Fillable Building Plan Review Cover Sheet printable pdf download

Project Information

Commercial

Project name:

Code information:

Fire resistance ratings: (provide design numbers, prescription item

number or calculated code section)

Project address:

Occupancy/Group(s):

Type(s) of construction:

Floor/ceiling:

Floor(s):

Suite(s)

(if applicable)

Number of stories:

High rise:  Yes  No

Roof/ceiling:

Scope of work: (check all that apply)

Unlimited area building?  Yes  No

Columns:

 New construction

 Interior alterations

For multi-family; number of Type A dwelling units:

Beams:

 Exterior alterations

 Change of occupancy

Critical structure?  Yes  No — If yes, attach the Statement of

Corridor separation:

Special Inspections

Description of work:

Tenant separation walls:

Date of pre-submission meeting, if applicable:

Accessibility per ICC/ANSI A117.1: (choose one)

For tenant layouts:

 Fully compliant (accessible route from parking to primary

Purpose of space:

function area, including restrooms and drinking fountain)

Applicable codes, year:

Gross area per floor:

(square feet)

 Technically infeasible (fixture count cannot be reduced;

 Virginia Construction Code (for new commercial, multi-family

family/accessible restroom is provided)

and R-3 residential construction)

Area of tenant space:

(square feet)

 Upgrades required (up to 20 percent of cost of alterations)

 Virginia Rehabilitation Code (for alterations to existing

Base building design, code/year:

commercial, multi-family and R-3 residential construction)

Cost of alterations: $

Fire protection:

 Virginia Residential Code (for new and alterations to R-5

Cost of upgrades: $

Sprinklers:  Full  Partial  None

residential construction)

Upgrades provided:

Fire alarm system:  Yes  No

Building related development conditions, proffers, special conditions,

Approved central station:  Yes  No

special permits, variances?  Yes  No — If yes, complete below.

Standpipes:  Yes  No

Certification

Electrical energy compliance: (choose design alternative)

Condition

attached? Page reference

Hazardous materials:  Combustible liquid

 Flammable liquid

 ANSI/ASHRAE/IESNA Standard 90.1

 Other:



 Virginia Energy Conservation Code

High pile storage to be installed in this space?  Yes  No



Notes

Designer/Architect/Engineer



 This form shall be submitted on 11x17 paper or incorporated in the

The following are responsible for the design and have verified the

information herein is complete and accurate.

Residential

building drawings.

Virginia

Name

A/E

Lic. No.

 Once approved, building drawings are subject to corrections noted

Residential drawings are not reviewed for mechanical, electrical and

Building designer:

plumbing systems. Compliance is evaluated during inspections.

therein. Permit issuance does not waive any code requirements not



identified during plan review and does not prevent county

Occupancy/Group:  R-3

 R-5

Occupation:

(if not an A/E)

inspectors from requiring corrections in the field.

Building height:

(feet)

Telephone:

 No inspections will be made unless an approved set of drawings are

Wood pre-engineered floor and/or roof trusses?  Yes  No

Electrical designer:



on the job site and available to the inspector.

Masterfile:  Yes  No Model name:

(if applicable)

Telephone:

Utility company easements on site?  Yes  No

 No changes shall be made to the approved drawings without prior

county approval.

Structural designer:



Problem soils?  Yes  No — If yes, submit soils report

(if applicable)

 Call Miss Utility at 811, TTY 711 before you dig.

Affordable dwelling units required?  Yes  No

Telephone:

Sound transmission class required?  Yes  No

Building Plan Review Cover Sheet

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