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07201483 Permit File CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 C E R T I F I C A T E OF O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 5/13/08 Parcel Number . . . . . 273-009146 Property Address 3900 STONERIDGE IN FR DUBLIN OH 43017 Subdivision Name . . . Legal Description . . . JALL INVESTMENTS PROPERTIES LOT 2 3.513AC. Property Zoning . . . . PLANNED UNIT DEVELOPMENT Owner . . . . . DEPT OF MEDICINE FOUNDATION IN Contractor . . . . . . LEHMAN DAMAN CONST. SVC, INC. 614 252-3400 Application number 07-00201483 000 000 Description of Work COM BUILDING ALTERATION Construction type . . . 5B - UNPROTECTED COMB Occupancy type . . . . BUSINESS Flood Zone . . . . . . Special conditions . . STONERIDGE INTERNAL MEDICINE PHASE ONE Approved . . . . . . . i d' fficial VOID UNLESS SIGNED BY B LDING OFFICIAL 764 - rr~y CITY OF DUBLIN 1=1 Atoen, ;m Division of Building Standards • 5800 Shier Rings Road a Dublin, Ohio 43016 Fide ~tpr Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 COMMERCIAL INSPECTION SIGN-OFF Project Name: STONERIDGE INTERNAL MEDICINE PH I Use Group: B Construction Type: 5B Application No: 07-201483 Project Address: 3900 STONERIDGE LANE General Contractor: LEHMAN DAMAN CONSTR. Building Code: 07 OBC r Sewer Tap "Rough Sprinkler Footing 77 Electric Service Foundation Steel Framing /Ak/ 7 Aee Footing Steel Grounding Shaft Walls Foundation Insulation Piers Fireplace Waterproofing Curb, Walk & Approach Electrical Underground Above Ceiling Electric Plumbing Underground Above Ceiling HVAC "Sprinkler Underground "Above Ceiling Sprinkler i-1 Pre-Slab Above Ceiling Structural AnIff_ Diamonds Final Electric Structural Steel Final Plumbing Fireproofing Final HVAC Masonry Wall Grout Final Gas Piping "Fire Alarm Rough "Fire Prevention Rough Electric Zoning Final Rough Plumbing K, ngineering Final Rough HVAC Occupancy Rough Gas Piping **Please call Washington Township Fire Department at 652-3920 to schedule these inspections. DATE INSPECTION COMMENTS APPROVAL INSPECTOR TYPE CODE ll?A G7 tuwd 1-2 2 j ~u ~d~ ~'lc~-~, lli4C~ /38~ l3 aid - ~a. i~~ Atig, -3 17 J <7 Iva& CITY OF DUBLIN 5800 Shier Rings Road Division of Building Standards Dublin, Ohio 41016 COMMERCIAL BUILDING Telephone: 614-4104670 PERMIT APPLICATION Inspection Line: 614-410.4680 Facsimile: 614-761.6566 PROJECT FORMATION ddress Project Sq Ftg. Project Name 6, Estimated Cost of Construction Parcel Number i CHISS PROPERTY OWNER INFORMATION Owner Name (Contact Person N owned by a Corporation) - ° any Name N Ili t 1~ i S, j _Address 21 t A- ty 5.~1 State O p e 3 1 Faro • Z'l3 • E-Ma bt! o~v . t~tcJ , TENANT INFORMATION (If Applicable) t-A tasHdatne any Name Address State Zp FaX E ARCHITECT, ENGINEER, OR OTHER DESIGN PROFESSIONAL INFORMATIO Design Professional Name. ha ReglCert Number d y Name .IiiF3r' (`rFC~'S Address to ~c91 State 17 by LES e 3• F • 34&03 • b E-Mait t' GENERAL CONTRACTOR INFORMATION (Must be a City of Dublin Regis ten Co tr rp r) y IContact Na +d. Dublin Registration T 214 Company Name Address State , ~p t one ~O 2 • D F~Z • er E-lu~* - Q.ccrA AFFIDAVIT OF OWNER AUTHORIZATION FOR REPRESENTATION Note: This person will be contacted with all official correspondence. All signatures must be ORIGINAL. Owner's RepresentativerL' I& 64t~~ Relationship to Project1~~~?IC Company N t%~ 'fit' e_ Position Telephone - 7 ZO 1, '~;VAAIW I.- • VQ4z:r (please print), the owner and applicant hereby aut "ize act as my representative and agent in all matters pertaining to the processing and approval of this application inducting modkmg the project, and I agree be bound by all repr lions and agreements made by the designated agent. ignature of Property Owner Date: d . Q l 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 comple all mspectss a an to a best of my knowledge d belief. S! Mature of Owners R tesen / % - building Standards 1vislon use only Date Received Building Standards / t ti cation Number ol - •7 S/3 0 C T 0 8 2007 Na suKOU+c a urAr?uranoa D (J,' L;01 N Tai Z I O N Atp. 1613 rwASPAUMFORMSCOMM" R2 Penh 8W."I o-r," Y OF DUBLIN . CITY OF DUBLIN Division of Building Standards COMMERCIAL BUILDING PERMIT APPLICATION Project Namelt;IrW ~7. 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 TYPE OF WORK (Check all that apply) A. New Structure B. Additl6n r Fire Wall Yes No C. Alteration Article 34 Yes No D. Change of Use Entire Structure Partial E. Change of Occupan Entire Structure Partial Previous Use(s) Use Group(s)_ -~N~ ANALYSIS OF NEW STRUCTURE, ADDITION, AND/OR AREA TO BE ALTERED A. Occupancy Description N\1 (45t:: =(GIwS Use Group(s) B. Mixed Use: es F'_1 Q Separated Q No~ C. Type of construction_ D. Fire resistive construction Fire Test Design Numbers Exterior Walls 0 hr. ~Z.1Q0q';E-' &0 ~ Fire Walls hr. Floor/Ceiling b hr. fm Columns/Bearing Wall 07 hr. :JA&Jje (gy I Exit Enclosures hr. Shafts hr. Corridors ' O fir. it Td32t-. 101"1.I Tenant Separation ~ I fir. esk=Nto OP -!;V CCE _ $4 E. Floor Area/Floor Occupant Load/Floor Egress Capacity/Floor Number of Exits V-lt?Z4~., Basement _ 9 st ~Vi D- S V;Vc n l~[7 2nd WMIM 5 3rd 4th & above / ~ ~Z F. Allowable maximum floor area (first floor footprint) _AZ CIJ5 t91~1c j ~ Does the above include street frontage increase? Yes No Does the above include increase for sprinklers? Y No G. Number of stores above grade 41 wk~ viq I;dg-~ Height Basement Yes[ No[K COMMERCIAL EtURXNNG PERMIT APPUCATION Pape 2 of 3 P4PASSVXD(AF0RMS%C0MMAPP.WB2 Foma OLD -201 Date. 90/11199 X11 Y "r 1JU15EIIN Division of Building Standards COMMERCIAL BUILDING PERMIT APPLICATION H. Horizontal exits Yes No 1. Limited sprinkler system Yes No 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 N. Manual fire alarm" Yes No 0. Auto fire alarm Yes No P. Handicap accessible route (exterior & interior) Yes No Q. Structural Loads: provide table of design loads w' construction documents EXISTING STRUCTURE ANALYSIS (Complete for all alteration or iidition projects) A. Occupancy Description K5120AcL ~LC.C Use Group(s), B. Mixed Use: Yes M Non-separated =SeparatedE] No C. Type of construction 7Nft-/ D. Floor Area/Floor Occupant Load/Floor Egress Capacity/Floor Number of Exits Basement _ 1st 2nd 3rd 4th & above E. Allowable maximum floor area (first floor footprint) 0-7 Does the above include street frontage increase? Yes No Does the above include increase for sprinklers? Yes No F. Number of storie above grade Ull944Wc,>~ Building Height V Basement Yes= WE) G. Horizontal exits Yes No H. Limited sprinkler system Yes No 1. Full automatic sprinkler system Yes No J. Standpipe system Yes No K. Smoke control/Removal system Yes No L. Unlimited area building Yes No M. Manual fire alarm Yes No N. Auto fire alarm Yes No 0. Handicap accessible route (exterior & interior) Yes No P. ral Load pro ' e table design loads with construction documents i, T- Z~4~= =DesigXnP~rofessional, have read artd understand the contents of this application. The information contained in this application, attached exhibits and other infom?ation submitted, is•com to and in all respects true and correct, to the best of my knowledge and belie Signature of Design Professiona . ate: ltd D 150 -7 COMMERCIAL DULO M PERMIT APPUCATIM Papa 3 of 3 P.%PASS%SL0W0RMSr,0MMAPP.WB2 Fob BLD-201 Dow 10/11189 STONERIDGE INTERNAL MEDICINE PHASE 1 Tenant Alteration Permit No.: 07-201483 October 31, 2007 Page 3 of 3 City of Dublin 5800 Shier Rings Road Dublin, Ohio 43016 R ed and Signed, Ray M. arpham, A e ey rdingOfficial Commercial Plans Examiner Chief B Owner o Owner's Representative Date Print Name and Title as Signed NABuilding Standards\Harpham\Reviews 2007\07-201483 plcl Stoneridge.doc CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 CORRECTION REQUEST #1 and PHASED PLAN APPROVAL #1 For ALL EXCEPT MODIFICATIONS TO THE EXISTING FIRE ALARM AND SUPPRESSION SYSTEMS This is not a Building Permit. It is a record of our review of documents submitted with your application for a Building Permit. Date: October 31, 2007 RE: STONERIDGE INTERNAL MEDICINE PHASE 1 Tenant Alteration APPLICANT: Bruce A. Gardner, Gardner Architects, 740.363.7620 APPLICANT NO. 07-201483 ADDRESS 3900 Stoneridge Lane The plans, dated October 1, 2007, for the captioned project have been reviewed for compliance with the administrative provisions of the 2007 Ohio Building Code (OBC) The review was based upon the following criteria: Use Group: B-Business Area: 3,119 SF (To be Remodeled) Building Total 39,084 Occupancy: Unchanged Construction Type: VB Notes: Building is fully alarmed and suppressed The architectural, documents are sealed by Bruce A. Gardner, Ohio registered architect #7078, the mechanical and the electrical by Russel T. Edwards, Ohio registered engineer #56015 to comply with the requirements of the OBC Section 107.3.4.1 and have been reviewed, therefore, in accord with OBC Section 104.1. OBC 107.3.3 Phased approval. The building official shall issue an approval for the construction of foundations or any other part of a building or structure before the construction documents for the whole building or structure have been submitted, provided that adequate information and detailed statements have been filed complying with pertinent requirements of this code. The holder of such approval for the foundation or other parts of a building or structure shall proceed at the holder's own risk with the building operation and without assurance that an approval for the entire structure will be granted. Such approvals shall be issued for various stages in the sequence of construction provided that all information and data required by the code for that portion of the building or structure has been submitted. The holder of a phasedplan approval may proceed only to the point for which approval has been given This Phased Plan Approval is for ALL EXCEPT MODIFICATIONS TO THE EXISTING FIRE ALARM AND SUPPRESSION SYSTEMS Item 1 Fire Suppression Drawings shall be submitted for review; contain all information required by NFPA 13-2002 Chapter 14; and be approved before any equipment is installed or remodeled. A separate Permit from the city of Dublin is required. Item 2 Fire Alarm Drawings shall be submitted for review; contain all information required by NFPA 72-2002 4.5.1.1 and explained in Annex A4.5.1.1; and be approved before any equipment is installed or remodeled. A separate Permit from the city of Dublin is required. Item 3 The Washington Township Fire Marshal has requested an opportunity to provide input to the Dublin building department on issues relating to fire protection. The building official has evaluated the Fire Marshal's comments related to the fire protection provisions of the OBC and incorporates those comments, by reference, into this Phased. Plan Approval and Correction Request. STONERIDGE INTERNAL MEDICINE PHASE 1 Tenant Alteration Permit No.: 07-201483 October 31, 2007 Page 2 of 3 The following items are required for code compliance, but are not necessarily covered in detail in the construction documents. This list is a reminder to the design professional and contractors of issues, which are to be satisfactorily dealt with in the field: Item A 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 B 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 C 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 D 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). All systems and elements covered by code are to be inspected and approved before being covered. Item E 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. Item F All electrical will comply with the requirements of Article 27 OBC and the National Electrical Code, NFPA 70, OBC approved edition and is subject to the approval of the electrical field inspector. Please reply to this request for additional information with a letter indicating your response to each item of this request and that of the Washington Township's Fire Department comments, if applicable. Once the requested information is available, submit Three (3) complete sets of the the additional information requested to the City of Dublin, Division of Building Standards for further review. TO REQUEST AN APPEAL HEARING, YOU MUST sent a written request, listing the items to be appealed and the relief sought and a copy of this order to: Jeffrey S. Tyler, Chief Building Official NABuilding Standards\Harpham\Reews 2007\07-201483 p1c1 Stoneridge.doc • STIES WASHINGTON TOWNSHIP U pF FIRE DEPARTMENT 6200 Eiterman Road, P.O. Box 3248 SAN Dublin, Ohio 43016 614-652-3920 • Fax 614-766-2507 0oT DATE: October 29, 2007 T 1 1?00/ TO: Jeffery S. Tyler, Director Division of Building Standards City of Dublin 5800 Shier Rings Road Dublin, Ohio 43016 ATTN: Ray M. Harpham, Commercial Plans Examiner RE: Washington Township's Fire Department Plan Review PROJECT: STONERIDGE INTERNAL MEDICINE APPLICATION No: 07-201483 LOCATION 3900 Stoneridge Lane RECEIVED: October 11, 2007 BUILDING CODE DATA: Use: B, Business offices for medical practices. Construction: V B, Combustible - Un-Protected Area: 30,084 SF Total Building Occupancy: 300 Total Notes: Existing building with interior Tenant alterations. Improvements include plumbing, HVAC and electrical lighting and power requirements. The building is currently proposed to have an automatic fire suppression system and fire alarm/detection system which will require changes pursuant to the Tenant alteration plans. Mr. Harpham: We have reviewed the construction documents for the referenced Tenant alteration project dated October 1, 2007, with as submitted to the Division of Building Standards October 8, 2007, for matters of concern to the Washington Township Fire Department regarding rules relating to the 2007 Ohio Building Code (OBC) and the fire prevention and the Dublin Fire Code(DFC) based upon the 2000 International Fire Code. We are able to recommend a phased approval of the plans and note the following: 1. OBC 106.1.1.1 Fire protection system drawings. Drawings for the fire protection system(s) shall be submitted to indicate conformance with this code and the construction documents and shall be approved prior to the start of system installation. Drawings shall contain all information as required by the referenced installation standards in OBC Ch 9. a. When the are made available, submit for approval, prior to the start of system(s) installation, complete information regarding the fire protection systems or the alteration of the system(s) information required by NFPA 13 and 14, Chapter 8, Plans and Calculations for Fire Suppression and Standpipe and Hose Systems, and the specifications, wiring diagrams, battery calculation, and, floor plans required by NFPA 72 (2002)§A4- 5.1.1 for Fire Alarm/Detection Systems. b. Separate permits are required for the Automatic Fire Suppression Alterations, and the Fire Alarm do Fire Detection system. Trustees Gene Bostic • Denise Franz King • Charles Kranstuber Fiscal Officer Joyce E. Robinson Chief Allan Woo WASHINGTON TOWNSHIP FIRE DEPARTMENT DATE: October 29, 2007 Permit 07-201483 Page 2 of 2 C. Visual alarm initiating signal appliances shall be mounted in accordance with Section 4.28.3 ADAAG. The appliance shall be placed 80 im above the highestfloor level within the space or 6 in. below the ceiling, whichever is lower. In accordance with the provisions of this code section, the measurement for the 'appliance' shall be taken to the bottom of the visual alarm initiating device lens. This appliance measurement shall place the bottom of the lens at 80 inches above the finish floor surface. Caution should be exercised to coordinate this item early in the building process with the contractor installing the rough-in boxes for these fire alarm devices. Thank you for the opportunity to review the submission. Please feet free to call with any questions. WASHINGTON TOWNSHIP FIRE DEPARTMENT Michael A Boryca, Architect/P1a Examiner Alan Perkins, CFPS (614) 488-4009 Fire Marshal CITY OF DUBLIN Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 I 3 Date / a 9 0 _ Application No. 0'7 - 0 0 20 APPLICATION FOR ELECTRICAL PERMIT Job Address 3 960 5"F0N LYL1 DG G L1J Parcel No. a'7 3 - 00 9 1 41Lp Subdivision Lot No. Dc C_ lKMAA\jWL.1 Owner Name D3 ~-Z I CI N a- Telephone Contractor Name LA ILS' LLL-IT'Ll L Telephone 1,14- 9S8 - 9 76 (1 Contractor Address '745- 1 3LI LJYI . 12 CJ~ 5 J Dublin Registration No. Residential: t New Sq. Ft. Alteration/Addition Sq. Ft. i Temporary Service $40.00 { $40.00 Minimum plus $20.00 for each additional 500 Sq. Ft. or fraction thereof over 1000 Sq. Ft. N Low Voltage Systems: Square Feet $40.00 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. 3 9 Temporary Service $60.00 $60.00 Minimum plus $60.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. , O and up to 50,999 Sq. Ft. (sizes above, See Fee Schedule) 0jo 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) Z Total $ JOB DESCRIPTION l1 TW_131t, U-M, W , PZ'12 Plfl1VS FFNh Sk-fS 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 - ( . _j '4 ,1 V \,j Division of Building Standards Date: 1/1/2001 y 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 . . . . . 07-00201483 Date 11/29/07 Property Address . . . . . . 3900 STONERIDGE LN Parcel Number: 273-009146 Alternate Address: STONERIDGE INTERNAL MED. Tenant nbr, name . . . . . . STONERIDGE INTERNAL MEDIC Application type description COM BUILDING ALTERATION Application desc .PHASE ONE Property owner . . . . . DEPT OF MEDICINE FOUNDATION IN Contractor . . . . . . . . . LEHMAN DAMAN CONST. SVC, INC. Structure Information 000 000 Construction Type . . . . . 5B - UNPROTECTED COMB Occupancy Type . . . . . . BUSINESS Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 240.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/27/08 Qty Unit Charge Per Extension BASE FEE 60.00 3.00 60.0000 THOU COM ELECTRIC SERVICE 1K-50K SF 180.00 Special Notes and Comments CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1' FOR ALL EXCEPT MODIFICATIONS TO THE EXISTING FIRE ALARM AND SUPPRESSION SYSTEMS BUILDING IS FULLY ALARMED AND SUPPRESSED. SCREEN ALL MECHANICAL UNITS & SERVICE STRUCTURES TO TOP OF UNIT INCLUDING UTILITY FEATURES AND ROOF TOP MOUNTED EQUIPMENT. CONTACT PLANNING DIVISION 410-4600 ***IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID. TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A $20.00 EXTENSION FEE*** Other Fees . . . . . . . . . COM BLDG INSPECTION ALT 180.00 COM CERTIFICATE OF OCC 120.00 SURCHARGE FEE - ELECTRIC 7.20 SURCHARGE FEE - BLDG 21.00 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 Page 2 Application Number . . . . . 07-00201483 Date 11/29/07 Fee summary Charged Paid Credited Due Permit Fee Total 240.00 .00 .00 240.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 328.20 321.00 .00 7.20 Grand Total 568.20 321.00 .00 247.20 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 Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Date 3 O Application No. o-4. ac,A 2 APPLICATION FOR ELECTRICAL PERMIT / ~ Job Address 39X 2~ (,&4 Parcel No-17:3 WQ( 1416- `-'y SubdivisionosQ Lot No. 2 VNC Owner Name elephone Contractor Name A Telephone 6;;? Contractor Address `y 1 / ~~p~ C22J?L - Ql~ 7- Dublin Registration No. "a Residential: New Sq. Ft. Alteration/Addition Sq. Ft. Temporary Service $40.00 $40.00 Minimum plus $20.00 for each additional 500 Sq. Ft. or fraction thereof over 1000 Sq. Ft. Low Voltage Systems: Square Feet $40.00 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. Temporary Service $60.00 $60.00 Minimum plus $60.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. and up to 50,999 Sq. Ft. (sizes above, Seee~ Fee Schedule) Low Voltage Systems: Square Feet Alml . $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) _aGG~_ ~O Total $g.~" qa JOB DESCRIPTION V~~' kir d ~,4A&"4 .ALI.L~a/1?I 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 EAC~-odejulatingq construction, installation, repair and alteration, and may be revoked at any time upon violation olaws. Signature of licensed contractor or homeowneDivision of Building Standards o Date: 1/1/2001 CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201483 Date 4/01/08 Property Address . . . . . . 3900 STONERIDGE LN Parcel Number: 273-009146 Alternate Address: STONERIDGE INTERNAL MED. Tenant nbr, name . . . . . . STONERIDGE INTERNAL PH I Application type description COM BUILDING ALTERATION Application desc PHASE ONE Property owner . . . . . . DEPT OF MEDICINE FOUNDATION IN Contractor . . . . . . . LEHMAN DAMAN CONST. SVC, INC. Structure Information 000 000 Construction Type . . . . 5B - UNPROTECTED COMB Occupancy Type . . . . BUSINESS Permit . . . . . . LOW VOLTAGE ELECTRIC PERMIT Additional desc . . Permit Fee . . . 90.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Expiration Date . . 9/28/08 Qty Unit Charge Per Extension BASE FEE 30.00 3.00 20.0000 THOU COM ELECTRIC LOW VOLTAGE 60.00 Special Notes and Comments CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1 FOR ALL EXCEPT MODIFICATIONS TO THE EXISTING FIRE ALARM AND SUPPRESSION SYSTEMS' BUILDING IS FULLY ALARMED AND SUPPRESSED. SCREEN ALL MECHANICAL UNITS & SERVICE STRUCTURES TO TOP OF UNIT INCLUDING UTILITY FEATURES AND ROOF TOP MOUNTED EQUIPMENT. CONTACT PLANNING DIVISION 410-4600 ***IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID. TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A $20.00 EXTENSION FEE*** Other Fees . . . . . . . SURCHARGE FEE - ELECTRIC 9.90 Fee summary Charged Paid Credited Due 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 Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Page 2 Application Number . . . . . 07-00201483 Date 4/01/08 Permit Fee Total 90.00 .00 .00 90.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 9.90 7.20 .00 2.70 Grand Total 99.90 7.20 .00 92.70 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. I 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, (y o~0 / 4Fa Date ? New ? Remodel ? Residential ommercial /91 APPLICATION 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. , i,- Job Address 00 ~ A I 169- Ne Parcel Noa73 '-'0O q14 S WrA 9murk 1 Subdivision/Project Name Lot No Owner's Name M t Telephone Contractor's Name /,'oef e- t otvt& r Telephone q %__2_)0 _ Contractor'sAddressff" AlEAN`t & (90l • ~Z/ Z Dublin Registration Number Q -/719 Does the sewer discharge into an individual sewage disposal system or sanitary sewer? How far distant from any dwelling, well or cistern is the sewage tank? What is the size of the main drain? 3~ Of what materials do the vent pipes consist? PV Of what material does the house drain consist?~ *INDICATE NAME OF CERTIFIED BACKFLOW TESTER L~~ LIDS 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: 29'7 WATER TANK REPLACEMENT FEE $35.00 77 RESIDENTIAL COMMERCIAL Application for permit & first fixture $50.00 Application for permit & first fixture $60.00 Number of remaining fixtures X $10.00 = $ Number of remaining fixtures X $12.00 = $ D Total Inspection Fee $ Total Inspection Fee $ it, Re-inspection fee (based upon disapproved Inspection and collected by the Franklin County Board of Health ONLY) $45.00 Qty. Qty. Qty. Air Admittance Valve Garbage Disposal Showers "Backflow Preventers Gas Water Heater Sterilizers Bath Tubs Electric Water Heater Sump Pump Bed Pan Washers Interceptor Trap Primer Bidet Kitchen Sink Urinal Chemical Sinks Laundry Trays Wash Fountain Dental Cuspidors Lavatories Washing Machine Dilution Sump Mop Sinks Water Closets Dish Washers Outside Faucets Water Lines Drinking Fountain Roof Drains Water Storage Tank Floor Drains Rough-in Openings for Future Other Garage Catch Basin SewagSAj" GRAND TOTAL Division of Building Standards 11/''9;'2997 14:31 S144629851 FRAWLIH CO HEALTH PAGE 01,'91 FRANKLIN COUNTY BOARD OF HEALTH PLUMBING REVIEW TRANSMITTAL PLAN REVIEW FEE SCHEDULE: 1 - 5 FIXTURES 25.00 6 - 20 FIXTURES 35.00 NUMBER OF FIXTURES:_ 21 - 40 FIXTURES 65.00 GG/ 41 OR MORE FIXTURES 100.00 AMOUNT DUE: 'off J DATE: JOB NAME: V ~~D~;' ? NEW ADDRESS;oo REMODEL CITY:U'' hJ SIGNATURE: ell 1.lylkli A) J' r r, PLANS SUBMITTED BY: ADDRESS: i~~~ G-~^f~f y CITY & ZIF PHOPIE #:_.Co `77d ,50-4 PAID BY: - APPROVED CHECK _~r D ? DISAPPROVED COPY TO: -L INSPECTOR: DATE: / ( 1- ~(J CITY OF DUBLIN Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201483 Date 1/31/08 Property Address . . . . . . 3900 STONERIDGE LN Parcel Number: 273-009146 Alternate Address: STONERIDGE INTERNAL MED. Tenant nbr, name . . . . . . STONERIDGE INTERNAL PH I Application type description COM BUILDING ALTERATION Application desc PHASE ONE Property owner . . . DEPT OF MEDICINE FOUNDATION IN Contractor . . . . . LEHMAN DAMAN CONST. SVC, INC. Structure Information 000 000 Construction Type . . . 53 - UNPROTECTED COMB Occupancy Type . . BUSINESS Permit . . . . PLUMBING PERMIT Additional desc . Permit Fee . . . 84.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/25/10 Qty Unit Charge Per Extension BASE FEE 60.00 2.00 12.0000 EA' COM PLUMBING >1 FIXTURE 24.00 Special Notes and Comments CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1 FOR ALL EXCEPT MODIFICATIONS TO THE EXISTING FIRE ALARM AND SUPPRESSION SYSTEMS' BUILDING IS FULLY ALARMED AND SUPPRESSED. SCREEN ALL MECHANICAL UNITS & SERVICE STRUCTURES TO TOP OF UNIT INCLUDING UTILITY FEATURES AND ROOF TOP MOUNTED EQUIPMENT. CONTACT PLANNING DIVISION 410-4600 ***IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID. TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A $20.00 EXTENSION FEE*** Fee summary Charged Paid Credited Due Permit Fee Total 84.00 .00 .00 84.00 Plan Check Total .00 .00 .00 .00 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 Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Page 2 Application Number . . . . . 07-00201483 Date 1/31/08 Grand Total 84.00 .00 .00 84.00 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 Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 ~78~~07 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 APPLICATION FOR HVAC PERMIT Date 0 7_~10 Application No. Q7~ Job Address _2,~ 2Da S e f~ ~D aP L Parcel No. Zz " 4~30 y 6 Subdivision S&, 'a2tj~ezc i n3 Lot No. Owner Name Telephone Contractor Name / R ~R a 4 6E~r ~ ~ w Telephone G40 I~Vckjjta.. 7Contractor Address -41 4 Dublin Registration No. 07- 17d' ea. 'I 4 Residential: Sq. Ft. .fi $50.00 Minimum plus $20.00 for each additional q. Ft. or frac, n nth , (Replacement units, minimum fee) $50.00 REPLACEMENT UNITS: GAS ELECTRIC Commercial: 12 549 4~ 7- New/Addition Sq. Ft. --T . Alteration New/Addition: $50.00 Minimum plus $20.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. Pp cl0 Alteration: $50.00 Minimum plus $10.00 for eac4 additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. ~ o 3 % State of Ohio Surcharge (commercial only) 529 o Total $ JOB DESCRIPTION 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 and all the laws of the State regulating construction, installation, repair and alteration, and may be revoked at any time upon violation of any provisions of said laws. Y__ Signature of licensed contractor or homeowner r~ Division of Building Standards CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201483 Date 12/21/07 Property Address . . . . . . 3900 STONERIDGE LN Parcel Number: 273-009146 Alternate Address: STONERIDGE INTERNAL MED. Tenant nbr, name . . . . . . STONERIDGE INTERNAL MEDIC Application type description COM BUILDING ALTERATION Application desc PHASE ONE Property owner . . . . . DEPT OF MEDICINE FOUNDATION IN Contractor . . . . . . . . . LEHMAN DAMAN CONST. SVC, INC. Structure Information 000 000 Construction Type . . . . . 5B - UNPROTECTED COMB Occupancy Type . . . . . BUSINESS Permit . . . . . . COM HEATING, VENTILATING, A.C. Additional desc . . Permit Fee . . . . 90.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Expiration Date . . 6/18/08 Qty Unit Charge Per Extension BASE FEE 50.00 4.00 10.0000 THOU COM HVAC ALT 40.00 Special Notes and Comments CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1 FOR ALL EXCEPT MODIFICATIONS TO THE EXISTING FIRE ALARM AND SUPPRESSION SYSTEMS BUILDING IS FULLY ALARMED AND SUPPRESSED. SCREEN ALL MECHANICAL UNITS & SERVICE STRUCTURES TO TOP OF UNIT INCLUDING UTILITY FEATURES AND ROOF TOP MOUNTED EQUIPMENT. CONTACT PLANNING DIVISION 410-4600 ***IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED OR SUSPENDED FOR MORE THAN SIX,MONTHS, THE APPROVAL OF PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID. TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A $20.00 EXTENSION FEE*** Other Fees . . . . . . . . . SURCHARGE FEE - HVAC 2.70 Fee summary Charged Paid Credited Due 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 Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 Page 2 Application Number . . . . . 07-00201483 Date 12/21/07 Permit Fee Total 90.00 .00 .00 90.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2.70 .00 .00 2.70 Grand Total 92.70 .00 .00 92.70 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 Application Number . . . . . 07-00201483 Date 11/01/07 Property Address . . . . . . 3900 STONERIDGE LN Parcel Number: 273-009146 Alternate Address: STONERIDGE INTERNAL MED. Tenant nbr, name . . . . . . STONERIDGE INTERNAL MEDIC Application type description COM BUILDING ALTERATION Application desc PHASE ONE Property owner . . . . . . . DEPT OF MEDICINE FOUNDATION IN Contractor . . . . . . LEHMAN DAMAN CONST. SVC, INC. Structure Information 000 000 Construction Type . . . 5B - UNPROTECTED COMB Occupancy Type . . . . BUSINESS Permit . . . . . . COMMERCIAL BUILDING PERMIT Additional desc . . 3,119 SQUARE FEET Permit Fee . . . . 400.00 Plan Check Fee .00 Issue Date . . . . It .16.O-4 Valuation . . . . 0 Expiration Date . . 4/29/08 Qty Unit Charge Per Extension BASE FEE 160.00 3.00 80.0000 THOU COM BLDG PLAN REVIEW 240.00 Special Notes and Comments CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1 FOR ALL EXCEPT MODIFICATIONS TO THE EXISTING FIRE ALARM AND SUPPRESSION SYSTEMS BUILDING IS FULLY ALARMED AND SUPPRESSED. SCREEN ALL MECHANICAL UNITS & SERVICE STRUCTURES TO TOP OF UNIT INCLUDING UTILITY FEATURES AND ROOF TOP MOUNTED EQUIPMENT. CONTACT PLANNING DIVISION 410-4600 ***IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID. TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A $20.00 EXTENSION FEE*** Other Fees . . . . . . . . . COM BLDG INSPECTION ALT 180.00 COM CERTIFICATE OF OCC 120.00 SURCHARGE FEE - BLDG 21.00 Fee summary Charged Paid Credited Due 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 Page 2 Application Number . . . . . 07-00201483 Date 11/01/07 Permit Fee Total 400.00 .00 .00 400.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 321.00 .00 .00 321.00 Grand Total 721.00 .00 .00 721.00 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 Inspection Requests: (614)410-4680 Telephone: (614)410-4670 SUBCONTRACTOR DISCLOSURE Application Number: 07-201483 Project Address: 3900 STONERIDGE LN General Contractor: LEHMAN DAMAN CONST. SVC, INC. Telephone: (614) 252-3400 All registrations must be current through the issuance of a Certificate of Occupancy, including insurance and all applicable State Certifications. TYPE NAME DUBLIN REG. # (required) EXCAVATION ELECTRIC LTD. 67-- 36a 7 HVAC PLUMBING (p/u/lxh , 67 - /1? S7 CONCRETE LANDSCAPING SANITARY SEWER The General Contractor is required to provide a completed copy of the above information to the Building Official at the time of the Certificate of Occupancy inspection.