Form Dsa 140 PDF Details

In the ever-evolving landscape of architectural design and construction within educational environments in California, the Division of the State Architect (DSA) plays a crucial role in ensuring compliance with the stringent regulations that govern structural safety, fire life safety, and accessibility. At the heart of this regulatory ecosystem lies the DSA 140 form, a critical document that facilitates the oversight of construction changes that may affect these pivotal aspects of school construction projects. Designed to be filled out by the Design Professional in General Responsible Charge of the project, this form acts as a verification tool, affirming that any alterations to the original construction plans are in line with the comprehensive requirements set forth by Title 24, California Code of Regulations. These modifications necessitate a meticulous review process to certify that they meet the project specifications and the rigorous standards of safety and accessibility mandated for educational facilities. By providing detailed information about the school district or owner, project specifics, and the nature of the construction change, including any additional documentation, the DSA 140 form serves as a foundational component in the collaborative effort to maintain integrity, safety, and accessibility in school constructions throughout the state of California.

QuestionAnswer
Form NameForm Dsa 140
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesA-6, dsa 140, SSS, dsa 140 form

Form Preview Example

CCD Category A is for construction changes to or affecting Structural Safety, Fire Life Safety or Accessibility.

This form shall be completed by the Design Professional in General Responsible Charge of the project, in accordance with California Code of Regulations, Title 24, Part 1, Section 4-338 (c) and in compliance with DSA IR A-6.

 

School District/Owner:

 

 

DSA File #:

-

 

 

 

 

 

 

 

Project Name/School:

 

 

DSA App. #:

-

 

 

 

 

-

 

 

 

 

 

 

 

 

 

-

 

 

APPLICANT

 

 

 

 

 

 

 

 

 

 

CCD #:

Date Submitted:

Attached Pages?: No Yes ( ______pages)

 

 

 

 

 

 

Firm Name:

 

Contact Name:

 

 

 

 

 

 

 

Email:

 

Phone Number:

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

City:

 

State:

Zip:

 

 

 

 

DESIGN PROFESSIONAL IN GENERAL RESPONSIBLE CHARGE

 

 

 

 

 

Name of Design Professional in General Responsible Charge:

 

 

 

 

 

 

 

Professional License #:

 

Discipline:

 

 

 

 

 

 

 

Design Professional in General Responsible Charge Statement: The attached Construction Change Documents have been examined by me for design intent and appear to meet the appropriate requirements of Title 24, California Code of Regulations and the project specifications. They are acceptable for incorporation into the construction of the project.

Signature:

DESIGN PROFESSIONAL IN GENERAL RESPONSIBLE CHARGE

CHECK THIS BOX: To confirm that all CCD drawings and calculations have been stamped and signed by the Responsible Design Professional.

Brief Description of construction change (attach additional sheets if needed):

List of DSA approved drawings affected by this CCD:

 

 

 

 

 

 

DSA USE ONLY

 

 

 

 

 

Group

 

Status

 

 

Reviewed by

Approved by

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SSS

Approved

Not Approved

 

Not Required

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FLS

Approved

Not Approved

 

Not Required

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACS

Approved

Not Approved

 

Not Required

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATUS OF CCD:

Approved

 

 

Disapproved (resubmittal is required)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DSA 140 (issued 12-31-13)

 

 

 

 

 

Page 1 of 1

 

 

DIVISION OF THE STATE ARCHITECT

DEPARTMENT OF GENERAL SERVICES

STATE OF CALIFORNIA

 

How to Edit Form Dsa 140 Online for Free

A-6 can be completed easily. Simply make use of FormsPal PDF editor to do the job in a timely fashion. FormsPal team is constantly endeavoring to improve the editor and ensure it is even faster for people with its multiple features. Unlock an constantly innovative experience now - check out and find out new opportunities along the way! To start your journey, take these basic steps:

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Be mindful while completing this pdf. Ensure that each blank field is completed properly.

1. When completing the A-6, make certain to incorporate all needed fields in the relevant form section. This will help to facilitate the work, allowing for your details to be processed promptly and appropriately.

How you can fill in dsa 140 portion 1

2. Soon after filling out the last section, head on to the next stage and enter the necessary particulars in all these blanks - CHECK THIS BOX by the Responsible, To confirm that all CCD drawings, Brief Description of construction, List of DSA approved drawings, DSA USE ONLY, Group, Status, Reviewed by Approved by, Date, SSS, FLS, ACS, Approved, Not Approved, and Not Required.

The right way to prepare dsa 140 portion 2

Be extremely attentive when completing Brief Description of construction and CHECK THIS BOX by the Responsible, since this is the section where a lot of people make mistakes.

Step 3: After going through the filled out blanks, press "Done" and you are all set! Make a free trial plan with us and gain instant access to A-6 - which you are able to then make use of as you would like in your FormsPal account. We don't share or sell any information you enter whenever dealing with forms at our website.