Corte Madera, CA · Marin County
Owner-Builder Acknowledgement Form
Property owners listed as builders on a building permit complete this form to acknowledge their responsibilities and verify project information.
What this form is
The form explains owner-builder responsibilities and potential risks, and asks the property owner to initial statements, confirm the project address, and sign and date. Corte Madera requires the completed form before issuing a building permit when an application lists the property owner as the builder. The property owner must return it to the Building Division.
Who needs it
A property owner listed as the builder on a building permit application must complete and return this form before the permit can be issued.
How to submit it
Return the completed and signed form to the Corte Madera Building Division at 300 Tamalpais Drive, Corte Madera, CA 94925.
About notarization
This form has no notary block and may be signed without a notary; before permit issuance, present a driver’s-license copy, notarization, or other Town-acceptable signature verification.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Acknowledgement Form.
- 2
Read And Complete It
Read each statement, initial to show understanding or verify information, and complete the project address.
- 3
Sign And Date
The property owner signs and dates the form.
- 4
Prepare Signature Verification
Before permit issuance, present a copy of the property owner’s driver’s license, notarization, or other verification acceptable to the Town.
- 5
Return It To The Building Division
Return the completed form to the Corte Madera Building Division at 300 Tamalpais Drive, Corte Madera, CA 94925.
Frequently asked questions
- Who completes the Owner-Builder Acknowledgement Form?
- The property owner named as the builder on a building permit application completes, initials, signs, and returns the form.
- When does Corte Madera require this form?
- The Town says it will not issue the building permit until the property owner has read, initialed, signed, and returned the form.
- Do I need a notary for the Owner-Builder Acknowledgement Form?
- No. The form has no notary block and can be signed without a notary, but a driver’s-license copy, notarization, or other Town-accepted signature verification must be presented before permit issuance.
- How do I submit the Owner-Builder Acknowledgement Form?
- Return the completed and signed form to the Corte Madera Building Division at 300 Tamalpais Drive, Corte Madera, CA 94925.
Need something notarized?
This Owner-Builder Acknowledgement Form doesn’t need a notary — but if you have another Corte Madera form that does, a commissioned online notary can help.
