Pico Rivera, CA · Los Angeles County
Agency Referral
This referral checklist identifies additional agency approvals that building permit applicants may need before the City of Pico Rivera issues a permit.
What this form is
Building permit applicants use this sheet to identify outside agency clearances that may apply to their project. It asks for the project address, plan check number, proposed occupancy, construction type, and work description, then lists potential agency reviews and requirements. Applicants are responsible for following up with the relevant agencies and providing required approvals to Building and Safety before permit issuance.
Who needs it
Building permit applicants whose projects may require approvals from the agencies listed on the referral sheet need to review and complete it.
How to submit it
The sheet says to submit all agency approvals to Building and Safety 48 hours before permit issuance, then notify the Plan Check Engineer and request verification.
About notarization
This document is signed without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Checklist
Download the Agency Referral sheet and review the listed agency clearances.
- 2
Complete Project Details
Enter the project address, plan check number, proposed occupancy, construction type, and work description.
- 3
Contact Relevant Agencies
Follow up with applicable agencies and provide any plans, calculations, reports, or other materials they request.
- 4
Submit Approvals
Submit all agency approvals to Building and Safety 48 hours before permit issuance, then notify the Plan Check Engineer.
Frequently asked questions
- What is the Agency Referral sheet for?
- It identifies outside agency approvals that may be needed in addition to building plan check approval before the City of Pico Rivera issues a permit.
- Who needs to use the Agency Referral sheet?
- Building permit applicants should review it to determine which listed agency clearances apply to their project and what approvals must be obtained.
- Do I need a notary for the Agency Referral?
- No. This document has no notary block or notarized attachment; the signer just signs and dates it.
- How do I submit agency approvals?
- Submit all agency approvals to Building and Safety 48 hours before permit issuance, then notify the Plan Check Engineer and request verification.
Need something notarized?
This Agency Referral doesn’t need a notary — but if you have another Pico Rivera form that does, a commissioned online notary can help.