Tested on NetBSD 5.0

Install prerequisites:

pkg_add icu erlang spidermonkey gmake

Download the source tarball from http://couchdb.apache.org/downloads.html untar and cd in to the directory. Then configure and compile:

./configure --with-js-lib=/usr/pkg/lib --with-js-include=/usr/pkg/include --with-erlang=/usr/pkg/lib/erlang/usr/include
gmake
gmake install

Take care of permissions:

su
useradd couchdb
group add couchdb
touch /usr/local/var/run/couchdb.pid
chown couchdb:couchdb /usr/local/var/run/couchdb.pid
chown couchdb:couchdb /usr/local/var/log/couchdb/couch.log
chown couchdb:couchdb /usr/local/var/lib/couchdb

Start:

/usr/local/etc/rc.d/couchdb start

Test: http://localhost:5984/