California City, CA · Kern County
Encroachment Permit Application
Property owners and contractors use this application to request permission for work in a California City street or alley right-of-way.
What this form is
This application requests permission to perform work on public lands or within a street or alley right-of-way in California City. It asks for project and property details, owner and contractor information, a work description, the calculated value, and contractor and workers’ compensation declarations. The packet also includes a location map, a fee and deposit worksheet, and general work conditions.
Who needs it
Property owners, contractors, or agents planning work in a California City street or alley right-of-way use this application to request permission.
How to submit it
The form lists the City of California City Building Department at 21000 Hacienda Blvd, California City, CA 93505. It does not specify a submission method.
About notarization
This document is signed without a notary; the workers’ compensation declaration is made under penalty of perjury, but the form does not require notarization.
How to submit this form
- 1
Download The Application
Download the Encroachment Permit Application PDF.
- 2
Complete The Application
Provide the project, property owner, contractor, work description, and work value information requested.
- 3
Complete Declarations And Map
Complete the applicable contractor and workers’ compensation declarations and the location map.
- 4
Submit To The City
The form lists the California City Building Department at 21000 Hacienda Blvd, California City, CA 93505; it does not specify how to submit.
Frequently asked questions
- Do I need a notary for the Encroachment Permit Application?
- No. The form does not require a notary. Its workers’ compensation declaration is made under penalty of perjury, but the form does not require notarization.
- Who uses the Encroachment Permit Application?
- Property owners, contractors, or agents use it to request permission for work on public lands or in a California City street or alley right-of-way.
- What information does the application ask for?
- It asks for project and property details, owner and contractor information, a description and value of the work, and contractor and workers’ compensation declarations.
- How do I submit the Encroachment Permit Application?
- The form lists the Building Department at 21000 Hacienda Blvd, California City, CA 93505. It does not specify a submission method.