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Home My WebLink AboutNCP 16-04; RYAN CUSTOM ADDITION;(~City of Carlsbad LAND USE REVIEW APPLICATION P-1 Development Services Planning DMsion 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPUCATIONS APPLIED FOR: (CHECK BOXES} Development Pennlts 0 Coastal Development Permit 0 Minor D Conditional Use Permit 0 Minor 0 Extension 0 Day Care (Large} 0 Envlronmentallmpact Assessment 0 Habitat Management Permit 0 Minor 0 Hillside Development Permit 0 Minor ·~ Nonconforming Construction Permit 0 Planned Development Permit 0 Minor D Residential D Non-Residential D Planning Commission Determination 0 Reasonable Accommodation D Site Development Plan 0Minor D Special Use Permit D Tentative Parcel Map (Minor Subdivision) D Tentative Tract Map {Major Subdivision) D Variance 0Minor (FOR DEPT. USE ONLY) Legislative Pennits (FOR DEPT. USE ONLY) '~CC-ot.~ 0 General Plan Amendment 0 Local Coastal Program Amendment 0 Master Plan 0 Specific Plan D Zone Change 0Amendment 0Amendment 0 Zone Code Amendment South Carlsbad Coastal Review Alea PermitS 0 Review Permit 0 Administrative 0 Minor 0 Major Village Review Alea Permits 0 Re~iew Permit 0 Administrative 0 Minor 0 Major NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR 10 3:30P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPUCATlON MUST BE SUBMITTED PRIOR TO 4..-GO P.M. ASSESSOR PARCEL NO(S}.: I~ 7 ./2,3 • tJ §'. 0 0 PROJECT NAME: 34-Cf.9 ~~YSST-l2p,'fte:R¥an Custom Add tit a~ BRIEF DESCRIPTION OF PROJECT: t!Jf)p 0 .;r ~/aJr u-r;. cu/dJ'/t~ , ?/0. -r' /t1t'r ~!f?· A 6 s.-1: LOCATIONOFPROJECT: 341cz ~-~-Dr: ~W STREET ADDRESS -~="""~~,..=..;;...£:.?~-r=-----SIDE OF __ __,5~ea.L.,~::;..:~~;:::;,6,......f-----=:;]);......;F;_:.. ______ _ (NORTH, SOUTH, EAST, WEST} {NAME OF STREET) ON THE: ll~~ 6)'1::;7-f h BETWEEN (NAME OF STREET) AND (NAME OF STREET) P-1 Page 1 of6 O'£Vt lcJJ Lf I Revised 03116 i l i l 1 I I 0 OWNER NAME y p (Print): Tlr:£1 If 5~1/.Jit 1'-Y.:_tl.fl MAILING ADDRESS: 3-11o :5eaCLt:?-l-'Pr; ciTY, STATE. z1P: Cvfs 0«, CA qUJ(}B TB.EPHONE: i76~) ~ 7Z , 7 73Z EMAIL ADDRESS: /5t!Jt8/Z:jr ~ @/. ?(Jbf 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 OM\IER THATTHEAPPUCANT AS SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR PUP.~ 'fhiJ(,. SIG RE DATE APPLICANTS REPRESENT A 1lVE (Print): 0 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 KNOV\Il..EOGE. ~ SI'GNATURE _# 1'/t)a, DATE~t ---------------------------------------------------MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL ADDRESS: I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPUCANT FOR PURPOSES OF THIS APPUCATION AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE 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. IJWE CONSENT TO ENlRY FOR THIS PURPOSE. NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESlRICTION BEING RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESlRICTIONS RUN WITH THE D AND BIND A SUCCESSORS IN INTEREST. FOR CITY USE ONLY P-1 . Page2of6 RECEIVED SEP 0 7 2016 CITY OF CARLSBAD PLANNING DIVISION DATE.STAMP APPLICATION RECEIVED RECEIVED BY: Revised 03/16 r 'tJ. CObNTY ASSESSOR SA~DlE•j C'O·CALIFORNIA RESIDENTIAL BUILDING RECORD L b-J-_']_1, · ADDRESS 34-90 J.I,/JaY-esr C11Yt'/c ::iJ '1·5" ../) ... ' ~·DESCRIPTION OF BUILDING CLASS 8SHAPEICONSTRUCTioNf STRUCTURAL EKTERIOR ROOF I ,LIGHTING · lAIR CONDITION -£) 7 Gr g' I I Lltlll fil Fn1m11 IA'I Stilt! co on · • SuJ>.Jtondord • 1t • • • ~~~~~~~~~~~~~~~~~h='qROOMSI ~LOjRS on'9 B 1. 2 .ARCHITECTUREJ...#lstondard ·I -ISh••thlnq SiditlfJ .Jl if "·I Hip--.4l .. (~B.K. ] . -lCDb!iTlGrori/ll JHtmi~ I All . ~ r iJ' Abo.,e·St011do,d COIICI'III Blot:lt Shod -41 J Fixtures I IWo/1 Unit I Jlorifl6 Splt:i'ol us.J Jr4G. Cut Up Few I IChnp 'TYPE IJriclt Shinqle Dorm•l'• IA'(Avq. lAJMed. I IF!oorUnit Use I DesliJnl FOUNDATION Adobt $holte Roll. .... ':. Mtln'f I 'lSpecioJI IZ111111llnit AIJinqle RIJICCIIIc:relc ..k(FioorJoi#t• ~s.~e.l T.&6. GuHwr~ [j(CMitol" Doubl• I I I ~~"~'t:•d t•r, ';.. "'!. PLUMBING Duple11 I I I s,/cA Z"'' •,. "'-B,k~ I !Shi~~e 1Pte1 {J.ftd.J ~ AIHirftMnf I I I Wood Suii·FIHI' Stone I IJhoke OiiBurlltll' ~loi-Coud I I !Piers [ ..#1 Concrete Floor 'WINDOWS I ITIIe J)'ISin~ I'ARCEL / GZ.IZrJ· .j-.·~-.::_:'"I__' SHEET. l J OF-1 SHEET"~ ROOII AND FINISH DETAIL ~~-:-1r--:-1 TRIM Flf!~SH C''"llfl' 11-1u..c 14-t-1 · c--.-~dl 'fJT , .. ' -T .. I ----r ----,- IVJnAh'l A- ~-/1-l..,-; .r A f 1/1..,~11.1 jJ r ~Mol•/ AitJAfcosim;;IJ ITileTi-im J,lljLoundrv I _ ,w;a.ittl~'",/ullr 1-lili'nDh f7f ln.tulatedCeiling.:J..t]u,laiSo.sh u I Compo.;LR ..... L.IIWotel' Hji:·Auta. IJ'IFire,o/oc• rKifcheJI I i r I I Yln6f1 I 7f StTtell.: '---=~~~~~~~~~~~~--~--~~~~~~~~~~~~~~d-~~~~~~~~~~--~~~~~~~~----~~~~~~~~~~--r----- ~ ~ ! c£, I z"o6ol IJ I k · X I 'il /,(._ ~rl ?TS"£fltii-ll.ft I -1 I I I 1· ·I ll-111\llnii~·IDVJJK,Iilllll m I A 1'11-1.1'17' Itt-.. "l...' TJ.Q::l f'R.t-. I CJL I 4-tl I I I I I l117J 1"'/t< I WAJ!IJ SPECIAL FEATURES Boo!<. Ct11t.J 8tPN-"' Rerr1q.( l Venetian IJ/Inds .J I /. $hui+e'• .A-1" -.--.-o~,--~ .DASkl ..:.r r r.;..o. .__.,... ,. ..VI re,f ,c~,., .. " Dmllt.udshe,. I ~ J Z C C.() Appraiser 8 Dote I co•' _ I_B:n I Colt I ~lJ I Colt .3o o ..2cJO .:too I l16co- -- NORMAL 9(, 600D TOTAL ..2152$'1 --3 z L\d .J.f'fJ.J q~:;_qq I oel 9;1 il 0 "1..!11./ g_i_ Ctt • • t -•• R.C.L..N.D ,,}./ 1'11 c. 3Ji4 o2.?..r;...]il ~\j -~-;z32..fJ'i.frl ..311/t;!"tJ (1/.J. VI ,--I iJln.r._ ' .A.. r ------------------~~~~~-------· • San Diego County 11111111111111111111111111111111 11111111 Transaction#: 619471 ~ . Receipt#: 2016267676 Ernest J. Dronenburg, Jr. Assessor/Recorder/County Clerk 1600 Pacific Highway Suite 260 Cashier Date: 09/28/2016 Print Date: 09/28/2016 11 :26 am San Diego, CA 92112-1750 Cashier Location: SD103 Tel. (619) 238-8158 Fax(619)557-4155 www.sdarcc.com GO Pa~ment Summary Total Fees: $2.00 Total Payments: $2.00 Balance: $0.00 Payment CASH PAYMENT $2.00 Total Payments $2.00 Miscellaneous Item PARS Fees: Pars-PAR #of Pages: 1 $2.00 Total Fees Due: $2.00 Comments: Grand Total-All Documents: $2.00 0 Page 1 of 1 Ccicyof Carlsbad PROJECT DESCRIPTION P-1(8) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov PROJECT NAME: --";e~ya..;;;.;;n__.;;;~__;_~_I?J.~~~A_d_;;..ta_ih_BI1 ______ _ 7 APPLICANT NAME: ---'-f1_:..."1-J_,_{_(.<h:.._._~....;;_f-.:_;;,ft_er/t,____,V~--------. I Please describe fully the proposed project by application. t}tpe. Include any details ne~sary 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. Description/Explanation: P-1(8) -!A~ e.Jt1?-/7~ ~~111e c;;;kry !JttJtJ~ w/11 k~tJtlded' 2.67 ~-r. w/!f be-added' h -1/Je_ -h/?r//I:Jr:'Jr . , ;4-~11d ~~IJr t1-f! '16 7 ~-/. u;,tj c:tk,CJ 6e t?4abl- Page 1 of 1 Revised 07/10 CitY of Car1sbad Faraday Center Faraday Cashiering 00'1 1625101-3 09/07/2016 149 Wed, SeP 07, 2016 09:20AM Receipt Ref Nbr: R\625101-3/0002 PERMI\ PERMITS \ran K Nbr: 162510103 0002 0002 \rans,~ _,pt#: R0120003 SE1 #: CB 163438 Amount: Item Subtota1: Item Iota 1: I @ $840.81 $840.81 $840.81 PERMITS -PERMITS \ran Ref Nbr: 162510103 0002 0003 \rans/Rcpt#: R0\20004 SE1 #: NCP16004 Amount: Item Subtota1: Item Iota I: 2 I\EM(S) 10\AL: Check (Chk# 62101) Total Received: \-lave a nice dayl 1 @ $725.98 $725.98 $725.98 $'1 ,566.79 $1 ,566. 79 $1,566.79 **************CUSTOMER COPY************~ 0 0 City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 I IIIII ~~~ 1111 ~1~11 ~M 11m II~ II~ Ill~ Applicant: WEATHERLY PHIL Description Amount NCP16004 725.98 3490 SEACREST DR CBAD Receipt Number: R0120004 Transaction ID: R0120004 Transaction Date: 09/07/2016 Pay Type Method Description Amount Payment Check 725.98 Transaction Amount: 725.98 (city of Carlsbad j1NSTRU6TIONS: STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue (760) 602-2750 www.carlsbadca.gov 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 condi.tions 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 Eng(neering 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: PROJECT ID: ADDRESS: APN: /67· 123iY~bO The project is (check one): 0 New Development EfRedevelopment The total proposed disturbed area is: 2.. 6 7 ft2 .._ ___ )acres The total proposed newly created and/or replaced impervious area is: 26 0 ft2 ( acres If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the SWQMP #of the larger development project Project ID _________________ SWQMP #: ----------------- Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. E-34 Page 1 of4 REV02/16 (city of Carlsbad STORM WATER STANDARDS QUESTIONNAIRE Development Services Land Development Engineering 1635 Faraday Avenue {760) 602-2750 www.carlsbadca.gov E-34 'INSTRUCTIONS: To address post-development pollutants that may be generated from development projects, the city requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual, refer to the Engineering Standards (Volume 5). This questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'STANDARD PROJECT' requirements 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 Eng(neering 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: ~C//2/Jf / ~~j~h A--cht ~/P?t_; PROJECT ID: ADDRESS: 314/ 5~r~~~--Or~ APN: /67· IZ3 -t!Je;:t:Jo rc) . The project is (check one): 0 New Development EfRedevelopment The total proposed disturbed area is: ;?{:; 7 ft2( ) acres The total proposed newly created and/or replaced impervious area is: 'B6o ft2 ( ) acres If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the SWQMP #of the larger development project Project ID SWQMP#: Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. 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 D ~· or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? If you answered "yes" to the above question, provide justification below then go to Step 5, mark the third box statin9 "my project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant information. Justification/discussion: (e.g. the project includes only interior remodels within an existing building): If you answered "no" to the above question, the project is a 'development project', go to Step 2. STEP2 TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer the following questions: Is your project LIMITED to one or more of the following: YES NO 1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non- erodible permeable areas; D [~ 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 D QY accordance with the USEPA Green Streets guidance? 3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? D QY 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 of4 Rl=ll f1?/1t:: To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1)): 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 public development projects on public or private land. 2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public development pro ·ects on public or private land. 3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial Classification SIC) code 5812. 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project? A hillside development pro·ect includes development on an natural slope that is twent -five percent 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 transportation of automobiles, trucks, motorcycles, and other vehicles. 7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the project to thH ESA (i.e. not commingled with flows from ad·acent lands).* 8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface that supports an automotive repair shop? An automotive repair shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. 9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious area tlhat supports a retail gasoline outlet (RGO)? This category includes RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles per day. 10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land and are expected to generate pollutants post construction? 11. Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC 21.203.040 YES NO D D [9/ D w D W D D W 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 statin "M pro·ect is a 'STANDARD PROJECT' ... " and complete applicant information. Paae 3 of4 REV02/16 STEP4 TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP) ONLY Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)): YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% of the surface area of the previously existing development? Complete the percent impervious calculation below: Existing impervious area (A) == sq. ft. 0 [] Total proposed newly created or replaced impervious area (B)== sq. ft. Percent impervious area created or replaced (B/A)*1 00 == % If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious surface and not the entire development. Go to step 5, check the first box stating "My project is a PDP ... " and compl•ate 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. STEPS CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION 0 My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand ! must prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application. 0 My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT' stormwater requirements of the BMP Manual. As part of these requirements, I will submit a "Standard Project Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project. 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. *·y Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. Applicant Information and Signature Box Applicant Name: ?Ar/ k/~ejr(g Applicant Title: 6fc.-. -~-. . I 9/7//6 Applicant Signature: ~-t~~~f'...--Date: / / 7 ,- .. .. * Enwonmentally Sens1t1ve Areas Include but are not ilm1ted to all Clean Water Act Sect1on 303(d) 1mpa1red water bodies, areas designated as Areas of Spec1al 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 YES NO City Concurrence: 0 0 By: Date: Project 10: E-34 Page 4 of4 REV 02/16 0 Ccicyof 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. APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL names and addresses of & 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 ?1211 Wed:f~Jffiy Corp/Part"---------- TJtle ~~er-/~.c., · Title~--------- Address !4S80,w, Ct~7 V'~eAddress _________ _ 2. OWNER (Not the owner's agent) P-1(A) 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 corooration, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person kt:lf f ~~~ 8p» Corp/Part ___________ _ Title t1Wer? Title. ___________ _ Address .Y/qtJ ~-~-12" Car/'764~ CA-'f2a18 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 Profrt/Trust,_ _______ _ Title Title. ____________ _ Address. __________ __ Address~-------------- 4. Have you had more than $500 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? D Yes ~o If yes, please indicate person(s): __________________ _ NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. ll ~0 f/7&b Sign~e<rc>Wrle~e=- Print or type name of appli nt Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent P-1(A) Page2 of2 Revised 07/10 (cicyof Carlsbad 0 HAZARDOUS-WASTE AND SUBSTANCES STATEMENT P-1(C) Q Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Consultation of Usts of Sites Related to Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Pursuant to State of California Government Code Section 65962.5, I have consulted the Hazardous Waste and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): B The development project and any alternatives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. 0 The development project and any alternatives proposed in this application ![! contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. PROPERTY OWNER Name: &.# ~ 511f:t!lt f't,t111 Address: 3.J./1tJ ~f /:Jr. ~/Jttd, ~ 1'VJtJ8 I Phone Number: {Ji::f) 6 72. • 77 32- Address ot Site: __ --=-34--=--~..L..:~~-~__;::;.=...;:_/1_~_$_-;-_~_'I}___;;']A...;;;;;.~_.;..' ___;;Car-=· -~=-'5-=/Jad~....__- Local Agency (City and County): Cari.?Pad f ~ t'l?ffa Wono/ Assessor's book, page, and parcel number: /6 7· /Z 3 1 tJ ~. ~0 Specify list(s): _________________________ _ Regulatory Identification Number: ____________________ _ Dmeoflirt ____________________________ __ Prope The Hazardous Waste and Substances Sites List (Cortese Ust) 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 of2 Revised 02/13 Per the California Environmental Protection Agency's website, 'While Government Code Section 65962.5 (referred to as the Cortese List] makes reference to'the preparation of a "list,u many changes have occurred related to web-based information access since [the amended statute's effective date in] 1992 and this information is now largely available on the Internet sites of the responsible organizations. Those requesting a copy of the Cortese "'ist" are now referred directly to the appropriate information resources contained on the Internet web sites of the boards or departments that are referenced in the statute." Below is a list of agencies that maintain information regarding hazardous waste and substances sites. Department of Toxic Substances Control www.caleoa.ca.gov/sitecleanup/CorteseList/defaulthtm www.caleoaca.gov/database/calsites www.envirostor.dtsc.ca.gov/public EnviroStor Help Desk (916} 323-3400 State Water Resources Control Board http://geotracker.waterboards.ca.gov/ County of San Diego Department of Environmental Health Services www.co.san-dieao.ca.us/deh Hazardous Materials Division www.sdcountv.ca.gov/deh/hazmatlhazmat permits.html Mailing Address: County of San Diego Department of Environmental Health P.O. Box 129261 San Diego, CA 92112-9261 Call Duty Specialist for technical questions at (858) 505-6880, fax (858} 505-6868 (fax} Environmen~l Protection Agency National Priorities Sites ("Superfund" or "CERCLIS'1 www.epa.gov/suoerfund/sites/cursites (800) 424-9346 or {702) 284-8214 National Priorities List Sites in the United States www. epa.gov/superfund/sites/npl/npl.htm P-1(C) Page2of2 Revised 02/13 0 0 CORINTHIAN TITLE COMPANY 5030 Camino De La Siesta #100 San Diego, CA 92108 • (619) 299-4800 as Agent for Westcor Land Title Insurance CORINTHIAN TITLE 2244 FARADAY AVENUE, STE. 106 CARLSBAD, CA 92008 A TIN: DORIS DARLEK YOUR REF: PROPERTY: 92008 06163706DD 3490 SEACREST DRIVE, CARLSBAD, CA PRELIMINARY REPORT ORDER NO.: 86014-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 tor the purpose of facilitating the issuance of a policy of title insurance and no liability is assumed hereby. If it is desired that liability be assumed prior to the issuance of a policy of title insurance, a binder or commitment should be requested. Dated as of May 18, 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 86014-PD Corinthian Title Company, Inc. Corinthian Title Company, Inc. ORDER NO.: 86014·PD 0 PRELIMINARY REPORT The form of Policy of Title Insurance contemplated by this report is: ALTA Extended Loan Policy ( 6-17-06) SCHEDULE A 0 PRELIMINARY REPORT YOUR REFERENCE: 0616370600 The estate or interest in the land hereinafter described or referred to covered by this report is: A FEE Title to said estate or interest at the date hereof is vested in: KENNETH F. RYAN, JR. AND SUSAN M. RYAN, AS TRUSTEES UNDER THE KENNETH F. RYAN, JR. AND SUSAN M. RYAN 1995 TRUST, DATED JANUARY 7, 1995 2 ., Corinthian Title Company, Inc. ORDER NO.: 86014-PD 0 EXHIBIT A LEGAL DESCRIPTION 0 PRELIMINARY REPORT YOUR REFERENCE: 0616370600 The land referred to herein below is situated in the County of SAN DIEGO, State of CALIFORNIA, and is ·described as follows: LOT 76 OF SEACREST ESTATES UNIT NO. 2, IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 4280, FILED IN THE OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, JULY 28, 1959. Assessor's Parcel Number: 167-123-05-00 3 Corinthian Title Company, Inc. ORDER NO.: 86014-PD 0 SCHEDULE B 0 PRELIMINARY REPORT YOUR REFERENCE: 0616370600 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. 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.: $4,213.94 PAID $4,213.94 PAID $491,674.00 $295,001.00 $7,000.00 HOMEOWNERS 09000 167-123-05-00 B. 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 in instrument recorded in the Official Records of said County and any amendments thereto, which provide that a violation thereof shall not defeat or render invalid the lien of any first mortgage or deed of trust made in good faith and for value, but deleting any covenant, condition or restriction indicating a preference, limitation or discrimination based on race, color, religion, sex, handicap, familial status, or national origin to the extent such covenants or restrictions violate 42 USC 3604 (C). Easements or servitudes appearing in the Public Records. Leases, grants, exceptions or reservations of minerals or mineral rights appearing in the Public Records. 3. A deed of trust to secure an indebtedness in the amount shown below, and any other obligations secured thereby Amount: Dated: Trustor: Trustee: Beneficiary: Recorded: Loan No.: $330,000.00 07/13/2011 KENNETH F. RYAN, JR. AND SUSAN M. RYAN, AS TRUSTEES UNDER THE KENNETH F. RYAN, JR. AND SUSAN M. RYAN 1995 TRUST, DATED JANUARY 7, 1995 LSI TITLE COMPANY MORTGAGE ELECTRONIC REGISTRATION SYSTEMS, INC. ("MERS") SOLELY AS NOMINEE FOR GREENLIGHT FINANCIAL SERVICES, A CALIFORNIA CORPORATION July 25, 2011 AS INSTRUMENT NO. 2011-0374556 OF OFFICIAL RECORDS 0132964004 4 , Corinthian Title Company, Inc. ORDER NO.: 86014·PD 0 SCHEDULE B (CONTINUED) 0 PRELIMINARY REPORT YOUR REFERENCE: 0616370600 4. 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 amended, that it is in full force and effect and that it has not been revoked or terminated. THE KENNETH F. RYAN, JR. AND SUSAN M. RYAN 1995 TRUST 5. 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: KENNETH F. RYAN, JR. AND SUSAN M. RYAN (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.: 86014-PD 0 NOTES AND REQUIREMENTS 0 PRELIMINARY REPORT YOUR REFERENCE: 0616370600 1. Corinthian Title Company does not have an affliated business arrangement with regards to settlement services with AVALON MORTGAGE. 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 3490 SEACREST DRIVE, 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.: 86014-PD () NOTES AND REQUIREMENTS (CONTINUED) 0 PRELIMINARY REPORT YOUR REFERENCE: 0616370600 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.: 86014 Routing Number: 122-016-066 Title Officer Name: Petra Doering Account No: 555018509 Title Unit Number: PO 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.: 86014·PD 0 Corinthian Title Company, Inc. Privacy Policy Notice PURPOSE OF THIS NOTICE PRELIMINARY REPORT YOUR REFERENCE: 06163706DD 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 PERMITIED 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 Westcor Land Title Insurance 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 EXHIBIT A: LIST OF PRINTED EXCEPTIONS AND EXCLUSIONS 2006 Ab!A 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 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: LOT 76 OF SEACREST ESTATES UNIT NO. 2, IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 4280, FILED IN THE OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, JULY 28, 1959. Assessor's Parcel Number: 167-123-05-00 0 0 iii 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 l iTHE STREET ADDRESS of the property in this transaction is: (If none, leave this section blank) --~-----------1 ADDRESS CITY ~ --I IMPROVEMENTS. D SINGLE RESIDENCE D MULTIPLE RESIDENCE D COMMERCIAL i OCCUPIED BY: D OWNER D LESSEE D TENANTS ~ II ANY PORTION OF NEW LOAN FUNDS TO BE USED FOR CONSTRUCTION? D YES D NO ______ _ NAME SPOUSE'S NAME ·------~----------------------~-------·------1 FIRST MIDDlE LAST FIRST MIDDLE LA.ST I I----- 1 BIRTHPLACE ----BiRTH DATE BIRTHPLACE BIRTH DATE I II HA.VE LJ\/ED IN CALIFORNIA SINCE ----SOCIAL-SECURITY NUMBER IHAVE-L-1'-JE_D_IN c-AL-1-FO_R_~-JIA_s_IN-:cc-E.---=-so-c-o-1-A-L -::-sE=-c=-u-:-:R:-::IT=-Y,..,N_,u-,M-B:-::E=-=-R I DRiVERs LICENSE NO--------------··--~ ---DRIVER'S LiSE~SE NO-------------------------____ _ ! MA.IDEN NAME !if appl1caDie' ____ ------------__ MAIDEN NAME 11fappl1cable, -----·------------------------------ 'NE VIIERE MARRIED GN AT RESIDENCE(S) FOR LAST 10 YEARS NUMBER AND STREET CITY NUMBER AND STREET CITY' NUMBER AND STREET NUMBER AND STREET HUSBAND PRESENT OCCUPATION PRIOR OCCUPATION I PRIOR OCCUPATIO~l ! WIFE i I PRESENT-OCCUPATION I CITY CITY OCCUPATION(S) FOR LAST 10 YEARS FIRM NAME &ADDRESS FIRM NAME &.ADDRESS FIRM NAME &ADDRESS -=-:=:---:--,--,-:--·-·--------------·-.. --·-. -·---------------. -----·--·· FIRM NAME &ADDRESS FROM TO FROM TO FROM TO FROM TO NO OF YEARS NO OF YEARS NO OF YEARS NO OF YEARS I ~~~~;~~~~AG~~~-;F ~~~~~~~~~i~~·~~~~~ -~:NE. _-~ ~::=: = _-_--·~-:~-~ =-_::_:~:::~--- ' NAME OF FORMER SPOUSE ! If DECEASED DATE ---------------WHE'R~" L... ----=---==-~--====:::::.:::-:.=::·=------·-·------------------~=----------=---------=~=::..-..=-:::::::_:::: ________ ---· -·--·----l CURRENT LOAN(S) ON PROPERTY I PAYMENTS ARE BEING MADE TO 11 i;a_~E();~.~~ ~~~~CIA;I~~ ~==--. ----_ = ~-== =-~ ~ -~~~()~E '_~-=:-· = -~= -.~~ _ j Date:-------Signature: _________________________________ _ Home Phone:_~------------------------Business Phone: 0 ,-,0 ... l!llaJN~ ·T· ···H· ·IAN U:;. iMl •;n.· } ... < . ' . i .· . i' . ·. TITLE COMPANY 0 5030 Camino De La Siesta #100 San Diego, CA 92108 (619) 299-4800 TRANSMITTAL TITLE OFFICER: Petra Doering ORDER NO.: 86014-PD DATE: May 26, 2016 5:06PM AVALON MORTGAGE 5060 SHOREHAM PLACE, STE. 320 SAN DIEGO, CA 92122 Attn:TERESE COELHO Your Ref: RYAN PHONE: 619-299-4800 EMAIL: T eamPetra®corinthiantitle .com FAX: 619-872-9333 PROPERTY ADDRESS: BUYER or BORROWER: 3490 SEACREST DRIVE, CARLSBAD, CA RYAN, KENNETH F. JR. Enclosed please find your Preliminary Report. Thank you -we appreciate your business! (J 0 ORDER NO.: 86014 TRUST CERTIFICATION PURSUANT TO CALIFORNIA PROBATE CODE SECTION 18100.5 I (We), (Name of Trustee(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 creatton of trust) 2. The Settlor(s) of The Trust are as follows: 3. Tr1e 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: n Yes n No b. The power to borrow money and encumber the trust property with a deed of trust or mortgage: C1 Yes 0 No 5. The Trust is: (select one) n Revocable n 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 ORDER NO.: 86014 California All-Purpose Acknowledgement Civil Code § 1189 U ---------------------------------------------·----···--------·-·----··-·------·---------------- 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 Title 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) 0 0 ~---. ~- (\J I ,... "' (j) 0 0 ' . 0 r:~\ 1. jUl ,' -J_./ \ \ ORDER NO.: "DB_ORDERNUM, (\J 0 z z :::l ()) w f--<1: f-IJI w f· (f) w rr ¥ w U1 I ~0 ~Q Q.IJI <1: c· ? rr