California Code of Regulations › Title 25 - Housing and Community Development › Division 1 - Housing and Community Development › Chapter 3 - Factory-Built Housing, Mobilehomes, and Manufactured Homes › Subchapter 2 - Manufactured Homes, Mobilehomes, Multifamily Manufactured Homes, Commercial Modulars, and Special Purpose Commercial Modulars › Article 5 - Third-Party Approval and Enforcement › Section 4858 - Application for Design Approval Agency and/or Quality Assurance Agency Approval

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An applicant
					 for approval to perform as a Design Approval Agency and/or Quality Assurance
					 Agency pursuant to this article shall make application to the department using
					 HCD-MH 470 Application for Design Approval Agency and/or Quality Assurance
					 Agency Approval, dated May 1989 and provided by the department. The applicant
					 shall provide the following information:
(1)
					 Indication of whether the application is for an original approval, approval
					 renewal or supplemental approval of a Design Approval Agency and/or Quality
					 Assurance Agency.
(2) The firm and
					 corporate name, business and mailing address and telephone number(s) of the
					 applicant.
(3) Indication of
					 whether the ownership structure is composed of either an individual,
					 partnership or corporation.
(4) The
					 name and title of the individual owner, or the names and titles of all
					 partners, or the names and titles of all officers, directors and major
					 stockholders within the corporation.
(5) Identification of any individual owner,
					 partner(s), officer(s), director(s) and major stockholder(s) who will
					 participate in the management or supervision of activities pursuant to this
					 article.
(6) On a separate
					 attachment entitled, "Organization," the following information as applicable:
(A) In descending order of responsibility,
					 the names, titles and responsibilities of all directors, supervisors, managers,
					 architects, engineers, technical staff, Insignia Administrator and Quality
					 Assurance Inspectors within the organization who are responsible for the
					 activities to be performed pursuant to this article. An organization chart may
					 be attached, if appropriate.
(B)
					 For Design Approval Agency applicants, the name(s) and California license
					 number(s) of the architect(s) or the California registration number(s) of the
					 engineer(s) who will perform the inspection of plans for structural systems of
					 mobile homes or commercial coaches as specified in Section 4852(b).
(C) For Quality Assurance Agency applicants,
					 the name(s) and department approval number(s) of each Quality Assurance
					 Inspector who will perform inspections and monitoring activities as specified
					 in Section 4854(b).
(7)
					 On a separate attachment entitled, "Qualifications," a detailed explanation of
					 the applicant's business activities and how the applicant meets the
					 requirements of Section(s) 4852(a), (c), (d) and (e) and/or 4854(a), (b), (c)
					 and (d).
(8) Attached resumes
					 detailing the education, training and experience for directors, supervisors,
					 managers, engineers, architects, technical staff, Insignia Administrator and
					 Quality Assurance Inspectors who have not been approved by the
					 department.
(9) For Quality
					 Assurance Agency applicants, on a separate attachment entitled, "Insignia
					 Administration and Security Procedures," a detailed explanation of the
					 procedures to carry out insignia administration and security procedures as
					 required in Section 4882.
(10) The
					 typed or printed name and signature of the individual owner or the typed or
					 printed name and signature of all partners or the typed or printed name and
					 signature of all major stockholders, officers and directors, and the typed or
					 printed name and signature of all managers, supervisors, architects, technical
					 staff, engineers, Insignia Administrator and Quality Assurance Inspectors on
					 form HCD-MH 471, Absence of Conflict of Interest Statement, dated May 1989, and
					 provided by the department, certifying under penalty of perjury to the absence
					 of any conflict of interest, potential for a conflict of interest, or any
					 collusive or fraudulent practices as specified in Section 4872. The individual
					 owner or the partners or the major stockholders, officers and directors and the
					 managers, supervisors, architects, technical staff, engineers, Insignia
					 Administrator and Quality Assurance Inspectors shall also include the date,
					 county and state that certification was executed.
(11) The signature and typed or printed name
					 of the highest ranking officer of the ownership certifying under penalty of
					 perjury to the accuracy of the information provided.
(12) The date, county and state that
					 certification was executed.