Siskiyou County, CA · Siskiyou County
Owner-Builder Acknowledgment and Information Verification Form
Property owners applying for a construction permit as an owner-builder use this form to acknowledge their responsibilities and verify project information.
At a glance
- Issued by
- City of Siskiyou County · Siskiyou County, Siskiyou County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- siskiyoucounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Siskiyou County requires the property owner to complete and return this form before issuing an owner-builder building permit. The owner reads and initials statements about owner-builder responsibilities, verifies information about the proposed construction, and signs and dates the form. If the owner designates an agent to apply for the permit, the package also includes an authorization form for the agent.
Who needs it
Property owners applying for a construction 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 Siskiyou County Building Division at 806 South Main Street, Yreka, California 96097, before the building permit is issued.
About notarization
No notary is required for this document; when the permit is issued, the owner’s signature must be verified by a driver’s license, notarization, or other verification the agency accepts.
How to submit this form
- 1
Download the Form
Download the Owner-Builder Acknowledgment and Information Verification Form.
- 2
Read and Complete
Read and initial each statement, enter the proposed construction information, and sign and date the form.
- 3
Complete Agent Authorization
If designating an agent to apply for the permit, complete the included authorization form.
- 4
Return to the County
Return the completed form to the Siskiyou County Building Division before the building permit is issued.
Frequently asked questions
- Do I need a notary for the Owner-Builder Acknowledgment Form?
- No notary is required to complete this form. When the permit is issued, the owner’s signature must be verified with a driver’s license, notarization, or other verification the agency accepts.
- How do I submit the Owner-Builder Acknowledgment Form?
- Return the completed form to the Siskiyou County Building Division at 806 South Main Street, Yreka, California 96097, before the building permit is issued.
- When does the county require this form?
- The property owner must read, initial, sign, and return the form before the county will issue an owner-builder building permit.
- Do I need the agent authorization form?
- The package says the authorization form is required only when the property owner designates an agent to apply for an owner-builder construction permit.
