Campbell, CA · Santa Clara County

No notary required

Declaration of Intent to Occupy During Construction

Property owners use this form to declare their intent to occupy a dwelling during remodeling or construction and acknowledge possible relocation.

What this form is

This form records property owners’ intent to occupy a dwelling while it is being remodeled or constructed. It asks for the building permit number, parcel number, property address, date, and each owner’s signature and printed name; owners also acknowledge that the Building Inspection Division may require them to relocate if conditions become dangerous or unsanitary.

Who needs it

Property owners who intend to live in their dwelling during remodeling or construction use this form to make the declaration.

How to submit it

The form identifies the Building Inspection Division at 70 North First Street, Campbell, CA 95008, and lists phone number (408) 866-2130. It does not specify a submission method.

About notarization

This document is signed and dated without a notary; the form lists owner signatures and printed names but no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Declaration of Intent to Occupy During Construction.

  2. 2

    Complete The Form

    Enter the building permit number, parcel number, property address, and date; each owner signs and prints their name.

  3. 3

    Check For Attachments

    The form does not list any attachments.

  4. 4

    Contact The City

    The form lists the Building Inspection Division at 70 North First Street, Campbell, CA 95008, but does not specify a submission method.

Frequently asked questions

Do I need a notary for the Declaration of Intent to Occupy During Construction?
No. The form has spaces for owner signatures, printed names, and a date, but no notary block or notarized attachment.
How do I submit the Declaration of Intent to Occupy During Construction?
The form lists the Building Inspection Division at 70 North First Street, Campbell, CA 95008, and phone number (408) 866-2130. It does not state how to submit the form.
What information does the form ask for?
It asks for the building permit number, parcel number, property address, date, and each owner’s signature and printed name.
What do owners acknowledge by signing?
Owners acknowledge that conditions during construction may become dangerous or unsanitary and that they may need to relocate if directed by the Building Division.

Need something notarized?

This Declaration of Intent to Occupy During Construction doesn’t need a notary — but if you have another Campbell form that does, a commissioned online notary can help.