What is the Declarations Prior to Permit Issuance form?

It records answers and acknowledgments about project conditions and permit requirements, including hazardous materials, inspections, worker qualifications, and coordination with other authorities.

The form provides a signature line for the contractor or “Owner/Builder,” along with spaces to print the signer’s name and enter the date.

Do I need a notary for the Declarations Prior to Permit Issuance form?

No. The contractor or Owner/Builder signs and dates the form; it does not identify any notarized or sworn attachment.

How do I submit the form?

Submit it to the city department named on the form; check the city website for current contact details, since the document does not provide submission instructions.

Corona, CA · Riverside County

No notary required

Declarations Prior to Permit Issuance

This declaration form records permit-related acknowledgments and project information from the contractor or Owner/Builder applying for a building permit.

What this form is

The form asks the applicant to answer questions about hazardous materials, proximity to a school, and possible South Coast Air Quality Management District permitting, then acknowledge permit requirements. It also covers inspections, permit expiration, accessibility, worker qualifications, lead-safe work, and coordination with other authorities. The contractor or Owner/Builder signs and dates the declaration before permit issuance.

Who needs it

A contractor or Owner/Builder seeking a building permit uses this form to answer the questions and acknowledge the listed requirements.

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 or Owner/Builder signs and dates it, and no notarized or sworn attachment is identified.

How to submit this form

1
Download The Form
Download the Declarations Prior to Permit Issuance form.
2
Answer And Initial
Read the statements, answer each question, and initial the applicable acknowledgments.
3
Gather Applicable Documentation
Provide any applicable proof or documentation mentioned in the form, such as proof of an occupational safety permit or lead-safe certification.
4
Sign And Submit
Have the contractor or Owner/Builder sign and date the form, then submit it to the city department named on the form.

Frequently asked questions

What is the Declarations Prior to Permit Issuance form?: It records answers and acknowledgments about project conditions and permit requirements, including hazardous materials, inspections, worker qualifications, and coordination with other authorities.
Who signs this form?: The form provides a signature line for the contractor or “Owner/Builder,” along with spaces to print the signer’s name and enter the date.
Do I need a notary for the Declarations Prior to Permit Issuance form?: No. The contractor or Owner/Builder signs and dates the form; it does not identify any notarized or sworn attachment.
How do I submit the form?: Submit it to the city department named on the form; check the city website for current contact details, since the document does not provide submission instructions.

Need something notarized?

This Declarations Prior to Permit Issuance doesn’t need a notary — but if you have another Corona form that does, a commissioned online notary can help.