California Office of Statewide Health Planning & Development

Facilities Development Division (FDD) Forms

On September 7, 2011, OSHPD launched a new project tracking system known as the electronic Services Portal (e-SP).  This system requires new forms which replace the existing ones as noted in the chart below. The new forms are available for immediate use.  Please be sure to read the new instructions carefully, as the information may have changed.

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

• For a blank application form, click on the desired form 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).
• Find Buildings
  • Instructions to find the facility buildings using the "Find Buildings" link

Mail the completed form(s) to the appropriate address located at the top of the form.

Category	New or Current Form Number	Must also submit	New form name	Previous Form Name
Plan Review	OSH-FD-100		Project Application Information
Plan Review	OSH-FD-121		Application for New Project	Application for AB 2632 Project Building Permit
Plan Review	OSH-FD-121		Application for New Project	Applicaton for Incremental Project Increment
Plan Review	OSH-FD-121		Application for New Project	Application for Plan Review
Plan Review	OSH-FD-121		Application for New Project	Application for Plan Review under Annual Building Permit
Plan Review	OSH-FD-121		Application for New Project	Application for SB 1838 Project Building Permit
Plan Review	OSH-FD-121		Application for New Project	Application for Seismic Evaluation Report and/or Compliance Plan Review and/or NPC/SPC Upgrade
Plan Review	OSH-FD-126	OSH-FD-100*	Alternate Method of Compliance	Alternate Method of Compliance Form
Plan Review	OSH-FD-127	OSH-FD-100*	Application for Incremental Project Master	Application for Incremental Project Master
Plan Review	OSH-FD-129		OSHPD Project Cancellation/Withdrawl Form	OSHPD Project Cancellation/Withdrawl Form
Plan Review	OSH-FD-302		Application for Building Permit	Application for Building Permit
Plan Review	OSH-FD-306	OSH-FD-100*	Application for Annual Building Permit	Application for Annual Building Permit
Plan Review	OSH-FD-309		Letter of Authorization	Letter of Authorization
Plan Review	OSH-FD-125	OSH-FD-100	Application for Post Approval Document	Application for Deferred Submittal Item - Plan Review
Plan Review	OSH-FD-800		Application for Unreasonable Hardship Exception to Accessibility Requirements	Application for Unreasonable Hardship Exception to Accessibility Requirements
Plan Review	OSH-FD-384		Application for Extension/Delay in Compliance (Revised 2/29/2012)	Application for Extension/Delay in Compliance (Revised 2/29/2012)
Construction	OSH-FD-123		Verified Compliance Report	Verified Compliance Report
Construction	OSH-FD-124		Application for Inspector of Record	Application for Inspector of Record
Construction	OSH-FD-125		Application for Post Approval Document	Application for Amended Construction Documents - Plan Review
Construction	OSH-FD-801		Notice of Start of Construction	Notice of Start of Construction
Construction	OSH-FD-385		Certificate of Inspection and Utility Connection Authorization	Certificate of Inspection and Utility Connection Authorization
Other	FDD-02		Checklist for Plan Approval	Checklist for Plan Approval
Other	OSH-AD-367		Facilities Development Division Payment Form	FDD Payment Form
Other	FDD-001		Instructions for Seismic Safety Review Process Package	Applicaton Instructions for Seismic Safety Review Process Package
Other	Remains the same		Application for Equipment Anchorage Pre-Approval	Application for Equipment Anchorage Pre-Approval
Other	Remains the same		Certification for Radiation Protection	Certification for Radiation Protection
Other	Remains the same		Testing, Inspection, and Observation Program	Testing, Inspection, and Observation Program
Other			No longer accepted	Application for SB 306 Extension / Delay in Compliance (Application period has passed.)

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

Fire and Life Safety Forms

• FLSO 2001 Fire Alarm Annunciation Approval
• FLSO 2001 Fire Sprinkler Approval
• 2001 FLSO Check List
• FLSO 2007 Fire Alarm Annunciation Approval
• FLSO 2007 Fire Sprinkler Approval
• 2007 FLSO Check List

Fire and Life Safety Reminder Lists -2007 Code

• EPSS Generator
• Construction
• Quality Assurance
• Fire Alarm - Plan Review
• Helistops
• Post Approval Documents Field Triage
• Sprinkler System - Plan Review

Fire and Life Safety Reminder Lists -2010 Code

• EPSS Generator
• Construction
• Quality Assurance
• Fire Alarm - Plan Review
• Fuel Storage and Hazardous Material Storage
• Helistops
• Post Approval Documents Field Triage
• Refridgeration Machinery Rooms Equipment
• Sprinkler System - Plan Review

Plan Review Reminder Lists

• 2010 CBC Architectural OSHPD 1 (with July 2012 supplement)
• 2010 CBC Architectural OSHPD 2 (with July 2012 supplement)
• 2010 CBC Architectural OSHPD 3 (with July 2012 supplement)
• 2010 CBC Architectural OSHPD 4 (with July 2012 supplement)
• 2007 CBC Architectural by Project Type
• 2007 CBC Architectural OSHPD 1
• 2007 CBC Architectural OSHPD 2
• 2007 CBC Architectural OSHPD 3
• 2007 CBC Architectural OSHPD 4
• 2007 CEC Electrical
• 2007 Construction Final & Project Close-Out
• 2007 FREER
• 2007 Occupancy
• 2007 Post Approval
• 2007 Preconstruction Meeting
• 2007 Requirement for Staff & Stock Occupancy

Seismic Compliance

• Site Plans ("Keyplans")

To save these forms to your PC Desktop:

Using your mouse, point to the file and "Right-Click" on the form. Choose "Save Link As" and save the form to your PC Desktop. To access the form from your desktop, double-click on the ICON and Adobe Reader will automatically open the form. If these forms are saved from this page, be sure to check the website before reusing, as these forms are regularly updated.