Baldwin Park, CA · Los Angeles County
Licensed Contractor’s Declarations
This form records contractor licensing, workers’ compensation, or owner-builder declarations for applicants seeking a building permit in Baldwin Park.
What this form is
Baldwin Park’s Licensed Contractor’s Declarations form accompanies a permit application and records the applicant’s contractor license, workers’ compensation coverage or exemption, and owner-builder status. It asks for details such as license and policy numbers, applicant and owner information, job address, and signatures and dates. The form also includes declarations about the work and authorization for city representatives to enter the property for inspection.
Who needs it
Building permit applicants who must declare their contractor license, workers’ compensation status, or owner-builder exemption use this form.
How to submit it
The form names the Building Superintendent, Building Division, as the permit recipient and lists City Hall at 14403 E. Pacific Avenue, Baldwin Park, CA 91706.
About notarization
This document is signed without a notary; the applicable contractor or owner declaration is signed and dated by the signer.
How to submit this form
- 1
Download The Form
Download the Licensed Contractor’s Declarations PDF.
- 2
Complete The Applicable Declaration
Fill in the relevant contractor, workers’ compensation, or owner-builder details, including the job address and requested identification information.
- 3
Provide Supporting Documentation
If applicable, provide a certified copy of the workers’ compensation certificate or indicate that a certified copy is filed with the Building Division or City Clerk’s Office.
- 4
Sign And Submit
Sign and date the applicable declaration and submit it to the Building Superintendent, Building Division.
Frequently asked questions
- What is the Licensed Contractor’s Declarations form for?
- It records contractor licensing, workers’ compensation coverage or exemption, and owner-builder declarations accompanying a building permit application.
- Who completes this form?
- The form is for permit applicants making contractor license, workers’ compensation, or owner-builder declarations. It includes spaces for applicant, owner, or contractor information and signatures.
- Do I need a notary for the Licensed Contractor’s Declarations?
- No. This document is signed without a notary; the applicable contractor or owner declaration is signed and dated by the signer.
- How do I submit the Licensed Contractor’s Declarations?
- The form names the Building Superintendent, Building Division, as the permit recipient and lists City Hall at 14403 E. Pacific Avenue, Baldwin Park, CA 91706.
Need something notarized?
This Licensed Contractor’s Declarations doesn’t need a notary — but if you have another Baldwin Park form that does, a commissioned online notary can help.