Huntington Park, CA · Los Angeles County
Owner-Builder Declaration Form
Property owners complete this declaration before the city can issue an owner-builder permit for construction at their property.
What this form is
The form documents the property owner's acknowledgment of owner-builder responsibilities and authorizes city representatives to enter the property for inspections. The city requires it to be completed and signed before issuing an owner-builder permit. It asks for the project address, owner declarations about construction and workers’ compensation, insurance details when applicable, and the owner’s printed name or e-signature and date.
Who needs it
A property owner seeking an owner-builder permit must complete and sign this form before the permit can be issued.
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 workers’ compensation declaration is affirmed under penalty of perjury.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Declaration Form.
- 2
Complete The Declarations
Enter the project address and complete the owner-builder and workers’ compensation declarations.
- 3
Add Insurance Details If Applicable
Provide the requested workers’ compensation insurance information if it applies to your declaration.
- 4
Sign And Submit
Print your name or use an e-signature, date the form, and 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 form has no notary block. The workers’ compensation declaration is affirmed under penalty of perjury.
- Who completes the Owner-Builder Declaration Form?
- The property owner completes and signs it when applying for an owner-builder permit. The city says the form must be completed and signed before the permit can be issued.
- What information does the form ask for?
- It asks for the project address, owner-builder acknowledgments, workers’ compensation declarations and, when applicable, insurance details. The owner also prints a name or uses an e-signature and provides a date.
- 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 Huntington Park form that does, a commissioned online notary can help.