Rancho Cordova, CA · Sacramento County

No notary required

Authorization of Agent to Act on Contractor’s Behalf for Building Permit Activity

Contractors use this form to authorize an agent to apply for, sign, and file documents needed to obtain a building permit in the contractor’s name.

What this form is

This form authorizes a named agent to apply for, sign, and file documents needed to obtain a building permit in the contractor’s name. It asks for the project description and location, agent contact information and signature, and the contractor’s business and license details, signature, and date. When the permit is issued, contractor signature verification is required.

Who needs it

A licensed contractor who wants another person to handle building permit documents on the contractor’s behalf needs to complete this authorization.

How to submit it

The form lists the Community Development Department, Building & Safety Division, at 2729 Prospect Park Drive, Rancho Cordova, CA 95670, and [email protected].

About notarization

The contractor signs and dates this form without a notary; it includes a declaration under penalty of perjury, and signature verification at permit issuance may use a driver’s license, form notarization, or other accepted verification.

How to submit this form

  1. 1

    Download The Form

    Download the contractor agent authorization form.

  2. 2

    Complete The Project Details

    Enter the project description and location, then provide the agent’s name, contact information, address, and signature.

  3. 3

    Complete Contractor Information

    Enter the contractor’s business and license details, then sign and date the declaration.

  4. 4

    Submit To The City

    Send or deliver the completed form to the Community Development Department, Building & Safety Division, using the contact details listed on the form.

Frequently asked questions

What does the contractor agent authorization allow?
It authorizes a named agent to apply for, sign, and file documents necessary to obtain a building permit in the contractor’s name.
What information does the form request?
It requests the project description and address, agent name and contact details, agent signature, and the contractor’s business name, license information, signature, and date.
Do I need a notary for the contractor agent authorization?
No. The form is signed and dated without a notary, though it includes a declaration under penalty of perjury. At permit issuance, signature verification may use a driver’s license, form notarization, or other accepted verification.
How do I submit the contractor agent authorization?
The form lists the Community Development Department, Building & Safety Division, at 2729 Prospect Park Drive, Rancho Cordova, CA 95670, and [email protected].

Need something notarized?

This Authorization of Agent to Act on Contractor’s Behalf for Building Permit Activity doesn’t need a notary — but if you have another Rancho Cordova form that does, a commissioned online notary can help.