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MOBILE/MANUFACTURE HOME CHECK LIST
Owner: _________________________________________________
Address and/or APN: _____________________________________
Date: __________________________________________________
Please check of each item or mark N/A.
Applicant Permit Tech Item
______ ______ 3 site plans (one 11” x 17” for scanning)
______ ______ 1 installation manual (if available)
______ ______ Marriage line information from manufactured/mobile home
manufacturer if home is larger than a single wide, in duplicate
______ ______ Manufactured/Mobile home manufacturer’s floor plan in triplicate, if
floor plan is not available it can be drawn by applicant. Floor plan
requires dimensions of manufactured/mobile home, indicate all windows
and exits, label each room and include any interior fixtures.
(One floor plan must be 11” x 17 for scanning).
______ ______ State approved or engineered tie down or foundation plans in duplicate.
______ ______ Butte County Manufactured Home Support Information sheet (form
DBP-52) completed with information from manufactured/mobile home
manufacturer’s installation instructions.
______ ______ Flood Elevation Certificate, in duplicate, wet stamped and signed.
______ ______ A copy of the creation deed may be required for the parcel if the parcel
is undeveloped (vacant and never been built on).
______ ______ If on permanent foundation system:
_____ A copy of the current recorded grant deed with the legal
description
______ Title or Registration of the manufactured/mobile home or if it is
a new manufactured/mobile home a copy of the Manufacturer’s
Certificate of Origin (MCO)
Butte County Department of Development Services
PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
Main Phone (530) 538-7601 Fax (530) 538-7785
www.buttecounty.net/dds
FORM NO
DBP-59
Revised 12.19.2016