Who may qualify for a refund?

The form says the Building Official may authorize up to 80 percent of specific fees paid within 180 days if construction has not begun and the permit has not expired. Some fees and permit types are excluded.

Do I need a notary for the Permit Cancellation and Request for Refund form?

No. The applicant signs and dates this form without a notary; the document lists no notarized or sworn attachment.

How do I submit the Permit Cancellation and Request for Refund form?

The form names the Building and Safety Division but does not state a submission method. Submit it to the city department named on the form; check the city website for current contact details.

Chino, CA · San Bernardino County

No notary required

Permit Cancellation and Request for Refund

Owners or contractors use this form to request cancellation of a building permit or application and seek a refund of eligible fees.

What this form is

This form lets an owner or contractor authorize cancellation of a building permit or application and request a refund. It applies when construction has not begun and the permit has not expired; refund requests must be within 180 days of payment. The form asks for the project address, permit number, issue date, refund and mailing details, cancellation reason, and the applicant’s signature and date.

Who needs it

An owner or contractor seeking to cancel a building permit or application and request an eligible fee refund should complete this form.

How to submit it

The form names the Building and Safety Division. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the applicant signs and dates the cancellation and refund request.

How to submit this form

1
Download The Form
Download the Permit Cancellation and Request for Refund form.
2
Complete The Form
Enter the project address, permit number, issue date, refund and mailing details, and reason for cancellation.
3
Sign And Date
The applicant signs and dates the request.
4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Permit Cancellation and Request for Refund form do?: It lets an owner or contractor authorize cancellation of a building permit or application and request a refund of eligible fees.
Who may qualify for a refund?: The form says the Building Official may authorize up to 80 percent of specific fees paid within 180 days if construction has not begun and the permit has not expired. Some fees and permit types are excluded.
Do I need a notary for the Permit Cancellation and Request for Refund form?: No. The applicant signs and dates this form without a notary; the document lists no notarized or sworn attachment.
How do I submit the Permit Cancellation and Request for Refund form?: The form names the Building and Safety Division but does not state a submission method. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Permit Cancellation and Request for Refund doesn’t need a notary — but if you have another Chino form that does, a commissioned online notary can help.