El Dorado County, CA · El Dorado County

No notary required

Permit Application Supplement (Part 4): Owner-Builder Acknowledgement

Property owners applying for a construction permit as an owner-builder complete this supplement to acknowledge their responsibilities and verify information.

At a glance

Issued by
City of El Dorado County · El Dorado County, El Dorado County, California
Notarization
Not required: file this form without a notary.
Official source
eldoradocounty.ca.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

El Dorado County requires this completed and signed supplement before issuing a building permit to a property owner applying as an owner-builder. It asks for the project location and permit details, requires the owner to read and initial statements about owner-builder responsibilities, and includes an authorization for an agent to apply on the owner’s behalf. The owner must also provide identification at permit issuance.

Who needs it

Property owners applying for a construction permit as an owner-builder must complete and return this form before the county issues the permit.

How to submit it

Complete and sign the form, then return it to the El Dorado County Building Safety Division. Present a driver’s license or other government-issued identification at permit issuance to verify the owner’s signature.

About notarization

This document is signed without a notary; the owner signs and dates it, including a declaration under penalty of perjury in the agent authorization.

How to submit this form

  1. 1

    Download the Form

    Download the Permit Application Supplement (Part 4) for owner-builders.

  2. 2

    Complete the Form

    Fill in the property and permit information, read and initial each acknowledgement, and sign and date the form.

  3. 3

    Complete Agent Authorization

    If designating an agent, complete the authorization section with the project, agent, and property owner information.

  4. 4

    Return It to the County

    Return the completed form to the El Dorado County Building Safety Division and present identification at permit issuance.

Frequently asked questions

Do I need a notary for the Owner-Builder Acknowledgement?
No. The form has no notary block; the owner signs and dates it. The agent authorization includes the owner’s declaration under penalty of perjury.
Who must complete this form?
The property owner applying for a construction permit as an owner-builder must read, initial, sign, and return the form before the permit can be issued.
How do I submit the Owner-Builder Acknowledgement?
Return the completed, signed form to the El Dorado County Building Safety Division. Present a driver’s license or other government-issued identification at permit issuance to verify the owner’s signature.

Need something notarized?

This Permit Application Supplement (Part 4): Owner-Builder Acknowledgement doesn’t need a notary, but if you have another El Dorado County form that does, a commissioned online notary can help.