Mill Valley, CA · Marin County
Owner-Builder Verification Form
Property owners applying for a construction permit as owner-builders use this form to acknowledge their responsibilities and verify project information.
What this form is
Mill Valley requires the property owner to complete and return this form before the city issues an Owner-Builder building permit. The owner initials statements about owner-builder responsibilities, provides the project address, acknowledges responsibility for the construction, and signs and dates the form. If the owner designates an agent, the owner also completes the authorization section with project and agent details.
Who needs it
Property owners applying for a construction permit in their own name as the owner-builder must complete and return this form.
How to submit it
Return the completed and signed form to the City of Mill Valley Building Department at 26 Corte Madera Ave., Mill Valley, CA 94941. The form says to return it to the agency responsible for issuing the permit.
About notarization
This form is signed without a notary; at permit issuance, the owner must present a driver’s-license copy, notarization, or other acceptable signature verification, and agent authorization includes a penalty-of-perjury declaration.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Verification Form PDF.
- 2
Complete The Form
Enter the project information, read and initial each statement, then sign and date the form.
- 3
Complete Agent Authorization If Needed
If designating an agent, fill out the authorization section with the project and agent details and sign and date it.
- 4
Submit To The City
Return the completed form to the City of Mill Valley Building Department at 26 Corte Madera Ave.
Frequently asked questions
- Do I need a notary for the Owner-Builder Verification Form?
- No. The form is signed without a notary, but at permit issuance the owner must present a driver’s-license copy, notarization, or other verification acceptable to the agency.
- Who completes the Owner-Builder Verification Form?
- The property owner completes it when applying for a building permit as the owner-builder. If the owner designates an agent, the owner also completes the authorization section.
- How do I submit the Owner-Builder Verification Form?
- Return the completed and signed form to the City of Mill Valley Building Department at 26 Corte Madera Ave., Mill Valley, CA 94941.
- When is the form required?
- The form must be completed, signed, and returned before the city issues an Owner-Builder building permit.
Need something notarized?
This Owner-Builder Verification Form doesn’t need a notary — but if you have another Mill Valley form that does, a commissioned online notary can help.