Fillable Printable Decertification Of Manufactured And Mobile Homes

Decertification Of Manufactured And Mobile Homes

F622-063-000 decertification of manufactured/mobile homes 1-03

Department of Labor and Industries

Factory Assembled Structures

PO Box 44430

Olympia WA 98504-4430

DECERTIFICATION of

MANUFACTURED and

MOBILE HOMES

The following steps must be followed when decertifying a manufactured or mobile home:

1. Purchase an alteration permit for a technical inspection from L&I and contact the inspector who will be

performing the inspection.

2. The Home Must have all of the following removed.

a. Electrical panel removed and all wires cut off that run into the panel.

b. All electrical fixtures including lights, switches, and receptacles removed and wires cut off where

they enter into the electrical boxes;

c. All plumbing fixtures removed. This includes toilets, bath and kitchen sinks, exposed plumbing

water and waste lines must be cut off where they enter into the wall or floor.

d. Bath-tub/showers may be left in, provided holes are made into the floor of them making

them unusable.

e. Sewer lines must be cut off at the underside of the floor.

f. Water inlet must be cut off at the underside of the floor.

g. Any serial numbers, etc. removed from the drawbar assembly and /or the front cross member.

(NOTE: this can be accomplished with a hammer.); and

h. All Mechanical components including water heaters, furnace and or other heating sources, and

kitchen appliances must be removed from the home.

i. If a manufactured (i.e.-HUD) home the data plate must be also removed.

3. When all items in #1 and #2 have been completed, call your local L&I office to come and remove all

identification on the Manufactured/ Mobile Home.

4. The inspector will verify that all items in # 2 have been completed and will remove all identification that

this structure was a manufactured/mobile home and confiscate all tags and labels plus issue any forms

that might be needed. The inspector will complete form 203 if the home was a manufactured (i.e.HUD).

Inspector use form 203 by:

a. Crossing out “sold for salvage” and printing, “DECERTIFIED” in the title area.

b. Crossing out “sold for salvage” and printing, “DECERTIFIED” in the first sentence.

c. Writing in this area the number(s) of all HUD labels removed.

d. If no HUD labels are attached, Note this in the same area.

Here is the web address for other FAS (factory assembled structures) forms

http://www.lni.wa.gov/forms/Tables/FAS.htm