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HomeMy WebLinkAboutCDP 2021-0045; SHEA CHOW ADU; Coastal Development Permit (CDP)\..._ City of 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 Pennits ~ Coastal Development Permit D Conditional Use Permit D Minor D Extension D Day Care (Large) bl! Minor D Environmental Impact Assessment D Habitat Management Permit D Hillside Development Permit OMinor OMinor D Nonconforming Construction Permit D Planned Development Permit D Minor D Residential D Non-Residential D Planning Commission Determination D Reasonable Accommodation D Site Development Plan D Special Use Permit OMinor D Tentative Parcel Map (Minor Subdivision) D Tentative Tract Map (Major Subdivision) D Variance D Minor (FOR DEPT. USE ONLY) Legislative Pennits aw' iou -()CJ,\$ 0 General Plan Amendment 0 Local Coastal Program Amendment 0 Master Plan O Amendment 0 Specific Plan 0 Zone Change □Amendment D Zone Code Amendment South Carlsbad Coastal Review Area Pennits D Review Permit 0 Administrative D Minor D Major Village Review Area Permits 0 Review Permit D Administrative D Minor D Major (FOR DEPT. USE ONLY) El NOTE: A PROPOSED PROJECT REQUIRING APPUCA TION SUBMITTAL MUST BE SUBIIUTED BY APPOINTMENT". PLEASE CONTACT THE APPOINTMENT SPECIALIST AT (760) 602-2723 TO SCHEDULE AN APPOINTMENT. *SAME DAY APPOINTMENTS ARE NOT AVAILABLE ASSESSOR PARCEL NO(S): 207-350-17-00 ------------------------------------LO CAT 10 N OF PROJECT: 4822 Neblina Dr. Carlsbad CA 92008 (STREET ADDRESS) NAME OF PROJECT: Shea Chow ADU BRIEF DESCRIPTION OF PROJECT: ADU (2 bedroom, 1 bath) on top of detached garage PROJECT VALUE (SITE IMPROVEMENTS) FOR CITY USE ONLY Development~ ·2.()1-\ -0 l 71 P-1 ESTIMATED COMPLETION DATE Lead Case No. Page 1 of 6 4 ~&>'"' l-"'" cY f-r~ 171.J ~ d.., vt-. gf7fv0\.J·") Revised 10/20 . .. ~ OWNER NAME (PLEASE PRINT) -· APPLICANT NAME (PLEASE PRINT) INDIVIDUAL NAME INDIVIDUAL NAME {if applicable): Jayce Chow {if applicable): COMPANY NAME COMPANY NAME {if applicable): (if applicable): MAILING ADDRESS: 4822 Neblina Dr. MAILING ADDRESS: CITY, STATE, ZIP: Carlsbad, CA. 92008 CITY, STATE. ZIP: TELEPHONE: 760-707-7963 TELEPHONE: EMAIL ADDRESS: j.sheachow@gmail.com EMAIL ADDRESS: I CERTIFY THAT I AM. THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE. SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR PURPOSES OFWCATION. 7/12/2021 SIGNATURE ;:-DATE SIGNATURE DATE APPLICANTS REPRESENTATIVE (Print): 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 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. 1/INE. CONSENT TO ENTRY FOR THIS PURPOSE. NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BIND AN SUCCESSORS IN INTEREST. q PROPE OWNER SIGNATURE FOR CITY USE ONLY P-1 Page 2 of6 RECEIVED AUG O 6 2021 CITY OF CARLSBAD PLANNING DIVISION DATE STAMP APPLICATION RECEIVED RECEIVED BY: \, Revised 10/20 (cicyof Carlsbad DISCLOSURE STATEMENT Development Services P-1 (A) LCity of Carlsbad Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov OCT 2 1 2021 Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submittal. Your project cannot be reviewed until this information is completed. Please print. Note: Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county, city municipality, district or other political subdivision or any other group or combination acting as a unit." Agents may sign this document; however, the legal name and entity of the applicant and property owner must be provided below. 1. APPLICANT (Not the applicant's agent) Provide the COMPLETE, LEGAL names and addresses of ALL persons having a financial interest in the application. If the applicant includes a corporation or partnership. include the names, titles, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (NIA) 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.) PersonJayce Chow Corp/Part.,_K_im_be_rl....,;y_S_he_a _____ _ Title Owner Title Owner -------------Address4822 Neblina Dr. 92008 Address4822 Neblina Dr. 92008 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.) PersonJayce Chow Title Owner Address4822 Neblina Dr. Carlsbad CA 92008 Corp/PartKimberly Shea rrt1eOwner Address4822 Neblina Dr. Carlsbad CA 92008 Page 1 of 2 Revised 07/10 I • 3. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the names and addresses of ANY person serving as an officer or director of the non- profit organization or as trustee or beneficiary of the. Non Profit/Trust__________ Non Profit/Trust ___________ _ Title Title -------------------------- Address Address ----------------------- 4. Have you had more than $500 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? D Yes I ✓ I No If yes, please indicate person(s):. __________ _ NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. Signature of owner/date Signature of applicant/date Jayce Chow Kimberly Shea 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) Page2of2 Revised 07/10 '-..__ City of Carlsbad PROJECT DESCRIPTION P-1(8) PROJECT NAME: Shea Chow ADU .. Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov -------------------------------- APPLICANT NAME: Jayce Chow and Kimberly Shea 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: ADU to be constructed on top of an existing detached garage. Dwelling will consist of two bedrooms, one bath, and a living/kitchen space. The utilities will be connected to main house. The primary function of this ADU will be expanded capacity for a single family, not as a rental property. The project wiP include solar panels, energy star or equivalent appliances, and solar tubes for natural lighting. P-1(8) Page 1 of 1 Revised 07/10 -------------.. ----------- (cicyof Carlsbad HAZARDOUS WASTE Development Services AND SUBSTANCES STATEMEN°Pity of Carlsbad P-1(C) OCT 21 2021 llanning Division Consultation of Lists of Sites Related to Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov 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): Iii 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 m contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT Name: Jayce Chow Address: 4822 Neblina Dr. 92008 Carlsbad CA 92008 Phone Number: 760-707-7963 PROPERTY OWNER Name: Jayce Chow Address: 4822 Neblina Dr. 92008 Carlsbad CA 92008 Phone Number: 760-707 -7963 Address of Site:4822 Neblina Dr. 92008, Carlsbad CA 92008 Local Agency (City and county}: Carlsbad, San Diego County Assessor's book, page, and parcel number:_2_0_7_-_3_5_0_-1_7_-_0_0 ____________ _ Specify list(s}:_N_I_A _________________________ _ Regulatory Identification Number:_N_I_A ___________________ _ Date of List N/ A ---------------------------- The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local agencies and developers to comply with the California Environmental Quality Act requirements in providing information about the location of hazardous materials release sites. P-1(C) Page 1 of2 Revised 02/13 ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) Date Filed: ____________ (To be completed by City} Application Number(s): __________________________ _ General Information 1. Name of project: _C_h_o_w_A_D_U ____________________ _ 2. Lone Star Name of developer or project sponsor: __________________ _ Address: 770 Sycamore Ave Suite 122 City, State, Zip Code: _V_is_ta_,_C_A_, 9_2_0_84 _________________ _ Phone Number: 760-505-3622 3. Name of person to be contacted concerning this project: _Al_e_x_O_lm_o_s ________ _ Address: 770 Sycamore Avenue, Suite 122, City, State, Zip Code: _V_is_ta_,_C_A_, 9_2_0_84 _________________ _ Phone Number: 760-889-4565 4_ Address of Project: 4822 Neblina Drive, Carlsbad, CA 92008 Assessor's Parcel Number: 2o7-35o-17-0o ----------------------- 5. List and describe any other related permits and other public approvals required for this project, including those required by city, regional, state and federal agencies: 6. 7. 8. 9. N/A R-4 Existing General Plan land Use Designation: ________________ _ Existing zoning district: _R_-_1-_8_0_0_0 ____________________ _ Existing land use(s): Single Family Residential Proposed use of site (Project for which this form is filed): _A_D_U ___________ _ Project Description 10. Site size: _14_,3_7_5_s_q_ft ______________________ _ 11. 12: 13. 14. P-1(O) Proposed Building square footage: Proposed ADU over garage 511 sq ft. Number of floors of construction: 2nd floor above existing garage Amount of off-street parking provided: Driveway & Garage approx 6 Associated projects: _n_o_n_e ______________________ _ Page2of4 Revised 07/10 15. 16. 17. 18. 19. P-1(D) If residential, indude the number of units and schedule of unit sizes: 1 ADU -511 sq ft If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities: If industrial, indicate type, estimated employment per shift, and loading facilities: _____ _ If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project: If the project involves a variance, conditional use or rezoning applications, state this and indicate clearly why the application is required: ____________________ _ Page3of4 Revised 07/10 Are the following items applicable to the project or its effects? Discuss all items checked yes (attach additional sheets as necessary). Yes No 20. Change in existing features of any bays, tidelands, beaches, or hills, or substantial D Ill alteration of ground contours. 21. Change in scenic views or vistas from existing residential areas or public lands or D roads. 22. Change in pattern. scale or character of general area of project. 23. Significant amounts of solid waste or litter. 24. Change in dust, ash, smoke, fumes or odors in vicinity. 25. Change in ocean, bay, lake, stream or ground water quality or quantity, or alteration of existing drainage patterns. 26. Substantial change in existing noise or vibration levels in the vicinity. 27. Site on filled land or on slope of 10 percent or more. 28. Use of disposal of potentially hazardous materials, such as toxic substances, flammables or explosives. □ □ D □ □ □ □ 29. Substantial change in demand for municipal services (police, fire, water, sewage, D etc.). 30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.). 31. Relationship to a larger project or series of projects. Environmental Setting Attach sheets that include a response to the following questions: □ □ Ill Ill Ill Ill Ill Ill Ill Ill Ill 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 kn~g~ _an~ -~lief. Date: ? /13121 Signature: 4;:f t2&ul.U--. For: Lone S r -8350486 (_ P-1(0) Page4of4 Revised 07/10 ('city of Carlsbad MINOR COASTAL DEVELOPMENT PERMIT/ SINGLE FAMILY RESIDENCE APPLICATION Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov P-6 A proposed project requiring application submittal must be submitted by appointment*. Please contact the appointment specialist at (760) 602-2723 to schedule an appointment. *SAME DAY APPOINTMENTS ARE NOT AVAILABLE All joint application exhibits, i.e. Tentative Map and Planned Development Site Plan should be prepared at the same scale. (Use a scale no smaller than 1" = 40'.) I. GENERAL BACKGROUND A. Estimated Cost of Development: Development costing $60,000 or more does not qualify as a Minor Coastal Development Permit. The City Planner shall make the final determination regarding a project's cost of development. The primary basis for determining cost of development will be the application of dollar costs per square foot for different types of residential construction. These costs are set by the International Conference of Building Officials (ICBO) and are applied throughout San Diego County. Please complete the following information to assist in the determination of this project's cost of development (Contractor proposals may also be submitted for consideration by the City Planner). Please refer to the current fee schedule for the appropriate $/square foot fee rate. ⇒ New Residential Square Footage: ______ square feet x $ ____ ./sq. ft. = $ ________ _ Residential Addition Square Footage: S I, square feet x $ f f;>o /sq. ft. = $ __ C,__,_ ...... ( __ q'""'8,=· "----0 __ _ ( 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: $ ___________ _ 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) D C. Street address of proposed development Lt f>t---1-IVG-blivaA-J✓·,vc::_ I C,~.,.,~-ba.1 c~ P-6 Page 1 of 7 Revised 08/19 D. Assessor's Parcel Number of proposed development Z.oz-:2so-~ ,1-00 E. Development Description: Briefly describe project: -S \) \ Pl«µ._') P'2 ~ \ '= f ep\-Avu (:t. '),c.J. ro.;;:--, c::,~-, s \--,lt'l!, 6 c.k c-hse-d F. Describe the present land uses (i.e. vacant land, single family homes, apartments, offices, etc.) that surround the proposed development to the: North: S '"' ~ b _ FA,>+,~" b o~<-S--( South: ---------------------------- East: I\ ---------------------------- West: l 1 ---------------------------- G. Is project located within a 100-year flood plain? 0Yes isaNo II. PRESENT USE OF PROPERTY A. Are there existing structures on the property? ~Yes D No If yes, please describe. 7 ,Ylo~ \:c;:. 1:eie,.", kl C'C:?~Jc::::Mcc B. Will any existing structure be removed/demolished? D 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). 111. LOT COVERAGE A. Existing and Proposed Existing Pro12osed Total Building Coverage 15-7:7 sq. ft. 0 sq. ft. \ '61:1 sq. ft. \ "!, Landscaped Area B.k I fh sq. ft. C> sq. ft. ~\Ssq.ft. 00 Hardscape Area :22:,osq. ft. Q sq. ft. '2..'1-jQ,sq. ft. p; 12 % % % Unimproved Area (Left Natural) \ (,...?;,o sq. ft. V sq. ft. )<"-'?o sq. ft. \ ~ .. 5 % P-6 Page 2 of 7 Revised 08/19 P-6 B. Parking: Number of existing spaces ___ 4_...... ___ _ Number of new spaces proposed __ a ____ _ Existing/Proposed TOTAL: ___ 4..._ ___ _ Number of total spaces required __ "'3 ____ _ Number of covered spaces :2: Number of uncovered spaces ____ z_ ___ _ Number of standard spaces <-t Number of compact spaces Is tandem parking existing? Is tandem parking proposed? [MYes# 'Z-D No OYes#_ONo C. Grade Alteration: Is any grading proposed? D Yes ~No If yes, please complete the following: 1. Amount of cut __________________ cu. yds. 2. 3. 4. 5. 6. Amount of fill ___________________ cu. yds. Maximum height of fi!! slope feet Maximum height of cut slope feet Amount of import or export cu. yds. Location of borrow or disposal site _______________ _ Page 3 of 7 Revised 08/19 Development Services Planning Division 1635 Faraday Avenue 760-602-4610 www.carlsbadca.gov PURPOSE CLIMATE ACTION PLAN '-.(:.,,C. f CONSISTENCY CHECKLIST '--lty O P-30 City of Car/sba~arlsbad ,,,,.,._ - Ul,l ~ 1 L.Ull Planning Division In July 2020, the City of Carlsbad adopted an amended 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). This checklist is intended to assist project applicants in identifying CAP ordinance requirements and demonstrate how their project fulfills those requirements. This checklist is to be completed and included in applications for new development projects that are subject to discretionary review or require a building permit. APPLICATION SUBMITTAL REQUIREMENTS • The completed checklist must be included in the project submittal package or building permit application. Application submittal procedures can be found on the City of Carlsbad website. This checklist is designed to assist the applicant in identifying the minimum CAP-related requirements specific to their project. However, it may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. • If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, an explanation must be provided to the satisfaction of the Planning Division or building official. • The requirements in the checklist will be included in the project's conditions of approval or issuance of building permit. • Details on CAP ordinance requirements are available on the city's website. P-30 Page 1 of7 Revised 07 /20 City of Carlsbad Climate Action Plan Consistency Checklist STEP 1: LAND USE CONSISTENCY The first step in determining CAP consistency for discretionary development is to assess the project's consistency with the growth projections used in the development of the CAP. This section allows the city to determine a project's consistency with the land use assumptions used in the CAP. Projects found not to be consistent with the CAP's land use assumptions and that are projected to emit at or above the CAP screening threshold of 900 metric tons of CO2 equivalent (MTC02e) GHG will be subject to a project-specific analysis of GHG emissions' impact on the environment in accordance with the requirements of the California Environmental Quality Act (CEQA). This may result in GHG-reducing mitigation measures applied as a condition of project approval in addition to compliance with the CAP ordinance requirements identified in Step 2 of this checklist. STEP 1 Land Use Consistency Checklist Item (Check the appropriate box and provide an explanation and supporting documentation for your answer) A. Is the proposed project consistent with the existing General Plan land use and specific/master plan or zoning designations? OR, If the proposed project is not consistent with the existing land use plan and zoning designations, does the project indude a land use plan and/or specific plan, master plan or zoning designation amendment that would result in an equivalent or less GHG-intensive project when compared to the existing designations? Yes No □ If "Yes", proceed to Step 2 of the checklist. For the second option under Question A above, prOllide estimated project-related GHG emissions under both existing and proposed designation(s) for comparison. GHG emissions must be estimated in acmdance 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 MTCOie/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 MTCOze/ye;ir saeening threshold. If "Yes", proceed to Step 2 of the checklist. □ □ If "No", the project's GHG impact is potentially significant and must be analyied 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 acrordance 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 07/20 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: Contact Phone: Application Information Chow ADU 4822 Neblina Drive, Carlsbad, CA 92008 Alex Olmos, Lone Star San Diego 770 Sycamore Avenue, Suite 122, Vista, CA, 92084 760-889-4565 Contact Email: alex@lonestarsandiego.com Contact information of person completing this checklist (if different than above): Name: Company name/address: Alex Olmos Lone Star, 770 Svcamore Ave. Vista CA Contact Phone: 760-889-4565 Contact Email: alex@lonestarsandiego.com 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 building@carlsbadca.gov. Estimated Building Permit Valuation (BPV): $ _________ _ Construction Type Complete Section(s) Notes: 0 Residential .D!Q Alterations: D.Q. BPV ~ $60,000 D BPV ~ $60,000 D Electrical service panel upgrade D BPV ~ $200,000 New construction D Alterations: P-30 1A 1Aand4A 4A 1Aand4A Page 3 of7 All residential alterations 1-2 family dwellings and townhouses with attached garages only Multi-family dwellings only where interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed Revised 07/20 City of Carlsbad Climate Action Plan Consistency Checklist □ BPV ~ $200,000 or additions ~ 18, 5 1,000 square feet □ BPV ~ $1,000,000 18, 28 and 5 Building alterations of~ 75% existing gross floor area □ ~ 2,000 sq. ft. new roof addition 28 and 5 18 also applies if BPV ~ $200,000 CAP Ordinance Compliance Checklist Item Check the appropriate boxes, explain all not applicable and exception items, and provide supporting calculations and documentation as necessary. 1. Energy Efficiency Please refer to Carlsbad Ordinance No. CS-347 and the califomia Green Building Standards Code (CALGreen) for more information when completing this section. A. IXI Residential addition or alteration i!! $60,000 building pennit 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 D Water heating package □ Between 1978 and 1990 □ 1991 and later B. 0 Nonresidential* new construction or alterations ;i; $200,000 building permit valuation, or additions i!! 1,000 square feet. See CALGreen Appendix AS, Discussion ASJ., as amended in CS-347, Sedion 3. AS.203.1.1.1 0 Outdoor lighting: .90 Allowed Outdoor Lighting Power AS.203.1.1.2 0 Restaurant service water heating (comply with (alifomia Energy Code Section 1405, as amended) AS.203.1.2.1 Choose one as applicable: □ .95 Energy budget D .90 Energy budget AS.211.1. ** D 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 D Steel framing P-30 Page 4 of7 0 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 0 N/A ________ _ 0 N/A 0 N/A □ N/A 0 N/A 0 N/A □ N/A Revised 07/20 City of Carlsbad Climate Action Plan Consistency Checklist □ N/A * Includes hoteJs/moteJs and high-f'ise 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 c.alifornia Energy Code section U0.10 instead. 2. Photovoltaic Systems A. IX] Residential new construction (for building permit applications submitted after 1/1/20). Refer to 2019 c.alifomia Energy Code section 150.l(c) 14 for requirements. Note: if project indudes installation of an electric heat pump water heater pursuant to carlsbad ordinance CS-348, inaease system size by .3kWdc if PV offset option is selected. Floor Plan ID (use additional CfA #d.u. (.alculated kWdc* sheets if necessary) 493 1 1.432 Total System Size: 1.5 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 □ □ □ □ kWdc B. D Nonresidential new construction or alterations ~1,000,000 BPV and affecting ~75% existing floor area, or addition that inaeases roof area by ~000 square feet Please refer to C.arlsbad Ordinance CS-347, Section 6 when completqthis sedion. Choose one of the following methods: □ Gross Aoor 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 07/20 City of Carlsbad Climate Action Plan Consistency Checklist 3. Water Heating A. IXI Residential and hotel/motel new construction Please refer to Carlsbad Ordinance CS-347 and CS-348 when completing this section. XI For systems serving individual dwelling units choose one: □ 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) ~ Heat pump water heater meeting ner 3 or higher NEEA Advanced Water Heating Specification □ Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors □ Exception: □ For systems serving multiple dwelling units, install a central water-heating system with all of the following: □ Gas or propane water heating system □ Recirculation system per CS-347 {high-rise residential, hotel/motel) or CS-348 {low-rise residential) □ Solar water heating system that is either: □ .60 solar savings 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): □ Solar-thermal □ Photovoltaics □ 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 : 4. Electric Vehicle Charging A. !XI Residential New construction and major alterations• □ Recovered energy Please refer to Carlsbad Ordinance CS-349 when completing this section. Jgj One and two-family residential dwelling or townhouse with attached garage: □ One EVSE ready parking space required lX'l Exception : 4.106.4 exception 2 of the California Green Building Standards Code □ Multi-family residential· □ Exception · Total Parking Spaces EVSESpaces Proposed Capable I Ready I Calculations: Total EVSE spaces= .10 x Total parking (rounded up to nearest whole number) EVSE Installed =Total EVSE Spaces x .SO (rounded up to nearest whole number) EVSE other= Total EVSE spaces -EVSE Installed (EVSE other may be "Capable," "Ready" or "Installed.") P-30 Page6of7 I I Installed I Total I Revised 07/20 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 woo: and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. B. D Nonresidential new construction (indudes hotels/motels) □ Exception : Total Parking Spaces EVSE Spaces Proposed Capable Ready Installed Total Calculation: Refer to the table below: Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces □ 0-9 1 1 □ 10-25 2 1 □ 26-50 4 2 □ 51-75 6 3 □ 76-100 9 5 □ 101-150 12 6 □ 151-200 17 9 □ 201 and over 10 percent of total 50 percent of Required EV Spaces 5. Transportation Demand Management (TOM) 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 Total If total employee ADT is greater than or equal to 110 employee ADT, a TOM plan is required. *NOTE: Notwithstanding the 110 employee ADT threshold above, General Plan Mobility Element Policy 3-P.11 requires new development that adds vehicle traffic to vehicle L05-exempt street facilities to implement IDM and transportation system management strategies. Please consult with City of Carlsbad Land Development Engineering (LDE) staff to determine whether this policy applies to your project TOM plan required: Yes □ No □ LOE Staff Verification: □ _____ (staff initials) P-30 Page7of7 Revised 07120 STORM WATER STANDARDS Development Services QUESTIONNAIRE Land Development Engineering {__'Cicy of Carlsbad E-34 .. City of Carlsbad 1635 Faraday Avenue (760) 602-2750 www.carlsbadca.gov OCT 2 1 2021 I INSTRUCTIONS: lf lanning Division To address post-development pollutants that may be generated from development projects, the city requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual, refer to the Engineering Standards (Volume 5). This questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'STANDARD PROJECT' requirements or be subject to 'PRIORITY DEVELOPMENT PROJECT' (PDP) requirements. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the city. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A completed and signed questionnaire must be submitted with each development project application. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. PROJECT INFORMATION PROJECT NAME: Chow ADU PROJECT ID: CDP 2021 -0045 ADDRESS: 4822 NEBLINA DR. CARLSBAD APN: 207-350-17 The project is (check one): D New Development i;z] Redevelopment The total proposed disturbed area is: 32 ft2 ( ) acres The total proposed newly created and/or replaced impervious area is: C 32 ft2 ( ) acres If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the SWQMP # of the larger development project: Project ID SWQMP#: Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. E-34 Page 1 of 4 REV 03/19 STEP1 ' TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a "development project", please answer the following question: YES NO Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building □ i;zJ or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? If you answered "yes" to the above question, provide justification below then go to Step 5, mark the third box stating "my project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant information. Justification/discussion: (e.g. the project includes only interior remodels within an existing building): If you answered "no" to the above Question, the project is a 'development project', go to Step 2. STEP2 TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer the following questions: Is your project LIMITED to one or more of the following: YES NO 1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non- erodible permeable areas; OR □ ~ b) Designed and constructed to be hydraulically disconnected from paved streets or roads; OR c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets ouidance? 2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ &?l accordance with the USEPA Green Streets guidance? 3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? □ ~ If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 5, mark the second box stating "my project is EXEMPT from PDP ... " and complete applicant information. Discussion to justify exemption ( e.g. the project redeveloping existing road designed and constructed in accordance with the USEPA Green Street guidance): If you answered "no" to the above Questions, your project is not exempt from PDP, ao to Step 3. E-34 Page2of4 REV 03/19 STEP3 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1 )): YES NO 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, □ ~ and oublic development projects on public or private land. 2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or □ i;z] more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. 3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and □ ~ refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial Classification (SIC) code 5812). 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project? A hillside □ bl] development project includes development on any natural slope that is twenty-five oercent or Qreater. 5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is □ ~ a land area or facility for the temporary parking or storage of motor vehicles used personally for business or for commerce. 6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious street, road, highway, freeway or driveway surface collectively over the entire project □ ~ site? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. 7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of □ ~ 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the oroiect to the ESA (i.e. not commingled with flows from adjacent lands).* 8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface that supports an automotive repair shop? An automotive repair □ i;z] shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. 9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious area that supports a retail gasoline outlet (RGO}? This category includes □ i;z] RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADTI of 100 or more vehicles per dav. 10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land □ i;zJ and are expected to generate pollutants post construction? 11. Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC □ i;zJ 21 .203.040) If you answered "yes" to one or more of the above questions, your project is a PDP. If your project is a redevelopment project, go to step 4. If your project is a new project, go to step 5, check the first box stating "My project is a PDP ... n and complete applicant information. If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT.' Go to step 5, check the second box stating "My project is a 'STANDARD PROJECT' .. ." and complete applicant information. E-34 Page 3 of4 REV 03/19 STEP4 TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP) ONLY Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)): YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% of the surface area of the previously existing development? Complete the percent impervious calculation below: Existing impervious area (A) = sq. ft. □ □ Total proposed newly created or replaced impervious area (B) = sq. ft. Percent impervious area created or replaced (B/A)*100 = % If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious surface and not the entire development. Go to step 5, check the first box stating "My project is a PDP ... • and complete applicant information. If you answered "no," the structural BM P's required for PDP apply to the entire development. Go to step 5, check the check the first box statino "Mv project is a PDP ... " and complete aoolicant information. STEPS CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION D My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application. ~ My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT' stormwater requirements of the BMP Manual. As part of these requirements, I will submit a "Standard Project Requirement Checklist Form E-3o and incorporate low impact development strategies throughout my project. Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply. D My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. Applicant Information and Signature Box Applicant Name: Alex Olmos Applicant Title: Business Manager . -·-· --· ---.. Applicant Signature: -4tiv raetu~ Date: 7/13/21 I ( • 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 Qualjty Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City. This Box for Citv Use Ontv YES NO City Concurrence: □ □ By: Date: Project ID: E-34 Page4 of4 REV 03/19 ( Cicyof Carlsbad Project Name: Shea Chow ADU Project ID: CDP 2021-0045 DWG No. or Building Permit No.: . STANDARD PROJECT REQUIREMENT CHECKLIST E-36 Project Information Source Control BMPs Development Services Land Development Engineering 1635 Faraday Avenue (760) 602-2750 www.carlsbadca.gov All development projects must implement source control BMPs SC-1 through SC-6 where applicable and feasible. See Chapter 4 and Appendix E.1 of the BMP Design Manual (Volume 5 of City Engineering Standards) for information to implement source control BMPs shown in this checklist. Answer each category below pursuant to the following. • "Yes" means the project will implement the source control BMP as described in Chapter 4 and/or Appendix E.1 of the Model BMP Design Manual. Discussion/justification is not required. • "No" means the BMP is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. Please add attachments if more space is needed. • "N/A" means the BMP is not applicable at the project site because the project does not include the feature that is addressed by the BMP (e.g., the project has no outdoor materials storage areas). Discussion/justification may be provided. Source Control Requirement Applied? SC-1 Prevention of Illicit Discharges into the MS4 ■Yes □No □ N/A Discussion~ustification if SC-1 not implemented: SC-2 Storm Drain Stenciling or Signage □Yes □ No ■ N/A Discussion~ustification if SC-2 not implemented: SC-3 Protect Outdoor Materials Storage Areas from Rainfall, Run-On, Runoff, and Wind ■Yes □No □ N/A Dispersal Discussion~ustification if SC-3 not implemented: E-36 Page 1 of 4 Revised 09/16 Source Control Reauirement {continued) Applied? SC-4 Protect Materials Stored in Outdoor Work Areas from Rainfall, Run-On, Runoff, and ■Yes □No □ N/A Wind Dispersal Discussion/justification if SC-4 not implemented: SC-5 Protect Trash Storage Areas from Rainfall, Run-On, Runoff, and Wind Dispersal ■Yes □No □ N/A Discussion~ustification if SC-5 not implemented: SC-6 Additional BMPs based on Potential Sources of Runoff Pollutants must answer for each source listed below and identify additional BMPs. (See Table in Appendix E.1 of BMP Manual for guidance). □ On-site storm drain inlets □Yes □No ■NIA □ Interior floor drains and elevator shaft sump pumps □Yes □No ■ N/A □ Interior parking garages □Yes □No ■ N/A □ Need for future indoor & structural pest control □Yes □No ■NIA □ Landscape/Outdoor Pesticide Use □Yes □No ■NIA □ Pools, spas, ponds, decorative fountains, and other water features □Yes □ No ■ N/A □ Food service □Yes □ No ■ N/A □ Refuse areas □Yes □No ■ N/A □ Industrial processes □Yes □No ■NIA □ Outdoor storage of equipment or materials □Yes □No ■ N/A □ Vehicle and Equipment Cleaning □Yes □No ■ N/A □ Vehicle/Equipment Repair and Maintenance □Yes □No ■ N/A □ Fuel Dispensing Areas □Yes □No ■NIA □ Loading Docks □Yes □No ■NIA □ Fire Sprinkler Test Water □Yes □No ■NIA □ Miscellaneous Drain or Wash Water □Yes □No ■NIA □ Plazas, sidewalks, and parkina lots □Yes □No ■NIA For "Yes· answers, identify the additional BMP per Appendix E.1. Provide justification for "No· answers. E-36 Page 2 of 4 Revised 09/16 Site Design BMPs All development projects must implement site design BMPs SD-1 through SD-8 where applicable and feasible. See Chapter 4 and Appendix E.2 thru E.6 of the BMP Design Manual (Volume 5 of City Engineering Standards) for infonnation to implement site design BMPs shown in this checklist. Answer each category below pursuant to the following. • "Yes" means the project will implement the site design BMPs as described in Chapter 4 and/or Appendix E.2 thru E.6 of the Model BMP Design Manual. Discussion / justification is not required. • "No" means the BMPs is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. Please add attachments if more space is needed. • "N/A" means the BMPs is not applicable at the project site because the project does not include the feature that is addressed by the BMPs (e.g., the project site has no existing natural areas to conserve). Discussion/justification may be provided. Site Design Requirement I Applied? SD-1 Maintain Natural Drainage Pathways and Hydrologic Features I ■Yes I □No I □ N/A Discussion/justification if SD-1 not implemented: ADU to be built above existing garage & does not impact existing areasNew, SD-2 Conserve Natural Areas, Soils, and Vegetation I ■Yes I □No I □ N/A Discussion/justification if SD-2 not implemented: SD-3 Minimize Impervious Area I ■Yes I □ No ID N/A Discussion/justification if SD-3 not implemented: SD-4 Minimize Soil Compaction I ■Yes I □No I □ N/A Discussion/justification if SD-4 not implemented: SD-5 Impervious Area Dispersion I ■Yes I D No ID N/A Discussion/justification if SD-5 not implemented: E-36 Page 3 of 4 Revised 09/16 Site uirement contin S0-.6 Runoff Collection □Yes Discussion/justification if SD-6 not implemented: SD-7 Landsca in with Native or Drou ht Tolerant Species □Yes □No ■NIA Discussion/justification if SD-7 not implemented: ■Yes □ No ON/A Discussion/justification if SD-8 not implemented: E-36 Page4of4 Revised 09/16 l'J TICOR TITLE Ticor Title -SD 2275 Rio Bonito Way, Suite 160 San Diego, CA 92108 Title Report 2275 Rio Bonito Way, Suite 160 San Diego, CA 92108 Property Address: 4822 Neblina Drive, Carisbad, CA 92008 Title Officer: Candy Church Errail: ChurchTearr@ticortitle.com Phone No.: (619) 260-5281 Fax No.: (619) 692-9465 File No.: 00838204-995-CCl Introducing Ticor Title LiveLOOK LivelOOK title document delivery system is designed to provide 24/7 real-time access to all inforrration related to a title insurance transaction. Access title reports, exception documents, an easy-to-use su1T1T0ry page, and more, at your fingertips and your convenience. To view your new Ticor Title LiveLOOK report, Click Here Effortless, Efficient, Compliant, and Accessible • TICOR TITLElM 2275 Rio Bonito Way, Suite 160 San Diego, CA 92108 Phone: (619) 260-0015 Issuing Policies of Chicago Title Insurance Company ORDER NO.: 00838204-995-CC1 Realty National, Inc. 3033 Bunker Hills Street San Diego, CA 92109 ATTN: Randy Zimnoch Email: randy@realtynational.com Reference No.: Escrow/Customer Phone: (858) 254-9715 Title Officer: Candy Church Title Officer Phone: (619) 260-5281 Title Officer Fax: (619) 692-9465 Title Officer Email: ChurchTeam@ticortitle.com PROPERTY: 4822 Neblina Drive, Carlsbad, CA 92008 PRELIMINARY REPORT In response to the application for a policy of title insurance referenced herein, Ticor Title Company of California hereby reports that it is prepared to issue, or cause to be issued, as of the date hereof, a policy or policies of title insurance describing the land and the estate or interest therein hereinafter set forth, insuring against loss which may be sustained by reason of any defect, lien or encumbrance not shown or referred to as an exception herein or not excluded from coverage pursuant to the printed Schedules, Conditions and Stipulations or Conditions of said policy forms. The printed Exceptions and Exclusions from the coverage and Umitations on Covered Risks of said policy or policies are set forth in Attachment One. The policy to be issued may contain an arbitration clause. When the Amount of Insurance is less than that set forth in the arbitration clause, all arbitrable matters shall be arbitrated at the option of either the Company or the Insured as the exclusive remedy of the parties. Limitations on Covered Risks applicable to the CL TA and ALT A Homeowners Policies of Title Insurance which establish a Deductible Amount and a Maximum Dollar Limit of Uability for certain coverages are also set forth in Attachment One. Copies of the policy forms should be read. They are available from the office which issued this report. This report (and any supplements or amendments hereto) is issued solely for the purpose of facilitating the issuance of a policy of title insurance and no liability is assumed hereby. If it is desired that liability be assumed prior to the issuance of a policy of title insurance, a Binder or Commitment should be requested. The poficy(s) of title insurance to be issued hereunder will be policy(s) of Chicago Title Insurance Company, a Florida Corporation. Please read the exceptions shown or referred to herein and the exceptions and exclusions set forth in Attachment One of this report carefully. The exceptions and exclusions are meant to provide you with notice of matters which are not covered under the terms of the title insurance policy and should be carefully considered. It is important to note that this preliminary report is not a written representation as to the condition of title and may not list all liens, defects and encumbrances affecting title to the land. By: {/ tl{ d /~-;f~ Authorized Signature CL TA Preliminary Title Report IPrelm (OSI Rev. 8/15/16) Page 1 ~l--- NanJyQwrlc ~UI ATTFn~=ru~ Co,,pon.l:cSccttu1tJ' Order No.: 00838204-995-SDT-CC1 • TICOR TITLE- PRELIMINARY REPORT EFFECTIVE DATE: July 19, 2021 at 7:30 a.m. ORDER NO.: 00838204-995-CC1 The form of policy or policies of title insurance contemplated by this report is: ALTA Homeowners Policy of Title Insurance (12-2-13) ALTA Extended Loan Policy (6-17-06) 2275 Rio Bonito Way, Suite 160 San Diego, CA 92108 Phone: (619) 260-0015 1. THE ESTATE OR INTEREST IN THE LAND HEREINAFTER DESCRIBED OR REFERRED TO COVERED BY THIS REPORT IS: A Fee 2. TITLE TO SAID ESTATE OR INTEREST AT THE DATE HEREOF IS VESTED IN: Kimberly Lynn Shea, as Trustee of The Kimberly Lynn Shea Family Trust, Dated May 10, 2021 and Jayce Chow, an unmarried man as joint tenants, as their interest may appear of record 3. THE LAND REFERRED TO IN THIS REPORT IS DESCRIBED AS FOLLOWS: See Exhibit A attached hereto and made a part hereof. CL TA Preliminary Title Report IPrelm (DSI Rev. 8/15/16) Page 2 Order No.: 00838204-995-SDT-CC1 PRELIMINARY REPORT YOUR REFERENCE: EXHIBIT "A" LEGAL DESCRIPTION Ticer Title Company of California THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Lot 207 of Carlsbad Tract 74-19, in the City of Carlsbad, County of San Diego, State of California, according to Map thereof No. 8177, filed in the office of the County Recorder of San Diego County, September 19, 1975. Excepting therefrom all oil, gas and other hydrocarbons lying 500.00 feet below the surface of said land, but without the right of entry to remove the same as conveyed to Carlsbad Bay properties, LTD., by deed recorded June 10, 1968 as Instrument No. 96383 of official records. APN: 207-350-17-00 CL TA Preliminary Title Report IPrelm (OSI Rev. 8/15/16) Page3 Order No.: 00838204-995-SDT-CC1 PRELIMINARY REPORT YOUR REFERENCE: EXCEPTIONS Ticor Title Company of California AT THE DATE HEREOF, ITEMS TO BE CONSIDERED AND EXCEPTIONS TO COVERAGE IN ADDITION TO THE PRINTED EXCEPTIONS AND EXCLUSIONS IN SAID POLICY FORM WOULD BE AS FOLLOWS: 1. Property taxes, which are a lien not yet due and payable, including any assessments collected with taxes to be levied for the fiscal year 2021-2022 2. Any liens or other assessments, bonds, or special district liens including without limitation, Community Facility Districts, that arise by reason of any local, City, Municipal or County Project or Special District. 3. The lien of supplemental or escaped assessments of property taxes, if any, made pursuant to the provisions of Chapter 3.5 or Part 2, Chapter 3, Articles 3 and 4 respectively (commencing with Section 75) of the Revenue and Taxation Code of the State of California as a result of the transfer of title to the vestee named in Schedule A; or as a result of changes in ownership or new construction occurring prior to date of policy 4. Water rights, claims or title to water, whether or not disclosed by the public records. 5. Any easements not disclosed by the public records as to matters affecting title to real property, whether or not said easements are visible or apparent. 6. Covenants, conditions and restrictions but omitting any covenants or restrictions, if any, including but not limited to those based upon race, color, religion, sex, sexual orientation, familial status, marital status, disability, handicap, national origin, citizenship, immigration status, primary language, citizenship, immigration status, primary language, ancestry, source of income, gender, gender identity, gender expression, medical condition or genetic information, as set forth in applicable state or federal laws, except to the extent that said covenant or restriction is permitted by applicable law, as set forth in the document Recording Date: Recording No.: September 24, 1975 1975-261124, of Official Records Said covenants, conditions and restrictions provide that a violation thereof shall not defeat the lien of any mortgage or deed of trust made in good faith and for value. 7. A deed of trust to secure an indebtedness in the amount shown below, Amount: Dated: Trustor/Grantor: Trustee: Beneficiary: Loan No.: Recording Date: Recording No: CL TA Preliminary Title Report IPrelm (OSI Rev. 8/15/16) $654,900.00 January 26, 2021 Kimberly Shea, an unmarried woman and Jayce Chow, an unmarried man as joint tenants Fidelity National Title Company Mortgage Electronic Registration Systems, Inc., solely as nominee for Caliber Home Loans, Inc., a Corporation, its successors and assigns 9792254584 February 1, 2021 2021-0074005, of Official Records Page4 Order No.: 00838204-995-SDT-CC1 PRELIMINARY REPORT YOUR REFERENCE: EXCEPTIONS (Continued) Ticor Title Company of California 8. A deed of trust to secure an indebtedness in the amount shown below, Amount: Dated: Trustor/Grantor: Trustee: Beneficiary: Loan No.: Recording Date: Recording No: $140,000.00 April 7, 2021 Kimberly Shea, an unmarried woman and Jayce Chow, an unmarried man as joint tenants UPF Washington, Incorporated Banner Bank Not Shown April 30, 2021 2021-0334068, of Official Records The Deed of Trust set forth above is purported to be a "Credit Line" Deed of Trust. Under California Civil Code Section 2943.1 it is a requirement that the Trustor/Grantor of said Deed of Trust either immediately provide the beneficiary with the "Borrower's instruction to Suspend and Close Equity Line of Credit" or provide a satisfactory subordination of this Deed of Trust to the proposed Deed of Trust to be recorded at closing. If the above credit line is being paid off, this Company will require that Escrow obtain written confirmation from the current Beneficiary that the account has been frozen prior to recording. Failure to do so will result in this Company holding funds at the close of Escrow until such confirmation is obtained from the Beneficiary. 9. Any invalidity or defect in the title of the vestees in the event that the trust referred to herein is invalid or fails to grant sufficient powers to the trustee(s) or in the event there is a lack of compliance with the terms and provisions of the trust instrument. If title is to be insured in the trustee(s) of a trust, (or if their act is to be insured), this Company will require a Trust Certification pursuant to California Probate Code Section 18100.5. The Company reserves the right to add additional items or make further requirements after review of the requested documentation. PLEASE REFER TO THE "INFORMATIONAL NOTES" AND "REQUIREMENTS" SECTIONS WHICH FOLLOW FOR INFORMATION NECESSARY TO COMPLETE THIS TRANSACTION. CL TA Preliminary Title Report IPrelm (DSI Rev. 8/15/16) END OF EXCEPTIONS Pages Order No.: 00838204-995-SDT-CC1 PRELIMINARY REPORT YOUR REFERENCE: REQUIREMENTS SECTION Ticor Title Company of California 1. In order to complete this report, the Company requires a Statement of Information to be completed by the following party(s}, Party(s): All Parties The Company reserves the right to add additional items or make further requirements after review of the requested Statement of Information. NOTE: The Statement of Information is necessary to complete the search and examination of title under this order. Any title search includes matters that are indexed by name only, and having a completed Statement of Information assists the Company in the elimination of certain matters which appear to involve the parties but in fact affect another party with the same or similar name. Be assured that the Statement of Information is essential and will be kept strictly confidential to this file. 2. The Company will require either (a) a complete copy of the trust agreement and any amendments thereto certified by the trustee(s) to be a true and complete copy with respect to the hereinafter named trust, or (b) a Certification, pursuant to California Probate Code Section 18100.5, executed by all of the current trustee(s) of the hereinafter named trust, a form of which is attached. Name of Trust: The Kimberly Lynn Shea Family Trust Dated May 10, 2021 CL TA Preliminary Title Report IPrelm (DSI Rev. 8115/16) END OF REQUIREMENTS Page6 Order No.: 00838204-995-SDT-CC1 PRELIMINARY REPORT YOUR REFERENCE: INFORMATIONAL NOTES SECTION Ticor Title Company of California 1. Note: Property taxes, including any personal property taxes and any assessments collected with taxes, are paid. For proration purposes the amounts were: Tax Identification No.: Fiscal Year: 1st Installment: 2nd installment: Exemption: Code Area: 207 -350-17 -00 2020-2021 $4,536.25 $4,536.25 $7,000.00 09000 2. Note: The only deed(s) affecting said land which recorded within twenty-four (24) months of the date of this report, is (are) as follows: Granter: Grantee: Recording Date: Recording No.: Granter: Grantee: Recording Date: Recording No.: Kimberly Shea, an unmarried woman Kimberly Shea, an unmarried woman and Jayce Chow, an unmarried man as Joint Tenants February 1, 2021 2021-0074004, of Official Records Kimberly Shea, an unmarried woman Kimberly Lynn Shea, as Trustee of The Kimberly Lynn Shea Family Trust Dated May 10, 2021 May 27, 2021 2021-0400737, of Official Records 3. Note: The Company is not aware of any matters which would cause it to decline to attach CL TA Endorsement Form 116 indicating that there is located on said Land a Single Family Residence known as 4822 Neblina Drive, City of Carlsbad, CA, to an Extended Coverage Loan Policy. 4. Note: None of the items shown in this report will cause the Company to decline to attach AL TA Endorsement Form 9 to an ALTA Loan Policy, when issued. 5. NOTE: Ticor Title Company of California will pay Chicago Title Insurance Company 12% of the title premium, as disclosed on lines 1107 and 1108 of the HUD-1. 6. Note: The policy of title insurance will include an arbitration provision. The company of the insured may demand arbitration. Arbitrable matters may include, but are not limited to, any controversy or claim between the Company and the Insured arising out of relating to this policy, any service of the Company in connection with its issuance or the breach of a policy provision or other obligation. Please ask your escrow or title officer for a sample copy of the policy to be issued if you wish to review the arbitration provisions and any other provisions pertaining to your title insurance coverage. 7. Notice: Please be aware that due to the conflict between federal and state laws concerning the cultivation, distribution, manufacture or sale of marijuana, the Company is not able to close or insure any transaction involving Land that is associated with these activities. 8. The Company and its policy issuing agents are required by Federal law to collect additional information about certain transactions in specified geographic areas in accordance with the Bank Secrecy Act. If this transaction is required to be reported under a Geographic Targeting Order issued by FinCEN, the Company or its policy issuing agent must be supplied with a completed ALTA Information Collection Form ("ICF") prior to closing the transaction contemplated herein. To protect the private information contained in the attached form and photo ID, please return via a secured method. CL TA Preliminary Title Report IPrelm (OSI Rev. 8/15/16) Page 1 Order No.: 00838204-995-SDT-CC1 PRELIMINARY REPORT YOUR REFERENCE: INFORMATIONAL NOTES (Continued) Ticor Title Company of California ORDER NO.: 00838204-995-CC1 9. Pursuant to Government Code Section 27388.1, as amended and effective as of 1-1-2018, a Documentary Transfer Tax (OTT) Affidavit may be required to be completed and submitted with each document when OTT is being paid or when an exemption is being claimed from paying the tax. If a governmental agency is a party to the document, the form will not be required. OTT Affidavits may be available at a Tax Assessor-County Clerk-Recorder. Candy Church/ct CL TA Preliminary Title Report IPrelm (DSI Rev. 8/15/16) END OF INFORMATIONAL NOTES Page2 Order No.: 00838204-995-SDT-CC1 Inquire before you wire! Wire Fraud Alert This Notice is not intended to provide legal or professional advice. If you have any questions, please consult with a lawyer. All parties to a real estate transaction are targets for wire fraud and many have lost hundreds of thousands of dollars because they simply relied on the wire instructions received via email, without further verification. If funds are to be wired in conjunction with this real estate transaction, we strongly recommend verbal verification of wire instructions through a known, trusted phone number prior to sending funds. In addition, the following non-exclusive self-protection strategies are recommended to minimize exposure to possible wire fraud. • NEVER RELY on emails purporting to change wire instructions. Parties to a transaction rarely change wire instructions in the course of a transaction. • ALWAYS VERIFY wire instructions, specifically the ABA routing number and account number, by calling the party who sent the instructions to you. DO NOT use the phone number provided in the email containing the instructions, use phone numbers you have called before or can otherwise verify. Obtain the phone number of relevant parties to the transaction as soon as an escrow account is opened. DO NOT send an email to verify as the email address may be incorrect or the email may be intercepted by the fraudster. • USE COMPLEX EMAIL PASSWORDS that employ a combination of mixed case, numbers, and symbols. Make your passwords greater than eight (8) characters. Also, change your password often and do NOT reuse the same password for other online accounts. • USE MULTI-FACTOR AUTHENTICATION for email accounts. Your email provider or IT staff may have specific instructions on how to implement this feature. For more information on wire-fraud scams or to report an incident, please refer to the following links: Federal Bureau of Investigation: Internet Crime Complaint Center: http://www.fbi.gov http://www.ic3.gov Wire Fraud Alert Original Effective Date: 5/11/2017 Current Version Date: 5/11/2017 TM and © Fidelity National Financial, Inc. and/or an affiliate. All rights reserved Page 1 WIRE0016 (DSI Rev. 12/07/17) .. • TICOR TITLElU .,, 2275 Rio Bonito Way, Suite 160 San Diego, CA 92108 Phone: (619) 260-0015 Notice of Available Discounts Pursuant to Section 2355.3 in Title 10 of the California Code of Regulations Fidelity National Financial, Inc. and its subsidiaries ("FNF") must deliver a notice of each discount available under our current rate filing along with the delivery of escrow instructions, a preliminary report or commitment. Please be aware that the provision of this notice does not constitute a waiver of the consumer's right to be charged the filed rate. As such, your transaction may not qualify for the below discounts. You are encouraged to discuss the applicability of one or more of the below discounts with a Company representative. These discounts are generally described below; consult the rate manual for a full description of the terms, conditions and requirements for such discount. These discounts only apply to transactions involving services rendered by the FNF Family of Companies. This notice only applies to transactions involving property improved with a one-to-four family residential dwelling. Not all discounts are offered by every FNF Company. The discount will only be applicable to the FNF Company as indicated by the named discount. FNF Underwritten Title Company CTC -Chicago Title company CL TC -Commonwealth Land Title Company FNTC -Fidelity National Title Company of California FNTCCA -Fidelity National Title Company of California TICOR -Ticor Title Company of California L TC -Lawyer's Title Company SL TC -Servicelink Title Company Available Discounts DISASTER LOANS (CTIC, CL TIC, FNTIC) Underwritten by FNF Underwriters CTIC -Chicago Title Insurance Company CL TIC -Commonwealth Land Title Insurance Company FNTIC -Fidelity National Title Insurance Company FNTIC -Fidelity National Title Insurance Company CTIC -Chicago Title Insurance Company CL TIC -Commonwealth Land Title Insurance Company CTIC -Chicago Title Insurance Company The charge for a Lender's Pdicy (Standard or Extended coverage) covering the financing or refinancing by an owner of record, within twenty-four (24) months of the date of a declaration of a disaster area by the government of the United States or the State of California on any land located in sad area, which was partially or totally destroyed in the disaster, will be fifty percent (50%) of the appropriate title insurance rate. CHURCHES OR CHARITABLE NON-PROFIT ORGANIZATIONS (CTIC, FNTIC) On properties used as a church or for charitable purposes within the scope of the normal activities of such entities, provided said charge is normally the church's obligation the charge for an owner's policy shall be fifty percent (50%) to seventy percent (70%) of the appropriate title insurance rate, depending on the type of coverage selected. The charge for a lender's policy shall be forty (40%) to fifty percent (50%) of the appropriate title insurance rate, depending on the type of coverage selected. Notice of Available Discounts (Rev. 01-15-20) MISC0343 (DSI Rev. 03/12/20) Last Saved: July 25, 2021 by CT Escrow No.: 00838204-995-SDT-CC1 ... FIDELITY NATIONAL FINANCIAL, INC. PRIVACY NOTICE Effective January 1, 2021 Fidelity National Financial, Inc. and its majority-owned subsidiary companies (collectively, "FNF," "our," or "we") respect and are committed to protecting your privacy. This Privacy Notice explains how we collect, use, and protect personal information, when and to whom we disclose such information, and the choices you have about the use and disclosure of that information. A limited number of FNF subsidiaries have their own privacy notices. If a subsidiary has its own privacy notice, the privacy notice will be available on the subsidiary's website and this Privacy Notice does not apply. Collection of Personal Information FNF may collect the following categories of Personal Information: • contact information (e.g., name, address, phone number, email address); • demographic information (e.g., date of birth, gender, marital status); • identity information (e.g. Social Security Number, driver's license, passport, or other government ID number); • financial account information (e.g. loan or bank account information); and • other personal information necessary to provide products or services to you. We may collect Personal Information about you from: • information we receive from you or your agent; • information about your transactions with FNF, our affiliates, or others; and • information we receive from consumer reporting agencies and/or governmental entities, either directly from these entities or through others. Collection of Browsing Information FNF automatically collects the following types of Browsing Information when you access an FNF website, online service, or application (each an "FNF Website") from your Internet browser, computer, and/or device: • Internet Protocol (IP) address and operating system; • browser version, language, and type; • domain name system requests; and • browsing history on the FNF Website, such as date and time of your visit to the FNF Website and visits to the pages within the FNF Website. Like most websites, our servers automatically log each visitor to the FNF Website and may collect the Browsing Information described above. We use Browsing Information for system administration, troubleshooting, fraud investigation, and to improve our websites. Browsing Information generally does not reveal anything personal about you, though if you have created a user account for an FNF Website and are logged into that account, the FNF Website may be able to link certain browsing activity to your user account. Other Online Specifics Cookies. When you visit an FNF Website, a "cookie" may be sent to your computer. A cookie is a small piece of data that is sent to your Internet browser from a web server and stored on your computer's hard drive. Information gathered using cookies helps us improve your user experience. For example, a cookie can help the website load properly or can customize the display page based on your browser type and user preferences. You can choose whether or not to accept cookies by changing your Internet browser settings. Be aware that doing so may impair or limit some functionality of the FNF Website. Web Beacons. We use web beacons to determine when and how many times a page has been viewed. This information is used to improve our websites. Do Not Track. Currently our FNF Websites do not respond to "Do Not Track" features enabled through your browser. Links to Other Sites. FNF Websites may contain links to unaffiliated third-party websites. FNF is not responsible for the privacy practices or content of those websites. We recommend that you read the privacy policy of every website you visit. Use of Personal Information FNF uses Personal Information for three main purposes: • To provide products and services to you or in connection with a transaction involving you. • To improve our products and services. • To communicate with you about our, our affiliates', and others' products and services, jointly or independently. When Information Is Disclosed We may disclose your Personal Information and Browsing Information in the following circumstances: • to enable us to detect or prevent criminal activity, fraud, material misrepresentation, or nondisclosure; • to nonaffiliated service providers who provide or perform services or functions on our behalf and who agree to use the information only to provide such services or functions; FNF Privacy Statement (Eff. January 1, 2021) MISC0219 (OSI Rev. 01/29/21) Copyright© 2021. Fidelity National Financial, Inc. All Rights Reserved Page 1 Order No. 00838204-995-SDT-CC1 • to nonaffiliated third party service providers with whom we perform joint marketing, pursuant to an agreement with them to jointly market financial products or services to you; • to law enforcement or authorities in connection with an investigation, or in response to a subpoena or court order; or • in the good-faith belief that such disdosure is necessary to comply with legal process or applicable laws, or to protect the rights, property, or safety of FNF, its customers, or the public. The law does not require your prior authorization and does not allow you to restrict the disclosures described above. Additionally, we may disdose your information to third parties for whom you have given us authorization or consent to make such disdosure. We do not otherwise share your Personal Information or Browsing Information with nonaffiliated third parties, except as required or permitted by law. We may share your Personal Information with affiliates (other companies owned by FNF) to directly market to you. Please see "Choices with Your lnformationff to learn how to restrict that sharing. We reserve the right to transfer your Personal Information, Browsing Information, and any other information, in connection with the sale or other disposition of all or part of the FNF business and/or assets, or in the event of bankruptcy, reorganization, insolvency, receivership, or an assignment for the benefit of creditors. By submitting Personal Information and/or Browsing Information to FNF, you expressly agree and consent to the use and/or transfer of the foregoing information in connection with any of the above described proceedings. Security of Your Information We maintain physical, electronic, and procedural safeguards to protect your Personal Information. Choices With Your Information If you do not want FNF to share your information among our affiliates to directly market to you, you may send an "opt out" request as directed at the end of this Privacy Notice. We do not share your Personal Information with nonaffiliates for their use to direct market to you without your consent. Whether you submit Personal Information or Browsing Information to FNF is entirely up to you. If you decide not to submit Personal Information or Browsing Information, FNF may not be able to provide certain services or products to you. For California Residents: We will not share your Personal Information or Browsing Information with nonaffiliated third parties, except as permitted by California law. For additional information about your California privacy rights, please visit the "California Privacy" link on our website (https://fnf.com/paqes/califomiaprjvacy.aspx) or call (888) 413-1748. For Nevada Residents: You may be placed on our internal Do Not Call List by calling (888) 934-3354 or by contacting us via the information set forth at the end of this Privacy Notice. Nevada law requires that we also provide you with the following contact information: Bureau of Consumer Protection, Office of the Nevada Attorney General, 555 E. Washington St., Suite 3900, Las Vegas, NV 89101; Phone number: (702) 486-3132; email: BCPINFO@ag.state.nv.us. For Oregon Residents: We will not share your Personal Information or Browsing Information with nonaffiliated third parties for marketing purposes, except after you have been informed by us of such sharing and had an opportunity to indicate that you do not want a disclosure made for marketing purposes. For Vermont Residents: We will not disclose information about your creditworthiness to our affiliates and will not disclose your personal information, financial information, credit report, or health information to nonaffiliated third parties to market to you, other than as permitted by Vermont law, unless you authorize us to make those disdosures. Information From Children The FNF Websites are not intended or designed to attract persons under the age of eighteen (18).We do not collect Personal Information from any person that we know to be under the age of thirteen (13) without permission from a parent or guardian. International Users FNF's headquarters is located within the United States. If you reside outside the United States and choose to provide Personal Information or Browsing Information to us, please note that we may transfer that information outside of your country of residence. By providing FNF with your Personal Information and/or Browsing Information, you consent to our collection, transfer, and use of such information in accordance with this Privacy Notice. FNF Website Services for Mortgage Loans Certain FNF companies provide services to mortgage loan servicers, induding hosting websites that collect customer information on behalf of mortgage loan servicers (the "Service Websitesff). The Service Websites may contain links to both this Privacy Notice and the mortgage loan servicer or lender's privacy notice. The sections of this Privacy Notice titled When Information is Disdosed, Choices with Your Information, and Accessing and Correcting Information do not apply to the Service Websites. The mortgage loan servicer or lender's privacy notice governs use, disclosure, and access to your Personal Information. FNF does not share Personal Information collected through the Service Websites, except as required or authorized by contract with the mortgage loan servicer or lender, or as required by law or in the good-faith belief that such disclosure is necessary: to comply with a legal process or applicable law, to enforce this Privacy Notice, or to protect the rights, property, or safety of FNF or the public. FNF Privacy Statement (Eff. January 1, 2021) MISC0219 (OSI Rev. 01/29/21) Copyright© 2021. Fidelity National Financial, Inc. All Rights Reserved Page 2 Order No. 00838204-995-SDT-CC1 ,..,, Your Consent To This Privacy Notice: Notice Changes: Use of Comments or Feedback By submitting Personal Information and/or Browsing Information to FNF, you consent to the collection and use of the information in accordance with this Privacy Notice. We may change this Privacy Notice at any time. The Privacy Notice's effective date will show the last date changes were made. If you provide information to us following any change of the Privacy Notice, that signifies your assent to and acceptance of the changes to the Privacy Notice. Accessing and Correcting Information: Contact Us If you have questions, would like to correct your Personal Information, or want to opt-out of information sharing for affiliate marketing, visit FNF's Opt Out Page or contact us by phone at (888) 934-3354 or by mail to: FNF Privacy Statement (Eff. January 1, 2021) MISC0219 (OSI Rev. 01/29/21) Fidelity National Financial, Inc. 601 Riverside Avenue Jacksonville, Florida 32204 Attn: Chief Privacy Officer Copyright© 2021. Fidelity National Financial, Inc. All Rights Reserved Page 3 Order No. 00838204-995-SDT-CC1 ..,, ATTACHMENT ONE (Revised 05-06-16) CALIFORNIA LAND TITLE ASSOCIATION STANDARD COVERAGE POLICY -1990 EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the ooverage of this policy and the Company will not pay loss or damage, oosts, attorneys' fees or expenses which arise by reason of: 1. (a) Any law, ordinance or governmental regulation (including but not limited to building or zoning laws, ordinances, or regulations) restricting, regulating, prohibiting or relating (i) the occupancy, use, or enjoyment of the land; (ii) the character, dimensions or location of any improvement now or hereafter erected on the land; (iii) a separation in ownership or a change in the dimensions 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 laws, ordinances or governmental regulations, 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 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 notice of the exercise thereof or notice of a defect, lien or encumbrance resulting from a violation or alleged violation affecting the land has been reoorded in the public records at Date of Policy. 2. Rights of eminent domain unless notice of the exercise thereof has been reoorded in the public records at Date of Policy, but not excluding from coverage any taking which has occurred prior to Date of Policy which would be binding on the rights of a purchaser for value without knowledge. 3. Defects, liens, encumbrances, 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 claimant; (b) not known to the Company, not recorded in the public records at Date of Policy, but known to the insured claimant and not disclosed in writing to the Company by the insured claimant prior to the date the insured claimant became an insured under this policy; (c) resulting in no loss or damage to the insured claimant; (d) attaching or created subsequent to Date of Policy; or (e) resulting in loss or damage which would not have been sustained if the insured claimant had paid value for the insured mortgage or for the estate or interest insured by this policy. 4. Unenforceability 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 of the indebtedness, to oomply with the 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 transaction evidenced by the insured mortgage and is based upon usury or any oonsumer credit protection or truth in lending law. 6. Any claim, which arises out of the transaction vesting in the insured the estate of interest insured by this policy or the transaction creating the interest of the insured lender, by reason of the operation of federal bankruptcy, state insolvency or similar creditors' rights laws. EXCEPTIONS FROM COVERAGE -SCHEDULE B, PART I This policy does not insure against loss or damage (and the Company will not pay oosts, attorneys' fees or expenses) which arise by reason of: 1. 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. Proceedings by a public agency which 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 which are not shown by the public records but which oould be ascertained by an inspection of the land or which may be asserted by persons in possession thereof. 3. Easements, liens or encumbrances, or claims thereof, not shown by the public reoords. 4. Discrepancies, conflicts in boundary lines, shortage in area, encroachments, or any other facts which a oorrect survey would disclose, and which are not shown by the public records. 5. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c) water rights, claims or title to water, whether or not the matters excepted under (a), (b) or (c) are shown by the public records. 6. Any lien or right to a lien for services, labor or material not shown by the public records. CLTA HOMEOWNER'S POLICY OF TITLE INSURANCE (12-02-13) AL TA HOMEOWNER'S POLICY OF TITLE INSURANCE EXCLUSIONS In addition to the Exceptions in Schedule B, You are not insured against loss, costs, attorneys' fees, and expenses resulting from: 1. Governmental police power, and the existence or violation of those portions of any law or government regulation concerning: a. building; b. zoning; c. land use; d. improvements on the Land; e. land division; and f. environmental protection. This Exclusion does not limit the ooverage described in Covered Risk 8.a., 14, 15, 16, 18, 19, 20, 23 or 27. 2. The failure of Your existing structures, or any part of them, to be constructed in accordance with applicable building oodes. This Exclusion does not limit the ooverage described in Covered Risk 14 or 15. 3. The right to take the Land by oondemning it. This Exclusion does not limit the coverage described in Covered Risk 17. 4. Risks: a. that are created, allowed, or agreed to by You, whether or not they are recorded in the Public Reoords; b. that are Known to You at the Policy Date, but not to Us, unless they are recorded in the Public Reoords at the Policy Date; Attachment One -CA (Rev. 05-06-16) Page 1 © California Land Title Association. All rights reserved. The use of this Form is restricted to CLTA subscribers in good standing as of the date of use. All other uses are prohibited. Reprinted under license or express permission from the California Land Title Association. c. that result in no loss to You; or d. that first occur after the Policy Date -this does not limit the coverage described in Covered Risk 7, 8.e., 25, 26, 27 or 28. 5. Failure to pay value for Your Title. 6. Lack of a right: a. to any land outside the area specifically described and referred to in paragraph 3 of Schedule A; and b. in streets, alleys, or waterways that touch the Land. This Exclusion does not limit the coverage described in Covered Risk 11 or 21. 7. The transfer of the Title to You is invalid as a preferential transfer or as a fraudulent transfer or conveyance under federal bankruptcy, state insolvency, or similar creditors' rights laws. 8. Contamination, explosion, fire, flooding, vibration, fracturing, earthquake, or subsidence. 9. Negligence by a person or an Entity exercising a right to extract or develop minerals, water, or any other substances. LIMITATIONS ON COVERED RISKS Your insurance for the following Covered Risks is limited on the Owner's Coverage Statement as follows: • For Covered Risk 16, 18, 19, and 21 Your Deductible Amount and Our Maximum Dollar Limit of Liability shown in Schedule A. The deductible amounts and maximum dollar limits shown on Schedule A are as follows: Covered Risk 16: Covered Risk 18: Covered Risk 19: Covered Risk 21: Your Deductible Amount 1.00% of Policy Amount Shown in Schedule A or $2,500.00 (whichever is less) 1.00% of Policy Amount Shown in Schedule A or $5,000.00 (whichever is less) 1.00% of Policy Amount Shown in Schedule A or $5,000.00 (whichever is less) 1.00% of Policy Amount Shown in Schedule A or $2,500.00 (whichever is less) 2006 ALT A LOAN POLICY (06-17-06) EXCLUSIONS FROM COVERAGE Our Maximum Dollar Limit of Liability $10,000.00 $25,000.00 $25,000.00 $5,000.00 The following matters are expressly excluded from the coverage of this policy, and the Company will not pay loss or damage, costs, attorneys' fees, or expenses that arise by reason of: 1. (a) Any law, ordinance, pennit, or governmental regulation (including those relating to building and zoning) restricting, regulating, prohibiting, or relating to (i) the occupancy, use, or enjoyment of the Land; (ii) the character, dimensions, or location of any improvement erected on the Land; (iii) the subdivision of land; or (iv) environmental protection; or the effect of any violation of these laws, ordinances, or governmental regulations. This Exclusion 1 (a) does not modify or limit the coverage provided under Covered Risk 5. {b) Any governmental police power. This Exclusion 1(b) does not modify or limit the coverage provided under Covered Risk 6. 2. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 3. Defects, liens, encumbrances, adverse claims, or other matters {a) created, suffered, assumed, or agreed to by the Insured Claimant; (b) not Known to the Company, not recorded in the Public Records at Date of Policy, but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c) resulting in no loss or damage to the Insured Claimant; ( d) attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk 11 , 13 or 14); or {e) resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Insured Mortgage. 4. Unenforceability of the lien of the Insured Mortgage because of the inability or failure of an Insured to comply with applicable doing-business laws of the state where the Land is situated. 5. Invalidity or unenforceability in whole or in part of the lien of the Insured Mortgage that arises out of the transaction evidenced by the Insured Mortgage and is based upon usury or any consumer credit protection or truth-in-lending law. 6. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights laws, that the transaction creating the lien of the Insured Mortgage, is {a) a fraudulent conveyance or fraudulent transfer, or {b) a preferential transfer for any reason not stated in Covered Risk 13{b) of this policy. 7. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching between Date of Policy and the date of recording of the Insured Mortgage in the Pubtic Records. This Exclusion does not modify or limit the coverage provided under Covered Risk 11{b). The above policy fonn may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also include the following Exceptions from Coverage: EXCEPTIONS FROM COVERAGE {Except as provided in Schedule B -Part II,{ t{or T}his policy does not insure against loss or damage, and the Company will not pay costs, attorneys' fees or expenses, that arise by reason of: Attachment One-CA (Rev. 05-06-16) Page2 © California Land Title Association. All rights reserved. The use of this Fonn is restricted to CLTA subscribers in good standing as of the date of use. All other uses are prohibited. Reprinted under license or express pennission from the California Land Title Association. .... {PARTI {The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also include the following Exceptions from Coverage: 1. (a) Taxes or assessments that are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on real property or by the Public Records; (b) proceedings by a public agency that may result in taxes or assessments, or notices of such proceedings, whether or not shown by the records of such agency or by the Public Records. 2. Any facts, rights, interests, or claims that are not shown by the Public Records but that could be ascertained by an inspection of the Land or that may be asserted by persons in possession of the Land. 3. Easements, liens or encumbrances, or claims thereof, not shown by the Public Records. 4. Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting the Title that would be disclosed by an accurate and complete land survey of the Land and not shown by the Public Records. 5. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c) water rights, claims or title to water, whether or not the matters excepted under (a), (b), or (c) are shown by the Public Records. 6. Any lien or right to a lien for services, labor or material not shown by the Public Records.} PART II In addition to the matters set forth in Part I of this Schedule, the Title is subject to the following matters, and the Company insures against loss or damage sustained in the event that they are not subordinate to the lien of the Insured Mortgage:} 2006 ALT A OWNER'S POLICY (06-17-06) EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy, and the Company will not pay loss or damage, costs, attorneys' fees, or expenses that arise by reason of: 1. (a) Any law, ordinance, permit, or governmental regulation (including those relating to building and zoning) restricting, regulating, prohibiting, or relating to (i) the occupancy, use, or enjoyment of the Land; (ii) the character, dimensions, or location of any improvement erected on the Land; (iii) the subdivision of land; or (iv) environmental protection; or the effect of any violation of these laws, ordinances, or governmental regulations. This Exclusion 1 (a) does not modify or limit the coverage provided under Covered Risk 5. (b) Any governmental police power. This Exclusion 1 (b) does not modify or limit the coverage provided under Covered Risk 6. 2. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 3. Defects, liens, encumbrances, adverse claims, or other matters (a) created, suffered, assumed, or agreed to by the Insured Claimant; (b) not Known to the Company, not recorded in the Public Records at Date of Policy, but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c) resulting in no loss or damage to the Insured Claimant; (d) attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk 9 and 1 O); or (e) resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Trtle. 4. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights laws, that the transaction vesting the Title as shown in Schedule A, is (a) a fraudulent conveyance or fraudulent transfer; or (b) a preferential transfer for any reason not stated in Covered Risk 9 of this policy. 5. Any lien on the Trtle for real estate taxes or assessments imposed by governmental authority and created or attaching between Date of Policy and the date of recording of the deed or other instrument of transfer in the Public Records that vests Title as shown in Schedule A. The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also include the following Exceptions from Coverage: EXCEPTIONS FROM COVERAGE This policy does not insure against loss or damage, and the Company will not pay costs, attorneys' fees or expenses, that arise by reason of: {The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also include the following Exceptions from Coverage: 1. (a) Taxes or assessments that are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on real property or by the Public Records; (b) proceedings by a public agency that may result in taxes or assessments, or notices of such proceedings, whether or not shown by the records of such agency or by the Public Records. 2. Any facts, rights, interests, or claims that are not shown in the Public Records but that could be ascertained by an inspection of the Land or that may be asserted by persons in possession of the Land. 3. Easements, liens or encumbrances, or claims thereof, not shown by the Public Records. 4. Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting the Title that would be disclosed by an accurate and complete land survey of the Land and that are not shown by the Public Records. 5. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c) water rights, claims or title to water, whether or not the matters excepted under (a), (b), or (c) are shown by the Public Records. 6. Any lien or right to a lien for services, labor or material not shown by the Public Records. } 7. {Variable exceptions such as taxes, easements, CC&R's, etc. shown here.} Attachment One -CA (Rev. 05-06-16) Page 3 © California Land Title Association. All rights reserved. The use of this Form is restricted to CL TA subscribers in good standing as of the date of use. All other uses are prohibited. Reprinted under license or express permission from the California Land Trtle Association. ALTA EXPANDED COVERAGE RESIDENTIAL LOAN POLICY-ASSESSMENTS PRIORITY (04-02-15) EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy and the Company will not pay loss or damage, costs, attorneys' fees or expenses which arise by reason of: 1. (a) Any law, ordinance, permit, or governmental regulation (induding those relating to building and zoning) restricting, regulating, prohibiting, or relating to (i) the occupancy, use, or enjoyment of the Land; (ii) the character, dimensions, or location of any improvement erected on the Land; (iii) the subdivision of land; or (iv) environmental protection; or the effect of any violation of these laws, ordinances, or governmental regulations. This Exciusion 1 (a) does not modify or limit the coverage provided under Covered Risk 5, 6, 13(c), 13(d), 14 or 16. (b) Any governmental police power. This Exdusion 1(b) does not modify or limit the coverage provided under Covered Risk 5, 6, 13(c), 13(d), 14 or 16. 2. Rights of eminent domain. This Exdusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 3. Defects, liens, encumbrances, adverse claims, or other matters (a) created, suffered, assumed, or agreed to by the Insured Claimant; (b) not Known to the Company, not recorded in the Public Records at Date of Policy, but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c) resulting in no loss or damage to the Insured Claimant; ( d) attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk 11, 16, 17, 18, 19, 20, 21, 22, 23, 24, 27 or 28); or (e) resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Insured Mortgage. 4. Unenforceability of the lien of the Insured Mortgage because of the inability or failure of an Insured to comply with applicable doing-business laws of the state where the Land is situated. 5. Invalidity or unenforceability in whole or in part of the lien of the Insured Mortgage that arises out of the transaction evidenced by the Insured Mortgage and is based upon usury, or any consumer credit protection or truth-in-lending law. This Exdusion does not modify or limit the coverage provided in Covered Risk 26. 6. Any daim of invalidity, unenforceability or lack of priority of the lien of the Insured Mortgage as to Advances or modifications made after the Insured has Knowledge that the vestee shown in Schedule A is no longer the owner of the estate or interest covered by this policy. This Exclusion does not modify or limit the coverage provided in Covered Risk 11. 7. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching subsequent to Date of Policy. This Exdusion does not modify or limit the coverage provided in Covered Risk 11(b) or 25. 8. The failure of the residential structure, or any portion of it, to have been constructed before, on or after Date of Policy in accordance with applicable building codes. This Exdusion does not modify or limit the coverage provided in Covered Risk 5 or 6. 9. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights laws, that the transaction creating the lien of the Insured Mortgage, is (a) a fraudulent conveyance or fraudulent transfer, or (b) a preferential transfer for any reason not stated in Covered Risk 27(b) of this policy. 10. Contamination, explosion, fire, flooding, vibration, fracturing, earthquake, or subsidence. 11 . Negligence by a person or an Entity exercising a right to extract or develop minerals, water, or any other substances. Attachment One -CA (Rev. 05-06-16) Page4 © California Land Title Association. All rights reserved. The use of this Form is restricted to CL TA subscribers in good standing as of the date of use. All other uses are prohibited. Reprinted under license or express permission from the California Land Title Association. {!9 -· -l[ ~'2. i!. ii ... -g[ li al :ifi !,! ) it! ~:n ~-, .1) = s·'I 'll":. F ~{ gJ =-o. i! a ti 1; iii S;g' ~-.-~ 0 1;:!_ !~l (9, ~ n-;.::!D iJ)HT2 g,i ;{ !.-a :i !s ,.: g! ... ;,_51. ii:" s! n ,, [[~ ! .• ,2 9, 9.!'. ii; !< a~ •!'. · .. :r !~ .,, ... ~i s>.f i~ ,/ l '~,tf,TOP ....... ~--g~ e ~ SAN DleGO COUNTY ASSESSOR'S IIAP BOOK207 PG31i g @ i. :: ~ 207 -35 ! 1"=100' EB ~ 11/3Q.111 DEP CHANGES @ __ ,,,, 11.K OlD NEW YI CUT _.,., ..,_ ~~ "'" -J •• '•13.9 SHT1 1 .,.,., 12 '4810 ) ~ @ SHT1 MAP 8177 -CARLSBAD TCT 74 -19 Ticor Title Company of California Statement Of Information CONFIDENTIAL -TO BE USED ONLY IN CONNECTION WITH Transaction Number: 00838204-99~C1 NOTE: This form is very important. It is needed to verify your identity and to eliminate judgments and liens against people with similar names. THE STREET ADDRESS of the property in this transaction is: (If none, please leave blank) ADDRESS: CITY and STATE: 1. Improvements: D Single Residence D Multiple Residence D Commercial D Vacant Land 2. Occupied By: D Owner D Tenants 3. ANY CONSTRUCTION WITHIN THE LAST 6 MONTHS? DYES D NO 4. IF YES to No. 3, STATE NATURE WORK DONE: PARTY 1 PARTY2 First Middle Last First Middle Last Former Last Name(s), if any Former Last Name(s), if any Birthplace Birth Date Birthplace Birth Date Social Security Number Driver's License No. Social Security Number Driver's License No. I D am single □ am married □ have a registered domestic partner I D am single D am married D have a registered domestic partner Current Spouse or Registered Domestic Partner (Other Than Party 2): Current Spouse or Registered Domestic Partner (Other Than Party 1 ): Name: Name: Former spouse/domestic partner (if none -check this box D) Former spouse/domestic partner (if none -check this box D ) □ Deceased Date: Where: D Deceased Date: Where: □ Divorce/Oissolution Date: Where: D Divorce/Oissolution Date: Where: Children from current and/or former marriages and/or domestic partnerships Children from current and/or former marriages and/or domestic partnerships Child Name: DOB Child Name: DOB Child Name: DOB Child Name: DOB Marriage or Domestic Partnership Between Parties 1 and 2 Are Parties 1 and 2: D Married? Date: D Registered Domestic Partners? Date: Party 1 -Occupations For Last 10 Years (attach an additional page, if necessary) Present Occupation Firm Name Address From To Prior Occupation Firm Name Address From To Party 1 -Residences For Last 10 Years (attach an additional page, if necessary) ~- Number And Street City, State, Zip Code From To Number And Street City. State. Zip Code From To Party 2-Occupations For Last 10 Years (attach an additional page, if necessary) Present Occupation Firm Name Address From To --~------------~-------------~·-------- Prior Occupation Firm Name Address From To Party 2 -Residences For Last 10 Years (attach an additional page, if necessary) Number And Street City. State, Zip Code From To Number And Street City, State, Zip Code From To Have any of the above parties owned or operated a business? D No D Yes If yes, please list name(s): I have never been adjudged, bankrupt nor are there any unsatisfied judgments or other matters pending against me which might affect my title to this property except as follows: The undersigned declare under penalty of perjury that the above infonnation is true and correct (all parties must sign) Phone{s)# E-Mail: Party 1 Signature Statement of Information MISC0008 (OSI Rev. 02/08/17) Date Page 1 Phone(s)# E-Mail: Party 2 Signature Date Printed: 6/28/2017 2:56 AM by CT Escrow No. : 00838204-995-SDT RECORDING REQUESTED BY Ticor Title Company of California WHEN RECORDED MAIL TO: =addressee= ORDER NO.: 00838204-995-CC1 SPACE ABOVE THIS LINE FOR RECORDER'S USE CERTIFICATION OF TRUST California Probate Code Section 18100.5 The undersigned declare( s) under penalty of perjury under the laws of the State of California that the following is true and correct: 1. The Trust known as executed on ___________ , is a valid and existing trust. 2. The name(s) of the settlor(s) of the Trust is (are): ____________________ _ 3. The name(s) of the currently acting trustee(s) is (are): 4. The trustee(s) of the Trust have the following powers (initial applicable line(s)): ___ Power to acquire additional property. 5. ___ Power to sell and execute deeds. ___ Power to encumber, and execute deeds of trust. ___ Other: The Trust is (check one): ___ Revocable ___ Irrevocable The name of the person who may revoke the Trust is: ___________________ _ 6. The number of trustees who must sign documents in order to exercise the powers of the Trust is (are): ___ _ whose name(s) is (are): ------------------------------- 7. Title to Trust assets is to be taken as follows: ----------------------- 8. The Trust has not been revoked, modified or amended in any manner which would cause the representations contained herein to be incorrect. 9. I (we) am (are) all of the currently acting trustees. 10. I (we) understand that I (we) may be required to provide copies of excerpts from the original Trust documents which designate the trustees and confer the power to act in the pending transaction. Dated: _____________ _ (Acknowledgement must be attached) TRST0003 (OSI Rev. 11/05/14) CERTIFICATE OF ACKNOWLEDGEMENT OF NOTARY PUBLIC A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF } ss: On _______________________________________ before me, a Notary Public, personally appeared _____________________________ _ who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s)on the instrument the person{s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature _________________ _ CERTIFICATE OF ACKNOWLEDGEMENT OF NOTARY PUBLIC A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF } ss: On _______________________________________ before me, a Notary Public, personally appeared _____________________________ _ who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature{s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL TY OF PERIDRY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature _________________ _ -~ IJ TICOR TITLElN 2275 Rio Bonito Way, Suite 160 San Diego, CA 92108 Phone: (619) 260-0015 CREDIT LINE / EQUITY LINE OF CREDIT CLOSURE REQUEST Date: To: Attention: Payoff Dept. Reference: Account/Loan# ____________________________ _ Property Address: 4822 Neblina Drive, Carlsbad, CA 92008 To Whom lt May Concern: Please accept this letter as a request to close/freeze the above-referenced credit line or equity line of credit as of this date. I/We agree not to request any advances on this account on or after the date of this letter. You will be receiving payment in full from the proceeds of our escrow transaction. Upon receipt of payoff, please send your Reconveyance or Release of Lien to: Ticor Title Company of California 2275 Rio Bonito Way, Suite 160 San Diego, CA 92108 Attn: Candy Church Ref: 00838204-995-CC1 Sincerely, (All borrowers must sign) REQ0000l (Rev. 12/5/2012) ALT A Information Collection Form Page 4 of 4 Under 31 U.S.C. § 5326(a), the Treasury Department's Financial Crimes Enforcement Network (FinCEN) issued a Geographic Targeting Order to title insurance companies requiring the collection of beneficial ownership information for certain real estate transactions. Please complete the below questionnaire. This Company will rely on the answers provided to meet its reporting obligations. Who is completing this form? Name Position/Title Company/Law Firm Postal Address (Headquarters City State Zip Phone Email Fax Transactional Information Property Address (If Multiple properties see NOTE below): City State Zip County Date of Settlement Total purchase price (if multiple properties see NOTE below) Type of Transaction: □ Residential (1-4 family) □ Commercial I Bank Financing: □Yes □ No Purchase type: □ Natural Person □ Corporation □LLC □ Partnership □ Other NOTE: If more than one property is purchased, list each address and purchase price as an addendum. Purchase Funds Information Total Amount paid by below instruments: $ VVhich type of Monetary Instruments were used (Use check boxes below) □ U.S. Currency (Paper money & coin) □ Foreign Currency □ Cashier's check(s) □ Certified check(s) □ Wire or other funds transfer(s) ALTA Information Collection Form (12/20/18) UFRM0004 (OSI Rev. 1/2/19) Country: □ Money order(s) □ Personal or Business check(s) □ Virtual Currency Last Saved: 6/28/2017 2:56 AM by CT Order No.: 00838204-995-SDT-CC1 AL TA lnfonnation Collection Fonn Page 5 of4 Individual Primarily Representing Purchaser (Define as the individual authorized by the entity to enter into legally binding contracts). Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country Gov't ID Number Last Name First Name Date of Birth Occupation Individual Taxpayer ID # (if none write NIA) Address City State Purchasing Entity Name & Address Name of Purchaser American Land Title Association t'·.-,.,._ '! •·~ \ 1N' ·• I i 1,..,.,,, s..,-. < 'H .- M.I. % of ownership Zip Taxpayer ID Number or EIN (ff none write NIA) Doing Business Name (OBA) (if none write NIA) Address City State Zip Complete the information below if the real estate purchase is being made by a corporation, LLC, partnership, other legal entity. (Do not report trusts.) For Corporations, LLCs, Partnerships and Other Entities provide the information for: • Each BENEFICIAL OWNER defined as an individual who, directly or indirectly, owns 25% or more of the equity interests of the Purchaser. • If a legal entity or a series of legal entities own the equity interests of the Purchaser, provide information for each BENEFICIAL OWNER, of each legal entity in the series of legal entities. (Note: It is NOT necessary to complete the address fields if the infonnation is on a legible copy of the government issued ID submitted to the title company.) ALTA Information Collection Form (12/20/18) UFRM0004 (OSI Rev. 1/2/19) Last Saved: 6/28/2017 2:56 AM by CT Order No.: 00838204-995-SDT-CC1 ALT A lnfonnation Collection Fonn Page 6 of4 .. Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country Gov't ID Number Last Name First Name M.I. Date of Birth Occupation Individual Taxpayer ID # (if none write NIA) % of ownership Address City State Zip Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country Gov't ID Number Last Name First Name M.I. Date of Birth Occupation Individual Taxpayer ID # (if none write NIA) % of ownership Address City State Zip Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country Gov't ID Number Last Name First Name M.I. Date of Birth Occupation Individual Taxpayer ID# (if none write NIA) % of ownership Address City State Zip Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country Gov't ID Number Last Name First Name M.I. Date of Birth Occupation Individual Taxpayer ID# (if none write NIA) % of ownership Address City Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) ALTA Information Collection Form (12/20/18) UFRM0004 (OSI Rev. 1/2/19) State Zip Last Saved: 6/28/2017 2:56 AM by CT Order No.: 00838204-995-SDT-CC1 C ALT A lnfonnation Collection Fonn Page 7 of4 American Land Title Association Type of ID Issuing State or Country Gov't ID Number Last Name First Name M.I. Date of Birth Occupation Individual Taxpayer ID# (if none write NIA) % of ownership Address City State Zip I declare that to the best of my knowledge, the infonnation I have furnished is true, correct and complete. I understand that this Title Company will rely on this information for the purposes of completing any reports made pursuant to an obligation under 31 U.S.C. § 5326(a), I s;gnature Type or Prinl Name, AL TA lnfonnation Collection Fenn (12/20/18) UFRM0004 (OSI Rev. 1/2/19) Last Saved: 6/28/2017 2:56 AM by CT Order No.: 00838204-995-SDT-CC1