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Home My WebLink AboutCUP 2021-0006; NEW VILLAGE ARTS; Conditional Use Permit (CUP)Ccityof 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 D Coastal Development Permit IZJ Conditional Use Permit D Minor D Extension D Day Care (Large) D Minor D Environ mental Impact Assessment D Habitat Management Permit D Hillside Development Permit D Minor D Minor D Nonconforming Construction Permit D Planned Development Permit D Minor D Residential D Non-Residential D Planning Commission Determination D Reasonable Accommodation IZJ Site Development Plan D Special Use Permit ~ Minor D Tentative Parcel Map (Minor Subdivision) D Tentative Tract Map (Major Subdivision) D Variance D Minor (FOR DEPT. USE ONLY) Legislative Permits P..t>).J-ctJ~ D General Plan Amendment D Local Coastal Program Amendment D Master Plan D Specific Plan D Zone Change □Amendment □Amendment D Zone Code Amendment South carlsbad Coastal Review Area Permits D Review Permit D Administrative D Minor D Major VIiiage Review Area Permits D Review Permit D Administrative D Minor D Major (FOR DEPT. USE ONLY) NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE SUBII/IITTED BY APPOINTMENT". PLEASE CONTACT 'TME APPOINTMENT SPECIALIST AT (780) 802-2723 TO SCHEDULE AN APPOINTMENT. ASSESSOR PARCEL NO(S): LOCATION OF PROJECT: NAME OF PROJECT: BRIEF DESCRIPTION OF PROJECT: PROJECT VALUE (SITE IMPROVEMENTS) FOR CITY USE ONLY *SAME DAY APPOINTMENTS ARE NOT AVAILABLE 203-295-01-01 & 203-295-01-02 2787 STATE ST CARLSBAD, CA 92008 (STREET ADDRESS) NEW VILLAGE ARTS THEATRE 4,684 SF TENANT IMPROVEMENT AND REMODEL FOR AN EXISTING THEATRE AND COMMERCIAL SPACE ESTIMATED COMPLETION DATE Development No. ~f V tp2..l-OO 'io Lead Case No. P-1 Page 1 of 6 Revised 03/17 0 OWNER NAME (PLEASE PRINT) INDIVIDUAL NAME (if applicable): l'.d!:t of:. 'ls!J:!~ COMPANY NAME Nf;'tl '2'11 I aI~E JtR I S I !;;;i(;,~E (if applicable): MAILING ADDRESS: ~T ~i, M¥l)1N'1 "1 CITY, STATE, ZIP: CARLSBAD CA 92008 TELEPHONE: 760~ ~'4-~ EMAIL ADDRESS: c.vr-\ii. ;~ ~ u-'1s~.4u. -~" ' I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATIO IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDG I CERTIFY AS LE AL OWNER THAT THE APPLICANT AS SET FORT HEREIN IS ORIZED REPRESENTATIVE FOR PURPOSE F THIS A MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL ADDRESS: I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE 0 APPLICANT NAME (PLEASE PRINT) INDIVIDUAL NAME (if applicable): Enrigue de la Concha COMPANY NAME (if applicable): MAILING ADDRESS: 8010 Sevan Ct #0 CITY, STATE, ZIP: San Diego, CA 92116 TELEPHONE: 619 389 8994 EMAIL ADDRESS: info@enriguedelaconcha.com I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ~::.::.::..::..-:..-::..--___ ~ . ----~ 02/08/21 SIGNATURE DATE I 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. RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING ON T rn.li--"Ff~IS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH A SUCCE ORS IN INTEREST. FOR CITY USE DATE STAMP APPLICATION RECEIVED RECEIVED BY: P-1 Page 2 of6 Revised 03/17 Indemnification and Insurance Requirement for Village Area Administrative Permit Certification Statement I Certify that I am the Legal Business Owner of the subject business and that all of the above information is true and correct to the best of my knowledge. I agree to accept and abide by any conditions placed on the subject project as a result of approval of this application. I agree to indemnify, hold harmless, and defend the City of Carlsbad and its officers and employees from all claims, damage or liability to persons or property arising from or caused directly or indirectly by the installation or placement of the subject property on the public sidewalk and/or the operation of the subject business on the public sidewalk pursuant to this permit unless the damage or liability was caused by the sole active negligence of the City of Carlsbad or its officers or employees. I have submitted a Certificate of Insurance to the City of Carlsbad in the amount of one million dollars issued by a company which has a rating in the latest "Best's Rating Guide" of "A-" or better and a financial size of $50-$100 (currently class VII) or better which lists the City of Carlsbad as "additional insured" and provides primary coverage to the City. I also agree to notify the City of Carlsbad thirty days prior to any cancellation or expiration of the policy. The notice shall be delivered to: City Planner City of Carlsbad 1635 Faraday Avenue Carlsbad The insurance shall remain in effect for as long as the property is placed on the public sidewalk or the business is operated on the public sidewalk. This agreement is a condition of the issuance of this administrative permit for the subject of this permit on the public sidewalk. I understand that an approved administrative permit shall remain in effect for as long as outdoor displays are permitted within the Village Review Area and the permittee remains in compliance with the subject approved permit. Signature __ ~_:_·-----------------Date: ? f4 f t, \ ---1-----.,_t _ __._ ____ _ Certification Statement: I Certify that I am the,Legal Property Owner for the subject business location and that all of the above information is true and correct to the best of my knowledge. I support the applicant's request for a permit to place the subject property on the public sidewalk. I understand that an approved administrative permit shall remain in effect for as long as outdoor dis lays are pe itted within the Village Review Area and the permittee remains in compliance with the subject app oved p rmi Date: ____ :3_Lf-+-t_f ___ _ P-1 Page 3 of 6 Revised 03/17 C 0 LAND USE REVIEW APPLICATION FORM INSTRUCTIONS TO APPLICANTS In order to streamline the application process and reduce duplication in filling out application forms, the city has adopted a comprehensive application form to handle multiple application submittals. The following instructions should assist you in preparing the application form for submittal to the city: ✓ Applications applied for: Check the appropriate boxes for the various application types for which you are applying. Check with counter staff to determine required application types needed to process your specific project. ✓ Assessor Parcel No(s).: Include all assessor parcel numbers included within the project boundary. The counter staff can assist you in determining the appropriate assessor parcel number(s). ✓ Project Name: Fill in the box with the name of the project, such as "Red Oak Homes" or "Benson Commercial." If no name is proposed, write the last name of the owner or applicant plus a brief description such as "Jones Condo Conversion" or "Smith Residential Subdivision." ✓ Brief Description of Project: Write down a brief description of the project. Be specific but do not include square footage or architectural details. For example: a neighborhood commercial center with two restaurants; single family detached residential project; or an industrial/office complex with three industrial/office buildings. ✓ Owner's Name, Address, Phone Number, Email address and Signature: To be filled in and signed by the owner for all applications. Use the owner's name as it appears on the title report. ✓ Applicant's Name, Address, Phone Number, Email address and Signature: To be filled in and signed by the applicant. If owner and applicant are the same you may write same on the space for the name. All correspondence and contact regarding the application will be directed to the applicant. ✓ Brief Legal Description: Provide a brief legal description of the property such as "Lot 6 of Map No. 8828 Carlsbad Tract 88-3" or "Portion of Lot I of Rancho Agua Hedionda map 1717." Do not provide bearings and distances. A full legal description will be contained within the title report submitted with the application. ✓ Location of Project: Fill in the blanks with the street address (if appropriate), direction and street names. For projects located in undeveloped areas not adjacent to streets, use the nearest street from which the project will take access. ✓ Consent to Allow Entrance onto the Property: Signature granting members of city staff, Planning Commissioners, or City Council members' permission to inspect and enter the property. ✓ Notice of Restriction: Property owner acknowledges and consents to a Notice of Restriction if conditioned for the applicant. Notices of Restriction run with the land and bind any successors in interest. Application Requirements: Attached with the application form are the various submittal requirements for each application type listed on the face of the application. Follow any instructions contained within the submittal requirements and submit the information and materials required for each of the applications for which you are applying. 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. IMPORTANT: Check all submittals to be sure all the required information and materials have been submitted with your application. Incomplete submittals will not be processed or scheduled for review by staff, the Commission or Council. You will be notified in writing within 30 days of submittal whether or not your application is complete. NOl'E: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE SUBMlTTED BY APPOIN'TMENT. PLEASE CONTACT THE APPOINTMENT SPECIALIST AT G760) 602-2723 TO SCHEDULE AN .APPOW'fMBIT. *SAME DAY APPOINTMENTS ARE NOT AVAILABLE P-1 Page 4 of 6 Revised 03/17 {'cicyof Carlsbad DISCLOSURE STATEMENT P-1(A) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submittal. Your project cannot be reviewed until this information is completed. Please print. Note: Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county, city municipality, district or other political subdivision or any other group or combination acting as a unit." Agents may sign this document; however, the legal name and entity of the applicant and property owner must be r2rovided 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 Enrique de la Concha Corp/Part ___________ _ Title Architect Title --------------Address 8010 Sevan Ct #D San Diego, CA 92123 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, 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~ lott1J -J~,-> Title µ~ ,~1'A1E MAtJ-""Eil.. Address 1..83(. l4/.\i2.l>lt,,J4 S7ttEE1 Corp/Part C,11'( Of CAt.,l,S ~ Title lleAL-~M'= MAJJA<:,etL Address2$'3 G, \iAl'-()IJ--14 ~1~ Page 1 of 2 Revised 07 /1 0 C 0 3. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the names and addresses of ANY person serving as an officer or director of the non- profit organization or as trustee or beneficiary of the. Non Profit/Trust Kristianne Kurner Non Profit/Trust Alex Goodman Title Executive Artistic Director Address 125 Ellery Street Oceanside, CA 92054 Title Managing Director Address4517 Meadowrun Dr. Oceanside, CA 92057 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 l ✓I No If yes, please indicate person(s): __________ _ NOTE: Attach additional sheets if necessary. e.ott,s J~, "6M.. ,s1/lc11. M~,.,Mtrt Print or type name of owner Enrique de la Concha 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 {cicyof Carlsbad PROJECT DESCRIPTION P-1(8) PROJECT NAME: New Village Arts Theatre APPLICANT NAME: Enrique de la Concha Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov 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: 4,684sf Tenant Improvement and remodel for an existing theatre and commercial space. NVA has set out to create a building that more accurately reflects the diverse, adventurous artistic experiences that NVA has become known for. With an expanded lobby that opens directly onto the street and an education space that allows passersby to see the amazing work happening inside, the proposed New Village Arts Center would truly become an inspiration to the North County community. The changes to the space will provide a new center for the arts in the heart of Carlsbad Village that will showcase local talents, increase capacity to offer a variety of classes to a diverse population of students, and provide a new revenue stream to support education and outreach programs, and increase the non-profit's overall sustainability. P-1(8) Page 1 of 1 Revised 07/10 Ccityof 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: Enrique de la Concha Address: 8010 Sevan Ct #D San Diego, CA 92116 Phone Number: 619 389 8994 PROPERTY OWNER Name: City of Carlsbad Address: 2787 STATE ST CARLSBAD, CA 92008 Phone Number: 760 433 3245 Address of Site: 2787 STATE ST CARLSBAD, CA 92008 Local Agency (City and County): ______________________ _ Assessor's book, page, and parcel number: 203-295-01-01 & 203-295-01-02 Specify list(s): ____________________________ _ Regulatory Identification Number: ______________________ _ Date of List:. _________________ ~------------ ~ -02/05/21 2., Applicant 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 C 0 Per the California Environmental Protection Agency's website, 'While Government Code Section 65962.5 [referred to as the Cortese List] makes reference to the preparation of a "list," many changes have occurred related to web-based information access since [the amended statute's effective date in] 1992 and this information is now largely available on the Internet sites of the responsible organizations. Those requesting a copy of the Cortese "list" are now referred directly to the appropriate information resources contained on the Internet web sites of the boards or departments that are referenced in the statute." Below is a list of agencies that maintain information regarding hazardous waste and substances sites. Department of Toxic Substances Control www.calepa.ca.gov/sitecleanup/CorteseList/default.htm www.calepa.ca. qov/database/calsites www.envirostor.dtsc.ca.gov/public EnviroStor Help Desk (916) 323-3400 State Water Resources Control Board http://geotracker.waterboards.ca.gov/ County of San Diego Department of Environmental Health Services www. co. san-dieqo. ca. us/deh Hazardous Materials Division www.sdcounty.ca.gov/deh/hazmat/hazmat permits. html Mailing Address: County of San Diego Department of Environmental Health P.O. Box 129261 San Diego, CA 92112-9261 Call Duty Specialist for technical questions at (858) 505-6880, fax (858) 505-6868 (fax) Environmental Protection Agency National Priorities Sites ("Superfund" or "CERCLIS") www.epa.gov/superfund/sites/cursites (800) 424-9346 or (702) 284-8214 National Priorities List Sites in the United States www.epa.gov/superfund/sites/npl/npl.htm P-1(C) Page 2 of 2 Revised 02/13 .. C ~ ..._,,, ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) Date Filed: 02I0 1121 (To be completed by City) Application Number(s): St)P ;).o2 /-0006 /cvp 'J,o~/--0 () o3 , General Information 1. Name of project: NEW VILLAGE ARTS THEATRE 2. Name of developer or project sponsor: NEW VILLAGE ARTS THEATRE Address: 2787 ST ATE ST 3. 4. 5. 6. 7. 8. 9. City, state, Zip Code: CARSLBAD, CA 92008 Phone Number: 760 433 3245 Curt Green Name of person to be contacted concerning this project: ___________ _ Address: 2787 ST A TE ST City, State, Zip Code: CARSLBAD, CA 92008 Phone Number: 760 433 3245 Address of Project: 2787 STATE ST CARSLBAD CA 92008 Assessor's Parcel Number: 203-295-01-01 & 203-295-01-02 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: Building Permit Existing General Plan Land Use Designation: _______________ _ Existing zoning district: _____________________ _ Existing land use(s): Theatre / Commercial Space Proposed use of site (Project for which this form is filed): ___________ _ Theatre I Commercial Space Project Description 10_ Site size: 10,000 SF (.23 ACRES) 11. 12: 13. Proposed Building square footage: _9_,6_4_0_S_F ______________ _ Number of floors of construction: _1 __________________ _ Amount of off-street parking provided: _N_I_A ________________ _ 14. Associated projects: ______________________ _ P-1(0) Page 2 of 4 Revised 07/10 r 15. 16. 17. 18. C If residential, include the number of units and schedule of unit sizes: N/A --------- If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities: ___________________ _ City Oriented Sales Area: Box Office (338 sf) + Lobby (2, 130sf) + Artist Work Space (877sf) = 3,345 sf 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 P-1(D) clearly why the application is required: __________________ _ The City Planner has determined that a conditional use permit (CUP) and a minor site development plan (SDP) will be required for the approval of the modification to the theater's operation for the ancillary services of alcohol. Page 3 of 4 Revised 07/10 C - 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 knowledge and belief. Date: 02/01 /21 ~ --Signature: ---===----------- For: P-1(0) Page 4 of 4 Revised 07/10 {cicyof 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: To be stapled with receipt to the application P-1(E) Page 1 of 1 Revised 07/10 Development Services Planning Division 1635 Faraday Avenue 760-602-4610 www.carlsbadca.gov PURPOSE C CLIMATE ACTION PLAN CONSISTENCY CHECKLIST P-30 (city of Carlsbad In September 2015, the City of Carlsbad adopted a Climate Action Plan (CAP) that outlines actions that the city will undertake to achieve its proportional share of state greenhouse gas (GHG) emissions reductions. This checklist contains measures that are required to be implemented on a project-by-project basis to ensure that the specified emissions targets identified in the Climate Action Plan (CAP) are achieved. Implementation of these measures will ensure that new development is consistent with the CAP's assumption for relevant CAP strategies toward achieving the identified greenhouse gas (GHG) reduction targets. In this manner, a project's incremental contribution to a cumulative GHG emissions effect may be determined not to be cumulatively considerable if it complies with the requirements of the CAP, in accordance with CEQA Guidelines Sections 15064(h)(3), 15130(d), and 15183(b). * *City staff are currently not assessing the greenhouse gas impacts of California Environmental Quality Act projects by using the Climate Action Plan as a qualified GHG reduction plan under CEQA section 15183.S(b). Please consult with the Planning Department for further guidance. Additional information may be found on the Climate Action Plan Update and Vehicle Miles Traveled calculations staff report. This checklist is intended to assist project applicants in identifying CAP ordinance requirements and demonstrate how their project fulfills those requirements. This checklist is to be completed and included in applications for new development projects that are subject to discretionary review or require a building permit. APPLICATION SUBMITTAL REQUIREMENTS • The completed checklist must be included in the project submittal package or building permit application. Application submittal procedures can be found on the City of Carlsbad website. This checklist is designed to assist the applicant in identifying the minimum CAP-related requirements specific to their project. However, it may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. • If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, an explanation must be provided to the satisfaction of the Planning Division or building official. • The requirements in the checklist will be included in the project's conditions of approval or issuance of building permit. • Details on CAP ordinance requirements are available on the city's website. P-30 Page 1 of 7 Revised 02/20 l ' City of Carlsbad Climate Action Plan Consistency Checklist STEP 1: LAND USE CONSISTENCY The first step in determining CAP consistency for discretionary development is to assess the project's consistency with the growth projections used in the development of the CAP. This section allows the city to determine a project's consistency with the land use assumptions used in the CAP. Projects found not to be consistent with the CAP's land use assumptions and that are projected to emit at or above the CAP screening threshold of 900 metric tons of CO2 equivalent (MTCO2e) GHG will be subject to a project-specific analysis of GHG emissions' impact on the · environment in accordance with the requirements of the California Environmental Quality Act (CEQA). This may result in GHG-reducing mitigation measures applied as a condition of project approval in addition to compliance with the CAP ordinance requirements identified in Step 2 of this checklist. I STEP 1 Land Use Consistency I Checklist Item (Check the appropriate box and provide an explanation and supporting documentation for your answer) Yes No ! A. Is the proposed project consistent with the existing General Plan land use and specific/master plan or zoning designations? OR, If the proposed project is not consistent with the existing land use plan and zoning designations, does the project include a land use plan and/or specific plan, master plan or zoning designation amendment that would result in an equivalent or less GHG-intensive project when compared to the existing designations? □ If ''Yes", proceed to Step 2 of the checklist. For the second option under Question A above, provide estimated project-related GHG emissions under both existing and proposed designation(s) for comparison. GHG emissions must be estimated in accordance with the City of Carlsbad Guidance to Demonstrating Consistency with the Climate Action Plan. If "No", proceed to Question B. B. The CAP established a screening threshold of 900 MTC02e/year for new development projects to assist in determining consistency with the CAP. The types and sizes of typical projects listed below have been determined to correspond to the CAP screening threshold. Will the proposed land use change result in the construction of less than any one of the following? • Single-Family Housing: 50 dwelling units • Multi-Family Housing: 70 dwelling units • Office: 35,000 square feet • Retail Store: 11,000 square feet • Grocery Store: 6,300 square feet • Other: If the proposed project is not one of the above types, provide a project-specific GHG emissions analysis to determine whether it is below the 900 MTC02e/year screening threshold. If "Yes", proceed to Step 2 of the checklist. □ □ If "No", the project's GHG impact is potentially significant and must be analyzed in accordance with CEQA. Applicant must prepare a Self-developed GHG emissions reduction program in accordance with the City of Carlsbad Guidance to Demonstrating Consistency with the Climate Action Plan to demonstrate how it would offset the increase in emissions over the existing designations. The project must incorporate each of the applicable measures identified in Step 2 to mitigate cumulative GHG emissions impacts unless the decision maker finds that a measure is infeasible in accordance with California Environmental Quality Act Guidelines Section 15091. Mitigation in lieu of or in addition to the measures in Step 2 may be required, depending on the results of the project-specific GHG impact analysis. Proceed and complete a project-specific Self-developed GHG emissions reduction program and Step 2 of the Checklist. P-30 Page 2 of 7 Revised 02/20 City of Carlsbad Climate Action Plan Consistency Checklist STEP 2: CAP ORDINANCE COMPLIANCE REQUIREMENTS Completion of this checklist will document a project's compliance with CAP ordinances, and in turn, demonstrate consistency with the applicable measures and actions of the CAP. The compliance requirements in this Step 2 apply to development projects that require a building permit. All other development projects shall implement all emissions-related mitigation measures from the General Plan Update EIR . Project No./Name: Property Address/ APN : Applicant Name/Co.: Applicant Address: Application Information NEW VILLAGE ARTS THEATRE 2787 STATE ST CARLSBAD CA I APN: 92008 203-295-01-01 & 203-295-01-02 Enrique de la Concha Architect 8010 Sevan Ct D San Diego CA Contact Phone: 619-389-8994 Contact Email: info@enriquedelaconcha.com Contact information of person completing this checklist (if different than above): Name: Company name/address: Contact Phone: Contact Email: Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. If your project includes alterations or additions to an existing building, please contact the Carlsbad Building Division for assistance in estimating building permit valuation, by phone at 760-602-2719 or by email at bu ilding@carlsbadca.gov. Estimated Building Permit Valuation (BPV): $_2_2_0~0_0_0 ______ _ Construction Type Complete Section(s) Notes: 0 Residential □ New construction I 2A, 3A and 4A □ Alterations: □ BPV ~ $60,000 lA All residential alterations □ BPV ~ $60,000 lA and 4A 1-2 family dwellings and townhouses with attached □ Electrical service panel upgrade 4A garages only Multi-family dwellings only where interior finishes are □ BPV ~ $200,000 lA and 4A removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed I ~ Nonresidential . □ New construction I ~B, 2B, 3B, 4B and ~ Alterations: P-30 Page 3 of 7 Revised 02/20 ! City of Carlsbad Climate Action Plan Consistency Checklist 00 BPV ~ $200,000 or additions~ 18,5 1,000 square feet D BPV ~ $1,000,000 18, 28 and 5 Building alterations of ~ 75% existing gross floor area D ~ 2,000 sq. ft. new roof addition 28 and 5 18 also applies if BPV ~ $200,000 CAP Ordinance Compliance Oieddist Item Check the appropriate boxes, explain all not applicable and exception items, and provide supporting calculations and documentation as necessary. 1. Energy Effidency Please refer to Carlsbad Ordinance No. CS-347 and the California Green Building Standards Code (CALGreen) for more information when completing this section. A. D Residential addition or alteration ~ $60,000 building permit valuation. See Ord. CS-347, Section 8. Year Built Single-family Requirements □ Before 1978 Select one: □ Duct sealing □ Attic insulation □ Cool roof □ 1978 and later Select one: □ Lighting package □ Water heating package □ Between 1978 and 1990 □ 1991 and later B. ~ Nonresidential* new construction or alterations ~ $200,000 building permit valuation, or additions ~ 1,000 square feet. See CALGreen Appendix AS, Discussion AS.2, as amended in CS-347, Section 3. AS.203.1.1.1 □ Outdoor lighting: .90 Allowed Outdoor Lighting Power AS.203.1.1.2 □ Restaurant service water heating (comply with California Energy Code Section 140.5, as amended) AS.203.1.2.1 Choose one as applicable: □ .95 Energy budget □ .90 Energy budget AS.211.1. ** □ On-site renewable energy AS.211.3** □ Green power (if offered by local utility provider, 50% minimum renewable sources) AS.212.1 □ Elevators and escalators AS.213.1 □ Steel framing P-30 Page 4 of 7 □ N/A _________ _ □ Exception: Home energy score ~ 7 (attach certification) Multi-family Requirements □ Attic insulation Select one: □ Attic insulation □ Duct Sealing Select one: □Cool roof □ Lighting package □ Water heating package XI N/A _________ _ ~ N/A ~ N/A ~ N/A ~ N/A ~ N/A Dil N/A Revised 02/20 City of Carlsbad Climate Action Plan Consistency Checklist 0 N/A * Includes hotels/motels and high-rise residential buildings ** For alterations~ $1,000,000 BPV and affecting> 75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply with California Energy Code section 120.10 instead. I 2. Photovoltaic Systems A. D Residential new construction (for building permit applications submitted after 1/1/20). Refer to 2019 California Energy Code section 150.l(c) 14 for requirements. Note: if project includes installation of an electric heat pump water heater pursuant to Carlsbad ordinance CS-348, increase system size by .3kWdc if PV offset option is selected. Floor Plan ID (use additional CFA #d.u. Calculated kWdc* sheets if necessary) Total System Size: kWdc = (CFAx.572) / 1,000 + (1.15 x #d.u.) *Formula calculation where CFA = conditional floor area, #du= number of dwellings per plan type If proposed system size is less than calculated size, please explain. Exception D D D D kWdc B. D Nonresidential new construction or alterations ~$1,000,000 BPVand affecting ~75% existing floor area, or addition that increases roof area by ~2,000 square feet. Please refer to Carlsbad Ordinance CS-347, Section 6 when completing this section. Choose one of the following methods: □ Gross Floor Area (GFA) Method GFA: D If< 10,000s.f. Enter: 5 kWdc Min. System Size: D If~ 10,000s.f. calculate: 15 kWdc x (GFNl0,000) ** ___ kWdc **Round building size factor to nearest tenth, and round system size to nearest whole number. □ Time-Dependent Valuation Method Annual TDV Energy use:*** x .80= Min. system size: kWdc ---- ***Attach calculation documentation using modeling software approved by the California Energy Commission. P-30 Page 5 of 7 Revised 02/20 > I • City of Carlsbad Climate Action Plan Consistency Checklist 3. Water Heating A. D Residential and hotel/motel new construction Please refer to Carlsbad Ordinance CS-347 and CS-348 when completing this section. D For systems serving individual dwelling units choose one: D Heat pump water heater AND compact hot water distribution AND drain water heat recovery (low-rise residential only) D Heat pump water heater AND PV system .3 kWdc larger than required in CA Energy Code Section 120.10 (for high rise residential hotel/motel) or 150.l(c) 14 (for low-rise residential) D Heat pump water heater meeting Tier 3 or higher NEEA Advanced Water Heating Specification D Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors D Exception: D For systems serving multiple dwelling units, install a central water-heating system with all of the following: D Gas or propane water heating system D Recirculation system per CS-347 (high-rise residential, hotel/motel) or CS-348 (low-rise residential) D Solar water heating system that is either: D .60 solar sa vings fraction or 40 s.f. solar collectors D .40 solar savings fraction, plus drain water heat recovery □ Exception: B. D Nonresidential new construction Please refer to Carlsbad Ordinance CS-347 when completing this section. □ Water heating system derives at least 40% of its energy from one of the following (attach documentation): D Solar-thermal □ Photovoltaics □ Recovered energy D Water heating system is (choose one): □ Heat pump water heater □ Electric resistance water heater(s) □ Solar water heating system with .40 solar savings fraction □ Exception: j 4. Electric Vehicle Charging A. D Residential New construction and major alterations* Please refer to Carlsbad Ordinance CS-349 when completing this section. □ One and two-family residential dwelling or townhouse with attached garage: □ One EVSE ready parking space required D Exception : □ Multi-family residential · D Exception · Total Parking Spaces EVSE Spaces Proposed Capable I Ready I Calculations: Total EVSE spaces = .10 xTotal parking (rounded up to nearest whole number) EVSE Installed= Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other= Total EVSE spaces -EVSE Installed (EVSE other may be "Capable," "Ready" or "Installed.") I I Installed I I Total P-30 Page 6 of 7 Revised 02/20 . ' .. City of Carlsbad Climate Action Plan Consistency Checklist *Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation;:: $60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit valuation ;:: $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. B D Nonresidential new construction (includes hotels/motels) □ Exception · Total Parking Spaces EVSE Spaces Proposed Capable I Ready I Installed I Total I I I Calculation: Refer to the table below: Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces □ 0-9 1 1 □ 10-25 2 1 □ 26-50 4 2 □ 51-75 6 3 □ 76-100 9 5 □ 101-150 12 6 □ 151-200 17 9 □ 201 and over 10 percent of total 50 percent of Required EV Spaces I 5. 00 Transportation Demand Management (TDM) A. List each proposed nonresidential use and gross floor area (GFA) allocated to each use. B. Employee ADT /1,000 square feet is selected from the City of Carlsbad Employee ADT Table. Use GFA Employee ADT /1,000 S.F. Total Employee ADT Retail 2,108 8.0 I 4.5 10 Office-all-uses 2,576 13.0 34 Total 44 If total employee ADT is greater than or equal to 110 employee ADT, a TDM plan is required. *NOTE: Notwithstanding the 110 employee ADT threshold above, General Plan Mobility Element Policy 3-P.ll requires new development that adds vehicle traffic to vehicle LOS-exempt street facilities to implement TDM and transportation system management strategies. Please consult with City of Carlsbad Land Development Engineering (LOE) staff to determine whether this policy applies to your project. TDM plan required: Yes □ No ~ LOE Staff Verification: □ _____ (staff initials) P-30 Page 7 of 7 Revised 02/20 <$ I N T E L I U s· Location Report 2787 State St, Carlsbad, 92008 Li nk to Report Report Created Feb 11, 2021 intelius.com/dashboard Disclaimer lntelius IS NOT A CREDIT REPORTING AGENCY ("CRA") FOR PURPOSES OFTHE FAIR CREDIT REPORTING ACT("FCRA"), 15 USC§§ 1681 et seq. AS SUCH, THE ADDITIONAL PROTECTIONS AFFORDED TO CONSUMERS, AND OBLIGATIONS PLACED UPON CREDIT REPORTING AGENCIES, ARE NOT CONTEMPLATED BY, NOR CONTAINED WITHIN, THESE TERMS. You may not use any information obtained from this report in connection with determining a prospective candidate's suitability for: Health insurance or any other insurance Credit and/or loans Employment Education, scholarships or fellowships Housing or other accommodations Benefits, privileges or services provided by any business establishment. The information provided by this report has not been collected in whole or in part for the purpose of furnishing consumer reports, as defined in the FCRA. Accordingly, you understand and agree that you will not use any of the information you obtain from this report as a factor in: (a) establishing an individual's eligibility for personal credit, loans, insurance or assessing risks associated with existing consumer credit obligations; (b) evaluating an individual for employment, promotion, reassignment or retention (including employment of household workers such as babysitters, cleaning personnel, nannies, contractors, and other individuals); (c) evaluating an individual for educational opportunities, scholarships or fellowships; (d) evaluating an individual's eligibility for a license or other benefit granted by a government agency or (e) any other product, service or transaction in connection with which a consumer report may be used under the FCRA or any similar state statute, including, without limitation, apartment rental, check-cashing, or the opening of a deposit or transaction account. You also agree that you shall not use any of the information you receive through this report to take any "adverse action;· as that term is defined in the FCRA; you have appropriate knowledge of the FCRA; and, if necessary, you will consult with an attorney to ensure compliance with these Terms. Map This section contains the map for this location. 2787 State St, Carlsbad, CA 92008-1629 Page 2 Location Details This section contains location details for this location LOCATION DETAILS Street City County Country 2787 State St Carlsbad San Diego us 5 Digit Zip Code County FIPS Congressional District Is Deliverable 92008 06073 49 Yes Is Receiving Mail Zip Type UTC Offset Sub Division Name Yes Standard -8 Town Carlsbad Amd Location Type Location Use Longitude Latitude Street Commercial -117.3506 33.16175 Page 3 Ownership History This section includes information about the ownership history at this location. Previously Owned Property #1 2787 State St Carlsbad, California, 92008 Previously Owned Property #2 Town Carlsbad Amd 2787 State St Carlsbad, California, 92008 Previously Owned Property #3 2787 State St Ste B Carlsbad, California, 92008 B4 00 i,q/11 Current Owner City Of Carlsbad Jan 30, 2012 --------- Current Owner City Of Carlsbad Jan 30, 2012 Current Owner New Village Arts ,li,11 1, 2C,·O Du '.-\1, 2020 Page 4 . ( Business Profiles This section includes information about businesses at this location. Possible Business Affiliations Bauer Lumber Co Inc DUNS Number 028032324 Beach Bound DUNS Number 146100370 Carlsbad Children's Museum DUNS Number Alternative Company Names Comfort Zone DUNS r~urnber Fredwerks Le Muse New Village Arts Inc 930930805 Children's Discovery Mu- seum 084926067 065827333 602784105 097444843 New Village Arts Theatre Inc DUNS Number 964963396 Primary Company Names Primary Company Names Primary Company Names Prirn.:.ry Comp;;ny N.;mes Bauer Lumber Co Inc Bauer Lumber Company, Inc. Beach Bound Children's Discovery Mu- seum Of North County Childrens Discovery Mu- seum Of North County Inc Comfort Zone Fredwerks Le Muse New Village Arts Inc New Village Arts Theatre Inc Page 5 .. r . - Rebecca Rochelle Biddle DUNS Numb r 023160205 Serena Lissy Photography DUNS Number Sowing Sisters DUNS Number 070299978 124770384 Primary Company Names Rebecca Rochelle Biddle Primary Company Names Serena Lissy Photography Primary Company Names Sowing Sisters Page 6 Q)lr 202..)-CDG ~m1WJR.~ N ~ CL TA GUARANTEE FORM NO. 28 (06-05-14) CONDITION OF TITLE GUARANTEE ~ North American Title Insurance Company Guarantee No.: 92002-21 -18489SG Date of Guarantee: March 25, 2021 at 12:00 AM SCHEDULE A 1. Name of Assured: New Village Art Amount of Liability: $2,500.00 Fee: $500.00 2. The estate or interest in the Land which is covered by this Guarantee is: A Fee. 3. The Land referred to in this Guarantee is described as follows: Real Property in the unincorporated area of the County of San Diego, State of California, described as follows: LOTS 1 THROUGH 4 INCLUSIVE, IN BLOCK K OF CARLSBAD, IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 535, FILED IN THE OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, MAY 2, 1888. APN: 203-295-01-01 AND 203-295-01-02 ADDRESS: 2787 STATE STREET, CARLSBAD CA 92008 4. ASSURANCES: According to the Public Records as of the Date of Guarantee, a. Title to the estate or interest in the Land is vested in: CITY OF CARLSBAD, a California Municipal Corporation b. Title to the estate or interest is subject to defects, liens or encumbrances shown in Schedule B which are not necessarily shown in the order of their priority. NORTH AMERICAN TITLE COMPANY, INC. Authorized Officer or Agent CL TA Guarantee Form No. 28 (06-05-14) Condition of Title Guarantee Schedule A North American Title Insurance Company Emilio Fernandez President JNATIC NORTH AMERICAN TITLE INSURANCE COMPANY City of Carlsbad JUN O 8 2021 Planning Division Form: S.GU.1135 92002-21-18489 Cl TA GUARANTEE FORM NO. 28 (06-05-14) CONDITION OF TITLE GUARANTEE North American Title Insurance Company Guarantee No.: 92002-21-18489SG Date of Guarantee: March 25, 2021 at 12:00 AM SCHEDULE B Amount of Liability: $2,500.00 Fee: $500.00 NOTE: IT IS THE RESPONSIBILITY OF ALL PARTIES INVOLVED TO REVIEW EVERY ITEM CONTAINED IN THIS PRELIMINARY REPORT, INCLUDING BUT NOT LIMITED TO THE ITEM(S} HIGHLIGHTED HEREIN FOR YOUR IMMEDIATE ATTENTION TO BE PAID AND/OR RESOLVED AT OR BEFORE CLOSING, BEFORE A TITLE POLICY IS ISSUED. 1. General and special taxes and assessments for the fiscal year 2021-2022, a lien not yet due or payable. 2. General and special taxes and assessments for the fiscal year 2020-2021 are exempt. Affects: 203-295-01-01. 3. General and special taxes and assessments for the fiscal year 2020-2021 are exempt. Affects: 203-295-01-02. 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. 5. Water rights, claims to water, whether or not shown by the Public Records. 6. A 5' Easement Reserved on all exterior lines as designated on Map No. 775. 7. An unrecorded lease dated December 1, 2002, executed by Carlsbad Redevelopment Agency as lessor and Tom Cowden, of Goldcoast Specialty Foods, a sole Proprietor as lessee, as disclosed by a Lease Agreement recorded September 20, 2002 as Instrument No. 2002-0810131 of Official Records. Defects, liens, encumbrances or other matters affecting the leasehold estate, whether or not shown by the public records. 8. An unrecorded lease dated September 9, 2003, executed by Carlsbad Redevelopment Agency as lessor and JBB Designs, Inc. DBA: Beach Bound, a California Corporation as lessee, as disclosed by a Short Form Memorandum of Lease recorded October 13, 2003 as Instrument No. 2003-1253650 of Official Records. Defects, liens, encumbrances or other matters affecting the leasehold estate, whether or not shown by the public records. 9. An unrecorded lease dated September 9, 2003, executed by Carlsbad Redevelopment Agency, a body public and corporate as lessor and Children's Discovery Museum of North County, a California non-profit corporation as lessee, as disclosed by a Short Form Memorandum of Lease recorded October 13, 2003 as Instrument No. 2003-1253651 of Official Records. Defects, liens, encumbrances or other matters affecting the leasehold estate, whether or not shown by the public records. 10. An unrecorded lease dated April 24, 2007, executed by Carlsbad Redevelopment Agency as lessor and Beckie Biddle d.b.a Sowing Sisters Quilt Shop as lessee, as disclosed by a Memorandum of Lease recorded May 25, 2007 as Instrument No. 2007-0357883 of Official Records. Cl TA Guarantee Form No. 28 (06-05-14) Condition of Title Guarantee Schedule B Form: S.GU.1135 92002-21-18489 11. SCHEDULE B (Continued) Defects, liens, encumbrances or other matters affecting the leasehold estate, whether or not shown by the public records. find no open deeds of trust, and will uire the O n Loans Affidavit foon to be submitted for review rto close. CLTA Guarantee Form No. 28 (06-05-14) Condition of Title Guarantee Schedule B Form: S.GU.1135 92002-21 -18489 Cl TA GUARANTEE FORM NO. 28 (06-05-14) CONDITION OF TITLE GUARANTEE North American Title Insurance Company EXHIBIT A The land referred to in this Policy is described as follows: Real Property in the unincorporated area of the County of San Diego, State of California, described as follows: LOTS 1 THROUGH 4 INCLUSIVE, IN BLOCK K OF CARLSBAD, IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 535, FILED IN THE OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, MAY 2, 1888. APN: 203-295-01-01 AND 203-295-01-02 ADDRESS: 2787 STATE STREET, CARLSBAD CA 92008 CL TA Guarantee Form No. 28 (06-05-14) Condition of Title Guarantee Exhibit A Form: S.GU.1135 92002-21-18489 . Privacy Policy Rev. 03/22/2021 The Doma Famil anies FACTS WHAT DOES THE DOMA FAMILY OF COMPANIES 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 this notice carefully to understand what we do. The types of personal information we collect and share depend on the product or service you have w ith us. This information can include: • Social Security number and income • Tra nsaction history and payment history • Purchase history and account balances All financial companies need to share customers' personal information to run t heir everyday business. In the section below, we list the reasons financial companies can share their customers' personal information, the reasons the Doma Family of Companies chooses to share, and whether you can limit this sharing. Reasons we can share your personal information Does Doma share? Can you limit this sharing? For our everyday business purposes Yes No Such as to process your transactions, maintain your account(s), respond to court orders and legal investigations, or report to credit bureaus For our marketine purposes Yes No To offer our products and services to you For joint marketine with other financial companies No We don't share For our affiliates' everyday business purposes Yes No Information about your transactions and experiences For our affiliates' everyday business purposes No We don't share Information about your creditworthiness For our affiliates to market to you No We don't share For nonaffiliates to market to you No We don't share .... Call 1 (650) 419-3827 ,. Other important information *California Residents -Effective January 1, 2020, the California Consumer Privacy Act allows California residents, upon a verifiable consumer request, to request that a business that collects consumers' personal information give consumers access, in a portable and (if technically feasible) readily usable form, to the specific pieces and categories of personal information that the business has collected about the consumer, the categories of sources for that information, the business or commercial purposes for collecting the information, and the categories of third parties with which the information was shared. California residents also have the right to submit a request for deletion of information under certain circumstances. If a business does not produce the information or delete the consumer's personal information as requested, it must provide an explanation in terms of the exemptions and exceptions provided under the CCPA. To contact us with questions about our compliance with the CCPA, call 1 (650) 419-3827 or email info@statestitle.com. How does Doma protect my personal information? How does Doma collect my personal information? Why can't I limit all sharin1? 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 secure files and buildings. We collect your personal information, for example, when you • Apply for insurance; • Apply for financing; • Give us your contact information • Provide your mortgage information • Show your government-issued ID We also collect your personal information from others, such as credit bureaus, affiliates, or other companies. Federal law gives you t he right to limit only • 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. What happens when I limit sharin1 for an Your choices will apply to everyone on your account -unless you tell us otherwise. account I hold jointly with someone else? Definitions Affiliates Companies related by common ownership or control. They can be financial and nonfinancial companies. Nonaffiliates Companies not related by common ownership or control. They can be financial and nonfinancial companies. • Nonaffiliates we share with can include collection agencies, IT service providers, companies that perform marketing services on our behalf, and consumer reporting agencies. Joint marketin1 A formal agreement between nonaffiliated financial companies that together market financial products or services to you. • Doma doesn't jointly market. The Doma Family of Companies consists of the following entities: Doma Holdings, Inc. States Title, LLC States Title Agency, Inc. Spear Agency Acquisition Inc. Title Agency Holdco, LLC. States Settlement Services, Inc. NASSA LLC North American Title Insurance Company North American Title Agency, Inc. North American Title Company, Inc. North American Title Company North American Title Company, LLC North American Asset Development, LLC North American Services, LLC North American Title, LLC North American Title Company of Colorado