Lakewood, CA · Los Angeles County

No notary required

Owner-Builder Declaration

Property owners and contractors use this form to declare licensing, workers’ compensation, hazardous materials, asbestos, and construction lending details for a Lakewood building permit.

What this form is

This form records declarations and project details for a building permit, including whether the owner-builder is exempt from contractor licensing or the work will be performed by licensed contractors. It also asks about workers’ compensation, hazardous materials, asbestos notification, and construction lending. The form states that a signed licensing statement is required before a permit is issued and includes signatures for the property owner or authorized agent and contractor, as applicable.

Who needs it

Property owners or authorized agents and contractors completing declarations for a Lakewood building permit should use this form.

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 declarations are made under penalty of perjury, and the applicable signers sign and date the form.

How to submit this form

  1. 1

    Download The Form

    Download the Owner-Builder Declaration PDF.

  2. 2

    Complete The Declarations

    Fill in the applicable licensing, workers’ compensation, project, hazardous materials, asbestos, and construction lending details.

  3. 3

    Gather Related Information

    Provide applicable contractor license and workers’ compensation details, and indicate asbestos notification status where relevant.

  4. 4

    Sign And Date

    The applicable property owner or authorized agent and contractor sign and date their declarations.

  5. 5

    Submit To The City

    Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What does the Owner-Builder Declaration cover?
It records licensing and workers’ compensation declarations, project details, hazardous materials and asbestos information, and construction lending details for a building permit.
Who completes this Lakewood form?
The form includes declarations and signature lines for a property owner or authorized agent and, when applicable, a licensed contractor.
Do I need a notary for the Owner-Builder Declaration?
No. This document is signed without a notary; its declarations are made under penalty of perjury, and applicable signers sign and date the form.
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 Lakewood form that does, a commissioned online notary can help.