Sierra Madre, CA · Los Angeles County

No notary required

Excavation / Encroachment Permit Application

This application requests a Sierra Madre permit for excavation or encroachment work in the public right-of-way and is completed by the applicant.

What this form is

The Department of Public Works application requests a permit for proposed excavation or encroachment work. Applicants provide contractor and property-owner details, the work description, and liability and workers’ compensation insurance information. The application also asks for a site plan or other documentation showing the work area, and includes permit conditions for the applicant to review and sign.

Who needs it

Contractors or other applicants proposing excavation or encroachment work in Sierra Madre’s public right-of-way need to complete this application.

How to submit it

Submit it to the Department of Public Works; the application calls for a site plan or other documentation depicting the work area and notes that a permit fee must be submitted.

About notarization

This document is signed and dated by the applicant without a notary; the form calls for no notarized or sworn attachment.

How to submit this form

  1. 1

    Download the Application

    Download the Excavation / Encroachment Permit Application PDF.

  2. 2

    Complete the Application

    Enter the contractor, property-owner, proposed-work, and insurance information requested on the form.

  3. 3

    Gather the Site Plan

    Attach a site plan or other documentation showing the location and extent of the work area.

  4. 4

    Submit to Public Works

    Submit the application and attachment to the Department of Public Works; the form notes that a permit fee must be submitted.

Frequently asked questions

What is the Excavation / Encroachment Permit Application for?
It requests a Sierra Madre permit for proposed excavation or encroachment work and collects applicant, contractor, property, work, and insurance details.
What should I attach to the application?
Attach a site plan or other documentation depicting the location and extent of the work area, as directed by the application.
Do I need a notary for the Excavation / Encroachment Permit Application?
No. The applicant signs and dates this document without a notary, and the form does not call for a notarized or sworn attachment.
How do I submit the Excavation / Encroachment Permit Application?
Submit it to the Department of Public Works with a site plan or other documentation depicting the work area. The application also lists permit fee submission among the city’s staff approval items.

Need something notarized?

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