Yreka, CA · Siskiyou County
Declaration of Accessory Dwelling Unit (ADU) Fee Waiver
Yreka applicants use this declaration to request an accessory dwelling unit fee waiver with a building permit application.
What this form is
This declaration accompanies an accessory dwelling unit (ADU) building permit application and requests an associated fee waiver. The applicant certifies that the permit application is complete, the ADU will be used for residential occupancy for at least 30 consecutive days, and they have not previously received a waiver under the program. It also asks the applicant to accept responsibility for non-waived fees and consent to compliance monitoring.
Who needs it
An applicant seeking an ADU building permit fee waiver who has submitted a complete permit application should complete this declaration.
How to submit it
The form identifies the City of Yreka Building Department at 701 Fourth Street, Yreka, CA 96097. It does not specify a submission method.
About notarization
This declaration is signed without a notary; it includes a penalty-of-perjury statement, and the applicant signs and dates it.
How to submit this form
- 1
Download The Declaration
Download the ADU fee waiver declaration PDF.
- 2
Complete Applicant Information
Enter your name, address, phone and email, and project address if different.
- 3
Review And Sign
Read the certifications, then sign, print your name, and date the declaration.
- 4
Submit To The City
Submit the declaration to the City of Yreka Building Department; the form lists its address as 701 Fourth Street, Yreka, CA 96097.
Frequently asked questions
- What does the ADU fee waiver declaration do?
- It lets an ADU building permit applicant request an associated fee waiver and certify that they meet the conditions stated on the form.
- Who completes this declaration?
- The ADU applicant completes it after submitting a complete building permit application and when requesting a fee waiver.
- Do I need a notary for the ADU fee waiver declaration?
- No. The declaration has a penalty-of-perjury statement, but the applicant signs and dates it without a notary.
- How do I submit the ADU fee waiver declaration?
- The form names the City of Yreka Building Department at 701 Fourth Street, Yreka, CA 96097, but does not state a submission method.
Need something notarized?
This Declaration of Accessory Dwelling Unit (ADU) Fee Waiver doesn’t need a notary — but if you have another Yreka form that does, a commissioned online notary can help.