Manteca, CA · San Joaquin County

No notary required

Owner-Builder Acknowledgement and Verification

Property owners named as builders on a Manteca building permit complete and return this form before the city issues the permit.

What this form is

This form acknowledges an owner-builder’s responsibilities and verifies the property owner’s understanding of risks related to construction, workers, insurance, and legal obligations. The City of Manteca requires the completed, initialed, and signed form before issuing a building permit applied for in the owner’s name. It asks for the project address, initials beside each statement, and the owner’s signature, printed name, and date.

Who needs it

A property owner named as the builder on a Manteca building permit must complete and return this form before the permit can be issued.

How to submit it

Return the completed and signed form to the City of Manteca at the official address indicated; the form names the Development Services Department, Building Safety Division.

About notarization

The owner signs and dates this form without a notary; when the permit is issued, the owner must present a driver’s license copy, form notarization, or other verification acceptable to the agency.

How to submit this form

  1. 1

    Download The Form

    Download the Owner-Builder Acknowledgement and Verification PDF.

  2. 2

    Read And Complete It

    Enter the project address and initial each statement to acknowledge or verify the information.

  3. 3

    Sign And Date

    The property owner signs and dates the completed form and prints their name.

  4. 4

    Return It To The City

    Return the form to the City of Manteca at the official address indicated before the building permit is issued.

Frequently asked questions

Who completes the Owner-Builder Acknowledgement and Verification?
The property owner completes it when a building permit application names the owner as the builder of the property improvements.
Do I need a notary for the Owner-Builder Acknowledgement and Verification?
No, the owner signs and dates the form without a notary. When the permit is issued, the owner must present a driver’s license copy, form notarization, or other verification acceptable to the agency.
How do I submit the Owner-Builder Acknowledgement and Verification?
Read and initial each statement, sign and date the form, and return it to the City of Manteca at the official address indicated. The city requires it before issuing the building permit.
What information does the form ask for?
It asks for the project address, the owner’s initials beside each statement, and the owner’s signature, printed name, and date.

Need something notarized?

This Owner-Builder Acknowledgement and Verification doesn’t need a notary — but if you have another Manteca form that does, a commissioned online notary can help.