Brentwood, CA · Contra Costa County

No notary required

Authorization to Act as Agent for Contractor

Licensed contractors use this authorization to appoint an agent to sign forms for obtaining a permit for specified work at a property.

What this form is

This authorization lets a licensed contractor name an agent to sign necessary forms to obtain a permit for described work at a specified address. The contractor provides the project description, property address, assessor’s parcel number, agent’s name, contractor’s name and license number, and the license holder’s signature and printed name. The document also includes the contractor’s indemnity agreement with the city.

Who needs it

A licensed contractor who wants an agent to sign permit forms for work at a specified Brentwood property needs this authorization.

How to submit it

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

About notarization

This authorization is signed without a notary; the license holder signs and dates it, and no sworn attachment is stated.

How to submit this form

  1. 1

    Download The Authorization

    Download the Authorization to Act as Agent for Contractor.

  2. 2

    Complete The Project Details

    Enter the project description, property address, assessor’s parcel number, and agent’s name.

  3. 3

    Complete Contractor Details

    Provide the contractor’s name and license number; the license holder signs and dates the authorization.

  4. 4

    Submit To The City

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

Frequently asked questions

What does the contractor agent authorization do?
It authorizes a named agent to sign necessary forms to obtain a permit for described work at the property address provided by the contractor.
What information does the authorization ask for?
It asks for the project description, property address, assessor’s parcel number, agent’s name, contractor’s name and license number, and the license holder’s signature and printed name.
Do I need a notary for the Authorization to Act as Agent for Contractor?
No. This document has no notary block; the license holder signs and dates it. The document does not state that a sworn or notarized attachment is required.
How do I submit the contractor agent authorization?
The document does not give submission instructions. Submit it to the city department named on the form and check the city website for current contact details.

Need something notarized?

This Authorization to Act as Agent for Contractor doesn’t need a notary — but if you have another Brentwood form that does, a commissioned online notary can help.