HomeMy WebLinkAbout1991 PALOMAR AIRPORT RD; ; CBC2023-0364; PermitBuilding Permit Finaled
(cityof
Carlsbad
Commercial Permit
Print Date: 03/11/2025
Job Address: 1991 PALOMAR AIRPORT RD, CARLSBAD, CA 92011-1305
Permit No:
Status:
CBC2023-0364
Closed -Finaled
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel #:
Valuation:
Occupancy Group:
#of Dwelling Units:
2130921700 Track#:
$0.00 Lot#:
Project#:
Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check#:
Occupant Load: Plan Check#:
Code Edition:
Sprinkled:
Project Title:
Description: ARCO: RELOCATE EXISTING DIESEL DISPENSER
Applicant: Property Owner:
PACIFIC PETROLEUM
THERESA LINGNAU
3064 NATIONAL AVE
PALOMAR AIRPORT PARTNERS LLC
3278 VISTA MATAMO
SAN DIEGO, CA 92113-2542
(619) 688-5848
FEE
BUILDING PLAN CHECK
EL CAJON, CA 92019-2863
(619) 454-4488
BUILDING PLAN REVIEW -MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW -MINOR PROJECTS (PLN)
COMM/IND Tl -NON-STRUCTURAL
FIRE Special Equipment (Ovens, Dust, Battery)
SB1473 -GREEN BUILDING STATE STANDARDS FEE
Total Fees: $2,101.30 Total Payments To Date: $2,101.30
Applied: 11/09/2023
Issued: 12/10/2024
Fina led Close Out: 03/10/2025
Final Inspection: 01/22/2025
INSPECTOR: de Roggenbuke, Dirk
Cheung, Nathaniel
Contractor:
BONSALL PETROLEUM CONSTRUCTION INC
PO BOX 969
BONSALL, CA 92003-0969
(760) 631-0342
Balance Due:
AMOUNT
$482.30
$204.00
$107.00
$766.00
$541.00
$1.00
$0.00
Please take NOTICE that approval of your project includes the "Imposition " of fees, dedications, reservations, or other exactions hereafter
collectively referred t o as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
prot est and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent lega l action to attack, review, set aside, void, or annul t heir
imposition.
You are hereby FURTHER NOTIFIED t hat your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of w hich you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
( City of
Carlsbad
Job Address 1991 Palomar Airport Road
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Check tu1a122 -D3W
Est. Value
PC Deposit
Date \\\ 0 q IL) \
Suite:. ____ APN: 213-092-17-00
Tenant Name #:ARCO Lot#: Year Built: ·----------------·--------------
Year Built: 1993 Occupancy: __ _ Construction Type:. __ _ Fire sprinklers0,'ES0NO A/C:0YESQNO
BRIEF DESCRIPTION OF WORK: Relocate Existing Diesel Dispenser
D Addition/New:. ___________ New SF and Use,. _________ New SF and Use
______ SF Deck, SF Patio Cover, SF Other (Specify) ___ _
~Tenant Improvement: _2_00 ____ SF, Existing Use: Diesel Dispenser Proposed Use: Diesel Dispenser
_____ SF, Existing Use: _______ Proposed Use: ______ _
D Pool/Spa: _____ SF Additional Gas or Electrical Features? ___________ _
D Solar: KW, ___ Modules, Mounted: 0Roof 0Ground
D Reroof: __________________________________ _
D Plumbing/Mechanical/Electrical
Oother: ___________________________________ _
APPLICANT (PRIMARY CONTACT)
Name: Pacific Petroleum
Address·3064 National Avenue
City· San Diego State: CA Zip: 92113
Phone· 619-688-5848
Email· theresa@pacificpetroleum.com
DESIGN PROFESSIONAL
Name:Bernie Lingnau, P.E.
Address: 3064 National Avenue
PROPERTY OWNER
Name: Palomar Airport Partners LLC
Address: 1991 Palomar Airport Road
City: Carlsbad State: CA Zip:._9_20_1_1 __ _
Phone: 760-929-9344
Email: arco82938@yahoo.com
CONTRACTOR OF RECORD
Business Name: Bonsall Petroleum Construction
Address: PO Box 969
City: San Diego State: CA Zip:._9_2_1 _13 ___ City: Bonsall State:._C_A __ Zip: 92003
Phone:619-688-5848 Phone: 760-631-0342
Email: bernie@pacificpetroleum.com Email:Alexis@bonsallpetroleum.com
Architect State License: Prof Eng. CS0985 CSLB License #:682742 Class:A,C27,C-8,B,Haz
Carlsbad Business License# (Required):. _______ _
APPLICANT CERT/FICA TION: I certify that I have read the application and state that the above information is correct and that the
information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building
construction. L JI'(!,. . fJ / )
NAME (PRINT):JJ1U!S0 ~~nak{ SIG~Jft.1/JlJa W&crntl.),Av DATE: I) {q.2..02-3
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
REV. 07/21
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON
SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO
PERMIT ISSUANCE.
{OPTION A): LICENSED CONTRACTOR DECLARATION:
I herebyaf firm under penaltyof perjurythat I am licensedunder provisions of Chapter 9 ( commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the
following declarations (CHOOSE ONE):
D1 have and will maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued. PolicyNo. ______________________________________ _
-OR-
~I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: _s_1a_te_Com--'pe'--nsa_t1on_F_und ______________ _
Policy No. 909748 Expiration Date: _04!0_1_/20_24 ____________ _
-OR-
Ocertificate of 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. WARNING: Fallure to secure workers compensation coverage Is unlawful and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code,
Interest and attorney's fees.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (I) Civil Code).
Lender's Name: ____________________ Lender'sAddress: ____________________ _
CONTRACTOR CERTIFICATION: I certify that I have read the application and state that the above information is correct and that
the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building
construction.
-OR -
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason: n I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not Intended or offered for sale (Sec.
~. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such
work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
-OR-D1. 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 apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
-OR-□, am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND, D FORM 8-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the
improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors./ understand that a copy of the applicable low, Section 7044 of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http:Ilwww./eginfo.co.govl co/ow. html.
OWNER CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the
information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building
construction.
NAME (PRINT): ________ _ SIGN: __________ DATE: ______ _
Note: If the person signing above is an authorized agent for the property owner Include form 8-62 signed by property owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 07/21
ffl BONSALL PETROLEUM CONSTRUCTION, INC.
P.O. BOX 969 BONSALL, CA 92003-0969
(760) 631-0342 • FAX (760) 631-0526
CA. LIC. #682742 • AZ. LIC. #163875
November 08, 2023
City of Carlsbad
Building Department
1635 Faraday Avenue
Carlsbad, CA 92009
PROJECT: LETTER OF AUTHORIZATION FOR AGENT
To Whom It May Concern:
I authorize Bernie Lingnau and/or Theresa Lingnau of Pacific Petroleum to act as agent
in processing permits for the diesel UST conversion at Palomar Airport Arco, 1991
Palomar Airport Road, Carlsbad, CA 92009. Laurie Perrault is authorized to perform any
permit processing procedures on this project.
Thank you for your assistance.
Sincerely,
Palomar Airport Road, Inc.
1991 Palomar Airport Road,
Carlsbad, CA 92009
Business Name
Hazardous Materials Questionnaire
County of San Diego, Department of Environmental Health and Quality
PO Box 129261, San Diego, CA 92112-9261
(858) 505-6700 (800) 253-9933 www.sdcdehq.org
PALOMAR AIRPORT ARCO
Business Contact
SAM SALEM
Project Address
1991 palomar airport RD
Applicant
Laurie Perrault
City
CARLSBAD
State
Applicant E-Mail
laurie@bonsallpetroleum.com
Record ID#: DEH2008-HUPFP-210186
Plan Check#: DEH2023-HHMBP-013853
Telephone# Plan File#
(760) 929-9344
Zip Code
92009
Applicant Telephone #
(760) 929-9344
APN#
213-092-17-00
The following questions represent the facility's activities, NOT the specific project description.
PART I: EIRE DEPARTMENT -HAZARDOUS METERIALS DIVISION: OCCUPANCY CLASSIFICATION: (Not required for projects within the City of San Diego.)
Indicate by selecting the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are selected, Applicant must
contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Facility's Square Footage (including proposed project):
D Explosive or Blasting Agents D Organic Peroxides D Water Reactives D Corrosives
D Compressed Gases D Oxidizers D Cryogenics D Other Health Hazards
00 Flammable/Combustible Liquids D Pyrophorics D Highly Toxic or Toxic Materials D None of These
D Flammable Solids D Unstable Reactives D Radioactives
PART II; SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION IHMDl; If the answer to any of the questions is
yes, applicant must contact the County of San Diego Hazardous Materials Division, in person at 5500 Overland Ave., Suite 110, San Diego, CA 92123, or by phone at (858)
505-6700 prior to issuance of a building permit. FEES ARE REQUIRED.
Project Completion Date: 1/31/2024
1.
2.
3.
4.
5.
6.
7.
8.
YES NO
D 00
00 D
li!I D
D
00
D
D
Ii!]
D
D
Ii!]
Ii!]
D
Is your business listed on the reverse side of this form? (check all that apply).
Will your business dispose of Hazardous Substances or Medical Waste in any amount?
Will your business store or handle Hazardous Substances in quantities equal to or greater than
55 gallons, 500 pounds, or 200 cubic feet?
Will your business handle carcinogens or reproductive toxins in any quantity?
Will your business use an existing, or install an underground storage tank?
Will your business store or handle Regulated Substances (CalARP)?
Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?
Will your business store petroleum in tanks or containers at your facility with a total storage capacity
equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
D
D
D
CalARP Exempt
CalARP Required
CalARP Complete
Review Date:
PART Ill; SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT IAPCD): If the answer to Question #1 is 'Yes' and the answer to Question #2 is 'No', the applicant
must contact the APCD prior to the issuance of a building or demolition permit. If any answer to Questions #3, #4, or #5 is 'Yes', the applicant must contact the APCD prior to
the issuance of a building or demolition permit. If the answer to Question #3 or #4 is 'Yes', the applicant may need to submit an asbestos notification form to the APCD at
least 10 working days prior to commencing demolition or renovation (some residential projects may be exempt from the notification requirements). Contact the APCD at
10124 Old Grove Road, San Diego, CA 92131 or telephone (858) 586-2600 for more information.
YES NO
1. D Ii!]
2. D D
3. D D
4. D Ii!]
5. D 00
6. D Ii!]
Will any existing building materials be disturbed as part of this project? (If the answer is 'Yes', an asbestos survey may be required.)
Has a survey been performed to determine the presence of asbestos containing materials?
Will the project involve handling or disturbance of any asbestos containing materials?
Will the project involve the removal of any load supporting structural member?
Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD
factsheet at http://www.sdapcd.org/info/facts/permits.pdf
(ANSWER ONLY IF QUESTION 5 IS 'YES') Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? Search
the California School Directory at http://www.cde.ca.gov/re/sd/ for public and private schools or contact the appropriate school district.
Briefly describe business activities: Briefly describe proposed project:
RETAIL GAS STATION RELOCATE ONE EXISTING STAND ALONE DIESEL DISPENSER
I declare under penalty of perjury that to the best of my knowledge and belief, the responses made herein are true and correct. li!l; Fees Acknowledged: li!I
Laurie Perrault 11/8/2023
Name of Owner or Authorized Agent Date
FOR OFFICIAL USE ONLY
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:
BY: DATE: __________ _
EXEMPT OR NO FURTHER INFORMATION RELEASED FOR BUILDING PERMIT BUT NOT FOR RELEASED FOR OCCUPANCY
REQUIRED OCCUPANCY
COUNTY-HMO• APCD COUNTY-HMO APCD COUNTY-HMO APCD
~," or s-'liv b,
@'.J \~
, Rt Vl[WEIJ 0
M. Martinez
SIO•l~TUi-lE
1/26/2024
Ot.Tt
fl'~D
•A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply.
DEHQ_HMD_HMBP _Questionnaire v 2.0 (8/2021)
Printed on: 1/26/2024@ 11:34 AM
Building Permit Inspection History Finaled
{cityof
Carlsbad
PERMIT INSPECTION HISTORY for (CBC2023-0364)
Permit Type: BLDG-Commercial Application Date: 11/09/2023 Owner: PALOMAR AIRPORT PARTNERS LLC
Work Class: Tenant Improvement Issue Date: 12/10/2024 Subdivision: CARLSBAD TCT#73-49
Status: Closed -Finaled Expiration Date: 06/18/2025 Address: 1991 PALOMAR AIRPORT RD
IVR Number: 53207 CARLSBAD, CA 92011-1305
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status
12/20/2024 12/20/2024 BLDG-31 271679-2024 Passed Dirk de Roggenbuke Complete
Underground/Conduit -
Wiring
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
01/21/2025 01/21/2025 BLDG-Fire Final 270889-2024 Passed Nathaniel Cheung Complete
Checklist Item COMMENTS Passed
FIRE-Building Final Yes
01/22/2025 01/22/2025 BLDG-Final Inspection 273878-2025 Passed Dirk de Roggenbuke Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Tuesday, March 11, 2025 Page 1 of 1