West Covina, CA · Los Angeles County
Request for Cancellation / Refund
Permit holders use this form to request cancellation of a permit or a refund of a permit or plan-check fee from West Covina.
What this form is
This form lets a permit holder request cancellation or a refund for a permit or plan-check fee. It asks for the project address, permit numbers, request and project type, reason, refund recipient details, and the qualifier or permit holder’s signature. Cancellation is available only if work has not commenced; refund requests are subject to the stated fee conditions and a one-year time limit.
Who needs it
A permit holder seeking to cancel a permit or request a permit or plan-check refund for a West Covina project should complete this form.
How to submit it
Submit the form to the City of West Covina Building Division, 1444 W Garvey Ave SO, RM 215, West Covina, CA 91790. The form also lists [email protected] and (626) 939-8425.
About notarization
This document is signed and dated by the qualifier or permit holder without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Request for Cancellation / Refund PDF.
- 2
Complete The Request
Enter the project and permit details, select the request and reason, and complete the refund recipient information.
- 3
Sign And Date
Have the qualifier or permit holder sign, print their full name, and date the form.
- 4
Submit To The City
Submit the completed form to the West Covina Building Division at the address listed on the form.
Frequently asked questions
- Do I need a notary for the Request for Cancellation / Refund?
- No. The form calls for the qualifier or permit holder to sign and date it, and lists no notarized or sworn attachment.
- How do I submit the Request for Cancellation / Refund?
- Submit it to the City of West Covina Building Division at the address shown on the form. The form also lists [email protected].
- When can I request permit cancellation?
- The form says cancellation is available only when work has not commenced, and the request must be signed by the permit holder.
- Are permit and plan-check fees refundable?
- The form states that permit refunds may be no more than 80% when work has not commenced. Plan-check refunds may be 80% only if no plan review has been performed; requests received more than one year after payment are not granted.
Need something notarized?
This Request for Cancellation / Refund doesn’t need a notary — but if you have another West Covina form that does, a commissioned online notary can help.
