Who uses the Retail Food Facilities Application?

Owners proposing new construction or a remodel of a retail food facility use this application to submit facility information and plans for Environmental Health review.

What must I submit with the application?

The form calls for one set of plans at a minimum scale of ¼ inch equals 1 foot, including the listed plans and specifications, and a $240 plan check fee.

How do I submit the application?

Submit one plan set to Siskiyou County Environmental Health Division at 806 South Main Street, Yreka, CA 96097, with the plan check fee.

Do I need a notary for this application?

No. This application is signed and dated without a notary, and it does not identify an attachment or related step that must be notarized or sworn.

Siskiyou County, CA · Siskiyou County

No notary required

Retail Food Facilities Application for New Construction or Remodels

This application is for facility owners proposing new construction or remodels of retail food facilities in Siskiyou County.

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: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Siskiyou County Environmental Health uses this application to review plans for new retail food facilities and remodels. Before work begins, applicants must obtain approval from the appropriate Building Department, Planning Department, and Environmental Health. The application asks for facility, owner, property, water, and sewage details, and includes a checklist of plans and facility requirements; it also calls for one plan set and a plan check fee.

Who needs it

Owners proposing to construct or remodel a retail food facility in Siskiyou County need to submit this application and plans for review.

How to submit it

Submit one set of plans to Siskiyou County Environmental Health Division, 806 South Main Street, Yreka, CA 96097, with the $240 plan check fee.

About notarization

This application is signed and dated without a notary; the document does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

1
Download the Application
Download the Retail Food Facilities Application for new construction or remodels.
2
Complete the Application
Provide facility, owner, property, water source, and sewage disposal information, and mark each checklist item or NA where it does not apply.
3
Gather Plans and Specifications
Prepare one plan set at the required minimum scale with the listed plans, equipment specifications, and other applicable checklist items.
4
Submit to Environmental Health
Send the application and plan set with the $240 plan check fee to Siskiyou County Environmental Health Division in Yreka.

Frequently asked questions

Who uses the Retail Food Facilities Application?: Owners proposing new construction or a remodel of a retail food facility use this application to submit facility information and plans for Environmental Health review.
What must I submit with the application?: The form calls for one set of plans at a minimum scale of ¼ inch equals 1 foot, including the listed plans and specifications, and a $240 plan check fee.
How do I submit the application?: Submit one plan set to Siskiyou County Environmental Health Division at 806 South Main Street, Yreka, CA 96097, with the plan check fee.
Do I need a notary for this application?: No. This application is signed and dated without a notary, and it does not identify an attachment or related step that must be notarized or sworn.

Need something notarized?

This Retail Food Facilities Application for New Construction or Remodels doesn’t need a notary, but if you have another Siskiyou County form that does, a commissioned online notary can help.