Pinole, CA · Contra Costa County

No notary required

Request to Extend Active Building Permit

Property owners or their authorized agents use this form to request an extension of time to complete work covered by an active building permit.

What this form is

This form requests a one-time extension of up to 180 days for an active building permit when circumstances beyond the permit holder’s control have prevented completion. Submit it at least four weeks before the permit expires. It asks for permit and property details, owner and applicant contact information, a brief justification, and a timeline for completing the permitted work.

Who needs it

A property owner or authorized agent seeking more time to complete work under an active Pinole building permit should submit a separate request for each permit.

How to submit it

Email the completed form to [email protected] with the subject line “Building Permit Extension” at least four weeks before permit expiration. The form lists a non-refundable processing fee of $194.

About notarization

This form is signed and dated without a notary; the applicant certifies under penalty of perjury that they are the owner’s authorized agent.

How to submit this form

  1. 1

    Download the Form

    Download the Request to Extend Active Building Permit form.

  2. 2

    Complete the Form

    Provide the permit and contact details, explain the reason for the request, and give a work completion timeline.

  3. 3

    Sign and Date

    Sign and date the form as the owner or authorized agent.

  4. 4

    Email the Request

    Email the completed form to [email protected] with the subject line “Building Permit Extension” at least four weeks before permit expiration.

Frequently asked questions

Do I need a notary for the Request to Extend Active Building Permit?
No. The form is signed and dated without a notary. The applicant certifies under penalty of perjury that they are the owner’s authorized agent.
How do I submit the permit extension request?
Email the completed form to [email protected] with the subject line “Building Permit Extension.” Submit it at least four weeks before the permit expires.
What information does the form ask for?
It asks for permit and jobsite details, owner and applicant contact information, a brief justification for the request, and a timeline for completing the permitted work.
Is a separate form required for each permit?
Yes. The form states that a separate request form is required for each permit.

Need something notarized?

This Request to Extend Active Building Permit doesn’t need a notary — but if you have another Pinole form that does, a commissioned online notary can help.