Norwalk, CA · Los Angeles County

No notary required

Owner-Builder Acknowledgment and Verification of Information

Property owners applying for a building permit as owner-builders complete this form to acknowledge their responsibilities and verify information about the proposed construction.

What this form is

Norwalk requires this form before issuing a building permit when the property owner is listed as the owner-builder. The owner reads and initials each statement, acknowledges responsibility for the proposed construction, and provides the property address, name, signature, date, and permit numbers. A copy of the owner’s driver’s license or other acceptable verification must be presented when the permit is issued.

Who needs it

Property owners listed as the builder on a Norwalk building permit application must complete and return this form before the permit can be issued.

How to submit it

Return the completed form to the City of Norwalk, 12700 Norwalk Blvd, Norwalk, CA 90650. Present a copy of the property owner’s driver’s license or other acceptable verification when the permit is issued.

About notarization

This document is signed without a notary; the property owner reads and initials the statements, then signs and dates the form.

How to submit this form

  1. 1

    Download The Form

    Download the Owner-Builder Acknowledgment and Verification of Information form.

  2. 2

    Read And Complete It

    Read and initial each statement, then provide the construction address, printed name, signature, date, and permit numbers.

  3. 3

    Gather Identification

    Prepare a copy of the property owner’s driver’s license or other acceptable verification to present when the permit is issued.

  4. 4

    Return The Form

    Return the completed form to the City of Norwalk, 12700 Norwalk Blvd, Norwalk, CA 90650.

Frequently asked questions

Do I need a notary for the Owner-Builder Acknowledgment?
No. The form calls for the property owner to initial each statement and sign and date it; it does not request notarization.
How do I submit the Owner-Builder Acknowledgment?
Return the completed form to the City of Norwalk, 12700 Norwalk Blvd, Norwalk, CA 90650. Present a copy of the owner’s driver’s license or other acceptable verification when the permit is issued.
When does Norwalk require this form?
The city says it will not issue a building permit until the owner has read, initialed, signed, and returned this form.
What information does the owner provide?
The owner initials the statements, provides the construction address and printed name, signs and dates the form, and lists permit numbers.

Need something notarized?

This Owner-Builder Acknowledgment and Verification of Information doesn’t need a notary — but if you have another Norwalk form that does, a commissioned online notary can help.