Yreka, CA · Siskiyou County
Owner-Builder Form
Property owners named as builders on a Yreka building permit use this form to acknowledge owner-builder responsibilities and verify project information.
What this form is
The City of Yreka Building Department requires this form before issuing a building permit when a property owner is listed as the builder. It asks the owner to identify the basis for exemption from contractor licensing requirements, initial acknowledgments about responsibilities and risks, provide the project address, and sign and date a certification. An agent authorization section is included for owners designating someone to apply for the permit.
Who needs it
A property owner listed as the builder on a Yreka building permit must complete the form before the city issues the permit.
How to submit it
The form identifies the City of Yreka Building Department at 701 Fourth Street, Yreka, CA 96097. It says to submit the completed form when applying for the building permit.
About notarization
The form has no notary block; it says owner signature verification and form notarization are required when applying for the permit, and the signer signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Form PDF.
- 2
Complete The Form
Enter the property address, initial the applicable licensing option and acknowledgments, and sign and date the certification.
- 3
Gather Verification
The form says to present a copy of the owner's driver's license or other acceptable verification when applying for the permit.
- 4
Submit To The City
Submit the completed form when applying for the building permit to the City of Yreka Building Department.
Frequently asked questions
- What is the Yreka Owner-Builder Form for?
- It records an owner's acknowledgment of owner-builder responsibilities and verifies project information for a building permit application.
- Who completes the Owner-Builder Form?
- The property owner listed as the builder completes and signs it. An agent may apply for the permit if the owner completes the authorization section.
- Do I need a notary for the Owner-Builder Form?
- No notary block appears on this form. The form says owner signature verification and form notarization are required when the permit is applied for.
- How do I submit the Owner-Builder Form?
- Submit it when applying for the building permit to the City of Yreka Building Department, 701 Fourth Street, Yreka, CA 96097.
Need something notarized?
This Owner-Builder Form doesn’t need a notary — but if you have another Yreka form that does, a commissioned online notary can help.