Humboldt County, CA · Humboldt County

No notary required

Changes to an Issued Permit or Deferred Submittal

This form lets permit holders request changes to an issued permit or deferred submittal by describing revisions and identifying the affected plan sheets.

At a glance

Issued by
City of Humboldt County · Humboldt County, Humboldt County, California
Notarization
Not required: file this form without a notary.
Official source
humboldtgov.org
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this form to describe changes to an issued permit or deferred submittal, listing each change in detail and the plan sheet numbers it affects. The form requests permit, owner, parcel, and contact information, along with the applicant’s signature and date. Upload the completed form and a PDF copy of revised plans to your Accela account; engineered plans require a letter from the engineer.

Who needs it

Permit holders seeking changes to an issued permit or deferred submittal should complete this form and provide revised plans.

How to submit it

Upload the completed form and a PDF copy of the revised plans to your Accela account. The form says a fee will be charged for review and approval of the plan changes.

About notarization

This form is signed and dated without a notary; for engineered plans, an engineer’s letter must verify that the changes meet engineering requirements.

How to submit this form

  1. 1

    Download the Form

    Download the issued permit change form.

  2. 2

    Complete the Form

    Enter the permit, owner, parcel, and contact details. Describe every change and identify the applicable plan sheet numbers.

  3. 3

    Gather Required Plans

    Prepare a PDF copy of the revised plans. If the plans have been engineered, obtain the required engineer’s letter.

  4. 4

    Upload to Accela

    Upload the completed form and revised plans to your Accela account, using the naming conventions shown on the form.

Frequently asked questions

What is the issued permit change form for?
It documents requested changes to an issued permit or deferred submittal, including detailed descriptions and the plan sheet numbers affected.
How do I submit the form and revised plans?
Upload the completed form and a PDF copy of the revised plans to your Accela account. Follow the naming conventions printed on the form.
Do I need a notary for the issued permit change form?
No. The applicant signs and dates this form without a notary. If plans have been engineered, the form requires an engineer’s letter verifying the changes meet engineering requirements.
Will changing an issued permit require a fee or a new permit?
The form says a fee will be charged for review and approval. Additional square footage differing by more than 10% requires a new permit and cannot be handled as a change to an issued permit.

Need something notarized?

This Changes to an Issued Permit or Deferred Submittal doesn’t need a notary, but if you have another Humboldt County form that does, a commissioned online notary can help.