Oakley, CA · Contra Costa County

No notary required

Property Owner Acknowledgement and Verification

Property owners applying for an Owner-Builder building permit use this form to acknowledge responsibilities and verify their consent to the permit.

What this form is

This form records a property owner's understanding of Owner-Builder responsibilities and consent to a building permit in their name. The city says it must be completed and signed before a building permit can be issued. It asks the owner to read and initial statements, provide the proposed construction address, and sign and date the form.

Who needs it

A property owner applying for an Owner-Builder building permit must complete and sign this form before the permit can be issued.

How to submit it

Return the completed and signed form to the agency responsible for issuing the permit. Present a copy of the owner's driver's license, form notarization, or other verification acceptable to the agency when the permit is issued.

About notarization

This document is signed without a notary; when the permit is issued, the agency requires a driver's license copy, form notarization, or other acceptable verification of the owner's signature.

How to submit this form

  1. 1

    Download The Form

    Download the Property Owner Acknowledgement and Verification PDF.

  2. 2

    Read And Complete It

    Read and initial each statement, provide the proposed construction address, and sign and date the form.

  3. 3

    Gather Signature Verification

    Prepare a copy of the owner's driver's license, form notarization, or other verification acceptable to the issuing agency.

  4. 4

    Return The Form

    Return the completed and signed form to the agency responsible for issuing the permit before the permit is issued.

Frequently asked questions

What is the Property Owner Acknowledgement and Verification form for?
It records an owner's understanding of Owner-Builder responsibilities and consent to a building permit applied for in the owner's name.
Who needs to complete this form?
A property owner applying for an Owner-Builder building permit must complete and sign the form before the permit can be issued.
Do I need a notary for the Property Owner Acknowledgement and Verification?
No notary block appears on this document. When the permit is issued, the agency requires a driver's license copy, form notarization, or other acceptable verification of the owner's signature.
How do I submit the Property Owner Acknowledgement and Verification?
Return the completed and signed form to the agency responsible for issuing the permit. Present the required signature verification when the permit is issued.

Need something notarized?

This Property Owner Acknowledgement and Verification doesn’t need a notary — but if you have another Oakley form that does, a commissioned online notary can help.