Dixon, CA · Solano County
Declaration/Authorization
Property owners and contractors use this building permit form to make declarations about licensing, construction lending, workers’ compensation, and permit authorization.
What this form is
This form records declarations for a building permit, including whether the owner or licensed contractors will do the work, whether a construction lender is involved, and the applicant’s workers’ compensation status. The applicant also authorizes city representatives to enter the property for inspections. When properly validated, the form constitutes a building permit; it says the permit becomes void if work does not start or is suspended or abandoned for 180 days.
Who needs it
Applicants for a Dixon building permit use this form to provide the requested owner, contractor, lender, workers’ compensation, and authorization information.
How to submit it
Contact the City of Dixon Community Development Department, Building Division, at 600 East A Street, Dixon, CA 95620, or [email protected].
About notarization
This form is signed and dated without a notary; its declarations are made under penalty of perjury, and no separate notarized attachment is identified.
How to submit this form
- 1
Download The Form
Download the Declaration/Authorization PDF.
- 2
Complete The Declarations
Fill in the requested permit, property, owner or contractor, lender, and workers’ compensation information as applicable.
- 3
Sign And Date
Sign and date the applicable declarations and applicant authorization.
- 4
Contact The Building Division
Contact the City of Dixon Community Development Department, Building Division, for submission information.
Frequently asked questions
- What is the Declaration/Authorization form for?
- It records declarations for a building permit, including licensing, construction lending, workers’ compensation, and authorization for city representatives to inspect the property.
- Who completes this building permit form?
- The form includes declarations for property owners and licensed contractors, along with applicant authorization and signature fields.
- Do I need a notary for the Declaration/Authorization?
- No. The form is signed and dated without a notary. Its declarations are made under penalty of perjury, and no separate notarized attachment is identified.
- How do I submit the Declaration/Authorization?
- Contact the City of Dixon Community Development Department, Building Division, at the address or email listed on the form for submission information.