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This guide provides clear and supportive instructions for completing the Building Permit application at the Office of Statewide Health Planning and Development. Whether you are an experienced user or new to this process, you will find helpful steps to ensure proper completion of the form.

Follow the steps to fill out the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section A, enter the name of the facility exactly as it appears on the facility license, along with the street address, city, county, and zip code. Ensure that the information is accurate and up to date.
3. Proceed to Section B where you will enter the name and phone number of the facility administrator, as well as the address of the legal owner. Indicate the total licensed beds after construction and check the box corresponding to the type of project you are applying for.
4. In Section C, provide the names and information for the professionals involved in the project, marking the discipline responsible for oversight. This ensures all project correspondence is directed appropriately.
5. For Section D, confirm you are a licensed contractor and that your license remains valid.
6. Fill out Section E, the Workers Compensation Declaration, by checking the applicable box to indicate your insurance status and providing necessary policy information if applicable. Remember to attach or have previously filed the required documents.
7. Section F applies if this is an owner/builder project. Check the relevant box and ensure the owner or agent signs this section.
8. In Section G, understand that this section will be filled out by the OSHPD regional construction supervisor.
9. Finally, in Section H, input the name, address, and signature of the owner or authorized agent. Indicate the contract amount in the designated space.
10. Review all entered information for accuracy. Once confirmed, you can save changes, download, print, or share the completed application as required.

Complete your building permit application online to ensure a smooth and efficient process.