Madera, CA · Madera County
Owner-Builder Disclosure Form
Property owners applying for a construction permit as the owner-builder complete this form to acknowledge their responsibilities and verify information for the City of Madera.
What this form is
The City of Madera requires the property owner to complete and return this form before it will issue a building permit for construction listed in the owner's name. The form asks the owner to initial disclosures about responsibilities and risks, verify information, and provide the construction address, signature, printed name, and date.
Who needs it
Property owners applying for a building permit in their own name as the owner-builder must complete and return this form before the permit is issued.
How to submit it
Return the completed form to the City of Madera at 205 West 4th Street, Madera, CA 93637, before the building permit is issued.
About notarization
The form is signed and dated without a notary; when the permit is issued, the agency requires a driver's-license copy, notarization of the form, or other accepted signature verification.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Disclosure Form for your construction permit application.
- 2
Read And Complete It
Read and initial each of the 12 statements, then enter the construction address and the property owner's signature, printed name, and date.
- 3
Prepare Signature Verification
At permit issuance, present a copy of the property owner's driver's license, notarization of the form, or other verification accepted by the agency.
- 4
Return It To The City
Return the completed form to 205 West 4th Street, Madera, CA 93637, before the building permit is issued.
Frequently asked questions
- Do I need a notary for the Owner-Builder Disclosure Form?
- No notary block is provided for the signature. At permit issuance, the agency requires a driver's-license copy, notarization of the form, or other verification it accepts.
- How do I submit the Owner-Builder Disclosure Form?
- Complete and sign the form, then return it to the City of Madera at 205 West 4th Street, Madera, CA 93637, before the building permit is issued.
- Who completes the Owner-Builder Disclosure Form?
- The property owner completes it when applying for a building permit in their own name as the owner-builder. An agent cannot execute the notice without prior approval from the permitting authority.
- What information does the form ask for?
- The owner initials 12 statements, identifies the construction address, and provides a signature, printed name, and date. The statements cover owner-builder responsibilities and potential risks.