Forms

General Application, Supplemental

Use this supplemental form along with the General application (DS - 3032) when all information on the general application is the same and that information applies to all addresses in the project.

Revised October 2016

Supplemental Right-of-Way Permit Application

Visit our website: sandiego.gov/DSD.

Upon request, this information is available in alternative formats for persons with disabilities.

DS-3037 (03-23)

THE CITY OF SAN DIEGO

Supplemental Right-of-Way Permit
Application

1. Project Address/Location: Project Number:

2. Permit Holder: This is the property owner, person or entity that is granted authority by the

property owner to be responsible for scheduling inspections receiving notices of failed inspections,

permit expirations or revocation hearings and who has the right to cancel the approval (in addition

to the property owner) San Diego Municipal Code (SDMC) §113.0103.

Name: E-mail:

Address: City: State: Zip Code: Telephone:

3. Contractor: All construction work in the City Public Right-of-Way shall be performed by a contractor

licensed by the State of California with a qualified classification in accordance with the Department of

Consumer Affairs Contractors State License Board.

Sub-Contractors shall be identified below in accordance with SDMC §129.0101. For more information click

here.

Contractor Name: E-mail:

Address: City:

State: Zip Code: Telephone:

State License No.:

License Class:

Sub-Contractor Name:

E-mail:

Address: City:

State: Zip Code: Telephone:

State License No.:

License Class:

4. Inspection Point of Contact (To schedule inspections, Inspection Point of Contact must have a

Development Services account – register here):

Name: E-mail:

Address: City:

State: Zip Code: Telephone:

5. Licensed Contractor’s Declaration: I hereby affirm under penalty of perjury that I am licensed under

provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,

and my license is in full force and effect.

Print Name: Date:

Contractor Signature or authorized agent:

FORM

DS-3037
March 2023

Development

sD) Services

http://www.sandiego.gov/development-services
https://docs.sandiego.gov/municode/MuniCodeChapter11/Ch11Art03Division0…
https://docs.sandiego.gov/municode/MuniCodeChapter11/Ch11Art03Division0…
https://www.cslb.ca.gov/About_Us/Library/Licensing_Classifications/
https://www.cslb.ca.gov/About_Us/Library/Licensing_Classifications/
https://www.cslb.ca.gov/About_Us/Library/Licensing_Classifications/
https://docs.sandiego.gov/municode/MuniCodeChapter12/Ch12Art09Division0…
https://www.sandiego.gov/development-services/permits-inspections/contr…
https://aca-prod.accela.com/SANDIEGO/CommunityView/account/new
https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCod…

Visit our website: sandiego.gov/DSD.

Upon request, this information is available in alternative formats for persons with disabilities.

DS-3037 (03-23)

FOR DEPARTMENT USE ONLY

Required if box b, is

checked.

APPROVED

City Attorney Signature

Print Name

Date

• San Diego Municipal Code (SDMC)

• Business and Professions Code

Reference Table

6. Insurance Requirements: I hereby affirm under penalty of perjury one of the following declarations:

a. I have and will maintain in full force and effect, throughout the term of the Public Right-of-way Permit, an insurance

policy or policies issued by an insurance company or companies covering all operations, vehicles and employees, as

required by SDMC §62.1214, as follows:

(Initial) Commercial general liability insurance with a combined single limit of not less than

$1,000,000 per occurrence for bodily injury and property damage, including contractual liability,

personal injury, explosion, collapse, underground products and completed operations.

(Initial) Contractors pollution liability insurance, on an occurrence form, with a combined single limit of not

less than $1,000,000 per occurrence for bodily injury and property damage and any deductible not to

exceed $25,000 per occurrence.

My liability insurance carrier and policy number are:

Insurance Carrier: Policy No.: Expiration Date:

Name of Agent: Phone No.:

b. I certify that I am self-insured and have attached a bond or other form of surety which meets the insurance

requirements of SDMC §62.1214. (Requires review and signature by the City Attorney’s Office)

Print name: Date:

Contractor Signature or authorized agent:

http://www.sandiego.gov/development-services
https://www.sandiego.gov/city-clerk/officialdocs/municipal-code
https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCod…
https://docs.sandiego.gov/municode/MuniCodeChapter06/Ch06Art02Division1…
https://docs.sandiego.gov/municode/MuniCodeChapter06/Ch06Art02Division1…

Application:
Project Number:
Name:
Email:
undefined:
undefined_2:
Contractor Name:
Address:
State License No:
SubContractor Name:
Address_2:
State License No_2:
Email_2:
State:
License Class:
Email_3:
State_2:
License Class_2:
Name_2:
Email_4:
Address_3:
State_3:
and my license is in full force and effect:
undefined_3:
Date:
Initial Commercial general liability insurance with a combined single limit of not less than:
Initial Contractors pollution liability insurance on an occurrence form with a combined single limit of not:
Insurance Carrier:
Policy No:
Expiration Date:
Name of Agent:
Phone No:
Print name:
Date_2:
undefined_4:
undefined_5:
undefined_6:
Check Box1: Off
Check Box3: Off
Text4:

Revised March 2023

Application for Partial Release of Surety of Grading and/or Right-of-Way Permit

Use this form to apply for partial release of surety of grading and/or a right-of-way permit. 

Revised February 2024

Right-of-Way After-Hours Inspection Request

Use this form to request Right-of-Way After-Hours Inspections.

Revised May 2025

Declaration: Eligibility and Acknowledgement of Restrictions Related to Senate Bill 9

The purpose of this affidavit is for the property owner to affirm compliance with the regulations that govern eligibility for subdivision or development pursuant to Senate Bill 9 (SB 9) and the San Diego Municipal Code (SDMC) 143.1315 and agree to abide by applicable restrictions.

Revised November 2022