HomeMy WebLinkAboutCDP 2025-0019; LOS ROBLES ADU; Coastal Development Permit (CDP)( City of
Carlsbad
LAND USE REVIEW
APP LI CATION
Development Services
Planning Division
1635 Faraday Avenue
442-339-2600
www.carlsbadca .gov P-1
~ SUBMITTAL INFORMATION -ALL APPLICATIONS
NAME OF PROJECT: Los Robles ADU ----------------------------------
BRIEF SUMMARY OF PROJECT: GARAGE + POOL HOUSE CONVERSION TO 650 SF ADU
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 oNL Y) Legislative Permits (FOR DEPT. USE ONLY)
[XI Coastal Development Permit
D Major [XI Minor
D Conditional Use Permit
D Major D Minor D Amend/Ext.
D Day Care (Large)
D New O Amend/Ext.
D Environmental Impact Assessment
D Habitat Management Permit
D Major D Minor
D Hillside Development Permit
D Major D Minor D Amend/Ext.
D Nonconforming Construction Permit
D Planned Development Permit
D Residential D Non-Residential
0 Major O Minor O Amend
D Precise Development Plan
D Site Development Plan
D Major D Minor
D Special Use Permit
D Tentative Parcel Map (Minor Subdivision)
0 Tentative Tract Map (Major Subdivision)
0 Variance
0 Major 0 Minor
NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE
MADE BY APPOINTMENT OR THROUGH THE CSS ONLINE PORTAL.
P-1 Page 1 of 5
0 General Plan Amendment
0 Map O Text
0 Local Coastal Program Amendment
D Map O Text
□ Master Plan
0 New Plan OAmend
□ Specific Plan
0 New Plan D Amend
0 Zoning Change
O Map O Text
Misc. Permits (FOR DEPT. USE ONLY)
0 Planning Determination
0 City Planner D PC Appeal
D Historic Preservation
D Register D Mills Act
D Reasonable Accommodation
FOR CITY USE ONLY: l>tEV
DEV CASE No.:io~~ -OO'f:/ REC. BY: ~ciJv",v C~
DATE STAMP APPLICATION RECEIVED
CITY OF CARLSBAD
JUN 2 4 2025
PLANNING DIVISION
Revised 07/23
('
C cicyof
Carlsbad
Development Services
AUTHORIZATION, CONSENT, AND Planning Division
DISCLOSURE STATEMEtiTTY OF CARLSBA~35 Fa:~~j3~~;~~~
P-1 (A) www.carlsbadca.gov
This submittal form (Part A through Part F) must be completed as part of your application with the City
of Carlsbad. Your project cannot be reviewed until this information is completed.
PART A. Owner Authorization and Consent
NOTE: This Consent and Disclosure Form must list the name of the principal owners {10% or greater) 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 INDICA 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): 210-034-07-00 -----------------
_______________________________ ;and
Street Address (if applicable): 5158 LOS ROBLES DRIVE. CARLSBAD. CA
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 the City of Carlsbad Planning Division. I/We declare under penalty of
perjury that I/we have reviewed this Affidavit and the inlormation~:orr:~t. ~ ~-
1. Name: Judd Haleoza ~~ ~~ Signature:~ •
2.
Signature: ________________________ _
Phone Number: tf}S-8-'.ll-\$-"1a 1..9 Email: 4 ._,,be,~ 1°~c.o, ~cru..J..
ContactAdd~" L,;-o IS-IJ,-. sr: t...:L .......... : c. ... q~,...,._
Name, ~~ IM~,..-.,J;,qs;o,nature, ,;z:,.~ ~..,,. ,
Phone Number: ~~all,
Contact Address:-----~-----~"\-=------------
NOTE: For additional names, please use a separate sheet of paper.
Page 1 of 7
P-1(A) Form Rev 12/2024
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 that I/we 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 application 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 se~s sta::r= / /
Property Owner Signature(s): ~ -~ ~.4-:".
Name(s): 1'-'~~ "-~ ~i ~ll%S> ~ 7~e Date: 'S'/t 'if i~
Page 2 of 7
P-1(A) Form Rev 12/2024
i
PART C. Project Team Information (complete all applicable fields)
Applicant: D Same as Owner 129 Different from Owner
Name (if different from Owner): .,__AO!..n,.,,,d"-'re"-'se....=S_,,,_a"'"av.:..:e::..:d"-'-r""'a ___________________ _
Company or Firm: _.,,S"""a"""a'-'v-"'e""d.,_,ra"--""&'-'C"'"'o"".~-------------------------
Phone Number: _7'-6'-0'----'-8.C...09..c........c0....c.5_4-'-5 ______ Email : andressaavedra@icloud.com
Contact Address: 225 S. Tulip Street City: Escondido State:~ Zip Code: 92025
Agent or Representative: IXI Same as Applicant D Different from Applicant 0 N/A
Name (if different from Applicant): _________________________ _
Company or Firm:--------------------------------
Phone Number: Email: -------------------------------
Contact Address: ____________ City: ______ State: __ Zip Code: ___ _
Other (specify Architect, Engineer, CEQA Consultant, etc.): ________________ _
Name:------------------------------------
Company or Firm:--------------------------------
Phone Number: Email: ------------------------------
Contact Address: ____________ City: ______ 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.
Single Point of Contact: IX! Applicant □ Property Owner □ Agent □ Other ________ _
Page 3 of 7
P-1(A) Form Rev 12/2024
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?
D Yes D No If yes, indicate person(s): ____________________ _
NOTE: Attach additional sheets if necessary.
PART F. Applicant Declarations (to be signed by Applicant)
I hereby certify that I have read the information below and that:
l. 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 t he 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 (PSA) shot clock starts on the
intake date the Planning staff accepts a duly filed application.
4. If the 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. I understand that the missing items listed in the
city review letter must be included in a resubmittal before my resubmitted application may be
accepted for processing by the Planning Division. Planning staff may reject the resubmittal if the
resubmittal fails to include all the appropriate items listed in the city review letter.
5. I understand that if I disagree with the completeness determination or decision made during
the determination period, I should speak directly with the case planner to resolve the issue.
I may also seek other options to have my project issues heard, as discussed in the city's
Applicant Resources Informational Bulletin (IB-110). Moreover, I also understand that
Carlsbad Municipal Co de (CMC) Section 21.54.140 outlines a process to allow members of
the public to appeal decisions that are issued by the City Planner, such as completeness
determinations or decisions made during the determination period.
Page 4 of 7
P-1 (A) Form Rev 12/2024
\ -•
6. I understand that once an application is determined to be complete, I may be asked to clarify,
amplif y, correct, or otherwise supplement the application with additional information to help
demonstrate compliance with applicable plans, policies, or standards. I acknowledge that any
unreasonable delays caused by me or any agent designated to act on my behalf in responding to
such requests may cause processing delays and extend the time it takes for the city to take final
action. Undue delays will be automatically construed as a request to suspend, toll, or extend any
related processing timelines. Failure to submit adequate and responsive clarifications,
amplifications, corrections may constitute grounds for disapproving the project application
unless an extension of time is provided by the city, which may be done orally or in writing, or in
an express or implied manner. Moreover, I understand that once an application is determined to
be complete, project or design changes that will increase modify the number of proposed units,
add uses that were not previously listed, substantially cha nge the site plan, or otherwise
introduce other changes may require one or more additional city review cycles or the filing of a
new application or additional application permit types. This situation or action may result in the
restarting of the PSA which would restart the review "clock" and extend processing timelines.
The shot clocks vary based upon completeness, environmental determination, and work in
conjunction with 5B330 and Title 19 of the Carlsbad Municipal Code.
7. 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.
8. I certify that the description of the development and all the plans and supporting
documentation are accurate in all material respects as of the date when made. I understand
that it is my responsibility to ensure that statements and representations are not misleading.
Furthermore, I agree to promptly remove, correct, or add information as needed to correct any
misleading or materially inaccurate information. 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 appropriate by
the City of Carlsbad.
9. 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 the
plans and the description on the permit, the permit gove rns.
10. 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 on line, outside of the city's control.
Page 5 of 7
P-1(A) Form Rev 12/2024
11. 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.
12. I understand that the overall design process consists of several steps, each with increasingly
more detail. The planning phase is one of the first steps in the design process. A Land Use
Review Application (or "planning application") consists only of a schematic design package. If
the project is approved or conditionally approved, the schematic design phase is immediately
followed by a design development phase (with construction drawings). Construction drawings,
such grading and drainage plans, are much more comprehensive and provide additional detail,
specificity, and instructions on how to build and implement the project.
Review comments, statements, or approvals from the City of Carlsbad concerning a Land Use
Review Application are based on the representations of the intent of design and construction.
City comments and statements are believed to be accurate; however, such accuracy is not
guaranteed when implementing the intended design solution. I understand that the approval or
conditional approval of a Land Use Review Application does not replace the more thorough
review of the construction drawings by the city or another agency during the design
development phase; or services or recommendations provided by design professionals, such as
architects, engineers, code professionals, etc. Furthermore, the approval or conditional approval
of a Land Use Review Application does not relieve t he Applicant of the obligation from
complying with all appli cable regulations, standards, policies, and guidelines applicable to the
design development phase. Therefore, the ultimate design solutions required in construction
drawings may differ from the project's initial schematic design.
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.
13. 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.
14. 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
Page 6 of 7
P-1(A) Form Rev 12/2024
not be limited to, damages awarded against t he 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 parties initiating or bringing such
proceedin g. 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.
By signing be low, I acknowledge that I have completely read, understand, and agree to the declarations
above and accept all te,mv hece;n
Applicant Signature:-~-------------------------------
Name: Andres Saavedra Date: _5_/_1/_2_0_2_5 ____ _
This form must be stapled/attached to the application and shall be effective until replaced or
revoked in writing.
Page 7 of 7
P-1(A) Form Rev 12/2024
PROJECT DESCRIPTION Development Services C City of
Carlsbad
P-1(8) CITY OF CARLSBAD Planning Division
JUN 2 4 2025
1635 Faraday Avenue
442-339-2600
www.carlsbadca.gov
ON
§] 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 the 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 complete 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, descriptions of promotional events including uses with outdoor
amplified speech or music.
Page 1 of 4
P-1 (B) Fonn Rev 4/2024
PART A. Project Summary Information
NAME OF PROJECT: Los Robles ADU --------------------------------
APPLICATION PERMIT TYPES REQUESTED: GARAGE+ POOL HOUSE CONVERSION TO 650 SF ADU
ACCESSOR PARCEL NUMBERS: 210-034-07-00 ----------------------------
PROPERTY ADDRESS: 5158 LOS ROBLES DRIVE CARLSBAD CA
CONTACT, il!I Applkant !perty Ownec
Slgnatuce:¥
Name: Andres Saavedra
□ Agent
Date: 5/1/2025
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 incl ude any background information and
supporting statements regarding the reasons for, or appropriateness of, the application. Use an addendum sheet
if necessary.
Conversion of Existing Garage and Pool House into a 650 SF Accessory Dwelling Unit (ADU)
Page 2 of 4
P-1 (B) Fonn Re,· 4/2024
PART B. Supplemental Information
Denote whether the following 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).
Yes No
1. A very high fire ha zard 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 Loca l Responsibility Areas.
□
2. Wetlands, as defined in the United States Fish and Wildlife Service Manual, Part D
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-l(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 condom inium map.
NOTE: If "yes," you may need to complete Form P-l(E) and Form P-l(F).
8. Any existing residential use on the site (units or structures)?
NOTE: If "yes, 11 you must complete Form P-38.
9. The project require a Density Bonus Approval.
NOTE: If "yes, 11 you must complete Forms P-l(H).
□
□
□
□
□
□
[xi
[81
0
IBl
□
Page 3 of 4
P-1 (B) Fonn Rev 4/2024
10. The project site located within the Coastal Zone.
NOTE: If "yes," you may need to complete Form P-6 and/or Form P-7.
a. If "yes," does any portion of the property contain wetlands, as defined in Title
14 of the California Code of Regulations§ 13577.
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.
11. 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.
12. 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.
□ □
□ □
□ □
□ □
□ □
□ □
□ □
I/We declare under penalty of perjury that I/we have reviewed this Affidavit and the information furnished is true
and correct.
Name: ______________________________ _
Signature: _____________________________ _
This form must be stapled/attached to the application and shall 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-1 (B) Fonn Rev 4/2024
I
C cityof
Carlsbad
MINOR
COASTAL DEVELOPMENT PERMIT/ Development Services
Planning Division
SINGLEAFPAPMLIILCYATRIEOSNID ~~OF CARLSBAD 1635 Fara day Avenue
{442) 339-2610
P-G JUN 2 4 2025 www .carlsbadca.gov
PLANNING DIVISION
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 cost ing $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 Bu ilding Officials (ICBO) and are applied throughout San Diego
County.
Please complete the following information to assist in the determination of th is 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:
square feet x $ /sq. ft. = $
⇒ Residential Addition Square Footage:
square feet x $ /sq. ft. = $
⇒ Any Garage Square Footage:
square feet x $ /sq. ft. = $
⇒ Residential Conversion Square Footage:
650 square feet x $ 90 /sq. ft. = $ 58,500
⇒ 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:$ 58 500 ~~~-----------
B. Do you wish to apply for:
1. A Minor Coastal Development Perm it (Under $60,000 cost estimate) Ix]
2. A Coastal Development Permit ($60,000 or more cost estimate) D
C. Street address of proposed development
~1 22> Lo2 Ro b\eb ~
P-6 Page 1 of 7 Revised 9/24
210-034-07-00
D. Assessor's Parcel Number of proposed development
210-034-07 -00
E. Development Description:
Briefly describe project: GARAGE+ POOL HOUSE CONVERSION TO 650 SF ADU
F. Describe the present land uses (i.e. vacant land, single family homes, apartments, offices,
etc.) that surround the proposed development to the:
North: Residential
South : Residential
East: Residential
West: Residential
G. Is project located within a 100-year flood plain? D Yes Ix] No
II. PRESENT USE OF PROPERTY
A. Are there existing structures on the property?
If yes, please describe.
Residential / Garage
[x]Yes O No
B. Will any existing structure be removed/demolished? D Yes ~ No
If yes to either question, describe the extent of the demolition or removal , including the relocation
site, if applicable (also show on plans).
Ill. LOT COVERAGE
A. Existing and Proposed
Existing Proposed Total
Building Coverage 2275 sq . ft. sq . ft . sq . ft.
Landscaped Area sq . ft. sq . ft. sq . ft.
Hardscape Area sq . ft. sq . ft . sq . ft.
Unimproved Area (Left Natural) sq . ft. sq . ft . sq. ft .
P-6 Page 2 of 7 Revised 9/24
%
%
%
%
P-6
B. Parking: Number of existing spaces __ 1 ______ _
Number of new spaces proposed _1.;....... ____ _
Existing/Proposed TOTAL: _2 ______ _
Number of total spaces required _2 _____ _
Number of covered spaces 0
Number of uncovered spaces _0 ______ _
Number of standard spaces _2 ______ _
Number of compact spaces _O ______ _
Is tandem parking existing?
Is tandem parking proposed?
D Yes# __ [xi No
D Yes# __ [x] No
C. Grade Alteration:
Is any grading proposed? D Yes [xl No
If yes, please complete the fo llowing:
1.
2.
3.
4.
5.
Amount of cut ___________________ cu . yds .
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 of 7 Revised 9/24
The following materials shall be submitted for each single family residence/minor coastal development
permit application.
If you have any questions regarding application submittal requirements (i.e., clarification regarding
a specific requirement or whether all requirements are necessary for your particular application)
please call (760) 602-4610.
I. REQUIRED PLANS (All required plans shall be collated into complete sets, stapled together,
then folded to 9" x 12" with lower right-hand corner of plan visible.)
P-6
A. SITE PLAN -Four (4) copies for a Minor Coastal Development Permit, four (4) copies for a
Single Family Coastal Development Permit on 24" x 36" sheet(s). Five (5) copies if landscape
review is required . Each site plan shall contain the following information:
1. GENERAL INFORMATION ~ Name, address, and phone number of registered civil engineer, licensed surveyor,
landscape architect or land planner who prepared the maps/plans.
Location, size and use of all easements.
Dimensions and locations of: access, both pedestrian and vehicular, showing service
areas and points on ingress and egress , off-street parking and loading areas showing
ocation, number and typical dimension of spaces, and wheel stops.
Distance between buildings and/or structures.
Building setbacks (front, rear and sides).
~ ocation, height and materials of walls and fences.
Dimensions/l ocation of ground-mounted signs.
ndicate location and layout of Photovoltaic (PV) systems as required per Ord inance No.
CS-347. Show locations for roof mounted and ground mounted systems and include power
(KWdc) of each separate PV system. ~ Indicate location and layout of Electric Vehicle parking spaces/charging stations. Callout l:2-EV Charging Stations, EV Ready, EV Capable as required per CMC Title 18.21 .120-150.
Indicate method (PV-heat pump , solar) that satisfies hot water heating requirements per
rdinance No . CS-347 .
~ suJ;Prllary table of the following (if applicable to the application): gm Street address and assessor's parcel number.
) Site acreage.
Existing Land Use Designation and Zoning.
roposed land use.
Total building coverage (in square feet and as a percent).
rcent of site to be landscaped.
umber of ,parking spaces required/provided.
Square Footage of open or recreatitmal space (if applicable) .
.,......,,"""' Cubic footage of storage space (if applicable).
Climate Action Plan (CAP) Compliance (results from Section I1.D below)
(a) Consistent with existing General Plan Land Use and Zoning -yes/no
i. GHG Study required? -yes/no
(b) Energy Efficiency requirement -yes/no
(c) Photovoltaic requirement -yes/no
i. ___ KW-de roof mounted
ii. ___ KW-de ground mounted
iii. ___ KW-de total project
(d) Electric Vehicle Charging requirement yes/no
i. ____ # EV Chargers
ii. ____ # EV Ready
iii. ____ # EV Capable
(e) Hot Water Heating requirement yes/no
(f) Traffic Demand Management Required yes/no
Page 4 of 7 Revised 9/24
~II applicable Fire Suppression Zones as required by the City's Landscape Manual.
B. GRADING AND DRAINAGE PLANS: Grading and drainage plans must be included with this
application. In certain areas, an engineering geology report must also be included. Please
consult the Planning Division and Land Development Engineering Division representatives for
a determination on any grading plan geotechnical requirements if the project is in an overlay
zone. The following information shall be submitted at a minimum:
01 . Approximate contours at 1' intervals for slopes less than 5%; 2' intervals for slopes
between 5% and 10%; and 5' intervals for slopes over 10% (both existing and proposed).
Existing and proposed topographic contours within a 100-foot perimeter of the boundaries
of the site. Extend contours sufficiently out from the site to adequately show the adjacent
floodplain (if applicable).
02. Earthwork volumes: cut, fill , import and export.
03. Spot elevations at the corners of each pad.
04. Method of draining each lot. Include a typical cross section taken parallel to the frontage
for lots with less than standard frontage.
05. Location, width and/or size of all watercourses and drainage facilities within and adjacent
to the proposed subdivision; show location and approximate size of any proposed
detention/retention basins.
06. Clearly show and label the 100 year flood line for the before and after conditions for any
project which is within or adjacent to a FEMA flood plain.
C. BUILDING ELEVATIONS AND FLOOR PLANS -Four (4) copies for a Minor Coastal
Development Permit and four (4) copies a Single Family Coastal Development Permit prepared
on 24" x 36" sheet(s). Each building elevation and floor plan shall include the following
information:
IX]1 . Location and size of storage areas.
IX]2. All buildings, structures, wall and/or fences, signs and exterior lights.
IX]3. Existing and proposed construction.
IX]4. Provide documentation demonstrating compliance with City Council Policy 44 -
Neighborhood Architectural Design Guidelines (if applicable).
~5. Building Heights of all structures (top of roof and top of roof projections)
D. CONCEPTUAL LANDSCAPE PLANS -Five (5) copies of the site plan shall be submitted if
applicable. To determine if a landscape plan is required, consult Chapter 1 -Applicability in the
Landscape Manual.
COLORED SITE PLAN AND ELEVATION PLAN -Not required with first submittal. It is the Applicant's
responsibility to bring one (1) copy of a colored site plan and one (1) set of colored elevations to the
Planning Division by 12 :00 noon, eight (8) days prior to the Planning Commission meeting. Do
not mount exhibits.
II.
P-6
QUIRED DOCUMENTS AND SUBMITTAL ITEMS
A completed Land Use Review Application Form .
Completed Coastal Development Permit Application.
C Environmental Impact Assessment Part 1 with Coastal Development Permits. Check with
Planning staff regarding Minor Coastal Development Permits and Single Family Coastal
Development Permits for any environmental review requirements.
Climate Action Plan (CAP) Checklist -See form P-30 -Complete form to demonstrate project
compliance with the CAP. Applicable measures identified in checklist must be incorporated into
project design features and data incorporated into the Summary Table.
Disclosure Statement.
Two (2) copies of the Preliminary Title Report (current within the last six (6) months).
Completed "Project Description/Explanation" sheet.·
Page 5 of 7 Revised 9/24
u✓• Two copies of a completed and signed "Storm Water Standards Questionnaire" (form E-34).
This form can be found on the City's website. (Distribute copy to Land Development
Engineering).
If, when completing the Storm Water Standards Questionnaire, the project is subject to
"Standard Project," requirements, submit a completed and signed "Standard Project
Requirement Checklist" (form E-36) in accordance with the City BMP Design Manual per the
City of Carlsbad Engineering Standards, latest version .
N/A_.0J. If, when completing the Storm Water Standards Questionnaire , the project is defined as a
"Priority Development Project," submit a preliminary Storm Water Quality Management Plan
QMP) prepared in accordance with the City BMP Design Manual per the City of Carlsbad
neering Standards, latest version . Refer to the city's SWQMP template (form E-35).
perty Owner's List and Addressed Labels:
Minor Coastal Development Permit -required with application submittal
1. A typewritten list of the names and addresses of all property owners within a 100' radius of the
subject property (including the applicant and/or owner), all occupants within a 100' radius of the
subject property, and any applicable Homeowners/Property Owners Association (HOA/POA). The
list shall include the San Diego County Assessor's parcel number from the latest assessment rolls.
2. Two (2) separate sets of mailing labels of the property owners within a 100' radius of the subject
property, all occupants within a 100' radius and the applicable HOA/POA. The list must be typed
in all CAPITAL LETTERS, left justified, void of punctuation. For any address other than single-
family residence, an apartment, suite or building number must be included on a separate line -DO
NOT include it on the street address line. DO NOT TYPE ASSESSOR'S PARCEL NUMBER ON
LABELS. DO NOT provide addressed envelopes -PROVIDE LABELS ONLY.
Sample labels are as follows :
UNACCEPTABLE
Occupant
123 Magnolia Ave., Apt. #3
Carlsbad, CA 92008
UNACCEPTABLE
Mrs. Jane Smith
123 Magnolia Ave., Apt. #3
Carlsbad , CA 92008
UNACCEPTABLE
Occupant
123 Magnolia Ave.
Apt. #3
Carlsbad, CA 92008
UNACCEPTABLE
Mrs. Jane Smith
123 Magnolia Ave.
Apt. #3
Carlsbad, CA 92008
ACCEPTABLE
OCCUPANT
APT 3
123 MAGNOLIA AVE
CARLSBAD CA 92008
ACCEPTABLE
MRS. JANE SMITH
APT 3
123 MAGNOLIA AVE
CARLSBAD CA 92008
3. 100' Radius Map: A map to scale not less than 1"=200' showing each lot within 100' of exterior
boundaries of the subject property. Each of these lots shall be consecutively numbered and
correspond with the property owners list. The scale of the map may be reduced to a scale
acceptable to the City Planner if the required scale is impractical.
P-6 Page 6 of 7 Revised 9/24
Coastal Development Permit -Single-Family Residence/Appealable Area -When the application
is tentatively scheduled to be heard by the decision-making body, the project planner will contact the
applicant and advise him to submit the radius map, two sets of the property owners list and labels.
The applicant shall be required to sign a statement certifying that the information provided
represents the latest equalized assessment rolls from the San Diego County Assessor's Office.
The project will not go forward until this information is received.
1. A typewritten list of the names and addresses of all property owners within a 600' radius of the
subject property (including the applicant and/or owner), all occupants within a 100' radius of the
subject property, and the applicable Homeowners Association (HOA). The list shall include the San
Diego County Assessor's parcel number from the latest assessment ro lls .
2. Two (2) separate sets of mailing labels of the property owners within a 600' radius of the subject
property, all occupants within a 100' radius and the applicable HOA. The list must be typed in all
CAPITAL LETTERS, left justified, void of punctuation . For any address other than single-family
residence , an apartment, suite or building number must be included on a separate line. DO NOT
include it on the street address line. DO NOT TYPE ASSESSOR'S PARCEL NUMBER ON
LABELS. DO NOT provide addressed envelopes -PROVIDE LABELS ONLY. Acceptable fonts
are:
Arial 10, Enterprise TM or Courier NEW (TT) no larger than 11 pt. Sample labels are as follows:
UNACCEPTABLE UNACCEPTABLE ACCEPTABLE
Occupant Occupant OCCUPANT
123 Magnolia Ave., Apt. #3 123 Magnolia Ave. APT 3
Carlsbad, CA 92008 Apt. #3 123 MAGNOLIA AVE
Carlsbad, CA 92008 CARLSBAD CA 92008
UNACCEPTABLE UNACCEPTABLE ACCEPTABLE
Mrs. Jane Smith Mrs. Jane Smith MRS . JANE SMITH
123 Magnolia Ave., Apt. #3 123 Magnolia Ave. APT 3
Carlsbad, CA 92008 Apt. #3 123 MAGNOLIA AVE
Carlsbad, CA 92008 CARLSBAD CA 92008
3. 600' Radius Map: A map to scale not less than 1 "=200' showing each lot within 600' of exterior
boundaries of the subject property. Each of these lots shall be consecutively numbered and
correspond with the property owners list. The scale of the map may be reduced to a scale
acceptable to the City Planner if the required scale is impractical.
P-6 Page 7 of 7 Revised 9/24
CLTA Preliminary Report Form
(Rev. 11/06)
Order Number: DIV-7200499
Page Number: 1
Updated
First American Title™
CJTY OF CARLSBAD
JUN 2 4 2025
Title Officer:
Phone:
Fax No.:
E-Mail:
E-Mail Loan Documents to:
Buyer:
Owner:
Property:
PLANNING DIVISION
First American Title Company
7676 Hazard Center Drive, Ste 1100
San Diego, CA 92108
california Department of Insurance License No. 2549-4
Korey Mulvey
(619)231-4670
(877)648-8386
tit1eunit4@firstam.com
Lenders please contact the Escrow Officer for email address for
sendinQ loan documents.
Halenza Family Trust and Judd G Halenza, Jr and Susan Lyon
Halenza
5158 Los Robles Drive
carlsbad, CA 92008
PREUMINARY REPORT
In response to the above referenced application for a policy of title insurance, this 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 below or not exduded from coverage pursuant to the printed Schedules, Conditions and
Stipulations of said Policy forms.
The printed Exceptions and Exclusions from the coverage and Limitations on Covered Risks of said policy or policies are set forth in
Exhibit A attached. The policy to be issued may contain an arbitration clause. Wh8'1 the Amount of Insurance is less than that set
forth in the arbitration clause, all arbitTable matters shall be arbitrated at the option of either the Ccmpany or the Insured as the
exclusive remedy of the parties. Limitations on Covered Risks applicable to the O.TA and ALTA Homeowner s Policies ofTrtle
Insurance which establish a Deductible Amount and a Maximum Dollar Limit of Liability for certain coverages are also set forth in
Exhibit A. Copies of the policy forms should be read. They are available from the office which issued this report.
Please read the exceptions shown or referred to below and the exceptions and exclusions set forth in Exhibit A 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.
Please be advised that any provision contained in this document, or in a document that is attached, linked or
referenced in this document, that under applicable law illegally discriminates against a class of individuals based
upon personal characteristics such as race, color, religion, sex, sexual orientation, gender identity, familial status,
disability, national origin, or any other legally protected class, is illegal and unenforceable by law.
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.
First American Title
Page 1 of 11
Dated as of May 22, 2025 at 7:30 A.M.
The form of Policy of title insurance contemplated by this report is:
Order Number: DIV-7200499
Page Number: 2
ALTNCLTA Homeowner's (EAGLE) Policy ofTrtle Insurance and ALTA Ext Loan Policy if the land
described is an improved residential lot or condominium unit on which there is located a one-to-four
family residence; or ALTA Standard Owner's Policy (with Western Regional Exceptions) and the ALTA
Loan Policy if the land described is an unimproved residential lot or condominium unit.
A specific request should be made if another form or additional coverage is desired.
Title to said estate or interest at the date hereof is vested in :
Judd G. Halenza Jr. and Susan Lyon Halenza, Trustees of The Halenza Family Trust Dated January
27, 1988, Amended And Restated On December 14, 2020
The estate or interest in the land hereinafter described or referred to covered by this Report is:
FEE
The Land referred to herein is described as follows:
(See attached Legal Description)
At the date hereof exceptions to coverage in addition to the printed Exceptions and Exclusions in said
policy form would be as follows:
1. General and special taxes and assessments for the fiscal year 2025-2026, a lien not yet d\Je or
payable. • • •
2. Intentionally Deleted
3. Supplemental taxes for the year 2024-2025 assessed pursuant to Chapter 3.5 commencing with
Section 75 of the califomia Revenue and Taxation Code.
First Installment: $ -39.84, NO TAX DUE
Penalty: $ 0.00
Second Installment: $ -39.84, NO TAX DUE
Penalty: $ 0.00
Tax Rate Area: 09000
A. P. No.: 849-433-40-14
The County Tax Collector could not verify the amounts shown above at this time. Please verify
the amounts with the County Tax Collector prior to the close of the contemplated transaction.
Rrst American Title
Page 2 of 11
Order Number: DIV-7200499
Page Number: 3
4. The lien of supplemental taxes, if any, assessed pursuant to Chapter 3.5 commencing with Section 75
of the California Revenue and Taxation Code.
5. An easement for public utilities and incidental purposes in the document recorded APRIL 09, 1951 as
BOOK 4045, PAGE 317 of Official Records.
6. An easement for public utilities and incidental purposes in the document recorded AUGUST 10,
1951 as BOOK 4199, PAGE 331 of Official Records.
7. Water rights, claims or title to water, whether or not shown by the Public Records.
8. WE FIND NO OPEN DEED OF TRUST. THE COMPANY WILL REQUIRE SATISFACTORY
PROOF, PRIOR TO INSURING THE CONTEMPLATED TRANSACTION, THAT THE SUBJECT
PROPERTY IS FREE FROM ANY ENCUMBRANCES. PLEASE PROVIDE THE FOLLOWING:
A. AN AFFIDAVIT (Click Here), EXECUTED BY ALL THE SELLERS/BORROWERS STATING
THAT THE PROPERTY IS FREE AND CLEAR, AND NOTARIZED IN FRONT OF A FIRST
AMERICAN APPROVED NOTARY;
B. THE OWNER STATEMENT FROM THE ESCROW INSTRUCTIONS; AND
C. A WRITTEN STATEMENT FROM ESCROW CONFIRMING WHO THE PROCEEDS WILL BE
DISBURSED TO.
9. The new lender, if any, for this transaction may be a Non-Institutional Lender. If so, the Company
will require the Deed of Trust to be signed before a First American approved notary.
10. An Owner's Certification must be completed, executed, and returned to the Company.
11. This transaction may be subject to a Geographic Targeting Order ("GTO") issued pursuant to the
Bank Secrecy Act. Information necessary to comply with the GTO must be provided prior to the
closing. This transaction will not be insured until this information is submitted, reviewed and found to
be complete.
Prior to the issuance of any policy of titte insurance, the Company will require:
12. With respect to the trust referred to in the vesting:
a. A certification pursuant to Section 18100.5 of the california Probate Code in a form satisfactory to
the Company.
b. Copies of those excerpts from the original trust doruments and amendments thereto which
designate the trustee and confer upon the trustee the power to act in the pending transaction.
c. Other requirements which the Company may impose following its review of the material required
herein and other information which the Company may require.
Rrst American 77tle
Page 3 of 11
INFORMATIONAL NOTES
Order Number: DIV-7200499
Page Number: 4
Note: The policy to be issued may contain an arbitration clause. When the Amount of Insurance is less
than the certain dollar amount set forth in any applicable 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. If
you desire to review the terms of the policy, including any arbitration clause that may be included,
contact the office that issued this Commitment or Report to obtain a sample of the policy jacket for the
policy that is to be issued in connection with your transaction.
1. General and special taxes and assessments for the fiscal year 2024-2025.
First Installment: $1,585.24, PAID
$0.00 Penalty:
Second Installment: $1,585.24, PAID
$0.00 Penalty:
Tax Rate Area: 09000
210-034-07-00 A. P. No.:
2. Supplemental taxes for the year 2024-2025 assessed pursuant to Chapter 3.5 commencing with
Section 75 of the (alifomia Revenue and Taxation Code.
First Installment: $6,287.54, PAID
Penalty: $0.00
Second Installment: $6,287.54, PAID
Penalty: $0.00
Tax Rate Area: 09000
A. P. No.: 849-425-85-64
3. This report is preparatory to the issuance of an ALTA Loan Policy. We have no knowledge of any fact
which would preclude the issuance of the policy with CLTA endorsement forms 100 and 116 and if
applicable, 115 and 116.2 attached.
When issued, the CLTA endorsement form 116 or 116.2, if applicable will reference a(n) Single
Family Residence known as 5158 LOS ROBLES DRIVE, CARLSBAD, CA 92008.
4. According to the public records, there has been no conveyance of the land within a period of twenty
four months prior to the date of this report, except as follows:
A document recorded AUGUST 15, 2024 as INSTRUMENT NO. 24-217579 of Official Records.
From: ROBERT D. SOWARDS, TRUSTEE OF THE EXEMPTION TRUST OF THE
SOWARDS FAMILY TRUST DATED JULY 8, 1993 AS TO AN UNDMDED
86% INTEREST AND ROBERT D. SOWARDS, TRUSTEE OF THE MARITAL
TRUST OF THE SOWARDS FAMILY TRUST DATED JULY 8, 1993 AS TO
AN UNDIVIDED 14% INTEREST
To: JUDD G. HALENZA JR. AND SUSAN LYON HALENZA, TRUSTEES OF THE
HALENZA FAMILY TRUST DATED JANUARY 27, 1988, AMENDED AND
RESTATED ON DECEMBER 14, 2020
First American Title
Page 4 of 11
Order Number: DIV-7200499
Page Number: 5
NOTE to proposed insured lender only: No Private transfer fee covenant, as defined in Federal
Housing Finance Agency Final Rule 12 CFR Part 1228, that was created and first appears in the Public
Records on or after February 8, 2011, encumbers the Title except as follows: None
The map attached, if any, may or may not be a survey of the land depicted hereon. First American
expressly disclaims any liability for loss or damage which may result from reliance on this map except to
the extent coverage for such loss or damage is expressly provided by the terms and provisions of the title
insurance policy, if any, to which this map is attached.
Rrst American Title
Page 5 of 11
LEGAL DESCRIPTION
Order Number: DIV-7200499
Page Number: 6
Real property in the City of carlsbad, County of San Diego, State of California, described as follows:
Lot 87 of Terra mar, Unit No. 2, in the City of carlsbad, County of San Diego, State of (alifornia,
according to Map Thereof No. 2758, filed in the Office of the County Recorder of San Diego County,
March 5, 1951.
APN: 210-034-07-00
First Amencan Title
Page 6 of 11
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NOTICE
Order Number: DIV-7200499
Page Number: 8
Section 12413.1 of the California Insurance Code, effective January 1, 1990, requires that any title insurance
company, underwritten title company, or controlled escrow company handling funds in an escrow or sub-
escrow capacity, wait a specified number of days after depositing funds, before recording any documents in
connection with the transaction or disbursing funds. This statute allows for funds deposited by wire transfer
to be disbursed the same day as deposit. In the case of cashier's checks or certified checks, funds may be
disbursed the next day after deposit. In order to avoid unnecessary delays of three to seven days, or more,
please use wire transfer, cashier's checks, or certified checks whenever possible.
First American Title
Page 8 of 11
Order Number: DIV-7200499
Page Number: 9
EXHIBIT A
UST OF PRINTED EXCEPTIONS AND EXCLUSIONS (BY POUCY TYPE)
CLTA/ ALTA HOMEOWNER'S POLICY OF TITLE INSURANCE [(07-01-2021) v. 01.00]
EXCLUSIONS FROM COVERAGE
The following matters are excluded from the coverage of this policy and We will not pay loss or damage, costs, attorneys' fees, or expenses
that arise by reason of:
1. a. any law, ordinance, permit, or governmental regulation (induding those relating to building and zoning) that restricts, regulates,
prohibits, or relates to:
i. the ocrupancy, use, or enjoyment of the Land;
ii. the character, dimensions, or location of any improvement on the Land;
iii. the subdivision of land; or
iv. environmental remediation or protection.
b. any governmental forfeiture, police, or regulatory, or national security power.
c. the effect of a violation or enforcement of any matter exduded under Exclusion La. or 1.b.
Exclusion 1 does not modify or limit the coverage provided under Covered Risk 8.a., 14, 15, 16, 18, 19, 20, 23, or 27.
2. Any power to take the Land by condemnation. Exclusion 2 does not modify or limit the coverage provided under Covered Risk 17.
3. Any defect, lien, encumbrance, adverse claim, or other matter:
a. created, suffered, assumed, or agreed to by You;
b. not Known to Us, not recorded in the Public Records at the Date of Policy, but Known to You and not disdosed in writing to Us by
You prior to the date You became an Insured under this policy;
c. resulting in no loss or damage to You;
d. attaching or created subsequent to the Date of Policy (Exclusion 3.d. does not modify or limit the coverage provided under Covered
Risk 5, 8.f., 25, 26, 27, 28, or 32); or
e. resulting in loss or damage that would not have been sustained if You paid consideration sufficient to qualify You as a bona fide
purchaser of the Title at the Date of Policy.
4. Lack of a right:
a. to any land outside the area specifically described and referred to in Item 3 of Schedule A; and
b. in any street, road, avenue, alley, lane, right-of-way, body of water, or waterway that abut the Land.
Exclusion 4 does not modify or limit the coverage provided under Covered Risk 11 or 21.
5. The failure of Your existing structures, or any portion of Your existing structures, to have been constructed before, on, or after the Date
of Policy in accordance with applicable building codes. Exdusion 5 does not modify or limit the coverage provided under Covered Risk 14
or 15.
6. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights law, that the transfer of the Title
to You is a:
a. fraudulent ronveyance or fraudulent transfer;
b. voidable transfer under the Uniform Voidable Transactions Act; or
c. preferential transfer:
i. to the extent the instrument of transfer vesting the Title as shown in Schedule A is not a transfer made as a contemporaneous
exchange for new value; or
ii. for any other reason not stated in Covered Risk 30.
7. Contamination, explosion, fire, flooding, vibration, fracturing, earthquake, or subsidence.
8. Negligence by a person or an entity exercising a right to extract or develop oil, gas, minerals, groundwater, or any other subsurface
substance.
9. Any lien on Your Title for real estate taxes or assessments imposed or collected by -~ governmental authority that becomes due and
payable after the Date of Policy. Exclusion 9 does not modify or limit the coverage provided under Covered Risk 8.a. or 27.
10. Any discrepancy in the quantity of the area, square footage, or acreage of the Land or of any improvement to the Land.
LIMITATIONS ON COVERED RISKS
Your insurance for the following Covered Risks is limited on the Owner's Coverage Statement as follows:
For Covered Risk 16, 18, 19, and 21 Your Deductible Amount and Our Maximum Dollar Limit of Liability shown in Schedule A.
The deductible amounts and maximum dollar limits shown on Schedule A are as follows:
Covered Risk 16:
Covered Risk 18:
Covered Risk 19:
Covered Risk 21:
Your Deductible Amount
1 % of Policy Amount Shown in Schedule A or $2,500
(whichever is less)
1 % of Policy Amount Shown in Schedule A or $5,000
(whichever is less)
1 % of Policy Amount Shown on Schedule A or $5,000
( whichever is less)
1 % of Policy Amount Shown on Schedule A or $2,500
( whichever is less)
Rrst American Title
Page 9 of 11
our Maximum Dollar Limit of Liability
$10,000
$25,000
$25,000
$5,000
Order Number: DIV-7200499
Page Number: 10
AL TA OWNER'S POUCY [{07-01-2021) V. 01.00]
Cl TA STANDARD COVERAGE OWNER'S POUCY [(02-04-22) V. 01.00]
EXCLUSIONS FROM COVERAGE
The following matters are excluded from the coverage of this policy, and the Company will not pay loss or damage, costs, attorneys' fees, or
expenses that arise by reason of:
1. a. any law, ordinance, permit, or governmental regulation (induding those relating to building and zoning) that restricts, regulates,
prohibits, or relates to:
i. the ocrupancy, use, or enjoyment of the Land;
ii. the character, dimensions, or location of any improvement on the Land;
iii. the subdivision of land; or
iv. environmental remediation or protection.
b. any governmental forfeiture, police, regulatory, or national security power.
c. the effect of a violation or enforcement of any matter excluded under Exclusion 1.a. or 1.b.
Exclusion 1 does not modify or limit the coverage provided under Covered Risk 5 or 6.
2. Any power of eminent domain. Exclusion 2 does not modify or limit the coverage provided under Covered Risk 7.
3. Any defect, lien, encumbrance, adverse claim, or other matter:
a. created, suffered, assumed, or agreed to by the Insured Oaimant;
b. not Known to the Company, not recorded in the Public Records at the Date of Policy, but Known to the Insured Oaimant and not
disclosed in writing to the Company by the Insured Oaimant prior to the date the Insured Oaimant became an Insured under th is
policy;
c. resulting in no loss or damage to the Insured Oaimant;
d. attaching or created subsequent to the Date of Policy (Exclusion 3.d. does not modify or limit the coverage provided under Covered
Risk 9 or 10); or
e. resulting in loss or damage that would not have been sustained if consideration sufficient to qualify the Insured named in Schedule
A as a bona fide purchaser had been given for the Title at the Date of Policy.
4. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights law, that the transaction vesting
the Title as shown in Schedule A is a:
a. fraudulent conveyance or fraudulent transfer;
b. voidable transfer under the Uniform Voidable Transactions Act; or
c. preferential transfer:
i. to the extent the instrument of transfer vesting the Title as shown in Schedule A is not a transfer made as a contemporaneous
exchange for new value; or
ii. for any other reason not stated in Covered Risk 9.b.
5. Any claim of a PACA-PSA Trust. Exclusion 5 does not modify or limit the coverage provided under Covered Risk 8.
6. Any lien on the Title for real estate taxes or assessments imposed or collected by a governmental authority that becomes due and
payable after the Date of Policy. Exclusion 6 does not modify or limit the coverage provided under Covered Risk 2.b.
7. Any discrepancy in the quantity of the area, square footage, or acreage of the Land or of any improvement to the Land.
NOTE: The 2021 AL TA Owner's Policy may be issued to afford either Standard Coverage or Extended Coverage. In addition to variable
exceptions such as taxes, easements, CC&R's, etc., the Exceptions from Coverage in a Standard Coverage policy will also include the Western
Regional Standard Coverage Exceptions listed below as numbers 1 through 7. The 2021 CLTA Standard Coverage Owner's Policy will include
the Western Regional Standard Coverage Exceptions listed below as numbers 1 through 7.
EXCEPTIONS FROM COVERAGE
Some historical land records contain Disaiminatory Covenants that are illegal and unenforceable by law. This policy treats any Discriminatory
Covenant in a document referenced in Schedule B as if each Discriminatory Covenant is redacted, repudiated, removed, and not republished
or recirculated. Only the remaining provisions of the document are excepted from coverage.
This policy does not insure against loss or damage and the Company will not pay costs, attorneys' fees, or expenses resulting from the terms
and conditions of any lease or easement identified in Schedule A, and the following matters:
1. (a) Taxes or assessments that are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on
real property or by the Public Records; (b) proceedings by a public agency that may result in taxes or assessments, or notices of such
proceedings, whether or not shown by the records of such agency or by the Public Records.
2. Any facts, rights, interests, or claims that are not shown by the Public Records but that could be ascertained by an inspection of the Land
or that may be asserted by persons in possession of the Land.
3. Easements, liens or encumbrances, or claims thereof, not shown by the Public Records.
4. Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting the Title that would be disclosed by an accurate
and complete land survey of the Land and not shown by the Public Records.
5. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c) water rights,
claims or title to water, whether or not the matters excepted under (a), (b), or (c) are shown by the Public Records.
6. Any lien or right to a lien for services, labor or material unless such lien is shown by the Public Records at Date of Policy.
7. Any claim to (a) ownership of or rights to minerals and similar substances, including but not limited to ores, metals, coal, lignite, oil, gas,
Rrst American Title
Page 10 of 11
Order Number: DIV-7200499
Page Number: 11
uranium, clay, rock, sand, and gravel located in, on, or under the Land or produced from the Land, whether such ownership or rights
arise by lease, grant, exception, conveyance, reservation, or otherwise; and (b) any rights, privileges, immunities, rights of way, and
easements associated therewith or appurtenant thereto, whether or not the interests or rights excepted in (a) or (b) appear in the Public
Records or are shown in Schedule B.
2006 ALTA OWNER'S POLICY (06-17-06)
EXUUSIONS FROM COVERAGE
The following matters are expressly excluded from the coverage of this policy, and the Company will not pay loss or damage, costs, attorneys'
fees, or expenses that arise by reason of:
1. (a) Any law, ordinance, permit, or governmental regulation (induding those relating to building and zoning) restricting, regulating,
prohibiting, or relating to
(i) the occupancy, use, or enjoyment of the Land;
(ii) the character, dimensions, or location of any improvement erected on the Land;
(iii) the subdivision of land; or
(iv) environmental protection;
or the effect of any violation of these laws, ordinances, or governmental regulations. This Exdusion l(a) does not modify or limit the
coverage provided under Covered Risk 5.
(b) Any governmental police power. This Exdusion l(b) does not modify or limit the coverage provided under Covered Risk 6.
2. Rights of eminent domain. This Exdusion does not modify or limit the coverage provided under Covered Risk 7 or 8.
3. Defects, liens, encumbrances, adverse daims, or other matters
(a) created, suffered, assumed, or agreed to by the Insured Oaimant;
(b) not Known to the Company, not recorded in the Public Records at Date of Policy, but Known to the Insured Oaimant and not
disclosed in writing to the Company by the Insured aaimant prior to the date the Insured Oaimant became an Insured under this
policy;
(c) resulting in no loss or damage to the Insured aaimant;
( d) attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk
9 and 10); or
( e) resulting in loss or damage that would not have been sustained if the Insured Oaimant had paid value for the Title.
4. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights laws, that the transaction
vesting the Title as shown in Schedule A, is
(a) a fraudulent conveyance or fraudulent transfer; or
(b) a preferential transfer for any reason not stated in Covered Risk 9 of this policy.
5. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching between Date of
Policy and the date of recording of the deed or other instrument of transfer in the Public Records that vests Title as shown in Schedule A.
NOTE: The 2006 ALTA Owner's Policy may be issued to afford either Standard Coverage or Extended Coverage. In addition to variable
exceptions such as taxes, easements, CC&R's, etc., the Exceptions from Coverage in a Standard Coverage policy will also include the Western
Regional Standard Coverage Exceptions listed below as numbers 1 through 7.
EXCEPTIONS FROM COVERAGE
This policy does not insure against loss or damage, and the Company will not pay costs, attorneys' fees or expenses, that arise by reason of:
The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from
Coverage, the Exceptions from Coverage in a Standard Coverage policy will also indude the following Exceptions from Coverage:
1. (a) Taxes or assessments that are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on
real property or by the Public Records; (b) proceedings by a public agency that may result in taxes or assessments, or notices of such
proceedings, whether or not shown by the records of such agency or by the Public Records.
2. Any facts, rights, interests, or claims that are not shown by the Public Records at Date of Policy but that could be (a) ascertained by an
inspection of the Land, or (b) asserted by persons or parties in possession of the Land.
3. Easements, liens or encumbrances, or daims thereof, not shown by the Public Records at Date of Policy.
4. Any encroachment, encumbrance, violation, variation, easement, or adverse circumstance affecting the Title that would be disclosed by
an accurate and complete land survey of the Land and not shown by the Public Records at Date of Policy.
5. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c) water rights,
claims or title to water, whether or not the matters excepted under (a), (b), or (c) are shown by the Public Records.
6. Any lien or right to a lien for services, labor, material or equipment unless such lien is shown by the Public Records at Date of Policy.
7. Any claim to (a) ownership of or rights to minerals and similar substances, including but not limited to ores, metals, coal, lignite, oil, gas,
uranium, clay, rock, sand, and gravel located in, on, or under the Land or produced from the Land, whether such ownership or rights
arise by lease, grant, exception, conveyance, reservation, or otherwise; and (b) any rights, privileges, immunities, rights of way, and
easements associated therewith or appurtenant thereto, whether or not the interests or rights excepted in (a) or (b) appear in the Public
Records or are shown in Schedule B.
Arst American Title
Page 11 of 11
Development Services
Planning Division
1635 Faraday Avenue
(442) 339-2610
www.carlsbadca.gov
PURPOSE
CLIMATE ACTION PLAN ,r City of
UPDATE CONSISTENCY '-
CHECKLIST P-3o c,TYoF CARLCc\rlsbad
PLANNING DIVISION
In November 2024, the City of Carlsbad adopted a Climate Action Plan (CAP) Update 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 CAP Update are achieved.
Implementation of these measures w ill ensure that new development is consistent with the CAP Update's
assumption for relevant CAP Update strategies toward achieving the identified greenhouse gas (GHG)
reduction targets. 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 Update, in accordance with CEOA Guidelines Sections 15064(h)(3), 15130(d), and 15183(b).
This checklist is intended to ass ist project applicants in identifying CAP Update ordinance and consistency
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 Update compliant projects with streamlined GHG emissions assessments. This checklist
(i .e. Form P-30) is complementary to the checklist provided in Form B-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 Update-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 Update 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 t he ch ecklist 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 bu ilding official.
The requirements in the checklist will be included in the project's conditions of approval or issuance
of building permit.
Details on CAP Update ordinance requirements are available on the city's website.
P-30 Page 1 of 8 Revised November 2024
Carlsbad Climate Action Plan Update Consistency Checklist
STEP 1: LAND USE CONSISTENCY
The first step in determining CAP Update consistency for discretionary development is to assess the project's
consistency with the growth projections used in the development of the CAP Update. This section allows the city
to determine a project's consistency with the land use assumptions used in the CAP Update. Projects found not to
be consistent with the CAP Update's land use assumptions 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 (CEQA). This may result in GHG-reducing mitigation measures applied as a condition of project approval in
addition to compliance with the CAP Update ordinance and consistency requirements identified in Step 2 of this
checklist.
I STEPl 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/or Housing Element, 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-intensive project when compared to the existing designations?
Yes No
□
If "Yes", proceed to Step 2 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 Carlsbad Climate Action Plan Update.
If "No", 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 Update to demonstrate how it
would offset the increase in emissions over the existing designations. The project must incorporate each of the applicable measures 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 Act 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 Step 2 of the Checklist.
P-30 Page 2 of 8 Revised November 2024
I
Carlsbad Climate Action Plan Update Consistency Checklist
STEP 2: CAP UPDATE ORDINANCE COMPLIANCE REQUIREMENTS
Completion of this checklist will document a project's compliance with CAP Update ordinances, and in turn,
demonstrate consistency with the applicable measures and actions of the CAP Update. The compliance
requirements in this Step 2 apply to development projects that require a building permit. All other development
projects sha ll implement all emissions-related mitigation measures from the General Plan Update EIR and the
Housing Element Update EIR.
Project No./Name:
Property
Address/APN:
Applicant Name/Co.:
Application 11 formation
Los Robles ADU
210-034-07-00
Andres Saavedra
Applicant Address: 225 S. Tulip Street Escondido CA
Contact Phone: 760 809 0545 Contact Email: andressaavedra@icloud.com
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
Contact Phone:
Contact Email:
Use the table below to determine which sections of the Ordinance Compliance 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): $_5_8~5_0_0 _______ _
Construction Type I Complete Section(s) I Notes:
IB] Residential
D New construction J 1c, 2A, 3A, 4A and 6A I
Dll Alterations:
~ BPV < $60,000 N/A All residential alterations
D BPV ~ $60,000 lAand 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
BPV ~ $200,000 lA and 4A removed and sign ificant site work and upgrades to D structural and mechanical, electrical, and/or plumbing
systems are proposed
D BPV ~ $1,000,000 28 Multi-family dwellings only where ~$1,000,000 BPV AND
affecting ~75% existing floor area
( D Nonresidential I
D New construction (pre-January 1, 2026) 18, 28, 38, 48,
5 and 6A
P-30 Page 3 of 8 Revised November 2024
Carlsbad Climate Action Plan Update Consistency Checklist
□ New construction (post January 1,
2026)
D Alterations:
□ BPV ~ $200,000 or additions ~
1,000 square feet
1B,lD,2B,3B,4B,5
and 6A
lB,5
□ BPV ~ $1,000,000 1B, 2B and 5 Bui lding alterations of~ 75% existing gross floor area
□ ~ 2,000 sq. ft. new roof add ition 2B and 5 1B also applies if BPV ~ $200,000
CAP Update Compliance
Checklist Item
Check the appropriate boxes, explain all not applicable and exception items, and provide supporting calculations and documentation as
necessary.
1. Energy Efficiency
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. CS-437.
Year Built Single-family Requirements
□ Before 1978 Select one :
□ Duct sea ling □ Attic insulation □ Cool roof
□ 1978 and later Select one:
□ Lighting package □ Water heating package
□ Between 1978 and 1990
□ 1991 and later
B. D Nonresidential* new construction or alterations?: $200,000 building permit va luation,
or additions?: 1,000 square feet.
See CALGreen Appendix AS, as amended in CS-437.
P-30 Page 4 of 8
□ N/A _________ _
□ Exception: Home energy score<'. 7
(attach certification)
Multi-family Requirements
□ Attic insulation
Select one:
□ Attic insulation □ Duct Sealing
Select one:
□ Cool roof
□ Lighting package □ Water heating package
□ N/A ________ _
Revised November 2024
Carlsbad Climate Action Plan Update Consistency Checklist
AS.203.1.1.1
□ Outdoor lighting: .90 Allowed Outdoor Lighting Power D N/A
AS.203.1.1.2
□ Restaurant service water heating (comply with California Energy Code Section 140.5, as amended) D N/A ________ _
AS.203.1.2.1
Choose one as applicable: □ .95 Energy budget □ .90 Energy budget □ N/A
AS .211.1. **
□ On-site renewable energy □ N/A
AS.211.3**
□ Green power (if offered by local utility provider, 50% minimum renewable sources) D N/A
AS.212.1
□ Elevators and escalators D N/A
AS.213.1
□ Steel framing D 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.
D Residential new construction. Refer to Carlsbad Ordinance No. CS-437 for requirements, which amends Section 150.l(c) of the CEC for single-family residential; and Section
2. Photovoltaic Systems
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 PV offset option is selected.
Floor Plan ID (use additional CFA #d.u. Calculated kWdc*
sheets if necessary)
Total System Size:
kWdc = (CFAx.572) / 1,000 + (1.15 x lld.u.)
*Formula calculation where CFA = conditional floor area, #du= number of dwellings per plan type
If proposed system size is less than calculated size, please explain.
Exception
□
□
□
□
kWdc
A. D 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 CS-437 when completing
this section.*
Choose one of the following methods:
D Gross Floor Area (GFA) Method
GFA:
□ If< 10,000s. f. Enter: 5 kWdc
P-30
Min. System Size: ___ kWdc
Page 5 of 8 Revised November 2024
Carlsbad Climate Action Plan Update Consistency Checklist
0 if;:, 10,000s.f. calculate: 15 kWdc x (GFA/10,000) **
**Round building size factor to nearest tenth, and round system size to nearest whole number.
0 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.
3. Water Heating
A. 0 Residential 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-s ite solar or recovered energy,
choose one:
0 Single 240-volt heat pump water heater AND compact hot water distribution AND Drain water heat recovery (low-
rise residential only}
□ Single 240-volt heat pump water heater AND PV system .3 kWdc larger than required.
□ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher.
□ Solar water heating system with electric backup that is either .60 solar savings fraction of 40 s.f. solar collectors.
□ Gas or propane system with a so lar water heating system and recirculation system
□ Exception:
□ For systems serving multiple dwelling units and ach ieving 60% of energy needed from on -site solar or recovered energy,
install a central water-heating system with all of the following:
0 Recirculation system
0 Solar water heating system that is either:
□ .20 solar savings fraction
□ .15 solar savings fraction, plus drain water heat recovery
D Exception:
B. D Nonresidential new construction
Please refer to Carlsbad Ordinance CS-437 when completing this section.
□ Water heating system derives at least 40% of its energy from one of the following (attach documentation):
□ Solar-thermal D Photovoltaics
D Water heating system is (choose one):
D Heat pump water heater
D Electric resistance water heater(s)
D Solar water heating system with .40 solar savings fraction
D Exception:
P-30 Page 6 of 8
D Recovered energy
Revised November 2024
Carlsbad Climate Action Plan Update Consistency Checklist
I 4. Electric Vehicle Charging
A. D Residential -New construction and major alterations*
Please refer to Carlsbad Ordinance CS-437 when completing this section.
□ One and two-family residentia l 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:
□ One EVSE ready parking space required □ Exception:
□ Multi-family residential· □ Exception·
Total Parking Spaces EVSE Spaces
Proposed for New Capable Ready Installed Total
Construction {10% of proposed) {25% of proposed) {5% 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 may be "Capable," "Ready'' or "Installed.")
---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 Update 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 Insta lled Total
Ca lculation: 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
□ 26-50 8 2
□ 51-75 13 3
□ 76-100 17 5
□ 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 November 2024
Carlsbad Climate Action Plan Update Consistency Checkli st
5. D Transportation Demand Management (TOM)
A. List each proposed nonresidential use and gross floor area (GFA) allocated to each use.
B. Employee ADT/1,000 square feet is selected from the City of Carlsbad Employee ADT Table.
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 TDM 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 traffic
to vehicle LOS-exempt street facilities to implement TDM 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 □ No □
LDE Staff Verification: □ ______ (staff initials)
6. Construction Equipment
A. D All Construction, estimated start date post Jan. 1, 2036
Will the project reduce 50% of emissions from project
co nstruction activities through use of electric-powered
or alternatively-fu eled con struction equipment, if
requirements are adopted and effective?
□ Yes ___________ _
□ No ___________ _
□ N/A ________ _
Check N/A only if the project does not include any construction activities and/or the alternative-fuel construction equipment ordinance has not been adopted yet (estimated
adoption year 2035). A preliminary plan must be submitted to city staff showing anticipated construction equipment use and a quantified roadmap to reduce emissions.
P-30 Page 8 of 8 Revised November 2024
-
{'cityof
Carlsbad
Certificate of AccunamycARLftit(t?J/opment Services
p.37 Planning Division
JUN 2 4 2025 1635 Faraday Avenue
(442) 339-2610
PLANNING DIVISION www.carlsbadca.gov
Project Name {;I ~ loj
Type of permit(s) applying for
RoR/e5 Dr &,t/1~.11 t f,~it) .)
ht ;,,,.D, C oa.. 5t <t { p er wt ·ff-
P-37
CITY OF CARLSBAD -PLANNI NG DIVISION
CERTIFICATE OF ACC URACY
I certify all documents and plans clearly and accurately show all existing and
all proposed buildings, structures, access roads, and utilities/utility
easements. All proposed land use activities, improvements to land, and/or
building modifications or additions are clearly labeled on the site plan of the
approved plan set. I understand that any potentially existing detail within
these plans inconsistent with the site plan are not approved and may be
required to be altered or removed. The submitted documents and plans show
the correct dimensions of the property, the buildings, and structures and their
setbacks from property lines and from one another, access roads/easements,
and utilities. The existing and proposed use of land and of each building as
stated is true and correct. Further, all improvements existing on the property
were completed in accordance with all regulations in existence at the time of
their construction, unless otherwise noted. All easements and other
encumbrances to developme e een accurately shown and labeled as
well as all on-site u-0'irrl.H'n::r
6-9 -2i;-Date: _____ _
Page 1 of 1 Rev. 2/2022
I
City of
Carlsbad
STORM WATER STANDARDS Development services
QUESTIONNAIRl;i Land DevelopmentEngineering TY OF CARLSBAD 1635 Faraday Avenue
E-34 442-339-21so
JUN 2 4 2025 www.carlsbadca.gov
SON
I INSTRUCTIONS:
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
concurrentlv.
PROJECT INFORMATION
PROJECT NAME: Los Robles ADU APN:
ADDRESS: 5158 LOS ROBLES DRIVE, CARLSBAD, CA 210-034-07-00
The project is (check one): 181 New Development D Redevelopment ~
The total proposed disturbed area is: O ft2 ( 0 ) acres
The total proposed newly created and/or replaced impervious area is: O ft2 ( 0 ) 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
E-34 Page 1 of 4 REV 12/2024
STEP 1
TO BE COMPLETED FOR ALL PROJECTS
To determine if your project is a "development project", 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 project
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 □ ~ 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 □ ~ 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 12/2024
I
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 or redevelopment project that creates 10,000 square feet or more of impervious
surfaces collectively over the entire project site? This includes commercial, industrial, residential, mixed □ 181
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 □ 181 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
□ 181 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
□ 181 surface collectively over the entire project site and supports a hillside development project? A hillside
development project includes development on any natural slope that is twenty-five percent or i:ireater.
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 □ 181 land area or facility for the temporary parking or storage of motor vehicles used personally for
business or for commerce.
6. Is 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 □ 181 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
□ 181 Sensitive Area (ESA)? "Discharging Directly to n 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 □ 181 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 reta!!,_gasoline outlet (RGO)? This category includes □ lgJ 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 □ 181 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 □ 181
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 Sensit1Ve Areas include but are not limited to all Clean Water Act Section 303(d) impaired 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 (1 994) 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 of4 REV 12/2024
STEP4
TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP)
ONLY
Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)):
YES NO
Does the redevelopment project result in the creation or replacement of impervious surface in an amount of
less than 50% of the surface area of the previously existing development? Complete the percent impervious
calculation below:
Existing impervious area (A) = sq. ft. □ □
Total proposed newly created or replaced impervious area (B) = sq. ft.
Percent impervious area created or replaced (B/A)*100 = %
If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious surface
and not the entire development. Go to step 5, complete the trash capture question.
If you answered "no," the structural BMP's required for PDP apply to the entire development. Go to step 5, complete the
trash capture question.
STEP 5
TO BE COMPLETED 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?
R-23 (15-23 du/ac), R-30 (23-30 du/ac), Pl (Planned Industrial), CF (Community Facilities), GC (General □ 18] Commercial), 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 Transportation 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 vou answered "no", Go to step 6, check the second or third box as determined in step 3.
STEPS
CHECK THE APPROPRIATE BOX(ES) AND COMPLETE APPLICANT INFORMATION
□ My project is subject to TRASH CAPTURE REQUIREMENTS and must comply with TRASH CAPTURE
}iEIJUiRcMENTS of the BMP Manual. I understand I must prepdre a Storm Water Quality Management Plan (SWQMP).
18] 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: Andres Saavedra / Applicant Title: Applicant c f -
Applicant Signature: 7 Date: 5/1/2025 ,l'/T -.,,,
-/
E-34 Page 4 of 4 REV 12/2024
( City of
Carlsbad
Project Name: Los Robles ADU
Project ID: PC2025-0013
DWG No . or Building Permit No.:
STANDARD PROJECT
REQUIREMENT
CHECKLIST
E-36
Project Information
Development Services
Land Development Engineering
1635 Faraday Avenue
442-339-2 750
www.carlsbadca.gov
Baseline BMPs for Existing and Proposed Site Features
Complete the Table 1 -Site Design Requirement to document existing and proposed site features and the BMPs to be
implemented for them. All BMPs must be implemented where applicable and feasible. Applicability is generally
assumed if a feature exists or is proposed.
BMPs must be implemented for site design features where feasible . Leaving the box for a BMP unchecked means it
will not be implemented (either partially or fully) either because it is inapplicable or infeasible. Explanations must be
provided in the area below. The table provides specific instructions on when explanations are required.
Table 1 -Site Design Requirement
A. Existing Natural Site Features (see Fact Sheet BL-1)
1. Check the boxes below for each existing feature on 1. Select the BMPs to be implemented for each identified feature. Explain
the site. why any BMP not selected is infeasible in the area below.
SD-G SD-H
Conserve natural Provide buffers around waterbodies
features
□ Natural waterbodies u □
□ Natural storaqe reservoirs & drainaqe corridors □ --
0 Natural areas, soils, & veqetation (incl. trees) l.!.I --
B. BMPs for Common Impervious Outdoor Site Features (see Fact Sheet BL-2)
1. Check the boxes below for each 2. Select the BMPs to be implemented for each proposed feature. If neither BMP SD-B nor
proposed feature. SD-I is selected for a feature, explain why both BMPs are infeasible in the area below.
SD-B SD-I Minimize size of
Direct runoff to pervIous Construct surfaces from impervious areas
areas permeable materials
□ Streets and roads □ □ D Check this box to confirm
□ Sidewalks & walkways u □ that all impervious areas on
the site wi/1 be minimized
□ Parking areas & lots u □ where feasible.
□ Driveways u □ If this box is not checked,
Iii Patios, decks, & courtyards [!1 □ identify the surfaces that
cannot be minimized in area
□ Hardcourt recreation areas □ □ below, and explain why it is
E-36 Page 1 of 4 Revised 04/23
□ Other: ______ _ □ u infeasible to do so.
C. □ BMPs for Rooftop Areas: Check this box if rooftop areas are proposed and select at least one BMP (see Fact
below. Sheet BL-3)
If no BMPs are selected, explain why they are infeasible in the area below.
0 SD-B
Direct runoff to pervious areas
0 SD-C
Install green roofs
0 SD-E
Install rain barrels
D. □ BMPs for Landscaped Areas: Check this box if landscaping is proposed and select the BMP below
□ SD-K Sustainable Landscaping
(see Fact
Sheet BL-4)
If SO-K is not selected, explain why it is infeasible in the area below.
Provide discussion/justification for site design BMPs that will not be implemented (either partially or fully):
Baseline BMPs for Pollutant-generating Sources
All development projects must complete Table 2 -Source Control Requirement to-identify applicable requirements for
documenting pollutant-generating sources/ features and source control BMPs.
BMPs must be implemented for source control features where feasible. Leaving the box for a BMP unchecked means it
will not be implemented (either partially or fully) either because it is inapplicable or infeasible. Explanations must be
provided in the area below. The table provides specific instru ctions on when explanations are required .
Table 2 -Source Control Requirement
A. Management of Storm Water Discharges
1. Identify all proposed outdoor
work areas below
~ Check here if none are proposed
O Trash & Refuse Storage
D Materials & Equipment Storage
E-36
2. Which BMPs will be used to prevent
materials from contacting rainfall or
runoff?
(See Fact Sheet BL-5)
Select all feasible BMPs for each work area
SC-A SC-8 SC-C
Overhead Separation Wind
covering flows from protection
adjacent
areas
u u u
u □ □
Page 2 of 4
3. Where will runoff from the
work area be routed?
(See Fact Sheet BL-6)
Select one or more option for each
work area
SC-D
Sanitary
sewer
□
u
SC-E
Containment
system
□
□
Revised 04/23
Other
□
□
□ LoadinQ & Unloadinq □ □ □ □ LJ □
□ Fuelinq □ □ □ □ □ □
□ Maintenance & Repair □ □ □ □ LJ □
□ Vehicle & Equipment Cleaninq □ □ □ □ □ □
□ Other: □ □ □ □ □ □
B. Management of Storm Water Discharges (see Fact Sheet BL-7)
Select one option for each feature below:
• Storm drain inlets and catch basins ... Ill are not proposed □ will be labeled with stenciling or signage to
discouraqe dumpina (SC-Fl
• Interior work surfaces, floor drains & □ are not proposed Ii] will not discharge directly or indirectly to the MS4
sumps ... or receiving waters
• Drain lines (e.g. air conditioning , boiler, □ are not proposed Ill will not discharge directly or indirectly to the MS4
etc.) ... or receiving waters
• Fire sprinkler test water ... Ii] are not proposed □ will not discharge directly or indirectly to the MS4
or receivinq waters
Provide discussion/justification for source control BMPs that will not be implemented (either partially or fully):
E-36 Page 3 of 4 Revised 04/23
Form Certification
This E-36 Form is intended to comply with applicable requirements of the city's BMP Design Manual. I certify that it has
been completed to the best of my ability and accurately reflects the project be in g proposed and the applicable BMPs
proposed to minimize the potentially negative impacts of this project's land development activities on water quality. I
understand and acknowledge that e review of this form by City staff is confined to a review and does not relieve me as
th e person in charge of overseei the selection and design of storm water BMPs for this project, of my responsibilities for
ro·ect desi n.
Date: 5/1/2025
E-36 Page 4 of 4 Revised 04/23