FDD Forms List

Form Useage

On September 7, 2011, OSHPD launched a project tracking system known as the electronic Services Portal (eSP). This system requires forms as noted in the list below which are available for immediate use.

Guidelines

Before completing each interactive form, read the specific instructions for each form (last page of each form).

  • To find a form in the forms list, type in the form number, subject, or activity associated with the form in the "Search" box above the list headings. The forms list will then compress and show only the number of forms which contain the value typed in the "Search" box.
  • The total number of FDD forms (33) show in the FDD Forms List. The list is set up so that the list headings will not move, but the rows with form numbers will scroll up or down when the vertical scroll bar is moved below the list headings.
  • For a blank application form, click on the desired form number and print the application without typing into the form(s).
  • To type directly into the form, click on the field of choice and begin typing. Use the tab key to advance to the next field. Once the form has all the required information completed, the form is ready to print for the required signature(s).
  • Mail the completed form(s) to the appropriate address located at the top of the form.
Activity/Objective Form Number Form Name Must also Submit Category
Project Information OSH-FD-100 Project Application Information N/A Plan Review
AB 2632 Project Building Permit OSH-FD-121 Application for New Project N/A Plan Review
Incremental Project Increment OSH-FD-121 Application for New Project N/A Plan Review
Plan Review OSH-FD-121 Application for New Project N/A Plan Review
Plan Review under Annual Building Permit OSH-FD-121 Application for New Project N/A Plan Review
SB 1838 Project Building Permit OSH-FD-121 Application for New Project N/A Plan Review
Seismic Evaluation Report and/or Compliance Plan Review and/or NPC/SPC Upgrade OSH-FD-121 Application for New Project N/A Plan Review
Integrated Review OSH-FD-122 Request for Integrated Review N/A Plan Review
Alternate Method of Compliance OSH-FD-126 Alternate Method of Compliance OSH-FD-100* Plan Review
Incremental Project Master OSH-FD-127 Application for Incremental Project Master OSH-FD-100* Plan Review
Project Cancellation/Withdrawl OSH-FD-129 OSHPD Project Cancellation/Withdrawl Form N/A Plan Review
Building Permit OSH-FD-302 Application for Building Permit N/A Plan Review
Annual Building Permit OSH-FD-306 Application for Annual Building Permit OSH-FD-100* Plan Review
Authorization OSH-FD-309 Letter of Authorization N/A Plan Review
Authorization OSH-FD-310 Electronic Services Portal Citizen Access (eCA) Letter of Authorization N/A Plan Review
eChecklist-Fluoroscopy Equipment Replacement OSH-FD-701 eChecklist-Fluoroscopy Equipment Replacement N/A ePlan Review
Accessibility Requirements OSH-FD-800
(for 2010 CBSC or prior year projects)
Application for Unreasonable Hardship Exception to Accessibility Requirements N/A Plan Review
Accessibility Requirements OSH-FD-800-2013
(for 2013 CBSC projects)
Application for Unreasonable Hardship Exception to Accessibility Requirements N/A Plan Review
Accessibility Requirements OSH-FD-800-2016
(for 2016 CBSC projects)
Application for Unreasonable Hardship Exception to Accessibility Requirements N/A Plan Review
Extension/Delay in Compliance OSH-FD-384
(for Acute Care Hospitals only)
Application for Extension/Delay in Compliance (Revised 2/29/2012) N/A Seismic Compliance
Verified Compliance OSH-FD-123 Verified Compliance Report N/A Construction
Inspector of Record OSH-FD-124 Application for Inspector of Record N/A Construction
Amended Construction Documents Revised OSH-FD-125 Amended Construction Document N/A Construction
Notice of Start of Construction OSH-FD-801 Notice of Start of Construction N/A Construction
Certificate of Inspection and Utility Connection OSH-FD-385 Certificate of Inspection and Utility Connection Authorization N/A Construction
Seismic Safety Review FDD-001 Instructions for Seismic Safety Review Process Package N/A Other
Plan Approval FDD-02 Checklist for Plan Approval N/A Other
Payment OSH-FD-367 Facilities Development Division Payment Form N/A Other
Radiation Protection Remains the same Certification for Radiation Protection N/A Other
Testing, Inspection, and Observation Remains the same Testing, Inspection, and Observation Program N/A Other
SB 306 Extension / Delay in Compliance (Application period has passed.) N/A No longer accepted N/A Other
Fee Refund OSH-FD-130 Fee Refund Request Form N/A Plan Review
Deferred Submittal New OSH-FD-128 Deferred Approval Submittal N/A Plan Review

*OSH-FD-100 is not required if submitted in conjunction with OSH-FD-121.



This page was last updated on Thursday, July 20, 2017.