La Puente, CA · Los Angeles County

No notary required

Notice to Prospective Businesses Statement of Intended Use

Businesses complete this form to describe their building, operations, and fire-safety systems so the Fire Department can assess applicable requirements.

What this form is

This form helps the Los Angeles County Fire Department assess which fire, building, and life-safety requirements may apply to a business at a property. It asks for building details, answers to questions about operations and hazards, and information about fire-safety systems. The form also calls for a signed letter describing the intended use and materials, a site or floor plan, and completed Occupant Emergency Information.

Who needs it

A business owner or authorized agent preparing to use a commercial or industrial property should complete the form and provide the listed supporting materials.

How to submit it

Bring the completed Form 30, signed business-owner or authorized-agent letter, building floor or site plan, and completed Occupant Emergency Information to the jurisdictional Fire Prevention Office for a stamp.

About notarization

This document is signed without a notary; the hazardous-materials declaration is signed and dated, and the business owner or authorized agent must also provide a signed intended-use letter.

How to submit this form

  1. 1

    Download The Form

    Download the Statement of Intended Use Form 30.

  2. 2

    Complete The Form

    Fill in the building information, questionnaire, intended-use selections, and Occupant Emergency Information.

  3. 3

    Gather The Attachments

    Prepare a signed intended-use letter and a site or floor plan showing the details requested on the form.

  4. 4

    Bring Materials To The Fire Office

    Bring the completed form and listed materials to the jurisdictional Fire Prevention Office for a stamp.

Frequently asked questions

Do I need a notary for the intended-use statement?
No. The form is signed without a notary. Its hazardous-materials declaration is signed and dated, and a separate intended-use letter must be signed by the business owner or authorized agent.
How do I submit the intended-use statement?
Bring the completed form, signed intended-use letter, building floor or site plan, and completed Occupant Emergency Information to the jurisdictional Fire Prevention Office for a stamp.
What information does the form ask for?
It asks for business and building details, answers about operations and potential hazards, fire-safety system information, employee and operating details, and information about waste disposal.
What attachments does the form call for?
Provide a signed letter describing intended use and materials, including storage and planned building alterations, plus a site or floor plan showing the property, building, exits, safety equipment, and applicable items marked Yes.

Need something notarized?

This Notice to Prospective Businesses Statement of Intended Use doesn’t need a notary — but if you have another La Puente form that does, a commissioned online notary can help.