Grand Terrace, CA · San Bernardino County
Owner-Builder Acknowledgment and Information Verification Form
Property owners applying for a construction permit as owner-builders use this form to acknowledge responsibilities and verify project information.
What this form is
The form explains owner-builder responsibilities and risks, then asks the property owner to read and initial each provision, provide the project address, and sign and date. The city says it must be completed and returned before a building permit can be issued. An optional agent authorization section is for owners designating someone to apply for an owner-builder permit on their behalf.
Who needs it
Property owners applying for a construction permit in their own name as the owner-builder must complete and return this form.
How to submit it
Return the completed form to the City of Grand Terrace, 22795 Barton Road, Grand Terrace, CA 92313. Present a copy of the owner's driver's license, notarization, or other agency-accepted verification when the permit is issued.
About notarization
This document is signed without a notary; the agent authorization includes a declaration under penalty of perjury, and signature verification at permit issuance may include notarization.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Acknowledgment and Information Verification Form.
- 2
Read And Complete
Read and initial each provision, enter the project address, and sign and date the form.
- 3
Complete Agent Authorization If Needed
If designating an agent, complete the authorization section with the project and agent information.
- 4
Return The Form
Return it to the City of Grand Terrace at 22795 Barton Road, Grand Terrace, CA 92313.
Frequently asked questions
- Do I need a notary for the Owner-Builder Acknowledgment and Information Verification Form?
- No. The document is signed without a notary. It says a driver's license copy, notarization, or other agency-accepted verification may be presented when the permit is issued.
- How do I submit the owner-builder form?
- Return the completed form to the City of Grand Terrace at 22795 Barton Road, Grand Terrace, CA 92313. Present acceptable signature verification when the permit is issued.
- Who completes the owner-builder form?
- The property owner applying for a construction permit as the owner-builder reads and initials each provision, provides the project information, and signs and dates the form.
- Can I authorize an agent to apply for the permit?
- Yes. The form includes an agent authorization section for a property owner designating an agent to apply for, sign, and file documents for an owner-builder permit.