Loading...
HomeMy WebLinkAboutLot Line Adjustment (LLA) No. 2015-003; APN 153-261-23 & 32; Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder II I I II II II I I I I I I II II I I I 111 36.00 Recording Requested By: * $ R 0 0 0 8 5 Z 0 0 9 6 $ First American Title Company 2016000318186 9:56 am 07/13/16 Notional Homebuilder Services Subdivision Department 47 NC-5 L09 F13 10 Mail recorded copies to: 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00 CITY OF HUNTINGTON BEACH CITY CLERK 2000 Main Street Huntington Beach, CA 92648 Space above reserved for County Recorder's use Fee: CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT No. IrO - OOOP s RECORD OWNER(S) OF EXISTING PARCELS: R We) hereby certify that: 1) Pam We are) the record owner(s) of all parcels proposed for adjustment by this application: 2) (x1We) have knowledge of and consent to the filing of this application: and 3) The information submitted in connection with this application is true and correct: APN: I r03 - APN: NAME: N eI L. F.;14ILER NAME: �W�N►�L`t'tJ p�4KQZ ADDRESS: 012OZ MAMU►JE DR. ADDRESS: 01202 MaD�L�NE ' DAYTIME � �4_ 9&--3 ' 10� TELEPHONE: TELEPHONE: - Signature Signature 10, Name: �\\ �`JA�� Name: &wqc� GWN�Y2 6wN Signature Signature Name: Name: G:\Analyst\Davis\web items\Applications\LLA Application Form(08-11-06).doc CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT No. 15 m 00b CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which the certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA ) h } COUNTY OF ON ���f (2(36 BEFORE ME, t•�.M,��Cu�l > �Vb`� PERSONALLY APPEARED \ `3 WHO PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO B THE PERSON(S) WHOSE NAME(S) IS/ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/SHE.fTHEY EXECUTED THE SAME IN HIS!HER/THEIR AUTHORIZED CAPACITY(IES), AND THAT BY HIS/HER/7HEIR SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S)ACTED, EXECUTED THE INSTRUMENT. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING PARAGRAPH IS TRUE AND CORRECT. WITNESS MY HAND AND OFFICIAL SE ...• M.M,M000,LLAGH COMM:#207,8104 NOTARY PUBLIC-CALIFORNIA; ORANGE COUNTY SIGNATURE �G'l• My Comm.Expires Aug.16,2018 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which the certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA ) ) I COUNTY OF Or'Avlq — ) ON Se erhber-( 1116 L'�T _ EFORE ME 'C , O�Y l?NNVU PERSONALLY APPEARED Q ,n WHO PROVED TO ME ON THE BASIS OF SATISF TORY EVIDENCE TO BE THE PERSON(S) WHOSE NAME(S) IS/ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/SHE/THEY EXECUTED THE SAME IN HIS/HER!THEIR AUTHORIZED CAPACITY(IES), AND THAT BY HIS/HER/THEIR SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S)ACTED. EXECUTED THE INSTRUMENT. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING PARAGRAPH IS TRUE AND CORRECT. WITNESS MY HAND AND OFFICIAL SEA . M.M.MCCULLAGH SIGNATURE COMM.#2078104 NOTARYPUBLIC-CALIFORNIA ORANGE COUNTY My Comm.Expires Aug.16,2018 ILLEGIBLE NOTARY SEAL DECLARATION Government Code Section 27361.7 1 certify under penalty of perjury that the notary seal on the document to which this statement attached reads as follows: Name of Notary: M. M. McCULLAGH Date Commission Expires: Aug. 16, 2018 Notary Commission No: 2078104 County Where Bond Filed: Orange Manufacturer/Vendor Identification No: ASC2 Place of Execution of the Declaration: Corona, CA Date: 07-13-2016 First American Title Company Recording Requested By: First American Title Company Notional Homebuilder Services �. Subdivision Department O(p5q(d1 C3 Mail recorded copies to: CITY OF HUNTINGTON BEACH CITY CLERK 2000 Main Street Huntington Beach, CA 92648 Space above reserved for County Recorder's use Fee: S 0 CITY OF HUNTINGTON BEACH fl �f : LOT LINE ADJUSTMENT >, No. Iro - 003 RECORD OWNER(S) OF EXISTING PARCELS: 07We) hereby certify that: 1) 4-am[We are) the record owner(s) of all parcels proposed for adjustment by this application: 2) VfWe) have knowledge of and consent to the filing of this application: and 3) The information submitted in connection with this application is true and correct: APN: (GJ3 - 2<o ) - Z:�? 4 32- APN: 1 ' 2G ( - 23 5 32- NAME: N EI L. P-14I--ER. NAME: &WE taDOL`� J 5414.0;z. ADDRESS: 01202 MADELt N E DR.• ADDRESS: HA EQEUO E D� H-$ 1 CA cl Z&40 N_$ GA GIZlo4-r-z7 DAYTIME —7 ADAYTIME 714 -RCO ✓" O 34— TELEPHONE: J TELEPHONE- Signature NE: Si9nature Si nature Name: �\\ J0.v-w— Name: a —N!x Signature Signature Name: Name: G:\Analyst\Davis\web items\Applications\LLA Application Form (08-11-06).doc CITY OF HUNTINGTON BEACH LOT LINE ADjUSTMENT ® 15 0oa) RECORD OWNER(S) OF EXISTING PARCELS: Offle) hereby certify that: 1) (4-arnMe are)the record owner(s) of all parcels proposed for adjustment by this application: 2) (XWe) have knowledge of and consent to the filing of this application: and 3) The information submitted in connection with this application is true and correct: API : 156-261-25 & 31 APN: 156-261-25 & 31 NAME: Brandon C. Dela Cruz NAME: Kelly C. Dela Cruz ADDRESS: 9192 Madeline Dr. ADDRESS: 9192 Madeline Dr. Huntington Beach, CA 92646 Huntington Beach, CA 92646 DAYTIME DAYTIME TELEPHONE: 714-252-0346 TELEPHONE: 714-308-8727 Signature Signature Name: awimm 6- iDr--(-A UJ Z- Name: C nilc 0 C)\,V A)C-V_ Af C:-K, Signature Signature Name:. Name: `' y" CITY OF HUNTINGTON BEACH r LOT LINE ADJUSTMENT w o. 15 - 00 b CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which the certificate is attached, and not the truthfulness, accuracy, or validity of that document. " STATE OF CALIFORNIA ) COUNTY OF - CQ ON ��� BEFORE ME, /k� PERSONALLY APPEARED rYYtn ©!L C', DaA z C. L Z WHO PROVED TO ME ON THE n/A F SATISFACTORY EVIDENCE TO B THE PERSON(S) WHOSE NAME(S) IBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/SHE EY_-XECUTED THE SAME�IN HIS/HER/THEIR AUTHORIZED CAPACITY(IES), AND THAT BY HIS/HERIZJjEE R GNATURE(S) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S) ACTED, EXECUTED THE INSTRUMENT. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING PARAGRAPH IS TRUE AND CORRECT. WITNESS MY HAND AND OFFICIAL SEAL. a 0145A L.EATO-k COMM, 02053689 z / Notary Public•California o SIGNATURE Gnd� L- L�Cc�7 z Orange County Comm.Expires Jan.24,2011E CALIFORNIA ALL URPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which the certificate is attached, and not the truthfulness, acc y, or validity of that document. STATE OF CALIFORNIA ) } COUNTY OF ) ON BEFORE ME, PERSONALLY APPEARED WHO PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(S) WHOSE NAME(S) IS/ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/SH6T-14EY EXECUTED THE SAME IN HIS/HER/THEIR AUTHORIZED CAPACITY(IES), AND,T-I'IAT BY HIS/HER/THEIR SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S)_PR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S) ACTED, EXECUTED THE INSTRUMENT. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THATiTHE FOREGOING PARAGRAPH IS TRUE AND CORRECT. WITNESS MY HAND AND OFFICIAL SEAL. SIGNATURE WATON 3689 z o fornia�• o . EATON-0536891 1 a L� ., . . . •Californa r .es County an 21 "; ILLEGIBLE NOTARY SEAL DECLARATION Government Code Section 27361.7 1 certify under penalty of perjury that the notary seal on the document to which this statement attached reads as follows: Name of Notary: RHONDA L. EATON Date Commission Expires: Jan. 24, 2018 Notary Commission No: 2053689 County Where Bond Filed: Orange Manufacturer/Vendor Identification No: NRO1 Place of Execution of the Declaration: Corona, CA Date: 07-13-2016 First American Title Company CITY OF HUNTINGTON BEACH yd is fi�:ni'. 0 LOT LINE ADJUSTMENT ®m 115 a oo, PREPARER: CONTACT PERSON: JEFFREY A.WALDEN,PLS 7914 ADDRESS: 2552 WHITE RD.,SUITE B ,j�\O@1AL IRVINE,CA 92614 k� .4 DAYTIME TELEPHONE NO: 949-660-0110 a > . This document consisting of -7- pages was prepared by me or (P NO.7914 �1 under my direction. 9 `Q " �� 1 �OR CAL1F0�� -,l Q �/ Sur�e'�DPrs/Engineer's Name and License Number My Registration Expires: /2A J/!7 COUNTY: Examined and Approved as to survey content only for S�0 A Kevin R. Hills, County Surveyor Q0 0- ; �� �pp;1 * NO.7212 ; Kevin R. Hills, L.S. 6617 (P� Q County Surveyor 'T�Or CAL%FO�a` My License Expires: 12/31/2017 Dated this -.O 7N day of dwiC 20146 CITY ENGINEER: MS MS1��9�� This Lot Line Adjustment Application has been examined and approved by the City of Huntington Beach. m � �° �� Thom s M. Her el, City Engineer R.C.E. 53300 Date J , Ir My Registration Expires: June 30, 201T OF' PLANNING PLANNING DEPARTMENT: Examined-and Approved as to Zoning Conformance by the City of Huntington Beach Planning Department By: Date See Exhibits "A. mod$".r attached hereto. CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT NO. 15-003 LEGAL DESCRIPTION EXHIBIT "A" OWNERS EXISTING PARCELS PROPOSED PARCELS AP NUMBER REFERENCE NUMBER Neil S. Baker & Gwendolyn E. Baker 153-261-23 AND 32 PARCEL 1 Brandon C. Dela Cruz & Kelly C. Dela Cruz 153-261-25 AND 31 PARCEL 2 SHEET 1 OF 1 PARCEL 1: BEING ALL OF LOT 23 OF TRACT NO. 6080, AS SHOWN ON THE MAP FILED IN BOOK 230, PAGES 3 AND 4, OF MISCELLANEOUS MAPS, RECORDS OF THE COUNTY RECORDER, TOGETHER WITH THE EASTERLY 5.00 FEET OF LOT "A' OF SAID TRACT NO. 6080, AS DESCRIBED AND SHOWN ON THE GRANT DEED RECORDED NOVEMBER 19, 2014 AS INSTRUMENT NO. 2014000498684, OFFICIAL RECORDS, ALL IN THE CITY OF HUNTINGTON BEACH, COUNTY OF ORANGE, STATE OF CALIFORNIA. CONTAINS: 7,023 SQ. FT. — 0.161 ACRES PARCEL 2: BEING ALL OF LOT 24 OF TRACT NO. 6080, AS SHOWN ON THE MAP FILED IN BOOK 230, PAGES 3 AND 4, OF MISCELLANEOUS MAPS, RECORDS OF THE COUNTY RECORDER, TOGETHER WITH THE WESTERLY 5.00 FEET OF LOT "A" OF SAID TRACT NO. 6080, AS DESCRIBED AND SHOWN ON THE GRANT DEED RECORDED NOVEMBER 19, 2014 AS INSTRUMENT NO. 2014000497378, OFFICIAL RECORDS, ALL IN THE CITY OF HUNTINGTON BEACH, COUNTY OF ORANGE, STATE OF CALIFORNIA. CONTAINS: 7,543 SQ. FT. — 0.173 ACRES AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND MADE A PART HEREOF. NOTE: THERE MAY BE EASEMENTS OF RECORD DELINEATED AND REFERENCED ON THE UNDERLYING MAPS OR THERE MAY BE OTHER RECORDED EASEMENTS WITHIN THE AREA BEING ADJUSTED THAT ARE NOT SHOWN ON THIS DOCUMENT THAT COULD ENCUMBER SAID PARCELS HEREIN. \ NNL LANp s c,` -� NLLEN G cf.- l� THIS DESCRIPTION HAS BEEN PREPARED BY ME OR UNDER MY DIRECTION. z No. 7914 f Exp. 12-31-17 Q OF C N�\F���\ FFREY A. WALDEN, PL.S. 7914 REGISTRATION EXPIRES: 12/31/17 CITY OF HUNTINGTON BEACH { LOT LINE ADJUSTMENT NO. 15-003 MAP EXHIBIT "B" OWNERS EXISTING PARCELS PROPOSED PARCELS AP NUMBER REFERENCE NUMBER Neil S. Baker & Gwendolyn E. Baker 153-261-23 AND 32 PARCEL 1 Brandon C. Dela Cruz & Kelly Dela Cruz 1 153-261-25 AN=31 PARCEL 2 SHEET 1 OF 1 — — INDICATES LOT LINE TO BE REMOVED INDICATES NEW LOT LINE CURVE TABLE BEARINGS SHOWN HEREON ARE BASED UPON THE S'LY LINE CURVE DELTA RADIUS LENGTH OF TRACT NO. 6080, M.M. 230/3-4, BEING N 89032'56" E. C 1 61°19'33" 50.00' 53.52' Z I 30 LINE TABLE C2 36052"2" 50.00' 32.18' J LINE BEARING DISTANCE C3 22001'52" 50.00' 19.23' J Q L1 N 10016'11" W 95.10' C4 14050'20" 50.00' 12.95' �— Z I L2 N 89032'56" E 44.04' C5 29003'41" 50.00' 25.36' W C6 07048'31" 50.00' 6.82' V U 21 MADELINE DRIVE O o� o _N_21°34'50" E C4 L2 — \C2 i 40 20 0 40 Q CS '� I C1 0 1,j' Cg SCALE I N FEET 0 � ' 5.00 lZ �j, 1 inch =40 ft. 0 006 j ,' 5.00' srZa 22 0 25 2 4 o J�° ° 23 TRACT o N0. 6080 M.M. 230/3-4 I l J o PARCEL 2 PARCEL 1 z 84.54' 1 13.00' 79.47' 107.92' 37.00' N 89032'56" E BASIS OF BEARINGS 654.54' oNAL LAND 10.15' c-S� NLLEN sG THIS MAP HAS BEEN PREPARED BY ME OR UNDER MY DIRECTION. O No. 7914 Exp. 12-31-17 ,JE RtY A.WALDEN, PL.S. 7914 �f9lF O REGISTRATION EXPIRES: 12/31/17 F CND CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT NO. 15-003 SITE PLAN - FOR REFERENCE PURPOSES ONLY EXHIBIT "C" OWNERS EXISTING PARCELS PROPOSED PARCELS AP NUMBER REFERENCE NUMBER Neil S. Baker & Gwendolyn E. Baker 153-261-23 AND 32 PARCEL 1 Brandon C. Dela Cruz & Kelly Dela Cruz 1 153-261-25 AND 31 PARCEL 2 SHEET 1 OF 1 — — INDICATES LOT LINE TO BE REMOVED INDICATES NEW LOT LINE WI Z 30, 40 20 0 40 Q J J SCALE IN FEET Q I- 1 inch =40 ft. Z MADELINE D c O ° 1 �� TRACT NO. 1 ---- ---------- ��,\ ,� 6080 IX I 8 p5' j 22 25 I—j HOUSE I 1 HOUSE + � x 1 M 230/ PARCEL 2 L 1 ? i x XX X X x• x X X � _ _ h NL LA>vp s NLLEN lr� THIS MAP HAS BEEN PREPARED BY ME OR UNDER MY DIRECTION. 0 No. 14 s 31-17 l/JEFEY A.WALDEN, PL.S. 7914 �ql� - REG6RISTRATION EXPIRES: 12/31/17 OF CN0 City ®f Huntington Beach 2000 Main Street ® Huntington Beach, CA92648 (714) 536-5227 ® www.huntingtonbeachca.gov FFB' jgp9 Po ._ Office of the City Clerk Robin Estanislau, City Clerk August 23, 2016 County of Orange Resources & Development Management Department 300 N. Flower Street Santa Ana, CA 92702-4048 Attn: Brad Tippett, Orange County Surveyor's Office Dear Mr. Tippett: Enclosed for your records is a copy of a recorded Lot Line Adjustment: #2015-003 (APN 153-261-23 & 153-261-32). Sincerely, 7s� Robin Estanislau City Clerk JF;pe Enclosure Sister Cities: Anjo, Japan ® Waitakere, New Zealand City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov • _ a Office of the City Clerk I7 1999 Robin Estanislau, City Clerk July 11, 2016 First American Title Company Attn Hugo Tello 1250 Corona Pointe Court, Suite 200 Corona, CA 92879 Phone 951-256-5883 Re Lot Line Adjustment (LLA) 2015-003; APN 153-261-23&32 Client Name: TRI Pointe Homes (9202 and 9192 Madeline) Order#NHSC-5065960 Enclosed please find Lot Line Adjustment No 2015-003 and two Grant Deeds After recording, please return the recorded copy of Lot Line Adjustment 2015-003 to City of Huntington Beach City Clerk's Office — 2"d Floor P O Box 190 Huntington Beach, CA 92648 & Robin Estanistau, CMC City Clerk RE pe Attachments Received by �l l� D �- CLERK'S OFFICE RETAINS COPY FOR FILE Date Name of Company Phone �6� 596636 Sister Cities Anjo, Japan ♦ Waitakere, New Zealand 1 °�� CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: Patty Esparza, Deputy City Clerk FROM: Bob Milani, Senior Civil Engineer DATE: July 11, 2016 SUBJECT: Lot Line Adjustment 15-003 Address is 9202 and 9192 Madeline Drive THE ATTACHED ORIGINAL LOT LINE ADJUSTMENT IS READY FOR RECORDATION. Please contact the person listed below and arrange for the pick-up or delivery of the attached Lot Line Adjustment. At the time of delivery/pick-up please forward a copy of this memo, the attached Lot Line Adjustment and the County letter dated July 1, 2016 and request that they record the Lot Line Adjustment along with the associated required documents (Grant Deeds, etc.) for their client. Company: First American Title Company Street Address: 1250 Corona Pointe Court, Suite 200 City, State, and Zip code: Corona, CA 92879 Attn: Hugo Tello Telephone Number: (951) 256-5883 Email: htello@firstam.com Order No.: NHSC-5065960 Client: TRI Pointe Homes 19520 Jamboree Road, Suite 200 Irvine, CA 92612 (949) 478-8665 Engineer: David Bacon, PE Regarding Properties at 9202 and 9192 Madeline Drive Upon the City Clerks receipt of the recorded copy,please send a copy of the recorded Lot Line Adjustment, to 1 County of Orange Resources & Development Management Department 300 N Flower Street Santa Ana, CA 92702-4048 Attn Brad Tippett, Orange County Surveyor's Office 714-967-0842 2 HB Planning Department Attn Joanna Cortez 714-374-1547 3 HB Public Works Department Attn Bob Milani 714-374-1735 cc PW LLA File G\Engineering Drvision\DEVELOPMENT\ Maps and LLAs\City Clerk Memo's\LLA 15-003 memo to City Clerk(9202 and 9192 Madeline)7-8-16 bsm doc QL�), PubhcWorks Integrity, Accountability, Service, Trust Shane L.Silsby, Director • July 1, 2016 Thomas M Herbel, City Engineer City of Huntington Beach Department of Public Works 2000 Main Street Huntington Beach, CA 92648 Dear Mr Herbel The County of Orange Surveyor has approved Lot Line Adjustment No LL 15-003 We are forwarding said lot line adjustment to you for further processing and recording We recommend the following actions to complete the recording of the lot line adjustment ❑ Verify the owners listed on the lot line adjustment against a current title report or lot book guarantee XA GRANT or QUITCLAIM deed is required for conveyance Each deed shall be signed and notarized by the record owner The deeds shall record concurrently with the lot line adjustment ❑ Any existing Deed of Trust on the parcels being adjusted should be modified and recorded concurrently with the lot line adjustment Consent to the lot line adjustment by a party or entity holding a beneficial interest in the property shall be reflected in a modification of the Deed of Trust, including, as appropriate any partial reconveyance necessary to affect the intent of the lot line adjustment The modification and if required, partial reconveyance shall be executed in the manner of conveyance of real property and recorded concurrently with the deed Each MODIFICATION OF DEED OF TRUST shall be signed and notarized by all parties (This is a County of Orange policy only) We have reviewed this lot line adjustment for technical correctness only Comment After the lot line adjustment has been approved by the City and recorded, please send a copy of the recorded lot line adjustment to the Orange County Surveyor's office. Direct any questions regarding this letter or related matters to Brad Tippett at (714) 967-0842 Sincerely, Kevin R Hills, County Surveyor p LAND SG9 This letter was prepared under my direction * 0 yule• {�� • Jon C Hornecker, Deputy County Surveyor ry CALIF�� 300 N Flower Street,Santa Ana,CA 92703 www ocpublicworks com P 0 Box 4048,Santa Ana,CA 92702-4048 714 667 8800 1 Info@OCPW ocgov com r Mail recorded copies to: CITY OF HUNTINGTON BEACH CITY CLERK 2000 Main Street Huntington Beach, CA 92648 Space above reserved for County Recorder's use Fee _ 10 CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT • No. Iro - 003 RECORD OWNER(S) OF EXISTING PARCELS• 07We) hereby certify that: 1) (Lam/We are) the record owner(s) of all parcels proposed for adjustment by this application: 2) (VWe) have knowledge of and consent to the filing of this application: and 3) The information submitted in connection with this application is true and correct: APN. 153 - 2(o I ' Z:J 4 32- APN: iGJ?J Z�.J � 32 NAME: N I✓I L NAME: &WE�IDOL`OJ 5,6--K- 2 ADDRESS: 11202 MAVEU N E DR. ADDRESS: a12D2 HAPEU .l E . DAYTIME DAYTIME TELEPHONE: �4 ��03 ' D 3�' TELEPHONE: 7�4 '�Co 3- 1Oyq— Signature h Signature L1 Name: �\� Name. Signature Signature Name: Name: G \Analyst\Davis\web items\Applications\LLA Application Form(08-11-06)doc CITY OF HUNTINGTON BEACH •�- LOT LINE ADJUSTMENT No. 15 - 003 J CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which the certificate is attached, and not the truthfulness, accuracy, or validity of that document STATE OF CALIFORNIA _ ) COUNTY OF ON Se NI 20IS BEFORE ME, �•M �CC�`` �Vb�r�. PERSONALLY APPEARED WHO PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(S)WHOSE NAME(S) IS/ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/SHE/THEY EXECUTED THE SAME IN HIS/HER/THEIR AUTHORIZED CAPACITY(IES), AND THAT BY HIS/HER/THEIR SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S)ACTED, EXECUTED THE INSTRUMENT I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING PARAGRAPH IS TRUE AND CORRECT AAAAAAAA WITNESS MY HAND AND OFFICIAL S M.M.MCCIJ LAGH COMM.#2078104 C `di NOTARY PUBLIC-CAIIFORNIA - y ORANGE COUNTY SIGNATURE M Comm Expires Aug16,2018 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate venfies only the Identity of the individual who signed the document to which the certificate Is attached and not the truthfulness, accuracy, or validity of that document STATE OF CALIFORNIA ) COUNTY OF 064LOAL ) ON SC�bt�ciVl l 126 EFORE ME, wC , OY j NM�U PERSONALLY APPEARED e r WHO PROVED TO ME ON THE BASIS OF SATISFA4TORY EVIDENCE TO BE THE PERSON(S)WHOSE NAME(S) IS/ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/SHE/THEY EXECUTED THE SAME IN HIS/HER/THEIR AUTHORIZED CAPACITY(IES), AND THAT BY HIS/HER/THEIR SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S)ACTED, EXECUTED THE INSTRUMENT I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE S T ATE OF CALIFORNIA THAT THE FOREGOING PARAGRAPH IS TRUE AND CORRECT WITNESS MY HAND AND OFFICIAL S M.M.MCCULLAGH SIGNATURE hu COMM.#2078104 NOTARY PUBLIC-CAI FORNIA ORANGE COUNTY q My Comm Expires Aug 16,2018 CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT ° } No. 15 - DOb RECORD OWNER(S)OF EXISTING PARCELS: (ffWe) hereby certify that: 1) (4-amfft are)the record owner(s) of all parcels proposed for adjustment by this application: 2) (411Ne) have knowledge of and consent to the filing of this application: and 3) The information submitted in connection with this application is true and correct: APN: 156-261-25 & 31 APN: 156-261-25 & 31 NAME: Brandon C Dela Cruz NAME: Kelly C Dela Cruz ADDRESS: 9192 Madeline Dr ADDRESS: 9192 Madeline Dr Huntington Beach, CA 92646 Huntington Beach, CA 92646 DAYTIME DAYTIME TELEPHONE: 714-252-0346 TELEPHONE: 714-308-8727 k 96-z� K-k�C , V Signature Signature Name: r>1r 06/J G 06L A Lt 0 ZZ Name: I L Signature Signature Name: Name: CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT NO. 15 - 003 J CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which the certificate is attached, and not the truthfulness, accuracy, or validity of that document STATE OF CALIFORNIA ) COUNTY OF ON lG,t BEFORE ME, �� y PERSONALLY APPEARED rz�7rt rJQ11 C, C. ! Z WHO PROVED TO ME ON THE B F SATISFACTORY EVIDENCE TO B THE PERSON(S) WHOSE NAME(S) I /A BSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/SHE -E— XECUTED THE SAME IN HIS/HER/THEIR AUTHORIZED CAPACITY(IES), AND THAT BY HIS/HERQ �GNATURE(S) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S) ACTED, EXECUTED THE INSTRUMENT I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING PARAGRAPH IS TRUE AND CORRECT WITNESS MY HAND AND OFFICIAL SEAL RHONDA L.EATON COMM #2053689 z / Notary Public California IOU SIGNATURE f/>td� Z__ L�Cc,T�U� x orange County Comm.Expires Jan.24,2018 CALIFORNIA ALL URPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which the certificate is attached, and not the truthfulness, accuracy, or validity of that document STATE OF CALIFORNIA ) COUNTY OF ) ON BEFORE ME, PERSONALLY APPEARED WHO PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(S)WHOSE NAME(S) IS/ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/SHEITHEY EXECUTED THE SAME IN HIS/HER/THEIR AUTHORIZED CAPACITY(IES), AND THAT BY HIS/HER/THEIR SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S)ACTED, EXECUTED THE INSTRUMENT I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING PARAGRAPH IS TRUE AND CORRECT WITNESS MY HAND AND OFFICIAL SEAL '4 /E SIGNATURE P i EATON �) , ,��3689 z ,forma, o I EATON Q ?0536P� ^n � ?018 ., •� ��' •CahfOrr� � - "" � County res Jarf 2e ,+ CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT NO. 15 - 0o3 PREPARER: CONTACT PERSON: JEFFREY A WALDEN,PLS 7914 ADDRESS: 2552 WHITE RD,SUITE B ��Oh1RL LgNO IRVINE,CA 92614 g Q�•I ALL Ejy , DAYTIME TELEPHONE NO: �m�Gj 949-660-0110 a. o r++ a Z o' This document consisting of -7- pages was prepared by me or (P NO.7914 z under my direction 9 �Q i C? S 720/ CALIFC Sure rls/Engineer's Name and License Number My Registration Expires: /2/31ZI7 COUNTY: Examined and Approved as to survey content only for 5�0 LAN SG� Kevin R. Hills, County Surveyor v�,� 0 � o * NO 7212 p � Kevin R. Hills, L.S. 6617 County Surveyor FCF CAU�C�a` My License Expires: 12/31/2017 Dated this .30 fN day of duAlC 2016 CITY ENGINEER- MS'�N�� This Lot Line Adjustment Application has been examined and approved by the City of Hu n ton Beach. No. �J 6p. �7 Tho s M. Her I, City Engineer R.C.E. 53300 Date My Registration Expires: June 30, 2017 OF PLANNING PLANNING DEPARTMENT: Examine nd Approved as to Zoning Conformance by the Ci of H ntington Beach Planning Department -7--7. l 9 By. Date See Exhibits "A and 6" attached hereto CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT N O. 15-003 LEGAL DESCRIPTION EXHIBIT "A" OWNERS EXISTING PARCELS PROPOSED PARCELS AP NUMBER REFERENCE NUMBER Neil S Baker & Gwendolyn E Baker 153-261-23 AND 32 PARCEL 1 Brandon C Delo Cruz & Kelly C Delo Cruz 153-261-25 AND 31 PARCEL 2 SHEET 1 OF 1 PARCEL 1 BEING ALL OF LOT 23 OF TRACT NO. 6080, AS SHOWN ON THE MAP FILED IN BOOK 230, PAGES 3 AND 4, OF MISCELLANEOUS MAPS, RECORDS OF THE COUNTY RECORDER, TOGETHER WITH THE EASTERLY 5 00 FEET OF LOT "A" OF SAID TRACT NO 6080, AS DESCRIBED AND SHOWN ON THE GRANT DEED RECORDED NOVEMBER 19, 2014 AS INSTRUMENT NO 2014000498684, OFFICIAL RECORDS, ALL IN THE CITY OF HUNTINGTON BEACH, COUNTY OF ORANGE, STATE OF CALIFORNIA CONTAINS- 7,023 SQ FT — 0161 ACRES PARCEL 2- BEING ALL OF LOT 24 OF TRACT NO. 6080, AS SHOWN ON THE MAP FILED IN BOOK 230, PAGES 3 AND 4, OF MISCELLANEOUS MAPS, RECORDS OF THE COUNTY RECORDER, TOGETHER WITH THE WESTERLY 5 00 FEET OF LOT "A" OF SAID TRACT NO 6080, AS DESCRIBED AND SHOWN ON THE GRANT DEED RECORDED NOVEMBER 19, 2014 AS INSTRUMENT NO 2014000497378, OFFICIAL RECORDS, ALL IN THE CITY OF HUNTINGTON BEACH, COUNTY OF ORANGE, STATE OF CALIFORNIA CONTAINS 7,543 SQ FT — 0 173 ACRES AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND MADE A PART HEREOF. NOTE THERE MAY BE EASEMENTS OF RECORD DELINEATED AND REFERENCED ON THE UNDERLYING MAPS OR THERE MAY BE OTHER RECORDED EASEMENTS WITHIN THE AREA BEING ADJUSTED THAT ARE NOT SHOWN ON THIS DOCUMENT THAT COULD ENCUMBER SAID PARCELS HEREIN Nt LA 0�5 1� ALLEN�9lG�,� THIS DESCRIPTION HAS BEEN PREPARED BY ME OR UNDER MY DIRECTION. No. 7914 Ezp 12-31-17 F p� 4FORfYA. LDEN, PL.S. 7914 REGISTRATION EXPIRES: 12/31/17 CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT NO. 15-003 MAP EXHIBIT "B" OWNERS EXISTING PARCELS PROPOSED PARCELS AP NUMBER REFERENCE NUMBER Neil S Baker & Gwendolyn E Baker 153-261-23 AND 32 PARCEL 1 Brandon C Dela Cruz & Kelly Dela Cruz 153-261-25 AND 31 PARCEL 2 SHEET 1 OF 1 — — INDICATES LOT LINE TO BE REMOVED INDICATES NEW LOT LINE CURVE TABLE BEARINGS SHOWN HEREON ARE BASED UPON THE S'LY LINE CURVE DELTA RADIUS LENGTH OF TRACT NO 6080, M M 230/3-4, BEING N 89032'56" E. C1 61019133" 50 00' 53 52' Z I 30' LINE TABLE C2 36052'12" 50 00' 32 18' .QJ LINE BEARING DISTANCE C3 22001'52" 50 00' 19 23' .J L1 N 10016'11" W 9510' C4 14°50'20" 5000 12 95' Z I L2 N 89032'56" E 44 04' C5 29003'41" 50 00' 25 36' W C6 07048'31" 50 00' 6 82' U U 21 MADELINE DRIVE O o� N 21°34'50" E C 0,/ _ 4 (RAD) -- �� ��� L2 — \C2 40 2 11 0 0 40 C3 '� C5 C1 00 F:' C6 SCALE IN FEET 5 00' , lZ .L 1 inch =40 ft o ry 5 00 10.00 y`�Z 0 22 25 0 24 J� ,I IcO�° 23 TRACT N NO. �� W� 6080 �� �, M.M 230/3-4 ° rn � PARCEL 2 PARCEL 1 s� Z 84 54' 113.00, 79 47' 107 92' 37 00' N 89032'56 E BASIS OF BEARINGS 654 54' ONNL LAND 10.15' �S��.� NLLEN THIS MAP HAS BEEN PREPARED BY ME OR UNDER MY DIRECTION. 0 No 7914 Exp. 12-31-17 AWR?Y A.WALDEN, PL.S. 7914 REGISTRATION EXPIRES: 12/31117 F C N�- CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT NO. 15-003 SITE PLAN - FOR REFERENCE PURPOSES ONLY EXHIBIT "C" OWNERS EXISTING PARCELS PROPOSED PARCELS AP NUMBER REFERENCE NUMBER Neil S Baker & Gwendolyn E Baker 153-261-23 AND 32 PARCEL 1 Brandon C Dela Cruz & Kelly Dela Cruz 153-261-25 AND 31 PARCEL 2 SHEET 1 OF 1 — — INDICATES LOT LINE TO BE REMOVED INDICATES NEW LOT LINE WI Z 30' 40 20 0 40 Q J _I SCALE IN FEET F- 1 inch =40 ft. Z Z YC5 , L U \\ � 1 2y, MADELINE D c O ° 1 i TRACT NO ---- ---------- _ i� 6080 I f I L� Lam/ O I � j B 05` - 22 25 I HOUSE I I HOUSE �� X I� I I 11 p6' + + M PARCFL 2 L 1 x xxA x x xA x x x hC \o�NL LANp s 5� �y AELEN THIS MAP HAS BEEN PREPARED BY ME OR UNDER MY DIRECTION. 0 a No. 1 Exp 2-31-17 EY A.WALDEN, PL.S. 7914 slgl� 0 R GISTRATION EXPIRES: 12/31/17 F CND Recording Requested By: City of Huntington Beach 2000 Main St HB, CA 92648 When Recorded Mail Document To �L s� �ZeVlSi� Neil &Gwendolyn Baker 9202 Madeline Dry Huntington Beach, CA 92646 " Mail Tax Statements To: Neil &Gwendolyn Baker (A��rY�Fk�i"�� 9202 Madeline Dr Huntington Beach, CA 92646 SPACE ABOVE THIS LINE FOR RECORDER'S USE A.P.N. NO.: 153-261-23 A�4D 153-2&1-32 DOCUMENTARY TRANSFER TAX IS$ THIS DOCUMENT IS TO PERFECT A LOT LINE ADJUSTMENT GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Neil S Baker and Gwendolyn E Baker, husband and wife as joint tenants, Hereby GRANT(S)to Neil S Baker and Gwendolyn E Baker, husband and wife as joint tenants, The following real property in the City of Huntington Beach, County of Orange, State of California, described as PARCEL 1, OF LOT LINE ADJUSTMENT NO 15-003, RECORDED 2015 AS INSTRUMENT NO OF OFFICIAL RECORDS THIS DEED IS BEING RECORDED TO CONFORM WITH LOT LINE ADJUSTMENT NO 15-003, RECORDED , 2015 AS INSTRUMENT NO OF OFFICIAL RECORDS NEIL S BAKER GWENDOLYN E B KER By By Name Nt\\ S.`�A NameWp�y\�p �� �• Title y►p. Title NP Notary acknowledgment attached 1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the Identity of the Individual who signed the document to which the certificate is attached, and not the truthfulness, accuracy, or validity of that document STATE OF CALIFORNIA ) COUNTY OF Oily k, ) ON Se ��re,rLD\S BEFORE ME, "Ak. PERSONALLY APPEARED WHO PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(S)WHOSE NAME(S) IS/ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/SHE/THEY EXECUTED THE SAME IN HIS/HER/THEIR AUTHORIZED CAPACITY(IES), AND THAT BY HIS/HER/THEIR SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S)ACTED, EXECUTED THE INSTRUMENT I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING PARAGRAPH IS TRUE AND CORRECT A AAA WITNESS MY HAND AND OFFICIAL SEAL =NOTARY LAGH 8104 C QLIFORNIANTYSIGNATURE //go ug 16,2018 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the Identity of the Individual who signed the document to which the certificate is attached, and not the truthfulness, accuracy, or validity of that document STATE OF CALIFORNIA ) COUNTY OF 'C)'(6 V)a9_ ) ON T V12tiS BEFORE ME, Vk Waw 20 PERSONALLY APPEARED WHO PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(S)WHOSE NAME(S) IS/ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/SHE/THEY EXECUTED THE SAME IN HIS/HER/THEIR AUTHORIZED CAPACITY(IES),AND THAT BY HIS/HER/THEIR SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S)OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S)ACTED, EXECUTED THE INSTRUMENT I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING PARAGRAPH IS TRUE AND CORRECT WITNESS MY HAND AND OFFICIAL SEAL M.M.MCCULLAGH COMM.#2078104 c NOTARY PUBLIC-CALIFORNIA o ORANGECOUNTY SIGNATURE My Comm Expires Aug 16,2018 & # Claude Parrish EF-502-A-R12-0513-300 03144-1 Orange County Assessor BOE-502-A(P1)REV 12(05 13) Civic Center Plaza,Building 11 PRELIMINARY CHANGE OF OWNERSHIP REPORT 625 N Ross Street,Room 142 To be completed by the transferee (buyer) prior to a transfer of P 0 Box 1948 subject property, in accordance with section 480 3 of the Revenue Santa Ana,CA 92702-1948 and Taxation Code A Preliminary Change of Ownership Report (714)834-5031 must be filed with each conveyance in the County Recorder's office www ocgov con/assessor for the county where the property is located 1�3-2�1 - 23 AND 1v3 - 2G1 - 32 NAME AND MAILING ADDRESS OF BUYER/TRANSFEREE ASSESSOR'S PARCEL NUMBER (Make necessary corrections to the printed name and mailing address) F 1 SELLER/TRANSFEROR BUYER S DAYTIME TELEPHONE NUMBER BUYER L J P(9 S EMAIL /ADDRESS/ STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY _ MAIL PROPERTY TAX INFORMATION TO(NAME) ADDRESS CITY STATE ZIP CODE YES ❑NO This property is Intended as my principal residence If YES,please Indicate the date of occupancy MO DAY YEAR or intended occupancy PART 1.TRANSFER INFORMATION Please complete all statements This section contains possible exclusions from reassessment for certain types of transfers YES NO ❑ VA This transfer is solely between spouses(addition or removal of a spouse, death of a spouse, divorce settlement, etc) ❑ B This transfer is solely between domestic partners currently registered with the California Secretary of State(addition or removal of a partner, death of a partner, termination settlement, etc) ❑ ®*C This is a transfer ❑ between parent(s)and child(ren) ❑ from grandparent(s)to grandchild(ren) ❑ *D This transfer is the result of a cotenant's death Date of death ❑ *E This transaction is to replace a principal residence by a person 55 years of age or older Within the same county? ❑YES ❑ NO ❑ *F This transaction is to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code section 69 5 Within the same county? ❑YES ❑ NO ❑ K G This transaction is only a correction of the name(s)of the person(s)holding title to the property(e g,a name change upon marriage) If YES,please explain F ❑ H The recorded document creates,terminates, or reconveys a lender's interest in the property ❑ I This transaction is recorded only as a requirement for financing purposes or to create,terminate,or reconvey a security interest (e g, cosigner) If YES, please explain ❑ J The recorded document substitutes a trustee of a trust, mortgage,or other similar document K This is a transfer of property ❑ 1 to/from a revocable trust that may be revoked by the transferor and is for the benefit of ❑ the transferor, and/or ❑ the transferor's spouse ❑ registered domestic partner ❑ 2 to/from a trust that may be revoked by the creator/grantor/trustor who is also a joint tenant,and which names the other joint tenant(s)as beneficiaries when the creator/grantor/trustor dies ❑ 3 to/from an irrevocable trust for the benefit of the ❑creator/grantor/trustor and/or ❑ grantor's/trustor's spouse ❑ grantor's/trustor's registered domestic partner ❑ L This property is subject to a lease with a remaining lease term of 35 years or more including written options �( M This is a transfer between parties in which proportional interests of the transferor(s)and transferee(s)in each and every parcel being transferred remain exactly the same after the transfer ❑ N This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions ❑ �*0 This transfer is to the first purchaser of a new building containing an active solar energy system *Please refer to the instructions for Part 1 Please provide any other information that will help the Assessor understand the nature of the transfer. THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION EF5C2 Aft 2(L1}30g3144 RECORDING REQUESTED BY City of Huntington Beach 2000 Main St, Huntington Beach CA 92648 MAIL TAX STATEMENTS AND WHEN RECORDED MAIL TO Brandon C Dela Cruz& Kelly C Dela Cruz 9192 Madeline Dr Huntington Beach, CA 92626 Order No Escrow No APN 153-261-25 AND 153-261-31 SPACE ABOVE THIS LINE IS FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(S)DECLARE(S) DOCUMENTARY TRANSFER TAX IS$ _X_Computed on full value of property conveyed, or Computed on full value less liens and encumbrances remaining at time of sale Unincorporated area _X_City of_Huntington Beach _X_Exempt from transfer tax,Reason This grant deed is being recorded to perfect Lot Line Adjustment No 15-003, Recorded 2015 as Instrument No , of Official Records For valuable consideration, receipt of which is hereby acknowledged, Brandon C Dela Cruz and Kelly C Dela Cruz, husband and wife as Joint tenants, hereby GRANT(S) to Brandon C Dela Cruz and Kelly C Dela Cruz, husband and wife as Joint tenants, the real property situated in the City of Huntington Beach, County of Orange, State of California, more particularly described as follows PARCEL 2, OF LOT LINE ADJUSTMENT NO 15-003, RECORDED , 2015, AS INSTRUMENT NO OF OFFICIAL RECORDS Dated Ito 6a�L� Brandon C Dela Cruz W� K'C"Ilc - K Ily C D a Cruz Notary Acknowledgment attached MAIL TAX STATEMENTS AS DIRECTED ABOVE CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which the certificate is attached, and not the truthfulness, accuracy, or validity of that document STATE OF CALIFORNIA ) COUNTY OF ON OAM -22 )Z I (o BEFORE ME, � L. Qr- 0/ar �— PERSON'AnYAPPEARED WHO PROVED TO ��ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(S) WHOSE N E(�E SUBSCRIBED TO THE WI INSTRUMENT AND ACKNOWLEDGED TO ME THAT HEY EXECUTED THE SAME I HIS ER/THEIR AUTHORIZED CAPACITY(IES), AND THA BY HIS/ R/THEIR SIGNATURES) ON E INSTRUMENT THE PERSON(S) OR THE ENTITY UPO EHALF OF WHICH THE PERSONS)ACTED, EXECUTED THE INSTRUMENT I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING PARAGRAPH IS TRUE AND CORRECT WITNESS MY HAND AND OFFICIAL SEAL RHONDA L.EA70N COMM #2053689 z Notary Public-California p // � z Orange County SIGNAT L �c Comm Ex Tres Jan 24,2018 CALIFORNI LL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which the certificate is attached, and not the truthfulness, accuracy, or validity of that document STATE OF CALIFORNIA ) COUNTYOF ON A,�t.Gl �2 � 1� BEFORE ME, E PERSONALLY APPEARED A au Z WHO PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(S) WHOSE NAME RE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT H EY EXECUTED THE SAME IN HISS HEIR AUTHORIZED CAPACITY(IES), AND THAT B I HEIR SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S)ACTED, EXECUTED THE INSTRUMENT I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING PARAGRAPH IS TRUE AND CORRECT WITNESS MY HAND AND OFFICIAL SEAL RHONDA L.EATON SIGNATUf c. 1 �"� — r COMM #2053689 z Notary Public California o = Orange County Comm.Expires Jan.24,2018 Claude Parrish EF-502-A-R12-0513-30 0 03144-1 " Orange County Assessor BOE-502-A(P1)REV 12(05-13) Civic Center Plaza,Building 11 PRELIMINARY CHANGE OF OWNERSHIP REPORT 625 N Ross Street,Room 142 To be completed by the transferee (buyer) prior to a transfer of P O Box 1948 subject property, in accordance with section 480 3 of the Revenue Santa Ana,CA 92702-1948 and Taxation Code A Preliminary Change of Ownership Report (714)834-5031 must be filed with each conveyance in the County Recorder's office www ocgov com/assessor for the county where the property is located I�J3- 2&1 -2i�, 64JC) 153 - 2&1 - 31 NAME AND MAILING ADDRESS OF BUYER/TRANSFEREE ASSESSOR'S PARCEL NUMBER (Make necessary corrections to the printed name and mailing address) F SELLER/TRANSFEROR BUYERS DAYTIME TELEPHONE NUMBER (`7/k) 30)-- V7 Z y BUYER'S EMAIL ADDRESS J ST/R�EET ADDRESS OR PHYSICAL LOCATION OF REAL lPROPERTY (L� C ✓)r�i' M 1ey L-lJALV DIL ~l A(JTI����� 4� 1.�f'1 ON Cl'- 7' ,o"l ` MAIL PROPERTY TAX INFORMATIO O(NAME)" �� ) 3 au_ u-�G L_A ADDRESS CITY STATE ZIP CODE IVR_ Wolewme, ArItiGTWJ 6 old (-A G VYES ❑NO This property is Intended as my principal residence If YES,please Indicate the date of occupancy MO DAY YEAR LN or intended occupancy PART 1.TRANSFER INFORMATION Please complete all statements This section contains possible exclusions from reassessment for certain types of transfers YES NO ❑ F11111 A This transfer is solely between spouses(addition or removal of a spouse,death of a spouse, divorce settlement, etc) ❑ ® B This transfer is solely between domestic partners currently registered with the California Secretary of State(addition orremoval of a partner, death of a partner, termination settlement, etc) ❑ 0*C This is a transfer ❑ between parent(s)and child(ren) ❑ from grandparent(s)to grandchild(ren) ❑ Q*D This transfer is the result of a cotenant's death Date of death ❑ *E This transaction is to replace a principal residence by a person 55 years of age or older Within the same county? ❑YES ❑ NO ❑ K*F This transaction is to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code section 69 5 Within the same county? ❑YES ❑ NO ❑ ® G This transaction is only a correction of the name(s)of the person(s)holding title to the property(e g,a name change upon marriage) If YES, please explain ❑ H The recorded document creates,terminates,or reconveys a lender's interest in the property ❑ © I This transaction is recorded only as a requirement for financing purposes or to create,terminate,or reconvey a security interest (e g, cosigner) If YES,please explain ❑ © J The recorded document substitutes a trustee of a trust, mortgage, or other similar document K This is a transfer of property ❑ 1 to/from a revocable trust that may be revoked by the transferor and is for the benefit of ❑ the transferor, and/or ❑ the transferor's spouse ❑ registered domestic partner ❑ El 2 to/from a trust that may be revoked by the creator/grantor/trustor who is also a joint tenant,and which names the other joint tenant(s)as beneficiaries when the creator/grantor/trustor dies ❑ pu] 3 to/from an irrevocable trust for the benefit of the ❑creator/grantor/trustor and/or11 grantor's/trustor's spouse ❑ grantor's/trustor's registered domestic partner ❑ © L This property is subject to a lease with a remaining lease term of 35 years or more including written options ❑ M This is a transfer between parties in which proportional interests of the transferor(s)and transferee(s)in each and every parcel being transferred remain exactly the same after the transfer ❑ �❑ N This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions ❑ ©*0 This transfer is to the first purchaser of a new building containing an active solar energy system *Please refer to the instructions for Part 1 Please provide any other information that will help the Assessor understand the nature of the transfer THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION II I I II IIII I I II I II I III II III I I II I I II II I I I III IIII II II II II I I III I I II EFiU A 2-Iht}3pp]3114