Jurupa Valley, CA · Riverside County
Request for Permit Extension
Building and Safety applicants use this form to request an extension for a permit and provide project, inspection, and completion details.
What this form is
This form lets an applicant request an extension for a building permit and explain the reason for the request and proposed completion date. It asks for the job address, permit number, owner and applicant details, permit and inspection activity dates, and project expiration date. The form requests copies of the permit and inspection record, including the signed job card and correction notices.
Who needs it
Applicants seeking an extension for a building permit provide project details and supporting permit and inspection records on this form.
How to submit it
Submit the application to Building & Safety at 8930 Limonite Ave., Jurupa Valley, CA 92509. The form states that the $111 extension processing fee must be paid when submitting.
About notarization
This document is signed and dated without a notary; the form asks the applicant to attach the permit and inspection record, with no notarized or sworn step stated.
How to submit this form
- 1
Download the Form
Download the Request for Permit Extension PDF.
- 2
Complete the Form
Fill in the permit, project, applicant, inspection, and requested extension details.
- 3
Gather Attachments
Attach a copy of the permit and inspection record, including the signed job card and any correction notices.
- 4
Submit to Building & Safety
Submit the form and attachments to Building & Safety at 8930 Limonite Ave.; the form states the $111 processing fee is due at submission.
Frequently asked questions
- What does the Request for Permit Extension ask for?
- It asks for permit and project details, inspection and plan check dates, the reason for the extension, and a proposed completion date.
- What attachments does the form request?
- Attach a copy of the permit and the inspection record, including the signed job card and any correction notices.
- Do I need a notary for the Request for Permit Extension?
- No. The applicant signs and dates this form without a notary. The listed permit and inspection record attachments have no notarized or sworn step stated.
- How do I submit the Request for Permit Extension?
- Submit it to Building & Safety at 8930 Limonite Ave., Jurupa Valley, CA 92509. The form says the $111 extension processing fee is due when submitting.
Need something notarized?
This Request for Permit Extension doesn’t need a notary — but if you have another Jurupa Valley form that does, a commissioned online notary can help.