Project delivery method: Design/Bid/Build, Design Build, Lease-Lease Back, CM Multi-Prime, CM at Risk or Owner Builder.
Initial submittal: complete Sections 1 through 6, or check the box if amending the original or previously submitted DSA 102-IC and enter only the amending information.
Site Safety Plan: DSA requires the completed SSP to be submitted to DSA and provided to the Local Fire Authority prior to the start of construction.
Special Inspectors: do not complete this section if the Special Inspector is employed by the Laboratory of Record (LOR).
Where to send: submit this form electronically to the DSA Regional Office with construction oversight authority for this project.
| Question | Answer |
|---|---|
| Form Name | DSA 102-IC |
| Form Length | 4 pages |
| Fillable? | Yes |
| Fillable fields | 398 |
| Avg. time to fill out | 60+ min |
| Edition | Rev 07/01/26 |
| Issuing agency | Division of the State Architect |
| Matches the agency's file | Yes, checked October 3, 2026 |
| Other names | 102-IC, DSA 102-IC, DSA 102 IC, Form 102-IC, Construction Start Notice/Inspection Card Request |
| Official source | DSA 102-IC (Rev 07/01/26), Division of the State Architect |
Form 102 Icai isn’t the one you’re looking for?