Artesia, CA · Los Angeles County
Owner-Builder Declaration
Property owners or contractors complete this declaration for construction permit work in Artesia, identifying licensing status and related project requirements.
What this form is
This declaration accompanies permit work and records whether the property owner is claiming an exemption from contractor licensing or the project uses licensed contractors. It also asks about workers’ compensation, hazardous materials, asbestos notification, and any construction lending agency. The signer provides project and contractor details, makes the applicable declarations, and signs and dates the form.
Who needs it
Property owners or authorized agents and contractors involved in construction work for which a permit is issued use this declaration.
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 document is signed without a notary; its penalty-of-perjury statements are declarations, and it identifies no attachment or related step that must be notarized.
How to submit this form
- 1
Download The Form
Download the Owner-Builder Declaration PDF.
- 2
Complete Applicable Sections
Enter project and contractor details, mark the applicable declarations, and answer the hazardous materials questions.
- 3
Gather Related Information
Provide applicable license, workers’ compensation, insurance, lender, and asbestos notification details requested by the form.
- 4
Sign And Submit
Sign and date the applicable declarations, then submit the form to the city department named on it.
Frequently asked questions
- What does the Owner-Builder Declaration cover?
- It records contractor licensing status and asks about workers’ compensation, hazardous materials, asbestos notification, and construction lending for permit work.
- Who completes this Artesia form?
- A property owner or authorized agent and, when applicable, a licensed contractor complete the declarations relevant to the project.
- Do I need a notary for the Owner-Builder Declaration?
- No. The document is signed without a notary; its penalty-of-perjury statements are declarations, and it identifies no attachment or related step that must be notarized.
- How do I submit the Owner-Builder Declaration?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Owner-Builder Declaration doesn’t need a notary — but if you have another Artesia form that does, a commissioned online notary can help.