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04201073 Permit File CITY OF DUBLIN 5800 Shier Rings Road Division of Building Standards Dublin, Ohio 43016 COMMERCIAL BUILDING Telephone: 614-410.4670 PERMIT APPLICATION Inspection Line: 614-410-4680 Facsaniie: 614-761-6566 PROJECT INFORMATION Address fo`b SNAI,m A Ta "s ProjectSq Fig. Project Name "~tZ 5cn2C~at~ QCq,vm YhS Estimated Cost of Construction s Parcel Number L 495 PROPERTY OWNER INFORMATION 000 Property Owner Name (Contact Pemon if owned by a Corporatrm J c I C= &Aepu 60 Company Name 1Sc tscn,2 .taPt2 a I Ss Address (o5D 514ALoAd FAus City -O?~1 L t A State N I O Tip 4 30 ( 7 Telephone I b 1 Fax E-Mail TENANT INFORMATION (If Applicable) ContactName -1J%QZ#9 SCAC&u&I! _ Company Name Address- (056 5~1, g&A1 Fa445. City 1XkRL.I4 State -0 u 10 Tip 436t-7 TeIephone____(gi4 b -1111 Fax E-Mati ARCHITECT, ENGINEER, OR OTHER DESIGN PROFESSIONAL INFORMATION Design Professional NameE r Ohio Reg/Cert Number Company Name l~iLaeos uets Address 3reQ F__ "v%,wt yr" ilue city u~ state --CH r o Zp 43Lt T hone t Z I -1110 Fax E-Mail GENERAL QCON RACTOR INFORMATION (Must be a City of Dublin Registered Contractor) ontact Name .s~rAt D2Wj,__ - Dublin Registration # 04 - 504#1 pany dame i?A,b i, 6a i Low _ ZcrC Address I (a 'kmer S[. City- L,tA M 6A!5 State m41i0 Zip !4--;? ZZZ T hone (O i rF a7;i- Z(o i ' Fax a7 2 - a / E-Mati AFFIDAVIT OF OWNER AUTHORIZATION FOR REPRESENTATION Note: This person will be contacted ~ with all official correspondence. All signatures must be ORIGINAL. er'sRepreser~tive ~AT NN02E.5 Relations ' toProject Company Name _ VA c o w. a r~1.,CF -11u C Position r f Telephone &14 -)7z- 1, o S S C14tA ftilease print), the owner and applicant, hereby authorize- ~ A ?-r4R~S to act as my representative and agent in all matters pertaining to the processing and approval of this application including modifying the project, and t agree t0 be bound by all repres tations and agreements made by the designated agent Signature of Property Owner Dater I. ~IQ-T kA the Owner or the Owners Representative, have read and understand the contents of all 3 pages of this application. The information contained in this Application, attached exhibits and other information submitted is com le and in all re t5 true and correct, to the best of my knowledge and belief. i ature of Owners R resentative: Date:- 7-24- c7 Building Standards Division Use Only Date Received Building Standards Gcation Number C) 'Q C) i ©a COMMERCIAL BUILDING PERMrr APPLICATION Page 7d3 P:1PASMLDG%FORM=OMMAPP.W62 Form#BLD-201 D.WOV16100 CITY OF DUBLIN Division of Building Standards COMMERCIAL BUILDING PERMIT APPLICATION Project Name -OR- SC-AF-bot 61 w F )c4•.., Xboms Permit Number PROJECT INFORMATION NOTE: The following information is to be completed by the Design Professional, registered in the State of Ohio, who was primarily responsible for the preparation of the construction documents. Scope of Project 11Wo0~ G~ G~'T r ~L! pF LK r S^r , t' qc~ TYPE OF WORK (Check all that apply) A. New Structure B. Addition Fire Wall Yes No C. Alteration Article 34 Yes No D. Change of Use Entire Structure Partial E. Change of Occupanc Entire Structure Partial Previous Use(s) p>7=FICE Use Group(s) j~,tsr~vtsg ANALYSIS OF NEW STRUCTURE, ADDITION, AND/OR AREA TO BE ALTERED A. Occupancy Description"N. OR; c-r-- Use Group(s) '~n yrr`sIESS B. Mixed Use: Yes Q Non-separated =Separated Q No C. Type of construction 'J D. Fire resistive construction Fire Test Design Numbers Exterior Walls hr. Fire Walls ra hr. Floor/Ceiling - hr. Columns/Bearing Wall i hr. Exit Enclosures 1 hr. Shafts 1 hr. Corridors hr. Tenant Separation nl/A hr. E. Floor Area/Floor Occupant Load/Floor Egress Capacity/Floor Number of Exits Basement 1 stU45C) 2nd to 4 50 3rd 4th & above F. Allowable maximum floor area (first floor footprint) Does the above include street frontage increase? Yes R No Does the above include increase for sprinklers? Yes No G. Number of stories above grade z Height Basement Yeso No~ COMMERCIAL BUILDING PERMIT APPLICATION Pape 2 of 3 PAPASS%8LDGIFORMS%COMMAPP.WB2 Fomgl BLD-201 Date: 10/11/99 • CITY OF DUBLIN Division of Building Standards COMMERCIAL BUILDING PERMIT APPLICATION H. Horizontal exits Yes No 1. Limited sprinkler system Yes No X J. Full automatic sprinkler system Yes No K. Standpipe system Yes No L. Smoke control/Removal system Yes No M. Unlimited area building Yes No X N. Manual fire alarm Yes No 0. Auto fire alarm Yes X No P. Handicap accessible route (exterior & interior) Yes No Q. Structural Loads: provide table of design loads with construction documents EXISTING STRUCTURE ANALYSIS (Complete for all alteration or addition projects) A. Occupancy Description OK-%CA Use Group(s) > B. Mixed Use: Yes Non-separated =Separated 0 No L)d C. Type of construction_ D. Floor Area/Floor Occupant Load/Floor Egress Capacity/Floor Number of Exits Basement WA 1st &oav 2nd L o qo 3rd 4th & above E. Allowable maximum floor area (first floor footprint) Does the above include street frontage increase? Yes 8 No Does the above include increase for sprinklers? Yes No F. Number of stories above grade Building Height Basement YesO No0 G. Horizontal exits Yes )e No H. Limited sprinkler system Yes No 1. Full automatic sprinkler system Yes No J. Standpipe system Yes No se K. Smoke control/Removal system Yes No L. Unlimited area building Yes No ,c M. Manual fire alarm Yes No N. Auto fire alarm Yes .4 No 0. Handicap accessible route (exterior & interior) Yes No P. Structural Loads: provide table of design loads with construction documents I, , the Design Professional, have read and understand the contents of this I; rmation contained in this application, attached exhibits and other informaplete and in all respects true and correct, to the best of my knowledge and bSignature of Design Professional: Date. COMMERCIAL BUILDING PERMIT APPLICATION SIBLDGIFORMS%COMMAPP.WB2 FomW BLD-201 Daw.10/11199 JUL-c'b-2004 by: bc~ Li ty of Dublin 6147616566 P-02 Division of Building Stndardi; 5800 Shier Rings Road Dublin, Ohio 43016 701TY OF DUBLIN Phone., WMD 614/410.4670 Inspection Line: 614/410-4680 WALK-THROUGH ELIGIBILITY EVALUATION PROJECTADDRESS: (056 S1 ~A060 -P L.« c PROJECT NAME: ~ cX.ra2~[1AG,u tier,., 2yc~n, s APPLICANT:- T ©?.E'S PHONE: (014 .a-72 -,0(. 15 AUTHOR (IN ATTENDANCE): TA 4xteeo-6 PHONE: _(g (gyp -)-72- 2l0 GEN. CONTRACTOR (REQ'p);_ )Om BU IGQ I-r- {-++C DUBLIN REGISTRATION Il 04 - -SD4'I SQUARE FOOTAGE OF AREA TO BE ALTERED: Circle the appropriate catagoryls in each box and put the corresponding point value In the equation at the bottom of the page USE GROUP TYPE OF CONSTRUCTION NATURE OF WORK A1........ 0.5 1A...................................... 7 CHANGE OF USE.. 1.5 1.2 A2..................... 0.8 18 6 ALTERATION . A3........ 0.0 2A...................................... 4.6 NEW BUILDING.....(<100SF)..............._. 1.0 3.1 DDITiON. 4000)..... A4.................. 0.7 28 A5...........,,........ 02 2C...._......_ 2 1.S E 0.4 3A....................................... La PERMITS REQUIRED (Add all permits required) B.. 02 38 2 BUILDING.,................................ 1.0 0.8 3 HVAC....................... 1.0 F2.................... 0.5 SA......... 2.1 ELECTRICAL.. M 0.4 5B. 1 LIMITED SPRINKLER................................................ 1.0 H.....not allowed SPRINKLER.&IOR FIRE ALARM. 02 R 0.4 N !NA OR ZONING COMPLIANCE..(Required)............................... 1.0 S1 0.5 OH ARCHITECT................. 1.0 S2 0.4 OH ENGINEER................... 1.0 NO. OF FLOORS (Involved In the review) 11 _.not allowed STATE CERT DES........ 1.0 1 1.0 12..-.not allowed ALL OTHERS r 2-3.................................. 13.....not allowed "=ZX TYPE OF CONST. 4-UP 3.0 U.............. 0.1 NO.OF DRAWINGS (EXCLUDING COVER SHEET) 1.4 1.0 4-UP., 3.0 .2. x l x_Lx-L•Z x..~ I x k x 1 .2.4 USE X. CONST X ORIG X NATURE X PERMITS X FLOORS X NO DWGS = TOTAL THE PRODUCT OF THE ABOVE CALCULATION-MUST NOT EXCEEb THE VALUE OF (10) IN ORDER TO BE CONSIDERED FOR WALK THROUGH EVALUATION. PLEASE FAX COMPLETED FORM, BUILDING PERMIT APPLICATION, AND ZONING COMPLIANCE FORM TO THE BUILDING STANDARDS DIVISION AT 814-761-OWs WAUPT1RDIlOM FUOIBRM EVALUATM MW P1*ASSMIAG 0ft5WaWVM eio aot AN- lam Im o ylnroro .30~ V lHOt-i o r 1 .e c~ ro O O O O O O 1 [n H 'y O O O O O N IZ1 0 0 0 0 0o I HC~ I O~ 1 ro h7 H n H 0 w 0 0 0 0 0 y p CC ro 0 0 0 0 ow 'Flz tltl tnm CN\ H H O z r t0 [nr7 M [na7 n n o) m M o t7- L, t~ 0 0 o 3 pro m (A H [sy O O O O O 0 0 0 0 o H y i ~o E yK C) 0 0 0 3 3 0 t7 m [9 h7 L77 to td t-4 M 0 H H 0 L1 ~ z z ro ro t7 H H H (sj W ' n n n % z co co ca H H M L21 M H H C C C H H H zn zxn xzn zzxz z icy t-I Mm Wt-I t-I rhL-i Mt-i t-i i0 M co rn 0 M [n i0 0 10 1 O Ogg 3 00 3 0 0 O O O O O 3 3 ~ ~ 3 ~ ~ ~ 3 x z m p H O O 0 0 -1 m 0 .r rr H ~ ao I H U ro m~ro a m ~ nroi m~ za r°n lD 'o o a ro H w I cn M 1 \ y ro01 off o y o m 0 w o 1 Dim 1 ,pp O a o w O O O N 1 n H 1 z o m e 0 o 0 o w H z x x N O H a H b H H N z C 1 Z H 1 C fA n m n E n ~r a 0 ~ .Fe n H rr H w ri H H• rr N N o O xd m m H O w 0 x 0 0 o W o X1 '.7 H H H o n tp m a n v H 1 \ U7 Ci n f'{ n to n n rro O 0 M m H m m n 7 V Ln 0 0 0 H 0- H U, Ui ro ton A7 mz -z ~0 0 P a0111,~Z N H (t7" ar Mix H~•ro K t-i n omrw m r m 0 w O m rr 0 ?t7 C x~ w~ 3b O m P. 'O C w x ~:s ro H m tQ S w O C m H C w k co m H- o w r aH 0 N \ N M W CY N O ~ [s] X\ rt\ \ M H \ \ 1 (n N H Fj 0 O O H m H N N O m 10 O tO 'I ~ H i 1 t'~ \ w \ h( \ m M \ \ I H b to N to & M toil 0 rH* w (D 0 0 P. q ~O r- d y 1 H rm1 ro rr H H ro rt p H ro 1 m p 1 10 ED z n q K z to z m rwr m 3 z J M Ort ,G7. w M H Y 0 m O ID t l It O d C: ~L M ON ~ ~'a 0 to ty m J H m 1 to m 1 0 0 to z c-i L-i N Cs7 C.1 N N f ro r N U] n H O H 1 ~ 1 CITY OF DUBLIN Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 PATOM BUILDING, INC. 1376 RIVER STREET COLUMBUS, OH 43222 March 14, 2006 RE: Expired Building Permit Application Number: 04-201073 Address: 650 SHAWAN FALLS DR Project Description: DR SCARBOUGH EXAM ROOMS Dear PATOM BUILDING, INC.: The Building Standards Division records indicate that the above-mentioned permit expired and that the project has not received a Final Inspection Approval. In the event that we are in error, please contact this office immediately so that we may amend our files and issue the appropriate Final Approval or Certificate of Occupancy. If the project has not been completed or simply lacks a final inspection, please call the Inspection Line (614-410-4680) to schedule the final inspections as soon as possible. Please be advised of the following from the Dublin Codified Ordinances: 150.158 FAILURE TO COMPLETE WORK Failure to complete the work authorized by the permit or any extensions thereof shall result in the permit being invalidated and, if any construction has been started and has not been completed, the applicant or owner shall be in violation of the building code. ('80 Code 1341.04)(Ord. 51-82, passed 10-4082) Penalty, see 150.999 Please contact this office immediately (614-410-4670) so that we may assist you in bringing closure to this project. Sincerely, Robert K. Price, CBO Director of Building Standards CC: PROPERTY OWNER 650 SHAWAN FALLS DR DUBLIN, OHIO 43016 CITY OF DUBLIN Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 PATOM BUILDING, INC. 1376 RIVER STREET COLUMBUS, OH 43222 August 31, 2005 RE: Expired Building Permit Application Number: 04-201073 Address: 650 SHAWAN FALLS DR 'Project Description: DR SCARBOUGH EXAM ROOMS Dear PATOM BUILDING, INC.: The Building Standards Division records indicate that the above-mentioned permit expired and that the project has not received a Final Inspection Approval. In the event that we are in error, please contact this office immediately so that we may amend our files and issue the appropriate Final Approval or Certificate of Occupancy. If the project has not been completed or simply lacks a final inspection, please call the Inspection Line (614-410-4680) to schedule the final inspections as soon as possible. Please be advised of the following from the Dublin Codified Ordinances: 150.158 FAILURE TO COMPLETE WORK Failure to complete the work authorized by the permit or any extensions thereof shall result in the permit being invalidated and, if any construction has been started and has not been completed, the applicant or owner shall be in violation of the building code. ('80 Code 1341.04)(Ord. 51-82, passed 10-4082) Penalty, see 150.999 Please contact this office immediately (614-410-4670) so that we may assist you in bringing closure to this project. Sincerely, *&"\L Robert K. Price, CBO Director of Building Standards CC: PROPERTY OWNER 650 SHAWAN FALLS DR DUBLIN, OHIO 43016 CITY OF DUBLIN Division of Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 PATOM BUILDING, INC. 1376 RIVER STREET COLUMBUS, OH 43222 February 02, 2005 RE: Building Permit Nearing Expiration Application Number: 04-201073 Address: 650 SHAWAN FALLS DR Project Description: DR SCARBOUGH EXAM ROOMS Dear PATOM BUILDING, INC.: The Building Standards Division records indicate that the above-mentioned permit will expire on February 20, 2005 and that the project has not received a Final Inspection Approval. In the event that we are in error, please contact this office immediately so that we may amend our files and issue the appropriate Final Approval or Certificate of Occupancy. If the project has not been completed or simply lacks a final inspection, please call the Inspection Line (614-410-4680) to schedule the final inspections as soon as possible. If additional time is necessary to complete the project, we will be happy to extend the permit for another six months, if you contact this office prior to permit expiration. There will be a $20.00 fee due at that time. We look forward to hearing from you soon regarding the completion of this project. If we may be of further assistance, please feel free to call our office at (614) 410-4670. Sincerely, Robert K. Price, CBO Director of Building Standards CITY OF DUBLIN Division of Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 Application Number . . . . . 04-00201073 Date 8/13/04 Revision number . . . . . . . 1 Pin number . . . . . . .527947 Property Address . . . . . . 650 SHAWAN FALLS DR Parcel Number . . . . . . . . 273-002485 Alternate Address . . . . . . Tenant nbr, name . . . . . . DR SCARBOUGH EXAM ROOMS Application description . . . COM BUILDING ALTERATION Property owner . . . . . . . BISCAR PROPERTIES L L C Contractor . . . . . . . . . PATOM BUILDING, INC. Structure Information Construction Type . . . . . 5B - UNPROTECTED COMB Occupancy Type . . . . . . BUSINESS Permit . . . . . . COMMERCIAL BUILDING PERMIT Additional desc . . Permit Fee . . . 150.00 Plan Check Fee .00 Issue Date . . . . SjIrl`oj Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 150.00 Other Fees . . . . . . . . . COM BLDG INSPECTION ALT 90.00 COM CERTIFICATE OF OCC 120.00 SURCHARGE FEE - BLDG 10.80 Fee summary Charged Paid Credited Due Permit Fee Total 150.00 .00 .00 150.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 220.80 .00 .00 220.80 Grand Total 370.80 .00 .00 370.80 1 ~P This permit is granted on the express condition that said work shall in all respects, conform to the ordinances of the City of Dublin and all laws of the State of Ohio regulating construction, installation, repair and alteration and may be revoked at any time upon violation of any provisions of law. CITY OF DUBLIN Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Project Name: SQ&A7inl , h aam ROOM Date: "7 -~i~ • Cf Address: W60 synL&w6n VA* 11r. Application No: SUPPLEMENT TO PLAN APPROVAL THIS IS NOT A BUILDING PERMIT. IT IS A SUPPLEMENT TO OUR REVIEW OF DOCUMENTS SUBMITTED WITH YOUR APPLICATION FOR A BUILDING PERMIT. This SUPPLEMENT TO THE PLAN APPROVAL is issued by the City of Dublin, Division of Building Standards. Listed below are items which may not appear in the construction documents, but which are not considered to constitute a hazard serious enough to warrant withholding Plan Approval. The following items are conditions of the issuance of the Plan Approval, when applicable: Item 1. OBC 109.2 Lot line markers required. Before any work is started in the construction of a building or an addition to a building to which the rules of the Board are applicable under Section 10 1.2, all boundary lines shall be clearly marked at their intersections with permanent markers or with markers which are offset at a distance which is of record with the owner. Item 2. OBC 106.3.1 Approval of construction documents. When the construction documents have been determined to conform to the applicable provisions of the rules of the Board in accordance with the procedures set forth in Section 105.3.1, the building official shall endorse or stamp such plans as approved. One set of construction documents shall be kept by the building official. The other set(s) shall be returned to the applicant, kept at the work site and shall be open for inspection by the building official or the building official's designated representative. Item 3. OBC 105.7.2 Posting. The certificate of plan approval shall be posted in a conspicuous location outside of the building and in the front part of the premises on which is, or will be the approved building or equipment to which the approved plans relate. The owner and the contractor shall, so far as possible, preserve and keep the certificate posted until the completion of the work to which the approved plans relate. Item 4. OBC 106.4 Amended construction documents. If substantive changes to the building are contemplated after first document submission, or during construction, those changes must be submitted to the building official for review and approval prior to those changes being executed. The building official may waive this requirement in the instance of an emergency repair, or similar instance. Item 5. OBC 109.1 General. Construction or work for which an approval is required shall be subject to inspection by the building official and such construction or work shall remain accessible and exposed for inspection purposes until approved. This includes firestopping and draftstopping (Chapter 7 OBC), mechanical work, piping, ducts and systems (Chapter 3 OMC), structural members and connections (Chapter 16 OBC), and electrical work (Chapter 27 OBC). Existing electrical conductors, if removed, abandoned, or altered, shall be accomplished to the electrical field inspector's approval. Electrical work found not to meet the code's standards shall be corrected to the electrical field inspector's approval. All systems and elements covered by code are to be inspected and approved before being covered. \\DUBLMDATA_PER_SERVER\PER\PER\THOMEW\OFFICE\WP\DOCS\DOC\Plan Approval\Walk Through Approval Form 02.73 Ldoc Page i of 2 Item 6. OBC 1103.1 Where required. Buildings and structures, temporary or permanent, including their associated sites and facilities, shall be accessible to persons with physical disabilities. OBC 1103.2.1 Specific requirements. Accessibility is required in buildings and facilities, or portions thereof, to the extent indicated in ADAAG Section 4.1 and this chapter. The start of construction indicates acceptance of all of the conditions listed above. This review does not preclude the necessity to conform with provisions which may have been omitted or overlooked in the review process, but which are requirements of the code. Ultimate responsibility for legal compliance with the Standards of Safety rest with the registered design professional, the tenant and the owner. Plan Approval will be valid only upon receipt by the City of Dublin, Division of Building Standards, of one signed copy of the addendum to the submitted plans. TO REQUEST AN APPEAL HEARING, YOU MUST send a written request, listing the items to be appealed and the relief sought and one copy of this order to: Robert Price, Chief Building Official City of Dublin 5800 Shier Rings Road Dublin, Ohio 43016-1236 Reviewed and Signed, Robert Price miner Chief Build ing Official V t City of DuCity of Dublin 7~4 -Z~Lmzsp~- e-17-oq Signature - Architect, Engineer or Contractor Date (Optional) - 1-1r.S O 2i?"~ goo : ~a-b w.~u~t~p •~C, 1 !v C-. Print Name and Title as Signed \\DUBLINDATA-PER-SERVER\PER\PER\THOMEW\OFFICE\WP\DOCS\DOC\Plan Approval\Walk Through Approval Form 02.73 Ldoc Page 2 of 2 • - CITY OF DUBLIN Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 462-3865 (Franklin County) Application No. V 4- -401V / 3 Date 8-19-04 ? New [XRemodel ? Residential ? Commercial • FOR PLUMBING PERMIT The undersigned hereby applies for a permit to do plumbing and an inspection of same at the following location in accord with Chapter 4101:2-51 of the Ohio Administrative Code, and all regulations of the Franklin County Board of Health. Job Address 650 Shawan Falls Dr. 1st floor ParcelNo273-002485 Subdivision/Project Name Lot No. Owner's Name Biscar Properties Telephone 764-1711 Contractor's Name Abram Contractors Telephone 221-3744 Contractor's Address 532 W. Rich Street Dublin Registration Number 04-4880 Does the sewer discharge into an individual sewage disposal system or sanitary sewer? Sanitary How far distant from any dwelling, well or cistern is the sewage tank? What is the size of the main drain? 4th Of what materials do the vent pipes consist? P - V - C. plastic Of what material does the house drain consist? P . V . C. plastic *INDICATE NAME OF CERTIFIED BACKFLOW TESTER INSTRUCTIONS This form must be properly filled out and returned to the office of the City of Dublin at least four days prior to the date of the FIRST INSPECTION, accompanied by a fee calculated upon the following basis: RESIDENTIAL COMMERCIAL Application for permit & first fixture $50.00 Application for permit & first fixture $60.00 Number of remaining fixtures X $10.00 = $ 3 Number of remaining fixtures X $12.00 = $ 3-6-0 0 Total Inspection Fee $ Total Inspection Fee $96.00 Re-inspection fee (based upon disapproved Inspection and collected by the Franklin County Board Of Health ONLY) $45.00 Qty Qty city. Air Admittance valve Garbage Disposal Showers *Backflow Preventers Hot Water Heater Sterilizers Bath Tubs Interceptor Sump Pump Bed Pan Washers Kitchen Sink Trap Primer Bidet Laundry Trays Urinal Chemical Sinks Lavatories Wash Fountain Dental Cuspidors Mop Sinks Washing Machine Dilution Sump Outside Faucets Water Closets Dish Washers Roof Drains Water Lines Drinking Fountain Rough-in Openings for Future Water Storage Tank Floor Drains Sewage Ejectors Other Garage Catch Basin GRANDTOTAL 4 HOT TER TANK REPLACEMENT FEE $35.00 Division of Building Standards \,fin a r a Application Number . . . . . 04-00201073 Date 8/20/04 Revision number . . . . . . . 1 Pin number . . . . . . .527947 Property Address . . . . . . 650 SHAWAN FALLS DR Parcel Number . . . . . . . . 273-002485 Alternate Address . . . . . . Tenant nbr, name . . . . . . DR SCARBOUGH EXAM ROOMS Application description . . . COM BUILDING ALTERATION Property owner . . . . . . . BISCAR PROPERTIES L L C Contractor . . . . . . . . . PATOM BUILDING, INC. Structure Information Construction Type . . . . . 5B - UNPROTECTED COMB Occupancy Type . . . . . . BUSINESS Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 60.00 3.00 12.0000 EA COM PLUMBING >1 FIXTURE 36.00 Fee summary Charged Paid Credited Due Permit Fee Total 96.00 .00 .00 96.00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 .00 .00 96.00 08"2@/2004 08:16 6144623851 FRANKLIN CO HEALTH PAGE 01/01 Q Franklin County Board of Health PLUMBING REVIEW TRANSMITTAL Number of Fixtures: 3 Plan Review Fee Schedule Amount Due: $25.00 1- 5 Fixtures $ 25.00 6 - 20 Fixtures $ 35.00 21 - 40 Factures $ 65.00 41 or more Fixtures $100.00 Date: 8-1 9-04 NEW El REMODEL Job Name: Biscar Properties, L.L.C. Address: 650 Shawan Falls Dr. Suite 100 City: Dublin, Ohio 43017 Signature: Plans Submitted by: Abram Contractors Address: 532 W. Rich Street City & Zip Columbus, 'Oh 43215 Phone 61 4-221 -3744 Fax:614-221-3745 Paid By: D---- APPROVED Check#: El DISAPPRO D Copy To: ubb- Inspector: o Date: Franklin County Board of Health ? 280 East Broad Street ? Columbus, OH 43215 (614) 462-3160 phone ? (614) 462-3851 fax i CITY OF DUBLIN Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Date Application No. ©l- g D APPLICATION FOR ELECTRICAL PERMIT Job Address Sd #(-fAdV r-A-" e, D2 Parcel No. -a 7 3 - D0 Z 5~ BS' Subdivision Lot No. Owner Name A?L SGA-C RQ,eGztG±;~ Telephone Contractor Name C„prt oya_r> is E4,67r- 2-P C Telephone &/4 B 7 l 8700 Contractor Address 3763 G At ? 1;->o" 6 P_muE C i z-V Dublin Registration No. 003 140 x,312.3 Residential: New Sq. Ft. Alteration/Addition Sq. Ft. Temporary Service $30.00 $30.00 Minimum plus $20.00 for each additional 500 Sq. Ft. or fraction thereof over 1000 Sq. Ft. Low Voltage Systems: Square Feet $30.00 Minimum plus $10.00 for each additional 500 Sq. Ft. or fraction thereof over 1000 Sq. Ft. Commercial: New Sq. Ft. Alteration/Addition Sq. Ft. 1 y b o Temporary Service $60.00 $60.00 Minimum plus $60.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. CaD b d and up to 50,999 Sq. Ft. (sizes above, See Fee Schedule) Low Voltage Systems: Square Feet $30.00 Minimum (plus $20.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.) 3% State of Ohio Surcharge (commercial only) d Total $ JOB DESCRIPTION r`Z 5 P ~4Gt~ P EjZ RA-f.1 AJ4 E- 1 This permit is granted on the express condition that the said work shall in all respects, conform to the ordinances of the City of Dublin, all the laws of the State and the National Electric Code regulating construction, installation, repair and alteration, and may be revoked at any time upon violation of any provisions of said laws. Signature of licensed contractor or homeowner Division of Building Standards Date: 1/1/2001 Application Number . . . . . 04-00201073 Date 8/18/04 Revision number . . . . . . . 1 Pin number . . . . . . .527947 Property Address . . . . 650 SHAWAN FALLS DR Parcel Number . . . . . . . . 273-002485 Alternate Address . . . . . . Tenant nbr, name . . . . . . DR SCARBOUGH EXAM ROOMS Application description . . . COM BUILDING ALTERATION Property owner . . . . . . . BISCAR PROPERTIES L L C Contractor . . . . . . . . . PATOM BUILDING, INC. Structure Information Construction Type . . . . . 5B - UNPROTECTED COMB Occupancy Type . . . . . . BUSINESS Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 60.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 60.00 Other Fees . . . . . . . . . COM BLDG INSPECTION ALT 90.00 COM CERTIFICATE OF OCC 120.00 SURCHARGE FEE - ELECTRIC 1.80 SURCHARGE FEE - BLDG 10.80 Fee summary Charged Paid Credited Due Permit Fee Total 60.00 .00 .00 60.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 222.60 220.80 .00 1.80 Grand Total 282.60 220.80 .00 61.80 Division of Building Standards 5800 Shier Rings Road Dublin, Ohio 43017-2182 Phone: V/TDD 614/761-6556 CITY OF DUBLIN Inspection Line: 614/761-6557 p 7 1" d X 01©'7'3 NAME OF BUSINESS/FACILITY BUILDING PERMIT # (050 .514Awa)j t-ALL ADDRESS OF SUBJECT PRO RTY AMOMS 1'aI ~buir owe, I:ac U 1,4 277- - -Z G, --Y7 2- z'7 f Z. NAME AND ADDRESS OF APPLICANT (PLEASE PRINT) PHONE FAX ~tsc~~ of~E~T~r~ W4 -11-y 011 NAME OF PROPERTY OWNER OF RECORD PHONE FAX Please describe the existing and proposed uses of all parts of the land and/or buildings. If a change of use is proposed, please explain. ElcSPA" LiSED i:7oR_ ~jrq+r' l~ccr~.MT/iclG 4U MOO, FrED ~(J2 A~DtT/vNw~- PUEOica4 cYi4m 1.44 -flea 260M 5 SIGNATURE OF APPLICANT DATE _______________FOR STAFF USE ONLY VARIANCE V FINAL DEVELOPMENT PLAN DATE DATE ADMIN. APPEAL AA CDD REVIEW DATE DATE CONDITIONAL USE CU ARB REVIEW DATE DATE SPECIAL PERMIT SP COUNCIL RECORD OF ACTION DATE DATE This certificate is issued for, and in reference to, the property and use described above, and as approved by the City Administrator or his designee, or by the Board of Zoning Appeals, Planning and Zoning Commission, or Architectural Review Board as appropriate. li APPROVED APPROVED AS NOTED ? DISAPPROVED AS NOTED , CtLER AtC Serve fie t iruClUF9 - ltii ~r>~ti-- ,-a~sa~.~6 & Mechanical Units PER C! I I CODE CALL KANNING plVOM DIVISION OF PLANNING BY DATE rK~ r CITY OF DUBLIN Division of Building Standards 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 Walk Through Notice of Review Fire Department Review (This is not a permit) Date: '7 ••18. 04 Application Number • 'cZi 0~0~13 Property Address: (Ao Shaw 0t) F'a~1S Pro'ect Descri tion: . 'S Sprinkler System R uired: N g S stem Demand: Special Hazard Classification: Square Footage: 4 Ooa Occupancy Load: AVI Construction Type: j3 Use Group: ,g l'aloc{a~ s o ce Result of plan review: Approved Approved, submit additional information or changes prior to a /Qefrf cal d/a0arila Disapproved, submit ad itional information as noted. It is not necessary to reschedule. Disapproved, resubmit under the regular permit process. Disapproved, reschedule walk-through after required changes have been completed. Disapproved, reschedule walk-through after additional information requested has been obtained. The following items must be addressed: 1. Field verify existing, additions and changes to horn/strobe location and actuation. 2. Field verify emergency egress and exit lighting. 3. All fire protection systems require a separate permit. 'Y i e D ti Reviewed By: ~i~?i rjP C~~C~~~ Washington Towns p Fire Department Updated 8/01/02 CITY OF DUBLIN Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Walk Through Notice of Review Architectural Review (This is not a permit) Date: a . a~ Application Number: 04. ao~t~'73 Property Address: (060 shq") Un VUS Project Description: ' jrX . &CAM ?=MS R A' Square Footage: ccupancy Load: N Construction Type: -IT16 Use Group: LXp , Result of plan review: Approved Approve su it additi al ' formation or changes prior t0 IxAajl L&4 • Disapproved, submit additional inform i n as noted. It is not necessary to reschedule. Disapproved, resubmit under the regular permit process. Disapproved, reschedule walk through after required changes have been completed. Disapproved, reschedule walk through after additional information requested has been obtained. The following items must be addressed: 1. Field verify existing, additions and changes to horn/strobe location and actuation. 2. Field verify emergency egress and exit lighting. 3. All fire protection systems require a separate permit. + V&ICLcO &La~ r, pbw- f • tom. I~ Reviewed By: Commercial Pla s aminer for ty ity Of Dublin Updated 8/01/02 CITY OF DUBLIN Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Project Name: -tx- Sea riot~l, e h ac OOY7 Date: I • Q2• 9i Address: JD shawa n FA5 Application No: 04- aaa3 SUPPLEMENT TO PLAN APPROVAL THIS IS NOT A BUILDING PERMIT. IT IS A SUPPLEMENT TO OUR REVIEW OF DOCUMENTS SUBMITTED WITH YOUR APPLICATION FOR A BUILDING PERMIT. This SUPPLEMENT TO THE PLAN APPROVAL is issued by the City of Dublin, Division of Building ' Standards. Listed below are items which may not appear in the construction documents, but which are not considered to constitute a hazard serious enough to warrant withholding Plan Approval. The following items are conditions of the issuance of the Plan Approval, when applicable: Item 1. OBC 109.2 Lot line markers required. Before any work is started in the construction of a building or an addition to a building to which the rules of the Board are applicable under Section 101.2, all boundary lines shall be clearly marked at their intersections with permanent markers or with markers which are offset at a distance which is of record with the owner. Item 2. OBC 106.3.1 Approval of construction documents. When the construction documents have been determined to conform to the applicable provisions of the rules of the Board in accordance with the procedures set forth in Section 105.3.1, the building official shall endorse or stamp such plans as approved. One set of construction documents shall be kept by the building official. The other set(s) shall be returned to the applicant, kept at the work site and shall be open for inspection by the building official or the building official's designated representative. Item 3. OBC 105.7.2 Posting. The certificate of plan approval shall be posted in a conspicuous location outside of the building and in the front part of the premises on which is, or will be the approved building or equipment to which the approved plans relate. The owner and the contractor shall, so far as possible, preserve and keep the certificate posted until the completion of the work to which the approved plans relate. Item 4. OBC 106.4 Amended construction documents. If substantive changes to the building are contemplated after first document submission, or during construction, those changes must be submitted to the building official for review and approval prior to those changes being executed. The building official may waive this requirement in the instance of an emergency repair, or similar instance. Item 5. OBC 109.1 General. Construction or work for which an approval is required shall be subject to inspection by the building official and such construction or work shall remain accessible and exposed for inspection purposes until approved. This includes firestopping and draJtstopping (Chapter 7 OBC), mechanical work, piping, ducts and systems (Chapter 3 OMC), structural members and connections (Chapter 16 OBC), and electrical work (Chapter 27 OBC). Existing electrical conductors, if removed, abandoneg or altered, shall be accomplished to the electrical field inspector's approval. Electrical work found not to meet the code's standards shall be corrected to the electrical field inspector's approval. All systems and elements covered by code are to be inspected and approved before being covered \\DUBLINDATA_PER_SERVER\PER\PER\THOMEW\OFFICE\WP\DOCS\DOC\Pian Approval\Walk Through Approval Form 02.73 Ldoc Page 1 of 2 Item 6. OBC 1103.1 Where required. Buildings and structures, temporary or permanent, including their associated sites and facilities, shall be accessible to persons with physical disabilities. OBC 1103.2.1 Specific requirements. Accessibility is required in buildings and facilities, or portions thereof, to the extent indicated in ADAAG Section 4.1 and this chapter. The start of construction indicates acceptance of all of the conditions listed above. This review does not preclude the necessity to conform with provisions which may have been omitted or overlooked in the review process, but which are requirements of the code. Ultimate responsibility for legal compliance with the Standards of Safety rest with the registered design professional, the tenant and the owner. Plan Approval will be valid only upon receipt by the City of Dublin, Division of Building Standards, of one signed copy of the addendum to the submitted plans. TO REQUEST AN APPEAL HEARING, YOU MUST send a written request, listing the items to be appealed and the relief sought and one copy of this order to: Robert Price, Chief Building Official City of Dublin 5800 Shier Rings Road Dublin, Ohio 43016-1236 Reviewed and Signed, V trayer, A Robert Price l P1 Examiner Chief Building Official City of Dublin City of Dublin Signature - Architect, Engineer or Contractor Date (Optional) Print Name and Title as Signed \\DUBLMATA_PER_SERVER\PER\PER\THOMEW\OFFICEIwP\DOCS\DOC\Plan ApprovahWalk Through Approval Forth 02.731.doc Page 2 of 2 Joseph W. Testa Geographic Information System Auditor, Franklin Counter, Ohio PID: 273-002485 Biscar Properties L L C 650 Shawan Falls Dr Dublin, OH 43017-2100 0 - z a5 4 ~ 0 Image Date: Mon Jul 26 18:09:09 2004 Disclaimer This map is prepared for the real property inventory within this county. It is compiled from recorded deeds, survey plats, and other public records and data. Users of this map are notified that the public primary information source should be consulted for verification of the information contained on this map. The county and the mapping companies assume no legal responsibilities for the information contained on this map. Please notify the Franklin County GLS Division of any discrepancies. http://209.51.193.89/scripts/mw5prLpl?pname=4608459&ts=Mon Jul 26 18:09:09 2004 7/26/2004