Los Gatos, CA · Santa Clara County
Owner Builder Acknowledgment & Information Verification Form
Property owners listed as builders on a building permit complete this form to acknowledge their responsibilities and verify information before the Town issues the permit.
What this form is
The form explains the responsibilities and potential risks of obtaining a building permit as an owner-builder. The property owner must read and initial each statement, provide the project address and any contractor information, then sign and return the form before the Town issues the permit.
Who needs it
Property owners named as the builder on a building permit application must complete this form before the Town issues the permit.
How to submit it
Return the completed and signed form to the Community Development Building Division at 110 E. Main St., Los Gatos, CA 95031.
About notarization
The form has no notary block, and the signer signs and dates it; when the permit is issued, the Town requires signature verification, such as a driver’s license copy, notarization, or other accepted verification.
How to submit this form
- 1
Download the Form
Download the Owner Builder Acknowledgment & Information Verification Form.
- 2
Read and Complete
Read and initial each statement, enter the project address, and complete any applicable contractor information.
- 3
Sign and Date
Sign and date the form as the property owner.
- 4
Return to the Town
Return the form to the Community Development Building Division at 110 E. Main St., Los Gatos, CA 95031.
Frequently asked questions
- Do I need a notary for the Owner Builder Acknowledgment Form?
- The form has no notary block. The Town requires signature verification when issuing the permit; it may accept a driver’s license copy, notarization, or other verification.
- How do I submit the Owner Builder Acknowledgment Form?
- Complete, initial, and sign the form, then return it to the Community Development Building Division at 110 E. Main St., Los Gatos, CA 95031.
- When does the Town require this form?
- The Town requires the completed, signed form before issuing a building permit applied for in the property owner’s name as the owner-builder.
- What information does the form ask for?
- It asks the owner to initial statements, identify the property address, sign and date, and provide information about any person or firm hired for the construction.
