Cupertino, CA · Santa Clara County
Owner-Builder Acknowledgment and Information Verification Form
Cupertino property owners complete this form to acknowledge owner-builder responsibilities and verify information before the city issues a building permit.
What this form is
The form explains owner-builder responsibilities and asks property owners to read and initial statements about construction risks, then provide project, owner, and construction lending agency information. The city says it will not issue the building permit until the property owner completes, signs, and returns the form. An agent authorization section is also included for owners who designate someone to apply for the permit.
Who needs it
Property owners named as owner-builders on a building permit application must complete and return the form before the permit can be issued.
How to submit it
Complete and sign the form, then return it to the agency responsible for issuing the permit at the official address shown: 10300 Torre Avenue, Cupertino, CA 95014-3255.
About notarization
This form is signed without a required notary; the city says notarization or other signature verification may be requested when the permit is issued.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Acknowledgment and Information Verification Form.
- 2
Complete The Form
Enter the project and owner information, read and initial each statement, complete applicable lending agency details, and sign and date.
- 3
Complete Agent Authorization If Needed
If designating an agent to apply for the permit, complete the included agent authorization section.
- 4
Return The Form
Return the completed form to the agency responsible for issuing the permit at the official address shown on the form.
Frequently asked questions
- Who completes the Owner-Builder Acknowledgment Form?
- The property owner named as the owner-builder completes and signs the form before the city issues the building permit.
- What information does the form request?
- It requests project and owner details, initials confirming the owner has read the statements, construction lending agency information, and a signature and date.
- Do I need a notary for the Owner-Builder Acknowledgment Form?
- No notary is required to sign this form. The city says notarization or other signature verification may be requested when the permit is issued.
- How do I submit the Owner-Builder Acknowledgment Form?
- Complete and sign it, then return it to the permit-issuing agency at 10300 Torre Avenue, Cupertino, CA 95014-3255.
Need something notarized?
This Owner-Builder Acknowledgment and Information Verification Form doesn’t need a notary — but if you have another Cupertino form that does, a commissioned online notary can help.