San Bernardino, CA · San Bernardino County

No notary required

Request For Permit Extension

Permit holders use this form to ask the San Bernardino Community Development Department to extend a permit and provide the reason for the request.

What this form is

This form requests an extension of a permit and is reviewed for approval by the Building Official. It asks for the permit number and date, job address, property owner, permittee phone number, last inspection date, projected expiration date, and reason for the request. Attach copies of the permit and inspection cards.

Who needs it

A permit holder seeking an extension should complete this form, explain the reason, and attach copies of the permit and inspection cards.

How to submit it

The form identifies the Community Development Department at 201 N. E Street, San Bernardino, CA 92401. It does not give submission instructions; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; it lists no notarized or sworn attachment or related step.

How to submit this form

  1. 1

    Download The Form

    Download the permit extension request form.

  2. 2

    Complete The Request

    Enter the permit, job, owner, permittee, inspection, and projected expiration details, and explain the reason for requesting an extension.

  3. 3

    Gather Attachments

    Attach copies of the permit and inspection cards.

  4. 4

    Submit To The City

    The form identifies the Community Development Department at 201 N. E Street; check the city website for current submission details.

Frequently asked questions

What does the permit extension request form ask for?
It asks for permit and job details, owner and permittee information, inspection and projected expiration dates, and the reason for the extension request.
What should I attach to the request?
Attach copies of the permit and inspection cards, as directed on the form.
How do I submit the permit extension request?
The form identifies the Community Development Department at 201 N. E Street, San Bernardino, CA 92401, but does not specify how to submit it. Check the city website for current contact details.
Do I need a notary for the permit extension request?
No. This document is signed and dated without a notary; it lists no notarized or sworn attachment or related step.

Need something notarized?

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