B23-0336 - 32007 PASEO DERIVA 5630448 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:
B23-0336
Building Address:
32007 PASEO DERIVA
Tract:
18148
Lot:
2
Unit:
56
Building Use:
(1801sf SINGLE FAMILY DWELLING w/ (422so 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
JAMES WIATRAK, 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
4/22/2024 Page 1
Plan Review History
Permit Number B23-0336
Type BUILDING
Subtype SFD -ATTACHED
Status FINALED
Owner ARROYO CAP II 1 LLC,
Site Address
32007 PASEO DERIVA 56
Subdivision
AVELINA
Zoning
Review Group: ALL
Applied 3/9/2023
LL3
4/22/24
Approved 3/9/2023
LL3
Due Returned
Issued 5/4/2023
DF5
3/9/23
Finaled 3/26/2024
KH1
Rnnin
Expired
- -- -- --- -- -- -------------
COO - BUS
Applicant LANDSEA CONSTRUCTION LLC
3/12124
City
State Zip
Review Group: BUILDING
SAN JUAN CAPISTRANO CA 92675
REVIEW DATES
Tract
Block Lot No Parcel No
Sent
18148
2 TRACT 18148 U N I
Construction Type
Occupancy Type
5/27/22 5/11/22
VB
R -3/U
--
3121/24 3115124
Review Group: ALL
COO APPROVED Dianna Flores
REVIEW DATES
4/22/24
Review Type Status Reviewer
Sent
Due Returned
Days Elapsed
C & D RECYCLING PC APPROVED Dianna Flores
3/9/23
3/12/24
369
Rnnin
- -- -- --- -- -- -------------
COO - BUS
Remarks and Notes:
3/12124
3/21124 3/25124
13
Review Group: BUILDING
REVIEW DATES
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:
--
3121/24 3115124
3
Review Group: COO REVIEWS
REVIEW DATES
Review Type Status Reviewer
Sent
Due Returned
Days Elapsed
CERTIFICATE OF
COO APPROVED Dianna Flores
3/12/24
4/22/24
41
nrrl IPAK1rV
Remarks and Notes:
- -- -- --- -- -- -------------
COO - BUS
---- --- ---- --- --- --- --
COO APPROVED BUSINESS LICENSE
3/12124
3/21124 3/25124
13
i irFni�F
Remarks and Notes:
COO - NPDES
------------------
COO APPROVED Noreen Swiontek
--------------------------------------------
3/12124
--
3121/24 3115124
3
Remarks and Notes:
COO - PLANNING -
------------------------------
COO APPROVED Laura Stokes
3112/24
3/21/24 3/13124
1
Nni icinir_
Remarks and Notes:
PERMIT REVIEWS
----- -- -- ------------------
-- - --
Report By:
CRW -
COO -PLANNING- COO APPROVED PLANNING 3/12/24 3/21/24 3/14/24 2
PRr) I MAN
Remarks and Notes: (3/14/2024 4:57 PM LS)
Landscape Architect Letter provided 3/13/24
..-------- ---- —...
COO - PUB WRKS COO APPROVED James Prather 3112124 3121124 3112/24 0
rrlr%l IKICp
Remarks and Notes:
COO - SMWD
COO APPROVED SMWD
3/12124
3/21124
4=.4
21
Remarks and Notes:
COO - UTILITIES
---------
COO APPROVED Dianna Flores
3/12124
-
3/21.124
-
3112/24
.........
0
RFI FACFC
Remarks and Notes:
COO -BLDG
COO APPROVED Kevin Hughes
3/12/24
3/26/24
14.
r:RAnlnlrriRnnln
Remarks and Notes:
COO -OCFA -
COO APPROVED Kevin Hughes
3/12/24
3/26/24
14
rnnnnnnnlmmAl 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:
Cfi W . YSTE&tS
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. B23-0336
B23-0336
DF5
112.62
TRACT 18148 UNIT 56
2
SERVICES 600V OR LESS NOT OVER 200AMPS
18148
FINAL
AVEL
4
$ 205,115050
y� -�—
R -3/U
# GAS SYSTEMS
BUILDING
BUILDING SEWER
1,801
FIRE INSTALL I TO 50
3
1
BACKFLOW PROTECTION NON ATM >21N
JOB ADDRESS: 32007 PASEO DERIVA 56
1AVNER NAME
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 careful Ey examined the completed permit appiicalion and do hereby cerli fy under pemalty of
perjury flint all information hereon including the declarations are true and cvrrael and I NO her
Certify and agree if a permit is issued: to comply will' all City. County, and State laws governing
building construefion, whether specified herein or not I also agree to save, indemnify and keep
harmless the City of San Juati Captsrrano against all lfabilitles, judg-ments, costs and expenses
which may in any way accrue against said City in canecquenca of the I.-umi ne of thIN nennit
Owner/Contractor
Print Name
Applicant's signature
F� Contractor, I hereby affirm fat lain licensed
ISSUED
05/04/2023
AVELINA PH 5. 6-PLEX. PLAN 3. 1801sf SFR. 422sf ATT GAR
8 ROOF MOUNTED SOLAR PANELS. 2.80kW DC SYSTEM. ARCH PC
B21-1320
NEW RES OCCUPANCY GROUP R-3
112.62
NEW RES OCCUPANCY GROUP U
12.66
SERVICES 600V OR LESS NOT OVER 200AMPS
33.78
ELECTRICAL ISSUANCE FEE
27.24
Total Electrical
186.30
PLUMBING 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 I TO 50
66.44
BACKFLOW PROTECTION NON ATM >21N
27.29
MEC [�PERMIT
AMOUNT
DUCT INSTALL/REPLACE/RELOC
168.63
APPLIANCE VENTS
8.03
VENTS AND EXHAUST HOOD/DUCFS
11.79
AC/BOILER/COMPR<3HPAND 100K BTU
16.28
EXHAUST FAN W/ SINGLE DUCT
42.00
FURNACE FORCED AIR OR GRAVITY UP TO 100K
16.39
MECHANICAL ISSUANCE FEES
27.24
Total Mechanical
290.36
iiroliom: Every permit issued shall become invalid unless the work on the site authorized li
h permit is commenced within 12 months after its issuance, or if
the work authorized on iln•
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
9 of Division 3 of tie Business and Professions Code, and my license is in full force and effect
t uTW r• I, u usvacr of dre Prnpcn}•. „r my cmPln}tcs with Rages as their sale mmpensatiall, w111 d,i llu work and the structure is not intended of offered for sale (Sec 7044, Business and Professions
c L""�ntrattar's Llcrnse Laws does ttnl appy- to and owner of pmperry t4hv builds or improves dierenn. whir aloes such work himself or through his cmpin� ccs. provided that such improvements are not
inlerrded ar olfcrrd [or sale Tf huwrvrr, etre building or impravemenl is sold within ane year of completion, The owner-bullder will have the burden ofproving that he did not build or improve foi the purpose of sale)
Idri r. es owner of rhe prop rn. ani eticlusrvcly contracri i) with ]!tensed contractors to L'nnhrl'Uet the project (See. 7044, Business and Professions Code: The Contractor's License Law does not
Ul;ih' n owiur of property wtw builds m isiipt„s cs thereon and who tontracls for such prajecrs with n license pursuant to the Contractor's License Law.
k •r. ri m:i i -I hereby affirm under penalty ofperjury one of tlic following declarations:[ have and will maintain workers' compensation insurance, as required by Section 3700 of
a nJr, for the performance of the work for which this permit is issued. My workers compensation insurance carrier and policy number are: Carrier ST,�i R R_(NDEls1i LAITY d: T.IARTT TTY
CL7AiPANl1' Policy#1000004709 (This section needs to be completed if the permit is for one hundred dollars($100) or less)
ion: 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 woikets' compensation laws of
Ca lfomin and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
Applicant
wAKNTNC.i FAILURE TO SECURE WORKERS'CONIPEksATlE71ti COVERAGE tS UNLAW I—, AND SHALL SUBJECTAN E-AdPLOYER Tl CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOL'SDAND DOLLARS(S 100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INI ERESI AND Al FORNEY'S FEES
CITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT FEES
Pho
Account #RElectrical
Type
Cost
01-44221
mit
$
1,762.56
01-44223
01-44224
290.36
$
347.55
01-44225
$
186.30
01 44221
Permit
01-44222
it Fee
0.00
01-44231
Grading Plan Check
$
0.00
$
0.00
01-44222
On -Site Residential Permit
01-44231
On -Site Residential Pian Check
$
0.00
$
0.00
Subtotal $
2.58r1.77
014230
Bond Processing
0144230
Building Plan Check
$
0.00
0144230
Additional Plan Check
$
0.00
$
0.00
01-44230
Digital Record Fee ($1.00 per sheet)
01-44221
C & D Administrative Fee
$
34.20
01-44221
Special Inspection -Reinspection
$
92.74
01-44222
On -Site Commercial/Tract Permit Fee
$
0.00
0144231
On -Site Commercial/Tract Plan Check Fee
$
0.00
0144214
Geotechnical Soils Plan Review
$
0.00
$
0.00
10-44320
Ordinance 211
10-42510
Ordinance 364
$
50.00
01-45354
Copies @ .20 Each
$
2,051.50$
90-23331
SMIP Fee
0.00
334 4370
H.O.P.E. Fee (Housing in Lieu)
$
2667
6.00
$
Other Fees
$
6,687.90
Fees
ees
ng
01-44221 Title 24 Energy Provision (20% Permit Subtotal & Bldg Plan Check)) $ 347.06
0144221 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/Dep0sit Posted by Owner Contractor Type
TOTAL FEES PAYABLE TO CITY OF SAN JUAN CAPISTRANO
S 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
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 Marzgarzita 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
?6cctl
Patricia Butler, P.E.
Chief Engineer
cc: Tony Gaetano, Inspector
Elena Wilson/email
Irma Lopez/email
Mona Boers -Kort /email
Renee Chincbilla/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
wwwSMtiVD,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 18148
10 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.
J +t
Sincerely,
If
�I crioi
Denny Smit gall
Principal
7859 Sitio Coco, Carlsbad California 92009 1 TEL 949.276.6500 1 FAX 949.276.6506 1 WWW.SJAINC.COM
PLU 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- 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 Mbore
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, "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.
Postgrading Release LotSummary - Avelina
Building No.
Unit No.
48
Address Permit No.
2
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
Postgrading Release LotSummary - Ay -g ina (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.
L; No. 2749
Barry Graham, CEG 2749 '9a
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
T 1111imuIln h �/P, ( li(ui .l Will, rirl� It N11
SOV ST�Ak�AkAkAlk Ak AL A& AL AL Ak AL AL AIL
tIll"peclion & cstillg'. Inc. 441 Conmirrcial \Va� 1.0 fhhra. CA'll 631-01 OS
I �o I'?41-11)') • 171-11 5_h ti -1-11
f \ \ 946-0026
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.
Sincerely, Revie�, _o
C04 19
EXF. 3333
Steven L. Godbey Ian R. ►'��sCle 1, P.' .
President Principal Engineer
SLG/IRW: spg For inspection and testing only, no design
responsibility expressed or implied.