St. Helena, CA · Napa County
Owner-Builder Disclosure Form
Property owners listed as builders on a building permit application complete this form to acknowledge their responsibilities and verify information about the proposed work.
What this form is
The Building Department provides this form when a building permit application lists the property owner as the builder. Before the permit can be issued, the property owner must read and initial the statements, then sign and return the form. It asks for the owner's contact details and property information and describes the owner's responsibilities and potential risks.
Who needs it
A property owner listed as the builder on a building permit application must complete this form before the permit can be issued.
How to submit it
Complete and sign the form, then return it to the City of St. Helena Building Department at 1088 College Ave., St. Helena, CA 94574.
About notarization
This form is signed without a notary; when the permit is issued, the city requires a driver-license copy, notarization, or other accepted signature verification.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Disclosure Form.
- 2
Complete The Form
Enter the property owner's contact details and property information, read and initial each statement, and sign and date the form.
- 3
Prepare Signature Verification
When the permit is issued, present a copy of the owner's driver license, form notarization, or other verification acceptable to the Building Department.
- 4
Return The Form
Return the completed, signed form to the City of St. Helena Building Department at 1088 College Ave.
Frequently asked questions
- Do I need a notary for the Owner-Builder Disclosure Form?
- No. The form itself is signed without a notary, but when the permit is issued, the city requires a driver-license copy, notarization, or other accepted signature verification.
- Who completes the Owner-Builder Disclosure Form?
- The property owner completes it when a building permit application lists the owner as the builder of the property improvements.
- How do I submit the Owner-Builder Disclosure Form?
- Complete and sign the form, then return it to the City of St. Helena Building Department at 1088 College Ave., St. Helena, CA 94574.