Lodi, CA · San Joaquin County
Request for Permit Refund Form
Property owners or contractors use this form to request cancellation of a building permit and a refund of eligible fees.
What this form is
This form lets an owner or contractor request cancellation of a building permit and a refund of eligible fees. It asks for the project address, permit type and number, reason for cancellation, signer details, and refund mailing information. The form explains refund limits and exclusions, including that plan check fees are nonrefundable and permits with one or more inspections are not eligible for refunds.
Who needs it
An owner or contractor seeking to cancel a building permit and request a refund of eligible fees uses this form.
How to submit it
Submit the form to the Community Development Department, Building Division, at 221 West Pine St., Lodi, CA 95241, or PO Box 3006, Lodi, CA 95241-1910.
About notarization
This document is signed without a notary; the signer signs and dates the form, and no notarized attachment or sworn step is listed.
How to submit this form
- 1
Download The Form
Download the Request for Permit Refund Form.
- 2
Complete The Form
Provide the project and permit details, cancellation reason, signer information, and refund mailing information.
- 3
Review And Sign
Review the refund conditions, then sign and date the form.
- 4
Submit To The City
Submit the form to the Community Development Department, Building Division, at the address shown on the form.
Frequently asked questions
- Do I need a notary for the Request for Permit Refund Form?
- No. The signer signs and dates the form; no notarized attachment or sworn step is listed.
- How do I submit the Request for Permit Refund Form?
- Submit it to the Community Development Department, Building Division, at 221 West Pine St. or PO Box 3006 in Lodi.
- What information does the permit refund form ask for?
- It asks for the project address, permit type and number, cancellation reason, signer details, and refund mailing information.
- Are all building permit fees refundable?
- No. The form says plan check fees are nonrefundable and no refund is given for permits that have received one or more inspections.
Need something notarized?
This Request for Permit Refund Form doesn’t need a notary — but if you have another Lodi form that does, a commissioned online notary can help.