Who can request a refund or withdrawal?

The form says the request must be made in writing by the original permit applicant. If the requester differs from the original payer, a signed authorization letter from the original payer is required before a refund can be disbursed.

Do I need a notary for the Request for Refund or Withdrawal?

No. The form requires a signature and date, not notarization. If the original payer differs from the requester, include the payer’s signed authorization letter; the form does not state that it must be notarized.

How do I submit the Request for Refund or Withdrawal?

Submit it to the city department named on the form; check the city website for current contact details. Include proof of payment, such as a copy of a check, credit card statement, or cash receipt.

Are all permit fees refundable?

No. Refund eligibility depends on the fee and the conditions listed on the form. Some fees are non-refundable, and the Building Official may authorize no more than 80% for eligible fees.

Yorba Linda, CA · Orange County

No notary required

Request for Refund or Withdrawal

Original permit applicants use this form to request a refund of eligible fees or withdraw or cancel a Yorba Linda building permit or application.

What this form is

This form lets the original permit applicant request a refund or withdraw or cancel a permit or application. The Building Official may authorize eligible refunds, generally up to 80%, subject to whether work or plan review has begun, the fee type, and the 180-day limits stated on the form. It asks for permit and payment details, a reason, refund mailing address, signature, and proof of payment; a different payer may need to provide signed authorization.

Who needs it

The original permit applicant should complete this form to request an eligible refund or withdraw or cancel a building permit or application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form is signed and dated without a notary; if the original payer differs, attach their signed authorization letter, for which the form does not state a notarization requirement.

How to submit this form

1
Download The Form
Download the Request for Refund or Withdrawal form.
2
Complete The Request
Fill in the permit, payment, applicant, refund address, and reason details; select refund or withdrawal and sign and date the form.
3
Gather Attachments
Attach proof of payment. If the requester differs from the original payer, include the payer’s signed authorization letter.
4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Who can request a refund or withdrawal?: The form says the request must be made in writing by the original permit applicant. If the requester differs from the original payer, a signed authorization letter from the original payer is required before a refund can be disbursed.
Do I need a notary for the Request for Refund or Withdrawal?: No. The form requires a signature and date, not notarization. If the original payer differs from the requester, include the payer’s signed authorization letter; the form does not state that it must be notarized.
How do I submit the Request for Refund or Withdrawal?: Submit it to the city department named on the form; check the city website for current contact details. Include proof of payment, such as a copy of a check, credit card statement, or cash receipt.
Are all permit fees refundable?: No. Refund eligibility depends on the fee and the conditions listed on the form. Some fees are non-refundable, and the Building Official may authorize no more than 80% for eligible fees.

Need something notarized?

This Request for Refund or Withdrawal doesn’t need a notary — but if you have another Yorba Linda form that does, a commissioned online notary can help.