Monterey Park, CA · Los Angeles County

No notary required

Contractor’s Statement of Responsibility

Contractors responsible for listed wind- or seismic-resisting systems use this statement to acknowledge special inspection requirements and provide project information.

What this form is

This statement records the project, contractor’s name, address, license number, and the building systems and components covered by the statement. The document says responsible contractors must submit it to the Building Official and the owner or the owner’s authorized agent before work begins on the listed system or component. It also asks the contractor to acknowledge the special requirements and attach quality-control procedures and personnel qualifications.

Who needs it

A contractor responsible for a listed main wind- or seismic-resisting system, designated seismic system, or wind- or seismic-resisting component needs this statement.

How to submit it

Submit the written statement to the Building Official and the owner or the owner’s authorized agent before work begins on the listed system or component.

About notarization

No notary is required; the contractor signs and dates the statement and attaches the listed quality-control procedures and personnel qualifications.

How to submit this form

  1. 1

    Download The Statement

    Download the Contractor’s Statement of Responsibility.

  2. 2

    Complete Project And Contractor Details

    Provide the project, contractor’s name, address, license number, and description of the covered building systems and components.

  3. 3

    Gather Required Attachments

    Attach the contractor’s quality-control procedures and the identification, qualifications, and organizational positions of the people exercising control.

  4. 4

    Submit The Statement

    Submit the written statement to the Building Official and the owner or the owner’s authorized agent before work begins.

Frequently asked questions

What does the Contractor’s Statement of Responsibility cover?
It records project and contractor details, identifies covered building systems and components, and acknowledges the special inspection requirements and control of construction.
Who must submit this statement?
The document says contractors responsible for listed wind- or seismic-resisting systems or components must submit a written statement to the Building Official and the owner or authorized agent.
Do I need a notary for the Contractor’s Statement of Responsibility?
No. The contractor signs and dates the statement; the document also calls for attached quality-control procedures and identification and qualifications of the people exercising control.
How do I submit the Contractor’s Statement of Responsibility?
Submit it to the Building Official and the owner or the owner’s authorized agent before work begins on the listed system or component.

Need something notarized?

This Contractor’s Statement of Responsibility doesn’t need a notary — but if you have another Monterey Park form that does, a commissioned online notary can help.