Pico Rivera, CA · Los Angeles County

No notary required

Encroachment/Excavation Permit Application

Contractors and applicants use this form to request permission for encroachment or excavation work in Pico Rivera’s public right of way.

What this form is

This application requests a permit for encroachment or excavation work in the City of Pico Rivera’s public right of way. It asks for applicant and contractor contact details, work location and type, excavation dimensions, and project dates and schedule. The application lists required supporting documents, including a site plan, traffic control plans, a Dig Alert number, insurance certificate, and city business licenses for the contractor and subcontractors.

Who needs it

Applicants seeking a permit for encroachment or excavation work in Pico Rivera’s public right of way should complete this application.

How to submit it

Email the application to [email protected] and [email protected]. For questions, contact the Department of Public Works at (562) 801-4368.

About notarization

This application is signed and dated without a notary; the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Encroachment/Excavation Permit Application PDF.

  2. 2

    Complete The Form

    Fill in all blanks; write “N/A” where a field does not apply.

  3. 3

    Gather Required Documents

    Include the supporting documents listed on the application, such as site plans, traffic control plans, and an insurance certificate.

  4. 4

    Email The Application

    Email it to [email protected] and [email protected].

Frequently asked questions

Do I need a notary for this application?
No. This application is signed and dated without a notary; the signer just signs and dates it.
How do I submit the application?
Email the completed application to [email protected] and [email protected], as stated on the form.
What supporting documents does the application list?
The form lists a city business license for the contractor and subcontractors, approved site plans, traffic control plans, a Dig Alert number, an insurance certificate, and a project schedule.
What information does the application ask for?
It asks for applicant and contractor information, the work location and type, excavation dimensions, project dates, work duration, and authorization.

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.