Building Permit Application - Form PDS 291 - County of San Diego ...

County of San Diego, PDS, Building Division – Permit Application
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PROJECT WORKSHEET TO BE COMPLETED BY COUNTY STAFF – PLEASE PRINT CLEARLY
Project Address:
Permit No.:
Cross Street:
Scope Code:
Remarks
Community:
Use of Structure(s):
Occupancy Unit Type Area Unit Cost Valuation
Total Job Valuation:
WWDP Number or Sewer Receipt Number or
Department of Environmental Health Approval: ______________________________________________________________________
Use Regulations: Minimum Structure Setbacks Districts
Animal Regulations: Front Yard: Water Agency:
Development Regulations
Density: Exterior Side: Fire Agency:
Lot Size: Interior Side: School District 1:
Building Type: Rear Yard: School District 2:
Maximum Floor Area:
Floor Area Ratio:
Electrical
Service (amps):
Drainage District:
Route Location:
Height: Flood (circle one): In Out
Lot Coverage:
Setback:
Open Space:
Special Area Regulations:
Structural Approved by:
Zoning Approved by:
Application Approved by:
Legal Description:
Curb Cut Record ID:
L-Grading Record ID:
Discretionary Record ID:
Date:
Date:
Date:
Distribution: Permittee Copy (copy) Inspector/File Copy: (original)
Project Address: ____________________________________________ Permit Number: ___________________________________________
5510 OVERLAND AVE., SUITE 110, SAN DIEGO, CA 92123 ● (858) 565-5920 ● (888) 336-7553
HTTP://WWW.SDCPDS.ORG
PDS291 REV.: 04/21/2012 PAGE 2 of 2