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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: Forms requiring signature will still need to be submitted to Development Services in hard copy with original signatures.

Subject Form Number Description Revision Date File Type
Affidavit for Fire Alarm Alterations DS-163 Affidavit for Fire Alarm Alterations or Tenant Improvements (TIs)
The purpose of this affidavit is for designers/contractors to obtain a “no-plan permit” for fire alarm systems when the scope of work is limited to the addition or alteration of 0–4 fire alarm devices and/or appliances in existing buildings.		 April 2013 PDF
(Form Filler)
Affidavit for Fire Sprinkler Alterations DS-161 Affidavit for Fire Sprinkler Alterations or Tenant Improvements (TIs)
The purpose of this affidavit is for designers/contractors to obtain a "no-plan permit" for fire sprinkler systems when the scope of work is limited to the addition or alteration of 0-20 sprinkler heads in existing, sprinklered commercial buildings.		 February 2013 PDF
(Form Filler)
Affordable Housing Requirements Checklist DS-530 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. 		December 2011 PDF
(Form Filler)
Affordable/In-Fill Housing and Sustainable Buildings Expedite Program DS-531 Affordable/In-Fill Housing and Sustainable Buildings Expedite Program
This form is required to be completed and submitted for projects with affordable housing and/or sustainable buildings eligibility requirements of either Council Policy 600-27 or Council Policy 900-14.		 December 2011 PDF
(Form Filler)
Alternate Methods and Materials DS-104 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
(Form Filler)
Board of Appeals and Advisors Application DS-104A 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
(Form Filler)
Bond - Improvement Agreement Bond DS-402 Improvement Agreement Bond
Used for Subdivision or Deferred Improvement Agreements. 		February 2011 PDF
Bond - Performance Bond for Grading / Public Improvement DS-401 Performance Bond for Grading and Public Improvement
A form of security to be used for grading and public improvements. 		February 2011 PDF
Certificate for Installation of CPVC DS-107 Certificate of Compliance for Installation of CPVC Plumbing Materials
Use this form for installation of CPVC piping. 		November 2008 PDF
Change of Financially Responsible Party DS-3241 Change of Financially Responsible Party
Use when project financial responsibility changes from one party to another. 		May 2006 PDF
(Form Filler)
Child Care Center Hazardous Materials DS-527 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. 		July 2011 PDF
Circuit Card DS-1779 Circuit Card
To be completed for electrical inspection and signed by the electrician/owner. 		February 2003 PDF
Circuit Card - Supplemental or Single Family Dwellings DS-1779A Circuit Card - Supplemental for Single Family Dwellings
To be completed for electrical inspection and signed by the electrician/owner. 		February 2003 PDF
Companion Unit DS-202 Companion Unit Application
Use this form when requesting permission from the City of San Diego to construct a Companion Unit, per Chapter 14, Article 1, Division 4 of the San Diego Municipal Code. 		December 2011 PDF
(Form Filler)
Condominium Conversion Certification of Tenant Notice DS-561 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
(Form Filler)
Condominium Conversion Project Certification DS-562 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
(Form Filler)
Construction Plan DS-3179 Construction Plan
Use this form for issuance of a right-of-way permit. 		February 2013 PDF
Construction Plan - Large Format DS-3179C Construction Plan -Large Format
Use this form for issuance of a right-of-way permit. 		January 2010 PDF
Demolition Bond DS-399 Demolition Bond Specific Project
Use this form to provide surety for demolition of structures over 6,000 SF.
February 2004 PDF
Deposit Account / Financially Responsible Party DS-3242 Deposit Account / Financially Responsible Party
This form is required for all projects that must open a deposit trust fund account. 		April 2010 PDF
(Form Filler)
Development Permit Appeal Application DS-3031 Development Permit/Environmental Determination Appeal Application
Use this form when appealing the decision on a Development Permit processed in accordance with Decision Processes Two, Three and Four. 		October 2012 PDF
(Form Filler)
Deviation From Standards DS-266 Deviation From Standards
Use this form to request a Deviation based on uncommon circumstances. 		May 2010 PDF
Easement for Brush Management DS-50 Easement for Brush Management
Use this form for recordation of Easement between two legal parcels to perform off-site Brush Management. 		March 2009 PDF
(Form Filler)
Encroachment Maintenance and Removal Agreement DS-3237 EMRA
"Encroachment Maintenance and Removal Agreement" for property owner or representative to sign. 		March 2013 PDF
(Form Filler)
Encroachment Maintenance Agreement DS-3237B 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 2013 This form is not available online. To request a copy call 619-446-5152 booth 23.
Encroachment Maintenance and Removal Agreement-NOT DS-3237C EMRA-NOT
Notice of Termination for a previously recorded EMRA. 		March 2013 PDF
(Form Filler)
General Application DS-3032 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. 		January 2012 PDF
(Form Filler)
Habitable Accessory Structure DS-203 Habitable Accessory Structure Application
Use this form when requesting permission from the City of San Diego to construct a Guest Quarters or Habitable Accessory Structure per Chapter 14, Article 1, Division 3 of the San Diego Municipal Code. 		December 2011 PDF
(Form Filler)
Hardship Exception to Disabled Access DS-2123 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. 		January 2013 PDF
(Form Filler)
Hazardous Materials Questionnaire Supplemental Form FPB-500 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. 		January 2008 PDF
(Form Filler)
Hazardous Materials Questionnaire DS-3163 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). 		July 2011 PDF
(Form Filler)
High Pile Stock Inventory FPB-502 High Pile Stock Inventory
Must be completed for any storage racks over 6 feet. 		March 2008 PDF
Hold Harmless DS-268

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.

January 2010 This form is not available online. To request a copy call 619-446-5152 booth 23.
Hydrant Flow Request DS-160 Hydrant Flow Request
Request this form to review the available water flow and pressure for a hydrant. This information is used by the customer to design fire sprinkler systems. 		September 2012 PDF

Inspection Record Card

DS-1798

 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. 		December 2009  
Irrigation Meter Checklist DS-5852 Irrigation Meter Checklist
Use this form when purchasing an irrigation meter. 		October 2006 PDF
(Form Filler)
Joint Use Driveway/Mutual Access Agreement DS-3248 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
January 2010 This form is not available online. To request a copy call 619-446-5152 booth 23.
Joint Use Driveway/Mutual Access Agreement-Notice of Termination DS-3248B Joint Use Driveway/Mutual Access Agreement-Notice of Termination
This form will terminate a previously recorded joint use driveway/mutual access agreement
March 2013 This form is not available online. To request a copy call 619-446-5152 booth 23.
Landscape Worksheet - Industrial RM, C Zones and Commercial in All Zones DS-4 Industrial Development in RM, C Zones and Commercial Development in All Zones
Landscape Calculation Worksheet 		March 2006 PDF
(Form Filler)
Landscape Worksheet -Vehicular DS-5 Vehicular Use Areas -
Landscape Calculation Worksheet 		March 2006 PDF
(Form Filler)
Landscape Worksheet -Residential DS-6 Residential – Multi-Family
Landscape Calculation Worksheet 		March 2009 PDF
(Form Filler)
Landscape Worksheet - Industrial - All Zone except RM & C DS-7 Industrial Development in All Zones except RM and C
Landscape Calculation Worksheet 		March 2006 PDF
(Form Filler)
"Minor" Water Pollution Control Plan (MWPCP) DS-570 "Minor" Water Pollution Control Plan (MWPCP)
Request this form for all construction projects that have potential for storm water pollution. Some construction project types, such as interior plumbing, electrical and mechanical work, may be considered exempt. 		October 2012 PDF
(Form Filler)
Newsrack Permit Application DS-3000 Newsrack Permit Application
Use to apply for a permit to place newsracks in the public right-of-way. 		May 2007 PDF
(Form Filler)
No FAA Notification Self-Certification Agreement DS-503 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
(Form Filler)
Non-Conversion Agreement DS-262 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.
Non-Habitable Accessory Structure DS-204 Non-Habitable Accessory Structure Application
Use this form when requesting permission from the City of San Diego to construct a non-habitable accessory building or garage with a shower, per Chapter 14, Article 1, Division 4 of the San Diego Municipal Code. 		December 2011 PDF
(Form Filler)
Owner-Builder Verification DS-3042 Owner-Builder Verification
If a building, plumbing, mechanical, or electrical permit is issued to an owner-builder, a separate Owner-Builder Verification form (DS-3042) must be signed by the owner before the permit can be issued. Note: If the property owner will not be present at permit issuance to provide proof of identity, the property owner’s signature must be notarized. 		March 2010

PDF
Ownership Disclosure Statement DS-318 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
(Form Filler)
Parcel Information
DS-302 Parcel Information
An important tool that will assist you in determining the City of San Diego's planning, zoning and/or building regulations. 		February 2010 PDF
(Form Filler)
Permanent BMP Construction DS-563 Permanent BMP Construction Self Certification Form
Use to certify installation of permanent storm water best management practices by private engineer of record. 		February 2013 PDF
(Form Filler)
PermitFax Authorization Form DS-3099 PermitFax Authorization Form Download this form and the following fee schedules to obtain no-plan permits by fax. March 2001 PDF
Public Project Assessment Application DS-510 Public Project Assessment Application Use this form in conjunction with Information Bulletin 510
December 2010 PDF
(Form Filler)
Pushcart in the
Public Right-of-Way		 DS-502 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
(Form Filler)
Reasonable Accommodations DS-18 Request for Reasonable Accommodations
For circumstances where the existing zoning regulations would preclude residential development for persons with disabilities. 		September 2009 PDF
(Form Filler)
Refund Application DS-721 Refund Application for Construction Permit
Use this form to receive a refund on permit fees paid on a project. 		February 2011 PDF
(Form Filler)
Request for Fire Inspection DS-162 Request for Fire Inspection
Use this form to request a fire inspection.		 February 2013 PDF
(Form Filler)
Residential High Occupancy Permit DS-20 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
Shared Parking Agreement DS-267 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
Special Inspection Agreement DS-316 Special Inspection Agreement
Agreement Form must be completed and submitted at the time of construction permit issuance. 		February 2009 PDF
(Form Filler)
Special Inspections - Application for Special Inspector Certification DS-320 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 2010 PDF
(Form Filler)
Special Inspections - Application to Perform Off-Site Fabrication DS-313 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
(Form Filler)
Special Inspections - Certificate of Compliance for Off-Site Fabrication DS-311 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
(Form Filler)
Special Inspections -Construction Materials Testing Laboratory Final Report DS-310 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. 		August 2006 PDF
(Form Filler)
Special Inspections - Experience Resume for Registration as a Certified Special Inspector DS-320A 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
Special Inspections - Property Owner's Final Report DS-309 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
(Form Filler)
Special Inspections - Special Inspector Certification DS-320B 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
Storm Water Management and Discharge Control Maintenance Agreement DS-3247 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]. 		March 2013 PDF
(Form Filler)
Storm Water Management and Discharge Control Maintenance Agreement-Notice of Termination DS-3247B 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). 		March 2013 PDF
(Form Filler)
Storm Water Requirements DS-560 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. 		January 2011 PDF
(Form Filler)
Subordination Agreement DS-3239 Subordination Agreement
Use this for 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
(Form Filler)
Supplemental Discretionary Project Application DS-3035 Supplemental Discretionary Project Application
This form is required for all Process 2-5 decisions. 		January 2011

PDF
Form Filler)

Supplemental Right-of-Way Permit Application DS-3037 Supplemental Right-of-Way Permit Application
Use to apply for a right-of-way permit. 		February 2013 PDF
(Form Filler)
Termination of Easement for Brush Management DS-51 Notice of Termination of Easement for Brush Management
Use this form for Termination of recorded Easement to perform off-site Brush Management. 		March 2009 PDF
(Form Filler)
Traffic Control Plan/Permit Form DS-269 Traffic Control Plan/Permit Form
Use this form for any construction work within Public Right-of-Way. 		February 2013 PDF
(Form Filler)
Uncontrolled Embankment Maintenance Agreement DS-265 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 2013 This form is not available online. To request a copy call 619-446-5152 booth 23.
Uncontrolled Embankment Maintenance Agreement - NOT DS-264 Uncontrolled Embankment Maintenance Agreement - NOT
Notice of Termination for a previously recorded Uncontrolled Embankment Maintenance Agreement 		March 2013 This form is not available online. To request a copy call 619-446-5152 booth 23.
Water Meter Data Card DS-16 Water Meter Data Card
Needed to figure water service. 		August 2011 PDF
(Form Filler)