El Centro, CA · Imperial County

No notary required

Owner-Builder Declaration Form

Property owners complete this form to acknowledge Owner-Builder responsibilities and verify information before the city issues a building permit in their name.

What this form is

El Centro requires this form before issuing a building permit to a property owner acting as an Owner-Builder. The owner reads and initials twelve statements about responsibilities and risks, provides the site address, APN, project scope, and permit number, then signs and dates the declaration. The form explains that the owner is legally and financially responsible for the proposed construction activity.

Who needs it

Property owners applying for a building permit in their own name as Owner-Builder must complete and return this form before the permit can be issued.

How to submit it

Complete and sign the form, then return it to the City of El Centro Building Department. The form lists 1275 W. Main Street, El Centro, CA 92243.

About notarization

This document is signed without a notary; the owner signs and dates a declaration made under penalty of perjury.

How to submit this form

  1. 1

    Download The Form

    Download the Owner-Builder Declaration Form.

  2. 2

    Read And Complete The Form

    Read and initial each statement, then provide the site address, APN, project scope, and permit number.

  3. 3

    Sign And Date

    Sign and date the declaration under penalty of perjury.

  4. 4

    Return The Form

    Return the completed form to the City of El Centro Building Department.

Frequently asked questions

Do I need a notary for the Owner-Builder Declaration Form?
No. The owner signs and dates the declaration under penalty of perjury; the form does not require notarization.
Who needs to complete this form?
A property owner applying for a building permit in their own name as Owner-Builder must complete and return the form before the permit can be issued.
What information does the form ask for?
It asks for the site address, APN, project scope, and permit number, along with the owner's initials, signature, and date.
How do I submit the Owner-Builder Declaration Form?
Complete and sign the form, then return it to the City of El Centro Building Department at 1275 W. Main Street, El Centro, CA 92243.

Need something notarized?

This Owner-Builder Declaration Form doesn’t need a notary — but if you have another El Centro form that does, a commissioned online notary can help.