What is the Licensed Contractor Declarations form for?

It records project details and declarations about contractor licensing or owner-builder status, workers’ compensation, and construction lending for a building permit application.

Who completes this form?

The form is completed by the contractor, property owner, or authorized agent, depending on which declarations apply to the building project.

Do I need a notary for the Licensed Contractor Declarations?

No. This document is signed without a notary. Some declarations are made under penalty of perjury, and the form does not specify a notarized attachment.

St. Helena, CA · Napa County

No notary required

Licensed Contractor Declarations

This permit application declaration form is completed by a licensed contractor or property owner for a building project in St. Helena.

What this form is

St. Helena’s Building Division form records who will perform work for a building project and the basis for contractor licensing or an owner-builder exemption. It asks for project and property details, contractor license information or owner-builder declarations, workers’ compensation information, construction lender details when applicable, and signatures. The declarations relate to the building permit application.

Who needs it

A contractor or property owner completing the building permit application for a project in St. Helena should complete the applicable 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; the contractor, owner, or applicant signs the applicable declarations, including statements made under penalty of perjury, and no attachment is specified.

How to submit this form

1
Download The Form
Download the Licensed Contractor Declarations PDF for your St. Helena building project.
2
Complete Applicable Sections
Enter project and property details, then complete the contractor, owner-builder, workers’ compensation, and lending declarations that apply.
3
Review And Sign
Review the declarations and have the applicable contractor, owner, or applicant sign and date the form.
4
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 is the Licensed Contractor Declarations form for?: It records project details and declarations about contractor licensing or owner-builder status, workers’ compensation, and construction lending for a building permit application.
Who completes this form?: The form is completed by the contractor, property owner, or authorized agent, depending on which declarations apply to the building project.
Do I need a notary for the Licensed Contractor Declarations?: No. This document is signed without a notary. Some declarations are made under penalty of perjury, and the form does not specify a notarized attachment.
How do I submit the Licensed Contractor Declarations?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Licensed Contractor Declarations doesn’t need a notary — but if you have another St. Helena form that does, a commissioned online notary can help.