Who completes the permit declarations form?

Licensed contractors complete the contractor and workers’ compensation declarations. Property owners and owner’s agents complete the owner-builder declaration and applicable related forms.

When must I complete this form?

The document says permit declarations are required to be completed and signed at permit issuance.

Do I need a notary for the permit declarations form?

No. The declaration is signed and dated without a notary. For verification at permit issuance, the form calls for identification or a form notarization.

Berkeley, CA · Alameda County

No notary required

Licensed Contractor, Owner-Builder, and Worker's Compensation Declarations

Contractors, property owners, and owner’s agents complete this form to make declarations required for a Berkeley building permit.

What this form is

This form collects contractor license or owner-builder information, workers’ compensation declarations, and other statements related to a building permit. The document says permit declarations must be completed and signed at permit issuance; contractors complete the licensed contractor and workers’ compensation sections, while property owners and owner’s agents complete the owner-builder section and related forms. It also asks for project, insurance, lending, and signer details.

Who needs it

Contractors, property owners, and owner’s agents complete the sections identified for their role when declarations are required for a Berkeley building permit.

How to submit it

The form says declarations are completed and signed at permit issuance at the Permit Service Center, 1947 Center St., 3rd floor, Berkeley, CA 94704. Present the required identification or form notarization and pay permit fees at issuance.

About notarization

This declaration is signed and dated without a notary; at permit issuance, the form also calls for identification or a form notarization for verification.

How to submit this form

1
Download The Form
Download the permit declarations form.
2
Complete Your Sections
Fill in the declarations and information for your role as contractor, property owner, or owner’s agent.
3
Gather Required Items
Bring identification or a form notarization for verification; property owners and agents may need the separate forms listed in the document.
4
Submit At Permit Issuance
Complete and sign the declarations at the Permit Service Center and pay permit fees at issuance.

Frequently asked questions

Who completes the permit declarations form?: Licensed contractors complete the contractor and workers’ compensation declarations. Property owners and owner’s agents complete the owner-builder declaration and applicable related forms.
When must I complete this form?: The document says permit declarations are required to be completed and signed at permit issuance.
Do I need a notary for the permit declarations form?: No. The declaration is signed and dated without a notary. For verification at permit issuance, the form calls for identification or a form notarization.
How do I submit the permit declarations form?: Complete and sign it at permit issuance at the Permit Service Center, 1947 Center St., 3rd floor, Berkeley. Present the required verification and pay permit fees.

Need something notarized?

This Licensed Contractor, Owner-Builder, and Worker's Compensation Declarations doesn’t need a notary — but if you have another Berkeley form that does, a commissioned online notary can help.