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Commercial Building Permit Application
Application Date:
Applicant Name:
Project Site Address:
Project Site Legal Description (Lot Numbers, Block & Sub-division):
Is t
he site larger than 1 acre: Yes No
If Yes, attach storm water prevention plan certification from KDHE, Bureau of Water, Industrial,
Programs Sections. (785) 296-5545 or stormwater@KDHEKS.GOV
Project Owner:
Name:__________________________________
Address:________________________________
Telephone:______________________________
Email:__________________________________
Project Construction Information:
Construction Type: New Construction Addition Accessory Building
Interior Renovation Exterior Renovation Occupancy Use Change
Historical restoration roof/re-roof site paving Tenant Finish
Signage Other
*Please check all that apply. If historical please reference historical section at end of permit. Roofing/re-roof see
roofing section.
Oc
cupancy Type: A-1 A-2 A-3 A-4 A-5 B E F-1 F-2 H-1 H-2
H-3 H-4 H-5 I-1 I-2 I-3 I-4 M R-1 R-2 R-3
R-4 R-5 S-1 S-2 U
Project Construction Value:__________________________
Total Square Footage of Project:______________________
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Number of Stories (if Applicable):_____________________
Total Project Height (if Applicable):___________________
Renovation Exterior/Interior:
Interior Renovation Exterior Renovation
Interior Renovation, does this project consist of creating new spaces within an existing structure:
No Yes Other explain:
If yes, will these spaces be of the same occupancy type as the existing structure:
No Yes
Will this project consist of modifying structural elements (i.e. load bearing walls, columns, beams, joist,
etc.)?
No Yes
*if yes please provide the necessary architectural and engineering drawings with the permit application.
Will this project consist of modifying the Mechanical, Electrical and Plumbing systems:
No Yes
*if extensive work will be done please provide the necessary architectural and engineering drawings
with the permit application.
Exterior renovation, will this project consist of removing of existing exterior materials:
No Yes
Explain:
Will this project consist of altering exterior opening and appearances:
No Yes
Explain:
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Project description:
Roofing/Re-Roof:
Will this project be one of the following:
Overlay Total Tear off
If overlay have cores to the roof been taken, and if so have they been given to the building inspector:
Existing roofing system thickness/number of layers:_____________
No Yes Yes but cores have not been given to the building inspector New Construction
Project Description:
Roof Drainage:
existing gutters & downspouts new gutters and downspouts existing scuppers new
scuppers existing roof drains new roof drains
If scuppers or roof drains will there be overflows provided:
no yes existing overflows
Historical:
What type of project:
Complete exterior rehabilitation masonry tuck pointing window rehabilitation stucco
rehabilitation wood rehabilitation roofing rehabilitation including gutters and downspouts or
scuppers storefront rehabilitation Complete interior rehabilitation plaster rehabilitation
wood rehabilitation door, frame and hardware rehabilitation millwork rehabilitation stucco
rehabilitation stucco rehabilitation stucco rehabilitation
Will this project be funded by an historical grant or will it be seeking historical tax credits?
No Yes
Explain:
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If this project is using historical grants or applying to tax credits, please reference the historical section
at the end of the permit. Additionally, the historical review process will extend the review process by up
to 2 weeks. If you have already submitted your project to the Kansas State Historical office for approval
and have received approval, please attach the letter from the State.
The Independence Historical Resource Commission meets monthly and can provide preliminary review
and comments of project that have Historical implications.
Signage:
New Sign Building Mounted New Sign Pole Mounted Sign Replacement Building Mounted
Sign Replacement Pole Mounted Lighted New Monument Sign
Will there be more than one building mounted? If yes indicate number.
No Yes If yes how many:______________________
Type of Sign: Lighting Panel Sign LED Graphic Neon Single Sided Two Sided
Square Foot Per Face:______________________
Construction Material:___________________________
Will there be more than one Monument sign? If yes indicate number.
No Yes If yes how many:______________________
Type of Sign: Lighting Panel Sign LED Graphic Neon Single Sided Two Sided
Square Foot Per Face:______________________
Construction Material:___________________________
For pole mounted signage:
Overall height of pole mounted sign (measured from finish grade to top of sign):____________
Pole mounted signage will require stamped structural foundation drawings indicating footing size,
reinforcing size and spacing, anchor bolt size & spacing, pole size and specifications. If signage is
electronic (lighted or LED) provide electrical riser diagram stamped by Kansas Licensed Electrical
Engineer indicating where power will be coming from, size of service, conduit and wire size
Type of Sign: Lighting Panel Sign LED Graphic Neon Single Sided Two Sided
Square Foot Per Face:______________________
Construction Material:___________________________
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Signage Company:
Name:_________________________________ City License Number:_____________________
Company Name:__________________________
Firm Address:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
Electrical Contractor:
Name:_________________________________ City License Number:_____________________
Company Name:__________________________
Firm Address:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
Sign Permit requirements:
One Set of detailed scaled drawings and specifications showing the proposed structure, its construction
materials, how it will be installed on either: the exterior of the building, monument base or pole. Detail
drawings showing the exaction location of the sign on either the exterior of the building or on a site
plan. If it’s a pole or monument sign provide dimensions indicating sign location in relation to the sites
property lines as well as any setback requirements. Additionally, if pole or monument mounted
structural drawings for
foundations shall accompany the application, said drawings shall be stamped by
a Kansas licensed Structural Engineer. Electrical drawings shall also accompany the application if the
sign is lit or is a LED panel sign.
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ProjectContractor/GeneralContractor:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
SubContractorInformation:
Soils/Excavation:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
Concrete:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
Masonry:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
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FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
Steel/StructuralSteelErection:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
Framing:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
Roofing:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________KSRoofingLicenseNumber:_______________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
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FlooringContractor:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
FlooringContractor(ifmorethanone):
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
DrywallContractor:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
MechanicalContractor:
Name:_________________________________
CityLicenseNumber:_____________________
CompanyName:__________________________
FirmAddress:_____________________________
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_________________________________________
Telephone:________________________________
Email:_____________________________________
ElectricalContractor:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
PlumbingContractor:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
FireSprinklerContractor:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
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LowVoltage/SecurityAlarm/FireAlarmContractor:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
Other:
Name:_________________________________CityLicenseNumber:___ __________________
CompanyName:__________________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
DesignProfessionals:
Architect:_________________________________KansasLicenseNumber:_____________________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
CivilEngineer:_________ ________________________KansasLicensenumber:__________________
FirmAddress:______________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
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StructuralEngineer:_________ ________________________KansasLicenseNumber:_____________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
MechanicalEngineer:_________________________________KansasLicenseNumber:____________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
ElectricalEngineer:_________________________________KansasLicenseNumber:____________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
PlumbingEngineer:_________________________________KansasLicenseNumber:____________
FirmAddress:_____________________________
_________________________________________
Telephone:________________________________
Email:_____________________________________
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ChecklistofRequiredSubmittals&Drawings:
DocumentsRequired
New
Construction
Addition
Remodeling
Interior
Remodel
Exterior
Repairs
Accessory
Building
ApplicationForm
X X X X X X
FireCodeFootprint
X X X X X X
FloorPlan
X X X X X X
SitePlanwithUtilities
X X X X
X
ElevationDrawings‐
exterior
X X
X X
CivilPlans&Details
X X X
StructuralPlans&Details
X X X
X*1
MechanicalPlans&Details
X X X
ElectricalPlans&Details
X X X
X*2
PlumbingPlans&Details
X X X
ConstructionDetails
X X X X X X
X*1‐ifrequiredatthedis cretionofthecode
official

X*2‐Requirediftheadditionofadditionalelectricalswitchgearisneeded
KansasStateLawrequiresalicensedArchitectorEngineertodesignprojectsandsystemsmeeting
certaincriteria.TheservicesofaKansasLicensedArchitectarerequiredintheDesignofnewbuildings
otherthansinglefamilydwellings(upto
duplex’s)orfarmbuildings(thatdonothousehuman
occupancy).Anarchitectshallalsoberequiredfordesigningchangestoexistingbuildingswhichaffects
thefollowing:structuralcomponents,fireresistivequalitiesofthestructure,firedetectionor
suppressionsystems,changesinbuildingusage,existingpatternsornewpartitionconfigurations.K.S.A.
747001,7003,7038.
Stampeddrawingsbytheappropriatedesignprofessionalarerequiredforallnewconstruction,
additionsandinteriorremodelingpermits.Apdfofalldrawingssubmittedisalsorequired.
MinimumInformationtobeincludedondrawings:
FireCodeFootprint.AdrawingindicatingtheOwnerscompliancewithStateLawtoprotectoccupants
fromdangersoffireandexplosion;andtheArchitect’swrittenandgraphicdescriptionoftheintended
LifeSafetyfeaturesinabuildingusedbythepublic.ReferenceKansasStateFireMarshal“FireFact061”
https://www.lvks.org/egov/docs/537011192202083.pdf
SitePlan:Agraphicrepresentationofthepropertyindicatingbutnotlimitedtothefollowing:property
lines,propertysize(toscaleordimensionsshown),Northarrow,adjacentstreet(s),locationofexisting
improvements,proposedconstruction,setbackdimensionsfrompropertylines,waterservice,sewer
lines,electricallines,gaslines,otherutilities,any
easements,paving,curbcuts,grading&drainage.
Stormwaterdrainage/preventionplan,anderosioncontrolplan(ifover1acreasrequiredbythestate)
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FloorPlan:Plansshallbedrawntoscalewithdimensionsshown,showingwalls,doors,windows,
constructiontypes,allfloorlevels.Indicatemethodandpathofstormwaterdrainage.Noteallfire
ratedpartitions,rateddoors,safetywindowglazing,stairway.
ElevationDrawings:Illustratethebuildingfront,sides&rear
views.Notationofmaterials&finishes
andshowingextentofsuchitemsgraphically
ElectricalPlan:Indicatethelocationandsizeofnewelectricalserviceanddescribenewpanelboard.
Indicatelightingarrangementanddistributionofpower.Indicateemergencylighting,exitlightingand
locationofGFCIoutlets.Indicaterequiredfirealarmsystem
designandlayout.
PlumbingPlan:Indicatethesanitarysewerlocationexitingtheconstructionandthetietoexisting
systems(ifapplicable),withcleanoutlocations.Indicatethewaterservicelinelocation,sizeandthetie
toexistingsystem(ifapplicable).Locateandsizepipinginsidethebuildingandlocationoffixtures.

Indicatefiresuppressionandfiredepartmentconnectionasr equired.Notebackflowpreventiondevice
locationsandanyrequiredgrease,and/oroilinterceptor.
HVACPlan:Indicatethebuilding’senvironmentalcontrolsystemandlayout,notingthesizes,types,and
fuelused.Indicateventingandexhaustingtomeetrequirements.
StructuralPlan:Indicatethe
footing,foundation,roofframing,columnandloadbearingsystemsand
locations,notingsizesandstrengthsofmaterialsused.Notedesigncriteria,includingloadsand
exposure.
ConstructionDetails:Illustratetheconstructionmaterialsandmethodsne cessarytoconveytothe
buildingofficial,thecompliancewithapplicableprovisions ofthecurrentcodesand
standards.
RequiredDocumentswithPermitSubmission:Inadditiontothepermitformtheapplicantwillprovide
totheCityaminimumofthree(03)fullsizesetsofdrawingswithspecifi cations, one(01) 11x17sizeset
ofdrawings,andaPDFcopyofthedrawings(inonePDFfile)andPDF
copyofthespecifications.The
PDFversionsmustbeprovidedtothecodeofficialnolaterthan5businessdaysafterthepermit
submission.ThePDFversionscanbeprovidedatthetimethepermitissubmittedorbyemail.If
providedatthetimeofthesubmittaltheyshould
beplacedonaCDorremovablemediathumbdrive.If
providedinthismannertheCDand/orthethumbdrivewillremainwiththecodeofficialandnotbe
returned.
RequiredInspections:
ThefollowinginspectionsarerequiredforcommercialconstructionprojectswithintheCityof
Independence.Whenyourprojectisreadyforaninspection,youmaycall(620)3322541,before
4:00PMthedaypriortothatrequestedfortheinspection.
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GeneralConstruction
DW(Driveway) Aninspectionperformedtoverifythatdriveways,
sidewalksandcurbcutsareconstructedinconformance
withCitycodeandordinance.
FRM(Framing) Aninspectionofstructuralcomponentsand
connections,lumbersizeandloadbearing,andegress
windowsizes,priortosheetrockinstallation.
FTG
(Footings) FootingInspectioncheckthetypeandbearingof
foundations,reinforcement,clearanceandlocationon
theproperty.
FBI(FinalBuildingInspecti on) Afinalbuildinginspectiontoverifyall
componentsareinplaceandoperatingas
intended.
FFD(FinalFireDepartment) AfinalinspectionbytheFireDepartm entto
verifyLocal
andStaterequirementsforfire
safety,detectors,hazardousmaterials,alarm
systems,fireescapes,meansofegressand
maintenanceoffireprotectiondevices.
PlumbingConstruction
CCI(CrossConnectionInspection)Aninspectiontoverifycorrectinstallationof
thebackflowpreventiondevicesusedonthe
potablewatersystems.
GL(GasLine) A
visualinspectionofthegaslineandconnectionto
themeter.Thisinspectionisdonebythegas
utilityandcoordinatedbytheplumbingsub
contractor.
RIP(RoughinPlumbi ng) ThisisaninspectionoftheundergroundDWV
(Drain,WasteandVent)andwatersupply,
50#PSIonthewatersupply,
5#PSIairor10foot
headonDWVsystem.
SWR(Sewer) Thisinspectionisavisualinspectionofthesewer
lineinplacefromthecleanouttothetapatthe
citymain.
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FP(FinalPlumbing) Afinalinspectionafterallfixturesareinstalledand
connected.
ElectricalConstruction
TP(TemporaryPower) Thisinspectionisfortemporarypowerpoles
installedatjobsitesand/orjobtrailersfor
constructionandistoassurepoleisstrong
enoughtowithstandwindorweather,and
GFCI
protected.
PS(PermanentService) Avisualinspectionoftheinstallationorupgradeof
theelectricalsupplysystemtoaresidence
typicallyattheserviceentrance.
RIE(RoughinElectric) Aninspectionoftheinstallationofboxes,conduit,
cable,conductors,etc.prior tothecoveringby
wallboard,concrete,masonry
orearth.This
mustbedoneforanythingthatwillnotbe
visibleuponcompletionoftheproject.
FE(FinalElectrical) Aninspectionthatinsuresallfixtures,devices,
equipmentandpanelboardsareinstalledand
operatingcorrectly.
MechanicalConstruction
RIM(RoughinMechanical) Aninspectionoftheductwork,panning,flues,
combustion
air,andallitemsthatwillbe
coveredbydrywallorceilings.
FM(FinalMechanical) Afinalinspectionafterallfinalconnectionsare
madeandgrillesareinplace.Thesystemshall
beoperational.
SiteConstruction
SPA(SitePlanApproval)Inspectionincludeslocationofconstructionon
property,identificationof
easements,setbacks,
landscaping,sidewalks,pavement,andgrading.
STW(StormWater) Aninspectiontoverifycompliancewithstormwater
regulationsandcontrolofexcessstormwater
drainage,retentionanddispersal.
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Requireddocumentsfornewconstructionandadditions:3fullsetsofstampeddrawings,1PDFfileof
fullset,2setsofthepreliminary and/orfinal
stormwaterstudy,2setsofstormwater
pollutionpreventionplan,2approvedNOIfrom
KansasDepartmentofHealth&Environment,1
Code
footprint
RequiredPlansforInteriorRemodelorExteriorRemodel: 3fullsetsofstampeddrawings,1PDF
fileoffullset,1codefootprint,“Asbuilt”PDFat
projectcompletion
AdoptedCodes:
2012InternationalBuildingCode
2012InternationalExistingBuildingcode
2012InternationalResidentialCode
2015UniformPlumbingCode
2012International
MechanicalCode
2012InternationalFireCode
2011NationalElectricCode
2012InternationalPropertyMaintenanceCode
2010ADA
2000NFPA101LifeSafetyCode
MinimumDesignStandards:
WindSpeed:115mph
GroundSnowLoad:15lbs.
SeismicDesignCategory:B
FrostLineDepth:32"
HistoricalStandards:
SecretaryoftheInteriors
StandardsforRehabilitation
https://www.nps.gov/tps/standards/rehabilitati
on/rehabilitationguidelines.pdf
AdditionalPreservationandRehabilitationinformationcanbefoundatthefollowingwebaddress
https://www.nps.gov/tps/education/free
pubs.htm
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ImportantContactInformation:
RestaurantsandFoodServiceContactFoodservice/kitchenareaadditionalplanrequirements:
KansasDepartmentofAgriculture
109SW9
th
St.3
rd
Floor;Topeka,KS66612
(785)5646767*www.agriculture.ks.gov
CityContacts:
Planning&Zoning: Zoning,setbacks,siteplanreview,landscaping,signage,parking,paving&
subdivisionregulations.
KellyC.Passauer,CPM
AssistantCityManager/ZoningAdministrator
CityHall
811W.LaurelSt.
Independence,KS67301
(620)3322506
kellyp@independenceks. gov
FireDepartment: Exiting,smokedetectors,sprinklersystemandfirealarms
ShawnWallis
FireChief
CityHall
811W.LaurelSt.
Independence,KS67301
(620)3322504
shawnw@independenceks.gov
UtilityDepartment: Waterandsewertaps,feesandscheduling
TerryLybarger
DirectorofUtilities
CityHall
811W.LaurelSt.
Independence,KS67301
(620)3322542
terryl@independenceks.go v 
BuildingInspections: BuildingInspectionsfornewconstruction,renovations,additions,
landlord/tenant
DonCushing
BuildingInspector
CityHall
811W.LaurelSt.
Independence,KS67301
(620)3322541Office
(620)2057166cell
inspector@independenceks.gov
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PrivateUtilitiesContacts
Agency ContactPerson Phone
WestarEnergy JoannEvans (620)3322625
AtmosEnergy RyanCollett (620)3311547
AT&T BusinessSupport 8889440447
CableOne BusinessSupport 8775700500
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