Agoura Hills, CA · Los Angeles County
Owner-Builder Acknowledgment Form
Property owners applying for a construction permit as owner-builders use this form to acknowledge their responsibilities and declare their basis for exemption from contractor licensing.
What this form is
The City requires this form before issuing a construction permit applied for in the property owner’s name as an owner-builder. The owner reads and initials the acknowledgment statements, completes the owner-builder declaration and permit certification, and signs and dates the form. It also provides space to authorize an agent and asks for project and permit details.
Who needs it
Property owners applying for a construction permit as owner-builders must complete this acknowledgment and declaration before the city issues the permit.
How to submit it
Return the original form with a copy of the owner’s driver’s license or other government-issued identification with a legible signature to the Building & Safety Division, 30001 Ladyface Court, Agoura Hills, CA 91301.
About notarization
This form has no notary block; the owner signs and dates it, and a copy of identification is required, with form notarization or other agency-acceptable verification listed as alternatives.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Acknowledgment Form.
- 2
Complete The Form
Read and initial each acknowledgment, complete the declaration and certification, and sign and date the form.
- 3
Gather Identification
Include a copy of the owner’s driver’s license or other government-issued identification with a legible signature.
- 4
Return The Original
Return the original form and identification copy to the Building & Safety Division at 30001 Ladyface Court, Agoura Hills, CA 91301.
Frequently asked questions
- Do I need a notary for the Owner-Builder Acknowledgment Form?
- No notary block is provided. The form asks the owner to sign and date it and requires a copy of identification; it lists form notarization or other agency-acceptable verification as alternatives.
- How do I submit the Owner-Builder Acknowledgment Form?
- Return the original form with a copy of the owner’s driver’s license or other government-issued identification with a legible signature to the Building & Safety Division at 30001 Ladyface Court.
- What information does the form ask for?
- It asks for project and permit details, owner-builder acknowledgments and declarations, and the owner’s signature and date. It also includes a section to authorize an agent.
Need something notarized?
This Owner-Builder Acknowledgment Form doesn’t need a notary — but if you have another Agoura Hills form that does, a commissioned online notary can help.