HCD MP 514: Mobilehome Park and Special Occupancy Park Construction Permit Procedures and Application Requirements

Enter the city or county in which the project is located.

Enter the Project name, Project street address, Assessor's Parcel # and Description of work.

Under Applicant / Owner, enter the Phone number and Address.

For the Architect / Engineer / Contractor, enter the name, Role, Phone number and Address.

Enter the Contact person name and Phone number.

A permit application cannot be processed without the approval signatures from any agency checked on the form.

A Planning signature confirms the proposed construction is consistent with local planning requirements.

Planning: Upon completion, does your agency want to review the project/site prior to HCD finalizing the permit(s)? Yes or No. If yes, this form will be re-circulated prior to the final inspection for the Planning Final approval signature and Date.

The Wildland Urban Interface Classification is used by HCD in order to determine the correct installation of materials and construction methods for exterior wildfire exposure.

Enter the Applicant name, Date and Telephone Number.

Applicant to complete items 1 through 3: Site location of home or structure, Assessor Parcel Number (if known) and Mobilehome park name (if applicable).

Applicants are requested to submit the information with the HCD MH 415 and/or HCD MP 50 form at the time of permit application to HCD.

Obtain assistance from the local authority having jurisdiction in completing the Fire Department or District, Contact Person, Telephone and Signature.

Mark the area where the home or structure is or is intended to be located: State Responsibility Area (SRA) or (LRA) Local Agency Very-High Severity Zone.

Choose one classification for the area/zone: Very High, High, Moderate or Unzoned.

Specify the ignition-resistant construction required by the local authority having jurisdiction for fire protection on this property.

Indicate if the park is located in an unincorporated area or an incorporated area.

Enter the park owner's name(s).

Enter the applicant's name, address and telephone number (The Department will contact or correspond with the party that is entered as the applicant.)

Check the appropriate box to describe the applicant; if the box "Other" is marked, indicate the relationship to the owner.

If the requested services involve an architect or engineer, enter the architect or engineer's name, address, telephone number, and license number.

SECTION 2 - DESCRIPTION OF WORK AND VALUATION: Provide a description of the work to be performed (i.e., installing a manufactured home on a foundation system, etc.) Enter the total cost of the work to be performed (total contract price).

Item 3 - Workers' Compensation Declaration: Place a check mark next to the declaration regarding the workers' compensation coverage that applies to the contractor; if the second declaration is marked, the contractor must also provide the carrier's name and policy number; the item must be signed by the contractor and dated.

Item 4 - Construction Lending Agency: If there is a construction lending agency for the performance of the work for the service being requested, enter the name and address of the lending agency; if there is no lending agency involved, enter the word "none."

A geotechnical investigation report (3 copies) must accompany grading plans.

Pool plans must have the local health department stamp upon them as well as a signature on the Mobilehome and Recreational Vehicle Government Agency Approval form or equivalent document.

Obtain approval and signature from the California Coastal Commission on the Mobilehome and Recreational Vehicle Park Government Agency Approval form or equivalent document for developments within coastal zones.

Plans for systems exceeding 240 volts require the signature of a California registered electrical engineer.

All areas of RV parks are required to comply with the disabled access requirements contained in California Building Code, title 24, chapter 11B.

For accessory structures, complete Sections 1, 3, 5 and Contractor/Owner Builder Declarations.

For manufactured home or mobilehome installation, complete Sections 1, 4, 5, and Contractor/Owner Builder Declarations.

For an 18551 foundation system, complete Sections 1, 2, 5 and Contractor/Owner Builder Declarations.

For park utilities, complete Sections 1, 2, 5 and Contractor/Owner Builder Declarations.

For new parks and permanent buildings, complete Sections 1, 2, 5 and Contractor/Owner Builder Declarations.

SECTION 5 - PARK OWNER, OPERATOR OR MANAGER SIGNATURE: The signature of the park owner, operator or manager is required along with the date the form is signed. This signature is an acknowledgment that the park is aware and approves of the services being requested in this application. Item 5 - Certification: The certification must be signed and dated by the contractor or agent on behalf of the contractor.

Fees will be charged for preliminary plan check meetings as a technical service fee ($238 per hour, $238 minimum) (checked November 8, 2026). In addition, the Area Office staff will calculate construction and plan check fees.

WARNING: failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees (checked November 8, 2026).

By signing you certify that you have read this application and state that the information is correct.