250 FRANK H. OGAWA PLAZA ▪ SUITE 2340 ▪ OAKLAND, CALIFORNIA 94612-2031
Planning & Building Department (510) 238-3891
Bureau of Building, FAX:(510) 238-2263
Building Permits, Inspections and Code Enforcement Services TDD:(510) 238-3254
www.oaklandca.gov
PERMIT EXTENSION/REINSTATEMENT REQUEST
(Building, Electrical, Plumbing, Mechanical, Grading, Demolition)
JOBSITE ADDRESS Non-refundable fee*$156.06
(Previously collected permit fees are also non-refundable.)
PERMIT#
(Multiple permits, please list all related permits)
PERMITTEE PROPERTY OWNER
ADDRESS ADDRESS
CITY/STATE CITY/STATE
TELEPHONE ( ) TELEPHONE ( )
Conditions
A major inspection (foundation, floor, frame, or final) must be approved or partially approved within 180 days of
issuance, or a permit will become invalid.
Permits expire if the work for which the permit is issued is not completed within 720 days.
A permit extension or reinstatement may be granted at the discretion of the Building Official and for justifiable cause.
Granting of an extension or reinstatement does not include additional inspections.
Extension/reinstatement requests for unrelated permits must be submitted separately and will be charged applicable fees.
Permittee must obtain separate extensions from other departments for related permits and approvals (zoning, engineering
services, parks and recreation, public works, fire prevention, etc.).
*Fee includes 9.5% Records Management Fee and 5.25% Technology Enhancement Fee
Reason for Extension/Reinstatement:
Permittee Signature Date
=========================================== Office Use Only ==================================================
Date Issued: Denied/Approved:
Last Pass/Partial Inspection Date:
Date Reviewed:
Reviewer:
Expired Date:
Related Code Enforcement Case:
April 2019
STATUS
Permit # Extension Deadline # Inspections Remaining
RBC
(R)B
(R)E
(R)M
(R)P
click to sign
signature
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