Atherton, CA · San Mateo County
Owner-Builder Disclosure and Authorization Form
Property owners applying for a building permit as owner-builders complete this form to acknowledge their responsibilities and authorize an agent, if applicable.
What this form is
The form explains owner-builder responsibilities and risks, then asks the property owner to read and initial acknowledgments, verify project information, and sign. Atherton requires the completed form before issuing an owner-builder building permit. The authorization section is required only when the owner designates an agent to apply for a construction permit.
Who needs it
Property owners applying for a construction permit as owner-builders must complete the acknowledgment; owners authorizing an agent also complete the authorization section.
How to submit it
Return the completed form to the Town of Atherton Building Department, 80 Fair Oaks Ln, Atherton, California 94027. The form says verification of the owner’s signature is required when the permit is issued.
About notarization
The owner signs and dates this form without a notary; at permit issuance, a copy of the owner’s driver’s license, notarization, or other acceptable verification is required.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Disclosure and Authorization Form.
- 2
Complete The Acknowledgment
Read and initial each statement, provide the project address, and sign and date the form.
- 3
Complete Agent Authorization If Needed
If designating an agent to apply for the permit, complete the authorization section with the project and agent information.
- 4
Return It To The Building Department
Return the form to the Town of Atherton Building Department at 80 Fair Oaks Ln.
Frequently asked questions
- Do I need a notary for the Owner-Builder Disclosure and Authorization Form?
- No. The form has no notary block. At permit issuance, it requires a driver’s license copy, notarization, or other verification acceptable to the agency to verify the owner’s signature.
- How do I submit the Owner-Builder Disclosure and Authorization Form?
- Return the completed form to the Town of Atherton Building Department at 80 Fair Oaks Ln, Atherton, California 94027.
- When does Atherton require this form?
- The form says it must be completed, signed, and returned before an owner-builder building permit can be issued.
