HomeMy WebLinkAboutCUP 2020-0002; COMPANION ANIMAL WELLNESS CENTER; Conditional Use Permit (CUP)Ccicyof
Carlsbad
l
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
D Coastal Development Permit D Minor
~ Conditional Use Permit
~ Minor D Extension
D Day Care (Large)
D Environmental Impact Assessment
D Habitat Management Permit D Minor
D Hillside Development Permit 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 Special Use Permit
D Minor
D Tentative Parcel Map (Minor Subdivision)
D Tentative Tract Map (Major Subdivision)
0 Variance D Minor
(FOR DEPT. USE ONLY) Legislative Permits
c,11(
7,,,02,,o ... oo,
0 General Plan Amendment
2-□
□
□
Local Coastal Program Amendment
Master Plan
Specific Plan
0 Zone Change
□Amendment
□Amendment
D Zone Code Amendment
South Carlsbad Coastal Review Area
Permits
0 Review Permit
D Administrative D Minor D Major
Village Review Area Permits
D Review Permit
D Administrative D Minor D Major
(FOR DEPT. USE ONLY)
NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SU BM ITT AL MUST BE SUBMITTED BY APPOINTMENT". PLEASE CONTACT THE APPOINTMENT SPECIALIST
AT (760) 602-2723 TO SCHEDULE AN APPOINTMENT.
ASSESSOR PARCEL NO(S):
LOCATION OF PROJECT:
NAME OF PROJECT:
BRIEF DESCRIPTION OF
PROJECT:
PROJECT VALUE
(SITE IMPROVEMENTS)
FOR CITY USE ONLY
*SAME DAY APPOINTMENTS ARE NOT AVAILABLE
(STREET ADDRESS)
Co~JPBN10N ,/f)1I rmM Wt:JLN~> U!NTM-oF Ct+,us~ ,
00®JJ frf/>fDVAt--1~ THe ltu.s1l10Plf-V@t.mNArvAI 1-1ospt?Jt,,
ESTIMATED COMPLETION DATE
Development No. ►€ V 2-o io -0 I f ( Lead Case No.
P-1 Page 1 of 6 Revised 03/17
.. I
OWNER NAME (Pl.EASE PRINT)
I CERTIFY THAT I AM THE LEGAL OWNER ANO 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 REIN I MY AUTHORIZED REPRESE ATI FOR
PURP HIS ,V'.Pl~,rQN
APPLICANT'S REPRESENTATIVE Prin
APPLICANT NAME
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
ANO THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
THE BEST OF MY KNOWLEDGE. ~ 3111/;}.()
DATE
MAILING ADDRESS: :3vo C ~~.::::.z.~~~~u..i.~...r.u.~~LJC::::;.._..w=:;.i;~--,/,....L----___,;~::i:::::=:t:::::::__L
CITY, STATE, ZIP: Ctn,> 1 2LX,)
TELEPHONE:
EMAIL ADDRESS: / r, ~
I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR
PURPOSES OF THIS APPLICATION ANO THAT All THE ABOVE
INFORMATION IS TRUE ANO CORRECT TO THE BEST OF MY
KN~~~-/4c0 s~~ ?itr[Viq.Jh;
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
APPLICA TlON. IM'E CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEJNG
RECORDED O E TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
THE LA IND ANl~1C'$f~SORS IN INTEREST. *· --,,~~~~=f::-:,/~f(j:!.{). ~·!:::.Z-..l'J<-1
P-1 Page2 of8
MAY O 4 2020
CITY OF CARLSBAD
PJANI\HNG DlVISIO:-.J DATE STAMP APPLICATION RECEIVED
Revised 03/17 _____________ ·-···--------
(city of
Carlsbad
DISCLOSURE STATEMENT
p .. 1(A)
Development Services
Plannlna Division
1635 Faraday Avenue
(7601602-4&10
www.cartsbadca.eov
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 M.U&I 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, fimt, c»partnershlp, Joint venture, association, social club, fraternal
organilatlon, corporation, estate, trust, receiver, syndicate, In thls and any other county, city and county,
city munJcipallty, district or other polltlcaf subdivision or any other group or combination acting as a unit.·
Agents may sign this document; howewr, the legal name and entity of the applicant and property owner
must be provided below.
1.
2.
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 9r partnershjg.
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 publidy-owned
corporation. include the names, titles, and addresses of the corporate officers. (A
separate page may attached if necessary.) ~kiJ
Person fl'fYII Corp/Pa ....___,_..--r-_..:.:.;-:....,.,.;,;,;.=..--..&.. G:.r
Title Ou1r,>e,r / Ufferirt-1.pCffll» Titl&'-¥.1_...:.-t~::.:.a:;;:;:..:.:.;;-":""7'""_....,...
. Address ['-({I((, 'Sri.trQd' U/<1\1 V,rl~y u'~'Address,""""-'-~~~~~~;;;:;.::..;u.r
kl\ q, ;:,.n~ 7 ~ tt, 1 a.l) '?'0-OWNER (Not thi Mlir's agent)
Provide the .COMPLETE, LEQM, names and addresses of &la persons having any
ownership intar•st in the. property Involved. Also. provide the nature of the 1eQ-'
ownership (i.e., partnership, tenants In common, non-profit, corporatlon, etc.). If the
ownership includes a cgmw;atton or PMoBl'JblR, include the names, titles, addresses of
alt individuals owning mora than 10% of the shares. IF NO INDIVIDUALS OWN MORE
THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (NIA) IN THE
SPACE BELOW lf a publicly-owned CCUP(ation, indUde the names, titles, and
addresses cers. (A separate page may be attached if necessary.)
Perso7"lll~'-IL-f-J.~'-F--:..-.~-
Title ~,
Address 11/-W • /&> 1H i U.,,, Address
U/rf?a-,(oJ~ C Ao ·p, 11~ "-'-<-~ µ._ ~--\-iil-d-,. .... -_.c,..,.,_~-~~~-\.-.u.-3-,,._ St)\..lt.. Ll (
Cf I 71/ (()w"-tl ~c\P
P-1(A) Page 1 of2 Revlled07110
,.......,
_I
OWNERS Plaza South LLC %'8
Joan Waken 3.2391%
Llovd D. Hopf 15.0033%
Joyce Ward, Trustee of the Ward Fam Trust 15.1702%
James A Crabtree 4.0948% -Joseph Surschinger, Trustee (Marital) 3.3501%
Joseph Burschlnger, Trustee (By Pass) 17.9203%
John & Gracie Waken 22.0942%
~~ ~
Cynthia Hibbard 1.4273% -David Hibbard 1.4273%
Peter Hibbard 1.4273% -John Hibbard 1.4273%
Jean McDermott Crabtree 4.0948%
Roger R. Riffenburgh 3.1080%
Stephen K. Riffenburgh 3.1080%
Bruce A. Riffenburgh 3.1080% -100.0000%
3. NON-PROFIT ORGANIZATION OR TRUST
If any person identified ptnuant to (1) or (2) above Is a nonprofit organization or a trust,
list the names and addresses of &a. person serving as an officer or director of the non-
profit organization or as trustee or beneflcfary of the.
Non Profit/Trus . ._ _____ _ 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 Counci within the past twelve (12)
months? _/
D Yes ~ No If yes, please indicate person(s):. __ __.., ______ _
NOTE: Attach additional sheets if necessary.
Signature of owner/applicant's agent if applicable/date
Print or type name of owner/applicant's agent
P-1(A) Page2af2 RMed07/10
....
Secretary of State
Statement of Information
(Limited Liability Company)
IMPORTANT-Read instructions before completing this form.
Filing Fee -$20.00
Copy Fees -Face Page $1.00 & .50 for each attachment page,
Certification Fee -$5.00
1. Limited Liability Company Name
Plaza South, LLC
LLC-12
FILED
Secretary of State
State of California
JUL 2 7 2016
2. \ {IL-0 /p v
This Space For Office Use Only
2. 12-Dlglt Secretary of State FIie Number 3. State or Place of Organization (only if formed outside of California)
199628310017
4. Business Addresses
a. Streal Address of Principal Dfflce -Do nol list a P.O. Box City (no abbreviations) Slate Zip Code
492 West Foothill Boulevard Claremont CA 91711
b. Malling Address of LLC. If different than Item 4a Clty (no abbreviallons) Stale Zip Code
c. Street Addre&s of Callfomla Office. K l\em 4a is not In Califomia. Oo not llst a P .0. Bo~ City (no abtlfellialions) Sla\e Zip Code
CA
s. Manager(s) or Member(s) If no managers have been appointed or elected, provide the name ...,,d address of each member. Al least one oame and address must
be listed. Attach additional pages, if necessary.
a. First Nama
John
b. Address
1120 Fallen Leaf Road
6. Agent for Service of Process
Middle Name I Last Name I Suffix Waken
City (no abbreviations)
l~e I Zip Code
Arcadia 91006
Item 6a and 6b: if the agent is an Individual, the agent must reside in California and Item Sa and Sb must be completed with the
agent's name and California address. Item 6c: If the agent is a California Registered Corporate Agent, a current agem registration
certificate must be on file wHh the California Secretary of State and hem Sc must be completed (leave Item 6a-6b blank).
a. California Agent's First Name (ir agent is not a corporation) Middle Name I Las1 Name I Suffix Kelly Arft
b. Street Address (if agent is not a corporaHon)-Do not list a P.O. Box City (no abbreviations) I SlatB I Zip Code
492 West Foothill Boulevard Claremont CA 91711
c. Califomia Registured Corporate Agent's Name (If agent is a corporation) -Do nol comple!e ilem 6a or 6b
7. Type of Business
a. Describe the type of business or services ofl~e Limiled Liabllily Company
Real Estate
8. Chief Executive Officer, If elected or appointed
a. Firsl Name Middle Name Last Name Suffix
b. Address City (no abbreviations)
9. The lnfonnatlon contained herein, Including any attachments, Is true and correct.
07/31/2016 Kelly Arft Manager
Dale Type or Prinl Name of Person Completing the Forrn Tille
Return Address (Optional) (For communication from the Secretary of State related to this document, or if purchasing a copy of the filed docum
person or company and the mamng address. This information will become public when filed. SEE INSTRUCTIONS BEFORE COMPLETING.)
Name:
Company:
Address:
City/State/Zip:
r Plaza South, LLC
C/o The Renken Company
492 West Foothill Boulevard
L Claremont, ea 91711
LLC-12 (REV 0512016)
l
J
2016 Calnom ia Secrelary of State
www.sos.ca.gov/businesslbe
Secretary of State
Statement of Information -
No Change
(Limited Liability Company)
LLC-12NC
IMPORTANT -This form can be filed online at bizflle.sos.ca.gov.
Read Instructions before completing this form. This form may be used only
if a complete Statement of Information has been flied previously and there
has been no change.
Filing Fee -$20.00
Copy Fee -$1.00 per copy;
Certification Fee -$5.00 plus copy fee
ra -3 I' 8 0 8 2
FILED
Secretary of State
State of California
AUG O 8 2D18
~; /c:zo/,Pc
Above Space For Office Use Only
1. Limited Liability Company Name (Enter the exact name on file with the California Secretary of State. Note: If you
registered in California using an alternate name, see instructions.)
Plaza South, LLC
2. 12-Diglt Secretary of State Entity (FIie) Number 3. State, Foreign Country or Place of Organization
(only if formed outside of California)
199628310017
4. No Change Statement (Do not alter the No Change Statement. If there has been any change, file the Statement of
Information on line at biz file.sos.ca.gov.)
There has been no change in any of the information contained in the
previous complete Statement of Information filed with the California
Secretary of State.
5. The information contained herein is true and correct.
07/27/2018 Kelly M. Arft
Date Type or Print Narre of Person Corrpleting the Form
LLC-12NC (REV 0t/2018)
Owner's Agent
Title
2018 California Secretary of State
bizfile. sos. ca. gov
T
___________ _,. '\, ____________ -----------
Ccityaf
Carlsbad
PROJECT DESCRIPTION
P-1(8)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
PROJECT NAME: Companion Animal Wellness Center of Carlsbad
APPLICANT NAME: CA (LM I rJ e_ BA US'DkJ IL
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.
Description/Explanation:
s IzJ£_ lhT!k)~fzv
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luelLNeS> [r£';JT7Vr1-OF UWU.se/-JO /(
P-1(8) Page 1 of 1 Revised 07/10
Project Description
Companion Animal Wellness Center of Carlsbad
Companion Animal Wellness Center of Carlsbad hopes to be a 2-3 Doctor practice in 2-3 years.
The goal of the practice is personalized medicine tailored to the needs and desire of each
individual patient. We will partner with clients to help them achieve optimum health the fits
their needs and budget. The hospital will have a heavy education component and we will focus
on keeping patients healthy through the use of traditional and integrative modalities. The
client will be given tasks to do as well so they are also in charge of their animal's care. These
tasks will include exercise, home cooking and behavior training to name a few. We will start
with one doctor (the Applicant -Carmine Bausone) with one or two other doctors working part
time to fill in shifts. We will have 2 waiting areas, one for cats and one for dogs. We will have 5
exam rooms, two of which will be for cats only. We will focus on integrative medicine patients.
We will start with 4 to 5 employees and one doctor in year one, and hopefully within 3 years we
will have 12-15 employees. We will perform acupuncture, Chinese herbal medicine, western
herbal medicine, chiropractic medicine, massage therapy, reiki, dietary therapy, laser therapy,
platelet rich therapy and stem cell therapy to integrate into western medicine. We will have a
chiropractor employed and a certified canine massage therapist employed. We will also do
traditional western medicine which will include wellness screenings, vaccines, laboratory blood,
urine and fecal analysis, full dentistry including dental radiology, a full surgical suite in which we
will perform standard surgeries such as spays and neuters, lump removals, laceration repairs
etc. We will NOT hospitalize patients overnight and will instead refer these patients to a 24-
hour facility. We will NOT board patients. We will not have grooming facilities. Our hours will
be Monday thru Friday from 8 am to 6 pm, and on Saturday from 8 am to 2 pm. We will have
separate daytime (only) hospitalization areas for cats and one for dogs. No wild animals will be
seen or cared for. Patients will be seen by appointment only and may need to be dropped off
for procedures such as surgeries and dentistry or any other involved procedure.
We will have wellness subscription services that clients can pay for monthly to get a full suite of
preventative wellness services and get discounted extras services.
We will do most of the procedures in front of the owners so the owner is with the patient and
there is not mystery in what is being done, and most patients will be calmer in these situations.
These are the principles for a Fear Free Practice, and we will be Fear Free Certified
We will rely heavily on technology and utilize text message communication, online appointment
availability, on line pharmacy refill requests, and direct mailing to our clients.
( City of
Carlsbad
HAZARDOUS WASTE
AND SUBSTANCES
STATEMENT
P-1(C)
Development Services
Plannln1 Division
1635 Faraday Avenue
(760) 602-4610
www.ur1sbadca.1ov
Consultation of Usts of Sites Related to Hazardous Wastes
(Certification of Complance with Government Code Section 65962.5)
Pursuant to State of California Government Code Section 65962.5, I have consulted the
Zs Waste and Substances Sites List compiled by the Catifomia Envirormental
Agency and hereby certify that {check one):
development project and any alternatives proposed in this application am 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 !!!. contained on the lsts
compiled pursuant to Section 65962.5 of the State Government Code.
I
Phone Number: 7 c,0 {pt./'/ -J:.15 d-
Address of Site: 2626 El Camino Real
PROPERTY OWNER u -.I. Name: \ \ '6c -~ ,,. ~ VIA. JJ::' ) L L G
Address: \01-2--l Tv-~ S..~) ~• l4C
:>, .. .,, 5:)t.P<lO) C/1 ··;zr ~ j
Phone Number: Co I Ci · "'\ Vi 't ~ <JO
Local Agency (City and county):._C_ity_o_f_Ca_rl_s_ba_d ___________ _
Assessors book, page, and parcel number:._1_6_7_-0_30-_7_6 __________ _
Specify list(s):. _____________ ~----------
Reg,-YI-Numbor: ~ ~ o.e:; ,fa~ ~:~
~-~---' f' \, ~ tf-s/to
.:...:~-~~pjiiy~~.t~~~{:.~,~ ~--~-.,~= ~ .(~. . l ,_.../ · v~.,·, , ... c .· ,;j ':> \ c,T = ......... .vc..\'2.-
The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local
agencies and developers to comply with the C&lifomia Environmental Quafity Ad requirements
in providing information about the location of hazardous materials release sites.
P-t(CJ Page 1 of2 Revlaed 07J13
ENVIRONMENTAL INFORMATION FORM
(To be Completed by Applicant)
Date Filed: __________ (To be completed by City)
Application Number(s): _____________________ _
General lnfonnation
,. Name of project: Companion Animal Wellness Center of Carlsbad
2. Name of developer or project sponsor. /1d, JI Fijs /IA/?) (Colti.J -"i.. G,Nft,u d,o.;)
Address: / oor;; fd'fPf,,... Eve
City, State. Zip Code: ~"' /Yk,r£o-S CA CjJ(){p 9
Phone Number: 7 (.,() -V 5-{I) S"":53
3. Name of person to be contacted concerning this project: _T_e_rry~_S_tr_o_m ______ _
Address: 300 Carlsbad Village Drive, STE 108A-7 4
City, State, Zip Code: Carlsbad, CA 92008
Phone Number: 951-970-7995
4. Address of Project 2626 El Camino Real
Assessor's Parcel Number: 167 -030-76 -------------------
5. List and describe any other related permits and other public approvals required for this project,
including those required by city, regional, state and federal agencies:
NIA
6. Existing General Plan Land Use Designation: _C_o_m_m_e_r_c_ia_l ________ _
7. Existing zoning district C-L (Local Shopping Center)
8. Existing land use(s): _C_o_m_m_e_r_ic_a_l _______________ _
9. Proposed use of site (Project for which this form is filed): Veterinarian Hospital
Project Description
10. Sitesize: l/00(p'l1-s2,r::t, ,/CJ,lL ~-CJ
11. Proposed Building square footage: _2_, 7_8_3 ______________ _
12: Number of floors of construction: _1 ________________ _
13.
14.
P-1(0)
Amount of off-street parking provided: _'-/::,..._O_l/-=---------------
Associated projects: _N_/_A __________________ _
Page2 of4 RIWiSed 07/10
,--
15. If residential, include the number of units and schedule of unit sizes: N/ A ---------
16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage
of sales area, and loading facilities:
17.
18.
There is no loading area and no sales area. There is a total of
2,783 square feet of lobby area, office areas, pharmacy, surgery
area, bathrooms, break room, exam rooms, and treatment rooms.
If industrial, indicate type, estimated employment per shift, and loading facilities: _N_/A ___ _
If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project:
N/A
19. If the project involves a variance, conditional use or rezoning applications, state this and indicate
clearly why the application is required:
N/A
P-1(D) Page 3 of 4 Revised 07 /10
Al& the following items applicable to the project or its effects? Discuss all items checked yes (attach
additional sheets as necessary).
Yes No
20. Change in existing features of any bays, tidelands, beaches. or hills, or substantial D @
alteration of ground contours.
21. Change in scenic views or vistas from existing residential areas or public lands or D [2}
roads.
22. Change in pattern, scale or character of general area of project. □ [2}
23. Significant amounts of solid waste or litter. □ [2}
24. Change in dust, ash, smoke, fumes or odors in vicinity. □ 0
25. Change in ocean, bay, lake, stream or ground water quality or quantity, or □ 0
alteration of existing drainage patterns.
26. Substantial change in existing noise or vibration levels in the vicinity. □ 0
27. Site on filled land or on slope of 10 percent or more. □ 0
28. Use of disposal of potentially hazardous materials, such as toxic substances, □ 0
flammables or explosives.
29. Substantial change in demand for municipal services (police, fire, water, sewage, □ 0
etc.).
30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.}. □ IZI
31. Relationship to a larger project or series of projects. □ IZI
Environmental Setting
Attach sheets that include a response to the following questions:
32. Describe the project site as it exists before the project, including information on topography, soil
stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing
structures on the site, and the use of the structures. Attach photographs of the site. Snapshots
or Polaroid photos will be accepted. ;V /4-JJr/t;,1-?,/0)2 /Zet1t000/... 0/JL'-f
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. ;v /14 _ IN tefZI m !Ze»u:>'OlfL
Certification 0//~
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.
a.., S/11 ho Signature: ~ --=
For: U>rvy;¼clllJN &,«JuriA &oft cf eqrijJ
P-1(0) Page4 of4 Revised 07/10
C.cicyof
Carlsbad
TIME LIMITS ON
DISCRETIONARY
PROJECTS
P-1(E)
PLEASE NOTE:
Development ~ervices
Plannlng Divfslon
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Time limits on the processing of discretionary projects established by state law do not start until a
project application is deemed complete by the City. The City has 30 calendar days from the date of
application submittal to determine whether an application is complete or ilcomplete. Within 30 days of
submittal of this application you will receive a letter stating whe1her this application is complete or
incomplete. If it is incomplete, the letter will state what is needed to make this application complete.
VVhen the application is complete, the processing period will start upon the date of the completion letter.
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
applicalion) pleese call~
Applicant Signature: _._~---....:;...;;;..--~----:.;::;;,_------
Staff Signature:
Date:
To be stapled with receipt to the application
P-1(E) Page1 of1 Reviled CIT/10
Development Services
Planning Division
1635 Faraday Avenue
760-602-4610
www.carlsbadca.gov
PURPOSE
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
P-30
{city of
Carlsbad
In September 2015, the City of Carlsbad adopted a Climate Action Plan (CAP) that outlines actions that
the city will undertake to achieve its proportional share of state greenhouse gas (GHG) emissions
reductions. This checklist contains measures that are required to be implemented on a project-by-project
basis to ensure that the specified emissions targets identified in the Climate Action Plan (CAP) are
achieved. Implementation of these measures will ensure that new development is consistent with the
CAP's assumption for relevant CAP strategies toward achieving the identified greenhouse gas (GHG)
reduction targets. In this manner, a project's incremental contribution to a cumulative GHG emissions
effect may be determined not to be cumulatively considerable if it complies with the requirements of the
CAP, in accordance with CEQA Guidelines Sections 15064(h)(3), 15130(d), and 15183(b). *
*City staff are currently not assessing the greenhouse gas impacts of California Environmental Quality Act
projects by using the Climate Action Plan as a qualified GHG reduction plan under CEQA section
15183.S(b). Please consult with the Planning Department for further guidance. Additional information
may be found on the Climate Action Plan Update and Vehicle Miles Traveled calculations staff report.
This checklist is intended to assist project applicants in identifying CAP ordinance requirements and
demonstrate how their project fulfills those requirements. This checklist is to be completed and included
in applications for new development projects that are subject to discretionary review or require a building
permit.
APPLICATION SUBMITTAL REQUIREMENTS
• The completed checklist must be included in the project submittal package or building permit
application. Application submittal procedures can be found on the City of Carlsbad website. This
checklist is designed to assist the applicant in identifying the minimum CAP-related requirements
specific to their project. However, it may be necessary to supplement the completed checklist with
supporting materials, calculations or certifications, to demonstrate full compliance with CAP
requirements. For example, projects that propose or require a performance approach to comply
with energy-related measures will need to attach to this checklist separate calculations and
documentation as specified by the ordinances.
• If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum
required by ordinance, an explanation must be provided to the satisfaction of the Planning Division
or building official.
• The requirements in the checklist will be included in the project's conditions of approval or issuance
of building permit.
• Details on CAP ordinance requirements are available on the city's website.
P-30 Page 1 of7 Revised 02/20
City of Carlsbad Climate Action Plan Consistency Checklist
STEP 1: LAND USE CONSISTENCY
The first step in determining CAP consistency for discretionary development is to assess the project's consistency
with the growth projections used in the development of the CAP. This section allows the city to determine a
project's consistency with the land use assumptions used in the CAP. Projects found not to be consistent with the
CAP's land use assumptions and that are projected to emit at or above the CAP screening threshold of 900 metric
tons of CO2 equivalent (MTC02e) GHG will be subject to a project-specific analysis of GHG emissions' impact on the
environment in accordance with the requirements of the California Environmental Quality Act (CEQA). This may
result in GHG-reducing mitigation measures applied as a condition of project approval in addition to compliance
with the CAP ordinance requirements identified in Step 2 of this checklist.
(Check the appropriate box and provide an explanation and supporting documentation for your answer)
A. Is the proposed project consistent with the existing General Plan land use and specific/master plan or zoning designations?
OR,
If the proposed project is not consistent with the existing land use plan and zoning designations, does the project include a
land use plan and/or specific plan, master plan or zoning designation amendment that would result in an equivalent or less
GHG-intensive project when compared to the existing designations?
Yes No
□
If ''Yes", proceed to Step 2 of the checklist. For the second option under Question A above, provide estimated project-related GHG emissions under both existing and
proposed designation(s) for comparison. GHG emissions must be estimated in accordance with the City of Carlsbad Guidance to Demonstrating Consistency with the
Climate Action Plan.
If "No", proceed to Question B.
B. The CAP established a screening threshold of 900 MTC02e/year for new development projects to assist in determining
consistency with the CAP. The types and sizes of typical projects listed below have been determined to correspond to the CAP
screening threshold. Will the proposed land use change result in the construction of less than any one of the following?
• Single-Family Housing: 50 dwelling units
• Multi-Family Housing: 70 dwelling units
• Office: 35,000 square feet
• Retail Store: 11,000 square feet
• Grocery Store: 6,300 square feet
• Other: If the proposed project is not one of the above types, provide a project-specific GHG emissions analysis to
determine whether it is below the 900 MTC02e/year screening threshold.
If ''Yes", proceed to Step 2 of the checklist.
□ □
If "No", the project's GHG impact is potentially significant and must be analyzed in accordance with CEQA. Applicant must prepare a Self-developed GHG emissions
reduction program in accordance with the City of Carlsbad Guidance to Demonstrating Consistency with the Climate Action Plan to demonstrate how it would offset
the increase in emissions over the existing designations. The project must incorporate each of the applicable measures identified in Step 2 to mitigate cumulative
GHG emissions impacts unless the decision maker finds that a measure is infeasible in accordance with California Environmental Quality Act Guidelines Section
15091. Mitigation in lieu of or in addition to the measures in Step 2 may be required, depending on the results of the project-specific GHG impact analysis. Proceed
and complete a project-specific Self-developed GHG emissions reduction program and Step 2 of the Checklist.
P-30 Page 2 of7 Revised 02/20
Project No./Name:
Property
Address/APN:
Applicant Name/Co.:
Applicant
Contact Phone: A --:J..96:b.
Contact information of person completing this checklist (if different than above):
95 / .-C/70-7195 ·Trz_vz~ S7ln:)111 _ r cntactPhone:
Company S1Y!YA,, lu,Jntz. tE/Yl f;,,N, . .
Name:
name/address: Rva-mi+hA£, fM, LL.~ Contact Email: 1eN:'vy@.S7Y"OY\;\iQB-V'M 10 ~
~OD ~~ V Ju/J.;(:;;g. Dve_, ~ I 0814--7'-f-O
CA-rlc....5 ~An J L,1-'.\-Ci '?.-OC> g
Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. If
your project includes alterations or additions to an existing building, please contact the Carlsbad Building Division for
assistance in estimating building permit valuation, by phone at 760-602-2719 or by email at buildlng@carlsbadca.gov.
D Alterations:
0 BPV i!: $60,000
0 BPV i!: $60,000
0 Electrical service panel upgrade
0 BPV ~ $200,000
New construction
Alterations:
P-30
l2.5, 577
lA
1Aand 4A
4A
lAand 4A
206 O?D
Page 3of7
All residential alterations
1-2 family dwellings and townhouses with attached
garages only
Multi-family dwellings only where interior finishes are
removed and significant site work and upgrades to
structural and mechanical, electrical, and/or plumbing
systems are proposed
Revised 02120
City of Carlsbad Climate Action Plan Consistency Checklist
□ BPV ~ $200,000 or additions~ 18,5 1,000 square feet
□ BPV ~ $1,000,000 18, 2B and 5 Building alterations of~ 75% existing gross floor area
□ ~ 2,000 sq . ft. new roof addition 2B and 5 1B also applies if BPV ~ $200,000
Please refer to Carlsbad Ordinance No. CS-347 and the California Green Building Standards Code (CALGreen) for more information when completing this section.
A. 0 Residential addition or alteration~ $60,000 building permit valuation.
See Ord. CS-347, Section 8.
Year Built Single-family Requirements
□ Before 1978 Select one:
□ Duct sealing □ Attic insulation □ Cool roof
□ 1978 and later Select one:
□ Lighting package □ Water heating package
□ Between 1978 and 1990
□ 1991 and later
B.~ Nonresidential* new construction or alterations~ $200,000 building permit valuation, .. or additions~ 1,000 square feet.
See CALGreen Appendix AS, Discussion AS.2, as amended in CS-347, Section 3.
A5.203.1.l.1
□ Outdoor lighting: .90 Allowed Outdoor Lighting Power
AS.203.1.1.2
□ Restaurant service water heating (comply with California Energy Code Section 140.5, as amended)
A5.203.1.2.1
Choose one as applicable: □ .95 Energy budget □ .90 Energy budget
AS.211.l. **
D On-site renewable energy
AS.211.3**
□ Green power (if offered by local utility provider, 50% minimum renewable sources)
A5.212.1
□ Elevators and escalators
A5.213.1
□ Steel framing
P-30 Page 4 of7
□ N/A _________ _
□ Exception: Home energy score~ 7
(attach certification)
Multi-family Requirements
□ Attic insulation
Select one:
□ Attic insulation □ Duct Sealing
Select one:
□ Cool roof
□ Lighting package □ Water heating package
□ N/A
□ N/A
□ N/A
□ N/A
□ N/A
□ N/A
Revised 02/20
City of Carlsbad Climate Action Plan Consistency Checklist
□ N/A
* Includes hotels/motels and high-rise residential buildings
** For alterations~ $1,000,000 BPV and affecting > 75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply with California
Energy Code section 120.10 instead.
A. D Residential new construction (for building permit applications submitted after 1/1/20). Refer to 2019 California Energy Code section 150.l(c) 14 for
requirements. Note: if project includes installation of an electric heat pump water heater pursuant to Carlsbad ordinance CS-348, increase system size by
.3kWdc if PV offset option is selected.
Floor Plan ID (use additional CFA #d.u. Calculated kWdc*
sheets if necessary)
Total System Size:
kWdc = (CFAx.572) / 1,000 t (1.15 x #d.u.)
*Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan type
If proposed system size is less than calculated size, please explain.
Exception
□
□
□
□
kWdc
B. D Nonresidential new construction or alterations ~$1,000,000 BPV and affecting ~75% existing floor area, or addition that increases roof area by ~2,000
square feet. Please refer to Carlsbad Ordinance CS-347, Section 6 when completing this section.
Choose one of the following methods:
D Gross Floor Area (GFA) Method
GFA:
□ If< 10,000s.f. Enter: 5 kWdc
Min. System Size:
0 If~ 10,000s.f. calculate: 15 kWdc x (GFA/10,000) **
kWdc ---
**Round building size factor to nearest tenth, and round system size to nearest whole number.
□Time-Dependent Valuation Method
Annual TDV Energy use:*** x .80= Min. system size: ____ kWdc
*** Attach calculation documentation using modeling software approved by the California Energy Commission.
P-30 Page 5 of? Revised 02/20
City of Carlsbad Climate Action Plan Consistency Checklist
A. 0 Residential and hotel/motel new construction
Please refer to Carlsbad Ordinance CS-347 and CS-348 when completing this section.
D For systems serving individual dwelling units choose one:
D Heat pump water heater AND compact hot water distribution AND drain water heat recovery (low-rise residential
only)
D Heat pump water heater AND PV system .3 kWdc larger than required in CA Energy Code Section 120.10 (for high rise
residential hotel/motel) or 150.l(c) 14 (for low-rise residential)
D Heat pump water heater meeting Tier 3 or higher NEEA Advanced Water Heating Specification
D Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors
D Exception :
D For systems serving multiple dwelling units, install a central water-heating system with all of the following:
D Gas or propane water heating system
D Recirculation system per CS-347 (high-rise residential, hotel/motel) or CS-348 (low-rise residential)
D Solar water heating system that is either:
D .60 solar savings fraction or 40 s.f. solar collectors
D .40 solar savings fraction, plus drain water heat recovery
□ Exception:
B. 0 Nonresidential new construction
Please refer to Carlsbad Ordinance CS-347 when completing this section.
D Water heating system derives at least 40% of its energy from one of the following (attach documentation):
□ Solar-thermal □ Photovoltaics □ Recovered energy
D Water heating system is (choose one):
□ Heat pump water heater
□ Electric resistance water heater(s)
□ Solar water heating system with .40 solar savings fraction
□ Exception:
A. 0 Residential New construction and major alterations*
Please refer to Carlsbad Ordinance CS-349 when completing this section.
D One and two-family residential dwelling or townhouse with attached garage:
□ One EVSE ready parking space required D Exception :
□ Multi family residential· -□ Exception ·
Total Parking Spaces EVSE Spaces
Proposed Capable I Ready
I
Calculations: Total EVSE spaces= .10 x Total parking (rounded up to nearest whole number)
EVSE Installed = Total EVSE Spaces x .SO (rounded up to nearest whole number)
EVSE other= Total EVSE spaces -EVSE Installed
(EVSE other may be "Capable," "Ready" or "Installed.")
I
I
Installed I
I
Total
P-30 Page 6 of? Revised 02/20
. ' .
City of Carlsbad Climate Action Plan Consistency Checklist
*Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation~ $60,000 or
include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit
valuation~ $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems
are proposed.
B O Nonresidential new construction (includes hotels/motels) □ Exception ·
Total Parking Spaces EVSE Spaces
Proposed Capable Ready Installed Total
Calculation: Refer to the table below:
Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces
□ 0-9 1 1
□ 10-25 2 1
□ 26-50 4 2
□ 51-75 6 3
□ 76-100 9 5
□ 101-150 12 6
□ 151-200 17 9
□ 201 and over 10 percent of total 50 percent of Required EV Spaces
A. List each proposed nonresidential use and gross floor area (GFA) allocated to each use.
B. Employee ADT/1,000 square feet is selected from the City of Carlsbad Employee ADTTable.
Use GFA Employee ADT /1,000 S.F. Total Employee ADT
Total
If total employee ADT is greater than or equal to 110 employee ADT, a TOM plan is required.
*NOTE: Notwithstanding the 110 employee ADT threshold above, General Plan Mobility Element Policy 3-P.11 requires new development that adds vehicle traffic
to vehicle LOS-exempt street facilities to implement TOM and transportation system management strategies. Please consult with City of Carlsbad Land Development
Engineering (LDE) staff to determine whether this policy applies to your project.
TOM plan required: Yes □ No □
LOE Staff Verification: □ ______ (staff initials)
P-30 Page 7 of? Revised 02/20
Ccifyof
Carlsbad
STORM WATER STANDARDS
QUESTIONNAIRE
Development Services
Land Development Engineering
1635 Faraday Avenue
(760) 602-2750
www.carlsbadca.gov
E-34
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 respo.nsibility 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.
ADDRESS: 2~20 / APN:/07-030--7b
The project is (check one): 0 New Development ~ Redevelopment f~c,J?_ {)IIJ
The total proposed disturbed area is: Q ft2 ( 0 ) acres
The total proposed newly created and/or replaced impervious area is: Q ft2 ( Q ) 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_-LAJ;-'----,,__/4_'/l:,___ ______ SWQMP #: --l½<------,-~--14-+--------
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
To determine if your project is a "development project", please answer the following question:
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)?
YES NO
□
If you answered "yes" to the above question, provide justification below then go to Step 5, mark the third box stating "my
project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant
information.
Justification/discussion: (e.g. the project includes only interior remodels within an existing building):
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 you r 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?
3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual?
YES NO
□ □
□ □
□ □
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):
E-34 Page 2 of 4 REV 04/17
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 ublic develo ment ro ·ects on ublic or rivate 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 rojects 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
develo ment ro·ect includes develo ment on an natural slo e that is twent -five ercent or realer.
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 street, road, highway, freeway or driveway surface collectively over the entire project
site? A street, road, highway, freeway or driveway is any paved impervious surface used for the
trans ortation of automobiles, trucks, motorc cles, 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 ro ·ect to the ESA i.e. not commin led 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 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 AD of 100 or more vehicles er da .
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
□ □
□ □
□ □
□ □
□ □
□ □
□ □
□ □
□ □
□ □
□ □
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
ro·ect is a 'STANDARD PROJECT' ... " and com lete a licant information.
E-34 Page 3 of 4 REV 04/17
Complete the questions below regarding your redevelopment project (MS4 Pennit Provision E.3.b.(2)):
Does the redevelopment project result in the creation or replacement of impervious surface in an amount
of less than 50% of the surface area of the previously existing development? Complete the percent
impervious calculation below:
Existing impervious area (A)= ___________ sq. ft.
Total proposed newly created or replaced impervious area (B) = ___________ sq. ft.
Percent impervious area created or replaced (B/A)*100 = ____ %
YES NO
□ □
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 complete
applicant information.
If you answered "no." the structural BMP's required for PDP apply to the entire development. Go to step 5, check the
h kthfitbo tf "M · P • • • • • • • ' ' I ,..-t ••-:: ., • :• ~ • • • • •
' '
D My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must
prepare a Storm Water Quality Management Plan (SWQMP) 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 wilt 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
~ exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply.
1{ My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual.
Applicant lnfonnation and Signature Box
ApplicantTille: Bus1AJ6$ OwA.J~
Date: __ '3_/2_1/l_/_;;)._Q _____ _
• Environmentally Sensitive Areas incltJde but are not limrted to aM Clean Water Act Section 303(d) impaired water bodies; ar~s designated as Areas of Special
Blologlecll Slgnlficanoe by the State Water Resources Control Board (Water Ouauty Control Plan for the San Diego Basin (1994) and amendments~ water bodies
designated v.ith the RARE bel'l8ficial use by the State Water ResourcllS Control Board (Water Quality Conltol Plan for the San Diego Basin (1994) 1111<1
amendments); areas oeslgnated ea preserves or tneir equivalent under the Multi Species Conserv&tion Program within the Cities and County al SM Diego; Habitat
Management Plan: and any other equivalent environmentally sensitive aroas which have been identified by the City.
This Box for Cifll Use Ontv
YES NO
City Concurrence: □ □
By:
Date:
Project ID:
E-34 Page4 of 4 REV04117
~
·-.-order Number: NCS-1011307-5D
Page Number: 1
First American Title Insurance Company
National Commercial Services
April 23, 2020
Robin Beale cameron
Pacific Coast Commercial
10721 Treena Street Suite 200
San Diego, CA 92131
Phone: (619)469-3600
Fax: (858)560-5604
Customer Reference:
Title Officer:
Phone:
Fax No.:
E-Mail:
Buyer:
Owner:
Property:
4380 La Jolla Village Drive, Suite 110
San Diego, CA 92122
2602 El camino Real
Trixy Brown Janice Treanor
(858)410-2151
(619)330-2564
trixybrown@firstam.com
Flying V CO LLC
2602-2618 El camino Real, carlsbad, CA
PRELIMINARY REPORT
In response to the above referenced application for a policy of title insurance, this company hereby reports that it is prepared to
issue, or cause to be issued, as of the date hereof, a Policy or Policies of Title Insurance describing the land and the estate or
interest therein hereinafter set forth, insuring against loss which may be sustained by reason of any defect, lien or encumbrance not
shown or referred to as an Exception below or not 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 dause. 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 Homeowners Policies of Title
Insurance which establish a Deductible Amount and a Maximum Dollar Limit of Liability for certain coverages are also set forth in
Exhibit A. Copies of the policy forms should be read. They are available from the office which issued this report.
First American Title Insurance Company
,, .....
·""tlrder Number: NCS-1011307-SD
Page Number: 2
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 hereto) is issued solely for the purpose of facilitating the issuance of a policy of
title insurance and no liability is assumed hereby. If it is desired that liability be assumed prior to the issuance of a policy of title
insurance, a Binder or Commitment should be requested.
First American Title Insurance Company
Dated as of April 17, 2020 at 7:30 A.M.
The form of Policy of title insurance contemplated by this report is:
ALTA Standard Owner Policy
-,
_..,.;Order Number: NCS-1011307-SD
Page Number: 3
A specific request should be made if another form or additional coverage is desired.
Title to said estate or interest at the date hereof is vested in:
Crystal Renee Tague and Karen Elaine Webber, as Successor Co-Trustees of the Vanderburg
Living Trust dated August 22, 1990
The estate or interest in the land hereinafter described or referred to covered by this Report is:
Fee
The Land referred to herein is described as follows:
(See attached Legal Description)
At the date hereof exceptions to coverage in addition to the printed Exceptions and Exclusions in said
policy form would be as follows:
1. General and special taxes and assessments for the fiscal year 2020-2021, a lien not yet due or
payable.
2. The lien of supplemental taxes, if any, assessed pursuant to Chapter 3.5 commencing with Section 75
of the california Revenue and Taxation Code.
3. An easement for either or both pole lines, underground conduits together with the right of ingress
and egress and incidental purposes, recorded August 3, 1954 in Book 5320, Page 387 of Official
Records.
In Favor of:
Affects:
San Diego Gas and Electric Company
As described therein
4. The privilege and right to extend drainage structures, excavation and embankment slopes beyond the
limits of El camino Real where required for the constructions and maintenance of said road as
granted in deed recorded October 19, 1966 as File No. 167629 of Official Records.
By an instrument recorded February 28, 1980 as File No. 80-067380 of Official Records, the City of
carlsbad, released and quitclaimed their interest, if any, in said easement, San Diego County's
interest still remains of record.
5. The terms and provisions contained in the document entitled "Agreement Regarding Lot Split
Improvement" recorded June 23, 1969 as Instrument No. 112204 of Official Records. Executed by
and between otis E. and Christine Vanderburg and The City of carlsbad.
First American Title Insurance Company
'-""Order Number: NCS-1011307-5D
Page Number: 4
6. An easement for slope purposes and incidental purposes, recorded January 9, 1970 as Instrument
No. 4279 of Official Records.
In Favor of:
Affects:
The City of Carlsbad
As described therein
7. An easement for public drainage purposes and incidental purposes, recorded May 29, 1973 as
Instrument No. 73-144264 of Official Records.
In Favor of: The City of Carlsbad
Affects: As described therein
8. An easement for electric and incidental purposes, recorded February 10, 1976 as Instrument No.
1976-039572 of Official Records.
In Favor of:
Affects:
Home Federal Savings & Loan Association of San Diego, a
corporation and San Diego Gas & Electric Company, a
corporation
as described therein
The location of the easement cannot be determined from record information.
9. An unrecorded lease dated September 10, 1976, executed by Otis E. Vanderburg and Christine
Vanderburg as lessor and Santa Anita Development Corporation, a california Corporation as lessee,
as disclosed by a Short Form of Ground Lease recorded October 21, 1977 as Instrument No. 77-
434984 of Official Records.
Document(s) declaring modifications thereof recorded October 10, 1977 as Instrument No. 1977-
434986 and Recorded December 12, 1978, as Instrument No. 1978-519788 both of Official Records.
Document(s) declaring modifications thereof recorded January 25, 1980 as Instrument No. 1980-
029288 and recorded October 16, 1996, as Instrument No. 1996-524800 both of Official Records.
Defects, liens, encumbrances or other matters affecting the leasehold estate, whether or not shown
by the public records.
10. Covenants, conditions, restrictions and easements in the document recorded October 21, 1977
as Instrument No. 77-434987 of Official Records, 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, national origin, sexual
orientation, marital status, ancestry, source of income or disability, to the extent such covenants,
conditions or restrictions violate Title 42, Section 3604(c), of the United States Codes or Section
12955 of the california Government Code. Lawful restrictions under state and federal law on the age
of occupants in senior housing or housing for older persons shall not be construed as restrictions
based on familial status.
Document(s) declaring modifications thereof recorded January 25, 1980 as Instrument No. 1980-
29291 of Official Records.
11. An easement for public utility, storm drain and access easement and incidental purposes,
recorded March 24, 1978 as Instrument No. 78-116596 of Official Records.
In Favor of: The City of carlsbad
Affects: As described therein
First American Title Insurance Company
,-., ... ' '"'Order Number: NCS-1011307-5D
Page Number: 5
Various portions of said easement have been quitclaimed to Hughes Investments as described in
documents recorded October 17, 1980 as File Nos. 80-344388 and 344389, both of Official Records.
12. An easement for either or both pole lines, underground conduits together with the right of ingress
and egress and incidental purposes, recorded January 17, 1979 as Instrument No. 79-026223 of
Official Records.
In Favor of:
Affects:
San Diego Gas and Electric Company
As described therein
The location of the easement cannot be determined from record information.
13. Abutter's rights of ingress and egress to or from Marron Road and El camino Real except at access
openings have been dedicated or relinquished on the map of Parcel Map No. 8586 of Parcel Maps
recorded March 30, 1979.
14. An easement shown or dedicated on the map filed or recorded March 30, 1979 as Parcel Map No.
8586 of Parcel Maps
For: Traffic signal and incidental purposes.
15. An easement for either or both pole lines, underground conduits together with the right of ingress
and egress and incidental purposes, recorded September 8, 1981 as Instrument No. 81-286255 of
Official Records.
In Favor of:
Affects:
San Diego Gas and Electric Company
As described therein
The location of the easement cannot be determined from record information.
16. An unrecorded lease dated October 12, 1994, executed by Plaza South Associates, a california
General Partnership as lessor and Boston Pacific, Inc., a california Corporation as lessee, as disclosed
by a Memorandum of Lease recorded March 27, 1995 as Instrument No. 1995-0123850 of Official
Records.
Defects, liens, encumbrances or other matters affecting the leasehold estate, whether or not shown
by the public records.
17. A lien for unsecured property taxes, evidenced by a certificate recorded by the tax collector of San
Diego County, recorded May 27, 2016, as Instrument No. 16-0260284 of Official Records.
Debtor: Vanderburg Living Trust 08-22-Etc.
Year & No.: 2015-705916
Amount: $4,100.24, and any other amounts due thereunder.
18. The effect of deed executed by Crystal Renee Tague and Karen Elaine Webber, as Successor Co-
Trustees of The Vanderburg Living Trust Dated August 22, 1990 to l/3rd Interest to Crystal R.
Tague, Trustee of The Crystal Renee Tague Trust Dated April 29, 2015, A l/3rd Interest to Karen E.
Webber, Trustee of The Karen E. Webber Separate Property Trust Dated June 30, 2015, a l/6th
Interest to David E. Vanderburg, Trustee of The David E. Vanderburg Separate Property Trust Dated
July 8, 2015, A l/18th Interest to Christopher D. Vanderburg, Trustee of The Christopher D.
Vanderburg Trust Dated May 20, 2015, A l/18th Interest to Susan D. Rumford, Trustee of The Susan
Rumford Trust Dated May 18, 2015, and A l/18th Interest to Stephanie Vojta, Trustee of The
Stephanie Vojta Separate Property Trust Dated December 7, 2015, All as Tenants in Common,
recorded April 07, 2017 as Instrument No. 2017-0158100 of Official Records.
First American Title Insurance Company
... ~-"'Order Number: NCS-1011307-5D
Page Number: 6
The Company will require satisfactory evidence that the deed was an absolute conveyance for value
and that there are no other agreements, oral or written, regarding the ownership or occupancy of the
land described in the deed.
19. The effect of deed executed by Susan D. Rumford, as Trustee of Susan Rumford Trust Dated May 18,
2015 to Flying V. Co, LLC, A California Limited Liability Company, recorded April 07, 2017 as
Instrument No. 2017-0158101 of Official Records.
The Company will require satisfactory evidence that the deed was an absolute conveyance for value
and that there are no other agreements, oral or written, regarding the ownership or occupancy of the
land described in the deed.
20. The effect of deed executed by Crystal Renee Tague, as Trustee of The Crystal Renee Tague Trust
Dated April 29, 2015 to Flying V. Co, LLC, A California Limited Liability Company, recorded April 07,
2017 as Instrument No. 2017-0158102 of Official Records.
The Company will require satisfactory evidence that the deed was an absolute conveyance for value
and that there are no other agreements, oral or written, regarding the ownership or occupancy of the
land described in the deed.
21. The effect of deed executed by Karen E. Webber, as Trustee of Karen E. Webber Separate Property
Trust Dated June 30, 2015 to Flying V. Co, LLC, A california Limited Liability Company, recorded April
07, 2017 as Instrument No. 2017-0158103 of Official Records.
The Company will require satisfactory evidence that the deed was an absolute conveyance for value
and that there are no other agreements, oral or written, regarding the ownership or occupancy of the
land described in the deed.
22. The effect of deed executed by Christopher D. Vanderburg, as Trustee of Christopher D. Vanderburg
Trust Dated May 20, 2015 to Flying V. Co, LLC, A california Limited Liability Company, recorded April
07, 2017 as Instrument No. 2017-0158104 of Official Records.
The Company will require satisfactory evidence that the deed was an absolute conveyance for value
and that there are no other agreements, oral or written, regarding the ownership or occupancy of the
land described in the deed.
23. The effect of deed executed by David E. Vanderburg, as Trustee of David E. Vanderburg Separate
Property Trust Dated July 8, 2015 to Flying V. Co, LLC, A california Limited Liability Company,
recorded April 07, 2017 as Instrument No. 2017-0158105 of Official Records.
The Company will require satisfactory evidence that the deed was an absolute conveyance for value
and that there are no other agreements, oral or written, regarding the ownership or occupancy of the
land described in the deed.
24. The effect of deed executed by Stephanie Vojta, as Trustee of Stephanie Vojta Separate Property
Trust Dated December 7, 2015 to Flying V. Co, LLC, A california Limited Liability Company, recorded
April 21, 2017 as Instrument No. 2017-0180260 of Official Records.
The Company will require satisfactory evidence that the deed was an absolute conveyance for value
and that there are no other agreements, oral or written, regarding the ownership or occupancy of the
land described in the deed.
Rrst American Title Insurance Company
.... ...
'"..,Order Number: NCS-1011307-5D
Page Number: 7
25. A notice of nonresponsibility, executed by Flying V. Co, LLC, A california Limited Liability Company,
recorded May 11, 2018 as Instrument No. 2018-0190251 of Official Records.
26. The effect of a deed executed by Crystal Renee Tague and Karen Elaine Webber, Successor Co-
Trustees of The Vanderburg Marital Deduction Trust, A Sub-Trust of The Vanderburg Living Trust
Dated August 22, 1991 to Flying V. Co, LLC, A california Limited Liability Company, recorded July 30,
2018 as Instrument No. 2018-0309446 of Official Records.
At the date of recording of the document, the grantor had no record interest in the land.
27. Terms and provisions of an unrecorded lease dated December 30, 2019, by and between Plaza
South, LLC, a california Limited Liability Company as lessor and Panda Express, Inc., a california
Corporation as lessee, as disclosed by a Memorandum of Lease recorded February 26, 2020 as
Instrument No. 2020-96223 of Official Records.
Affects: The land and other property.
Defects, liens, encumbrances or other matters affecting the leasehold estate, whether or not shown
by the public records are not shown herein.
28. Any claim that the Title is subject to a trust or lien created under The Perishable Agricultural
Commodities Act, 1930 (7 U.S.C. §§499a, et seq.) or the Packers and Stockyards Act (7 U.S.C. §§181
et seq.) or under similar state laws.
29. Any statutory lien for labor or materials arising by reason of a work of improvement now in progress
or recently completed.
30. Water rights, claims or title to water, whether or not shown by the public records.
31. We find no outstanding voluntary liens of record affecting subject property. An inquiry should be
made concerning the existence of any unrecorded lien or other indebtedness which could give rise to
any security interest in the subject property.
32. Prior to closing, the Company must confirm whether the county recording office in which the Land is
located has changed its access policies due to the COVID-19 outbreak. If recording has been restricted,
specific underwriting approval is required; and, additional requirements or exceptions may be made.
33. Rights of parties in possession.
First American Title Insurance Company
I"""'
INFORMATIONAL NOTES
.. Order Number: NCS-1011307-SD
Page Number: 8
ALERT -CA Senate Bill 2 imposes an additional fee of $75 up to $225 at the time of
recording on certain transactions effective January 1, 2018. Please contact your First
American Title representative for more information on how this may affect your closing.
1. Taxes for proration purposes only for the fiscal year 2019-2020.
First Installment:
Second Installment:
Tax Rate Area:
APN:
Affects a portion of said land.
$44,094.41, PAID
$44,094.41, PAID
09014
167-030-76-00
2. Taxes for proration purposes only for the fiscal year 2019-2020.
First Installment:
Second Installment:
Tax Rate Area:
APN:
$14,373.57, PAID
$14,373.57, PAID
09014
167-030-77-00
Affects a portion of said land.
3. According to the latest available equalized assessment roll in the office of the county tax assessor,
there is located on the land a(n) Commercial Structure known as 2618, 2602 26 El camino
Real, carlsbad, CA.
4. According to the public records, there has been no conveyance of the land within a period of twenty
four months prior to the date of this report, except as follows:
A document recorded July 30, 2018 as Instrument No. 2018-0309446 of Official Records.
From: Crystal Renee Tague and Karen Elaine Webber, Successor Co-Trustees of
The Vanderburg Marital Deduction Trust, A Sub-Trust of The Vanderburg
Living Trust Dated August 22, 1991
To: Flying V. Co, LLC, A california Limited Liability Company
5. It appears that a work of improvement is in progress or recently completed on the land. The
Company will require various documents and information, including but not limited to a completed
mechanics' lien risk analysis, construction contract(s), lien waivers, loan agreement, disbursement
information, executed indemnity agreement and current financial information from proposed
indemnitors, in order to determine whether mechanics' lien insurance can be issued. Other
requirements may be made following the review of such documents and information.
6. This preliminary report/commitment was prepared based upon an application for a policy of title
insurance that identified land by street address or assessor's parcel number only. It is the
responsibility of the applicant to determine whether the land referred to herein is in fact the land that
is to be described in the policy or policies to be issued.
First American Title Insurance Company
· ""'Order Number: NCS-1011307-5D
Page Number: 9
7. Should this report be used to facilitate your transaction, we must be provided with the following
prior to the issuance of the policy:
A. WITH RESPECT TO A CORPORATION:
1. A certificate of good standing of recent date issued by the Secretary of State of the corporation's
state of domicile.
2. A certificate copy of a resolution of the Board of Directors authorizing the contemplated
transaction and designating which corporate officers shall have the power to execute on behalf of
the corporation.
3. A certificate of revivor and a certificate of relief from contract voidability issued by the Franchise
Tax Board of the State of california.
4. Requirements which the Company may impose following its review of the above material and
other information which the Company may require.
B. WITH RESPECT TO A CALIFORNIA LIMITED PARTNERSHIP:
1. A certified copy of the certificate of limited partnership (form LP-1) and any amendments thereto
(form LP-2) to be recorded in the public records;
2. A full copy of the partnership agreement and any amendments;
3. Satisfactory evidence of the consent of a majority in interest of the limited partners to the
contemplated transaction;
4. A certificate of revivor and a certificate of relief from contract voidability issued by the Franchise
Tax Board of the State of california.
5. Requirements which the Company may impose following its review of the above material and
other information which the Company may require.
C. WITH RESPECT TO A FOREIGN LIMITED PARTNERSHIP:
1. A certified copy of the application for registration, foreign limited partnership (form LP-5) and any
amendments thereto (form LP-6) to be recorded in the public records;
2. A full copy of the partnership agreement and any amendment;
3. Satisfactory evidence of the consent of a majority in interest of the limited partners to the
contemplated transaction;
4. A certificate of revivor and a certificate of relief from contract voidability issued by the Franchise
Tax Board of the State of california.
5. Requirements which the Company may impose following its review of the above material and
other information which the Company may require.
D. WITH RESPECT TO A GENERAL PARTNERSHIP:
1. A certified copy of a statement of partnership authority pursuant to Section 16303 of the
California Corporation Code (form GP-I), executed by at least two partners, and a certified copy of
any amendments to such statement (form GP-7), to be recorded in the public records;
2. A full copy of the partnership agreement and any amendments;
3. Requirements which the Company may impose following its review of the above material required
herein and other information which the Company may require.
E. WITH RESPECT TO A LIMITED LIABILITY COMPANY:
1. A copy of its operating agreement and any amendments thereto;
2. If it is a california limited liability company, a certified copy of its articles of organization (LLC-1)
and any certificate of correction (LLC-11), certificate of amendment (LLC-2), or restatement of
articles of organization (LLC-10) to be recorded in the public records;
3. If it is a foreign limited liability company, a certified copy of its application for registration (LLC-5)
to be recorded in the public records;
4. With respect to any deed, deed of trust, lease, subordination agreement or other document or
instrument executed by such limited liability company and presented for recordation by the
Company or upon which the Company is asked to rely, such document or instrument must be
executed in accordance with one of the following, as appropriate:
First American Title Insurance Company
,-..,Order Number: NCS-1011307-5D
Page Number: 10
(i) If the limited liability company properly operates through officers appointed or elected
pursuant to the terms of a written operating agreement, such documents must be executed by
at least two duly elected or appointed officers, as follows: the chairman of the board, the
president or any vice president, and any secretary, assistant secretary, the chief financial
officer or any assistant treasurer;
(ii) If the limited liability company properly operates through a manager or managers identified in
the articles of organization and/or duly elected pursuant to the terms of a written operating
agreement, such document must be executed by at least two such managers or by one
manager if the limited liability company properly operates with the existence of only one
manager.
5. A certificate of revivor and a certificate of relief from contract voidability issued by the Franchise
Tax Board of the State of california.
6. Requirements which the Company may impose following its review of the above material and
other information which the Company may require.
F. WITH RESPECT TO A TRUST:
1. A certification pursuant to Section 18100.5 of the California Probate Code in a form satisfactory to
the Company.
2. Copies of those excerpts from the original trust documents and amendments thereto which
designate the trustee and confer upon the trustee the power to act in the pending transaction.
3. Other requirements which the Company may impose following its review of the material require
herein and other information which the Company may require.
G. WITH RESPECT TO INDIVIDUALS:
1. A statement of information.
The map attached, if any, may or may not be a survey of the land depicted hereon. First American Title
Insurance Company expressly disclaims any liability for loss or damage which may result from reliance on
this map except to the extent coverage for such loss or damage is expressly provided by the terms and
provisions of the title insurance policy, if any, to which this map is attached.
*****To obtain wire instructions for deposit of funds to your escrow file please
contact your Escrow Officer.*****
First American Title Insurance Company
LEGAL DESCRIPTION
-* Order Number: NCS-1011307-5D
Page Number: 11
Real property in the City of Carlsbad, County of San Diego, State of california, described as follows:
PARCEL 1 OF PARCEL MAP NO. 8586, IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF
CALIFORNIA, FILED IN THE OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, MARCH 30,
1979 AS FILE NO. 79-132451 OF OFFICIAL RECORDS.
APN: 167-030-76-00 (Affects a portion of said land)
APN: 167-030-77-00 (Affects a portion of said land)
Arst American Title Insurance Company
The First American Corporation
First American ntle Company
Privacy Policy
We Are Committed to Safeguarding Customer Information
"· ..-Order Number: NCS-1011307-SD
Page Number: 12
In order to better serve your needs now and in the future, we may ask you to provide us with certain
information. We understand that you may be concerned about what we will do with such information -
particularly any personal or financial information. We agree that you have a right to know how we will utilize the
personal information you provide to us. Therefore, together with our parent company, The First American
Corporation, we have adopted this Privacy Policy to govern the use and handling of your personal information.
Applicability
This Privacy Policy governs our use of the information which you provide to us. It does not govern the manner in
which we may use information we have obtained from any other source, such as information obtained from a
public record or from another person or entity. First American has also adopted broader guidelines that govern
our use of personal information regardless of its source. First American calls these guidelines its Fair Information
Values, a copy of which can be found on our website at www.firstam.com.
Types of Information
Depending upon which of our services you are utilizing, the types of nonpublic personal information that we may
collect include:
• Information we receive from you on applications, forms and in other communications to us, whether in
writing, in person, by telephone or any other means;
• Information about your transactions with us, our affiliated companies, or others; and
Information we receive from a consumer reporting agency.
Use of Information
We request information from you for our own legitimate business purposes and not for the benefit of any
nonaffiliated party. Therefore, we will not release your information to nonaffiliated parties except: (1) as
necessary for us to provide the product or service you have requested of us; or (2) as permitted by law. We may,
however, store such information indefinitely, including the period after which any customer relationship has
ceased. Such information may be used for any internal purpose, such as quality control efforts or customer
analysis. We may also provide all of the types of nonpublic personal information listed above to one or more of
our affiliated companies. Such affiliated companies include financial service providers, such as title insurers,
property and casualty insurers, and trust and investment advisory companies, or companies involved in real
estate services, such as appraisal companies, home warranty companies, and escrow companies. Furthermore,
we may also provide all the information we collect, as described above, to companies that perform marketing
services on our behalf, on behalf of our affiliated companies, or to other financial institutions with whom we or
our affiliated companies have joint marketing agreements.
Former Customers
Even if you are no longer our customer, our Privacy Policy will continue to apply to you.
Confidentiality and Security
We will use our best efforts to ensure that no unauthorized parties have access to any of your information. We
restrict access to nonpublic personal information about you to those individuals and entities who need to know
that information to provide products or services to you. We will use our best efforts to train and oversee our
employees and agents to ensure that your information will be handled responsibly and in accordance with this
Privacy Policy and First American's Fair Information Values. We currently maintain physical, electronic, and
procedural safeguards that comply with federal regulations to guard your nonpublic personal information.
First American 77tle Insurance Company
..... """'Order Number: NCS-1011307-SD
Page Number: 13
CLTA/ALTA HOMEOWNER'S POLICY OF TITLE INSURANCE (02-03-10)
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; (d) improvements on the Land;
(b) zoning; (e) land division; and
(c) land use; (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 federal
bankruptcy, state insolvency, or similar creditors' rights laws.
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.
Your Deductible Amount
Covered Risk 16: 1 % of Policy Amount or $2,500.00 (whichever is less)
Covered Risk 18: 1% of Policy Amount or $5,000.00 (whichever is less)
Covered Risk 19: 1% of Policy Amount or $5,000.00 (whichever is less)
Covered Risk 21: 1% of Policy Amount or $2,500.00 (whichever is less)
Our Maximum Dollar
Limit of Liability
$10,000.00
$25,000.00
$25,000.00
$5,000.00
ALTA RESIDENTIAL TITLE INSURANCE POLICY (6-1-87)
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 any law or government regulation. This includes building and
zoning ordinances and also laws and regulations concerning:
(a) and use
(b) improvements on the land
(c) and division
( d) environmental protection
This exclusion does not apply to violations or the enforcement of these matters which appear in the public records at Policy Date.
This exclusion does not limit the zoning coverage described in Items 12 and 13 of Covered Title Risks.
2. The right to take the land by condemning it, unless:
(a) a notice of exercising the right appears in the public records on the Policy Date
(b) the taking happened prior to the Policy Date and is binding on you if you bought the land without knowing of the taking
3. Title Risks:
(a) that are created, allowed, or agreed to by you
(b) that are known to you, but not to us, on the Policy Date --unless they appeared in the public records
Arst American Title Insurance Company
,_ . .,; Order Number: NCS-1011307-SD
Page Number: 14
( c) that result in no loss to you
(d) that first affect your title after the Policy Date --this does not limit the labor and material lien coverage in Item 8 of Covered
Title Risks
4. Failure to pay value for your title.
5. Lack of a right:
(a) to any land outside the area specifically described and referred to in Item 3 of Schedule A OR
(b) in streets, alleys, or waterways that touch your land
This exclusion does not limit the access coverage in Item 5 of Covered Title Risks.
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 l(a) does not modify or
limit the coverage provided under Covered Risk 5.
b. Any governmental police power. This Exclusion l(b) does not modify or limit the coverage provided under Covered Risk 6.
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 ll(b).
The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions
from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also include the following Exceptions from Coverage:
EXCEPTIONS FROM COVERAGE
This policy does not insure against loss or damage (and the Company will not pay costs, attorneys' fees or expenses) that arise by reason
of:
1. (a) Taxes or assessments that are not shown as existing liens by the records of any taxing authority that levies taxes or
assessments on real property or by the Public Records; (b) proceedings by a public agency that may result in taxes or assessments,
or notices of such proceedings, whether or not shown by the records of such agency or by the Public Records.
2. Any facts, rights, interests, or claims that are not shown by the Public Records but that could be ascertained by an inspection of the
Land or that may be asserted by persons in possession of the Land.
3. Easements, liens or encumbrances, or claims thereof, not shown by the Public Records.
4. Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting the Title that would be disclosed by an
accurate and complete land survey of the Land and not shown by the Public Records.
5. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c) water rights,
claims or title to water, whether or not the matters excepted under (a), (b), or (c) are shown by the Public Records.
Arst American Title Insurance Company
6. Any lien or right to a lien for services, labor or material not shown by the public records.
2006 ALTA OWNER'S POLICY (06-17-06)
EXCLUSIONS FROM COVERAGE
""-""' Order Number: NCS-1011307-SD
Page Number: 15
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 l(a) does not modify or
limit the coverage provided under Covered Risk 5.
b.Any governmental police power. This Exclusion l(b) does not modify or limit the coverage provided under Covered Risk 6.
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 9 and 10); or
e. resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Title.
4. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights laws, that the transaction
vesting the Title as shown in Schedule A, is
a. a fraudulent conveyance or fraudulent transfer; or
b. a preferential transfer for any reason not stated in Covered Risk 9 of this policy.
5. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching between
Date of Policy and the date of recording of the deed or other instrument of transfer in the Public Records that vests Title as shown
in Schedule A.
The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions
from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also include the following Exceptions from Coverage:
EXCEPTIONS FROM COVERAGE
This policy does not insure against loss or damage (and the Company will not pay costs, attorneys' fees or expenses) that arise by reason
of:
1. (a) Taxes or assessments that are not shown as existing liens by the records of any taxing authority that levies taxes or
assessments on real property or by the Public Records; (b) proceedings by a public agency that may result in taxes or assessments,
or notices of such proceedings, whether or not shown by the records of such agency or by the Public Records.
2. Any facts, rights, interests, or claims that are not shown by the Public Records but that could be ascertained by an inspection of the
Land or that may be asserted by persons in possession of the Land.
3. Easements, liens or encumbrances, or claims thereof, not shown by the Public Records.
4. Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting the Title that would be disclosed by an
accurate and complete land survey of the Land and not shown by the Public Records.
5. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c) water rights,
claims or title to water, whether or not the matters excepted under (a), (b), or (c) are shown by the Public Records.
6. Any lien or right to a lien for services, labor or material not shown by the public records.
Arst American Title Insurance Company
..... "' "Order Number: NCS-1011307-SD
Page Number: 16
ALTA EXPANDED COVERAGE RESIDENTIAL LOAN POLICY (07-26-10)
EXCLUSIONS FROM COVERAGE
Toe 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 l(a) does not modify or
limit the coverage provided under Covered Risk 5, 6, 13(c), 13(d), 14 or 16.
b. Any governmental police power. This Exclusion l(b) does not modify or limit the coverage provided under Covered Risk 5, 6,
13( c), 13( d), 14 or 16.
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, 16, 17, 18, 19, 20, 21, 22, 23, 24, 27 or 28); or
e. resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Insured Mortgage.
4. Unenforceability of the lien of the Insured Mortgage because 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. This Exclusion does not
modify or limit the coverage provided in Covered Risk 26.
6. Any claim of invalidity, unenforceability or lack of priority of the lien of the Insured Mortgage as to Advances or modifications made
after the Insured has Knowledge that the vestee shown in Schedule A is no longer the owner of the estate or interest covered by
this policy. This Exclusion does not modify or limit the coverage provided in Covered Risk 11.
7. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching subsequent
to Date of Policy. This Exclusion does not modify or limit the coverage provided in Covered Risk 11(b) or 25.
8. Toe failure of the residential structure, or any portion of it, to have been constructed before, on or after Date of Policy in
accordance with applicable building codes. This Exclusion does not modify or limit the coverage provided in Covered Risk 5 or 6.
9. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights laws, that the transaction
creating the lien 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 27(b) of this policy.
Arst American Title Insurance Company