B23-0329 - 31994 PASEO DERIVA 4930448 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:
B23-0329
Building Address:
31994 PASEO DERIVA
Tract:
18148
Lot:
2
Unit:
49
Building Use:
(1801sD SINGLE FAMILY DWELLING w/ (422sD ATTACHED
GARAGE
Occupancy Classification:
R-3/1.1
Type of Construction:
VB
Occupant Load:
PER CBC SECTION 1004
Fire Sprinkler:
YES
Special Conditions:
CITY OF SAN JUAN CAPISTRANO
JAMES WIATRAK, CBO, CASp
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 B23-0329
Type BUILDING
Subtype SFD -ATTACHED
Status FINALED
Owner ARROYO CAP II 1 LLC,
Site Address
31994 PASEO DERIVA 49
Subdivision
AVELINA
Zoning
Page 1
Plan Review History
Review Group: ALL REVIEW DATES
Review Type Status Reviewer Sent Due Returned Days Elapsed
C & D RECYCLING PC APPROVED Dianna Flores
Renin
Remarks and Notes:
3/9/23 3/12/24 369
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
Applied 3/9/2023
LL3
Approved 3/9/2023
LL3
Sent
Issued 5/4/2023
DF5
Days Elapsed
Finaled 3/19/2024
KH1
2/14/24
Expired
4/15/24
61
Applicant LANDSEA CONSTRUCTION LLC
City
State Zip
SAN JUAN CAPISTRANO CA 92675
Tract
Block Lot No Parcel No
18148
2 TRACT 18148 UNI'
Construction Type
Occupancy Type
2/14/24
VB
R -3/U
0
Review Group: ALL REVIEW DATES
Review Type Status Reviewer Sent Due Returned Days Elapsed
C & D RECYCLING PC APPROVED Dianna Flores
Renin
Remarks and Notes:
3/9/23 3/12/24 369
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
2/14/24
4/15/24
61
r)('rl IPAr\I('.V
Remarks and Notes:
COO - BUS
COO APPROVED BUSINESS LICENSE
2/14/24
2/26/24
2/14/24
0
i ir.FnicF
Remarks and Notes:
COO - NPDES
COO APPROVED Noreen Swiontek
2/14/24
2/26/24
3/15/24
30
Remarks and Notes:
COO - PLANNING -
COO APPROVED Laura Stokes
2/14/24
2/26/24
2/14/24
0
uni icinir
Remarks and Notes:
PERMIT REVIEWS
Report By:
COO - PLANNING -
COO APPROVED PLANNING
2/14/24
2/26/24
3/13/24
28
PRn I RAAN
Remarks and Notes: (2/14/2024 2:31 PM LS)
Landscape Architect Letter, needed prior to COO,
requested 2/14/14.
(3/1312024 10:53 AM LS)
Landscape Architect Letter received 3/13/24
COO - PUB WRKS
COO APPROVED James Prather
2114124
2126/24
2/15124
1
rnnl InICP
Remarks and Notes:
COO - SMWD
COO APPROVED SMWD
2114/24
2126124
412/24
48
Remarks and Notes:
COO - UTILITIES
COO APPROVED Dianna Flores
2/14124
2/26/24
2/14124
0
RFI FACFC
Remarks and Notes:
COO -BLDG
COO APPROVED Kevin Hughes
2/14/24
3119/24
,34
(,,RAnwr,/Rnnln
Remarks and Notes:
COO -OCFA-
COO APPROVED Kevin Hughes
2/14/24
3/19/24
34
CY) WA A KI n/NAI Ii
Remarks and Notes:
Review Group: PLANNING
REVIEW DATES
Review Type
Status Reviewer
Sent
Due
Returned
Days Elapsed
PLANNING 2nd
PCAPPROVED Laura Stokes
3/8/22
5/27/22
3/17/22
9
Remarks and Notes:
PERMIT REVIEWS
Report By:
CI WI Ys i« s
W'",
CITY OF SAN JUAN CAPISTRANO ISSUED
05/04/2023
BUILDING PERMIT
Permit No. B23-0329
Pcrmit Number B23-0329 DESCRIPTION
AVELINAPH5.7-PLEX.PLAN 3.1801sfSFR 422sfATT GAR
ISSUED BY DF5 8 ROOF MOUNTED SOLAR PANELS. 2.80kW DC SYSTEM. ARCH PC
B21-1320
SITE APN TRACT 18148 UNIT 49
SITE LOT NO 2 RN
SITE TRACT 18148 11 V■
SITE SUBDIVISION AVELINA �JOB VALUE $205,150
OCCUPANCY TYPE R-3/U
PERMIT TYPE. BUILDING ELECTRICAL PERMIT AMOUNT
BUILDING SF 1,801
NO STORIES 3 NEW RES OCCUPANCY GROUP R-3 112.62
NO UNITS 1 NEW RES OCCUPANCY GROUP U 12.66
SERVICES 600V OR LESS NOT OVER 200AMPS 33.78
JOB ADDRESS: 31994 PASEO DERIVA 49 ELECTRICAL ISSUANCE FEE 27.24
OWNER NAME ARROYO CAP 111 LLC,
PHONE
MAILING ADDRESS 18575 JAMBOREE RD
CITY,STATE,ZIP IRVINE, CA92612 Total Electrical 18630
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 #300 WATER PIPING SYSTEMS 5.26
CiTY, ST, ZIP NEWPORT BEACH, CA 92660 # GAS SYSTEMS 6.81
TENANT NAME BUILDING SEWER 27.29
PHONE # FiRE INSTALL I TO 50 66.44
MAILING ADDR
CITY, ST, ZIP
MOBILE HOME PERMIT AMOUNT MECHANICAL PERMIT AMOUNT
DUCT INSTALL/REPLACE/RELOC 168.63
APPLIANCE VENTS 8.03
VENTS AND EXHAUST HOOD/DUCTS 11.79
AC/BOILER/COMPR<3HPAND 100K BTU 16.28
Total Mobile Home EXHAUST FAN W/ SINGLE DUCT 42.00
FURNACE FORCED AIR OR GRAVITY UP TO 100K 16.39
I have carefully examined the completed permit application and do hereby certify under penalty of MECHANICAL ISSUANCE FEES 27.24
pedury 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 Stale laws governing
building construction, whether specified herein or not. I also agree to save, indemnify and keep aspiration:: Every permit issued shall become invalid unless the work on the site authorized b7
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
which may in any way accrue ,rgartrvt paid City in consequence of flu gp+nbo , of thl.- ge� ite by such permit is suspended or abandoned for a period of 180 days after the time the work
'20ilrfl I _]l��(G, nmmenced.
Owner/Contractor , t '. 4
Print Name An OSHA permit is required for excavations over 5'0" deep and demolition or construction of
structures over 3 stories in height.
Applicant's signature
Contractor. I hereby affirm dim I am licensed under provisions of Chapter of Division 3 of the Business and Professions Code, and my license is in full force and effect_
vn rJBnitder, 1, as ownei, of the pm>pamy, ur my ampluyees 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
f: he Contractor's Lirense Laws dors not apply to and mvrwr of property who builds or improwes thereon. who docs such work himself ar through his employees, provided that such improvements are not
inter •d or offered fm sale If hmvcvcr, the building or improvement is sold within one year of completion, the gtmcr-builder will have the burden of proving that he did not build or impi ove for the purpose of sale)
a'1 . 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
up t tm n �ncr 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
•ncnlia -I hereby affirm under penally of perjury one of Ilse following declarations:1 have and will mvintain workers' compensation insurance, as rcquiTrd by SOctimn 3700 gfll
L. ode, for the performance of 11te wort: for which this permit is issued My workers' compensaiton insuranee carrier and policy number are_ Carrier 51ARRE�jpFMN_ 1TY & LIAMLITY
Cl7WIMIJ1" Policy91000004709 (Deis station trscds lobe completed if the permit is for one hundred daitars($100) or less)
Exemption: I certify (hat in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of
California and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the labor Code, l shall forthwith comply with those provisions
)ate Applicant
WARNING:FAILUPLE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECTAN EMPLOYER TI CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSDAND DOLLAKS(S 100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
CITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT FEES
Permit No.
Applicant LANDSEA CONSTRUCTION LI
Phone/E-Mail i949 379-5289
Job Loca on:1 31994 PASEO DLRI VA 41)
Account #
Type
Cost
01-44221
Building Permit
$ 1,762.56
01-44223
Mechanical
$ 290.36
01-44224
Plumbing
$ 320.26
01-14225
Electrical
$ 186.30
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
$ 2,559.48
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
Special Inspection -Reinspection
$ 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
$ 2,051.50
01-45354
Copies @.20 Each
$ 0.00
90-23331
SMIP Fee
$ 26.67
33-44370
H.O.P.E. Fee (Housing in Lieu)
$ 0.00
Other Fees
$ 6.687.90
TCA Fees Date Received
HOA Appro\ral r5ale Received
SchoolFees Date Received
Engineering Fees Date Receive
Water Division Fees Date Received
01-44221
Title 24 Energy Provision (20% Permit Subtotal & Bldg Plan Check))
$ 347.06
01-44221
Title 24 ADA Fee (10% Permit Subtotal & Bldg Plan Check)
$ 0.00
01-44240
NPDES Permit Fee (10% Permit Subtotal)
$ 255.95
90-23000 i
Refundable Bond/Deposit Posted by Owner Contractor Type
$ 2,051.50
90-23000
Refundable Bond/Deposit Posted by Owner Contractor Type
TOTAL FEES PAYABLE TO CITY OF SAN JUAN CAPISTRANO
$ 14,157.00
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 Santa Maagal-ita Water Distuict
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
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
T 6a
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 Water District • 26111 Antonio Parkway, Rancho Santa Margarita, CA 92688
wwwSMWD.coni 6 (949) 4S9-6420
El
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.
Sincerely,
31
Denny Smit gall s Ar F
Principal
01/30/26 nZ��
7859 Sitio Coco, Carlsbad California 92009 TEL 949.276.6500 I FAX 949.276.6506 1 WWW.SJAINC.COM
VFLGC
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, "Avelina"
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.
LasWr'ading Release Lot Summary - Avelina
Building No.
Unit No.
Address
Permit No.
2
48
31990 Paseo Deriva
B23-0328
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
B23-0375
3
55
32011 Paseo Deriva
B23-0335
3
56
32007 Paseo Deriva
B23-0336
3
57
32003 Paseo Deriva
B23-0337
3
58
31999 Paseo Deriva
B23-0338
Postrgrading Release Lot SummaU - 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.
No. 2749
Barry Graham, CEG 2749
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
PLISM�,�.!NG
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,
Doug Mbore
Director of Quality Assurance
(951) 520-8590 ext. 7142
( ,arrilIIwI1A h [Wf'Ilot, .0 If( JIt rrrlN /" + I I P I " -
SOUTHWES7r..,A& & .h,ALALAL...A.A&AkAL#Ak
Inspection & estil)(r. 1110. 441 ('nmincrci;111L':��.I.ii H;ihr:�.( A'!U(�;I-hl(,8
(�,(, 21) 94 1 -2990 - 1714) �20-8 4-41
FAX (?(,_') 9.10-00'o
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. Vdj[ d_ !, P.E.
President Principal Engineer
SLG/IRW: spg For inspection and testing only, no design
responsibility expressed or impiied.