HomeMy WebLinkAboutPA2022-0203_20220914_Project Inspection RecordBUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
PROJECT INSPECTION·RECORD
...
APPLICANT:. · COASTLINE CONSTRUCTION I (714)891-9798 Permit#/DTN 12720602
ADDRESS: 5742 RESEARCH DRIVE HUNTINGTN BCH CA 92649 FEES PAID: $278.00
EXPIRES: 02/25/2023
DESCRIPTION OF WORK: INSTALL 26:8 X 54, ETS 133
2022 SILVERCREST
176ACPHA102858 NB
6QO.At !9N lNFQRMAT!QN; BAYSIDE; MHP LLC--301 LEXINGTON CIRCLE; NEWPORT BE;ACH ; CA
PARK ID: 30-0162-MP ~
926p0
MANUFACTURER: I I INSPECTOR: BILL SIMMONS . 1(714)315-5571
DECAL: §~Rl'.\b t•HJ.M§~R INSl~NIA Li?N~T!-f WIDTH
TYPE OF UNIT:
YEAR:
.**CALL THE INSPECTOR WHEN READY FOR AN INSPECTION**
POST THIS RECORD ON-SITE IN A CONSPICUOUS LOCATION UNTIL PROJECT COMPLETION
!lli!Sf', t# OO!VIM~NT$ PAT~ INSPiOTO~ OOMMBNT t "¥ ' .,:-:::-J:
§IT!s IN§Pirnt!QN
.. 1 CORN_ER MARKERS ·.
". ··2 SETBACKS~nd SEPARATIONS -e .
3 ACCURATE PLOT PLAN
fQYNQAT!QN! RiTA!N.ING WA.b.b. lN§P§QTiQN.§
5 .. FOOTINGS
6 SLAB
7 STEEL REBAR
8 BOND BEAM .. ..
9 ADDITIQINALSUPPORT PIERS
VNQgR_§RQlJNR 1tJ§pgQT!QN§
11 WATER
..
12 · ELECTRIC~L ·.
•-c· 13 ... GAS .. . ..
14 DRAIN/SE_WER
15 BACKFLOW PREVENTER
16 MISC. UNDERGROUND
AQ l f AY !N§Pg,QT!,QN§
18 ELECTRICAL
19 NC CONDENSER
' 20 NC COIL
21 VENTING/FIRE STOP
..
22 FAU
FRAMIN~ IN$PJ;QT!Q~~ '-
24 PLUMBING
25 ELECTRICAL
26 MECHANICAL
27 FRAMING
PA2022-0203
CO!ffliCl'OIJOWMfR IUILl8 DfCIAIAtlOIIS
AUG 2 3 2021
6\mlll!SS. Tran~oliO!\ 0.'10 HOusilY,l Agency
Dep::,rtment or Housing and ComM'llinitv Development
Divi5i0<> ot Codes and StondardS
Mobilenome and Special Occupor,cy Ports Prc,gorrn
APPLICATIO.N FOR PERMIT TO CONSTRUCT
(SE£ IEVEISE SID£ OF FOIM FOii lNS1IUCIIONS AND ADDl110NAL INFOIMA_l!Q.tl_L ·-
,'lot tt,QVi:'e<J la c.oinr.netcia1 modt..Jlor!. or Reoeotiono! Venic;e,,; SECIION 1 • OWHEI/APP'IJCANTINFORl,\ATION
1. IICENS!:D CONte ... CTOIIS DECLARATlON
I lje<eby olli'm ~ per,olly"' P<>ii""t· ~om l,;en'8d Por1c Nome .BAYSIDE VILLAGE
l Part d ~ r. ,, Address 300 E. COAST HWY
--:-1'-ilh,~~::a,;Ci;;';,:.ty;;NEWPO~~=RT~B=EA~CH~ ___ County ORANGE
2.0 .
DliPUTM!,_NTUSJJ"G y
10. No, . .,.:3 {)""11,
C MP L AS l.'MHI
Clo2!(lgy ______ _
OalaC1osed
C:OUEC110NINfO~ON · __ . · .. ~. ~i:i:fo1~c~·doc. -----=~™~=65:~J.~:=oti,·orti'4>tir:t'~l!'.i.'SC===================1-::£oleem· · .. _TI_··~, 1'/4=.4 repq.-a,:,y.slnlctu'it,P!>()r·toit>lsSUCl1lCo.a,oreoui'e,tt:i<t _V""-"" (.,.(:.. ~~.:.'!, ~~0•~~°,,~~}0~~~~="' APPLICANT COASTLINE CONSTRUCTION A.'ID AWNING CO.
=Y:;;'~~~;,=.,-t~'f;~~~she D!: r , FeeRe,, r ~ e:xemol'tt>e<e~om and !he l><nl< fc,-!he alleged e,emc,tion. ' .. CONTRA(.70~ ·OWNER , . Other _________ _
Any ,;.o1o11on ol Section 7!131 .s by anv applicant !Cf o pam,,, wbiec,S Ifie <JDP[coryl lo C d-,a penolf•t' of no? ff'lae lhOti rrve """""d dollart(SSOOIJ:
Address 5742 RESEARCH DRIVE, HUNTINGTON BEACH. CA 92649
________________ Tel.No ________ _ Ca , 0 {. as owner or ltlEt ~. or mv employee. \Mtn wo~a.; en ~~~~'°";~ ~".'~~~~tureis Architect/Engineer __________ ,Uc. No.______ · d ~,ii-~C.:,,-i"'--"-"~-l'to!l!SSions CQ(le: lhe Con•ocicn License law doeJ no1 ocplv
to on °"1,,'1"'4!W-of ?"aporiy who bulct. or i'nproves thorltOn.. and ·Nho-ooes such wort: ,,..,...,, 01 herself or tmx,gh his Qt her own
er-,ok,yee$. provided ltlcif ~ impr0".1emenh. ere nc.1 intended :x offerea·!or 101& ff. hcw,,cver. the bcn:GT'og ot impro-..·eme-nr~ ~Id .....,,thw, one ycc,-of .compiot:on. ihc-C11N001-o.ildc ....& hove ltle. burden of proving l'hof he or st'8 did r.ot hL-id or l"nprcvc tor the ourp0te ot sole.).
D I. o, owner of""' p,Q>erty, om exct.,,i,,ely controcli,ig M1h
lieeme<! con~OC!O<'s lo eon<!n,ct !he e<qect (Sec. 10U .. 3usineis ·and PYOIC<Sions Code: 11,e ControC1or.l IJconsc: tow does ncl oDOtv lo on ®me! of aooilm· who 00.l:k 01 H'l'lprovet fheteon. and who c011trccts for svcn projec~·with c conkoctorjsJ llcenled pu1Wonl lo the Conkoctori t:.'c<,n,e
CJ7tm exempt undffl' Sec ------~-~ o.? C lo, tt,, •nmon
3. WORi:El!S' COMP:NSATION OEC!.ARATION ~JJ~;" >.Jlldcr pcnaliy ot perjury on!l Ol lhc 1o:lov.ing
0 1 nave ono wli rnoin!airi o certiocate of consent ro self~~Jfe !a worten· ca,,,peru.o101. cs provided !a bv Scc!ion 3100 oi
~
abOr Code-. lo, 11'\R pcrlormonco .of ffl.1> <A--ct~ tor \.o.lhich thr.; ,tisiM\led. .
have -ond wii moinroi.ri wotkerf corr-.oemollon ir't:;lS'Oflce.
ru ,eo:uired t,,;, SecliOn 3700 of me Labr.lr Code. for the ::>erfoirno:-ICe of !he 'N(n .~a-wt:iich :!'m per,nil"is iuued. My ·,,.•cd.:cr1• •corn •Jelion insucnce carrier ond POl:CV number
""'' Corri"C"t_...LlllO!,.""'.,-,._.-,.. ______ _
~ohcyNu
(This soc:tion need rto com o W3 oermi: is :er or..c '1Vncir&d clC:DM 1$100) c:,-!ell).
0 I c~y !»al" the pc,1ormcocc of the wori: fC),' wr.id> ,;,:,
:)8.l'Tt'Jit · W d I ' · mplo ony·person ir. an·f mon."1ec ,so com~Son lo-NS ot <td b<>=omo ~j 1o of Sec oor
!hos
7t-Hh'o""-l---i'----"Ole-,j~'""""'~
'fAJW 10 S. R~ \NORS::.E;;s· CC ~:>EfJSA co~ . !.WfUL. ANDSHAl.!. SU!liECT AfJ'EM OV-:JI !O CRIMINAL PENJ,,i.Tle; ANO CIVIL FiNES UP TO ONE HUNOR!:O !HO~>SAl,IC DOUARS IS HXUXX!). IN ADDITION 10 THE cosr Of COMPENSATION. O,';MAGES AS ?sOVIDED ;oR IN SECTION 370; O,lH!' LAB~ COOE, iNTEReST. AND ACTORNfr'S ~-
.t. CONSTR"JCTION Le,!OrN-:; AGENC':'
l hcrcbY otrrm under per.a:~,. ot oorjury lhar !ht.'fe Is o cor-1rrucron 1er\Oing :,gef'C'/ •er !11!! perlormar.ce 01 1ne wort !or'#hich 1t-J1 pemii1 is i:z1..-ed (Sec 3097. Civ C./.
~endet's Ncme _____________ _
~ender's .Address ------·---·--·-··-···----·--·-·
i<CD 50. Side I {Rev. 71041
Address, ____________ Tel. No.
SEcnON 2. DESCRll"TION Of WORK ANO VALUAnON
INSTAU. 26' 8" X 54' MOBILEHOME
" ETS 133 TIE-DOWN SXSIEM _______ _;_ __ _
!EC11ON 3 -ACCESSORY IUILDING$ or STl!UcnJI~
REINSTALL
$£eTION • • MANUFACTUUD HOMC/MODILfHOMf IN$TAIJ.t!ITION
Owner ..fil.l.Y.P~ANNE==~R~ ______ Tel. No. ______ _
Ad::ltess 300 E COAST H\\'.X, NEWPORT BEACH 9~2~66~0~--
Residen1 SAMEASABOVE Lal No. 301 LEXINGTON CIR'.
Routed B
Upon Deportment oc,pro,,ol to
~. anc:i pOyr.t'lent o f feos. inis
l)l!f1'rit is inued orl'y for items
v<ilidoted ~-?'"'\A~:;)-
PERMIT I' /_pt_..c..;c h(Jll7/ __ 1 __
MHACC/S _____ _
MP
BLOG
MHI
MISC.
TECH SER.
PLC'!:
5.MJ.
TOTAL
OMSION PIOCESS RECOID
A.ppficc!ion ______ _
Loco! f;r,a _______ _
Locor Heollh ______ _
Pubk WOf'<S ______ _
Environmental
lmocct --··---
Negative Declarofion ______ _
SchOOl lmpacr
· -fees
Dote 'i • 2q, 2.0"'L'Z-
1:><ued Sy\• 'iol!W~--
Exoires
PA2022-0203
LOT PLOT PLAN AND PARK INFORMATION
EXISTING
STRUCTURE EXISTING
STRUCTURE
EXISTING
STRUCTURE A) Park Name -=B:..:A:.:.Y=SID=E:...VIL.:..::=LA:..:.:G=E __________ _
Corner
Marker
12"
COMMONAREA
3'4" 3' 5''
(3' 2" TO EAVE) (3' 3" TO EAVE)
11' 6"
(10' 8"
TO EAVE)
5' l"
(4' 3"
TO EAVE)
2"EAVE
CHECK ONE BOX
181 Home Above Grade
0 Home Below Grade
MANUFACTURED HOME
12" EAVE
2' 5" 2'4"
10' 3"
(9' 5"
TO EAVE)
10' 6"
(9' 8"
TO EAVE)
(l' 5" TO EAVE) (l' 4" TO EAVE)
Corner
Marker
.,.. ______ __. _________ .....r... ______ _____, ••••••••••••••••••••••
Corner
Marker STREET
Width and length of lot: 48' 6" x 59' 9"159' 6' Width and length of home
Corner
Marker
2s· 4" x'---'""'"'''-'' 2._•_
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 Jot 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 t O (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. Lot must be
properly graded to ensure that water cannot accumulate beneath the manufactured home.
Homeowner Name_-=G-=UY-=--=D::.:ANNE.:..:..:=R'-=------------
Homeowner Address 300 E. COAST HWY Sp# 301 LEXINGTON CIR.
City NEWPORT BEACH Zip.--"-'92..,,6=60"-------
B) Design Information:
Home Amperage: 100 Pedestal Amperage: 100
Home Roof Load: 20 PSF
Roof Load for locality: 2!) PSF
C) fs the park located in a snow area requiring 30 lb or greater roof
loading? □ YES ~ NO
D) The lot line corners at the front and rear are clearly and permanently
marked pursuant lo Title 25 of the California Code of Regulations,
Sections 1104 or 2104 in the follow ing manner:
PINS/REBAR
NOTE: Each lot line comer shall be clearly and permanently marked
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 true, accurate and
complete. Lot comers have been identified as in item D above.
u State of California
Department of Housing and Community Development
Division of Codes and Standards
•
Northern Area Office
9342 Tech Center Drive, Suite SSO
Sacramento, CA 95826
Southern Arca Office
3737 Main St Ste 400
Rivenidr, CA 92501
HCD 538 Revised 7/IM
PA2022-0203
APPLICANT:
ADDRESS:
BUSINESS; CONSUMER SERVICES, AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
PROJECT INSPECTION RECORD
COASTLINE CONSTRUCTION 1(714)891-9798 Permit#/DTN 12720605
5742 RESEARCH DRIVE HUNTINGTN BCH CA 92649 FEES PAID: $196.00
EXPIRES: 02/25/2023
DESCRIPTION OF WORK: · ICONSTRUCTION_INSPECTION -INSTALL 9.4 X 50 CARPORT AWNING SPA88-60
INSTALL ~.8 X 25.6 DECK AND STEPS PER HCD PLANS
L9¢AT1.QN !NfQRMAT!Oti; BAYSIDE MHP LLC ~-301 LEXINGTON CIRCLE; NEWPORT Bi;:ACH , CA 92660
PARK ID: 30-0162-MP . "
MANUFACTURER: : I· I INSPECTOR: BILL SIMMONS . 1(714)315-5571 ..
DECAL: SERIAL NUMBER !NS.l~N!A LENGTH W!PTH. ,o.•,~.,.,d •,-•, ... -,. ~~ ... ~ .. M'<" -. .,. .. ,. •• ••. .,,,~,_.,..,i:'-": .. -' .. --> ....
TYPE OF UNli:
YEAR:
**CALL THE INSPECTOR WHEN READY FOR AN INSPECTION**
POST THIS RECORD ON-SITE IN A CONSPICUOUS LOCATION UNTIL PROJECT COMPLETION
IN§P,# COMM!iNT$ DAT~ IN$.PEGTQ~ CO!\IIMENT
$!Ti !N§P!i;QT!O~
.. 1 CORNER MARKERS
2 . SETBACKS and SEPARATIONS
·3 AC CURA TE PLOT PLAN
FQ!J!'IPATIQNJ R~TAJNJNg WA!,,.L IN§PJ;9T!QN$,
·-· 5 FOOTINGS '.
..
6 SLAB
7 STEEL REBAR
8 BOND BEAM . ..
9· f\DDITIOINAL SUPPORT PIERS .
YNP!=R@R94!'lP 1NSPl;QT!Qt-J$
11 WATER '.
12 'l=LEC.TRICAL
13 GAS " '.
·14 DRAIN/SEWER
15 BACKFLOW PREVENTER
16 MISC. UNDERGROUND
AP ! FM) lNSP!;CT!QN§
18 ELECTRICAL
19 A/C CONDENSER
20 A/C COIL
21 VENTING/FIRE STOP
22 FAU
f~AMING, !N§f>§9T!QN§ -.
24 PLUMBING
25 ELECTRICAL
26 MECHANICAL
27 FRAMING
28 GAS
PA2022-0203
AUG 2 3·2022
ausiness·. rronspcrtaiioo. and H:,using ~.cv
Depo:tmenl of HaU"..lng cno Comm,.-nily De,elopmen•
Division of .eooes ano Slandoras
Mabilehome or.cl $pedal Occupa.,cy Pcrl:s l'rogoms
APPLICATION f.OR PERMIT TO CONSTRUCT
Sff IEV!Uf-SIDE.Of FOIM fOI INfflUCTIONS ANO AOOfTIONAl INFORMATION
COKBACT0a/OWNU IUIU>a·DECLUATIONS Not requifed tor com.-Tlerciol modukJts 01 ~ecreotiono/ ven:c:es
Q I. OS ~'Y\ef' of U'0 prooerty. ~ my empiovem witn wQO(!~ Z
rt,e;,sole.compensaf,on. •-,if d0 thoo wori:. orod·Jhe ,:tnx;lure ~ not :,,tended of ofle<ed ,,.. sole fSec. 7C44. ~umom crcl i'ral""'°"s Coile: ·n-,,; ·con:,i,ctc,n lunso Low does 'lOf cp:,ly ·~=~~~~:-=~~~;·:~ ~cs.. orovided tbo'!.su::h imprO"Jer.,cnb ore l"lO! ntended
Cl' off~ for sate. If. toweve:;. the l?'-'lding Ol'•!'Til?'ovemeril rS sold wdnon on& yeo, o! eomplefoon. ihe .,.......,-b<,ld,)! wll ·1,a,., tho blldor.t of c,rovir}g tbclf he 0< she! a,ct r.01 buik:I or improve fCY. Ille ourpo,e ol ,ol,tc].
D I. ai .OWM/ of 1'IQ p,0(:411y. OM .,,c.,,.,,etv e:lnt!Oefing "'ilh
leo~ .conl!'QCTOl'.S to COM1rUe1 .the: p,Ojc-C'I (5cc. ·7Q::4..i.
Susir.cs: and Profeuions COdC: The-Controc,ors U,:c.nse low does nof ,QPD1y ·lo-0n QWf1er of ,::,c,pert,f woo t>.nds o, irno<o•es 1~. ol)d who c:ontroctt for ruen Proiec!S Yr.;h o · contmcior(st fcensed pu!lUCl!'ll to the Ccnnocm !.X'.:l!n~
j,Q,,,J.
U 1 am exemot under Sec ... _. _. ;_ !. ?.C for this reason:
Owner _______ ,_,••#~--··-···--····· Dare
3. WORKERS" COMPENSATION OEClARATION =~~ \JOOCf,pcnaily ol pcrj,.."lf'Y oneo1 lhe fo!l.:iw.~
0 1 have or\d w:J', mainroin o ceni:-!',cot~ of ccruen1 lO l-df,i-"u:LKe
lo< wcn:eo· comoensoiio<',. cs 0<0-ided la bv Sedon 3100-ol
!lle~L · ·Cooe. for me pertormonce of the .....-a< for which this ftiissued.
hove dnd IA-ii .mainlcin we:ri:.e"f corriper~ton imt.)"oflce.
·05 <CQu'rod bv-Seclicn 3700 ol tl1e labor Code. le, lhe ·oerfom1once of -fhe•WO!i f0<·which !his perma .is sued .. M1· ;,.,Meri · l · -fion ·1mvronce cor.rier and ,policy n~mbef era:
Coni~.i..c1<.1Lll!!: ..... _,,+_..-,,_ ______ _
"1e permit e ror enc
-11 CONSTRUC!fON LENOING ACENCY
i ~""l'e[?Y otfl'TY'I.Uf'ldc...,-.penolry ot pet')IJt\• ttia~ 1~::r~ i~ ::J -:omfnJCtior. ler')d:1"'.g !>g8'ney for rhe pe,c1ormorce ol the wod:. l;i,wh,ch Ir.is pennlf is is.s\..,eQ (Sec.3097. c,,. •. C.!.
~i'ndet"s Nome _____________ _
5. C~RTiclCA!iON
I cei"l:if•f"' lhor I ha_ve reod tr~ opplicctior:. ol"\d stof& 1h01 :t).eo
,.. '• ilhciP.c1t
SECTION 1 -OWNEI/APPUCANT INFOIII\\ATION
APPLICANT COASTI.INE CONSTitUCTION AND AWNING CO.
~CONlRAClOR l'Ott,e, ________ _
Aaoress S742 RESEARCH DRIVE, HUNTINGTON BEACH, CA 92649
________________ Tel. No, ________ _
Archifect/Engineer _________ .....cLic. No. _____ _
Addre», ______________ Tcl. No.
SECTION 2 -DESCRIPIION Of WOIIC AND VALUATION
INSTAll 9' 4" X 50' CARPORT AWNING
INSTALL 9' 8" X 25' 6' DECK AND STEPS
Voluolion $ ~ ,,_Q ....... (.,.J) ___________ _
SECflON 3 -ACCESSOIY IIUIIDINGS or STIIUClUIIES
["; NEW ' P.ElNSTAll SfondOrd Pion Aporovol No. ____ _
Awning Crnpor1 \. Cabor..o
1el. No. _______ _
RESIDEN1 SA.\ffi AS ABOVE Tel. No. _______ _
L01 No. 301 LE..XINGTON CIR._..
SECTION 5 -PAU OWN~l. OPERATOR ~NAGER SIGNATURE
APPRQVED: . ,,. / I
f --..,' J l • /l . .
/I j 08/14/2022
Date I
•
of Coifomio
.
. 11/:Y-r
0El'AITMENI" US£ ONl 'f
ID.No. £${J-:O/ {p '2f
C MP L;AS C Mf-11
DaleCloied
COl1EC110N INFOIMA.TION
Upon. Deponmeni ·opProvai to
re!eose. and paymenl of fees. !his
~t. is issued only'°' rtcms
voidaled below. ,"').,Ir / £.
PSMIT~ J;J1pVfP .
MHACC/S -~/_t'/_la_
MP
BLDG
MH!
MISC.
TECI-< SEl1-
PlC'(
ISSUE
TO!Al
DIVISION PIIOCESS lECOlD
AppUco,ion ______ _
locol Pionning _____ _
Locct F,a _______ _
LOC.CIHeom, ______ _
Public woncs ______ _
Em,~tonmental lmpOCI ________ _
Negoli,a Declaration ______ _
School tmooct
Fees
'iCD 50. Side I !Rev. 7/0<II oisra,aunoN:
!Sign
WH!TE . DEPART/>1ENT. r:LLow . 01~rr.,cr litri~ENTATivf ··P1~ -ASsESSoR ··---·----
PA2022-0203
LOT PLOT PLAN AND PARK. INFORMATION
EXISTING EXISTING
STRUCTURE EXISTING
STRUCTURE STRUCTURE A) Parle Name _:.BA::.=Y.:cS:c.:ID=E--'VIL-==LA=G::.:E=------------
Corner
Marker
Corner
Marker
12"
COMMONAREA
3' 4" 3' S"
(3' 2" TO EAVE) (3' 3" TO EAVE)
11'6"
(10' 8"
TO EAVE)
S' 1"
(4' 3"
TO EAVE)
2"EAVE
CHECK ONE BOX
181
□
Home Above Grade
Home Below Grade
10' 3"
(9' S"
TO EAVE)
9' 8" X2S' 6"
DECKAND
STEPS
MANUFACTURED HOME
12"EAVE
2' S"
~ 9'4" XSO'
i:Il CARPORT
b AWNING
2'4"
10'6"
(9' 8"
TO EAVE)
(l' S" TO EAVE) (I' 4" TO EAVE)
Corner
Mark.tr
-----------'-----------'--------t:.······················
STREET
' I
Corner
Marker
Width and length of lot:_..,48._.' 6._" _ x 59' 9•159• 6 Width and length of home _..::28._' 4.:..•_x. __ __,5""5_.' 2:..." _
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 iflocatcd within 10 (ten) feet of your Jot line.
3. Enter length & width of the manufactured home (including eaves) and length & width oflot.
4. No vegetation is allowed under the manufactured home or habitable accessory structure. Lot must be
properly graded to ensure that water cannot accumulate beneath the manufactured home.
Homeowner Name_-=G-=UY...::...,:D::.::ANNE.:.:..:c:.=:R:.:.._ _________ _
Homeowner Address 300 E. COAST HWY Sp# 301 LEXINGTON CIR.
City NEWPORTBEACH Zip._9,c.:2::,e:66=0,..._ ___ _
B) Design Information:
Home Amperage: 100 Pedestal Amperage: 100
Home Roof Load: 20 PSF
Roof Load for locality: 2Q PSf
C) ls the park located in a snow area requiring 30 lb or greater roof
loading? 0 YES ~ NO
D) The lot line corners at the front and rear are 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 and permanently marked
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 true, accurate and
complete. t comei:s ~av e n identified as i D above.
I J i
State of California
Department of Housing and Community Development
Di"ision of Codes and Standards
(I) Northern Area Office
9342 Tech Center Drive, Suite 550
Sacramento, CA 95826
Southern Area Office
3737 Main St Ste 400
Riverside, CA 92501
HCD 538 Ravisad 7/fM
PA2022-0203