Belmont, CA · San Mateo County
Owner-Builder Form
Property owners seeking a construction permit as owner-builders complete this form to acknowledge their responsibilities and verify project and ownership information.
What this form is
Belmont requires this form before issuing a building permit to a property owner applying as the owner-builder. The owner reads and initials the acknowledgment statements, provides project and property information, signs the declaration, and selects the stated basis for exemption from contractor licensing requirements. An agent authorization section is included for owners designating an agent to apply for the permit.
Who needs it
Property owners applying for a construction permit as owner-builders must complete and return this form before the city issues the permit.
How to submit it
Return the completed form to the Community Development Permit Center, Property Owner’s Package, One Twin Pines Lane, Suite 110, Belmont, CA 94002.
About notarization
This form is signed without a notary; when the permit is issued, the agency requires a driver’s license copy, notarization, or other acceptable verification of the owner’s signature.
How to submit this form
- 1
Download the Form
Download the Owner-Builder Form PDF.
- 2
Complete the Form
Read and initial each acknowledgment, enter the project and property information, select the applicable declaration, and sign and date the form.
- 3
Complete Agent Authorization If Needed
If designating an agent, complete the authorization section; the form states that the owner must personally execute the Notice to Property Owner.
- 4
Submit to the City
Return the completed form to the Community Development Permit Center at the address listed on the form.
Frequently asked questions
- Do I need a notary for the Owner-Builder Form?
- No. The form is signed without a notary, but when the permit is issued the agency requires a driver’s license copy, notarization, or other acceptable verification of the owner’s signature.
- How do I submit the Owner-Builder Form?
- Return the completed form to the Community Development Permit Center, Property Owner’s Package, One Twin Pines Lane, Suite 110, Belmont, CA 94002.
- When does Belmont require this form?
- The form says it must be completed, signed, and returned before a building permit can be issued to a property owner applying as the owner-builder.
- Can I authorize someone else to apply for the permit?
- Yes. The form includes an agent authorization section for the property owner to complete when designating an agent to apply for an owner-builder permit.
Need something notarized?
This Owner-Builder Form doesn’t need a notary — but if you have another Belmont form that does, a commissioned online notary can help.