Do I need a notary for the Owner-Builder Acknowledgement?

No. The form is signed without a notary. At permit issuance, a driver's-license copy or form notarization may be presented to verify the owner's signature.

Who completes the Owner-Builder Acknowledgement?

The property owner completes it when applying for a building permit in their own name as the builder. An agent cannot execute the notice unless the permitting authority gives prior approval.

How do I submit the Owner-Builder Acknowledgement?

Return the completed and signed form to the City of Newport Beach Building Division at 100 Civic Center Drive, Newport Beach, CA 92658-8915, or use the P.O. Box listed on the form.

What information does the form ask for?

The form asks the owner to initial acknowledgements, identify the project address, sign and date, and, when applicable, provide details for an authorized agent.

Newport Beach, CA · Orange County

No notary required

Owner-Builder Acknowledgement and Information Verification

Property owners listed as builders on a building permit complete this form to acknowledge their responsibilities and verify information before the city issues the permit.

What this form is

Newport Beach requires this form before issuing a building permit when the property owner is listed as the builder. The owner reads and initials each statement, verifies the project address and information, and signs and dates the form. If the owner designates an agent to apply for the permit, the form also includes an authorization section for the owner to complete.

Who needs it

Property owners applying for a building permit in their own name as the builder must complete and return this form before the permit can be issued.

How to submit it

Return the completed and signed form to the City of Newport Beach Building Division, 100 Civic Center Drive, Newport Beach, CA 92658-8915; the form also lists P.O. Box 1768.

About notarization

This form is signed without a notary; at permit issuance, the owner presents a driver's-license copy or form notarization to verify the signature.

How to submit this form

1
Download The Form
Download the Owner-Builder Acknowledgement and Information Verification form.
2
Read And Complete It
Read and initial each statement, fill in the project information, then print your name and sign and date the form.
3
Complete Agent Authorization If Needed
If designating an agent, complete the authorization section with the agent and project details.
4
Return It To The City
Return the completed form to the City of Newport Beach Building Division before the building permit is issued.

Frequently asked questions

Do I need a notary for the Owner-Builder Acknowledgement?: No. The form is signed without a notary. At permit issuance, a driver's-license copy or form notarization may be presented to verify the owner's signature.
Who completes the Owner-Builder Acknowledgement?: The property owner completes it when applying for a building permit in their own name as the builder. An agent cannot execute the notice unless the permitting authority gives prior approval.
How do I submit the Owner-Builder Acknowledgement?: Return the completed and signed form to the City of Newport Beach Building Division at 100 Civic Center Drive, Newport Beach, CA 92658-8915, or use the P.O. Box listed on the form.
What information does the form ask for?: The form asks the owner to initial acknowledgements, identify the project address, sign and date, and, when applicable, provide details for an authorized agent.

Need something notarized?

This Owner-Builder Acknowledgement and Information Verification doesn’t need a notary — but if you have another Newport Beach form that does, a commissioned online notary can help.