Susanville, CA · Lassen County
Asbestos Demolition Declaration
Property owners or licensed contractors complete this declaration when applying for a demolition or renovation permit in Susanville.
What this form is
This declaration provides asbestos-related information for a demolition or renovation permit application. It distinguishes certain residential buildings and accessory structures from all other structures, and asks for applicant, property, and permit details, a selection of owner or contractor status, and a signed declaration. For other structures, the form requires a copy of the notification sent to U.S. EPA and California ARB.
Who needs it
Property owners or licensed contractors applying for a demolition or renovation permit in Susanville complete the declaration.
How to submit it
Submit the completed declaration to the City of Susanville Building Division, 66 North Lassen Street, Susanville, CA 96130, with the demolition or renovation permit application.
About notarization
No notary is required; the signer declares under penalty of perjury and signs and dates the form, while applicants for other structures attach the notification sent to U.S. EPA and California ARB.
How to submit this form
- 1
Download The Form
Download the Asbestos Demolition Declaration for your Susanville demolition or renovation permit application.
- 2
Complete The Declaration
Enter the applicant, permit, property owner, and APN details, select owner or contractor, and complete the section that applies to the structure.
- 3
Gather The Required Attachment
For all other structures, attach a copy of the notification sent to U.S. EPA and California ARB.
- 4
Sign And Submit
Sign and date the form, then submit it with the permit application to the Building Division at the address shown on the form.
Frequently asked questions
- Do I need a notary for the Asbestos Demolition Declaration?
- No. The signer declares under penalty of perjury and signs and dates the form. For other structures, attach the notification sent to U.S. EPA and California ARB.
- How do I submit the Asbestos Demolition Declaration?
- Submit it with the demolition or renovation permit application to the City of Susanville Building Division at 66 North Lassen Street, Susanville, CA 96130.
- Who completes this declaration?
- A property owner or licensed contractor completes the form when applying for a demolition or renovation permit.
- What attachment is required for other structures?
- For all other structures, the form asks applicants to attach a copy of the Asbestos Demolition/Renovation Notification sent to U.S. EPA and California ARB.