BUILDING PLAN REVIEW COVER SHEET
LAND DEVELOPMENT SERVICES – BUILDING DIVISION Revised: December 13, 2018
PROJECT INFORMATION
Project name:
Project address:
Floor(s): Su
ite(s):
Work Description:
Site-related plan #:
Appl
icable code: edit
ion-year:
Virginia Construction Code: (n
ew commercial, multi-
family and R-3 residential construction)
New Building Addition
Virginia Existing Building Code: (existing commercial,
multi-family and R-3 residential construction)
Level 1 Alteration Repair
Level 2 Alteration Change of occupancy
Level 3 Alteration Moved building
Historic building Addition
Virginia Residential Code (new and alterations to
existing R-5 residential construction)
Conditions: list below building-related proffers,
development conditions, special permits, variances
Drawing #
Con
dition reference
1)
2)
3)
4)
Zon
ing application #:
De
partment of Code Compliance case: Yes N
o; if yes:
Case number:
RESIDENTIAL
Occupancy/Group: R-5 R-3
Building height: (feet)
Floor or roof trusses:
Yes No
Masterfile mode
l name:
Utility company easements on site: Yes
No
Problem soils: Yes No; if yes, submit soils report
Affordable dwelling units required: Yes No
Sound transmission class required: Yes No
Energy
compliance (choose design alternative):
Prescriptive Per REScheck (output must be provided)
COMMERCIAL
Occupancy/Group(s):
Type(s) of construction:
Number of stories: Hi
gh rise: Yes No
Unlimited area building: Yes
No
Number of Type
A dwelling units (multi-family):
Critical structure: Yes
No; if yes, attach the
Statement of Special Inspections
For tenant alteration and change of use:
Purpose of space:
Gross area per floor: (sq
uare feet)
Area of work: (sq
uare feet)
Gross area of tenant space: (sq
uare feet)
Base building design, code/year:
Fire protection:
Sprin
klers: Full Partial None
Fire alarm system: Yes No
Approved central station: Yes No
Standpipes: Yes No
Hazardous materials:
Combustible liquid Flammable liquid
Other:
High
pile storage installed: Ye
s No
Fire resistance ratings: (provide design numbers,
prescription item number or calculated code section)
Floor/ceiling: Roo
f/ceiling:
Columns: Be
ams:
Corridors: Tenan
t walls:
Accessibility per ICC/ANSI A117.1: (choose one)
Fu
lly compliant (accessible route to primary function
area, including restrooms and drinking fountain)
Technically infeasible (fixture count cannot be reduced;
family/accessible restroom is provided)
Upgrades required (up to 20% of cost of alterations)
Cost of alterations: $
Cost of upgrades: $
Upgrades provided:
Electrical energy compliance: (choose design alternative)
ANSI/ASHRAE/IESNA Standard 90.1
Virginia Energy Conservation Code
DESIGNER INFORMATION
Signed and sealed drawings by a Virginia-licensed registered
design professional (RDP) may be required by the Virginia
Department of Professional and Occupational Regulation.
Learn more by searching for “sealed drawings” on
fairfaxcounty.gov.
RDP signature
*
and seal required: Yes No; if yes,
signature and seal are provided:
On each sheet
With table of contents (permissible with eplans only)
* Signatures must be original on paper-submitted plans and
electronically-protected in eplans.
Designer information (complete for all applicable trades
shown on the drawings):
Building:
Name:
Occupation (if no
t an RDP):
Telephone:
Email:
License number:
St
ructural:
Name:
Telephone:
Email:
License number:
Mec
hanical:
Na
me:
Telephone:
Email:
License number:
Ele
ctrical:
Name:
Telephone:
Email:
License number:
Plu
mbing:
Name:
Telephone:
Email:
License number:
DRAWINGS MISSING REQUIRED SEALS OR DO NOT HAVE
ORIGINAL OR ELECTRONICALLY-PROTECTED SIGNATURES
WILL NOT BE ACCEPTED DURING PERMIT APPLICATION.
GENERAL NOTES
Failure to fully complete the applicable fields in this
cover sheet may result in a failed plan review and
subsequent delay in permit issuance.
This cover sheet must be submitted on 11x17 paper,
eplan or incorporated in the building drawings.
Accessibility and energy conservation sections of this
cover sheet are certifications endorsed by the
applicable designer. Inaccuracies found during plan
review must be corrected prior to permit issuance.
Inaccuracy found in the field must be corrected prior to
subsequent inspections.
Once approved, building drawings are subject to any
corrections noted therein. Permit issuance does not
waive any code requirements not identified during
plan review and does not prevent county inspectors
from requiring corrections in the field or plan revisions.
No changes shall be made to the approved drawings
without prior county approval.
Residential drawings are not reviewed for mechanical,
electrical and plumbing systems. Compliance is
evaluated during inspections.
Truss shop drawings must be reviewed and approved
by the county prior to erection.
No inspections will be made unless a printed set of
approved of drawings, including this cover sheet, are
on the job site and available to the inspector.
Call Miss Utility at 811, TTY 711 before you dig.
Occupancy is not permitted until a final inspection has
been approved and, when applicable, a Certificate of
Occupancy is issued.
