Clearlake, CA · Lake County
Application for Alteration, Addition or Conversion, Alternate Approval, Technical Services, or Inspection to Obtain Insignia
Owners, contractors, and applicants use this application to request services for a manufactured home, mobilehome, or commercial modular unit.
What this form is
This application requests alteration, addition or conversion, alternate approval, technical services, or an inspection to obtain an insignia for a manufactured or modular unit. It asks for unit, owner or applicant, contractor or design professional, and work details, including the work's total cost. Applicants provide the relevant contractor or owner-builder declarations and signatures; plans and other details are required for structural work.
Who needs it
A unit owner, contractor, or other applicant requesting one of the listed services for a manufactured home, mobilehome, or commercial modular unit needs this application.
How to submit it
For alteration, addition or conversion, inspection, or technical services, submit the completed application and required fees to the appropriate Area Office listed on the form. Alternate Approval applications go to the Department of Housing and Community Development, Manufactured Housing Section, P.O. Box 278180, Sacramento, CA 95827-8180.
About notarization
This application is signed without a notary; its declarations include statements under penalty of perjury, but no notarized attachment or related step is mentioned.
How to submit this form
- 1
Download The Application
Download the application PDF and choose the service you are requesting.
- 2
Complete The Relevant Sections
Fill in the unit, owner or applicant, work description, valuation, and signature sections required for your service.
- 3
Gather Required Attachments
Attach complete plans, specifications, details, and calculations for structural alterations or additions.
- 4
Submit The Application
Send the completed application and required fees to the appropriate Area Office, or use the stated HCD mailing address for Alternate Approval.
Frequently asked questions
- Do I need a notary for this manufactured home application?
- No. The application has signature and date fields but no notary block. Some declarations are made under penalty of perjury; the form does not mention a notarized attachment or step.
- How do I submit the application?
- For alterations, additions, conversions, inspections, or technical services, send the completed application and required fees to the appropriate Area Office listed on the form. Alternate Approval applications go to the HCD address provided.
- What information does the application request?
- It requests unit details, owner or applicant information, contractor or design professional details, a description and cost of the work, and the applicable signatures and declarations.
- Do structural alterations require attachments?
- Yes. The form says to attach complete plans, specifications, details, and calculations for proposed structural alterations or additions.
Need something notarized?
This Application for Alteration, Addition or Conversion, Alternate Approval, Technical Services, or Inspection to Obtain Insignia doesn’t need a notary — but if you have another Clearlake form that does, a commissioned online notary can help.