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07201548 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 . . . . . . 6/27/08 Parcel Number . . . . . 273-001895 Property Address . . . 7450 HOSPITAL DR FR DUBLIN OH 43016 Subdivision Name . . Legal Description . . . 00000 POST RD ENTRY 3452 76.582 ACRES Property Zoning . . . . PLANNED UNIT DEVELOPMENT Owner . . . . . . . . . OHIO HEALTH CORP Contractor . . . . DAIMLER GROUP, INC., THE 614 488-4424 Application number 07-00201548 000 000 Description of Work COM BUILDING ALTERATION Construction type . . . 2B - PROTECTED/NONCOMB Occupancy type . . . . BUSINESS Flood Zone . . . . Special conditions . . DUBLIN M.O.B. TIMESHARE SUITE 350 Approved . . . . . . . 1 Official VOID UNLESS SIGNED BY B LDING OFFICIAL CITY OF DUBLIN Division of Building Standards • 5800 Shier Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 COMMERCIAL INSPECTION SIGN-OFF Project Name: DUBLIN M.O.B. TIMESHARE Use Group: B Construction Type: 2B Application No: 07-201548 Project Address: 7450 HOSPITAL DR. SUITE 350 General Contractor: THE DAIMLER GROUP Buildin Code: 07 OBC Sewer Tap **Rough Sprinkler Footing Electric Service Foundation Steel Framing 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 '3019/0' 4 4Wp Pre-Slab Above Ceiling Structural 1191ag /3l Diamonds Final Electric Structural Steel Final Plumbing Fireproofing Final HVAC Masonry Wall Grout Final Gas Piping "Fire Alarm Rough "Fire Prevention $ //qy oW Rough Electric Zoning Final Rough Plumbing- ~,¢p Engineering Final Rough HVAC Occupancy Rough Gas Piping L "*Please call Washington Township Fire Department at 652-3920 to schedule these inspections. DATE INSPECTION COMMENTS APPROVAL INSPECTOR CODE 2 1/0 9' /sue..// zelve,#- 7 res®s ia?of may` liar ,72 ,3 ~11~4 ~c Ce 4i ` - ~e k OA- vcj ~~ccr is 'ce~r i !~i?/ %3C AP tip v ad d~ q eyed /tr S dt~" ~ e c c 1 s~` L o y ~ `I C11Y OF DUBLIN 5800 Shier Rings Road Division of Building Standards Dublin, Ohio 43016 COMMI ERCIAL BUILDING Telephone: 614-410467o PERMIT APPLICATION Inspection Line: 614-410-sso Facsimile: 614-761-6566 PROJECT INFORM TION Address -7 Q ly~ ProjectSq Ftg. Project Name 1 v 3 Estimated Cost of Construction Parcel Number 011 3o PROPERTY OWNER INFORMATION''. Property Owner Name (Cont ct Perso if own d by a Corporation) Company Name Drein Address 1 i2r e+ 34*- Ficor City C o Wnn S State 6 Zi0 Ina )S -3-70-7 Telephone Fax E AAail TENANT INFORMATION (If Applicagle) Contact Name Company Name Address p CState !EWaff Telephone Fax ARCHITECT, ENGINE R, OR THE DESIGN PROFESSIONAL INFORMATION Design Professional Name f I A10- Ohio Reg/Cert Number Company Name Address 59 8D o C r~~ City ` DL't )gk0n State_ 6& Zip ~3c~i (o e hone l- - o o v Fax -7-Rd - J w( E-Mail GENERAL CONTRACTOR INFORMA ON (Must be a City of Dublin Registered Contractor) Contact Name Dublin Registration # Compa Name Address ~5 3 LR S~ ov 17„', Vf City 0 State D ff Zap 4 3~~ - Fax 'S~l-r0 E-Mail AFFIDAVIT OF OWNER AUTHORIZATION FOR REPRESENTATION Note: This person will be contacted with ail, official correspondence. All signatures must be ORIGINAL. I Owner's Representative Jlehlni ct4- CG klle Retations' to Project- G(~i-4-~C~~ M, Company Names GGt S Position at ~ l? Q7r Telephone fo/ i/ - "7 I, VC411 V1 M 4141 t (ple se print), the owner and applicant, hereby authorize C4 to act as my representative and age i all ma ers attaining to the processing and approval of this application including modifying the project, and I agree a and rep esen s and agreements made by the designated agent. Signature of Property Owner. Date:__ 10/dty~ 0-7 I, the Owner or the Owner's Representative, have read and understand the contents of all 3 pages of tha0ptication. The information contained in this Application, attached exhibits and other information submitted is complete and in all re ects and correct, to the best of my knowledge and belief. Signature of Owner's Representative: Date: ~,Q -LA ERuildfing dards Division Us On y Date ceived Building Standards OCT 2 5 2007 er 5 N DUG DIVI 1IN COMME RCIAL BUILDING PERMITAPPLICATION Page IdI P..PASMBLDGFORMSICOMMAPP,WBZ Famme BLD-201 MI.-0911RAM CITY OF DUBLIN Division of Building Standards COMMERCIAL BUILDING PERMIT APPLICATION Project Name b S Permit Number PROJECT INFORMATION NOTE: The following information is t 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 a _ to I wh ~ we eyl S bYl ( 6 t~'-iLe. TY4 OF WORK (Check all that apply) A. New Structure B. Additi6n Fir Wall Yes No C. Alteration Article 34 Yes No D. Change of Use Entire Structure Partial E. Change of OccupancyEl Entire Structure Partial Previous Use(s) Use Group(s) ANALYSIS OF NEW STRUCTURE, ADDITION, AND/OR AREA TO BE ALTERED A. Occupancy Description Use Group(s) B. Mixed Use: Yes Non separated = Separated 0 NOR C. Type of construction D. Fire resistive construction Fire Test esign Numbers Exterior Its hr. Fire Walls hr. Floor/Ceili g hr. Column earing Wall hr. Exit Enclosures hr. Shafts hr. Corridors hr. Tenant Separation hr. E. Floor Area/Floor Occupant Load/Floor Egress Capacity/Floor Number of Exits Basement 1st 2nd 3rd ,5 $ l . t} j ~lQ t~JG~MDa 'yj 4th & above F. Allowable maximum floor area (first floor footprint)_ Does the above include street frontage increase? Yes No Does the above include increase r sprinklers? Yes NOR G. Number f tones above grade Height ~p'-G" Basement YesQ, No COMMERCIAL BUILDING PERMITAPPUCATION Pa 203 PIPASS%BLDGT0RMS%C0MMAPP.Wg2 Famf SLD-201 Gate: 70f19/99 k-A 1 Y yr "U.15L1N 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 fig No Q. Structural Loads: provide table f design loads with construction documents EXISTIN STRUCTURE ANALYSIS (Complete o all alte n or addition projects) A. Occupancy Description i D ` Z UseGroup(s) B. Mixed Use: Yes No separated =separated Noe C. Type of construction f t~ D. Floor Area/Floo Occupant Load/Floor Egress Capacity/Floor Number of Exits Basement 1st 2nd 3rd (o(+o 4th & above a 1 - (r~o0 ~a~ov .3 E. Allowable maximum floor area (first floor footprint)___ (oD . Does the above include street fro Cage increase? Yes No Does the above include increase or sprinklers? Yesn Noe F. Number of stone above grade Building Height Basement Yes 1 Noo 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) Yesf~j No P. Structural Loads: provide table of design loads with construction -documents I' efl 111 the Design Professional, have read and understand the contents of thi app ication. The information contained in this application, attached exhibits and other information submitted, is-complete and in all respects true and correct to the best of my knowledge and belief. Signature of Design Professional- Date: COMMERCIAL BUILDING PERMIT APPUCATM 3 of 3 PAF'ASSIBLDGIFORMSICOMMAPP.W62 Fom+R pLp-2pt Dalp-;10/11J99 W CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201548 Date 12/28/07 Revision number . . . . . . . 1 Property Address . . . . . . 7450 HOSPITAL DR Parcel Number: 273-001895 Alternate Address: MEDICAL OFFICE BUILDING Tenant nbr, name . . . . . . DUBLIN MOB TIMESHARE #350 Application type description COM BUILDING ALTERATION Property owner . . . . . . . HOSPITAL PROPERTIES INC Contractor . . . . . . . . . DAIMLER GROUP, INC., THE Structure Information 000 000 Construction Type 2B - PROTECTED/NONCOMB Occupancy Type . . . . . BUSINESS Permit . . . . . COMMERCIAL BUILDING PERMIT Additional desc 4,581 SQUARE FEET Permit Fee 480.00 Plan Check Fee .00 Issue Date /-a-0$' Valuation . . . . 0 Expiration Date . . 6/25/08 Qty Unit Charge Per Extension BASE FEE 160.00 4.00 80.0000 THOU -'COM BLDG PLAN REVIEW 320.00 Special Notes and Comments' 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 f le- _J CHIEF BUILDING OFFICIAL ey S. Tyler, AIA Other Fees . . . . . COM BLDG INSPECTION ALT 210.00 COM CERTIFICATE OF OCC 120.00 SURCHARGE FEE - BLDG 24.30 Fee summary Charged Paid Credited Due Permit Fee Total 480.00 .00 .00 480.00 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 . . . . . 07-00201548 Date 12/28/07 Revision number . . . . . . . 1 Plan Check Total .00 .00 .00 .00 Other Fee Total 354.30 .00 .00 354.30 Grand Total 834.30 .00 .00 834.30 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 PHASED PLAN APPROVAL #1 and CORRECTION REQUEST #2 This is not a Building Permit. It is a record of our review of documents submitted with your application for a Building Permit. December 26, 2007 RE: MOB Timeshare APPLICANT: Jennifer Carney, Carney Ranker, Architects, 614.792.1000 ADDRESS: 7450 Hospital Drive Suite 350 APPLICANT NO. 07-201548(1) The plans dated 10-22-07 and revised 12-03-07 for the captioned project have been reviewed for compliance with the provisions of the Ohio Building Code (2007). The review was based upon the following criteria: Use Group: B-Business Area: 4,581 SF Occupant Load: 45 @ 1:100 Construction Type: IIB Notes: 1. The building is fully suppressed. Suppression Application 07-201488 has been reviewed and approved. 2. The building is provided with an enunciated automatic fire protective signaling system with audible and visual alarms in all public spaces. Detection Application # 07-201650 has been submitted and is being reviewed. The architectural documents are sealed by Jennifer Powell Carney, Ohio registered architect #10748, the plumbing, mechanical and electrical by Bruce Vetter, Ohio registered engineer #63372 to comply with the requirements of the OBC Section 106.3.4.1 and have been reviewed, therefore, in accord with OBC Section 104.1. OBC 106.3 Examination of documents. The building official shall examine or cause to be examined the accompanying construction documents and shall ascertain by such examinations whether the construction indicated and described is in accordance with the requirements of this code. The construction documents, which have been submitted, do not allow the City of Dublin to issue a permit to begin construction. The following item(s) shall be brought into full compliance with the the requirements of the OBC prior to the issuance of any plan approval. Item 1 This Phased Plan Review is for ALL EXCEPT ALARMS. Item 2 106.1.1 Information on construction documents. Construction documents shall be dimensioned and drawn upon suitable material. Electronic media documents are permitted to be submitted when approved by the building official. Construction documents shall be coordinated and of sufficient clarity to indicate the location, nature and extent of the work proposed and show in detail that it will conform to the provisions of this code. Construction drawings shall include information necessary to determine compliance with the building, mechanical, plumbing and fire protection codes such as: a. Fire Alarm Drawings shall be submitted for review; contain all information required by MOB Timeshare Application No.: 07-201548(1) December 26, 2007 Page 2 of 3 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. b. It is noted that NO alarms have been proposed in this construction document submission. All Exam Rooms, Toilets Waiting and Conference Rooms are required to have Fire Alarm Strobes. Item 3 Review and Approval of Plumbing Drawings and inspection of Plumbing installations are performed by the Franklin County Board of Health Item 4 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. a. Please include resolution of the matters of the Fire Marshal's correspondence to Building Standards in your reply to this Correction Request. 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. a. 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 1103.2.1 Specific requirements. Accessibility is required in buildings and facilities, or portions thereof, to the extent indicated in ADAAG Section 4.1 and OBC Chapter 11. NABuilding Standards\Harpham\Reviews 2007\07-201548 p1c2 MOB Timeshare.doc MOB Timeshare Application No.: 07-201548(1) December 26, 2007 Page 3 of 3 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. 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 ;Coy=m and Si ed, h mA OB' , AIA ial Plans Examiner 4Chief Official 64 Owner or Owner's Representative Date t' . (9 /F Ien 4-M t - 2- v g Print Name and Title as Signed c NABuilding Standards\Harpham\Reviews 2007\07-201548 plc2 MOB Timeshare.doc • • WASHINGTON TOWNSHIP L~VNTIES OF FIRE DEPARTMENT 'y9gF : _ 6200 Eiterman Road, P.O. Box 3248~C ' FRANK~~N Dublin, Ohio 43016 614-652-3920 • Fax 614-766-2507 OFD ? DATE: December 20, 2007 `WJ /Ty p TO: Jeffery S. Tyler, Director /C 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: MOB Time Share - TENANT IMPROVEMENTS APPLICATION No: 07-201548(1) LOCATION 7450 Hospital Drive, Suite 350 RECEIVED: December 5, 2007 BUILDING CODE DATA: Use: B, Business offices for medical practices. Construction: U B, Noncombustible - Un-Protected Area: 4,581 SF Occupancy: 45 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 alteration plans. Mr. Harpham: We have reviewed the construction documents for the referenced Tenant alteration project dated 12/3/07, with as submitted to the Division of Building Standards December 4, 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 9079 Alarm uotirkation appliances: Alarm notification appliances shall be provided and shall be listed for their purpose. Audible and visual alarms shall be installed in accordance with the "ADI and NFPA 72. ADAAG 428.1. Alarm systems required to be accessible shall comply with Section 4.28 ADAAG. At a minimum, visual signal appliances shall be provided in restrooms and any other general usage areas (e.g., meeting rooms, auditoriums, corridors, lobbies and any other area for common use. We acknowledge that the Fire Alarm System Drawings have been submitted for review however, please know that visual notification appliances are required in the following "common use" areas: 1. All of the spaces labeled as Exam Room. By definition, these areas constitute common use and shall be protected in accordance with the referenced code sections. Please explain why these rooms would not be provided with visual signal appliances? Furthermore, audible alarms shall be tested in the field for compliance with Section 907.9.2 OBC pursuant to their vicinity to these areas of common use. Trustees Gene Bostic • Denise Franz King - Charles Kranstuber Fiscal Officer Joyce E. Robinson Chief Allan Woo c WASHINGTON TOWNSHIP FIRE DEPARTMENT DATE: December 20, 2007 Permit 07-201548(1) Page 2 of 2 Thank you for the opportunity to review the submission. Please feel free to call with any questions. WASHINGTON TOWNSHIP FIRE DEPARTMENT AdA6 a d xfn''~ Michael A. Boryca, Archie Examiner Alan Perkins, CFPS (614) 488-4009 Fire Marshal CERTIFICATE OF ZONING PLAN APPROVAL APPLICATION # T ,2015 7 L DATE ISSUED 'Y C7 N- Land Use and Long Range Nanning 5800 Shier-Rings Road Dublin, Ohio 43016.1236 Phone/ TDD: 614-410-4600 Fax: 614-4104747 Web Site: www.dublin.oh.us NAME OF BUSINESS/ FACILITY (IF APPL CA LE) \1 Q ADDR~ O SUBJECT PROPERTY b C~ e. NAM OF APP ANT/ A ORIZED AG PHONE, - k -Ivua t CaykspA ADDRESS OF AP LI {ANT/ AUTHO IZE AGENT r1~ ! r J ~C v `C NAME OF PROPERTY OWNER PHONE PLEASE DESCRIBE IN LAYMAN'S TERM THE EXISTING AND PROPOSED USE(S) OF ALL PARTS OF THE LAND AND/OR BUILDINGS. IF A CHANGE OF USE IS PROPOSED, PLEAS EXPLAIN. (IE, RETAIL SPACE TO MEDICAL OFFICE SPACE, ETC.) WL~c<ic~ L 6j~L- Ce_ kf.-Sure S c~P' PLEASE SUBMIT THE FOLLOWING: ? ONE (1) ORIGINAL SIGNED APP (CATION ? ONE (1) COPY OF A SCALED S17 1E PLAN DRAWN IN INK indicating all current and proposed land uses, structures, and other site improvements. Additional documentation may be r quired for various types of projects. Partial or incomplete applications and drawings cannot be processed and will be returned to the applicant Y mail. APPLICANT SIGNATURE: DATE: FOR OFFICE USE ONLY CASE NUMBER DATE CASE NUMBER DATE CASE NUMBER DATE NOTES: i Screen All S NIMI S~wftre: & . PER CITY CODE CALL PLAWIM ZONING INSPECTION REQUIRED UPON COMPLETION? YES NO If yes, please call 614-410-4680 to schedule an inspection. rtificate of Zoning Compliance will be issued after the work is inspected and approved by Land Use and Long Range Planning. APPROVED ROVED AS NOTED This Certificate of Zoning Plan Approval is issued for, and Xne*ference to the property and use described above, and as approved by the City Administrator or designee, or the City Court il, Board of Zoning Appeals, Planning & Zoning Commission, or the Architectural Review Board as appropriate. DISAPPROVED AS NOTED BY: DATE: Zli -C2-&-07 CERTIFICATE OF ZONING PLAN; APPROVAL 3/10/2006 CITY OF DUBLIN f Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Date 3" W " 0?1 Application No. o - QL APPLICATION FOR ELECTRICAL PERMIT Job Address 1y~5~. 1 ~r Parcel No. 2" l3~ob~ ~a1 S Stsbdtviaion Lot No. Owner Name MA LTelephone Contractor NameML.SZ~~ ( w&WAM Telephone 1 oA* Z~PAZ Contractor Address L.Cjr.Z- Dublin Registration No. Residential: New Sq. Ft. Altcration/Additioa 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 Few 0 edul~) Low Voltage Systems: Square Feet k $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 $ ss a-0 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 regulating construction, installation, repair and alteration, and may be revoked at any time upon violation of any prov' ' s of said laws. Signature of licensed contractor or homeowner Division of Building Standards ~-A-'KYQ6 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 . . . . . 07-00201548 Date 3/04/08 Revision number . . . . . . . 1 Property Address . . . . . . 7450 HOSPITAL DR Parcel Number: 273-001895 Alternate Address: MEDICAL OFFICE BUILDING Tenant nbr, name . . . . . . DUBLIN MOB TIMESHARE #350 Application type description COM BUILDING ALTERATION Application desc 3RD FLOOR Property owner . . . . . . . HOSPITAL PROPERTIES INC Contractor . . . . . . . . . DAIMLER GROUP, INC., THE Structure Information 000000 Construction Type . . . . . 2B - PROTECTED/NONCOMB Occupancy Type . . . . . BUSINESS Permit . . . . LOW VOLTAGE ELECTRIC PERMIT Additional desc`. . SQ FT 4581# Permit Fee . . 110.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/31/08 Qty Unit Charge Per Extension BASE FEE 30.00 4.00 20.0000 THOU COM ELECTRIC LOW VOLTAGE 80.00 Special Notes and Comments 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 12.30 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 . . . . . 07-00201548 Date 3/04/08 Revision number . . . . . . . 1 Permit Fee Total 110.00 .00 .00 110.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 12.30 9.00 .00 3.30 Grand Total 122.30 9.00 .00 113.30 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. 12/19/2007 16:32 6144623951 FRANKLIN CO HEALTH PANE 02/03 • O • Franklin County Board of Health O Two sets of plumbing plans ONLY PLUMBING REVIEW complete with isometrics are required. One set will be returned. TRANSMITTAL Number of Fixtures: Z© rPlan Review Fee Schedule Amount Due: 3~. Fixtures $ 25.00 THIS APPROVED SET OF PLANS 6 - 20 Fixtures $ 35.00 MUST BE ON THE; JOB SITE. 1 - 40 Fixtures $ 65.00 41 or rc ures $100.00 ANY ALTERATIONS TO TI1E DESIGNED SYSTEM MU REVISED P INSPE ' ON. Date: z 07 NEW REMODEL -4z 11 Job Name: Address: C'rtY' Signature: Plans Submitted by~ j~44;-_ Address: City & Zip Phone # d- r IJ.Z Paid By: APPROVED Check DISAPP VE 1~f Aj')01~ Copy To:(J// I nspector: Akk Date: Franklin County Board of Health ? 280 East Broad Street ? Columbus, OH 43215 (614) 462-3160 phone* (614) 462-3851 fax CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 APPLICATION FOR HVAC PERMIT Date u I'b Application No. 617-06 Z6 I S, I9 Job Address -74 So ~Sq' t"k, OL Parcel No. ~ ~ f cgs Subdivision qv ~5b Lot No. ~i Owner Name 040 14e7w14 1 M ME, S qt&U v1 Telephone 1~ a' 7 q-2i4 Contractor Name ~ - 'tl hLs- P~t VL a bm, Telephone 12-73 Contractor Address A1LU" 64 (4~102-f° Dublin Registration No. d_Z1 Residential: Sq. Ft. $50.00 Minimum plus $20.00 for each additional 500 Sq. Ft. or traction thereof over 1000 Sq. Ft. (Replacement units, minimum fee) omm l,J New/Addition Sq. Ft. ~Al~ teration 1 New/Addition: $50.00 Minimum plus $20.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. 4-410 Alteration: 0.00 Minimum plus $10.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. 3% State of Ohio Surcharge (commercial only) Total $ JOB DESCRIPTION Abo D/Ly(.?n ck- Sf wj 1z) *V td swA-(, S1A-GE 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 . CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201548 Date 1/16/08 Revision number . . . . . . . 1 Property Address . . . . . . 7450 HOSPITAL DR Parcel Number: 273-001895 Alternate Address: MEDICAL OFFICE BUILDING Tenant nbr, name . . . . . . DUBLIN MOB TIMESHARE #350 Application type description COM BUILDING ALTERATION Property owner . . . . . . . HOSPITAL PROPERTIES INC Contractor . . . . . . . . . DAIMLER GROUP, INC., THE Structure Information 000 000 Construction Type . 2B - PROTECTED/NONCOMB Occupancy Type . . . BUSINESS Permit . . . . COM HEATING, VENTILATING, A.C. Additional desc NEW 08' RATES Permit Fee 150.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 7/14/08 Qty Unit Charge Per Extension BASE FEE 70.00 4.00 20.0000 THOU COM HVAC NEW/ADD 80.00 Special Notes and Comments 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 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 150.00 .00 .00 150.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 .00 .00 4.50 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 Page 2 Application Number . . . . . 07-00201548 Date 1/16/08 Revision number . . . . . . . 1 Grand Total 154.50 .00 .00 154.50 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 Division of Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 462-3865 (Franklin County) Application No. ' ~ol s q U Date M<w ? 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 of Z Jhe " 140e"~l 0 Parcel No. Subdivision/Project Name rK0 - Lot No Owner's Name Telephone d^p'3QL Contractor's Name AAIVAnk A4 -Telephone Contractor's Address s 6zX4111 Dublin Registration Number Does the sewer discharge into an individual sewage disposal system or sanitary sewer? y~-S How far distant from any dwelling, well or cistern is the sewage tank? What is the size of the main drain? D Of what materials do the vent pipes consist? Of what material does the house drain consist? *INDICATE NAME OF CERTIFIED BACKFLOW TESTER 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 Number of remaining fixtures X $10.00 = $ Number of remaining fixtures X $12.00 = $ 288 Total Inspection Fee $ Total Inspection Fee 4 398, 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 3 Dish Washers Outside Faucets Water Lines Drinking Fountain Roof Drains Water Sto age Tank Floor Drains Rough-in Openings for Future Other s,h Garage Catch Basin Sewage Ejectors GRAND TOTAL r&r~ V~ -F-- i Division of Building Standards 1 • CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201548 Date 1/14/08 Revision number . . . . . . . 1 Property Address . . . . . . 7450 HOSPITAL DR Parcel Number: 273-001895 Alternate Address: MEDICAL OFFICE BUILDING Tenant nbr, name . . . . . . DUBLIN MOB TIMESHARE #350 Application type description COM BUILDING ALTERATION Property owner . . . . . . . HOSPITAL PROPERTIES INC Contractor . . . . . . . . . DAIMLER GROUP, INC., THE Structure Information 000 000 Construction Type . 2B - PROTECTED/NONCOMB Occupancy Type . . BUSINESS Permit . . . . PLUMBING PERMIT Additional desc . Permit Fee . . 288.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 10/01/10 Qty Unit Charge Per Extension BASE FEE 60.00 19.00 12.0000 EA COM PLUMBING >1 FIXTURE 228.00 Special Notes and Comments SCREEN ALL MECHANICAL UNITS & SERVICE STRUCTURES TO TOP OF UNIT INCLUDING UTILITYFEATURES 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 288.00 .00 .00 288.00 Plan Check Total .00 .00 .00 .00 Grand Total 288.00 .00 .00 288.00 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 R Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Date Application No. -t' 7 "~9/ ~ A PLICATION FOR ELECTRICAL PERMIT Job Address Parcel No. Subdivision Owner Name OfAa 'felephone Contractor Naftm. IL. Xt. ~ / '-j_ Telephone 46tyl_:~ M 3 Contractor Address Q~~Z -"sj_e- y- Dublin Registration Not- / Residential: New Sq. Ft. AlteratiordAddition Sq. Ft. Temporary Service $40.00 $40.00 Minimum plus $20.00 for each additional 50U Sq. Ft. or fraction thereof o-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/Addition Sq. Ft. v 0 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 $ JOB DESCRIPTION~Y ( / 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, installa 'on, repair and alteration, and may be revoked at any time upon violation of any provi . ns of said laws Signature of licensed contractor or homeowner Division of Building Standards 1 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 . . . . . 07-00201548 Date 1/07/08 Revision number . . . . . . . 1 Property Address . . . . . . 7450 HOSPITAL DR Parcel Number: 273-001895 Alternate Address: MEDICAL OFFICE BUILDING Tenant nbr, name . . . . . . DUBLIN MOB TIMESHARE #350 Application type description COM BUILDING ALTERATION Property owner . . . . . . . HOSPITAL PROPERTIES INC Contractor . . . . . . . . . DAIMLER GROUP, INC., THE Structure Information 000 000 Construction Type . . 2B - PROTECTED/NONCOMB Occupancy Type . . BUSINESS Permit . . . . . . ELECTRICAL PERMIT Additional desc . Permit Fee 300.00 Plan Check Fee .00 Issue Date . . Valuation . . . . 0 Expiration Date . 7/0`5/08 Qty Unit Charge Per Extension BASE FEE 60.00 4.00 60.0000 THOU COM ELECTRIC SERVICE 1K-50K SF 240.00 Special Notes and Comments 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 9.00 Fee summary Charged Paid Credited Due Permit Fee Total 300.00 .00 .00 300.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 9.00 .00 .00 9.00 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 . . . . . 07-00201548 Date 1/07/08 Revision number . . . . . . . 1 Grand Total 309.00 .00 .00 309.00 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 CUSTOMER RECEIPT Batch ID: 1/03/08 01 Receipt no: 90 Type SvcCd Description Amount 2007 201548 BP BUILDING PERMITS Qty 1.00 $834.30 THE DAIMLER GROUP Tender detail CK Ref#: 49917 $834.30 Total tendered: $834.30 Total payment: $834.30 L:a Trans date: 1/02/08 Time: 16:09:25 THANK YOU FOR YOUR PROMPT PAYMENT THE DAIMLER GROUP, INC. 49917 [ED DATE DESCRIPTION AMOUNT DEDUCTION NET AMOUNT 01/02/08 Ohiohealth Time Share 834.30 834.30 JOB 0909 CODE 1701c CHECK DATE CONTROL NUMBER TOTALS 834.30 49917 THE.DAIMLER GROUP, INC. CONSTRUCTION DISSUR89MENT ACCOUNT FlFiH-THIRD BANK A 1533 LAKE SHORE DRtKE COLUMBUS, OHIO ) SUITE 50 25-216-440 COLUMBUS, OH 43204.4691 ~1 C PAY TO THE DATE CONTROL NO. AMOUNT ORDER OF CITY OF DUBLIN 1/02/08 49917 834.30 1190499 0Hs 1:04400 2 16 11:: 00 7 5 5 &6 5 7011' Division of Building Standards 5800 Shier Rings Road Dublin, Ohio 43016 Phone: V/TDD 614/410-4670 7C,I,TIY OF DUBLIN Inspection Line: 614/410-4680 CONDITIONAL APPROVAL AGREEMENT This agreement made and entered into by and between V > A 1'qL"0-,- c'14VW (Pro Manage eneral ontractor) Herein after known as the Project Manager/General Contractor, and "91 (Owner/Occupant) Hereinafter known as the Owner/Occupant, and the City of Dublin, hereinafter known as the City, who mutually agree and covenant as follows: 1. The Project Manager/General Contractor, who is constructing a new premises at: Building Permit No.0 7- ZO/ -T , has applied for a Certificate of Occupancy. 2. The premises, as of the date this agreement is signed, has not met all requirements of the Dublin Codified Ordinances, hereinafter known as the Code, and therefore additional final inspections cannot be approved. 3. The list of items, which is attached to and is a part of the agreement, is accepted by both the Project Manager/General Contractor and the Owner/Occupant, documentation of those items necessary to be completed prior to the project receiving final approval. 4. Acknowledging that the premises are not completed and that certain items, as shown, are requirements of the Code of the City, the Owner/Occupant, requests that the City allows occupancy of the premises and use of the property as of the date of this agreement. 5. In return for such above Conditional Approval, the Project Manager/General Contractor agrees to complete all items as shown by (date) 8' -30 'OS and further agrees to release, hold harmless and indemnify the City and its agents, assigns and employees from any and all obligation, liability, and/or responsibility that might arise as a result of permitting occupancy under a Conditional Approval Agreement. 6. In return for the City allowing conditional approval, the Owner/Occupant hereby releases the City, its agent, assigns and employees from any and all obligations and/or responsibilities related to the completion of the premises, and further agrees to release and hold harmless the City, its agents, assigns and employees from any and all liability that might arise as a result of occupancy of the premises. Further, the Owner/Occupant accepts the responsibility for the completion of those items shown as incomplete, and recognizes that the City may revoke the Conditional Approval ADUBLINDATA_PER SERVER\PER\PER\THOMEW\OFFICE\WP\DOCS\DOCIFORMS\CONDITIONAL OCCUPANCY AGREEMENT.doc Page 1 of 2 Updated 4-02 Agreement causing the premises to be vacated; and/or the City may initiate legal action, if these items are not completed on a timely basis, and within the schedule contained in item 5 of this agreement. The Owner/Occupant agrees that the City or its agent shall have full access to the property to inspect, or at it's sole and exclusive discretion cause to be made any improvement necessary to bring any part of the premises into compliance with this Conditional Approval Agreement. 7. The Owner/Occupant and the Project Manager/General Contractor both agree that the City, by accepting this Agreement in allowing occupancy as of the date of this Agreement has in no way waived, forfeited or otherwise relinquished any rights and/or powers that it would have if this Agreement were not in effect. 8. The Owner/Occupant acknowledges that he is under no obligation whatsoever to enter into this Agreement, but that absent this Agreement, Conditional Approval to use the property will not be granted. 9. This Conditional Approval Agreement will serve as the Temporary Occupancy Permit the Building Official may issue in accordance with 4101:2-1-27(E) of the Ohio Administrative Code when the entire scope of the building work has not been completed, but the Building Official has determined the building can be occupied safely. Project Manager/General Contractor Date Pr ject Manager/ eral Contractor (Signature) (Please Print) Owner/Occupant Date /4r/Occupant (Signatur (Please Print) 9 ;-VL A ep d ty of Dublin Date \\DUBLINDATA PER SERVER\PER\PER\THOMEW\OFFICE\WP\DOCS\DOCVORMS\CONDITIONAL OCCUPANCY AGREEMENTA- c Page 2 of 2 Updated 4-02 DUBLIN METHODIST HOSPITAL MOB SUBCONTRACTORS UST February 28, 20008 NAMES & ADDRESSES TELEPHONE CONTACT DUBLIN NUMBERS OR W( ID # EARTHWORK/SITE UTIU71ES Darby Creek Excavating, Inc. 740-477-8600 Kevin Steward 08237 6790 Brooksmiller Road 833-1910 Circleville, Ohio 43113 740-477-9865 (fax) PAVING/ASPHALT KMC Paving, Inc. 740-477-8600 Kevin Steward 08-237 6790 Brooksmiller Road 740-477-9865 (fax) Circleville, Ohio 43113 LANDSCAPING/IRRIGATION Timberwood Landscape Co. 799-0555 Sam Duff ..31-1230973 4233 Penrith Court 799-0444 (fax) Dublin, Ohio 43016 CONCRETE Foor Concrete Co., Inc. 740-513-4346 Ed Swim 31-1352420 5361 State Route 37 East 740-513-4353 (fax) Delaware, Ohio 43015 MASONRY Lassel Sons Masonry, Inc. 740-964-1805 Carl Lassel 57-1152661 60 Shackelford Road 740-964-1806 (fax) 2 J Pataskala, Ohio 43062 d b " METALS Marysville Steel, Inc. 937.642-5971 Tom Fidago 31-0686090 PO Box 383 937-642-1529 (fax) Marysville, Ohio 43040 i''l PsiL!~_ . MISCELLANEOUS METALS Edwards Steel Company 274-6800 Dave Edwards 31-1048313 1777 McKinley Avenue 274-4387 (fax) Kim Ashley Columbus, Ohio 43222 PAconsULADubin Hospital MOB\Dubrm sub Ua.doc 1 CARPENTRYIPLASTIC LAMINATESICABINETS Ingle-Barr, Inc. 421-0201 Steve Bettendorf -08-1787 1444 Goodale Boulevard 421-2071 (fax) Columbus, Ohio 43212 207-1848 (cell) ROOFINGISHEET METAL FLASHING Accurate Roofing, Inc. 898-9394 Jack Moore 31-1228574 Post Office Box 1017 898-9395 (fax) Westerville, Ohio 43086-7017 INSULATION & SPRAY FIREPROOFING Omni Fireproofing Company, Inc. 513-870-9115 John Henry 31-1033930 9305 LeSaint Drive 513-870-9312 (fax) Fairfield, Ohio 45014-5447 CAULKING & SEALANTS Angelo's Caulking & Sealant, Inc. 236-1350 Angelo Gesouras 31-1084819 P.O. Box 09583 236-5001 (fax) Columbus, Ohio 43209 ALUMINUM & GLASS Anderson Aluminum Corporation 476-4877 Dennis 31-0934867 2816 Morse Road 471-4330 (fax) Schauweker Columbus, Ohio 43231 DRYWALL Compass Construction, Inc. 761-7800 Frank Reynolds 08-1742 7670 Fishel Drive South 761-2063 (fax) Dublin, Ohio 43016-8820 PAINT & VINYL WALLCOVERING Colors, Inc. 421-2525 Chris Southwick 08-894 476 East Fifth Avenue 421-2455 (fax) Columbus, Ohio 43201-2971 TOILET PARTITIONSIACCESSORIES Construction Systems, Inc. 252-0708 Tim Faherty 08-279 2865 East le Avenue 251-8043 (fax) Columbus, Ohio 43219 PAconstrctWuW Hospital MOEWuMn sub Gst.&c 2 ELEVATOR Otis Elevator 777-6500 Bhavesh Amin 08-2291 United Technologies 777-6509 (fax) Al Wedemeyer 2231 Westbrooke Drive Columbus, Ohio 43228 HVAC Metro Heating & Air Conditioning 777-1237 Joe Tate 08-298 4731 Northwest Parkway Hilliard, Ohio 43026 PLUMBING Cary and Son Plumbing Co., Inc. 868-9302 Mike Cary 30-0171423 1626 Dream Court 868-9300 (fax) Reynoldsburg, Ohio 43068 FIRE PROTECTION S A Comunale Co., Inc. 291-7001 Dean Kerschner 34-1122758 1399 Ohlen Ave 706-3040 Columbus, Ohio 43211 291-7009 (fax) FP ys~~©j g ELECTRICAL Denier Electric Company, Inc. 338-4664 Shelley DeNoma 08-237 4000 Gantz Road, Suite C 338-4663 (fax) Grove City, Ohio 43123 PAcer sUct"Nn Hospital MOB\Dublln sub pst.doc 3 CITY OF DUBLIN Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Fax: (614) 761-6566 - Inspection Line: (614) 410-4680 DO NOT REMOVE THIS SHEET FROM SITE NOTICE OF INSPECTION Inspection Type 141re SWe/ Application # Date Z 7 *f- The undersigned inspectors checked your property at 7!Y ,~d f'e,- for compliance with Building Code. Any violations listed below must be corrected within days. VIOLATIONS UL 42 /L'e-eW /A Cc -"c~/t' /i',~~~.r~ ear// ~..~e G.>rri. /arJ - Q'f ff'i"l~. 3 t>/. 301 og,~ , Pv 332 ? APPROVED A DISAPPROVED By 13 a CONDITIONAL CITY OF DUBLIN Division of Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Fax: (614) 761-6566 - Inspection Line: (614) 410-4680 DO NOT REMOVE THIS SHEET FROM SITE NOTICE OF INSPECTION Inspection Type Application l' S Date The undersigned inspectors checked your property at for compliance with Building Code. Any violations listed below must be corrected within days. VIOLATIONS be ? APPROVED ? DISAPPROVED Bye' -CONDITIONAL Washington Township Fire Department P.O. Box 3248 Ohio hhaIM rlmeSfic~re Dublin, Eften Rd. Ohio 43016 NOTICE OF INSPECTION On 17 Mgech 20 08 at /300 Hours the undersigned Inspectors checked your property at 7 f Sb D V6 f PL s m frC 36'0 for compliance with Building, Zoning, and Fire Ordinances. Any violations listed below must be corrected within /'0 days. VIOLATIONS A A. peon/ f '0 0 7 -dO/6.6"0 e Pr ('h C rPSS . ' ,i, P n GQ f !/A c. 4»nvnc~~~p/S v~i~. h in is in v j' en i~? rr~ of ado r a nQn q ta'a FIRE PREVENTION BUREAU DUBLIN, OHIO 43016 614-652-3920 Failure to comply may result in the issuance of a citation Authorized Agent Phone Inspector, Fire Department Authorized Agent's Address Washington Township Fire Department .gyp P.O. Box 3248 rjoem9fe 'l/i 6200 Eiterman Rd. Dublin, Ohio 43016 NOTICE OF INSPECTION On ~l 11110,rdli 20 08 at a Hours the undersigned Inspectors checked your property at 7M ht-soi i%I D/- V(Whll;; , OAS, for compliance with Building, Zoning, and Fire Ordinances. Any violations listed below must be corrected within IIV-4 days. VIOLATIONS *Or A -*0 7 Q016 SO S'a{e ? ecfi de~l4~a on ~OIOVP FIRE PREVENTION BUREAU DUBLIN, OHIO 43016 614-652-3920 Failure to comply may result in the issuance of a citation Authorized Agent Phone Inspector, Fire Departm nt Authorized Agenrs Address Washington Township Fire Department P.O. Box 3248 6200 Eiterman Rd. Dublin, Ohio 43016 NOTICE OF INSPECTION On Imlyarv 20_0 at HYSHours the undersigned Inspectors checked your property at 7,V SO YM/ A911 so,* 3S0 for compliance with Building, Zoning, and Fire Ordinances. Any violations listed below must be corrected within days. VIOLATIONS rrh, f X 07-RV/ YAW s./9• Cayalwle 5'Y Spri n k/rr v~suAl ii~.s~~on 4orovPel FIRE PREVENTION BUREAU DUBLIN, OHIO 43016 614-652-3920 Failure to comply may result in the issuance of a citation Authorized Agent Phone Inspector, Fire Department Authorized Agent's Address CITY OF DUBLIN Division of Building Standards • 5800 Shier Rings Road a Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 COMMERCIAL INSPECTION SIGN-OFF Project Name: DUBLIN M.O.B. TIMESHARE Use Grou : B Construction Type: 2B Application No: 07-201548 Project Address: 7450 HOSPITAL DR. SUITE 350 General Contractor: THE DAIMLER GROUP Buildin Code: 07 OBC. 'DATE APPIDIS PATE VPJpj$r Sewer Tap "Rough Sprinkler Footing Electric Service Foundation Steel Framing Footing Steel Grounding Shaft Walls Foundation Insulation Piers Fireplace Waterproofing Curb, Walk & Approach Electrical Underground Above Ceiling Electric Plumbing Underground Above Ceiling HVAC l~t TI Y 14^,u I- "Sprinkler Underground "Above Ceiling Sprinkler *14 4V p Pre-Slab Above Ceiling Structural 1/-i/®? 14.E 131, Diamonds Final Electric A//4 Structural Steel Final Plumbing Fireproofing Final HVAC ~aI/off Ap Masonry Wall Grout Final Gas Piping "Fire Alarm Rough "Fire Prevention 410 Rough Electric #/14 Zoning Final Rough Plumbing 2,r? Engineering Final Rough HVAC Occupancy 717 Rough Gas Piping "Please call Washington Township Fire Department at 652-3820 to schedule these inspections. DATE INSPECTION COMMENTS APPROVAL INSPECTOR TYPE CODE elll / d~ ,~~'rrj'rc!`r.' ~,c • r ' ee /rfra ~.i?l ~'L /qp /r b ke ee' ice- a>? ss e 1,sr Z November 20, 2007 UNIFIED RESPONSE LETTER (URL) Ms. Jennifer Carney Carney Ranker Architects 5980 Wilcox Place, Suite J Review Services Dublin, OH 43016 5800 Shier-Rings Road Dublin, OH 43016-1236 Re: Dublin Permit Application #07-201548 Phone: 614-410-4600 Dublin Methodist Office Building Timeshare, Suite 350 Fax: 614-718-4346 www.dublin.oh.us Dear Ms. Carney: The City of Dublin's Review Services Team has completed review of materials submitted October 25, 2007, for your request for a Commercial Permit. At this time, the overall review status is disapproved and the building permit is denied. The outcome of each review is as follows: Ohio Building Code - disapproval (plan review letter attached) Dublin Fire Code - favorable Site Engineering Standards - no review required Zoning & Landscape - approval Note the Building Plan Review Letter is not a Building Permit. Please provide a unified resubmittal responsive to the attached review letter consisting of three (3) updated and complete plan sets to our Building Permit Window, 5800 Shier-Rings Road. To facilitate review of your resubmittal, a written description of your responses to the itemized plan review letter comments (and other plan changes you may propose) is requested and recommended. I am available to handle general status and procedural questions. Technical questions pertaining to the plan review letters may be directed to the appropriate plan reviewer. Sincerely, Steve A. Snyder, P. . Review Services Coordinator SAS/df Attachments CITY OF DUBLIN Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 CORRECTION REQUEST #1 This is not a Building Permit. It is a record of our review of documents submitted with your application for a Building Permit. November 15, 2007 RE: MOB Timeshare APPLICANT: Jennifer Carney, Carney Ranker, Architects, 614.792.1000 ADDRESS: 7450 Hospital Drive Suite 350 APPLICANT NO. 07-201548 The plans dated 10-22-07 for the captioned project have been reviewed for compliance with the provisions of the Ohio Building Code (2007). The review was based upon the following criteria: Use Group: B-Business Area: 4,581 SF Occupant Load: 45 @ 1:100 Construction Type: IIB Notes: 1. The building is fully suppressed 2. The building is provided with an enunciated automatic fire protective signaling system with audible and visual alarms in all public spaces The architectural documents are sealed by Jennifer Powell Carney, Ohio registered architect #10748, the plumbing, mechanical and electrical by Bruce Vetter, Ohio registered engineer #63372 to comply with the requirements of the OBC Section 106.3.4.1 and have been reviewed, therefore, in accord with OBC Section 104.1. OBC 106.3 Examination of documents. The building official shall examine or cause to be examined the accompanying construction documents and shall ascertain by such examinations whether the construction indicated and described is in accordance with the requirements of this code. The construction documents, which have been submitted, do not allow the City of Dublin to issue a permit to begin construction. The following item(s) shall be brought into full compliance with the the requirements of the OBC prior to the issuance of any plan approval. Item 1 106.1.1 Information on construction documents. Construction documents shall be dimensioned and drawn upon suitable material. Electronic media documents are permitted to be submitted when approved by the building official. Construction documents shall be coordinated and of sufficient clarity to indicate the location, nature and extent of the work proposed and show in detail that it. will conform to the provisions of this code. Construction drawings shall include information necessary to determine compliance with the building, mechanical, plumbing and fire protection codes such as: a. 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 b. 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 MOB Timeshare Application No.: 07-201548 November 15, 2007 Page 2 of 3 equipment is installed or remodeled. A separate Permit from the city of Dublin is required. c. OBC 1301.1.1 [Energy Efficiency] Criteria. Buildings shall be designed and constructed in accordance with the applicable provisions of the 2006 International Energy Conservation Code or the requirements of the 2004 ASHRAE 90.1 listed in Chapter 35 of this code i. Provide the Lighting Compliance Certificate required by this section d. Please expand the electrical legend on sheet El to include all symbols utilized on the drawings. i. What does O.C. by a switch mean? ii. What is hatch mark in fixture B2 mean? iii. NL/EM? iv. L in a box? Item 2 NEC Article 517.45 Essential Electrical Systems for Other Health Care Facilities (A) Essential Electrical Distribution The essential electrical distribution system shall be a battery or generator system. a. Provide emergency lighting for Procedure Rooms 307, 317 and 324. Item 3 ADAAG 7.2 (2) Sales and Service Counters At ticketing counters, teller stations in a bank, registration counters in hotels and motels, box office ticket counters, and other counters that may not have a cash register but at which goods or services are sold or distributed either (i) a portion of the main counter a minimum of 36 in in length shall be provided with a maximum of 36 in in height; or (ii) an auxiliary counter with a maximum height of 36" in close proximity to the counter shall be provided; or (iii) equivalent facilitation shall be provided. a. Revise Reception Counters in Rooms 302 and 330 to comply Item 4 TV Blocking called for in room 301 Waiting is shown in a rated wall. a. Provide UL details of rated wall and detail how wall is to be patched after the blocking is installed. Item 5 Review and Approval of Plumbing Drawings and inspection of Plumbing installations are performed by the Franklin County Board of Health Item 6 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. a. Please include resolution of the matters of the Fire Marshal's correspondence to Building Standards in your reply to this Correction Request. This review is based upon the information contained within the submitted drawings and related documents. Once corrections are made, submit four (4) new and complete sets of plans to the City of Dublin, Division of Building Standards with any revisions clouded. Please also provide a letter that identifies the action taken in rsponse to any of the Items contained in this Correction Request. 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\07-201548 c1 MOB Timeshare.doc MOB Timeshare Application No.: 07-201548 November 15, 2007 Page 3 of 3 Jeffrey S. Tyler, Chief Building Official City of Dublin 5800 Shier Rings Road Dublin, Ohio 43016 R ewe and Signe , Ray M. arpham, AIA Jeffrey S. Tyler, AIA Commercial Plans Examiner Chief Building Official s eprese tative Date Print Name and Title as Signed i NABuilding S=dards\Harpham\Reviews 2007\07-201548 cl MOB Timeshare.doc 'UNTIES aF,• WASHINGTON TOWNSHIP ~~G~l~fi p FIRE DEPARTMENT IVP'1 6200 Eiterman Road, P.O. Box 3248 R NY, N Dublin, Ohio 43016 CITY pj 614-652-3920 - Fax 614-766-2507 ©11 IIN DATE: November 15, 2007 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: MOB Time Share - TENANT IMPROVEMENTS APPLICATION No: 07-201548 LOCATION 7450 Hospital Drive, Suite 350 RECEIVED: November 1, 2007 BUILDING CODE DATA: Use: B, Business offices for medical practices. Construction: II B, Noncombustible - Un-Protected Area: 4,581 SF Occupancy: 45 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 alteration plans. Mr. Harpham: We have reviewed the construction documents for the referenced Tenant alteration project dated 10/24/07, with as submitted to the Division of Building Standards October 25, 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 far 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, andloor 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 & Fire Detection system. Trustees Gene Bostic - Denise Franz King - Charles Kranstuber Fiscal Officer Joyce E. Robinson Chief Allan Woo WASHINGTON TOWNSHIP FIRE DEPARTMENT DATE: November 15, 2007 Permit 07-201548 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 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 betaken to the bottom of the visual alarm initiating device lens. This appliance measurement shallplace 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. 2. DFC OBC 906.1 General. Portable fire extinguishers shall be provided in occupancies and locations as required by the International Fire Code. a. Please verify the requirements of the 2007 OBC, pursuant to the section referenced herein. No portable fire extinguishers were noted or located on the plans submitted for our review. Thank you for the opportunity to review the submission. Please feel free to call with any questions. WASHINGTON TOWNSHIP FIRE DEPARTMENT 1A(4? 4g6 6" t:~, A&)4_."i av". Michael A Boryca, ArchitectJP, ns Examiner Alan Perkins, CFPS (614) 488-4009 Fire Marshal