B23-1349 - 27536 PASEO VERANO 33FINAL
01/10/24
10 03 23
LOMA VISTA OWNERS ASSOCIATION
ARCHITECTURAL CONTROL COMMITTEE MODIFICATION FORM
David and Laura Cox
Homeowner's Name (please print)
Property Address
Mailing Address (if different than property address)
Home Phone:949-412-5414 Work Phone:
Email:davidcox005@gmail.com
Forecast Start Date (after approval ):_
********************
27536 Paseo Verano ,San Juan Capistrano ,CA 92675
Front
X Rear
DESCRIPTION OF PROJECT (INCLUDING LOCATION OF PODS ,TRASH CONTAINERS ,OR PORTABLE TOILETS ):
Interior loft addition within the existing footprint troofline of home
W /(1)Window removal +(3)new windows to match the existing
Style/color.
LOCATION OF PROJECT:
Left Side (From Street)
Right Side (From Street )
Interior
CHECK ALL THAT APPLY FOR THIS PROJECT:
Air Conditioner
Awnings
Deck /Balcony
Doors
Drains
Extension
Fence /Wall/Retaining
Garage Doors
Type of wood surfaces :
Color Scheme :
11/27/23 (+/-2 weeks)
PLEASE FILL IN DETAILS BELOW IF NOT SHOWN ON PLANS:
Type of materials to be used :
See attached brochure .
NIA
NIA
Gazebo
Hardscape
Landscape
Lighting
Painting
Patio Cover
Playhouse
Pool
✓
Forecast Completion Date :1/19/23 (+/-2 weeks )
YES
YES V
NO✓San Juan Capistrano Building Permits attached ?YES
Impacted Neighbor Statement Attached ?NO
NOAreallexistingmodificationsshownonPlans?
Note :Plans that are approved are not to be considered authorization to change the drainage plan as installed by the developer and
approved by the City of San Juan Capistrano .The review is intended to consider aesthetic appearance of the drains ,pipes and
coring and other applicable aspects of drainage .If plans denied or modified a new Impacted Neighbor Statements must be
submitted .
Rain Gutters
Roof
Room Addition
Screen Door
Spa
Skylights
✓Other See description above
-over
Comments:In progress
Comments :
Comments :
Owner may also need to acquire approval from the City of San Juan Capistrano for permission to encroach within City easement.
Furthermore ,owner is responsible to comply with all building codes and laws for proposed modifications .
LOMA VISTA OWNERS ASSOCIATION
ARCHITECTURAL CONTROL COMMITTEE MODIFICATION FORM
Home Modification Disclaimer Statement
l/we certify that I/we have read and understand all pertinent sections of the Association's applicable CC &Rs and the
Architectural Guidelines /Rules &Regulations.I/we believe that the information on this application ,including the plans
and any other attachments are accurate and complete .I/we understand that I/we are responsible for the actions of our
contractors.
I/We understand that the Association will inspect the modification during and after construction to verify conformance
with the approval .I/We understand and agree that any failure to complete the modification in accordance with the
approved application ,plans,and schedule may result in reconstruction at my/our expense ,forfeiture of deposits,
additional fines ,and future action by the Association ,as deemed appropriate by the Association .
I hereby agree not to cause any damage to the common area or other's property during this modification .
Further,I/We understand:
1.I cannot in any way change the grading or interfere with the drains already installed .I cannot in any way remove or
change the "berm "at the top of the slope,which was built to insure against slope failure.
2.I must install drains within my property to prevent water run-off into my neighbor's property or the common areas.
3.I am responsible for meeting all city,county and state codes including set -back distances ,electrical ,etc.and providing
evidence of such to the architectural committee prior to work commencing .(NOTE :City requires Association approval
for a City Permit Application .)
4.This application is only valid for one (1)year from the date of approval.
27536 Paseo Verano ,San Juan Capistrano ,CA
Address
DaudJ.Car
Property Owner's Signature
9/25/23
The Architectural Application is :
APPROVED as submitted
APPROVED with the following changes and/or conditions :
DENIED for the following reason (s):
DENIED Incomplete Submission .Resubmit to include:
Date
FOR ARCHITECTURAL COMMITTEE /BOARD OF DIRECTORS USE
Date:Architectural Committee Member Signature :
Architectural Committee Member Signature :
Architectural Committee Member Signature :Date:
WORK SHALL NOT COMMENCE WITHOUT RETURN RECEIPT OF THIS APPLICATION WITH ARCHITECTURAL
COMMITTEE MEMBER SIGNATURES .FAILURE TO OBTAIN WRITTEN APPROVAL PRIOR TO COMMENCING WORK
MAY RESULT IN A FINE AND THE COST TO RESTORE TO ORIGINAL CONDITION .
Date:
LOMA VISTA OWNERS ASSOCIATION
Facing ,Adjacent and Impacted Neighbor Statement
The attached plans were made available to the following neighbors for review :
FACING NEIGHBOR :
Chailne Showas
Name
FACING NEIGHBOR :"
Name
ADJACENT NEIGHBOR :
Name
Jo
Davis
ADJACENT NEIGHBOR :
Name
FACING NEIGHBOR :
Joza Jog
Name
27523 Paseo Verano
Address
ADJACENT NEIGHBOR :
David CBallosi
See Below
Address
Address
2752/Paseo Verano
Address
See Below
Address Signature
27528 PasisVerons toRavi
SUBMITTED BY :
David J.Cox
Homeowners Name (please print)
27536 Paseo Verano ,San Juan Capistrano ,CA
Property Address (please print)
paseo
10 Verano
Signature
DaudJ.Cax
Homeowners Signature
Date
CharleneForen9/25
Date
Signature
Signature
SOLSONUNTUCHOENENE
Done Bellin 1/2027538
Name Address Signature Date
The above neighbors have seen the plans being submitted to the Architectural Committee for review .I understand that neighbor
objections do not in themselves cause denial .However ,the Architectural Committee may contact neighbors to review their comments ,if
necessary .
9/25/23
Date
Seputy 1/22/23SignatureDate
Date
9/24/2023
Date
THIS STATEMENT MUST BE SUBMITTED TO THE ARCHITECTURAL COMMITTEE WITH THE COMPLETED REQUEST
FOR MODIFICATION AND PLANS .
EMAIL COMPLETED APPLICATION TO :communications@optimumpm.com
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SECONDFLOORINFILLPLACE GRAVELBAG BERM5' MIN.VIA VERANOPLPLNO CHANGE TOBUILDING FOOTPRINTNO CONCRETE WORKCOMMONCOMMON(E) 2 CARGARAGE(E) DRIVEWAY20'(E) MASTERBEDROOM(E) MASTERBATHOPEN TOBELOW13'-2"(E)SD(E)SDEXPANDED WALK INCLOSET1'-6"5'2' '- "3'2'- "3'-6" '-3"6'3'0" X 2'0"SLIDING WINDOW(W/ (N) 4 X 6HEADER)NEW 34" BATHROOM51 SF6'
6'
5'GLP NEW MASTERBEDROOM ENTRYDOORNEWLINENGFCINEW CLOSET22 SF4'11" X 4'0"SLIDING EGRESSWINDOWS (W/ (N) 4 X 8HEADERS)GLPNEW BEDROOM158 SFNEW HVACDUCT(N)SDC.M.A./SD(N)3'(E) 2 CARGARAGE(E) BEDROOM2(E) BEDROOM3(E) LIVINGROOM(E) DININGROOM(E) KITCHEN(E) NOOK(E)SD(E)SD(E)SD(E) HVACGLPC.M.A./SD(N)(N) FLOOR24" MIN.8'8'-11"(N) 4'11" X 4'0" DUAL-PANE, LOW-ESLIDING WINDOW, SAME STYLE ANDCOLOR AS EXISTING WINDOWS.(W/ (N) 4 X 8 HEADER)STUCCO REPAIR AROUNDWINDOW. SAME TEXTUREAND COLOR AS EXISTING.SILL HEIGHTFROM FINISHEDFLOOR MIN. 24"MAX. 44"27536 PASEO VERANO, SAN JUAN CAPISTRANO, CA 92675COX BEDROOM & BATHROOM ADDITIONOCCUPANCY GROUP:R-3TYPE OF CONSTRUCTION:VBNUMBER OF STORIES:2LOT NO.:COMMONTRACT NO:12739A.P.N.:938-791-45FIRE SPRINKLED:NODESCRIPTION OF WORK: BEDROOM & BATHROOM ADDITIONEXISTING LOT (NO CHANGE):EXISTING GARAGE (NO CHANGE):EXISTING HOUSE TOTAL:NEW FOOTAGES:NEW BEDROOM 4NEW CLOSETNEW BATHROOMSUBTOTAL OF NEW FOOTAGEPROPOSED HOUSE TOTALCOMMON484 SQ.FT.1,872 SQ.FT.N/A158 SQ.FT.22 SQ.FT.51 SQ.FT.231 SQ.FT.2,103 SQ.FT.Bedroom & Bathroom Addition to:
27536 PASEO VERANO
SAN JUAN CAPISTRANO, CA 92675
(949) 412-5414
COX RESIDENCEDRAWN-.R.CHECKEDB.L.DATESEPTEMBER 1 , 2023.SCALEAS NOTEDJOB NO.COXSHEET(N) FLOOR24" MIN.(N) 4'11" X 4'0" DUAL-PANE, LOW-ESLIDING WINDOW, SAME STYLE ANDCOLOR AS EXISTING WINDOWS.(W/ (N) 4 X 8 HEADER)STUCCO REPAIR AROUNDWINDOWS. SAME TEXTUREAND COLOR AS EXISTING.SILL HEIGHTFROM FINISHEDFLOOR MIN. 24"MAX. 44"(N) 3'0" X 2'0" DUAL-PANE, TEMPERED,LOW-E SLIDING WINDOW, SAME STYLEAND COLOR AS EXISTING WINDOWS.(W/ (N) 4 X 6 HEADER)EXISTING FIXEDWINDOW TO BEREMOVEDBYREVISIONSHOANSCALE: 1/8"=1'-0"SITE PLANPROPOSED FIRST FLOORSCALE: 1/8"=1'-0"SCALE: 1/8"=1'-0"PROPOSED SECOND FLOORVICINITY MAPSQUARE FOOT TABULATIONSEXISTING REAR ELEVATIONSCALE: N.T.S.SCALE: N.T.S.PROPOSED REAR ELEVATIONSCALE: N.T.S.EXISTING RIGHT SIDE ELEVATIONPROPOSED RIGHT SIDE ELEVATIONSCALE: N.T.S.PROJECT DATAPrepared by:
8 HAMMOND, #102
IRVINE, CA 92618
(949) 456.1234
LIC. # 463944
THE LOFTCRAFTERS, INC.
BEN LOEWEN
1
Building Department
From:Parkinson, Elizabeth <betsyp@smwd.com>
Sent:Friday, October 6, 2023 1:58 PM
To:Danielle Haskell; Building Department
Cc:Ben Loewen; Kirstie Senese; Webster, Tanner; engcounter
Subject:RE: Sanitation Clearance - 27536 Paseo Verano - Cox Residence (B23-1349)
[The e-mail below is from an external source. Please do not open attachments or click links from an unknown or
suspicious origin.]
Good afternoon,
This address has been cleared by SMWD. There are no impacts to Public Water and Sewer.
Thanks,
Betsy Parkinson
Administrative Assistant
O: 949-459-6612
M: 949-433-6933
smwd.com
From: Danielle Haskell <danielle@loftcrafters.com>
Sent: Thursday, October 5, 2023 4:52 PM
To: engcounter <engcounter@smwd.com>
Cc: Ben Loewen <Ben@loftcrafters.com>; Kirstie Senese <Kirstie@loftcrafters.com>
Subject: Sanitation Clearance - 27536 Paseo Verano - Cox Residence (B23-1349)
Hello!
Please clear the following residence:
Address: 27536 Paseo Verano, San Juan Capistrano, CA 92675
Permit Number: B23-1349
APN: 938-791-45
Tract Number: 12739
Lot Number: Common
Project: Bedroom & Bathroom (231 sq ft)
There are plumbing changes involved with this project. We will be adding a ¾ bath (sink, toilet, & shower).
Note: For this project, The LoftCrafters, Inc. will not add any additional water or sewer connection on the street, and all
construction will be done within the footprint of the house.
Contact: Ben Loewen (949) 456-1230
2
Thank you!
Danielle Haskell
The LoftCrafters, Inc.
(949) 456-1234
***** Please note that email correspondence with the City of San Juan Capistrano, along with attachments, may be
subject to the California Public Records Act, and therefore may be subject to disclosure unless otherwise exempt.