LADBS Forms
(2008 Los Angeles Codes)

Administrative Related Forms You must have Adobe Acrobat Reader to view these forms. Case Management Unit Related Forms Code Enforcement Related Forms Inspection Related Forms Miscellaneous Forms Plan Check Related Forms All Disabled Access Electrical Grading Mechanical Structural Preliminary Plan Check
Administrative Related Forms
AD/App.02	Request to Purchase PCIS Disk
AD/Form.01	Records Request Form (Building Records)
AD/Form.12A	Instructions for Completing the Application for Report of Residential Property Records and Pending Special Assessment Liens
AD/Form.12B	Application for Report of Residential Property Records and Pending Special Assessment Liens
AD/Form.12C	Report of Residential Property Records Declarations Attachment
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Case Management Unit Related Forms
CMU/App.25	Case Management Service Request Form
CMU/App.30	Preliminary Plan Check Application
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Code Enforcement Related Forms
Note: All Code Enforcement Forms Are Currently Available Internally Through Code Enforcement Bureau's "Crystal Reports".
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Inspection Related Forms
Applications
IN/MC/App.04	Approved Fabricator License Renewal
IN/MC/App.05	Approved Testing Agency License Renewal
IN/App.08	Application for Temporary Special Event Permit
IN/App.09	Application for Approval as a Testing Agency
IN/App.24	Application for Approval as Fabricator
IN/App.25	Application/Examination Instructions for Registered Deputy Inspectors
IN/App.29	Trade License Application
Forms
IN/Form.02	Deputy Correction Notice
IN/Form.05	Request for Inspection (N/A)
IN/Form.06	Fire Life Safety Pre-Test Sheet
IN/Form.07	Registered Deputy Building Inspectors Certificate of Compliance
IN/Form.08	Structural Observation Report Form
IN/Form.09	Architects or Engineers Certificate of Compliance
IN/Form.10	Carpet Sound Certificate
IN/Form.11	Energy Regulation Certificate of Compliance
IN/Form.12	Re-Roofing Certificate
IN/Form.15	Request for Release of Gas Service
IN/Form.17	Seismic Gas Shutoff Valve Inspection Request Form
IN/Form.21	Annual Pressure Vessel Inspection Report
IN/Form.23	Elevator Safety Test Certification
IN/Form.28	Interagency Referral/Response Form
IN/Form.29	Notification of Fire Sprinkler Installation
IN/Form.31	Construction Site Notice
Modifications
IN/ALL/Req.Mod.00	Request for Modification of Building Ordinances (Blank)
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Miscellaneous Forms
MISC/Form.01	Claim for Refund (with Instructions)
MISC/Form.02	City of Los Angeles, Department of Building and Safety Request for Reproduction of Documents
MISC/Form.06	Special Fees
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Plan Check Related Forms
Plan Check - ALL
Modifications
PC/ALL/Req.Mod.00	Request for Modification of Building Ordinances (Blank)
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Plan Check - DISABLED ACCESS
Affidavits
PC/DAD/Aff.01	Disabled Access - Maintenance of Slip-Resistant Surface Requirements
PC/DAD/Aff.02	Disabled Access - Maintenance of Exterior Door Strike Edge Clearance
Applications
PC/DAD/App.20	Disabled Access - Unreasonable Hardship Determination
Correction Lists
PC/DAD/Corr.Lst.01	Title 24, California Code of Regulations - Accessibility Regulations Supplemental Correction List No. 1
PC/DAD/Corr.Lst.02	Title 24, California Code of Regulations - Accessibility Regulations Supplemental Correction List No. 2
PC/DAD/Corr.Lst.03	Title 24, California Code of Regulations - Accessibility Regulations Supplemental Correction List No. 3
PC/DAD/Corr.Lst.04	Title 24, California Code of Regulations - Accessibility Regulations Supplemental Correction List No. 4
PC/DAD/Corr.Lst.05	Title 24, California Code of Regulations - Accessibility Regulations Supplemental Correction List No. 5
PC/DAD/Corr.Lst.06	Title 24, California Code of Regulations - Accessibility Regulations Correction List for Privately/Publicly Funded Multi-Family Dwelling Units
PC/DAD/Corr.Lst.07	Title 24, California Code of Regulations - Accessibility Regulations Correction List for Public Accommodations and Commercial Facilities
Modifications
PC/DAD/ReqMod.02	Disabled Access - General Request for Modification Form
PC/DAD/ReqMod.04	Disabled Access - Reduced Strike/Pull Side Distance
PC/DAD/ReqMod.06	Disabled Access - Unreasonable Hardship Determination
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Plan Check - ELECTRICAL
Applications
PC/ELEC/App.02	Application for Electrical Permit
PC/ELEC/App.03	Application for Electrical Plan Check
PC/ELEC/App.10	Department of Building and Safety Electrical Testing Laboratory Review for Recognition
PC/ELEC/App.11	Reserved for future use
PC/ELEC/App.12	Application for Testing or Evaluating Electrical Equipment
Correction Lists
PC/ELEC/CorrLst.08	LARUCP Electrical Plan Check List
PC/ELEC/CorrLst.24	Supplemental Correction Sheet for Electrical Fire Pump System
PC/ELEC/CorrLst.25	Supplemental Correction Sheet for Emergency Lighting Requirements
PC/ELEC/CorrLst.26	Supplemental Correction Sheet for Series Rated Overcurrent Protection
PC/ELEC/CorrLst.56	Supplemental Correction Sheet for Methane
PC/ELEC/CorrLst.111	Supplemental Correction Sheet for Solar Photovoltaic Systems (ELEC)
Fees
PC/ELEC/Fee.Sch.01	Permit Fee Schedule for Electrical Permits
Forms
PC/ELEC/Form.08-E	Ready-To-Issue Sheet for Electrical Plan Check
Modifications
PC/ELEC/Req.Mod.07	Electrical - Add Loads to an Existing Installation
PC/ELEC/Req.Mod.08	Electrical - Demand Factor of 0.65 to a Group of Reefer Receptacles
PC/ELEC/Req.Mod.09	Electrical - Exclude the Seismic Calculations from Electrical Plan Check Approval
PC/ELEC/Req.Mod.10	Electrical - Extend Plan Check Time
PC/ELEC/Req.Mod.10a	Electrical - Extend Plan Check Time
PC/ELEC/Req.Mod.13	Electrical - Installation of Equipment Prior to Test Lab Approval
PC/ELEC/Req.Mod.14	Electrical - Separate Approval for Fire/Life Safety Plans
PC/ELEC/Req.Mod.15	Electrical - Separate Fire Alarm Plans
PC/ELEC/Req.Mod.16	Electrical - Use a Scale per Foot Smaller than 1/8 Inch for Site Utility Drawing
PC/ELEC/Req.Mod.54	Electrical - Conduit Only Permit (Early Start Permit)
PC/ELEC/Req.Mod.59	Electrical - MC Cable Only Permit
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Plan Check - GRADING
Affidavits
PC/GRAD/Aff.03	Grading - Maintenance of Drainage Devices/Structures
PC/GRAD/Aff.04	Grading - Maintenance of Uncertified Fill/Underground Structures
PC/GRAD/Aff.05	Grading - Notification of Alternate Method of Grading or Construction
PC/GRAD/Aff.06	Grading - Covenant and Agreement Regarding Drainage Easement
PC/GRAD/Aff.07	Grading - Maintenance of Buildings in Areas Subject to Surface Fault Rupture and/or Severe Ground Shaking
PC/GRAD/Aff.08	Grading - Maintenance of _________________________
PC/GRAD/Aff.09	Grading - Maintenance of Sump Pump
Applications
PC/GRAD/App.13	Protection of Adjoining Property, Ordinance No. 165041
PC/GRAD/App.17	Referral Form for Hillside Ordinance #168,159 & 174,652
PC/GRAD/App.18	Application for New General Approval or Technical Modification
PC/GRAD/App.19	Application for Renewal and Clerical Modification for General Approval
PC/GRAD/App.21	Application for Review of Technical Reports and Import-Export Routes
PC/GRAD/App.22	Haul Route Questionnaire Package - Commission Office
Approval Lists
PC/GRAD/Apprv.Lst.01	Conditions of Sump Pump Approval
PC/GRAD/Apprv.Lst.02	Conditions of Dispersal Wall Approval
Bonds
PC/GRAD/Bond.01	Contractor's Bond
PC/GRAD/Bond.02	Payment Bond
PC/GRAD/Bond.03	Grading Permit Cash Bond
PC/GRAD/Bond.04	Grading Permit Surety Bond
Correction Lists
PC/GRAD/Corr.Lst.09	Grading - Compaction Report Correction List
PC/GRAD/Corr.Lst.10	Grading - Compaction Report Approval List
PC/GRAD/Corr.Lst.11	Grading - Plan Check Correction List
PC/GRAD/Corr.Lst.12	Grading - Preliminary Checklist for Filing of Technical Reports
PC/GRAD/Corr.Lst.13	Grading - Soil Report Correction List
PC/GRAD/Corr.Lst.46	Grading - Soil Report Approval List
PC/GRAD/Corr.Lst.47	Grading - Soil/Geology Report Correction List
PC/GRAD/Corr.Lst.48	Grading - Soil/Geology Report Approval List
PC/GRAD/Corr.Lst.49	Grading - Soil/Geology Report Approval List - Temporary Excavations
PC/GRAD/Corr.Lst.50	Grading - Soil/Geology Report Approval List - Pool and/or Deck
PC/GRAD/Corr.Lst.51	Grading - Soil/Geology Report Approval List - Retaining Walls
Fees
PC/GRAD/Fee.Sch.07	Fee Schedule for Grading Report Reviews
PC/GRAD/Fee.Sch.08	Grading Plan Check & Permit Fees
Forms
PC/GRAD/Form.09	Certificate of Compliance
Modifications
PC/GRAD/Req.Mod.00	Request for Modification of Building Ordinances
PC/GRAD/Req.Mod.17	Grading - Backfill of Swimming Pool
PC/GRAD/Req.Mod.19	Grading - Stockpiling of Dirt
PC/GRAD/Req.Mod.20	Grading - Sump Pump for Site Drainage
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Plan Check - MECHANICAL
Affidavits
PC/MECH/Aff.101	Maintenance of Sump Pump/Sewage Ejector
Applications
PC/MECH/App.03	Application for Fire Sprinkler Permit or Plan Check
PC/MECH/App.04	Application for HVAC Permit or Plan Check
PC/MECH/App.05	Application for Plumbing Permit or Plan Check
PC/MECH/App.06	Application for Pressure Vessel/Elevator Permit or Plan Check
PC/MECH/App.14	Application for Testing or Evaluating Mechanical Equipment
PC/MECH/App.24	Application for Approval As a Testing Agency
Correction Lists
PC/MECH/Corr.Lst.14	City of L.A. LARUCP Plumbing/Mechanical Plan Check Correction List
PC/MECH/Corr.Lst.27	Supplemental Correction Sheets for Cable Elevators
PC/MECH/Corr.Lst.28	Supplemental Correction Sheets for Chemical Waste System
PC/MECH/Corr.Lst.29	Supplemental Correction Sheets for Garage Ventilation System
PC/MECH/Corr.Lst.30	Supplemental Correction Sheets for Pump Systems (Domestic or Fire)
PC/MECH/Corr.Lst.31	Supplemental Correction Sheets for Sewage Ejectors and Sump Pumps
PC/MECH/Corr.Lst.57	Supplemental Correction Sheets for Methane
PC/MECH/Corr.Lst.106	Supplemental Plumbing Correction Sheet for High-Rises
Forms
PC/MECH/Form.08-M	Ready-To-Issue Sheet for Mechanical Plan Check
Modifications
PC/MECH/Req.Mod.24	Drawing Scale
PC/MECH/Req.Mod.25	Dryer Vent
PC/MECH/Req.Mod.27	Inspection Prior to Plan Check
PC/MECH/Req.Mod.28	MTL Non-Approved Product
PC/MECH/Req.Mod.29	Plan Check Extension
PC/MECH/Req.Mod.31	Building Sewer to Cross Lot Lines
PC/MECH/Req.Mod.32	Floor Control Valves
PC/MECH/Req.Mod.33	High Pressure Gas
PC/MECH/Req.Mod.34	Plastic Water Piping
PC/MECH/Req.Mod.35	Tough Drain
PC/MECH/Req.Mod.101	Plastic Underground Piping Varience
PC/MECH/Req.Mod.102	Sub-Duct Exhaust System
PC/MECH/Req.Mod.103	Ventless Dryer Variance
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Plan Check - STRUCTURAL
Affidavits
PC/STR/Aff.xx	Master Affidavit Form (blank for creating new)
PC/STR/Aff.10	Assumption of Risk Agreement Waiver of 30 Day Waiting Periof on Zone Change, Ordinance No. 132,954
PC/STR/Aff.11	Addivavit for Board of Building and Safety Commissioners Resolution No. 832-93
PC/STR/Aff.13	Covenant and Agreement for Community Driveway Over Two Parcels
PC/STR/Aff.13B	Covenant and Agreement for Community Driveway Over Two or More Parcels
PC/STR/Aff.14	Covenant and Agreement Regarding Construction of a Building Containing Two or More Dwelling Units
PC/STR/Aff.17	Convenant and Agreement Regarding Drainage Easement
PC/STR/Aff.18	Covenant and Agreement Regarding Easement
PC/STR/Aff.19	Affidavit of Impact Hazard Glazing
PC/STR/Aff.21	Erection and Maintenance of Building in Areas Subject to Inundation or Physical Hazards Geological Nature
PC/STR/Aff.22	Covenant and Agreement to Hold Property as One Parcel (Lot Tie Affidavit)
PC/STR/Aff.23	Covenant and Agreement Regarding Maintenance of Building
PC/STR/Aff.24	Covenant and Agreement Regarding Maintenance of Building on Air Space Lots (LAMC 98.0403.1(A)9)
PC/STR/Aff.25	Covenant and Agreement Regarding Maintenance of Building Support
PC/STR/Aff.27	Covenant and Agreement Regarding Maintenance of Off-Street Parking Space
PC/STR/Aff.28	Covenant and Agreement Regarding Maintenance of Yards for an Oversized Building
PC/STR/Aff.29	Model Unit Affidavit