Do I need a notary for the Encroachment Permit Application?

No. The application is signed and dated without a notary, and it does not identify any attachment or related step as notarized or sworn.

How do I submit the Encroachment Permit Application?

Submit it to the Public Works Department at 6615 Passons Blvd., Pico Rivera, CA 90660. The form lists (562) 801-4404 for questions.

What documents must accompany the application?

The form lists a city business license for the contractor and subcontractors, approved site plans, traffic control plans, a Dig Alert number, and an insurance certificate naming the City of Pico Rivera additionally insured.

When must the project schedule be provided?

The form says to provide the project schedule to the Public Works Inspector two days before the job starts.

Pico Rivera, CA · Los Angeles County

No notary required

Encroachment/Excavation Permit Application

Contractors and applicants use this application to request permission to perform work in Pico Rivera’s public right-of-way.

What this form is

This application requests authorization to encroach in Pico Rivera’s public right-of-way for excavation or other work. It asks for applicant and contractor contact details, the work location and type, excavation dimensions, and project dates. Applicants must include the listed supporting documents, including a site plan, traffic control plans, insurance certificate, and city business licenses for the contractor and subcontractors.

Who needs it

Applicants seeking a permit for work in Pico Rivera’s public right-of-way should complete this application with contractor and project information.

How to submit it

Submit the application to the Public Works Department, City of Pico Rivera, 6615 Passons Blvd., Pico Rivera, CA 90660. The form lists (562) 801-4404 for questions.

About notarization

This application is signed and dated without a notary; it lists supporting documents but does not identify any attachment or related step as notarized or sworn.

How to submit this form

1
Download the Application
Download the Encroachment/Excavation Permit Application PDF.
2
Complete the Application
Fill in all blanks; write “N/A” where a field does not apply. Include applicant, contractor, work, and project details.
3
Gather Supporting Documents
Include the documents listed on the form: business licenses, site plans, traffic control plans, a Dig Alert number, and an insurance certificate.
4
Submit to Public Works
Submit the application to the Public Works Department at 6615 Passons Blvd., Pico Rivera, CA 90660.

Frequently asked questions

Do I need a notary for the Encroachment Permit Application?: No. The application is signed and dated without a notary, and it does not identify any attachment or related step as notarized or sworn.
How do I submit the Encroachment Permit Application?: Submit it to the Public Works Department at 6615 Passons Blvd., Pico Rivera, CA 90660. The form lists (562) 801-4404 for questions.
What documents must accompany the application?: The form lists a city business license for the contractor and subcontractors, approved site plans, traffic control plans, a Dig Alert number, and an insurance certificate naming the City of Pico Rivera additionally insured.
When must the project schedule be provided?: The form says to provide the project schedule to the Public Works Inspector two days before the job starts.

Need something notarized?

This Encroachment/Excavation Permit Application doesn’t need a notary — but if you have another Pico Rivera form that does, a commissioned online notary can help.