Malibu, CA · Los Angeles County
Owner-Builder Acknowledgment and Information Verification Form
Property owners applying for a construction permit as owner-builders use this form to acknowledge their responsibilities and verify project information.
What this form is
Malibu requires the property owner to complete and return this form before it will issue an owner-builder building permit. The owner reads and initials statements about owner-builder responsibilities, provides the project address, and signs and dates the form. If the owner designates an agent to apply for the permit, the form also includes an agent authorization section.
Who needs it
Property owners applying for a construction permit in their own names as owner-builders must complete this form before the permit can be issued.
How to submit it
Return the completed form to the agency responsible for issuing the permit at 23825 Stuart Ranch Road, Malibu, California 90265-4861. The form says signature verification must be presented when the permit is issued.
About notarization
This form has no notary block; the owner signs and dates it, and the agent authorization includes a penalty-of-perjury declaration; notarization is one possible signature verification, with alternatives accepted by the agency.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Acknowledgment and Information Verification Form.
- 2
Complete The Form
Read and initial each statement, enter the project address, then sign and date the form.
- 3
Complete Agent Authorization If Needed
If designating an agent, fill out the authorization section and sign its declaration.
- 4
Return The Form
Return it to the permit-issuing agency at 23825 Stuart Ranch Road, Malibu, California 90265-4861.
Frequently asked questions
- What is the Owner-Builder Acknowledgment and Information Verification Form?
- It records a property owner's acknowledgment of owner-builder responsibilities and project information for a construction permit applied for in the owner's name.
- Who needs to complete this form?
- The property owner applying for a construction permit as an owner-builder must read, initial, sign, and return the form before the permit can be issued.
- Do I need a notary for the Owner-Builder Acknowledgment and Information Verification Form?
- No notary block is provided. The form says signature verification at permit issuance may include notarization, a copy of the owner's driver's license, or another verification accepted by the agency.
- How do I submit the Owner-Builder Acknowledgment and Information Verification Form?
- Return it to the agency responsible for issuing the permit at 23825 Stuart Ranch Road, Malibu, California 90265-4861. Present signature verification when the permit is issued.
Need something notarized?
This Owner-Builder Acknowledgment and Information Verification Form doesn’t need a notary — but if you have another Malibu form that does, a commissioned online notary can help.