HomeMy WebLinkAboutPA2022-0207_20220921_Project Inspection ReportBUSINESS,' CONSUMER SERVICES, AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
PROJECT INSPECTION RECORD
APPLICANT: COASTLINE CONSTR Permit#/DTN 12749210
ADDRESS: 5742 RESEARCH DR HUNTINGTON BEACH CA 92649 FEES PAID: $196.00
EXPIRES: 03/19/2023
DESCRIPTION OF WORK: CONSTRUCTION_INSPECTION -INSTALL 10X28 CARPORT AWNING
LOCATION INFORIVIATION! BAYSIDE MHP LLC -300 EAST COAST HIGHWAY #207 TREMONT; NEWPORT
1-P..._.A._R __ K_ID=:a.;..;;;.._-----'3=0=-0'--'1 =62---M;;_P--'"--------1 BEACH, CA 92660
MANUFACTURER: INSPECTOR: BILL SIMMONS (714)315-5571
t-D_E_c_A_L=--------------11-Is_E_R_IA_L~N_U ____ M_B ..... E_R __ -1-,-1N_s_1G_N_IA'-'-------l-'I L_E ___ N ..... G...;..T_H_---1-,w....;. __ ,D:.....;_ T;._,.;H_--1,
TYPE OF UNIT: _ _ _ . _
YEAR:
**CALL THE INSPECTOR WHEN READY FOR AN INSPECTION**
POST THIS RECORD ON-SITE IN A CONSPICUOUS LOCATION UNTIL PROJECT COMPLETION
INSP.# COMMl;NT~ DATE IN~PJ;CTO~ COMIYJJ;NT
SITE INSPEOT!QN
1 CORNER MARKERS
2 · SETBACKS and SEPARATIONS
3 ACCURATE PLOT PLAN
--
fOUNDATION/ RETAINING WALL INSPECTIONS
5 FOOTINGS
6 SLAB ..
7 STEEL REBAR
8 BOND BEAM
9 ADDITIOINAL SUPPORT PIERS
UNDERGROIJND IN§PECTIONS
11 WATER
12 ELECTRICAL
13 GAS
14 DRAIN/SEWER
15 BACKFLOW PREVENTER
16 MISC. UNDERGROUND
AC/ FAU l~SPECTIQNS
18 ELECTRICAL
19 A/C CONDENSER
20 A/C COIL
21 VENTING/FIRE STOP
22 FAU
FRAMING INSPECTIONS
24 PLUMBING
25 ELECTRICAL
26 MECHANICAL
27 FRAMING
28 GAS
PA2022-0207
Business. Transportation and Housing Agency SEP
Department of Housing and Community Development
Division oi Codes and Standards
Mobnehome and Special Occupancy Parl:s Programs
2 0 2022
APPLICATION FOR PERMIT TO CONSTRUCT
SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDmONAL INF.ORMATION
CONTRACTOR/OWNER BUILDER DECLARATIONS
Not required /or commercial modulars or Recreational Vehicles
1. LICENSED CONTRACTORS DECLARATION I hereby olfirm under penoliy of petju,y that I om licensed ~rgru:~rt~1s~~:~~bc~:,~s~Po~~~~;. ~nccli~ 7000
li!l~ f j~I f r e nd effect. ,-,
1 uUf,M '&Qd~;l'.-"'-'--C'·"r ... &--\,...,._-=-u Exp. Dole
2
i fro 7031.5), Busines-s and Professions Code: Any ci which requires o permit to cons1ruct. aller. ,m repair any structure. pri ·
~c_ont for such perm
l.iCenselllWlCl'Rfl'.)Te-men w, Division 3 of !he Business and Professions Code) or that he or she is exempt therefrom and the basis fOr the alleged exemption. Any violation of Section 7031.5 by any applicant for a peimit subjects lhe appricanl lo a civil penalty of nol more than five
hundred dollars($500).):
D I. os owner of the properly, or my employees with wages as
!he~ sole compensation, will do !he work. and lhe structure is
not intended.of offered for sole {Sec. 70.t4. Business and Professions Code: The Contractors License Low does not apply
eh~nd~~g~ '!~~~ :~r~l~~-'~,v:hthJs':~·~~'!n
employees. provided that such improvements are not intended or offered for sate. If. however. the building or improvernen1 Is
sold within one year of ccmplefion. the owner-bu]der will hove the burden of proving !hat he or she did not build or improve for
!he purpose of sole.).
D I. as owner of the property. am exclusively contracting with licensed contractors to construct the profect (Sec. 7044, Business ond Professions Code: The Confractors License low does not apply to an owner of property who builds or improves
thereon. and who con tracts for !uch projects with a contractor(sJ licensed pursuant lo !he Contractors License Low.)_ D I om exempt under Sec.~ S. !. ?.C. !or lhisreoson:
Owner ____________ .Date~---
3. WORKERS' COMPENSATION DECLARATION ~~c'i:Ji~~"." under penalty of perjury one of the' following
01 have and win main!oin a certifteate of consent to self-insure
for workers' compensation. as provided for by Section 3700 or
~
abor Code. for !he performance of the work for which this il is issued.
ave and wm maintain wOlkers' compensation insurance.
as required by Section 3700 of the Lobor Code. for !he performance of the work for which this perm if is issued. My workers' co pensclion insurance carrier and policy number ore:
Carrier-,~.,..-+-'..,._--------+----
Policy N
(lhis section n hundred dollars (S 100) or less).
DI cert\ that in
· • mannerso of ctto ~~f ~ Lt;(f'
Ari~ COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO
CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.CCOJ. IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED fOR IN SECTION 3706 OF lHE LABOR CODE. INTEREST. AND ATTORNEY'S FEES.
4. CONSTRUCTION LENDING AGENCY
I hereby affirm under penaliy of perjury that there is a
construction lending agency for the performance of the won: for which !his permil is issued (Sec.3097. Civ. C.J.
Lende(s Nome ______________ _
Lende(s Adciress
5. CERTIFICATION . I I
0 fy
0
SECTION 1 • OWNER/APPLICANT INFORMATION
Park: Name BAYSIDE VILLAGE
COASTLINE CONSTRUCTION AND AWNING CO.
~CONTRAClOR OowNER Cother _______ _
Address 5742 RESEARCH DRIVE, HUNTINGTON BEACH, CA 92649
_______________ Tel. No. ________ _
Architect/Engineer ___________ Lic. No. ______ _
Address _____________ Tel. No_
SECTION 2 · DESCRIPTION OF WORK AND VALUATION
INSTALL 10' 4" X 28' 6' CARPORT AWNING
Valuation $--~-1__,.Q,,__'J~D,..c.._-----------
SECTION 3 -ACCESSORY BUILDINGS or STRUCTURES
0 NEW O REINSTALL Standard Plan Approval No. ____ _
0 Awning 0 Carport C Porch [j Cabana
0 Other (specify) ________________ _
OWNER NUTREND HOMES Tel. Na. ______ _
Address 300 E. COAST HWY. NEWPORT BEACH 92660
RESIDENT_M_O_D_E_L ________ Tel. No. ______ _
Lot No. 207 TREMONT
aosed By _______ _
Date Closed
COUECTION INFORMATION
Collection# ______ _
Routed By
Upon Deportment approval to
release, and payment of fees. is ~::t:=d,;~1~lf ?\ V
PERMIT# _
MH ACC/S ______ _
MP
BLDG
MHI
MISC.
lECH SER.
PLC'K
S.M.L
ISSUE
TOTAL
DIVISION PROCESS RECORD
Application _______ _
Local Planning _____ _
Local Fire _______ _
Local Health ______ _
Pubfic Works ______ _
Environmental Impact ________ _
Negative
Declaration _______ _
School Impact
Fees
HCD 50, Side l (Rev_ 7 /04) DISTRIBUTION: WHITE -DEPAR YELLOW -DISTRICT REPRESENTATIVE. PINK -ASSESSOR
PA2022-0207
EXISTING • STRUCTURE : APPROVED EXISTING NON C MBUSTIBLE STRUC:fURES MA EXISTlNG
Approw I of tiles~ plans does not aulhorr -or app1~'.@.!ffyTURE BE IN ALLED TO THE LOT ·LINE PROV DsEDuCTURE IA)
n:• · __ · 1 or deviation from requirement of state laws or _ applicable local ordinances One se, of ap1 ,roved plans s11311 THER IS A 3 FOOT CLEARANCE FR01v1-P,-l'H--_.
be available on ine proiect site at all tim . "'1° ,, ~:, :, -TURE ON THE ADJA'-'ENT LOT T-25 rroc1~1fey;d when:they 6ecoine illegible or dic\eri oroted ' ':' , 1
Marker '\. : PARK PERIMETER/CO~~~AREA ; ,, Comer : SEP 2 0 2022 · / Marker
........ ··········.--------y----------.----------"'······················
State of Califor 1ia . ,..,:~-:::h:.-'~_; -=--Dep,ntment of -lousing and t:.· · -fo ,,,, .,.,.. · ""'--~ 4' I" Conrn1u11ity Dev olopr11en t c2, 1tilillf""o,™-vfif V:N0
Division of ~Jd sand Standards
(3' 11" TO EAVE)
G'
t.!l~z eb~
t;;1;..:I
fJ 1--< ~ cni
17' II"
(17' II" ~ TO EAVE)
i
~
I ~ ~ ~ ;:!;
~
O" 3' 6"
(3' 6"
TO EAVE)
2"EAVE
CHECK ONE BOX
181 Home Above Grade
□ Home Below Grade
~
~
3' O"
(3' O"
TO EAVE)
END OF CARPORT
~
0 z
MANUFACTURED HOME 10' 4" X 28' 6"
CARPORT
AWNING
12"EAVE
8' I" 3'0"
10'4"
(10' 4"
TO EAVE)
(7' I" TO EAVE) (2' O" TO EAVE)
3' O"
t.!l~~ !6~ en::>~ B~§ cno ~
........ .......... . .................... .
Corner
Marker STREET Corner
Marker
30'-7". • Widthandlcngthoflot: 44'11" x SZ'B" W1dthandlcngthofhomc 23'8" x 49'2'152'8"
1. Draw any proposed structure(s) and existing structures on the diagram above at the approximate location
and identify the type ofstrucl\1res (e.g. deck, awning, etc). Indicate the distance from the lot line to the
proposed structure. Also indicate the length and width oftbe structure.
2. Indicate the exact distances from structures on adjacent lots if located within IO (ten) feet of your lot line.
J. Enter length & width of the manufactured home (including caves) and length & width of lot.
4. No vegetation is allowed under the manufactured home or habitable accessory structure. Loi must be
properly graded to ensure that water cannot accumulate beneath the manufactured home.
B)
C)
D)
LOT PLOT PLAN AND PARK JNFORMATION
Park Name BAYSIDE VILLAGE
Homeowner Name NUTREND HOl\1ES
Homeowner Address 300 E. COAST HWY Sp# 207 TREMONT
City NEWPORT BEACH Zip~9=2=66=0'------
Desi!,'ll Information:
Home Amperage: 100 Pedestal Amperage: . _ _IOQ
Home Roof Load: 20 PSF
Roof Load for locality: __lQ PS F
Is Lbc park located in :i snow ureu requiring 30 lb or greater roof
loading? □ YES l½J NO
TI1e lot line corners ut the front and rear are clearly w1d pennancnlly
marked pursuant lo Tille 25 of the California Code of Regulations,
Sections 1104 or 2104 in the following manner:
PINS/REBAR
NOTE: Euch lot line corner shall be clearly und ~enna.mmllv m11rkc<l
prior to installation and inspection.
STATEMENT OF RESPONSIBILITY
(ORIGINAL SIGNATURE REQUIRED)
As the park owner or operator, or as his or her authorized
representative, I hereby certify that the information provided on
this plot plan relative to the location of the manufactured home,
all related accessory structure locations and separations and the
park and homeowner information is tme, accurate and
complete. Lot comers have been identifi~ item D above.
r ·,
~~ ;,
I
.:-/ \./
,;'}1_,,u
. -
··,owner, Operator, or Manager
State of California
Department of Housing und Communily Developmt:nl
Division of Codes and Standards
Northern Arco Office
9342 Tech Center Drive, Suite 550
Sucrumcnto, CA 95826
Southern Arco omcc
3737 l\foin St. Ste 400
Riverside, CA 92501
HCD 538 Revised 7/04
PA2022-0207
BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
PROJECT. INSPECTION RECORD
APPLICANT: COASTLINE CONSTR I Permit#/DTN 12749207
ADDRESS: 5742 RESEARCH DR HUNTINGTON BEACH CA 92649 FEES PAID: $278.00
EXPIRES: 03/19/2023
DESCRIPTION OF WORK: IMHI *DOUBLE* 23'8"X51'6" ETS 133 *SERIAL# 176ACAHA102859AB
LOC'\_TION INFORMATION: BAYSIDE MHP LLC --300 EAST COAST HIGHWAY #207 TREMONT; NEWPORT
PARK ID: 30-0162-MP BEACH, CA 92660
MANUFACTURER: I J INSPECTOR: BILL SIMMONS I (714 )315-s571
DECAL: I SERIAL N!/MBER I INSIGNIA !LENGTH !WIDTH I TYPE OF UNIT:
YEAR:
**CALL THE INSPECTOR WHEN READY FOR AN INSPECTION**
POST THIS RECORD ON-SITE IN A CONSPICUOUS LOCATION UNTIL PROJECT COMPLETION
•-A ---
IN~P.# OOMMl;NT$ 0ATF; IN~Pl;CTQR COMM(iNT
SITE IN§PECTION
1 CORNER MARKERS
2 SETBACKS and SEPARATIONS
3 ACCURATE PLOT PLAN
FOUNDATION/ RETAINING WALL INSPECTIONS
5 FOOTINGS
6 SLAB
7 STEEL REBAR ..
8 . BOND BEAM
9 ADDITIOINAL SUPPORT PIERS
UNDERGROUND INSPECTIONS
11 WATER
12 ELECTRICAL
13 GAS
14 DRAIN/SEWER
15 BACKFLOW PREVENTER
16 MISC. UNDERGROUND
AC/ FAU INSPECTION§
18 ELECTRICAL
19 A/C CONDENSER
20 A/C COIL
21 VENTING/FIRE STOP
22 FAU
F_RAMING INSPECTIQNS
24 PLUMBING
25 ELECTRICAL
26 MECHANICAL
27 FRAMING
28 GAS
PA2022-0207
Business. Tronsporlotion end 'Housing Agency
Deportment of Housing ond Community Development
Division of Codes ond Stondords
Mobilehome ond Special Occuponcy Porks Programs
SEP 2 0 2022
APPLICATION FOR PERMIT TO CONSTRUCT
SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDmONAL INFORMATION
--7:icense low (C op er commenc,ng w, ecfion o
Division 3 of the Business and Professions Code) or that he or she
is exempt therefrom and the basis for the alleged exemption.
An)' violation of Section 7031.5 by any appficcnt for a permit subjects the opplicanl to a civTI penally of nol more lhan rive
hundred dollor1($SOO).):
0 I, cs owner of the property, or my employees with wages a,
their sole compensation. w!D do the war1c, and the structure is ·
not Intended of offered for sole (Sec. 7044. Business and Professions Code: The Coniractors License Law does not apply
~~~~~~~;;.,'jf ,;'~e~f ~g,c'~~~~~~~
employees. provided that such improvements are no! intended
or offered for sale. If. however. the building or improvement is
sold wilhin one yeorof completion. the owner-buITderwm have the blXden of proving that he or she did not build or improve for
the purpose of sale.).
DI. as owner of the property, om exclusively contracting with licensed con!roctor1 to construct the project (Sec. 7044, Business and Professions Code: The Contractoo License Low
does not apply to on owner of properly who bu,lds or improves
thereon. ond who contracts for such projects with a controctor(s) licensed puwant to the Conlroclors License Low.).
D I om exempt under Sec.--~ 8. 8. P.C. lor this reason:
Owner ___________ ~Dote ___ _
3. WORKERS' COMPENSATION DECLARATION
I hereby !]ffitm unde< penalty of perjury one of the following dedorotions: 01 hove ond wm maintain a certificate of consent to self-insure
for wott:er.;· compensation, as.provided for by Sec1ion 3700 of
bar Code. for the performance of the work for which this tis issued.
ave and wm maintain workers' compensation insurance. os requited by Section 3700 of the labor Code, for the performance of the wo for which this permit is issued. My workers' comp s Ii n i surcnce carrier and policy num::>er
ore:
Carrier __ -1,....:,,_,,.__----o>......--+----l~-+-----
for which this
p · any manner so n lawsof
?. ~00 or -~ rj
R TI HALL SUilJECT AN EMPLOYER
L FINES UP TO ONE HUNDRED THOUSAND DOLI.ARS (;100.0001. IN ADDITION TO THE COST OF
COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 370
OF THE LABOR CODE. INTEREST. AND ATTORNEY'S FEES.
4. CONSTRUCTION LENDING AGENCY
I hereby affirm under penolfy of perjury lhot there is o construction lending agency for the performance of the work for which this permit is issued (Sec.3097, Civ. C.).
Lende~s Nome ______________ _
5.CE
I and slale lho1 lhe a ply wilh all cit ing to 'ldi
totiv pr,
OoWNER Cother _______ _
Address 5742 RESEARCH DRIVE, HUNTINGTON BEACH, CA 92649
_______________ Tel. No ________ _
Architect/Engineer __________ Li.c. No. _____ _
Address~ _____________ Tel. No.
SECTION 2 • D.ESCRIPTION OF WORK AND VALUATION
INSTALL 23' 8" X 48'/51' 6' MOBILEHOME
ETS 133 TIE-DOWN SYSTEM
SECTION 3 -ACCESSORY BUILDINGS or STRUCTURES
0 REINSTALL Standard Pion Approval No.----;;;,,'"'-
□ Porch
SECTION 4 -MANUFACTURED HOME/MOBILEHOME INSTALLATION
Owner NUTREND HOMES Tel. No. ______ _
Address 300 E. COAST HWY, NEWPORT BEACH 92660
Resident MODEL Lot No. 2071REMONT
Serial Number{s) 176ACOHA102859AB
Manufaclurer Name/
Model Name SILVERCREST
DEP~TUSEONLY
ID.No. ( -oua&
□MP OAS D MHI
Closed By _______ _
Date Closed
COLLECTION INFORMATION
Collection# _______ _
Collection DcS£p 2 Q 2022
As<ignedTo ~~
Routed By __
Upon Department approvoi to
release, and poyment of fees. this
permitisissu~ed only for items
validated bel
PERMIT#
MH ACC/S ______ _
MP
BLDG
MHI
MISC.
1ECH SER.
PLC'K
S.M.I.
ISSUE
TOTAL
DIVISION PROCESS RECORD
Appr,cotion _______ _
Local Planning ______ _
Local Fire _______ _
Local Health ______ _
Pubric Works ______ _
Environmenlal Impact ________ _
Negolive
Decloration _______ _
School Impact
Fees
Expires 'J. ft· f <
PINK· ASSESSOR
PA2022-0207
. APP f~OVED LOT PLOT PLAN AND PARK JNFORMATJON
Em.11mm1al of these :plans does 110\ authorize or approve any
sTRUJ?!O,IB®r or deviati.on from require rne11\s 1! state lav,EXISTING
api1!icab'2 lo,~al orlJ1nances One set of appr wed plansmi kTURE
be avail2 ile on ti'£ pro)~ct site at all times Plans shall be
EXISTING
STRUCTURE I A) Park Name BAYSIDE VILLAGE
rep lace wl1e11 ~hey oecorne il!egi b!e er de\erimated Structures & Proje~tions must beJ I
3' minimum from lot lines
Corner
l\farker SEP 2 0 2022PARK PERIMETER/COMMON AREA
State of Calif , a ,/ ••• /-~ ·-., .. ·oepaif1N::ili "oH OUSlllQ 8110 ?~ .1/ ~ ,;.:-
Coni111unity Dev opment ERNE~ TO TREVlt~O
Division of Code~ and Stanrlcirds 3, l" t
4' I"
(2' 11" TO EAVE) (3' 11" TO EAVE)
G'
(..') ~ ~
~;:i~ !;;ti~ ;;;io...:i ~~~ (/J~ 6
~
~ i
~
I ~ ~
~ ~ ~
17' 11"
1--(17'11"
TO EAVE)
3' 611
i---(3'6"
TO EAVE)
~ P-l
~
2"EAVE
CHECK ONE BOX
181 Home Above Grade
D Home Below Grade
MANUFACTURED HOME
12" EAVE ·
~
~
8' l" YO"
3' O"
(3'0" -
TO EAVE)
10'4"
(10'4" -
TO EAVE)
(7' l" TO EAVE) (2' O" TO EAVE)
l
Corner
Marker
3' 011
g (..');i:i: ~~~
(/Ju ,I!:; ti<§~ ~~A
(/J g
t
................. J l l l ................... ..
Corner
Marker STREET
36' 7"/ 58 5'/ Width and length of lot: 44•.11" x 57'8" Width and length of home
Corner
Marker
23' 811 X 49' 2'/52' 8"
1. Draw any proposed structure(s) and existing structures on the diagram above at the approximate location
and identify the type of structures ( e.g. deck, awning, etc). Indicate the distance from the lot line to the
proposed structure. Also indicate the length and width of the structure.
2. Indicate the exact distances from structures on adjacent lots if located within IO (ten) feet of your lot line.
3. Enter length & width of the manufactured home (including eaves) and length & width of lot.
4. No vegetation is allowed under the manufactured home or habitable accessory structure. Loi must be
properly graded to ensure that water cannot accumulate beneath the manufactured home.
Homeowner Name NUTREND HOMES
Homeowner Address JOO E. COAST HWY Sp# 207 TREMONT
City NEWPORTBEACH Zip~9,.,,2,,,6""60,,.__ ____ _
B) Design Infonnatfon:
Home Amperage: 100 Pedestal Amperage: 100
Home Roof Load: 20 PSF
Roof Load for locality: _lQ PSF
C) Is the park located in a snow urea requiring 30 lb or greater roof
loading'/ □ YES ~ NO
D) The lot line corners at the front and rear urc clearly and permanently
marked pursuant to Title 25 of the California Code of Regulations,
Sections 1104 or 2104 in the following manner:
PINS/REBAR
NOTE: Each lot line comer shall be clearly und i:1emrnnen!ly murkcd
prior ro installation and inspection.
ST A TEMENT OF RESPONSIBILITY
(ORIGINAL SIGNATURE REQUIRED)
As the park owner or operator, or as his or her authorized
representative, I hereby certify that the information provided on
this plot plan relative to the location of the manufactured home,
all related accessory structure locations and separations and the
park and homeowner information is true, accurate and
complete. Loi comers have been identified as in--irem0,above.
M() M' c\ r \ A' . ., , ./-k __ _J __ [J .J G"\ ~--1------.._ __/'
J ~ignature of Parll Owner, Opcratw,-~ Manager
l State of California
Deparlment of Hou:;ing and Community Development
Division of Codes and Standards
Northern Arca Office
9]42 Tech Center Drive, Suite 550
Sacramento, CA 95826
Southern Arca Office
3737 Main St. Ste 400
Riverside, CA 92501
HCD 538 Revised 7/04
PA2022-0207