Costa Mesa, CA · Orange County

Declaration of Authorization for Agents to Apply for Permits

A licensed contractor's sworn declaration authorizing specific agents to pull building permits on the contractor's behalf in Costa Mesa.

Simple form~10 min to notarize
  • California-licensed notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

Costa Mesa's Building Division requires contractors who want someone else to obtain permits on their behalf to file this declaration naming the authorized agent(s). The contractor also certifies current Workers' Compensation coverage and agrees to indemnify the city. The form remains valid until the contractor files written cancellation.

Who needs it

Licensed contractors in Costa Mesa who want an employee or agent to pull building permits on their behalf.

Why it needs a notary

The form itself states that a notary public must acknowledge the contractor's signature before the city will accept the authorization.

How to get this notarized

  1. 1

    Download the Form

    Get the Declaration of Authorization for Agents PDF from the Costa Mesa Building Division.

  2. 2

    Fill In Agent Details

    List each authorized agent's name and driver's license or SSN, plus contractor license info.

  3. 3

    Book an Online Notary

    Schedule a Rush Notary remote online notarization session.

  4. 4

    Sign on Video

    Sign the declaration in front of the notary during your video session.

  5. 5

    Submit to the City

    Attach your contractor's license copy and submit the notarized form to Costa Mesa's Building Division.

Preview the form

The blank PDF straight from Costa Mesa. Look it over, then upload your filled copy to start the notary session.

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You’ll need ID and a webcam.

A licensed California online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

Who needs to sign this form?
The licensed contractor whose company will hold the building permit must sign; their signature is what needs to be notarized.
Do I need a notary for this form?
Yes — Costa Mesa requires a notary public to acknowledge the contractor's signature before the Building Division will accept an agent authorization.
How do I get this notarized online?
Download the PDF, fill in the agent names and license details, then book a Rush Notary online session to sign in front of a commissioned notary via video.
Will the city accept an out-of-state online notarization?
California generally recognizes notarial acts valid under the notary's home state law, but check with the Costa Mesa Building Division if you are unsure before submitting.
What else do I submit with the form?
Attach a copy of the contractor's State Contractor's License along with the notarized declaration.

Ready to notarize your Declaration of Authorization for Agents to Apply for Permits?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.