Yorba Linda, CA · Orange County

No notary required

Owner-Builder Declaration

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

What this form is

The Owner-Builder Declaration records a property owner's acknowledgment of responsibilities and risks when applying for a building permit in their own name. The city requires the completed, signed form before issuing the permit. It asks the owner to initial statements, identify the project address, and sign and date; an agent authorization section is included when the owner designates someone to act for them.

Who needs it

Property owners listed as the builder on a building permit must complete and return this form before the city issues the permit.

How to submit it

Return the completed form to the Building Department at 4845 Casa Loma Avenue, Yorba Linda, CA 92886, as directed in the notice.

About notarization

The form has no notary block; the owner signs and dates it, and signature verification at permit issuance may include notarization or another accepted method.

How to submit this form

  1. 1

    Download The Form

    Download the Owner-Builder Declaration.

  2. 2

    Complete The Declaration

    Read and initial each statement, provide the project address, and sign and date the form.

  3. 3

    Complete Agent Authorization If Needed

    If designating an agent, complete the authorization section; the notice says the property owner must personally execute the declaration.

  4. 4

    Return The Form

    Return the signed form to the Building Department at 4845 Casa Loma Avenue, Yorba Linda, CA 92886.

Frequently asked questions

Do I need a notary for the Owner-Builder Declaration?
No notary block appears on the form. The owner signs and dates it; when the permit is issued, signature verification may include notarization, a driver's license copy, or another method accepted by the agency.
Who completes the Owner-Builder Declaration?
The property owner completes the declaration when a building permit application lists the owner as the builder. The owner must read and initial each statement, then sign and return the form.
How do I submit the Owner-Builder Declaration?
Return the completed form to the Building Department at 4845 Casa Loma Avenue, Yorba Linda, CA 92886, as directed in the notice.
When does the city require this form?
The notice states that the city will not issue the building permit until the property owner has read, initialed, signed, and returned the form.

Need something notarized?

This Owner-Builder Declaration doesn’t need a notary — but if you have another Yorba Linda form that does, a commissioned online notary can help.