HomeMy WebLinkAboutCDP 15-36; Olsen Second Dwelling Unit; Coastal Development Permit (CDP)( tyof
Carlsbad
APPLICATIONS APPLIED FOR: (CHECK BOXES)
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
(760} 602-4610
www .ca rlsbadca .gov
Development Permits (FOR DEPT. USE ONLY) Legislative Permits (FOR DEPT. USE ONLY)
~ Coastal Development Permit (*) 0{ Minor ri ~~(. D General Plan Amendment
D Conditional Use Permit (*)
0 Minor 0 Extension
D Day Care (Large)
0 Environmental Impact Assessment
D Habitat Management Permit D Minor
D Hillside Development Permit (*) 0 Minor
D Nonconforming Construction Permit
D Planned Development Permit D Minor
D Residential 0 Non-Residential
D Planning Commission Determination
0 Reasonable Accommodation
0 Site Development Plan D Minor
0 Special Use Permit
D Tentative Parcel Map (Minor Subdivision)
0 Tentative Tract Map (Major Subdivision)
D Variance 0 Minor
0 Local Coastal Program Amendment (*)
D Master Plan
D Specific Plan
D Zone Change (*)
0Amendment
0Amendment
D Zone Code Amendment
South Carlsbad Coastal Review Area Permits
D Review Permit
D Administrative D Minor [] Major
Village Review Area Permits
D Review Permit
D Administrative D Minor IJ Major
(*) = eligible for 2~% discount
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4:00P.M.
ASSESSOR PARCEL NO(S).: cil/t/~ S "'(} c-;2? r l) U
PROJECTNAME f.j~'f> ~l'i= Q;{;; 0<·'t£d/ .SE,~QN.l) J)col;u~
BRIEF DESCRIPTION OF PROJECT: $uoncl W ( .. Jlivt~ ilo df 14'\.. \ ~k_ C./'S b Stl-~If
\
BETWEEN AND
(NAME OF STREET} (NAME OF STREET}
P-1 Page 1 of6 Revised 07/15
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS
SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR
APPLICANT NAME (Print):
MAILING ADDRESS: ---------------------------CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
"'
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
THE BE~Y KNOWLEDGE.
Sl
eLk ?A$h~ -,-::.,~~-L----1 SIGNATURE OAT~ /
PU SES [IS APPLICATION.
APPLICANTS REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION. INVE CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
R RD ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
E A BIND ANY SUCCESSORS IN INTEREST.
FOR CITY USE ONLY
RECEIVED BY:
P-1 Page 2 of6 Revised 07115
(City of
Carlsbad
DISCLOSURE STATEMENT
P-1(A)
Development Service.s
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, soc:ial 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 ading 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 Abb 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 1 0% of the
shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE
INDICATE NON~APPUCABLE (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 DON OLSEN Corp/Part'-------------
Title t>w Alee. Title ____________ _
Address t14l( BE"~Nit-\ C!r Address ___________ _
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, title·s, 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 b¢11 bi,S£"A/
Title 0t0 Nell~
Address ~ 4 L( r?>e&-D1\Jl~ cr
~it-LS 131-W t-14-12tlll
Corp/Part.__ _____ , ____ _
Title ______________ _
Address. ____________ _
Page 1 of 2 Revised 07/10
3. NON-PROFIT ORGANIZATION OR TRUST
4.
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. ____________ _
· 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?
Oves ~0 If yes, please indicate person(s): ______ , ____ _
NOTE: Attach additional sheets if necessary.
I certify that all the above information is true and correct to the best of my knowledge.
' ,
Print or type name of owner Print or type name of applicant
Signature of owner/applicant's agent if applicable/date
Print or type name of owner/applicant's agent
P-1(A) Page 2 of2 Revised 07/10
ii/' (._ Cicyof
Carlsbad
PROJECT DESCRIPTION
P-1(8)
Develon_ment Service~
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
PROJECT NAME: -..L.?~~--(J-.:..~--_-_f._;/J_cr ___ ----------
AP~ICANTNAME:~~~~~~~~~~-~-~~~~~~~~~~~--~~-
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:
b \ . .t\ \a:f\A:J o
,_\· ~.e be rr+e;:P
P-1(B)
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Page 1 of 1 Revised 07/10
{City of
Carlsbad.
HAZARDOUS WASTE
AND SUBSTANCES
STATEMENT
P-1 (C)
Development Services
Planning Division
1635 Faraday Avenue
{760) 602-4610
www.carlsbadca.gov
Consultation of Lists of Sites Related to Hazardous Wastes
{Certification of Compliance with Government Code Section 65962.5)
Pursuant to State of California Government Code Section 65962.5, I have consulted the
Hazardous Waste and Substances Sites List compiled by the California Environmental
Protection Agency and hereby certify that (check one):
~ The development project and any alternatives proposed in this application are not, contained on the
lists compiled pursuant to Section 65962.5 of the State Government Code.
0 The development project and any alternatives proposed in this application .@.!:! contained on the lists
compiled pursuant to Section 65962.5 of the State Government Code.
~p2~. PROPERTY OWNER
Name: ~ ~ Name: /)tJ/11 t;??~
Ad?F--. : lft/ Qe=l ~ 61 Address: 9 qq 8GtW/II cr
f21:f_tf_ut£d ~ ~2o1 I t'l4uts ~#../J1 t,t:; 1ZtJ! 1
Phone Number: 7/ tJ 2J tj / 9 b '} Phone Number: 76tJ e:l I£/ /? ~ !}
AddressofSite: tJtjj, 13~/4'7 e-r
Local Agency (City and County): e/H£Ls /ii'ttO, (!/4--, ct 2 0 II
' Assessor's book, page, and parcel number: c:J I~ ... Jt}IJ ·-;2•7,....{) D
Specify list(s): ___________________________ _
Regulatory Identification Number:. _____________________ _
Date of List: _____________________________ _
~-~¢c 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
(City of
Carlsbad
MINOR
COASTAL DEVELOPMENT PERMIT/
SINGLE FAMILY RESIDENCE
APPLICATION
Develoll.ment Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov P-6
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 applica1tion of dollar costs
per square foot for different types of residential construction. These co~:>ts 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 lf'Jfer to the current fee schedule for the appropriate $/square foot fee rate.
Ne~ Residential Square Footage: q d .9.,0 /A I!J ,.J
1.-0 ?;~ square feet x $ .., /sq. ft.=$.--....:;.;?_ ~-;;..&.t,.--=?:......;o=--·-=-7 __ _
Residential Addition Square Footage:
------square feet x $ /sq. ft. = $ _________ _
Any Garage Square Footage:
______ square feet x $ /sq. ft.=$ _________ _
Residential Conversion Square Footage:
______ square feet x $ /sq. ft.=$. _________ _
Please contact the City of Carlsbad Building Division for current fee rate for Non-
Residential uses (i.e. Retail/Store; Restaurants; Office; and Manufacturing/Warehouse
uses.)
------square feet x $ /sq. ft. = $ __________ _
COST Of DEVELOPMENT ESTIMATE: $"""'";.?::::..../.-=;~t-;..7...:::$~1~-:.---------
B. Do you wish to apply for:
1. A Minor Coastal Development Permit (Under $60,000 cost estimate) ~
2. A Coastal Development Permit ($60,000 or more cost estimate) 0
C. Street address of proposed development
<1'-ILt \?:>e.@on\c U. C6rlsb8.d, (A <i,Jol\
P-6 Page 1 of6 Revised 04/15
D. Assessor's Parcel Number of proposed development
d-It/-3 f[) .-.:17-l' 0
E. Development Description:
Briefly describe project: je{b11 d cJ wJ" "'i l bW Ztn 1ri: /f.VfL{ ·
F. Describe the present land uses (i.e. vacant land, single family homes, apartments,
offices, etc.} that surround the proposed development to the:
North: tt5'.'0@ \t:~ Fof"f\~. \~ h"'cne <
South: ~""'{)\c.. Y@=~\ ~~ \J\1.)\'1\c...
East: tb\\\E) \e Foro\ \~ !\roy,.
West: ?\DB \e., Fdn\ \j h()roe
G. Is project located within a 100-year flood plain? 0 Yes ~No
II. PRESENT USE OF PROPERTY
A. Are there existing structures on the property? ljJ Yes 0 No
If yes, please qescribe. 0 ,
90@ '<"" ~,C\~\ '~ f\u~ne.,
B. Will any existing structure be removed/demolished? 0 Yes ~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
P-6
A. Existing and Proposed
Total Existing Progosed
Building Coverage rzt ~ sq. ft. 13~ sq. ft. ~~~sq.;-
Landscaped Area sq. ft. sq. ft.
Hardscape Area sq. ft. sq. ft.
Unimproved Area (Left Natural) sq. ft. sq. ft.
B. Parking: Number of existing spaces __ 3 _____ _
Number of new spaces proposed ...,)><---_ ___, __
Existing/Proposed TOTAL: '? ~ \ ~
Number of total spaces required -::..3 ____ _
N b f d !') um er o covere spaces _ ...... [L_,"-------
Number of uncovered spaces _3;:._· ____ _
Number of standard spaces __ 3 _____ _
Page 2 of6
sq. ft.
sq. ft.
sq. ft.
Revised 04/15
%
%
%
%
P-6
Number of compact spaces
Is tandem parking existing?
Is tandem parking proposed?
c. Grade Alteration:
Is any grading proposed? 0 Yes ~No
If yes, please complete the following:
Ji)Yes#_ONo
Oves#_f{JNo
1. Amount of cut __________________ cu. yds.
2. Amount of fill cu. yds.
3. Maximum height of fill slope feet
4.
5.
6.
Maximum height of cut slope _____________ feet
Amount of import or export cu. yds.
Location of borrow or disposal site------------·----
Page 3 of6 Revised 04/15
j. INSTRUCTfON$:
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Development Services_
Land Development Engineering
1635 Faraday Avenue
760:602-2750
www.carlsbadca.gov
To address post-development pollutants that may be generated from development projects, the City requires that new development and
significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project
design per the City's Standard Urban Stormwater Management Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards
(Volume 4, Chapter 2).
Initially 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 Stormwater Requirements' or be subject to additional criteria called 'Priority Development Project Requirements'. Many
aspects of project site design are dependent upon the storm water standards applied to a project.
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 on~~ or more of the questions, please
seek assistance from Land Development Engineering staff.
A separate completed and signed questionnaire must be submitted for each new development application submission. Only one j
completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently.
In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits I
for the project. I
I Please starl by completing Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your I
application to the city. . j
.·. ·STEP1
TO SE COMPLETED FOR ALL PROJECTS
J To determine if your project is a priority development project, please answer the following questions:
YES NO
j 1. Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet -.... .,~/'"
the following criteria: (1) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or I j other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from
paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in
j accordance with USEPA Green Streets guidance?
2. Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are x· \/"'
designed and constructed in accordance with the USEPA Green Streets guidance? j
If you answered "yes" to one or more of the above questions, then your project is NOT a priority development project and therefore is j
NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating "my
project does not meet PDP requirements" and complete applicant information. j
If you answered "no" to both questions, then go to Step 2.
E-34 Page 1 of3 Effective 6/27113
c:itv
rlsb.<:tcl
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
STEPZ
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www .carlsbadca.gov
TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS
To determine if your project is a priority development project, please answer the following questions: YES
1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively
over the entire project site? This includes commercial, industrial, residential, mixed-use, and public
development projects on public or private land.
2. Is your project creating 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 projects on public or private land.
3. 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 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.
4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface
collectively over the entire project site and supports a hillside development project? A hillside development
project includes development on any natural slope that is twenty-five percent or greater.
5. Is your project a new or redevelopment project that creates 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 facilit.V 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 5,000 square feet or more of impervious surface
collectively over the entire project site and supports a street. road, highway freeway or driveway? A street,
road, highway, freeway or driveway is any paved impervious surface used for the transportation of
automobiles, trucks, motorcycles, and other vehicles.
7. Is your project a new or redevelopment project that creates 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 l'rom the
project to the ESA (i.e. not commingles with flows from adjacent lands).*
8. Is your project a new development 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 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 (ADT) of
100 or more vehicles per day.
1 O.ls 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?
11.1s 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%?
NO
K
)(
)(
x
X
X
·-t.
)(
K
X
'X
If you answered "yes" to one or more of the above questions, you ARE a priority development project and are therefore subject to
implementing structural Best Management Practices (BMP's) in addition to implementing Standard Storm Water Requirements such
as source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with your
application(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of this
questionnaire, check the "my project meets PDP requirements" box and complete applicant information.
If you answered "no" to all of the above questions, you ARE NOT a priority development project and are therefore subject to
implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all
development projects. A Storm Water Management Plan (SWMP) is not required with your application(s) for development. Go to step
4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant
information.
E-34 Page 2 of3 Effective 6/27113
l.. (~:ity
( i rlsbc1cl
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
STEP3
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
TO. BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY OEVELOPEMENT PROJEcTS ONLY
Complete the questions below reQarding your redevelopment project YES
Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than I I 50% of the surface area of the previously existinQ development?
NO
If you answered ''yes," the structural BMP's required for Priority Development Projects apply only to the creation or replacement of
impervious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements" box and
complete applicant information.
If you answered "no," the structural BMP's required for Priority Development Projects apply to the entire development. Go to step4,
check the "my project meets PDP requirements" box and complete applicant information.
CJ
STEP4
CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION
My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater
criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application.
I understand flow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details.
My project does not meet POP requirements and must only comply with STANDARD STORMWA'TER REQUIREMENTS per
the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project.
Applicant Information and Signature Box
Accessor's Parcel Number(s):;2 I~~ 3 9 CJ -..7'7-tJO
Applicant Title: /fJN41~
Applicant Signature: Date:
This Box for City Use Only
City Concurrence: I YES I NO
I I
By:
Date:
Project ID:
* Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas
designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the
San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources
Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their
quivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent
environmentally sensitive areas which have been identified by the Copermittees.
E-34 Page 3 of3 Effective 6/27/13
(City of
Carlsbad
TIME LIMITS ON
DISCRETIONARY
PROJECTS
P-1(E)
PLEASE NOTE:
Develol'Jment 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 O.e., clarification
regarding a specific require nt or whether all requirements are necessary fc•r your particular
application) please cal 6 -4610.
Applicant Signature:
Staff Signature:
Date:
To be stapled with receipt to the application
P-1(E) Page 1 of 1 Revised 07/10
08/25/2015 5:09:46 PM -0500_.F_A_x_c_o_M __________________ _
•
. Fust American ntJe
August 23, 2012
Monica Yoquigua
Homefront Escrow, Inc
4 Park Plaza1 Suite 800
Irvine, CA 92614
Customer Reference:
Order Number:
lltle Officer:
Phone:
Fax No.:
E-Mail:
Borrower:
Property:
Loan Amount:
First American Title Company
655 N. Central Avenue, Suite 800
Glendale,. CA 91203
8823795159
4147272
Michelle Pascual
(818)550-2517
(856)S78-79n
mpascual@firstam.com
Don J. Olsen and Brenda Olsen
944 Begonia Court
Carlsbad, california 92011
$417,000.00
We enclose the following:
Title Commitment
PAGE 2 OF 24
Thank you for your confidence and support. We at Arst American Title Company maintain the
fundamental principle:
Customer First!
08/25/2015 5:09:46 PM -0500 FAXCOM
,_ ________________________ __
Form No. 3302 (01/08)
Short Form Commitment
•
Commitment For Title Insurance
By
ORDER NO:
FILE NO:
LENDER REF:
First American Title Insurance Company
Agreement to Issue Policy
PAGE 3
4147272
41.47272
OF 24
We agree to issue an American Land Title Association Short Form Expanded Coverage ResidEmtial Loan
Policy, hereinafter referred to as "the Policy", to the Proposed Insured identified below within 90 days,
according to all of the terms, provisions, conditions and requirements as set forth in the American Land
Title Association Plain Language Commitment Form (6/17/06), hereinafter referred to as "Long Form
Commitment", the entirety of which is incorporated herein. The policy will be issued in a liability amount
to be designated by the Proposed Insured, not to exceed $5,000,000.00. When we show your name
below as the Proposed Insured, this commitment becomes effective as of the Commitment Date shown
below.
Basic Information
1. Commitment Date: August 20, 2012
2. Policy or Policies to be issued:
ALTA Short Form Expanded Coverage Loan Policy:
Policy Amount: $ 417,000.00
Premium Amount: $ To Be Determined
Proposed Insured:
To Be Determined, its successors and/or assigns1 as their interest may appear
3. The FEE interest in the land described in this commitment is owned, at the Commitment Date,
by:
DON OLSEN AND BRENDA OLSEN, HUSBAND AND WIFE AS COMMUNm PRC:•PERTY
WITH RIGHT OF SURVlVORSHIP
4. The land referred to in this commitment is described as follows:
(See attached Exhibit "An)
Commitment Typed Date: August 23, 2012
08/25/2015 5:09:46 PM -0500 FAXCOM PAGE 4 OF 24
.....
Fonn No. 3302 (01/08)
Short Fonn Commitment
Exceptions
ORDER NO:
FILE NO:
LENDER REF:
4147272
4147272
In addition to the pre-printed exceptions contained in the Policy, the Policy we issue will also c:ontain the
following exceptions unless previously resolved to our satisfaction:
1. General and special taxes and assessments for the fiscal year 2012-2013, a lien not yet due or
·--payable.
General and spedal taxes and assessments for the fiscal year 2011-2012.
First Installment: $3,355,81, PAID
Penalty: $335.58
Second Installment: $3,355.81, PAID
Penalty: $345.58
Tax Rate Area: 09027
A. P. No.: 214-390-27-oO .··-
\3. The lien of bonds and assessment liens, if applicable, collected with the general and sp1~dal
taxes.
·. 4. The lien of supplemental taxes, if any, assessed pursuant to Chapter 3.5 commencing with
Section 75 of the california Revenue and Taxation Code.
~s. A deed of trust to secure an original indebtedness of $417,000.00 recorded June 28,
2012 as INSTRUMENT NO. 12-375699 OF OFFIOAL RECORDS.
Dated:
Trustor:
Trustee:
Beneficiary:
Lender:
June 18, 2012
DON OLSEN AND BRENDA OLSEN, HUSBAND AND WIFE PS
COMMUNITY PROPERlY WITH RIGHT OF SURVIVORSHIP
LSI TITLE COMPANY.
MORTGAGE ELECTRONIC REGISTRATION SYSTEMS, IINC.
GREENUGHT FINANCIAL SERVICES.
6. An~'d.efects,jietls, encumbrances or other matters which name parties with the same c'r similar
names ,.9S"'''N OLSEN (1 MATTER). The name search necessary to ascertain the exist4!nce of
suSWfiiatters has not been completed. In order to complete this preliminary report or
oomm~~ ~II r~~ir~:~-t m ~tion
~c~~
~c 7p
O·C
3 • 3 5 5 • 8 1 •
6 0 =
559·302 ;!:
/
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Additional Requirements
In addition to the requirements shown in the Long Form Commitment, the following requirements must be
met before the Company is obligated to issue a loan policy:
1. 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 100 and 116
and if applicable, 115 and 116.2 attached.
When issued, the CLTA endorsement form 116 or 116.2, if applicable will reference a(n) Single
Family Residence known as 944 BEGONIA COURT, CARLSBAD, CA. .-----'
2. According to the public records/ there has been no conveyance of the land within a periiod of
twenty-four months prior to the date of this report, except as follows:
None
FkstAmerican Title Insurance Company
·-~ / //
r! j ·~ f C.?;/•-"!'? / fl~.v..
•.!
Dennis J. Gilmore
President:
Timothy Kemp
Secretary
08/25/2015 5:09:46 PM -0500 FAKCOM ----~~------------------
Form No. 3302 (01/08)
Short Form Commitment
Exhibit "A"
ORDER NO:
FILE NO:
LENDER REf:
PAGE 6 OF 24
41·47272
4147272
Real property in the City of Carlsbad, County of SAN DIEGO, State of California, described illS follows:
LOT 142 C)f CARLSBAD TRACT NO. 73·39 (SPINNAKER HILL) UNIT NO. 31 ACCORDING TO
MAP THEREOF NO. 8453, FILED IN THE OFFICE OF THE COUNTY RECORDER Of SAN DIEGO
COUNTY, DECEMBER 29, 1976.
APN #: 214-390-27·00
._,..·
r-1-800-345-7334
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08/25/2015 5:09:46 PM -0500 FAKCOM PAGE 8 OF 24
EXHIBIT A
LIST Of PRINltD EXCEPTIONS AND EXCLUSIONS (BY POUCY 1YPE)
1. CAUFORNIA LAND TITLE ASSOCIAnON STANDARD COVERAGE POUCY-1990
SCHEDULES
EXCEPTIONS FROM COVERAGE
This policy does oot iMure against loss or damage (and the Company will not pay costs, attorneys' fees or expenses) which ar1se by reason
of:
1.
3.
4.
5.
Taxes or assessments which 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. ProcMdings by a public agency which may result in taxes or assessments,
or notice of sud\ proceedings, whether or not shown by the records of such agency or by the public records.
Any facts, nghts, interests, or claims which are not shown by the public records but which muld be ascertained by an inspection
of the land or which may be asserted by persons in possession thereof.
Easements, liens or encumbrances, or daims thereof, which are not shown by the public records. .
Dis<:repancies, conflicts in boundary lines, shortage in area, encroachments, or any other facts which a correct survl!jr would
disclose, and which are not shown by the public records.
(a) Unpatented mining daims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (1c) water
rights, claims or title to water, whether or not the matters excepted under (a), (o ), or (c) are shown by the public remrds.
EXCLUSIONS FROM COVERAGE
The following matters are expressly excluded From the coverage ofl:ttls policy and the Compall'f will not pay loss or damage, costs,
attorneys' fees or expenses which arise by reason of:
L (a) Any law, ordinance or governmental regulation (irn:luding but not limited to building and zoning laws, ordinances, or
regulations) restricting, regulating, prohibiting or relating to (i) the occupancy, use, or enjOyment of the land; (li) the ctlaracter,
dimensions or location of a:w improvement now or hereafter erected on the land; (iii) a separation in ownership or a change in
the dimensions or area of the larui or any parcel of whidl the land iS or was a part; or (iv} environmental protection, or the effect
of any violation of these laws, ordinances or governmental regulations, except to the extent that a notice of the enforcement
the1·eof or a notice of a defect, lien or encumbrance resulting from a violation or alleged violation affecting the land has been
recorded in the public records at Date of Policy.
(b) Any governmental police power not excluded by (a) above, except to the extent that a notJce of the exerciSe thereof or a
notice at a defect, lien or encurnbrance resulting from a lliolatlon or alleged violation affecting the land has been recorded in the
public records at Date of Policy.
2. Rights of eminent domain unless notice of the exercise thereof has been recorded in the public records at Date of Poky, but not
excluding from coverage any taking which has otCUrred prior to Date of Policy which would be binding on the rights ,~fa
purthaser for value without knowledge.
3. Defects, liens, encumbfa'lces, adverse claims or other matters:
(a) whether or not recorded in the public records at Date of Policy, but created, suffered, assumed or agreed to by the insured
claimal"t;
(b) not known to the Company, not recorded in the public records at Date of Policy, but known to the insured claimimt and not
disc:losed in writing to the Company by the insured daimant 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) attadling or created subsequent to Date of Poky; or
(e) resulting in loss or dar:1age which would not have been sustained if the insured daimant had paid value lbr the illlsured
mortgage or for the estate or i:~terest insured by this policy.
4. Unenfurceability of the lien of the insured mortgage because of the inability or failure of the insured at Date of Policy, or the
inability rx failure of any subsequent owner of the indebtedness, to comply with applicable "doing business" laws of the state in
which the land is situated.
5. Invalidity or unenforceability of the lien of the insured mortgage, or claim thereof, which arises out of the transactiorl evidenced
by the insured mortgage and is based upon usury or any c.onsumer credit protection Of truth in lending law.
6. Any daim, which arises out of the transact,on 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 of federal bankruptcy, state insolvEmcy Of
similar creditor$' rights laws.
2. AMERICAN LAND TITLE ASSOCIATION OWNER'S POUCY FORH B-1970
SCHEDULE OF EXCLUSIONS FROM COVERAGE
1. Any law, ordinance or governmental regulation (including but not fimited to building alld zoning ordinances) restricting or
regulating or prohibiting ll'le oCOJpancy, use or enjoyment of the land, or regulating the character, dimensions or leGation of any
improvement nmv or hereafter erected on the land, or prohibiting a separation m ownership or a reduction In the dimensions of
area of the land, or the effect of any violation of any suctllaw, ordinance or governmental regulatioo.
2. Rights of eminent domain or governmental rights of police power unless notice of the exercise of such rights appeam in the public
records at Date of Policy.
3. Defects, hens, encumbra~ces, adverse daiff\S, Of other matters (a) created, suffered, assumed or agreed to by the insured
claimant; (b) not known to the Company and not shown by the public records but known to the insured claimant either at Date of
Policy or at the date such claimant acquired an estate or interest insured by this policy and not diSclosed in writing by the insured
claimar.t to the Company prior to the date such insured daimant became an insured hereunderj (c) resul:ing in no IDSS or damage
to the msured claimant; (d) attaching or created subsequent to Date of Policy; or (e) resulting in loss or damage whidl would not
have been sustained if the insured claimant had paid value for the estate or interest insured by this polity,
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3. AMERICAN LAND TITlE ASSOCIATION OWNER'S POUCY FORM B ·1970
WITH REGIONAL EXCEPTIONS
When the American Land Title Assodatfoo policy is used as a Standard Coverage Policy and not as an Extended Coverage Polity the
exclusions set forth in paragraph 2. above are used and the followinq exceptions to coverage appear in tile policy.
SCHEDULE&
This policy does :10t insure against loss or damage by reason of the mat:tefS shown in parts one and two foltowing:
Part One
l. Taxes or assessments which are not shown as existing liens by the records of any taxing authority that levies taxes c'r
assessm~nts on rea I property or by the public reconis.
2. Any facUi, rights, interests, or claims vmich are not shown by the public records but which could be ascertained by an Inspection
of said IClnc or by making inqUiry of persons in possession thereof.
3. Easements, claims of easement tX encumbrances which are not shown by the public records.
4. Disl:repancies, conflicts in boundary lines, shortage in area, encroachments, or any other facts which a correct SUNe]l would
disclose, and which are not shown by public records.
5. Unpatented mining claims; reservations or exceptions in patei'IIS or in Acts authorizing the issuance thereof; water ~Jhts, claims
or title tQ water.
6. Any lien, or right to a lien, for services, labor or material heretofore or hereafter furnished, imposed by law and not shown by the
putflic records.
4. AMERICAN LAND TITLE ASSOCIATION LOAN POUCY -1970
WITH A.LT.A. ENDORSEMENT FORM 1 COVERAGE
SCHEDULE OF EXQ.USIONS fROM COVERAGE
I. Any law, ordinance or governmental rf9ulation (including but not limited to building and zoning ordinances) restricting or
regulating or prohibiting the occupancy, use or enjoyment of the land, or regulating the character, dimensions or location of any
improvement now or hereafter erected on the land, or prohibiting a separation in ownership or a reduction in tile dimensions or
area of the lana, or the effect of any violation of any such law ordinance or governmental regulation,
2. Rights of eminent domain or governmental rights of police power unless notice of the exercise of sudl rights appear.; in the public
records <lt Date of Policy.
3. Defects, liens, enoJmbrances, adverse daims, or other matters (a} created, suffered, assume:! or agreed to by the insured
claimant, (b) not known to the Company and not shown by the public records but known to the insured claimant either at Date of
Policy or at the date sudl cta•mant acquired an estate or interest insured by this policy or acquired the Insured mortgage and not
disdose<J in wrH:ing by the insured daimant to the Company prior to the date such insured claimant became an insured
hereunder, (c) resulting in no loss or damage to the insured claimant; (d) attaching or created subsequent to Date of Polley
(except to the extent insurance is afforded herein as to any statutory lien for labor or material or to tile extent insurance is
afforded herein as to assessments for street improvements under construction or completed at Date of Polity).
4. Unenfor<:eability of the lrer. of the insured mortgage because of faHure of the insured at Date of Policy or of any subsequent
owner o~ the indebtedness tn comply with applicable "dolog business" iaws of the state in which the land is situated.
5. AMERICAN LAND TITLE ASSOCIATlON LOAN POUCY • 1970
WITH REGIONAL EXCEPTIONS
When the American Land Title Association Lenders Policy is used as a Standard Coverage Policy and not as an Extended Cover<IQe Polley, the
exclusions set forth in paragraph 4 above are used and the following exceptions to coverage appear in the policy.
SCHEDUl£8
This policy does not insure again~ loss or damage try reason of the matters shown in parts one and two following:
Part One
l.
2.
3.
4.
5.
6.
Taxes or assessments which are not shown as existing liens by the records of any taxing authority tllat levies taxes llf
assessments on real property or oy 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 said land or by making inquiry of persons in possession thereof.
Easeme11ts, claims of easement or encumbrances which are not shown by the public records.
Discrepandes, conflicts in boundary lines, shortage In area, encroachments, or any other facts whid1 a wrrect survey would
disclose, and whiCh are not shown by public records.
Unpatented mining daims; reservations or exceptions in patents or In Acts authorizing the issuance thereof; water ri1ghts, claims
or title to water.
Any l!en, or right to a lien, for services, labor or material theretofore or hereafter furnished, imposed by law and not shown by the
public records.
6. AMERICAN LAND TITLE ASSOCIATION LOAN POUCY' ·1992
WITH A.LT.A. ENDORSEMENT fORM 1 COVERAGE
EXCLUSIONS FROM COVERAGE
The following matbers are expressly excluded from the coverage of this policy and the Company will not pay loss or damage, cclSts,
attorneys' fees or expenses which arise by reason cf:
; (a} Any iaw, ordinance or governmental regulation (including but not limited to building and ZOOing laws, ordinance!;, or
regulatiClns) ~estricting, regulating, prohibiting or relating to (j) the occupancy, use, or enjoyment of the land; (ii) th'e character,
dimensi()ns or locaticn of any improvement now or hereafter erected on the land; (iii) a separation in ownership or •l change in
the dim~nsions or area of the land or any parcel of whiCh the land is or was a part; or (iv) environmental protection, or the effect
of any Violation of these la~~o'S, ordinances or governmental regulations, except to the extent that a notice of the enfiJrcement
08/25/2015 5:09:46 PM -0500 FAXCOM PAGE 10
3.
4.
5
6.
7.
thereof or a notice of a defect, lien or encumbrance resulting from a violation or alleged violation a!fecting the land has been
recorded in the public records at Date of Policy;
(b) Any governmental police power not exduded by (a) above, except to the extent that a nOtiCe of the exercise thereof or a
notice of a defect, lien or encumbrance resulting from a violation or alleged violation affecting the land has been reOJrded in the
public records at Date of Policy.
Rights of eminent domain unless notice of the exercise ttlereof has been recorded in the public records at Date of Policy, but not
e:occluding from coverage any taking which has occurred prior to Date af Policy which would be binding on the rights elf a
purchaser for value without kncwledge.
Defects, liens, encumbrances, adverse daims, or other matters:
(a) whether or not recorded ir. the public records at Date of Policy, but created, suffered, assumed or agreed to by tt1e insured
claimant;
(b) not known to the Company, 'lot 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 (exc.ept to the extent that thiS policy insures the priority of the lien of the
insured mortgage over any statutory lien for services, labor or material or the extent insurance is afforded herein as 1:0
assessments for street improvements under construdion or tompleted at date of policy); or
(e) resu'ting in loss or damage which woukl not have been sustained if the insured claimant had paid value for the insured
mortgage.
Une:nforceability of the lien of the insured mortgage because of the inability or failure of the insured at Date of Policy, or the
inability or failure of any subsequent owner ofthe Indebtedness, to comply with the applicable "doing business" laws of the state
m which the land is situated.
Invalidity or unenforceability of the lien of the insured mortgage, or daim thereof, which arises out of the transaction evidenced
by t:he insured mortgage and is based upon USUI'f or any consumer credit protection or truth in lending law.
Any statutory lien for se!Vices, iabor or materials (or the claim of priority of any statutory lien far services, labor or materials over
the hen of the insured mortgage) arising from an improvement or work related to the land which is contracted for and
comrrenced subsequent to Date of Policy and is not financed in whole or in part by proceeds of the indebtedness sec:ured by the
insured mortgage which at Date of Policy the insured has advanced or is obligated to advance.
Any claim, which arises out of the transaction creating the intefesl: of the mortgagee Insured by this poflcy, by reason of the
operation of federal bankruptcy, state insolvency, or similar creditors' rights laws, that is based on:
(i) 1he transaction creating the interest of the inSured mortgagee being deemed a fraudulent conveyance or fraudulent transfer;
or
(ii) the subordination of the interest of the insured mortgagee as a result of the application of the doctrine of equitable
subordination; or
(iii) the transaction creating the interest of the insured mortgagee being deemed a preferential transfer except when~ the
preferential transfer results from the fatlu•e:
(a) to timely record 1tie instrument oftransferj or
(b) of such :-eccrdation to impart notice to a purchaser for value or a judgment or lien creditor.
7. AMERICAN LAND Tm.E ASSOCIATION lOAN POUCY-1992
WITH REGIONAL EXCEPTIONS
When the American Land Title Associaticn policy is used as a standard Coverage Policy and not as an Extended Coverage Poliqr the
exclusions set forth in paragraph 6 above are used and the folloWing exceptions to coverage appear in the policy.
SCHEDULEB
This poliq does not insure against Joss or damage (and the Company will not pay costs, attorneys' fees or expenses) which arn;e by reason
of:
1.
2.
3.
4.
5.
6.
Talles or assessments which are not shown as existing liens by the remrds of any taldng authority that levies taxes Clt
assessments 011 real property or by the public records.
Any facts, rights, interests, or claims which are not shown by the pubhc records but which could be ascertained by an inspection
of said land or by making inquiry of persons ln possession thereof.
Easements, claims of easement or encumbrances which are not shown by the public records.
Discrepancies, conflicts in boundary lines, shortage In area, encroachments, or any other facts whidl a correct survey WOtJid
disclose, and whid1 are not shown by public records,
Unpatented mining daims; reservations or exceptions In patents or In Ac:s. authonzing the issuance thereof; water rights, claims
or title to water.
Any lien, or right to a lien, fe-r services, labor or material theretofore or hereafter furnished, imposed by Jaw and not shown by the
pui)Jic records.
B. AMERICAN LAND TITLE ASSOCIATION OWNER'S POUCV-1992
EXCLUSIONS FROM COVERAGE
The following matters are elCpressiy excluded from the coverage of this policy and tne Company will not pay Joss or damage, wsts,
attorneys' fees or expenses which arise by reason of:
1. (a) Any law, ordinance or governmental regulatiOn (including but not limited to building and zoning laws, ordinances, or
regulations) restricting, regt:lating, prohibiting or relating to (i) the occupancy, use, or enjOyment of the land; (ii) th1e character,
dimensions or klcation of any improvement now or hereafter erected on the land; (iii) a separation in ownership or il change in
the dimensions or area of the Ia~ or any parcel of which the land is or was a part; or (iv) environmental protection,. or the effect
of any violation of these laws, ordinances or governmental regulatioos, except to the extent that a notice of the enforcement
thereof or a notice of a defect, lien or encumbrance resulting from a violation or alleged violation affeding the land has beert
recorded in the public records at Date of Poliq.
(b) Any governmental police power not exduded by (a) above, except to the extent that a notice of the exercise the:reof or a
noltice of a defect, lien or encumbrance resulting from a violation or alleged violatiOn affecting the land has been re<:orded in the
public records at Date of Policy.
OF 24
08/25/2015 5:09:46 PM -0500 FAXCOM PAGE 11
2. Rights of eminent domain unless notice of the exercise thereof has been recarded in ttJe public records at Date of Policy, but not
exduding f:'om coverage any taking which has occurred prior to Date of Polley which would be binding on the rights of a
purchaser for value without knowledge.
3. Defects, liens, encumbrances, adverse claims, or other matters:
(a) created, suffered, assumed or agreed to by the insured dalrnant;
(b} not knovm to the Company, not recorded in the public records at Date of Policy, but known to the insured daiman,t and not
disclosed in writing to the Compa!1)' by the insured dairnant prior to the date the insured claimant became an Insured under th1s
policy;
(c) rerulting in no loss or damage to the insured claimant;
(d) iJttaching or created subsequent to Date of Policy; or
(e) resulting in loss or damage which would not have been sustilned if the insured daimant had paid value tor the estate or
interest insurecl by this policy.
4. Any daim, which arises out of the transaction ve~ng in the insured the estate or interest insured by this policy, by reason of the
operation of federal bankruptcy, state insolVency, or similar creditors' rights laws, that is based on:
(i) the transaction creating the estate or interest insured by this policy being deemed a fraudulent conveyance or fraudulent
transfer; or
(ii) the transaction creati'lg the e."iate or interest insured by this policy being deemed a preferential transfer except whell! the
preferential transfer results from the failure:
(a) to time<y record the instrument of transfer; or
(b) of such recordation to impart notice to a purchaser for value or a judgment or lien aeditor.
9. AMERICAN LAND TITLE ASSOClAUON OWNER'S POUCY • 1992
WITH RfGIONAL EXCEPTIONS
When the American La11d Title Association policy is used as a Standard Coverage Policy and not as an Extended Coverage Policy the
exclusions set forth in paragraph 8 above are used and the following exceptions to coverage appear in tile policy.
SCHEDULES
This policy does not insure against loss or damage (and the Company will not pay costs, attorneys' fees or eJq)enses) whiCh ariSie by reason
0 •. ..
Part One:
1 . Taxes or assessments v•hich are net shown as existing liens by the records of any taxing authority that levies taxes or
asSE55ments on real property or by the public records.
2. Any facts, rights, interests, or daims which are not shown by tile public records but which could be ascertained by an inspection
of s.aici land or by making inquiry of persons in possession thereof.
3. Easements, claims of easement or encumbrances which are not shown by the public records.
4. Discrepancies, conflicts in boundary lines, shortage ln area, encroachments, or any other facts wilic:h a correct surve)' would
discfose, and which are not shown by public records.
5. Unpatented mining daims; reservations or exceptions In patents or In Acts authorizing the issuance thereof; water rights, claims
or title to water.
6. Any lien, or right to a l~n, for services, labor or material theretofore or hereafter furnished, imposed by law and not shown by the
public recCI'"ds.
10. AMERICAN LAND TITLE ASSOCIATION RESIDENTIAL
lTTLE INSURANCE POUCY-1987
EXCLUSIONS
In addition to the Exceptions in Schedule B, you are not insured against loss, costs, attorneys' fees and expenses resulting ft'om:
~. Governmental police power, and the existence or violation of any law or government regulation. This includes ooilding and zoning
ordinances and also laws and regulations concerning:
* land use "' land division
* improvements on the land * environmental protection
2. This exclusion doe!> not apply to violations or the enfon::ement of these matters which appear in the public records at Policy Date.
3. This exclusion does not limit the zoning coverage described in items 12 and 13 of Covered Title Risks.
'l. The right to take the land by condemning it, unless: * a notice of exercising the right appears in the public records on the Policy Date * the taking happened ;mar to the Pcticy Date and is binding on you if you bought the land without knowing of the taking.
5. Title Risks: * that are created, a !lowed, or agreed to by you * that are known to you, but not to us, en the Policy Date -unless they appeared in the public records
~ that resu It in no Joss to you * that first affect your title aH:er the Pel icy Date • this does not limit the labor and material lien coverage in Item 8 of Covered
Title Risks
6. Failure to pay value for your title.
7. Ladt of a right: * to any land outside the area specifically described and referred to in Item 3 of Schedule A, or * in streets, alleys, or waterways that touch your land
This exclusion does not limit tne access coverage in Item 5 of Covered Title Risks.
11. EAGLE PROTECTION OWNER'S POUCY
CL TA HOMEOWNER'S POUCY OF TITLE INSURANCE-2008
AlTA HOMEOWNER'S POUCY OF TITLE INSURANCE-2008
OF 24
08/25/2015 5:09:46 PM -0500 FAXCOM PAGE 12
•
covered Risks 16 (Subdivision Law Violation). 18 {Building Permit). 19 (Zoning) and 21 {Encroacllment of boundary waUs
or fences) are subject to Deductible Amounts and Maximum Dollar Umits of liability
EXCLUSIONS
In addition to the Exceptions in Schedule B, You are not insured against loss, costs, attorneys' fees, and experJSes resulting li'om:
1. Governmental police power, and the existence or violation of those portiOns of any law or government regulation amcemlng:
a. buitding b. zoning
c. land use d. improvements on the !and
e. lane divisiOn f. environmental protection
This Exd;.~s1on 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 S':ructures, or any part of them, to be constructed in accordance with applicable building (:odes. This
Exclusion does not limit the coverage described in Covered Risll 14 or 15.
3. The right to take the Land by condemning it. This Ell.dusion does not limit the coverage desaibed 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 Record5;
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, 2i' or 28.
5. Failure to pay value for Your 'Title.
6. Lack of a right:
a. t!J any land outside the area specificalty described and referred to in paragraph 3 of Schedule A; and
b. in streets, alleys, or waterways that touch the land.
Th1S-Exclusion does not limit the coverage described in Covered Risk 11 or 2.1
UMITAnONS ON COVERED RISKS
Your insurance for the following Covered Risks is limited on the Owner's Coverage Statement as follows: Covered Risk 16, 18, 11~ and 21,
Your Deductible Amount and Our Maximum Dollar limit of liability shown in Schedule A. The deductible amounts and maximum dollar limits
shown on Sche!d:Jie A are as follows:
Your Deductible Amount
Covered Risk 16: 1% of Policy Amount or $5,000.00 (whichever is less)
Covered Risk lB: 1% of Policy Amount or $5,000.00 (whichever is less)
Covered Risk 19: 1% of Policy Amount or $.S,OOO.OO (whichever is less)
Covered Risk 21: 1% of Policy Amount or $2,500.00 (whithever is less)
Our Maximum Dollar
limit of LiabilitY
$10,000.00
$25,000.00
$15,000.00
$5,000.00
12. THIRD 13ENERATION EAGLE LOAN POLICY AMeRICAN LAND TITLE ASSOCIATION EXPANDED COVERAGE RESIDENTIAL
LOAN POUCY {1/01/08)
EXCLUSIONS FROM COVERAGE
The following matters are expressly excluded frO!TI the coverage of this policy and the Company will not pay loss or damage, costs,
attorneys' fe~; or expenses which arise by reason of:
1. (a) Any law, ordinance, permit, or governmental regulation (including those relating to building and zoning) resttietln1g, 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 Exduslon l(a} does not modify or limit the coverage provided under
Covered Risk 5, 6, 13(c), B{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), :3(d), 14 or 16.
2. Rights o~ eminent domaln. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8.
3. Detects, liens., encumbrances, adVerse claims, or other matters
(a) created, si.lffured, assumed or agreed to by the Insured Oaimant;
(b) not Known to the Compa:1y, not recorded in the Public Records at Date of Policy, but Known to the Insured Oaimant and not
disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Oaimant 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, 2.4, 27 or 28); or
(e) resulting in loss or damage which would not have been sustained if the Insured Claimant had paid value for the Insured
Mortgage.
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08/25/2015 5:09:46 PM -0500 FAXCOM PAGE 13
4. Unenforceability of the lien ot the Insured Mortgage because of the inability or failure of an Insured to comply With appticable
doing business laws of the state where the Land is situated.
5. Invalidity or unenforceability in whole or \n part of the lien of the Insured Mortgage that arises out of the transad:lon E!Videnced
by the lnsureo r~ortgage and is based upon usury, or any consumer credit protection or truth-in-lending law. This Excllusion does
not modify or limit the coverage provided in Covered Risk 26.
6. Any claim of \nvalidity, unenforceability or iack. 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 Sdledule A is no longer the owner of the estate or interest
covered by this policy. Th-s ElCdusion does not modify or limit the toVerage provided in Covered Risk 11.
7. Any lie'l on the Title for real estate taxes or assessments imposed by governmental authority and created or attachlll!J: subsequent
to Date of Policy. This Exclusion does not modify or limit the coverage provided in Covered RiSk ll(b) or 25.
8. The faiture of the resldential structure, or any portion of it, to have been construtted before, on or after Date of Poliqr in
accordance With applicable building codes. This Exclusion does not modify or limit the coverage provided in Covered .J<:islc 5 or 6.
13. AMERICAN LAND TITLE ASSOCIATION LOAN POUCY • 2006
EXCLUSIONS FROM COVERAGE
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The following matters. are expressly ex: eluded from the coverage of this policy, and the Company wiD not pay loss or damage, Cl)$1$, attorneys' fees, or
expenses that arise by reason of:
1. (a} Any law, ordin;~nce, permit, or govemmen::al regulation (induding 1tlose 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 subdillision of land; or
(iv} environmental protection;
or the effect of any violation of these laws, ordinances, or governmental regulations. This Exdusion l(a} does not modify or &mit the coverage
provided under Covered Risk 5.
(b) Any governmental police power. This Exciusion l{b) does not modify or limit tile coverage provided under Covered Risk 6.
2. Rights of eminent domain. This Exclusion does not modify or limit the coverage pro\'ided under Covered Risk 7 or B.
3. Defects, liens, encumbrances, adverse daims, or other matters
(a) created, suffered, a~umed, or agreed to by the Insured Oaimant;
(b) not Known to the Company, not recorded in the Public Records at Date of Poficy, but Known to the Insured Calmant and not disclosed in writing
to the Company by the !:-~suted Claimant prior to the date the Insured Oaimant became an Insured under tllis policy;
(c) resulting in no ioss or damage to the Insured Claimant;
{d) attaching or t:reated subsequent to Date of Policy (however, tllis does not modify or limit the coverage provided under Covered Risk 11, 13, or
14}; or
{e) resulting in loss or damage that would n::rt 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 dolng·buslness 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 credtt protection or trutll-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 Mort9age, is
(a) a fraudulent wnveyarn:e or fraudulent transfer, or
(b) a preferential transfer far any reasOc"! not stated ln Covered Risk. 13{b) of this policy.
7. Any lien on the Title for r(!al estate taxes or assessments imposed by governmental authority and aeated or attaching between Date of Polity and
tl'le date of recordi119 of the Insured Mortgage in the Public Records. This Exclusion does not modify or Umlt the ooverage provided under Covered Risk
ll(b).
14. AMERICAN LAND T1TlE ASSOCIATION LOAN POUCY • 2006
WITH REGIONAL EXCEmONS
When the American Land Title Association policy is used as a Standard Coverage Policy and not as an Extended Coverage Poliicy the
exclusions set forth in parag-raph 14 above are used and the following exceptions to coverage appear in the policy.
SCHEDULE B
This policy does not insure against loss or damage (and the Company will not pay costs, attorneys' fees or expenses) which arise by reason
of:
1. (a) Taxes or assessments that are not shown as existing liens by the records of any taxing authority that lel/ies taxes or a.<;SeSSI11ents 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 advefse c.ircumstance 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 rrining tlaims; (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.
15, AMERICAN LAND TIT1.f ASSOCIATION OWNER'S POUCY-2006
EXCLUSIONS FROM COVERAGE
The following matters are e)(pressly excluded from the coverage of this policy and the Company will not pay loss or clamage, costs, attorneys' fees or
expenses which arise by reason of:
08/25/2015 5:09:46 PM -0500 FAXCOM PAGE 14
• •
1. (a) Airy 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;
(m) the subdtvision of land; or
(iv) environmental protettion;or the effect of any violation of these laws, ordinances,
or governmental regulations. This Ex:dusion l{a} does not modify or timit the coverage provided under Covered Risk 5.
(b) Any governmental police pov.-er. 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 lnSIJred Oaimant;
OF 24
(b) not Knovl'n to the Company, not reoorded in the P.ublic Records at Date of Policy, but Knovm to the Insured Claimant and not disclosed in writing
to the Company by the Insured Claimant prior to the date the Insured Oaimant became an Insured under this policy;
(c) resulting in no Joss or damage to the Ins'Jred Claimant;
(d) atta~hing or created subsequent to Date of Policy (however, this does not modify or limit the cclVerage provided under Coverecll Risks 9 and 10);
or
{e) resulting in loss or damage that would not have been sustained if the Insured Oaimant 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 transaction1testing the Title
as shown in S~hedule 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 Tdle for real estate taxes or assessments imposed by governmental authority and created or attaching between Date of Policy and
the date of recordin£1 of the deed or other instrument of transfer in the Public Records that vests ntie as shown in Schedule A.
16. AMERICAN LAND m1.E ASSOCIATION OWNER'S POUCY-2006
WITH REGIONAL EXCEPTIONS
When the American Land Title Association policy is used as a Standard Coverage Policy and net as an Extended Coverage Policy the exdusions set forth
in paragraph 16 above are used and the fo=lowing exceptions to coverage appear in the policy.
SCHEDULfB
ThiS po!icy does not insure against loss or damage (and the Company wUI not pay costs, attorneys' fees or expenses) whidl arise by reason of:
1. (a) Taxes or assessments that are not show:~ as ex.st:ng liens by the recoo:ls of any taxing authorlty that levies tal(fS or assessme11ts en real
property or by the Public Recortls; (b) proceedings by a public agency that may result in taxes or assess:ments, or natic.es of SlJch proceedings, whether
or not shown by the records of sud! agency or by the Publk Records.
2. Any facts, rights, interests, or daims that are not shown by the Public Records but tnat 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 dreumstance affecting the Trtle that would be disclosed by an aa::urate and
complete land survey of the Land amJ 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 righbi, claims or title to
water, whether or not the matters excepted under (a), (b), or (c) are shown by the Public Records.
08/25/2015 5:09:46 PM -0500 FAXCOM ~~~~--------------------~ PAGE 15 OF 24
•
First American Title
~·~ First American 1itle
Priv;ocy Information w,. Are Committed to Safeguarding Cuslamer lnfonnation
In order to better serve ycur .-:Is n:w. and ir. the 'U!IIre, we may ask you to provide us will ~ inforMation. We undelstand ll1at VCU mav be. IXII1terlllll about 11ibllt we will do wftll sl.ld'l
informatiOn -particularly· arrt perscnal or f,nancial informati:m. We agree m..t you have a right to la!aw how we wili u'jlize the petSOO<II llllorma1loil you pll!Vide to U5. Tl1eRfore, together wtth our
subsidiaries we ~ave adopted this P1'iilcy POlicy to !JO"e'O the use and handl01g of your per50I1al inronnation.
Applicability
This Prwacy Paacy governs olJ' ~se r:! t~e infvrmato:m !hat ycu provide to u;. It !loes not govern tile man~~er in whlCh we may use information we hlwe llblained from any oltler soun:e, such M
information obtained from a publ c rec:lfd or from another oerscn or ;,ntity. First American has also adopted broader guidelines ll1at govern our use of personal infonnilti[OI regardle55 or its 50\lrce.
Fir5t American cal~ tnese guidelioe; its Fa.-lr.'armatior. Values.
Type& of lnfolmiltiGn
Depe1ding upon whith of aur se"ices ~"C>J are uti'illTlG, the ~;pes of nonpublit persanallnfomlatlgn mat we may collect onciude:
• Infcrm.a~on 'tl@ receiv~ I 'Om you or. appliciltio1s, forms aoo in ether tomiJ1IJilil;a!IOlls to us, wllelher in writing, in pet>OO, b'f wlephone or any other means;
• Jnformaton abo~t you· t-a1sactions Wittl us, ocr iiffiiJated companies, or oltlers; and
• lnformaton WI! >eceive 1-om a oonsumer reportmg agency.
Use of Information
We request ln'crrnation !rom Vll'J for our owr. legitimate bUs·ness poJrpooes and not for tile benefit of any nor .affiliated party. Therefore, we will not releaR yoor infonTiiltioo to llOAafflliated partles
except: (1) as necessary for us to p-uvode the prc<:uc:: a• sf:!Vite yo-" have reque.1ed of us; or (2) as pemlitte:l by iaW. We may, however, store sl.ld'llnformation indefi~itely, induellno;J tile period
alter which •~Y customer relati<mst. p has ceased. Such :nformat•o~ mz; be used for iny intl!nlal fl1IIIKI5I!, sum as quality coni1<JI efforts or customer analyslS. We may also' provide all of lhe types rJ
nonpulllic per~'nal inlll'rnatioo listed abcwe to one or more of our affiliatac companies. Sud! affiliated companies include linandil servite pruvltlers, sucn ilS Utle lns~nrs, property and casualty
insurers, and trust and lnvestnlert ad>'•SO'Y COil'panies, or compan~e; Jnvor.ted m real ~ se1Yice5, sud! iiS appraisal ro~.;anies, !lome warrant)' CQC11PilnieS and escrow ~ompanies. Furthemlore, we may also provide all the infurm;rion we collect, as described a00"1e_ to companies that pelform marketing services oo <Nr behalf, on behalf rJ aur affiliated <:empanies or to oltler financial
institutions with whom we or our affiliated companies have joint m;;rketlfl9 agreements.
farmer Customen
Even if you are m> forger our custome•, our PrNacy Polty wm ccnt!Jl'Je to apply to you.
Confidentiality and S«urity
We wift use OLD' best efforts to ensure that '10 ur.a.rthMZ<d partie> have acru;; to any of your informatloo. We restrict acc:ess to nonpublic personil informatiOn abOUt )'(JU to ltJose inllviWals and
entiUes w!Y.I need to kJY.JW thai inforor.a•:ioo to provil:e ptod-Jcts ~r .erlic~s to you. We w!lii!Se aur best etful1s tQ train ~Pd oversee oor ~ and ageniS to l!l'lsure ltiilt yow lnfoonation wil be
handled responsibly and n atoordanoe w~~ this PrNacy Pol•cy a:Jti Forst A;nericall's Fair Jnfo!matt;m Value5. We et<rreotly maintain plrfslcal, electroniC. and proc~ral 5lilegl.lillds that CDr111Jiy wt1>
federal regulations to guard )'OU" ronp"t>ic perscr.a: inrmmatfon.
Information Obtained Through Our Well Site
rim American Fmanda; Corporation is sa1sitive to privacy issue~ on the Internet. We bdieYe it is mportant VOl> koow fl.:lW we treat the information about yoo we ~Keive 011 \tie I.Wrnet.
In genera!, you car. vis~ first Amera1 o· ls aftlllates' Web sites on the World Wide Web wlltiout telling LIS who yw are or revsling any Information about ycurselr. Our Web -s OJIIett the
domain narr.es, not tne e-ma; alldresses, of vistcrs. This !nforrr.a!!on is aggregated to measure the number of vists, average twne spent on the Site, pages vleried and Similar lntormallon. First
American uses this info.-rr.a:icn ro measure the cse of our site and to dev-elop ideas to ~the (l)!llellt of our site.
Tl1ere are t<mes, howe-.-e-, r~Mn "" rna)' need inforn-iiltiOn ~rom yau, wen as your name and email address. \"ol1en :nforrnalion is needed. we willll!it! oor best efforts to let you know at lhe time or
COllection how we will use thE~ :Jel50nal information. Usuall~. the personal infoonation we a!llect is used aN'( by us tor~ to your inquiry, process an order or allOw you to access specific
a«ounl;'profil~ inlormallor .. If vau choose t:l share any personal information with us, we wiM lltljy use it In iCCI;lrCan<:e "'itll the policle5 outlined above.
Business Relatio~sllips Fro Arneritan Financial Corporation'• site and its aflii<ns. sites may oonta;n links to ottm-WEb sites. WIWe we try to Uni< only to Sites that share 016 higb standards a<1d respect tor privacy, we ilfe
not respo!lliible lor the cvntent or :he pnvacy practices em~loyed by otner sites.
Cookies
Some of Arst American's We~ s~es. May make use of ''CQOkie' rechnoio;y to measure site actiVity and to Cll~ !tlformation to your personilf tastes. A CDOkie is an elemel\t of data that a Web ste
can send to your bfowser, whic~ may ther s:ore the cool:ie on yoor hard drr.~.
~ll.&Qif< uses stored cookies. The goal or this Wchnoi<J>y is ta better ><r;e you wlle!l vlslting our site, save you t;me when you are nere ano to provide you wi'h a mare neningful and
productr.te Wejj Site expe1ence.
Fair Information Values
Fairness We consider consume· expec:ations about l!leir privacy ·n ail cur rusinesses. We lltlly olfet ptoducts ano services that assure a t.r.'o!able balance belweJ!f1 tooSIJI-benefits and consumer
privacy.
Public Record We believe that an :Jpen pubik record creates significant value for soaetv. enhaoces tonSumer choite ano creates COOSIJ!tler Clj)pOJtllnlty. We acnvely support an open ~lc record
and empb;;size ~ importiU\Ce and oontributiG1 to our eoororny,
Use We belie\'<! 'h'e should bet1a'-e responsilly when we use inlormatio<• about a tonSUI'IIE.'r ill our llo151ness. We wHI obey tl1e lii'<S governing 1he ca11Bc1ioo, use and dlssemiN!tion of datil.
Aa:urar;y We "''I tilke rea-.maole steps t, helt> assure the accuracy of tile dalil we collEct use and dls.semlnare. Where ;JOSsible, we wiD take rea510nable steps to C«rect bJilealrate lnformatlOn.
When, as wtth the public reccrd, we :annat correct ir.act~rate ir.lcmnaticn, we wiD take all ~ steps to ~ssist ronsumers in klentllying tile iiJUrte of 1toe erroneous dDt! so lhat the consumer
can secure the reqliired Cllrrectiors.
Education We. endeavor to educate the users of our proauct:s and s~. Ollf em~ and <1111ers il our industry aoout the important~ or <:OOSW111!f j;Yivacy. We will illstrutt our employees on
our fair informati<ln value• and or. tre res;x>:1s:ble co.lectiCll and ~se of d<ita. We will e!lCOUlllge otilers ill our inOustry tD calia:t and use in!ormatiOn In a respoi'ISible manner.
Security Wee ,yil maintain approp1ate ladlit>es and systems !C p:-ote::! ag;;!nst unauthorized access to and corruplioo o! me data we mail>laill.
Form 50-PRIVACY (BMOO) Page 1 ofl Pri•1acy Infomlation (200 1-2010 First AmeriCan FinanCial Corporation)
City of Carlsbad
Faraday Center
Faraday Cashiering 001
1602101-2 01/21/2016 149
Thu, Jan 21, 2016 12:42 PM
Receipt Ref Nbr: R1602101-2/0038
PERMITS -PERMITS
Tran Ref Nbr: 160210102 0039 0046
Trans/Rcpt#: R0114526
SET #: CDP15036
Amount:
Item Subtota 1 :
Item Total:
1 @ $14.70
$14.70
$14.70
ITEM(S) TOTAL: $14.70
Credit Card (Auth# 084215) $14.70
Total Received: $14.70
Have a nice day!
**************CUSTOMER COPY*************
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City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
11111111111111111111111111111111111111111111111111111111111111111
Applicant: OLSEN DON & BRENDA
Description Amount
CDP15036 14.70
944 BEGONIA CT CBAD
Receipt Number: R0114526 Transaction ID: R0114526
Transaction Date: 01/21/2016
Pay Type Method Description Amount
Payment Check 14.70
Transaction Amount: 14.70
City of Carlsbad
Faraday Center
Faraday Cashiering 001
1523801-5 08/26/2015 156
Wed, Aug 26, 2015 02:13PM
Receipt Ref Nbr: R1523801-5/0009
PERMITS -PERMITS
Tran Ref Nbr: 152380105 0009 0012
Trans/Rcpt#: R0111183
SET #: CDP15036
Amount:
Item Subtotal:
Item Total:
1 @ $856.00
$856.00
$855.00
ITEM(S) TOTAL: $856.00
Check (Chk# 0101) $856.00
-' ' n~~o iltPrl ~ $856, 00
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City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
11111111111111111111111111111111111111111111111111111111111111111
Applicant: OLSEN DON & BRENDA
Description Amount
CDP15036 856.00
944 BEGONIA CT CBAD
Receipt Number: R0111183 Transaction ID: R0111183
Transaction Date: 08/26/2015
Pay Type Method Description Amount
Payment Check 856.00
Transaction Amount: 856.00