St. Helena, CA · Napa County

No notary required

Extension Request for Permits and Applications

Permit holders and applicants use this request to ask St. Helena’s Building Department for an extension and explain the reason for their request.

What this form is

This form lets applicants request an extension for an active building permit or a pending permit application and provide a justifiable cause. Submit a separate form for each request before the permit expires; the document states that extensions are discretionary and that a $77 administrative fee is due with the application.

Who needs it

A contractor, authorized agent, or owner seeking more time for an active building permit or pending permit application can submit this request.

How to submit it

Submit the signed form to the Building Department, 1088 College Ave., St. Helena, CA 94574, before the permit’s expiration date. The form states that a $77 administrative fee is due with the application.

About notarization

This document is signed without a notary; the signer just signs and dates the form, and no notarized or sworn attachment is mentioned.

How to submit this form

  1. 1

    Download The Request

    Download the permit extension request form.

  2. 2

    Complete The Form

    Enter the project, permit, and requester information, explain the justifiable cause, and sign and date the form.

  3. 3

    Prepare A Separate Request

    Use a separate form for each permit or permit application extension request. The form states that a $77 administrative fee is due.

  4. 4

    Submit To The Building Department

    Submit the request to the Building Department at 1088 College Ave., St. Helena, CA 94574, before the permit’s expiration date.

Frequently asked questions

Do I need a notary for the permit extension request?
No. The form asks the requester to sign and date it; it does not mention a notarized or sworn attachment.
Who can request a permit or application extension?
The form identifies contractors, authorized agents, and owners as requester types. It applies to active building permits and pending permit applications.
How do I submit the permit extension request?
Sign and date the form, then submit it to the Building Department at 1088 College Ave., St. Helena, CA 94574, before the permit’s expiration date. The stated administrative fee is $77.
Do I need a separate form for each extension request?
Yes. The form instructs applicants to use a separate form for each permit extension or permit application extension request.

Need something notarized?

This Extension Request for Permits and Applications doesn’t need a notary — but if you have another St. Helena form that does, a commissioned online notary can help.