Lake Forest, CA · Orange County
Owner-Builder Declaration (Permit Agreement and Declaration Form)
Property owners and contractors complete this form to declare owner-builder status, contractor licensing, and workers’ compensation coverage for permitted building work.
What this form is
This form records declarations about who will perform permitted building work, contractor licensing, and workers’ compensation coverage. Applicants use the applicable sections when applying for a building permit, including an owner claiming an exemption from contractor licensing or a licensed contractor affirming their status. It asks for license and insurance details where applicable, along with signatures and dates.
Who needs it
Property owners or contractors applying for a building permit complete the sections that apply to their role and circumstances.
How to submit it
The form lists City of Lake Forest, 100 Civic Center Drive, Lake Forest, CA 92630, and counter hours. It does not specify a submission method.
About notarization
This form has no notary block; its declarations are made under penalty of perjury, and the relevant signers sign and date it.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Declaration PDF.
- 2
Complete Applicable Sections
Fill in the declarations and any applicable license or workers’ compensation details.
- 3
Sign And Date
The relevant property owner, contractor, or applicant signs and dates the form.
- 4
Submit To The City
The form lists the City of Lake Forest address and counter hours; it does not specify how to submit the form.
Frequently asked questions
- What is the Owner-Builder Declaration used for?
- It records declarations about owner-builder status, contractor licensing, and workers’ compensation coverage for work associated with a building permit.
- Who completes this permit declaration?
- Property owners and contractors complete the sections that apply to them, including the relevant declaration, information, signature, and date.
- Do I need a notary for the Owner-Builder Declaration?
- No. The form has no notary block. Its declarations are made under penalty of perjury, and the relevant signers sign and date it.
- How do I submit the Owner-Builder Declaration?
- The form lists the City of Lake Forest at 100 Civic Center Drive, Lake Forest, CA 92630, and provides counter hours, but does not specify a submission method.
