HomeMy WebLinkAboutCDP 16-36; VENTURI SDU; Coastal Development Permit (CDP)('city of
Carlsbad
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
APPLICATIONS APPLIED FOR: (CHECK BOXES)
Development Permits (FOR DEPT. USE ONLY) . Legislative Permits (FOR DEPT. USE ONLY)
~· Coastal Development Permit ~Minor l,()f' u.~ D General Plan Amendment
D Conditional Use Permit
D Minor D Extension
D Day Care (Large)
D Environmental Impact Assessment
D Habitat Management Permit
D Hillside Development Permit
D Minor
D Minor
D Nonconforming Construction Permit
D Planned Development Permit D Minor
D Residential D Non-Residential
D Planning Commission Determination
D Reasonable Accommodation
D Site Development Plan D Minor
D Special Use Permit
D Tentative Parcel Map (Minor Subdivision)
D Tentative Tract Map (Major Subdivision)
D Variance D Minor
D Local Coastal Program Amendment
D Master Plan D Amendment
D Specific Plan
D Zone Change
D Amendment
D Zone Code Amendment
South Carlsbad Coastal Review Area Permits
D Review Permit
D Administrative D Minor D Major
Village Review Area Permits
D Review Permit
D Administrative D Minor D Major
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P.M.
ASSESSOR PARCEL NO(S).:
PROJECT NAME:
BRIEF DESCRIPTION OF PROJECT:
LOCATION OF PROJECT: 2f\ lO l@ll i ~* L..firNe STREET ADDRESS
ON THE:
BETWEEN
P-1
(NORTH, SOUTH, EAST, WEST)
~OF STREET)
SIDE OF
AND
(NAME OF STREET)
tJ A (tvl de~lE OF STREET)
Page 1 of6 Revised 03/16
OWNER NAME
(Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
NCA'M .. '\iN~ Ve.N-\uv',
ftilo ~~~H 6~ kk'!e
t'Acc 11 b~ t {&. (;) 1.0Cf;>
74>0-0ot5-\l'lo
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS
SET FORTH HEREIN MY AUTHORIZED REPRESENTATIVE FOR
PURPOSES HIS PLICATION.
<?-2?-Jt
DATE
APPLICANT'S REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR
PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
SIGNATURE DATE
0
APPLICANT NAME (Print):
MAILING ADDRESS: ----~~~~~----------~ CITY, STATE, ZIP:
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
THE BEST OF MY KNOWLEDGE.
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION. INVE 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 N IND NY SUCCESSORS IN INTEREST.
FOR CITY USE ONLY
P-1 _Page 2 of6
RECEIVED
SEP 1! Z016
CITY OF CARLSBAD
DATE sfA~~~~~f8Alfi~~S~~6tiVED
RECEIVED BY:
Revised 03/16
• •
Corinthian Title Company, Inc.
ORDER NO.: 87510·PD
0
EXHIBIT A
LEGAL DESCRIPTION
0 PRELIMINARY REPORT
The land referred to herein below is situated in the County of SAN DIEGO, State of CALIFORNIA, and is
described as follows:
ALL THAT PORTION OF LOT 10 OF CARLSBAD HIGHLANDS IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO,
STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 2647, FILED IN THE OFFICE OF THE COUNTY
RECORDER OF SAN DIEGO COUNTY, APRIL 18, 1950 DESCRIBED AS FOLLOWS:
BEGINNING AT THE MOST NORTHWESTERLY CORNER OF SAID LOT 10; THENCE SOUTHERLY ALONG THE
WESTERLY LINE OF SAID LOT 10, SOUTH 29.21'10" EAST 93.50 FEET TO THE BEGINNING OF A TANGENT CURVE
CONCAVE TO THE NORTHEAST HAVING A RADIUS OF 80.00 FEET; THENCE SOUTHEASTERLY ALONG SAID CURVE
THROUGH A CENTRAL ANGLE OF 39.42'53" A DISTANCE OF 55.45 FEET TO THE BEGINNING OF A REVERSE CURVE
C~CAVE TO THE SOUTHWEST HAVING A RADIUS OF 50.00 FEET; THENCE SOUTHERLY ALONG SAID CURVE
THROUGH A CENTRAL ANGLE OF 39.42'53" A DISTANCE OF 34.66 FEET; THENCE SOUTH 29.21'10" EAST 15.81
FEtT TO THE TRUE POINT OF BEGINNING; THENCE NORTH 41 .11'00" EAST 106.91 FEET TO THE NORTHEASTERLY
LINE OF SAID LOT 10; THENCE ALONG SAID NORTHEASTERLY LINE SOUTH 48.49'00" EAST 131.97 FEET TO THE
MOST EASTERLY CORNER OF SAID LOT 10; THENCE SOUTH 48.29'16" WEST 148.10 FEET TO A POINT ON A LINE
THAT BEARS SOUTH 29.21'10" EAST FROM THE TRUE POINT OF BEGINNING; THENCE ALONG SAID LINE NORTH
29.21'10" WEST 120.00 FEET TO THE TRUE POINT OF BEGINNING.
THE ABOVE DESCRIBED PROPERTY BEING SHOWN AS PARCEL NO. 2 OF PARCEL MAP NO. 1022, FILED I~ THE
OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, OCTOBER 4, 1972 AS FILE NO. 266661.
Assessor's Parcel Number: 207-063-28-00
----------------::-------------··-·------3
City of Carlsbad
Faraday Center Faraday Cashiering 001
1625601-2 09/12/2016 149
Man, Sep 12, 2016 03:44 PM
Receipt Ref Nbr: R1625601-2/0055
PERMITS -PERMITS Tran Ref Nbr: 162560102 0055 0060
Trans/Rcpt#: R0120128
SET #: CDP16036
Amount:
Item Subtotal:
Item Total:
1 @ $880.46
$880.46
$880.46
ITEM(S) TOTAL: $880.46
Credit Card (Auth# 712154) $880.46
Total Received: $880.46
Have a nice day!
**************CUSTOMER COPY*************
0 0
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
1111~111 !I~ IIIII~ 11111111111111~11~1111! Ill
Applicant: WORTHING BROOKS
Description Amount
CDP16036 880.46
3910 HOLLY BRAE LN CBAD
Receipt Number: R0120128 Transaction ID: R0120128
Transaction Date: 09/12/2016
Pay Type Method Description Amount
Payment Check 880.46
Transaction Amount: 880.46
(city of
Carlsbad
STOr{M WATER STANDARDS
QUESTIONNAIRE
~Development Services
land Development Engineering
1635 Faraday Avenue
(760) 602-2750
www.carlsbadca.gov
E-34
jtNS,TRUCTIONS:.. ., },;: .. :·,.,.,, .
To address post-development pollutants that may be generated from development projects, the city requires that new
development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management
Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual,
refer to the Engineering Standards (Volume 5).
This questionnaire must be completed by the applicant in advance of submitting for a development application
(subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of
storm water standards that must be applied to a proposed development or redevelopment project. Depending on the
outcome, your project will either be subject to 'STANDARD PROJECT' requirements 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.
·,. ' > ',· '' ·, ..... : ..... ' ' PROJ~CTINFORMATION , . ~\ ·· ·.·" , .' , ',• ., ,,;, (' ., ; ··: .. ·· ... ·, '·
PROJECT NAME: \]~tt}\f\ Z-Nd-~\~4 PROJECT ID: \ ~ 31,
ADDRESS: ~lo !Jolly~ 0 APN: ZO£-O(o? -l_~
The project is (check one): [fNelv Development 0 Redevelopment
The total proposed disturbed area is: ~ ft2 ( ) acres
The total proposed newly created and/or replaced impervious area is: (p4-b fF ( ) 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 REV02/16
.. -
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)?
NO
D
you answered , 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):
To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.{3), please answer
the
Is your project LIMITED to one or more of the following:
1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria:
a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-
erodible permeable areas;
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 uidance?.
2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in
accordance with the USEPA Green Streets guidance?
YES NO
D
D
3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? 0
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):
3.
E-34 Page 2 of4 REV 02/16
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,
and de on or land.
2. Is your a redevelopment project rep 5, square or more of
impervious surface collectively over the entire project site on an existing site of 10,000 square feet or
more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public
nrriiDI"'TC> on or • land.
3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is
a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and
refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial
Classification code 581 .
4. Is your project a new or redevelopment project that creates 5,000 square feet or more impervious
surface collectively over the entire project site and supports a hillside development project? A hillside
includes on natural that is or reater.
5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is
a 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
freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface
used for the of and other vehicles.
7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more
of impervious surface collectively over the entire site, and discharges directly to an Environmentally
Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of
200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an
isolated flow from the to the ESA ·e. not with flows from *
8. your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious surface that supports an automotive repair shop? An automotive repair
shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC)
codes: 501 501 5541 7532-7 or 7536-7539.
9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes
RGO's that meet the following criteria: (a) 5,000 square feet or more or {b) a project Average Daily
Traffic of 100 or more vehicles
10. Is your project a new or project that results in the disturbance of one or more acres of land
and are expected to generate pollutants post construction?
ect within 200 the cean and (1) creates 2,500 square feet or more of
surface or (2) increases impervious surface on the property by more than 10%? (CMC
YES NO
D {1
If you answered "yes" to one or more of the above questions, your ect s a P 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 statin is a 'STANDARD PROJECT' ... " and information.
E-34 Page 3 of4 REV 02/16
YES NO
Does the project or us s 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) = ____ ...:(o~fb...l.-_____ .sq. ft.
Percent impervious area created or replaced (B/A)*100 = ~4. (p %
D
If you answered , the stru BMPs 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.
Go to step 5, check the
0 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.
fiill My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT'
"r" 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.
0 My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual.
Applicant Information and Signature Box
Applicant Title: -·--'C=-~------------
Date: __ 9-'+)......__.\Ci_,_l\.:....__~---
Areas include are not i ·
Biological by the State Water Resources
designated with the RARE beneficial use by the State 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
YES NO
City Concurrence: D D
By:
Date:
Project 10:
E-34 Page 4 of4 REV 02/16
{'city of
Carlsbad
c MINOR 0
COASTAL DEVELOPMENT PERMIT/
SINGLE FAMILY RESIDENCE
APPLICATION
P-6
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
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.
=>
=>
=>
=>
New Residential Square Footage: N/4, U?4o square feet x $ ~At /sq. ft.=$ • Residential Addition Square Footage:
square feet x $ /sq. ft. = $
Any Garage Square Footage:
square feet x $ /sq. ft. = $
Residential Conversion Square Footage:
square feet x $ /sq. ft.=$
Please contact the City of Carlsbad Building Division for current fee rate for Non-
Residential uses (i.e. Retail/Store; Restaurants; Office; and Manufacturing/Warehouse
uses.)
___ --:" __ square feet x $ /sq. ft. = $ __________ _
COST OF DEVELOPMENT ESTIMATE: $ ___________ _
B. Do you wish to apply for:
1. A Minor Coastal Development Permit (Under $60,000 cost estimate) ~
2. A Coastal Development Permit ($60,000 or more cost estimate) 0
C. Street address of proposed development
3 0 e-
D. Assessor's Pare I Number of proposed development z.o1-oro 3 --z.e
P-6 Page 1 of6 Revised 01/16
0 •
E. Development Description:
Briefly describe project: New zt.Jd llie.fl t '1 Ut-I If-I .f"~,
F. Describe the present land uses (i.e. vacant land, single family homes, apartments, offices,
etc.) that surround the proposed development to the:
North: ~.fS?
South: ~f)?
East: ?tf"D
West: ?FQ
G. Is project located within a 1 00-year flood plain? DYes ~o
II. PRESENT USE OF PROPERTY
A. Are there existing structures on the property? ~Yes 0 No
If yes, please describe. l li ±: c ex ~11!,1.t2RIC!.f ~ r D
B. Will any existing structure be removed/demolished? 0 Yes ~o
If yes to either question, describe the extent of the demolition or removal, including the relocation
site, if applicable (also show on plans). ·
Ill. LOT COVERAGE
A. Existing and Proposed
Existing Pro(2osed Total
Building Coverage l Bso sq. ft. cAo sq. ft. Z+~Osq. ft. .%
P-6
Landscaped Area sq. ft. sq. ft.
Hardscape Area CoOO sq. ft. ZIO sq. ft.
Unimproved Area (Left Natural) _p2__ sq. ft. --f--sq. ft.
B. Parking: Number of existing spaces :2
Number of new spaces proposed _....___ ___ _
Existing/Proposed TOTAL: ___ 3 ____ _
Number of total spaces required---=~::;.__ __ _
Number of covered spaces __ _....:z..:.__ ___ _
Number of uncovered spaces ----L----
Number of standard spaces
Number of compact spaces
Page 2 of6
sq. ft. %
t5t 0 sq. ft. %
¢ sq. ft. -!L%
Revised 01/16
P-6
0
Is tandem parking existing?
Is tandem parking proposed?
0
Oves#_~o
[)(Yes#_O No
C. Grade Alteration:
Is any grading proposed? 0 Yes ~No
If yes, please complete the following:
1. Amount of cut ----------=V~----------cu. yds.
2.
3.
4.
5.
6.
Amount of fill _______ ~cY--_________ cu. yds.
Maximum height of fill slope ~-feet
Maximum height of cut slope ~ feet
Amount of import or export J?(,, cu. yds.
Location of borrow or disposal site --1~-------------
Page 3 of6 Revised 01116
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
Da. Name, address, and phone number of registered civil engineer, licensed surveyor,
landscape architect or land planner who prepared the maps/plans.
Db. Location, size and use of all easements.
De. 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
location, number and typical dimension of spaces, and wheel stops.
Od. Distance between buildings and/or structures.
De. Building setbacks (front, rear and sides).
Of. Location, height and materials of walls and fences.
Og. Dimensions/location of signs.
Oh. A summary table of the following (if applicable to the application):
0(1) Street address and assessor's parcel number.
0(2) Site acreage.
0(3) Existing Zone and Land Use Designation.
0(4) Proposed land use.
0(5) Total building coverage (in square feet and as a percent).
0(6) Percent of site to be landscaped.
0(7) Number of parking spaces required/provided.
0(8) Square Footage of open or recreational space (if applicable).
0(9) Cubic footage of storage space (if applicable).
Oi. All applicable Fire Suppression Zones as required by the City's Landscape Manual.
"7 B. GRADING AND DRAINAGE PLANS: Grading and drainage plans must be included with this
P-6
application. In certain areas, an engineering geology report must also be included. Please
consult the Planning Division and Land Development Engineering Division representatives for
a determination on any grading plan geotechnical requirements if the project is in an overlay
zone. The following information shall be submitted at a minimum:
01. Approximate contours at 1' intervals for slopes less than 5%; 2' intervals for slopes
between 5% and 10%; and 5' intervals for slopes over 10% (both existing and proposed).
Existing and proposed topographic contours within a 1 00-foot perimeter of the boundaries
of the site. Extend contours sufficiently out from the site to adequately show the adjacent
floodplain (if applicable).
02. Earthwork volumes: cut, fill, import and export.
03. Spot elevations at the corners of each pad.
04. Method of draining each lot. Include a typical cross section taken parallel to the frontage
for lots with less than standard frontage.
05. Location, width and/or size of all watercourses and drainage facilities within and adjacent
to the proposed subdivision; show location and approximate size of any proposed
detention/retention basins.
06. Clearly show and label the 1 00 year flood line for the before and after conditions for any
project which is within or adjacent to a FEMA flood plain.
Page 4 of6 Revised 01116
0 0
1i!J CORINTHIAN
liiiliiiiiiiiiii· TITLE COMPANY
5030 Camino De La Siesta #100
San Diego, CA 92108 • (619) 299-4800
as Agent for Old Republic National Title Insurance Company
CORINTHIAN TITLE & ESCROW
5030 CAMINO DE LA SIESTA, STE 100
SAN DIEGO, CA 92108
ATTN:
PROPERTY: 3910 HOLLY BRAE LANE, CARLSBAD, tA
92008
PRELIMINARY REPORT
ORDER NO.: 87510-PD
In response to the above referenced application for a Policy of Title Insurance, Corinthian Title Company,
Inc. hereby reports that it is prepared to issue, or cause to be issued, as of the date hereof, a Policy or
Policies of Title Insurance describing the land and the estate or interest therein hereinafter set forth, insuring
against loss which may be sustained by reason of any defect, lien or encumbrance not shown or referenced to
as an Exception on Schedule B or not excluded from coverage pursuant to the printed Schedules, Conditions,
and Stipulations of said Policy forms.
The printed Exceptions and Exclusions from the coverage and Limitations on covered Risks of said policy or
policies are set forth in Exhibit A attached. The policy to be issued may contain an arbitration clause. When
the Amount of Insurance is less than that set forth in the arbitration clause, all arbitrable matters shall be
arbitrated at the option of either the Company or the Insured as the exclusive remedy of the parties.
Limitations on Covered Risks applicable to the CLTA and ALTA Homeowner's Policies of Title Insurance which
establish a Deductible Amount and a Maximum Dollar Limits of Liability for certain coverages are also set
forth in Exhibit A. Copies of the policy forms should be read. They are available from the office which issued
this report.
Please read the exceptions shown or referred to below and the exceptions and exclusions set forth in
Exhibit A of this report carefully. The exceptions and exclusions are meant to provide you with notice of
matters which are not covered under the terms of the title insurance policy and should be carefully
considered.
It is important to note that this preliminary report is not a written representation as to the condition of
title and may not list all liens, defects, and encumbrances affecting title to the land
This report (and any supplements or amendments thereto) is issued solely for the purpose of facilitat;ng the
issuance of a policy of title insurance and no liability is assumed hereby. If it is desired that liability be
assumed prior to the issuance of a policy of title insurance, a binder or commitment should be requested.
Dated as of July 27, 2016 at 7:30am
Title Officer:
Title Officer Phone:
Title Officer Fax:
Title Officer Email:
ORDER NUMBER:
Petra Doering
619-299-4800
619-872·9333
TeamPetra@corinthiantitle.com
87510-PD
Corinthian Title Company, Inc.
• <
Corinthian Title Company, Inc.
ORDER NO.: 87510-PD
0
PRELIMINARY REPORT
The form of Policy of Title Insurance contemplated by this report is:
0
PRELIMINARY REPORT
ALTA Homeowner's Policy of Title Insurance for a One-to-Four Family Residence (12/02/13)
ALTA Extended Loan Policy (6-17-06)
SCHEDULE A
The estate or interest in the land hereinafter described or referred to covered by this report is:
AFEE
Title to said estate or interest at the date hereof is vested in:
NORMAN G. VENTURI AND TINA T. VENTURI, TRUSTEES OF THE VENTURI FAMILY TRUST, DTD MARCH 18,
1998
2
Corinthian Title Company, Inc.
ORDER NO.: 87510-PD
0
EXHIBIT A
LEGAL DESCRIPTION
0
PRELIMINARY REPORT
The land referred to herein below is situated in the County of SAN DIEGO, State of CALIFORNIA, and is
described as follows:
ALL THAT PORTION OF LOT 10 OF CARLSBAD HIGHLANDS IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO,
STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 2647, FILED IN THE OFFICE OF THE COUNTY
RECORDER OF SAN DIEGO COUNTY, APRIL 18, 1950 DESCRIBED AS FOLLOWS:
BEGINNING AT THE MOST NORTHWESTERLY CORNER OF SAID LOT 10; THENCE SOUTHERLY ALONG THE
WESTERLY LINE OF SAID LOT 10, SOUTH 29°21'10" EAST 93.50 FEET TO THE BEGINNING OF A TANGENT CURVE
CONCAVE TO THE NORTHEAST HAVING A RADIUS OF 80.00 FEET; THENCE SOUTHEASTERLY ALONG SAID CURVE
THROUGH A CENTRAL ANGLE OF 39°42'53" A DISTANCE OF 55.45 FEET TO THE BEGINNING OF A REVERSE CURVE
CONCAVE TO·THE SOUTHWEST HAVING A RADIUS OF 50.00·FE£T; THENCE SOUTHERLY ALONG SAID CURVE
THROUGH A CENTRAL ANGLE OF 39° 42'53" A DISTANCE OF 34.66 FEET; THENCE SOUTH 29°21'10" EAST 15.81
FEET TO THE TRUE POINT OF BEGINNING; THENCE NORTH 41 °11'00" EAST 106.91 FEET TO THE NORTHEASTERLY
LINE OF SAID LOT 10; THENCE ALONG SAID NORTHEASTERLY LINE SOUTH 48 ° 49'00" EAST 131.97 FEET TO THE
MOST EASTERLY CORNER OF SAID LOT 10; THENCE SOUTH 48°29'16" WEST 148.10 FEET TO A POINT ON A LINE
THAT BEARS SOUTH 29°21'10" EAST FROM THE TRUE POINT OF BEGINNING; THENCE ALONG SAID LINE NORTH
29°21'10" WEST 120.00 FEET TO THE TRUE POINT OF BEGINNING.
THE ABOVE DESCRIBED PROPERTY BEING SHOWN AS PARCEL NO. 2 OF PARCEL MAP NO. 1022, FILED IN THE
OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, OCTOBER 4, 1972 AS FILE NO. 266661.
Assessor's Parcel Number: 207-063-28-00
3
Corinthian Title Company, Inc.
ORDER NO.: 87510-PD
0
SCHEDULE B
0
PRELIMINARY REPORT
At the date hereof, exceptions to coverage in addition to the printed exceptions and exclusions contained in
said policy or policies would be as follows:
Taxes:
A. 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 which are a lien not yet payable.
B. General and Special City and/or County taxes, including any personal property taxes and any
assessments collected with taxes, for the fiscal year 2015-2016:
1st Installment:
· 2nd Installment:
Land:
Improvements:
Exemption:
Code Area:
Assessment No.:
$1,675.59 PAID
$1,675.59 PAID
$169,454.00
$142,977.00
$7,000.00 HOMEOWNERS
09000
207-063-28-00
C. IF TAXES ARE POSTED PAID WITHIN 30 DAYS OF CLOSING, UNLESS PAID BY IMPOUND, PROOF OF CLEARED
FUNDS WILL BE REQUIRED OR THE TAX AMOUNT PLUS ANY PENALTIES WILL BE HELD FOR 30 DAYS PAST
THE POSTED DATE.
D. The lien of supplemental taxes, if any, assessed pursuant to the prov1s1ons of Chapter 3.5
(commencing with Section 75) of the Revenue and Taxation Code of the State of California.
Exceptions:
1. Water rights, claims or title to water in or under said land, whether or not shown by the public
records.
2. Covenants, Conditions, and Restrictions as set forth in instrument recorded April 18, 1950 IN BOOK
3586, PAGE 359 OF OFFICIAL RECORDS, but omitting any covenant, condition or restriction, if any,
based on race, color, religion, sex, handicap, familial status, or national origin, sexual orientation,
marital status, ancestry, disability or source of income unless and only to the extent that the covenant,
condition or restriction (a) is exempt under Title 42 of the United States Code, or (b) relates to
handicap, but does not discriminate against handicapped persons.
Note: Section 12956.1 of the Government Code provides the following: If this document contains any
restrictions based on race, color, religion, sex, familial status, marital status, disability, national
origin, or ancestry, that restriction violates state and federal fair housing laws and is void. Any person
holding an interest in this property may request that the county recorder remove the restrictive
language pursuant to subdivision (c) of Section 12956.1 of the Government Code.
Said Covenants, Conditions, and Restrictions provide that a violation thereof shall not defeat or render
invalid the lien of any mortgage or deed of trust made in good faith and for value.
3. An easement for the purpose shown below and rights incidental thereto as set forth in a document to
ROBERT L. WATSON, JR. as grantee, for the purpose of FUTURE SEWAGE DISPOSAL SYSTEM EXPANSION
OF THE SEWAGE DISPOSAL SYSTEM, recorded January 16, 1972 AS INSTRUMENT NO. 154942 OF OFFICIAL
RECORDS, affects THE EXACT LOCATION OF THE EASEMENT IS NOT DISCLOSED OF RECORD.
4
Corinthian Title Company, Inc.
ORDER NO.: 87510-PD
0
SCHEDULE B
(CONTINUED)
0
PRELIMINARY REPORT
4. WE FIND NO OPEN DEEDS OF TRUST OF RECORD. PLEASE VERIFY BY INQUIRY OF ESCROW PERSONNEL
AND/OR AGENTS WHETHER OR NOT WE HAVE OVERLOOKED SOMETHING AND ADVISE THE TITLE
DEPARTMENT, PRIOR TO CLOSING.
5. If title is to be insured in the trustee(s) of a trust, (or if their act is to be insured), this Company will
require a copy of the trust instrument creating such trust, and all amendments thereto, together with
a written verification by all present trustees that the copy is a true and correct copy of the trust, as it
may have ame~ded, that it is in full force and effect and that it has not been revoked or terminated.
THE VENTURI FAMILY TRUST
6. We will require a Statement of Information from the parties named below in order to complete this
report, based on the effect of documents, proceedings, liens, decrees, or other matter which do not
specifically describe said land, but which, if any do exist, may affect the title or impose liens or
encumbrances thereon.
Parties: NORMAN G. VENTURI AND TINA T. VENTURI
(Note: The Statement of Information is necessary to complete the search and examination of title
under this order. Any title search includes matters that are indexed by name only, and having a
completed Statement of Information assists the Company in the elimination of certain matters which
appear to involve the parties but in fact 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).
FAILURE TO PROVIDE THE STATEMENT(S) OF INFORMATION IN A TIMELY MANNER MAY DELAY THE
CLOSING OF THIS TRANSACTION.
7. We will require a Statement of Information from the parties named below in order to complete this
report, based on the effect of documents, proceedings, liens, decrees, or other matter which do not
specifically describe said land, but which, if any do exist, may affect the title or impose liens or
encumbrances thereon.
Parties: BUYERS
(Note: The Statement of Information is necessary to complete the search and examination of title
under this order. Any title search includes matters that are indexed by name only, and having a
completed Statement of Information assists the Company in the elimination of certain matters which
appear to involve the parties but in fact 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).
FAILURE TO PROVIDE THE STATEMENT(S) OF INFORMATION IN A TIMELY MANNER MAY DELAY THE
CLOSING OF THIS TRANSACTION.
END OF EXCEPTIONS
Typist Initials: MD
5
Corinthian Title Company, Inc.
ORDER NO.: 87510·PD
0 C)
PRELIMINARY REPORT
NOTES AND REQUIREMENTS
1. If the contemplated Insured (Buyer) to be named in Schedule A of the policy is not a natural
person, an "ALTA Homeowner's Policy of Title Insurance" will NOT be available for issuance and a
"CLTA Standard Coverage Policy" may be issued. A natural person is a human being, not a
commercial or legal organization or entity. Natural person includes a trustee of a trust, even if the
trustee is not a human being. Contact the Corinthian Title Company title officer named on this
Preliminary Title Report with any questions.
2. None of the items in this report will cause the Company to decline to attach CLTA Endorsement Form
100 to an ALTA Loan Policy, when issued.
3. 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 RESIDENCE known as 3910
HOLLY BRAE LANE, CARLSBAD, CALIFORNIA to an extended coverage policy.
4. There are NO conveyances affecting said land, recorded with the County Recorder within 24 months
of the date of this report.
5. NOTE: The policy of title insurance will include an arbitration provision. The Company or the insured
may demand arbitration. Arbitrable matters may include, but are not limited to, any controversy or
claim between the Company and the insured arising out of or relating to this policy, any service of the
Company in connection with its issuance or the breach of a policy provision or other obligation. Please
ask your escrow or title officer for a sample copy of the policy to be issued if you wish to review the
arbitration provisions and any other provisions pertaining to your Title Insurance coverage.
6. NOTE: Amended Civil Code Section 2941, which becomes effective on January 1, 2002, sets the fee for
the processing and recordation of the reconveyance of each Deed of Trust being paid off through this
transaction at $45.00. The reconveyance fee must be clearly set forth in the Beneficiary's Payoff
Demand Statement ("Demand"). In addition, an assignment or authorized release of that fee, from the
Beneficiary to the Trustee of record, must be included. An example of the required language is as
follows:
'The Beneficiary identified above hereby assigns, releases or transfers to the Trustee of record, the
sum of $45.00, included herein as 'Reconveyance Fees', for the processing and recordation of the
Reconveyance of the Deed of Trust securing the indebtedness covered hereby, and the escrow company
or title company processing this pay-off is authorized to deduct the Reconveyance Fee from this
Demand and forward said fee to the Trustee of record or the successor Trustee under the Trust Deed to
be paid off in full ...
In the event that the reconveyance fee and the assignment, release or transfer thereof are not
included within the demand statement, then Corinthian Title Company, Inc. may decline to process the
reconveyance and will be forced to return all documentation directly to the Beneficiary for compliance
with the requirements of the revised statute.
7. If a county recorder, title insurance company, escrow company, real estate broker, real estate agent
or association provides a copy of a declaration, governing document or deed to any person, California
law requires that the document provided shall include a statement regarding any unlawful restrictions.
Said statement is to be in at least 14-point bold face type and may be stamped on the first page of any
document provided or included as a cover page attached to the requested document. Should a party to
this transaction request a copy of any document reported herein that fits this category, the statement
is to be included in the manner described.
6
Corinthian Title Company, Inc.
ORDER NO.: 87510-PD
0 0
NOTES AND REQUIREMENTS
(CONTINUED)
PRELIMINARY REPORT
WIRE INSTRUCTIONS-EFFECTIVE NOVEMBER 8, 2010
If you anticipate wiring funds to Corinthian Title Company, Inc., our wiring information is as follows:
City National Bank Credit To: Corinthian Title Company, Inc. -San Diego
555 Flower Street, 17th Floor Title
Los Angeles, CA 90071 Reference Order No.: 87510
Routing Number: 122-016-066 Title Officer Name: Petra Doering
Account No: 555018509 Title Unit Number: PD
When instructing the financial institution to wire funds, it is very important that you reference
Corinthian Title Company, Inc.'s order number. Should you have any questions in this regard,
please contact your title officer immediately
CALIFORNIA "GOOD FUNDS" LAW
California Insurance Code Section 12413.1 regulates the disbursement of escrow and sub-escrow funds by title
companies. The law requires that funds be deposited in the title company escrow account and available for
withdrawal prior to disbursement. Funds received by Corinthian Title Company, Inc. via wire transfer may be
disbursed upon receipt. Funds received via cashier's checks or teller checks drawn on a California Bank may be
disbursed on the next business day after the day of deposit. If funds are received by any other means,
recording and/or disbursement may be delayed and you should contact your title or escrow officer.
All escrow and sub-escrow funds received will be deposited with other escrow funds in one or more non-
interest bearing escrow accounts in a financial institution selected by Corinthian Title Company, Inc ..
Corinthian Title Company, Inc. may receive certain direct or indirect benefits from the financial institution by
reason of the deposit of such funds or the maintenance of such accounts with a financial institution, and
Corinthian Title Company, Inc. shall have no·obligation to account to the depositing party in any manner for
the value of, or to pay to such party, any benefit received by Corinthian Title Company, Inc •. Such benefits
shall be deemed additional compensation to Corinthian Title Company, Inc. for its services in connection with
the escrow or sub-escrow.
If any check submitted is dishonored upon presentation for payment, you are authorized to notify all principles
and/or their respective agents of such nonpayment.
END OF NOTES AND REQUIREMENTS
7
Corinthian Title Company, Inc.
ORDER NO.: 87510-PD
0
Corinthian Title Company, Inc.
Privacy Policy Notice
PURPOSE OF THIS NOTICE
0
PRELIMINARY REPORT
Title V of the Gramm-Leach-Bliley Act (GLBA) generally prohibits any financial institution, directly or through
its affiliates, from sharing nonpublic personal information about you with nonaffiliated third parties unless the
institution provides you with a notice of its privacy policies and practices, such as the type of information that
it collects about you and categories of persons or entities to whom it may be disclosed. In compliance with the
GLBA, we are providing you with this document, which notifies you of the privacy policies and practices of
Corinthian Title Company, Inc •.
We may collect nonpublic personal information about you from the following sources:
• Information we receive from you, such as on applications or other forms.
• -Information about your transactions we secure-from our files; or from our affiliates or others.
• Information we receive from a consumer reporting agency.
• Information that we receive from others involved in your transaction, such as the real estate agent or
lender.
Unless it is specifically stated otherwise in an amended Privacy Policy Notice, no additional nonpublic personal
information will be collected about you.
We may disclose any of the above information that we collect about our customers or former customers to our
affiliates or to nonaffiliated third parties permitted by law.
We also may disclose this information about our customers or former customers to the following types of
nonaffiliated companies that perform marketing services on our behalf or with whom we have joint marketing
agreements:
• Financial service providers such as companies engaged in banking, consumer finance, securities and
insurance.
• Non-financial companies such as envelope stuffers and other fulfillment service providers.
WE DO NOT DISCLOSE ANY NONPUBLIC PERSONAL INFORMATION ABOUT YOU WITH ANYONE FOR ANY PURPOSE
THAT IS NOT SPECIFICALLY PERMITTED BY LAW.
We restrict access to nonpublic personal information about you to those employees who need to know that
information in order to provide products or services to you. We maintain physical, electronic, and procedural
safeguards that comply with federal regulations to guard your nonpublic personal information.
Notice of Available Discounts
Old Republic National Title Insurance Company is pleased to inform you that upon proper qualification, there
are premium discounts available upon the purchase of title insurance covering improved property with a one-
to-four family dwelling.
Such discounts apply to and include:
• Property located within an area proclaimed a state or federal disaster area;
• Property purchased from a foreclosing beneficiary or successful bidder at a foreclosure sale;
• Property being refinanced.
Please talk to your escrow or title officer to determine your qualification for any of these discounts.
Privacy Notice and Notice of Available Discounts
0 0
EXHIBIT A: LIST OF PRINTED EXCEPTIONS AND EXCLUSIONS
CLTA HOMEOWNER'S POLICY OF TITLE INSURANCE (12-02-13)
ALTA HOMEOWNER'S POLICY OF TITLE INSURANCE (12-02-13)
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 of those portions of any law or government regulation concerning:
a. building;
b. zoning;
c. land use;
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 limit the 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 of a 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 of the Title to You is invalid as a preferential transfer or as a, fraudulent transfer or conveyance under federa I
bankruptcy, state insolvency, or similar creditors' rights laws.
8. Contamination,. explosion, fire, flooding,.vi.bration, 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.
Covered Risk 16:
Covered Risk 18:
Covered Risk 19:
Covered Risk 21:
Your Deductible Amount
1% of Policy Amount Shown in Schedule A
or $5,000 (whichever is less)
1% of Policy Amount Shown in Schedule A
or $5,000 (whichever is less)
1% of Policy Amount Shown in Schedule A
or $5,000 (whichever is less)
1% of Policy Amount Shown in Schedule A
or $5,000 (whichever is less)
Our Maximum Dollar Limit of Liability
$25,000.00
$25,000.00
$25,000.00
$25,000.00
List of Printed Exceptions and Exclusions
0 0
EXHIBIT A: LIST OF PRINTED EXCEPTIONS AND EXCLUSIONS
COVERED RISKS
The Covered Risks are:
1. Someone else owns an interest in Your Title.
2. Someone else has rights affecting Your Title because of leases, contracts, or options.
3. Someone else claims to have rights affecting Your Title because of forgery or impersonation.
4. Someone else has an Easement on the Land.
5. Someone else has a right to limit Your use of the Land.
6. Your Title is defective. Some of these defects are:
a. Someone else's failure to have authorized a transfer or conveyance of your Title.
b. Someone else's failure to create a valid document by electronic means.
c. A document upon which Your Title is based is invalid because it was not properly signed, sealed, acknowledged, delivered
or recorded.
d. A document upon which Your Title is based was signed using a falsified, expired or otherwise invalid power of attorney.
e. A document upon which Your Title is based was not properly filed, recorded, or indexed in the Public Records.
f. A defective judicial or administrative proceeding.
7. Any of Covered Risks 1 through 6 occurring after the Policy Date.
8. Someone else has a lien on Your Title, including a:
a. lien of real estate taxes or assessments imposed on Your Title by a governmental authority that are due or payable, but
unpaid;
b. Mortgage;
c. judgment, state or federal tax lien;
d. charge by a homeowner's or condominium association; or
e. lien, occurring before or after the Policy Date, for labor and material furnished before the Policy Date.
9. Someone else has an encumbrance on Your Title.
10. Someone else claims to have rights affecting Your Title because of fraud, duress, incompetency or incapacity.
11. You do not have actual vehicular and pedestrian access to and from the Land, based upon a legal right.
12. You are forced to correct or remove an existing violation of any covenant, condition or restriction affecting the Land, even if the
covenant, condition or restriction is excepted in Schedule B. However, You are not covered for any violation that relates to:
a. any obligation to perform maintenance or repair on the Land; or
b. environmental protection of any kind, including hazardous or toxic conditions or substances
unless there is a notice recorded in the Public Records, describing any part of the Land, cia iming a violation exists. Our liability
for this Covered Risk is limited to the extent of the violation stated in that notice.
13. Your Title is lost or taken because of a violation of any covenant, condition or restriction, which occurred before You acquired
Your Title, even if the covenant, condition or restriction is excepted in Schedule B.
14. The violation or enforcement of those portions of any law or government regulation concerning:
a. building;
b. zoning;
c. land use;
d. improvements on the Land;
e. land division; or
f. environmental protection,
if there is a notice recorded in the Public Records, describing any part of the Land, claiming a violation exists or declaring the
intention to enforce the law or regulation. Our liability for this Covered Risk is limited to the extent of the violation or
enforcement stated in that notice.
15. An enforcement action based on the exercise of a governmental police power not covered by Covered Risk 14 if there is a notice
recorded in the Public Records, describing any part of the Land, of the enforcement action or intention to bring an enforcement
action. Our liability for this Covered Risk is limited to the extent of the enforcement action stated in that notice.
list of Printed Exceptions and Exclusions
.. 0 0
EXHIBIT A: LIST OF PRINTED EXCEPTIONS AND EXCLUSIONS
16. Because of an existing violation of a subdivision law or regulation affecting the Land:
a. You are unable to obtain a building permit;
b. You are required to correct or remove the violation; or
c. someone else has a legal right to, and does, refuse to perform a contract to purchase the Land, lease it or make a Mortgage
loan on it.
The amount of Your insurance for this Covered Risk is subject to Your Deductible Amount and Our Maximum Dollar Limit of
Liability shown in Schedule A
17. You lose Your Title to any part of the Land because of the right to take the Land by condemning it, if:
a. there is a notice of the exercise of the right recorded in the Public Records and the notice describes any part of the Land; or
b. the taking happened before the Policy Date and is binding on You if You bought the Land without Knowing of the taking.
18. You are forced to remove or remedy Your existing structures, or any part of them -other than boundary walls or fences -
because any portion was built without obtaining a building permit from the proper government office. The amount of Your
insurance for this Covered Risk is subject to Your Deductible Amount and Our Maximum Dollar Limit of Liability shown in
Schedule A.
19. You are forced to remove or remedy Your existing structures, or any part of them, because they violate an existing zoning law or
zoning regulation. If You are required to remedy any portion of Your existing structures, the amount of Your insurance for this
Covered Risk is subject to Your Deductible Amount and Our Maximum Dollar Limit of Liability shown in Schedule A.
20. You cannot use the Land because use as a single-family residence violates an existing zoning law or zoning regulation.
21. You are forced to remove Your existing structures because they encroach onto Your neighbor's land. If the encroaching
structures are boundary walls or fences, the amount of Your insurance for this Covered Risk is subject to Your Deductible
Amount and Our Maximum Dollar Limit of Liability shown in Schedule A.
22. Someone else has a legal right to, and does, refuse to perform a contract to purchase the Land, lease it or make a Mortgage loan
on it because Your neighbor's existing structures encroach onto the Land.
23. You are forced to remove Your existing structures which encroach onto an Easement or over a building set-back line, even if the
Easement or building set-back line is excepted in Schedule B.
24. Your existing structures are damaged because of the exercise of a right to maintain or use any Easement affecting the Land,
even if the Easement is excepted in Schedule B.
25. Your existing improvements (or a replacement or modification made to them after the Policy Date), including lawns, shrubbery
or trees, are damaged because of the future exercise of a right to use the surface of the Land for the extraction or development
of minerals, water or any other substance, even if those rights are excepted or reserved from the description of the Land or
excepted in Schedule B.
26. Someone else tries to enforce a discriminatory covenant, condition or restriction that they claim affects Your Title which is
based upon race, color, religion; sex, handicap, familial status, or national origin.
27. A taxing authority assesses supplemental real estate taxes not previously assessed against the Land for any period before the
Policy Date because of construction or a change of ownership or use that occurred before the Policy Date.
28. Your neighbor builds any structures after the Policy Date -other than boundary walls or fences-which encroach onto the Land.
29. Your Title is unmarketable, which allows someone else to refuse to perform a contract to purchase the Land, lease it or make a
Mortgage loan on it.
30. Someone else owns an interest in Your Title because a court order invalidates a prior transfer of the title under federal
bankruptcy, state insolvency, or similar creditors' rights laws.
31. The residence with the address shown in Schedule A is not located on the Land at the Policy Date.
32. The map, if any, attached to this Policy does not show the correct location of the Land according to the Public Records.
OUR DUTY TO DEFEND AGAINST LEGAL ACTIONS
We will defend Your Title in any legal action only as to that part of the action which is based on a Covered Risk and which is not
excepted or excluded from coverage in this Policy. We will pay the costs, attorneys' fees, and expenses We incur in that defense.
We will not pay for any part of the legal action which is not based on a Covered Risk or which is excepted or excluded from coverage
in this Policy.
We can end Our duty to defend Your Title under Section 4 of the Conditions.
List of Printed Exceptions and Exclusions
.. 0 0
EXHIBIT A: LIST OF PRINTED EXCEPTIONS AND EXCLUSIONS
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 of the Land;
(ii) the character, dimensions, or location of any improvement erected on the Land;
(iii) the subdivision of land; or
(iv) environmental protection;
or the effect of any violation of these laws, ordinances, or governmental regulations. This 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
Risk6.
2. Rights of eminent 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 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 of the lien of the Insured Mortgage because of the inability or failure of an Insured to comply with
applicable doing-business laws of the 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 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 of the 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 of recording of the Insured Mortgage in the Public Records. This Exclusion does
not modify or limit the coverage provided under Covered Risk 11(b).
List of Printed Exceptions and Exclusions
0
EXHIBIT "A"
LEGAL DESCRIPTION
0
The land referred to herein is situated in the State of CALIFORNIA, County of SAN DIEGO, and described as
follows:
ALL THAT PORTION OF LOT 10 OF CARLSBAD HIGHLANDS IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO,
STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 2647, FILED IN THE OFFICE OF THE COUNTY
RECORDER OF SAN DIEGO COUNTY, APRIL 18, 1950 DESCRIBED AS FOLLOWS:
BEGINNING AT THE MOST NORTHWESTERLY CORNER OF SAID LOT 10; THENCE SOUTHERLY ALONG THE
WESTERLY LINE OF SAID LOT 10, SOUTH 29.21'10" EAST 93.50 FEET TO THE BEGINNING OF A TANGENT CURVE
CONCAVE TO THE NORTHEAST HAVING A RADIUS OF 80.00 FEET; THENCE SOUTHEASTERLY ALONG SAID CURVE
THROUGH A CENTRAL ANGLE OF 39.42'53" A DISTANCE OF 55.45 FEET TO THE BEGINNING OF A REVERSE CURVE
CONCAVE TO THE SOUTHWEST HAVING A RADIUS OF 50.00 FEET; THENCE SOUTHERLY ALONG SAID CURVE
THROUGH A CENTRAL ANGLE OF 39.42'53" A DISTANCE OF 34.66 FEET; THENCE SOUTH 29.21'10" EAST 15.81
FEET TO THE TRUE POINT OF BEGINNING; THENCE NORTH 41.11'00" EAST 106.91 FEET TO THE NORTHEASTERLY
LINE OF SAID LOT 1 0; THENCE ALONG SAID NORTHEASTERLY LINE SOUTH 48. 49'00" EAST 131.97 FEET TO THE
MOST EASTERLY CORNER OF SAID LOT 10; THENCE SOUTH 48.29'16" WEST 148.10 FEET TO A POINT ON A LINE
THAT BEARS SOUTH 29.21'10" EAST FROM THE TRUE POINT OF BEGINNING; THENCE ALONG SAID LINE NORTH
29.21'10" WEST 120.00 FEET TO THE TRUE POINT OF BEGINNING.
THE ABOVE DESCRIBED PROPERTY BEING SHOWN AS PARCEL NO. 2 OF PARCEL MAP NO. 1022, FILED IN THE
OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, OCTOBER 4, 1972 AS FILE NO. 266661.
Assessor's Parcel Number: 207-063-28-00
• < 0 0
f.i CORINTHIAN
-TITLE COMPANY STATEMENT OF INFORMATION
CONFIDENTIAL INFORMATION STATEMENT TO BE USED IN CONNECTION. WITH ORDER NO •. _______ _
COMPLETION OF THIS FORM WILL EXPEDITE YOUR ORDER AND WILL HELP PROTECT YOU
THE STREET ADDRESS of the property in this transaction is: (If none, leave this section blank)
ADDRESS: CITY:
IMPROVEMENTS: 0 SINGLE RESIDENCE 0 MULTIPLE RESIDENCE 0 COMMERCIAL
OCCUPIED BY: 0 OWNER 0 LESSEE DTENANTS
ANY PORTION OF NEW LOAN FUNDS TO BE USED FOR CONSTRUCTION? DYES ONO
NAME SPOUSE'S 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.
MAIDEN NAME (if applicable) MAIDEN NAME (if applicable)
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.OF YEARS
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(S) ON PROPERTY
PAYMENTS ARE BEING MADE TO: 2.
1. 3.
HOMEOWNERS ASSOCIATION PHONE( )
Date:---------Signature=---------------------------------
Home Phone:, ______________ Business Phone: _______________ _
• < 0 0
ORDER NO.: 87510
TRUST CERTIFICATION PURSUANT TO CALIFORNIA PROBATE CODE SECTION 18100.5
I (We),
(Name ofTrustee(s)
Trustees of the
(Name of Trust)
(hereinafter referred to as "The Trust"), confirm the following facts:
1. The Trust is currently in existence and was created on
{date of creation of trust)
2. The Settlor(s) of The Trust are as follows:
3. The currently acting Trustee(s) of The Trust is (are):
4. The power of the trustee(s) includes
a. The power to sell, convey and exchange: 0 Yes 0 No
b. The power to borrow money and encumber the trust property with a deed of trust or mortgage:
. 0~ 0~
5. The Trust is: (select one) 0 Revocable 0 Irrevocable
And the following party(ies), if any, is/are identified as having the power to revoke the trust:
6. The Trust 0 does 0 does not have multiple trustees. If the trust has multiple
trustees, the signatures of all the trustees or of any of the trustees is
required to exercise the powers of the trust.
7. The Trust identification number is:
--~~~--~~~--~~~~~~~----------------(Social Security or Employee Identification Number)
8. Title to assets of The Trust shall be taken in the following fashion:
The undersigned trustee(s) hereby declare(s) that the trust has not been revoked, modified or amended
in any manner which would cause the representations contained herein to be incorrect. This certification
is being signed by all of the currently acting trustees and is being executed in conformity with the
provisions of California Probate Code Section 18100.5, Chapter 530, Statutes of 1993.
Dated:
(This form must be acknowledged}
... 0 0
ORDER NO.: 87510
California All-Purpose Acknowledgement Civil Code § 1189
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 ____________ _
On _______ before me,------------------------
(Date) (Here Insert Name and TWe of the Officer)
personally appeared------------------------------
(Name(s) of Signer(s)
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
on behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal.
Signature--------------
(Seal)
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
OPTIONAL INFORMATION
Description or Title of the Attached Document:
TRUST CERTIFICATION PURSUANT TO CALIFORNIA PROBATE CODE SECTION 18100.5
Number of Pages: Document Date:
Capacity Claimed by Signer(s): TRUSTEE(S)
09
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013 45-47 -.. t4<4<1IR :c
083 50a51 55 00 l:lee
084 I 11olcl2 08 1201
MAP5524-HOLLY BRAE ESTATES MAP 26q7 -CARLSBAD HIGHLANDS
ROS 939,3558,4484,15842,16863
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(cicyof
Carlsbad
DISCLOSURE STATEMENT
P-1(A)
Development Services
Planning Division
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 defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal
organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county,
city municipality, district or other political subdivision or any other group or combination acting as a unit."
Agents may sign this document; however, the legal name and entity of the applicant and property owner
must be provided below.
1.
2.
P-1(A)
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 attached if necessary.)
Person frock& Corp/Part. __________ _
Title U!l~At;f.p.r Title __________ _
Address 040 C:zr..tNd.-kJe..-~u~ f::I Address __________ _
wV?~C/'r ctuoe
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 coco?~=·(A separate page may be attached if necessary.)
Pers Corp/Part. __________ _
Title Ow~W Title ___________ _
Address~ lO ~\'112~ bN
fAct\~~~ l Or, 'l z.ooro
Address ____________ _
Page 1 of2 Revised 07/10
0 0
3. NON-PROFIT ORGANIZATION OR TRUST
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 Non Profit/Trust, _________ _
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?
0 Yes ~No 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.
Print or type name of owner
Signature of owner/applicant's agent if applicable/date
Print or type name of owner/applicant's agent
P-1(A) Page 2 pf2 Revised 07/10
{cicyof
Carlsbad
PROJECT DESCRIPTION
P-1(8)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
PRruE~~ME:~V~W~~~r~\~Z~~-~~~~~~\_:N_3~U_N_I~~~~~~~~
APPLICANTNAME:_~~~~~k-~~W~o~~~~~N~~~~~~~~~~~~~~
Please describe fully the proposed project by application type. Include any details necessary to
adequately explain the scope and/or operation of the proposed project. You may also include
any background information and supporting statements regarding the reasons for, or
appropriateness of, the application. Use an addendum sheet if necessary.
P-1(8) Page 1 of 1 Revised 07/1 0
,.
Ccicyof
Carlsbad
0
EIA INFORMATION
FORM
P-1(0}
0
INSTRUCTION SHEET FOR COMPLETING AN
ENVIRONMENTAL IMPACT ASSESSMENT
INFORMATION FORM
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
This Environmental Information Form will be used to assist staff in determining what type of
environmental documentation (i.e., Envir~mmental Impact Report, Mitigated Negative
Declaration, Negative Declaration or Exemption) will be required to be prepared for your
application, per the California Environmental Quality Act (CEQA) and Title 19 of Carlsbad's
Municipal Code. The clarity and accuracy of the information you provide is critical for purposes
of quickly determining the specific environmental effects of your project.
Any environmental studies (i.e., biological, cultural resource, traffic, noise) that are
necessary to substantiate a "no impact" or "yes impact" determination should be
submitted as an attachment to this Environmental Information Form. This is especially
important when a Negative Declaration is being sought. The more information provided in this
form, the easier and quicker it will be for staff to complete the Environmental Impact
Assessment Form -Initial Study.
P-1{0) Page 1 of4 • Revised 07/10
) 0
ENVIRONMENTAL INFORMATION FORM·
(To be Completed by Applicant)
Date Filed: -----------(To be completed by City)
Application Number(s): -------------------------
General Information
1.
2.
3.
4.
5.
6.
7.
8.
9.
Name of project: Ve.N.fvr \ Ztsd ~ etl~ .
Name of developer or project sponsor: tJC<W\ -t "':f{ NA VetJJ-uvl
Address: Zl1 I 0 \-b 111 .lxJ-';e l...ertJ e._ f
City, State, Zip Code: ~b/\4 \ (/q • q -z-cx::e
Phone Number: 7V;O-.:Jo?-1/qO
Name of person to be contacted concerning this project: ----'Bf~~ook=.!.....:...o7~\oori!Wloi!L..Io}uh..:...f:...l.~~r---
Address: ________ -gp....a.;·~)(~\....::::04-::........!..--t-l-----------
City, State, Zip Code: ___ _.....{ft,c'-"-'---')?,;_:~~-=-+-l .;:...(/¢_. ----'Cf~W=-.;...:\ €>:::;....__ ____ _
Phone Number: ______ 7....___(o~Q""----7._.2~9.___--=;&::..-~..:b'7~-------
Address of Project: --~;.__,;,_\_0----'l<lo'-'-. ~\_( ~+---"b_f'..;;_/A_e_-=\kf\.1-.r-, ~e.--1-1--'CW~--=(b;;_W_..::...._ __
Assessor's Parcel Number: __ ...!:2:..:0==--.:.7_-___.:0~(o::._~=-----=~=t;=--()O--=--=----------
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:
G&j t?l~ @KVI1if'-: .
Existing General Plan Land Use Designation: ~t-~:.:.......::...=:::L.---..!.-f<--=-=f=--1--------
Existing zoning district: _....!f(_~--=-----{-=?W;__-=------------------
Existing land use(s): 'zfQ S44":
Proposed use of site (Project for which this form is filed): ?FO + 2"-l d T?oseJ\ \ ~ ~
UN!Jt
Project Description
10.
11.
12:
13.
14.
P-1(0)
Site size: -:t...t(~~''----=--7 1_{-=----~-=--=Q~fr~-------------
Proposed Building square footage: __ ..::(o~40-!...,;=--_.;;Q~l.--~~-~-=------------
Number of floors of construction: ___ _,!(:.___ ______________ _
Amount of off-street parking provided: -----''----'---------------
Associated projects: ------~ ...... h~----------------
Page 2 of4 Revised 07/10
c 0
Are the following items applicable to the project or its effects? Discuss all items checked yes (attach
additional sheets as necessary).
v0es ~
20. Change in existing features of any bays, tidelands, beaches, or hills, or substantial ~
alteration of ground contours.
21. Change in scenic views or vistas from existing residential areas or pUblic lands or 0 .£9:..
roads.
22. Change in pattern, scale or character of.general area of project.
23. Significant amounts of solid waste or litter.
24. Change in dust, ash, smoke, fumes or odors in vicinity.
25. Change in ocean, bay, lake, stream or ground water quality
alteration of existing drainage patterns.
or quantity,
26. Substantial change in existing noise or vibration levels in the vicinity.
27. Site on filled land or on slope of 10 percent or more.
or
28. Use of disposal of potentially hazardous materials, such as toxic substances,
flammables or explosives.
29. Substantial change in demand for municipal services (police, fire, water, sewage,
etc.).
30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.).
31. Relationship to a larger project or series of projects. -
Environmental Setting
Attach sheets that include a response to the following questions:
0
0
0
0
0
0
0
0
0
0
%
pt
;8l
~
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 knowledge and belief.
Date: ----~-+-(~_s~h=-lc? __
For:
P-1(0) Page 4 of4 Revised 07/10
0 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: ---------------------
17. If industrial, indicate type, estimated employment per shift, and loading facilities: ------
18.
19.
P-1(0)
If institutional, indicate the major function, estimated employment per shift, estynated occupancy,
loading facilities, and community benefits to be derived from the project: ----'U=-IfS!-""""-------
If the project involves a variance, conditional use or rezoning applications, state this and indicate
clearly why the application is required: ----Tf-"-"j~A~-------------
Page 3 of4 Revised 07/10
0 0
(cicyof
Carlsbad
HAZARDOUS WASTE
AND SUBSTANCES
STATEMENT
P-1(C)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
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 List 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. .
D 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 ~7 A wwUI~"~~
Address: b.t\0 l:;t CAN ci fhre= ?J~ ~
I .... A I WlbfJIW \ (4-92De8
\\1Dftv1+1tN~ vWA Name:
Address: ~ 10 1-\ol \~ Brke-~e.
CA-<lhW 1 U. gwo~
Phone Number: 11ao SO? -l1qo Phone Number: ](d) 72..1 ~v7
Address of Site Y\ IO tin~ ~ ~e · LocaiAgency(CityandCounty)=~= =;; <tJ~~ CtJ1.1r-4
Assessor's book, page, and parcel number: 2V:Z -00?--zb
Specify list(s): __________ -,--________________ _
Regulatory Identification Number: _____________________ _
Date of List: ____________________________ _
The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local
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