What is the Property Owner-Builder Declaration Form for?

It records construction project and property owner details, who will perform the work, workers’ compensation information, and declarations by the permit applicant.

Who completes this form?

The property owner or an authorized agent completes and signs the form, providing information for the construction permit application.

Do I need a notary for the Property Owner-Builder Declaration Form?

No. The document has signature and date lines but no notary block. Its declarations are made under penalty of perjury, and the signer signs and dates the form.

Mill Valley, CA · Marin County

No notary required

Property Owner-Builder Declaration Form

Property owners or authorized agents complete this form to identify a construction project, declare who will perform the work, and provide permit-related information.

What this form is

This form identifies a building project and its property owner, design professional, and work valuation. The permit applicant uses it to declare who will perform the work, provide workers’ compensation and construction-lending information, and confirm details about the construction permit application. It includes signature and date lines and refers to separate verification and authorization forms in certain cases.

Who needs it

Property owners or their authorized agents applying for a construction permit use this form to provide project details and required declarations.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; its declarations are made under penalty of perjury, and the signer signs and dates the form.

How to submit this form

1
Download The Form
Download the Property Owner-Builder Declaration Form.
2
Complete Project Details
Enter the project location, owner and design professional information, and description and valuation of the work.
3
Complete Declarations
Select the applicable work and workers’ compensation declarations, provide lending agency details if applicable, and complete the applicant declaration.
4
Gather Related Forms
The form notes that separate verification and authorization forms are required in certain cases.
5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Property Owner-Builder Declaration Form for?: It records construction project and property owner details, who will perform the work, workers’ compensation information, and declarations by the permit applicant.
Who completes this form?: The property owner or an authorized agent completes and signs the form, providing information for the construction permit application.
Do I need a notary for the Property Owner-Builder Declaration Form?: No. The document has signature and date lines but no notary block. Its declarations are made under penalty of perjury, and the signer signs and dates the form.
How do I submit the Property Owner-Builder Declaration Form?: The form does not specify submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Property Owner-Builder Declaration Form doesn’t need a notary — but if you have another Mill Valley form that does, a commissioned online notary can help.