B23-0332 - 32006 PASEO DERIVA 5230448 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:
B23-0332
Building Address:
32006 PASEO DERIVA
Tract:
18148
Lot:
2
Unit:
52
Building Use:
(1801st) 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:
CITY OF SAN JUAN CAPISTRANO
U:l
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 B23-0332
Type BUILDING
Subtype SFD -ATTACHED
Status FINALED
Owner ARROYO CAP II 1 LLC,
Site Address
32006 PASEO DERIVA 52
Subdivision
AVELINA
Zoning
Page 1
Plan Review History
Review Group: ALL
Applied 3/9/2023
LL3
Approved 3/9/2023
LL3
Due Returned
Issued 5/4/2023
DF5
3/9/23
Finaled 3/19/2024
KH1
POW)
Expired
4/15/24
61
Applicant LANDSEA CONSTRUCTION LLC
City
State Zip
Review Group: BUILDING
SAN JUAN CAPISTRANO CA 92675
REVIEW DATES
Tract
Block Lot No Parcel No
Sent
18148
2 TRACT 18148 UNI
Construction Type
Occupancy Type
5/27/22 5/11/22
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
3/9/23
3/12/24
369
POW)
4/15/24
61
Remarks and Notes:
Review Group: BUILDING
REVIEW DATES
Remarks and Notes:
Review Type Status Reviewer
Sent
Due Returned
Days Elapsed
BUILDING 4+ PCAPPROVED CSG
5/4/22
5/27/22 5/11/22
7
Remarks and Notes:
0
i ir.FnicF
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
nrrl IP4nlr 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
2114/24
2/26124
3115/24
30
Remarks and Notes:
COO - PLANNING -
COO APPROVED Laura Stokes
2/14/24
2/26/24
2/14/24
0
uni kinin
Remarks and Notes:
PERMIT REVIEWS
Report By:
COO - PLANNING -
COO APPROVED PLANNING
2/14/24
2/26/24
3/13/24
28
PPP) I NAANI
Remarks and Notes: (2/14/2024 2:32 PM LS)
Landscape Architect Letter, needed prior to COO,
requested 2/14/14.
(3/1312024 10:54 AM LS)
Landscape Architect Letter received 3/13/24
COO - PUB WRKS
COO APPROVED James Prather
2114124
2/26/24
2/15124
1
rnN1 rNICP
Remarks and Notes:
COO - SMWD
COO APPROVED SMWD
2114/24
2126/24
4/2124
48
Remarks and Notes:
COO - UTILITIES
COO APPROVED Dianna Flores
2/14/24
2/26124
2114124
0
PPIPACFC
Remarks and Notes:
COO -BLDG
COO APPROVED Kevin Hughes
2/14/24
3/19/24
34
r_RAnINIriRnNln
Remarks and Notes:
COO -OCFA -
COO APPROVED Kevin Hughes
2114/24
3/19/24
:34
('MAMA/[Nin/SAI II
Remarks and Notes:
Review Group: PLANNING
REVIEW DATES
Review Type
Status Reviewer
Sent
Due
Returned
Days Elapsed
PLANNING 2nd
PC APPROVED Laura Stokes
3/8/22
5/27/22
3/17/22
9
Remarks and Notes:
PERMIT REVIEWS
Report By:
CRW
T=. CITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT
Permit No. B23-0332
ISSUED
05/04/2023
Permit Number B23-0332
DESCRIPTION
AVELINA PH 5. 7-PLEX. PLAN 3. 1801sf SFR. 422sfATT GAR
8 ROOF MOUNTED SOLAR PANELS- 2.80kW DC SYSTEM. ARCH PC
ISSUED BY DF5
B21-1320
SITE APN TRACT 18148 UNIT 52
SITE LOT NO 2
g
SITE TRACT 18148
SITE SUBDIVISION AVELINA �j 1 q `
�` �9f
JOB VALUE $ 205,150
OCCUPANCY TYPE R -3/U
PERMIT TYPE. BUILDING
ELECTRICAL PERK IT AMOUNT
BUILDING SF 1,801
NO STORIES 3
NEW RES OCCUPANCY GROUP R-3 112.62
NEW RES OCCUPANCY GROUP U 12.66
NO UNITS 1
SERVICES 600V OR LESS NOT OVER 200AMPS 33.78
ELECTRICAL ISSUANCE FEE 27.24
JOB ADDRESS: 32006 PASEO DERIVA 52
OWNER NAME ARROYO CAP 11 1 LLC,
PHONE
MAILING ADDRESS 18575 JAMBOREE RD
CITY,STATE,ZIP IRVINE, CA 92612
Total Electrical 186.30
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
BUILDING SEWER 27.29
TENANT NAME
PHONE #
FIRE INSTALL 1 TO 50 66.44
MAILING ADDR
BACKFLOW PROTECTION NON ATM >2IN 27.29
CITY, ST, ZIP
MECHANICAL PERMIT AMOUNT
MOBILE HOME PER IF AMOUNT
DUCT INSTALL/REPLACE/RELOC 168.63
APPLIANCE VENTS 8.03
VENTS AND EXHAUST HOOD/DUCTS 11.79
AC/BOILER/COMPR<3HP AND 100K 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
'xplralionn Every permit issued shall become invalid unless the work on the site authorized I3N
building construction, whether specified herein or not. I also agree to save, indemnify and keep
harmless the City of San Juan Capistrano against all liabilities, judgments, costs and expenses
oth permit is commenced within 12 months after its issuance, or if the work authorized on the
which may in any way accrue against said City to consequence of the pr.m•tliv rINI. l
ircbysuch permit is suspended orabandonedfora period of 180 days after the time the work
y
�4'1r
ammrnccriOwner/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 /�l
I hereby affirm 4 am licensed under pnrvi.lnn of Chapter 9 I ❑i i.ion 3 of the Business and Professions Code, and my license is in full force and effect
it •• I..6,nxmpr of the pmpeoy- or my employees with wages as their sole compensation. will do the work and the structure is not intended or offered for sate. (Sec.7CWa, Business and Professions
RContractor:
'nntmzmr'r Uccusc L�%v% dr+ev nnl apply to and owner orproperty who builds or improves thct can, Svho does srrch work himself 0r IL- oubh his employees, provided that such Improvem encs sre not
r orlcrcil feesole. If hm,cN ¢, dor badsng or Improyemcnt is sold within one year of comptclion, Shp owner -builder wifi hoz the burden oiproving that he did nal build or improve fprthe purpose orsale)
w•oprlBrrtldor: I, as owner ofthe property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law doesnot
owner 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
r c rnv, - 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 th
I ; Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carricr_tiM68B j MEt ITY 8 L_LA0iL=
COMPANY Policy91000004709 (This section needs to be completed if the permit is for one hundred dollars($100) or less)
Exemption: I certify that 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[ should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
)ate Applicant
WARN ING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECTAN EMPLOYERTI CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSDAND DOLLARS(S100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES
CITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT FEES
,A
T AtJncPA i'nUCTRT T(`T7C)XT T T
Phone/E-Mail 949 379-5289
Job LOcation]32006 13ASF.O DERIVA 52
Account #
Type
Cost
01-44221
Building Permit
$
1,762.56
01-44223
Mechanical
$
290.36
01-44224
Plumbing
$
347.55
0144225
Electrical
$
186.30
01-44221
Mobile Home Permit
$
0.00
01-44222
Grading Permit Fee
$
0.00
01-44231
Grading Plan Check
$
$
$
0.00
0.00
0.00
01-44222 On -Site Residential Permit
01-44231 On -Site Residential Plan Check
Subtotal
$
2,586.77
01-44230
Bond Processing
$
0.00
01-44230
Building Plan Check
$
0.00
01-44230
.Additional Plan Check
$
0.00
01-44 30
( Digital Record Fee ($1.00 per sheet)
$
34.20
01-44221
C & D Administrative Fee
$
92.74
01-44221
Special Inspection-Reinspectic n
$
0.00
01-44222
On -Site Commercial/Tract Permit Fee
$
0.00
01-44231
On -Site Commercial/Tract Plan Check Fee
S
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
A Appro\ral
Date Received
c ool ees L
Date Received
Engineering Fees
ate Keceived
Water Division Fees I
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)
$
258.68
90-23000
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
$
14,187.02
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 Mannapzita Waters Distu ct
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
v6ccl-ti
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\Eng\Tract Occupancy Release Letters
Santa Margarita Water District • 26111 Antonio Parkway, Rancho Santa Margarita, CA 92688
wwwSMWD.coni 0 (949) 4S9-6420
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 18145
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.
1++I
I}
Sincerely,
Denny .S I gall � s 'VAT E
Principal rp
, 01/30/26 A
7859 Sitio Coco, Carlsbad California 92009 1 TEL949.276.6500 I FAX 949.276.6506 1 WWW.SJAFNC.COM
4F..LCIG
Unit No.
�--itechnical, 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 S, 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.
Postgrading Release Lot Summaty - Aveling
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
3
HM
55
31990 -HM Paseo Deriva
B23-0375
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
Postgrading Release Lot Summaa - Avelino 02 ntinuedl
Building No.
Unit No.
59
Address
Permit No.
3
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.
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.
r - -
� 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
PLU,,,,l�G
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 More
Director of Quality Assurance
(951) 520-8590 ext. 7142
( ,-II[it it, ,u� /n�!)r( ui'II ,A Wall riu!% T, girl_
SO STAk�ALA&AILALALAkALAk♦.#iii
111"p cl11)11 '` Testim-', lnc.
FA \ 1 X02) 9-16-0020
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,
``e%%�i
4.
Steven L. Godbey Ian R. Vl:idd-!I, P.E.
President Principal Engineer
SLG/IRW: spg For inspection and testing only, no design
responsibility expressed or implied.