Who completes the Owner-Builder Verification Form?

The property owner named as the builder on the building permit reads and initials the statements, completes the information, and signs the form.

How do I submit the Owner-Builder Verification Form?

Return the completed form to the permitting agency at the Development Services Center, 39550 Liberty Street, Fremont, CA 94538.

Fremont, CA · Alameda County

No notary required

Owner-Builder Acknowledgment and Information Verification Form

Property owners listed as builders on a building permit complete this form to acknowledge owner-builder responsibilities and verify information before the city issues the permit.

What this form is

Fremont requires the property owner to read, initial, sign, and return this form before a building permit can be issued in the owner’s name. It records the construction address and the owner’s acknowledgment of responsibilities and possible risks, including obligations related to workers, contractors, and insurance.

Who needs it

A property owner listed as the builder on a building permit must complete this form before the permit is issued.

How to submit it

Return the completed form to the permitting agency at its official address: Development Services Center, 39550 Liberty Street, Fremont, CA 94538.

About notarization

This form has no notary block; it says a notarization, driver’s-license copy, or other agency-accepted verification may be presented when the permit is issued.

How to submit this form

1
Download the Form
Download the Owner-Builder Acknowledgment and Information Verification Form.
2
Complete the Form
Enter the requested information, read each statement, initial to acknowledge it, and sign and date the form.
3
Gather Verification
When the permit is issued, present a driver’s-license copy, notarization, or other verification acceptable to the agency.
4
Return the Form
Return the completed form to the permitting agency at the Development Services Center, 39550 Liberty Street, Fremont.

Frequently asked questions

Do I need a notary for the Owner-Builder Verification Form?: No. The form has no notary block; it says a notarization, driver’s-license copy, or other agency-accepted verification may be presented when the permit is issued.
Who completes the Owner-Builder Verification Form?: The property owner named as the builder on the building permit reads and initials the statements, completes the information, and signs the form.
How do I submit the Owner-Builder Verification Form?: Return the completed form to the permitting agency at the Development Services Center, 39550 Liberty Street, Fremont, CA 94538.

Need something notarized?

This Owner-Builder Acknowledgment and Information Verification Form doesn’t need a notary — but if you have another Fremont form that does, a commissioned online notary can help.