San Clemente, CA · Orange County

No notary required

Parklet Self-Certification Checklist

San Clemente business owners and contractors complete this checklist to self-certify that a parklet meets the City’s site, accessibility, design, and operating standards.

What this form is

The checklist records whether a parklet meets San Clemente’s site, accessibility, design, and operating standards. The City says a Limited Term Parking Relief Agreement must be executed before construction, and the business owner and contractor must complete this checklist before the parklet begins operation or use. It covers parklet dimensions and clearances, accessible seating, design features, operating rules, and owner and contractor signatures.

Who needs it

San Clemente business owners and contractors complete the checklist before a parklet begins operation or use.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This checklist is signed without a notary; it includes signature and date fields, and the document does not identify any attachment or related step as notarized or sworn.

How to submit this form

  1. 1

    Download The Checklist

    Download the Parklet Self-Certification Checklist PDF.

  2. 2

    Complete The Checklist

    Review and complete the applicable site, accessibility, design, and operations items.

  3. 3

    Gather Required Items

    Check whether the parklet uses a standardized plan and whether the checklist calls for proof of an OCFA tent permit.

  4. 4

    Sign And Date

    Have the business owner or operator and contractor or builder complete the signature fields and enter the completion date.

  5. 5

    Submit To The City

    Submit the completed checklist to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Parklet Self-Certification Checklist cover?
It covers parklet site conditions, accessibility, design, and operating standards, with signature fields for the business owner or operator and contractor or builder.
When must the checklist be completed?
The document says the business owner and contractor must complete the self-certification before the parklet begins operation or use. A Limited Term Parking Relief Agreement must be executed before construction.
Do I need a notary for the Parklet Self-Certification Checklist?
No. The checklist has signature and date fields but no notary block, and it does not identify any attachment or related step as notarized or sworn.
How do I submit the Parklet Self-Certification Checklist?
The checklist does not state where to submit it. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Parklet Self-Certification Checklist doesn’t need a notary — but if you have another San Clemente form that does, a commissioned online notary can help.