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Wednesday, November 26, 2025 5100 Bullion Street PO Box 1268 Mariposa, CA 95338 [PHONE REDACTED] FAX [PHONE REDACTED] www.mariposacounty.org [EMAIL REDACTED] Building Department Manufactured Home Installation Information Address or APN: Owners Information: Name: Mailing Address: Coach Information: Length: Width: Number of Sections: Manufacturer: Model: Year Built: Habitable SQ.FT.: Number of Bedrooms: Mobile Home Valuation: Roof Live Load (Snow PSF): Wind Speed Load (MPH): HUD or Insignia Serial Used Manufactured Home? YES NO Wildland-Urban Interface 2022 Code Compliant (Please Sign): Installers Information: Name: Address: Phone Dealer’s Information: Name: Address: Phone Dealer’s License Foundation installation information: 433A Form Requested: YES NO SIGN ---PAGE BREAK--- RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: NAME MAILING ADDRESS CITY COUNTY STATE ZIP CODE SPACE ABOVE THIS LINE FOR RECORDER USE ONLY STATE OF CALIFORNIA - BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM NOTICE OF MANUFACTURED HOME, MOBILEHOME, OR COMMERCIAL MODULAR INSTALLATION ON A FOUNDATION SYSTEM Recording of this document by the enforcement agency indicates compliance with California Health and Safety Code section 18551(a). This document is evidence that the enforcement agency has inspected the installation and issued a Certificate of Occupancy, form HCD 513C, for the manufactured home/mobilehome (MH) or commercial modular described herein, including corrections and/or reporting the removal of a unit from a foundation system, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. Mandatory: Select all appropriate box(es) below: New Recordation Correct a Recordation Report a Unit Removed from a Foundation System ALL INFORMATION BELOW MUST BE ENTERED BY THE ENFORCEMENT AGENCY PROPERTY INFORMATION REAL PROPERTY OWNER NAME(S) MAILING ADDRESS CITY COUNTY STATE ZIP CODE INSTALLATION ADDRESS (If different) CITY COUNTY STATE ZIP CODE IDENTIFY THE TYPE OF LAND OWNERSHIP: FEE-SIMPLE DEED TO THE PROPERTY RESIDENT-OWNED MH SUBDIVISIONS MH CONDOMINIUM MOBILEHOME PARKS LONG-TERM LEASE MH STOCK COOPERATIVES ENFORCEMENT AGENCY INFORMATION ENFORCEMENT AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY MAILING ADDRESS CITY COUNTY STATE ZIP CODE BUILDING PERMIT NO TELEPHONE NUMBER EVIDENCE OF UNIT LIENHOLDER(S) RELEASE, OR CONSENT TO INSTALLATION PROVIDED/ATTACHED—SEE REVERSE NOTE #2 (Check if applicable) SIGNATURE OF ENFORCEMENT AGENCY OFFICIAL DATE OWNER INFORMATION UNIT OWNER (If also property owner, write “SAME”) MAILING ADDRESS CITY COUNTY STATE ZIP CODE DEALER INFORMATION DEALER NAME (If not a dealer sale, write “NONE”) DEALER LICENSE NUMBER DEALER BUSINESS ADDRESS CITY COUNTY STATE ZIP CODE MANUFACTURED HOME/MOBILEHOME/COMMERCIAL MODULAR UNIT DESCRIPTION MANUFACTURER NAME MODEL NAME / NUMBER MANUFACTURE DATE SERIAL NUMBER(S) LENGTH x WIDTH CA INSIGNIA(S)/HUD LABEL NUMBER(S) ASSESSOR’S PARCEL NUMBER HCD REGISTRATION DECAL NUMBER MCO NUMBER (New MH only) REAL PROPERTY LEGAL DESCRIPTION, EXPLANATION OF CORRECTION, OR UNIT REMOVAL HCD 433A (Rev. 03/21) Side 1 of 2 DISTRIBUTION – Original to County Recorder, one copy to HCD, one copy to Applicant, one copy to Enforcement Agency See Attached Legal Description 5100 Bullion St. PO BOX 1268 Mariposa Mariposa SIGN CA (209)966-3934 95338 Mariposa County Building Department ---PAGE BREAK--- NOTICE OF MANUFACTURED HOME, MOBILEHOME, OR COMMERCIAL MODULAR INSTALLATION ON A FOUNDATION SYSTEM GENERAL GUIDE AND INSTRUCTIONS A building permit is required from the enforcement agency to construct a foundation system (under new units or retrofits to existing units). To apply for a building permit—the owner, dealer, or contractor must comply with certain provisions of the California Health and Safety Code, as follows: 1) Provide evidence that the registered owner(s) of the unit(s) to be installed either holds title or is purchasing the real property on which the installation is to be made, or written evidence of ownership in a resident-owned subdivision, stock cooperative, MH condominium mobilehome park, or holds a transferable lease on the property with a term of 35 years or more. If the term of the lease is less than 35 years, the term must be mutually agreed to by the lessor and lessee and may not be revocable by the lessor, except for cause. Written evidence must specify the type of land ownership. 2) Provide written evidence that the registered owner(s) owns the unit(s) free of any liens or if there is a lienholder(s), that lienholder(s) has consented to the placement of the unit(s) on a foundation system as an improvement to the underlying property. If the Department of Housing and Community Development’s (HCD’s) registration and title records for the unit do not match the name of the applicant, the applicant shall correct the recorded information with HCD before the enforcement agency can approve the ownership interest, the unit installation or record this form with the county recorder’s office. Note: An enforcement agency may obtain a title search from HCD’s Registration and Titling Program. The information on the title search may be compared to the information shown on the surrendered HCD Certificate of Title or Department of Motor Vehicle (DMV) pink slip(s) and registration card(s) (see below). This will ensure that the most recent ownership and registration documents have been submitted to the enforcement agency and that the registered owner owns the unit(s) free of any liens or encumbrances. Where the title search indicates a recorded legal owner or junior lienholder, or both, evidence should be provided to the enforcement agency that the legal owner or junior lienholder, or both, have been paid in full or that the legal owner or junior lienholder, or both, consent to the attachment of the unit(s) upon the satisfaction of their liens by the registered owner. 3) Provide the plans and specifications required by HCD regulations. 4) Provide the approved manufacturer’s installation instructions or plans and specifications signed by a licensed California architect or engineer covering the installation of the unit(s). 5) Pay building permit fees as required by the local jurisdiction issuing the building permit. 6) Complete an original and three copies of form HCD 433A with all information available at the time the building permit is issued for the installation of a manufactured home, mobilehome, or commercial modular unit(s). 7) Pay a state fee of $11.00 per transportable section and submit with form HCD 433A. Reporting Corrections or Removal of Manufactured Home, Mobilehome, or Commercial Modular from a foundation system: 1) Mandatory selection of the appropriate recordation type near the top of page 1, to indicate this is a new recordation, correction, or to report that a unit has been removed from a foundation system. 2) For correction or reporting unit removal, complete the entire application except for DEALER INFORMATION, unless applicable. 3) In the REAL PROPERTY LEGAL DESCRIPTION, EXPLANATION OF CORRECTION, OR UNIT REMOVAL section, explain in detail correction or reasons for removal and final disposition or destination of unit(s). rectification, recording errors, re-titled, transferred, salvaged, sold, relocated, theft, destroyed by accident, or natural disaster). Attach form HCD RT 476.6, Statement of Facts, if additional space is needed. 4) As appropriate, file this form with HCD, the proper County Recorder, County Tax Assessor, and/or the Local Building Department. After installation is complete and prior to issuance of a form HCD 513C, Certificate of Occupancy, the following requirements must be met: 1) If the unit(s) has been sold to the owner by a dealer, all information not originally available to complete form HCD 433A manufacturer name, serial number(s), date of manufacture, dealer’s license number and HCD insignia(s)/HUD label number(s)] must be completed. Incomplete forms will be returned for completion. 2) If the unit(s) is owned by the individual requesting installation, the following items are required to be surrendered to the local building department prior to issuance of a Certificate of Occupancy: • Certificate of Title and Registration issued by either HCD or DMV • Any license plates or decals issued by either HCD or DMV CAUTION: DO NOT REMOVE THE HCD INSIGNIA(S)/HUD LABEL(S) THAT CERTIFY THE COMPLIANCE OF THE UNIT(S). 3) When form HCD 433A is completed with all required information and all titles, certificates, plates, or decals (if required) surrendered, a Certificate of Occupancy may be issued and form HCD 433A recorded with the county recorder. The owner is to be provided with a copy of form HCD 433B—Notice to Assessor by the local building department. The owner is required to complete and submit the Notice to Assessor to the county assessor. 4) Within five business days of the issuance of the Certificate of Occupancy, the enforcement agency shall record this document with the county recorder’s office. 5) Once recorded, the enforcement agency shall transmit all of the following: the recorded copy of form HCD 433A; a copy of the Certificate of Occupancy; fees collected in the amount of $11.00 per transportable section; and, if unit currently titled as personal property, all applicable titles, certificates, license plates, or registration decals to: Department of Housing and Community Development Division of Codes and Standards Registration and Titling Program P.O. Box 277820 Sacramento, CA 95827-7820 For information on establishing a Requester Account for obtaining title search printouts online or for general information contact HCD at (800) 952-8356 or via email at [EMAIL REDACTED]. HCD 433A (Rev. 03/21) Side 2 of2 DISTRIBUTION – Original to County Recorder, one copy to HCD, one copy to Applicant, one copy to Enforcement Agency