B23-1012 - 31312 EL CAMINO REAL 2FINALED10/27/25
SEE REVISION 2
2
1069
EXISTING 528sf 1st FL & 118sf FINISHED BASEMENT
#2
EMAIL:
APPLICANT/OWNER NAME:
JOB ADDRESS:
DEVELOPMENT NAME:
PHASE:
TRACT(s):
LOT(s):
UNIT(s):
CONTACT NAME:
CONTACT PHONE:
COMPANY NAME:
TRACT LOT UNIT
TOTAL SQUARE
FOOTAGE
PREPARED BY: LISA LA
PHONE: 949-443-6349
ADDRESS
NEW RESIDENTIAL
ROOM ADDIT,ONS
CITY OF SAN JUAN CAPISTRANO
SCHOOL FEES WORKSHEET
COMMERCIAL/INDUSTRIAL
CUSD FAX: (949) 493-3728
LLA@SANJUANCAPISTRANO.ORG
TOTAL SQUARE FOOTAGE
PROJECT INFORMATION
SQUARE FOOTAGEAPN
ESTELA PUELMA
31312 EL CAMINO REAL #2
582sf ADDITION TO 528sf ACCESSORY STRUCTURE & 118sf
FINISHED BASEMENT TO CREATE 732sf ADU & 496sf JADU
808
1
2
ESTELA PUELMA
949-350-3510
✔
808 1 2 31312 EL CAMINO REAL #2 (ADU & JADU)124-190-13 582
582
582
ATTN: /(6/,(.1,77/(
DATE: 1/30/24
$XJXVW31, 202
Attention: Address Coordinator
RE: 1(:$''5(66127,),&$7,21)2531312EL CAMINO REAL #1 & #2
SAN JUAN CAPISTRANO, CA 92675
Please be advised that the City of San Juan Capistrano has esWablished unit addresses at 31312 EL
CAMINO REAL due to the addition of an accessory dwelling unit per Estela Puelma¶V request.
Existing/Prior Address(es): 31312 EL CAMINO REAL
New Address(es):
Mailing Industry Detail: San Juan Capistrano, CA 92675
Legal Description: N TR 808 BLK 1 LOT 1
Address Type: BUILDING
Deliverable Address: YES
Assessor’s Parcel Number (APN): 124-190-13
Reason for Change: ADDRESS CHANGE DUE72 ADDITION OF $NEW ADU
Effective Date: /31/202
Sincerely,
'LDQQD)ORUHV
'LDQQD)ORUHV
Permit Technician
City of San Juan Capistrano
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
949-443-639
')ORUHV@SanJuanCapistrano.org
1312 EL CAMINO REAL #10$,1
5(6,'(1&(1312 EL CAMINO REAL #2 – ACCESSORY DWELLING
UNIT
^^^^
E
L
C
AM
I
NO
R
E
A
L
DON JUAN AVELA ZANJA ST
ANDRES PICO RDPASEO NARANJAPASEO NOGALCAL
LE
SAN
PEDRO
VIA SAN VICEN
T
EPASEO OL
IVOS
Y
S
I
DO
R
A
S
TPASEO SERENO
C
AM
I
NO
C
A
P
I
S
T
R
A
NO GU
A
D
A
L
U
P
E
S
T31281 312763129631291
31301
31251
31302
31312
3
1
4
2
2
31282
313413140231272
31262
3132231292
31292
31311
3137231400 3131231272
31322
31342314013135231292
31282
31312
31411
31261
31236
3130231282
31242
31301 3128231286
3
1
4
3
1
31246
3127131252
31311
31241
31291
31312
31242
3130231382313213133231312
3
1
3
9
2
31
3
8
6
31271
31321 3127231262
31302
3
1
3
6
2
31292 3127631281
31322313523125231312µ0 10050
Feet
ADDRESS ASSIGNMENT31312 EL CAMINO REALUNITS 1 & 2
NEW ADDRESS31312 EL CAMINO REALUNIT 2
NEW ADDRESS31312 EL CAMINO REALUNIT 1
08 02 23
B23-1012
08 31 23
1
Building Department
From:Parkinson, Elizabeth <betsyp@smwd.com>
Sent:Tuesday, September 19, 2023 9:35 AM
To:William Parker; Building Department
Cc:Webster, Tanner; engcounter
Subject:RE: REQUEST A "WILL-SERVE LTR.
[The e-mail below is from an external source. Please do not open attachments or click links from an unknown or
suspicious origin.]
Good morning,
This address has been cleared by SMWD. JADU connection to existing on site water and sewer is
adequate.
There are no impacts to public water and sewer.
Thank you,
Betsy Parkinson
Administrative Assistant
O: 949-459-6612
M: 949-433-6933
smwd.com
From: William Parker <build_now@yahoo.com>
Sent: Monday, September 18, 2023 10:01 AM
To: engcounter <engcounter@smwd.com>
Subject: Re: REQUEST A "WILL-SERVE LTR.
ATTENTION: This email was sent from an external source. Please be careful when clicking links or
attachments.
Hi Betsy,
Here is the completed form with floor/plumbing plan.
Bill Parker
Parker Drafting Design
2
Construction Design & Consultation
949-306-6688
On Monday, September 18, 2023 at 08:17:48 AM PDT, engcounter <engcounter@smwd.com> wrote:
Good morning,
Since this is a residence and not a commercial property all you will need is a sanitation clearance.
There is no fee for this. Please see below for the instructions:
Questions for Sanitation
Clearance: https://smwd.com/DocumentCenter/View/1892/Sanitation-Clearance-
Application?bidId=
For an ADU or JADU, please include the plumbing plans in the email.
Questions for Sanitation Clearance for Pool or
Spa: https://smwd.com/DocumentCenter/View/4275/Sanitation-Clearance-App-Pool-Spas-Fill-In-
Form
FAQs: https://smwd.com/DocumentCenter/View/196
5/Sanitation-Clearance-FAQ?bidId=
Please type or paste the questions and answers into an email and return to engcounter@smwd.com
Thanks!
Betsy Parkinson
Administrative Assistant
O: 949-459-6612
M: 949-433-6933
smwd.com
3
From: William Parker <build_now@yahoo.com>
Sent: Sunday, September 17, 2023 7:59 AM
To: engcounter <engcounter@smwd.com>
Subject: REQUEST A "WILL-SERVE LTR.
ATTENTION: This email was sent from an external source. Please be careful when clicking links or attachments.
Please find enclosed a request to obtain a Will-Serve letter for the city of San Juan Capistrano.
My client is remodeling a basement and turning it into a bedroom with bathroom.
Drawings attached.
Bill Parker
Parker Drafting Design
Construction Design & Consultation
949-306-6688
***** Please note that email correspondence with the City of San Juan Capistrano, along with attachments, may be
subject to the California Public Records Act, and therefore may be subject to disclosure unless otherwise exempt.
$XJXVW31, 202
Attention: Address Coordinator
RE: 1(:$''5(66127,),&$7,21)2531312EL CAMINO REAL #1 & #2
SAN JUAN CAPISTRANO, CA 92675
Please be advised that the City of San Juan Capistrano has esWablished unit addresses at 31312 EL
CAMINO REAL due to the addition of an accessory dwelling unit per Estela Puelma¶V request.
Existing/Prior Address(es): 31312 EL CAMINO REAL
New Address(es):
Mailing Industry Detail: San Juan Capistrano, CA 92675
Legal Description: N TR 808 BLK 1 LOT 1
Address Type: BUILDING
Deliverable Address: YES
Assessor’s Parcel Number (APN): 124-190-13
Reason for Change: ADDRESS CHANGE DUE72 ADDITION OF $NEW ADU
Effective Date: /31/202
Sincerely,
'LDQQD)ORUHV
'LDQQD)ORUHV
Permit Technician
City of San Juan Capistrano
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
949-443-639
')ORUHV@SanJuanCapistrano.org
1312 EL CAMINO REAL #10$,1
5(6,'(1&(1312 EL CAMINO REAL #2 – ACCESSORY DWELLING
UNIT
^^^^
E
L
C
AM
I
NO
R
E
A
L
DON JUAN AVELA ZANJA ST
ANDRES PICO RDPASEO NARANJAPASEO NOGALCAL
LE
SAN
PEDRO
VIA SAN VICEN
T
EPASEO OL
IVOS
Y
S
I
DO
R
A
S
TPASEO SERENO
C
AM
I
NO
C
A
P
I
S
T
R
A
NO GU
A
D
A
L
U
P
E
S
T31281 312763129631291
31301
31251
31302
31312
3
1
4
2
2
31282
313413140231272
31262
3132231292
31292
31311
3137231400 3131231272
31322
31342314013135231292
31282
31312
31411
31261
31236
3130231282
31242
31301 3128231286
3
1
4
3
1
31246
3127131252
31311
31241
31291
31312
31242
3130231382313213133231312
3
1
3
9
2
31
3
8
6
31271
31321 3127231262
31302
3
1
3
6
2
31292 3127631281
31322313523125231312µ0 10050
Feet
ADDRESS ASSIGNMENT31312 EL CAMINO REALUNITS 1 & 2
NEW ADDRESS31312 EL CAMINO REALUNIT 2
NEW ADDRESS31312 EL CAMINO REALUNIT 1
08 02 23
B23-1012
08 31 23
LIMITED ASBESTOS
SURVEY REPORT
FOR
31312 1/2 El Camino Real
San Juan Capistrano, CA
Prepared for
James Klatt
DATE
12/27/2023
Report # 2401-024-1010014
CONDUCTED BY
Jackson Environmental
120 Tustin Ave C-1121
Newport Beach, CA 92663
949-230-9779
Mjacksonenvironmental@gmail.com
TABLE OF CONTENTS
INTRODUCTION
SECTION I ASBESTOS SURVEY SUMMARY
Executive Summary
Facility Description
Survey Findings
SECTION II BUILDING INSPECTION FOR ASBESTOS
Bulk Sampling
Bulk Sample Analysis
Quality Assurance
Limitation of Sampling Suspect Asbestos Containing Materials
SECTION III LABORATORY REPORTS
Asbestos Laboratory Reports
INTRODUCTION
Jackson Environmental was retained by James Klatt, to conduct a LIMITED Asbestos
survey for the property located at 31312 1/2 El Camino Real, San Juan Capistrano, on
December 28th, 2023. The purpose of this survey was to identify Asbestos Containing
Material (ACBM) in all areas of the building. Work consisted of collecting bulk sam ples
of All materials suspect of containing asbestos.
THE REPORT
The survey report is divided into three major sections, which provide identification of all
suspected ACBM.
Section I presents a summary of the Asbestos Survey and a general description of the
area inspected. Survey findings are also provided in this section.
Section II describes the methodology used to perform the survey and includes Jackson
Environmental, and our Analytical quality control procedures.
Section III of this report summarizes the locations and materials which were identified
as containing asbestos. Results of the bulk samples are included in this section.
SECTION I
ASBESTOS SURVEY SUMMARY
EXECUTIVE SUMMARY
Jackson Environmental was retained by James Klatt to conduct a LIMITED Asbestos
Survey for the property located at 31312 1/2 El Camino Real, San Juan Capistrano, CA
The sampling was conducted by Michael Jackson an Osha certified asbestos consultant
# 04-3635.
FACILITY DESCRIPTION
The subject property is a multi family two story, wood frame building set on a foundation.
While on-site the Certified Personnel noted the condition of the materials. This is noted in
the survey findings below. NOTE: Testing limited to rear unit of building only.
SURVEY FINDINGS
The following building materials were identified and or assumed as containing asbestos:
Building Material Location Friable/Non-
Friable/
Condition SQ’ Approximate
Floor Tile Upstairs dining room Non Friable G 75
**Please note square footages are approximate estimates only and should not be used
as a basis for bidding purposes**
RECOMMENDATIONS:
All Significantly Damaged and Damaged areas should be repaired or removed as soon
as possible to avoid any potential hazards that may result from further disturbance of
ACM. SCAQMD's Rule 1403 requires a Procedure 5 Work Plan for any unscheduled
asbestos fiber release episode involving ACM or Class II non -friable ACM.
SECTION II
LIMITED ASBESTOS INSPECTION
BULK SAMPLING
Bulk samples of areas containing suspect ACBM were collected. A homogeneous area
is defined as surfacing material, thermal insulation, or miscellaneous material that is
uniform in color, texture, or date of application.
Samples were collected using wet methods; where they are deemed appropriate, to
minimize fiber release. Prior to sampling, the location is misted with water from a spray
bottle. A sample of the suspect material is then collected using a chisel, core bore r,
knife, or other appropriate tool. After the sample was collected, the bulk material was
placed in a sample bag which was sealed to prevent fiber release or contamination by
outside sources. Samples are documented by entering the sample data on a bulk log,
including a description of the material, a unique sample number is assigned to each
sample and the sample bag was labeled with that number. During the survey, the
technician also notes the condition of the material being sampled, its location, conditio n,
and friability.
Note: The amended National Emission Standard for Hazardous Air Pollutants
(NESHAP), November 20, 1990, included a requirement that when the asbestos content
of a bulk sample material is determined using procedures outlined in the Interim Method
and the asbestos content is estimated to be less than 10% by method other than Point
Counting, the parties legally responsible for a building (owner/operator) may elect to
assume the amount to be greater than 1% and treat the material as a regulated
asbestos containing material. If the owner or operator does not want to assume the
material is asbestos containing, verification of the amount of asbestos by the Point
Counting method may be required. The purpose of this procedure is to minimize false
negative analysis, and false positive. Point Counting was included in NESHAP in
response to an HEPA study that found unacceptable amounts of false positive and false
negative analyses by methods outlined in the Interim Method. Unless otherwise
directed, American Analytical will assume that PLM analysis is acceptable for this
survey.
CLASSIFICATION OF BULK BUILDING MATERIALS
"S” Significantly Damaged Material with one or more of the following characteristics:
The surface is crumbling or blistered over at least one tenth of the surface if the
damage is evenly distributed :( one quarter or more if the damage is localized).
One tenth (one quarter or more, if localized) of material hanging from the surface,
deteriorated, or showing adhesive failure.
Water stains, gouges, or mars over at least one tenth of the surface if the damaged
is evenly distributed (one quarter or more if the damage is localized).
Accumulation of powder, dust, or debris similar in appearance to the suspect
material on surfaces beneath the material can be used as confirmatory
evidence.
We recommend immediate removal of Significantly Damaged material and clean
up of the area by a Licensed Asbestos Abatement Contractor.
"D" Damaged Material with the following characteristics:
The surface is crumbling, blistered, water-stained, gouged, marred or otherwise
abraded over less than one tenth of the surface if the damage is evenly
distributed (less than one quarter if the damage is localized).
Accumulation of powder, dust, or debris similar in appearance to the suspect
material on surfaces beneath the material can be used as confirmatory
evidence.
We recommended removal of damaged material and clean up of the area by a
Licensed Asbestos Abatement Contractor.
"G” GOOD Material with no visible damage or deterioration, or showing only very damage
or deterioration.
We recommended materials identified as in good condition be placed on an
Operations and Maintenance Program (O & M).
BULK SAMPLE ANALYSIS
All bulk samples were analyzed by Patriot Laboratory 1041 S. Placentia Ave, Fullerton,
CA, 92831. Phone # 714-607-5227, an NVLAP accredited laboratory. The laboratory
accreditations are as follows:
NVLAP #200642-0 National Voluntary Laboratory Accreditation Program (Federal)
Approximately 10% of the bulk samples were split for quality control purpose.
All bulk samples were analyzed by Polarized Light Microscopy (PLM) with dispersion
staining in accordance with the EPA Method #600/R-93/116. 40 CFR 783.87. The
reliable limit of detection for PLM is 1.0%. Where "None Detected" or ND appears in the
report, it should be interpreted as meaning that no asbestos was observed in the
sample. Samples containing, "Trace" level of asbestos indicates a possible
contamination and is considered ACBM.
NOTE: If a sample contains greater than 1.0% asbestos, it is a regulated material by
Federal Government Standards. Under the California State Education Code, materials
containing greater than 0.1% in asbestos content are considered regulated.
QUALITY ASSURANCE
Statement of Quality Assurance
At Jackson Environmental Quality Assurance is priceless! Jackson Environmental is
committed to providing analytical services and data to its clients that are of the highest
quality and legally defensible.
Quality Assurance (QA) procedures were employed to ensure reliable results for
analysis of bulk samples as follows:
The laboratory is currently participating in the NVLAP Quality Assurance Program.
Quality control is processed on at least 10% of all bulk samples on a daily basis.
Laboratory results of samples submitted to the laboratory were within 3% of the original
side by side sample.
LIMITATION OF SAMPLING OF SUSPECT ASBESTOS CONTAINING MATERIAL
Reasonable effort is made by Jackson Environmental ‘s staff to locate and sample
suspect materials. However, for any facility the existence of unique or concealed
asbestos containing material and debris is a possibility. In addition, sampling and
laboratory analysis constraints typically hinder the investigation. Jackson
Environmental does not warrant, guarantee, or profess to have the ability to locate or
identify all asbestos containing materials in any given facility. This report is intended to
be used in planning for construction or demolition. This report is not intended to be a
construction document.
Jackson Environmental is not, and has no responsibility as, a generator, operator,
treater, storer, transporter or disposer of hazardous materials or waste found or
identified as a result of Jackson Environmental’s work.
STATE REQUIREMENTS
In accordance with State of California Regulation, all surveys are conducted by
personnel holding a minimum of a Site Surveillance Technician certificate. This
certificate is awarded to individuals who have fulfilled specific educational and
experience requirements, as well as having completed extensive training in asbestos
specific courses. Additionally, the State also mandates these individuals pass a
rigorous examination. This examination is prepared, proctored, and graded by State
officials. The Certified Asbestos Consultant must fulfill all the education and experience
requirements as the Site Surveillance Technician but must have additional and more
extensive asbestos related training. Candidates for Certified Asbestos Consultant must
also pass a more rigorous examination before being approved by the State of California.
In compliance with State of California Requirements surveys and reports prepared by a
Certified Site Surveillance Technician are reviewed, approved, and signed by a Certified
Asbestos Consultant.
Certified Asbestos Consultant
Michael Jackson
Project Manager
CAC # 04-3635
949-230-9779
Report # 2401-024-1010014
PLM Asbestos Identification
Certificate of Analysis
Jackson Environmental
120 Tustin Ave C-1121
Newport Beach, CA 92663
Date Received:12/28/2023
Number of Samples:10
Material DescriptionLab/Client ID/Layer Location Color Composition (%)
Report Number:1010014
Project Name:31312 El Camino Real
Date Reported:1/2/2024
Claim Number:
Project Number:
Project Location:31312 El Camino Real
San Juan Capistrano
Date Analyzed:12/30/2023 PO Number:
Date Collected: Collected By:
1010014-001 US Living Room
1
95% Non-
Fibrous Material
BeigeFloor Tile
5Chrysotile %
5Total Asbestos %
1010014-004 Dining Room
4
100% Non-
Fibrous Material
WhiteTape and Mud JC
None DetectedTotal Asbestos
1010014-005 DS Bedroom
5
100% Non-
Fibrous Material
WhiteTape and Mud JC
None DetectedTotal Asbestos
1010014-006 DS Bedroom
6
100% Non-
Fibrous Material
WhiteTape and Mud JC
None DetectedTotal Asbestos
1010014-007 Dining Room
7
85% Non-
Fibrous Material
15% Cellulose
WhiteDrywall
None DetectedTotal Asbestos
1010014-008 DS Bedroom
8
85% Non-
Fibrous Material
15% Cellulose
WhiteDrywall
None DetectedTotal Asbestos
Page 1 of 3
PLM Asbestos Identification
Certificate of Analysis
Jackson Environmental
120 Tustin Ave C-1121
Newport Beach, CA 92663
Date Received:12/28/2023
Number of Samples:10
Material DescriptionLab/Client ID/Layer Location Color Composition (%)
Report Number:1010014
Project Name:31312 El Camino Real
Date Reported:1/2/2024
Claim Number:
Project Number:
Project Location:31312 El Camino Real
San Juan Capistrano
Date Analyzed:12/30/2023 PO Number:
Date Collected: Collected By:
1010014-009 DS Bedroom
9
85% Non-
Fibrous Material
15% Cellulose
WhiteDrywall
None DetectedTotal Asbestos
1010014-010 Side
10
100% Non-
Fibrous Material
Grey Tan WhiteExt Plaster
None DetectedTotal Asbestos
1010014-011 Side
11
100% Non-
Fibrous Material
Grey Tan WhiteExt Plaster
None DetectedTotal Asbestos
1010014-012 Side
12
100% Non-
Fibrous Material
Grey Tan WhiteExt Plaster
None DetectedTotal Asbestos
Page 2 of 3
PLM Asbestos Identification
Certificate of Analysis
Jackson Environmental
120 Tustin Ave C-1121
Newport Beach, CA 92663
Date Received:12/28/2023
Number of Samples:10
Material DescriptionLab/Client ID/Layer Location Color Composition (%)
Report Number:1010014
Project Name:31312 El Camino Real
Date Reported:1/2/2024
Claim Number:
Project Number:
Project Location:31312 El Camino Real
San Juan Capistrano
Date Analyzed:12/30/2023 PO Number:
Date Collected: Collected By:
Kwin Sheena Legaspi - Lab Manager - Approved ByJorge Castillo - Analyst
Stopped at first positive.1010014-001
Bulk sample(s) submitted was (were) analyzed in accordance with the procedure outlined in the US Federal Register 40 CFR Appendix E to Subpart E of
Part 763; EPA-600/R-93/116 (Method for Determination of Asbestos in Building Materials), and EPA-600/M4-82-020 (US EPA Interim Method for the
Determination of Asbestos in Bulk Insulation Samples). Samples were analyzed using Calibrated Visual Estimations (CVES); therefore, results may not be
reliable for samples of low asbestos concentration levels. Samples of wall systems containing discrete and separable layers are analyzed separately and
reported as composite unless specifically requested by the customer to report analytical results for individual layers. This report applies only to the items
tested. Results are representative of the samples submitted and may not represent the entire material from which the samples were collected. “None
Detected” means that no asbestos was observed in the sample. “<1%” (less than one percent) or Trace means that asbestos was observed in the sample but
the concentration is below the quantifiable level of 1%. This report was issued by a NIST/NVLAP (Lab Code 200358-0) and CA Water Board ELAP
(Cert. No. 2540) accredited laboratory and may not be reproduced, except in full without the expressed written consent of Patriot Environmental
Laboratory Services, Inc. This report may not be used to claim product certification, approval or endorsement by NIST, NVLAP, CA-ELAP or any
government agency.
ASB_Rep_8.23
Page 3 of 3
2
CSG 06/06/24