Gardena, CA · Los Angeles County

No notary required

Excavation Requirements & Permit Application

Contractors, developers, and owner-builders use this document to complete an excavation encroachment permit application and review required supporting documents.

What this form is

This document lists requirements for contractors or developers and for owner-builders seeking an excavation encroachment permit. Applicants must complete and sign the permit application and sign and acknowledge an indemnification statement; requirements also include insurance, surety, and permit fees as determined by the Engineer. Contractors or developers may need plans, insurance endorsements, and license numbers, while homeowners must provide a copy of their insurance policy and may need a Workers’ Compensation Waiver Form.

Who needs it

Contractors, developers, and owner-builders applying for an excavation encroachment permit should complete the application and follow the requirements for their applicant type.

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; applicants sign and acknowledge the indemnification statement, and homeowners may also need to sign a Workers’ Compensation Waiver Form.

How to submit this form

  1. 1

    Download The Application

    Download the Excavation Requirements & Permit Application PDF.

  2. 2

    Complete And Sign

    Complete and sign the permit application, and sign and acknowledge the indemnification statement.

  3. 3

    Gather Supporting Documents

    Follow the requirements for your applicant type, including applicable insurance documents, surety, fees, and license numbers.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Who uses the Excavation Requirements & Permit Application?
Contractors, developers, and owner-builders use it when applying for an excavation encroachment permit. The document lists different requirements for contractors and owner-builders.
What supporting documents may be required?
Contractors or developers may need plans, insurance documents, and license numbers. Owner-builders must provide a copy of their homeowner's insurance policy; homeowners may also need a Workers’ Compensation Waiver Form.
Do I need a notary for the Excavation Requirements & Permit Application?
No. The document is signed without a notary. Applicants sign and acknowledge the indemnification statement; homeowners may also need to sign a Workers’ Compensation Waiver Form.
How do I submit the excavation permit application?
The document does not give application submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Excavation Requirements & Permit Application doesn’t need a notary — but if you have another Gardena form that does, a commissioned online notary can help.