Rialto, CA · San Bernardino County
Owner-Builder Declaration
Property owners or contractors complete this declaration for a building permit to state who will perform the work and provide required project information.
What this form is
The Owner-Builder Declaration records whether the property owner will perform the permitted work, use employees, or contract exclusively with licensed contractors; it also includes contractor license and workers’ compensation declarations. The form asks for the permit number, project address, owner and contractor information, hazardous materials and asbestos declarations, and an applicant signature and date. Choose an owner-builder option where applicable.
Who needs it
Property owners or contractors applying for a building permit use this form to make declarations about the work, licensing, workers’ compensation, and hazardous materials.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; it contains declarations affirmed under penalty of perjury, and the signer signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Declaration PDF.
- 2
Complete The Form
Enter the permit number, project address, owner and contractor information, and applicable declarations.
- 3
Review The Declarations
Read the hazardous materials and asbestos declarations and select the applicable options.
- 4
Sign And Submit
Sign and date the form, then submit it to the city department named on the form.
Frequently asked questions
- What is the Owner-Builder Declaration for?
- It records who will perform the permitted work and includes declarations about contractor licensing, workers’ compensation, and hazardous materials or asbestos.
- Who completes this form?
- Property owners or contractors applying for a building permit complete the form with permit, project, owner, contractor, and declaration information.
- Do I need a notary for the Owner-Builder Declaration?
- No. This document is signed without a notary. Its declarations are affirmed under penalty of perjury, and the signer signs and dates the form.
- How do I submit the Owner-Builder Declaration?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Owner-Builder Declaration doesn’t need a notary — but if you have another Rialto form that does, a commissioned online notary can help.