Long Beach, CA · Los Angeles County
California Licensed Contractor’s Declaration and Owner-Builder’s Declaration
This form records contractor or owner-builder declarations and related project details for people completing a Long Beach construction permit application.
What this form is
The form lets a California licensed contractor or property owner make declarations for work covered by a construction permit, including workers’ compensation and any construction-lending agency. The contractor section also verifies the permit application, agreement to follow applicable laws, and inspection access. The owner-builder section asks the property owner to identify a basis for exemption from contractor licensing and includes verification; the Notice to Property Owner must accompany it.
Who needs it
Contractors or property owners completing the related construction permit application use this form to provide the applicable declarations and project information.
How to submit it
The form identifies the Community Development Department, Building and Safety Bureau, at 411 W. Ocean Boulevard, 2nd Floor, Long Beach, CA 90802. For a contractor permit proxy, it says the signed application declarations and copies of both sides of the contractor’s license card are submitted by proxy.
About notarization
This document is signed without a notary; its declarations are made under penalty of perjury, and the signer signs and dates the applicable section.
How to submit this form
- 1
Download The Form
Download the Contractor’s Declaration and Owner-Builder’s Declaration form.
- 2
Complete The Applicable Section
Enter the project information and complete the contractor or owner-builder declarations that apply.
- 3
Gather Required Documents
For the owner-builder section, include the Notice to Property Owner. For a contractor permit proxy, provide copies of both sides of the signed contractor license card.
- 4
Submit The Form
Submit the completed form to the Community Development Department, Building and Safety Bureau, at the address listed on the form.
Frequently asked questions
- Do I need a notary for the Contractor and Owner-Builder Declaration?
- No. This document is signed without a notary; its declarations are made under penalty of perjury, and the signer signs and dates the applicable section.
- Who completes this declaration form?
- A California licensed contractor or property owner completing the related construction permit application provides the applicable declarations and project information.
- What accompanies the owner-builder declaration?
- The form says the Notice to Property Owner must accompany this document. If an authorized agent acts for the owner, the owner must complete the Authorization of Agent section on that form.
- How do I submit the contractor declaration?
- The form identifies the Community Development Department, Building and Safety Bureau, at 411 W. Ocean Boulevard, 2nd Floor, Long Beach, CA 90802. For a contractor permit proxy, it specifies signed declarations and copies of both sides of the contractor’s license card.
Need something notarized?
This California Licensed Contractor’s Declaration and Owner-Builder’s Declaration doesn’t need a notary — but if you have another Long Beach form that does, a commissioned online notary can help.