Forms by Number

As a convenience, Development Services is working to post all forms on this web page. For those forms not found here, please call (619) 446-5000 and request that the item be sent to you.

Please Note: We are beginning to convert forms where appropriate to "Form Filler" so they can be filled out electronically. The ones that have been revised are indicated in the PDF Size field. Forms requiring signature will still need to be submitted to Development Services in hard copy with original signatures.

See also forms by subject

Form Number	Subject	Description	Revision Date	PDF Size
DS-4	Landscape Worksheet - Industrial RM, C Zones and Commercial in All Zones	Industrial Development in RM, C Zones and Commercial Development in All Zones Landscape Calculation Worksheet.	March 2006	PDF: 2.2Mb (Form Filler)
DS-5	Landscape Worksheet -Vehicular	Vehicular Use Areas - Landscape Calculation Worksheet.	March 2006	PDF: 1.5Mb (Form Filler)
DS-6	Landscape Worksheet -Residential	Residential – Multi-Family Landscape Calculation Worksheet.	March 2009	PDF: 2.2Mb (Form Filler)
DS-7	Landscape Worksheet - Industrial - All Zone except RM & C	Industrial Development in All Zones except RM and C Landscape Calculation Worksheet.	March 2006	PDF: 2.2Mb (Form Filler)
DS-16	Water Meter Data Card	Water Meter Data Card Needed to figure water service.	March 2005	PDF: 408K (Form Filler)
DS-18	Reasonable Accommodations	Request for Reasonable Accommodations For circumstances where the existing zoning regulations would preclude residential development for persons with disabilities.	September 2009	PDF: 127K (Form Filler)
DS-19	Occupancy - Request for Certificate of Occupancy	Request for Certificate of Occupancy Request this form once your project inspections are complete and you are ready to apply for occupancy.	June 2006	PDF: 85K (Form Filler)
DS-20	Request for Residential High Occupancy Permit	Request for Residential High Occupancy Permit Request this form for a single dwelling unit with six or more persons eighteen years of age and older residing for 30 or more consecutive days in accordance with Section 123.0502.	February 2008	PDF: 119K
DS-50	Easement for Brush Man agement	Easement for Brush Man agement Use this form for recordation of Easement between two legal parcels to perform off-site Brush Management.	March 2009	PDF: 114K (Form Filler)
DS-51	Termination of Easement for Brush Man agement	Notice of Termination for Easement for Brush Man agement Use this form for Termination of recorded Easement to perform off-site Brush Management.	March 2009	PDF: 118K (Form Filler)
DS-104	Alternate Methods and Materials	Request for the Use of Alternate Methods and Materials Use this form, in conjunction with any reports and drawings, to request the use of alternate materials, designs, or construction methods. The application must be submitted to the Senior Research Engineer, Development Services Department, fourth floor, City Operations Building, 1222 First Avenue.	April 2003	PDF: 55K (Form Filler)
DS-104A	Board of Appeals and Advisors Application	Board of Appeals and Advisors Application Form Use this form, in conjunction with any reports and drawings, to request Board of Appeals Advisors action based on: an interpretation or application of a code provision; or a finding on the equivalency to code requirements of an alternate material, design, or method of construction. Appeal applications must be submitted to the Research Engineer, Development Services Department, fourth floor, City Operations Building, 1222 First Avenue.	April 2003	PDF: 44K (Form Filler)

Form Number	Subject	Description	Revision Date	PDF Size
DS-107	Certificate for Installation of CPVC	Certificate of Compliance for Installation of CPVC Plumbing Materials Use this form for installation of CPVC piping.	November 2008	PDF: 95K
DS-262	Non-Conversion Agreement	Non-Conversion Agreement This form acknowledges that a structure within the Special Flood Hazard Area at areas below the Base Flood Elevation cannot be converted into living space.	April 2009	This form is not available online. To request a copy call 619-446-5152 booth 23.
DS-264	Uncontrolled Embankment Maintenance Agreement - NOT	Uncontrolled Embankment Maintenance Agreement - NOT Notice of Termination for a previously recorded Uncontrolled Embankment Maintenance Agreement.	August 2009	This form is not available online. To request a copy call 619-446-5152 booth 23.
DS-265	Uncontrolled Embankment Maintenance Agreement	Uncontrolled Embankment Maintenance Agreement Use this form to as an option to backfilling a swimming pool. It acknowledges that structures are prohibited above this area because no compaction is required.	March 2009	This form is not available online. To request a copy call 619-446-5152 booth 23.
DS-266	Deviation From Standards	Deviation From Standards Use this form to request a Deviation based on uncommon circumstances.	January 2007	PDF: 87K
DS-267	Shared Parking Agreement	Shared Parking Agreement Use this form to request all or a portion of parking to be permitted off-site subject to certain restrictions.	March 2009	PDF: 125K
DS-268	Hold Harmless	Agreement to Hold the City Harmless Use this form to grant permission for the City of San Diego to permit the construction of public drainage/improvements that will discharge drainage onto private property.	April 2009	This form is not available online. To request a copy call 619-446-5152 booth 23.
DS-269	Traffic Control Plan/Permit Form	Traffic Control Plan/Permit Form Use this form for any construction work within Public Right-of-Way.	March 2009	PDF: 208K (Form Filler)
DS-302	Parcel Information	Parcel Information An important tool that will assist you in determining the City of San Diego's planning, zoning and/or building regulations.	September 2009	PDF: 153K (Form Filler)
DS-309	Special Inspections - Property Owner's Final Report	Property Owner's Final Report Property owner, authorized agent of record, or the architect/engineer of record acting as the property owner's agent must complete this form for work required to have special inspection, construction materials testing, off-site fabrication or structural observation. File with Inspection Services Division before final inspection request.	March 2000	PDF: 147K (Form Filler)
DS-310	Special Inspections -Construction Materials Testing Laboratory Final Report	Special Inspection Agency/Construction Materials Testing Laboratory Final Report Special inspector, special inspection agency and/or construction materials testing laboratory completes this form and submits to Inspection Services Division when work is completed.	March 2000	PDF: 458K (Form Filler)
DS-311	Special Inspections - Certificate of Compliance for Off-Site Fabrication	Certificate of Compliance for Off-Site Fabrication Used by building-component fabricators; must be completed and submitted to Inspection Services Division after building component fabrication is completed and ready to be shipped to the job site. See also Application to Perform Off-Site Fabrication (DS-313).	March 2000	PDF: 251K (Form Filler)
DS-313	Special Inspections - Application to Perform Off-Site Fabrication	Application to Perform Off-Site Fabrication Used by building-component fabricators; must be completed and submitted to Inspection Services Division at least one business day before fabrication begins. See also Certificate of Compliance for Off-Site Fabrication (DS-311).	March 2000	PDF: 142K (Form Filler)
DS-316	Special Inspection Agreement	Special Inspection Agreement Must be completed and submitted at the time of construction permit issuance.	February 2009	PDF: 134K (Form Filler)
DS-318	Ownership Disclosure Statement	Ownership Disclosure Statement This form is required for all discretionary permits/approvals as identified in the Land Development Manual Project Submittal Requirements.	May 2005	PDF: 349K (Form Filler)
DS-320	Special Inspections - Application for Special Inspector Certification	Application for Special Inspector Certification This application is required to be submitted to the Building Official of the City of San Diego for consideration for approval as a Certified Special Inspector for inspection of the particular type of construction or operation requiring special inspection regulated by the City of San Diego.	October 2001	PDF: 48K
DS-320A	Special Inspections - Experience Resume for Registration as a Certified Special Inspector	Experience Resume for Registration as a Certified Special Inspector This form provides the information related to the education, experience and employment history of the applicant for certification as a special inspector. This form is required to be completed and submitted along with the Application for Special Inspector Certification to the Building Official of the City of San Diego for consideration for approval as a Certified Special Inspector.	October 2001	PDF: 49K
DS-320B	Special Inspections - Special Inspector Certification	Special Inspector Certification This form provides detailed information and instructions as related to certification as a Special Inspector by the Building Official of the City of San Diego.	May 2001	PDF: 77K
DS-399	Demolition Bond	Demolition Bond Specific Project Use this form to provide surety for demolition of structures over 6,000 SF.	February 2004	PDF: 71K
DS-501	Completeness for Discretionary Submittal	Certificate of Completeness for Discretionary Submittal Use this form to certify and declare responsible charge.	October 2006	PDF: 157K (Form Filler)
DS-502	Pushcart in the Public Right-of-Way	Pushcart in the Public Right-of-Way Use this form to obtain authorization from the proprietor of the adjacent street floor business to place a pushcart in the public right-of-way.	November 2006	PDF: 99K (Form Filler)
DS-503	No FAA Notification Self-Certification Agreement	No FAA Notification Self-Certification Agreement Use this form when design professional is self-certifying that project is not required to provide Federal Aviation Administration notification.	July 2007	PDF: 118K (Form Filler)
DS-510	Public Project Assessment Application	Public Project Assessment Application Use this form in conjunction with Information Bulletin 510	September 2009	PDF 215K (Form Filler)
DS-527	Child Care Center Hazardous Materials	Child Care Center Hazardous Materials Substance Approval Form Use this form when applying for a construction permit or development permit for a Child Care Center.	March 2007	PDF: 181K
DS-530	Affordable Housing Requirements Checklist	Affordable Housing Requirements Checklist and Affordable/In-Fill Housing & and Sustainable Buildings Expedite Program This form is required to be completed and submitted for all new residential development of 2 or more units, or for any Affordable/In-Fill Housing or Sustainable Building Projects wishing to enter into our expedited review process.	July 2007	PDF: 149K (Form Filler)
DS-560	Storm Water Requirements	Storm Water Requirements Applicability Checklist Use this checklist to determine your project's permanent and construction storm water best management practices requirements. This form must be completed and submitted with permit application.	October 2008	PDF: 187K (Form Filler)

Form Number	Subject	Description	Revision Date	PDF Size
DS-561	Condominium Conversion Certification of Tenant Notice	Condominium Conversion Certification of Tenant Notice Use to certify delivered of 60-days notice to tenants prior to filing a tentative map or map waiver for a condominium conversion.	May 2005	PDF: 46K (Form Filler)
DS-562	Condominium Conversion Project Certification	Condominium Conversion Staff Report for Project Certification Use to certify that a copy of the Staff Report for Public Hearing has been served on each tenant for a proposed condominium conversion project.	November 2004	PDF: 45K (Form Filler)
DS-721	Project Fee Refund	Application for Project Fee Refund Use this form to receive a refund on permit fees paid on a project.	May 2005	PDF: 55K (Form Filler)
DS-1779	Circuit Card	Circuit Card To be completed for electrical inspection and signed by the electrician/owner.	February 2003	PDF: 417K
DS-1779A	Circuit Card - Supplemental for Single Family Dwellings	Circuit Card - Supplemental for Single Family Dwellings To be completed for electrical inspection and signed by the electrician/owner.	February 2003	PDF: 397K
DS-1798	Inspection Record Card	Inspection Record Card Form is not available online. It is provided to customer by Development Services staff only after a permit is issued and all fees are paid. The form will then be posted in a prominent location at the project site.	April 2006
DS-2123	Hardship Exception to Disabled Access	Application for Unreasonable Hardship Exception to Disabled Access Requirements Form Use this form to demonstrate an unreasonable hardship and to both demonstrate and document that when applicable at least 20% of the project valuation is spent on providing upgrades to existing non-accessible facilities and items. This application must be submitted to the Structural Plan Review Engineer assigned to the project.	February 2009	PDF: 155K (Form Filler)
DS-3000	Newsrack Permit Application	Newsrack Permit Application Use to apply for a permit to place newsracks in the public right-of-way.	May 2007	PDF: 161K (Form Filler)
DS-3031	Development Permit Appeal Application	Development Permit Appeal Application Use this form when appealing the decision on a Development Permit processed in accordance with Decision Processes Two, Three and Four.	March 2007	PDF: 123K (Form Filler)

Form Number	Subject	Description	Revision Date	PDF Size
DS-3032	General Application	General Application Use to apply for a permit for construction, plumbing, electrical, mechanical work, grading, work in the public right-of-way, demolition/removal permits, development permits or policy approvals.	May 2009	PDF: 188K (Form Filler)
DS-3035	Supplemental Discretionary Project Application	Supplemental Discretionary Project Application This form is required for all Process 2-5 decisions.	March 2009	PDF:118 (Form Filler)
DS-3099	Permit Fax Authorization Form	Permit Fax Authorization Form Download this form and the following fee schedules to obtain no-plan permits by fax.	March 2001	PDF: 24K
DS-3163	Hazardous Materials Questionnaire	Hazardous Materials Questionnaire All non-residential projects must have a completed Hazardous Materials Questionnaire at the time of project submittal. This information is used to determine the occupancy classification of the proposed structure(s).	August 2009	PDF: 68K (Form Filler)
DS-3179	Construction Plan	Construction Plan Use this form for issuance of a right-of-way permit.	January 2009	PDF: 101K
DS-3179C	Construction Plan - Large Format	Construction Plan -Large Format Use this form for issuance of a right-of-way permit.	January 2009	PDF: 106K
DS-3237	Encroachment Maintenance and Removal Agreement	EMRA "Encroachment Maintenance and Removal Agreement" for property owner or representative to sign.	November 2009	PDF: 74K (Form Filler)

Form Number	Subject	Description	Revision Date	PDF Size
DS-3237B	Encroachment Maintenance Agreement	Encroachment Maintenance Agreement Use this form when requesting permission from the City of San Diego to encroach into the public right-of-way [ROW] by installing and maintaining private improvements.	March 2009	This form is not available online. To request a copy call 619-446-5152 booth 23.
DS-3237C	Encroachment Maintenance and Removal Agreement-NOT	EMRA-NOT Notice of Termination for a previously recorded EMRA.	August 2009	PDF: 176K (Form Filler)
DS-3239	Subordination Agreement	Subordination Agreement Use this form for all deeds of trust affecting the underlying fee of an easement or dedication. This agreement protects the easement grant from a possible foreclosure of the lien.	November 2007	PDF: 98K (Form Filler)
DS-3241	Change of Financially Responsible Party	Change of Financially Responsible Party Use when project financial responsibility changes from one party to another.	May 2006	PDF: 74K (Form Filler)
DS-3242	Deposit Account / Financially Responsible Party	Deposit Account / Financially Responsible Party This form is required for all projects that must open a deposit trust fund account.	March 2009	PDF: 137K (Form Filler)
DS-3247	Storm Water Management and Discharge Control Maintenance Agreement	Storm Water Management and Discharge Control Maintenance Agreement This agreement is required for all projects that propose the construction or installation of permanent, post-construction Best Management Practices [BMP's].	November 2009	PDF: 71K (Form Filler)
DS-3247B	Storm Water Management and Discharge Control Maintenance Agreement-Notice of Termination	Storm Water Management and Discharge Control Maintenance Agreement-Notice of Termination This form is intended to terminate a previously recorded Storm Water Management and Discharge Control Maintenance Agreement (SWMDCMA).	August 2009	PDF: 158K (Form Filler)
DS-3248	Joint Use Driveway/Mutual Access Agreement	Joint Use Driveway/Mutual Access Agreement This form is used for the agreement between two property owners sharing the same driveway due to the location of the property line dividing their lots	March 2009	This form is not available online. To request a copy call 619-446-5152 booth 23.
DS-3248B	Joint Use Driveway/Mutual Access Agreement-Notice of Termination	Joint Use Driveway/Mutual Access Agreement-Notice of Termination This form will terminate a previously recorded joint use driveway/mutual access agreement.	August 2009	This form is not available online. To request a copy call 619-446-5152 booth 23.
DS-5852	Irrigation Meter Checklist	Irrigation Meter Checklist Use this form when purchasing an irrigation meter.	October 2006	PDF: 255K (Form Filler)
FPB-500	Hazardous Materials Questionnaire Supplemental Form	Hazardous Materials Questionnaire Supplemental Form If any items are circled (except 15) under PART I of the Hazardous Materials Questionnaire (DS-3163), a San Diego Fire Department Hazardous Materials Information Sheet Form FPB-500 must be submitted with your project for review.	July 1992	PDF: 109K (Form Filler)