Sierra Madre, CA · Los Angeles County
Combined Excavation and Encroachment Permit Application
This application is for applicants seeking a Sierra Madre permit for excavation, work in the public right-of-way, or an obstruction or encroachment.
What this form is
Use this application to request a Sierra Madre excavation and encroachment permit for proposed work in the public right-of-way or other covered work. It asks for applicant, owner, permittee, and contractor details; the work location and scope; excavation, obstruction, restoration, and traffic impacts; and plans, insurance, and inspection information. The packet also includes insurance requirements and standard permit conditions.
Who needs it
Applicants planning excavation, encroachment, or related work covered by the permit application should complete it with the required parties and supporting documents.
How to submit it
Submit the completed packet to the City of Sierra Madre Department of Public Works at 232 W. Sierra Madre Blvd., Sierra Madre, CA 91024, or email [email protected]. The application says fees and deposits are recorded by City staff.
About notarization
This document is signed without a notary; the applicant, permittee, and contractor sign and date the application, with no notarized or sworn attachment specified.
How to submit this form
- 1
Download The Application
Download the Combined Excavation and Encroachment Permit Application PDF.
- 2
Complete The Application
Fill in the applicable applicant, owner, permittee, contractor, project, work scope, and inspection details.
- 3
Gather Supporting Documents
Include applicable plans, owner authorization, related permit information, USA 811 ticket, and insurance documents listed in the packet.
- 4
Submit To The City
Send the completed packet to the Department of Public Works by email or deliver it to the address listed on the application.
Frequently asked questions
- What is the Combined Excavation and Encroachment Permit Application?
- It is a City of Sierra Madre Department of Public Works application for proposed excavation, encroachment, or related work. It requests project, party, plan, insurance, and inspection details.
- Who should complete this application?
- Applicants proposing work covered by the permit should complete the application. It includes sections for the applicant, property owner when different, permittee, and contractor.
- How do I submit the permit application?
- Submit the completed packet to the Department of Public Works at 232 W. Sierra Madre Blvd., Sierra Madre, CA 91024, or email it to [email protected].
- Do I need a notary for the permit application?
- No. The application is signed and dated by the applicant, permittee, and contractor without a notary; it specifies no notarized or sworn attachment.
Need something notarized?
This Combined Excavation and Encroachment Permit Application doesn’t need a notary — but if you have another Sierra Madre form that does, a commissioned online notary can help.