Jurupa Valley, CA · Riverside County
Application for Encroachment Permit
Property owners, contractors, and other applicants use this application to request permission to work in the City of Jurupa Valley road right-of-way.
At a glance
- Issued by
- City of Jurupa Valley · Jurupa Valley, Riverside County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- jurupavalley.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application requests a permit to excavate, construct, or otherwise encroach on a City of Jurupa Valley road right-of-way. It asks for the work description and location, owner or applicant and contractor contact details, and signatures. The application also includes an indemnification agreement, insurance requirements, and a property-owner certification for certain homeowners not using a contractor.
Who needs it
Property owners, contractors, or other applicants planning work in a City of Jurupa Valley road right-of-way need this application.
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; the permittee signs the agreement, and a homeowner using the workers’ compensation exception signs and dates the property-owner certification.
How to submit this form
- 1
Download the Application
Download the encroachment permit application PDF.
- 2
Complete the Application
Describe the work and location, provide the requested owner or applicant and contractor information, and sign the applicable sections.
- 3
Gather Required Documents
Attach maps or other documents describing the work and provide the required insurance documentation; homeowners may use the included property-owner certification when applicable.
- 4
Submit to the City
Submit the application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the encroachment permit application for?
- It requests permission to excavate, construct, or otherwise encroach on a City of Jurupa Valley road right-of-way.
- Who uses this encroachment permit application?
- Property owners, contractors, and other applicants planning work in a City of Jurupa Valley road right-of-way use this application.
- Do I need a notary for the encroachment permit application?
- No. The permittee signs the agreement without a notary. A homeowner using the workers’ compensation exception signs and dates the property-owner certification.
- How do I submit the encroachment permit application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Application for Encroachment Permit doesn’t need a notary, but if you have another Jurupa Valley form that does, a commissioned online notary can help.