Yuba City, CA · Sutter County
Encroachment Permit Application, General Terms & Insurance
This application is for contractors or other applicants requesting a Yuba City permit for work in the public right-of-way.
What this form is
Use this application to request an encroachment permit for described work at a specified location. It asks for applicant and contractor details, work dates, a work description, and a signature, and requires an attached plan or sketch and traffic control plan. The document also includes permit terms, insurance requirements and checklist, and a workers’ compensation exemption certificate for permittees with no employees.
Who needs it
A contractor or other applicant planning work covered by an encroachment permit in Yuba City needs to complete 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 applicant signs and dates the application, and a permittee with no employees signs the attached exemption certificate.
How to submit this form
- 1
Download The Application
Download the Encroachment Permit Application PDF.
- 2
Complete The Application
Provide applicant and contractor details, work location and dates, a description of the work, and a signature and date.
- 3
Gather Required Attachments
Attach a plan or sketch and traffic control plan, and prepare the required insurance documentation. Complete the exemption certificate only if the permittee has no employees.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Encroachment Permit Application?
- No. The application is signed and dated without a notary. A permittee with no employees signs the attached workers’ compensation exemption certificate.
- 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.
- What attachments does the application require?
- Attach a plan or sketch showing work dimensions and location, and a traffic control plan. The document also requires insurance documentation before work starts.
- What information does the application ask for?
- It asks for applicant and company contact details, license information, the work location and dates, a work description, and the applicant’s signature and date.