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07201648 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 O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 4/18/08 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 07-00201648 000 000 Description of Work COM BUILDING ALTERATION Construction type . . . 5B - UNPROTECTED COMB Occupancy type . . . . BUSINESS Flood Zone . . . . . . Special conditions . . STONERIDGE INTERNAL MEDICINE PHASE TWO Approved . . . . . . 1 in Official VOID UNLESS SIGNED BY ILDING OFFICIAL rCITY OF DUBLIN Division of Building Standards • 5800 Shier Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 a Inspection Line: (614) 410-4680 COMMERCIAL INSPECTION SIGN-OFF Project Name: STONERIDGE INTERNAL MEDICINE PHASE TWO Use Group: B Construction Type: 5B Application No: 07-201648 Project Address: 3900 STONERIDGE LANE General Contractor: LEHMAN DAMAN CONSTR Building Code: 07 OBC Sewer Tap "Rough Sprinkler Footing Electric Service Foundation Steel Framing l Footing Steel Grounding Shaft Walls Foundation Insulation Piers Fireplace Waterproofing Curb, Walk & Approach Electrical Underground Above Ceiling Electric Plumbing Underground z1 b~ ~y ~~k Above Ceiling HVAC 311406e ,~3Z "Sprinkler Underground "Above Ceiling Sprinkler VI- a Pre-Slab Above Ceiling Structural Ole, P Diamonds Final Electric 5l r Structural Steel Final Plumbing Fireproofing Final HVAC Masonry Wall Grout Final Gas Piping "Fire Alarm Rough "Fire Prevention A a & e Rough Electric Zoning Final ~y d8 p Rough Plumbing ~g kh Engineering Final Rough HVAC 31-2161 141P 91 Occupancy VIM e Rough Gas Piping "Please call Washington Township Fire Department at 652-3920 to schedule these inspections. DATE INSPECTION COMMENTS APPROVAL INSPECTOR TYPE CODE 2-5-09 t~L- F-s-z -F 4 I,td S R- ZAIA 27 r/ i~~•r~ Roa'? 2f Wj -R ff?,..z51j,,~`f 23e z 37 ~q Oc1T 21A~ ( jr-~ _ 8 ti r I NSP ROW :3115- -.n e~ Fn-.L 1vr4K1 0 /T -3/7 A05- e2W 2 a 2- / ` - /0*- Al, ~~~~r~~ /s - 3 a~~ 01~~ f 3/-30o8 r/h/fIce Ra&ns 3/s~3~~ 4r~fP A m;~t rte" AoL ~I a 4.re F, A L.A a n~ s 5-~~ T erg r a ~i n.~tR er r-L" 'cm b~ 9 ROs C/?r? At 1.4 rs ~.a tN~r &-f CITY OF DUBLIN 5900 Shier PtingsRoad Division of Building Standards Dublin, Ohio 43016 COMMERCIAL BUILDING Telephone: 614410.4670 PERMIT APPLICATION Inspection line: 6144104680 Facshnile: 614-761-6566 PROJECT INFORMATION Address Project Sq Fig. I ~ . Project Name Estimated Cost of Conslruc ' 00, 000 Parcel Number PROPERTY OWNER INFORMATION Property Owner Name (Contact Person If owned by a Corpcxation) Q . , any Nan* 000 p ty.-~ IaP1~C1 i•lE L.LC. Address Z l'~l J0 &-J I ik ity . State Q O Trp W7.4 O F 3 • tI0 E-Mai o'S?nre . dk4V TENANT INFORMATION (If Applicable) tad~Name Company Name Address State Zp city, Fax E ARCHITECT, ENGINEER, OR OTHER DESIGN PROFESSIONAL INFORMATION Design Professional Name, ! Ohio ReyCert Number Company Narrre Address-es- tag- C- State . UY e • ~,~0~ • 110 Zy F . sLaLl, . 7XP2 0-7 .l . GENERAL CONT CTOR INFORMATION (Must be a City of Dublin R istered Co tractor) Contact Name Dublin Registration # *-4:5009 _ any Name . Address 7-Ac State ZP et hone F • 2PS E-trail 1AFFIDAVIT OF OWNER AUTHORIZATION FOR REPRESENTATION Note: This person will be contacted with ~~aU~~ollfficial correspondence. AN signatures must be ORIGINAL. ees Representative gf::~ • lA' C. Relationship to P Company Name A3W4 Position Telephone 740 -17&2-0 I, It L (please print), the of mer and applicant, hereby authorize act as my representative and agent in all matters pertaining to the processing and approval of this application including mod4bg the project, and I agree be bound by all s nd agreements made by the designated agent. Signature of Property Owner: Qate: /'0 IWO ~ the Owner or the Owner's Representative, have read and . understand the contents of all 3 pages of this appkation. The information contained in this Application, attached echibits and other information submitted is comp in all respec a an rrect, t he best of my kn geQ,and belief. Si re of Owner's R resentative MCI IM ul ing Standar s Division Use Only Date Received Building Standards D -^1 NOV 2 8 200 Epkation Number0 4t • AID Ito BUILDING ION GITY F DUBLIN COMMERCIAL WK MG PERMR APPLICA71ON Par t an PiP P.W02 Fqp,{ BW*01 041K MIM CITY OF DUBLIN Division of Building Standards COMMERCIAL BUILDING PERMIT APPLICATION t~~~~.~tt's to Project Name.! ~ S 1. a., f t` G~ Permit Number TV40 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 'T~11~1`~' ~I•tTl~~j - 7lCt~tL ~~(C,~ 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 dF~~ Previous Use(s) CAt.. Cf,~ Use Group (s)_ ANALYSIS OF NEW STRU fTURE ADDITION, AND/OR AREA TO BE ALTERED A. Occupancy Description N` L' Qcl- O((J Use Group s) - AJ~ B. Mixed Use: Yes Non-separated Separated Q No~ C. Type of construction ~M V LV t:(4 ~k ; _C_ D. Fire resistive construction . Fire Test Design Numbers Exterior Walls 4 hr. 'f `0cVtt E (cPO j Fire Walls A,, hr. Floor/Ceiling o hr.t C~ r Columns/Bearing Wall 0 hr. JPt5F_.' .T~Af_T-_ &x:~ Exit Enclosures " hr. Shafts 1.] hr. Corridors lot-r. Tenant Separation l hr. WC.(~T~i(~ Jt'fl? *1!?tor Vsl `t4(,t> E. Floor Area/Floor Occupant Load/Floor Egress Capacity/Floor Number of Exits ' Basement 1st ~O~ oar b0 c) f ~ l pg!p> 2nd Lit= : !z Ecc1--7 rXVV1Mt'- 3rd fM*A T+kIS *0V Cfe ly C_V 4th & above F. Allowable maximum floor area (first floor footprint) Z D ~5 (~lJ~,~.(AJ OW*{ rot*--) Does the above include street frontage increase? Yes f-171 No Does the above include increase for sprinklers? Yes No ~tl5 G. Number of stories above grade (OfJ6~W V;q "Z*- 0V 1 Height BasementYes[__1 Nos COMMERCIAL BINLDING PERMIT APPLICATION Pape 2 of 3 P..-PASWILD ,WORMWOMMAPP.W82 Fad SLp.201 Daft: 10H 1M 1111 Y kir 1 J U 15LlIN 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 >G 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 with construction documents Mils, To -Ct<PAJT (,M'F'~.rX Sn1T~ -r~vti1; EXISTING STRUCTURE ANALYSIS (Complete for all alteration or addition projects) A. Occupancy Description NIFV ICA L- 92M rr E. Use Group(s)-2t- (1>(~'S B. Mixed Use: Yes ~ Non-separated =Separated No C. Type of construction D. Floor Area/Floor Occupant Load/Floor Egress Capac1ty/Floor Number of Exits Basement 1 st_ X70, o 2nd 3rd 4th & above E. Allowable maximum floor area (first floor footprint) Z 0 Z~J (~tiJ Does the above include street frontage increase? Yes 1-41 No Does the above include increase for sprinklers? Yes No F. Number of stories above grade VtJa4*J&b;> Building Height, Basement YesO No[y] G. Horizontal exits Yes No H. Limited sprinkler system Yes No 1. Full automatic sprinkler system Yes No J. Standpipe system Yes No Ott K. Smoke control/Removal system Yes No L. Unlimited area building Yes No M. Manual fire alarm Yes No V- N. Auto fire alarm Yes No 0. Handicap accessible route (exterior & interior) Yes X No P. Structural Loads: provide table of design loads with construction documents - 1, the Design Professional, have read and understand the contents of this application. The information contained in this application, attached exhibits and other information fitted, is•complet aZte: all spects true and correct, to the best of my knowledge and be]' Signature of Design Professional COMWACM9URDMPERMITAPPUCAMON Page 3of3 PAPASS1 NDWORMSZOMMAPP.WS2 FomO8L0.201 DowIW1U99 • TIES WASHINGTON TOWNSHIP LOVN OA, FIRE DEPARTMENT C r 6200 Eiterman Road, P.O. Box 3248D Fl2ANDublin, Ohio 43016 614-652-3920 - Fax 614-766-2507 DEC 1 a 400,7 DATE: December 14, 2007 Clt~'1 TO: Jeffery S. Tyler, Director Ugh Division of Building Standards ' Y 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 - PHASE 2 TENANT M'ROVEMENTS APPLICATION No: 07-201648 LOCATION 3900 Stoneridge Lane RECEIVED: December 5, 2007 BUILDING CODE DATA Use: B, Medical offices for medical practices with exam, treatment and procedure rooms. Construction: V B, Combustible - Un-Protected Area: 8,169 SF [Ph. 2A 5,685 SF + Ph. 2B: 2,484 SF = Area of Improvements] Occupancy: 300 Total Notes: Existing building with interior Tenant alterations. Improvements include plumbing, HVAC and electrical lighting and power requirements. The building currently has an automatic fire suppression system located throughout and fire alarm/detection system which will both require changes pursuant to the Tenant Improvement plans. Mr. Hmpham: We have reviewed the construction documents for the referenced Tenant Improvements project dated November 26, 2007, with as submitted to the Division of Building Standards November 28, 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 approval of the plans with the following conditions: 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 they 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, Section 14.1.3, Plans and Calculations for Fire Suppression Systems, and the specifications, wiring diagrams, battery calculation, and. floor plans required by NFPA 72 (2002)§A4- 5.1.1 for the Fire Alarm/Detection Systems. b. Separate permits are required far the Automatic Fire Suppression Alterations, and the Fire Alarm & Fire Detection system. C. Visual alarm initiating signal appliances shall be mounted in accordance with Section 4.28.3 ADAAG. The appliance shall be placed 80 in. above the highest floor 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 1 This appliance measurement shall place the bottom of the lens at 80 inches above the finish floor surface. Caution should be exercised to coordinate Trustees Gene Bostic - Denise Franz King - Charles Kranstuber Fiscal Officer Joyce E. Robinson Chief Allan Woo WASHINGTON TOWNSHIP FIRE DEPARTMENT DATE: December 14, 2007 Permit 07-201648 Page 2 of 2 this item early in the building process with the contractor installing the rough-in boxes for these fire alarm devices. 2. DFC 506.1 [Key Boxes] When required. When a property is protected by an automatic alarm system, and access to or within a structure, or an area on the property is unduly difficult because of secures openings, and where immediate access is necessary for for life saving or fire fighting purposes, the code official is authorized to require a key box to be installed in an accessible location. The key box shall be of an approved type. The key box shall contain and shall contain: (a) Keys to locked points of ingress, whether interior or exterior, of such building. (b) Keys to locked mechanical equipment rooms. (c) Keys to elevator controls. (d) Keys to other areas as directed by the code official. Please verify and coordinate the location of the required ley box with the Fire Marshal, Alan Perkins, who may be reached at (614) 652-3930. No key box [new or existing] was shown or noted on the electrical plans where the Fire Alarm devices were located. Please verify this requirement. (00) 3. DFC 315.2.1 Ceiling clearance. Storage shall be maintained 2 feet (610 mm) or more below the ceiling in nonsprinklered areas of buildings or a minimum of 18 inches (457 mm) below sprinkler head deflectors in sprinklered areas of buildings. Open storage 'bins' as well as open storage `shelving' with standards, as shown in elevations 6, 7, 19, 20, 21, 22, 26, 27 and 38 as depicted on SheetAS, are drawn and/or dimensioned such that the storage of items would be placed within 18 to 24 inches (or less) of the ceilings. Please know that in this fully suppressed building, no display or storage shall be allowed within 18 inches of the ceiling. This will limit the amount of storage placed upon the top shelving units and within the storage bins as drawn. Please revise. Thank you for the opportunity to review the submission. Please feel free to call with any questions. WASHINGTON TOWNSHIP FIRE DEPARTMENT Michael A. Boryca, Architect/Pla s Examiner Alan Perkins, UPS (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 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: December 18, 2007 RE: STONERIDGE INTERNAL MEDICINE PHASE 2 Tenant Alteration APPLICANT: Bruce A. Gardner, Gardner Architects, 740.363.7620 APPLICANT NO. 07-201648 ADDRESS 3900 Stoneridge Lane The plans, dated November 26, 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: 8,169 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 10733 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 phased plan 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. Please respond to the Fire Marshal's comments STONERIDGE INTERNAL MEDICINE PHASE 2 Tenant Alteration Permit No.: 07-201648 December 18, 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: NABuilding Standards\Harpham\Reviews 2007\07-201648 plcl Stoneridge P2.doc STONERIDGE INTERNAL MEDICINE PHASE 2 Tenant Alteration Permit No.: 07-201648 December 18, 2007 Page 3 of 3 Jeffrey S. Tyler, Chief Building Official City of Dublin 5800 Shier Rings Road Dublin, Ohio 43016 q eviewe and Si d, y M. arpham, AIA e ringOfficial Commer ial Plans Examiner Chief Owner tr Owner's Representative Date r PS- 1~ ~AMA--~ LV-A-,caJ Print Name and Title as Signed NABuilding StandardMarpham\Reviews 2007\07-201648 p1c1 Stoneridge P2.doc CITY OF DUBLIN Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 CORRECTION REQUEST #2 and PHASED PLAN APPROVAL #2 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: February 5, 2008 RE: STONERIDGE INTERNAL MEDICINE PHASE 2 Tenant Alteration APPLICANT: Bruce A. Gardner, Gardner Architects, 740.363.7620 APPLICANT NO. 07-201648(1) ADDRESS 3900 Stoneridge Lane The plans, dated November 26, 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: 8,169 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 10733 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 phased plan 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. Please respond to the Fire Marshal's comments STONERIDGE INTERNAL MEDICINE PHASE 2 Tenant Alteration Permit No.: 07-201648(1) February 5, 2008 Page 2 of 2 Items A thru F on the previous Approval are required for code compliance, but are not necessarily covered in detail in the construction documents and remain a part of this approval. 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 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 City of Dublin 5800 Shier Rings Road Dublin, Ohio 43016 awed and Signed, Ray M. arph e eilding IA Co rcial Plans Examiner Cfficial 2-IsVO 4iOwner or er's Representative Date Print Name and Title as Signed NABuilding Standards\Harpham\Reviews 2007\07-201648 p2c2 Stoneridge P2.doc CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201648 Date 12/19/07 Property Address . . . . . . 3900 STONERIDGE LN Parcel Number: 273-009146 Alternate Address: STONERIDGE INTERNAL MED. Tenant nbr, name . . . . . . STONERIDGE INTERNAL PH II Application type description COM BUILDING ALTERATION 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 . . 8,169 SQUARE FEET Permit Fee . . . . 800.00 Plan Check Fee .00 Issue Date . . . . 1 O 8 Valuation . . . . 0 Expiration Date . . 6/16/08 Qty Unit Charge Per Extension BASE FEE 160.00 8.00 80.0000 THOU COM BLDG PLAN REVIEW 640.00 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 SIGNE CHIEF BUILDING OFFICIAL f rey S. Tyler, AIA Other Fees COM BLDG INSPECTION ALT 330.00 COM CERTIFICATE OF OCC 120.00 SURCHARGE FEE - BLDG 37.50 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 . . . . . 07-00201648 Date 12/19/07 Permit Fee Total 800.00 .00 .00 800.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 487.50 .00 .00 487.50 Grand Total 1287.50 .00 .00 1287.50 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 Q Application No. u~l 4'~ APPLICATION FOR ELECTRICAL PERMIT / Job Address ~ /QX ! ~ L.a4 Parcel No,, ra73 - ~Q ~ 1 q6- 00 SubdivisionQ19 :T4=%t C010-A Lot No. r ` Owner Name, Ldu'A~U~1~[7ry &4-Aelephone Contractor Name Teleph C6 ~0 OA- 6 Contractor Address ' Dublin Registration No. A66 Residential: New Sq. Ft. on Temporary Service $40.00 $40.00 Minimum plus $20.00 for each addition 0 Sq. er 1000 Sq. Ft. Low Voltage Systems: Square Feet $40.00 Minimum plus $10.00 for each ad nal 500 Sq. Ft. f over 1000 Sq. Ft. Commercial: New Sq. Ft. Alteration/Addition q. Ft. Temporary Service $60.00 $60.00 Minimum plus $60.00 f each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. and up to 50,999 Sq. Ft. (sizes ove, See Fee Schedule) Low Voltage Systems: Square eet $30.00 Minimum (plus $20. for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.) 9 0 3% State of Ohio Surcharge (commercial only) -mod S To JOB DESCRIPTION 11A Air aL9'T. 4&ZA " .A~~ 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 ulatin construction, installation, repair and alteration, and may be revoked at any time upon violation of any pro ' s laws. c~ IV t'. Signature of licensed contractor or meowner Division of Building Standards 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 . . . . . 07-00201648 Date 4/01/08 Revision number . . . . . . . 1 Property Address . . . . . . 3900 STONERIDGE LN Parcel Number: 273-009146 Alternate Address: STONERIDGE INTERNAL MED. Tenant nbr, name . . . . . . STONERIDGE INTERNAL PH II Application type description COM BUILDING ALTERATION 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 . . 190.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date . 9/28/08 Qty Unit Charge Per Extension BASE FEE 30.00 8.00 20.0000 THOU COM ELECTRIC LOW VOLTAGE 160.00 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 SIGNED CHIEF BUILDING OFFICIAL Jeffrey S. Tyler, AIA PHASED PLAN APPROVAL #2 AND CORRECTION REQUEST #2 FOR ALL EXCEPT MODIFICATIONS TO THE EXISTING FIRE ALARM AND SUPPRESSION SYSTEMS. BUILDING IS FULLY ALARMED AND SUPPRESSED. 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. r 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 . . . . . 07-00201648 Date 4/01/08 Revision number . . . . . . . 1 Other Fees . . . . . . . . . SURCHARGE FEE - ELECTRIC 39.00 Fee summary Charged Paid Credited Due Permit Fee Total 190.00 .00 .00 190.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 39.00 33.30 .00 5.70 Grand Total 229.00 33.30 .00 195.70 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 Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Date 1 6 Application No. • ~1 ~J O APPLICATION FOR ELECTRICAL PERMIT Job Address,` Parcel No Subdivision / , Lot No. Owner Name ~v Telephone Contractor Name Telephone 57// Contractor Address Dublin Registration No.t.V - 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: Q New Sq. Ft. Alteration/Addition Sq. Ft. y, ko o 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, 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) Total $ lot 5 " JOB DESCRIPTION This permit is granted on the express condition that the id work shall in all respects, conform to the ordinances of the City of Dublin, all the laws of the State and the National Ele Code regulating cons uction, installation, repair and alteration, and may be revoked at any time upon violation of a r .sio o id laws Signature of licensed contractor or homeowner Division of Building Standards Q- 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 . . . . . 07-00201648 Date 3/24/08 Revision number . . . . . . . 1 Property Address . . . . . . 3900 STONERIDGE LN Parcel Number: 273-009146 Alternate Address: STONERIDGE INTERNAL MED. Tenant nbr, name . . . . . . STONERIDGE INTERNAL PH II Application type description COM BUILDING ALTERATION 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 . . 190.00 Plan Check Fee .00 Issue Date . . Valuation . . . . 0 Expiration Date . 9/20/08 Qty Unit Charge Per Extension BASE FEE 30.00 8.00 20.0000 THOU COM ELECTRIC LOW VOLTAGE 160.00 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 SIGNED CHIEF BUILDING OFFICIAL Jeffrey S. Tyler, AIA PHASED PLAN APPROVAL #2 AND CORRECTION REQUEST #2 FOR ALL EXCEPT MODIFICATIONS TO THE EXISTING FIRE ALARM AND SUPPRESSION SYSTEMS. BUILDING IS FULLY ALARMED AND SUPPRESSED. 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 . . . . . 07-00201648 Date 3/24/08 Revision number . . . . . . . 1 Other Fees . . . . . . . . . SURCHARGE FEE - ELECTRIC 33.30 Fee summary Charged Paid Credited Due Permit Fee Total 190.00 .00 .00 190.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 33.30 27.60 .00 5.70 Grand Total 223.30 27.60 .00 195.70 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) 4104670 • Inspection Line: (614) 410-4680 Date 31 I D I D Application No. 0? APPLICATION FOR ELECTRICAL PERMIT Job Address ~9an ~n p _ r~ da e Ira nP~ Parcel No, " on9 i q(n - Subdivision Lot No. Owner Name UW 1 t')A2rV1(.1 i IUPJ 1 0 ;jV1-e Telephone Contractor Name Telephone h i u F- teC~n i o 1`~ok~~rt ((p14) 1-41 to -Ale/ 9-9- Contractor Address Dublin Registration No. I Residential: New Sq. Ft. Alteration/Addition Sq. Ft. Temporary Service $40.00 540.00 Minimum plus $20.00 for each additional 500 Sq. Ft. or fisetion thereof over 1000 Sq. Ft. Low Voltage Systems: Square Feet $40.00 Minimum plus $10.00 for each additional 500 Sq. Ft. or fraction dmwf 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, See Fee Schedule) (?5 1 Low Voltage Systems: Square Feet ~Dct~ ~ d O $30.00 Minimum (plus $20.00 for each additional 1000 Sq. Ft. or faction thereof over 1000 Sq. Ft.) 3% State of Ohio Surcharge (commercial only` O Total S J B DESCRIPTION JM&IyAn i) (us e o This permit is Wa?Jd an the eWess cmdib n that the said work shah in al respects, cordolm b the ordinances of the City of Dubin, all the laws of the State and the National t:lectric Code regule&V construction, installation, repair and alteration, and may be revoked at any time upon violation of laws. Signature of licensed contractor r~~m~eowner Division of Building Standard Date: 1/1/2001 CITY OF DUBLIN Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Date ( 8 Application No. a-:1 • az l V APPLICATION FOR ELECTRICAL PERMIT Job Address YWC '5T6W& 1ZXjDC&E t-.lV Parcel No. ZZ 3 •0091 t{' b Subdivision Lot No. Owner NameDE.7I'®F Msvxcu+t~ Telephone Contractor Name_, Telephone X_c+r~N E.t resC~ac.~ocysAT Sol • 1o7~/Y Contractor Address Dublin Registration No. 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 oN er 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/Additiun Sq. Ft. 8 t o -i 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, 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) b •a 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, all the laws of the State and the National Electric Code ulati ng construction, i llatio pair and alteration, and may be revoked at any time upon violation of any pro' io s of sa' laws. Signature of licensed contractor or homeowner Division of Building Standards Date: 11Y2001 CITY OF DUBLIN Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201648 Date 2/01/08 Revision number . . . . . . . 1 Property Address . . . . . . 3900 STONERIDGE IN Parcel Number: 273-009146 Alternate Address: STONERIDGE INTERNAL MED. Tenant nbr, name . . . . . . STONERIDGE INTERNAL PH II Application type description COM BUILDING ALTERATION 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 540.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 7/30/08 Qty Unit Charge Per Extension BASE FEE 60.00 8.00 60.0000 THOU COM ELECTRIC SERVICE 1K-50K SF 480.00 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 SIGNED CHIEF BUILDING OFFICIAL Jeffrey S. Tyler, AIA Other Fees . . . . . . . . . SURCHARGE FEE - ELECTRIC 16.20 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 . . . . . 07-00201648 Date 2/01/08 Revision number . . . . . . . 1 Permit Fee Total 540.00 .00 .00 540.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 16.20 .00 .00 16.20 Grand Total 556.20 .00 .00 556.20 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 Qy APPLICATION FOR HVAC PERMIT 1 ~-7 Q Date 4 - ~V P Application No. 4 'T • 0~0, `Q V Job Address J -1 ID S~'ner ? Ate _ in o" 4 3o L -1 Parcel No. Q-13- DO946-00 Subdivision SAor\e r An e_ \y4fe nAL. Lot No. Owner Name Telephone Contractor Name G. kAZ&V u,~CA`- t YnC Telephone Contractor Address LOS- &qq\eAnr iZ~r, CZI M" O~ Lk3?,A . Dublin Registration No. 0 O' L 'to0y Residential: Sq. Ft. $50.00 Minimum plus $20.00 for each additional 500 Sq. Ft. or fraction thereof over 1000 Sq. Ft. (Replacement units, minimum fee) Commercial: 1 ` New/Addition Sq. Ft. Alteration New/Addition: $50.00 Minimum plus $20.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. Alteration: $50.00 Minimum plus $10.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. r 3% State of Ohio Surcharge (commercial only) ` C) Total $ X310 X10 JOB DESCRIPTION (4 VAN DOXe-S U6) RVAUL"T FPAS •(3) LAWk LOWCCS, (2) Urz(_• ueAWS (3) HW- tars; ~ h~aer~ Dvc_~wo«t . AtLDW cns (0 CE~LU~4 moun" t,~n?k tea. h ~c o ~Q?no . 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. Signature of licensed contractor or homeowner Division of Building Standards ak r' CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201648 Date 2/05/08 Revision number . . . . . . . 1 Property Address . . . . . . 3900 STONERIDGE LN Parcel Number: 273-009146 Alternate Address: STONERIDGE INTERNAL MED. Tenant nbr, name . . . . . . STONERIDGE INTERNAL PH II Application type description COM BUILDING ALTERATION 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 . . 230.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date . 8/03/08 Qty Unit Charge Per Extension BASE FEE 70.00 8.00 20.0000 THOU COM HVAC ALT 160.00 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 SIGNED CHIEF BUILDING OFFICIAL Jeffrey S. Tyler, AIA Other Fees . . . . . . . . . SURCHARGE FEE - HVAC 6.90 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 . . . . . 07-00201648 Date 2/05/08 Revision number . . . . . . . 1 Permit Fee Total 230.00 .00 .00 230.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 6.90 .00 .00 6.90 Grand Total 236.90 .00 .00 236.90 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 Date Application No. 0-4" d of k" 19 APPLICATION FOR ELECTRICAL PERMIT Job Address q~ sT~xlC.e IOFr G~ Cr- Parcel No. Subdivision Lot No. OwnerName,;Toa,-Zj,0XE 1a1T M9,,*1 &CGl*4-A6L Telephone Contractor Name 1AUT66'A#Td2 AiQ&W*s Lrr Telephone 7§2 Contractor Address gWIjZ Dublin Registration No. 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, See Fee Schedule) Low Voltage Systems: Square Feet '11122 $30.00 Minimum (plus $20.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.) CF 3% State of Ohio Surcharge (commercial only) GtJ Total JOB DESCRIPTION R.e~GA45L -2 This permit is granted on the e)press 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 an prow ' ns of said laws. Signature of licensed contractor or homeowner Division of Building Standards Date: 1/1/2001 s Page 2 Application Number . . . . . 07-00201648 Date 3/13/08 Revision number . . . . . . . 1 Other Fees . . . . . . . . . SURCHARGE FEE - ELECTRIC 27.60 Fee summary Charged Paid Credited Due Permit Fee Total 190.00 .00 .00 190.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 27.60 21.90 .00 5.70 Grand Total 217.60 21.90 .00 195.70 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. 0- • ,a (D , (Q "1] Date !2 /l L05 ? New J! Remodel ? Residential ? Commercial 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. Job Address~A9no ST~1~1C 1~~~ LAmc- Parcel No. Subdivision/Project Name STotaRAtura -T w~?L- N1E h te-1 E- Lot No Owner's Name /s Telephone Contractor's Name s..{3 ~ MEC CAL ZPAuVUES Telephone(LLb %A Contractor's Address~%.95bORE 'NZ1 . Dublin Registration Number !~1~~CA1~+~ SQL 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? lye What is the size of the main drain? 'Aei Of what materials do the vent pipes consist? Of what material does the house drain consist? ly `INDICATE NAME OF CERTIFIED BACKFLOW TESTER ~V' t~l M,I1E IZ 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: WATER TANK REPLACEMENT FEE $35.00 RESIDENTIAL COMMERCIAL Application for permit & first fixture $50.00 Application for permit & first fixture $60.00 cul~ do Number of remaining fixtures X $10.00 = $ Number of remaining fixtures X $12.00 = $ ` Total Inspection Fee $ Total Inspection Fee $11111cw~ 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 Sum Pump Bed Pan Washers Interceptor Trap Primer Bidet Kitchen Sink Urinal Chemical Sinks Laundry Trays Wash Fountain Dental Cuspidors Lavatories 2- Washing Machine Dilution Sum 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 Sewage Ejectors GRAND TOTAL 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 . . . . . 07-00201648 Date 2/01/08 Revision number . . . . . . . 1 Property Address . . . . . . 3900 STONERIDGE LN Parcel Number: 273-009146 Alternate Address: STONERIDGE INTERNAL MED. Tenant nbr, name . . . . . . STONERIDGE INTERNAL PH II Application type description COM BUILDING ALTERATION 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 . . . . . . PLUMBING PERMIT Additional desc . Permit Fee 600.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date . 10/25/10 Qty Unit Charge Per Extension BASE FEE 60.00 45.00 12.0000 EA COM PLUMBING >1 FIXTURE 540.00 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 SIGNED CHIEF BUILDING OFFICIAL Jeffrey S. Tyler, AIA Fee summary Charged Paid Credited Due Permit Fee Total 600.00 .00 .00 600.00 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 . . . . . 07-00201648 Date 2/01/08 Revision number . . . . . . . 1 Plan Check Total .00 .00 .00 .00 Grand Total 600.00 .00 .00 600.00 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. 01/23/2008 15:52 6144523851 FRANKLIN CO HEALTH PAGE 01/01 - `-x ' 71- ' y' 1 iy ~~Mf' .i j, ~1:a. '3^ iFTr .nr•: iS' i ~••._~__7-, 01 Fr anEc[i our va ea-L ~ ''PLUMBING TT 'A .1 AL Nunriber of Fixtures: V. Plan Review Fee S-hed'Ule s- 00 mount Due: 1 - 5 Fixtures $ 25.00 6-20 Fixtures $ 35.00 21-40 Fixtures $ 65.00 41 ormore Fixtures $100.00 /&Z L(-,) Date: NE14V REMODEL Job Name: ~lE Address: _ THIS APPROVED SET OF PLANS . MM 13E ON THE JOB SITE. city: .•..I~Z4~N, c~?-~~D `~3o~R],Y., ' ANY A RATIONS TO THE Signature: DESIGNED SYSTEM MvsT BE REVESED PRIOR TO INSPECTION. Plans Su bmitted by: LdzjEE n~~ ;4n,/ c~ C_ S ri ~S Address*, Mo~SE City & Zip _ y. ~2 3 / Phone / _ 9y2 ! Paid By: 1/1 f~ / - APPR ' V ED Check Dim t'PEkbVED Copy To:C~~/ / tnspeccor:c =f Date. /z- g -zp . -e. .~~'N't_3~•~e'e1~4 ~~~i. .s. v _g ~.eJ_ feS•R'' d~'y t• Franklin County qa of QeWtW;!9'~ C l't~rrt`M-~: •us, oil >o,,.~ •..Y _ ,<_s.~ , ~.~~B~roar~Stcee~ z' • • (6'~4 4f~3. 6~ ~"~1~4~~•.3`r~,.-j....~;:,ytr:., c,: OFF ~AprT15,.20V2z 10:16AM.14,7G MECHANICAL INC. COUNTER FLOW TECH No, 05$0 P. 6 04 Gt7UNYER FLOW MrCHANIQB, INC, AIR OUTLET ' TE$T,N 0 ' ADJUSTING I p•AI.AIUC(NGa TEST REPORT (FLOW HOOD) NVAD [60MMIsffiIDN,No & cONeu~71N© project S onedd a In al Medlein9 system Air Termihals Location Dublin, Ohio ullets Unit Airoaw CFM , Served n Pars Final % Des[ A A Served No. a Neck In. Shoe In. 379 Lobby ?01 1 02 10 24 x 24 VAV-9 40_ 282 Lobb~? 2201 2 D2 10 24 x 24. dIO 248 389 400 212 384 bb}I 207 3 22 10 24 x 24 71 1'152 96% Total RM. 301 D2 8 24 x 24 VAV-10 :2a 235. 216 logo/. - 1 _ Remarks: Test Date MIMI= Readings By OM .8C Drowing Data 1 6007 8MU 10 of iS Apr. 15. 2008 10:16AM G MECHANICAL INC. No. 0580 P. 2 ca.UN'1FR rLOW MEDHAN,I0.8, INC. AIR OUTLE'r TESTING I ADJUSTINO 13AI-ANJOIN11 TEST REpowr !IV>~o COMMIa310?I+NC & CONBULTIM41 (FLOW H0013) Project Stonerldae intemal Medicine _ Location Dublin Ohio System Air Terminals _ Outlets unit Airflow OFM Area See No_ Type NECK In. Size in. Served ®osl 'n` ' Preliminary Final % Desi n VAV-1 - - - -..r RM. 230 1 D2 9 24 x 24 VAV-1-1 UO 89 98 98% _ RM. 2381 D2 ' 8 24 x 24 VAV-1-2 ...too ~ - 96 97 97% RM. 237 _ 1 02 9 24 x 24 VAV-1-3 '440, 108 108 106'/ RM. 230 1 D2 8 24 x 24 VAV-7-4 100.. 1107 104 1049° RM. 231 1 D2 8 24 x 24 VAV-1-6 ` too,, • 97 98 98% _ RM. 230 1 D2 8 24 x 24 VAV-1-6 100 ' 109~ 107 107%_ RM. 228 1 D2 8 _ 24 x 24 VAV-1-7 '110 103 ..99 99% _ RM. 228 1 D2 B 24x24 VAV-1.8 "400. _ 103 106 106% RM. 215 1 D2 8 24 x 24 VAV-1.0 1100' ' 194 904 . 104% RM. 216 1 D2 9 24 x 24 VAV 1.10 100. 163 96 95'/0 RM, 217 1 D2 8 _ 24 x 24 VAV 1,:11 ; 4100 129 96 98% RM. 218 1 D2 8 _ 24 x 24 VAV1-12 ' .900 132 _ 90 96% RM.219 1 D2 8 24 x 24 VAV-1-13 4AO'. 123 102 102% Remarks; ,rip Twl Date 04/0112008 Readings by _ Mile _ urawing hale 1412612007 ~ Sheet a of iii Tn -ru "-0.1 MMn I NM I LRlr7-% r`f~Y l A lrt6.Tn lY 71P nnrf7 /!.T #l.A ¦ 0,Apr, 15, 20082:10.15AM,1497G MECHANICAL INC, COUNTER FLOW WCH No. 0580 P. 1 01 ¦ ppuhvis I pLGW MCCHANICS, INC. FAX 7Fnr,Nd •tl.IUlfYIN4 ( oAL14 wNOI-o MrA6 eOM M7d OI•,.NO $ dCNw.l LtlYald 8001 Cerr,etery Rd. Hilliard, Ohio Tel. (614) 876-9589 Fax (614) 876-7139 I.-Mall: Today's Date, April 15, 2008 To; G,Mechanical >=ax No: B44.6754 No of pages Inc. Attn: JIf>rt cover: 9 Ra, Air and Water Salandirt From: Andy Montler Pro;eat: Stonerid a Int. Med. For problems with this tranerriselon, please ca1L814-878-9589 614-588-4240 Comments: r- Urgent r° For Yot t Information r Please Reply con meD mrim it3R of Nipp - Natloaml EnAmimcntal aalenctirs Bureau 0Apr. 15. 2008210:16AM-,14e,G MECHANICAL INC. ~ ER FLOW t4=cH No. 4580 P. 3. 01 COUNTER MOW MECHANICS, IN12, AIR OUTLET T15 TING I ADJUSTING I B-ALAWCINU TEST REPORT WIVAO COMMISDIDNINO & OUNIPULTINO `FLOW HOOo Project Stonerldus Internal Medicine - - - Loratlon Dublin, Ohio system Alr Terminals Outlets unit Alrtlow C F M Arm Served No. Type Neok In, Size In. Served Des' n Preliminary Final % Desi n RM. 220 1 D2 6 24 x 24 YAK-1-141 100 125 108 106% RM. 221 1 D2 8 24 x 24 VAv 1-1 a 1,100 137 99 _ 99% RM. 222 1 D2 8 24 x 24 VAV AS 100 ' Be -146 106% RM. 227 1 D2 - 8 24 x 24 VAV-1.17 ;400 145 105 105% RM. 226 1 D2 6 24 X 24 VAV 1.10 : 110 101 101% RM. 225 1 -D2 - s 24 x 24 VAV-1.18, 10b• 119 101 101% RM. 224 1 D2 „ 8 24 x 24 VAV 1-20 100 115 96 26% RM. 244 -1 D2 8 24 x 24 VAV-1.21 , 11PO" 125 _ 98 98% RM. 243 1 D2 6 24 x 24 VAV-1-22 160 91 94 94% RM. 242 1 D2 19 24 x 24 VAV-1.23 !80 , , 114 _ 108 _ 106% RM. 241 1 D2 8 24 x 24 VAV 1-24 ' .'100, 117 104 104% Remarks; Teat Data NOI120DO Rowngs 13Y OM AG Drawing Date 141 s11olle~a~~ BApr, 15. 2008210:160,-148,G_MECHANICAL INC, COUNT ER F~ow MEN No. 0580 P...47 02 COUNTER rLOW ME.CHAN106i INC, AIR OUTLET nrl rlrarims , ADJUSTING I 0ALANC1N,o TEST REPORT MVAO G4MN12510NiN4 & QVN41UL71N6 (FLOW HOOD) Project 91oneridge-intemal Medicine Location Dublin Ohio System Air Terminals 0 U la Unit Airflow CFM Area SplIgg No. TYPS Neck In. Size In. Served Des n : Preliminary Final % Design Medical Records 1 D2 8 24 x 24 VAV-2 :::100 , 125 98 Medical Record 2 D2 _ 8 _ 24 x 24 199 - 93 93 Total 20 218 101 98°/. Medical Office - i D2 $ 24 x 24 VAV-3 .10.9: 937 107 107% RM. 235 1 132 8 24 x 24 VAV4 150 98 143 RM, 234 2 _ „D2 a 24 x 24 _ 150' 107 164 Total 300 _ 205 297 99% RM. 233^ 1 D2 8 24 x 24 VAV-5 16d: 90 147 RM. 214 _ 2 D2 8 24 x 24 400 59 93 Carr. 232 3 D2 8 24 x 24 i 100 .86 101 Total "350- ',-.214 341 97% RM. 210 1 _D2 8 24 x 24 VAV-6 10.0 48 93 RM. 209 2 DZ 8 , 24 x 24 _ 1sG 181 147 RM. 208 3 D2 8. 24 x 24 :2pn; 183 189 Total .40,' 390 429 95% RM. 207 1 Da _ .8 24 x24 VAV-, 10D 81 03 RM. 206 2 D2 8 24 x24 150 143 156 Total 28tt 224 249 .100% Remarks: Test Oat$ _ 04101120D8 Readings By 0M 1C Dmwing Date 1412011007 + meal a of 1a EApr. 1L_2008,210:16AM~~as.GyMECHANICAL INC. COUNTER rCH No. 0580 FLOW p"__5_- 03 COUNTRR FLOW M.50HANICSI INC. FAIR OUTLET TagTING I A12JUSTINO I hALANaING TEST REPORT MVAC cvMNISSIGNING & CONBul. ima (FLOW HOOD) Project Stonerld a internal Medicine Location Dublin, Ohio System Air Terminals Oulle Unit Airflow CFM 6rea Served No. Type.- Neck In, Size in. Served -Desi Preliminary Final % Design VAV-8 12M_ 245 1 D2 0 24 x 24 VAV-8-1 700 179 93 93% - RM. 318 D2 8 24 x 24 VAV-8-2 .100' 166 104 1049A RM_202 1 D2 8 24 x 24 VAV-64 . 100 254 907 107% RM,-302 .1 D2 8 24 x 24 VAV4 4 ' 100 126 103 103% W. 303 1 D2 _ 8 24 x 24 VAV-8-6 166 151B 9B 90% RM. 308,._ 1 A D2 9 24 x 24 VAV-8-6 100_ _ 155 101 101% RM. 309 1 D2 _ 8_ ~24 x 24 VAV-8-7 100 13l 96 96% RM. 310 1 D2 8 24 x 24 VAV-S-B 100 165 98 95% RM. 311 1 D2 9 „ 24 x 24 VAV-8-9 190.' 150 108 106% RM_ . 312 _ 1 02 8 24 x 24 VAV 9-10 1,00 148 108 108% RM. S15 1 D2 8 24 X 24 VAV-8-11 : X160 - ISO 89_ RM. 315 1 D2 a .24 x 24 VAV B-12 , 1a6 778 9$ 92% Remarks: Test Date 04/01/2008 Readings By 0M JIG DravAng Cate 1412612007 etloot v of t3 eA,pr.,15. 2008z_10.16AM148rG MECHANICAL INC. COUNTER I I_ow t~eri No. 0580 P.- 7. 65 013UNTER FLOW MIMHANICEv INC. AIR MOVING 1 ii TESTING ` ADJUSTING I MALANDINa EQUIPMENT NvAO COMMI50113NIN6 A 00N8tl1.71N0 TEST REPORT Project Stonerid Internal Medicine Location Dublin Ohio System Exhaust ting ID Unit No. r=F -1 -1 EP -1 - 2 EF A .3 Location RM.-203 . RM. 204 RM, 212 Serviae RM. 203 RM, 204. RM. 212 - Manufacturer. Acme _ Acme Acmes, Model No. J VQoZQO V00200_. V00200 Serial No. Type ! Class / Arr. _ CL& 1 10 CLG' 1 10 CL(3' 1 10 Wheel Type ! Size in. DWpI PC t3,0 DWDI FC 6.Q DWDI 1=C 6.0 Motor Mfr. l frsame _Braan - Nutone Broan - Nutone Broan - Nutone - Motor H.P. V(~V ! RpM • 131 W BOB _131 W 698 131 W 69g.. FLA Ampe! S,P 1 Eff, 1.7 1.36 - 1.7 1.35 1.7 1.35 = . Motor Volts ! Pit I Hz 120.. 1 60 120r 1 $0 120 1 _ T 0 Motor Sheave Mfr. J Model _ Direct „ Direct Direct Mtr. Sheave / Rare Dia in. Direct Direct Direct Fan Sheave Mfr. I Model _ Direct _ Direct _ Direct fen Sheave ! Bore Dia In_. Direct Direct .Dlreot Sheave CIL Dlatence in. _ Direct Direct _ Direct _r No. Selts ! Size Direct Direct Direct Test Data : De81 t'1 Actual .pt iN in Actual Deli n Actual Total CFM 182 1y2 182 161 1.82, 179 Total S.P. in.w~ 0.26. _ 0~.14~ 0.25. 0,113 0.26 0.13 S.P, In.wg in ! out _ „ . u•14 Fan RPM Direot ~ Direct - Direct Fen Rotation CW CW .Cw CW ~ AMR "re a T1 T2 T3 1'•7 , 1,3 13 1.4 1.7 1.6 Volta a T7-72 TITS T3 T1 120 171 120 122 120 119 Remarks: Test Date 04/01/2008 _Resdings By OM 1C Dr8N1ing Date 1412612007_. etleetll oHb ¦ 01-1115. ~7008z.10:17AM1a$~G MECHANICAL INC. COLWER FLOW MECH No. 0580 P. 9. 07 COUN-MR FLOW M$GHAN1091 tNCr BALANCING VALVE! YESTING ` ADJUATING I BALANCING FLOW METER HVAC phMM19110MIN13 & OOHBULTIMO TEST REPORT Projeat Stonerld a Internal Medicine System H dronlcs Location Dubtln Ohio Valve Valve Design 9>ze or Service vgnturl Actual AP R. Actual GPM GPM In. No Angle VAV-1. _ '4,80., . 0 ~0 4.5 - 2.27 3.2 TA 6,20 1.1 VAV- 2 _ -_1.20', 0.60 2.0 TA VAV- 3 1.20 0.60 2.0 6.10 1.2 .r VAV 7A x.210 0.50 1.5 21.73 TA 4 - TA VAV- B 50 - 4,0. _ 1.23 1.8 - - VAV- is 1,60 0. .OD o.so 2.6 11.23 TA . TA VAV- 7 1.20 0,50 2.0 165 . 4.001 0.75 .6 7.10 4.7 7A VAV- S TA VAV- B a,0.75 94.23 _ 4,3 TA VAVw 10 0.80 0,80 2.0 3.41 1.0 Retnerica: . JIG ptewing Dale 14!2812007 T"t pate 0410112008 Readings by Bhea~ ~a a ~a s 8Ap}y15.V204$210p16RNL1 ~G MECHANICAL INC. COUNTER FLOW MECN No. 05$0 P. $ 86 CDU147ER Fl-GW MirGHAN•IIIBt INC, AIR MOVING ~QV~pMEN7 Te5TING I Ab,IUlJTiN•R I 5~k-ANt7tN0 & goHaUl.TiNG 14YA13 cammllanloHlma TEST REPORT project Stonerld a internal Medic{ne system Exhaust Location DubMn Qhlo • _ t~il't?~ . F -14 EF -1 -5 EF " " $ FEE Un{t No~ - RM. 313 RM. 314 ati Locon RM. 314 FtM. 313 Service RM. ?13 _ Acme Aana Manufacturer Acme - VQOZOO O2oo Model No. _ ~ VQ_ V00200 Setal No._._- 1d GLG' 1~0 10 I Chile 1 Arr. GG' 1 6.0 Wh C B.0 DV+~1Dl FG DWDI FC 6,0 . DI F eel T&U Blae In. _ BrOan - Nutone Groan - Nutone Groan - NutoM Motor Mfr. !Frame gn 131 W m t. 131 W 89. 131 W - - Motor H_P,._ W I RPM 1.35 1.7 - 1.86 .7 _ 1.36• - - FI-A Awl $,F / Eff, 1 _17 120 1 60 • 120 1- 60 Mcbr Volts 1 Ph I Hz 120 1 8D Direct / Modsl Direct Direct _ Motor•s"Me Mfr. Direct Direct Mtr. Sheave !Bore Ola in. _ Di- Direct D{r4Gt - Direct Fan Sheave Mfr. 1, Model - Direct- pirect Fan sheave / Bore Dle In. _ Q{r~ct gh Direct _ Ditec eave C/L Dlstance In Diret -Direct Direct No. Belts I Size Direct . Teat Data De I n Actual i n Actual QeBi Actual 183 ase Iota{ CFM . 182 1 0 015 0,25.• 0.14 Sorel S.P. tn.Wg 14 0115 0.1!s S.P. in.wg in tout 0, - Direct - Direct Fan RPM - Direct = - CW CW CW C11V Pon Flotation CW CW '7 1.7 1.2 17 1-3 AmpAr -2 9R 11 T2 T3 _ i - 121 0 . 120 T2-T3 T3-T7 499 ' 121 1 0.: Vona 8 Ti T'2 Retnark6: Test Data 04/0112009 Readings By OM,JIC _ vwmng date 14rA=07 Eli' Slleel 19084 Inspection Type(s): ZONING INSPECTION FORM Zoning/Landscape Land Use and Long Range Planning Commercial ~A Code Enforcement Residential ? Sign ? CITY OF DUBLIN 5800 Shier-Rings Road; Dublin OH 43016 Other ? Telephone/TDD 614-410-4600 Dublin Planning Fax 614-410-4747 Dublin Inspection Line 614-410-4680 Permit o Project Name : Project Address: elf:' G~ ``,n° ~t~C? ' Contact Person: Contact Phone: tv -3 / 7 t YES O 1) Approved Landscape Plan & ROA YES NO -31gn installed as approved YES) NO 2) Plans, Checklist & Permit on Site YES NO ~rking spaces, number & striped YES N0, ,,a 'fighting installed per plan YES NO ,8%Handicap spaces properly signed CYE7S~40 4) Landscape installed per plan YES NO arking islands 7 foot minimum YES O 5) Mechanicals screened per code YES NO 10}"Meet residential appearance code Zoning Approved Zoning Conditionally Approved (See Comments) ? Zoning Disapproved (See Comments) ? Date of Inspection Inspected-By COMMENTS ~v Zoning Inspection Form PLA-120 Date 08/12/04