Fillable Commercial Building Permit Application (CITY OF INDEPENDENCE, KANSAS)

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Commercial Building Permit Application (CITY OF INDEPENDENCE, KANSAS)

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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.

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:______________________

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:

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:

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:___________________________

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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6



ProjectContractor/GeneralContractor:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

Sub‐ContractorInformation:

Soils/Excavation:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

Concrete:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

Masonry:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

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7

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FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

Steel/StructuralSteelErection:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

Framing:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

Roofing:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________KSRoofingLicenseNumber:_______________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

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8

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FlooringContractor:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

FlooringContractor(ifmorethanone):

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

DrywallContractor:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

MechanicalContractor:

Name:_________________________________

CityLicenseNumber:_____________________

CompanyName:__________________________

FirmAddress:_____________________________ 

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9

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_________________________________________

Telephone:________________________________

Email:_____________________________________

ElectricalContractor:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

PlumbingContractor:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

FireSprinklerContractor:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

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10

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LowVoltage/SecurityAlarm/FireAlarmContractor:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

Other:

Name:_________________________________CityLicenseNumber:___ __________________

CompanyName:__________________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

DesignProfessionals:

Architect:_________________________________KansasLicenseNumber:_____________________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

CivilEngineer:_________ ________________________KansasLicensenumber:__________________

FirmAddress:______________________________

_________________________________________

Telephone:________________________________

Email:_____________________________________

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11

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StructuralEngineer:_________ ________________________KansasLicenseNumber:_____________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

MechanicalEngineer:_________________________________KansasLicenseNumber:____________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

ElectricalEngineer:_________________________________KansasLicenseNumber:____________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

PlumbingEngineer:_________________________________KansasLicenseNumber:____________

FirmAddress:_____________________________ 

_________________________________________

Telephone:________________________________

Email:_____________________________________

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12

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ChecklistofRequiredSubmittals&Drawings:

DocumentsRequired

New

Construction

Addition

Remodeling

Interior

Remodel

Exterior

Repairs

Accessory

Building

ApplicationForm

X X X X X X

FireCodeFootprint

X X X X X X

FloorPlan

X X X X X X

SitePlanwithUtilities

X X X X

ElevationDrawings‐

exterior

X X

CivilPlans&Details

X X X

StructuralPlans&Details

X X X

X*1

MechanicalPlans&Details

X X X

ElectricalPlans&Details

X X X

X*2

PlumbingPlans&Details

X X X

ConstructionDetails

X X X X X X

X*1‐ifrequiredatthedis cretionofthecode

official

 

X*2‐Requirediftheadditionofadditionalelectricalswitchgearisneeded

KansasStateLawrequiresalicensedArchitectorEngineertodesignprojectsandsystemsmeeting

certaincriteria.TheservicesofaKansasLicensedArchitectarerequiredintheDesignofnewbuildings

otherthansinglefamilydwellings(upto

duplex’s)orfarmbuildings(thatdonothousehuman

occupancy).Anarchitectshallalsoberequiredfordesigningchangestoexistingbuildingswhichaffects

thefollowing:structuralcomponents,fireresistivequalitiesofthestructure,firedetectionor

suppressionsystems,changesinbuildingusage,existingpatternsornewpartitionconfigurations.K.S.A.

74‐7001,7003,7038.

Stampeddrawingsbytheappropriatedesignprofessionalarerequiredforallnewconstruction,

additionsandinteriorremodelingpermits.Apdfofalldrawingssubmittedisalsorequired.

MinimumInformationtobeincludedondrawings:

FireCodeFootprint.AdrawingindicatingtheOwnerscompliancewithStateLawtoprotectoccupants

fromdangersoffireandexplosion;andtheArchitect’swrittenandgraphicdescriptionoftheintended

LifeSafetyfeaturesinabuildingusedbythepublic.ReferenceKansasStateFireMarshal“FireFact061”

https://www.lvks.org/egov/docs/537011192202083.pdf

SitePlan:Agraphicrepresentationofthepropertyindicatingbutnotlimitedtothefollowing:property

lines,propertysize(toscaleordimensionsshown),Northarrow,adjacentstreet(s),locationofexisting

improvements,proposedconstruction,setbackdimensionsfrompropertylines,waterservice,sewer

lines,electricallines,gaslines,otherutilities,any

easements,paving,curbcuts,grading&drainage.

Stormwaterdrainage/preventionplan,anderosioncontrolplan(ifover1acreasrequiredbythestate)



13



FloorPlan:Plansshallbedrawntoscalewithdimensionsshown,showingwalls,doors,windows,

constructiontypes,allfloorlevels.Indicatemethodandpathofstormwaterdrainage.Noteallfire

ratedpartitions,rateddoors,safetywindowglazing,stairway.

ElevationDrawings:Illustratethebuildingfront,sides&rear

views.Notationofmaterials&finishes

andshowingextentofsuchitemsgraphically

ElectricalPlan:Indicatethelocationandsizeofnewelectricalserviceanddescribenewpanelboard.

Indicatelightingarrangementanddistributionofpower.Indicateemergencylighting,exitlightingand

locationofGFCIoutlets.Indicaterequiredfirealarmsystem

designandlayout.

PlumbingPlan:Indicatethesanitarysewerlocationexitingtheconstructionandthetietoexisting

systems(ifapplicable),withcleanoutlocations.Indicatethewaterservicelinelocation,sizeandthetie

toexistingsystem(ifapplicable).Locateandsizepipinginsidethebuildingandlocationoffixtures.



Indicatefiresuppressionandfiredepartmentconnectionasr equired.Notebackflowpreventiondevice

locationsandanyrequiredgrease,and/oroilinterceptor.

HVACPlan:Indicatethebuilding’senvironmentalcontrolsystemandlayout,notingthesizes,types,and

fuelused.Indicateventingandexhaustingtomeetrequirements.

StructuralPlan:Indicatethe

footing,foundation,roofframing,columnandloadbearingsystemsand

locations,notingsizesandstrengthsofmaterialsused.Notedesigncriteria,includingloadsand

exposure.

ConstructionDetails:Illustratetheconstructionmaterialsandmethodsne cessarytoconveytothe

buildingofficial,thecompliancewithapplicableprovisions ofthecurrentcodesand

standards.

RequiredDocumentswithPermitSubmission:Inadditiontothepermitformtheapplicantwillprovide

totheCityaminimumofthree(03)fullsizesetsofdrawingswithspecifi cations, one(01) 11x17sizeset

ofdrawings,andaPDFcopyofthedrawings(inonePDFfile)andPDF

copyofthespecifications.The

PDFversionsmustbeprovidedtothecodeofficialnolaterthan5businessdaysafterthepermit

submission.ThePDFversionscanbeprovidedatthetimethepermitissubmittedorbyemail.If

providedatthetimeofthesubmittaltheyshould 

beplacedonaCDorremovablemediathumbdrive.If

providedinthismannertheCDand/orthethumbdrivewillremainwiththecodeofficialandnotbe

returned.

RequiredInspections:

ThefollowinginspectionsarerequiredforcommercialconstructionprojectswithintheCityof

Independence.Whenyourprojectisreadyforaninspection,youmaycall(620)332‐2541,before

4:00PMthedaypriortothatrequestedfortheinspection.



14



GeneralConstruction

 DW(Driveway) Aninspectionperformedtoverifythatdriveways,

sidewalksandcurbcutsareconstructedinconformance

withCitycodeandordinance.

 FRM(Framing) Aninspectionofstructuralcomponentsand

connections,lumbersizeandloadbearing,andegress

windowsizes,priortosheetrockinstallation.

 FTG

(Footings) FootingInspectioncheckthetypeandbearingof

foundations,reinforcement,clearanceandlocationon

theproperty.

 FBI(FinalBuildingInspecti on) Afinalbuildinginspectiontoverifyall

componentsareinplaceandoperatingas

intended.

 FFD(FinalFireDepartment) AfinalinspectionbytheFireDepartm entto

verifyLocal

andStaterequirementsforfire

safety,detectors,hazardousmaterials,alarm

systems,fireescapes,meansofegressand

maintenanceoffireprotectiondevices.

PlumbingConstruction

 CCI(CrossConnectionInspection)Aninspectiontoverifycorrectinstallationof

thebackflowpreventiondevicesusedonthe

potablewatersystems.

 GL(GasLine) A

visualinspectionofthegaslineandconnectionto

themeter.Thisinspectionisdonebythegas

utilityandcoordinatedbytheplumbingsub‐

contractor.

 RIP(Rough‐inPlumbi ng) ThisisaninspectionoftheundergroundDWV

(Drain,WasteandVent)andwatersupply,

50#PSIonthewatersupply,

5#PSIairor10‐foot

headonDWVsystem.

 SWR(Sewer) Thisinspectionisavisualinspectionofthesewer

lineinplacefromthecleanouttothetapatthe

citymain.



15



 FP(FinalPlumbing) Afinalinspectionafterallfixturesareinstalledand

connected.

ElectricalConstruction

 TP(TemporaryPower) Thisinspectionisfortemporarypowerpoles

installedatjobsitesand/orjobtrailersfor

constructionandistoassurepoleisstrong

enoughtowithstandwindorweather,and

GFCI

protected.

 PS(PermanentService) Avisualinspectionoftheinstallationorupgradeof

theelectricalsupplysystemtoaresidence

typicallyattheserviceentrance.

 RIE(Rough‐inElectric) Aninspectionoftheinstallationofboxes,conduit,

cable,conductors,etc.prior tothecoveringby

wallboard,concrete,masonry

orearth.This

mustbedoneforanythingthatwillnotbe

visibleuponcompletionoftheproject.

 FE(FinalElectrical) Aninspectionthatinsuresallfixtures,devices,

equipmentandpanelboardsareinstalledand

operatingcorrectly.

MechanicalConstruction

 RIM(Rough‐inMechanical) Aninspectionoftheductwork,panning,flues,

combustion

air,andallitemsthatwillbe

coveredbydrywallorceilings.

 FM(FinalMechanical) Afinalinspectionafterallfinalconnectionsare

madeandgrillesareinplace.Thesystemshall

beoperational.

SiteConstruction

 SPA(SitePlanApproval) Inspectionincludeslocationofconstructionon

property,identificationof

easements,setbacks,

landscaping,sidewalks,pavement,andgrading.

 STW(StormWater) Aninspectiontoverifycompliancewithstormwater

regulationsandcontrolofexcessstormwater

drainage,retentionanddispersal.



16



Requireddocumentsfornewconstructionandadditions:3fullsetsofstampeddrawings,1PDFfileof

fullset,2setsofthepreliminary and/orfinal

stormwaterstudy,2setsofstormwater

pollutionpreventionplan,2approvedNOIfrom

KansasDepartmentofHealth&Environment,1

Code

footprint



RequiredPlansforInteriorRemodelorExteriorRemodel: 3fullsetsofstampeddrawings,1PDF

fileoffullset,1codefootprint,“As‐built”PDFat

projectcompletion

AdoptedCodes:  

2012InternationalBuildingCode

2012InternationalExistingBuildingcode

2012InternationalResidentialCode

2015UniformPlumbingCode



2012International

MechanicalCode

2012InternationalFireCode

2011NationalElectricCode

2012InternationalPropertyMaintenanceCode

2010ADA

2000NFPA101LifeSafetyCode



MinimumDesignStandards:

WindSpeed:115mph

GroundSnowLoad:15lbs.

SeismicDesignCategory:B

FrostLineDepth:32"



HistoricalStandards:

SecretaryoftheInteriors

StandardsforRehabilitation

https://www.nps.gov/tps/standards/rehabilitati

on/rehabilitation‐guidelines.pdf

AdditionalPreservationandRehabilitationinformationcanbefoundatthefollowingwebaddress

https://www.nps.gov/tps/education/free‐

pubs.htm



17



ImportantContactInformation:

RestaurantsandFoodServiceContact–Foodservice/kitchenareaadditionalplanrequirements:

 KansasDepartmentofAgriculture

 109SW9

St.3

Floor;Topeka,KS66612

 (785)564‐6767*www.agriculture.ks.gov

CityContacts:

Planning&Zoning: Zoning,setbacks,siteplanreview,landscaping,signage,parking,paving&

subdivisionregulations.

 KellyC.Passauer,CPM

AssistantCityManager/ZoningAdministrator

CityHall

811W.LaurelSt.

Independence,KS67301

(620)332‐2506

kellyp@independenceks. gov

FireDepartment: Exiting,smokedetectors,sprinklersystemandfirealarms

 ShawnWallis

FireChief

CityHall

811W.LaurelSt.

Independence,KS67301

(620)332‐2504

shawnw@independenceks.gov

UtilityDepartment: Waterandsewertaps,feesandscheduling

 TerryLybarger

DirectorofUtilities

CityHall

811W.LaurelSt.

Independence,KS67301

(620)332‐2542

terryl@independenceks.go v 

BuildingInspections: BuildingInspectionsfornewconstruction,renovations,additions,

landlord/tenant

 DonCushing

BuildingInspector

CityHall

811W.LaurelSt.

Independence,KS67301

(620)332‐2541Office

(620)205‐7166cell

inspector@independenceks.gov



18



PrivateUtilitiesContacts

Agency ContactPerson Phone

WestarEnergy JoannEvans (620)332‐2625

AtmosEnergy RyanCollett (620)331‐1547

AT&T BusinessSupport 888‐944‐0447

CableOne BusinessSupport 877‐570‐0500



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Commercial Building Permit Application (CITY OF INDEPENDENCE, KANSAS)

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