Roseville, CA · Placer County
Owner Builder Forms
Property owners seeking an owner-builder building permit complete and submit these forms to acknowledge their responsibilities and provide project and owner information.
What this form is
Roseville requires the completed, signed owner-builder forms before issuing a building permit in the property owner’s name. The forms request project and owner details, document the owner’s understanding of responsibilities and risks, and include sections for agent authorization, owner-builder declarations, and applicant certification.
Who needs it
Property owners applying for a building permit in their own name as the owner-builder need to complete and return these forms before the permit can be issued.
How to submit it
Complete and sign the applicable sections, then return the form to the Development Services Department, Building Division, at 311 Vernon Street, Roseville, California 95678-2649.
About notarization
This document is signed without a notary; it includes declarations under penalty of perjury, which the property owner or authorized agent signs and dates.
How to submit this form
- 1
Download The Forms
Download the Owner Builder Forms PDF.
- 2
Complete The Form
Provide the project and property owner information, read and initial the acknowledgment statements, and complete the applicable declarations.
- 3
Sign And Date
The property owner signs and dates the required sections; an authorized agent signs where applicable.
- 4
Submit To The City
Return the completed form to the Development Services Department, Building Division, at 311 Vernon Street.
Frequently asked questions
- Do I need a notary for the Owner Builder Forms?
- No. The form has no notary block; it includes declarations under penalty of perjury that the property owner or authorized agent signs and dates.
- Who completes the Owner Builder Forms?
- Property owners applying for a building permit in their own name as the owner-builder complete the forms. An agent may act on the owner’s behalf only with the permitting authority’s prior approval for the notice section.
- How do I submit the Owner Builder Forms?
- Complete and sign the applicable sections, then return the form to the Development Services Department, Building Division, at 311 Vernon Street, Roseville, California 95678-2649.
Need something notarized?
This Owner Builder Forms doesn’t need a notary — but if you have another Roseville form that does, a commissioned online notary can help.