San Pablo, CA · Contra Costa County
Owner-Builder Declaration
Property owners applying for a building permit as an owner-builder complete this form to acknowledge their responsibilities and verify project information.
What this form is
San Pablo requires this form before issuing a building permit to a property owner applying as the owner-builder. The owner reads and initials each acknowledgment, provides the project address, and signs and dates the form. If the owner designates an agent to apply for the permit, the form also includes an agent authorization section; the city requests signature verification when the permit is issued.
Who needs it
Property owners applying for a San Pablo building permit as an owner-builder need to complete and return this form before the city issues the permit.
How to submit it
Return the completed form to Community Development / Building Services at 1000 Gateway Avenue, San Pablo, CA 94806. The form says a copy of the owner’s driver’s license, notarization, or other verification acceptable to the agency must be presented when the permit is issued.
About notarization
The form is signed without a required notary; notarization is listed as one possible way to verify the owner’s signature when the permit is issued.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Declaration PDF.
- 2
Complete The Acknowledgments
Read and initial each statement, provide the project address, then sign and date the form.
- 3
Add Agent Authorization If Needed
If designating an agent to apply for the permit, complete the authorization section.
- 4
Return The Form
Return the completed form to Community Development / Building Services at the address shown on the form.
Frequently asked questions
- Do I need a notary for the Owner-Builder Declaration?
- No. The form is signed without a required notary; notarization is listed as one possible way to verify the owner’s signature when the permit is issued.
- Who completes the Owner-Builder Declaration?
- The property owner completes it when applying for a building permit as the owner-builder, reading and initialing the statements and signing and dating the form.
- How do I submit the Owner-Builder Declaration?
- Return it to Community Development / Building Services at 1000 Gateway Avenue, San Pablo, CA 94806. The form requests signature verification when the permit is issued.
- Is an agent authorization included?
- Yes. The form includes an agent authorization section for a property owner who designates an agent to apply for an owner-builder permit.