BY: DATE:

5 COUNTY CLERK'S USE CITY CLERK S USE (Article HI, Section 3, City CEQA Guidelines) Submission of this form is optional. This form shall be filed with the County Clerk, East imperial Highway, Norwalk, California 90650, pursuant to days. 13 GLASSELL PARK Synthetic Soccer Field. PROJECT LOCATION: 3520 Verdugo Road, Los Angeles The proposed project would involve a new synthetic soccer field. This project will provide additional soccer facilities that are in high demand in this Los Angeles community. CONTACT PERSON: AREA CODE 213 TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) CITY CEQA GUIDELINES STATE CEOA GUIDELINES DECLARED EMERGENCY Art II, Sec. 2a(1) EMERGENCY PROJECT Art II, Sec. 2{a){2)(3) ART. 18, Sec (b)(c) D MINISTERIAL PROJECT Art II, Sec. 2b 0 CATEGORICAL EXEMPTION Art II, Sec. 2(c) See Below GENERAL EXEMPTION Art H, Sec. 2(d) STATUTORY EXEMPTION Art II, Sec. 2(i) Class (c)(6) Art HI. Sects). 1(k)(3) O OTHER (See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Art. Ill, Sec(s). Construction of new accessory (appurtenant) structures including play areas and play equipment. FEE $75.00 RECEIPT NO. REC'D. BY: DATE:

6 CITY CLERK'S USE (Article ill, Section 3, City CEQA Guidelines) Submission of this form is optional. This form shall be filed with the County Clerk, East Imperial Highway, Norwaik, California 90650, pursuant to on Court challenges to the approval of the project. Failure to file this notice with the County Clerk results rn the statute oflimitationbefng extended to 180 days. 13 JUNTOS PARK Installation of Re-Circulating Water System for Existing Water Splash Pad PROJECT LOCATION: 3135 Drew Street, Los Angeles, CA The proposed project involves retrofitting the existing children s splash pad water playground with a Vortex water recirculation system or equivalent system so the splash pad water can be safely collected, treated and reused in compliance with the City s water conservation ordinance. A chlorine and ultraviolet system will be used to treat the water. As part of the project, the existing rubberized surface of the splash pad will be replaced with a concrete surface. Families in the neighborhoods surrounding the park as well as the Department of Recreation and Parks-through lower water and sewage bills-will be the primary beneficiaries of the project. CONTACT PERSON: AREA CODE TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) DECLARED EMERGENCY EMERGENCY PROJECT MINISTERIAL PROJECT M CATEGORICAL EXEMPTION GENERAL EXEMPTION STATUTORY EXEMPTION _3_ 11 CITY CEQA GUIDELINES Art. II, Sec. 2a{1) Art II, Sec. 2(a){2)(3) Art. II, Sec. 2b Art ft, Sec. 2(c) See Below Art. II, Sec. 2(d) Art II, Sec. 2(1) 32 STATE CEQA GUIDELINES ART. 18, Sec (b)(c) Art. lll,,sec(s). Art. HI, Sec(s). Art IK, Sec(s). 1(a)(32) 1(0(4) 1 (k)(6) O OTHER (See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Installation, maintenance or modification of mechanical equipment and public convenience devices and facilitates which are accessory to the use of existing structures or facilities and involve negligible or no expansion of use. DATE: SUPERVISOR April 26, 2012 FEE $75.00 RECEIPT NO. REC'D. BY: DATE:

7 CSTY CLERK S USE CiTY OF LOS ANGELES OFFICE OF THE CiTY CLERK LOS ANGELES. CALIFORNIA f0n2 CALIFORNIA ENV.ROM; it ti". DUALITY ACT (Article III, Section 3, City CEQA Guidelines) Submission of this form is optional. This form shall be filed with the County Clerk, East Imperial Highway, Norwalk, California 90650, pursuant to days. 15 KEN MALLOY HARBOR REGIONAL PARK Facility Improvements and New Synthetic Soccer Field PROJECT LOCATION: Intersection of Pacific Coast Highway and Vermont Avenue in the Wilmington community of Los Angeles The proposed project will involve the installation of new fencing and walkways at the north end of park. The project will also include the installation of a new synthetic soccer field at the south end of the park near the existing athletic fields. The project will benefit park patrons. CONTACT PERSON: AREA CODE TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) CITY CEQA GUIDELINES STATE CEQA GUIDELINES DECLARED EMERGENCY Art II, Sec. 2a(1) EMERGENCY PROJECT Art. II, Sec. 2(a)(2)(3) MINISTERIAL PROJECT Art II, Sec. 2b IZI CATEGORICAL EXEMPTION Art II, Sec. 2(c) See Below GENERAL EXEMPTION Art. II, Sec. 2(d) STATUTORY EXEMPTION Art. II, Sec. 2(!) ART. 18, Sec {b)(c) Class 3_ 11 6_ 3,6 1(c)(6) 1(k)(3)(6) Art. Ill, Sec(s). O OTHER (See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Construction and location of limited numbers of new structures that are accessory (appurtenant) to existing institutional facilities,, including fences and play areas. PAUL J. DAViS REC D. BY: FEE $75.00 RECEIPT NO. DATE:

8 CITY CLERK S USE (Article III, Section 3, City CEQA Guidelines) Submission of this form is optional. This form shall be filed with the County Cierk, East Imperial Highway, Norwalk, California 90650, pursuant to on Court challenges to the approval of (he project. Failure to file this notice with the County Clerk results in the statute of limitation being extended to 180 days. 1 LINCOLN PARK Outdoor Refurbishment and Security Lighting PROJECT LOCATION: 3501 Valley Boulevard, Los Angeles, CA The proposed project Involves renovation of an Americans with Disabilities Act (ADA) compliant lighted pathway feet wide and 20,000 linear feet in length that winds throughout the 46-acre park. The pathway lighting will provide benefits to the public using the pathway. CONTACT PERSON: AREA CODE TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) DECLARED EMERGENCY EMERGENCY PROJECT MINISTERIAL PROJECT 0 CATEGORICAL EXEMPTION GENERAL EXEMPTION STATUTORY EXEMPTION CITY CEQA GUIDELINES Art II, Sec.2a{1) Art. II, Sec. 2(a)(2){3) Art II, Sec. 2b Art II, Sec. 2(c) See Below Art)!, Sec.2(d) Art II, Sec. 2{i) STATE CEQA GUIDELINES ART. 18, Sec (b)(c) Class 1 3,12 1(a)(3)(12) OTHER (See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Operation, repair, maintenance or minor alteration of existing pedestrian trails; and, outdoor lighting for security and operations. FEE $75.00 RECEIPT NO. REC D. BY: DATE:

9 CtlY CLERK S USE {Article III, Section 3, City CEQA Guidelines) Submission of this form is optional. This form shall be filed with the County Clerk, East Imperial Highway, Norwalk, California 90650, pursuant to Public Resources Code Section 21152(b). Pursuant to Pubiic Resources Code Section 21168(d), the filing of this notice starts a 35-day statute of limitation days. 8, LOREN MILLER RECREATION CENTER Synthetic Soccer Field PROJECT LOCATION: 2717 Halldale Avenue, Los Angeles The proposed project would involve a new synthetic soccer field. This project will provide additional soccer facilities that are in high demand in this Los Angeles community. CONTACT PERSON: AREA CODE TELEPHONE NUMBER: EXT. XEMPT STATUS: (Check One) CITY CEOA GUIDELINES STATE CEQA GUIDELINES O DECLARED EMERGENCY Art. II, Sec. 2a(1) ART. 18, Sec (a) EMERGENCY PROJECT Art II, Sec. 2(a)(2)(3) ART. 18, Sec {b)(c) MINISTERIAL PROJECT Art II, Sec. 2b 0 CATEGORICAL EXEMPTION Art II, Sec. 2{c) See Below GENERAL EXEMPTION Art. II, Sec. 2(d) STATUTORY EXEMPTION Art II, Sec. 2(i) Class {City CEQA Guidelines) 3 6 Art III. Sec(s). 1 (c)(6) 11 3 Art ML Sec/s). 100(3). I OTHER (See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Construction of new accessory (appurtenant) structures including play areas and play equipment. FEE $75.00 RECEIPT NO. REC'D. BY: DATE:

10 CITY CLERK'S USE {Article III, Section 3, City CEQA Guidelines) FORMRP Submission of this form is oi optional. This form shall be filed with the County Clerk, East imperial Highway, Norwalk, California 90650, pursuant to Public Resources Code Sect.. ntion 21152(b).., Pursuant.. to Public Resources Code Section 21168(d),,. the filing of this notice starts a 35-day statute of limitation days. 11 MAR VISTA GARDENS Game Court and Security Lighting PROJECT LOCATION: 4901 Marionwood Drive, Los Angeles The proposed project would involve the installation of lighting on two concrete handball courts, a basketball court and a picnic area Park patrons and the surrounding community will benefit from the proposed project. CONTACT PERSON: AREA CODE 213 TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) O Class DECLARED EMERGENCY EMERGENCY PROJECT MINISTERIAL PROJECT CATEGORICAL EXEMPTION GENERAL EXEMPTION STATUTORY EXEMPTION CITY CEQA GUIDELINES Art II, Sec. 2a(1) Art H, Sec. 2{a)(2)(3) Art II, Sec. 2b Art. II, Sec. 2{c) See Below Art It, Sec. 2(d) Art II, Sec. 2{i) 12 STATE CEQA GUIDELINES ART. 18, Sec {b)(c) 1 (a)(12) OTHER (See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Operation, repair, maintenance or minor alteration of existing public facilities involving negligible or no expansion of use beyond that previously existing, including outdoor lighting for security. FEE $75.00 RECEIPT NO. REC'D. BY: DATE:

11 CiTY CLERK'S USE CiTY OF LOS ANGELES OFFICE OF THE CiTY CLERK ROOM 395, CiTY HALL (Article III, Section 3, City CEQA Guidelines) FORM RP Submission of this form is optional. This form shall be filed with the County Clerk, East imperial Highway, Norwalk, California 90650, pursuant to days. LEAD CfTY AGENCY AND ADDRESS: Department of Recreation and Parks, COUNCIL DISTRICT; 10 RANCHO CIENEGA RECREATION CENTER Sports Complex improvements PROJECT LOCATION: 5001 Rodeo Road, Los Angeles The proposed project includes the implementation of pedestrian security lighting in the park, construction of three new shade structures over the bleachers for the twelve existing tennis courts, and construction of six new shade structures covering the bleacher areas for the three existing baseball diamonds Park patrons and the surrounding community will benefit from the proposed project. CONTACT PERSON: AREA CODE TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) O DECLARED EMERGENCY EMERGENCY PROJECT MINISTERIAL PROJECT 0 CATEGORICAL EXEMPTION GENERAL EXEMPTION STATUTORY EXEMPTION CITY CEQA GUIDELINES Art. II, Sec. 2a(1) Art. II, Sec. 2(a){2)(3) Art II, Sec. 2b Art. II, Sec. 2(c) See Below Art II, Sec. 2(d) Art II, Sec. 2(1) STATE CEQA GUIDELINES ART. 18, Sec (b)(c) Class (a)(12) Art 111, Sec(s)., 1(k)(6) Art ill, Sec(s). Art. Ill, Sec(s). OTHER (See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Operation, repair, maintenance or minor alteration of existing public facilities involving negligible or no expansion of use beyond that previously existing, including outdoor lighting for security. Placement of minor structures accessory to (appurtenant to) existing institutional facilities. FEE $75.00 RECEIPT NO. REC D. BY: DATE:

12 CITY CLERK'S USE (Article III, Section 3, City CEQA Guidelines) on Court challenges to the approval of the project Failure to file this notice with the County Clerk results in the statute of limitation being extended to 180 days. 14 ROSE HILLS PARK & RECREATION CENTER ADA Path PROJECT LOCATION: 4530 Mercury Avenue, Los Angeles, CA The proposed project will involve a new ADA-compliant path from the parking lot and restroom building to the ball fields. Park patrons and the surrounding community will benefit from the proposed project. CONTACT PERSON: AREA CODE TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) CITY CEOA GUIDELINES STATE CEQA GUIDELINES DECLARED EMERGENCY Art 11, Sec. 2a{1) EMERGENCY PROJECT Art II, Sec. 2(a)(2){3) ART. 18, Sec {b)(c) MINISTERIAL PROJECT Art II, Sec. 2b E3 CATEGORICAL EXEMPTION Art II, Sec. 2(c) See Below GENERAL EXEMPTION Art. II, Sec. 2(d) STATUTORY EXEMPTION Art.il, Sec. 2(i) Class 11 3 Art ill. Sects). 1(k)(3) D OTHER (See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Art. HI, Sec(s). Art. Ill, Sec(s). Art. Ill, Sec(s). Construction or placement of minor structures accessory to existing institutional facilities, including walkways. FEE $ RECEIPT NO. REC'D. BY: _ DATE:

13 CITY CLERK S USE (Article ill, Section 3, City CEQA Guidelines) Submission of this form is optionai. This form shall be filed with the County Clerk, East Imperial Highway, Norwalk, California 90650, pursuant to days. 2 VERDUGO HILLS RECREATION CENTER Swimming Pool and Bath House Renovation PROJECT LOCATION: Irma Avenue, Tujunga, CA The proposed project involves various improvements to the exterior and interior of the bathhouse- principally the boys and girls restrooms, showers and changing rooms-including, new plumbing and fixtures, partitions, concrete work, painting, tife, lighting, benches, cashier s screen at check-in area, first aid station, signage, and an access ramp compliant with the American with Disabilities Act (ADA). The improvements will enable the swimming pool to change from a seasonal use facility to one that can be operated year-round. Community youth and other patrons of the pool facilities, aquatic staff, and Verdugo Hills High School will be the primary beneficiaries of the project. CONTACT PERSON: AREA CODE TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) DECLARED EMERGENCY EMERGENCY PROJECT MINISTERIAL PROJECT M CATEGORICAL EXEMPTION GENERAL EXEMPTION STATUTORY EXEMPTION CITY CEQA GUIDELINES Art II, Sec. 2a(1) Art II, Sec. 2{a){2)(3) Art II, Sec. 2b Art. II, Sec. 2(c) See Below Art II, Sec. 2(d) Art II, Sec. 2(i) STATE CEQA GUIDELINES ART. 18, Sec (b)(c) J (a)(1)(4) Art 19, Sec(s) Art. Ill, Sec(s). Art. Ill, Sec(s). OTHER (See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Operation, repair, maintenance or minor alteration of existing public structures, facilities, or mechanical'equipment, involving negligible or no expansion of use beyond that previously existing, including: interior or exterior alterations involving remodeling, or minor construction; and, restoration or rehabilitation of deteriorated or damaged structures, facilities or mechanical equipment and systems to meet current standards of public health, safety and environmental protection. SUPERVISOR FEE $75.00 RECEIPT NO. REC'D. BY: DATE:

14 CiTY CLERK S USE CiTY OF LOS ANGELES ROOM 395, CiTY HALL (Article!ii, Section 3, City CEQA Guidelines) FORM RP M-9I Submission of this form is optional. This form shall be filed with the County Clerk, East Imperial Highway, Norwalk, California 90650, pursuant to days. 9 VERMONT-GAGE GATEWAY POCKET PARK Acquisition and Development PROJECT LOCATION: 960 West 62nd Place, Los Angeles, CA The proposed project involves the acquisition of a 0.38 acre vacant parcel owned by the Los Angeles Housing Department to be developed as a passive neighborhood pocket" park for passive recreational use. Situated at the northeast corner of Vermont Avenue and Gage Street, the park site would feature landscaping, security lighting, pathways, perimeter fencing, benches, drinking fountains and other related improvements. Families in the surrounding neighborhoods will be the primary beneficiaries of the project. CONTACT PERSON: AREA CODE 213 TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) CITY CEQA GUIDELINES STATE CEQA GUIDELINES n DECLARED EMERGENCY Art II, Sec. 2a(1) EMERGENCY PROJECT Art II, Sec. 2(a)(2)(3) ART. 18, Sec {b)(c) I i MINISTERIAL PROJECT Art II, Sec. 2b m CATEGORICAL EXEMPTION Art II, Sec. 2(c) See Below ART. 19, Sec i..i GENERAL EXEMPTION Art li, Sec. 2(d) u STATUTORY EXEMPTION Art)!, Sec.2(i) 25 Art 111. Seels). OTHER (See Public Resources Code Sect (b) and set forth In state & city guidelines provisions) Transfers of ownership of interests in land in order to preserve open space, including lands for park purposes. E NVIRONMENTAL SUPERVISOR DATE: April 24, 2012 FEE $75.00 RECEIPT NO. REC'D. BY: DATE:

15 CITY CLERK'S USE (Article III, Section 3, City CEQA Guidelines) FORM RP 1-1-9! Submission of this form is or Public Resources Code Sect on Court challenges to the approval of the project. Failure to file this notice with the County Clerk days. 11 VENICE BEACH Rose Avenue Restroom PROJECT LOCATION: 1800 S. Ocean Front Walk, Venice, CA The proposed project will demolish the existing, outdated restroom facility and replace it with a prefabricated restroom building. CONTACT PERSON: AREA CODE 213 TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) CITY CEOA GUIDELINES STATE CEQA GUIDELINES DECLARED EMERGENCY Art II, Sec. 2a{1) U EMERGENCY PROJECT Art II, Sec. 2(a)(2)(3) ART. 18, Sec {b)(c) I..I MINISTERIAL PROJECT Art II, Sec. 2b M CATEGORICAL EXEMPTION Art II, Sec. 2(c) See Below I I GENERAL EXEMPTION Art II, Sec. 2(d) D STATUTORY EXEMPTION Art. II, Sec. 2(i) Class 1 11 Art. Ill, Sec(s). 1(a)(11) Art. HI. Sec(s). 1(k)(6) OTHER (See Public Resources Code Sect (b) and set form In state & city guidelines provisions) Art. ill, Sec(s). Demolition and removal of individual small structures; and construction or placement of minor structures accessory to (appurtenant to) existing commercial, industrial or institutional facilities. FEE $75.00 RECEIPT NO. REC'D. BY: DATE:

16 CITY CLERK S USE CiTY OF LOS ANGELES (Article III, Section 3, City CEQA Guidelines) Submission of this form is o Public Resources Code Sec,,. _, days. 2 VALLEY PLAZA PARK/WHITSETT FIELDS New Synthetic Soccer Field PROJECT LOCATION: Archwood Street, North Hollywood The proposed project would involve a new synthetic soccer field. This project will provide additional soccer facilities that are in high demand in this Los Angeles community. CONTACT PERSON: AREA CODE 213 TELEPHONE NUMBER: EXT. EXEMPT STATUS: (Check One) CITY CEQA GUIDELINES STATE CEQA GUIDELINES n DECLARED EMERGENCY Art II, Sec. 2a(1) EMERGENCY PROJECT Art. II, Sec. 2(a)(2){3) ART. 18, Sec (b)(c) 11 MINISTERIAL PROJECT Art II, Sec. 2b s CATEGORICAL EXEMPTION Art II, Sec. 2(c) See Below 11 GENERAL EXEMPTION Art II, Sec. 2(d) STATUTORY EXEMPTION Art II, Sec. 2(i) Class 3 6 1(c)(11) (k)(3) OTHER (See Public Resources Code Sect (b) and set forth in state & city guidelines provisions) Construction of new accessory (appurtenant) structures including play areas and play equipment. FEE $75.00 RECEIPT NO. REC'D. BY: DATE: