Scotts Valley, CA · Santa Cruz County

No notary required

Owner Agent Form

Property owners use this form to authorize an agent to apply for, sign, and file documents for an Owner-Builder construction permit.

What this form is

The form authorizes a named agent to apply for, sign, and file documents needed to obtain an Owner-Builder Permit for a construction project. The city requires it when a property owner designates an agent to apply for that permit. It asks for the work description, project address, agent’s name and contact information, and the owner’s signature and date.

Who needs it

A property owner needs this form when designating an agent to apply for an Owner-Builder Permit for a construction project.

How to submit it

The form lists the City of Scotts Valley Building Department at One Civic Center Drive, Scotts Valley, CA 95066, and phone (831) 440-5630; it does not specify a submission method.

About notarization

No notary is required to sign this form; when the permit is issued, the owner must provide a driver’s-license copy, form notarization, or other verification acceptable to the agency.

How to submit this form

  1. 1

    Download the Form

    Download the Owner Agent Form PDF.

  2. 2

    Complete the Form

    Enter the work description, project address, agent’s name and contact information, then sign and date as the property owner.

  3. 3

    Prepare Verification

    When the permit is issued, provide a copy of the owner’s driver’s license, form notarization, or other verification acceptable to the agency.

  4. 4

    Contact the Building Department

    The form lists the Building Department at One Civic Center Drive, Scotts Valley, CA 95066; it does not state a submission method.

Frequently asked questions

Do I need a notary for the Owner Agent Form?
No notary is required to sign this form. When the permit is issued, the city requires a driver’s-license copy, form notarization, or other verification acceptable to the agency.
Who completes the Owner Agent Form?
The property owner completes the form when designating an agent to apply for an Owner-Builder Permit.
What information does the form ask for?
It asks for the construction work description, project location, authorized agent’s name and contact information, and the property owner’s signature and date.
How do I submit the Owner Agent Form?
The form lists the Building Department at One Civic Center Drive, Scotts Valley, CA 95066, and phone (831) 440-5630, but does not specify how to submit it.

Need something notarized?

This Owner Agent Form doesn’t need a notary — but if you have another Scotts Valley form that does, a commissioned online notary can help.