La Mirada, CA · Los Angeles County

No notary required

Sewer Permit Application

Property owners and licensed contractors use this application to request a sewer permit and identify the sewer work planned at a job site.

What this form is

The application is for sewer permit work, with options for connections, repairs, septic-system work, backwater valves, and other listed items. It asks for applicant, owner or builder, contractor, license, and job information, along with the work items. For plumbing or sewer permit work, the document also requires a signed backwater valve protection determination form to be attached and electronically filed under the permit record.

Who needs it

Property owners or licensed contractors applying for sewer permit work listed on the form need to complete the application.

How to submit it

Submit the signed backwater valve protection determination form with the permit and electronically file it under the permit record when required. Submit the application to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed without a notary; when required, the backwater valve protection determination is also signed and dated, with no notarization stated.

How to submit this form

  1. 1

    Download The Application

    Download the Sewer Permit Application PDF for La Mirada.

  2. 2

    Complete The Application

    Fill in the applicant, owner or builder, contractor, job, and requested sewer work information.

  3. 3

    Gather Required Attachment

    When required, complete and sign the backwater valve protection determination form for attachment to the permit.

  4. 4

    Submit To The City

    Submit the application to the city department named on the form; electronically file the signed determination under the permit record when required.

Frequently asked questions

Do I need a notary for the Sewer Permit Application?
No. The application is signed without a notary. When required, the backwater valve protection determination is signed and dated, with no notarization stated.
How do I submit the Sewer Permit Application?
The form does not provide a submission address or general application delivery method. When required, attach the signed backwater valve protection determination to the permit and electronically file it under the permit record.
What information does the application ask for?
It includes fields for applicant, owner or builder, phone numbers, contractor license details, job location, and the sewer work items being requested.
When is the backwater valve determination required?
The form says a signed backwater valve protection determination must be completed for plumbing or sewer permit work and attached to the permit when required.

Need something notarized?

This Sewer Permit Application doesn’t need a notary — but if you have another La Mirada form that does, a commissioned online notary can help.