Victorville, CA · San Bernardino County
Property Owner Disclosure and Acknowledgement
Property owners applying as Owner-Builders complete this form to acknowledge their responsibilities before the Building Department issues a construction permit.
What this form is
This form explains Owner-Builder responsibilities and asks the property owner to initial statements, verify project information, and sign. The Building Department requires the completed form before issuing a building permit for construction applied for in the owner’s name. An agent authorization section is included for owners who designate someone to apply for an Owner-Builder permit.
Who needs it
Property owners applying for a construction permit in their own names as Owner-Builders must complete and return this form before permit issuance.
How to submit it
Return the completed form to the Building Department at City of Victorville, 14343 Civic Drive, PO Box 5001, Victorville, CA 92393-5001. The form also lists [email protected].
About notarization
The form has no notary block and is signed without a notary; at permit issuance, the owner must present a driver’s-license copy, notarization, or other verification acceptable to the Building Department.
How to submit this form
- 1
Download The Form
Download the Property Owner Disclosure and Acknowledgement PDF.
- 2
Complete The Form
Read and initial each statement, provide the requested project information, and sign and date the form.
- 3
Complete Agent Authorization If Needed
Complete the agent authorization section only if designating an agent to apply for the Owner-Builder permit.
- 4
Submit To The Building Department
Return the completed form to the Building Department at the address listed on the form.
Frequently asked questions
- Do I need a notary for the Property Owner Disclosure and Acknowledgement?
- No notary block appears on the form. At permit issuance, the owner must present a driver’s-license copy, notarization, or other verification acceptable to the Building Department.
- Who completes the Property Owner Disclosure and Acknowledgement?
- The property owner applying for a construction permit in their own name as an Owner-Builder completes and signs the form.
- How do I submit the Property Owner Disclosure and Acknowledgement?
- Return it to the Building Department at 14343 Civic Drive, PO Box 5001, Victorville, CA 92393-5001. The form also lists [email protected].
- When is the form required?
- The completed and signed form must be returned to the Building Department before it can issue a building permit.
Need something notarized?
This Property Owner Disclosure and Acknowledgement doesn’t need a notary — but if you have another Victorville form that does, a commissioned online notary can help.