Mount Shasta, CA · Siskiyou County
Owner Builder Form
Property owners seeking a building permit as an owner-builder complete this form to acknowledge their responsibilities and verify project information.
What this form is
Mount Shasta requires the property owner to complete and return this form before the city issues an owner-builder building permit. The form asks the owner to initial acknowledgments about responsibilities and risks, identify the project address, and sign and date the form. It also includes an optional authorization for an agent to apply for, sign, and file permit documents.
Who needs it
Property owners applying for a building permit in their own name as the owner-builder need to complete and return this form.
How to submit it
Return the completed form to the City of Mount Shasta Building Department at 305 N Mt. Shasta Blvd, Mt. Shasta, CA 96067. The document says the form must be returned before the building permit is issued.
About notarization
The form has no notary block; the owner signs and dates it, while form notarization is listed as one possible signature-verification item at permit issuance.
How to submit this form
- 1
Download The Form
Download the Owner Builder Form from the city directory.
- 2
Complete The Form
Read and initial each acknowledgment, provide the project information, and sign and date the form.
- 3
Prepare Signature Verification
When the permit is issued, present a copy of the owner's driver's license, form notarization, or other verification acceptable to the agency.
- 4
Return It To The City
Return the completed form to the Building Department at 305 N Mt. Shasta Blvd, Mt. Shasta, CA 96067.
Frequently asked questions
- Who completes the Owner Builder Form?
- The property owner seeking a building permit as the owner-builder completes the form, initials its acknowledgments, and signs and dates it.
- How do I submit the Owner Builder Form?
- Return it to the Mount Shasta Building Department at 305 N Mt. Shasta Blvd, Mt. Shasta, CA 96067, before the building permit is issued.
- Do I need a notary for the Owner Builder Form?
- No notary block is provided. The owner signs and dates the form; notarization is listed as one possible way to verify the owner's signature when the permit is issued.
- Can an agent sign the Owner Builder Form?
- The form includes an agent authorization for permit documents, but says an agent cannot execute the Notice to Property Owner unless the permitting authority first approves.