Application for Commercial Plan Approval

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Complete the form on screen, print it, and sign it. Nothing is transmitted from this page.

Before you start

Submit one application for each building or structure. All sections must be completed, and four sets of plans are required. See the commercial permit application instructions for what the plans must show.

Office use

Logged In (office use)

Plan Review # (office use)

Sent / Received (office use)

Scope of project

Type of project

New Building/Structure
Repair/Replacement
Alteration
Addition
Change of Occupancy

Other — specify

Project location

Parcel number

Township

Name / description of project

Project no.

Site address

Lot no.

City

Zip code

Building owner

Name

Address

City

State

Zip code

Phone

Mobile

Fax

Contractor

Name

Address

City

State

Zip code

Phone

Mobile

Fax

Applicant

Name

Address

City

State

Zip code

Phone

Mobile

Fax

Plans prepared by

Architect
Engineer
Certified Sprinkler / Alarm Designer

Name

Registration number

Address

City

State

Zip code

Phone

Mobile

Fax

Occupancy and construction

Current OBC use group

Proposed OBC use group

Contact email

Construction type

This application for a building permit is required for your building project. Other permits may be required as well. These include, but are not limited to, zoning; access management (driveway permits); and compliance with the Special Purpose Flood Damage Resolution for Pickaway County (in flood hazard areas). You are responsible for determining the applicability and ensuring compliance with regulations related to your project.

All permits will expire after one year of inactivity.

Initial

Project totals

Project cost ($)

Total square footage

Total fee due ($) — from the worksheets below

I hereby certify that all information contained in this application is true, accurate, and complete to the best of my knowledge.

Signature

Signature (sign after printing)

Owner
Agent

Date

Building department use

Decision (completed by the department)

Approved
Partial Approval
Correction Letter

Plans Examiner (office use)

Date (office use)

Print name (office use)

Building Official (office use)

Date (office use)

Processed by — counter or mail (office use)

Worksheet for fees

Round up all square footage figures to the next 100 feet.

Structural fees
Item	Fee	Amount
A. Processing fee per structure	$250.00	Amount for this line
B. Per 100 square feet. For example, 103 sq ft rounds to 200 sq ft	$9.50	Amount for this line

Mechanical fees
Item	Fee	Amount
A. Processing fee per structure	$250.00	Amount for this line
B. Per 100 square feet. For example, 103 sq ft rounds to 200 sq ft	$5.75	Amount for this line

Electrical fees
Item	Fee	Amount
A. Processing fee per structure	$250.00	Amount for this line
B. Per 100 square feet. For example, 103 sq ft rounds to 200 sq ft	$5.75	Amount for this line
D. Per alarm system device	$5.75	Amount for this line

Fire protection
Item	Fee	Amount
A. Processing fee per structure	$250.00	Amount for this line
B. Per 100 square feet. For example, 103 sq ft rounds to 200 sq ft	$5.75	Amount for this line

Hood systems
Item	Fee	Amount
A. Processing fee per hood	$250.00	Amount for this line

Industrialized unit fees
Item	Fee	Amount
A. Processing fee per structure	$200.00	Amount for this line
B. Per 100 square feet. For example, 103 sq ft rounds to 200 sq ft	$1.75	Amount for this line

Industrialized unit fees are only required if you are placing an approved Board of Building Standards Industrialized Unit for the first time. Otherwise, ignore this fee box.

Sign fees
Item	Fee	Amount
A. 0 to 15 square feet sign area	$40.00	Amount for this line
B. Over 15 to 30 square feet sign area	$100.00	Amount for this line
C. Over 30 square feet sign area	$300.00	Amount for this line
D. Multiple signs — use over 30 square feet total area and add $40.00 per sign	$40.00 per sign	Amount for this line

Special inspections
Item	Fee	Amount
A. Certificate of Use & Occupancy per structure	$150.00	Amount for this line

Other — $150 per item

Electrical
Mechanical
Plumbing
Structural

Amount ($)

Plan review and totals
Item	Rate	Amount
A. Preliminary plan review	$100.00 per hour	Amount for this line
Plumbing fee (from Worksheet A)	—	Amount for this line
Subtotal	—	Amount for this line
Board of Building Standards (BBS) fee	3% of subtotal	Amount for this line
Municipal and Township Surcharge, where applicable	10% of subtotal	Amount for this line
Total	—	Amount for this line

Make fee check or money order payable to: Pickaway County Building Department. Square footage figures are rounded up to the next 100 square feet as per Section 108.2 of the OBC. Please submit 4 sets of plans.

All permit fees are non-refundable unless an error was made by the Building Department.

Worksheet A — Plumbing fee schedule

Enter the number of each fixture in the project.

Plumbing fixture counts
Fixture	Count
Air Admittance Valves	Count of Air Admittance Valves
Aspirators	Count of Aspirators
Autopsy Tables, Morgue	Count of Autopsy Tables, Morgue
Backflow Devices	Count of Backflow Devices
Bidets	Count of Bidets
Dental Cuspidors	Count of Dental Cuspidors
Dental Lavatories, Chair	Count of Dental Lavatories, Chair
Dilution Sumps	Count of Dilution Sumps
Drains, Floor	Count of Drains, Floor
Drains, Roof Storm	Count of Drains, Roof Storm
Expansion Tanks	Count of Expansion Tanks
Fountains, Baptismal	Count of Fountains, Baptismal
Fountains, Drinking	Count of Fountains, Drinking
Fountains, Soda	Count of Fountains, Soda
Fountains, Wash	Count of Fountains, Wash
Garbage Disposals	Count of Garbage Disposals
Hose Bibs, Outside	Count of Hose Bibs, Outside
Hot Water Dispensers	Count of Hot Water Dispensers
Hydrotherapy Baths	Count of Hydrotherapy Baths
Ice Makers	Count of Ice Makers
Interceptors, Garage/Oil	Count of Interceptors, Garage/Oil
Interceptors, Grease	Count of Interceptors, Grease
Interceptors, Sand	Count of Interceptors, Sand
Lavatories	Count of Lavatories
Piping Systems, Sanitary	Count of Piping Systems, Sanitary
Piping System, Storm	Count of Piping System, Storm
Piping Systems, Water	Count of Piping Systems, Water
Sterilizers	Count of Sterilizers
Sump-Pumps	Count of Sump-Pumps
Softener	Count of Softener
Sewage/Ejectors	Count of Sewage/Ejectors
Shampoo Bowls	Count of Shampoo Bowls
Showers	Count of Showers
Sinks, Chemical	Count of Sinks, Chemical
Sinks, Clinical	Count of Sinks, Clinical
Sinks, Domestic	Count of Sinks, Domestic
Sinks, Floor	Count of Sinks, Floor
Sinks, Instrument	Count of Sinks, Instrument
Sinks, Laboratory	Count of Sinks, Laboratory
Sinks, Pharmacy	Count of Sinks, Pharmacy
Sinks, Plaster	Count of Sinks, Plaster
Sinks, Scullery	Count of Sinks, Scullery
Sinks, Food Prep	Count of Sinks, Food Prep
Sinks, Mop	Count of Sinks, Mop
Sinks, Surgical	Count of Sinks, Surgical
Sinks, X-Ray	Count of Sinks, X-Ray
Sinks, Bar	Count of Sinks, Bar
Tubs, Bath	Count of Tubs, Bath
Tubs, Laundry	Count of Tubs, Laundry
Urinals	Count of Urinals
Valves, Pressure Reducer	Count of Valves, Pressure Reducer
Valves, Tempering	Count of Valves, Tempering
Washers, Automatic	Count of Washers, Automatic
Washers, Bed Pan	Count of Washers, Bed Pan
Washers, Dish	Count of Washers, Dish
Washers, Eye (Emergency)	Count of Washers, Eye (Emergency)
Water Closets	Count of Water Closets
Water Heaters	Count of Water Heaters
Total fixture count	Total fixture count

Plumbing fees
Item	Fee	Amount
Plumbing processing fee per structure	$250.00	Amount for this line
Total fixture count × $20.00	$20.00 each	Amount for this line
Total plumbing fees	—	Amount for this line

Contractor and subcontractor information

General contractor

Name

License #

Contractor address

City

State

Zip

Phone #

Mobile

Fax

Contact person

Provide a list of all subcontractors. All subcontractors must be registered before a permit can be issued. See Contractor / Sub-Contractor Registration.

Subcontractors
Type of work	Contractor DBA and/or name	Local registration #
Subcontractor 1 type of work	Subcontractor 1 name	Subcontractor 1 local registration number
Subcontractor 2 type of work	Subcontractor 2 name	Subcontractor 2 local registration number
Subcontractor 3 type of work	Subcontractor 3 name	Subcontractor 3 local registration number
Subcontractor 4 type of work	Subcontractor 4 name	Subcontractor 4 local registration number
Subcontractor 5 type of work	Subcontractor 5 name	Subcontractor 5 local registration number
Subcontractor 6 type of work	Subcontractor 6 name	Subcontractor 6 local registration number
Subcontractor 7 type of work	Subcontractor 7 name	Subcontractor 7 local registration number
Subcontractor 8 type of work	Subcontractor 8 name	Subcontractor 8 local registration number
Subcontractor 9 type of work	Subcontractor 9 name	Subcontractor 9 local registration number
Subcontractor 10 type of work	Subcontractor 10 name	Subcontractor 10 local registration number

Nothing on this page is transmitted to the county. Print it, sign it, and deliver it as the form directs.