Humboldt County, CA · Humboldt County
Change of Building Permit Record
Humboldt County property owners and authorized representatives use this form to report changes to a building permit record after the permit is issued.
At a glance
- Issued by
- City of Humboldt County · Humboldt County, Humboldt County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- humboldtgov.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form when the record for an issued building permit needs a change of owner, contractor, permit holder, owner-builder status, or licensed design professional. It asks for project and permit details, information and declarations from the relevant parties, and signatures. An Agency Review Fee is required, with the receipt number and date filled in by staff.
Who needs it
A property owner, permit holder, authorized agent, contractor, or licensed design professional submits the applicable sections when a building permit record changes.
How to submit it
Submit the form to the Humboldt County Building Department, Building Inspection Division, at 3015 H Street, Eureka, CA 95501-4484. The form states that an Agency Review Fee is required but does not list an amount.
About notarization
This form is signed without a notary; for an owner-builder change, a separate Owner-Builder Verification must also be signed.
How to submit this form
- 1
Download the Form
Download the Change of Building Permit Record PDF.
- 2
Select the Change
Select each applicable request type and complete the sections listed for that change.
- 3
Complete and Sign
Enter the project and applicable party details, complete required declarations, and sign and date the form.
- 4
Gather Any Separate Verification
For a change to owner-builder, also have the owner sign a separate Owner-Builder Verification.
- 5
Submit to the County
Submit the form to the Building Inspection Division at the address shown. An Agency Review Fee is required.
Frequently asked questions
- What changes can I report with this form?
- The form covers changes of owner, contractor, permit holder, owner-builder status, and licensed design professional for an issued building permit.
- Do I need a notary for the Change of Building Permit Record?
- No. This form is signed without a notary. For an owner-builder change, the form says a separate Owner-Builder Verification must also be signed.
- How do I submit the Change of Building Permit Record?
- Submit it to the Humboldt County Building Department, Building Inspection Division, at 3015 H Street, Eureka, CA 95501-4484. The form says an Agency Review Fee is required.