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CDP 16-07; OTA RESIDENCE; Coastal Development Permit (CDP)
1.15 0 e 'a—r.C CiW of LAND USE REVIEW APPLICATION Development Services Planning Division 1635 Faraday AvenueCarlsbad(760) 602-4610P-1 °PNli*ICII www.carlsbadca.gov APPLICATIONS APPLIED FOR:(CHECK BOXES) Development Permits (FOR DEPT. USE ONLY)Lealslative Permits (FOR DEPT. USE ONLY) IN Coastal Development Permit (*)0 Minor C DP 0 -0 - 1 0 General Plan Amendment O Conditional Use Permit el 0 Local Coastal Program Amendment (*)0 Minor 0 Extension O Day Care (Large)0 Master Plan 0 Amendment O Environmental Impact Assessment 0 Specific Plan 0 Amendment O Habitat Management Permit 0 Minor 0 Zone Change (*) 0 Hillside Development Permit (*)0 Minor 0 Zone Code Amendment 0 Nonconforming Construction Permit South Carlsbad Coastal Review Area Permits O Planned Development Permit 0 Minor 0 Review Permit 0 Residential 0 Non-Residential 0 Administrative 0 Minor 0 Major 0 Planning Commission Determination O Site Development Plan 0 Minor Village Review Area Permits 0 Special Use Permit 0 Review Permit 0 Administrative 0 Minor 0 Major 0 Tentative Parcel Map (Minor Subdivision) O Tentative Tract Map (Major Subdivision) .0 Variance 0 Minor (*) =eligible for 25% discount i NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBWTTED PRIOR TO 3:30 P.M.A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P.M. ASSESSOR PARCEL NO(S).:12 OCP —0q)—0 +-0 0 PROJECT NAME:OT7N F-se,I Das BRIEF DESCRIPTION2F PROJECT:pietinjF few-31-i gel s .f.p----.4 GAbtkcie.coNeshtuct 4.4.J %.E f ki /treetArAT Aso GAPItt .az lie kvop-V t lise-peoPe .sfik ,43tie-takt.b, Lmipt-zareferIN BRIEF LEGAL DESCRIPTION:A-Fee**6 t-Lot 54 A-of-IN-e -U or rit,04-)Apac.=vtAct-2 .macp .00.\50 -27 LOCATION OF PROJECT:-1'010 GAii;f 1 •-iD cbthErjr.Coeco8) STREET ADDRESS ON THE:')IC-it SIDE OF eiscp-fmo -A-heat • (NORTH, SOUTH, EAST, WEST)(NAME OF STREET) BETWEEN DINkt-b VE.AND OLtvg '<V (NAME OF STREET)(NAME OF STREET) !DE ‘)1 -C)e 1 1--- --Oesuieed .03/1.1 --goggigoosisis In a OWNER NAME (Print):KAI F.i ppowis. 0 °TA APPLICANT NAME (Print):i r.sUL..76%OVir,.- MAILING AD DRESS:A.Met'.R.Zeggeic MAILING ADDRESS:4.12.e.we(zee CITY, STATE.ZIP:1 FM tg..\e..076g-97./e to CITY, STATE, ZIP:)ptvigg.41 c....*97420 TELEPHONE:114....39 .c) 4.0 2 (VIA)TELEPHONE:It+.1117-)•0475 z EMAIL ADDRESS:I P-‘11)4 E45 5 &GMAII... WWI EMAIL ADDRESS:ty.411.4%.46.ee mAR..C 0in I NCEE, - .1 - 1 - .11..ATII AMTRUEIlEE LAENGDAOWNERLCc R TA AND THAT..HE ALLBEBEST THE(rpOr/;IANDF1 - 11111FAYT AITHAT_LTII-IEU.ABTOIVEELEGALII-1IPIZCIROENSIESN'TdalLODFCAIFTREMCfllg K •...oe r , ALL ...'w‘sr gela .1(l9 .t(0 THE BEST OF MY KNOWLEDGE. aeAtat oaa &lb/ SIG 1 .TU - do DATE SIGNATURE DATE - APPLICANTS REPRESENTATIVE (Print):Cr-1416 p-p-AESSoc t pp....ksWAorp AigsethEcic.11.4 0• MAILING ADDRESS:•3 .\4 CJ ce.......„....„„\t-ei .sot+.f . CITY, STATE, ZIP:GO I-Acta FbfAC I-I .OA-1701(7 TELEPHONE:fil)So 1 772 -e_.0 I R-P EMAIL ADDRESS:Fr-t E4kfropi mo e.Si5c.61.4.1bAt..m e.:T I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT A L THE BOVE INFORMATION IS TRUE AND C ECT TO TI4 BEST F MY K OWLEDGE. g 2'1(01 RP SIGNATU DATE 1 IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF,PLANNING 1 COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION.I/WE CONSENT TO ENTRY FOR THIS PURPOSE. NOTICE OF RESTRICTION:PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT.NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST. ‘jetegelit Ca PR PERTY OWNER SIGNATURE FOR CITY USE ONLY RECEIVED FEB 2 0 2016 1 CITY OF CARLSBAD PLANNING DIVISION DATE STAMP APPLICATION RECEIVED RECSIVED BY: Vi OffriVie 1 ----rimAccel 10/11 • Development Services CrCity of DISCLOSURE STATEMENT Planning Division Carlsbad P-1(A)1635 Faraday Avenue (760)602-4610 www.carlsbadca.gov Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submittal.Your project cannot be reviewed until this information is completed. Please print. Note: Person Is definer ;mm,rinfr ership fointventUre. association. social c101.7fratertiat organization'. corpotttfftift trust titityndleatei &Sand any otter-COUROAaiStarit count9icitymunicipality, district or other political sulxlivision or any other group or combination acting as a unit.' Attontit maYillOttthik &OPP**betwaYeri the. legal name tinci'rertlfflt of the applicant anti oroPenV owner must be provided below. 1.APPLICANT (Not the applicant's agent) Provide the COMPLETE.LEGAL names and addresses of ALL persons having a financial interest in the application.If the applicant includes a corporation or partnership, include the names,titles,addresses of all individuals owning more than 10%of the shares.IF NO INDIVIDUALS OWN MORE THAN 10%OF THE SHARES,PLEASE INDICATE NON-APPLICABLE (N/A)IN THE SPACE BELOW.If a publicly-owned corporation,include the names,titles,and addresses of the corporate officers.(A separate page may be atta0p/arl if necessary.) Person 17A)LA OiA %NIA GOT/Pert 1;171A /7"AA Title tOU.IREfritscrilitsKt Title C4)1169-9//511LiCANtt Address 1%1.LeZZAr Address 4-ttuzzza.%PAINE,cot cot cizoso 412.102.02.OWNER (Not the owner's agent) Provide the COMPLETE.LEGAL names and addresses of ALL persons having any ownership interest in the property involved.Also,provide the nature of the legal ownership (i.e.,partnership,tenants in common,non-profit,corporation,etc.).If the ownership includes a corporation or partnership, include the names, titles, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES,PLEASE INDICATE NON-APPLICABLE (N/A)IN THE SPACE BELOW.If a publicly-owned corporation,include the names,titles,and addresses of the corporate officers.(A separate page may be attached if necessary.) Person 12/SOI..C 461 Lormart'i3Les\PTh. OA-A Title 9)0111/121INTArfitt Title ou)NIALfritACeltit Address4"tei LC-77.-r4 Address 4-4.su.s.zzA 14/)4E cet 9262 ZO .Cec 1 ZCo ZU P-1(A)Page 1 of 2 Revised 07/10 U 3.NON-PROFIT ORGANIZATION OR TRUST iiAitsc. If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the names and addresses of ANY person serving as an officer or director of the non- profit organization or as trustee or beneficiary of the. Non Profit/Trust IN\Abe Non Profit/Trust Mat— Title Title Address Address 4.Have you had more than $500 worth of business transacted with any member of City staff,Boards,Commissions,Committees and/or Council within the past twelve (12) months? riYes IZINo If yes, please indicate person(s): NOTE:Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. a2at Lea atar ‘V-4 - Signature of owner/date Signature of applicant/date P MA LA 0Th pa_wlet.+r-- Print or type name o owns.Print or type name of applicant K.."ii CcrekSignature of o er/applica 's a7-nt if applicable/date CMS rh I FfrOPrint or type name of owner applicant's agent P-1(A)Page 2 of 2 Revised 07/10 U PROJECT DESCRIPTION P-1(B) PROJECT NAME: Ota Residence APPLICANT NAME: Paula Ota. Removal of an existing two story single-family residence and a detached garage.All site hardscape and landscape is also to be removed.The existing site fence along the south and east side ofthe property is to remain.Construct a new two story single-family residence with a basement and underground garage containing the following areas:First floor living:1576 SF. Second floor living:1788 SF. Basement: 886 SF. Underground Garage: 749 SF.The site work is to include a driveway to the underground parking, site retaining walls, site fence, hardscape, landscaping and spa. Rtrt-r`•- HAZARDOUS WASTE Development ServicesCCityofAND SUBSTANCES Planning Division Carlsbad STATEMENT 1635 Faraday Avenue (760)602-4610P-1(C)www.carlsbadca.gov Consultation of Lists of Sites Related to Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Pursuant to State of California Government Code Section 65962.5,I have consulted the Hazardous Waste and Substances Sites Ust compiled by the California Environmental Protection Agency and hereby certify that (check one): The development project and any alternatives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. ID The development project and any alternatives proposed in this application are contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT PROPERTY OWNER Name:nk)0i>4Name:I:7146k if Vri N cf6s Address4'47,f...WEIZA Address:aett zoA - 12-0k tAF;,9 ?co 20 INe-,OA-92(.020 • Phone Number:1 11-'PA 12 •0402 Phone Number:11 {-.31-5 •CWeZ. Address of Site:4010 GANI2mF1 ets)SAP-a-T. Local Agency (City and County):Ciscgtt?-4scC 1 CA (3\MCP() Assessor's book, page, and parcel number 2620. —09i-odic-fro° Specify list(s): Regulatory Identificationnn Number: WA( Date of List 1701 Oaddi ,QA„A Cat Applicant Signature/Date Property Owner Signature/Date si The Hazardous Waste and Substances Sites List (Cortese Ust)is used by the State,local I! agencies and developers to comply with the California Environmental Quality Act requirements in providing information about the location of hazardous materials release sites. P-1(C)Page 1 of 2 Revised 02/13 V - ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) Date Filed:41‘AC34 (To be completed by City) Application Number(s):Cop K-69 General Information 1.Name of project 01A.t<6.6 PGA GE 2.Name of developer or project sponsor: Address: City, State, Zip Code: Phone Number 3.Name of person to be contacted concerning this project:agiact(9.cg-I t44A-v e Address:"Lit C....413 ge City, State, Zip Code:401—osocIA taatelfOP uPV5 ii Phone Number %CIS 1412-GI I t2 4.Address of Project:4 09 0 CTAIR..€el -1)51 Assessor's Parcel Number:7.0 Co tot I Ot{00 5.List and describe any other related permits and other public approvals required for this project, including those required by city, regional, state and federal agencies: 6.Existing General Plan Land Use Designation:'1?—2-;14 I-E l.+I L.{nEcTist. 7.Existing zoning district:g 2- , 8.Existing land use(s):4}Got fAwt k 1-4(Ili f 0-eV t t 9.Proposed use of site (Project for which this form is filed):Si 0 Gt F-AM 12(944 I DEO re Project Description 10.Site size:ce)t 14 F 11.Proposed Building square footage:4.750 /-peg kflemb 12:Number of floors of construction:2-- 13.Amount of off-street parking provided:t2- 14.Associated projects:'1-VA P-1 (D)Page 2 of 4 Revised 07/10 • 0 15.If residential, include the number of units and schedule of unit sizes: 16.If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities:kl/A 17.If industrial, indicate type, estimated employment per shift, and loading facilities:tIA 16.If institutional, indicate the major function, estimated employment per shittirAted occupancy, loading facilities, and community benefits to be derived from the project: 19. If the project involves a variance, conditio7I use or rezoning applications, state this and indicateh)clearly why the application is required: P-1(D)Page 3 of 4 Revised 07/10 Are the following items applicable to the project or its effects?Discuss all items checked yes (attach additional sheets as necessary). Yes NNor20.Change in existing features of any bays, tidelands, beaches, or hills, or substantial 0 alteration of ground contours. 21.Change in scenic views or vistas from existing residential areas or public lands or 0 roads. 22.Change in pattern, scale or character of general area of project.0 23.Significant amounts of solid waste or litter. 181 24.Change in dust, ash, smoke, fumes or odors in vicinity. 25.Change in ocean,bay,lake,stream or ground water quality or quantity,or 0 alteration of existing drainage patterns. 26.Substantial change in existing noise or vibration levels in the vicinity. ra 27.Site on filled land or on slope of. 10 percent or more. 28.Use of disposal of potentially hazardous materials,such as toxic substances,0 gt. flammables or explosives. 29.Substantial change in demand for municipal services (police, fire, water, sewage,0 etc.). 30.Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.).0 31.Relationship to a larger project or series of projects. Environmental Setting Attach sheets that include a response to the following questions: 32.Describe the project site as it exists before the project, including information on topography, soil stability, plants and animals, and any cultural, historical or scenic aspects.Describe any existing structures on the site, and the use of the structures.Attach photographs of the site.Snapshots or Polaroid photos will be accepted. 33.Describe the surrounding properties,including information on plants and animals and any cultural, historical or scenic aspects.Indicate the type of land use (residential, commercial, etc.), intensity of land use (one-family, apartment houses, shops, department stores, etc.), and scale of development (height,frontage,set-back,rear yard,etc.).Attach photographs of the vicinity. Snapshots or polaroid photos will be accepted. Certification I hereby certify that the statements furnished above and in the attached exhibits present the data and information required for this initial evaluation to the best of my ability, and that the facts, statements, and information presented are true and correct to the best of my know)-dge bel'-. Date:2l2/16 Signature'/44......sain TA For: P-1(D)Page 4 of 4 Revised 07/10 .0..MINOR Development ServicesIL. City of COASTAL DEVELOPMENT PERMIT/Planning DivisionSINGLE FAMILY RESIDENCECarlsbadAPPLICATION 1635 Faraday Avenue (760) 602-4610 P-6 www.carlsbadca.gov A proposed project requiring multiple applications must be submitted prior to 3:30 p.m.A proposed project requiring only one application must be submitted prior to 4:00 p.m. All joint application exhibits,i.e.Tentative Map and Planned Development Site Plan should be prepared at the same scale.(Use a scale no smaller than 1"=40'.) I.GENERAL BACKGROUND A.Estimated Cost of Development: Development costing $60,000 or more does not qualify as a Minor Coastal Development Permit.The City Planner shall make the final determination regarding a project's cost of development. The primary basis for determining cost of development will be the application of dollar costs per square foot for different types of residential construction.These costs are set by the International Conference of Building Officials (ICBO)and are applied throughout San Diego County. Please complete the following information to assist in the determination of this project's cost of development (Contractor proposals may also be submitted for consideration by the City Planner).Please refer to the current fee schedule for the appropriate $/square foot fee rate. Nr Residential Square Footage:L..") square feet x $Pit .51./sq..=$fr)7Z •/1 ft:0 Residential Addition Square Footage: square feet x $/sq. ft. =$ Anylvre Square Footage: square feet x $41..4-49sq. ft. =$,SO Residential Conversion Square Footage: square feet x $/sq. ft.$ Please contact the City of Carlsbad Building Division. for current fee rate for Non- Residential uses (i.e. RetaiVStore; Restaurants; Office; and Manufacturing/Warehouse uses.) square feet x $/sq. ft. =$ 1 COST OF DEVELOPMENT ESTIMATE: $4 Zieti -7g2 B.Do you wish to apply for: 1.A Minor Coastal Development Permit (Under $60,000 cost estimate)0 2.A Coastal Development Permit ($60,000 or more cost estimate)X C.Street address of proposed development • +010 eiScr—f EC.A a5r1)-)eat (won. P-6 Page 1 of 6 Revised 08/13 •• D.Assessor's Parcel Number of proposed development 04-•oo E.Development Description: Briefly describe project:P-E.MOUE.SikicotiRA Deuri4fErt) GAFfref ea mc.it-ixt-.t4 4 sifcif-.‘46*baterita ANn isA4-pask.®APEt F4't HCLUOPS• HANYXJAFe Lim1/40wir 146- 1 coF71/4 WALL.%'1641/4-1D F.Describe the present land uses (i.e.vacant land,single family homes,apartments, offices, etc.) that surround the proposed development to the: North:D1 liotete South:HelLE Ft4111=11 ioME East:Nei Le. West:VAGANi- 1-4440 G.Is project located within a 100-year flood plain?0 Yes No II.PRESENT USE OF PROPERTY A.Are there existing structures on the property?Yes 0 No If yes, please describe.ti Ken fiNM11-\71 f2--ScteMCE AM. D'E-t\--Ac.WED eAhar-tF- B.Will any existing structure be removed/demolished?2(1 Yes 0 No If yes to either question,describe the extent of the demolition or removal,including the relocation site, if applicable (also show on plans). .)ctrott14.8 tbegcE "IND /km ro tzEtYlotbef> III.LOT COVERAGE A.Existing and Proposed istin.Proposed Total Building Coverage-All!-q. ft.4 tS1 sq. ft.2,W1 sq.ft.4 5 % Landscaped Area .41 q. ft.a sq. ft.f3(015 sq. ft.I 1 Hardscape Area I ft-CO sq. ft.1115 sq. ft.4--0 % Unimproved Area (Left Natural)0 sq. ft.0 sq. ft.0 sq. ft.91 B.Parking:Number of existing spaces (e) Number of new spaces proposed Existing/Proposed TOTAL:2 Number of total spaces required 2 Number of covered spaces Number of uncovered spaces Number of standard spaces P-6 Page 2 of 6 Revised 08/13 fur c.0 0 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.) 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).Each site plan shall contain the following information: 1.GENERAL INFORMATION 1:3‘Name,address,and phone number of registered civil engineer,licensed surveyor, /1[1landscape architect or land planner who prepared the maps/plans. 1..ocation, size and use of all easements.L 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 ation, number and typical dimension of spaces,and wheel stops. aillistance between buildings and/or structures. 241Building setbacks (front, rear and sides). 1 Dr Location, height and materials of walls and fences. W. - Dimensions/location of signs. .rnmary table of the following (if applicable to the application): Street address and assessor's parcel number. Site acreage. )Existing Zone and Land Use Designation.• Proposed land use. Total building coverage (in square feet and as a percent). Percent of site to be landscaped. Number of parking spaces required/provided. Square Footage of open or recreational space (if applicable). 9)Cubic footage of storage space (if applicable). liti..Eli.All 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 zon The following information shall be submitted at a minimum: ,..1.Approximate contours at 1'intervals for slopes less than 5%;2'intervals for slopes 1i 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 oundaries of the site.Extend contours sufficiently out from the site to adequately show the adjacent floodplain (if applicable). 131 Spot volumes:cut, fill, import and export. (Spot elevations at the corners of each pad. 4.ethod of draining each lot.Include a typical cross section taken parallel to the frontage or lots with less than standard frontage. 5.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 Deietention/retention basins. 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. P-6 Page 4 of 6 Revised 08/13 0 • Number of compact spaces 0 Is tandem parking existing?0 Yes #_1Z1 No Is tandem parking proposed?0 Yes #plg No C.Grade Alteration: Is any grading proposed?a Yes No If yes, please complete the following: 1.Amount of cut &eat)cu. yds. 2.Amount of fill 970 cu. yds. 3.Maximum height of fill slope ..011 feet 4.Maximum height of cut slope elptivp1/404 -0 2'e Fgair felt g° 5.Amount of import Kapott)cu. yds. 6.Location of borrow or disposal site P-6 Page 3 of 6 Revised OR/l! ii •,- ,0 0 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 foll ing information: i1Location and size of storage areas. All buildings, structures, wall and/or fences, signs and exterior lights. .Existing and proposed construction. likkbs -04.ovide documentation demonstrating compliance with City Council Policy 44 — cpNeighborhood Architectural Design Guidelines (if applicable). .Building Heights of all structures (top of roof and top of roof projections)(Pr 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.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. Disclosure Statement. Two (2) copies of the Preliminary Title Report (current within the last six (6) months). .Completed "Project Description/Explanation" sheet. G.Two copies of a completed and signed °Storm Water Standards Questionnaire".This form can be found on the City's website. (Distribute copy to Land Development Engineering). ,.\I i .If,when completing the Storm Water Standards Questionnaire,the project is defined as a V "Priority Project", submit a preliminary. Storm Water Management Plan (SWMP) prepared in accordance with the City Standard Urban Storm Water Mitigation Plan (SUSMP) per the City of Carlsbad Land Development Engineering Standards. .Property Owner's List and Addressed Labels: Single Family Residence 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).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 600' radius of the subject property.The list must be typed in all CAPITAL LETTERS, left justified, void of punctuation.For i 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 (Ti)no larger than 11 pt.Sample labels are as follows: UNACCEPTABLE UNACCEPTABLE ACCEPTABLE ? Mrs. Jane Smith Mrs. Jane Smith MRS. JANE SMITH i 123 Magnolia Ave., Apt. #3 123 Magnolia Ave.APT 3 Carlsbad, CA 92008 Apt. #3 123 MAGNOLIA AVE Carlsbad, CA 92008 CARLSBAD CA 92008 P-6 Page 5 of 6 Revised 08/13 sol 0 • 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. Note: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. Minor Coastal Development Permit 1.100' Radius Owners and Occupants/Address List and Labels (for coastal zone/CDPs only): One (1) list of the occupants/addresses located within a 100' radius of the project site; and two (2) sets of mailing labels of the addresses within a 100' radius. 13-6 Page 6 of 6 Revised 08/13 STORM WATER Development Services City of STANDARDS Land Development Engineering 1635 Faraday Avenue Carlsbad QUESTIONNAIRE E-34 760-602-2750 www.carlsbadca.gov 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 (BMP's) 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 or be subject to 'PRIORITY DEVELOPMENT PROJECT' (PDP) requirements. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete.In this case, please make the changes to the questionnaire and resubmit to the City. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A completed and signed questionnaire must be submitted with each development project application. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. PROJECT INFORMATION PROJECT NAME:4090 Garfield Street PROJECT ID: The project is (check one):El New Development 8 Redevelopment The total proposed disturbed area is:45995 ft2 0.11 )acres 997The total proposed newly created and/or replaced impervious area is:3,ft2 0.09)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. E-34 Page 1 of 4 REV 02/16 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)?X If you answered "yes" to the above question, provide justification below then Go to step 5,mark the third 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. STEP 2 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:Xa)Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non - erodible permeable areas; b)Designed and constructed to be hydraulically disconnected from paved streets or roads; c)Designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets guidance? 2.Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in accordance with the USEPA Green Streets guidance?X 3.Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual?X If you answered "yes" to one or more of the above questions, provide discussion/justification below, then Go to step 5, 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. 02/16 STEP 3 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1)): YES NO 1.Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site?This includes commercial, industrial, residential, mixed-use,X 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 Xmore of impervious surface?This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. 3.Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant?A restaurant is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters X and refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial Classification (SIC) code 5812). 4.Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project?A hillside X development project includes development on any natural slope that is twenty-five percent or greater. 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 Xis a 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 surface collectively over the entire project site and supports a street,road,highway Xfreeway or driveway?A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. 7.Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)?"Discharging Directly to" includes flow that is conveyed overland a distance X 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 Xrepair shop is a facility that is categorized in any one ofthe following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541,7532-7534,or 7536-7539. 9.Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious area that supports a retail gasoline outlet (RGO)?This category Xincludes 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 Xland 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 X 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, check the first box stating "My project is a PDP ..." and complete applicant information. If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT', "Go to step 5,check the second box stating "My project is a 'STANDARD PROJECT'..." and complete applicant information. E-34 Page 3 of 4 REV. 02/16 STEP 4 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 BMP's required for PDP apply only to the creation or replacement of impervious surface and not the entire development.Go to step 5, check the first box stating "My project is a PDP ..." and complete applicant information. If you answered "no," the structural BMP's required for PDP apply to the entire development.Go to step 5, check the check the first box stating "My project is a PDP ..." and complete applicant information. STEP 5 CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION 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) for submittal at time of application. O 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. 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. My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. Applicant Information and Signature Box Assessor's Parcel Number(s): 206-091-04 Applicant Name:Applicant Title: Tara Goldberg Project Engineer Applicant Signature:;Date: 2-17-16 *Environmentally Sensitive 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 (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City. This Box for City Use Only City Concurrence:YES NO By: nate. Project ID: E-34 Page 4 of 4 REV. 02/16 •0 0 STANDARD PROJECT Development Services City of REQUIREMENT Land Development Engineering C -CHECKLIST E-36 1635 Faraday Avenue ar sbad 760-602-2750 www.carlsbadca.gov Project Name:LIMO GiirlvefieAd Slreek Project ID: DWG No. or BuildintPermit No.:—:Source Control 131191Ps • ' •_• All development projects must implement source control BMPs SC-1 through SC-6 where applicable and feasible. See Chapter 4 and Appendix E.1 of the BMP Design Manual for information to implement source control BMPs shown in this checklist. Answer each category below pursuant to the following. •"Yes" means the project will implement the source control BMP as described in Chapter 4 and/or Appendix E.1 of the Model BMP Design Manual. Discussion/justification is not required. •"No" means the BMP is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. •"N/A" means the BMP is not applicable at the project site because the project does not include the feature that is addressed by the BMP (e.g., the project has no outdoor materials storage areas). Discussion/justification may be provided. 'ffeurde'Control Requirement "-•'.=' SC-1 Prevention of Illicit Discharges into the MS4 %Yes D No 0 N/A Discussion/justification if SC-1 not implemented: SC-2 Storm Drain Stenciling or Signage 0 Yes El No iii(N/A Discussion/justification if SC-2 not implemented: SC-3 Protect Outdoor Materials Storage Areas from Rainfall, Run-On,j'Yes 0 No 0 N/A Runoff, and Wind Dispersal Discussion/justification if SC-3 not implemented: SC-4 Protect Materials Stored in Outdoor Work Areas from Rainfall, Run-On,itYes 0 No o N/A Runoff, and Wind Dispersal Discussion/justification if SC-4 not implemented: SC-5 Protect Trash Storage Areas from Rainfall, Run-On, Runoff, and Wind x Yes El No 0 N/A Dispersal Discussion/justification if SC-5 not implemented: E-36 Page 1 of 3 REV 02/16 •0 0 Sour cecontrohRequiremant --App(iett?-- SC-6 Additional BMPs based on Potential Sources of Runoff Pollutants must answer for each source listed below and identify additional BMPs. (See Table in Appendix El of BMP Manual for guidance). $On-site storm drain inlets %Yes 0 No 0 N/A G Interior floor drains and elevator shaft sump pumps 0 Yes 0 No .flf N/A o Interior parking garages 0 Yes 0 No X N/A U Need for future indoor & structural pest control 0 Yes 0 No -AI N/A )(Landscape/Outdoor Pesticide Use %Yes 0 No LI N/AXPools, spas, ponds, decorative fountains, and other water features %Yes 0 No 0 N/A Food service ti Yes 0 No ON/A ttRefuse areas n'Yes 0 No $N/A O Industrial processes 0 Yes 0 No ANN/A 0 Outdoor storage of equipment or materials 0 Yes 0 No .1(N/A n Vehicle and Equipment Cleaning 0 Yes 0 No %N/A 0 Vehicle/Equipment Repair and Maintenance 0 Yes 0 No X N/A 0 Fuel Dispensing Areas 0 Yes 0 No RN/A 0 Loading Docks 0 Yes 0 No X N/A 0 Fire Sprinkler Test Water 0 Yes 0 No ON/A gMiscellaneous Drain or Wash Water $Yes 0 No 0 N/Ag-Plazas, sidewalks, and parking lots R‘Yes 0 No 0 N/A For "Yes° answers, identify the additional BMP per Appendix E.1. Provide justification for °No" answers. kvicto._Strert ;it v Tot tu4itsyr reibein-ion 1A.4-artyieotitri ko 0Lo lianci5eof. n_3 uriet.03 yvNiriterto n or y‘0 ?esti ci des .ire-atfoe exi.i.1„.„ 1 native.41-ekS, Slut. 65 Oin.c1 Cwt ag)3/44‘""1/4',4111. Urn eX4e1.1.rossiok-0H?cacA Shat(SC -it Ftwn-lAin M Pool Hcit n-teAlance...fro ev.CAS a 4-0 Ow mix pith At.eoncltn5atiern 1iv‘es roof- urn 9.)-Hers e 4c •tt>d-(4;n.#o landscapt- Prn.i es)teueolK s `y .h-os 30 be 5kkit 74 re-30 tet-Vti E-36 Page 2 of 3 REV. 02116 00 .Site Design SMF's --`- All development projects must implement site design BMPs SD-1 through SD-8 where applicable and feasible. See Chapter 4 and Appendix E.2 thru E.6 of the BMP Design Manual for information to implement site design BMPs shown in this checklist. Answer each category below pursuant to the following. •"Yes" means the project will implement the site design BMPs as described In Chapter 4 and/or Appendix E.2 thru E.6 of the Model BMP Design Manual. Discussion / justification is not required. •"No" means the BMPs is applicable to the project but it is not feasible to implement Discussion/justification must be provided. •"N/A" means the BMPs is not applicable at the project site because the project does not include the feature that is addressed by the BMPs (e.g., the project site has no existing natural areas to conserve). Discussion/justification max be provided.Site Denim. Requirement --•-1 - SD -1 Maintain Natural Drainage Pathways and Hydrologic Features Yes 0 No 0 N/A Discussion/justification if SD-1 not implemented: SD-2 Conserve Natural Areas, Soils, and Vegetation (Yes 0 No 0 N/A Discussion/justification if SD-2 not implemented: SD-3 Minimize Impervious Area X9Yes 0 No 0 N/A Discussion/justification if SD-3 not implemented: SD-4 Minimize Soil Compaction //Yes 0 No 0 N/A Discussion/justification If SD-4 not implemented: SD-5 Impervious Area Dispersion ,TelYes 0 No I 0 N/A Discussion/justification if SD-5 not implemented: SD -6 Runoff Collection ,517Yes 0 No o N/A Discussion/justification if SD-6 not implemented: Sal Landscaping with Native or Drought Tolerant Species XYes I 0 No ri N/A Discussion/justification if SD-7 not implemented: SD-8 Harvesting and Using Precipitation 0 Yes 0 No .&'IIA Discussion/justification if SD-8 not implemented: E-36 Page 3 of 3 REV. 02/16 ' ,,,, Chicago Title Company 4210 Riverwalk Parkway, Suite 100, Riverside, CA 92505 Phone:(951) 710-5900 •Fax: Issuing Policies of Chicago Title Insurance Company ORDER NO.:00050114-992-1E2 Escrow/Customer Phone:(951) 710-5900 Paula Ota Title Officer:John Balassi (IE/Comm) 4 Bellezza Title Officer Phone:(951) 710-5903 Irvine, CA 92620 Title Officer Fax:(951) 710-5955 ATTN:Title Officer Email:DL-CTI-Inland-K26@ctt.com Email:Irvine453@gmail.com Ref: PROPERTY:4090 GARFIELD STREET, CARLSBAD, CA PRELIMINARY REPORT In response to the applicationfor apolicy of title insurance referenced herein, Chicago Title Company hereby reports that it is prepared to issue,or cause to be issued,as ofthe date hereof a policy or policies oftitle insurance describing the land and the estate or interest therein hereinafter set forth, insuring against loss which may be sustained by reason ofany defect, lien or encumbrance not shown or referred to as an exception herein or not excluded from coverage pursuant to the printed Schedules, Conditions and Stipulations or Conditions ofsaid policy forms. The printed Exceptions and Exclusions from the coverage and Limitations on Covered Risks ofsaid policy or policies are set forth in Attachment One.The policy to be issued may contain an arbitration clause.When the Amount ofInsurance is less than that setforth in the arbitration clause,all arbitrable matters shall be arbitrated at the option ofeither the Company or the Insured as the exclusive remedy of the parties.Limitations on Covered Risks applicable to the CLTA and ALTA Homeowner's Policies ofTitle Insurance which establish a Deductible Amount and a Maximum Dollar Limit of Liabilityfor certain coverages are also set forth in Attachment One.Copies ofthe policy forms should be read.They are available from the office which issued this report. This report (and any supplements or amendments hereto) is issued solelyfor the purpose of facilitating the issuance ofa policy of title insurance and no liability is assumed hereby.Ifit is desired that liability be assumedprior to the issuance ofa policy oftitle insurance, a Binder or Commitment should be requested. The policy(s)of title insurance to be issued hereunder will be policy(s)ofChicago Title Insurance Company,a Nebraska Corporation. Please read the exceptions shown or referred to herein and the exceptions and exclusions setforth in Attachment One of this report carefully. The exceptions and exclusions are meant to provide you with notice ofmatters which are not covered under the terms ofthe 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. Chicago Title Company By 4414:4 l'' IN114..?: W Randy Dusk. President •I-.-+.Attest By:X------Authorized Signature ..r.' Michael&web,Secretary CLTA Preliminary Report Form —Modified (11/17/06)Page 1 0 0 Chicago Title Company0 4210 Riverwalk Parkway, Suite 100, Riverside, CA 92505 Phone:(951) 710-5900 •Fax: PRELIMINARY REPORT EFFECTIVE DATE:February 17, 2016 at 7:30 a.m. I ORDER NO.:00050114-992-1E2 1.THE ESTATE OR INTEREST IN THE LAND HEREINAFTER DESCRIBED OR REFERRED TO COVERED BY THIS REPORT IS: J A Fee f 2.TITLE TO SAID ESTATE OR INTEREST AT THE DATE HEREOF IS VESTED IN: Blair Gregory Ota and Paula Ann Ota, Trustees of The Blair Gregory Ota and Paula Ann Ota Revocable Trust, dated June 3, 1987, subject to Item No.9. 3.THE LAND REFERRED TO IN THIS REPORT IS DESCRIBED AS FOLLOWS: See Exhibit A attached hereto and made a part hereof. I I CLTA Preliminary Report Form—Modified (11/17/06)Page 2 1 0 0 PRELIMINARY REPORT Chicago Title Company YOUR REFERENCE:ORDER NO.:00050114-992-1E2 EXHIBIT "A" LEGAL DESCRIPTION THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE CITY OF CARLSBAD, IN THE COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: THE SOUTHEASTERLY 1.00 FOOT OF LOT 3 AND ALL OF LOTS 4 AND 5 IN BLOCK "I"OF PALISADES, IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 1747 FILED IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY, FEBRUARY 5, 1923. EXCEPTING THEREFROM THE SOUTHEASTERLY 40.00 FEET OF THE SOUTHWESTERLY 80.28 FEET OF SAID LOT 5. ALSO EXCEPTING THEREFROM THAT PORTION DESCRIBED AS FOLLOWS:BEGINNING AT THE MOST EASTERLY CORNER OF THE SOUTHWESTERLY 80.28 FEET OF SAID LOT 5;THENCE NORTHEASTERLY ALONG THE SOUTHEASTERLY LINE OF SAID LOT 5 A DISTANCE OF 40 FEET, MORE OR LESS, TO THE MOST EASTERLY CORNER OF SAID LOT; THENCE NORTHEASTERLY ALONG THE NORTHEASTERLY LINE OF SAID LOTS 5 AND 4 A DISTANCE OF 95.26 FEET TO THE MOST NORTHERLY COMER OF SAID LOT 4; THENCE SOUTHWESTERLY ALONG THE NORTHWESTERLY LINE OF SAID LOT 4 A DISTANCE OF 20.00 FEET; THENCE SOUTHEASTERLY PARALLEL WITH SAID NORTHEASTERLY LINE OF LOT 4 A DISTANCE OF 22.00 FEET;THENCE SOUTHERLY IN A STRAIGHT LINE TO A POINT ON THE NORTHEASTERLY LINE OF THE SOUTHWESTERLY 80.28 FEET OF SAID LOTS 4 AND 5 WHICH IS DISTANT THEREON 71.00 FEET NORTHWESTERLY FROM THE POINT OF BEGINNING;THENCE SOUTHEASTERLY ALONG SAID NORTHEASTERLY LINE 71.00 FEET TO THE POINT OF BEGINNING. APN:206-091-04 CLTA Preliminary Report Form —Modified (11/17/06)Page 3 0 0 PRELIMINARY REPORT Chicago Title Company YOUR REFERENCE:ORDER NO.:00050114-992-1E2 EXCEPTIONS AT THE DATE HEREOF, ITEMS TO BE CONSIDERED AND EXCEPTIONS TO COVERAGE IN ADDITION TO THE PRINTED EXCEPTIONS AND EXCLUSIONS IN SAID POLICY FORM WOULD BE AS FOLLOWS: 1.Property taxes, which are a lien not yet due and payable, including any assessments collected with taxes to be levied for the fiscal year 2016-2017. 2.Any liens or other assessments,bonds, or special district liens including without limitation, Community Facility Districts, that arise by reason ofany local, City, Municipal or County Project or Special District. 3.The lien of supplemental or escaped assessments of property taxes,if any, made pursuant to the provisions of Chapter 3.5 (commencing with Section 75) or Part 2, Chapter 3, Articles 3 and 4, respectively,of the Revenue and Taxation Code ofthe State of California as a result of the transfer of title to the vestee named in Schedule A or as a result of changes in ownership or new construction occurring prior to Date of Policy. 4.Water rights, claims or title to water, whether or not disclosed by the public records. 5.Any easements not disclosed by the public records as to matters affecting title to real property, whether or not said easements are visible and apparent. 6.Covenants, conditions and restrictions but omitting any covenants or restrictions,if any, including but not limited to those based upon race, color, religion,sex,sexual orientation,familial status,marital status, disability, handicap, national origin, ancestry, source of income, gender, gender identity, gender expression, medical condition or genetic information,as set forth in applicable state or federal laws, except to the extent that said covenant or restriction is permitted by applicable law,as set forth in the document Recording Date:August 3, 1925 Recording No:Book 1107. Page 169,of Deeds Said covenants, conditions and restrictions provide that a violation thereof shall not defeat the lien of any mortgage or deed oftrust made in good faith and for value. 7.Covenants, conditions and restrictions but omitting any covenants or restrictions,if any, including but not limited to those based upon race, color, religion,sex,sexual orientation,familial status, marital status, disability, handicap, national origin, ancestry, source of income, gender, gender identity, gender expression, medical condition or genetic information,as set forth in applicable state or federal laws, except to the extent that said covenant or restriction is permitted by applicable law,as set forth in the document Recording Date:February 27, 1934 Recording No:Book 279, Page 88,of Official Records Said covenants, conditions and restrictions provide that a violation thereof shall not defeat the lien of any mortgage or deed oftrust made in good faith and for value. CLTA Preliminary Report Form —Modified (11/17/06)Page 4 0 PRELIMINARY REPORT Chicago Title Company YOUR REFERENCE:ORDER NO.:00050114-992-1E2 EXCEPTIONS (Continued) 8.A deed of trust to secure an indebtedness in the amount shown below, Amount:$337,000.00 Dated:May 15,1989 Trustor/Grantor Kay Ota,a widow and Blair Gregory Ota and Paula Ann Ota,Trustees of The Blair Gregory Ota and Paula Ann Ota Revocable Trust, dated June 3, 1987 Trustee:The California Sansome Corporation,a California Corporation Beneficiary:The Bank of California, National Association Loan No.:Not set out Recording Date:May 23, 1989 Recording No:89-272751,of Official Records The effect of a full reconveyance recorded February 19, 2002 at Instrument No. 2002-0138477,of Official Records which purports to reconvey the above-mentioned Deed ofTrust. No statement is made hereto as to the effect or validity of said reconveyance. The requirement that this Company be furnished with confirmation from the lender that the Deed of Trust has been released prior to issuance of a policy of title insurance. 9.The effect of a Deed as set forth below: Grantor:Kay Ota,a widow Grantee:Blair Gregory Ota and Paula Ann Ota, Trustees of The Blair Gregory Ota and Paula Ann Ota Revocable Trust, dated June 3, 1987 Dated:September 23, 1999 Recording Date:September 24, 1999 Recording No.:99-0652515.of Official Records The Company requires that an affidavit (attached) be completed and executed by the above grantor and that said affidavit be acknowledged before a notary who is an employee ofthe title or escrow Company and then submitted to the Title Officer for review. The Company further requires a statement of information from the above grantors in order to complete this report, based on the effect of documents, proceedings, liens, decrees, or other matters which do not specifically describe said Land, but which if any do exist, may affect the title or impose liens or encumbrances thereon. 10.Discrepancies, conflicts in boundary lines, shortage in area, encroachments, or any other matters shown on Map:Record of Survey Map No. 22119 Recording Date:September 3, 2015 Recording No:2015-7000345,of Official Records CLTA Preliminary Report Form —Modified (11/17/06)Page 5 •0 0 PRELIMINARY REPORT Chicago Title Company YOUR REFERENCE:ORDER NO.:00050114-992-1E2 EXCEPTIONS (Continued) 11.Please be advised that our search did not disclose any open Deeds of Trust of record.If you should have knowledge of any outstanding obligation, please contact the Title Department immediately for further review prior to closing. 12.Any invalidity or defect in the title of the vestees in the event that the trust referred to herein is invalid or fails to grant sufficient powers to the trustee(s) or in the event there is a lack ofcompliance with the terms and provisions of the trust instrument. If title is to be insured in the trustee(s)of a trust, (or iftheir act is to be insured), this Company will require a Trust Certification pursuant to California Probate Code Section 18100.5. The Company reserves the right to add additional items or make further requirements after review of the requested documentation. 13.Any rights of the parties in possession of a portion of or all of said Land, which rights are not disclosed by the public records. The Company will require,for review,a full and complete copy of any unrecorded agreement, contract,license and/or lease, together with all supplements, assignments and amendments thereto, before issuing any policy of title insurance without excepting this item from coverage. The Company reserves the right to except additional items and/or make additional requirements after reviewing said documents. PLEASE REFER TO THE "INFORMATIONAL NOTES" AND "REQUIREMENTS" SECTIONS WHICH FOLLOW FOR INFORMATION NECESSARY TO COMPLETE THIS TRANSACTION. END OF EXCEPTIONS I! CLTA Preliminary Report Form —Modified (11/17/06)Page 6 PRELIMINARY REPORT o 0 Chicago Title Company YOUR REFERENCE:ORDER NO.:00050114-992-1E2 REQUIREMENTS SECTION 1.In order to complete this report, the Company requires a Statement of Information to be completed by the following PartY(s), Party(s):All Parties The Company reserves the right to add additional items or make further requirements after review of the requested Statement of Information. NOTE:The Statement of Information is necessary to complete the search and examination of title under this order.My title search includes matters that are indexed by name only, and having a completed Statement of Information assists the Company in the elimination of certain matters which appear to involve the parties but in fact affect another party with the same or similar name. Be assured that the Statement of Information is essential and will be kept strictly confidential to this file. 2.The Company will require either (a)a complete copy of the trust agreement and any amendments thereto certified by the trustee(s) to be a true and complete copy with respect to the hereinafter named trust, or (b)a Certification, pursuant to California Probate Code Section 18100.5,executed by all of the current trustee(s)of the hereinafter named trust, a form ofwhich is attached. •Name ofTrust:The Blair Gregory Ota and Paula Ann Ota Revocable Trust, dated June 3, 1987 3.The Company will require an affidavit signed by the seller/mortgagor certifying that there are no matters that could give rise to any defects, liens, encumbrances, adverse claims or other matters that would attach to the Land between the effective date of the report and the recording ofthe instruments creating the estate to be insured. END OF REQUIREMENTS CLTA Preliminary Report Form —Modified (11/17/06)Page 7 • PRELIMINARY REPORT 0 0 Chicago Title Company YOUR REFERENCE:ORDER NO.:00050114-992-1E2 INFORMATIONAL NOTES SECTION 1.Note:Property taxes, including any personal property taxes and any assessments collected with taxes, are paid. For proration purposes the amounts were: Tax Identification No.:206-091-04-00 Fiscal Year:2015-2016 1st Installment:$4,419.76 2nd Installment:$4,419.76 Exemption:None Code Area:09000 2.Note: None of the items shown in this report will cause the Company to decline to attach CLTA Endorsement Form 100 to an Extended Coverage Loan Policy, when issued. 3.Note: The Company is not aware of any matters which would cause it to decline to attach CLTA Endorsement Form 116 indicating that there is located on said Land a Single Family Residential properties, known as 4090 Garfield Street, located within the city of Carlsbad, California,,to an Extended Coverage Loan Policy. 4.Note:Please contact your Title Officer to obtain the current recording fees.Chicago Title Company will pay Chicago Title Insurance Company 12%ofthe title premium,as disclosed on lines 1107 and 1108 ofthe BUD-1. 5.Note:The policy of title insurance will include an arbitration provision. The Company or the insured may demand arbitration. Arbitrable matters may include, but are not limited to, any controversy or claim between the Company and the insured arising out of or relating to this policy, any service of the Company in connection with its issuance or the breach of a policy provision or other obligation.Please ask your escrow or title officer for a sample copy of the policy to be issued if you wish to review the arbitration provisions and any other provisions pertaining to your Title Insurance coverage. END OF INFORMATIONAL NOTES John Balassi (IE/Comm)/ks3 CLTA Preliminary Report Form —Modified (11/17/06)Page 8 0 (*I) FIDELITY NATIONAL FINANCIAL PRIVACY NOTICE Fidelity National Financial,Inc.and its majority-owned subsidiary Web Beacons.Some of our web pages and electronic companies providing real estate-and loan-related services (collectively,communications may contain images, which may or may not be visible "FNF","our" or "we")respect and are committed to protecting your to you, known as Web Beacons (sometimes referred to as "clear gifs"). privacy. This Privacy Notice lets you know how and for what purposes Web Beacons collect only limited information that includes a cookie your Personal Information (as defined herein)is being collected,number; time and date of a page view; and a description ofthe page on processed and used by FNF.We pledge that we will take reasonable which the Web Beacon resides. We may also carry Web Beacons placed steps to ensure that your Personal Information will only be used in ways by third party advertisers. These Web Beacons do not carry any Personal that are in compliance with this Privacy Notice.The provision of this Information and are only used to track usage of the Website and Privacy Notice to you does not create any express or implied activities associated with the Website.See the Third Party Opt Out relationship, or create any express or implied duty or other obligation,section below. between Fidelity National Financial,Inc.and you.See also No Representations or Warranties below.Unique Identifier.We may assign you a unique internal identifier to help keep track ofyour future visits. We may use this information to This Privacy Notice is only in effect for any generic information and gather aggregate demographic information about our visitors,and we Personal Information collected and/or owned by FNF,including may use it to personalize the information you see on the Website and collection through any FNF website and any online features,services some of the electronic communications you receive from us. We keep and/or programs offered by FNF (collectively,the "Website").This this information for our internal use, and this information is not shared Privacy Notice is not applicable to any other web pages,mobile with others. applications,social media sites,email lists,generic information or Third Party Opt Out.Although we do not presently, in the future wePersonalInformation collected and/or owned by any entity other than FNF.may allow third-party companies to serve advertisements and/or collect certain anonymous information when you visit the Website.These How Information is Collected companies may use non-personally identifiable information (e.g., click The types of personal information FNF collects may include,among stream information,browser type,time and date,subject of other things (collectively,"Personal Information"):(1)contact advertisements clicked or scrolled over)during your visits to the information (e.g.,name,address,phone number,email address);(2)Website in order to provide advertisements about products and services demographic information (e.g., date of birth, gender marital status); (3)likely to be of greater interest to you. These companies typically use a Internet protocol (or IP) address or device ID/UDID; (4) social security cookie or third party Web Beacon to collect this information,as further number (SSN),student ID (SIN), driver's license,passport,and other described above. Through these technologies, the third party may have government ID numbers;(5)financial account information;and (6)access to and use non-personalized information about your online usage information related to offenses or criminal convictions.activity. In the course of our business,we may collect Personal Information You can opt-out of certain online behavioral services through any one of about you from the following sources:the ways described below.After you opt-out,you may continue to •Applications or other forms we receive from you or your receive advertisements, but those advertisements will no longer be as authorized representative;relevant to you. •Information we receive from you through the Website;•You can opt-out via the Network Advertising Initiative industry•Information about your transactions with or services performed by opt-out at htto://www.networkadvertisina.oratus, our affiliates, or others; and •You can opt-out via the Consumer Choice Page at•From consumer or other reporting agencies and public records htto://www.aboutadsinfo.maintained by governmental entities that we either obtain directly •For those in the U.K., you can opt-out via the IA13 UK's industryfrom those entities, or from our affiliates or others.opt-out at http://www.youronlinechoices.com. Additional Ways Information is Collected Through the Website •You can configure your web browser (Chrome,Firefox,Internet Browser Log Files. Our servers automatically log each visitor to Explorer, Safari, etc.) to delete and/or control the use of cookies. the Website and collect and record certain information about each More information can be found in the Help system of your browser.visitor.This information may include IP address,browser language, browser type,operating system,domain names,browsing history Note:If you opt-out as described above,you should not delete your (including time spent at a domain,time and date of your visit),cookies.If you delete your cookies, you will need to opt-out again. referring/exit web pages and URLs, and number of clicks. The domain Use ofPersonal Information name and IP address reveal nothing personal about the user other than Information collected by FNF is used for three main purposes: the IP address from which the user has accessed the Website.•To provide products and services to you or one or more third partyCookies.From time to time, FNF or other third parties may send a service providers (collectively, "Third Parties") who are obtaining "cookie" to your computer.A cookie is a small piece of data that is sent services on your behalf or in connection with a transaction to your Internet browser from a web server and stored on your involving you. computer's hard drive and that can be re-sent to the serving website on •To improve our products and services that we perform for you orsubsequent visits.A cookie, by itself, cannot read other data from your for Third Parties.hard disk or read other cookie files already on your computer. A cookie,•To communicate with you and to inform you about FNF's,FNF 'sbyitselfdoes not damage your system. We, our advertisers and other affiliates and third parties' products and services.third parties may use cookies to identify and keep track of, among other things, those areas ofthe Website and third party websites that you have When Information Is Disclosed By FNF visited in the past in order to enhance your next visit to the Website.We may provide your Personal Information (excluding information we You can choose whether or not to accept cookies by changing the receive from consumer or other credit reporting agencies)to various settings of your Internet browser, but some functionality of the Website individuals and companies,as permitted by law, without obtaining your may be impaired or not function as intended.See the Third Party Opt prior authorization.Such laws do not allow consumers to restrict these Out section below.disclosures. Disclosures may include, without limitation, the following: Privacy Notice Effective:May 1,2015 0 0 •To agents, brokers, representatives,or others to provide you with Privacy Notice, and to abide by and comply with this Privacy Notice. In services you have requested, and to enable us to detect or prevent any case, you affirm that you are over the age of 13, as THE WEBSITE criminal activity,fraud,material misrepresentation,or IS NOT INTENDED FOR CHILDREN UNDER 13 THAT ARE nondisclosure in connection with an insurance transaction;UNACCOMPANIED BY HIS OR HER PARENT OR LEGAL •To third-party contractors or service providers who provide GUARDIAN. services or perform marketing services or other functions on our Parents should be aware that FNF's Privacy Notice will govern our usebehalf;of Personal Information,but also that information that is voluntarily•To law enforcement or other governmental authority in connection given by children —or others —in email exchanges, bulletin boards orwithaninvestigation,or civil or criminal subpoenas or court the like may be used by other parties to generate unsolicitedorders; and/or communications. FNF encourages all parents to instruct their children in•To lenders,lien holders,judgment creditors,or other parties the safe and responsible use of their Personal Information while usingclaiminganencumbranceoraninterestin title whose claim or the Internet.interest must be determined, settled, paid or released prior to a title or escrow closing.Privacy Outside the Website The Website may contain various links to other websites, including linksIn addition to the other times when we might disclose information about to various third party service providers.FNF is not and cannot beyou, we might also disclose information when required by law or in the responsible for the privacy practices or the content of any of those othergood-faith belief that such disclosure is necessary to: (1) comply with a websites.Other than under agreements with certain reputablelegalprocessorapplicablelaws;(2)enforce this Privacy Notice;(3)organizations and companies,and except for third party servicerespondtoclaimsthatanymaterials,documents,images,graphics,providers whose services either we use or you voluntarily elect tologos,designs, audio, video and any other information provided by you utilize, we do not share any ofthe Personal Information that you provideviolates the rights of third parties; or (4) protect the rights, property or to us with any of the websites to which the Website links, although wepersonal safety ofFNF, its users or the public.may share aggregate,non-Personal Information with those other third We maintain reasonable safeguards to keep the Personal Information Parties.Please check with those websites in order to determine their that is disclosed to us secure. We provide Personal Information and non-privacy policies and your rights under them. Personal Information to our subsidiaries, affiliated companies, and other European Union Users businesses or persons for the purposes of processing such information If you are a citizen of the European Union,please note that we mayonourbehalfandpromotingtheservicesofourtrustedbusinesstransfer your Personal Information outside the European Union for usepartners,some or all of which may store your information on servers for any of the purposes described in this Privacy Notice. By providingoutsideoftheUnitedStates.We require that these parties agree to FNF with your Personal Information, you consent to both our collectionprocess such information in compliance with our Privacy Notice or in a and such transfer ofyour Personal Information in accordance with thissimilar, industry-standard manner, and we use reasonable efforts to limit Privacy Notice.their use of such information and to use other appropriate confidentiality and security measures. The use of your information by one ofour trusted Choices With Your Personal Information business partners may be subject to that party's own Privacy Notice. We Whether you submit Personal Information to FNF is entirely up to you. do not,however,disclose information we collect from consumer or You may decide not to submit Personal Information, in which case FNF credit reporting agencies with our affiliates or others without your may not be able to provide certain services or products to you. consent,in conformity with applicable law,unless such disclosure is You may choose to prevent FNF from disclosing or using your Personalotherwise permitted by law.Information under certain circumstances ("opt out"). You may opt out of We also reserve the right to disclose Personal Information and/or non-any disclosure or use of your Personal Information for purposes that are Personal Information to take precautions against liability,investigate incompatible with the purpose(s) for which it was originally collected or and defend against any third-party claims or allegations,assist for which you subsequently gave authorization by notifying us by one of government enforcement agencies, protect the security or integrity ofthe the methods at the end ofthis Privacy Notice. Furthermore, even where Website, and protect the rights, property, or personal safety of FNF, our your Personal Information is to be disclosed and used in accordance users or others.with the stated purposes in this Privacy Notice, you may elect to opt out of such disclosure to and use by a third party that is not acting as anWe reserve the right to transfer your Personal Information,as well as agent of FNF. As described above, there are some uses from which youany other information, in connection with the sale or other disposition of cannot opt-out.all or part of the FNF business and/or assets.We also cannot make any representations regarding the use or transfer of your Personal Please note that opting out of the disclosure and use of your Personal Information or other information that we may have in the event of our Information as a prospective employee may prevent you from being bankruptcy,reorganization,insolvency,receivership or an assignment hired as an employee by FNF to the extent that provision of your for the benefit of creditors, and you expressly agree and consent to the Personal Information is required to apply for an open position. use and/or transfer of your Personal Information or other information in If FNF collects Personal Information from you, such information willconnection with a sale or transfer of some or all of our assets in any of not be disclosed or used by FNF for purposes that are incompatible withthe above described proceedings. Furthermore, we cannot and will not the purpose(s)for which it was originally collected or for which youberesponsible for any breach of security by any third parties or for any subsequently gave authorization unless you affirmatively consent toactionsofany third parties that receive any of the information that is such disclosure and use.disclosed to us. Information From Children You may opt out of online behavioral advertising by following the instructions set forth above under the above section "Additional WaysWe do not collect Personal Information from any person that we know That Information Is Collected Through the Website," subsection "Thirdtobeundertheageofthirteen(13).Specifically,the Website is not intended or designed to attract children under the age of thirteen (13).Party Opt Out." You affirm that you are either more than 18 years of age,or an Access and Correction emancipated minor, or possess legal parental or guardian consent, and To access your Personal Information in the possession of FNF and are fully able and competent to enter into the terms,conditions,correct inaccuracies of that information in our records, please contact us obligations, affirmations, representations, and warranties set forth in this in the manner specified at the end of this Privacy Notice.We ask Privacy Notice Effective:May 1,2015 0 0 individuals to identify themselves and the information requested to be CCN does not share consumer information with third parties, other than accessed and amended before processing such requests,and we may those with which the mortgage loan servicer has contracted to interface decline to process requests in limited circumstances as permitted by with the CCN application. applicable privacy legislation.All sections of the FNF Privacy Notice apply to your interaction with Your California Privacy Rights CCN,except for the sections titled Choices with Your Personal Under California's "Shine the Light"law,California residents who Information and Access and Correction.If you have questions regarding provide certain personally identifiable information in connection with the choices you have with regard to your personal information or how to obtaining products or services for personal, family or household use are access or correct your personal information, you should contact your entitled to request and obtain from us once a calendar year information mortgage loan servicer. about the customer information we shared,if any,with other businesses for their own direct marketing uses.If applicable,this information No Representations or Warranties By providing this Privacy Notice, Fidelity National Financial, Inc.doeswould include the categories ofcustomer information and the names and not make any representations or warranties whatsoever concerning anyaddressesofthosebusinesseswithwhichwesharedcustomerproducts or services provided to you by its majority-owned subsidiaries.information for the immediately prior calendar year (e.g., requests made In addition, you also expressly agree that your use of the Website is atin 2015 will receive information regarding 2014 sharing activities).your own risk.My services provided to you by Fidelity National To obtain this information on behalf of FNF,please send an email Financial,Inc.and/or the Website are provided "as is"and "as message to privacv@fnf.com with "Request for California Privacy available"for your use,without representations or warranties of any Information" in the subject line and in the body of your message.We kind,either express or implied,unless such warranties are legally will provide the requested information to you at your email address in incapable of exclusion.Fidelity National Financial,Inc.makes no response.representations or warranties that any services provided to you by it or the Website, or any services offered in connection with the Website arePlease be aware that not all information sharing is covered by the "Shine or will remain uninterrupted or error-free, that defects will be corrected,the Light"requirements and only information on covered sharing will be included in our response.or that the web pages on or accessed through the Website, or the servers used in connection with the Website,are or will remain free from any Additionally,because we may collect your Personal Information from viruses, worms, time bombs, drop dead devices, Trojan horses or other time to time, California's Online Privacy Protection Act requires us to harmful components.Any liability of Fidelity National Financial, Inc. disclose how we respond to "do not track" requests and other similar and your exclusive remedy with respect to the use of any product or mechanisms.Currently, our policy is that we do not recognize "do not service provided by Fidelity National Financial,Inc.including on or track" requests from Internet browsers and similar devices.accessed through the Website,will be the re-performance of such service found to be inadequate.FNF Compliance with California Online Privacy Protection Act For some websites which FNF or one ofits companies owns, such as the Your Consent To This Privacy Notice Customer CareNet ("CCN"),FNF is acting as a third party service By submitting Personal Information to FNF,you consent to the provider to a mortgage loan servicer. In those instances, we may collect collection and use of information by us as specified above or as we certain information on behalf of that mortgage loan servicer for fulfilling otherwise see fit,in compliance with this Privacy Notice,unless you a service to that mortgage loan servicer.For example, you may access inform us otherwise by means of the procedure identified below.If we CCN to complete a transaction with your mortgage loan servicer. During decide to change this Privacy Notice,we will make an effort to post this transaction, the information which we may collect on behalf of the those changes on the Website. Each time we collect information from mortgage loan servicer is as follows:you following any amendment of this Privacy Notice will signify your assent to and acceptance of its revised terms for all previously collected•First and Last Name information and information collected from you in the future. We may•Property Address use comments,information or feedback that you may submit in any•User Name manner that we may choose without notice or compensation to you.•Password •Loan Number If you have additional questions or comments, please let us how by sending your comments or requests to:•Social Security Number -masked upon entry •Email Address Fidelity National Financial, Inc.•Three Security Questions and Answers 601 Riverside Avenue •IP Address Jacksonville, Florida 32204 Attn: Chief Privacy OfficerThe information you submit is then transferred to your mortgage loan (888) 934-3354 servicer by way of CCN.privacy@fnf.com The mortgage loan servicer is responsible for taking action or Copyright ©2015.Fidelity National Financial,Inc.All Rightsmaking changes to any consumer information submitted through Reserved. this website.For example,if you believe that your payment or user information is incorrect,you must contact your mortgage loan EFFECTIVE AS OF: MAY 1,2015 servicer. 11 Privacy Notice Effective:May 1,2015 --matigessissr 0 Notice of Available Discounts Pursuant to Section 2355.3 in Title 10 of the California Code of Regulations Fidelity National Financial,Inc.and its subsidiaries ("FNF") must deliver a notice of each discount available under our current rate filing along with the delivery of escrow instructions, a preliminary report or commitment. Please be aware that the provision of this notice does not constitute a waiver of the consumer's right to be charged the field rate.As such,your transaction may not qualify for the below discounts. You are encouraged to discuss the applicability of one or more of the below discounts with a Company representative. These discounts are generally described below;consult the rate manual for a full description of the terms,conditions and requirements for each discount. These discounts only apply to transaction involving services rendered by the FNF Family of Companies.This notice only applies to transactions involving property improved with a one-to-four family residential dwelling. FNF Underwritten Title Company FNF Underwriter CTC -Chicago Title Company CTIC -Chicago Title Insurance Company Available Discounts CREDIT FOR PRELIMINARY REPORTS AND/OR COMMITMENTS ON SUBSEQUENT POLICIES (CTIC) Where no major change in the title has occurred since the issuance of the original report or commitment, the order may be reopened within 12 months and all or a portion of the charge previously paid for the report or commitment may be credited on a subsequent policy charge within the following time period from the date ofthe report. DISASTER LOANS (CTIC) The charge for a lender's Policy (Standard or Extended coverage) covering the fmancing or refinancing by an owner of record,within 24 months of the date ofa declaration of a disaster area by the government of the United States or the State of California on any land located in said area,which was partially or totally destroyed in the disaster,will be 50%of the appropriate title insurance rate. CHURCHES OR CHARITABLE NON-PROFIT ORGANIZATIONS (CTIC) On properties used as a church or for charitable purposes within the scope ofthe normal activities of such entities, provided said charge is normally the church's obligation the charge for an owner's policy shall be 50% to 70%of the appropriate title insurance rate,depending on the type of coverage selected.The charge for a lender's policy shall be 40% to 50%of the appropriate title insurance rate, depending on the type of coverage selected. EMPLOYEE RATE (CTC and CTIC) No charge shall be made to employees (including employees on approved retirement)of the Company or its underwritten, subsidiary title companies for policies or escrow services in connection with financing, refinancing,sale or purchase of the employees' bona fide home property.Waiver of such charges is authorized only in connection with those costs which the employee would be obligated to pay, by established custom,as a party to the transaction. 1 CA Discount Notice Effective Date:1-10-2010 0 0 ATTACHMENT ONE CALIFORNIA LAND TITLE ASSOCIATION STANDARD COVERAGE POLICY —1990 EXCLUSIONS 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 which arise by reason of: 1.(a)Any law, ordinance or governmental regulation (including but not limited to building or zoning laws, ordinances, or regulations) restricting, regulating, prohibiting or relating (i) the occupancy,use,or enjoyment of the land;(ii)the character, dimensions or location of any improvement now or hereafter erected on the land;(iii)a separation in ownership or a change in the dimensions or area ofthe land or any parcel of which the land is or was a part; or (iv) environmental protection, or the effect of any violation ofthese laws, ordinances or governmental regulations, except to the extent that a notice of the enforcement thereof or a notice of a defect, lien, or encumbrance resulting from a violation or alleged violation affecting the land has been recorded in the public records at Date ofPolicy. (b)Any governmental police power not excluded by (a) above, except to the extent that a notice ofthe exercise thereof or notice of a defect, lien or encumbrance resulting from a violation or alleged violation affecting the land has been recorded in the public records at Date ofPolicy. 2.Rights of eminent domain unless notice of the exercise thereof has been recorded in the public records at Date of Policy, but not excluding from coverage any taking which has occurred prior to Date of Policy which would be binding on the rights of a purchaser for value without knowledge. 3.Defects, liens, encumbrances, adverse claims or other matters: (a)whether or not recorded in the public records at Date of Policy, but created,suffered,assumed or agreed to by the insured claimant; (b)not known to the Company, not recorded in the public records at Date of Policy, but known to the insured claimant and not disclosed in writing to the Company by the insured claimant prior to the date the insured claimant became an insured under this policy; (c)resulting in no loss or damage to the insured claimant; (d)attaching or created subsequent to Date ofPolicy; or (e)resulting in loss or damage which would not have been sustained if the insured claimant had paid value for the insured mortgage or for the estate or interest insured by this policy. 4.Unenforceability ofthe lien of the insured mortgage because ofthe inability or failure ofthe insured at Date ofPolicy, or the inability or failure of any subsequent owner of the indebtedness, to comply with the applicable doing business laws of the state in which the land is situated. 5.Invalidity or unenforceability ofthe lien of the insured mortgage, or claim thereof, which arises out ofthe transaction evidenced by the insured mortgage and is based upon usury or any consumer credit protection or truth in lending law. 6.Any claim, which arises out of the transaction vesting in the insured the estate of interest insured by this policy or the transaction creating the interest of the insured lender, by reason of the operation offederal bankruptcy, state insolvency or similar creditors' rights laws. EXCEPTIONS FROM COVERAGE -SCHEDULE B, PART I This policy does not insure against loss or damage (and the Company will not pay costs, attorneys' fees or expenses) which arise by reason of: 1.Taxes or assessments which are not shown as existing liens by the records ofany taxing authority that levies taxes or assessments on real property or by the public records. Proceedings by a public agency which may result in taxes or assessments, or notices ofsuch proceedings, whether or not shown by the records of such agency or by the public records. 2.Any facts, rights, interests, or claims which are not shown by the public records but which could be ascertained by an inspection of the land or which may be asserted by persons in possession thereof. pb 3.Easements, liens or encumbrances, or claims thereof not shown by the public records. 4.Discrepancies, conflicts in boundary lines, shortage in area, encroachments, or any other facts which a correct survey would disclose, and which are 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.My lien or right to a lien for services, labor or material not shown by the public records. CLTA HOMEOWNER'S POLICY OF TITLE INSURANCE (12-02-13) ALTA HOMEOWNER'S POLICY OF TITLE INSURANCE EXCLUSIONS In addition to the Exceptions in Schedule B, You are not insured against loss, costs, attorneys' fees, and expenses resulting from: 1.Governmental police power, and the existence or violation ofthose portions ofany law or government regulation concerning: a.building; b.zoning; c.land use; Attachment One (4-2-15)CA & NV —"wises 0 0 d.improvements on the Land; e.land division; and f.environmental protection. This Exclusion does not limit the coverage described in Covered Risk 8.a.,14,15,16,18,19, 20, 23 or 27. 2.The failure of Your existing structures, or any part of them, to be constructed in accordance with applicable building codes.This Exclusion does not limit the coverage described in Covered Risk 14 or 15. 3.The right to take the Land by condemning it.This Exclusion does not limitthe coverage described in Covered Risk 17. 4.Risks: a.that are created, allowed, or agreed to by You, whether or not they are recorded in the Public Records; b.that are Known to You at the Policy Date, but not to Us, unless they are recorded in the Public Records at the Policy Date; c.that result in no loss to You; or d.that first occur after the Policy Date -this does not limit the coverage described in Covered Risk 7, 8.e., 25, 26, 27 or 28. 5.Failure to pay value for Your Title. 6.Lack ofa right: a.to any land outside the area specifically described and referred to in paragraph 3 of Schedule A; and b.in streets, alleys, or waterways that touch the Land. This Exclusion does not limit the coverage described in Covered Risk 11 or 21. 7.The transfer ofthe Title to You is invalid as a preferential transfer or as a fraudulent transfer or conveyance under federal bankruptcy, state insolvency, or similar creditors' rights laws. 8.Contamination, explosion, fire, flooding, vibration, fracturing, earthquake, or subsidence. 9.Negligence by a person or an Entity exercising a right to extract or develop minerals, water, or any other substances. 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: Our Maximum Dollar Your Deductible Amount Limit of Liability 1.00%% of Policy Amount Shown in Schedule A or Covered Risk 16:$2,500.00 (whichever is less)$ 10,000.00 1.00%% of Policy Amount Shown in Schedule A or Covered Risk 18:$5,000.00 (whichever is less)$ 25,000.00 1.00%ofPolicy Amount Shown in Schedule A or Covered Risk 19:$5,000.00 (whichever is less)$ 25,000.00 1.00%ofPolicy Amount Shown in Schedule A or Covered Risk 21:$2,500.00 (whichever is less)$ 5,000.00 2006 ALTA LOAN POLICY (06-17-06) EXCLUSIONS 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 (including those relating to building and zoning) restricting, regulating, prohibiting, or relating to (i)the occupancy, use, or enjoyment ofthe Land; (ii)the character, dimensions, or location ofany 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 Exclusion 1(a) does not modify or limit the coverage provided under Covered Risk 5. (b)Any governmental police power. This Exclusion 1(b) does not modify or limit the coverage provided under Covered Risk 6. 2.Rights ofeminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 3.Defects, liens, encumbrances, adverse claims, or other matters (a)created, suffered, assumed, or agreed to by the Insured Claimant; Privacy Notice Effective:May 1,2015 0 0 (b)not Known to the Company, not recorded in the Public Records at Date of Policy, but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c)resulting in no loss or damage to the Insured Claimant; (d)attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk 11,13 or 14); or (e)resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Insured Mortgage. 4.Unenforceability ofthe lien of the Insured Mortgage because ofthe inability or failure of an Insured to comply with applicable doing- business laws ofthe state where the Land is situated. 5.Invalidity or unenforceability in whole or in part of the lien ofthe Insured Mortgage that arises out of the transaction evidenced by the Insured Mortgage and is based upon usury or any consumer credit protection or truth-in-lending law. 6.Any claim, by reason of the operation of federal bankruptcy,state insolvency, or similar creditors' rights laws, that the transaction creating the lien ofthe Insured Mortgage, is (a)a fraudulent conveyance or fraudulent transfer, or (b)a preferential transfer for any reason not stated in Covered Risk 13(b)of this policy. 7.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 ofrecording ofthe Insured Mortgage in the Public Records.This Exclusion does not modify or limit the coverage provided under Covered Risk 11(b). 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 include the following Exceptions from Coverage: EXCEPTIONS FROM COVERAGE (Except as provided in Schedule B -Part II,( t(or T)his policy does not insure against loss or damage, and the Company will not pay costs, attorneys' fees or expenses, that arise by reason of: (PART I (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 include the following Exceptions from Coverage: 1.(a) Taxes or assessments that are not shown as existing liens by the records ofany 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 ofthe 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 not shown by the Public Records. PART II In addition to the matters set forth in Part I ofthis Schedule, the Title is subject to the following matters, and the Company insures against loss or damage sustained in the event that they are not subordinate to the lien ofthe Insured Mortgage:) 2006 ALTA OWNER'S POLICY (06-17-06) EXCLUSIONS 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 (including those relating to building and zoning) restricting, regulating, prohibiting, or relating to (i)the occupancy, use, or enjoyment ofthe Land; (ii)the character, dimensions, or location ofany 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 Exclusion 1(a) does not modify or limit the coverage provided under Covered Risk 5. (b)Any governmental police power.This Exclusion 1(b) does not modify or limit the coverage provided under Covered Risk 6. 2.Rights ofeminent domain.This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 3.Defects, liens, encumbrances, adverse claims, or other matters (a)created, suffered, assumed, or agreed to by the Insured Claimant (b)not Known to the Company, not recorded in the Public Records at Date of Policy, but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c)resulting in no loss or damage to the Insured Claimant; (d)attaching or created subsequent to Date ofPolicy (however, this does not modify or limit the coverage provided under Covered Risk 9 and 10); or Privacy Notice Effective:May 1, 2015 —notio••••alie •0• (e)resulting in loss or damage that would not have been sustained ifthe Insured Claimant had paid value for the Title. 4.My 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 ofthis 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 ofrecording of the deed or other instrument of transfer in the Public Records that vests Title as shown in Schedule A. 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 include the following Exceptions from Coverage: 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 include 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 ofsuch agency or by the Public Records. 2.My facts, rights, interests, or claims that are not shown in the Public Records but that could be ascertained by an inspection of the Land or that may be asserted by persons in possession ofthe Land. 3.Easements, liens or encumbrances, or claims thereof; not shown by the Public Records. 4.My encroachment,encumbrance,violation,variation,or adverse circumstance affecting the Title that would be disclosed by an accurate and complete land survey ofthe Land and that are 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.My lien or right to a lien for services, labor or material not shown by the Public Records. 7.(Variable exceptions such as taxes, easements,CC&R's,etc. shown here.) ALTA EXPANDED COVERAGE RESIDENTIAL LOAN POLICY (04-02-15) EXCLUSIONS 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 which arise by reason of: 1.(a)Any law, ordinance, permit, or governmental regulation (including those relating to building and zoning) restricting, regulating, prohibiting, or relating to W the occupancy, use, or enjoyment ofthe Land; (ii)the character, dimensions, or location of any improvement erected on the Land; (iii)the subdivision ofland; or (iv)environmental protection; or the effect of any violation of these laws, ordinances, or governmental regulations.This Exclusion 1(a) does not modify or limitthe coverage provided under Covered Risk 5, 6, 13(c), 13(d),14 or 16. (b)Any governmental police power.This Exclusion 1(b) does not modify or limit the coverage provided under Covered Risk 5,6, 13(c),13(d), 14 or 16. 2.Rights ofeminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 3.Defects, liens, encumbrances, adverse claims, or other matters (a)created, suffered, assumed, or agreed to by the Insured Claimant; (b)not Known to the Company, not recorded in the Public Records at Date ofPolicy, but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c)resulting in no loss or damage to the Insured Claimant; (d)attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk 11, 16, 17, 18, 19, 20, 21, 22, 23, 24, 27 or 28); or (e)resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Insured Mortgage. 4.Unenforceability of the lien of the Insured Mortgage because ofthe inability or failure of an Insured to comply with applicable doing- business laws ofthe state where the Land is situated. 5.Invalidity or unenforceability in whole or in part of the lien of the Insured Mortgage that arises out ofthe transaction evidenced by the Insured Mortgage and is based upon usury, or any consumer credit protection or truth-in-lending law.This Exclusion does not modify or limit the coverage provided in Covered Risk 26. 6.My claim of invalidity, unenforceability or lack of priority of the lien of the Insured Mortgage as to Advances or modifications made after the Insured has Knowledge that the vestee shown in Schedule A is no longer the owner of the estate or interest covered by this policy. This Exclusion does not modify or limit the coverage provided in Covered Risk 11. 7.My lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching subsequent to Date of Policy. This Exclusion does not modify or limit the coverage provided in Covered Risk 11(b) or 25. Privacy Notice Effective:May 1,2015 --„,ftraine •0 0 8.The failure of the residential structure, or any portion of it, to have been constructed before, on or after Date of Policy in accordance with applicable building codes.This Exclusion does not modify or limit the coverage provided in Covered Risk 5 or 6. 9.Any claim, by reason of the operation of federal bankruptcy,state insolvency, or similar creditors' rights laws, that the transaction creating the lien ofthe Insured Mortgage, is (a)a fraudulent conveyance or fraudulent transfer, or (b)a preferential transfer for any reason not stated in Covered Risk 27(b)ofthis policy. 10.Contamination, explosion, fire, flooding, vibration, fracturing, earthquake, or subsidence. 11.Negligence by a person or an Entity exercising a right to extract or develop minerals, water, or any other substances. tl11 1 Privacy Notice Effective:May 1,2015 Intiaquo Swung JO uoisimpqns i- le3ai man *Iwo lou Aew shored 'awn's esp aql Jo Aflame alp Jo; pawasse s Amman oN 'Apo sasodind aaualapi Jo; pawl aq wogs dew sm. I tausaanacepua Aq pappacna Alasaadaa el •Putinsui alp%JO *Pima a woman eqi nide:ma parnidep pawl Amatan•a ;au al putt Vaal +woo pull saporpuk 208 -09 0CO /1.1 Att2 .., 9 T,..-<e'l ) -'123 0'1.' F.1 O12 -f•A2inCa`. R5% •'.”.4a --`A a dr* 02 i...2 clgni g t.e \---"c_a •,®% 7, V.t Is.•6 I.. ION N C)I Ea ).4.*.0.-•..e.7 :;, - .11 . ...II. 0 •.c-'"'"- -'' v.r"-.t..tom --11.-_.5 g M 1/4:-..P1) ''--:-d„,,..,c).0 -2 • ACielli IHS ts :'tl ealn 0 ', - 1.);.•4.t ra aF. raF '(3 •..cp..-.„...=...,,.-.., 'cy . cao`ett Nts "4 '® n..o•4.a.so'4414 la A11 tCO.6‘. 00 .irir..6 ..ale%...rit riCi-zg -i s .y A IKO os•••••it.6 10 45-•'04Coa a -0 .10.-§:37fPfif ... ,‘4"co -its--o-o s.q.•--A -a - Na_72F.0 go. ..,...-(0 _4.1%) .F. C° CT -4 43 i a so u).5.0 GI 333°4 A •.a.a m r-..._t—Le (IDces°112Wir.. -- 8SPie -st. C VL.8-1rn•.9 ror-im2V8.--1.3..to—q SE §:D -....2 I II?1 I 0 RNY rir cnrto 2 _..z._La).....a if ri .76.•41 -0 is at "g =i-. h qcd8A Va,!1;iincticitI 2 to at talatantgifl'u ts k ft i 'II I cl.Lth:2 Z-1 (f) 8 ---17.-s =. 8_ 0II ——- OWNER'S DECLARATION The undersigned hereby declares as follows: 1.(Fill in the applicable paragraph and strike the other) a.Declarant ("Owner") is the owner or lessee, as the case may be,ofcertain premises located at further described as follows:See Preliminary Report/Commitment No. 00050114-992-IE2-JAB for full legal description (the "Land"). b.Declarant is the of ("Owner"), which is the owner or lessee, as the case may be,of certain premises located at further described as follows:See Preliminary Report/Commitment No. 00050114-992-IE2-JAB for full legal description (the "Land"). 2.(Fill in the applicable paragraph and strike the other) a.During the period of six months immediately preceding the date ofthis declaration no work has been done, no surveys or architectural or engineering plans have been prepared, and no materials have been furnished in connection with the erection, equipment, repair, protection or removal of any building or other structure on the Land or in connection with the improvement ofthe Land in any manner whatsoever. b.During the period of six months immediately preceding the date of this declaration certain work has been done and materials furnished in connection with upon the Land in the approximate total sum of $but no work whatever remains to be done and no materials remain to be furnished to complete the construction in full compliance with the plans and specifications,nor are there any unpaid bills incurred for labor and materials used in making such improvements or repairs upon the Land, or for the services ofarchitects, surveyors or engineers, except as follows:.Owner, by the undersigned Declarant,agrees to and does hereby indemnify and hold harmless Chicago Title Company against any and all claims arising therefrom. 3.Owner has not previously conveyed the Land; is not a debtor in bankruptcy (and ifa partnership, the general partner thereof is not a debtor in bankruptcy); and has not received notice of any pending court action affecting the title to the Land. 4.Except as shown in the above-referenced Preliminary Report/Commitment,there are no unpaid or unsatisfied mortgages,deeds of trust,Uniform Commercial Code fmancing statements,regular assessments,special assessments, periodic assessments or any assessment from any source, claims of lien, special assessments, or taxes that constitute a lien against the Land or that affect the Land but have not been recorded in the public records. There are no violations of the covenants,conditions and restrictions as shown in the above-referenced Preliminary Report/Commitment. 5.The Land is currently in use as occupy/occupies the Land; and the following are all ofthe leases or other occupancy rights affecting the Land: 6.There are no other persons or entities that assert an ownership interest in the Land,nor are there unrecorded easements, claims of easement, or boundary disputes that affect the Land. 7.There are no outstanding options to purchase or rights of first refusal affecting the Land. This declaration is made with the intention that Chicago Title Company (the "Company") and its policy issuing agents will rely upon it in issuing their title insurance policies and endorsements.Owner,by the undersigned Declarant,agrees to indemnify the Company against loss or damage (including attorneys fees, expenses, and costs) incurred by the Company as a result ofany untrue statement made herein. I declare under penalty of perjury that the foregoing is true and correct and that this declaration was executed on at Signature: MISCO220.doc —Owner's Declaration (Rev. 05/05/15) ---amimeasismonnee —•0 a STATEMENT OF INFORMATION CONFIDENTIAL INFORMATION STATEMENT TO BE USED IN CONNECTION WITH ORDER NO:00050114-992-JAB COMPLETION OF THIS FORM WILL EXPEDITE YOUR ORDER AND WILL HELP PROTECT YOU TILE STREET ADDRESS of the property in this transaction is: IP NONE LEAVE BLANK ADDRESS:CITY: IMPROVEMENTS:0 SINGLE RESIDENCE 0 MULTIPLE RESIDENCE 0 COMMERCIAL OCCUPIED BY:0 OWNER 0 LESSEE 0 TENANTS ANY PORTION OFNEW LOAN FUNDS TO BE USED FOR CONSTRUCTION:0 YES 0 NO NAME SPOUSES NAME FIRST MIDDLE LAST FIRST MIDDLE LAST BIRTHPLACE BIRTH DATE BIRTHPLACE BIRTH DATE I HAVE LIVED IN CALIFORNIA SINCE SOCIAL SECURITY NUMBER I HAVE LIVED IN CALIFORNIA SINCE SOCIAL SECURITY NUMBER DRIVER'S LICENSE NO.DRIVER'S LICENSE NO. WIFE'S MAIDEN NAME: WE WERE MARRIED ON AT RESIDENCE(S) FOR LAST 10 YEARS NUMBER AND STREET CITY FROM TO NUMBER AND STREET CITY FROM TO • NUMBER AND STREET CITY FROM TO NUMBER AND STREET CITY FROM TO OCCUPATION(S) FOR LAST 10 YEARS HUSBAND PRESENT OCCUPATION FIRM NAME ADDRESS NO. OF YEARS PRIOR OCCUPATION FIRM NAME ADDRESS NO. OF YEARS •PRIOR OCCUPATION FIRM NAME ADDRESS NO. OF YEARS WIFE PRESENT OCCUPATION FIRM NAME ADDRESS NO. OF YEARS PRIOR OCCUPATION FIRM NAME ADDRESS NO. OE YEARS I PRIOR OCCUPATION FIRM NAME ADDRESS NO. OF YEARS FORMER MARRIAGES: IF NO FORMER MARRIAGES, WRITE "NONE": NAME OF FORMER SPOUSE IF DECEASED:DATE WHERE CURRENT LOAN ON PROPERTY• PAYMENTS ARE BEING MADE TO:2. 1 I.3. HOMEOWNERS ASSOCIATION NUMBER: 1 DATE SIGNATURE 1 HOME PHONE BUSINESS PHONE MISC000S (Rev. 09/15/2011) 0 0 Chicago Title Company 4210 Riverwalk Parkway, Suite 100, Riverside, CA 92505 Phone:(951) 710-5900 •Fax: Owner's Information Statement Order No. 00050114-992-JAB This Affidavit, when fully completed, is to be signed and notarized, then returned to Chicago Title Company to enable Chicago Title Company to insure the presently pending transaction. AFFIDAVIT The undersigned owner hereby states that there are no unrecorded leases or agreements affecting the property described in the Preliminary Report for Title Order Number 00050114-992-JAB and that there is no one in possession or entitled to possession of said property other than the vestee shown in said Preliminary Report, except: The undersigned owner states that to his/her knowledge, there are no liens or rights to liens upon said property for labor, services and materials for work contracted for, and completed by, an owner, lessee, sub-lessee or tenant within the last year or which is now in progress, except: 1 This statement is made in connection with the request to Chicago Title Company to issue its policy(ies)of title insurance with respect to Title Order Number 00050114-992-JAB. Dated: BY: BY: By: By: Address: AFFD0002 —ors' 0 0• RECORDING REQUESTED BY Chicago Title Company WHEN RECORDED MAIL TO: --addressee= ORDER NO.:00050114-992-JAB SPACE ABOVE THIS LINE FOR RECORDER'S USE CERTIFICATION OF TRUST California Probate Code Section 18100.5 The undersigned declare(s) under penalty of perjury under the laws ofthe State of California that the following is true and correct: 1.The Trust known as executed on ,is a valid and existing trust. 2.The name(s)of the settlor(s)of the Trust is (are): 3.The name(s)ofthe currently acting trustee(s) is (are): 4.The trustee(s)of the Trust have the following powers (initial applicable line(s)): Power to acquire additional property. Power to sell and execute deeds. Power to encumber, and execute deeds oftrust. Other: 5.The Trust is (check one):Revocable Irrevocable The name ofthe person who may revoke the Trust is: 6.The number oftrustees who must sign documents in order to exercise the powers ofthe Trust is (are): whose name(s) is (are): 7.Title to Trust assets is to be taken as follows: 8.The Trust has not been revoked, modified or amended in any manner which would cause the representations contained herein to be incorrect. 9.I (we) am (are) all of the currently acting trustees. 10.I (we)understand that I (we) may be required to provide copies of excerpts from the original Trust documents which designate the trustees and confer the power to act in the pending transaction. Dated: (Acknowledgement must be attached) TRST0003 (DSI Rev. 02/09/15) 0 0 CERTIFICATE OF ACKNOWLEDGEMENT OF NOTARY PUBLIC A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity ofthat document. STATE OF CALIFORNIA COUNTY OF }SS: On before me, Notary Public, personally appeared who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies)and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalfof which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws ofthe State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature CERTIFICATE OF ACKNOWLEDGEMENT OF NOTARY PUBLIC A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF }SS: On before me, Notary Public, personally appeared who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies)and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalfofwhich the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws ofthe State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature aim MOM OMMOMMEMffin 7.) City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 111111111111111111111111111 Applicant:OTA PAULA Description Amount CDP16007 1,466.00 Receipt Number:R0115419 Transaction ID:R0115419 Transaction Date:02/29/2016 Pay Type Method Description Amount Payment Check 1,466.00 Transaction Amount:1,466.00 7.. 1::) • City of Carlsbad Faraday Center Faraday Cashiering 001 1606001 -1 02/29/2016 32 Mon,Feb 29,2016 02:46 PM Receipt Ref Nbr:R1606001 -1/0063 PERMITS -PERMITS Tran Ref Nbr:180600101 0063 0074 Trans/Rcpt#:R0115419 SET #:CDP16007 Amount:1 6 $1,466.00 Item Subtotal:$1,466.00 Item Total:$1,466.00 1 ITEM(S)TOTAL:$1,466.00 Check (Chk#1027)$1,417.00 Check (Chk#013996)$49.00 Total Received:$1,466.00 Have a nice day! **************wOmER popy*************