Scotts Valley, CA · Santa Cruz County
Owner Declaration Form
Property owners applying for an owner-builder construction permit complete this form to acknowledge their responsibilities and verify information about the proposed work.
What this form is
The Owner Declaration Form records a property owner’s acknowledgment of the responsibilities and risks of acting as an owner-builder. Scotts Valley requires the completed, signed form before issuing a building permit when the permit application names the property owner as the builder. It asks the owner to initial statements, identify the construction property address, and sign and date the form.
Who needs it
Property owners listed as owner-builders on a construction permit application must complete and return this form before the city issues the permit.
How to submit it
Return the completed, signed form to the Building Department at One Civic Center Drive, Scotts Valley, CA 95066. When the permit is issued, present the requested signature verification.
About notarization
This form itself is signed without a notary; when the permit is issued, present a driver’s license copy, form notarization, or other verification accepted by the agency.
How to submit this form
- 1
Download the Form
Download the Owner Declaration Form PDF.
- 2
Complete the Form
Read and initial each statement, enter the property address, then sign and date the form.
- 3
Gather Signature Verification
Prepare a driver’s license copy, form notarization, or other verification accepted by the agency for presentation when the permit is issued.
- 4
Return the Form
Return the completed, signed form to the Building Department at One Civic Center Drive, Scotts Valley, CA 95066.
Frequently asked questions
- Who completes the Owner Declaration Form?
- The property owner completes it when applying for a construction permit as the owner-builder. The form says an agent cannot sign unless the permitting authority gives prior approval.
- Do I need a notary for the Owner Declaration Form?
- No. The form itself is signed without a notary. When the permit is issued, present a driver’s license copy, form notarization, or other verification accepted by the agency.
- How do I submit the Owner Declaration Form?
- Return the completed, signed form to the Building Department at One Civic Center Drive, Scotts Valley, CA 95066. Present signature verification when the permit is issued.
- What does the form ask the owner to do?
- The owner initials statements acknowledging owner-builder responsibilities, identifies the property address for the proposed construction, and signs and dates the form.