Commercial Site Lighting Application Checklist Non-electronic for 11x17 plans or smaller Site Plan/Building Application # ________________________________ Completed Commercial Application Form Legal Landowner Signatures, Commercial Business Representative Affidavit, or Limited Power of Attorney. Provide the following required Virginia State Contractor’s License Contractors License- A/B/C Electrical License- A/B/C Electrical Tradesman License & Affidavit Two(2) sets of plans Drawings shall contain electrical service feeding lights including riser diagram. Drawings shall show wire sizes/circuit information for circuits supplying lights. Drawings shall show specific footing details from the light manufacturer’s specs on lights and poles being used or an engineer’s footing design is required. Show location and type of all lights on plan. Signature, name, and occupation of Designer are required on plans. Three (3) Site Plans Site plans must show the location and type of lights being used. If property is adjacent to residential properties then a lighting matrix is required. Lighting matrix must show the footcandles at the property line. Plan must also show the adjacent parcels with zoning classifications. Note: Footcandles at the property lines cannot exceed 0.5 when adjacent to residential properties. If you have any questions, please contact the Code Compliance Office (540) 507-7222. Office Use Only: Date Application Received: ______________________________________________ Reviewed By: _________________________________________________________ Notes: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ S:\Permit Technicians\SOP Checklist\Commercial Site Lighting Updated on03/01/15 Page 1 of 1