Loma Linda, CA · San Bernardino County
Owner Builder Form
Property owners applying for a construction permit as owner-builders complete this form to acknowledge their responsibilities and verify project information.
What this form is
The form documents a property owner’s understanding of owner-builder responsibilities and financial risks when applying for a construction permit. The city requires the completed, signed form before issuing a building permit. It asks the owner to initial statements, provide the project address, and sign and date the acknowledgment; a separate agent authorization is included when an agent will apply.
Who needs it
Property owners applying for a construction permit as owner-builders must complete this form before the city issues the building permit.
How to submit it
Return the completed form to the City of Loma Linda Department of Building and Safety, 25541 Barton Rd., Loma Linda, California 92354. The form lists weekday hours of 8 a.m. to 10 a.m., Monday through Thursday.
About notarization
This form has no notary block; the document says a driver’s license, notarization, or other agency-accepted verification may be presented when the permit is issued.
How to submit this form
- 1
Download The Form
Download the Owner Builder Form from this page.
- 2
Complete The Form
Read and initial each statement, provide the project address, and sign and date the owner acknowledgment.
- 3
Complete Agent Authorization If Needed
If an agent will apply for the permit, complete the included agent authorization form.
- 4
Submit To The City
Return the completed form to the City of Loma Linda Department of Building and Safety.
Frequently asked questions
- Do I need a notary for the Owner Builder Form?
- No notary block is provided. The form says a driver’s license, notarization, or other verification acceptable to the agency may be presented when the permit is issued.
- Who completes the Owner Builder Form?
- The property owner applying for a construction permit as an owner-builder reads and initials the statements, verifies project information, and signs and dates the form.
- How do I submit the Owner Builder Form?
- Return the completed form to the City of Loma Linda Department of Building and Safety at 25541 Barton Rd., Loma Linda, California 92354.