Monterey Park, CA · Los Angeles County
Permit Declaration
This permit declaration is completed by a property owner, authorized agent, contractor, or applicant to provide information and certifications for permitted construction work.
What this form is
The form collects property and contractor details and declarations about contractor licensing, workers’ compensation, construction lending, and hazardous materials. It is completed for work covered by a permit and includes certifications about complying with applicable construction laws and allowing city representatives to inspect the property. Depending on the project, the applicant can provide a copy of required SCAQMD notification or declare that notification is not applicable.
Who needs it
Property owners, authorized agents, contractors, or applicants working on a permitted construction project use this form to provide the required declarations.
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 signer signs and dates the applicable sections.
How to submit this form
- 1
Download The Form
Download the Permit Declaration PDF.
- 2
Complete Applicable Sections
Provide the property information and complete the declarations that apply to the project.
- 3
Gather Any Applicable Attachment
If required SCAQMD notification was submitted, furnish a copy of the notification with the form.
- 4
Submit To The City
Submit the completed form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Permit Declaration?
- No. The form is signed without a notary. Its declarations are made under penalty of perjury, and the signer signs and dates the applicable sections.
- Who completes the Permit Declaration?
- A property owner, authorized agent, contractor, or applicant completes the applicable sections, including declarations about licensing, workers’ compensation, and construction lending.
- How do I submit the Permit Declaration?
- Submit it to the city department named on the form; check the city website for current contact details.
- Does the form ask for hazardous-materials information?
- Yes. It asks the applicant to indicate whether required SCAQMD notification was submitted and provide a copy, or declare that notification is not applicable to the scheduled demolition project.
Need something notarized?
This Permit Declaration doesn’t need a notary — but if you have another Monterey Park form that does, a commissioned online notary can help.