Glendora, CA · Los Angeles County
Owner-Builder Declaration Form
Property owners or their authorized agents complete this declaration for a construction permit, affirming owner-builder status, workers’ compensation coverage, and construction-lending details.
What this form is
Glendora’s Building Division uses this declaration with a construction permit application to collect the property owner’s or authorized agent’s statements about contractor licensing, workers’ compensation, and any construction-lending agency. The signer identifies the property and permit, selects applicable declarations, and signs and dates the form. The Notice to Property Owner must accompany it; an authorized agent also needs the owner to complete the form’s Authorization of Agent section.
Who needs it
Property owners applying for a construction permit, or authorized agents acting for them, complete this declaration and provide the required accompanying notice.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the Notice to Property Owner must accompany it, and the signer signs and dates the declaration.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Declaration Form PDF.
- 2
Complete The Declarations
Enter the property address and permit number, select applicable declarations, and provide requested details.
- 3
Gather The Required Notice
Include the Notice to Property Owner. If an authorized agent signs, the owner must complete the Authorization of Agent section on that form.
- 4
Sign And Submit
Sign and date the declaration, then submit it to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Owner-Builder Declaration Form?
- No. The document has no notary block; the signer signs and dates it. The Notice to Property Owner must accompany the form.
- Who completes the Owner-Builder Declaration Form?
- The property owner or an authorized agent acting on the owner’s behalf completes the declaration for a construction permit.
- How do I submit the Owner-Builder Declaration Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Owner-Builder Declaration Form doesn’t need a notary — but if you have another Glendora form that does, a commissioned online notary can help.