Forms, Applications, & Reminder Lists

FDD Forms List#

Plan Review & Construction#

Application for New Project#
Form Number: OSH-FD-121#

AB 2632 Project Building Permit  • Incremental Project Increment  • Plan Review  • Plan Review under Annual Building Permit  • SB1838 Project Building Permit  • Seismic Evaluation Report  • Compliance Plan Review  • NPC/SPC Upgrade

Project Application Information#
Form Number: OSH-FD-100#

Adding or Supplanting Design Professionals • Adding or Supplanting Contacts

Building Permit#
Form Number: OSH-FD-302#

Obtain a Building Permit

Notice of Start of Construction#
Form Number: OSH-FD-801#

Notice of Start of Construction •  To be Submitted after Building Permit is Issued

Alternate Method of Compliance#
Form Number: OSH-FD-126#

Alternate Method of Compliance • Must also submit OSH-FD-100

Amended Construction Document#
Form Number: OSH-FD-125#

Amended Construction Document • Must also submit OSH-FD-100

Letter of Authorization (eCA Facility PIN)#
Form Number: OSH-FD-310#

Obtain a new PIN • Change or Replace PIN holder 

Incremental Project Master#
Form Number: OSH-FD-127#

Apply for Incremental Project Master

Incremental Project Increment#
Form Number: OSH-FD-121#

Apply for Incremental Project Increment

Annual Building Permit#
Form Number: OSH-FD-306#

Apply for Annual Building Permit •

Project Cancellation/Withdrawal#
Form Number: OSH-FD-129#

Cancel or Withdraw a Project • Application Fee Not Refundable 

Form Number: OSH-FD-309#

Designate an Agent for Legal Owner or Authorized Agent

Verified Compliance Report#
Form Number: OSH-FD-123#

Verified Compliance for Design Professionals of Record

Integrated Review#
Form Number: OSH-FD-122#

Designate an Agent for Legal Owner or Authorized Agent

Application for Inspector of Record#
Form Number: OSH-FD-124#

Inspector of Record

eChecklist – Fluoroscopy Equipment Replacement#
Form Number: OSH-FD-701#

ePlan Review

Certificate of Inspection and Utility Connection Authorization#
Form Number: OSH-FD-385#

Certifciate of Inspection and Utility Connection

Fee Refund#
Form Number: OSH-FD-130#

Fee Refund Request Form

Application for Unreasonable Hardship Exception to Accessibility Requirements (2010 CBSC or Prior)#
Form Number: OSH-FD-800 #

2010 CBSC or prior year projects

Application for Unreasonable Hardship Exception to Accessibility Requirements (2013 CBSC)#
Form Number: OSH-FD-800-2013#

2013 CBSC projects

Application for Unreasonable Hardship Exception to Accessibility Requirements (2016 CBSC)#
Form Number: OSH-FD-800-2016 #

2016 CBSC Projects

Deferred Approval Submittal#
Form Number: OSH-FD-128#

Deferred Submittal

Seismic Compliance#

Application for Extension/Delay in Compliance#
Form Number: OSH-FD-384#

General Acute Care Hospitals Only  • Revised 01/01/2019

Other#

Checklist for Plan Approval#
Form Number: FDD-002#

Plan Approval

Facilities Development Division Payment Form#
Form Number: OSH-FD-367#

Application Fee   • Annual Building Permit  • Pre-approvals  • Radiology Fees

Instructions for Seismic Safety Review Process Package#
Form Number: FDD-001#

Seismic Safety Review

Certification for Radiation Protection#
Form Number: N/A#

Radiation Protection

Testing, Inspection, and Observation (TIO) Program#

Section 7-141, 2016 California Building Standards Code, requires the architect or engineer in responsible charge of a project to submit a Testing, Inspection and Observation (TIO) program to the Office of Statewide Health Planning and Development (Office) for approval prior to issuance of a building permit. To assist the industry with preparation and implementation of the TIO program, the Office has developed the following resources:

OSHPD 1 Buildings#

Testing, Inspection and Observation Program for OSHPD 1 projects (OSH-FD-303A) (OSHPD 1 projects include all construction and remodel projects for general acute-care hospitals and acute psychiatric hospitals. OSHPD 1 projects also include construction and remodel of skilled nursing facilities and/or intermediate care facilities except those of single-story, Type V, wood or light steel-frame construction.)

OSHPD 2 Buildings#

Testing, Inspection and Observation Program for OSHPD 2 projects (OSH-FD-303B) (OSHPD 2 projects are limited to construction and remodel projects for skilled nursing facilities and/or intermediate care facilities of single-story, Type V, wood or light steel-frame construction.)

Instructions for preparing the TIO Form

2016 Testing, Inspection, and Observation Form#

To be used on projects sumbitted on or after January 1, 2017

2013 Testing, Inspection, and Observation Form#

To be used on projects submitted on or after January 1, 2014

OSHPD 1 TIO Forms:#
OSHPD 2 TIO Forms:#

2010 Testing, Inspection, and Observation Form#

To be used on projects submitted on or after January 1, 2011

OSHPD 1 TIO Forms:#
OSHPD 2 TIO Forms:#

Fire and Life Safety (FLS)#

Forms#

Reminder Lists#

Plan Review Reminder Lists#

California Building Standards Code (CBSC) #

eServices Reminder Lists #