Pasadena, CA · Los Angeles County

No notary required

Authorization of Agent to Act on Property Owner’s Behalf

Property owners use this form to authorize an agent to apply for, sign, and file documents for an Owner-Builder construction permit.

What this form is

A property owner completes this form when designating an agent to apply for an Owner-Builder construction permit. It asks for the project scope or work description, project address, agent’s name, and the owner’s name, signature, and date. The owner declares that the information is accurate and personally completed.

Who needs it

A property owner who wants to designate an agent to apply for an Owner-Builder construction permit should complete this form.

How to submit it

The form identifies the Building and Safety Division at 175 North Garfield Avenue, Pasadena, CA 91101-1704; it does not state a submission method.

About notarization

This document is signed without a notary; at permit issuance, the owner must present a driver’s license copy, notarization of the form, or other verification acceptable to the agency.

How to submit this form

  1. 1

    Download The Form

    Download the Owner-Builder Agent Authorization form.

  2. 2

    Complete The Form

    Enter the project scope or work description, project address, agent’s name, and property owner’s information.

  3. 3

    Sign And Date

    The property owner signs and dates the form and certifies the information.

  4. 4

    Present Verification

    At permit issuance, present a driver’s license copy, notarization of the form, or other verification acceptable to the agency.

  5. 5

    Contact The Division

    The form lists the Building and Safety Division at 175 North Garfield Avenue, Pasadena, CA 91101-1704.

Frequently asked questions

Do I need a notary for the Owner-Builder Agent Authorization?
No. The form has no notary block. At permit issuance, the owner must present a driver’s license copy, notarization of the form, or other verification acceptable to the agency.
Who completes the authorization form?
The property owner completes the form when designating an agent to apply for an Owner-Builder construction permit.
What information does the form ask for?
It asks for the project scope or work description, project address, authorized agent’s name, and property owner’s name, signature, and date.
How do I submit the authorization form?
The form identifies the Building and Safety Division at 175 North Garfield Avenue, Pasadena, CA 91101-1704, but does not specify a submission method.

Need something notarized?

This Authorization of Agent to Act on Property Owner’s Behalf doesn’t need a notary — but if you have another Pasadena form that does, a commissioned online notary can help.