Pittsburg, CA · Contra Costa County
Homeowner's Declaration (Owner-Builder Acknowledgement)
Property owners named as owner-builders on a Pittsburg building permit complete this form to acknowledge their responsibilities and verify information before permit issuance.
What this form is
The form documents a property owner's understanding of the responsibilities and potential risks of acting as an owner-builder, and includes a declaration regarding a construction lending agency. Pittsburg requires the completed and signed form before issuing the building permit. The owner reads and initials statements, provides the project address, verifies information, and signs and dates the declarations.
Who needs it
A property owner applying for a building permit in their own name as the owner-builder must complete and return this form before the permit is issued.
How to submit it
Return the completed form to the City of Pittsburg Development Services Department, Building Division, at Civic Center, 65 Civic Avenue, Pittsburg, CA 94565. The document says acceptable signature verification must be presented when the permit is issued.
About notarization
This document has no notary block and is signed without a notary; at permit issuance, the owner must present a driver's license, form notarization, or other verification acceptable to the agency.
How to submit this form
- 1
Download The Form
Download the Homeowner's Declaration (Owner-Builder Acknowledgement).
- 2
Complete The Form
Read and initial each statement, provide the project address and requested information, and sign and date the declarations.
- 3
Prepare Signature Verification
At permit issuance, present a driver's license, form notarization, or other signature verification acceptable to the agency.
- 4
Return The Form
Return the completed form to the City of Pittsburg Development Services Department, Building Division.
Frequently asked questions
- Do I need a notary for the Homeowner's Declaration?
- No notary block is provided. At permit issuance, the form says to present a driver's license, form notarization, or other signature verification acceptable to the agency.
- Who completes the Owner-Builder Acknowledgement?
- The property owner named as the owner-builder on a building permit application completes and signs the form.
- How do I submit the Homeowner's Declaration?
- Return the completed form to the Development Services Department, Building Division, at Civic Center, 65 Civic Avenue, Pittsburg, CA 94565.