HomeMy WebLinkAboutCDP 2016-0005; KLOVANISH; Coastal Development Permit (CDP)_____________ ,,...,. _________________ . ,,, _____________ _
("cicyof
Carlsbad
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
APPLICATIONS APPLIED FOR: (CHECK BOXES)
Development Permits (FOR DEPT. USE ONLY) Legislative Permits (FOR DEPT. USE ONLY)
0 Coastal Development Permit
D Conditional Use Permit
D Minor D Extension
D Day Care (Large)
0 Minor
0 Environmental Impact Assessment
D Habitat Management Permit
D Hillside Development Permit
0 Minor
D Minor
D Nonconforming Construction Permit
0 Planned Development Permit O Minor
D Residential D Non-Residential
D Planning Commission Determination
D Reasonable Accommodation
0 Site Development Plan
D Special Use Permit
D Minor
0 Tentative Parcel Map (Minor Subdivision)
D Tentative Tract Map (Major Subdivision)
D Variance 0 Minor
---~VVvV\'1" oco~ 0 General Plan Amendment
D Local Coastal Program Amendment
D Master Plan
0 Specific Plan
0 Zone Change
0 Amendment
□Amendment
D Zone Code Amendment
South Carlsbad Coastal Review Area Permits
D Review Permit
0 Administrative O Minor O Major
Village Review Area Permits
0 Review Permit
0 Administrative O Minor O Major B
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P.M.
ASSESSOR PARCEL NO(S).: 206-180-41 --------------------------------
PROJECT NAME: Klovanish Residence
BRIEF DESCRIPTION OF PROJECT: One single family detached residential unit on an existing single family lot
PROJECT VALUE
(SITE IMPROVEMENTS) $500,000 ESTIMATED COMPLETION DATE 2018
LOCATION oF PROJECT: North side of Adams Street
ON THE:
BETWEEN
P-1
North
(NORTH, SOUTH, EAST, WEST)
Hoover Street
(NAME OF STREET)
SIDE OF
AND
1)8JZOllo-rf6~ Page 1 of6
STREET ADDRESS
Adams Street
(NAME OF STREET)
Highland Drive
(NAME OF STREET)
Revised 09/16
OWNER NAME (Print): Steven Klovanish APPLICANT NAME (Print): Steven Klovanish
MAILING ADDRESS: 2721 Carlsbad Blvd. MAILING ADDRESS:2721 Carlsbad Blvd.
CITY, STATE, ZIP: Carlsbad, CA 92008 CITY, STATE, ZIP: Carlsbad, CA 92008
TELEPHONE: (619) 992-3289 TELEPHONE: (619) 992-3289
EMAIL ADDRESS: sktax@hotmail.com EMAIL ADDRESS: sktax@hotmail.com
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE.
SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR p~c1!1Jtp· IZ/0/lb SL c.XU! Q I fi-1ol 0:,
SIGNATURE DATE SIGNATURE DAT '
APPLICANT'S REPRESENTATIVE (Print): Paul J. Klukas; PLANNING SYSTEMS
MAILING ADDRESS: 1530 Faraday Ave. #100
CITY, STATE, ZIP: Carlsbad, CA 92008
TELEPHONE: (760) 931-0780 x104
EMAIL ADDRESS: pklukas@planningsystems.net
I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR
PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE
INF~~TION IS TRUE AND CORRECT TO THE BEST OF MY
KNC OGE.
t 1,l, le, 1d(A;v\")~
SIGNATURE DATE
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION. IM/E CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORD ON THE TITLE TO HIS OPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
THE D I Y C S RS IN INTEREST.
FOR CITY USE ONLY
P-1 Page 2of 6
RECEIVED
OEC 14 2016
CITY OF CARLSBAD
DATE gjl~~~(ki¥t)8~\00E1VED
IVED BY:
Revised 09/16
Ccicyof
Carlsbad
DISCLOSURE STATEMENT
P-1(A)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Applicant's statement or disclosure of certain ownership interests on all applications which will
require discretionary action on the part of the City Council or any appointed Board, Commission
or Committee.
The following information MUST be disclosed at the time of application submittal. Your project
cannot be reviewed until this information is completed. Please print.
Note:
Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal
organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county,
city municipality, district or other political subdivision or any other group or combination acting as a unit."
Agents may sign this document; however, the legal name and entity of the applicant and property owner
must be provided below.
1. APPLICANT (Not the applicant's agent)
Provide the COMPLETE, LEGAL names and addresses of ALL persons having a
financial interest in the application. If the applicant includes a corporation or partnership,
include the names, titles, addresses of all individuals owning more than 10% of the
shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE
INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly-owned
corporation, include the names, titles, and addresses of the corporate officers. (A
separate page may be attached if necessary.)
Person .STf?VttV T, ~Ov'"1--N\ .. dd Corp/Part ___________ _
Title Ow ,JJ e l'L Title --------------
Address l-Tl-t ~ ~ gL.., i> Address UNI.D~, 0t qwo 'g ------------
2. OWNER (Not the owner's agent)
P-1 (A)
Provide the COMPLETE, LEGAL names and addresses of ALL persons having any
ownership interest in the property involved. Also, provide the nature of the legal
ownership (i.e., partnership, tenants in common, non-profit, corporation, etc.). If the
ownership includes a corporation or partnership, include the names, titles, addresses of
all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE
THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE
SPACE BELOW. If a publicly-owned corporation, include the names, titles, and
addresses of the corporate officers. (A separate page may be attached if necessary.)
Person ~evf,J ·,: /LUIV,+tv/Jl-1 Corp/Part. ___________ _
Title OW.uo\-Title ---------------
Address 2-t2.-/ 0vtlJ~ ~Lv,) Address ____________ _
~~-C4-9iuut
Page 1 of 2 Revised 07/10
3. NON-PROFIT ORGANIZATION OR TRUST
If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust,
list the names and addresses of ANY person serving as an officer or director of the non-
profit organization or as trustee or beneficiary of the.
Non Profit/Trust________ Non Profit/Trust _________ _
Title ------------Title _____________ _
Address Address ----------------------
4. Have you had more than $500 worth of business transacted with any member of City
staff, Boards, Commissions, Committees and/or Council within the past twelve (12)
months?
D Yes B] No If yes, please indicate person(s): __________ _
NOTE: Attach additional sheets if necessary.
I certify that all the above information is true and correct to the best of my knowledge.
Signature of owner/date Signature of applicant/date
Print or type name of owner Print or type name of applicant
Signature of owner/applicant's agent if applicable/date
Paul J. Klukas; PLANNING SYSTEMS
Print or type name of owner/applicant's agent
P-1(A) Page 2 of 2 Revised 07/10
Ccicyof
Carlsbad
HAZARDOUS WASTE
AND SUBSTANCES
STATEMENT
P-1(C)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Consultation of Lists of Sites Related to Hazardous Wastes
(Certification of Compliance with Government Code Section 65962.5)
Pursuant to State of California Government Code Section 65962.5, I have consulted the
Hazardous Waste and Substances Sites List compiled by the California Environmental
Protection Agency and hereby certify that (check one):
Ii] The development project and any alternatives proposed in this application are not contained on the
lists compiled pursuant to Section 65962.5 of the State Government Code.
D The development project and any alternatives proposed in this application !!:! contained on the lists
compiled pursuant to Section 65962.5 of the State Government Code.
APPLICANT
Name: Steven Klovanish
Address:2721 Carlsbad Blvd.
Carlsbad, CA 92008
Phone Number: (619) 992-3289
Address of Site: 4385 Adams st?
PROPERTY OWNER
Name: Steven Klovanish
Address:2721 Carlsbad Blvd.
Carlsbad, CA 92008
Phone Number: (619) 992-3289
Local Agency (City and county): Carlsbad, San Diego County
Assessor's book, page, and parcel number:_2_0_6_-_1_8_0_-4_1 _____________ _
Specify list(s): CALEPA, NPL, CERCLIS, LUST, SWIS, HAZNET
Regulatory Identification Number:_N_I_A ____________________ _
Date of List: Database review 12/1 /16
Applicant Signature/Date Property Owner Signature/Date
The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local
agencies and developers to comply with the California Environmental Quality Act requirements
in providing information about the location of hazardous materials release sites.
P-1(C) Page 1 of2 Revised 02/13
ENVIRONMENTAL INFORMATION FORM
Date Filed l i-[ f't l {p
{To be Completed by Applicant)
{To be completed by City)
Application Number(s): CDPUILP -Bf:JDb
General Information
1. Name of project: Klovanish Residence
2. Name of developer or project sponsor: _s_t_e_v_e_n_K_lo_v_a_n_i_s_h _________ _
Address: 2721 Carlsbad Blvd.
City, state, Zip Code: Carlsbad, CA 92008
Phone Number: (619) 992-3289
3. Name of person to be contacted concerning this project: Paul Klukas -Planning Systems
Address: 1530 Faraday Ave. #100
City, State, Zip Code: Carlsbad, CA 92008
Phone Number: (760) 931-0780 x104
4. Address of Project: _N_o_a_d_d_r_e_s_s_y_e_t ________________ _
5.
6.
7.
8.
9.
Assessor's Parcel Number: 206-180-41 ---------------------
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:
Grading permit, Building permit
Existing General Plan Land Use Designation: _R_-_4 _____________ _
Existing zoning district: R-1-1 o,uue-\ s,ooo
Existing land use(s): Vacant property
Proposed use of site (Project for which this form is filed): Single family home
Project Description
10. Site size: _0_.4_2_7_a_c_re_s _____________________ _
11.
12:
13.
14.
P-1(0)
Proposed Building square footage: _4_,4_1 _7_s_f _______________ _
Number of floors of construction: _2 __________________ _
Amount of off-street parking provided: _2_c_a_r _g_a_ra_g_e ____________ _
Associated projects: _N_I_A _____________________ _
Page 2 of 4 Revised 07/10
15. If residential, include the number of units and schedule of unit sizes:
1 single family unit; 4,417 sf total area
16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage
17.
18.
of sales area, and loading facilities: ____________________ _
N/A
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(0) Page 3 of 4 Revised 07/10
Are the following items applicable to the project or its effects? Discuss all items checked yes (attach
additional sheets as necessary).
Yes No
20. Change in existing features of any bays, tidelands, beaches, or hills, or substantial □ 0
alteration of ground contours.
21. Change in scenic views or vistas from existing residential areas or public lands or □ 0
roads.
22. Change in pattern, scale or character of general area of project. □ 0
23. Significant amounts of solid waste or litter. □ 0
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.). □ 0
31. Relationship to a larger project or series of projects. □ 0
Environmental Setting
Attach sheets that include a response to the following questions:
32. Describe the project site as it exists before the project, including information on topography, soil
stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing
structures on the site, and the use of the structures. Attach photographs of the site. Snapshots
or Polaroid photos will be accepted.
33. Describe the surrounding properties, including information on plants and animals and any
cultural, historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.),
intensity of land use (one-family, apartment houses, shops, department stores, etc.), and scale of
development (height, frontage, set-back, rear yard, etc.). Attach photographs of the vicinity.
Snapshots or polaroid photos will be accepted.
Certification
I hereby certify that the statements furnished above and in the attached exhibits present the data and
information required for this initial evaluation to the best of my ability, and that the facts, statements, and
information presented are true and correct to the best of my kEedge and belief.
Date: 12/12/16 Signature: Cl,vv1C)~
For: Planning Systems
P-1(D) Page 4 of 4 Revised 07/10
Klovanish Residence
Sheet to accompany EIA
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.
The project is presently in a vacant, ungraded condition. The property is considered foothill terrain, sloping
from a high point of 127 feet msl at the northern property line, to a low point of 92 feet msl at the
southwesterly comer of the lot. Drainage across the site is generally characterized as sheet flow. The
subject site is located in an urbanized area of the City of Carlsbad and has been highly disturbed and
regularly maintained over the years. Existing on-site plant associations include only two land cover
types; Disturbed (Ornamental) vegetation and Disturbed Land. No coastal sage scrub or other sensitive
habitat communities exist on the property. No structures exist on the site.
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, ets.), intensity of land use
( one-family, apartment houses, shops, department stores, etc.), and scale of development (height, frontage,
setback, rear yard etc.).
The parcel is generally rectangular, 0.427 acre in size, and is located on the north side of Adams Street,
between Hoover Street and Highland Drive. The parcel is located in an urbanized setting, surrounded on
the north, east and west by single family lots/homes. Across Adams Street to the south, vacant land
containing natural DCSS habitat exists with Agua Hedionda Lagoon further to the south and beyond.
1. View of Klovanish property from Adams Street near southeast comer.
2. View ofK.lovanish property from Adams Street near center of property.
3. View of Klovanish property from Adams Street near southwest comer.
Ccicyof
Carlsbad
TIME LIMITS ON
DISCRETIONARY
PROJECTS
P-1(E)
PLEASE NOTE:
Development Services
Planning Division
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 incomplete. Within 30 days of
submittal of this application you will receive a letter stating whether this application is complete or
incomplete. If it is incomplete, the letter will state what is needed to make this application complete.
When 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
application) please call (760) 602-4610.
Applicant Signature: ~
Staff Signature: ~
Date: I l/ ~/I~ ---'---------------------
To be stapled with receipt to the application
P-1(E) Page 1 of 1 Revised 07/10
c·cicyof
Carlsbad
MINOR
COASTAL DEVELOPMEN . . .. SINGLE FAMIL y RES ,u,,---, nnmg D1v1s1on
araday Avenue
APP LI CA Tl (760) 602-4610
P-6 .carlsbadca.gov
A proposed project requiring multiple applications must be submitted prior to 3:30 p.m. A
proposed project requiring only one application must be submitted prior to 4:00 p.m.
All joint application exhibits, i.e. Tentative Map and Planned Development Site Plan should be prepared
at the same scale. (Use a scale no smaller than 1" = 40'.)
I. GENERAL BACKGROUND
A. Estimated Cost of Development:
Development costing $60,000 or more does not qualify as a Minor Coastal Development Permit.
The City Planner shall make the final determination regarding a project's cost of development.
The primary basis for determining cost of development will be the application of dollar costs per
square foot for different types of residential -construction. These costs are set by the
International Conference of Building Officials (ICBO) and are applied throughout San Diego
County.
Please complete the following information to assist in the determination of this project's cost of
development (Contractor proposals may also be submitted for consideration by the City
Planner). Please refer to the current fee schedule for the appropriate $/square foot fee rate.
⇒ New Residential Square Footage: /LL I r ~ , ti t{-1 ?., • .'!) 0 square feet x $ 7/. 1 " /sq. ft. = $ ;:, I , ''I T • 0 0
⇒ Residential Addition Square Footage: ~
.t!f' squarefeetx$ ____ /sq.ft. =$ ___ ,KJ ______ _
⇒ Any ~ara~e Square Footage: -t ,_ 0 ti'
S 3 ~ square feet x $ ,1 r,. 'i o /sq. ft. = $. __ l .....;.'1_,_1_'1_/_0_. )--'-7-
⇒ Residential Conversion Square Footage: €, / 'j J J ft/, • "J cf ______ square feet x $ ___ ~/sq. ft. = $
7
⇒ Please contact the City of Carlsbad Building Division for current fee rate for Non-
Residential uses (i.e. Retail/Store; Restaurants; Office; and Manufacturing/Warehouse
uses.)
______ square feet x $ __ /sq. ft. = $. __________ _
COST OF DEVELOPMENT ESTIMATE: $ ___________ _
B. Do you wish to apply for:
1. A Minor Coastal Development Permit (Under $60,000 cost estimate) D
2. A Coastal Development Permit ($60,000 or more cost estimate)~
C. Street address of proposed development
tlo A-oD"13r.s 'fc1' -\/lrCkvT Pp,olc:A-f1?
P-6 Page 1 of6 Revised 08/16
D. Assessor's Parcel Number of proposed development
"2.-" ' -l 'i o -<I I
E. Development Description:
Briefly describe project: ( I ,J ' L,.{ F .f-A-1 ( "'Y H1J AA tl
F. Describe the present land uses (i.e. vacant land, single family homes, apartments, offices,
etc.) that surround the proposed development to the:
North: M, ,, .,t,,· a Ur k S el;;) V4 CAI' I t-,t rJ p
South: Sr l>
East: IE 0
West: A-0&:MJ SI -V/tC~N'f" Vt-,Jt) ~JS
G. Is project located within a 100-year flood plain? 0Yes ~ No
II. PRESENT USE OF PROPERTY
A. Are there existing structures on the property? 0Yes ~ No
If yes, please describe.
B. Will any existing structure be removed/demolished? D Yes IE-No
If yes to either question, describe the extent of the demolition or removal, including the relocation
site, if applicable (also show on plans).
Ill. LOT COVERAGE
A. Existing and Proposed
Existing Proposed Total
Building Coverage sq. ft. 'l YI 7 sq. ft. sq. ft. 1..l
Landscaped Area sq. ft. 1 a-,, Sq. ft. sq. ft. .j'f %
%
Hardscape Area sq. ft. -? 1-1' sq. ft. 't, sq. ft. l--? %
Unimproved Area (Left Natural) sq. ft. .-er-sq. ft. sq. ft. %
P-6 Page 2 of6 Revised 08/16
P-6
B. Parking: Number of existing spaces
Number of new spaces proposed '2. G,,41l.ct0c
Existing/Proposed TOTAL: "l-6Jt,1tA-G f
Number of total spaces required 'l.. 6#ifG i'
Number of covered spaces ___ Z.=-----
Number of uncovered spaces ___ H ____ _
Number of standard spaces l-G ~ i
Number of compact spaces a"
Is tandem parking existing? D Yes # __ 18] No
Is tandem parking proposed? D Yes# __ ~ No
C. Grade Alteration:
Is any grading proposed? ~ Yes D No
If yes, please complete the following:
1. Amount of cut ___ S'_3_0 _____________ cu. yds.
2. Amount of fill 1 0 cu. yds.
3.
4.
5.
6.
Maximum height of fill slope __ ~ ___________ feet
Maximum height of cut slope 6 feet
Amount of import or export 'f j' 0 C..&1 yJJ £Jt.-fo~ i cu. yds.
Location of borrow or disposal site __ \J_tl_l<.l'I __ O_VJ_N __________ _
Page 3 of6 Revised 08/16
Ccityof
Carlsbad
STORM WATER STANDARDS
QUESTIONNAIRE
Devel opm ent Se rvices
Land Development Engineering
1635 Faraday Avenue
(760) 602-2750
www.carlsbadca.gov
E-34
I •t-tsTRlfCTIONS:
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 Carisbad BMP Design Manual (BMP Manual). To view the BMP Manual,
refer to the Engineering Standards (Volume 5).
This questionnaire must be completed by the applicant in advance of submitting for a development application
(subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of
storm water standards that must be applied to a proposed development or redevelopment project. Depending on the
outcome, your project will either be subject to 'STANDARD PROJECT' requirements or be subject to 'PRIORITY
DEVELOPMENT PROJECT' (PDP) requirements.
Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City
staff has responsibility for making the final assessment after submission of the development application. If staff
determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than
initially assessed by you, this will result in the return of the development application as incomplete. In this case, please
make the changes to the questionnaire and resubmit to the city.
If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the
questions, please seek assistance from Land Development Engineering staff.
A completed and signed questionnaire must be submitted with each development project application. Only one
completed and signed questionnaire is required when multiple development applications for the same project are
submitted concurrently.
PROJECT INFORMATION ' ---·-
PROJECT NAME: Klovanish Residence PROJECT ID:
ADDRESS: 4000 Block of Adams Street APN: 206-180--41
The project is ( check one): IZI New Development D Redevelopment
The total proposed disturbed area is: 14,235 ft2 ( 32.7 ) acres
The total proposed newly created and/or replaced impervious area is: 7,785 ft2 c-18 ) 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 N/A SWQMP#: N/A
Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your
application to the city.
E-34 Page 1 of4 REV02/16
--STEP1
TO BE COMPLETED FOR ALL PROJECTS ---=• --
To determine if your project is a "development project", please answer the following question:
YES NO
Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building □ 121 or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)?
If you answered ·yes· to the above question, provide justification below then go to Step 5, mark the third box stating "my
project is not a 'development project' and not subject to the requirements of the BMP manual· and complete applicant
information.
Justification/discussion: (e.g. the project includes only interior remodels within an existing building):
If vou answered ·no· to the above question, the project is a 'development project', go to Step 2. --STEP2
TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS
To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer
the following questions:
Is your project LIMITED to one or more of the following:
YES NO
1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria:
a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-
erodible permeable areas; □ fl! 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 Quidance?
2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ fl! 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? □ fl!
If you answered "yes· to one or more of the above questions, provide discussion/justification below, then go to Step 5, mark
the second box stating ·my project is EXEMPT from PDP ___ • and complete applicant information.
Discussion to justify exemption ( e.g. the project redeveloping existing road designed and constructed in accordance with
the USEPA Green Street guidance):
If vou answered "no" to the above questions, your project is not exempt from PDP, go to Step 3.
E-34 Page2of4 REV02/16
...
1·1 i'~[,]\-:" ,.•,; ·• STEP3 "'-;:-,.
.. ., ... ~.: ·,<._ .. TO m,:. COM~ FC?R A4, N,EW QR REDEVELor,Et,q: ~gCT~ ~ ~
To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1 )): ,
YES NO
1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces
collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, □ QI
and public development projects on public or private land.
2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of
impervious surface collectively over the entire project site on an existing site of 10,000 square feet or □ QI more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public
development projects on public or private land.
3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is
a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and □ QI
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 Qroiect site and SUQQOrts a hillside development project? A hillside
development project includes(cievelqpment on anv natural slone that is twenty-five percent or greater. □ IZl
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 □ QI a land area or facility for the temporary parking or storage of motor vehicles used personally for
business or for commerce.
6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a street, road, highway □ QI freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface
used for the transportation of automobiles, trucks, motorcycles, and other vehicles.
7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more
of impervious surface collectively over the entire site, and discharges directly to an Environmentally
Sensitive Area (ESA)? aDischarging Directly to" includes flow that is conveyed overland a distance of □ l2I
200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an
isolated flow from the project to the ESA (i.e. not commingled with flows from adjacent lands).*
8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious surface that supports an automotive repair shop? An automotive repair □ IZl shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC)
codes: 5013, 5014, 5541, 7532-7534, or7536-7539.
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 □ l2I RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily
T raffle (ADJ) of 100 or more vehicles per dav.
10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land □ l2I 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%? (CMG □ l2I
21203.040)
If you answered "yes· to one or more of the above questions, your project is a PDP. If your project is a redevelopment
project, go to step 4. If your project is a new project, go to step 5, check the first box stating ·My project is a PDP .. _.
and complete applicant information.
tf you answered ·no· to all of the above questions, your project is a 'STANDARD PROJECT.' Go to step 5, check the
second box statinQ ·Mv project is a 'ST AND ARD PROJECT'. __ B and complete aoolicant information.
E-34 Page 3 of4 REV02/16
.
STEP4
TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP)
ONLY
Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)):
YES NO
Does the redevelopment project result in the creation or replacement of impervious surface in an amount
of less than 50% of the surface area of the previously existing development? Complete the percent
impervious calculation below:
Existing impervious area (A) = sq. ft. D D
Total proposed newly created or replaced impervious area (B) = sq. ft.
Percent impervious area created or replaced (B/A)*100 = %
If you answered "yes·, the structural BMPs required for PDP apply only to the creation or replacement of impervious
surface and not the entire development. Go to step 5, check the first box stating KMy project is a PDP ... • and complete
applicant information.
If you answered «no; the structural BMP's required for PDP apply to the entire development Go to step 5, check the
check the first box stating «My project is a PDP ... • and complete applicant information.
STEPS
CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFO~ATION .
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.
IZI My project is a 'ST AND ARD PROJECT' OR EXEMPT from PDP and must only comply with 'ST AND ARD PROJECT'
stormwater requirements of the BMP Manual. As part of these requirements, I will submit a ·Standard Project
Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project
Note: For projects that are dose to meeting the PDP threshold, staff may require detailed impervious area calculations
and exhibits to verify if 'STANDARD PROJECT stormwater requirements apply.
D My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual.
Applicant Information and Signature Box
Applicant Name: Daniel Valdez-Coffey EngineeringL Applicant Trtle: Civil Engineer
Applicant Signature, ~ Date: 12/ 7 / 16
----EnvirorunentaDy Sensitive Areas include but are not limited to all Clean Water Act Section 303{d) unpaired water bocfies; areas designated as Areas of Special
Biological Significance by the State Water Resources Control Board r,Nater Quarrty Control Plan for the San Diego Basin {1994) and amendments); water bocfies
designated with the RARE beneficial use by the State Water Resources Control Board r,Nater-Quality Control Plan for the San Diego Basin (1994) and
amendments); areas designated as preserves or their equivalerrt under the Multi Species Conservation Program within the Cities and Cotmty of San Diego; Habitat
Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City.
This Box for City Use Only
YES NO
City Concurrence: D D
By:
Date:
Project ID: .
E-34 Page4 of4 REV02/16
RECORDING REQUESTED BY:
EQUITY TITLE i-~~ QIEGO V4tl --tax sto,,etrt#li\-ts'-fo
AND WHEN RECORDED MAIL TO:
Steven T. Klovanlsh
2721 Cerlsbad Blvd.
Carlsbad, CA 92008
Order No.: SD1650130
Escrow No.: DV-08171-LS
A.P.N.: 206-180-41-00
DOC# 2016-0562498
IIIIIIIIIHlllllllllllllllffllllll
Oct 19, 2016 08:00 AM
OFFICIAL RECORDS Ernest J. Dronenburg, Jr.,
SAN DIEGO COUNTY RECORDER
FEES: $798.00
PCOR: YES
PAGES:2
SPACE ABOVE THIS LINE IS FOR RECORDER'S USE
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX IS$ no.oo CITY TRANSFER TAX IS $.00
t X 1 computed on full value of property conveyed, or r 1 computed on full value less value of liens or encumbrances remaining at time of sale.
[ ] unincorporated area [ ")( ) City of Carlsbad AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
l.M. Edelstein, M.D. and Fay I. Edelstein, husband and wife as joint tenants
hereby GRANT(S) to
Steven T. Klovanlsh, A married man as his sole and separate property
the following described real property in the County of San Diego, State of California:
See Exhibit •A· attached hereto and made a part hereof for complete legal description.
AKA: Vacant Land/Adams St/ APN: 206-180-41-00, C&rlsbad, CA
92008
Dated: September 23, 2016
A notary public or other officer completing this
certificate verifies only the identity of the
Individual who signed the document to which this
certificate Is attached, and not the truthfulness,
accuracy or validity of that document
Lr.M:-Eaelsteln ; rt , E cl e.l s i--t i "' ' J!J;kifr.w~ . ., ,1> .
;:.°'-1 L Ecl~\5+e, "·
who proved to me on the basis of satisfactory e en to be the -person(s) whose name(s) ls/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the same in his/her/their authorized capaclty(les) and that by his/her/their
signature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s), acted, executed the Instrument
I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph Is true and correct.
~ITNESS~;~
S1gnature_.~'-----....._._...._. ...... ~~--------
Signature of ry /
Commission Expiration Date:· #1J / t, IJ 6 I I
I@ ( "' USA I. STURTEVAIT
-U) g1i Co11. I 2075573 : ll IIOTAIIY l'UIIUC-«:ALFOIIIIA VI t SAIi DINo Caum -~ Ir Coa hr. Alla. 1C, 211181
ORDER NO. S01650130
EXHIBIT "A"
THAT PORTION OF LOT 11 IN BLOCK "C" OF BELLAVISTA, IN THE CITY OF CARLSBAD, COUNTY OF
SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 2152, FILED IN THE
OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, MARCH 7, 1929, DESCRIBED AS
FOLLOWS:
BEGINNING AT A POINT IN THE SOUTHWESTERLY LINE OF SAID LOT 11, DISTANT THEREON
SOUTH 67° 39' 00" EAST, 80.00 FEET FROM THE MOST WESTERLY CORNER OF SAID LOT 11;
THENCE; NORTH 41° 11' 31" EAST, 156.04 FEET TO A POINT ON THE NORTHEASTERLY LINE OF
SAID LOT 11 SAID POINT BEING 97.61 FEET AS MEASURED ALONG SAID NORTHEASTERLY LINE
FROM THE MOST NORTHERLY CORNER OF SAID LOT 11; THENCE ALONG SAID NORTHEASTERLY
LINE, SOUTH 38° 39' 00" EAST 158.35 FEET TO THE MOST EASTERLY CORNER OF SAID LOT 11;
THENCE ALONG THE SOUTHEASTERLY LINE OF SAID LOT 11, SOUTH 61° 21' 00" WEST 113.33
FEET TO THE MOST SOUTHERLY CORNER OF SAID LOT 11, TO THE BEGINNING OF A NON-
TANGENT 225.00 FOOT RADIUS CURVE, CONCAVE SOUTHWESTERLY, A RADIAL LINE TO SAID
POINT BEARS NORTH 51° 21' 02" EAST; THENCE NORTHWESTERLY ALONG THE ARC OF SAID
CURVE BEING THE SOUTHWESTERLY LINE OF SAID LOT 11, THROUGH A CENTRAL ANGEL OF
29° 00' 01", AN ARC DISTANCE OF 113.88 FEET; THENCE CONTINUING ALONG SAID SOUTHWEST
LINE NORTH 67° 39' 00" WEST 24.86 FEET TO THE POINT OF BEGINNIG.
'""END OF LEGAL DESCRIPTION*-
3
Ccicyof
Carlsbad
PROJECT DESCRIPTION
P-1(8)
Development Services
Planning Division
1635 Faraday Avenue
{760} 602-4610
www.carlsbadca.gov
PROJECT NAME: Klovanish Residence Coastal Development Permit
APPLICANT NAME: Steven Klovanish
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:
The proposed project involves the development of a 4,230 sf single family home on an
existing 0.427 acre single family lot (R-l~Zone) on the north side of Adams Street,
between Hoover Street and Highland Driv'e. The property is presently vacant land.
The single family home development will include a pervious driveway, a pool and spa,
decks and covered patios. Earthwork for the project will total 530 cubic yards of cut and
80 cubic yards of fill, with a total of 450 cubic yards of soil export. The house will be a
maximum of 30 feet in height.
P-1(8) Page 1 of 1 Revised 07 /10
EQUITY TITLE COMPANY
123 CAMINO DE LA REINA,SUITE 100 WEST
SAN DIEGO, CA 92108
PHONE: (619) 574-5985
FAX: (619) 294-3298
DATED AS OF SEPTEMBER 26, 2016 AT 7:30 AM.
FIRST CALIFORNIA ESCROW-DEL MAR VILLAGE YOUR NO.: DV-06171
1110 CAMINO DEL MAR PROPERTY ADDRESS: APN: 206-180-41-00
DEL MAR, CA 92014
ATTENTION: LISA SHULTZ ORDER NO.: SD1650130
TITLE OFFICER: NICK ASHCRAFT
EMAIL: SDUNIT05@EQUITYTITLE.COM
"AMENDED PRELIMINARY REPORT"
IN RESPONSE TO THE ABOVE REFERENCED APPLICATION FOR A POLICY OF TITLE INSURANCE, EQUITY TITLE
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 OF SAID POLICY OR POLICIES ARE SET FORTH IN
EXHIBIT B ATTACHED. THE POLICY TO BE ISSUED MAY CONTAIN AN ARBITRATION CLAUSE. WHEN THE AMOUNT OF
INSURANCE IS LESS THAN THAT SET FORTH IN THE ARBITRATION CLAUSE, ALL ARBITRABLE MATTERS SHALL BE
ARBITRATED AT THE OPTION OF EITHER THE COMPANY OR THE INSURED AS THE EXCLUSIVE REMEDY OF THE
PARTIES. LIMITATIONS ON COVERED RISKS APPLICABLE TO THE CL TA AND AL TA HOMEOWNER'S POLICIES OF TITLE
INSURANCE WHICH ESTABLISH A DEDUCTIBLE AMOUNT AND.A MAXIMUM DOLLAR LIMIT OF LIABILITY FOR CERTAIN
COVERAGES ARE SET FORTH IN THE POLICY. COPIES OF THE POLICY FORMS SHOULD BE READ. THEY ARE
AVAILABLE FROM THE OFFICE THAT ISSUED THIS REPORT.
PLEASE READ THE EXCEPTIONS SHOWN OR REFERRED TO BELOW AND THE EXCEPTIONS AND EXCLUSIONS SET
FORTH IN EXHIBIT B 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.
THE FORM OF POLICY OF TITLE INSURANCE CONTEMPLATED BY THIS REPORT IS:
AL TA/CL TA HOMEOWNER'S POLICY OF TITLE INSURANCE (2010), IF APPLICABLE, OR
CL TA/ALTA STANDARD OWNER'S POLICY (1990); AND/OR
ALTA LOAN POLICY (2006)
A SPECIFIC REQUEST SHOULD BE MADE IF ANOTHER FORM OR ADDITIONAL COVERAGE IS DESIRED.
ORDER NO. SD1650130
SCHEDULE A
THE ESTATE OR INTEREST IN THE LAND HEREINAFTER DESCRIBED OR REFERRED TO COVERED
BY THIS REPORT IS:
A FEE
TITLE TO SAID ESTATE OR INTEREST AT THE DATE HEREOF IS VESTED IN:
L. M. EDELSTEIN M.D. AND FAY I. EDELSTEIN, HUSBAND AND WIFE AS JOINT TENANTS
THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE COUNTY OF SAN DIEGO, STATE OF
CALIFORNIA AND IS DESCRIBED AS FOLLOWS:
SEE EXHIBIT "A" ATTACHED HERETO
2
ORDER NO. SO1650130
EXHIBIT"A"
THAT PORTION OF LOT 11 IN BLOCK "C" OF BELLAVISTA, IN THE CITY OF CARLSBAD, COUNTY OF
SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 2152, FILED IN THE
OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, MARCH 7, 1929, DESCRIBED AS
FOLLOWS:
BEGINNING AT A POINT IN THE SOUTHWESTERLY LINE OF SAID LOT 11, DISTANT THEREON
SOUTH 67° 39' 00" EAST, 80.00 FEET FROM THE MOST WESTERLY CORNER OF SAID LOT 11;
THENCE; NORTH 41° 11' 31" EAST, 156.04 FEET TO A POINT ON THE NORTHEASTERLY LINE OF
SAID LOT 11 SAID POINT BEING 97.61 FEET AS MEASURED ALONG SAID NORTHEASTERLY LINE
FROM THE MOST NORTHERLY CORNER OF SAID LOT 11; THENCE ALONG SAID NORTHEASTERLY
LINE, SOUTH 38° 39' 00" EAST 158.35 FEET TO THE MOST EASTERLY CORNER OF SAID LOT 11;
THENCE ALONG THE SOUTHEASTERLY LINE OF SAID LOT 11, SOUTH 51 ° 21' 00" WEST 113.33
FEET TO THE MOST SOUTHERLY CORNER OF SAID LOT 11, TO THE BEGINNING OF A NON-
TANGENT 225.00 FOOT RADIUS CURVE, CONCAVE SOUTHWESTERLY, A RADIAL LINE TO SAID
POINT BEARS NORTH 51° 21' 02" EAST; THENCE NORTHWESTERLY ALONG THE ARC OF SAID
CURVE BEING THE SOUTHWESTERLY LINE OF SAID LOT 11, THROUGH A CENTRAL ANGEL OF
29° 00' 01", AN ARC DISTANCE OF 113.88 FEET; THENCE CONTINUING ALONG SAID SOUTHWEST
LINE NORTH 67° 39' 00" WEST 24.86 FEET TO THE POINT OF BEGINNIG.
***END OF LEGAL DESCRIPTION***
3
ORDER NO. SD1650130
SCHEDULE B
AT THE DATE HEREOF EXCEPTIONS TO COVERAGE IN ADDITION TO THE PRINTED EXCEPTIONS
AND EXCLUSIONS IN SAID POLICY FORM DESIGNATED ON THE FACE PAGE OF THIS REPORT
WOULD BE AS FOLLOWS:
A. GENERAL AND SPECIAL TAXES FOR THE FISCAL YEAR 20156-2017
TOTAL:
FIRST INSTALLMENT:
SECOND INSTALLMENT:
ASSESSED VALUATION:
LAND VALUE:
IMPROVEMENTS:
EXEMPTION:
CODE AREA:
A.P.NO.:
$530.08
$265.04
$265.04
$42,133.00
$0.00
$0.00
09000
206-180-41-00
OPEN
OPEN
B. THE LIEN OF SUPPLEMENTAL TAXES ASSESSED PURSUANT TO CHAPTER 3.5 COMMENCING
WITH SECTION 75 OF THE CALIFORNIA REVENUE AND TAXATION CODE.
1. WATER RIGHTS, CLAIMS OR TITLE TO WATER, WHETHER OR NOT SHOWN BY THE PUBLIC
RECORDS.
2. AN EASEMENT FOR PUBLIC UTILITIES AND INCIDENTAL PURPOSES.
GRANTED TO: THE SAN DIEGO GAS & ELECTRIC COMPANY
RECORDED: AUGUST 19, 1966 AS INSTRUMENT NO. 1966-135083, OF OFFICIAL
RECORDS.
AFFECTS: THE ROUTE THEREOF AFFECTS A PORTION OF SAID LAND AND IS MORE
FULLY DESCRIBED IN SAID INSTRUMENT.
3. OUR EXAMINATION OF RECORD TITLE TO THE HEREIN DESCRIBED LAND DOES NOT DISCLOSE
ANY EXISTING LOANS. WE THEREFORE REQUIRE THE OWNERS DECLARATION ATTACHED
HERETO BE SIGNED, NOTARIZED, AND RETURNED TO US BEFORE RECORDING.
4. ANY FACTS, RIGHTS, INTERESTS OR CLAIMS WHICH WOULD BE DISCLOSED BY A CORRECT
AL TA/ACSM SURVEY.
5. A CERTIFICATE OF COMPLIANCE, DATED SEPTEMBER 9, 2006 EXECUTED BY THE CITY OF
CARLSBAD COMPLIANCE NO. ADJ 16-05-CE 16-07 RECORDED SEPTEMBER 12, 2016, AS
INSTRUMENT NO. 2016-0475202 OF OFFICIAL RECORDS.
AFFECTS: LEGAL DESCRIPTION
4
ORDER NO. SD1650130
REQUIREMENTS:
6. PRIOR TO THE ISSUANCE OF ANY POLICY OF TITLE INSURANCE, THE COMPANY WILL REQUIRE:
A. THE RECEIPT AND REVIEW OF THE COMPLETED OWNER'S AFFIDAVIT SUBJECT TO FURTHER
REQUIREMENTS OF THIS COMPANY.
7. STATEMENT OF INFORMATION FROM L.M EDELSTEIN AND FAY EDELSTEIN.
8. STATEMENT OF INFORMATION FROM STEVE KLOVANISH.
*"*END OF SCHEDULE B"*"
5
Statement of Information
EQUITY TITLE COMPANY maintains procedural safeguards that comply with federal standards to protect the confidentiality and security of non-public
personal Information. This statement will serve to establish identity, eliminate matters affecting persons of similar name, protect you against forgeries, and
speed the completion of your title and escrow services. PLEASE BE SURE YOU HAVE FILLED THIS FORM OUT COMPLETELY; INCLUDING SIGNATURES AND DATE.
NOT PROVIDING REQUESTED INFORMATION MAY CAUSE A DELAY IN THE CLOSE OF YOUR TRANSACTION.· THANK YOU •
FOR ONLINE VERSION OF THIS FORM CLICK HERE FOR MORE INFORMATION ON THIS FORM CLICK HERE
ESCROW NO .. _______________________ TITLE ORDER: SD1650130
SOC.SEC.
NAt.E NUMBER ~---=F~IR .... S"'T,----------:F:-:-U,:-L,-L-M""ID,..D""L .... E,..N.,..,A,..M".":E::------------,LA-s-=T------DRIVER'S:,--LIC-,,,E_NS_E ____________ _
NUMBER _______________ _
DATE OF BIRTH _________ .BIRTHPLACE _________________ HOME PHONE. _________________ _
YOUR BUSINESS PHONE ____________ YOUR CELL PHONE _____________ YOUR FAX~----------
YOUR E-MAIL. ____________________ SPOUSE/DOMESTIC PARTNER E-UAIL. ________________ _
LIVED IN USA SINCE _______________ _ LIVED IN CALIFORNIA SINCE. ___________________ _
(CIRCLE ONE) NAME OF SPOUSE/ SOC SEC.
DOMESTIC PARTNER_--::=:=-------::,..,.,.,:-:-::-=:::-:--::-,,,...,-:-:-:::---------,....,.-::------NUMBER::-:-:==-==-------------FIRST FULL MIDDLE NAME LAST DRIVER'S LICENSE
NUMBE.~---------------DATE OF BIRTH, ________ _,BIRTHPLACE _________________ PREVIOUS Nt',ME ________________ _
SPOUSE/DOMESTIC PARTNER BUSINESS PHONE ___________ CELL PtfONE. ___________ .FAX. __________ _
LIVED IN USA SINCE LIVED IN CALIFORNIA SINCE. ___________________ _
IF MARRIED, OR IN A DOMESTIC PARTNERSHIP, DATE: ____________ _,AT ___ _,,.=--=------=---------------
CITY AND STATE
PREVIOUS MARRIAGE(S) OR DOMESTIC PARTNERSHIP(S) (If no previous marriage or domestic partnership, write "NONE"):
(CIRCLE ONE) NAME OF FORMER DECEASED DATE ________________ _
SPOUSE/DOMESTIC PARTNER. ________________ OIVORCED WHERE _______________ _
(CIRCLE ONE) NAME OF FORMER DECEASED DATE. ________________ _
SPOUSE/DOMESTIC PARTNER DIVORCED WHERE~---------------
(ATTACH ADDITIONAL PAGE, IF NECESSARY)
CHILDREN: NAME ____________ DATE OF BIRTH _______ NAME ______________ DATE OF BIRTH _____ _
NAME ____________ DATE OF BIRTH _______ NAME ______________ DATE OF BIRTH _____ _
INFORMATION COVERING PAST 10 YEARS.
Residence:
Your
Employment:
NUMBER AND STREET
NUMBER AND STREET
NUMBER ANO STREET
FIRM NAME AND ADDRESS
FIRM NAME AND ADDRESS
FIRM NAME ANO ADDRESS
Spouse/Domestic Partner
Employment:
FIRM NAME ANO ADDRESS
FIRM NAME ANO ADDRESS
FIRM NAME ANO ADDRESS
(ATTACH ADDITIONAL PAGE, IF NECESSARY)
CITY ZIP CODE
CITY ZIP CODE
CITY ZIP CODE
CITY ZIP CODE
CITY ZIP CODE
CITY ZIP CODE
CITY ZIP CODE
CITY ZIP CODE
CITY ZIP CODE
HAVE YOU OR YOUR SPOUSE/DOMESTIC PARTNER OWNED OR OPERATED A BUSINESS?
FROM TO
FROM TO
FROM TO
FROM T
FROM TO
FROM TO
FROM TO
FROM TO
FROM TO
LJ YES CJ NO IF SO, PLEASE LIST NAMES. _________________________________ _
I HAVE NEVER BEEN ADJUDGED BANKRUPT, NOR ARE THERE ANY UNSATISFIED JUDGMENTS OR OTHER MATTERS PENDING AGAINST ME WHICH MIGHT AFFECT
MY TITLE TO THIS PROPERTY EXCEPT AS FOLLOWS:
THE STREET ADDRESS OF THE PROPERTY IN THIS TRANSACTION IS: VACANT LAND/ADAMS ST/ APN: 206-180-41-00
The undersigned declare, under penalty of perjury, that the foregoing Is true and correct.
Dale:, ___________ _ x. ___________________________________ _
(SIGNATURE) Dallt:. ___________ _
(SPOUSE/DOMESTIC PARTNER SIGNATURE)
6
OWNER'S DECLARATION
Owner's of Record: __________________________ _
(Type or Print)
Each for Himself and or Herself, declare: That to my/our personal knowledge there are NO encumbrances in the form of a
Mortgage or Deed of Trust against the property in this transaction.
That this declaration is made for the protection of all parties to this transaction, and particularly for the benefit of Equity or
Progressive Title Company, which is about to insure the title to said property in reliance thereon, and any other title company
which may hereafter insure the title to said property.
That under penalty of perjury I/I/Ve will testify, declare, depose, or certify before any competent tribunal, officer, or person, in any
case now pending or which may hereafter be instituted, to the truth of particular facts hereinabove set forth.
TITLE ORDER: SD1650130
PROPERTY ADDRESS: VACANT LAND/ADAMS ST/ APN: 206-180-41-00, CARLSBAD, CA 92008
Owners of Record Signature Owners of Record Signature
ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only
the identity of the Individual who signed the document, to which this
certificate is attached, and not the truthfulness, accuracy, or validity
of that document.
;:,1c11.t:= a,~--·-·. ,a
County of
On before me, .
A Notary Public personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the
instrument.
I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature
(Seal)
7
Owners Affidavit:
In connection with the property located at: VACANT LAND/ADAMS ST/ APN: 206-180-41-00
CARLSBAD.CA
The undersigned Owner(s) (if more than one, each jointly and severally) ("OWNER") of the above described
Property, makes the following statements, declarations, representations and warranties to EQUITY TITLE
COMPANY ("Company") and to Underwriter:
[ _] 1. Owner warrants and represents that I/we is/are the owner of the property, that they have no pending
court proceedings including but not limited to bankruptcies or unsatisfied judgment(s) of record, or in any court.
No State of California, Federal, or any other tax liens filed or taxes assessed against them which may result in
liens against the real property involved in this transaction, including notices, citations and violations imposed by the
covenants, conditions and restrictions, bylaw and rules and regulations of any homeowners' association.
[ _] 2. Owner represents that they have not contracted for, ordered, or agreed to the supplying of any labor,
materials or construction-related services for construction for improvements on the Property, or for remodeling,
renovation, repair or other maintenance or construction of any improvements located on said Property.
[ _] 3. Owner represents that they know of no claims, encroachments, rights, interests, easements, rights of
way, liens, agreements, notices, options, contracts, HOA charges or fees, HOA liens, or other matters affecting
the Property, whether verbal, written, unrecorded, or appearing in the public records.
[ _] 4. Owner represents that they have not leased, permitted or granted to any other person or entity,
verbally, in writing or otherwise, any right to use, possess, occupy or inhabit the Property or any part thereof for
any purpose, and no other person has or claims any present right to use or possess the Property.
[ _ ) 5. Owner understands that Title Company and Underwriter will rely on the statements, declarations,
representations and warranties herein to close the transaction of which this affidavit and report referenced herein
are material parts, and to issue a policy or policies of title insurance on the Property, and Owner agrees to
indemnify and hold Title Company and/or Underwriter harmless from and against any loss or damage either or
both may sustain, including, but not limited, to reasonable attorney's fees and all court costs should any of the
statements, declarations, representations and warranties herein be incorrect.
EXCEPTIONS: [ _] There are no exceptions to the above statements
[ _ ] The only exceptions to the above statements are:
Date:
(SIGNATURE) (SIGNATURE)
8
NOTES:
WE DEPOSIT FUNDS RECEIVED ON YOUR BEHALF IN STATE OR FEDERALLY-CHARTERED
BANKS THAT ARE INSURED BY THE FEDERAL DEPOSIT INSURANCE CORPORATION
("FDIC"). THE ACCOUNT IS CURRENTLY HELD AT COMERICA BANK.
FDIC DEPOSIT INSURANCE COVERAGE APPLIES TO A MAXIMUM AMOUNT OF $250,000 PER
DEPOSITOR FOR DEPOSITS HELD IN THE SAME LEGAL OWNERSHIP CATEGORY AT EACH
BANK. FOR EXAMPLE, FUNDS HELD ON YOUR BEHALF IN AN ACCOUNT MAINTAINED BY US
WILL BE COMBINED WITH ANY INDIVIDUAL ACCOUNTS HELD DIRECTLY BY YOU AT THE SAME
BANK. YOU ARE RESPONSIBLE FOR MONITORING THE TOTAL AMOUNT OF DEPOSITS THAT
ARE OWNED DIRECTLY OR INDIRECTLY BY YOU IN ANY ONE BANK.
IF YOU HAVE QUESTIONS ABOUT FDIC DEPOSIT INSURANCE, CONTACT YOUR FINANCIAL OR
LEGAL ADVISORS OR GO TO HTTP://WWW.FOIC.GOV/DEPOSIT/DEPOSITS/INDEX.HTML. WE DO
NOT GUARANTEE THE SOLVENCY OF ANY BANK INTO WHICH FUNDS ARE DEPOSITED ANO WE
ASSUME NO LIABILITY FOR ANY LOSS YOU INCUR DUE TO THE FAILURE, INSOLVENCY OR
SUSPENSION OF OPERATIONS OF ANY BANK OR THE $250,000 FDIC DEPOSIT INSURANCE
LIMIT.
UNLESS OTHERWISE AGREED IN WRITING, EACH OF THE PRINCIPALS AGREES, UNDERSTANDS
AND ACKNOWLEDGES THAT: THE ESCROW ACCOUNT IS NON-INTEREST-BEARING; NO
FINANCIAL OR OTHER BENEFITS WILL BE EARNED BY OR PROVIDED TO ANY OF THE
PRINCIPALS WITH RESPECT TO SUCH FUNDS' AND EQUITY TITLE COMPANY AND ITS
AFFILIATES MAY INSTEAD RECEIVE DIRECT AND INDIRECT FINANCIAL AND OTHER BENEFITS
FROM THE DEPOSITORY WITH RESPECT TO SUCH FUNDS THESE BENEFITS SHALL BE TREATED
AS ADDITIONAL COMPENSATION TO EQUITY TITLE COMPANY FOR ITS SERVICES AS AN
ESCROW HOLDER IN THIS TRANSACTION.
NOTE: UNLESS OTHERWISE DIRECTED IN WRITING, EQUITY TITLE COMPANY AUTOMATICALLY
ISSUES THE ALT A HOME OWNER'S POLICY ON ALL QUALIFYING RESIDENTIAL PROPERTY SALE
TRANSACTIONS.
NOTE: THIS COMPANY REQUIRES CURRENT BENEFICIARY DEMANDS PRIOR TO CLOSING. NO
PAYOFFS WILL BE MADE USING "VERBAL" FIGURES
NOTE: EFFECTIVE JANUARY 1, 1990, ASSEMBLY BILL 512, ENACTED AS CHAPTER 598, WILL ADD
SECTION 12413.1 TO THE CALIFORNIA INSURANCE CODE DEALING WITH THE "GOOD FUNDS"
ISSUE. FUNDS DEPOSITED BY:
□ CASH AND BY ELECTRONIC TRANSFER (WIRED FUNDS) WILL BE AVAILABLE FOR SAME
DAY DISBURSEMENTS.
□ CASHIER'S CHECKS, CERTIFIED CHECKS AND TELLER'S CHECKS WILL BE AVAILABLE FOR
NEXT DAY DISBURSEMENTS.
□ ALL OTHER TYPES OF CHECKS WILL NOT BE AVAILABLE FOR DISBURSEMENT UNTIL THE
DAY PROVIDED IN REGULATION CC ADOPTED BY THE FEDERAL RESERVE BOARD OF
GOVERNORS.
□ A DRAFT WILL NOT BE AVAILABLE FOR DISBURSEMENT UNTIL THE DRAFT HAS BEEN
SUBMITTED FOR COLLECTION AND PAYMENT RECEIVED BY OUR BANK.
PLEASE NOTE: THIS COMPANY WILL MAKE DISBURSEMENTS ONLY IN THE SAME MANNER AS
WHICH FUNDS ARE RECEIVED. SHOULD THIS COMPANY BE REQUESTED TO MAKE ANY
DISBURSEMENTS BY ELECTRONIC TRANSFER (WIRED FUNDS), THIS COMPANY WILL REQUIRE
FUNDS TO BE DEPOSITED TO OUR ACCOUNT BY ELECTRONIC TRANSFER.
9
EQUITY TITLE COMPANY
SD1650130
COMERICA BANK
EQUITY TITLE COMPANY
123 CAMINO DE LA REINA.SUITE 100 WEST
SAN DIEGO, CA 92108
PHONE: (619) 574-5985
FAX: (619) 294-3298
WIRE TRANSFER INSTRUCTIONS
2321 ROSECRANS AVENUE,# 5000
EL SEGUNDO,CA 90245
ABA # 121137522
CREDIT: EQUITY TITLE COMPANY-(SD1650130, NICK ASHCRAFT)
ACCOUNT# 1891614867
SHOULD YOUR WIRE INSTRUCTION BE INCOMPLETE OR INCORRECT, IT WILL BE RETURNED
WITHOUT NOTICE.
IF YOU HAVE ANY QUESTIONS IN THIS REGARD PLEASE CONTACT YOUR TITLE OFFICER
IMMEDIATELY.
10
ATTENTION:
EQUITY TITLE COMPANY
123 CAMINO DE LA REINA.SUITE 100 WEST
SAN DIEGO, CA 92108
PHONE: (619) 674-6985
YOUR NO.: APN: KLOWANISH
OUR NO.: SD1650130
DATE: SEPTEMBER 26, 2016 AT 7:30 A.M.
NICK ASHCRAFT, TITLE OFFICER
LENDERS SUPPLEMENT AL REPORT
THE ABOVE NUMBERED REPORT (INCLUDING ANY SUPPLEMENTS OR AMENDMENTS THERETO)
IS HEREBY MODIFIED AND/OR SUPPLEMENTED IN ORDER TO REFLECT THE FOLLOWING
ADDITIONAL ITEMS RELATING TO THE ISSUANCE OF AN AMERICAN LAND TITLE ASSOCIATION
LOAN FORM POLICY AS FOLLOWS:
THIS REPORT IS PREPARATORY TO THE ISSUANCE OF AN ALTA LOAN POLICY. WE HAVE NO
KNOWLEDGE OF ANY FACT WHICH WOULD PRECLUDE THE ISSUANCE OF THE POLICY WITH
CLTA ENDORSEMENT FORMS 100AND 116ATTACHED.
WHEN ISSUED, THE CLTA ENDORSEMENT FORM 116 WILL REFERENCE A VACANT LAND
KNOWN AS
VACANT LAND/APN: 206-180-41-00
ACCORDING TO THE PUBLIC RECORDS, THERE HAVE BEEN NO DEEDS CONVEYING THE LAND
DESCRIBED HEREIN WITHIN A PERIOD OF THIRTY-SIX (36) MONTHS PRIOR TO THE DATE OF THIS
REPORT, EXCEPT AS FOLLOWS:
NONE.
11
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This plat Is for your aid In locating your land 11Ath reference to streets and other paroets V'vhle lhs plat Is believed to be correct_ the company assLmes no llall,lity for any loss occumng by reason
of reliance thereon_
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FACTS WHAT DOES EQUITY TITLE COMPANY DO
WITH YOUR PERSONAL INFORMATION?
Financial companies choose how they share your personal information Federal law gives
consumers the right to limit some but not all sharing Federal law also requires us to tell you
how we collect. share, and protect your personal information Please read th is notice carefully to
understand what we do.
The types of personal information we collect and share depend on the product or service you
have with us This information can include:
■ Social Security number and account balances
■ payment history and credit card or other debt
• checking account information and wire transfer instructions
When you are no longer our customer, we continue to share your information as described in thi s
notice.
All financial companies need to share customers' personal information to run thei r everyday
business In the section below. we list the reasons financial companies can share their
customers personal information: tile reasons EQUITY TITLE COMPANY chooses lo share and
whether you can limit this sharing
For our everyday business purposes-
such as to process your transactions, maintain
your account(s), respond to court orders and legal
investigations, or report to credit bureaus
For our marketing purposes-
to offer our products and services to you
For joint marketing with other financial companies
For our affiliates' everyday business purposes-
information about your transactions and experiences
For our affiliates' everyday business purposes-
inform ation about your creditworthiness
For our affiliates to market to you
For nonaffiliates to market to you
Call (888) 485-3791
13
Yes
Yes
No
Yes
No
No
No
No
No
We don't share
No
We don't share
We don't share
We don't share
Page 2
Who is providing this notice?
How does EQUITY TITLE COMPANY
protect my personal information?
How does EQUITY TITLE COMPANY
collect my personal information?
Why can't I limit all sharing?
What happens when I limit sharing
for an account I hold jointly with
someone else?
Affiliates
Nonaffiliates
Joint marketing
EQUITY TITLE COMPANY
To protect your personal information from unauthorized access
and use, we use security measures that comply with federal law
These measures include computer safeguards and secured files
and buildi ngs.
We collect your personal information, for example, when you
., apply for insurance or pay insurance premiums
.. provide your mortgage information or show your driver's license
"' give us your contact information
We also collect your personal information from others. such as credit
bureaus, affiliates, or other companies
Federal law gives you the right to limit only
11 sharing for affiliates' everyday business purposes-information
about your creditworthiness
• affiliates from using your information to market to you
■ sharing for nonaffiliates to market to you
State laws and individual companies may give you additional rights to
limit sharing.
Your choices will apply to everyone on your account-unless you tell us
otherwise
Companies related by common ownership or control They can be
financial and nonfinancial companies.
■ Our affiliates include companies that are owned in whole or in part
by Realogy Holdings Corp., such as Better Homes and Gardens@
Re al Estate, CENTURY 21®, Coldwell Banke,®, Coldwell Banker
Commercial®, The Corcoran Group®, ERA®, Sotheby's
International Realty®, ZipRealty®. NRT LLC. Cartus and Title
Resource Group.
Companies not related by common ownership or control. They can be
financial and nonfinancial companies.
■ EQUITY TITLE COMPANY does not share with nonaffiliates so they
can market to you
A formal agreement between nonaffiliated financial companies that
together mark et financial products or services to you
■ EQUITY TITLE COMPANY does not share with nonaffiliated
finan cial companies for joint marketing purposes
14
EQUITY TITLE COMPANY
Available Discounts
EQUITY TITLE COMPANY is pleased to inform you that upon proper qualification, there are premium discounts available upon the purchase of title
insurance covering improved property with a one to four family residential dwelling.
Such discounts could apply to:
Property located within an area proclaimed a state or federal disaster area
Property purchased from a foreclosing beneficiary or successful bidder at a foreclosure sale
Property being refinanced
Please talk wiC!:J voor tille off,c;er to determine your ouailjcation '°' any of these discounts.
EXHIBIT B (Revised 11-01-2014)
LIST OF PRINTED EXCEPTIONS AND EXCLUSIONS (By Policy Type)
1. CALIFORNIA LAND TITLE ASSOCIATION STANDARD COVERAGE POLICY -1990 (Revised 04/081141
EXCLUSIONS FROM COVERAGE
The following mailers are expressly excluded from the coverage of this policy and lhe Company will not pay loss or damage, costs, allomeys' Joos or expenses which arise by reason of:
1. (a) Any law, ordinance or governmental regulation (Including but not limited lo building and zoning laws, ordinances, or regulations) reslricting, regulating, prohibiting or relating lo (I) the occupancy,
use or •nJoymenl or the land; (ii) the character, dimensions or location or any impro,..,ment OOH or hereaner erecled on Iha land; (iii) a separation in ownership or a change in the dimensions or
area of the land or any parcel of which Iha land is or was a part; or (iv) envlronmenlal proleclon, or the effect of any vlolation of these laws, orcinanoos or go,..,rnmantal regulations. excepl to the
extent that e notice or enforcemenl thereof ore notice of a defecl, lien or encumbrance resulling from a violation or alleged violation affecting the land has been recorded in the public records el
Dale or Policy
(b) Any governmenlal police power not excluded by (a) abo,..,, except to Iha extenl that a notice of the exercise thereof or a notice or a defect, lien or encumbrance resulting from a vlolation or
alleged vlolaUon affecting Iha land has boon recorded in the public records al Date of Policy
2 Rigtlts of eminenl domain unless nolice of lhe exercise thereof has boon recorded In the public records at Date or Policy, but not excluding from coverage any taking which has occurred prior to Dale
of Policy which would be binding on lhe rights of a purchase, for valua without knowledge
3 Defects, liens, enc1.rnbrances, adverse claims, or other mallers:
(a) whether o, nol recorded in Iha public ,acords at Data of Policy, bul created, suffered, assumed or agreed to by lhe insured claimant;
(b) not known lo the Company, nol recorded in the public records at Dale of Policy. bul known lo lhe insured clelmanl and not disclosed in writing lo the Company by the insured claimant p,ior to
lhe dale Iha insured claimanl became an insured under lhis policy;
(c) resulting in no loss or damage to lhe insured claimant;
(d) allaching or created subsequent to Date of Polley; or
(e) resulting In loss or damage which would nol haw been sustained if the insured claimant had paid value ror the insured mongage or tor Iha estate or interest Insured by this policy.
Unenforceabil1ty of the lien of the insured mortgage because of the inability or failure of the insured al Dale of Policy, or Iha Inability or failure of any subsequent owner of Iha indebtedness, 10 comply
with the applicable "doing business" laws of the slate In which lhe land is situated
5 lnvdlidity or unenforceability or the lien of lhe insured mortgage, or claim thereof. which arises out of lhe lransaction evidenced by the insured mortgage end is based upon usury or any consYmer
credit proteclion or truth In lending law
6 Any claim, which arises oU\ of lhe transaction vesting In the Insured the estate or Interest Insured by their policy or the transaction creating the interest of the insured lender. by reason of the operation
or federal bankruptcy, stale insolvency or similar creditors' rights laws
EXCEPTIONS FROM COVERAGE · SCHEDULE B PART 1
This policy does not insure against loss or demage (and the Company will not pay costs, attorneys' fees or expenses) which arise by reason of:
1 Taxes or assessments which ara nol shown as existing liens by the records of any taxing authority that levies taxes or assessmenls on real property or by the public records Proceedings by a public
agency which may result in taxes or assessments, or notice of such proceedings, whether or not shown by the records of such agency or by the public records.
Any facts, rights, interests or claims which are not shown by the public records but which could be ascertained by an Inspection of Iha land or which may be asserted by persons in possession
lhareof
3 Easements, Ii ans or encumbrances, or claims thereof, which are not shown by the public records
4 Discrepancies, conflicts in boundary lines, shortage in area, encroactvnents, or any olher facts which a correct survey would dsclose, and which are not shown by the public records
5 (a) Unpatantod minng claims; (b) reservations or exceptions In patents or in Acts authorizing the Issuance thereof; (c) waler rights, claims or Ulla lo water, whether or nol lhe mailers excepted under (a), (b), or (c) are shown by Iha public records
6 Any lien or righl lo a ian for services, labor or material not shown by Iha public records
2. CLTA HOMEOWNER'S POLICY OF TITLE INSURANCE 2013 / ALTA HOMEOWNER'S POLICY OF TITLE INSURANCE 2013 (Revised 12102/13)
Co,..,red Risks 16 (Subdvlsion Law Violation), 18 (Building Permit), 19 (Zoning) and 21 (Encroachment of boundary walls or fences) are
subject to Deductible Amounts and Maximum Dol-,r Limits or Liability
EXCLUSIONS FROM COVERAGE
In addition lo the exceplions in Schedule 8, you are not insured against loss, costs, auorneys' fees, and expenses resulUng from:
1 Gowmmenlal police power, and the exislence or vlolalion of any law or go,..,mment regulation This includes building and zoning ordinances and also laws and regulations concerning:
(a) building
(b) zoning
(c) land use;
(d) impro,..,menls on the land
(e) land division
(J) envlronmental protection
This exclusion does nol limlt the co,..,rege described In Co"'red Risk ea, 14, 15, 16, 18, 19, 20, 23, o, 27
2 The failure of Your existing structures, or any part of lham, to be constructed In accordance with applicable b\.ilding codes This Exclusion does not llmlt coverage described in Cowred Risk 14 or 15
3 The right lo take the land by condemning it This E,a:lusion does nol llmit the co,..,rage described in Co,..,red Risk 17
4 Risks:
(a) that are created. allowed, or agreed to by You, whether or not lhay appear In lhe Public Records;
(b) lhal are Known lo You at Iha Policy Date, but not to Us, unless they appear In the Public Records al the Polley Dale;
(c) that result in no loss lo You; or
(d) thel first occur after the Policy Date --this does not limit lhe co,..,rage described iii Co,..,red Risk 7, 8 e, 25, 26, 27, or 28
5 Failure lo pay value for Your Title 6 Lack or a light:
(a) lo any Land outside the area specifically described and referred lo In paragraph 3 of Schedule A; and
(b) in streets, alleys, or waterways that touch the Land
This Exclusion does not limit the covarega described in Co,..,red Risk 11 or 21
7 The transfer or the TIiie 10 You is invalid es a preferenllal transfer or as a fraudulent transferor con,..,yance under federal bankruptcy, stale insolvency, or similar credlto(s rights laws
8 Contamination, explosion, fire, flooding, vibration, fracturing, earthquake, or subsidence
9 Negligence by a person or an Entity exercising a right to extract or de,..,lop minerals, water, or any other substances,
3. ALTA EXPANDED COVERAGE RESIDENTIAL LOAN POLICY (12102/13)
EXCLUSIONS FROM COVERAGE
The following matlers ere expressly excluded from the coverage of this policy end the Company will not pay loss or damage, costs, ettomey'a fees or e,cpenses which arise by reason ot
1 (e) Any law, ordinance, permit, or gowrnmenlal regulation (Including those relatlng to building and ionJng) restncUng, ragutatlng, prohlblUng, or relaling to
(i) Iha occupancy, use, or enjoyment of lhe Land;
(ii) the tharacler, dimensions, o, location of eny lmpro,..,ment areclad on lhe Land;
(iii) lhe subdivision or land; or
(iv) envlronmental protection;
or lhe effect of any vlolalion of thasa laws, ordinances, or go,..,rnmental ragulaUons
This Exclusion 1(a) does not modify or limll lhe co,..,rage provided under Cowred Risk 5, 6, 13(c), 13(d), 14 or 16,
(b) Any go,..,rnmenlal pollce power This Exclusion 1(bJ does nol modify or llmlt Iha co,..,rega provided under Covered Risk 5, 6, 13(c), 13(d), 14 or 16
2 Rights or eminent domain This Exclusion does not modify or limit the cowrage provided under Covered Risk 7 or 6
3 Defects, liens, encumbrances, adverse claims, o, olher matters
(a) created, suffered, assumed, or agreed lo by the Insured Claimant;
(b) not Known lo the Company, not recorded In the Public Records al Dale of Polley, bul Known to the Insured Claimant and not disclosed in writing lo Iha Company by the Insured Claimant pl1or lo
the date the Insured Claimant became en Insured under this policy;
(c) resulting In no loss or damage lo Iha Insured Claimant;
(d) anaching or created subsequent to Dale of Polley (howe,..,r, this does not modify or llmll Iha coverage prolAded under Covered Risk 11, 16, 17, 18, 19, 20. 21. 22, 23, 24. 27 or 28): or
(el 1'8SUllillg "'loss Ol dauge Iha! would-"·"'"""" --Ille lhla<Jd Clamald Nld pad 'Wl9.ll! for Ille lnSIAd McJnilage 4. ~IY of lleloen of Ille lnl\M'0d MotlgaVO-GI ll1e. Of-9 GI a, hsu1!ci IO 00ftll)ly wllh IIA'licabe cloin!l-l>uSnlU lflws GI It Slille "' re lho land is li!UOIL'<I 5. h _ t,« ·!11fo<coatliilyf1-..tdeorinp;Mtofllle o1111e-....ec11oto1tgagell\ill arisesoul Gf lllelransa:lion ~l>J lhelMl.ncl M<lrtgage and is based ..,an usury orlil'IJcr,rlSumer
~ l)(Ole(kHI crll\#>-lnendingfaw This Eicl,siari does -IIIOdily o, lin1it lhiocoverage pn,-.1 lnCowr..S Risk28
6. ,.,.,, claim GI~-..-cealiily o, lilClt ol f111"'111cllhellencllho lnsun,d Mongage as ID "4wnces ormodkal,ons mu att,;t lhe ln6unld llas iu-ieo,,,e 111a1 lllo•,esu,e sl'O#nin Schedule
A 1$ ro kJn!p,rllleown&fdtlle-Of l"lle(esl~ 0,-..S paicy This !:>du-, does 1101 modify orlrnlt 1he c-,,gepro-ln Co-eel RiSI< 11 lvr, lieo on""' Hie fot ,e esui.e IAIMIS ar ..__ l>J~ ~ ...s cruatod«altacfing s\bsl!qJonl ID Dall> ol Poky ms Eicluston -not mcdly «nt the
coverage provided in Covered Risk 11 (b) or 25.
8 The failure of lhe rosidanllal slruclUra, or any portion of ii, lo have been construclad before, on or after Date of Polley in accordance with applicable building codes This Exclusion cloes not modify or
limil the coverage pro\fided in Cowred Risk 6 or 6.
9 Any claim, by reason of Iha operallon of federal bankruptcy, state insolvency, or similar creditors· nghls laws, that the transaction creating tho lion of the Insured Mortgage, is (a) a,,__e01weyanceo, ___ ,.,,
(b) a prolllrorCJ;II transle< IOf any wasoo not slll!ed 11 co-,ered Risk 27(b) of this policy.
10 ConLlmonalon, e)flloslon. In. 1-ng. ~. tr.lClumg. earthquake, or subsidence.
11 NegllfJl)nce b1 a poncnOI., Enll(y e"8n:is41\g ., . ...,.. IO ,act or develop minerals, water, or any other substances
4. 2006 Al TA LOAN POLICY (06-17-08)
EXCLUSIONS FROM COVERAGE
The totlOW1119 mat me e>p1!S51y 8.Jdidod from ttll! ~ of this pdlq, end fll! Cor,..a,iy wG nu1 pay loss or damage, costs, altorneys' fees, or expanses that artse by reason of:
(a) f,ny • .........,.._ penn,t. at go•orm1411111!1 •~ {.-ig lllooe 1datmg lo buildng and zoning) raslrtcting, regulating, prohibillng or relating lo
(t) lhe oca,pancy, Uff, "'"""""""'"' tile Land, (ti) lhechllraelar. dim...-.S. orlal:alenof an, improwmef~ efflCled on tho lllll'.l:
(Ml) lh& Sul>ChlSIQfJ ol lald; or--po,ll on;
o, tho ul(UQ ol s,y "'°"'liOl'I ol fiese laws. orlllnances, or go,,amw, ~ Tll's Exduolon 1 (a) does nol modify or limit the coverage provided under Covered Risk 5
(b) Ar., 91>-pcl,ce -• ,w, EJduslon l(b) doosflOI mO<lify or lmd lhe ~ pro,ided under Covered Risk 6
2 Righls of amfncol.dotllUll lhs Emt111011 -na1 mocify ll'lml "8 ....-..ago p,o111ded undat covered Risk 7 ore 3 Defects, liens, enct..mbrances, adverse claims, orothermallers
(a) created, suffered, assumed, or agreed lo by lhe Insured Claimant:
(b) nol Known to the Company, nol recorded in lhe Public Records al Dale of Policy, bul Known-to the Insured Claimant and not disclosed In wriling to the Company by the Insured Claimant prior to
the dale the Insured Claimanl became an Insured under this pclicy;
(cl ms1'tmg In no loss or dattagt1 IO the Insured Clanarll,
jd)allad~orcraated1ubsequent100.ofl'lllq(ho,o'..-.this dOesnotmodllyorlmlll co.e,"&gepro,ictodunderCo"'11811Risk 11.13, or 14); or
(e)res.Ang I<><$ or nage Iha\ w<Md nol '--s""8ined If the N .. od et.nanl had paid wk,o for lhl> h5ldd Mortgage
4 Ur~ ol lhelt<ln ol tho lllsu-ed Mo<tgage bei:ause ol lhe i~cy or laJUltl of an mu,O<J lo ~y w111 awlable clcJinO-buslness laws of the stale where the Lend is silualed.
5 lmelt<ltty o, ~1Y 11 ~ or111 part ol Ille f/1 lit lnsurucr Morlvage lh.:118l'iSM OUI of the 1ransadion 8'1doneed by 1118 Insured Mongaga and is based upon usury or any consumer
credit prolecloon or truth-In-lending lav1-
6 Any claim, by reason of lhe operation of federal bankruptcy, stale insolvency, or similar creditors' rights laws, thal the transacllon creating the lien of lhe Insured Mongage, Is
(a) e fraudulent con or kaJll.-ent tnlr1Sler. o,
(b) a prafarenllal lranstur tor q n,ascin nae slallld ,n ec,,.«od Risk 13(b) of this policy.
Any lien on the Tille l<lt I eslale ia...s m •--ft1!11JSod by govemmanlal aulhority end created or allachlng belwean Date of Policy and lhe date of recording of lhe Insured Mortgage in Iha
Public Records This ~ dQ.85 nae modify or llrril d11J coverage provided under Covered Risk 11 (b)
The above policy fom, may be issued to afford ellher Standard Coverage or Extended Coverage. In addition 10 Ille above Exclusions from Coverage. the Exceptions from Coverage in a Slandard
Coverage policy will also indude Iha following Exceptions from Coverage:
EXCEPTIONS FROM COVERAGE
This poltcy does A0I insure against loss er aanage l••Uie Company will not pay a>sl$. ld0moys. IU!Js ore~) I hat arise by reason of:
1 (a) 'r or-essmenls thal arenot.,_,.,as 8'IIMln!lionsbtthelllCORB ol¥f'/l-,g auillunlylhat 10 taxes or assessments on real property or by the Public Records: (b) proceedings by a
pulfloc "!JlflCF that may result in w.es or__.$. or 111111CM ol Sl.td> ~-wllethal or nal stioNn by Iha records of such agency or by lhe Pubfic Records
2. Any-. '91f5. interests. ordaimslhitlan,nal ~btf lllePldcR llu1 i181Ci0Ulclbeascertalned by an 1nspeclion of lhe Land or lhal may be asserted by parsons in possession or the
Land
3 Easements, liens or encumbrances, or clains thereof, not shown by the Publlc Records
4 Any encroachnonl, encumbranca, vlolalion, varialion, or adverse circumstance affecting the Title that would be disclosed by an accurate and complele land su,vey of lhe Land and nol shown by the
Public Records
5 (a) Unpalenlad mining claims; (b) reservations or exceptions In patents or In Acts authorizing Iha Issuance thereof; (c) water righls, dalms or title lo water, whether or nol the mailers excepted under
(a), (b), or (c) are shown by lhe Public Records.
6 Any lien or riglit to a lien for services, labor or malarial nol shown by the Public Records
5. 2006 Al TA OWNER'S POLICY (06-17-06)
EXCLUSIONS FROM COVERAGE
The following matters are expressly axi;luded from Iha coverage of this policy, and the Company will nol pay loss or damage, costs, attorneys' fees, or expenses that artsa by reason of:
1. (a) Any law, ordinance, permit, or govemmenlal regulation (Including those relating to building and zoning) f"stricling, regulating, prohibiting, or relaling lo
(i) the occupancy, use, or enjoyment ol lhe Land;
{ii) Iha character, dimensions, or location of any improvement erected on the Lend:
(Iii) the subdivision of land; or
(Iv) environmen1a1 protection:
or the effecl of any ..,olalion of lhese laNs, ordinances, or governmenlal regulations This Exclusion 1(a) does nol modify or limit the coverage provided under Covered RISk 5
(b) Any governmental police power. This Exclusion 1(b) does not modify or limit the coverage pro>ided 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 mailers
(a) created, suffered, assumed, or agreed to by the Insured Claimant:
(b) not Known 10 the Company, not recorded In the Public Records al Date of Polley, bul Known to the Insured Claimant and not disclosed in writing to Iha Company by the Insured Claimant prtor to
Iha dale the Insured Claimanl became an Insured under this policy;
(c) Nltollng 11 no loss or cbnage to the lnsU<8d Claimant;
(d) atlllel1ing or avatod wbsequer'C to Date of l'dl:y (however, this does not modify or limll the coverage pro'1ded under Covered Risk 9 and 10): or
(a) nnulir,g lo lo!ss or d!wnage lhal w<Ud nal ,_ been sustained if the lnse<ed Claimant had paid value for the Title. Any da n. by niason of ti. cpemlion ol lede(II benkruplcy, state insolvency, or similar cradilors' lights laws, lhat the transaction vesting the Tille as shown In Schedule A, Is
(a) e fraudulenl conwyance or fraudulent transfer: or
(b) a preferential transfer for any reason not slated In Covered Risk 9 of this policy.
s Any lien on tho ntla for real estate laxes or assessments imposed by governmental authority and created or attaching belwean Dale of Policy and the date or recording of the deed or other
instri.menl of lransfer in the Public Records thal vests nue as shown in Schedule A,
The above policy fom, may be Issued to afford either Stardard Coverage or Extended Coverage, In addition to lhe above Exclusions from Cowrage, the Exceptions from Coverage In a Standard
Coverage policy wal also lndude Iha following Exceptions from Coverage:
EXCEPTIONS FROM COVERAGE
This pdil:ydoos nae ..,. agalnsUoss ordaml9J (aniltfleContpai,MII nol pay costa, _,.,,,,,· iees or e,p,nses) that arise by.....,,. al,
ta) Til>M or asseas111 s tllal Ml na1 ._,.. as a>o$11r1Q lienl by tho l'IM:OC"ds of w,y taq a.tlharilr lhlll te'4el ta,aas or as, .. $111_ 0<1 red property or by the Public Raccrds: (b) proceedings by a
puct,cagen:y hltm..ylOSIAl111 taJ<etor ..... srnonc •. or<1Cldcesofsuell~.whol!Wr0tnot-.,bythe10C01mclsuchag11nC1orbythePublicRacords.
2 Any tacts, "!JIU.-· or ct.ams 11181..,, rt0I •'-" i1.., Pullllc Reoonts bit that coold bo as-ed by an inspection 011!111 land Of Illa! may be asserted by parsons In possession of lhe
Land
3 Easements, liens or encumbrances, or claims lhereof, not shown by the Public Records
4 Any encroactvnanl, encumbrance, vlolallon, vanation, or adverse circumstance affacUng lhe TIiie thal would be dlsdosed by an accurate and complete land survey of lhe Land and lhal are nol
shown by lhe Public Records.
5 (a) Unpalented mining claims: (b) reservations or exceplions In patents or in Acts aulhorlzlng lhe Issuance !hereof; (c) waler rights, daims or title lo waler, whether or nol the matlers excepted under
(a), (b), or (c) are shown by lhe Public Records.
6 Any lien or righl to a lien for services, labor or malarial not shown by the Public Records
Slopes Table
Number Minimum Slope Maximum Slope
1 25%
2 40%
NOTE: DEVELOPMENT OF ONE
SFD ON A RESIDENTIAL LOT
40%
1094%
1
/S EXEMPT FROM REQUIREMENT
FOR HILLSIDE PERMIT
PER 21.95.040.
20 0
~-I ~-20 40
SCALE: 1 "-20'
~ COFFEY ENGINEERING, INC.
Color
■
■
60
p~C(L '
PM 792 I
-\_
/ \
L _,_ ----
l
\ 3-4 FEET OF HISTORICAL
FILL ENCOUNTERED IN
\ SOILS TEST PITS
5.27' VERTICAL
HEIGHT i\.
poR11O~ of L01 , '
BLOCK C
1-,A/:>-P NO-2152
~, -,., .... • z\
·\
\
1' .~ .. ,
\_ •
/"
•--. -
--
SLOPE ANALYSIS
---
----
~ . ..,,~
..
i(,~
_,,,
J
GREATER THAN 40% SLOPE
EXEMPT PER
----2..1. 95.140(8)( l )(b},{c}
~ANEJ-f€JJ-_
Of LO1
pOR11O~ C 13LOCK
"-10 2152 w..t:>-P ~ .
~ ✓ /
/' ~ --~
_,,,. ... -
J-;
PM
=-----.
-~-,:J
--------_ 14.07' VERTICAL
HEIGHT
I
12
~
il1r -------r~---
1 s,REEi
pf>,RC(L
PM 13
GREATER THAN 40%
SLOPE EXEMPT PER
21. 95.140(8/{ 1/(b},{c/
AND(d}
"~-"' 111....~S ( ,, "'--GREATER THAN 4o%-
~Q r ------sLOPE OFFS/TE IC ----.. -
,L CUT SLOPE
/"" . ' __J. --_JjJ.. --------L.1.1__ ----------..,.-...
ADAMSSTR,
(MAN-,
_,,rll-"
... //
,,,,., ...... ---~
KLOVANISH RESIDENCE -ADA MS STREET, CARLSBAD, CA
.... City of Carlsbad
Faraday Center
·~
Faraday Cashiering 001
1634901-2 12/14/2016 149
Wed, Dec 14, 2016 11 :37 AM
Receipt Ref Nbr: R1634901-2/0013
ENERGOV -ENERGOV
Tran Ref Nbr: 163490102 0013 0013
T-1ns/Rcpt#: 00001367
;;,'_1 #: 00001367
Amount:
Item Subtotal :
Item Total:
ITEM(S) TOTAL:
Check (Chk# 4698)
1 @ $1 , 465 . 56
$1,465.56
$1,465.56
Credit Card (Auth# 01183C)
Total Received:
$1,465.56
$1,097.00
$368.56
$1,465.56
Have a nice day!
**************CUSTOMER COPY*************
BILLING CONTACT
STEVEN KLOVANISH
2721 Carlsbad Blvd
Carlsbad, Ca 92008-2210
INVOICE NUMBER
00001367
REFERENCE NUMBER
CDP2016-0005
December 14, 201611:31 am
INVOICE DATE INVOICE DUE DATE
12/14/2016 12/14/2016
FEE NAME
COASTAL DEVELOPMENT PERMIT (PLN)
NOTICE FEE(PLN/ENG) (plus postage)
POSTAGE (ALL)
City of Carlsbad
1635 Faraday Avenue
Carlsbad, CA 92008-7314
INVOICE STATUS
Due
{'cityof
Carlsbad
INVOICE DESCRIPTION
NONE
TOTAL
$1,117.00
$326.00
$22.56
SUBTOTAL $1,465.56
TOTAL _I ______ $_1_,4_ss_._ss .....
11111111111111111 IIIII 11111 1111111111 1111111111 11111111111111 1111
Page 1 of 1
City of Carlsbad
Faraday Center
Faraday Cashiering 001
1634901-2 12/14/2016 149
Wed, Dec 14, 2016 05:02 PM
Receipt Ref Nbr: Ri634901-2/0023
ENERGOV -ENERGOV
Tran Ref Nbr: 163490102 0023 0023
Trans/Rcpt#: 00001399
SET#: 00001399
Amount:
Item Subtotal :
Item Total:
1 @ $3.29
$3.29
$3.29
ITEM(S) TOTAL: $3.29
Credit Card (Auth# 03582C) $3.29
Total Received: $3.29
Have a nice day!
**************CUSTOMER COPY*************
.-'
" '~ INVOICE {00001399) ~
BILLING CONTACT
STEVEN KLOVANISH
2721 Carlsbad Blvd
Carlsbad, Ca 92008-2210
INVOICE NUMBER
00001399
REFERENCE NUMBER
CDP2016-0005
December 14, 2016 3:46 pm
INVOICE DATE
12/14/2016
FEE NAME
POSTAGE (ALL)
INVOICE DUE DATE
12/14/2016
City of Carlsbad
1635 Faraday Avenue
Carlsbad, CA 92008-7314
INVOICE STATUS
Due
Ccityof
Carlsbad
INVOICE DESCRIPTION
NONE
TOTAL
$3.29
SUBTOTAL $3.29
TOTAL ... I _______ $_3_.2_9 ..... 1
11111111111111111 IIIII 11111 1111111111 1111111111 1111111111 11111111
Page 1 of 1