Loomis, CA · Placer County

No notary required

Permit Application/Permit Extension Request

Property owners or applicants use this form to request an extension for a building permit or permit application in Loomis.

What this form is

This form lets an applicant request an extension for a permit or permit application. It asks for the permit or application number, date received or issued, name, job address, contact details, scope of work, and justifiable cause for the extension. The Building Department uses the office section to record whether the request is granted or denied, a new expiration date, any denial reason, and the Chief Building Official’s signature and date.

Who needs it

A person seeking an extension for a building permit or permit application in Loomis can use this form to provide the requested project and contact information.

How to submit it

The form lists the Loomis Building Department at 3665 Taylor Road, Loomis, CA 95650, and provides a fax number, 916-652-1847, and the town website.

About notarization

This request has no notary block or sworn attachment; the form includes a signature and date line for the Chief Building Official.

How to submit this form

  1. 1

    Download The Form

    Download the Permit Application/Permit Extension Request.

  2. 2

    Complete The Request

    Enter the permit or application number, date received or issued, name, job address, contact details, scope of work, and justifiable cause.

  3. 3

    Review The Form

    Check that the requested permit and project information is included. The document does not list required attachments.

  4. 4

    Contact The Building Department

    The form lists the Building Department address at 3665 Taylor Road, Loomis, CA 95650, and fax number 916-652-1847.

Frequently asked questions

What does the Loomis Permit Extension Request ask for?
It asks for the permit or application number, date received or issued, applicant name and contact details, job address, scope of work, and justifiable cause for the extension.
Who uses this permit extension form?
A person seeking an extension for a building permit or permit application in Loomis can fill in the project and contact information requested on the form.
How do I submit the Loomis Permit Extension Request?
The form lists the Building Department at 3665 Taylor Road, Loomis, CA 95650, and provides fax number 916-652-1847. It does not give further submission instructions.
Do I need a notary for the Permit Extension Request?
No. This request has no notary block or sworn attachment; it includes a signature and date line for the Chief Building Official.

Need something notarized?

This Permit Application/Permit Extension Request doesn’t need a notary — but if you have another Loomis form that does, a commissioned online notary can help.