B23-0335 - 32011 PASEO DERIVA 5530448 Rancho Viejo Road, Suite 110
San Juan Capistrano, CA 92675
(949) 493-1171
(949) 493-1053 Fax
www.SanJuanCapistrano.org
April 22, 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:
B23-0335
Building Address:
32011 PASEO DERIVA
Tract:
18148
Lot:
2
Unit:
55
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:
CITY OF SAN JUAN CAPI_STRANO
JAMES WIATRA , 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
4/22/2024
Permit Number B23-0335
Type BUILDING
Subtype SFD -ATTACHED
Status FINALED
Owner ARROYO CAP II 1 LLC,
Site Address
32011 PASEO DERIVA 55
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 3/9/23 3/12/24 369
Rnnin
Remarks and Notes:
Review Group: BUILDING REVIEW DATES
Review Type Status Reviewer Sent Due Returned Days Elapsed
BUILDING 4+ PCAPPROVED 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
Applied 3/9/2023
LL3
3/12/24
Approved 3/9/2023
LL3
COO - BUS
Issued 5/4/2023
DF5
3/12124
Finaled 3/26/2024
KH1
COO - NPDES
Expired
Remarks and Notes:
Applicant LANDSEA CONSTRUCTION LLC
COO APPROVED Laura Stokes
City
State Zip
SAN JUAN CAPISTRANO CA 92675
Tract
Block Lot No Parcel No
18148
2 TRACT 18148 U N I
Construction Type
Occupancy Type
VB
R -3/U
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
Rnnin
Remarks and Notes:
Review Group: BUILDING REVIEW DATES
Review Type Status Reviewer Sent Due Returned Days Elapsed
BUILDING 4+ PCAPPROVED 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
nrri 1pnn1r1V
3/12/24
3/21/24 3/12/24
Remarks and Notes:
COO - BUS
COO APPROVED BUSINESS LICENSE
i irFnicF
3/12124
3121/24 3/13124
Remarks and Notes:
COO - NPDES
COO APPROVED Noreen Swiontek
Remarks and Notes:
COO - PLANNING -
COO APPROVED Laura Stokes
Nni icinirr
Remarks and Notes:
PERMIT REVIEWS
Report By:
3/12/24
4/22/24
41
3/12/24
3/21/24 3/12/24
0
3112124
--------------------- - -
3121/24 3115/24
--- ---- -- -- --------
3
3/12124
3121/24 3/13124
1
CWWSrSTEMS
COO - PLANNING -
COO APPROVED PLANNING
pRn I MAIV
0
--------_-
3/12/24
Remarks and Notes: (3/1412024 4:58 PM LS)
-----
4/2/24
Landscape Architect Letter provided 3/13/24
COO - PUB WRKS
------- --- - --------
COO APPROVED James Prather
rnti inicp
Days Elapsed
3/8/22
Remarks and Notes:
COO - SMWD
COO APPROVED SMWD
Remarks and Notes:
3/12/24 3/21/24 3/14/24 2
3/12/24
3/21/24
3/12/24
0
--------_-
3/12/24
------- -- ----------
3/21/24
-----
4/2/24
21
-------
COO - UTILITIES COO APPROVED Camilo Jimenez 2/26/24 3/6/24.......... .. --------- ---
3/12/24 15
nrrnr�rr.
Remarks and Notes:
COO -BLDG COO APPROVED Kevin Hughes
rRnniniriRnnm
Remarks and Notes:
COO -OCFA - COO APPROVED Kevin Hughes
rnnnnn11n1n1RA1 u
Remarks and Notes:
Review Group: PLANNING
Review Type Status Reviewer
PLANNING 2nd PC APPROVED Laura Stokes
Remarks and Notes:
PERMIT REVIEWS
Report By:
3/12/24
--------
3/26/24
-- --------------
14
3/12/24
3/26/24
14
REVIEW DATES
Sent
Due Returned
Days Elapsed
3/8/22
5/27/22 3/17/22
9
CXWSYSTEPAS
Permit Number
ISSUED BY
SITE APN
SITE LOT NO
SITE TRACT
SITE SUBDIVISION
JOB VALUE
OCCUPANCY TYPE
PERMIT TYPE.
BUILDING SF
NO STORIES
NO UNITS
CITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT
Permit No. B23-0335
B23-0335
DF5
TRACT 18148 UNIT 55
2 Pat
18148
AVELINA
$ 209,238 Y"
R -3/U
BUILDING
1,840
3
1
I JOB ADDRESS: 32011 PASEO DERIVA 55
PHONE
MAILING ADDRESS
CITY,STATE,ZIP
CONTRACTOR NAME
ST. LIC EXPIRE
PHONE
ADDRESS
CITY, ST, ZIP
TENANT NAME
PHONE#
MAILING ADDR
CITY, ST, ZIP
Total Mobile Home
18575 JAMBOREE RD
IRVINE, CA 92612
LANDSEA CONSTRUCTION LLC
1042287
07/31/2024
(949)379-5289
660 NEWPORT CENTER DR #300
NEWPORT BEACH, CA 92660
I have carefully examined site complctad permit application and d hereby Certify under penalty of
perjury that all information hereon including dee declarations are Me and correct and I furter
certify and a9w if a permit is issued: m comply with 311 City, County, and State laws governing
building construction, wherherspecified Itorein or not I also agree to save, indemnify and keep
harmless the City of San Jl,an Capistrano against all 1inbilities, indgmeni%costs and expenses
which may in any way accrue ugam i !City in cgrsegmencc of I wn ng of h Item t.
Owner/Contractor Y�'
Print Name j2L-� ,
Applicant's signature ) !►
Contractor: I hereby affirm at I am licensed under
ISSUED
05/04/2023
AVELINA PH 5. 6-PLEX. PLAN 3 -END. 1840sf SFR, 422sfATT GAR.
8 ROOF MOUNTED SOLAR PANELS. 2.8OkW DC SYSTEM. ARCH PC
B21-1320
NEW RES OCCUPANCY GROUP R-3
115.08
NEW RES OCCUPANCY GROUP U
12.66
SERVICES 600V OR LESS NOT OVER 200AMPS
33.78
ELECTRICAL ISSUANCE FEE
27.24
Total Electrical
188.76
PL MS G PERMIT
AMOUNT
PLUMBING ISSUANCE FEE
27.24
FIXTURES AND VENTS
173.60
WATER HEATER INCLUDING VENT
13.62
WATER PIPING SYSTEMS
5.26
# GAS SYSTEMS
6.81
BUILDING SEWER
27.29
FIRE INSTALL 1 TO 50
66.44
BACKFLOW PROTECTION NON ATM >2IN
27.29
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
EXHAUST FAN W/ SINGLE DUCT
42.00
FURNACE FORCED AIR OR GRAVITY UP TO IOOK
16.39
MECHANICAL ISSUANCE FEES
27.24
Total Mechanical
290.36
Bratton:: Every permit issued shall become invalid unless the work •,a
the site authorized h,
It permit is commenced within 12 months after its issuance, or if the work
authorized on the
by such permit is suspended or abandoned for a period of 180 days after the time the work
An OSHA permit is required for excavations over 5'0" deep and demolition or construction of
structures over 3 stories in height_
of Ot:ipT& 9 of Division 3 of the Business and Professions Code, and my license is in fiill force and effect
l I, as 05tmcr of the property, of my employees with wages as thcif sale cumptnsation, will du the work and the structure is not intended or offered for sale (Sec.7044, Business and Professions
Ilx Contmctor's License Laws does not apply [a and owner of property who builds or improves Ihocon, lvho docs such work himself or through his employees, provided that such improvements arc not
intended or offered for sale. If however, the building ar imprnvemem is sold wi[hin one yam of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale)
Owner/Builder. 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
a h• n an owner of property who builds or improves thereon and who contracts for such projects with a to
license pursuant to the Contractor's License Law.
u 11'u - :n antro -1 hereby affirm under penalty of perjury one or the following declaration5:l have and will Mai Our n workers' compensation msuranee, as requited by Section 3700 of
Code, for the perfartnance of rhe work for which this permit is issterd. Afy workers*ramlxnsaiion insurance comer and policy numbcrare Garner STARK rNDEMb}]lY& LSABL1T
QMPAN Policykl(H10004709 {This sedan needs to be completed if the peF.1. is for one hundred dollaNS 100) or less) iY_
Ex notion, I certify that in the performance of the work ror 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 fodhwith comply with those provisions
Applicant
%VARNfi';G:FAiLLFAF'r0 SECURE w•ORR.ERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER Tl CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSDAND DOLLARS(SI00,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF TIDE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
CITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT FEES
Hppiicant:
Phone/E-Mail
Account #
Type
Cost
01-44221
Building Permit
$
1,786.52
01-44223
Mechanical
$
290.36
01-44224
Plumbing
$
347.55
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
01-44231
On -Site Residential Plan Check
$
0.00
$
0.00
Subtotal $
2,613.19
01-44230
Bond Processing
$
0.00
01-44230
Building Plan Check
nal Plan Check
$
000
EEEF
$
0.00
Record Fee ($1.00 per sheet)
01- 4221
dministrative Fee
$
34.20
$
92.74
01-44221
Special Inspection -Reinspection
01-44222
On -Site Commercial/Tract Permit Fee
$
0.00
$
0.00
01-44231
On -Site Commercial/Tract Plan Check Fee
$
0.00
01-44214
Geotechnical Soils Plan Review
10-44320
Ordinance 211
0.00
50.00
10-42510
Ordinance 364
x,49}.380145354
Copies @.20 Each0
V$s
0090-23331
SMIP Fee
27 2033-44370
H. O. P. E. Fee (Housing in Lieu)
0.00
Other Fees
6,687.90
ees
�cnovi rees "DaR
ceivea
Engineering ees ce1ved
Water Division Fees ceirr d
01-44221 Title - -Energy Provision (20% Permit Subtotal & Bldg Plan Check)) $ 351.86
01-44221 Title 24 ADA Fee (10% Permit Subtotal & Bid
g Plan Check) $ 0.00
01-44240 NPDES Permit Fee (10% Permit Subtotal) $ 261.32
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 $ 14.303.17
Receipt # 94610 Date: 7,4 X023 Cashier:
BOARD OF DIRECTORS
LAURA FREESE
CHARLES T. GIBSON
SAUNDRA F. JACOBS
BETTY H. OLSON, PH.D
FRANK URY
DON BUNTS Santa Marzgarzita Waterz 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
v6os�'
Patricia Butler, P.E.
Chief Engineer
cc: Tony Gaetano, Inspector
Elena Wilson/email
Irma Lopezlemail
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 0 (949) 459-6420
In
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 Housj� Meter)
This letter is to certify that aII 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.
r
jl
Sincerely,
Y11 ti 91 2
Denny Smi gall
Principal # s A E ,4
01/3V26 ~�I
7859 Sitio Coco, Carlsbad Califomia 92009 TEL 949.276.6500 I FAX 949.276.6506 I WWW.SJAINC.COM
PLUG
M��-N
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- 55-56-57-58-59-60
To Whom it may concern,
3-21-24
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 M6ore
Director of Quality Assurance
(951) 520-8590 ext. 7142
# 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.
Postgradirr8 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
Post rading Release LotSumm i 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.
1J r p
No. 2749 ur—,
+ *)
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
(,4n(il(lfinIN hINIr( ( Iinii ,( II.,aI rid IN I" v(rr:
SOUTHWEST A&AL:Akk Ahk Ai, A&ALA6...LAL,&SAL
I El sl)e c'I I��EI �l I �'Sl t 13r:. I I1C.
.4-11 CunnnrroaI \1';i\. 1.0 IIobra, ('.\ 90631-0I ON
(SO-') 941--'990. 17 14 ) X20-8441
I---\ X (i(12) 040-0020
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 3
Address: Tract #18148, San Juan Capistrano
Owner: Landsea Homes
Lot#
Address
Permit#
55
32011 Paseo Deriva
B23-0335
56
32007 Paseo Deriva
B23-0336
57
32003 Paseo Deriva
B23-0337
58
31999 Paseo Deriva
B23-0338
59
31995 Paseo Deriva
B23-0339
60
31991 Paseo Deriva
B23-0340
House Meter
32011 Paseo Deriva
B23-0376
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.
Jason Sharobeem - Post Tensioned Concrete, Reinforced Concrete, ICC #9662561
Mina Endrawes - Reinforced Concrete, Post Tensioned Concrete, ICC #9048532
Justin Parrish - Post Tensioned and Reinforced 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.
. •5l�;;
Sincerely, Pevie�r-[t 6"
r'0A153
cYF 3r
Steven L. Godbey Ian R.
President Principal Engineer
SLG/IRW: spg For inspection and testing only, no design
responsibility expressed or implied.