Fountain Valley, CA · Orange County
Owner-Builder Disclosure Form
Property owners seeking an owner-builder building permit complete this form to acknowledge their responsibilities and verify information about the proposed construction.
What this form is
The City of Fountain Valley requires this form before issuing an owner-builder building permit. The property owner reads and initials each acknowledgment, provides the project address, and signs and dates the form. If the owner designates an agent, the form also collects the agent’s contact information and the project description, along with the owner’s authorization and declaration.
Who needs it
Property owners applying for a building permit in their own name as the owner-builder must complete and sign this form.
How to submit it
Return the completed form to the City of Fountain Valley Building Division at 10200 Slater Ave, Fountain Valley, CA 92708. The form says it must be returned before a building permit is issued.
About notarization
This form has no notary block; the owner signs and dates it, while permit issuance requires an original driver’s license, form notarization, or other accepted signature verification.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Disclosure Form.
- 2
Read And Complete The Form
Read and initial each acknowledgment, then fill in the project address and sign and date the form.
- 3
Complete Agent Authorization If Needed
If designating an agent, provide the project and agent information and complete the owner authorization and declaration.
- 4
Return The Form To The City
Return the completed form to the Building Division at 10200 Slater Ave, Fountain Valley, CA 92708, before permit issuance.
Frequently asked questions
- Do I need a notary for the Owner-Builder Disclosure Form?
- No notary block is provided. The owner signs and dates the form, but at permit issuance the city requires an original driver’s license, form notarization, or other accepted signature verification.
- How do I submit the Owner-Builder Disclosure Form?
- Return the completed form to the City of Fountain Valley Building Division at 10200 Slater Ave, Fountain Valley, CA 92708, before the building permit is issued.
- Who completes the Owner-Builder Disclosure Form?
- The property owner applying for a building permit in their own name as the owner-builder must read and initial the acknowledgments, then sign and date the form.
- Can I authorize an agent to apply for my owner-builder permit?
- Yes. The form includes an agent authorization section for the property owner to provide the agent’s details and authorize the agent to apply for, sign, and file permit documents.