Modoc County, CA · Modoc County
Notice of Compliance Acknowledgement
Modoc County property owners use this notice to acknowledge requirements for work on a limited-density rural dwelling and provide property and permit details.
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
This notice records an owner’s acknowledgment regarding work and improvements for a limited-density rural dwelling in Modoc County. It asks for the owner’s name and address, the work location, assessor’s parcel number, and building permit number. The owner declares that required inspections will take place and that the work will comply with the stated county regulations, while acknowledging specified limits on review and inspection.
Who needs it
A property owner completing work under the notice’s limited-density rural dwelling provisions needs to provide the listed ownership, property, and building permit information.
How to submit it
The form names the Department of Building and Safety, County of Modoc, at 203 West 4th Street, Alturas, California 96101, for recording requests and return mail after recording.
About notarization
This document is signed without a notary; the signer verifies the statements under penalty of perjury and signs and dates the notice.
How to submit this form
- 1
Download the Notice
Download the Notice of Compliance Acknowledgement for Modoc County.
- 2
Complete the Notice
Enter the owner’s name and address, work location, assessor’s parcel number, and Modoc County building permit number.
- 3
Review and Sign
Read the acknowledgments, then print your name, sign, and complete the execution location and date.
- 4
Send for Recording
The form names the Department of Building and Safety, County of Modoc, at 203 West 4th Street, Alturas, California 96101.
Frequently asked questions
- What is the Notice of Compliance Acknowledgement?
- It is a notice for a property owner to provide property and permit details and acknowledge requirements and inspection limitations for limited-density rural dwelling work.
- Who completes this notice?
- The form is completed by the owner of the interest or estate in the property where the work and improvements are located.
- Do I need a notary for the Notice of Compliance Acknowledgement?
- No. The signer signs and dates the notice and declares under penalty of perjury that it is true and correct; the document does not require a notary.
- How do I submit the Notice of Compliance Acknowledgement?
- The form names the Department of Building and Safety, County of Modoc, at 203 West 4th Street, Alturas, California 96101, for recording requests and return mail after recording.