Pico Rivera, CA · Los Angeles County

No notary required

Construction Plan Check Liability Release Form

Applicants use this form to request Building Division construction plan review before Planning Division or other agency review or approval.

What this form is

This form asks the Building Division to accept construction plans for review before Planning Division or other agency review or approval. The applicant provides project, site, and contact details, describes the project, and signs a release agreeing to indemnify and hold the City harmless if another agency denies the project. It states that plan check review fees will not be refunded if the project is denied, and additional fees or delays may result from required structural changes.

Who needs it

An applicant requesting Building Division construction plan review before Planning Division or other agency review or approval should complete and sign this form.

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; it mentions no notarized or sworn attachment, so the applicant signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Construction Plan Check Liability Release Form.

  2. 2

    Complete The Form

    Enter the date, site address, applicant or company details, phone number, and project description.

  3. 3

    Sign And Date

    The applicant signs, prints their name, and dates the form.

  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

What is the Construction Plan Check Liability Release Form for?
It requests Building Division acceptance of construction plans for review before Planning Division or other agency review or approval, and includes the applicant’s liability release.
Who completes this form?
The applicant seeking Building Division construction plan review completes the project and contact information and signs and dates the form.
Do I need a notary for the Construction Plan Check Liability Release Form?
No. This document is signed without a notary and mentions no notarized or sworn attachment; the applicant signs and dates it.
How do I submit the Construction Plan Check Liability Release Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Construction Plan Check Liability Release Form doesn’t need a notary — but if you have another Pico Rivera form that does, a commissioned online notary can help.