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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