San Gabriel, CA · Los Angeles County

No notary required

Owner-Builder Acknowledgment Form

Property owners listed as builders on a building permit complete this form to acknowledge their responsibilities and verify information before the permit is issued.

What this form is

This form explains the responsibilities and potential risks of having a building permit issued in the property owner’s name as the owner-builder. The property owner must read and initial each statement, provide the application number and project address, and sign the form. The city requires the completed form before issuing the building permit; it also asks the owner to verify information and accept responsibility for the proposed construction.

Who needs it

A property owner named as the owner-builder on a building permit application must complete and return the form before the permit can be issued.

How to submit it

Return the completed and signed form to the agency responsible for issuing the permit at its official address indicated on the form. The document does not specify an email or portal.

About notarization

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

How to submit this form

  1. 1

    Download The Form

    Download the Owner-Builder Acknowledgment Form for San Gabriel.

  2. 2

    Complete The Form

    Enter the application number and project address, read and initial each statement, then sign and date the form.

  3. 3

    Gather Verification

    When the permit is issued, present a copy of the property owner’s driver’s license, form notarization, or other verification acceptable to the agency.

  4. 4

    Submit To The Agency

    Return the completed form to the permit-issuing agency at the official address indicated on the form.

Frequently asked questions

Do I need a notary for the Owner-Builder Acknowledgment Form?
No. The form is signed by the property owner without a notary. At permit issuance, the document says to present a driver’s license copy, form notarization, or other verification acceptable to the agency.
Who completes the Owner-Builder Acknowledgment Form?
The property owner listed as the builder on the building permit application reads and initials the statements, provides the application number and project address, and signs the form.
How do I submit the Owner-Builder Acknowledgment Form?
Return the completed and signed form to the agency responsible for issuing the permit at the official address indicated on the form.
When is this form required?
The document says the completed form must be returned before the building permit can be issued in the property owner’s name as owner-builder.

Need something notarized?

This Owner-Builder Acknowledgment Form doesn’t need a notary — but if you have another San Gabriel form that does, a commissioned online notary can help.