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B23-1641 - 32391 CAMINO CAPISTRANOFINAL 07/10/2024 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 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 32391 CAMINO CAPISTRANO STE B SAN JUAN CAPISTRANO 92675 PACIFIC DENTAL OFFICE SJC NICK SOBEL 714-374-5132 PROJECT COORDINATOR NICK.SOBEL@PACDEN.COM 3000 SF DENTAL OFFICE T.I. INTERIOR DEMO, NONSTRUCTURAL PARTITIONS, MECH DISTRIBUTION, PLUMBING, LIGHTS, OUTLETS, SWITCHES. DENTAL BUSINESS IS 14 EMPLOYEES SEEING ABOUT 30 CLIENTS PER DAY M-F 8AM-5PM. CITY OF SAN JUAN CAPISTRANO PERMIT # B23-1641 #2023-0967 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 NICK SOBEL PROJECT COORDINATOR 12/28/23 714-374-5132 #2023-0967 None X Rhea Lam 10877 Wilshire Blvd #1105 | Los Angeles, CA 90024 | www.westfin.com Office 310.820.5443 | Fax 310.207.5154 January 4, 2024 To the City of San Juan Capistrano, I, Greg Naufal, Senior Property Manager of the Plaza del Rio Shopping Center and the suite located at 32391 CAMINO CAPISTRANO STE B, authorize the improvements proposed under permit B23-1641. Additionally, I authorize Pacific Dental Services and Donald B Webb General Contracting to process, issue and pay for said permit and all permits related to the improvements at this address.” Sincerely, Greg Naufal Greg Naufal Senior Property Manager