B23-0328 - 31990 PASEO DERIVA 4830448 Rancho Viejo Road, Suite 110
San Juan Capistrano, CA 92675
(949) 493-1171
(949) 493-1053 Fax
www.SanJuanCapistrano.org
April 15, 2024
Owner:
ARROYO CAP II 1 LLC
18575 JAMBOREE' RD #350
IRVINE, CA 92612
MEMBERS OF THE CITY COUNCIL:
CERTIFICATE OF USE & OCCUPANCY
Troy Bourne
John Campbell
Sergio Farias
Howard Hart
John Taylor
HAVING INSPECTED THE BUILDING HEREIN DESCRIBED AND HAVING FOUND IT
TO COMPLY WITH 2019 CBC, CRC, CEC, CPC, CMC, CA ENERGY, CA GREEN AND
APPLICABLE CITY CODE REQUIREMENTS FOR ITS INTENDED OCCUPANCY
CLASSIFICATION AND USE, THE CITY OF SAN JUAN CAPISTRANO HEREBY
CERTIFIES AND RELEASES FOR USE AND OCCUPANCY THE FOLLOWING:
Permit Number:
B23-0328
Building Address:
31990 PASEO DERIVA
Tract:
18148
Lot:
2
Unit:
48
Building Use:
(1840sf SINGLE FAMILY DWELLING w/ (422sf ATTACHED
GARAGE
Occupancy Classification:
R -3/U
Type of Construction:
VB
Occupant Load:
PER CBC SECTION 1004
Fire Sprinkler:
YES
Special Conditions:
CIT OF SAN JUAN CAPISTRANO
JAM ATRAK, CBO, CASA
Chief Building Official
POST IN A CONSPICUOUS PLACE AND DO NOT REMOVE UNLESS APPROVED BY THE
CHIEF BUILDING OFFICIAL
THIS IS A LEGAL DOCUMENT AND MUST BE GIVEN TO THE LEGAL OWNER OR PURCHASER
4/15/2024
Permit Number B23-0328
Type BUILDING
Subtype SFD -ATTACHED
Status FINALED
Owner ARROYO CAP II 1 LLC,
Site Address
31990 PASEO DERIVA48
Subdivision
AVELI NA
Zoning
Page 1
Plan Review History
Review Group: ALL
Applied 3/9/2023
LL3
Review Type Status Reviewer
Approved 3/9/2023
LL3
C & D RECYCLING PC APPROVED Dianna Flores
Issued 5/4/2023
DF5
Rnnin
Finaled 3/19/2024
KH1
Remarks and Notes:
Expired
Remarks and Notes:
Applicant LANDSEA CONSTRUCTION LLC
COO APPROVED Laura Stokes
City
State Zip
SAN JUAN CAPISTRANO CA 92675
Sent Due Returned
Tract
Block Lot No Parcel No
18148
2 TRACT 18148 UNI'
Construction Type
Occupancy Type
VB
R -3/U
Review Group: ALL
REVIEW DATES
nrr.i ipnniry
Review Type Status Reviewer
Sent Due Returned
Days Elapsed
C & D RECYCLING PC APPROVED Dianna Flores
3/9/23 3/12/24
369
Rnnin
Remarks and Notes:
Remarks and Notes:
COO APPROVED Noreen Swiontek
Remarks and Notes:
COO - PLANNING -
COO APPROVED Laura Stokes
Review Group: BUILDING
REVIEW DATES
Review Type Status Reviewer
Sent Due Returned
Days Elapsed
BUILDING 4+ PC APPROVED CSG
Remarks and Notes:
5/4/22 5/27/22 5/11/22 7
Review Group: COO REVIEWS REVIEW DATES
Review Type Status Reviewer Sent Due Returned Days Elapsed
CERTIFICATE OF
COO APPROVED Dianna Flores
nrr.i ipnniry
Remarks and Notes:
COO - BUS
COO APPROVED BUSINESS LICENSE
1 irFnicF
Remarks and Notes:
COO - NPDES
COO APPROVED Noreen Swiontek
Remarks and Notes:
COO - PLANNING -
COO APPROVED Laura Stokes
uni icini�
Remarks and Notes:
PERMIT REVIEWS
Report By:
2/14/24 4/15/24 61
2/14/24 2/26124 2114/24 0
2/14/24 2/26/24 3/18/24 33
2/14/24 2/26/24 2/14/24 0
COO - PLANNING -
COO APPROVED PLANNING
2/14/24 2/26/24
3/13/24
28
PRn I MAN
Remarks and Notes: (2/14/2024 2:31 PM LS)
Landscape Architect Letter, needed prior to COO,
requested 2/14/14.
(3/13/2024 10:53 AM LS)
Landscape Architect Letter received 3/13/24
COO - PUB WRKS
COO APPROVED James Prather
2114/24 2/26/24
2/15/24
1
rrnnl InlcP
Remarks and Notes:
COO - SMWD
COO APPROVED SMWD
2/14/24 2/26/24
412124
48
Remarks and Notes:
COO - UTILITIES
COO APPROVED Dianna Flores
2/14124 2/26124
2/14124
0
RFI FOCFC
Remarks and Notes:
COO -BLDG
COO APPROVED Kevin Hughes
2/14/24
3/19/24
34
r,RnnlnlniRnnln
Remarks and Notes:
COO -OCFA -
COO APPROVED Kevin Hughes
2/14/24
3/19/24
34
rrnnnnnnnlnrnnl II
Remarks and Notes:
Review Group: PLANNING
Review Type Status Reviewer
PLANNING 2nd PC APPROVED Laura Stokes
Remarks and Notes:
PERMIT REVIEWS
Report By:
REVIEW DATES
Sent Due Returned Days Elapsed
3/8/22 5/27/22 3/17/22 9
CITY OF SAN JUAN CAPISTRANO
IX��- arc
BUILDING PERMIT
Permit No. B23-0328
ISSUED
05/04/2023
Permit Number B23_0328
DESCRIPTION
AVELINA PH 5. 7-PLEX. PLAN 3 -END. 1840sf SFR. 422sfATT GAR.
8 ROOF MOUNTED SOLAR PANELS. 2.80kW DC SYSTEM. ARCH PC
ISSUED BY DF5
B21-1320
SITE APN TRACT IS] 48 UNIT 48
r
SITE LOT NO 2 r (If
F1
SITE TRACT 18148
SITE SUBDIVISION AVELINA
JOB VALUE $ 209,238 1
OCCUPANCY TYPE R -3/U
PERMIT TYPE. BUILDING
ELECTRICAL PERMIT AMOUNT
BUILDING SF 1,840
NEW RES OCCUPANCY GROUP R-3 115.08
NO STORIES 3
NEW RES OCCUPANCY GROUP U 12.66
NO UNITS I
SERVICES 600V OR LESS NOT OVER 200AMPS 33.78
ELECTRICAL ISSUANCE FEE 27.24
JOB ADDRESS: 31990 PASEO DERIVA 48
OWNER NAME ARROYO CAP 111 LLC,
PHONE
MAILING ADDRESS 18575 JAMBOREE RD
CITY,STATE,ZIP IRVINE, CA 92612
Total Electrical 188.76
CONTRACTOR NAME LANDSEA CONSTRUCTION LLC
PLUMBING PERMIT AMOUNT
1042287
PLUMBING ISSUANCE FEE 27.24
ST. LIC EXPIRE 07/31/2024
FIXTURES AND VENTS 173.60
PHONE (949) 379-5289
WATER HEATER INCLUDING VENT 13.62
ADDRESS 660 NEWPORT CENTER DR 4300
WATER PIPING SYSTEMS 5.26
CITY, ST, ZIP NEWPORT BEACH, CA 92660
# GAS SYSTEMS 6.81
BUILDING SEWER 27.29
TENANT NAME
PHONE #
FIRE INSTALL I TO 50 66.44
MAILING ADDR
CITY, ST, ZIP
MECHANICAL PERMIT AMOUNT
MOBILE HOME PERMIT AMOUNT
DUCT INSTALL/REPLACE/RELOC 168.63
APPLIANCE VENTS 8.03
VENTS AND EXHAUST HOOD/DUCfS 11.79
AC/BOILER/COMPR<3HPAND IOOK BTU 16.28
EXHAUST FAN W/ SINGLE DUCT 42.00
Total Mobile Home
FURNACE FORCED AIR OR GRAVITY UP TO 100K 16.39
MECHANICAL ISSUANCE FEES 27.24
I have carefully examined the completed permit application and do hereby certify under penalty of
perjury that all information hereon including the declarations are true and correct and I further
Total Mechanical 290.36
certify and agree if a permit is issued: to comply with all City, County, and State laws governing
^.xpiration:: Every permit issued shall become invalid unless the work on the site authorized bl
building construction, whether specified herein or not 1 also agree to save, indemnify and keep
harmless the City of San Juan Capistrano against all liabilities, judgments, costs and expenses
uch permit is commenced within 12 months after its issuance, or if the work authorized on the
wl»clr may in any way accrue aping City in consequence of the ••r nlitsp f les it.
ite by such permit is suspended or abandoned fora period of 180 days after the time the work
ommenced.
Owner/Contractor
An OSHA permit is required for excavations over 5'0" deep and demolition or construction of
Print Name
structures over 3 stories in height
Applicant's signature
Contractor: l hereby affirm At I am licensed under provislins ofChaptir 9 of Division 3 of the Business and Professions Code, and my license is in full force and effect.
Pula er: I, as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec.7044, Business and Professions
•Contractor's License Laws does not apply to and owner of property who builds or improves thereon, who does such work himself or through his employees, provided that such improvements are not
cit or offered for sale. If however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale)
1 rr' r: I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not
p , a 4nrner of property who builds or improves thereon and who contracts for such projects with a contractor's) license pursuant to the Contractor's License Law.
W a r' -1 hereby affirm under penalty of perjury one of the following declarations:I have and will maintain workers' compensation insurance, as required by Section 3700 of Ih
for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier_. ARRF..MNITY k LIABILITY
Q MPANY Policy#1000004709 (This section needs to be completed if the permit is for one hundred dollars(Sl00) or less)
Exemption: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of
California and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
Date Applicant
WARNINGTAILURE TO SECURE WORKFRS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBIECT AN EMPLOYER TI CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSDAND DOLLARS(S100,000) IN ADDITION TO THE COST OF CONIPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
CITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT FEES
S � �
1 ANIMPA rnNTQTR11!'TIl NT T I
48
Account # Type
Cost
01-44221 Building Permit
$ 1.786.52
01A4223 Mechanical
$ 290.36
01-44224 Plumbing
$ 320.26
01-44225 Electrical
$ 188.76
01-44221 Mobile Home Permit
$ 0.00
01-44222 Grading Permit Fee
$ 0.00
01-44231 Grading Plan Check
$ 0.00
01-44222 On -Site Residential Permit
$ 0.00
01-44231 On -Site Residential Plan Check
$ 0.00
Subtotal
$ 2.585.90
01-44230 Bond Processing
$ 0.00
01-44230 Building Plan Check
$ 0.00
01-44230 Additional Plan Check
$ 0.00
01-44230 Digital Record Fee ($1.00 per sheet)
$ 34.20
01-44221 C & D Administrative Fee
$ 92.74
01-44221 ISpecialInspection-Rei nspection
$ 0.00
01-44222 On -Site Commercial/Tract Permit Fee
$ 0.00
01-44231 On -Site Commercial/Tract Plan Check Fee
' $ 0.00
01-44214 Geotechnical Soils Plan Review
$ 0.00
10-44320 Ordinance 211
$ 50.00
10-42510 Ordinance 364
$ 2.092.38
01-45354 Copies @.20 Each
$ 0.00
90-23331 SMIP Fee
$ 27.20
33-44370 H.O.P.E. Fee (Housing in Lieu)
$ 0.00
Other Fees
$ 6.687.90
TCA Fees
Date Received
A Approval
Date Received
crhool Fees
Date Received
Engineering Fees
Date Receive
Water Division Fees
Date Received
01-44221 Title 24 Energy Provision (20% Permit Subtotal & Bldg Plan Check))
$ 351.86
01-44221 Title 24 ADA Fee (10% Permit Subtotal & Bldg Plan Check)
$ 0.00
01-44240 NPDES Permit Fee (10% Permit Subtotal)
$ 258.59
90-23000 Refundable Bond/Deposit Posted by Owner Contractor Type
$ 2.092.38
90-23000 Refundable Bond/Deposit Posted by Owner Contractor Type
TOTAL FEES PAYABLE TO CITY OF SAN JUAN CAPISTRANO
$ 14,273.15
Receipt # 94610 Date: 5/4/2023 Cashier:
BOARD Of DIRECTORS
LAURA FREESE
CHARLES T. GIBSON
SAUNDRA F. JACOBS
BETTY H. OLSON, PH.D
FRANK URY
DON BUNTS
INTERIM GENERAL MANAGER
April 1, 2024
City of San Juan Capistrano
Building Division
30448 Rancho Viejo Road, #110
San Juan Capistrano, CA 92675
Attention: Building Division
Santa Marzgapzita Waterz Distuict
Subject: Tract 18148, Avelina, Phase 5, Bldg 2 -Lots 48-54 and Bldg 3 -Lots 55-60 in ID 9 —
31990, 31991, 31994, 31995, 31998, 31999, 32002, 32003, 32006, 32007, 32010,
32011 Paseo Deriva & 27101 Via Caminata
The following referenced location(s) may be released as far as the District is concerned effective
March 22, 2024.
Developer: LandSea Homes
This release does not constitute authorization for you to release the water and sewer bonds for the
subject lots. This authorization will be a Resolution of the Board of Directors of the Santa
Margarita Water District. When the water and sewer facilities are formally accepted by the Board,
they authorize release of the water and sewer bonds. A copy of the Resolution will be forwarded
to you.
Should you have any questions please contact me at (949) 459-6504.
Sincerely,
SANTA MARGARITA WATER DISTRICT
Patricia Butler, P.E.
Chief Engineer
cc: Tony Gaetano, Inspector
Elena Wilson/email
Irma Lopez/email
Mona Boers -Kort /email
Renee Chinchilla/email
Steve Skeffington/email
Larry Jeffery/email
File S\EnglTract Occupancy Release Letters
Santa Margarita Watec District • 26111 Antonio Parkway, Rancho Santa Margarita, CA 92688
www SMWD.coni 0 (949) 459-6420
landscape architecture / land planning
March 12, 2024
Shannon Whittaker
Landsea Homes
7525 Irvine Center Drive
Suite 200
Irvine, CA 92618
RE: Conformance Letter
Tirador, Tract 18148
Avelina Phase 5 — Building 2 (Units #48 through #54 and House Meter) and Building 3
(Units #55 through #60 and House Meter)
This letter is to certify that all items for the phase mentioned above has been completed to the
satisfaction of the landscape architect. I declare in my professional opinion and to the best of my
knowledge, available information, and belief. That the landscape plans for the above -referenced
project have been completed within the intent of the project and in accordance with the City of San
Juan Capistrano approved plans and specifications.
This conformance letter applies only to plant locations and quantities. SJA Inc. was not present for
the installation or observation of the irrigation system. SJA Inc. cannot certify conformance of below
grade materials, installation techniques, or irrigation pipe sizing.
Please do not hesitate to call my office if you should have any questions.
I}
Sincerely, j
ii
3142
Denny Smitl gall s NA E
Principal �p
�,P f31I3tl:75 S
OF OAS
7859 Sitio Coco, Carlsbad California 92009 TEL949,276.6500 I FAX 949.276.6506 1 WWW.SJAfNC.COM
LGO
Geotechnical, Inc.
March 12, 2024
Ms. Shannon Whittaker
Landsea Homes
7525 Irvine Center Drive, Suite 200
Irvine, CA 92618
Project No. 20266-01
Subject. Geotechnical Release from Post -Grading, Phase 5, Buildings 2 and 3, "Avelino"
Residential Development, Tract 18148, Southwest Corner of Calle Arroyo and Paseo
Tirador, City of San Juan Capistrano, California
In accordance with your request, LGC Geotechnical, Inc. is providing a final geotechnical release for Phase
5, Building 2 and Building 3 of the "Avelina" residential development, Tract 18148, located in the city of
San Juan Capistrano, California. LGC Geotechnical field personnel have provided part-time, on-call
observation and field density testing of postgrading operations in order to form an opinion of site
earthwork. In general, postgrading operations observed and/or tested by LGC Geotechnical included
interior plumbing backfill, foundation footing excavations, utility house connection backfill, and subgrade
preparation. Refer to table below for lots and associated addresses.
PostgradiM Release Lot SummajX - Avelina
Building No. Unit No.
Address
31990 Paseo Deriva
Permit No.
B23-0328
2 48
2 49
31994 Paseo Deriva
B23-0329
2 50
31998 Paseo Deriva
B23-0330
2 51
32002 Paseo Deriva
B23-0331
2 52
32006 Paseo Deriva
B23-0332
2 53
27101 Via Caminata
B23-0333
2 54
32010 Paseo Deriva
B23-0334
2 HM
31990 -HM Paseo Deriva
32011 Paseo Deriva
B23-0375
B23-0335
3 55
3 56
32007 Paseo Deriva
B23-0336
3 57
32003 Paseo Deriva
B23-0337
3 58
31999 Paseo Deriva
B23-0338
Postgrading Release Lot Summary - Avelina (Continued)
Building No.
Unit No.
Address
Permit No.
3
59
31995 Paseo Deriva
B23-0339
3
60
31991 Paseo Deriva
B23-0340
3
HM
32011 -HM Paseo Deriva
B23-0376
Based on the results of our observation and testing, it is our opinion that the subject site earthwork
operations were completed in general accordance with project geotechnical recommendations. This letter
serves as a geotechnical release from postgrading operations for the subject lots at the "Avelina"
residential development. In our opinion, the subject building pads are suitable for their intended use from
a geotechnical perspective.
Closure
Our services were performed using the degree of care and skill ordinarily exercised, under similar
circumstances, by reputable engineers and geologists practicing in this or similar localities. No other
warranty, expressed or implied, is made as to the conclusions and professional advice included in this
report.
Should you have any questions regarding this letter, please do not hesitate to contact our office. We
appreciate this opportunity to be of service.
Respectfully,
LGC Geotechnical, Inc.
N 2749 c
a �
No.
� ra
0 ❑*\
Barry Graham, CEG 2749 `�rfi�
Project Geologist
BPG/ amm
Distribution: (1) Addressee (electronic copy)
(1) X Engineering and Consulting, Inc. (electronic copy)
Attn: Mr. Selwyn Harsono
Project No. 20266-01 Page 2 March 12, 2024
PL3M,IG
��.�INC.
Plumbing Concepts, Inc.
2445 Railroad St.
Corona, CA 92880
License No. 469996
Project Name: AVELINA
Tract No.18148
Project Location: SAN JUAN CAPISTRANO
ATTN: LANDSEA HOMES
RE: Sewer Camera PH 5
LOTS- 48-49-50-51-52-53-54
To Whom it may concern,
3-13-24
Please allow this letter to serve as confirmation that the above referenced project
had the sewer lines video inspected, and they have been found to be free and
clear of debris.
If you have any questions, please feel free to contact us.
Yours truly,
I M . ore
g
Director of Quality Assurance
(951) 520-8590 ext. 7142
("gllilnr�III 11)Npi r tirni ,�- llei if�ri,11N TcNil II.."
SOUTHWESTAhL Ah, AL Ak A& Ak Ak AL A& A& AL AL Ak AL AL
t!lllspectioll 'A, T(� sthlg. Inc, -141 Comm rcial Way. I.a Ilahra, C_A 000,11-1108
941-21991) • 17141 X20-8441
FAX i ih') 940-0024
March 12, 2024
Building Official
City of San Juan Capistrano
Department of Building & Safety
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
SPECIAL INSPECTOR'S FINAL REPORT
Project Name:
Avelina - Phase 5, Building 2
Address:
Tract #18148, San Juan Capistrano
Owner:
Landsea Homes
Lot#
Address
Permit#
48
31990 Paseo Deriva
B23-0328
49
31994 Paseo Deriva
B23-0329
50
31998 Paseo Deriva
B23-0330
51
32002 Paseo Deriva
B23-0331
52
32006 Paseo Deriva
B23-0332
53
27101 Via Caminata
B23-0333
54
32010 Paseo Deriva
B23-0334
House Meter
31990 Paseo Deriva
B23-0375
This is to certify that Southwest Inspection and Testing, Inc. was employed to perform special
inspection on the above-mentioned project at the above address, which required special inspection
per section 1701 of the 2022 California Building Code.
Mina Endrawes - Reinforced Concrete, Post Tensioned Concrete, ICC #9048532
Justin Parrish - Reinforced and Post Tensioned Concrete, Shear Nailing, Wood Framing, DIA/Epoxy,
ICC #1134401
Based upon special inspection and materials testing written reports of this work, it is our judgment
that the inspected work was performed to the best of our knowledge, in accordance with the
approved plans, specifications and industry standard of workmanship in accordance with the
provision of the 2022 California Building Code.
Sincerely,
Steven L. Godbey Ian R. Vv jd _-!! , P.E.
President Principal Engineer
SLG/IRW: spg For inspection and testing only, no desicnn
responsibility expressed or implied.