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CDP 2023-0055; 158 MAPLE ADU; Coastal Development Permit (CDP)
( City of Carlsbad LAND USE REVIEW APPLICATION P-1 Development Services Planning Division 1635 Faraday Avenue 442-339-2600 www.carlsbadca.gov (§] SUBMITTAL INFORMATION-ALL APPLICATIONS 158 Maple ADU NAME OF PROJECT: ____________________________ _ BRIEF SUMMARY OF PROJECT: ___ n_ew_d_e_t_ac_h_e_d_A_D_U _______________ _ APPLICATIONS APPLIED FOR: Check the appropriate boxes for the application types for which you are applying. (CHECK ALL APPLICABLE BOXES) Development Permits <FOR DEPT. usE ONLY> Legislative Permits (FOR DEPT. USE ONLY) S Coastal Development Permit D Major ~ Minor D Conditional Use Permit D Major D Minor D Amend/Ext. D Day Care (Large) D New D Amend/Ext. D Environmental Impact Assessment D Habitat Management Permit 0 Major D Minor D Hillside Development Permit 0 Major D Minor D Amend/Ext. D Nonconforming Construction Permit 0 Planned Development Permit 0 Residential D Non-Residential D Major D Minor D Amend D Precise Development Plan D Site Development Plan D Major D Minor 0 Special Use Permit D Tentative Parcel Map (Minor Subdivision) D Tentative Tract Map (Major Subdivision) D Variance D Major D Minor c.WZO?.;-ro~ NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE MADE BY APPOINTMENT OR THROUG THE CSS ONLINE PORTAL. P-1 Page 1 of 5 D General Plan Amendment D Map D Text D Local Coastal Program Amendment 0 Map D Text D Master Plan D New Plan □Amend D Specific Plan D New Plan D Amend D Zoning Change D Map D Text Misc. Permits (FOR DEPT. usE ONLY> D Planning Determination D City Planner D PC Appeal D Historic Preservation D Register D Mills Act D Reasonable Accommodation FOR CITY USE ONLY: q DEV CASE NO.: ~WREC. BY: a( DATE STAMP APPLICATION RECEIVED CITY OF CARLSBAD DEC O 7 2023 PLANNING DIVISION Revised 07 /23 WHAT IS A PROJECT APPLICATION? A Land Use Review Application is the primary means by which the Planning Division collects information necessary to initiate plan review for a proposed development project and to schedule a development project for discretionary review. Discretionary review is necessary to evaluate conformance with regulations, standards, policies, and guidelines before a permit can be issued. To help ensure a complete and accurate submittal, the Planning Division has developed submittal requirements and corresponding checklists. Please review the following information to learn more about the city's intake and review procedures. Many projects that require a permit from the Planning Division might also require an engineering or building permit to implement the project. Consult with planning staff before submitting a development permit application. WHAT IS THE PROCESS? P-1 The application permit type, review, and approval process vary from one development project to another; however, there are similar steps involved with each discretionary project. The city's Discretionary Permit and Service Guide provides a high-level overview of that process, which is also briefly summarized below. If you are unfamiliar with the planning application process, we recommend that you speak with Planning staff before attempting to prepare an application submittal. Planning staff can explain supplemental materials that must be submitted with an application and confirm the required fees for successful intake. 1. Application Intake. Project review will not begin unless a duly filed application has been accepted by the Planning Division. Each application submitted to the Planning Division is required to have the Minimum Submittal Intake Requirements (i.e., requested forms and information in the application packet) and all processing fees paid before it will be accepted (called "duly filed"). 2. Application Review. After your application has been accepted for processing, a planning case number will be assigned and the application will be routed to the appropriate city departments and referral agencies for review. The status of the permit application and progression of the city's review can be tracked through the CSS Online Portal. 3. Starting the "Clock:" The Planning Division has developed policies to help ensure that discretionary permit applications are timely processed in accordance with the Permit Streamlining Act. The Act's shot clock starts on the intake date the Planning staff accepts a duly filed application. 4. Staff Response. Division policy requires the case planner to compile department comments and complete city review by notifying the Applicant, Property Owner, or Agent within 30 days of whether the application is complete. (There might be circumstances that dictate a different processing timeline.) The city review letter will include written notice of the status of your application as "incomplete" or "complete." • Incomplete -If t he application is determined to be incomplete, staff will detail the missing information in a city review letter. A city review letter might also identify specific outstanding review issues with the project, and any other required materials or applications to address conformance with regulations, standards, policies, and guidelines. • Complete -If the application is determined to be complete then the next steps of the planning process will begin, and the permit application will be scheduled to be reviewed for approval, conditional approval, or denial. 5. Cycl e Reviews. After you provide a response to city comments the Planning Division will re-examine the permit application. Each time you resubmit plans or missing application materials, the cycle of 30-day review will continue until the application is determined to be complete. 6. Environmental Clearance. When Planning staff determines the application is determined to be complete, and the project has a stable project description, then the city has an additional 30 days to determine the level of environmental review required. The time needed to complete the environmental study is determined by the type of environmental review required. Page 2 of 5 Revised 07/23 ( City of Carlsbad AUTHORIATION, CONSENT, AND DISCLOSURE STATEMENT Development Services Planning Division 1635 Faraday Avenue 442-339-2600 www.carlsbadca.gov P-1(A) §) APPLICATION AND ACKNOWLEDGEMENT INFORMATION This submittal farm (Part A through Part F) must be completed as part af your application with the City of Carlsbad. Your project cannot be reviewed until this information is co~{'rf'OF CARLSBAD PART A. Owner Authorization and Consent DEC O 7 2023 NOTE: This Consent and Disclosure Form must list the name of the principf?A.N,l,~~l~)~}9a~er) and attach a copy of the current corporate articles, partnership agreement, or trust document, as applicable. Provide name(s) of the person(s) authorized to sign on behalf of the organization. (A separate page may be attached if necessary.) IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE IND/CA TE NOT-APPLICABLE {N/A) IN THE SPACE BELOW. This is to certify under penalty of perjury that the undersigned is/are the record owner(s) of the property known as: Assessor's Map Book, Page and Parcel (APN/APNs): 2,o<--{-'2. >i-{) ~ -OO ________________________________ ;and Street Address (if applicable): ___ {_S---"&"------'--M__;;_a._;pt-<---=\'---0 _____________ _ that I/we (full legal name of all record owners) consent to the filing of the Land Use Review Application on our property for processing by t he City of Carlsbad Planning Division. I/We declare under penalty of perjury that I/we have reviewed this Affidavit and the information is true and correct. Name: Uk i~ 'f2.ad in C/lilfkrnd Signaturec -f2;/r[2 __,. Name: __ ! ________________________ _ Signature: ________________________ _ Name: __________________________ _ Signature: ________________________ _ (For additional names, please use a separate sheet of paper) Page 1 of 6 P-1(A) Form Rev 6/2023 IMPORTANT: A Grant Deed is required if the ownership does not match city records. Ownership on the deed must correspond exactly with the ownership listed. If the owner noted on the Grant Deed does not match the person signing as Property Owner, provide paperwork documenting the person signing is authorized to sign as a Property Owner. Whenever any excavation, fill, or other project-related improvement requires entry onto adjacent property for any reason, the Land Use Review Application shall include the written consent or legal easements or other property rights of the adjacent property owner or their authorized representative, and shall include such consent with the application package. The application will not be deemed complete unless and until all necessary consent documents are so filed. The consent shall be in a form acceptable to the City Planner. If the proposed improvements on the adjacent property change the nature of the property's development rights (or implied bundle of rights), the city might require recordation of a Covenant and Agreement for Offsite Improvements and Release of Liability as a condition of project approval. Does the project's limits of disturbance encroach on property not owned by the Property Owner? □ Yes □ No If yes, attach adjacent owner authorization. PART B. Owner Declarations (to be signed by Property Owner) I/We hereby certify under penalty of perjury that I have read the information below and that: 1. I/We understand that it is the responsibility of the Applicant to substantiate the request through the requirements of the application. 2. I/We understand that if there is a zoning violation on the property, application review may be delayed. Any unpermitted structures or uses must either be removed or legalized at part of this application. 3. I/We understand that if this applicat ion is approved, I/we may be required to record a covenant with the County Recorder's Office, the form and content that is satisfactory to the City and its City Attorney, to notify future owners of the project approval and restrictions. 4. If this Land Use Review Application is approved or conditionally approved, I/we hereby certify that I/we will comply with all conditions attached to the approval action. I/We understand that the failure to comply with any conditions shall constitute grounds for the revocation or modification of the approval, permit, or other authorizations provided. 5. Prior to any use of the project site pursuant to the permit issued, all conditions of approval (if any) will be completed or secured in the manner as stated or required. Property Ow~er Si~natuce(s), -~ = Name(s): LJU ( S f21ld 1 ~ U£ Date:__.{~() f_.,_/ ___ j ~/2,,__,3_ I 7 Page 2 of6 P-1(A) Form Rev 6/2023 PART C. Project Team Information (complete all applicable fields) Applicant: ~Same as owner □ Different from Owner Name (if different from Owner): _________________________ _ Company or Firm:------------------------------- Contact Address: -------------------------------- City: ____________ State: ____________ Zip Code: _____ _ r,-e or Representat',ve, □ Same as Applicant ¢,oifferent from Applicant □ N/A Name (if different from Applicant), \ ~\l( ~(\/\ ~1 (c\r,_±= Company or Firm, __ :<}'=\.-Z_,~~i\_,_(~c,,~'..:~\~~W=;\;~. ~~\'e_,,=~~~------------- Contact Address, '1:,)3: ';;) · City: ~ 71)\C,.,._. ~ State, ___ C-_f\..c__ _____ ZipCode, 1z..:,"'.\-S" Other {speci Architect, gineer, CEQA Consultant, etc.): _______________ _ Name, ----~1~T<~u,'\.=~·~l--o~"-;s~_C=o-~+L<IJ=~u,..v..~~---------- Company or Firm, __ 1_,J!_,,l-l,,c..=~ftc_.,_(" (.cc\.,_;_c-:_t;...e.r_;.=_,_tu--'-(R._.,,,=----------- Contac½r~ City: -'L:=---~-:_ _____ State: ____________ Zip Code: _____ _ NOTE: A Letter of Authorization (LOA) from the Property Owner empowering a person or persons to act on the behalf of the Property, is required if anyone other than the Property Owner signs the Land Use Review Application as the Applicant or Agent. The authorized person (Applicant or Agent) on the LOA must correspond with the name and signature, above. PART D. Single "Point of Contact" Designation A single "point of contact" is an individual that handles all communications with the city and its review team for the purposes of sending and receiving application materials, information, reports, etc. The point of contact is to be the single individual elected on the Land Use Review Application form for all communications and to remain as the primary contact for all status updates relating to the Land Use Review Application. Slngfe Point of Contact: □ Applicant D Property Owner ~gent D Other ________ _ Page3of6 P-1(A) Form Rev 612023 PART E. Contribution Disclosure Has the Property Owner, Applicant, or Agent had more than $900 worth of business transacted with any member of city staff, Boards, Commissions, Committees and/or Council within the past 12 months? □ Yes I] No If yes, indicate person(s): ____________________ _ NOTE: Attach additional sheets if necessary. PART F. Applicant Declarations (to be signed by Applicant) I hereby certify under penalty of perjury that I have read the information below and that: 1. I have carefully reviewed and prepared the application and plans in accordance with the instructions. 2. I understand that the specific information needed to initiate planning case processing corresponds to those items listed in the application form's "Minimum Submittal Intake Requirements Checklist." I also understand that even if the application is duly filed and accepted for intake processing, each application submitted to the Planning Division is required to have specified information included in the application packet before it is determined to be complete. The specific information to determine completeness is in "Completeness Determination Requirements Checklist." 3. The Planning Division has developed policies to help ensure that discretionary permit applications are timely processed. The Permit Streamlining Act shot clock starts on the intake date the Planning staff accepts a duly filed application. 4. I understand that once an application is determined to be complete, project or design changes that will increase the number of units, add uses that were not previously listed, substantially change the site plan, or other changes that trigger the need for additional discretionary approvals will require a new application, or the filing of other application permit types, which would restart the review "clock" and extend processing timelines. S. I understand that upon city review, additional information, documents, reports, entitlements and fees might be required, including any referral fees. I understand that all fees and deposits submitted with this application will be refunded only as provided for by the ordinances, regulations, or policies in effect at the time of the application submittal. 6. I understand that it is my responsibility to ensure that statements are true, that discrepancies do not exist between the project's description on the application, the architectural plans and the structural plans. If discrepancies exist between the architectural plans and the structural plans, the architectural plans shall take precedence. Ultimately, the scope of work, as described on the permit that authorizes construction, takes precedence over the plans. If there is a discrepancy between th@ plans and the description on the permit, the permit governs. Page 4 of 6 P-1 {A) Form Rev 612023 7. I understand that all materials submitted in connection with this application might become public record subject to inspection and copying by the public. I acknowledge and understand that the public might inspect and copy these materials and that some or all of the materials might be posted on the city website or elsewhere online, outside of the city's control. 8. I understand there are no assurances at any time, implicitly or otherwise, whether provided to me in writing or by oral communications regarding final staff recommendations to the decision- making body about this application or the determination of any decision-making body. 9. Jf the project is approved or conditionally approved, the approved plan set of project drawings, civil plans/grading, sections, site plans, floor plans, architectural elevations, and landscape plans shall not be altered without express authorization by the City Planner. Once a permit has been issued, the Applicant may request permit modifications. "Minor" modifications might be granted if found by the City Planner to be in substantial conformity with the approved plan set, including all exhibits and permit conditions. Modifications beyond the scope described in the approved plan set might require submittal of an amendment to the permit and approval by the authorized review body. 10. Should any proponent of the project fail to file a timely and valid appeal of the permit within the applicable appeal period, such inaction shall be deemed to constitute acceptance of the permit by the Applicant; and agreement by the Applicant to be bound by, to comply with, and to do all things required of or by the Applicant pursuant to all of the terms, provisions, and conditions of the issued permit or other approval. 11. As part of this application, the Applicant hereby agrees to defend, indemnify, and hold harmless the City of Carlsbad, its Council, boards and commissions, officers, employees, volunteers, and agents from any claim, action, or proceeding against the City of Carlsbad, its Council, boards and commissions, officers, employees, volunteers and agents, to attack, set aside, void or annul an approval of the application or related decision, including environmental documents, or to challenge a denial of the application or related decisions. This indemnification shall include, but not be limited to, damages awarded against the city, if any, costs of suit, attorneys' fees, and other expenses incurred in connection with such claim, action, causes of action, suit or proceeding whether incurred by Applicant, city, and/or the partles initiating or bringing such proceeding. The Applicant shall indemnify the city for all of the city's costs, attorneys' fees, and damages that the city incurs in enforcing the indemnification provisions set forth herein. The Applicant shall pay to the city upon demand any amount owed to the city pursuant to the indemnification requirements prescribed. Page5of6 P-1(A) Form Rev 6/2023 By signing below, I hereby agree to defend, indemnify and hold harmless the city and I certify that the application t am submitting, including all additional required information, is complete and accurate to the best of my knowledge. I understand that any misstatement or omission of the requested information or of any information subsequently requested might be grounds for rejecting the application, deeming the application incomplete, denying the application, suspending or revoking a permit issued on the basis of these or subsequent representations, or for the seeking of such other and further relief as deemed by the City of Carlsbad. Applicant Signature~· Name A1tts.t1n am )'2al/lLO.l peJ-e.Js~ Date lQ/ff/25 This form must be stapled/attached to the application and shall be effective until replaced or revoked in writing. Page6of6 P-1(A) Form Rev 612023 PROJECT DESCRIPTlb Development Services Ccicyof Carlsbad P-1(8) CITY or CA ,Lr:-AO Planning Division 1635 Faraday Avenue 442-339-2600 www.carlsbadca.gov OCT 142023 PLANN [fil APPLICATION INFORMATION This submittal form {Part A and Part BJ is to be completed as part of your application with the City of Carlsbad. Your project cannot be reviewed until this information is completed. Submittal of a detailed project description is important to ensure the timely review of your Land Use Review Application and to reduce repetitive review cycles. The following instructions detail the types of information to include in your written project description. These instructions are not exhaustive. More complex entitlement requests typically require more comprehensive information while less complex requests might require less information. The intent of this form is to provide guidance on what type of information to include in the written project description. Prior to submitting an entitlement application, review t he entitlement-specific filing instructions for each application type, as well as instructions for preparing a complete site plan or tentative map, etc. A complete project description should include the following elements: ✓ Project name: Fill in the field with the name of the project, such as "Red Oak Homes" or "Benson Commercial." If no name is proposed, write the last name of the Applicant or Property Owner, plus a brief description such as "Jones Condo Conversion" or "Smith Residential Subdivision." ✓ Applications applied for: List the various application types for which you are applying. Consult with the Planning Division to determine required application types needed to process your specific project. ✓ Assessor parcel no(s).: Include all assessor parcel numbers included that are within the project boundary. Planning staff can assist you in determining the appropriate assessor parcel number(s). ✓ Describe the complet e project scope: Provide a narrative description of the proposed project including, but not limited to: project area by square footage or acreage, proposed land use(s), number of developable lots or units proposed, number of common area or open space lots, open space acreage, site access and proposed roadway and circulation improvements, parking location, design and number of spaces, existing utilities by type and location, proposed utilities by type and location, project grading with estimated quantities for cuts and fills, proposed drainage and storm water treatment improvements, project phasing, proposed square footage of amenities buildings such as recreation centers and clubhouses, proposed square footage of commercial or industrial buildings, noise barriers, proposed parks and trails, landscaping improvements and other relevant information. Project descriptions for commercial land uses should also include days and hours of operation, number patrons or customers, number of employees, typical daily traffic, proposed outdoor uses or use areas, food or alcohol sales, descript ions of promotional events including uses with outdoor amplified speech or music. Page 1 of 4 P-1 (B) Form Rev 6/2023 PART A. Project Summary Information NAME OF PROJECT:_~( 5_/? __ M.A__-+e-1.~ __ t\.~l:l_V\~--------- APPLICATION PERMIT TYPES REQUESTED: __ C~l>-P_(Vv._' ~"~o[~(e-----,1,_\_,-+-_'P_u_-_·r+----- ACCESSOR PARCEL NUMBERS: __ 7,.._o_'f __ 2_~_t{~--O_/,,_-_[)~Q _________ _ PROPERTY ADDREss: _ _,_/--"S-_,_5.L-_,_():J-'-"'"''+•pU...._./'--'-fl-µvucl..,,'------------- CONTACT: 0 Applicant □ Property Owner ~gent Signature: ~ Name r11u 1[,,,I\ S1n~~J:: Date: '.2 o:z3. to. l'b Fully describe the proposed project by application type. Include any details necessary to adequately explain the scope and/or operation of the proposed project. You may also include any background information and supporting statements regarding the reasons for, or appropriateness of, the application. Use an addendum sheet if necessary. Page 2 of4 P-1 (B) Form Rev 6/2023 PART B. Supplemental Information Denote whether the fo/fowing items are applicable to the project or if any portion of the property located within any of the following? Use an addendum sheet to further describe all items marked "yes" in this list (attach additional sheets as necessary). 1. A very high fire hazard severity zone, as determined by the Department of Forestry and Fire Protection pursuant to Government Code§ 51178 for State Responsibility Areas; or any official local maps published pursuant to Government Code§ 51178 for Local Responsibility Areas. 2. Wetlands, as defined in the United States Fish and Wildlife Service Manual, Part 660 FW 2 (June 21, 1993). 3. A hazardous waste site that is listed pursuant to Government Code§ 65962.5 or a hazardous waste site designated by the Department of Toxic Substances Control pursuant to Health and Safety Code§ 25356 of the Health and Safety Code. NOTE: Certification of compliance required on Form P-1(C). 4. A special flood hazard area subject to inundation by the 1 percent annual chance flood (100-year flood) as determined by the Federal Emergency Management Agency in any official maps published by the Federal Emergency Management Agency. 5. A delineated earthquake fault zone as determined by the State Geologist in any official maps published by the State Geologist. 6. Any historic or cultural resources known to exist on the property. 7. The project requires any approvals under the Subdivision Map Act, such as a parcel map, a tentative map, or a condominium map. NOTE: If "yes," you may need to complete Form P-l(E} and Form P-l{F). 8. The project require a Density Bonus Approval. NOTE: If "yes," you must complete Forms P-1 (H ). 9. The project site located within the Coastal Zone. NOTE: If "yes," you may need to complete Form P-6 and/or Form P-7. Yes D D D D D D D D a. If "yes," does any portion of the property contain wetlands, as defined in Title D 14 of the California Code of Regulations§ 13577. No ~ ~ P- Fl ~ ~ D Page 3 of 4 P-1 (B) Fonn Rev 6/2023 , b. If "yes," does any portion of the property contain environmentally sensitive habitat areas, as defined in Public Resources Code § 30240. NOTE: If "yes," you may need to complete Form P-17 or Form P-18. c. If "yes," does any portion of the property contain a tsunami run-up zone or mapped inundation area. d. If "yes," does any portion of the property contain any public access to or along the coast. 10. The project impacts a stream or other resource that may be subject to a stream bed alteration agreement pursuant to Chapter 6 (commencing with Fish and Game Code§ 1600. 11. Any portion of the property is subject to any recorded public easement, such as easements for storm drains, water lines, and other public rights of way. Yes No □ □ □ □ □ ¥1 I/We declare under penalty of perjury that I/we have reviewed this Affidavit and the information furnished is true and correct. This form must be stapled/attached to the application and shaf/ be effective until replaced or revoked in writing. NOTE: The Applicant, Property Owner, or Agent should use this form when submitting project revisions to update the information provided in response to issues raised by during the course of the city's review. Page 4 of 4 P-l(B) Fonn Rev 6/2023 C cityof Carlsbad EIA INFORMATION FORM P-1{0) Development Services CITY OF C. OCT 2 4 2023 LANt ltJG D '"'ION Planning Division 1635 Faraday Avenue 442-339-2600 www.carlsbadca.gov §] APPLICATION INFORMATION This submittal form is to be completed as part of your application with the City of Carlsbad. Your project cannot be reviewed until Part A is completed. Part B is to be completed ONLY if further environmental review and documentation is required ((i.e., Environmental Impact Report, Mitigated Negative Declaration, or Negative Declaration). State law requires that environmental review be conducted and information be made available before decisions are made and before actions are taken. Implementation of this law, called the California Environmental Quality Act, Public Resources Code §§ 21000 et seq. (CEQA), requires the city to perform an environmental assessment of every project by way of a multi-step decision tree. First, the city must determine whether the proposed activity is subject to CEQA. Second, assuming CEQA applies, the city must decide whether the activity qualifies for one of the exemptions that excuse otherwise covered activities from CEQA review. Finally, assuming no applicable exemption, the city must undertake full review and prepare an environmental document. To successfully navigate through the three tiers, the Applicant/Property Owner/Agent must work with the city to document the environmental assessment. BY SIGNING BLEOW, I/We that this form must be completed as part of the application and will be utilized by the city to expedite the project application process. I/We hereby certify that the statements furnished in the attached information and any exhibits attached hereto present the data and information required for this initial evaluation t o the best of my ability, and that the facts, statements, and information presented are true and correct to the best of my knowledge and belief. NAME OF PROJECT: _____ 1_s_s_M_a_p_le_A_o_u _______________ _ new detached ADU BRIEF SUMMARY OF PROJECT: ______________________ _ 158 Maple Ave, Carlsbad, CA LOCATION: ______________________________ _ CONTACT: □ Applicant NOTE: Except where circumstances dictate a different processing timeline pursuant to state law, the city will formally begin the formal evaluation of the project after deeming the Land Use Review Application as complete and determining the project is subject to CEQA. Page 1 of 5 P-l(D) Form Rev 6/2023 PART A. Requested Environmental Clearance (All Projects) ~ DON'T KNOW/ UNKOWN. It is unknown how CEQA applies to this project. □ CEQA APPLICABILITY -NOT A PROJECT. The requested activity associated with the application package is NOT a "project" as defined by CEQA (Public Resources Code § 21065; CEQA Guidelines § 15378. Applicable Public Resource Code or CEQA Guidelines Sec.: _____________ _ 0 EXEMPT FROM ENVIRONMENTAL REVIEW. An Applicant, Property Owner, or Agent contemplating using a CEQA exemption should carefully review both the Public Resources Code and the State CEQA Guidelines to determine whether specific criteria apply that may or may not be applicable to their proposed project. To assist the city in assessing whether the proposed project is exempt from further review, the Applicant, Property Owner, or Agent may be asked to provide written explanation and substantiate the requested exemption (see below). □ Ministerial. The requested activity is exempt from further CEQA review because it is specifically excluded from CEQA consideration as defined by the State legislature. These exemptions are delineated in Public Resource Code§§ 21080 et seq. and CEQA Guidelines. Applicable section: _____________________ _ □ Categorical. The requested activity is exempt from further CEQA review because it be!ongs to a list of classes of projects that generally are considered not to have potential impacts on the environment. Categorical exemptions are identified by the State Resources Agency and are defined in the CEQA Guidelines §§ 15300- 15333. ADDITIONAL DOCUMENTATION MUST BE ATTACHED. Written evidence must include why the quested exemption is not negated by some sort of an exception to the exemption, pursuant to CEQA Guidelines §15300.2 and Chapter 19.04 of the Carlsbad Municipal Code. □ Other type of exemption, such as Agricultural Housing, Affordable Housing, and exemption for residential projects in a specific plan, etc. (Article 12.S of the CEQA Guidelines;§ 15182; § 15183; Public Resources Code§ 21155.1; etc.) ADDITIONAL DOCUMENTATION AND/OR CHECKLIST MUST BE ATTACHED. □ ENVIRONMENTAL DOCUMENTATION REQUIRED. Environmental review is required under CEQA because the project does not qualify for an exemption. This Environmental Information Form will be used to assist staff in determining what type of environmental documentation (i.e., Environmental Impact Report, Mitigated Negative Declaration, or Negative Declaration) will be required to be prepared, per CEQA and Chapter 19.04 of Carlsbad's Municipal Code. The city will typically complete its initial environmental study thirty days after an application is determined complete, consistent with Public Resources Code§ 21080.2; CEQA Guidelines§ 15102, unless the timeframe is extended. Page 2 ofS DRAFT 11-l(D} Fo1111 Rev 6/2023 PART B. Property and Project Screening Information (If Applicable) This section is to be completed only if further environmental review and documentation is required (such as an Environmental Impact Report, Mitigated Negative Declaration, or Negative Declaration. After your Land Use Review Application is complete, the City Planner will request the preparation of an Initial Study, which will rely, in part, on the information provided in this form. If you believe that a previously completed CEQA document adequately addresses the environmental impacts of the proposed project, a Petition for Use of Prior CEQA Document or tiering checklist (as required by CEQA) may be filed which will be reviewed and considered. It is important to note that the details of the request must be carefully evaluated and Planning staff's recommendation or decision for environmental review may change. NOTE: If you hove any questions regarding what constitutes an environmental resource of concern, Planning staff may be contacted for further information. The clarity and accuracy of the information you provide is critical for purposes of quickly determining the specific environmental effects of your project. 1. Describe each item as it relates to the PROJECT SITE: a. Existing land uses/ structuresc ..,;~lt, f "M.VJ V\.O,\,\{.., t clt, t,.,IJ ;"'"'~ r f b. Topography/ slope: ____ -r'--'<=+------------------- c. Vegetation, --~Lewk,=~-<A--,f'---==~,.__,._(~a~w_,\.~------------- d. Wildlife: ___ ~/\,_o_AA./ ______________________ _ e. Surface waters: __ ~~~~~~---------------------- f. Cultural/ historical resources: --~ll~D~~~--/z.A,ow ___ l\, ____________ _ g. Other: __ ~ __________________________ _ 2. Describe each item as it relates to the SURROUNDING AREA: a. Existing land uses/ structuresc g{lif-ot '.Jiij \t, • (°"".'½\ ~ (.eryks /uoA.40) b. Topography/ slope, 51,,..ll 0-./ 5 l0 P''1 c. Vegetation, W J->\'f ,J) / ...Js <-'"ft-'. d. Wildlife, Mlo.fL; e. Surface waters: ~ f. Cultural/ historical resources: __ L(\=•~v..-=_,W=~..;~t"-' _____________ _ g. Other: ______________________________ _ Page3of5 DRAFT P-1 (D) Fonn Rev 612023 3. Describe the whole action involved, including but not limited to later phases of the project, and any secondary, support, or off-site features necessary for its implementation. 4. What steps can be taken to mitigate any adverse effects that may result from this project? List the adverse effect first, then the mitigation measure(s) to reduce that effect. f\,D cU!l/o;Q_, Q.~<, ,::.r--\e<--i~~ Are the following items applicable to the project or its effects? Discuss all items checked "yes" (attach additional sheets as necessary). 5. Change in existing features of any bays, tidelands, beaches, or hills, or substantial alteration of ground contours. 6. Change in scenic views or vistas from existing residential areas or public lands or roads. 7. Change in pattern, scale or character of general area of project. 8. Significant amounts of solid waste or litter. 9. Change in dust, ash, smoke, fumes or odors in vicinity. 10. Change in ocean, bay, lake, stream or ground water quality or quantity, or alteration of existing drainage patterns. 10. Substantial change in existing noise or vibration levels in the vicinity. 11. Site on filled land or on slope of 10 percent or more. 12. Use of disposal of potentially hazardous materials, such as toxic substances, flammables or explosives. 13. Substantial change in demand for municipal services (police, fire, water, sewage, etc.). 14. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.). 15. Relationship to a larger project or series of projects of the same type in the same general area. Yes No □ 91 □ filJ □ !Zl □ ~ □ ~ □ ~ □ ~ □ ~ □ ~ □ ~ □ ~ □ ~ Page 4 of 5 DRAFT P-1 (D) Form Rev 6/2023 Yes No 16. Site with tree groves, rock outcroppings, or similar resources. □ $ 17. Site with sensitive plant or animal habitats, defined by the California Endangered □ p Special Act (Fish and Game Code §§ 2050 et. seq.) or the Federal Endangered Species Act (16 U.S.C. §§ et. seq.); or sensitive, rare, candidate species of special concern; endangered or threatened biological specials or their habitat (specifically including sage scrub habitat for the California Gnatcatcher); or the site is immediately adjacent to a corridor or larger area which has wildlife movement. 18. Site has known archaeological or cultural resources from either historic or □ rp- prehistoric periods. 19. Site has buildings or structures, including houses, garages, barns, commercial ~ □ structures, etc. with extant architecture that are usually more than 45 years old. NOTE: The city requires completion of this form for informational purposes. An affirmative response to any of the items does not necessarily trigger special or additional CEQA review. Any environmental studies (i.e., biological, cultural resource, traffic, noise) that are necessary to substantiate a "no impact" or "yes impact" determination should be submitted as an attachment to this Environmental Information Form to help expedite the city's environmental review but IS NOT required to complete your application. Formal environmental review does not begin the land Use Review Application is determined to be complete. A few statutes or ordinances require agencies to make decisions on permits within time limits that are so short that review of the project under CEQA time limits would be difficult. To enable the city to comply with the Permit Streamlining Act and CEQA, the case planner will deem an application for a project not received for filing under the statute or ordinance until such time that progress toward completing the environmental documentation required by CEQA is sufficient to enable the city to finish the CEQA process within the shorter permit time limit. This form must be stapled/attached to the application and shall be effective until replaced or revoked in writing. Page 5 ofS DRAFT P-1 (D) Form Rev 612023 ( City of Carlsbad MINOR COASTAL DEVELOPMENT PERMIT/ SINGLE FAMILY RESIDENCE APPLICATION Development Services Planning Division 1635 Faraday Avenue {442) 339-2610 www.carlsbadca.gov P-6 OCT 2 4 2023 A proposed project requiring application submittal must be submitted by appointment*. Please call 442-339-2600 to make an appointment. •SAME DAY APPOINTMENTS ARE NOT AVAILABLE All joint application exhibits, i.e. Tentative Map and Planned Development Site Plan should be prepared at the same scale. (Use a scale no smaller than 1" = 40'.) I. GENERAL BACKGROUND A. Estimated Cost of Development Development costing $60,000 or more does not qualify as a Minor Coastal Development Permit. The City Planner shall make the final determination regarding a project's cost of development. The primary basis for determining cost of development will be the application of dollar costs per square foot for different types of residential construction. These costs are set by the International Conference of Building Officials (ICBO) and are applied throughout San Diego County. Please complete the following information to assist in the determination of this project's cost of development (Contractor proposals may also be submitted for consideration by the City Planner). Please refer to the current fee schedule for the appropriate $/square foot fee rate. ⇒ New Residential Square Footage: lt ,t_ 00 1 000 "11"! square feet x $ ___ ~/sq. ft. = $_<1''---'7'-~-'----- ⇒ Residential Addition Square Footage: ⇒ --c~--c~_square feet x $ ____ ,/sq. ft.;::$, _________ _ Any Garage Square Footage: _______ square feet x $ ___ ~/sq. ft.;::$ _________ _ ⇒ Residential Conversion Square Footage: ______ square feet x $ /sq. ft.;::$. _________ _ ⇒ Please contact the City of Carlsbad Building Division for current fee rate for Non~ Residential uses (i.e. Retail/Store; Restaurants; Office; and Manufacturing/Warehouse uses.) ______ square feet x $ __ /sq. ft.=$·--,,--------- COST OF DEVELOPMENT ESTIMATE: $ __ ".,"-Ofl'--J\( _______ _ B. Do you wish to apply for: 1. A Minor Coastal Development Permit (Under $60,000 cost estimate) Jg[ 2. A Coastal Development Permit ($60,000 or more cost estimate) D C. Street address of proposed development / 'n} r>\."ftL iv'- P-6 Page 1 of 7 Revised 3122 D. Assessor's Parcel Number of proposed development 1,t>".f --z.. ~ '-{ ~ 0G, -c,0 E. Development Description: Briefly describe project Jtl-.J F. Describe the present land uses (i.e. vacant land, single family homes, apartments, offices, etc.) that surround the proposed development to the: North: '] •'"f}[L• f~M:\1 ~•""'-' South: "?<'<).~[k-:{AM·~. WMA..-- East: l• lt + Dvl. West: Lo'l.R.cs, { 't.) G. Is project located within a 100-year flood plain? □Yes ~No II. PRESENT USE OF PROPERTY A. Are there existing structures on the property? ga'Yes D No If yes, please describe. 1-sf.,7 vwM(_., t dl-f,,r),.._)_ 7~ B. Will any existing structure be removed/demolished? D Yes !2lNo If yes to either question, describe the extent of the demolition or re£o~a~. including the relocation site, if applicable (also show on plans). 111. LOT COVERAGE P-6 A. Existing and Proposed Building Coverage Landscaped Area Hardscape Area Unimproved Area (Left Natural) Existing Proposed l, lo'l sq. ft. 11 ~ sq. ft. :>,"f'l,b sq ft. (-\,0'!'1)sq. ft "'f rf;" sq. ft. \ Dj) sq. ft. ___ sq.ft. __ -__ sq. ft. Page 2 of 7 Total 1,1°1!> sq.;-1. % 2, 'P:>}--sq ft. -% l.o6" sq.ft. b. % ___ sq.ft. Revised 3122 P-6 B. Parking: Number of existing spaces Jf ?- Number of new spaces proposed --~D~--- Existing/Proposed TOTAL: J: ~ Number of total spaces required __ _,fl"----~2......_ __ Number of covered spaces Number of uncovered spaces---~---- Number of standard spaces Number of compact spaces Is tandem parking existing? Is tandem parking proposed? 2 0Yes# 2. D No 0Yes# __ ~No C. Grade Alteration: Is any grading proposed? D Yes lfl. No ( ) If yes, please complete the following: .(o~.J,-011 ..,,_,.r/1--O&' 1. Amount of cut ___________________ cu. yds. 2. 3. 4. 5. Amount of fill ___________________ cu. yds. Maximum height of fill slope feet Maximum height of cut slope feet Amount of import or export cu. yds. 6. Location of borrow or disposal site ________________ _ Page 3 of7 Revised 3122 Development Services Planning Division CLIMATE ACTION PLAN CONSISTENCY CHECKLIST P-30 ( City of Carlsbad 1635 Faraday Avenue (442) 339-2610 www.carlsbadca.gov PURPOSE FEB O 6 2024 PLANNING DIVISION In September 2015, the City of Carlsbad adopted a Climate Action Plan (CAP) that outlines actions that the city will undertake to achieve its proportional share of state greenhouse gas (GHG) emissions reductions. This checklist contains measures that are required to be implemented on a project-by-project basis to ensure that the specified emissions targets identified in the Climate Action Plan (CAP) are achieved. Implementation of these measures will ensure that new development is consistent with the CAP's assumption for relevant CAP strategies toward achieving the identified greenhouse gas (GHG) reduction target s. In this manner, a project's incremental contribution to a cumulative GHG emissions effect may be determined not to be cumulatively considerable if it complies with the requirements of the CAP, in accordance with CEQA Guidelines Sections 15064(h)(3), 15130(d), and 15183(b).* *City staff are currently not assessing the greenhouse gas impacts of California Environmental Quality Act projects by using the Climate Action Plan as a qualified GHG reduction plan under CEQA section 15183.S(b}. Please consult with the Planning Department for further guidance. Additional information may be found on the Climate Action Plan Update and Vehicle Miles Traveled calculations staff report. This checklist is intended to assist project applicants in identifying CAP ordinance requirements and demonstrate how their project fulfills those requirements. This checklist is to be completed and included in applications for new development projects that require discretionary review. The specific applicable requirements outlined in the checklist shall be required as conditions of project approval for CAP compliant projects with streamlined GHG emissions assessments. This checklist (i.e. Form P-30) is complementary to the checklist provided in Form 8-50, which is specific to building permits and required for building permit applications. APPLICATION SUBMITTAL REQUIREMENTS The completed checklist must be included in the project submittal package or building permit application. Application submittal procedures can be found on the City of Carlsbad website. This checklist is designed to assist the applicant in identifying the minimum CAP-related requirements specific to their project. However, it may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. • If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, an explanation must be provided to the satisfaction of the Planning Division or building official. • The requirements in the checklist will be included in the project's conditions of approval or issuance of building permit. • Details on CAP ordinance requirements are available on the city's website. P-30 Page 1 of 8 Revised 6/22 City of Carlsbad Climate Action Plan nsistency Checklist STEP 1: LAND USE CONSISTENCY The first step in determining CAP consistency for discretionary development is to assess the project's consistency with the growth projections used in the development of the CAP. This section allows the city to determine a project's consistency with the land use assumptions used in the CAP. Projects found not to be consistent with the CAP's land use assumptions and t hat are projected to emit at or above the CAP screening threshold of 900 metric tons of CO2 equivalent (MTCO2e) GHG will be subject to a project-specific analysis of GHG emissions' impact on the environment in accordance with the requirements of the California Environmental Quality Act (CECA). This may result in GHG-reducing mitigation measures applied as a condition of project approval in addition to compliance with the CAP ordinance requirements identified in Step 2 of this checklist. STEP1 land Use Consistency Checklist Item (Check the appropriate box and provide an explanation and supporting documentation for your answer) A. Is the proposed project consistent with the existing General Plan land use and specific/master plan or zoning designations? OR, If the proposed project is not consistent with the existing land use plan and zoning designations, does the project include a land use plan and/or specific plan, master plan or zoning designation amendment that would result in an equivalent or less GHG-intensille project when compared to the asting designations? Yes No □ If "Yes", proceed to~ of the checklist For the second option under Question A above, provide estimated project-related GHG emissions under both existing and proposed designation(s) for comparison. GHG emissions must be estimated in accordance with the City of urtsbad Guidance to Oemonstrat :ig Cons,ste'ICV with the C, mate Act on Plari. If "No", proceed to Question 8. B. The CAP established a screening threshold of 900 MTCO2e/year for new development projects to assist in determining consistency with the CAP. The types and sizes of typical projects listed below have been determined to correspond to the CAP screening threshold. Will the proposed land use change result in the construction of less than any one of the following? Single-Family Housing: 50 dwelling units • MultHamily Housing: 70 dwelling units • Office: 35,000 square feet • Reta ii Store: 11,000 square feet Grocery Store: 6,300 square feet • other: If the proposed project is not one of the above types, provide a proJect-specific GHG emissions analysis to determine whether it is below the 900 MTCO1e/year screening threshold. If "Yes", proceed to Step 2 of the checklist □ If NNo", the project's GHG impact is potentially significant and must be analyzed in accordance with CEQA. Applicant must prepare a Self-developed GHG emissions reduction program in accordance with the City of Carlsbad Guidance to Demonstrating Consistency with the Climate Action Plan to demonstrate how it would offset the increase in emissions over the existing designations. The project must incorporate each of the applicable n-easures identified in Step 2 to mitigate cumulative GHG emissions impacts unless the decision maker finds that a measure is infeasible in accordance with California Environmental Quality /let Guidelines Section 15091. Mitigation in lieu of or in addition to the measures in Step 2 may be required, depending on the results of the project-specific GHG impact analysis. Proceed and complete a project-specific Self-developed GHG emissions reduction program and~ of the Checklist. P-30 Page 2 of 8 Revised 06/22 i City of Carlsbad Climate Action Plan Consistency Checklist STEP 2: CAP ORDINANCE COMPLIANCE REQUIREMENTS Completion of this checklist will document a project's compliance with CAP ordinances, and in turn, demonstrate consistency with the applicable measures and actions of the CAP. The compliance requirements in this Step 2 apply to development projects that require a building permit. All other development projects shall implement all emissions-related mitigation measures from the General Plan Update EIR. Project No./Name: Property Address/APN: Applicant Name/Co.; Applicant Address; Application Information Contact Phone: llf:1 f'WJp1e Mm ~ C4ml.f>k:!.a, ctJ 12exx2> , _ (fffo)fJ.l-2.-SJ./2.fl Contact Email: @.pe±eJ ~lq@Btwh j . M-11 Contact information of person completing this checklist (if different than above): Name: =tJlet \[t\J\ ~tr~\J;t Contact Phone: Company name/address: "J Le A-re,¼ ~-E.J) r L./ Contact Email: -;-;J 5> c,4r;Jdll{t,,,1 s.,....-t-e zr- "9}{ u~l c o..r01 ited-0rLt01v Use the table below to detei~~~ch slions of the Wnan~7c"tJ~ checklist are applicable to your project. If your project includes alterations or additions to an existing building, please contact the Carlsbad Building Division for assistance in estimating building permit valuation, by phone at 760-602-2719 or by email at building@carlsbadca.gov. Estimated Building Permit Valuation (BPV): $ ~ t>D K I Complete Sectlon{s) I Notes: New construction 2A, 3A and 4A D Alterations: D BPV < $60,000 N/A All residential alterations □ BPV ~ $60,000 lA and 4A 1-2 family dwellings and townhouses with attached D Electrical service panel upgrade 4A garages only Multi-family dwellings only where interior finishes are D lA and 4A removed and significant site work and upgrades to BPV ~ $200,000 structural and mechanical, electrical, and/or plumbing systems are proposed BPV?: $1,000,000 28 Multi-family dwellings only where ?:$1,000,000 BPV AND affecting ~75% existing floor area I D Nonresidential D New construction 1B, 2B, 38, 48 and 5 P-30 Page 3 of 8 Revised 06/22 I City of Carlsbad Climate Action Plan0 nsistency Checklist D Alterations: D BPV .!: $200,000 or additions ~ 18, 5 1,000 square feet D BPV 2! $1,000,000 18, 2B and S Building alterations of<! 75% existing gross floor area D <! 2,000 sq. ft. new roof addition 28 and S 1B also applies if BPV ~ $200,000 CAP Ordinance Compliance Check the appropriate boxes, explain all not applicable and exception Items, and provide supporting calculations and documentation as necessary. L Energy Effldency Please refer to Carlsbad Ordinance No. CS-437 for more information when completing this section. A. D Residential addition or alteration ~ $60,000 building permit valuation. See Ord. CS437. Year Built Single-family Requirements D Before 1978 Select one: D Duct sealing D Attic insulation D Cool roof D 1978 and later Select one: D Lighting package D Water heating package D Between 1978 and 1990 D 1991 and later B. D Nonresidential• new construction or alterations~ $200,000 building permit valuation, or additions ~ 1,000 square feet. See CALGreen Appendix AS, as amended in CS-437. AS.203.1.11 D Outdoor lighting: .90 Allowed Outdoor lighting Power AS.203.1.1.2 D Restaurant service water heating (comply with California Energy Code Section 140.S, as amended) AS.203.1.2.1 Choose one as applicable: □ .95 Energy budget D .90 Energy budget AS.211.t•• D On-site renewable energy AS.211.3° D Green power (if offered by local utility provider, 50% minimum renewable sources) AS.212.1 D Elevators and escalators 0 N/A _________ _ D Exception: Home energy score~ 7 (attach certification) Multi-family Requirements D Attic insulation Select one: D Attic insulation D Duct Sealing D Cool roof Select one: D lighting package D Water heating package 0 N/A _________ _ □ N/A □ N/A 0 N/A 0 N/A 0 N/A 0 N/A P-30 Page 4 of 8 Revised 06/22 City of Carlsbad Climate Action Plan Consistency Checklist AS.213.1 □ Steel framing 0 N/A * Includes hotels/motels and high-rise residential buildings .. For alterations~ $1,000,000 BPV and affecting> 75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply with California Energy Code section 120.10 instead. I 2. Photovoltaic Systems A. Residential new construction. Refer to Carlsbad Ordinance No. C5-437 for requirements, which amends Section 150.l(c) of the CEC for single-family residential; and Section 170.2(d) of the CEC for multi-family requirements. Note: if project includes installation of an electric heat pump water heater pursuant to Carlsbad ordinance cs-447, increase system size by .3kWdc if PVoffset option is selected. Floor Plan ID (use additional CFA lld.u. I Calculated kWdc* Exception sheets if necessary) I ~llt.. .... " _oor • .., tA. cA {>,,~ 1 .1...4 D \ I ' Total System Size: '7 . '?Pl kWdc = (CFAx.572) / 1,000 + (1.15 x #d.u.) *Formula calculation where CFA = conditional floor area, lldu = number of dwellings per plan type If proposed system size is less than calculated size, please explain. ' D 0 D kWdc B. 0 Nonresidential and hotel/motel new construction; or major alterations to nonresidential, hotel/motels, and multi-family residential ~$1,000,000 BPV and affecting ~75% existing floor area, or addition that increases roof area by ~2,000 square feet Please refer to Carlsbad Ordinance C5-437 when completing this section.• Choose one of the following methods: D Gross Floor Area (GFA) Method GFA: 0 If< 10,000s.f. Enter: S kWdc Min. System Size: ___ kWdc □ If 2: 10,000s.f. calculate: 15 kW de x (GFA/10,000) u ** Round building size factor to nearest tenth, and round system size t o nearest whole number. D Time-Dependent Valuation Method Annual TDV Energy use:*** x .80= Min. system size: ____ kWdc •••Attach calculation documentation using modeling software approved by the California Energy Commission. • New CEC standards also require battery storage systems meeting the requirements if Reference Joint Appendix JA12 of the CEC. P-30 Page 5 of 8 Revised 06/22 City of Carlsbad Cl imate Action Plan\.~nsistency Checklist 13.WaterHeallnl A. Ep Re.sidential new construction Please refer to Carlsbad Ordinance CS-437 when completing this section. □ For systems serving individual dwelling units and achieving 60% of energy needed from on-site solar or recovered energy, choose one: D Single 240-volt heat pump water heater AND compact hot water distribution AND Drain water heat recovery (low- rise residential only) D Single 240-volt heat pump water heater AND PV system .3 kWdc larger than required. ~eat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher. D Solar water heating system with electric backup that is either .60 solar savings fraction of 40 s.f. solar collectors. D Gas or propane system with a solar water heating system and recirculation system D Exception: D For systems serving multiple dwelling units and achieving 60% of energy needed from on-site solar or recovered energy, install a central water-heating system with all of the following: D Recirculation system D Solar water heating system that is either: D .20 solar savings fraction □ .15 solar savings fraction, plus drain water heat recovery □ Exception: B. 0 Nonresidential new construction Please refer to Carlsbad Ordinance CS-437 when completing this section. D Water heating system derives at least 40% of its energy from one of the following (attach documentation): D Solar-thermal O Photovoltaics □ Recovered energy D Water heating system is (choose one): □ Heat pump water heater □ Electric resistance water heater(s) D Solar water heating system with .40 solar savings fraction D Exception: P-30 Page 6 of 8 Revised 06/22 City of Carlsbad Climate Action Plan Consistency Checklist 4. Electrlc: Vehicle Chgkw A. ~ Residential • New construction and major alterations* Please refer to Carlsbad Ordinance CS-437 when completing this section. D One and two-family residential dwelling alterations with no electrical panel upgrade (No EV space required} ~ADU (no EV space required when no additional parking facilities are added} □ One and two-family residential dwelling or townhouse with attached garage: D One EVSE ready parking space required □ Exception : □ Multi-family residential· □Exception· Total Parking Spaces EVSESpaces Proposed for New Capable Ready Construction (10% of proposed} {25% of proposed) Total Proposed or Altered Capable - Spaces (Major (10% of proposed) Alterations) .. Calculations: Total EVSE spaces= .10 x Total parking (rounded up to nearest whole number} EVSE Installed= Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other= Total EVSE spaces -EVSE Installed {EVSE other rray be "Capable," "Ready" or "Installed.") Installed Total (5% of proposed) --Total *Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation~ $60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit valuation ~ $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. • "When new parking facilities are added, or electrical systems or lighting to existing parking facilities are added or altered and the work requires a building permit, 10% of the total number of parking spaces or altered shall be EV capable. This is NOT a CAP checklist requirement, but is included to coordinate CEC compliance early in the planning process B. D Nonresidential new construction (includes hotels/motels) □ Exception • Total Parking Spaces EVSE Spaces Proposed Capable Ready Installed Total Calculation: Refer to the table below: Total Number of Parking Spaces provided Number of required EV Spaces (capable) Number of required EVSE Installed Spaces □ 0-9 1 1 □ 10-25 4 1 D 26-50 8 2 □ 51-75 13 3 □ 76-100 17 5 D 101-150 25 6 □ 151-200 35 9 □ 201 and over 20 percent of total 25 percent of EV Capable P-30 Page 7 of 8 Revised 06/22 City of Carlsbad Climate Action Plan 0nsistency Checklist S. 0Trwpcwtadan Demand Mlmillffln{TDM) A. List each proposed nonresidential use and gross floor area (GFA) allocated to each use. 8. Employee AOT/1,CXXl square feet is selected from the City of carlsbad Employee ADTTable. Use GFA Employee ADT /1,000 S.F. Total Employee ADT Total If total employee ADT is greater than or equal to 110 employee ADT, a TOM plan is required. •NOTE: Notwithstanding the 110 employee ADT threshold above, General Plan Mobility Element Policy 3-P.11 requires new development that adds vehicle tra'fic to vehicle LOS-exempt street facilities to implement TOM and transportation system management strategies. Please consult with City of carlsbad land Development Engineering (LDE) staff to determine whether this policy applies to your project. TDM plan required: Yes O No 0 LOE Staff Verification: □-----(staff Initials) P-30 Page 8 of 8 Revised 06/22 Ccicyof Carlsbad STORM WATER STANDARDS Development services QUESTIONNAIRI=.. Land Development Engineering -CITYOFCA ---1635FaradayAvenue E-34 • ,.. • :.i 442-339-21so OCT 2 4 2023 www.carlsbadca.gov GO! j tNSTRUCTIONS: To address post-development pollutants that may be generated from development projects, the city requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual, refer to the Engineering Standards (Volume 5). This questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'STANDARD PROJECT' requirements, "PRIORITY DEVELOPMENT PROJECT (PDP) requirements or not considered a development project. This questionnaire will also determine if the project is subject to TRASH CAPTURE REQUIREMENTS. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the city. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A completed and signed questionnaire must be submitted with each development project application. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. PROJECT INFORMATION PROJECT NAME: 158 Maple ADU APN: ADDRESS: 158 Maple Ave 1, ci -,i ~i-fk,--DO The project is (check one): D New Development P4. Redevelopment The total proposed disturbed area is: \ ,QQ{2_ ft2 ( ) acres The total proposed newly created and/or replaced impervious area is: ~ ,Qo.O ft2 ( ) acres If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the SWQMP # of the larger development project: Project ID --SWQMP#: -- Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. This Box for City Use Only YES NO Date: Project ID: City Concurrence: □ □ By: CDP ).o}3-QCS 5 E-34 Page 1 of 4 REV04/23 0 STEP 1 TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a "development projecr, please answer the following question: YES NO Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building □ ¥ or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? If you answered "yes" to the above question, provide justification below then go to Step 6, mark the box stating "my profect is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant information. Justification/discussion: (e.g. the project includes only interior remodels within an existing building): If you answered "no" to the above question, the project is a 'development project', go to Step 2. STEP2 TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer the following questions: Is your project LIMITED to one or more of the following: YES NO 1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non- erodible permeable areas; OR □ rp b) Designed and constructed to be hydraulically disconnected from paved streets or roads; OR c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets Quidance? 2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ 'ff accordance with the USEPA Green Streets guidance? 3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? □ ~ If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 6, mark the second box stating "my project is EXEMPT from PDP ... " and complete applicant information. Discussion to justify exemption (e.g. the project redeveloping existing road designed and constructed in accordance with the USEPA Green Street guidance): If you answered "no" to the above questions, your project is not exempt from PDP, go to Step 3. E-34 Page 2 of 4 REV 04/23 0 STEP3 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1 )): YES NO 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces □ ff) collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. 2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of □ 'f/J impervious surface? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. 3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a □ ~ facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial Classification (SIC) code 5812). 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious □ surface collectively over the entire project site and supports a hillside development project? A hillside 'ff> development project includes development on any natural slope that is twenty-five percent or Qreater. 5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is a □ p land area or facility for the temporary parking or storage of motor vehicles used personally for business or for commerce. 6. ls your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious street, road, highway, freeway or driveway surface collectively over the entire project □ JB site? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. 7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally □ ? Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the project to the ESA (i.e. not commingled with flows from adjacent lands).* 8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface that supports an automotive repair shop? An automotive repair □ 1(-1 shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. 9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes □ ~ RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles per day. 10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land □ "fig) and are expected to generate pollutants post construction? 11. Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of □ ~ impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC 21 .203.040) If you answered "yes" to one or more of the above questions, your project is a PDP. If your project is a redevelopment project, go to step 4. If your project is a new project, go to step 5, complete the trash capture question. If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT'. Go to step 5, complete the trash capture question. .. .. • Environmentally Sensitive Areas include but are not hmIted to all Clean Water Act Section 303(d) 11npaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City. E-34 Page 3 of 4 REV 04/23 • ' I • STEP4 TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORI EVELOPMENT PROJECTS (PDP) ONLY Complete the questions below regarding your redevelopment project (MS4 ermit Provision E.3.b.{2}): YES NO Does the redevelopment project result in the creation or replaceme of impervious surface in an amount of less than 50% of the surface area of the previously existing devel ment? Complete the percent impervious calculation below: Existing impervious area (A) = ________ --, ___ sq. ft. Total proposed newly created or replaced imperviou ___________ sq. ft. Percent impervious area created or replaced (Bl. *100 = _____ % □ □ If you answered "yes", the structural BMPs r uired for PDP apply only to the creation or replacement of impervious surface and not the entire development. Go to s p 5, complete the trash capture question. If you answered "no," the structural P's required for PDP apply to the entire development. Go to step 5, complete the trash capture question. STEP5 TO BE COMPLETEO FOR ALL DEVELOPMENT PROJECTS Complete the question below regarding your Project (SDRWQCB Order No. 2017-0077): YES NO Is the Project within any of the following Priority Land Use (PLU) categories? ~-23 du/ac), R-30 (23-30 du/ac), Pl (Planned Industrial), CF (Community Facilities), GC (General 'vi\ ~cial), L (Local Shopping Center), R (Regional Commercial), V-B (Village-Barrio), VC (Visitor ~ Commercial), 0 (Office), VC/OS (Visitor Commercial/Open Space), Pl/O (Planned Industrial/Office), or Public Trans ortation Station □ If you answered "yes", the 'PROJECT' is subject to TRASH CAPTURE REQUIREMENTS. Go to step 6, check the first box stating, "My project is subject to TRASH CAPTURE REQUIREMENTS ... " and the second or third box as determined in step 3. If ou answered "no", Go to ste 6, check the second or third box as determined in ste 3. STEP6 CHECK THE APPROPRIATE BOX(ES) AND COMPLETE APPLICANT INFORMATION Th My project is subject to TRASH CAPTURE REQUIREMENTS and must comply with TRASH CAPTURE --r-'REQUIREMENTS of the BMP Manual. I understand I must prepare a Storm Water Quality Management Plan (SWQMP}. 0 My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT' stormwater requirements of the BMP Manual. As part of these requirements, I will submit a "Standard Project Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project. If my project is subject to TRASH CAPTURE REQUIREMENTS, I will submit a TRASH CAPTURE Storm Water Quality Management Plan (TCSWQMP) per E-35A. D My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must prepare a Storm Water Quality Management Plan (SWQMP) per E-35 template for submittal at time of application. Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply. D My project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. Applicant Information and Signature Box Applicant Name: AfA~h and t'lalh.!~ B?JcJ,<J::i Applicant Title: ...... (lvV ................ N.._,la~------- Applicant Signature:~""MH-lF---...,,,.,,,=--------Date: _, ... o~/'--'i'--'1++/-23..,,.,__ __________ _ E-34 Page 4 of 4 REV 04/23 C, Fidelity National Title Fidelity National Title -SD 7565 Mission Valley Road, Suite 100 San Diego, CA 92108 Phone: Phone No.: (619)725-2100 Preliminary Report Property Address: 158 Maple Avenue, Carlsbad, CA 92008-3263 Introducing Fidelity National Title -SD 7565 Mission Valley Road, Suite 100 Title Officer: Marlo Macias Team Email: SDUnit4@fnf.com Phone No.: Phone No.: (619)725-2100 File No.: 9922307030 CITY or CARLS3AD OCT 2 4 2023 FIDELITY m FIRST~!-£~! LiveLOOK title document delivery system is designed to provide 24/7 real-time access to all information related to a title insurance transaction. Access title reports, exception documents, an easy-to-use suITTTiary page, and more, at your fingertips and your convenience. To view your new Fidelity National Title First Alert powered by UveLOOK report. Click Here Effortless, Efficient, Compliant, and Accessible PRELIMINARY REPORT G Fidelity National Title Company 7565 Mission Valley Road, Suite 100 San Diego, CA 92108 Prelim Number: 9922307030 Issuing Policies of Fidelity National Title Insurance Company Fidelity National Title Company 7565 Mission Valley Road, Suite 100 San Diego, CA 92108 Phone No.: (619)725-2100 Fax: Life Is Rad In Carlsbad lie, 158 Maple Avenue Carlsbad, CA 92008-3263 Title Officer.: Email: Phone No.: Fax No.: File No.· Property: 158 Maple Avenue, Carlsbad, CA 92008-3263 Marlo Macias Team S0Unit4@fnf.com 9922307030-MM In response to the application for a policy of title insurance referenced herein, Fidelity National Title Company hereby reports that it is prepared to issue, or cause to be issued, as of the date hereof, a policy or policies of title insurance describing the land and the estate or interest therein hereinafter set forth, insuring against loss which may be sustained by reason of any defect, lien or encumbrance not shown or referred to as an exception herein or not excluded from coverage pursuant to the printed Schedules, Conditions and Stipulations or Conditions of said policy forms. The printed Exceptions and Exclusions from the coverage and Limitations on Covered Risks of said policy or policie•s are set forth in Attachment One. The policy to be issued may contain an arbitration clause. When the Amount of Insurance is less than that set forth in the arbitration clause, all arbitrable matters shall be arbitrated at the option of either the Company or the Insured as the exclusive remedy of the parties. Limitations on Covered Risks applicable to the CLTA and Al TA Homeowner's Policies of Title Insurance which establish a Deductible Amount and a Maximum Dollar Limit of Liability for certain coverages are also set forth in Attachment One. Copies of the policy forms should be read. They are available from the office which issued this report. This report (and any supplements or amendments hereto) is issued solely for the purpose of facilitating the issuance of a policy of title insurance and no liability is assumed hereby. If it is desired that liability be assumed prior to the issuance of a policy of title insurance, a Binder or Commitment should be requested. The policy(les) of title insurance to be issued hereunder will be policy(ies) of Fidelity National Title Insurance Company, a Florida corporation. Please read the exceptions shown or referred to herein and the exceptions and exclusions set forth in Attachment One of this report carefully. The exceptions and exclusions are meant to provide you with notice of matters which are not covered under the terms of the title insurance policy and should be carefully considered. It is important to note that this preliminary report is not a written representation as to the condition of title and may not list all liens, defects and encumbrances affecting title to the land. Countersigned By: Authorized Officer or Agent Steve Stokes CL TA Prehmi11ary Report Fonn -Modified {Adopted 11.17.2006) Page 1 Printed: 10.19.23@ 1:2:19 AM CA-FT-FSOG-01500.071 026-SPS-1-23-9922307030 / FIDELITY NATIONAL TITLE COMPANY Effective date: October 6, 2023 at 07:30 AM The form of Policy or Policies of Title Insurance contemplated by this Report is: ALTA Homeawner's Policy of Title Insurance 2021 Al TA Extended Loan Policy PRELIM NO. 9922307030 1. The estate or interest in the Land hereinafter described or referred to covered by this Report is: AFEE 2. Title to said estate or interest at the date hereof is 1,1~sted in Austin D. Petelski and Rachel A. Petelski, husband and wife, as community property with right of survivorship, Subject to Item No. 7 of Schedule B herein 3. The Land referred to in this Report is described as follows: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF CLTA Prelimin11ry Report Form -Modified (Adopted 11.17.2006) Page 2 Printed· 10.19.23@ 12:19 AM CA-FT -FSDG-01 500.071 026-SPS-1-23-9922307030 For APN/Parcel ID(s): 204-234-06-00 EXHIBIT A Legal Description THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS LOT 9 IN BLOCK "C" OF PALISADES, IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 1747, FILED IN THE OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, FEBRUARY 5, 1923. CL TA Preliminary Report Form -Modified (Adopted 11.17.2006) Page 3 Pnnted: 10.19.23@12:19 AM CA"FT •FSOG-01500.071 026-SPS-1-23-9922307030 / FIDELITY NATIONAL TITLE COMPANY PRELIM NO. 9922307030 EXCEPTIONS At the date hereof, items to be considered and exceptions to coverage in addition to the printed exceptions and exclusions in said policy form would be as follows: 1. Property taxes, including any personal property taxes and any assessments collected with taxes are as follows: Code Area: T a~__ldentif1cat1on No .. Fiscal Year: 1st Installment: 2nd Installment: Exemption: Land: Improvements: Personal Property: Bill No.: Tracer No.: 09000 204-234-06-00 2023-2024 $351.35, Open $351.35, Open $0.00 $42,381.00 $14,182.00 $0,00 None Shown None shown 2. The lien of supplemental or escaped assessments of property taxes, if any, made pursuant to the provisions of Chapter 3.5 (commencing with Section 75) or Part 2, Chapter 3, Articles 3 and 4, respectively, of the Revenue and Taxation Code of the State of California as a result of the transfer of title to the vestee named in Schedule A or as a result of changes in ownership or new construction occurring prior to Date of Policy. Note: If said supplementals (if any) are not posted prior to the date of closing, this company assumes no liability for payment thereof. 3. Any rights of the parties in possession of a portion of, or all of, said Land, which rights are not disclosed by the Public Records. The Company will require, for review, a full and complete copy of any unrecorded agreement, contract, license and/or lease, together with all supplements, assignments and amendments thereto, before issuing any policy of title insurance without excepting this item from coverage. The Company reserves the right to except additional items and/or make additional requirements after reviewing said documents. 4. Recitals as shown on that certain map/plat Which among other things recites The recital contained in the owners certificate on said map, which agrees to allow the cross--arms of polesor other similar structures placed along the right-of~way of certain highways on said map to overhang theabutting property. Reference is hereby made to said document for full particulars. 5. Easement(s) for the purpose(s) shown below and rights incidental thereto, as granted in a document. Granted to: Purpose: Recorded: Affects: San Diego Gas and Electric Company, a corporation Public utilities July 10, 1923 as Book 961, Page}, of Deeds Over the Northwesterly 6 Feet of Said Land No representation is given as to the current ownership of said easement 6. A deed of trust to secure an indebtedness in the amount shown below, Amount $1,100,000.00 CL TA Preliminary Report Form -Modified (Adopt&d: 11, 17.2006) P.ige4 Pnnted· 10.19.23@1219AM CA-FT -FSDG-01500.071 ois.SPS-1-23-9922307030 FIDELITY NATIONAL TITLE COMPANY PRELIM NO. 9922307030 Dated: Trustor/Grantor: right of survivorship Trustee: Beneficiary: Bank, a Corporation Loan No.: Recording Date: Recording t:-19.:... 7. A Deed, From: right of survivorship To: Dated: Recorded: Recording No. September 28, 2022 Austin D. Petelski and Rachel A. Petelski, husband and wife, as community property with Fidelity National Title Company Mortgage Electronic Registration Systems, Inc. (MERS), solely as nominee for Ameris 7165345508 September 30, 2022 2022-38479E}_,__of Official Recor_g§ Austin D. Petelski and Rachel A. Petelski, husband and wife, as community property with Life is Rad in Carlsbad LLC October 4, 2022 November 21, 2022 2022-_11_J865. of Official Records For insurance purposes, the company is not willing to divest the interest of the following party(s): In order to complete this report the Company requires the following: lnfom,ation Requested: Completed Statement of Information and an Affidavit for an Uninsured Deed, (Signed and Notarized by a Notary Public different from the one who notarized the deed shown above) Party(s): Austin D. Petelski and Rachel A Petelski, husband and wife, as community property with right of survivorship The Company reserves the right to make additional requirements or add additional items or exceptions after review of the requested documentation. END OF EXCEPTIONS PLEASE REFER TO THE "INFORMATIONAL NOTES" AND "REQUIREMENTS" SECTIONS WHICH FOLLOW FOR INFORMATION NECESSARY TO COMPLETE THIS TRANSACTION. CL TA Preliminary Report Fem, -Modified (Adopted· 11.17.2006) Page5 Printed: 10.1S.23@12.19AM CA-FT -FSDG-01500.071 026-SPS-1-23-9922307030 FIDELITY NATIONAL TITLE COMPANY PRELIM NO. 9922307030 REQUIREMENTS 1_ The Company will require the following documents for review prior to the issuance of any title insurance predicated upon a conveyance or encumbrance from the entity named below. Limited Liability Company: Life is Rad in Carlsbad LLC a. A copy of its operating agreement, if any, and any and all amendments, supplements and/or modifications thereto, certified by the appropriate manager or member. b. If a domestic Limited Liability Company, a copy of its Articles of Organization and all amendment thereto with the appropriate filing stamps. c. If the Limited Liability Company is member-managed a full and complete current list of members certified by the appropriate manager or member. d. A current dated certificate of good standing from the proper governmental authority of the state in which the entity was created e. If less than all members, or managers, as appropriate, will be executing the closing documents, furnish evidence of the authority of those signing. f) If Limited Liability Company is a Single Member Entity, a Statement of Information for the Single Member will be required. g) Each member and manager of the LLC without an Operating Agreement must execute in the presence of a notary public the Certificate of California LLC (Without an Operating Agreement) Status and Authority form 2. In order to complete this report, the Company requires a Statement of Information to be completed by the following party(s), Party(s): All Parties The Company reserves the right to add additional items or make further requirements after review of the requested Statement of Information. NOTE: The Statement of Information is necessary to complete the search and examination of title under this order. Any title search includes matters that are indexed by name only, and having a completed Statement of Information assists the Company in the elimination of certain matters which appear to involve the parties but in fact affect another party with the same or similar name. Be assured that the Statement of Information is essential and will be kept strictly confidential to this file. END DF REQUIREMENTS CL TA Preliminary Report Form -Modified (Adopted· 11.17.2006) Pages Pnnted: 10.19.23@ 12.19 AM CA-FT-FSDG-01 500.071 026-SPS-1-23-9922307030 ,.. FIDELITY NATIONAL TITLE COMPANY PRELIM NO. 9922307030 INFORMATIONAL NOTES 1. Note: The name(s) of the proposed insured(s) furnished with this application for title insurance is/are: No names were furnished with the application. Please provide the name(s) of the buyers as soon as possible. 2. Notice: Please be aware that due to the conflict between federal and state laws concerning the cultivation, distribution, manufacture or sale of marijuana, the Company is not able to close or insure any transaction involving Land that is associated with these activities. 3. Note: None of the items shown in this report will cause the Company to decline to attach ALTA Endorsement Form 9 to an Extended Coverage loan Policy, when issued. 4. Note: The Company is not aware of any matters which would cause it to decline to attach CLT A Endorsement Form 116 indicating that there is located on said Land a Single Family Dwelling, known as 158 Maple Avenue, Carlsbad, California, to an Extended Coverage Loan Policy. 5. NOTE: The policy of title insurance will include an arbitration provision. The Company or the insured may demand arbitration. Arbitrable matters may include, but are not limited to, any controversy or claim between the Company and the insured arising out of or relating to this policy, any service of the Company in connection with its issuance or the breach of a policy provision or other obligation. Please ask your escrow or title officer for a sample copy of the policy to be issued if you wish to review the arbitration provisions and any other provisions pertaining to your Title Insurance coverage. 6. Note: The only conveyances(s) affecting said Land, which recorded within 24 months of the date of this report, are as follows: 7. Granter: Grantee: right of survivorship Recording Date: Recording N_Q ... Grantor: right of survivorship Grantee: Recording Date: Recording N_o, Hui Hanahou LLC, a Washington Limited Liability Company Austin D. Petelski and Rachel A. Petelski, husband and wife, as community property with September 30, 2022 2022-38479.L. of Official Records Austin D. Petelski and Rachel A. Petelski, husband and wife, as community property with Life is Rad in Carlsbad LLC November 21, 2022 2022-443865_ of Official Records 8. Pursuant to Government Code Section 27388.1, as amended and effective as of 1-1-2018, a Documentary Transfer Tax (OTT) Affidavit may be required to be completed and submitted with each document when OTT is being paid or when an exemption is being claimed from paying the tax. If a governmental agency is a party to the document, the form will not be required. OTT Affidavits may be available at a Tax Assessor-County Clerk-Recorder. 9. The Company and its policy issuing agents are required by Federal law to collect additional information about certain transactions in specified geographic areas in accordance with the Bank Secrecy Act. If this transaction is required to be reported under a Geographic Targeting Order issued by FinCEN, the Company or its policy issuing agent must be supplied with a completed ALTA Information Collection Form ("ICF") prior to closing the transaction contemplated herein. 10. Due to the special requirements of SB 50 (California Public Resources Code Section 8560 et seq.), any transaction that includes the conveyance of title by an agency of the United States must be approved in advance by the Company?s State Counsel, Regional Counsel, or one of their designees. CL TA Preliminary Report Form. Modified (Adopted· 11.17.2006) Page7 Printed: 10.19.23@ 12:19 AM CA-FT -FSOG-01500.071 026--SPS-1-23-9922307030 FIDELITY NATIONAL TITLE COMPANY PRELIM NO. 9922307030 11. Unless this company is in receipt of WRITTEN instructions authorizing a particular policy, Fidelity Title will AUTOMATICALLY issue the American Land Title Association Homeowner's Policy (02/03/10) for all qualifying residential 1-4 properties/transactions to insure the buyer at the close of escrow. 12. If a county recorder, title insurance company, escrow company, real estate agent or association provides a copy of the declaration, governing document or deed to any person, California law requires that the document provided shall include a statement regarding any unlawful restrictions. Said statement is to be in at least 14-point bold faced typed and may be stamped on the first page of any document provided or included as a cover page attached to the requested document. Should a party to this transaction request a copy of any document reported herein that fits this category, the statement is to be included in the manner described. 13. NOTE: Amended Civil Code Section 2941, which becomes effective on January 1, 2002, sets the fee for the processing and recordation of the reconveyance of each Deed of Trust being paid off through this transaction at $45.00. The reconveyance fee must be clearly set forth in the Beneficiary's Payoff Demand Statement ("Demand"). In addition, an assignment or authorized release of that fee, from the Beneficiary to the Trustee of record, must be included. An example of the required language is as follows: The Beneficiary identified above hereby assigns, releases or transfers to the Trustee of record, the sum of $45.00, included herein as 'Reconveyance Fees', for the processing and recordation of the Reconveyance of the Deed of Trust securing the indebtedness covered hereby, and the escrow company or title company processing this pay-off is authorized to deduct the Reconveyance Fee from this Demand and forward said fee to the Trustee of record or the successor Trustee under the Trust Deed to be paid off in full. In the event that the reconveyance fee and the assignment, release or transfer are not included within the demand statement, then Fidelity National Title Insurance Company and its Underwritten Agent may decline to process the reconveyance and will be forced to return all documentation directly to the Beneficiary for compliance with the requirements of the revised statute. 14. Note: Part of the RESPA Rule to simplify and Improve the Process of Obtaining Mortgages and Reduce Consumer Settlement Costs requires the settlement agent to disclose the agent and underwriter split of title premiums, including endorsements as follows Line 1107 is used to record the amount of the total title insurance premium, including endorsements, that is retained by the title agent. Fidelity National Title Company retains 88% of the total premium and endorsements. Line 1108 used to record the amount of the total title insurance premium, including endorsements, that is retained by the title underwriter. Fidelity National Title Insurance Company retains 12% of the total premium and endorsements. CLTA Preliminary Report Form -Modified (Adopted. 11.17.2006) Page 8 Printed: 10.19.23@12:19AM CA-FT-FSDG-01500.071 026-SPS-1-23-9922307030 " FIDELITY NATIONAL TITLE COMPANY PRELIM NO. 9922307030 15. The following Exclusion{s) are added to preliminary reports, commitments and will be included as an endorsement in the following policies: A. 2006 ALTA Owner?s Policy (06-17-06). 6. Defects, liens, encumbrances, adverse claims, notices, or other matters not appearing in the Public Records but that would be disclosed by an examination of any records maintained by or on behalf of a Tribe or on behalf of its members. 8. 2006 ALTA loan Policy (06-17-06). 8. Defects, liens, encumbrances, adverse claims, notices, or other matters not appearing in the Public Records but that would be disclosed by an examination of any records maintained by or on behalf of a Tribe or on behalf of its members. 9. Any claim of invalidity, unenforceability, or lack of priority of the lien of the Insured Mortgage based on the application of a Tribe?s law resulting from the failure of the Insured Mortgage to specify State law as the governing law with respect to the lien of the Insured Mortgage. C. AL TA Homeowner?s Policy of Title Insurance (12-02-13) and CLTA Homeowner's Policy of Title Insurance (12-02-13). 10. Defects, liens, encumbrances, adverse claims, notices, or other matters not appearing in the Public Records but that would be disclosed by an examination of any records maintained by or on behalf of a Tribe or on behalf of its members. D. ALTA Expanded Coverage Residential Loan Policy -Assessments Priority (04-02-15). 12. Defects, liens, encumbrances, adverse claims, notices, or other matters not appearing in the Public Records but that would be disclosed by an examination of any records maintained by or on behalf of a Tribe or on belhatf of its members. 13. Any claim of invalidity, unenforceability, or lack of priority of the lien of the Insured Mortgage based on the application of a Tribe?s law resulting from the failure of the Insured Mortgage to specify State law as the governing law with respect to the lien of the Insured Mortgage. E. Cl TA Standard Coverage Policy 1990 (11-09-18). 7. Defects, liens, encumbrances, adverse claims, notices, or other matters not appearing in the public records but that would be disclosed by an examination of any records maintained by or on behalf of a tribe or on behalf of its members. 8. Any claim of invalidity, unenforceability, or lack of priority of the lien of the insured mortgage based on the application of a tribe?s law resulting from the failure of the insured mortgage to specify state law as the governing law with respect to the lien of the insured mortgage. END OF INFORMATIONAL NOTES CL TA Preliminary Report Form -Modified (Adopted. 11.17.2006) Page9 Printed: 10.19.23@12'19AM CA-FT-FSDG-lll 500.071 026-SPS-1-23--9922307030 09 ~J ... ~ l ' ~ ,. w ~ @ I-' .. ::::> z l I-(/) w I V h . ~~w~~~~s~~~ IMY NOT CCM'LY 'Mlli LOCAi. 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N !:.l ::H1 N N 2'CONOO IIElE I ~POSI\D,t, OOC1875-0380$l1 (SEESHT2) 3'CONOO ~-ooc,97+0088098 (SEESHT2) r ~Ill. 11' ~PENO) DOC 2019-0058879 ooc,~10521 OOC1893-04~27 (SEE SHT 4) (SEESHT3) 15• CONDO &"CONDO 12'CONOO ACACIA ESTATts ~~ ~~~IEI.DMONROY PLACE DOC 2019-0080089 &00C2004-1221453 (SEESHT3) (SEE SHT 4) (SE!: SHT 3) 13' CONDO 16• CONDO ◄' =°-9' CONDO VlllASOOC200DE7" wz,e-s CliERRY FIELD BEACH TOVINHOIIES OOC1874-00fll51014 19~16 ~~ES ~ '"' DOC 2017-0317474 (SEESffi'2) (SEESHTJ) &(~-00) 11935 (SEE SHT 4) 5'CONOO r:::~:'~f, MAP 8695 -CARLSBAD TRACT NO 77-4 (LA POSADA) (SEESHT2) MAP 1777 -PALISADES HEIGHTS REFILED MAP 1747 -PALISADES ROS 22534 / 0 1 2 Standard Scale 1 :1 APN :204-234-06-00 ?' 7 ✓0 \Y ~ ~~ ~ 0 Legend Property In Question -Fee Item No. 5 -Easement for Public Utilities In 07/10/1923 Bk961 Pg03 of Official Records Affects said portion as described in the document <.)2023 Fidelity National Title Company 7565 Mission Valley Road. Sul12 100 San Diego. CA 92108 Thi• n.p.'Sl4et ti& b.,rng n..mlfhO<I u an lid rn k>ca1in11 the lltreiln du land In rtlttion to •dJalnn; sti-..tt,na~unlll boundariff and other land, and ll nOI • tilJIVe'/ o• lh• -.nd depk:led. Elilc;ept lo the extenl a poky ol lilSe in~ i. ••111"'~ modlMd by endort-.ment, if any, the Comp.en dott not i,,eurt, 6'Mnt!ons. di1Je1'0H loeat.lon ct HMmentt. !KlfHge o achet manan tihO'IIWI lher.on. ntte Order No. : 9922307000 ,l'Yellminlll)I Report dated Octot,,,r 6, 2023 0,-awing Date. 10/19/2023· FNFI Anesaor'o Parcel No. , 204-234-08-00 Property: 158 Maple Avenue, Caf11bad, CA 92008-3263 Data : Plat Showing: LOT 9 IN BlOCK "C' OF PALISADES, IN THE CITY OF CARl.SllAD, COUNTVOF SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 17'47, FILEO IN THE OFFICE OF THE COUNTY RECORDER OF $AN DIEGO COUNTY, FEBRUARY S. 1923, ( Sheet 1 o! 1