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CDP 2021-0023; MINICILLI RESIDENCE; Coastal Development Permit (CDP)
..... ---------------------------- LAND USE REVIEW APPLICATION P-1 """ m(?r~t 5crvices -· ---~·-"------.. ---· -~-~--·---"-. Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) , Development Pennits Legislative Pennits -----~ '\. (FOR DEPT. USE ONLY) (FOR DEPT. USE ONLY) lb Coastal Development Permit L \1inor Ct>P ZOZ..l ·002) 0 General Plan Amendment 0 Conditional Use Permit D Minor O Extension D Day Care (Large) 0 Environmental Impact Assessment D Habitat Management Permit 0 Hillside Development Permit 0 Minor □ Minor D Nonconforming Construction Permit 0 Planned Development Permit O Minor D Residential D Non-Residential D Planning Commission Determination 0 Reasonable Accommodation 0 Site Development Plan 0 Special Use Permit 0 Minor D Tentative Parcel Map (Minor Subdivision) 0 Tentative Tract Map (Major Subdivision) 0 Variance 0 Minor ------ D Local Coastal Program Amendment 0 Master Plan 0 Specific Plan 0 Zone Change □Amendment □Amendment D Zone Code Amendment South Carlsbad Coastal Review Area Pennits 0 Review Permit 0 Administrative O Minor O Major Village Review Area Pennits 0 Review Permit 0 Administrative O Minor O Major NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUB MITT AL MUST BE SUBMITTED 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}: LOCATION OF PROJECT: (STREET ADDRESS) NAME OF PROJECT: MO.JI c.\ W C,()p R)U... f-\,1>v~€ BRIEF DESCRIPTION OF PROJECT: PROJECT VALUE (SITE IMPROVEMENTS) a; 315'0 16'\'.)0 ESTIMATED COMPLETION DATE t;p~~ "v'O"v1,- FOR CITY USE ONLY Development No. \)£v' ioi, -t)O q L Lead Case No. COP 2.021 --oo 2.3 P-1 Page 1 of6 Revised 10/20 OWNER NAME (PLEASE PRINT) INDIVIDUAL NAME t::r.,.. (if'"'"'"')' n,,...l]<. a 1 COMPANY NAME d- ~:~:i~~,~~DRESS: jjl-(; . Dru\/0 CITY,STATE,ZIP: ~:UV, GA ◄ qi.ooi TELEPHONE: 1bO S"l>S" '"l () ci 0 EMAIL ADDRESS: l)V S jWC,. ~ GMA"\~ ~ 4.r-. I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR PURP ES O THIS APPLICATION. 41 ,±1~1 DATE APPLICANT'S REPRESENTATIVE (Print): MAILING ADDRESS: CITY, STATE, ZIP: ' TELEPHONE: EMAIL ADDRESS: I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPO ES OF THIS APPLICATION AND THAT ALL THE ABOVE INF ATION IS TRUE AND CORRECT TO THE BEST OF MY KN EOG APPLICANT NAME INDIVIDUAL NAME (if applicable): COMPANY NAME (if applicable): MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL ADDRESS: (PLEASE PRINT) j{-4~ ~NMfa\B(l. I ~ cu.th~ g>o FoJUL,65t 5Lv£f: +t {:, t:-ttt~~ GA · 914L-4 I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER AND T TALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO T B ST OF MY KNOWLEDGE. 4/ 11..-/~ovl 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. I/WE 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 A~UCCESSORS IN INTEREST. ~RTY OWNER SIGNATURE FOR CITY USE ONLY P-1 Page 2 of6 JUN 3 0 2021 CITY OF CARLSBAD DATE STAMP APPLICATION RECEIVED RECEIVED BY: Revised 10/20 \Ccicyof Carlsbad -l'-•f I DISCLOSURE STATEMENT P-1(A) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submittal. Your project cannot be reviewed until this information is completed. Please print. Note: Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county, city municipality, district or other political subdivision or any other group or combination acting as a unit." Agents may sign this document; however, the legal name and entity of the applicant and property owner must be provided below. 1. 2. P-1(A) APPLICANT (Not the applicant's agent) Provide the COMPLETE, LEGAL names and addresses of ALL persons having a financial interest in the application. If the applicant includes a corporation or partnership. include the names, titles, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person fMN Jl. fJ,{ N1 C. l L.L I Corp/Part_----'tJ ...... { ..... t, ______ _ Title OWNGf-. Title ____ N~{-f. ______ _ Address 3i'2k /iJ~\A,JO DP-Address ___ N.....,/t,_,__ ____ _ ~ W 'llA-0 1 CA, ') 1.-Do<t OWNER (Not the owner's agent) 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 name~. titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Fr ....... .Jc Jl'f"ic; n ,· Corp/Part'---__ lt'_·,,_/_A _____ _ Title ow r,.e <" I ~o 7° \J,,: ,.l(. Title _____ ~r')_A ______ _ Address sCjJI, H,j,,":-d Or, Address _ _.;.1_v~J_A _____ _ (""'"" k ~ .t -{ (..::. • 7 J..00 ~ Page 1 of 2 Revised 07/10 .... 3. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the names and addresses of ANY person serving as an officer or director of the non- profit organization or as trustee or beneficiary of the. Non Profit/Trust________ Non Profit/Trust'----------- Title Title -------------------------- Address ----------Address ___________ _ 4. Have you had more than $500 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? D Yes ~No If yes, please indicate person(s): __________ _ NOTE: Attach additional sheets if necessary. I certify t~at all the above information is true and correct to the best of my knowledge. --' -=::: :;.> t. -, 7 ~ :;. ? ~ , ..... ,-:z.~,e,, ~ Signature of owner/date Signature of applicant/date F r~r.k .)~, ~I ~,ft; Print or type name of owner Print or type name of applicant Print or type name of owner/applicant's agent P-1(A) Page 2 of 2 Revised 07/10 _________ ___, ___________ r ~--------- {City of Carlsbad PROJECT DESCRIPTION P-1(8) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov PROJECT NAME: __ M_!~_\ll_LlA __ et)_P_:..,f_i>L-_L-_....1,~-~~_€. _____ _ APPLICANT NAME: __ f::¼ ____ 8-0"1 __ ~-~--~il.---'-/ ...;..A..i.:.~-..=..;._____:_ _____ _ 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: c.or M)~uCA'iLw ( 0 1 N° 11-) fix'-MO~ I~~ iu l:>'A~~ Sf~ ' C-0~ Srt1-~~ ( \) J"\L ftO u (~ PoJo l\ J (}B;j'/(t,\t-g{) AP\J. ~~ f\\61> 11'-lC~-VOO"S tJ~ ?buL-~ ~gl,d~ \\A~U<fo .. ~ ~ \~Ll-V'<)\?J NQJ <)_C(\iL ~ ~ ~ ~ ~ 'ftM> l)<l,{-..fe,WI\'\\ 1 ~~ ~o AUV P~ SfJ~~ S5b -r-,.o\ s~, l=Of'w ~ 'S()t(ffic... ~iitrBtt-PJ\11\. P-1 (B) Page 1 of 1 Revised 07/10 {city of Carlsbad HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1{C) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Consultation of Lists of Sites Related to Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Pursuant to State of California Government Code Section 65962.5, I have consulted the Hazardous Waste and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): rsn 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 fil! contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT Name: J9i~ Jb(l\MM,Q(L f N¼tJJVtf Address: 5 00 F1>(4<2..6St: ~~ 14-k7 ~~\,)flAs I CA ~ ~1)>1.·+ Phone Number: lbo b1) 13 9 t{ PROPERTY OWNER · Name: fcA"'k )1,(\}~)11, Address: } 'i'~b U,J~lt:J Or• C,c.,,/<;b~&t, Lid CfJ.op(f, PhoneNumber: 76D s-os---Cfo9--6 Address of Site: __ ~=----q_2_.'7_\t_\~6-~_l.AtJ{)---'--__ O--'-~-"''\J\5_-__________ _ Local Agency (City and County): __ ~'"---l?i__,,~~'-----1/-SA;---'-~-O_L&so_-__ ~ __ "t'"'( __ _ Assessor's book, page, and parcel number: __ ~ __ o.......,= _____________ ?;_b_1_ .... 1~>-()_,o ~U Specify list(s): ____________________________ _ Regulatory Identification Number: ______________________ _ T ~ 2~12-2-1 Property Owner Signature/Date The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local agencies and developers to comply with the California Environmental Quality Act requirements in providing information about the location of hazardous materials release sites. P-1(C) Page 1 of 2 Revised 02/13 ( City of Carlsbad EIA INFORMATION FORM P-1(D) INSTRUCTION SHEET FOR COMPLETING AN ENVIRONMENTAL IMPACT ASSESSMENT INFORMATION FORM Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov This Environmental Information Form will be used to assist staff in determining what type of environmental documentation (i.e., Environmental Impact Report, Mitigated Negative Declaration, Negative Declaration or Exemption) will be required to be prepared for your application, per the California Environmental Quality Act (CEQA) and Title 19 of Carlsbad's Municipal Code. The clarity and accuracy of the information you provide is critical for purposes of quickly determining the specific environmental effects of your project. Any environmental studies (i.e., biological, cultural resource, traffic, noise) that are necessary to substantiate a "no impact" or "yes impact" determination should be submitted as an attachment to this Environmental Information Form. This is especially important when a Negative Declaration is being sought. The more information provided in this form, the easier and quicker it will be for staff to complete the Environmental Impact Assessment Form -Initial Study. P-1 (D) Page 1 of 4 Revised 07/10 C 0 ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) Date Filed: ___________ (To be completed by City) Application Number(s): _______________________ _ General Information 1. 2. 3. . , Name of project: --+-M-'--l-~ __ lC{ __ LL_L'---CO---~_,__fi..:....;;..LL_...:..HU'J_b=-B=---------- Name of developer or project sponsor: _ .... fRRaJ.....,.-'= .... lf..~.M'-"-'-',l.1.:tJ:...a.(_G_.,\...;.L...;:\J;..;.l _______ _ Address: __ 1 ..... 9'"""2"'""b--+IJ_l ___ ~....;;· ::L;.L..-=-...:...Pi-.lC.-___________ _ City, State, Zip Code: __,.CAfYh""--_;;....;;;....:..fl>;.:../rO---J1...___CA_-_q....;;._w_o_<z ________ _ Phone Number: 1&l> -~o~ -9l>Cf O Name of person to be contacted concerning this project: f6ifl<>tJ 6~NJ,,W(L., Apc~rrG~ Address: _ ____,;5;:;_o_O_F_I .;...Nt€_,:__-_}_T.;....__;;_B_lJJ_ .... .:...rr,.;___4-_t ________ _ City, State, Zip Code: _..;_~..;.....;..· .:...'1J_l""""CQr..:.~_;;;;_.l,___---=C/t..L.:....., .. ,.___9.L1-9J.A:~~------- Phone Number: ___ J.Lb_~;:__;:b;..:.1_3..;..7_;_;;_1_"\.:::=.8!...-___________ _ 4. Address of Project: ~ "1.. 'j b Hf .6 'N t..hJO 0,. Assessor's Parcel Number: 1D] l 3D 60 00 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: UP-AO\J fh'·o ~\.) ~'1 m~ -hla ~~ (O.Aitfte~ 6. Existing General Plan Land Use Designation: ---+fl:_---'\ ___________ _ 7. Existing zoning district: _____________________ _ 8. Existing land use(s): __ ...... (t_-_) _ __:_(Z-€....;;~;....:__:_l..::::'O"B--=~:...;__:_~,t.--=------------ 9. Proposed use of site (Project for which this form is filed): ___________ _ COP Project Description 10. 11. 12: 13. 14. P-1 (D) Proposed Building square footage: Number of floors of construction: ------------------- Amount of off-street parking provided: Site size: 1\, 14~ SF ------'------------------------N ~ ~ ~ M>Otn~ \1\Ssf ;. f4:MivObL-(~) IJ, (st rtAlllf'. MtM = tlo~SF /l. t 6'-vsc;.+ (AD\l) tbT~SF: Associated projects: f4tJ\J /rtJo qJZ-1\ou ~iTs '3t;42.sf Revised 07/10 ( ~) t ( £) Page 2 of 4 • Are the following items applicable to the project or its effects? Discuss all items checked yes (attach additional sheets as necessary). Yes 20. Change in existing features of any bays, tidelands, beaches, or hills, or substantial D alteration of ground contours. 21. Change in scenic views or vistas from existing residential areas or public lands or D roads. 22. Change in pattern, scale or character of general area of project. D 23. Significant amounts of solid waste or litter. D 24. Change in dust, ash, smoke, fumes or odors in vicinity. 0 25. Change in ocean, bay, lake, stream or ground water quality or quantity, or D alteration of existing drainage patterns. 26. Substantial change in existing noise or vibration levels in the vicinity. D 27. Site on filled land or on slope of 10 percent or more. D 28. Use of disposal of potentially hazardous materials, such as toxic substances, D flammables or explosives. 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.). D 31. Relationship to a larger project or series of projects. D Environmental Setting Attach sheets that include a response to the following questions: 32. Describe the project site as it exists before the project, including information on topography, soil stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing structures on the site, and the use of the structures. Attach photographs of the site. Snapshots or Polaroid photos will be accepted. 33. Describe the surrounding properties, including information on plants and animals and any cultural, historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.), intensity of land use (one-family, apartment houses, shops, department stores, etc.), and scale of development (height, frontage, set-back, rear yard, etc.). Attach photographs of the vicinity. Snapshots or polaroid photos will be accepted. Certification I hereby certify that the statements furnished above and in the attached exhibits present the data and information required for this initial evaluation to the best of my ability, and that the facts, statements, and information presented are true and correct to the best of my knTZ~ Date: 4{\U:'JID1A Signature: ~ For: ffi).a,(kJ1" P-1(D) Page 4 of 4 Revised 07/10 C 0 15. If residential, include the number of units and schedule of unit sizes: 16. 17. 18. 19. P-1(0) If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities: _____________________ _ NIA: If indus%1':&dicate type, estimated employment per shift, and loading facil~ies: If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project: N lit If the project involves a variance, conditional use or rezoning applications, state this and indicate clearly why the application is required: ~ J.& Page 3 of 4 Revised 07/10 .. (city of Carlsbad TIME LIMITS ON DISCRETIONARY PROJECTS P-1(E) PLEASE NOTE: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Time limits on the processing of discretionary projects established by state law do not start until a project application is deemed complete by the City. The City has 30 calendar days from the date of application submittal to determine whether an application is complete or incomplete. Within 30 days of submittal of this application you will receive a letter stating whether this application is complete or incomplete. If it is incomplete, the letter will state what is needed to make this application complete. When the application is complete, the processing period will start upon the date of the completion letter. If you have any questions regarding application submittal requirements (i.e., clarification regarding a specific requirement or whether all requirements are necessary for your particular application) please call (7ffl Applicant Signature: --~-----....--_-_-_-___________ _ Staff Signature: Date: To be stapled with receipt to the application P-1(E) Page 1 of 1 Revised 07/10 Ccicyof 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 inform'ation 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: 0 0 square feet x $ I '5 O /sq. ft.=$ Residential Addition Square Footage: 306, 1'50 '2-04:\ square feet x $ l';)D /sq. ft.=$ Any Garage Square Footage: 15 ',',11i3D 4-2 0 square feet x $ /sq. ft.=$ Residential Conversion Square Foota~: eJ square feet x $ /sq. ft.=$ 0 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.) O i.\lA ______ square feet X $ __ /sq. ft. = $ ______ 1\1-+-+<P,__ __ _ COST OF DEVELOPMENT ESTIMATE: $ ::!iW, 9 00 B. Do you wish to apply for: 1. A Minor Coastal Development Permit (Un~er $60,000 cost estimate) D 2. A Coastal Development. Permit ($60,000 or more cost estimate)~ C. Street address of prop·osed development 39cie, H:\ffit,~~R -Pf-\✓€ P-6 Page 1 of7 Revised 08/19 C 0 D. Assessor's Parcel Number of proposed development /),o1-130..-. '70-Ob E. Development Description: F. Describe the present land uses (i.e. vacant land, single family homes, apartments, offices, etc.) that surround the proposed development to the: North: _ __._. ......... _____________________ _ South:.----=:c........a..__,__ _____________________ _ East: _________________________ _ West: __________________ ___._ _____ _ G. Is project located within a 100-year flood plain? □Yes ~No II. PRESENT USE OF PROPERTY A. Are there existing structures on the property? ~ Yes D No If yes, please describe. r I -~l9~®~~~~~~~~o~~lM~6~~~1-~~-M~~7~N~·~~~~~o~A~u~~-~-v~,~N~~-~u~ \fF:: A<Yv. At.w \tJlup15.S 1-~tv<V'! Auv - B. Will any existing structure be removed/demolished? D(f'Yes D No If yes to either question, describe the extent of the demolition or removal, including the relocation site, iSf applicable (also show on plans). _ ?E, BJb'S fp~ tToiAMJUJJON Ill. LOT COVERAGE A. Existing and Proposed (1/ Building Coverage Landscaped Area Hardscape Area Existing Proposed 'l.\1,7 -sq. ft. 1"1 C.. sq. ft. '7 C,g1 sq. ft. · " sq. ft .. 11--oo sq. ft.4c1>.. sq. ft. Total ·t<l 03 sq. ft. 1b sq. ft. C:,O \boo sq. ft. 14- % % % Unimproved Area (Left Natural) ·o ___ sq.ft. __ O_sq.ft .. ·· O sq. ft. e, % I (f) ?'(ISf 11'(',-f\OiJ ( 10 5"'1, ~) t l;lllf ING-::Jll-M)J 6-, q ~ ~ f) + !iY,LstrolG-f'\A),l \:l,:lll ~ iii IP ~f) f MP~€:O 1.st flAi>l\-µrom\>t.1 ( 11-b Sr) t ~ ( +so ~'F) P-6 Page 2 of 7 Revised 08/19 B. Parking: Number of existing spaces t. 3 Number of new spaces proposed __ 1 __ 2. __ _ Existing/ Proposed TOT AL: S Number of total spaces required ___ ;> ___ _ Number of covered spaces 1-- Number of uncovered spaces ----~---- Number of standard spaces 5 Number of compact spaces 0 Is tandem parking existing? D Yes # ~ No Is tandem parking proposed? D Yes# __ ~ No C. Grade Alteration: \\ " 6AAO\tJ~ Is any grading proposed?~ Yes ONo I::-It\ o-t Offl-6M60\N..- If yes, please complete the following: 1. Amount of cut cu. yds. 2. Amount of fill cu. yds. 3. Maximum height of fill slope feet 4. Maximum height of cut slope feet 5. Amount of import or export 0 cu. yds. 6. Location of borrow or disposal site ~lb P-6 Page 3 of 7 Revised 08/19 C 0 The following materials shall be submittsd for each single family residence/minor coastal development permit application. If you have any questions regarding application submittal requirements (i.e., clarification regarding a specific requirement or whether all requirements are necessary for your particular application) please call (760) 602-4610. I. REQUIRED PLANS (All required plans shall be collated into complete sets, stapled together, then folded to 9" x 12" with lower right-hand corner of plan visible.) P-6 A. SITE PLAN -Four (4) copies for a Minor Coastal Development Permit, four (4) copies for a Single Family Coastal Development Permit on 24" x 36" sheet(s). Five (5) copies if landscape review is required. Each site plan shall contain the following information: 1. GENERAL INFORMATION "0a. Name, address, and phone number of registered civil engineer, licensed surveyor, landscape architect or land planner who prepared the maps/plans. ~b. Location, size and use of all easements. '@c. Dimensions and locations of: access, both pedestrian and vehicular, showing service areas and points on ingress and egress, off-street parking and loading areas showing "c-:i location, number a·nd typical dimension of spaces, and wheel stops. ~d-Distance between buildings and/or structures . • 1:Je. Building setbacks (front, rear and sides). "0f. Location, height and materials of walls and fences. ~9-Dimensions/location of ground-mounted signs. ~h. Indicate location and layout of Photovoltaic (PV) systems as required per Ordinance No. CS-347. Show locations for roof mounted and ground mounted systems and include power '--. (KWdc) of each separate PV system. ~i. Indicate location and layout of Electric Vehicle parking spaces/charging stations. Callout EV Charging Stations, EV Ready, EV Capable as required per CMC Title 18.21.120-150. U. Indicate method (PV-heat pump, solar) that satisfies hot water heating requirements per Ordinance No. CS-347. ~k-~summary table of the following (if applicable to the application): L.:.1(1) Street address and assessor's parcel number. ~(2) Site acreage. ~(3) Existing Land Use Designation and Zoning . .. ~(4) Proposed land use. JG1(5) Total building coverage (in square feet and as a percent). ~(6) Percent of site to be landscaped. ~(7) Number of parking spaces required/provided. ®(8) Square Footage of open or recreational space (if applicable). _ ~(9) Cubic footage of storage space (if applicable). t{](10) Climate Action Plan (CAP) Compliance (results from Section 11.D bel~~ (a) Consistent with existing General ~n Land Use and Zoning -yes~ i. GHG Study required? -yes@ (b) Energy Efficiency requirement -yes/no (c) Photovoltaic requirement -yes/no i. ___ KW-de roof mounted ii. ___ KW-de ground mounted iii. ___ KW-de total project (d) Electric Vehicle Charging requirement ,Sno i. I # EV Chargers ii. ____ # EV Ready iii. ____ # EV Capable (e) Hot Water Heating requirement@(no (f) Traffic Demand Management Required yesty Page 4 of? Revised 08/19 .. Development Services Planning Division 1635 Faraday Avenue 760-602-4610 www.carlsbadca.gov PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST P-30 C Cityof Carlsbad 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 of 7 ,_. JUN 3 0 2021 CITY Or C1-'LvL J J"_) " l"I "-1 I ~ _, .......... -.,I,~. • 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 I (Check the appropriate box and provide an explanation and supporting documentation for your answer) A. Is the proposed project consistent with the existing General Plan land use and specific/master plan or zoning designations? OR, If the proposed project is not consistent with the existing land use plan and zoning designations, does the project include a land use plan and/or specific plan, master plan or zoning designation amendment that would result in an equivalent or less GHG-intensive project when compared to the existing designations? Yes No □ If "Yes", proceed to Step 2 of the checklist. For the second option under Question A above, provide estimated project-related GHG emissions under both existing and proposed designation(s) for comparison. GHG emissions must be estimated in accordance with the City of Carlsbad Guidance to Demonstrating Consistency with the Climate Action Plan. If "No", proceed to Question B. B. The CAP established a screening threshold of 900 MTC01e/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 MTC01e/year screening threshold. If ''Yes", proceed to Step 2 of the checklist. □ □ If "No", the project's GHG impact is potentially significant and must be analyzed in accordance with CEQA. Applicant must prepare a Self-developed GHG emissions reduction program in accordance with the City of Carlsbad Guidance to Demonstrating Consistency with the Climate Action Plan to demonstrate how it would offset the increase in emissions over the existing designations. The project must incorporate each of the applicable measures identified in Step 2 to mitigate cumulative GHG emissions impacts unless the decision maker finds that a measure is infeasible in accordance with California Environmental Quality Act Guidelines Section 15091. Mitigation in lieu of or in addition to the measures in Step 2 may be required, depending on the results of the project-specific GHG impact analysis. Proceed and complete a project-specific Self-developed GHG emissions reduction program and Step 2 of the Checklist. P-30 Page 2 of 7 Revised 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. . ,J Property Address/APN: io1..., l:,o .... .bo-oo Applicant Name/Co.: l4t riotJ l3g.JM,M6(2-) ~ Applicant Address: Contact Phone: Contact information of person completing this checklist (if different than above): Name: Company name/address: Contact Phone: Contact Email: Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. If your project includes alterations or additions to an existing building, please contact the Carlsbad Building Division for assistance in estimating building permit valuation, by phone at 760-602-2719 or by email at building@carlsbadca.gov. Estimated Building Permit Valuation (BPV): $ 1,so, oDD Construction Type Complete Section(s) Notes: D Residential BPV ~ $60,000 □ BPV 2:: $60,000 □ Electrical service panel upgrade □ BPV 2:: $200,000 □ New construction □ Alterations: P-30 lA lA and 4A 4A lA and 4A Page 3 of 7 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 □ 8PV ~ $200,000 or additions ~ 18,5 1,000 square feet □ 8PV ~ $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 California Green Building Standards Code (CALGreen) for more information when completing this section. A. Residential addition or alteration 2: $60,000 building permit valuation. See Ord. CS-347, Section 8. Year Built Single-family Requirements ~ Before 1978 Select one: □ Duct sealing □ Attic insulation ):1 Cool roof □ 1978 and later Select one: □ Lighting package □ Water heating package □ Between 1978 and 1990 □ 1991 and later B. D Nonresidential* new construction or alterations~ $200,000 building permit valuation, or additions ~ 1,000 square feet. See CALGreen Appendix AS, Discussion AS.2, as amended in CS-347, Section 3. AS.203.1.1.1 □ Outdoor lighting: .90 Allowed Outdoor Lighting Power AS.203.1.1.2 D Restaurant service water heating (comply with California Energy Code Section 140.5, as amended) AS.203.1.2.1 Choose one as applicable: D .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 □ Steel framing P-30 Page 4 of 7 □ N/A _________ _ □ Exception: Home energy score ~ 7 (attach certification) Multi-family Requirements □ Attic insulation Select one: □ Attic insulation □ Duct Sealing Select one: □ Cool roof □ Lighting package □ Water heating package □ N/A _________ _ □ N/A 0 N/A □ N/A □ N/A □ N/A □ N/A Revised 07120 City of Carlsbad Climate Action Plan Consistency Checklist □ N/A * Includes hotels/motels and high-rise residential buildings ** For alterations~ $1,000,000 BPV and affecting > 75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply with California Energy Code section 120.10 instead. 2. Photovoltaic Systems A. D Residential new construction (for building permit applications submitted after 1/1/20). Refer to 2019 California Energy Code section 150.l(c) 14 for requirements. Note: if project includes installation of an electric heat pump water heater pursuant to Carlsbad ordinance CS-348, increase system size by .3kWdc if PV offset option is selected. Floor Plan ID (use additional CFA #d.u. Calculated kWdc* sheets if necessary) Total System Size: kWdc = (CFAx.572) / 1,000 + (1.15 x #d.u.) *Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan type If proposed system size is less than calculated size, please explain. Exception □ □ □ □ kWdc B. D Nonresidential new construction or alterations ~$1,000,000 BPVand affecting ~75% existing floor area, or addition that increases roof area by .!2,000 square feet. Please refer to Carlsbad Ordinance CS-347, Section 6 when completing this section. Choose one of the following methods: D Gross Floor Area (GFA) Method GFA: □ If< 10,000s.f. Enter: 5 kWdc Min. System Size: ___ kWdc □If~ 10,000s.f. calculate: 15 kWdc x (GFA/10,000) ** **Round building size factor to nearest tenth, and round system size to nearest whole number. D 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. D Residential and hotel/motel new construction Please refer to Carlsbad Ordinance CS-347 and CS-348 when completing this section. D For systems serving individual dwelling units choose one: D Heat pump water heater AND compact hot water distribution AND drain water heat recovery (low-rise residential only) D Heat pump water heater AND PV system .3 kWdc larger than required in CA Energy Code Section 120.10 (for high rise residential hotel/motel) or 150.l(c) 14 (for low-rise residential) D Heat pump water heater meeting Tier 3 or higher NEEA Advanced Water Heating Specification D Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors D Exception: D For systems serving multiple dwelling units, install a central water-heating system with all of the following: D Gas or propane water heating system D Recirculation system per CS-347 (high-rise residential, hotel/motel) or CS-348 (low-rise residential) D Solar water heating system that is either: D .60 solar 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. D Water heating system derives at least 40% of its energy from one of the following (attach documentation): D Solar-thermal D Photovoltaics D Recovered energy D Water heating system is (choose one): D Heat pump water heater D Electric resistance water heater(s) D Solar water heating system with .40 solar savings fraction □ Exception: 4. Electric Vehicle Charging A. D Residential New construction and major alterations* Please refer to Carlsbad Ordinance CS-349 when completing this section. D One and two-family residential dwelling or townhouse with attached garage: D One EVSE ready parking space required D Exception : □ Multi family residential· -D Exception · Total Parking Spaces EVSE Spaces Proposed Capable I Ready I Calculations: Total EVSE spaces= .10 xTotal parking (rounded up to nearest whole number) EVSE Installed= Total EVSE Spaces x .SO (rounded up to nearest whole number) EVSE other= Total EVSE spaces -EVSE Installed (EVSE other may be "Capable," "Ready" or "Installed.") I I Installed I I Total P-30 Page 6 of 7 Revised 07/20 '1 I ., City of Carlsbad Climate Action Plan Consistency Checklist *Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation ~ $60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit valuation~ $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. B. D Nonresidential new construction (includes hotels/motels) □ Exception · Total Parking Spaces EVSE Spaces Proposed Capable 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 S. Transportation Demand Management (TDM) A. List each proposed nonresidential use and gross floor area (GFA) allocated to each use. B. Employee ADT /1,000 square feet is selected from the City of Carlsbad Employee ADTTable. Use GFA Employee ADT/1,000 S.F. Total Employee ADT Total If total employee ADT is greater than or equal to 110 employee ADT, a TDM plan is required. *NOTE: Notwithstanding the 110 employee ADT threshold above, General Plan Mobility Element Policy 3-P.ll requires new development that adds vehicle traffic to vehicle LOS-exempt street facilities to implement TOM and transportation system management strategies. Please consult with City of Carlsbad Land Development Engineering (LDE) staff to determine whether this policy applies to your project. TDM plan required: Yes □ No □ LDE Staff Verification: □-----(staff initials) P-30 Page 7 of? Revised 07/20 a..r City of STORM WATER STANDARDS '-1 b rl QUESTIONNAIRE Car S a'6ity of Carlsbad E-34 9 2022 j tNSTRUCTIONS: Planning Division Development Services Land Development Engineering 1635 Faraday Avenue 442-339-2750 www.carlsbadca.gov To address post-development pollutants that may be generated from development projects, the city requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (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, 'STANDARD PROJECT' with TRASH CAPTURE 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: CDP MINICILLI RESIDENCE REMODEL/ ADDITION APN: ADDRESS: 3926 HIGHLAND DRIVE 207-130-60-00 The project is (check one): D New Development ~ Redevelopment The total proposed disturbed area is: 4096 ft2 ( .09 ) acres 56G" D \ A6 P..At" I /T-l,0\ The total proposed newly created and/or replaced impervious area is: 2910 ft2 ( .06 ) 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. This Box for City Use Only YES NO Date: Project ID: City Concurrence: □ □ By: E-34 Page 1 of 4 REV 02/22 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 □ Ix] 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 6, mark the 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 □ Ix] 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 guidance? 2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ !xi 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? □ Ix] If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 6, 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, go to Step 3. E-34 Page 2 of 4 REV02/22 .. , = STEP3 I!.: 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 )): 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. 2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public development 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 development project includes development on any natural slope that is twenty-five percent or greater. 5. Is your project a new or redevelopment project that creates 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 project to the ESA (i.e. not commingled with flows from adjacent lands).* 8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface that supports an automotive repair shop? An automotive repair shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. 9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles per day. 10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land and are expected to generate pollutants post construction? 11 . Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC 21.203.040) YES NO □ Iii □ Iii □ Iii □ Iii □ Iii □ Iii □ Iii □ Iii □ Iii □ 00 □ Iii 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 6, check the first box stating, "My project is a PDP ... " and complete applicant information. If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT'. Go to step 5, complete the trash capture questions .. .. .. • Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) 1mpaIred water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their 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. E-34 Page 3 of 4 REV 02/22 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 6, 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 6, check the first box statinq, "Mv project is a PDP ... " and complete aoolicant information. STEPS TO BE COMPLETED FOR STANDARD PROJECTS ,, ' Complete the question below regarding your Standard Project (SDRWQCB Order No. 2017-0077): YES NO Is the Standard Project within any of the following Priority Land Use (PLU) categories? R-23 (15-23 du/ac), R-30 (23-30 du/ac), Pl (Planned Industrial), CF (Community Facilities), GC (General □ [xi Commercial), L (Local Shopping Center), R (Regional Commercial), V-B (Village-Barrio), VC (Visitor Commercial), 0 (Office), VC/OS (Visitor Commercial/Open Space), Pl/O (Planned Industrial/Office), or Public Transoortation Station If you answered "yes", the 'STANDARD PROJECT' is subject to TRASH CAPTURE REQUIREMENTS. Go to step 6, check the third box stating, "My project is a 'STANDARD PROJECT' subject to TRASH CAPTURE REQUIREMENTS ... " and complete applicant information. If you answered "no", your project is a 'STANDARD PROJECT'. Go to step 6, check the second box stating, "My project is a 'STANDARD PROJECT' ... " 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) per E-35 template for submittal at time of application. fx] 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-36' and incorporate low impact development strategies throughout my project. □ My project is a 'STANDARD PROJECT' subject to TRASH CAPTURE REQUIREMENTS and must comply with TRASH CAPTURE REQUIREMENTS of the BMP Manual. I understand I must prepare a TRASH CAPTURE Storm Water Quality Management Plan (SWQMP) per E-35A template for submittal at time of application. 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: yroo Bril'J)!l1er Applicant Title: Architect t1,~n ~ . Applicant Signature: -Date: 3/8/2022 ,,, --I "{V L/ V E-34 Page 4 of 4 REV02/22 STANDARD PROJECT ( City of REQUIREMENT Carlsba«l ity of Carlsbad CHECKLIST E-36 MAR O 9 2022 Planning Division Project lnfonnation Project Name: CDP MINICILLI RESIDENCE REMODEL/ ADDITION Project ID: CDP 2021-0023 DWG No. or Building Permit No.: Development Services Land Development Engineering 1635 Faraday Avenue 442-339-2750 www.carlsbadca.gov ' Baseline BMPs for Existing and Proposed Site Features Complete the Table 1 -Site Design Requirement to document existing and proposed site features and the BMPs to be implemented for them. All BMPs must be implemented where applicable and feasible. Applicability is generally assumed if a feature exists or is proposed. BMPs must be implemented for site design features where feasible. Leaving the box for a BMP unchecked means it will not be implemented (either partially or fully) either because it is inapplicable or infeasible. Explanations must be provided in the area below. The table provides specific instructions on when explanations are required. Table 1 -Site Design Requirement A. Existing Natural Site Features (see Fact Sheet BL-1) 1. Check the boxes below for each existing feature on 1. Select the BMPs to be implemented for each identified feature. Explain the site. why any BMP not selected is infeasible in the area below. NONE ON SITE SD-G SD-H Conserve natural Provide buffers around waterbodies features □ Natural waterbodies □ □ □ Natural storage reservoirs & drainage corridors □ -- □ Natural areas, soils, & veqetation (incl. trees) □ -- B. BMPs for Common Impervious Outdoor Site Features (see Fact Sheet BL-2) 1. Check the boxes below for each 2. Select the BMPs to be implemented for each proposed feature. If neither BMP SD-B nor proposed feature. SD-I is selected for a feature, explain why both BMPs are infeasible in the area below. SD-B SD-I Minimize size of Direct runoff to pervious Construct surfaces from impervious areas areas permeable materials □ Streets and roads □ □ IXI Check this box to confirm Gi:J Sidewalks & walkways IXI □ that all impervious areas on the site will be minimized Ci! Parking areas & lots IXI □ where feasible. Ga Driveways IXI □ If this box is not checked, Ci! Patios, decks, & courtyards IXI □ identify the surfaces that cannot be minimized in area □ Hardcourt recreation areas □ □ below, and explain why it is E-36 Page 1 of 4 Revised 02/22 Ix! Other: SWIMMING POOL D □ - , X infeasible to do so. any storm runoff in the pool would add water to the pool. any debris would be filtered through the pool filter pump or hand removed with pool skimmer and disposed of as solid waste. Therefore no BMP can feasibly be installed for a pool. c. IXJ BMPs for Rooftop Areas: Check this box if rooftop areas are proposed and select at least one BMP below. (see Fact Sheet BL-3) If no BMPs are selected, explain why they are infeasible in the area below. 00 SD-B Direct runoff to pervious areas OSD-C Install green roofs OSD-E Install rain barrels 0. IXJ BMPs for Landscaped Areas: Check this box if landscaping is proposed and select the BMP below ~ SD-K Sustainable Landscaping (see Fact Sheet BL-4) If SD-K is not selected, explain why it is infeasible in the area below. Provide discussion4ustification for site design BMPs that will not be implemented (either partially or fully): .. -" Baseline BMPs for Pollutant-generating Sources All development projects must complete Table 2 -Source Control Requirement to identify applicable requirements for documenting pollutant-generating sources/ features and source control BMPs. BMPs must be implemented for source control features where feasible. Leaving the box for a BMP unchecked means it will not be implemented (either partially or fully) either because it is inapplicable or infeasible. Explanations must be provided in the area below. The table provides specific instructions on when explanations are required. Table 2 -Source Control Requirement A. Management of Storm Water Discharges 1. Identify all proposed outdoor 2. Which BMPs will be used to prevent 3. Where will runoff from the work areas below materials from contacting rainfall or work area be routed? runoff? 00 Check here if none are proposed (See Fact Sheet BL-5) (See Fact Sheet BL-6) Select all feasible BMPs for each work area Select one or more option for each work area SC-A SC-8 SC-C SC-0 SC-E Other Overhead Separation Wind Sanitary Containment covering flows from protection sewer system adjacent areas □ Trash & Refuse Storaqe D D D □ D D □ Materials & Equipment Storage D □ D D D D E-36 Page 2 of 4 Revised 02/22 . A □ Loading & UnloadinQ -□ □ □ □ □ □ □ Fueling □ □ □ □ □ □ □ Maintenance & Repair □ □ □ □ D □ □ Vehicle & Equipment Cleaning □ □ D □ D □ □ Other: □ □ D □ □ D B. Management of Storm Water Discharges (see Fact Sheet BL-7) ' Select one option for each feature below: • Storm drain inlets and catch basins ... IR] are not proposed □ will be labeled with stenciling or signage to discouraae dumoina lSC-F\ • Interior work surfaces, floor drains & 00 are not proposed □ will not discharge directly or indirectly to the MS4 sumps ... or receiving waters • Drain lines (e.g. air conditioning, boiler, 00 are not proposed □ will not discharge directly or indirectly to the MS4 etc.) ... or receiving waters • Fire sprinkler test water ... Ila are not proposed □ will not discharge directly or indirectly to the MS4 or receivino waters Provide discussion/justification for source control BMPs that will not be implemented (either parlially or fully): E-36 Page 3 of 4 Revised 02/22 Form Certification This E-36 Form is intended to comply with applicable requirements of the city's BMP Design Manual. I certify that it has been completed to the best of my ability and accurately reflects the project being proposed and the applicable BMPs proposed to minimize the p tentially negative impacts of this project's land development activities on water quality. I understand and ackno led that the view of this form by City staff is confined to a review and does not relieve me as the person in charge of lection and design of storm water BMPs for this project, of my responsibilities for ro·ect desi n. Date: 3/1/2022 Print re arer name: E-36 Page 4 of4 Revised 021Z2. .. PACIFIC COAST 1111 E. Katella Avenue, Suite 120 Orange, CA 92867 Title Officer: Jim Jean TITLE COMPA N Y Title Phone: (714)516-6795 Title Email: jjean@pct.com Title Order No.: 10063082-OCT-JJ Issuing Policies of Commonwealth Land Title Insurance Company ORDER NO: 10063082-- Socal Real Estate Consultants 2979 State Street #D Carlsbad, CA 92008 Attn.: Jay Berger PROPERTY: 3926 Highland Drive, Carlsbad, CA 92008 Proposed Lender: Proposed Loan Amount: Loan No.: . . .. _,., City of Carlsbad MAR O 9 2022 Planning Division UPDATED PRELIMINARY REPORT AMENDMENT NO. 1 In response to the application for a policy of title insurance referenced herein, Pacific Coast Title Company hereby reports that it is prepared to issue, or cause to be issued, as of the date hereof, a policy or policies of title insurance describing the land and the estate or interest therein hereinafter set forth, insuring against loss which may be sustained by reason of any defect, lien or encumbrance not shown or referred to as an exception 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 Limitations 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 AL TA Homeowners Policies of Title Insurance which establish a Deductible Amount and a Maximum Dollar Limit of Liability for certain coverages are also set forth in 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 policy(s) of title insurance to be issued hereunder will be policy(s) of Commonwealth Land Title Insurance Company, a Nebraska 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 al/ liens, defects and encumbrances affecting title to the land. Pacific Coast Title Company Countersigned: By:~~ Authorized Officer or Agent CLTA Preliminary Report Form -Modified (11/17/06) Commonwealth Land Title Insurance Company BY ATTEST _..,._L-.;;esldent Randy Quirl< Michael Gr3vtllt Page 1 PACIFIC COAST TITLE COMPANY UPDATED PRELIMINARY REPORT AMENDMENT NO. 1 EFFECTIVE DATE: October 4, 2021 at 7:30 a.m. The form of policy or policies of title insurance contemplated by this report is: 1. THE ESTATE OR INTEREST IN THE LAND HEREINAFTER DESCRIBED OR REFERRED TO COVERED BY THIS REPORT IS: AFEE 2. TITLE TO SAID ESTATE OR INTEREST AT THE DATE HEREOF IS VESTED IN: FRANK AGUSTO MINICILU, A MARRIED MAN AS HIS SOLE AND SEPARATE PROPERTY 3. THE LAND REFERRED TO IN THIS REPORT IS DESCRIBED AS FOLLOWS: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF. CLTA Preliminary Report Form -Modified (11/17/06) Page 2 PRELIMINARY REPORT ESCROW NO.: LEGAL DESCRIPTION EXHIBIT A PACIFIC COAST TITLE COMPANY TITLE NO.: 10063082-OCT-JJ THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: ALL THAT PORTION OF TRACT NO. 247, THUM LANDS, IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 1681, FILED IN THE OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, DECEMBER 9, 1915, DESCRIBED AS FOLLOWS: COMMENCING AT THE INTERSECTION OF THE EASTERLY PROLONGATION OF THE CENTER LINE OF TAMARACK AVENUE WITH THE EASTERLY LINE OF HIGHLAND AS SHOWN ON SAID MAP NO. 1681; THENCE SOUTH 28° 38' 30" EAST (RECORD SOUTH 28° 39' EAST) ALONG THE EASTERLY LINE OF SAID HIGHLAND STREET 1 75.00 FEET TO THE TRUE POINT OF BEGINNING; THENCE NORTH 61 ° 21' 30" EAST, 150.00 FEET TO THE NORTHEASTERLY LINE OF THE SOUTHWESTERLY 150.00 FEET OF SAID TRACT 247; THENCE SOUTH 28 0 38' 30" EAST ALONG SAID NORTHEASTERLY LINE 74.20 FEET; THENCE SOUTH 61° 21' 30" WEST, 150.00 FEET TO THE EASTERLY LINE OF SAID HIGHLAND STREET; THENCE NORTH 28° 38' 30" WEST (RECORD NORTH 28° 39' WEST) ALONG SAID EASTERLY LINE 74.20 FEET TO THE TRUE POINT OF BEGINNING. APN: 207-130-60-00 CLTA Preliminary Report Form -Modified (11/17/06) Page 3 PRELIMINARY REPORT ESCROW NO.: j TITLE NO.: 10063082-OCT-ll AT THE DATE HEREOF, ITEMS TO BE CONSIDERED AND EXCEPTIONS TO COVERAGE IN ADDITION TO THE PRINTED EXCEPTIONS AND EXCLUSIONS IN SAID POUCY FORM WOULD BE AS FOLLOWS: 1. Property taxes, including any personal property taxes and any assessments collected with taxes are as follows: Code Area: 09000 Tax Identification No: 207-130-60-00 Fiscal Year: 2021-2022 1st Installment: $4,201.49, paid 2nd Installment: $4,201.49, open Exemption: $0.00 Land: $521,788.00 Improvements: $232,406.00 Personal Property: $0.00 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 taxes, if any, assessed pursuant to the provisions of Chapter 3.5 (Commencing with Section 75) of the Revenue and Taxation Code of the State of California. 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 and apparent. 6. Matters contained in that certain document Entitled: City of Carlsbad, Neighborhood Improvement Agreement Dated: September 30, 2009 Executed by: The City of Carlsbad and Frank Aguste Minicilli, a single man Recording Date: April 15, 2013 Recording No.: 2013-233596. Official Records Reference is hereby made to said document for full particulars. 7. A document entitled Notice of Restriction on Real Property Accessory Dwelling Unit recorded August 09, 2018 at Instrument Number 2018-0327247 of Official Records. 8. Matters contained in that certain document Entitled: Hold Harmless Agreement Drainage Dated: December 6, 2018 Executed by: Frank Aguste Minicilli and City of Carlsbad Recording Date: December 27, 2018 Recording No.: 2018-0530247, Official Records Reference is hereby made to said document for full particulars. CLTA Preliminary Report Form -Modified (11/17/06) Page 4 PRELIMINARY REPORT ESCROW NO.: TITLE NO.: 10063082-OCT-JJ 9. Matters contained in that certain document Entitled: Hold Harmless Agreement Geological Failure Dated: December 6, 2018 Executed by: Frank Agusto Minicilli and City of Carlsbad Recording Date: December 27, 2018 Recording No.: 2018-0530248, Official Records Reference is hereby made to said document for full particulars. 10. A certificate of compliance Executed by: City of Carlsbad Dated: February 15, 2019 Compliance No.: Not Set Out Recording Date: February 25, 2019 Recording No.: 2019-0066179, Official Records Affects: a portion of said land 11. A deed of trust to secure an indebtedness in the amount shown below, Amount: $700,000.00 Dated: September 9, 2020 Trustor/Grantor: Frank Agusto Minicilla, a married manas his sole and separate property Trustee: Fidelity National Title Company Beneficiary: Mega Capital Funding, Inc a California Corporation Loan No.: 8841976 Recording Date: September 29, 2020 Recording No.: 202000-0581349, Official Records 12. We find various Liens and Judgments that are of record against persons with similar or the same name as that of the vestee(s) shown herein. In order to complete this report, the Company requires a Statement of Information to be provided for the following vestee(s), which may allow and assist in the elimination of some or all of the said liens and judgments. After review of the requested Statement of Information, the Company reserves the right to add additional items or make further requirements prior to the issuance of any Policy of Title Insurance. Vestee(s): VESTEES HEREIN 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. END OF ITEMS CLTA Preliminary Report Form -Modified (11/17/06) Page 5 PRELIMINARY REPORT ESCROW NO.: TITLE NO.: 10063082-0CT-ll NOTES 1. Note: None of the items shown in this report will cause the Company to decline to attach CLTA Endorsement Form 100 to an Extended Coverage Loan Policy, when issued. 2. Note: The Company is not aware of any matters which would cause it to decline to attach CLTA Endorsement Form 116 indicating that there is located on said Land 1-4 Family Residential SFR, known as 3926 Highland Drive, Carlsbad, CA 92008 to an Extended Coverage Loan Policy. 3. Note: The only conveyance(s) affecting said Land, which recorded within 24 months of the date of this report, are as follows: Granter: 4. FRANK AGUSTO MINICILLI, married man, who acquired title as single man and Stacey C. Fordice, a married woman, spouse of grantee Grantee: FRANK AGUSTO MINIOLLI, A married man as his sole and separate property Recording Date: Sep 29, 2021 Recording No.: 2020-0581348, Official Records 5. Note: The policy of title insurance will include an arbitration provision. The Company or 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 or 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. 6. Note: Amended Civil Code Section 2941, which becomes effective on January 1, 2002, sets the fee for the processing and recordation of the reconveyance of each Deed of Trust being paid off through this transaction at $45.00. The reconveyance fee must be clearly set forth in the Beneficiary's Payoff Demand Statement ("Demand"). In addition, an assignment or authorized release of that fee, from the Beneficiary to the Trustee of record, must be included. An example of the required language is as follows: ''The Beneficiary identified above hereby assigns, releases or transfers to the Trustee of record, the sum of $45.00, included herein as 'Reconveyance Fees', for the processing and recordation of the Reconveyance of the Deed of Trust securing the indebtedness covered hereby, and the escrow company or title company processing this pay-off is authorized to deduct the Reconveyance Fee from this Demand and forward said fee to the Trustee of record or the successor Trustee under the Trust Deed to be paid off in full." In the event that the reconveyance fee and the assignment, release or transfer thereof are not included within the demand statement, then Pacific Coast Title Company may decline to process the reconveyance and will be forced to return all documentation directly to the Beneficiary for compliance with the requirements of the revised statute. 7. If a county recorder, title insurance company, escrow company, real estate broker, real estate agent or association provides a copy of a declaration, governing document or deed to any person, california law requires that the document provided shall include a statement regarding any unlawful restrictions. Said statement is to be in at least 14-point bold face type and may be stamped on the first page of any document provided or included as a cover page attached to the requested document. Should a party to this transaction request a copy of any document reported herein that fits this category, the statement is to be included in the manner described. CLTA Preliminary Report Form -Modified (11/17/06) Page 6 PREUMINARY REPORT ESCROW NO.: TITLE NO.: 10063082-OCT-JJ 8. 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. CLTA Preliminary Report Form -Modified (11/17/06) Page 7 PREUMINARY REPORT ESCROW NO.: TITLE NO.: 10063082-OCT-JJ WIRE INSTRUCTIONS When funds are wired to Pacific Coast Title Company, please use the instructions below: City National Bank 555 South Flower Street, 21st Floor Los Angeles, CA 90071 ABA (Routing) Number: Account Number: Account Name: Credit: Reference: 122016066 555228597 Pacific Coast Title Company Pacific Coast Title Company -OCT 10063082 The policy(s) of title insurance to be issued hereunder will be policy(s) of Commonwealth Land Title Insurance Company, a Nebraska corporation. Funds received by this Company via wire transfer may be disbursed upon receipt. Funds received by this company via cashier's check or tellers check may be disbursed on the next business day after the day of deposit. If escrow funds (including shortage checks) are disbursed to this company other than by wire transfer, cashier's check or teller's check, disbursement and/or closing will be delayed 3 to 7 business days. Questions concerning deposit and/or disbursement of escrow and sub-escrow funds and recording should be directed to your title officer, escrow officer or loan payoff officer. Outgoing wire transfers will not be authorized until we have confirmation of our recording and one (1) of the following: A We have received confirmation of the respective incoming wire. B. Collection of a deposited check. PAYOFF INFORMATION NOTE: This Company DOES require current beneficiary demands prior to closing. If the demand is expired and a current demand cannot be obtained, our requirements will be as follows: If this Company accepts a verbal update on the demand, we may hold an amount equal to one monthly mortgage payment. This hold will be over and above the verbal hold the lender may have stipulated. If this Company cannot obtain a verbal update on the demand, we will either pay off of the expired demand, or wait for the amended demand, at the discretion of the escrow. NOTE: to avoid delays at the time of closing, if the above deed of trust is an Equity Line/Line of Credit, it will be necessary that all checks, passbooks, credit cards together with instructions to close the account be submitted to the Company prior to the close of this transaction. In order to expedite compliance with the above, please do the following: Borrower(s ): a) b) Settlement: a) b) Sign and return the Equity Line/Credit Line Affidavit provided with the report, Request that the account be frozen. Obtain a statement from the lender that no advances have been made after the issuance of the demand for payoff, and Upon delivery of the payoff check, a full reconveyance must be obtained. Please be advised that the difference between the principal balance on an issued demand and the maximum principal allowed may be held for up to 10 working days if the above requirements are not met. END OF NOTES Jim Jean/ ST CLTA Preliminary Report Form -Modified (11/17/06) Page 8 PACIFIC COAST TITLE COMPANY PRIVACY NOTICE Pacific Coast Title Company, C'PCT'') respect and are committed to protecting your privacy. This Privacy Notice lets you know how and for what purposes your Personal Information (as defined herein) is being collected, processed and used by PCT. We pledge that we will take reasonable steps to ensure that your Personal Information will only be used in ways that are in compliance with this Privacy Notice. The provision of this Privacy Notice to you does not create any express or implied relationship, or create any express or implied duty or other obligation, between Pacific Coast Title Company and you. See also No Representations or Warranties below. This Privacy Notice is only in effect for any generic information and Personal Information collected and/or owned by PCT, including collection through any PCT website and any online features, services and/or programs offered by PCT (collectively, the "Website''). This Privacy Notice is not applicable to any other web pages, mobile applications, social media sites, email lists, generic information or Personal Information collected and/or owned by any entity other than PCT. How Information is Collected The types of personal information PCT collects may include, among other things (collectively, "Personal Information''): (1) contact information (e.g., name, address, phone number, email address); (2) demographic information (e.g., date of birth, gender marital status); (3) Internet protocol (or IP) address or device ID/UDID; (4) social security number (SSN), student ID (SIN), driver's license, passport, and other government ID numbers; (S) financial account information; and (6) information related to offenses or criminal convictions. In the course of our business, we may collect Personal Information about you from the following sources: • Applications or other forms we receive from you or your authorized representative; • Information we receive from you through the Website; • Information about your transactions with or services performed by us, our affiliates, or others; and • From consumer or other reporting agencies and public records maintained by governmental entities that we either obtain directly from those entities, or from our affiliates or others. Additional Ways Information is Collected Through the Website Browser Log Files. Our servers automatically log each visitor to the Website and collect and record certain information about each visitor. This information may include IP address, browser language, browser type, operating system, domain names, browsing history (including time spent at a domain, time and date of your visit), referring/exit web pages and URLs, and number of clicks. The domain name and IP address reveal nothing personal about the user other than the IP address from which the user has accessed the Website. Cookies. From time to time, PCT or other third parties may send a "cookie" 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 and that can be re-sent to the serving website on subsequent visits. A cookie, by itself, cannot read other data from your hard disk or read other cookie files already on your computer. A cookie, by itself, does not damage your system. We, our advertisers and other third parties may use cookies to identify and keep track of, among other things, those areas of the Website and third party websites that you have visited in the past in order to enhance your next visit to the Website. You can choose whether or not to accept cookies by changing the settings of your Internet browser, but some functionality of the Website may be impaired or not function as intended. See the Third Party Opt Out section below. Web Beacons. Some of our web pages and electronic communications may contain images, which may or may not be visible to you, known as Web Beacons (sometimes referred to as "clear gifs''). Web Beacons collect only limited information that includes a cookie number; time and date of a page view; and a description of the page on which the Web Beacon resides. We may also carry Web Beacons placed by third CLTA Preliminary Report Form -Modified (11/17/06) party advertisers. These Web Beacons do not carry any Personal Information and are only used to track usage of the Website and activities associated with the Website. See the Third Party Opt Out section below. Unique Identifier. We may assign you a unique internal identifier to help keep track of your future visits. We may use this information to gather aggregate demographic information about our visitors, and we may use it to personalize the information you see on the Website and some of the electronic communications you receive from us. We keep this information for our internal use, and this information is not shared with others. Third Party Opt Out. Although we do not presently, in the future we may allow third-party companies to serve advertisements and/or collect certain anonymous information when you visit the Website. These companies may use non-personally identifiable information (e.g., click stream information, browser type, time and date, subject of advertisements clicked or scrolled over) during your visits to the Website in order to provide advertisements about products and services likely to be of greater interest to you. These companies typically use a cookie or third party Web Beacon to collect this information, as further described above. Through these technologies, the third party may have access to and use non-personalized information about your online usage activity. You can opt-out of certain online behavioral services through any one of the ways described below. After you opt-out, you may continue to receive advertisements, but those advertisements will no longer be as relevant to you. • You can opt-out via the Network Advertising Initiative industry opt-out at http://www.networkadvertising.org/. • You can opt-out via the Consumer Choice Page at www.aboutads.info. • For those in the U.K., you can opt-out via the IAB UK's industry opt-out at www.youronlinechoices.com. • You can configure your web browser (Chrome, Firefox, Internet Explorer, Safari, etc.) to delete and/or control the use of cookies. More information can be found in the Help system of your browser. Note: If you opt-out as described above, you should not delete your cookies. If you delete your cookies, you will need to opt-out again. Use of Personal Information Information collected by PCT is used for three main purposes: • To provide products and services to you or one or more third party service providers (collectively, "Third Parties'') who are obtaining services on your behalf or in connection with a transaction involving you. • To improve our products and services that we perform for you or for Third Parties. • To communicate with you and to inform you about PCT's, PCT's affiliates and third parties' products and services. When Information Is Disclosed By PCT We may provide your Personal Information (excluding information we receive from consumer or other credit reporting agencies) to various individuals and companies, as permitted by law, without obtaining your prior authorization. Such laws do not allow consumers to restrict these disclosures. Disclosures may include, without limitation, the following: • To agents, brokers, representatives, or others to provide you with services you have requested, and to enable us to detect or prevent criminal activity, fraud, material misrepresentation, or nondisclosure in connection with an insurance transaction; • To third-party contractors or service providers who Page 9 provide services or perform marketing services or other functions on our behalf; • To law enforcement or other governmental authority in connection with an investigation, or civil or criminal subpoenas or court orders; and/or • To lenders, lien holders, judgment creditors, or other parties claiming an encumbrance or an interest in title whose claim or interest must be determined, settled, paid or released prior to a title or escrow closing. In addition to the other times when we might disclose information about you, we might also disclose information when required by law or in the good-faith belief that such disclosure is necessary to: (1) comply with a legal process or applicable laws; (2) enforce this Privacy Notice; (3) respond to claims that any materials, documents, images, graphics, logos, designs, audio, video and any other information provided by you violates the rights of third parties; or (4) protect the rights, property or personal safety of PCT, its users or the public. We maintain reasonable safeguards to keep the Personal Information that is disclosed to us secure. We provide Personal Information and non- Personal Information to our subsidiaries, affiliated companies, and other businesses or persons for the purposes of processing such information on our behalf and promoting the services of our trusted business partners, some or all of which may store your information on servers outside of the United States. We require that these parties agree to process such information in compliance with our Privacy Notice or in a similar, industry- standard manner, and we use reasonable efforts to limit their use of such information and to use other appropriate confidentiality and security measures. The use of your information by one of our trusted business partners may be subject to that party's own Privacy Notice. We do not, however, disclose information we collect from consumer or credit reporting agencies with our affiliates or others without your consent, in conformity with applicable law, unless such disclosure is otherwise permitted by law. We also reserve the right to disclose Personal Information and/or non- Personal Information to take precautions against liability, investigate and defend against any third-party claims or allegations, assist government enforcement agencies, protect the security or integrity of the Website, and protect the rights, property, or personal safety of PCT, our users or others. We reserve the right to transfer your Personal Information, as well as any other information, in connection with the sale or other disposition of all or part of the PCT business and/or assets. We also cannot make any representations regarding the use or transfer of your Personal Information or other information that we may have in the event of our bankruptcy, reorganization, insolvency, receivership or an assignment for the benefit of creditors, and you expressly agree and consent to the use and/or transfer of your Personal Information or other information in connection with a sale or transfer of some or all of our assets in any of the above described proceedings. Furthermore, we cannot and will not be responsible for any breach of security by any third parties or for any actions of any third parties that receive any of the information that is disclosed to us. Information From Children We do not collect Personal Information from any person that we know to be under the age of thirteen (13). Specifically, the Website is not intended or designed to attract children under the age of thirteen (13). You affirm that you are either more than 18 years of age, or an emancipated minor, or possess legal parental or guardian consent, and are fully able and competent to enter into the terms, conditions, obligations, affirmations, representations, and warranties set forth in this Privacy Notice, and to abide by and comply with this Privacy Notice. In any case, you affirm that you are over the age of 13, as THE WEBSITE IS NOT INTENDED FOR CHILDREN UNDER 13 THAT ARE UNACCOMPANIED BY HIS OR HER PARENT OR LEGAL GUARDIAN. Parents should be aware that PCT's Privacy Notice will govern our use of Personal Information, but also that information that is voluntarily given by children -or others -in email exchanges, bulletin boards or the like may be used by other parties to generate unsolicited communications. PCT encourages all parents to instruct their children in the safe and responsible use of their Personal Information while using the Internet. CLTA Preliminary Report Form -Modified (11/17/06) Privacy Outside the Website The Website may contain various links to other websites, including links to various third party service providers. PCT is not and cannot be responsible for the privacy practices or the content of any of those other websites. Other than under agreements with certain reputable organizations and companies, and except for third party service providers whose services either we use or you voluntarily elect to utilize, we do not share any of the Personal Information that you provide to us with any of the websites to which the Website links, although we may share aggregate, non-Personal Information with those other third parties. Please check with those websites in order to determine their privacy policies and your rights under them. European Union Users If you are a citizen of the European Union, please note that we may transfer your Personal Information outside the European Union for use for any of the purposes described in this Privacy Notice. By providing PCT with your Personal Information, you consent to both our collection and such transfer of your Personal Information in accordance with this Privacy Notice. Choices With Your Personal Information Whether you submit Personal Information to PCT is entirely up to you. You may decide not to submit Personal Information, in which case PCT may not be able to provide certain services or products to you. You may choose to prevent PCT from disclosing or using your Personal Information under certain circumstances ("opt out''). You may opt out of any disclosure or use of your Personal Information for purposes that are incompatible with the purpose(s) for which it was originally collected or for which you subsequently gave authorization by notifying us by one of the methods at the end of this Privacy Notice. Furthermore, even where your Personal Information is to be disclosed and used in accordance with the stated purposes in this Privacy Notice, you may elect to opt out of such disclosure to and use by a third party that is not acting as an agent of PCT. As described above, there are some uses from which you cannot opt-out. Please note that opting out of the disclosure and use of your Personal Information as a prospective employee may prevent you from being hired as an employee by PCT to the extent that provision of your Personal Information is required to apply for an open position. If PCT collects Personal Information from you, such information will not be disclosed or used by PCT for purposes that are incompatible with the purpose(s) for which it was originally collected or for which you subsequently gave authorization unless you affirmatively consent to such disclosure and use. You may opt out of online behavioral advertising by following the instructions set forth above under the above section "Additional Ways That Information Is Collected Through the Website," subsection "Third Party Opt Out." Access and Correction To access your Personal Information in the possession of PCT and correct inaccuracies of that information in our records, please contact us in the manner specified at the end of this Privacy Notice. We ask individuals to identify themselves and the information requested to be accessed and amended before processing such requests, and we may decline to process requests in limited circumstances as permitted by applicable privacy legislation. Your California Privacy Rights Under california's "Shine the Light" law, California residents who provide certain personally identifiable information in connection with obtaining products or services for personal, family or household use are entitled to request and obtain from us once a calendar year information about the customer information we shared, if any, with other businesses for their own direct marketing uses. If applicable, this information would include the Page 10 .. categories of customer information and the names and addresses of those • businesses with which we shared customer information for the immediately prior calendar year (e.g., requests made in 2015 will receive information regarding 2014 sharing activities). To obtain this information on behalf of PCT, please send an email message to info@PCT.com with "Request for california Privacy Information" in the subject line and in the body of your message. We will provide the requested information to you at your email address in response. Please be aware that not all information sharing is covered by the "Shine the Light" requirements and only information on covered sharing will be included in our response. Additionally, because we may collect your Personal Information from time to time, california's Online Privacy Protection Act requires us to disclose how we respond to "do not track" requests and other similar mechanisms. Currently, our policy is that we do not recognize "do not track" requests from Internet browsers and similar devices. PCT Compliance with califomia Online Privacy Protection Act For some websites which PCT or one of its companies owns, such as the Customer careNet ("CCN"), PCT is acting as a third party service provider to a mortgage loan servicer. In those instances, we may collect certain information on behalf of that mortgage loan servicer for fulfilling a service to that mortgage loan servicer. For example, you may access CCN to complete a transaction with your mortgage loan servicer. During this transaction, the information which we may collect on behalf of the mortgage loan servicer is as follows: • First and Last Name • Property Address • User Name • Password • Loan Number • Social Security Number -masked upon entry • Email Address • Three Security Questions and Answers • IP Address The information you submit is then transferred to your mortgage loan servicer by way of CCN. The mortgage loan servicer is responsible for taking action or making changes to any consumer information submitted through this website. For example, if you believe that your payment or user information is incorrect, you must contact your mortgage loan servicer. CCN does not share consumer information with third parties, other than those with which the mortgage loan servicer has contracted to interface with the CCN application. All sections of the PCT Privacy Notice apply to your interaction with CCN, except for the sections titled Choices with Your Personal Information and Access and Correction. If you have questions regarding the choices you have with regard to your personal information or how to access or correct your personal information, you should contact your mortgage loan servicer. No Representations or warranties By providing this Privacy Notice, Pacific Coast Title Company does not make any representations or warranties whatsoever concerning any products or services provided to you by its majority-owned subsidiaries. In addition, you also expressly agree that your use of the Website is at your own risk. Any services provided to you by Pacific Coast Title Company and/or the Website are provided "as is" and "as available" for your use, without representations or warranties of any kind, either express or CLTA Preliminary Report Form -Modified (11/17/06) implied, unless such warranties are legally incapable of exclusion. Pacific Coast Title Company makes no representations or warranties that any services provided to you by it or the Website, or any services offered in connection with the Website are or will remain uninterrupted or error-free, that defects will be corrected, or that the web pages on or accessed through the Website, or the servers used in connection with the Website, are or will remain free from any viruses, worms, time bombs, drop dead devices, Trojan horses or other harmful components. Any liability of Pacific Coast Title Companyand your exclusive remedy with respect to the use of any product or service provided by Pacific Coast Title Company including on or accessed through the Website, will be the re-performance of such service found to be inadequate. Your Consent Jo This Privacy Notice By submitting Personal Information to PCT, you consent to the collection and use of information by us as specified above or as we otherwise see fit, in compliance with this Privacy Notice, unless you inform us otherwise by means of the procedure identified below. If we decide to change this Privacy Notice, we will make an effort to post those changes on the Website. Each time we collect information from you following any amendment of this Privacy Notice will signify your assent to and acceptance of its revised terms for all previously collected information and information collected from you in the future. We may use comments, information or feedback that you may submit in any manner that we may choose without notice or compensation to you. If you have additional questions or comments, please let us know by sending your comments or requests to: Pacific Coast Title Company 1111 East Katella Avenue, #120 Orange, CA 92620 Attn.: Executive Vice President info@PCT.com Copyright© 2015. Pacific Coast Title Company All Rights Reserved. EFFECTIVE AS OF: MAY 1, 2015 Page 11 PREUMINARY REPORT ESCROW NO.: TITLE NO.: 10063082-OCT-ll 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 Companies CTC -Chicago Title Company CLTC -Commonwealth Land Title Company FNTC -Fidelity National Title Company FNTCCA -Fidelity National Title Company of California TICOR -Ticor Title Company of California LTC -Lawyer's Title Company DISASTER LOANS (CTIC) Underwritten by FNF Underwriters enc -Chicago Title Insurance Company CL TIC -Commonwealth Land Title Insurance Company FNTIC -Fidelity National Title Insurance Company FNTIC -Fidelity National Title Insurance Company enc -Chicago Title Insurance Company CL TIC -Commonwealth Land Title Insurance Company The charge for a Lender's Policy (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 said 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-PROFITABLE 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 thirty-two percent (32%) to fifty percent (50%) of the appropriate title insurance rate, depending on the type of coverage selected. CLTA Preliminary Report Form -Modified (11/17/06) Page 12 .. ATTACHMENT ONE CALIFORNIA LAND TITLE ASSOCIATION STANDARD COVERAGE POLICY -1990 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. 2. 3. (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 recorded in the public records at Date of Policy. Rights of eminent domain unless notice of the exercise thereof has been recorded 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. Defects, liens, encumbrances, adverse claims or other matters: (a) whether or not recorded in the public records at Date 4. 5. 6. 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. 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 comply with the applicable doing business laws of the state in which the land is situated. 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 consumer credit protection or truth in lending law. 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 costs, attorneys' fees or expenses) which arise by reason of: 1. 2. 3. 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. Any facts, rights, interests, or claims which are not shown by the public records but which could be ascertained by an inspection of the land or which may be asserted by persons in possession thereof. Easements, liens or encumbrances, or claims thereof, not Attachment One (06-05-14) CLTA Preliminary Report Form -Modified (11/17/06) 4. 5. 6. shown by the public records. Discrepancies, conflicts in boundary lines, shortage in area, encroachments, or any other facts which a correct survey would disclose, and which are not shown by the public records. (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. Any lien or right to a lien for services, labor or material not shown by the public records. Page 13 ATTACHMENT ONE (CONTINUED) CLTA HOMEOWNER'S POLICY OF TITLE INSURANCE (12-02-13) ALTA 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 c. that result in no loss to You; or those portions of any law or government regulation concerning: a. building; b. zoning; 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. c. land use; d. improvements on the Land; e. land division; and f. environmental protection. This Exclusion does not limit the coverage described in Covered Risk 8.a., 14, 15, 16, 18, 19, 20, 23 or 27. 2. The failure of Your existing structures, or any part of them, to be constructed in accordance with applicable building codes. This Exclusion does not limit the coverage described in Covered Risk 14 or 15. 3. The right to take the Land by condemning it. This Exclusion does not limit the coverage described in Covered Risk 17. 4. Risks: a. that are created, allowed, or agreed to by You, whether or not they are recorded in the Public Records; b. that are Known to You at the Policy Date, but not to Us, unless they are recorded in the Public Records at the Policy Date; 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: Attachment One (06-05-14) Your Deductible Amount 1 % of Policy Amount Shown in Schedule A or $2,500.00 (whichever is less) 1 % of Policy Amount Shown in Schedule A or $5,000.00 (whichever is less) 1 % of Policy Amount Shown in Schedule A or $5,000.00 (whichever is less) 1 % of Policy Amount Shown in Schedule A or $2,500.00 (whichever is less) CLTA Preliminary Report Form -Modified (11/17/06) Our Maximum Dollar Limit of Liability $10,000.00 $25,000.00 $25,000.00 $5,000.00 Page 14 ,... ATTACHMENT ONE (CONTINUED) 2006 ALTA LOAN POLICY (06-17-06) EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy, and the Company will not pay loss or damage, costs, attorneys' fees, or expenses that arise by reason of: 1. 2. 3. (a) Any law, ordinance, permit, or governmental regulation (including those relating to building and zoning) restricting, regulating, prohibiting, or relating to (i) (ii) the occupancy, use, or enjoyment of the Land; the character, dimensions, or location of any improvement erected on the Land; (iii) the subdivision of land; or (iv) environmental protection; or the effect of any violation of these laws, ordinances, or governmental regulations. This Exclusion l(a) does not modify or limit the coverage provided under Covered Risk 5. (b) Any governmental police power. This Exclusion l(b) does not modify or limit the coverage provided under Covered Risk 6. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 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; 4. 5. 6. 7. (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. 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. 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. 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. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching between Date of Policy and the date of recording of the Insured Mortgage in the Public Records. This Exclusion does not modify or limit the coverage provided under Covered Risk ll(b). The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also include the following Exceptions from Coverage: EXCEPTIONS FROM COVERAGE Except as provided in Schedule B -Part II, 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: PART I 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. 2. 3. (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. 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. Easements, liens or encumbrances, or claims thereof, not shown by the Public Records. Attachment One (06-05-14) CLTA Preliminary Report Form -Modified (11/17/06) 4. 5. 6. 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. (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. Any lien or right to a lien for services, labor or material not shown by the Public Records. Page 15 ATTACHMENT ONE (CONTINUED) 2006 ALTA OWNER'S POUCY (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. 2. 3. (a) Any law, ordinance, permit, or governmental regulation (including those relating to building and zoning) restricting, regulating, prohibiting, or relating to (i) (ii) the occupancy, use, or enjoyment of the Land; the character, dimensions, or location of any improvement erected on the Land; (iii) the subdivision of land; or (iv) environmental protection; or the effect of any violation of these laws, ordinances, or governmental regulations. This Exclusion l(a) does not modify or limit the coverage provided under Covered Risk 5. (b) Any governmental police power. This Exclusion l(b) does not modify or limit the coverage provided under Covered Risk 6. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 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 4. 5. Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c) resulting in no loss or damage to the Insured Claimant; (d) attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk 9 and 10); or (e) resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Title. 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. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching between Date of Policy and the date of recording of the deed or other instrument of transfer in the Public Records that vests Title as shown in Schedule A. The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also include the following Exceptions from Coverage: EXCEPTIONS FROM COVERAGE This policy does not insure against loss or damage, and the Company will not pay costs, attorneys' fees or expenses, that arise by reason of: 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. 2. 3. (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. 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. Easements, liens or encumbrances, or claims thereof, not shown by the Public Records. Attachment One (06-05-14) CLTA Preliminary Report Form -Modified (11/17/06) 4. 5. 6. 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. (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. Any lien or right to a lien for services, labor or material not shown by the Public Records. Page 16 ATTACHMENT ONE (CONTINUED) ALTA EXPANDED COVERAGE RESIDENTIAL LOAN POLICY (12-02-13) 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 (including those relating to building and zoning) restricting, regulating, prohibiting, or relating to (i) the occupancy, use, or enjoyment of the Land; (ii) the character, dimensions, or location of any improvement erected on the Land; (iii) the subdivision of land; or (iv) environmental protection; or the effect of any violation of these laws, ordinances, or governmental regulations. This Exclusion l(a) does not modify or limit the coverage provided under Covered Risk 5, 6, 13(c), 13(d), 14 or 16. (b) Any governmental police power. This Exclusion l(b) does not modify or limit the coverage provided under Covered Risk 5, 6, 13(c), 13(d), 14 or 16. 2. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 3. Defects, liens, encumbrances, adverse claims, or other matters (a) created, suffered, assumed, or agreed to by the Insured Claimant; (b) not Known to the Company, not recorded in the Public Records at Date of Policy, but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c) resulting in no loss or damage to the Insured Claimant; (d) attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk 11, 16, 17, 18, 19, 20, 21, 22, 23, 24, 27 or 28); or (e) resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Insured Mortgage. 4. Unenforceability of the lien of the Insured Mortgage because of the inability or failure of an Insured to comply with Attachment One (06-05-14) CLTA Preliminary Report Form -Modified (11/17/06) applicable doing-business laws of the state where the Land is situated. 5. Invalidity or unenforceability in whole or in part of the lien of the Insured Mortgage that arises out of the transaction evidenced by the Insured Mortgage and is based upon usury, or any consumer credit protection or truth-in-lending law. This Exclusion does not modify or limit the coverage provided in Covered Risk 26. 6. Any claim of invalidity, unenforceability or lack of priority of the lien of the Insured Mortgage as to Advances or modifications made after the Insured has Knowledge that the vestee shown in Schedule A is no longer the owner of the estate or interest covered by this policy. This Exclusion does not modify or limit the coverage provided in Covered Risk 11. 7. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching subsequent to Date of Policy. This Exclusion does not modify or limit the coverage provided in Covered Risk ll(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 Exclusion does not modify or limit the coverage provided in Covered Risk 5 or 6. 9. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights laws, that the transaction creating the lien of the Insured Mortgage, is (a) a fraudulent conveyance or fraudulent transfer, or (b) a preferential transfer for any reason not stated in Covered Risk 27(b) of this policy. 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 Page 17 ........ --STATEMENT OF INFORMATION CONFIDENTIAL INFORMATION FOR YOUR PROTECTION Completion of this statement expedites your application for title insurance, as it assists in establishing identity, eliminating matters affecting persons with similar names and avoiding the use of fraudulent or forged documents. Complete all blanks (please print) or indicate "none" or "N/A." If more space is needed for any item(s), use the reverse side of the form. Each party (and spouse/domestic partner, if applicable) to the transaction should personally sign this form. ORDER NO: 10063082 TITLE NO.: 10063082-0CT-JJ NAME AND PERSONAL INFORMATION -------------------------------------Date of Birth: First Name Middle Name (if none, indicate) Last Name Business Phone Maiden Name Birthplace Home Phone Social Security No. Driver's License No. ___________ _ List any other name you have used or been known by State of residence I have lived continuously in the U.S.A. since Are you currently married? Date and place of marriage If yes, complete the following: Spouse: ____________________________ _ First Name Middle Name Last Name Malden Name (if none, indicate) Business Phone Date of Birth: __________ _ Birthplace __________ _ Home Phone Social Security No. Driver's License No. ___________ _ List any other name you have used or been known by State of residence I have lived continuously in the U.S.A. since ___________ _ Are you currently a registered domestic partner? Domestic Partner: If yes, complete the following: Date of Birth: __________ _ Home Phone Social Security No. First Name Middle Name (if none, indicate) Last Name Maiden Name Business Phone Birthplace __________ _ Driver's License No. List any other name you have used or been known by State of residence I have lived continuously in the U.S.A. since ___________ _ CHILDREN Child Name: Date of Birth: Child Name: Date of Birth: ------------- Child Name: Date of Birth: Child Name: Date of Birth: ------ (If more space is required, use reverse side of form) RESIDENCES (LAST 10 YEARS) Number & Street, City, State, Zip From (date) to (date) Number & Street, City, State, Zip From (date) to (date) (If more space is required, use reverse side of form) OCCUPATIONS/BUSINESSES (LAST 10 YEARS) Firm or Business name Address From (date) to (date) Firm or Business name Address From (date) to (date) (If more space is required, use reverse side of form) ..... STATEMENT OF INFORMATION (Continued) ORDER NO: 10063082 TITLE NO.: 10063082-OCT-JJ SPOUSE'S/DOMESTIC PARTNER'S OCCUPATIONS/BUSINESSES (LAST 10 YEARS) Firm or Business name Address From (date) to (date) Firm or Business name Address From (date) to (date) (If more space is required, use reverse side of form) PRIOR MARRIAGE(S) Any prior marriages for either spouse? _____ If yes, complete the following: ______________ Prior Spouse of Party A: Prior spouse's (Party A) name: Marriage ended by: Death _______ Divorce ______ Date of Death/Divorce _____________ _ Prior spouse's (Party B) name: Prior Spouse of Party B: _______ Spouse ___ _ Marriage ended by: Death _______ Divorce ______ Date of Death/Divorce _____________ _ (If more space is required, use reverse side of form) PRIOR DOMESTIC PARTNERSHIP(S) Any prior domestic partnerships for either person? _____ If yes, complete the following: Prior partner's name: Prior Partner: Partnership ended by: Death ___ Dissolution Nullification Termination ___ Date of Death/Dissolution/etc. ____ _ Prior partner's name: ___________________ Prior Partner: Partnership ended by: Death ___ Dissolution Nullification Termination ___ Date of Death/Dissolution/etc. ____ _ (If more space is required, use reverse side of form) INFORMATION ABOUT THE PROPERTY Buyer intends to reside on the property in this transaction: Yes No Owner to complete the following items Street Address of Property in this transaction: ~39=2=6~H~i=qh=l=an=d~D=r~iv~e,,_. =Ca=r=ls=b=ad=·~CA=..,....~9=20=0=8~----------------- The land is unimproved __ ; or improved with a structure of the following type: A Single or 1-4 Family __ Condo Unit __ Other __ Improvements, remodeling or repairs to this property have been made within the past six months: Yes__ No __ If yes, have all costs for labor and materials arising in connection therewith been paid in full? Yes No Any current loans on property? ______ If yes, complete the following: Lender _________________ Loan Amount ___________ Loan Account# ______ _ Lender Loan Amount Loan Account # ______ _ ******************************************************************************************************************** The undersigned declare, under penalty of perjury, that the foregoing is true and correct. Executed on-------------~ _____ at ________________________ _ Signature _________________ _ Signature ____________________ _ (Note: If applicable, both spouses/domestic partners must sign.) 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MAP 50S'1 -HOLIDAY MANOR MAP 168 I -THUM LANDS -POR TCT 21f7 ROS 19611, 2609 cc I l ·'Ion-Order Search 2019-66179 CML 02-25-2019 Page 1 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM ,\Jon-Order Search 2019-66179 CML 02-25-2019 Page 2 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM Non-Order Search 2019-66179 CML 02-25-2019 Page 3 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM Non-Order Search 2019-66179 CML 02-25-2019 Page 4 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM Non-Order Search 2019-66179 CML 02-25-2019 Page 5 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM \Jon-Order Search 2018-530248 AGR 12-27-2018 Page 1 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM ,\Ion-Order Search 2018-530248 AGR 12-27-2018 Page 2 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM ,\Ion-Order Search 2018-530248 AGR 12-27-2018 Page 3 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM Non-Order Search 2018-530248 AGR 12-27-2018 Page 4 of 5 Requested By : PhilHig, Printed: 1/4/2022 2:56 PM Non-Order Search 2018-530248 AGR 12-27-2018 Page 5 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM !\Ion-Order Search Page 1 of 3 2018-327247 NOTRST 08-09-2018 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM ,\Ion-Order Search Page 2 of 3 2018-327247 NOTRST 08-09-2018 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM ·'Jon-Order Search Page 3 of 3 2018-327247 NOTRST 08-09-2018 Requested By: PhilHig , Printed: 1/4/2022 2:56 PM '-.Ion-Order Search 2018-530247 AGR 12-27-2018 Page 1 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM '\Ion-Order Search 2018-530247 AGR 12-27-2018 Page 2 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM \Ion-Order Search 2018-530247 AGR 12-27-2018 Page 3 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM \Ion-Order Search 2018-530247 AGR 12-27-2018 Page 4 of 5 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM Non-Order Search Page 5 of 5 2018-53024 7 AGR 12-27-2018 Requested By: PhilHig, Printed: 1/4/2022 2:56 PM