Susanville, CA · Lassen County
Lead Paint Declaration
Property owners or licensed contractors complete this declaration to report lead-based paint certification or the status of planned renovation, repair, or painting work.
What this form is
The Lead Paint Declaration records whether a property owner or licensed contractor provides a lead-based paint certification, declares that no lead-based paint is present, or states that the work will remain below the listed thresholds. The form describes requirements for certain work in pre-1978 housing, child care facilities, and schools, and includes applicant, permit, property, and contractor information.
Who needs it
A property owner or licensed contractor completes the declaration for work involving lead-based paint or to declare that no lead-based paint is present.
How to submit it
The form identifies the Building Division at 66 North Lassen Street, Susanville, CA 96130, but does not give submission directions; check the city website for current contact details.
About notarization
This declaration is signed and dated without a notary; the form asks the property owner or licensed contractor to sign and date the selected declaration.
How to submit this form
- 1
Download The Form
Download the Lead Paint Declaration PDF.
- 2
Complete The Form
Enter the applicant, permit, property owner, and APN information, then check the applicable declaration.
- 3
Gather Certification
If providing lead-based paint certification, attach a copy of the certification as indicated on the form.
- 4
Submit To The City
The form identifies the Building Division address; check the city website for current submission instructions.
Frequently asked questions
- What does the Lead Paint Declaration report?
- It lets a property owner or licensed contractor provide lead-based paint certification, declare that no lead-based paint is present, or state that planned work will stay below the listed thresholds.
- Who completes the Lead Paint Declaration?
- The form is completed and signed by the property owner or licensed contractor. It also requests applicant, permit, property, and contractor information.
- Do I need a notary for the Lead Paint Declaration?
- No. The form has signature and date lines for the property owner or licensed contractor and does not require notarization.
- How do I submit the Lead Paint Declaration?
- The form identifies the Building Division at 66 North Lassen Street, Susanville, CA 96130, but does not state how to submit it. Check the city website for current contact details.