Pleasanton, CA · Alameda County
Encroachment Permit Application
Property owners and contractors use this application to request a Pleasanton permit for proposed work in the public right-of-way.
What this form is
This application is for proposed work in the right-of-way and includes spaces for the work location, dates, owner or developer, contractor, license details, work valuation, and a description of the work. It requires three copies of the plans, a traffic control plan, and liability insurance with the City named as an additional insured and a waiver of subrogation.
Who needs it
Owners, developers, or contractors proposing work in the right-of-way use this application to request an encroachment permit.
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 application is signed and dated without a notary; it identifies no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download the Application
Download the Encroachment Permit Application PDF.
- 2
Complete the Application
Enter the work dates and location, owner or developer and contractor details, license information, work valuation, and proposed work description.
- 3
Gather Required Attachments
Prepare three copies of the plans, a traffic control plan, and liability insurance with the required endorsements.
- 4
Sign and Submit
Sign and date the application, then submit it to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Encroachment Permit Application?
- No. This application is signed and dated without a notary, and it identifies no notarized or sworn attachment.
- Who uses Pleasanton’s Encroachment Permit Application?
- Owners, developers, or contractors proposing work in the right-of-way use this application to request an encroachment permit.
- What attachments does the application require?
- The application requires three copies of the plans, a traffic control plan, and liability insurance with the City named as an additional insured and a waiver of subrogation.
- How do I submit the Encroachment Permit Application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Encroachment Permit Application doesn’t need a notary — but if you have another Pleasanton form that does, a commissioned online notary can help.