St. Helena, CA · Napa County
Owner-Builder Disclosure Form
Property owners named as the builder on a building permit application complete this form to acknowledge owner-builder responsibilities and risks.
What this form is
The form explains the responsibilities and possible risks of obtaining a building permit as an owner-builder. The property owner must complete, initial, sign, and return it to the Building Department before the permit can be issued. It asks for the owner’s contact details and property information, along with initials and a signature acknowledging statements about construction, contractors, and legal and financial responsibilities.
Who needs it
A property owner named as the builder on a building permit application must complete and return this disclosure before the permit can be issued.
How to submit it
Return the completed and signed form to the City of St. Helena Building Department, 1088 College Ave., St. Helena, CA 94574. When the permit is issued, present a driver license, form notarization, or other verification acceptable to the department.
About notarization
This form has no notary block and the owner signs and dates it; at permit issuance, a driver license, form notarization, or other city-accepted verification can verify the signature.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Disclosure Form PDF.
- 2
Complete The Owner And Property Details
Enter the property owner’s contact information and the property address and APN.
- 3
Read And Initial Each Statement
Read and initial each acknowledgement and verification statement on both pages.
- 4
Sign And Return The Form
Sign and date the form, then return it to the Building Department before the permit is issued.
- 5
Present Signature Verification
When the permit is issued, present a driver license, form notarization, or other verification acceptable to the Building Department.
Frequently asked questions
- What does the Owner-Builder Disclosure Form do?
- It informs property owners named as builders on a permit application of owner-builder responsibilities and possible risks, and records their acknowledgements.
- Who must complete this form?
- The property owner named as the builder on a building permit application must read and initial the statements, sign the form, and return it before the permit can be issued.
- Do I need a notary for the Owner-Builder Disclosure Form?
- No notary block is provided and the owner signs and dates the form. At permit issuance, the city accepts a driver license, form notarization, or other acceptable verification to verify the signature.
- How do I submit the Owner-Builder Disclosure Form?
- Return the completed and signed form to the City of St. Helena Building Department at 1088 College Ave., St. Helena, CA 94574. Signature verification is presented when the permit is issued.