B23-0338 - 31999 PASEO DERIVA 5830448 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:
B23-0338
Building Address:
31999 PASEO DERIVA
Tract:
18148
Lot:
2
Unit:
58
Building Use:
(1779sf) SINGLE FAMILY DWELLING w/ (413sf) 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, 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 Page 1
Plan Review History
Permit Number B23-0338
Type BUILDING
Subtype SFD -ATTACHED
Status FINALED
Owner ARROYO CAP II 1 LLC,
Site Address
31999 PASEO DERIVA 58
Subdivision
AVELINA
Zoning
Review Group: ALL
Applied 3/9/2023
LL3
3/21/24 3/25124 13
Approved 3/9/2023
LL3
Due Returned
Issued 5/4/2023
DF5
3/9/23
Finaled 3/26/2024
KH1
Fznnin
Expired
Remarks and Notes:
Applicant LANDSEA CONSTRUCTION LLC
------------------------
COO APPROVED Laura Stokes
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
Review Group: ALL
COO APPROVED Dianna Flores
REVIEW DATES
3/21/24 3/25124 13
Review Type Status Reviewer
Sent
Due Returned
Days Elapsed
C & D RECYCLING PC APPROVED Dianna Flores
3/9/23
3/12/24
369
Fznnin
------------------------
COO APPROVED Noreen Swiontek
Remarks and Notes:
Remarks and Notes:
------------------------
COO APPROVED Laura Stokes
Nni icinir
Review Group: BUILDING
Remarks and Notes:
-------------------------
--------------------------
REVIEW DATES
Review Type Status Reviewer
Sent
Due Returned
Days Elapsed
BUILDING 4+ PC APPROVED CSG
5/4/22
5/27/22 5/11/22
7
Remarks and Notes:
Review Group: COO REVIEWS
REVIEW DATES
Review Type Status Reviewer
Sent
Due Returned
Days Elapsed
CERTIFICATE OF 3/12/24
COO APPROVED Dianna Flores
nrrl IPANrV
3/21/24 3/25124 13
------------------------------------------
----------------------------------------.3112/24
3112/24
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
Nni icinir
Remarks and Notes:
-------------------------
--------------------------
3/12/24
4/22/24 41
3/12/24
3/21/24 3/25124 13
------------------------------------------
----------------------------------------.3112/24
3112/24
3/21124 3/15124 3
3/12/24
3/21/24 3/13/24 1
PERMIT REVIEWS
Report By:
Cf?W
COO -PLANNING-
COO APPROVED PLANNING
3/12/24
3/21/24
3/14/24
2
PR() I nnnnI
Remarks and Notes: (3/14/2024 4:57 PM LS)
Landscape Architect Letter provided 3/13/24
COO - PUB WRKS
COO APPROVED James Prather
3/12/24
3/21/24
3/12/24
0
rnnl IKIRP
Remarks and Notes:
----------------------------------•--....-----------------
COO - SMWD
-------- ._
COO APPROVED SMWD
3/12/24
3/21/24
412/24
21
Remarks and Notes:
-
COO - UTILITIES
---------..--•--------
COO APPROVED Camilo Jimenez
2/26/24
3/6/24
3/12/24
--
15
RFI FaIQFC
Remarks and Notes:
COO -BLDG
-.--•---•----------------------------------
COO APPROVED Kevin Hughes
3/12/24
--.—.__.......--.--._._..----..-------------------
3/26/24
14
rRanwr,,/Rnnln
Remarks and Notes:
COO -OCFA -
---------.. ..---------- ----------
COO APPROVED Kevin Hughes
3/12/24
3/26/24
14
r.oKA11A/INn1hA1 II
Remarks and Notes:
Regrew 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:
OWSYSTE&AS
x • •_=�
CITY OF SAN JUANCAPISTRANOISSUED
DUCT INSTALL/REPLACE/RELOC
4
APPLIANCE VENTS
8.03
05/04/2023
" 'fl�1'^ _
BUILDING PERMIT
16.28
EXHAUST FAN W/ SINGLE DUCT
Permit No. B23-0338
FURNACE FORCED AIR OR GRAVITY UP TO I OOK
Permit Number
B23-0338
UZRIPT1dN
Total Mechanical
258.24
tirttiun.. Every permit issued shall become invalid unless the work
AVELINA PH 5. 6-PLEX. PLAN 2 -FH, 1779sf SFR. 413sfATT GAR
ISSUED BY
DF5
8 ROOF MOUNTED SOLAR PANELS, 2.8OkW DC SYSTEM. ARCH PC
SITE APN
TRACT 18148 UNIT 58
1321-1320
SITE LOT NO
2
SITE TRACT
18148 FINA
SITE SUBDIVISION
AVELINA
4
JOB VALUE
$ 202,384
OCCUPANCY TYPE
R -3/U
TYPE.
PERMIBUILDING
BUILDING
BUILDING SF
1 779
,EC.- RICA[. P Rltll'I'
Al 1(]i' f
NO STORIES
3
NEW RES OCCUPANCY GROUP R-3
110.88
NO UNITS
I
NEW RES OCCUPANCY GROUP U
12.39
SERVICES 600V OR LESS NOT OVER 200AWS
33.78
JOB ADDRESS: 31999
PASEO DERIVA 58
ELECTRICAL ISSUANCE FEE
27.24
OWNER NAME
ARROYO CAP II I LLC,
PHONE
MAILING ADDRESS
18575 JAMBOREE RD
CITY,STATE,ZIP
IRVINE, CA 92612
Total Electrical
CONTRACTOR NAME
LANDSEA CONSTRUCTION LLC
184.29
1042287
PL BIND PERMIT
AMOUNT
ST. LIC EXPIRE
07/312024
PLUMBING ISSUANCE FEE
27.24
PHONE(949)FIXTURES
89
AND VENTS
173.60
ADDRESS
660 NEWPORT CENTER DR #300
WATER HEATER INCLUDING VENT
13.62
CITY, ST, ZIP
NEWPORT BEACH, CA 92660
WATER PIPING SYSTEMS
5.26
# GAS SYSTEMS
6.81
TENANT NAME
BUILDING SEWER
27.29
PHONE #
FIRE INSTALL 1 TO 50
66.44
MAILING ADDR
CITY, ST, ZIP
Total Mobile Home
1 have carefully examined the completed permit WPI icalion and do hereby certify under penalty of
peljuty that all information hereon including the declarmions aro true and Gamer and I further
certify and agree if a permit is issued: to comply with all City. County, and State laws govemiog
building construe Can, whether apoWled herein or not. 1215-0 agrcc In save, ill darn nify and keep
harmless the City of San Juan Capistrano against all liabilities, judgmtenK costs and expenses
which may in any way —nic against said Cily in r0QJCgaence of t1le e:r:tnring 0rthia Mrmit_
Owner/Contractor
Print Name
Applicant's signature
MECHANICAL PERMIT
AMOUNT
DUCT INSTALL/REPLACE/RELOC
136.51
APPLIANCE VENTS
8.03
VENTS AND EXHAUST HOOD/DUCTS
11.79
AC/BOILER/COMPR<3HP AND IOOK BTU
16.28
EXHAUST FAN W/ SINGLE DUCT
42.00
FURNACE FORCED AIR OR GRAVITY UP TO I OOK
16.39
MECHANICAL ISSUANCE FEES
27.24
Total Mechanical
258.24
tirttiun.. Every permit issued shall become invalid unless the work
on the site authorized Ir
N permit is commenced within 12 months after its issuance, or if the
work authorized on the
by such permit is suspended or abandoned fora period of 180 days
after the time the work
I menced.
An OSHA permit is required for excavations over 5'0" deep and demolition or construction of
structures over 3 stories in height.
Contractor- I hereby affirm that 1 A licensed under Itruvisinl . cifChaptcri of Division 3 of the Business and Professions Code, and my license is in full farce and effect.
�= w lie r til • I..rl Vrmcr of the propctly'. nr lny e[npl.nrc, with wages as (heir sol. cineP nso tion, will do the rsork and the structure ii not Intended or otrenrd for lair (Sec.7044, Business and f'roressions
L »k to Contractor's Clean- LAA, dues nol apply io .md nwnet of property who builds or inrproi cs Oscreon, whn dr ,ouch we& himself ar Ihmugh his employees, provided that such improvements are not
ndcd or oflercd fur r.rk If Isn++cvr/., the huihf�uer of 1mprove mcnl is cold within one }'car of completion, the cwner-Wider will have the burden of pi oving that he did nnl buitd w improve for the purpcm of sale)
11trItin ilder, I, as owner of the property, am exclusively contracting with Iicensed contractors to construct the protect (Sec. 7044, Business and Professions Code: The Contractor's License Law does not
i>aJ
wnerafproperty who builds or improves thereon and who contracts forsuch projects with a contractor's) licensepursuant to the Contractor's License Law_n-Iherebyaffirm under penalty ofper)uryOne ot'the folemnng dcclaratians:lhave and will maintain workers' compensation insurance, as required by Section 3700 of
.alt , for the performance ofthework forwhich this permit is issued My workers'cormpensalion insurance carrierand policy number are. Carr er 57 Aii32 INpEtiSNiTY�I& 1AS1LfCY_
CLONJIIANi' Policy6I (1(X7004709 (This section needs to be completed if the permtl is for one hundred dnllars(S 100) or less}
_ _ .xem t net 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 workeri compensation laws of
California and agree Char if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, t shall forthwith comply with those provisions.
)ale Applicant
WARNING:FAILURE TO SECURE WORKERS'COhs? EN SATI ON COVERA GI: IS UNLAWFUL, AND SHA 11 SUBJECT AN EMPLOYER TI CRIMINAL PENALTIES AND CI V1 FINES UP TO ONE HUNDRED
THOUSDAND DOLLA RS(YI 00.000) 1N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR N SECTION 3706 OF TI IF LABOR CO DF, INTEREST AND ATTORNEY'S FEES
CITY OF SAN JUAN CAPIISTRANO
BUILDING PERMIT FEES
Account#
Type
Cost
01-44221
Building Permit
$
1,744.59
01-44223
Mechanical
$
258.24
01-44224
j Plumbing
$
320.26
01-44225
Electrical
$
184.29
01-44221
Mobile Home Permit
$
0.00
01-44222
Grading Permit Fee
$
0.00
01-44231
Grading Plan Check
$
0.00
01-44222
01-4231
On -Site Residential Permit
On -Site Residential Plan Check
$
$
0.00
0.00
Subtotal
$
2,507.38
01-44230
Bond Processing
$
0.00
01-44230
Building Plan Check
$
0.00
01-44230
Additional Plan Check
$
0.00
01-14230
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
$
2,023.84
01-45354
Copies @ .20 Each
$
0.00
90-23331
SMIP Fee
$
26.31
33-44370
H.O.P.E. Fee (Housing in Lieu)
$
0.00
Other Fees
$
6,687.90
TCA Fees Date Receive
ApprovalNUA ate Received
5choof ees !]ate Receive
Engineering Fees ate eceive
Water Division Fees Date Received
01-44221
Title 24 Energy Provision (20% Permit Subtotal & Bldg Plan Check))
$
343.47
01-44221
Title 24 ADA Fee (10% Permit Subtotal & Bldg Plan Check)
g
0_00
01-44240
NPDES Pen -nit Fee (10% Permit Subtotal)
$
250.744
90-23000
Refundable Bond/Deposit Posted by Owner Contractor Type
$
2,023.84
90-23000
Refundable Bond/Deposit Posted by Owner Contractor Type
ITOTAL FEES PAYABLE TO CITY OF SAN JUAN CAPISTRANO
$
14.040.42
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 Water 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
v6a: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) 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 448 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.
r
jl
Sincerely,
VIT�;1_
342 `
L
Denny Smgall
Principal
�� Of/SOrx6 _e
7859 Sitio Coco, Carlsbad Califomia 92009 1 TEL 949.276.6500 I FAX 949.276.6506 1 WWW.SJAINC.COM
PL(I 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- 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 Moore
Director of Quality Assurance
(951) 520-8590 ext. 7142
LOC;.
Geotechnical, Inc.
March 12, 2024
Project No. 20266-01
Ms. Shannon Whittaker
Landsea Homes
7525 Irvine Center Drive, Suite 200
Irvine, CA 92618
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.
Postaradina Release .Lot Summa -- 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
Postgrading Release LatSummary - Avelina (Continued)
Building No -T 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.
[Jeri
11 LU INo. 2749 U)
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
SOUTHWEST'
& t•.1ing. 111c. 4-1I ('�murnr�ial \\n�, 1A Ilcthr.i,(' \'111G. 1-016-"\
o'(121041 -29,)(1 • r ,14 i -� 2(,-"- t44
I- 1 A I i62) Q-46-0010
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,
Steven L. Godbey
President
SLG/IRW: spg
Reviek", (1 6v =
titin _T. '
4 ;0,4 ' 9 M
,zo
Gr• ` `X'p 3_3_1-25
Ian R. Wt-ddell,
Principal Engineer
For inspection and testing only. no design
responsibility expressed or implied.