What information does the worksheet request?

It asks for job-site and owner details, contractor information, permit use and unit valuation, and details about the home and any earthquake-resistant bracing system.

Can I use this worksheet to apply for a porch or carport?

No. The worksheet says accessories such as porches, awnings, decks, and carports must be applied for on a different application.

Blythe, CA · Riverside County

No notary required

Mobile, Modular, Manufactured Home Application Worksheet

Blythe property owners and contractors use this worksheet to provide job-site and unit details for a mobile, modular, or manufactured home permit.

What this form is

The City of Blythe Department of Building & Safety worksheet collects information for a mobile, modular, or manufactured home permit. It asks for the job-site address, property owner and contractor contact details, permit use and unit valuation, and information about the home and any earthquake-resistant bracing system. Accessories such as porches, awnings, decks, and carports require a different application.

Who needs it

Property owners or contractors applying for a permit for a mobile, modular, or manufactured home in Blythe need this worksheet.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This worksheet has no notary block; it includes a date field, and no notarized attachment or sworn step is mentioned.

How to submit this form

1
Download The Worksheet
Download the Mobile, Modular, Manufactured Home Application Worksheet.
2
Complete The Worksheet
Fill in the job-site, owner, contractor, permit-use, and home details requested on the form.
3
Check For Separate Applications
Apply separately for accessories such as porches, awnings, decks, or carports.
4
Submit To The City
Submit the worksheet to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Mobile Home Application Worksheet?: No. This worksheet has no notary block; it includes a date field, and no notarized attachment or sworn step is mentioned.
How do I submit the worksheet?: Submit it to the city department named on the form; check the city website for current contact details.
What information does the worksheet request?: It asks for job-site and owner details, contractor information, permit use and unit valuation, and details about the home and any earthquake-resistant bracing system.
Can I use this worksheet to apply for a porch or carport?: No. The worksheet says accessories such as porches, awnings, decks, and carports must be applied for on a different application.

Need something notarized?

This Mobile, Modular, Manufactured Home Application Worksheet doesn’t need a notary — but if you have another Blythe form that does, a commissioned online notary can help.