Mountain View, CA · Santa Clara County

No notary required

Owner-Builder Acknowledgement and Verification Form

Property owners applying for a building permit as owner-builders use this form to acknowledge construction responsibilities and verify their understanding.

What this form is

Mountain View requires the property owner to read, initial each provision, and sign this form before an owner-builder building permit can be issued. It asks for the property address and project number, records the owner’s initials on 12 statements about responsibilities and risks, and includes the owner’s printed name, signature, and date. At permit issuance, the form says to present a driver’s license copy, notarization, or other verification accepted by the city.

Who needs it

A property owner applying for a Mountain View building permit as an owner-builder must complete this form before the permit can be issued.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

The form has no notary block and the owner signs and dates it; at permit issuance, the city accepts a driver’s license copy, notarization, or other verification.

How to submit this form

  1. 1

    Download The Form

    Download the Owner-Builder Acknowledgement and Verification Form.

  2. 2

    Complete The Form

    Enter the property address and project number, read and initial each provision, then print your name, sign, and date.

  3. 3

    Gather Verification

    At permit issuance, present a copy of the property owner’s driver’s license, notarization, or other verification accepted by the city.

  4. 4

    Submit To The City

    Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Owner-Builder Acknowledgement and Verification Form?
No. The form has no notary block; the owner signs and dates it. At permit issuance, the city accepts a driver’s license copy, notarization, or other verification.
Who completes the Owner-Builder form?
The property owner applying for a Mountain View building permit as an owner-builder reads and initials each provision, then prints their name, signs, and dates the form.
How do I submit the Owner-Builder form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Owner-Builder Acknowledgement and Verification Form doesn’t need a notary — but if you have another Mountain View form that does, a commissioned online notary can help.