Burlingame, CA · San Mateo County
Owner-Builder Declaration
Property owners applying for a construction permit as the owner-builder complete this form to acknowledge responsibilities and verify project information.
What this form is
Burlingame requires the property owner to complete and return this form before a building permit can be issued in the owner’s name. It asks the owner to initial disclosures, provide the project address, confirm responsibility for the construction, and sign and date the acknowledgment. A separate agent authorization section is completed when the owner designates an agent to apply for the permit.
Who needs it
Property owners seeking a construction permit as an owner-builder need to complete this form before the city issues the permit.
How to submit it
Return the completed and signed form to the agency responsible for issuing the permit at the official address shown: Building Division, 501 Primrose Road, Burlingame, CA 94010.
About notarization
This document is signed without a notary; the owner declares under penalty of perjury in the agent authorization, and signature verification at permit issuance may include notarization or other accepted verification.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Declaration PDF.
- 2
Complete The Form
Read and initial each disclosure, enter the project address, and sign and date the owner acknowledgment.
- 3
Complete Agent Authorization If Needed
Fill in the authorization section only if you are designating an agent to apply for the permit.
- 4
Submit The Form
Return the completed form to the agency responsible for issuing the permit at the address shown on the form.
Frequently asked questions
- Do I need a notary for the Owner-Builder Declaration?
- No. The form is signed without a notary. The owner declares under penalty of perjury in the agent authorization; signature verification at permit issuance may include notarization, a driver's license, or other verification accepted by the agency.
- Who completes the Owner-Builder Declaration?
- The property owner completes it when applying for a construction permit in the owner’s name. The owner must read and initial the disclosures, provide project information, and sign and date the form.
- How do I submit the Owner-Builder Declaration?
- Return the completed and signed form to the agency responsible for issuing the permit at the Building Division, 501 Primrose Road, Burlingame, CA 94010.
- When is the agent authorization section required?
- The property owner completes that section only when designating an agent to apply for a construction permit for the owner-builder.
Need something notarized?
This Owner-Builder Declaration doesn’t need a notary — but if you have another Burlingame form that does, a commissioned online notary can help.