Development Services

FORM

DS-4405

May 2022

Request to Change Point of Contact or Applicant

Please select:

PTS Hybrid Project (PTS)

Full Accela Project (PRJ, CC, FDEF, DEF)

PTS Hybrid Project (PTS)

Full Accela Project (PRJ, CC, FDEF, DEF):

New Point of Contact or Applicant

NOTE: The new contact must have a Citizen Access account to be designated as a Point of Contact or Applicant. Need help registering for an account? Watch the video tutorial.

Type

Individual

Organization

Name

Phone Number

Accela ID (optional)

Why are you requesting the change of point of contact or applicant for this project?

Requestor

**Important** Don't use this form if the requestor is the current Permit Holder. Instead, existing Permit Holders must submit a Change of Building Permit Record Form (DS-342).

Requested by:

Current point of contact (PTS)

Current Applicant (Accela)

Phone Number

Signature

The name and email address of the signer must match the current applicant or point of contact name and email address on file for the project.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.