Kingsburg, CA · Fresno County
Owner-Builder Acknowledgment
Property owners applying for a construction permit as an owner-builder complete this form to acknowledge their responsibilities and verify information about the proposed project.
What this form is
The property owner reads and initials statements about owner-builder responsibilities, then signs and dates the form for the construction permit application. Kingsburg says it will not issue the permit until the completed form is returned; the form asks for the project address and owner information, and includes an agent authorization section for owners who designate someone to apply for the permit.
Who needs it
Property owners applying for a construction permit in their own name as the owner-builder need to complete and return this form.
How to submit it
Return the completed form to the agency responsible for issuing the permit at its official address: City of Kingsburg, 1401 Draper Street, Kingsburg, CA 93631-1908.
About notarization
This form is signed without a notary; when the permit is issued, the agency requires a driver's-license copy, notarization, or other accepted verification of the owner's signature.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Acknowledgment PDF.
- 2
Complete The Form
Enter the project and owner information, read and initial each statement, then sign and date the form.
- 3
Complete Agent Authorization If Needed
If designating an agent to apply for the permit, complete the authorization section as the property owner.
- 4
Submit To The City
Return the completed form to the agency responsible for issuing the permit at the official address listed on the form.
Frequently asked questions
- What is the Owner-Builder Acknowledgment for?
- It records the property owner's understanding of owner-builder responsibilities and verifies information for a construction permit application.
- Who completes this form?
- The property owner applying for a construction permit in their own name as the owner-builder reads, initials, completes, and signs the form.
- Do I need a notary for the Owner-Builder Acknowledgment?
- No, the form has no notary block. At permit issuance, the agency requires a driver's-license copy, notarization, or other accepted verification of the owner's signature.
- How do I submit the Owner-Builder Acknowledgment?
- Return the completed form to the agency responsible for issuing the permit at the official address listed on the form: City of Kingsburg, 1401 Draper Street, Kingsburg, CA 93631-1908.