Pleasant Hill, CA · Contra Costa County
Massage Establishment Permit Application
Massage establishment owners use this application to request an original or renewal permit from the Pleasant Hill Police Department.
What this form is
The application requests business, ownership, employment, business history, and criminal history information for a massage establishment permit. Applicants must provide listed supporting documents, including photographs, a lease copy, and a written establishment description; owners without valid CAMTC certification must also submit fingerprints for an original application. The document lists separate fees for original and renewal applications.
Who needs it
Owners applying for or renewing a Pleasant Hill massage establishment permit should complete this application and provide the listed supporting items.
How to submit it
Submit the application and required items to the Pleasant Hill Police Department. The document lists an original application fee of $323 and a renewal application fee of $145.
About notarization
This document is signed without a notary; the applicant signs and dates a declaration under penalty of perjury, and the owner or agent also signs and dates the review.
How to submit this form
- 1
Download The Application
Download the Massage Establishment Permit Application PDF.
- 2
Complete The Application
Provide the requested business, owner, employment, business history, and criminal history information.
- 3
Gather Supporting Items
Include the listed photographs, lease copy, written establishment description, and other applicable documents.
- 4
Submit To The Police Department
Submit the application and required items to the Pleasant Hill Police Department.
Frequently asked questions
- Do I need a notary for the Massage Establishment Permit Application?
- No. The document has no notary block; the applicant signs and dates a declaration under penalty of perjury, and the property owner or agent signs and dates the review.
- How do I submit the Massage Establishment Permit Application?
- Submit the completed application and required items to the Pleasant Hill Police Department. The document lists fees of $323 for an original application and $145 for a renewal.
- What supporting items does the application request?
- The document lists two recent color photographs, a written establishment description, a lease copy, identification and work-status documents, and other items. Fingerprints are required for original applications when the owner lacks valid CAMTC certification.
Need something notarized?
This Massage Establishment Permit Application doesn’t need a notary — but if you have another Pleasant Hill form that does, a commissioned online notary can help.