Irvine, CA · Orange County

No notary required

Property Owner’s Package: Disclosures and Forms for Owner-Builders

This acknowledgment form explains owner-builder responsibilities and risks for property owners applying for a building permit in their own names.

What this form is

Property owners applying for construction permits as owner-builders use this acknowledgment to confirm they understand their responsibilities and possible risks. The city says it will not issue a building permit until the owner has read and initialed each provision, signed the form, and returned it. It asks the owner to acknowledge permit responsibilities, contractor licensing, insurance, and potential employer obligations.

Who needs it

Property owners listed as the builder on a building permit application must complete this acknowledgment before the city issues the permit.

How to submit it

Read and initial each provision, sign the form, and return it to the city at the official address indicated on the form.

About notarization

This document has no notary block; the owner reads, initials, and signs the acknowledgment, and the document identifies no notarized attachment or related step.

How to submit this form

  1. 1

    Download The Form

    Download the owner-builder acknowledgment PDF.

  2. 2

    Read And Initial

    Read each provision and initial it to show that you understand or verify the information.

  3. 3

    Sign The Form

    Sign the acknowledgment after reading and initialing the provisions.

  4. 4

    Return It To The City

    Return the signed form to the city at the official address indicated on the form.

Frequently asked questions

What does the owner-builder acknowledgment cover?
It asks property owners to confirm they understand owner-builder responsibilities and risks, including insurance coverage, contractor licensing, and possible employer obligations.
Who completes this owner-builder form?
The property owner listed as the builder on a building permit application reads and initials each provision, then signs and returns the acknowledgment.
Do I need a notary for the owner-builder acknowledgment?
No. This document has no notary block; the owner reads, initials, and signs it, and it identifies no notarized attachment or related step.
How do I submit the owner-builder acknowledgment?
Read and initial each provision, sign the form, and return it to the city at the official address indicated on the form.

Need something notarized?

This Property Owner’s Package: Disclosures and Forms for Owner-Builders doesn’t need a notary — but if you have another Irvine form that does, a commissioned online notary can help.