B23-0340 - 31991 PASEO DERIVA 6030448 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: B23-0340
Building Address: 31991 PASEO DERIVA
Tract: 18148
Lot: 2
Unit: 60
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 CAPISTRANO
QXY--"
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 B23-0340
Applied 3/9/2023 LL3
Approved 3/9/2023 LL3
Type BUILDING
Issued 5/4/2023 DF5
Subtype SFD -ATTACHED
Finaled 3/26/2024 KH1
Status FINALED
Expired
Owner ARROYO CAP II 1 LLC,
Applicant LANDSEA CONSTRUCTION LLC
Site Address
City
State Zip
31991 PASEO DERIVA 60
SAN JUAN CAPISTRANO CA 92675
Subdivision
Tract
Block Lot No Parcel No
AVELINA
18148
2 TRACT 18148 UNI
Zoning
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
Renin
Remarks and Notes:
----------------------------------------------------------- ----•--------- .-...-------------------------------.
COO - UTILITIES COO APPROVED Camilo Jimenez 2/26/24 3/6/24 3/12/24 15
RFI FACFC
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
nrrrrl Ipnnl�v
Remarks and Notes:
COO - BUS COO APPROVED BUSINESS LICENSE
I IrFnICF
Remarks and Notes:
COO - NPDES COO APPROVED Noreen Swiontek
Remarks and Notes:
PERMIT REVIEWS
Report By:
3/12/24 4/22/24 41
3/12124 3/21124 3/25124 13
.. .. .. .. ..
3/12/24 3/21/24 3/15/24 3
CRW
COO - PLANNING -
COO APPROVED Laura Stokes
3/12/24
3/21/24
3/13/24
1
Remarks and Notes:
COO - PLANNING -
COO APPROVED PLANNING
3/21124
3/14124
2
PPn-i MAN
Remarks and Notes: (3/1412024 4:56 PM LS)
Landscape Architect Letter provided 3/13/24
-----------
COO - PUB WRKS
-------
COO APPROVED James Prather
3/12124
3121124
3/12/24
0
rnnl W-RP
Remarks and Notes:
COO - SMWD
------------
COO APPROVED SMWD
3/12/24
3/21/24
4/2/24
21
Remarks and Notes:
------- •• ------ -
COO -BLDG
COO APPROVED Kevin Hughes
3/12/24
3/26/24
14
r_RAnintriRnnin
Remarks and Notes:
COO -OCFA -
COO APPROVED Kevin Hughes
3/12/24
3/26/24
14
rnnnnnnntnrnni n
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:
43MS YS TE NI S
Permit Number
B23-0340
CITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT
Permit No. B23-0340
ISSUED BY
DF5
NEW RES OCCUPANCY GROUP U
SITE APN
TRACT 18148 UNIT 60
07/31/2024
SITE LOT NO
2
FINAL
660 NEWPORT CENTER DR #300
CITY, ST, ZIP
SITE TRACT
18148
6.81
SITE SUBDIVISION
AVELINA
MAILING ADDR
JOB VALUE
$ 209,238
site authorized hi
OCCUPANCY TYPE
R -3/U
the time the work
PERMIT TYPE,
BUILDING
BUILDING SF
1,840
NO STORIES
3
NO UNITS 1
JOB ADDRESS: 31991 PASEO DERIVA 60
DWNER NAME ARROYO CAP]] I 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
07/31/2024
PHONE
(949) 379-5289
ADDRESS
660 NEWPORT CENTER DR #300
CITY, ST, ZIP
NEWPORT BEACH, CA 92660
TENANT NAME
6.81
PHONE#
27.29
MAILING ADDR
66.44
CITY, ST, ZIP
site authorized hi
Total Mobile Home
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
certify and agree ifa permit is issued: to comply with all City, County, and State laws governing
building construction, whether specified herein or not. I also agree to save, indemnify and keep
tearless the City of San Juan Capistrano against all liabilities, judgments, costs and expenses
which may in any way accrue against said City in consequence of the grartiTig of this perriil
Owner/Contractor
Print Name
:ant's signature
Contractor, I hereby affirm
I am licensed under ptrrvtsiunz
ISSUED
05/04/2023
AVELINA PH 5. 6-PLEX. PLAN 3 -END. 1840sf SFR. 422sfATT GAR.
8 ROOF MOUNTED SOLAR PANELS. 2.80kW 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 200ANMS
33,78
ELECTRICAL ISSUANCE FEE
27.24
Total Electrical
188.76
PLUUMBING 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
MECI-IAAL PERMIT
AMOUNT
DUCT INSTALL/REPLACE/RELOC
168.63
APPLIANCE VENTS
8.03
VENTS AND EXHAUST HOOD/DUCTS
11.79
AC/BOILER/COMPR13HPAND 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
iiratiow: Every permit issued shall become invalid unless the work on the
site authorized hi
h 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 of I FW days
period after
i m cncrd.
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 the Business and Professions Code, and my license is in full force and effect
war u • I, as owner of The property, or my employees with wages ns their sole eemlirnsa;ian, -iII do the work and the structure is not intended or offered for sale. (See.7044, Business and Professions
Code: the Contractor's license Laws dors not apply io and owner of property who builds or improves thercum, who does such work himself or through his employees, provided that such improvements are not
in[cndcd or offered for sale. iihawevcr, dtc building or improvement is.sold withht one sear of completioo, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale)
Own All mild r, I, as owner of the property, am exclusively contracting ssith licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not
taharC
wner ofproperty who builds of improves thereon and who cootructs far such projects with :t contractor's) license pursuant to the Contractor's License Lew.
nhereby afiiTm under penally urperjuly one of the following declaratiuns:l have aad will maintain workers'compensation iasuranco, as required by Section 3700 of
for the performance of the work for vvItich ibis permit is issued My wtrriters' cornpertsalion insurance carrier mid policy number are: CamerSTARR II�)DEIvIPirf'{¢c ILrFY
PolicyN 00 04709 {This seed an needs to be comple[cd if the perm rl is for one htmdred doll ars(S100) or Iess)
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 The if f should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, i shall forthwith comply wish those provisions.
Applicant
WARN ING: FA[LURE TO SECURE WORKERS' COM PEN SATION COVERAGE IS UNLAWFUL, AND SI IALL SUBJECT AN EMPLOYER TI CRIMINAL PENAL77ES AND CIVIL FINES I T TO ONE HUNDRED
THOUSDAN D DOL LARS(SI 00,000) IN ADDITION TO THE COST OF COMPENSATION, DANIAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES
CITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT FEES
Date
Permit o.
p Scant LAN sr n cniusrizu nQN 1.1
Phone/E-Mail io3�r, x�czc�so
Account #
Type
Cost
01-44221
Building Permit
$
1,786.52
01-44223
Mechanical
$
290.36
01.44224
Plumbing
$
320.26
01-44225
Electrical
$
188.76
0144221
Mobile Home Permit
S
0.00
0144222
Grading Permit Fee
$
0.00
01-44231
Grading Plan Check
S
0.00
01-44222
0144231
On -Site Residential Permit
On -Site Residential Plan Check
$
$
0.00
0.00
Subtotal $
2,585.90
0144230
Bond Processing
$
0.00
01-44230
01-44230
Building Plan Check
Additional Plan Check
$
$
0.00
0.00
01-44230
01-44221
Digital Record Fee ($1.00 per sheet)
C & D Administrative Fee
$
' $
34.20
92.74
0144221
0144222
Special Ins pection-Reinspect ion
On -Site Commercial/Tract Permit Fee
$
S
0.00
0.00
0144231
01-44214
10-44320
On -Site Commercial/Tract Plan Check Fee
Geotechnical Soils Plan Review
Ordinance 211
S
$
S
0.00
0.00
50.00
1042510
0145354
Ordinance 364
Copies @ .20 Each
S
S
2,092.38
0.00
90-23331
SMIP Fee
S
2720
33-44370
H.O.P.E. Fee (Housing in Lieu)
$
0.00
Other Fees
$
6,687.90
ees
tngineenng 1-ees ate eceewd
Water Division Fess date Received
0144221Title 24 Energy Provision (20% Permit Subtotal & Bldg Plan Check)) S 351.86
01-44221 Title 24 ADA Fee (10% Pen -nit Subtotal & Bldg Plan Check) S 0.00
01-44240 NPDES Permit Fee (10% Permit Subtotal) $ 258.59
90-23000 Refundable Bond/Deposit Posted by Owner Contractor Type $ 2.092.38
90-23000 Refundable Bond/Deposit Posted by Owner Contractor Ty{
TOTAL FEES PAYABLE TO CITY OF SAN JUAN CAPISTRANO $ 14,273.15
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 Mannal2ita Water Distnict
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 6v:�'
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
www.SMWD.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
• Avelina Phase 5 — Building 2 (Units #43 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
1
Sincerely,
Denny 5mit1 Bail
Principal * s
ON" 01r30n6
7859 Sitio Coco, Carlsbad California 92009 1 TEL 949.276.6500 I FAX 949.276.6506 1 WWW.SJAINC.COM
PL(i-1NINC 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
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.
Postgrading Release Lot 5ummary - 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 Summaa - Avelina (Continug0j
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.
q2�2L
Barry Graham, CEG 2749
Project Geologist
BPG/ amm
r
No. 2749
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
( .'??fimuurN IMJ?n lr,n ,l /(
t!'.111spc0ion fi Te still„ Inc. .441 c
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, Civ:,
C04 19
EXP33�. k
Steven L. Godbey Ian R. Vlroddeli, P. �.
President Principal Eng ,neer
SLG/IRW: spg For inspection and testing only, no design
responsibility expressed or implied.