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B23-1153 - 32391 CAMINO CAPISTRANO AFINAL 06/21/2024 B-2 CHANGE OF USE "B-2" TO "M"/ X 1023585 PARKWAY C&A LP 1000 CIVIV CIRCLE LEWISVILLE, TX 75067 Letter of Transmittal 3707 W Garden Grove Blvd. Suite 100, Orange, CA 92868 phone 714.568.1010 fax 714.568.1028 www.csgengr.com To: City of San Juan Capistrano Date Completed: 11/15/2023 Review #:3 32400 Paseo Adelanto Date Received: San Juan Capistrano, Ca. 92675 CSG #: 4312870 Attn: Building Division Agency Plan Check #: B23-1153 Job Address: 32391 Camino Capistrano Job Description: THIS IS AN EXISTING RETAIL ESTABLISHMENT BEING REMODELED FOR A NEW TENANT WITH UPDATEDEQUIPMENT, FIXTURES AND FINISHES. EXTERIOR WORK INCLUDES ADDING A DOOR FOR EGRESS ON THE REAR WALL OF THE NEW TENANT SPACE. Status: Plan is ready for permit issuance for the following: X Plan is approved. Architectural Energy Plan is approved with conditions. See remarks. Structural Other: Plan is approved with redlines. See remarks. Plumbing Plan is approved with redlines and conditions. See remarks. Electrical Plan requires corrections. See attached list. Mechanical We have reviewed the following documents ( X Digital only): X Plans Truss Calculations Structural Calculations Energy Calculations Soil Report Specifications Geotechnical Review Letter Special Inspection Form(s) Other: Special items to note: Plan has been stamped and signed by CSG Environmental Health Services approval required Special inspection required for Hardship Form included Remarks: From: Chi Yang(B)/Mike Teemant(MEP) CSG Consultants Inc. (714) 568-1010 Page 1 of 2 Rev. June 2019 AQPC # South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Air Quality Permit Checklist South Coast Air Quality Management District developed this Air Quality Permit Checklist (checklist) as a screening evaluation tool in the process required by California Government Code Section 65850.2. Please submit this checklist to the Small Business Assistance Office by email, mail, or in person for review. If you have any questions or need assistance completing this checklist, contact the Small Business Assistance Office. Provide a response to all sections of this checklist as South Coast AQMD may decline to approve this checklist due to lack of information from the applicant. NOTE: This checklist is not intended for the approval of demolition or renovation activities. If there are any demolition or renovation activities that may disturb building materials, please contact the Asbestos Hotline at 909-396-2336. Section A – Operator and Business Information 1. Business Name: 2. Address: ___________________________________________ ______________________________ CA _________________ Street City Zip 3. Contact Name: Phone: Title: Email: Section B – Business and Equipment Description Please provide a detailed description of the ongoing business operations performed and equipment used at this location, including both new and existing equipment. Provide the existing South Coast AQMD facility ID and/or permit numbers, if any. Small Business Assistance Office 1-800-388-2121 smallbizassistance@aqmd.gov www.aqmd.gov The tenant space will used as a value driven mass merchandiser, selling package merchandise, pre-packaged drygoods, pre-packaged beverages, and pre-packaged ice-cream. Besides display tables and shelving units, there will be four (4) consumer display refrigerator units: Three (3) - AVANTCO GDS-47-HC Refrigerators - Bevaege display refrigerator.One (1) - LIEBNER EFI-2153 Freezer - Display ice-cream freezer. The tenant space is serviced by three (3) existing roof top units:Carrier 50HJQ008-521 A new 30 gallon water heater will be installed :AO Smith DEL-30 Daiso 19269 Golden Valley Rd.Santa Clarita 91387 ckalischefski@wtgroup.com Christian Kalischefski 8472840626 Principal 2023-0744 Page 2 of 2 Rev. June 2019 AQPC # *An Authorized Representative is an employee of the business described in Section A, who is authorized to sign on behalf of the owner. Section C – Equipment List Select from the list below equipment currently in operation or to be installed. (Select all that apply and provide the specifications) Section D - Business Self Certification 7.Owner or Authorized Representative*:Title: Signature: Date: Phone: I hereby certify by my signature above that, I am a duly authorized representative of the above-named business, and that all information contained herein is true and correct. South Coast AQMD USE ONLY Equipment: Approved By: Applicant has permit(s) or registration(s): Applicant has filed for permit(s) or registration(s): Applicant is exempt from permit requirements: Based on the information provided, no equipment/process requiring a permit or registration. Soldering Oven Spray Booth Storage Tanks Storage Silos Fuel-burning equipment OTHER equipment which may have the potential to emit or control air contaminants: ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Abrasive Blasting Cabinet/Room Air Conditioning Systems (> 50 lbs of refrigerant) Application of Paints/Adhesives/Resins Baghouse/Dust Collector Bakery Oven (gas-fired, excluding eating establishments) Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) Charbroiler Coffee Roaster (excluding eating establishments) Deep Fryer (excluding eating establishments) Dry Cleaning Electrostatic Precipitator Etching/Plating/Casting/Melting/Forging/Grinding/Cutting Fermentation Gasoline Storage & Dispensing Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator, fire pump) Mixing/Bleding of Liquids and/or Powders Molding/Extruding/Curing of Plastics Pharmaceutical/Nutraceutical Plasma/Laser Cutter Printing/Coating/Drying Refrigeration Systems (containing >50 lbs of refrigerant) Contact the CA Air Resources Board to register the systems. 916-324-2517 or rmp@arb.ca.gov Christian Kalischefski Principal 8472840626ckalischefski@wtgroup.com 10/11/2023 2023-0744 NONE X (Select all that apply and provide the specifications) i Abrasive Blasting Cabinet/Room i Soldering Oven i Air Conditioning Systems(> 50 lbs ofrefrigerant) i Spray Booth i Application of Paints/ Adhesives/Resins i Storage Tanks i Baghouse/Dust Collector i Storage Silos i Bakery Oven (gas-fired, excluding eating establishments) i Fuel-burning equipment i Boiler/Water Heater i OTHER equipment which may have the (max. heat input= or> 1 million BTU/hr) potential to emit or control air i Charbroiler contaminants: i Coffee Roaster ( excluding eating establishments) i Deep Fryer (excluding eating establishments) i Dry Cleaning i Electrostatic Precipitator i Etching/Plating/Casting/Melting/Forging/Grinding/Cutting i Fermentation i Gasoline Storage & Dispensing i Internal Combustion Engine (rated> 50 bhp; e.g. back-up generator, fire pump) i Mixing/Bleding of Liquids and/or Powders i Molding/Extruding/Curing of Plastics i Pharmaceutical/N utraceutical i Plasma/Laser Cutter i Printing/Coating/Drying i Refrigeration Systems ( containing >50 lbs of refrigerant) Contact the CA Air Resources Board to register the systems. 916-324-2517 orrmp@arb.ca.gov ~Y/.£ □ □ □ □ October 06, 2023 Attention: Address Coordinator RE: NEW ADDRESS NOTIFICATION FOR 32391 CAMINO CAPISTRANO #B, SAN JUAN CAPISTRANO, CA 92675 Please be advised that the City of San Juan Capistrano has reassigned suite addresses at 32391 CAMINO CAPISTRANO #B per SJC DEL RIO LLC’s request. Existing/Prior Address(es): 32391 CAMINO CAPISTRANO #A – REMAINS New Address(es): 32391 CAMINO CAPISTRANO #B Mailing Industry Detail: San Juan Capistrano, CA 92675 Legal Description: N TR 103 BLK LOT 35 TR 103 LOT 35 POR OF LOT Address Type: Building with Suites Deliverable Address(es): YES Assessor’s Parcel Number (APN): 668-091-09 Reason for Change: SUBDIVISION OF SUITE A Effective Date: 10/06/2023 Sincerely, Dianna Flores Permit Technician City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 949-443-6359 DFlores@SanJuanCapistrano.org Dianna Flores 32332 26802 32391 32302 32401 32282 32291 32341 32272 322523224132281 32301 32312 AB AVENIDA PADRE CAMINO CAPISTRANOSan Juan Creek µ 0 10050 Feet ADDRESS ASSIGNMENT32391 CAMINO CAPISTRANOSUITE B ^ NEW ADDRESS32391 CAMINO CAPISTRANOSUITE B 09 2315 10 06 23