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B23-0339 - 31995 PASEO DERIVA 5930448 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: B23-0339 Building Address: 31995 PASEO DERIVA Tract: 18148 Lot: 2 Unit: 59 Building Use: (1801sf) 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 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 Permit Number B23-0339 Type BUILDING Subtype SFD -ATTACHED Status FINALED Owner ARROYO CAP II 1 LLC, Site Address 31995 PASEO DERIVA 59 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 Ronin Remarks and Notes: 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: Review Group: COO REVIEWS REVIEW DATES Review Type Status Reviewer Sent Due Returned Days Elapsed CERTIFICATE OF Applied 3/9/2023 LL3 4/22/24 Approved 3/9/2023 LL3 Issued 5/4/2023 DF5 Finaled 3/26/2024 KH1 Expired - ------ COO - BUS Applicant LANDSEA CONSTRUCTION LLC -- ----------------------- 3/12/24 3121/24 City State Zip SAN JUAN CAPISTRANO CA 92675 Tract Block Lot No Parcel No 18148 2 TRACT 18148 UNF Construction Type Occupancy Type COO - NPDES VB R -3/U 3/15124 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 Ronin Remarks and Notes: 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: 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 r)r r`I IPAnlr`.v Remarks and Notes: - ------ COO - BUS -- -- --- --- ----- ----------------------------------------- COO APPROVED BUSINESS LICENSE -- ----------------------- 3/12/24 3121/24 3125124 13 Remarks and Notes: COO - NPDES COO APPROVED Noreen Swiontek 3/12124 3/21/24 3/15124 3 Remarks and Notes: COO - PLANNING - COO APPROVED Laura Stokes 3/12/24 3/21/24 3/13/24 1 I-Irll IClr\lr, Remarks and Notes: PERMIT REVIEWS Report By: COO - PLANNING - COO APPROVED PLANNING 3/12/24 3/21/24 3/14/24 2 ppr) I MAN Remarks and Notes: (3/14/2024 4:56 PM LS) Landscape Architect Letter provided 3/13/24 --- ---------------- COO - PUB WRKS COO APPROVED James Prather 3/12/24 3/21/24 3117124 0 rn1.1 INCA Remarks and Notes: ------...-... ----- - — ........ -- .. COO - SMWD COO APPROVED SMWD 311204 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 RFIFACFC Remarks and Notes: ------•-••-•------........ ._..--...--- -BLDG COO APPROVED Kevin Hughes 3/12/24 3/26/24 14 r_QAnInIr_iRnNn Remarks and Notes: ---------- -- -- COO -OCFA - COO APPROVED Kevin Hughes rr KARA/INnINA1 II 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 REVIEW DATES Sent Due 3/8/22 5/27/22 14 Returned Days Elapsed 3/17/22 9 CMS YS TE&A S 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. B23-0339 B23-0339 DF5 TRACT 18148 UNIT 59 18148 IN� AVELINA Ljs /u!J'T $ 205,150 R -3/U BUILDING 1,801 3 I JOB ADDRESS: 31995 PASEO DERIVA 59 OWNER NAME ARROYO CAP 111 LLC, PHONE MAILING ADDRESS 18575 JAMBOREE RD CITY,STATE,ZIP IRVINE, CA 92612 CONTRACTOR NAME LANDSEA CONSTRUCTION LLC NEW RES OCCUPANCY GROUP U 1042287 ST. LIC EXPIRE 07/31/1024 PHONE (949) 379-5289 ADDRESS 660 NEWPORT CENTER DR #300 CITY, ST, ZIP NEWPORT BEACH, CA 92660 TENANT NAME PHONE# MAILING ADDR CITY, ST, ZIP Total Mobile Home I have carefully examined the complelad permit application and do hereby cartify under penalty of perjury that all information hereon including the declare=tons are true and correct and I furlher certify and agree if a permiI is issued: to comply with all City, C'.ouaty, and State rows governing building construction, Whriker specified herein or not I also agree to sAsv, indemnify and keep hannIess the City of San Juan Capistrano against all Ilabilitics, judgtnentL msfS and expenses which may In any way accrue against said City in consequence of the granting of rht< •s t1L1. Owner/Contractor L r I \1 11 Print Name If I Applicant's signature ISSUED 05/04/2023 AVELINA PH 5. 6-PLEX. PLAN 3. 1801SfSFR. 422sfATT 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 200ANTS 33.78 ELECTRICAL ISSUANCE FEE 27.24 Total Electrical 186.30 LUMB I K5 PER W IT 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 MECHANICAL PER IT 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 FURNACE FORCED AIR OR GRAVITY UP TO 100K 16.39 MECHANICAL ISSUANCE FEES 27.24 Total Mechanical 29036 tiratfan:: Every permit issued shall become invalid unless the work ,n the site authorized k i 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. Contractor: I hereby affirm tis: j I atm licensed under pro+j cm+ of (:'/saps r 9 of Division 3 of the Business and Professions Code, and my license is in full force and effect va.[ +v Lel vii 6klr_r- I. as owner of rhe property, ar my empfoyecs with `ages as their sole campenmotion, wi11 do the work and the strucrure is not intended or offered far sale (Sec 7044, Business and Professiur: e Contractor's License Laws doe not apply to and owner of prapery who builds or imp» over thereat), who does such work himself ar (hrough his employees, provided that such improv imams are not mtendad or offered for sale. If ho waver, the /tui ldiag ar improvement is sold within one y'cty of completion, the a+vner-bui liter will have the burdrn of proving th qt he did not build nr improve for the purpose of sale) *r - r• 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 ap _ nailer of prPperty who builds or improves thereon and who contracts for such projects with a contractor's) license pursuant to the Conhactor's License Law rc Cum r ' I 'u -1 hereby affirm under penalry of perjury enc of Ilse following dice Ioral icns-1 have amd Wiii maintain workers' cone nsottom insumiacc, as �r-�������ry Pe sequined by Section 3700 oFili a er Cudr, for the performance ofthe work for which this permit is issued My workers' campcnsation insurance carrier and policy nurnbcr are: Lanier_ TA EIv1Hl'f & LIABjaff Y ULLENr* Policy1l1000004709 (This section needs In he complcfcci if the panni# is for 0114 Ifundred dolle s(S 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 irl should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, T shall forthwith comply with those provisions. ).tie Applicant WARNING FAILURE TO SECURc: WORt:ERS'COATPENSAI'101ti COl'ERAGE IS UNLAWFUL, AND SHALLSVIIELT AN EMPLOYER TI CRIMMALPENAITIES AND CIVIL FINES UP TOONE HUNDRED THOUSDAND DOLLARS(St00,000) 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 Account # Type Cost 01-44221 Building Permit $ 1,762.56 01-44223 Mechanical 01-04224 Plumbing $ 290.36 01-44225 Electrical $ 320.26 01-44221 Mobile Home Permit $ .30 186 6.00 01-44222 Grading Permit Fee $ 01144231 Grading Plan Check $ 0.00 $ 0.00 01144222 On -Site Residential Permit 01-04231 On -Site Residential Plan Check $ 0.00 $ 0.00 Subtotal $ 2,559.48 01144230 Bond Processing 01-44230 Building Plan Check $ 0.00 011!4230 Additional Plan Check $ 0.00 01114230 Digital Record Fee ($1.00 per sheet) $ 0.00 01-44221 C & D Administrative Fee 34.20 01144221 Special Inspection -Reinspection $ 92.74 01144222 On -Site Commercial/Tract Permit Fee $ 0.00 01144231 On -Site Commercial/Tract Plan Check Fee $ 0.00 01-44214 Geotechnical Soils Plan Review $ 0.00 $ 0.00 10-44320 Ordinance 211 10-42510 Ordinance 364 $ 50.00 01-45354 Copies Q.20 Each $ �.cr{ 1.Sa 90-23331 SMIP Fee $ 0.00 33-44370 H.0-P.E. Fee (Housing in Lieu) $ 26.67 6.00 $ Other Fees $ ii,687.90 ees pcnooi rees ate eceiw ngmeering Fees to ecelved Water Division Fees Date Received 01144221 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 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 Mar-gamita Watery 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 f 6vs�V-A� ' 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) 4S9-6420 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 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. I� Sincerely, 31 Denny Smttl gall Principal t a �q,A avaa 16 7859 Sitio Coco, Carlsbad Califomia 92009 1 TEL 949.276.6500 I FAX 949.276.6506 1 WWW.SJAINC.COM PLJM G INC. 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, r Doug Moore Director of Quality Assurance (951) 520-8590 ext. 7142 LGO 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. Postgradino Release Lot Srfmary - 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 Lot Summary - 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. - p 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 (��I?Iiltunin In)pd, It, )/I ,� llru, �ri,rl� I" NII11" SOUT11WEsr�AL -- AL-�.•ALAkAL-�-ALAL 111"'peclio n & I'c"l inn. 111C. .3-11 CoI11111CIVi;11 \\'a\, I.n 11 ihr1, C'\'1110.}1-01OS (';02 1 94 1-2900 • (714) x_10-ti4-31 1--..\X I Q02) 940-0026 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, 't w C04 19 lr; d� Cep '3-31-25 Steven L. Godbey Ian R. veil, P. �_ President Principal k qi; eer SLG/IRW: spg For inspection and testing only, no design res onsibilit ex ressed or implied.