Modoc County, CA · Modoc County
Foundation Only Approval and Acknowledgement
This form records an owner’s or contractor’s understanding of the limits and conditions for a foundation-only permit issued by Modoc County.
At a glance
- Issued by
- City of Modoc County · Modoc County, Modoc County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- countyofmodoc.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The County of Modoc Building and Safety Department uses this acknowledgement for a foundation-only permit, which allows specified underground site work and concrete foundations or on-grade slabs, but not other structural work except foundation plates. The owner or contractor acknowledges permit conditions, including commencement and expiration terms, the relationship to the primary plan check, and responsibility for later plan requirements. It asks for the site APN, permit number, address, names, signatures, dates, and contractor license number.
Who needs it
An owner or contractor seeking a foundation-only permit for a project in Modoc County completes and signs this acknowledgement.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed and dated without a notary; it does not mention any notarized or sworn attachment or related step.
How to submit this form
- 1
Download the Form
Download the Foundation Only Approval and Acknowledgement.
- 2
Complete Project Details
Enter the site APN, permit number, and site address, then review the listed permit conditions.
- 3
Add Names and Signatures
Print the owner’s and contractor’s names as applicable, sign and date, and enter the contractor’s CSLB license number.
- 4
Submit to the County
Submit it to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- What work does a foundation-only permit allow?
- The form says it allows underground site work, including underground electrical, plumbing, or mechanical work, and placement of concrete foundations and on-grade slabs.
- Who completes the Foundation Only Approval and Acknowledgement?
- The owner or contractor completes the form, providing project details and signing and dating the acknowledgement. Contractors also enter a CSLB license number.
- Do I need a notary for this acknowledgement?
- No. This document is signed and dated without a notary, and it does not mention any notarized or sworn attachment or related step.
- How do I submit the acknowledgement?
- Submit it to the county department named on the form; check the county website for current contact details.