Clearlake, CA · Lake County

No notary required

Encroachment Permit Application

Property owners, contractors, and other applicants use this application to request permission for work in Clearlake’s public right-of-way.

What this form is

The City of Clearlake requires an encroachment permit for work in the public right-of-way. The application asks for property, applicant, contractor, and project details, and includes permit terms and a bond form. Applicants must provide plans and insurance documentation; other items, such as a performance bond or trench permit, may be required depending on the work.

Who needs it

Property owners, contractors, and other applicants planning work in Clearlake’s public right-of-way need to apply for an encroachment permit.

How to submit it

Submit the completed application and required documents to the City of Clearlake Engineering Department, 14050 Olympic Drive, Clearlake, CA 95422. The document says no fees are due when applying; the city will determine fees before permit issuance.

About notarization

The application is signed and dated without a notary; the attached permit bond includes a notary acknowledgment for the surety’s attorney-in-fact.

How to submit this form

  1. 1

    Download the Application

    Download the Encroachment Permit Application and review its instructions and requirements.

  2. 2

    Complete the Application

    Fill in the applicant and contractor details, describe the work, and sign and date the application.

  3. 3

    Gather Required Documents

    Include three sets of plans and the required insurance documents; check whether a bond or other items apply to your project.

  4. 4

    Submit to the City

    Deliver the application and required documents to the Engineering Department at 14050 Olympic Drive, Clearlake, CA 95422.

Frequently asked questions

Do I need a notary for the Encroachment Permit Application?
No. The application is signed and dated without a notary. The attached permit bond includes a notary acknowledgment for the surety’s attorney-in-fact.
How do I submit the Encroachment Permit Application?
Submit the completed application and required documents to the City of Clearlake Engineering Department at 14050 Olympic Drive, Clearlake, CA 95422.
What documents must accompany the application?
The instructions require three sets of plans, liability insurance documentation, an insurance endorsement naming the city as an insured, and workers’ compensation proof when required. Other items may also be required.

Need something notarized?

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