08200175 Permit FileCITY 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 . . . . . .
Parcel Number . . . . .
Property Address . . .
9/08/08
273-009146
3900 STONERIDGE LN
DUBLIN OH 43017
FR
Subdivision Name . . .
Legal Description . . .
Property Zoning . . . .
JALL INVESTMENTS
PROPERTIES
LOT 2 3.513AC.
PLANNED UNIT DEVELOPMENT
Owner . . . . . . . . . OSU INTERNAL MEDICINE, LLC
Contractor . . . . . .
Application number .. 08-00200175 000 000
Description of Work .. COM BUILDING ALTERATION
Construction type ... 5B - UNPROTECTED COMB
Occupancy type . . . . BUSINESS
Flood Zone . . . . . .
Special conditions . .
OSU INTERNAL MEDICINE LLC 3900 STONERIDGE LANE
USE GROUP - B-BUSINESS
Approved . . . . . . .
cia
VOID UNLESS SIGNED BY NJUILDING OFFICIAL
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.
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Bond # 77577P
CONTRACTOR (Name and Address):
Lehman Daman Construction Services, LLC
727 Taylor Avenue
Columbus, OH 43219
CONSTRUCTION CONTRACT
Date: C( • 1 ' ° 7
Amount: $450,004.00
PERFORMANCEBOND
The American Institute of Architects,
AIA Document No. A312 (December, 1984 Edition)
Any singular reference to Contractor, Surety, Owner or other
party shall be considered plural where applicable.
OWNER (Name and Address):
OSU Internal Medicine, LLC, Dept of Internal Me
] 654 Upham Drive, 211 Means Hall
Columbus, OH 43210
SURETY (Name and Principal Place of Business):
Developers Surety and Indemnity Company
2200 Georgetown Drive, Suite 302
Sewickley, PA 15142
Description (Name and Location): Stoneridge Internal Medicine - Remodel; 3900 Stoneridge Lane, Dublin, OH 43017
BOND
Date (Not eariier than Construction Contract Date):July 14, 2008
Amount: $450,000.00
Modifications to this Bond:
CONTRACTOR AS PRINCIPAL
Company: (Corporate Seaq
Lehman Daman onstruction Services, LLC
Signature:
Name and Titie: s A M* S
'??s tOw'?
(Any additional sign atures appear on page 2.)
t
tftr
dOW
None ? See Page 25P
SURETY ?
Company: (Corporate 5ea1)
Developers Sur and Indemnity Compan ?
? ?
Signature: ---?
Name and Title: Matthew M. Schulte
Attorney-in-Fact
(FOR INFORMATION On/y- Name. Address and Telephone) OWNER'S REPRESENTATIVE (ArChiteCt, Engineer or other
AGENT or BROKER: Keman Insurance Agency, inc. party):
9932 Brewster Lane, Powell, OH 43065
1 The Contractor and the Surety, jointly and severally, bind them-
selves, their heirs, executors, administrators, successors and assigns
to the Owner for the performance of the Construction Contract, which
is incorporated herein by reference.
2 If the Contractor performs the Construction Coniract, the Surety and
the Contractor shall have no obtigation under this Bond, except to par-
ticipate in conferences as provided in Subparagraph 3.1.
3 It there is no Owner Default/ the Surety's obligation under this Bond
shall arise after:
3.1 The Owner has notified the Contractor and the Surety at its
address described in Paragraph 10 below that the Owner is con-
sidering declaring a Contractor Default and has requested and
attempted to arrange a conference with the Contractor and the
Surety to be held not later than fifteen days after receipt of such
notice to discuss methods of performing the Construction Contract.
If the Owner, the Contractor and the Surety agree, the Contractor
shall be allowed a reasonable time to perform the Consiruction Con-
tract, but such an agreement shalf not waive ihe Owner's righi, if
any, subsequently to declare a Contractor Default; and
3.2 The Owner has decfared a Contractor Default and formally
terminated the Contractor's right to complete the contract. Such
Contractor Default shall not be declared earfier than twenty days
after the Contractor and Surety have received notice as provided
in Subparagraph 3.1; and
3.3 The Owner has agreed to pay the Balance oi the Contract Price
to the Surety in accordance with the terms of the Construction
Contract or to a contractor setected to perform the Construction
Contract in accordance with the terms of the contract with the
Owner.
4 When the Owner has satisfied the conditions of Paragraph 3, the
Surety shall promptly and at the Surety's expense take one of the
following actions:
41 Arrange for the Contractor with consent of the Owner, to
perform and complete the Construction Contract; or
4.2 Undertake to perform and complete the Construclion Contract
itself, through its agents or through independent contractors; or
4.3 Obtain bids or negotiated proposals from qualified contractors
acceptable to the Owner for a contract for periormance and com-
pletion of the Construction Contract, arrange for a contract to be
prepared for execution by the Owner and the contractor selected
with the Owner's concurrence, to be secured with performance
and payment bonds executed by a qualified surety equivalent to
the bonds issued on the Construction Contract, and pay to the
Owner the amount of damages as desuibed in Paragraph 6 in
excess of the Balance of the Contraci Price incurred by the Owner
resulting from the Contractor's defautt; or
Page 1 of 2
ORSC 22119 (70.99)
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Bond # 775778p
PAYMENT BOND
The American Insflute of Architects, AIA Document No. A312
(December, 1984 Edition). Any singular reference to Contractar, Surety,
Owner or other party shali be considered plural where applicable.
CONTRACTOR (Name and Address):
Lehman Daman Conttruction Services, Inc.
727 Taylor Avenue
Columbus, OH 43219
SURETY (Name and Principal Place of Business):
Developers Surety and indemnity Company
2200 Georgetown Drive, Suite 302
Sewickley, PA 15143
OWNER (Name and Address):
OSU Internal Medicine, LLC,
Department of Internal Medicine
1654 Upham Drive, 211 Means Hall
Columbus, OH 43210
CONSTRUCTION CONTRACT
Date: 41• S - Q'1
Amount: $450,000.00
Description (Name and location): Stoneridge Internal Medicine - Remadel; 3900 Stoneridge Lane, Dublin, OH 43017
BOND
Date (Not eartier than Construction Contract Date):July 14, 2008
Amount: $450,000.00
Modifications to this Bond: 0 None ? See Page 2
CONTRACTOR AS PRINCIPAL SURETY
Company: (Corporate Seal) Company: (Corporate Seal)
Lehman Daman Construction Services, Inc. Developers Surety and IndeFnnity Company
, .??..f..?'.?
.?---
Signature: Signature:
Name and Title: A M115:5 CA- 4` i`+ Name and 7itle: Matthew M. Schulte
(P O-e,% Attorney-in-Fact
An additional si natures a ear on a e 2.
(FOR /NFORMA7fON OfVLY-tJame, Address and Tefephone) OWNER'S REPRESENTATIVE (Architect, Engineer or other
AGENT or BROKER: Keman insurance Agency, inc. party):
9932 Brewctcr Lane, Powell, OH 43065
1 The Contractor and the Surety, jointly and severalty, bind them-
selves, their heirs, executors, administrators, successors and assigns
io the Owner to pay for labor, materials and equipment furnished for
use in the performance of the Construction Contract, which is incor- %
porated herein by reference.
2 With respect to the Owner, this obligation shall be null and void if
the Contractor.
2.1 Promptly makes paymeni, directly or indirectly, for all sums due
Claimants, and
2.2 Defends, indemnifies and holds harmless the Owner from
claims, demands, liens or suits by any person or entity whose
claim, demand, lien or suit is for the payment for labor, materials
or equipment furnished for use in the performance of the Construc-
tion Contract. provided the Owner has promptly notified the Con-
tractor and the Surety (at the address described in Paragraph 12)
of any claims; demands, liens or suits and tendered defense of
such claims, demands. liens or suits to the Contractor and the
Surety, and provided there is no Owner Default.
3 With respect to Claimants, this obligation shall be nuI{ and void if
the CoMractor promptly makes payment, directty or indirectly, for;all
sums due.
A The Surety shall have no obligation to Claimants under this Bond until:
4.1 Claimants who are employed by or have a direct contracl with the
Contractor have given notice to the Surery (at the address described
in Paragraph 12) and sent a copy, or notice thereof, to the Owner,
staiing that a cfaim is being made under this Bond and, with sub-
stantial accuracy, the amount of the claim.
4.2 Claimants who do not have a direct contract with the Contractor:
.1 Have furnished written notice to the Contractor and sent a copy,
or notice thereof, to the Owner, within 90 days after having last
performed labor or last furnished materiafs or equipment included
in the claim stating, with substantial accuracy, the amount of the
claim and the name of the party to whom the materials were fur-
nished or supplied or tor whom the labor was done or performed;
and
.2 Have either received a rejection in whole or in part irom the Con-
tractor, or not received within 30 days of furnishing the above notice
any communication from the Contractor by which the Contractor
has indicated the claim will be paid directty or indirectly; and
.3 Not having been paid within the above 30 days, have sent a
written notice to the Surety (at the address described in Paragraph
12) and sent a copy, or notice thereof, to the Owner, sialing that
a claim is being made under this Bond and enclosing a copy of
the previous written notice turnished to the Contractor.
oaiczz11ap-9at Page 1 of 2
POWER OFATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
PO BOX 19725, IRVtNE, CA 92623 (949) 263-3300
www.InscoDico.crnn
KNOW ALL MEN BY THESE PRFSGNTS, thut except as expressiy Iimiteci, UGVELOPBRS SURETY AND INDEMNITY COMPANY does hereby make, constiwte
and appoint:
***Sue E. Kiepfer, John M. Davis, Matthew M. Schulte, William M. Chapman, jointly or severally***
as its true and lawful Attomey(s)-in-Fact, to make, execute, deiiver and acknowledge, for and on behalf of said corporation as surety, bonds, undertakings and rnntracts
of suretyship giving and granting unto said Attomey(s)-in-Fact full power and authoriry to do and to perfortn every act necessary, requisite or proper to be done in
connection therewith as the corporation could do, but reserving to the coqwration full power of substitution and revocation, and all of the acts of said Attomey(s)-in-
Fact, pursuant to these presents, are hereby ratified and confirmed.
This Power ofAttomey is granted and is signed by facsimile under and by authoriry of the following resolution adopted by the Board of Directors of DEV ELOPERS
SURETY AN D INDEMNITY COMPANY effective as of November I, 2000:
RESOLVED, that the Chairman of the Board, the President and any Vice President of the corporation be, and that each of them hereby is, authorized to execute
Powecs ofAttomey, qualifying the Attomey(s)-in-Fact named in the Powers of Attomey ro execute, un behaif of the corporation, bonds, undertakings and contrac[s of
suretyship; and that the Secretary or any Assistant Secretary of the corporation be, and each of them hereby is, authorized to attest the execution of any such Power of
Attomey;
RESOI,VED, FURTHER that the signa[ures of such otFcers may be affixed to any such Power of Attomey or ro any certificate relating thereto by facsimile,
and any such Power ofAttorney or certificate bearing such tacsimile signatures shall be valid and binding upon the corpcxation when so affixed and in the fiihrce with
respect to any bon3, undertaking or contract of surotyship to which it is attached.
IN W1TNF.SS WHERFAF, DEVELOPERS SURETY AND 1NDEMNI"TY COMPANY has causc:d these presents to be signeJ by its re,-specove Executive Vice Presiclent
and attested by its Secretary this I st day of December. 2005.
ay:
David H. Rhodes, Executive Vice-President
[3y:.
Walter A. Groweli, Secretary
STATE OF CALIFORNIA I
COUNTY OF ORANGE
OCT.
' 10 ct?
1936
On December 1, ZOQS before me, Gina L. Gamer, Notary Public (here insert name and tide of the officer), personally appe:ved David H. Rhodes and Walter
A. Crowell, personalfy Imown to me (or proved to nx on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument
and acknowledged to me tha[ helsheJthey executed the same in his/hedtheir authorized capacity(ies), and that by his/hedtheir signature(s) on the insmtment the person(s),
or the entiry upcxi behalf of which che person(s) acted executed the instnunent.
WITNESS my hand and official seai. - - - - - Agmllft? GINA L GARNER?
? ? COIYINI. # 1569561
Signamre (SEAL) ?? ?? ?UFORMA ?
Oi1ANGE COUNTY
Mp conmt 13,200
CERTIFICATE
The undersigned, as Assistant Secretary, of DEVELOPERS SURETY AND INUEMIvITY COMPANY, dces hereby certify that the foregoing Power of
Attomey remains in full force and has not been rcwoked, and tiuthermore, that the provisions of the resolution of the respective Boards of Directors of said corporation
set foRh in the Power of Attomey, is in force as of the date of this Certificate.
This Certificate is executed in the City of Irvine. Califomia, the14 t 1'1 day of J ll 1y 2008
i..?..?-
By
Albert Hillelxand, Assistant Secretary
ID-1438 (DSn (Rev. 12/05)
-?kp3
Division of Building Standards
5800 Shier Rings Road
Dublin, Ohio 43016
Phone: V/TDD 614/410-4670
Inspection Line: 614/410-4680
CONDITIONAL APPROVAL AGREEMENT
This agreement made and entered into by and between LENw?o..J DAma.1 Co? 4rt ??r ??
(Project Manager/General Contractor)
Herein after known as the Project Manager/General Contractor, and OS u ria£ao? te4V.
(Owner/Occupant)
Hereinafter lrnown 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:
3`t C) t--,
Building Permit No. 0$- 2 oot 't'S , 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. Aclrnowledging 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) l O?!?i D? 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 complerion of those items
shown as incomplete, and recognizes that the City may revoke the Conditional Approval
\\DUBLiNDATA PER SERVER\PER\PER\THOMEVI\OFFICE\WP\DOCS\DOC\FORMS\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 nghts and/or powers that it would have if this
Agreement were not in effect.
8. The Owner/Occupant aclrnowledges 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.
sA-r-,? ??" ?111?
Project Manager/General Contractor Date
(Please Print)
,&u.sa,i ? ,[1 168
Owner/Occupant D e
(Please Print)
! ZlbO$
A p ed of Dublin Date
Owner/Occupant
Contractor (Signature)
\\DUBLINBATA PER SERVER\PER\PER\THOMEVMOFFICE\WP\DOCS\DOC\FORMS\CONDITIONAL OCCUPANCY
AGREEMENT.doc
Page 2 of 2 Updated 4-02
aTY OF DIJBLIN
Division cf Buiid#ng Standards • 5800 Shier-Rings aoad • Dublin, Qhio 43015
Phane: (614) 410-4670 o Fax: (614) 761-6566 - Inspection Line: (614) 410-4680
DO NOT REMOVE TNIS SNEET FROM SITL
NOTICE t7F INSPECTIQN
inspec?on T e ? Applicatidn # ?` ? ? ',;?,?`'? ( ? ?
YP , l ??T.. l '
The undersigned inspectors checks your pro perty at cfr`?) y'
for compfiance with Building Code. Any violatipns listed below must be corrected within days.
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CODE INSPECTOR
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Division of Building Standards
5800 Shier Rings Road
Dublin, Ohio 43016
Phone: V/TDD 614/410-4670
Inspection Line: 614/410-4680
CONDITIONAL APPROVAL AGREEMENT
This agreement made and entered into by and between pA.wo+J
(Project Manager/General Contractor)
Herein after known as the Project Manager/General Contractor, and 05 u Lw'T'V-.J.ai.- ri? t? ?.?,
(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:
3`I 00
Building Permit No. 08 - 2 001 -15 , 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 #inal 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 agreernent.
5. In return for such above Conditional Approval, the Project Manager/General Contractor agrees to
complete all items as shown by (date) ! bI !I p 8, 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 obligarions 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 inconnplete, and recognizes that the City may revoke the Conditional Approvat
\\DUBLINDATA PER SERVER\PER\PER\THOMEWNOFFICE7WP\DOCS\DOC\FORMS\CONDiTIONAL OC'CUPANCY
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 Agreemeni 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 Conditiona] 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.
?
2-A-rA€3 1- sW"ft? --r 1?l0i, ?,.------_,
Project Manager/General Contractor Date Project nager/General Contractor (Signature)
(Please Print) '
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Owner/Occupant Date Owner/Occupant (Signature)
(Please Print)
0$
A p ed of Dublin Date
\\DUBL[NDATA PER SERVER\PER\PER\THOMEVI\OFFICE\WP\DOCS\DOC\FORMS\CONDITIONAL OCCUPANCY
AGREEMENT.doc
Page 2 of 2 Updated 4-02
aTY OF DUBLIN
Division af Buiiding Standards • 5800 Shier-Rings Road • Dup#in, Qhio 43076
Phane: (614) 410-4670 o Fax: (614) 761-6566 - Inspec#ion Line: (614) 410-4680
DO NOT REMOVE TNIS SHEET FROM SITE
NOTICE OF INSPECTIQIV
inspecfion Type ApPiication #
The undersigned inspectors checke your property at T-C
2JT`' R `5
Buildil Code. Any violatians listed below must be corrected within
?---
days.
Date (C.
? APPROVED %4DISAPPROVED
? CONDITIONAL
DATE
. INSPECTION
TYPE COMMENTS APPROVAL
CODE ?NSPECTOR
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CiTM OF DUBLO 5800 Shier Riogs Road ?
Division of Building Standards Dublin, Ohio 43016 '
" C(JMMERCIAL BUILDING Teiephone: 614-410-4670
' PERMIT APPLICATION inspection une: 614410-Mo
' Facsimile: 614 761-6566
?
PROJECT INFORMATION ddressMOO 41'(?C?'l' y, (.ALe Project Sq Ftg.r7 ZZfO G?
Project Name FL"l? -.
Estimated Cost of Conslru ' Parcel Number - OO
PROPERTY OWNER INFORMATlON
Propery Owner Name (Confiact Person 'rf owned by a Corporation) s??-s 'r.?-?' 1- •? . fJ .?.
Cornpany NameOW 1t-4nT:1!E.•1-?(P'DK'-It-F, I,LC?lddress 21 0-?- k
ity C?l.? ? .
Stabe Cf410 Zp ?
hone ?O l • 29 3• 5?p ( Fax j E ObvM
TENANT INFORMATiON (if Applicable) f14
ontactiName ompany Name ' Address
itY State Zp
Tele hone Fax E-kd?
ARCNITECT, ENGINEER, OR OTNER DESIGN PROFESSIONAL INFORMATION '
Oesign Professional NameIW=Fe .? ?t*?Ohio ReglCert Number
a„panyNamre6mnRHer XWJ+_laadrws
sate zip
TWephone _1 IsU F' • 34e, .121215 E-AAal
GENERAL CONTRACTOR INFORMATION (Must be a City o# Dubnn Registered Co tractor)
Contact Narrie AcY?? Dubiin Registration # 7- ?D O? C3?
Company Name . Addiess A,
City GDL.V M.'?.?t.? state 044 l10 T+? h«?e_ _?1 4 • ?s ??O F ?o Z • '7 ?
- • 7 E-Mai
AFFIDAVIT OF OWNER AUTHORIZATION FOR REPRESENtAT10N
Note: This Qerson wlll be contaated wifh all official correspondence. Alf signatures must be 0l21GINAL.
Ownei's Representative EY&tAit & . SUtionship to Project (CompanyName ?c 49124+1 llfC?OS_ifion Teleahone_7 0 •?7-1;-Z-
I. ?-- (please print), the owner and applicant, hereby authorize .
o act as my representa6ve and agent in all matters pertaining to the processing and approval of this application indud'mg
modifying lhe project, and I agres bo be bound by all repres n tions and agreements made by the designated a t
Signature of Property Ownec: Rate: O 6 .
ilunderstand ??%y?-?? the Owner orthe Ownet's Represen4tive, have read and +
the contenis of all 3 pages of this appGcation. 7he information contained in this Applieation, attached exhibits
and other information submitted is complete in aA respects e an rrect, to e best of my knowledge and belief.
Si ature of Ownei's R resentative: • Z'?• fl&
FEB 2 5 2008
_e.Av ,
n .no M
?
M,MERCtAL aUILOINoPERMR,PP?CA„ON Pn.,as PAPASSUMAXAFORMACOMMAPP.WS2 Fag..sLD.p, Ci.lltOF DUBLIN
CITY OF DUBLIN
, Division of $uilding Standards
• COMMERCIAL BU1LDiNG PERMIT APPLICATION
Projec# Name If-TtktJA? tAermqt Number
PROJECT INFORMATION
NOTE: The following information is to be completed by the Design Professional, registered in the
State of Ohio, who was primarily responsibls for the preparation of the construction documents.
4Scope of Project , IJ/.? ? 'j ?j ??- CrFL(F'
TYPE OF WORK (Check all that app/y)
A. New Stnicture
8. Additi6n , Fire Wall Yes No
C. Alteration Article 34 Yes No
D. Change of Use . En#ire Structure Par#ial
E. Change of OccupancA_j Entire 5tructure Partial
Previous Use(s) Use Group(s)___ ???, 5 5
ANALYS/S OF NEW STRUC7'URE, ADDITION, AND/OR AREA TD BE ALTERED
A. Occupancy Description ??CA-.. Use Group(s) _ -V: :0 t:> (
B. Mixed Use: Yes Non-separa#ed = Separated E]
No
C. Type of construction_ -E(„L`{
D. Fire resisfive constructaon Fire Test Design Numbers
Exterior WaAs p hr. &Pj ?
Fire Walls i,?hr,
Floor/Ceiling G hr.
Columns/Bearing Wall n h{,
Exit Enclosures J,1Awhr,
Shafts iJ.A hr.
Corridors D hr. L,t-- O I?
Tenant Separation 1 hf. C fnx?wJ4-
`rb ? ?P?-?? ?t?s?_?-kt?
E. F1oor Area/Floor Occupant LoadJFloor Egress Capacity/Floor Number of Exits
Basement
ist w, 0 9747
2nd
3fd
4th & above
F. Aliowable maximum floor area (first floor foo#print) 4Z , -7 ?'J -'F 191J $?f g-(?9
Does #he above include street frontage increase? Yes No
Does the above indude increase for sprinklers? Yes ? No 8
G. Number of stories above grade ? Uti1 ?
Height_ VdG4,.146J&'Ei::- Basement Yes[-- I Nog]
COMMERCiAL BUILDING PERMIT APPIICAT10Pt Pape 2 d 3 P:IPASS\BLDGIFORMS1COMMAPP.WB2 Fwmf 9LO-201 Date:1N11/99
kl11 ]c Vr Ll UtSL11V
Division of Building Standards
COMMERCiAL BUILDING PERMiT APPLiCAT10N
H. Horzontal exits Yes No
1. Limited sprinkler system Yes No
J. Fuil automatic sprinkler system Yes No
K. Standpipe sys#em Yes . No
L. Smoke controllRemoval system Yes No
M. Uniimited area building Yes No ,
N. Manual fire alarm• ' Yes No
0. Aufo fire alarm Yes No
P. Handicap aocessible route (exterior & interior) Y6SJ2SJ No
: Q. Struc#ural Loads: provide ble o# design loads wi#h nstruct'ion documents
? ? ( V v++?. v? P t? { ? ?' ""?"?f?/`N et>
IX/STJNG STRUCTURE ,4NALYSlS
(Complete #or all alteration or addition projects)
A. Occupancy Descrip#ion t-? C,A?, Use Group(s)
B. MixedUse: Y6s ? Non-separated D Separated ?
No
C. Type of construction
D. Floor ArealFloor Occupant Load/Fioor Egress Capacity/Floor Number of Exits
Basement
1 st_?? :?pp ?
2nd
3rd
4th & above
E. Allowable maximum floor area (firs# floor footprint) Z.
Does the above include street frontage increase? Yes? No
Qoes the above include increase for sprinklers? Yes No
F. Number of stories above grade -1
Building Height Sasement YesO No[5jq
G. Horizontal exits Yes No )"_
H. Limited sprinkler system Yes No
i. Full automatic sprinkler system Yes
J. Standpipe system Yes No
No
X
K. Smoke control/Removal system Yes No
L. Unlimited area building Yes No
M. Manual fire alarm Yes No
N. Auto fire atarm Yes No
0. Handicap accessibie route (exterior & interior) Yes No
P. Struatural Loads: provide table of design toads with constructio n d ocuments
?? ?y6E? g, - &W4;?Jt!e_-- , the Design Professional, have read
and understand the contents of this application. The information contained in this application,
attached exhibfts and other information submitted, is-complete and in all respects true and correct,
to the best of my knowledge and belio? „-,<? „
Signature of Design Professional,Y L~_/4. - te: t) CJ
G
COMMERCIAL BUiDING PERMIT APPUCqT10N Pape 3 d3 p:Wqg,,XpGVF0RMg'1CpMMqpp.y402 F?? ??? ?? 10M1199
CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Application Number ..... 08-00200175 Date 4/29/08
Revision number . . . . . . . 1
Property Address ...... 3900 STONERIDGE LN
Parcel Number: 273-009146
Alternate Address: STONERIDGE INTERNAL MED.
Tenant nbr, name ...... STONERIDGE INTERNAL PH 3
Application type description COM BUILDING ALTERATION
-----------------------
------------------------------------------
Application desc -----------
WAITING AREA AND ENDOSCOPY SUITE
---------------
-------------------------------------------------------------
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 .. 5,226 SQUARE FEET
Permit Fee .... 560.00 Plan Check Fee . .00
Issue Date . . . . valuation . . . . o
Expiration Date . . 10/26/08
Qty Unit Charge Per Extension
BASE FEE 160.00
5.00 80.0000 THOU COM BLDG PLAN REVIEW
--------------------------------- 400.00
---------------------------------
Special Notes and Comments ----------
CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1
FOR PRE-WALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD AND
ROUGH MEP) ONLY.
BUILDING IS FULLY ALARMED AND SUPPRESSED.
CORRECTION REQUEST #2 AND PHASED PLAN APPROVAL #2
FOR PREWALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD) AND
ROUGH MEP ONLY
BUILDING IS FULLY ALARMED AND SUPPRESSED
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.
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
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 ..... 08-00200175 Date 4/29/08
Revision number . . . . . . . 1
-----------------------
Special Notes and -----------------------
Comments ----------------- -------------
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 . ? CHI EF BUILDING OFFICIAL
f y S. Tyler, AIA
Other Fees . . . . . . . . . COM BLDG I NSPECTION ALT 240.00
COM CERTIF ICATE OF OCC 120.00
----------------------- SURCHARGE
----------- FEE - BLDG 27.60
Fee summary
----------------- ------------
Charged Paid
- -----------------
Credited -------------
Due
Permit Fee Total --------- ----------
560.00 .00 ---------- ---
.00 -------
560.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 387.60 .00 .00 387.60
Grand Total 947.60 .00 .00 947.60
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.
? JUN-05-2008 11:39 City of Dublin 6147616566
¦
CITY OF DUBLiN
Division of Buiiding Standards • $800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
pam 6•9-08
P.01i01
Appbcatioa Na d ? • ?? ` ? 5
APPLICATION FOR ELECTRICAL PERMYT
Job Addreas 3 9 DO SLaAE?LtD4 ELn? Peroel No Z-1 3- b oq
Subdivision 1.at No.
Owaer Nj1n+qS30b,,t?.BLMi 1411FENF1l. ?EA. M;rt Telephone
conawcof N?m'?T:T pnt ? 1Ee?eraaL?T. ?elephone 614 - S01 , b-1' ?LA
Contraccor Addtess s-i __;k-1 ,? E STBo u iZNE. K\16 Dublin Registration No. 08`451,
Resideatial:
New Sq. Ft
Alterarion/Addidon Sq. FL
'Iemporary Service W.00 ...:..................................................................•--•--,....._...._.__..__..._......_.._.--......... ?-
$40.00 Miaimum plus $20.00 for each additional SUO Sq. FL or &actioo thereof over 1000 Sq. l't.
Law'Volcage Systems: Square Feet
.---
$40.00 NLoimum plus $10-00 for each addidona1500 Sq. Ft. or frwtion iheroeP over 1000 Sq. FL
Commerrial:
New Sq. Pt
Altccarion/Addltion Sy. FL
Temporary Scrvicc $60.00 ..................•-----------.---------------------------•--..............................................................?...?.
$60.00 Min:m¦ plus S60.00 for each additioaal 1000 Sy. FL or fcrcuon thoreof over 1000 Sq. Pt.,
and up to 50,999 Sg. Ft. (sizes above, See Pee Schedule) ?--
Y.ow Voltage Systems: Squate Feet 5 ZZ (C'
«O ? o O
s30.00 MiWpuoutn (plus $20.00 for each addiriona11000 Sq. Ft. or fiaction thereof over 1000 Sq. Ft.) q n
3% Sate of Ohio Surcharge (commeroial only) ? b
, Tords 41 33 q
JOB DESCRYPTION
Ths p? * gmnW on the eMm ooM'IGon ThatM said walc sha0 h aA respeCffi, aaiCrm 1otl1e adnmmof ft C'ity of
Dubin, al the haws of the Shate aM the Nadonal FJectric Cflde re9ulating oonsUucom instaUa6on. repsir snd eiwatlon,
and may be revoked at any time upon violation of any provisions of said laws.?
Signature of licen8ed oontrador ohomeowner
Division of 8uitding Standsrds-
Date: 1112aoI
TOTAL P.01
CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Application Number ..... 08-00200175 Date 6/09/08
Revision number . . . . . . . 1
Property Address ...... 3900 STONERIDGE LN
Parcel Number: 273-009146
Alternate Address: STONERIDGE INTERNAL MED.
Tenant nbr, name ...... STONERIDGE INTERNAL PH 3
Application type description COM BUILDING ALTERATION
----------------------------------------------------------------------------
Application desc
WAITING AREA AND ENDOSCOPY SUITE
----------------------------------------------------------------------------
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 .... 130.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/06/08
Qty Unit Charge Per Extension
BASE FEE 30.00
5.00 20.0000 THOU COM ELECTRIC LOW VOLTAGE 100.00
----------------------------------------------------------------------------
Special Notes and Comments
CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1
FOR PRE-WALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD AND
ROUGH MEP) ONLY.
BUILDING IS FULLY ALARMED AND SUPPRESSED.
CORRECTION REQUEST #2 AND PHASED PLAN APPROVAL #2
FOR PREWALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD) AND
ROUGH MEP ONLY
BUILDING IS FULLY ALARMED AND SUPPRESSED
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.
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
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 ..... 08-00200175 Date 6/09/08
Revision number . . . . . . . 1
----------------
---------------
------------
---------------------------------
Special Notes and Comments
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 OFFICI AL
Jeffrey S. Tyler, AIA
---
------------
-------------------------------------------------------------
Other Fees . . . . . . . . . SURCHAR.GE FEE - ELECTRIC
--- 18.60
------------
------------------------------------------------
Fee summary Charged Paid
--- ---------- ---------- -------------
Credited
---------- ---- Due
------
--------------
Permit Fee Total 130.00 .00 .00 130.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 18.60 14.70 .00 3.90
Grand Total 148.60 14.70 .00 133.90
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.
r" CITY OF DUBLIN
Building Standards • 5800 Shier Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
PLAN APPROVAL #3
This is not a Building Permit. It is a record of our review of documents submitted with your application for a
Building Permit.
Date: June 23, 2008
RE: STONERIDGE INTERNAL MEDICINE PHASE 3 Tenant Alteration
APPLICANT: Bruce A. Gardner, Gardner Architects, 740.363.7620
APPLICANT NO. 08-200175(1)
ADDRESS 3900 Stoneridge Lane
The plans, dated February 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: 5,226 SF (To be Remodeled) Building Total 39,084
Occupancy: Unchanged
Construction Type: VB
Notes: Alarms have been approved - App No. 08-200437
Fire Suppression has been approved - App No. 08-200377
The architectural, documents are sealed by Bruce A. Gardner, Ohio registered azchitect #7078, the mechanical and
the electrical by Russel T. Edwards, Ohio registered engineer #56015 to comply with the requirements of the OBC
Section 1073.4.1 and have been reviewed, therefore, in accord with OBC Section 104.1.
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.
The DRAWINGS are APPROVED.
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 retumed 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
,,.
,
CITY OF DUBLIN
STONERIDGE INTERNAL MEDICINE PHASE 3 Tenant Alteration
Permit No.: 08-200175(4)
June 23, 2008
Page 2 of 2
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 Arricle 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 Four (4) sets of the additional information reauested 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
v
ie ed and Signed,
I vl?
Ray M. H ham, AIA
Commercial Plans Examine
Owner or Owner's Representative Date
Print Name and Title as Signed
NABuilding StandardsU-IarphamUteviews 2008\08-200175 a Stoneridge P3.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 PRE WALLBOARD (Interior Framing without wallboard) AND ROUGH MEP) ONLY
This is not a Building Permit. It is a record of our review of documents submitted with your application for a
Building Permit.
Date: April 29, 2008
RE: STONERIDGE INTERNAL MEDICINE PHASE 3 Tenant Alteration
APPLICANT: Bruce A. Gardner, Gardner Architects, 740.363.7620
APPLICANT NO. 08-200175(1)
ADDRESS 3900 Stoneridge Lane
The plans, dated February 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: 5,226 SF (To be Remodeled) Building Total 39,084
Occupancy: Unchanged
Construction Type: VB
Notes: Building is fulty alarmed and suppressed
The architectural, documents aze sealed by Bruce A. Gardner, Ohio registered architect #7078, the mechanical and
the electrical by Russel T. Edwards, Ohio registered engineer #56015 to comply with the requirements of the OBC
Section 107.3.4.1 and have been reviewed, therefore, in accord with OBC Section 104.1.
OBC 107.3.3 Phased approval. The building official shall issue an approval for the construction of foundations or
any other part of a building or structure before the construction documents for the whole building or structure have
been submitted, provided that adequate information and detailed statements have been filed complying with
pertinent requirements of this code. The holder of such approval for the foundation or other parts of a building or
structure shall proceed at the holder's own risk with the building operation and without assurance that an approval
for the entire structure will be granted. Such approvals shall be issued for various stages in the sequence of
construction provided that all information and data required by the code for that portion of the building or structure
has been submitted. The holder of a phased plan approval may proceed only to the point for which approval has
been given
This PHASED PLAN APPROVAL is for PRE WALLBOARD (Interior Framing without
wallboard) AND ROUGH MEP) ONLY and does not include any of the Items listed below.
PLEASE NOTE: Further approvals will require Fire Alarm and Fire Suppression drawings
APPROVED by Dublin Building Standards.
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 ciry 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.
a. Please respond to the Fire Marshal's comments
i. Your April 25, 2008 Submission revising the shelving is approved.
CITY OF DUBLIN
STONERIDGE INTERNAL MEDICINE PHASE 3 Tenant Alteration
Permit No.: 08-200175(1)
April 29, 2008
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 deternuned 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), rriechanical 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 Four (4) 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
NABuilding Standards\t-IarphamUteviews 2008\08-200175 p2c2 Stoneridge P3.doc
CITY OF DUBLIN
STONERIDGE INTERNAL MEDICINE PHASE 3 Tenant Alteration
Permit No.: 08-200175(1)
Apri129, 2008
Page 3 of 3
City of Dublin
5800 Shier Rings Road
Dublin, Ohio 43016
R v' wed and Si ed,
Ray M. arpham, AIA
Commercial Plans Examiner
Owner o4 Owner's Representative
fre rOfr A
Chiefc
ial
l
~7 ' 2' °$
Date
A.?.0h ??1?4-+..?.ArJ ` 'R?zt o??j - L ?.r\e-aS lA.µa?1
Print Name and Title as Signed
NABuilding StandazdAHarpham\Reviews 2008\08-200175 p2c2 Stoneridge P3.doc
CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Date Application No. 0,a• an0
APPLICATION FOR ELECTRICAL PERMIT
Job AddressJ?P(9 ?&Zu Parcel No
Subdivision Lot No.
Owner Name Telephone
Contractor Name Telephone :2/
!
Contractor Address Dublin Registration NoQ ?
Residential:
New Sq. Ft. Alteration{A
Temporary Service $40.00 ............... . ...........................................
$40.00 Minimum plus $20.00 for each additiona1500 Sq. Ft. oi
Low Voltage Systems: Square Feet
$40.00 Minimum plus $10.00 for each additiona1500 Sq. Ft. 'ai
)n thereof over 1000 Sq. Ft.
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. ar fraction thereof over 1000 Sq. Ft.
and up to 50,999 Sq. Ft. (sizes above, See Fee Schedule)
Low Voltage Systems: Square Feet _?Q -a ?
$30.00 Minimum (plus $20.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.) J??l3?Y O
3% State of Ohio Surcharge (commercial only)
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 Ciiy of
Dublin, all the laws of the State and the National Ele ric Code regulating construction, installation, repair and alteration,
and may be revoked at any time upon violation df a?y provisions of laid IAvs. , ,? I I
Signature of licensed
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 ..... 08-00200175 Date 5/15/08
Revision number . . . . . . . 1
Property Address ...... 3900 STONERIDGE LN
Parcel Number: 273-009146
Alternate Address: STONERIDGE INTERNAL MED.
Tenant nbr, name ...... STONERIDGE INTERNAL PH 3
Application type description COM BUILDING ALTERATION
------------------------------------------------------------------
----------
Application desc
WAITING AREA AND ENDOSCOPY SUITE
------------------------------------------------------------------
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 .... 130.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/11/08
Qty Unit Charge Per Extension
BASE FEE 30.00
5.00 20.0000 THOU COM ELECTRIC LOW VOLTAGE 100.00
------------------------------------------------------------------
Special Notes and Comments ----------
CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1
FOR PRE-WALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD AND
ROUGH MEP) ONLY.
BUILDING IS FULLY ALARMED AND SUPPRESSED.
CORRECTION REQUEST #2 AND PHASED PLAN APPROVAL #2
FOR PREWALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD) AND
ROUGH MEP ONLY
BUILDING IS FULLY ALARMED AND SUPPRESSED
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.
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
' 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 ..... 08-00200175 Date 5/15/08
Revision number . . . . . . . 1
----------------------------------------------------------------------------
Special Notes and Comments
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 --------------
14.70
------------------------
Fee summary
----------------- ----------
Charged
---------- ------------
Paid
---------- ----------------
Credited
---------- -- --------------
Due
--------
Permit Fee Total 130.00 .00 .00 130.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 14.70 10.80 .00 3.90
Grand Total 144.70 10.80 .00 133.90
, 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 5 [1Z /2, 0 0 8 Application No. ? p- 00 z O O 17,5
JobAddress 39o0 5ToNER1DCsE LA/VE ParcelNo. z73 "?0'1/'f6
Subdivision
Owner Name
Contractor Name N 85LE 1T
Contractor Address T2 0 1C/
- t Co oL/N6
?/u (F,A Coc.ura 8 us1 4h
Lot No.
Telephone
Telephone 6 1y - ZQ 4- 2-133
2 Dublin Registration No. 05- 1 1
Residential:
Sq. Ft. _
$50.00 Minimum plus $20.00 for each
(Replacement units, minimum fee)
Commercial:
New/Addition Sq. Ft.
?. Ft. or fractipi
_ Alteration
- _z•
Is
New/Addition: $50.00 Minimum plus $20.00 for eacfi additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.
AlterationA?Minimum plus $10.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. ?
,O ' 3% State of Ohio Surcharge (commercial only) . ??•?o
Total $ ?
JOB DESCRIPTION
uCrwo
CTSAfl
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 I..?.2 (.?fihl?d
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 ..... 08-00200175 Date 5/20/08
Revision number . . . . . . . 1
Property Address ...... 3900 STONERIDGE LN
Parcel Number: 273-009146
Alternate Address: STONERIDGE INTERNAL MED.
Tenant nbr, name ...... STONERIDGE INTERNAL PH 3
Application type description COM BUILDING ALTERATION
-----------------------------------------------------------------
----------
-
Application desc
WAITING AREA AND ENDOSCOPY SUITE
-----
-----------------------------------------------------------------------
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 .... 170.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/16/08
Qty Unit Charge Per Extension
BASE FEE 70.00
5.00 20.0000 THOU COM HVAC ALT
--------------------
- 100.00
----------
-
--------------------------------------------
Special Notes and Comments
CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1
FOR PRE-WALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD AND
ROUGH MEP) ONLY.
BUILDING IS FULLY ALARMED AND SUPPRESSED.
CORRECTION REQUEST #2 AND PHASED PLAN APPROVAL #2
FOR PREWALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD) AND
ROUGH MEP ONLY
BUILDING IS FULLY ALARMED AND SUPPRESSED
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.
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
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 ..... 08-00200175 Date 5/20/08
Revision number . . . . . . . 1
----------------------------------------------------------------------------
Special Notes and Comments
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 5.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 170.00 .00 .00 170.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 5.10 .00 .00 5.10
Grand Total 175.10 .00 .00 175.10
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 s'? - C) 8 Application No. oo, • d+?? 1??
APPLICATION FOR ELECTRICAL PERNIIT
Job Address Parcel No.
Subdivision39? ??owF-¢'T'pC& `'N LotNo.
Owner elepho
Contractor Name Ti T/CEN El??Ti2lA'5i[. ?eAlST. Telephone `7494
ContractorAddress S-j 3-1 j,je-SraoVy"E k?(E
Dublin Registration No.
d6 •ys7?
Resideutial:
New Sq. Ft. 2? '??°Pr???%?;: qw
Temporary Service $40 00 ' .... ......
$40.00 Minimum plus $20.00 for each additional, 1500 Sq.
1000 Sq. Ft.
Low Voltage Systems: Square Feet
$40.00 Minimum plus $10.00 for each addit1ona1500 Sq. N't. or, fratfimn thereof over 1000 Sq. Ft.
y,
Commercial: '
New Sq. Ft. Alteration/Addition Sq. Ft. (40
.--
Temporary Service $60.00 ..........................................................................................................................
$60.00 Minimum plus $60.00 for each additional 1000 Sq. Ft. ar 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 $ 3? ? D
JOB DESCRIPTION aL 7'E2/a TPC1 N pF Ex£srz-1Y4
?/d G
This permit is granted on tlie express condition that the said work shall in all respects, caiforrn to the ordinances of the City of
Dublin, all the laws of the State and the National EI 'c Code regulating construction, installation, air and alteration,
and may be revoked at any time upon violation of y provisions of sala
`
Signature of licensed contractor or homeowner
??- J
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 ..... 08-00200175 Date 5/06/08
Revision number . . . . . . . 1
Property Address ...... 3900 STONERIDGE LN
Parcel Number: 273-009146
Alternate Address: STONERIDGE INTERNAL MED.
Tenant nbr, name ...... STONERIDGE INTERNAL PH 3
Application type description COM BUILDING ALTERATION
----------------------------------------------------------------------------
Application desc
WAITING AREA AND ENDOSCOPY SUITE
----------------------------------------------------------------------------
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 .... 360.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/02/08
Qty Unit Charge Per Extension
BASE FEE 60.00
5.00 60.0000 THOU COM ELECTRIC SERVICE 1K-50K SF 300.00
----------------------------------------------------------------------------
Special Notes and Comments
CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1
FOR PRE-WALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD AND
ROUGH MEP) ONLY.
BUILDING IS FULLY ALARMED AND SUPPRESSED.
CORRECTION REQUEST #2 AND PHASED PLAN APPROVAL $#2
FOR PREWALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD) AND
ROUGH MEP ONLY
BUILDING IS FULLY ALARMED AND SUPPRESSED
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.
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
. CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dubiin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Page 2
Application Number ..... 08-00200175 Date 5/06/08
Revision number . . . . . . . 1
----------------------------------------------------------------------------
Special Notes and Comments
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 10.80
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 360.00 .00 .00 360.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 10.80 .00 .00 10.80
Grand Total 370.80 .00 .00 370.80
CERTIFICATE OF ZONING PLAN APPROVAL
APPLICATION #
DATEISSUED
•..'s .,. i'ii,?i''3. t
Land Use ond
Lony Ranpe FlanMrq
5800 Shier-Rings Road
Dublin, Ohio 4301 6-1236
Phone/TDD:614-41a4600
Fax: 61 4-41 0-4747
Web Sife: www.dublin.oh.us
NAME OF BUSINESS/ FACILITY (IF PPLICABLE)
4°)(__ ., i C7 " =t tC t
ADDRESS OF SUBJECT PROPE TY
t, w r _ z
NAME F APPLICANT! AUTHORIZED A NT
? PHONE
L. ?+..,. r,.J (c t 4- Z 52 - 3 40 "z'
ADDRESS OF APPLICANT! AUTHORIZED AGENT ?
I 2 'I Ac`l 1A2. AY r+sv. IL
NAME OF PROPERTY OWNER pHp2? 3 Z
5tt5A? 1?A4s. t- ? t+`t s?c?,Mts S?af?a.?otiE+ ' D?1 Ce
PLEASE DESCRIBE IN LAYMAN'S TERMS THE EXISTING AND PROPOSED USE(S) OF ALL PARTS OF THE LAND ANDlOR BUILDINGS. IF A
CHANGE OF USE IS PROPOSED, PLEASE EXPLAIN. (IE, RETAIL SPACE TO MEDICAL OFFICE SPACE, ETC.)
,
i!:??' T? iZ- t t, t"L 1Z =z i v2V t
t: ,? ILl 2F /'k-L. ??:: t^tf" c L i' i?
.
I
I
PLEASE SUBMIT THE FOLLOWING:
? ONE (1) ORIGINAL SIGNED APPLICATION
? ONE (1) COPY OF A SCALED SITE PLAN DRAWN IN INK indicating ali current and proposed land uses, structures, and other site improvements.
Additional documentation may be required for various types of projects. Partial or incomplete applications and drawings cannot be processed and
will be returned to the applicant by mail.
arruc;an' ?NwO? i. : L . DAT? _ Z - b cQ I
-uHh ?I
FOR OFFICE USF ONLY
CASE NUMBER DATE CASE NUMBER DATE CASE NUMBER DATE
NOTES:
. . b..3 aa? " 3.o n _ ?`-„i ?w :7':??` ?a L.z .? ?.» W.? cn C4. ., ,..•..., .
.»,{ 97Y? .,ri<::;as rT?S. °. n???;?
r'1 ?: y P", ? •.? ? ; ` Y'
i„
ZONING INSPECTION REQUIRED UPON COMPLETION? KYES ? NO
If yes, please call 614-410-4680 to schedule an inspection. A Certificate of Zoning Compiiance will be issued after the work is inspected and
approved by Land Use and Long Range Planning.
0 APPROVED j<re PPROVED AS NOTED ?
This Certificate of Zoning Plan Approvai is issued for, and in re nce to the property and use described above, and as approved by the City
Administrator or designee, or the City Council, Board of Zoning Appeals, Planning & Zoning Commission, or the Architectural Review Board as
appropriate.
? DI PPROVE AS N
r
BY: DATE:
CERTIFICATE OF ZONING PLAN APPROVAL 3/10/2006
. . 'A
DATE:
WASHINGTON TOWNSHIP
r
FIRE DEPARTMENT
6200 Eiterman Road, P.O. Box 3248
Dublin, Ohio 43016
614-652-3920 • Fax 614-766-2507
Apri125, 2008
TO: Jeffery S. Tyler, Director
Division of Building Standards
City of Dublin
5800 Shier Rings Road
Dublin, Ohio 43016
ATTN: Ray M. Harpham, Commercial Plans Examiner
RE: Washington Township's Fire Department Plan Review
PROJECT: STONERIDGE INTERNAL MEDICINE - PHASE 3a & 3b
TENANT IMPROVEMENTS
APPLICAT'ION No: 08-200175(2)
LOCATION 3900 Stoneridge Lane
RECEIVED: April 25, 2008
BUII.,DING CODE DATA
F--REC IVEI)
APF 2 Q ?
2??? 1 J
CR?1? (?_gI fiv
Use: B, Medical offices for medical practices with exam, treatment and procedure rooms.
Construction: V B, Combustible - Un-Protected
Area: 5,226 SF [Ph. 3a: 1,026 SF + Ph. 3b: 4,200 SF = Area of Improvements]
Occupancy: 52 [Area of Improvements] 300 Total in Building
Notes: Existing building with interior Tenant alterations. Improvements include plumbing,
HVAC and electrical lighting and power requirements. The building cunently 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. Harpham:
We have reviewed the Revised Construction Documents for the Placement of Shelving, as submitted to the Division of
Building Standards April 25, 2008, 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 aze able to recommend approval of the plans submitted with the following conditions:
OBC 106.1.1.1 Fire protection system drawings. Drawings for the fire protection system(s) sha11 be submitted to
indicaxe 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 stan of system(s) installation, complete
information regarding the fire protection systems or the alteration of the existing system(s) information required
by the 2007 NFPA 13, Chapter 22, Plans and Calculations for Fire Suppression Systems and the specifications,
wiring diagrams, battery calculation, and floor plans required by NFPA 72 (2007)§A4.5 for any revisions to the
existing Fire Alarm/Detection Systems.
b. Separate permits are required for the alterations to the existingAutomatic Fire Suppression System, 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 lens. This appliance measurement shall place
Trustees Gene Bostic • Denise Franz King • Charles Kranstuber Fiscal Officer Joyce E. Robinson Chief Allan Woo
WASHINGTON TOWNSHIP
FIRE DEPARTMENT
DATE: Apri125, 2008 Permit 08-200175(2) Page 2 of 2
the bottom of the lens at 80 inches above the, finish floor surface. Caution should be exercised to coordinate
this item early fn the building process with the contractor installing the rough-in boxes for these fire alarm
devices.
Thank you for the oppomxr?ity to review the submission. Please feel free to call with any questions.
WASHINGTON TOWNSHIP FIRE DEPARTMENT
1;;?4?9g6a
Michael A. Boryca, Architect/PI s Examiner Alan Perkins, CFPS
(614) 4884009 Fire Marshal
..
DATE:
WASHINGTON TOWNSHIP
FIRE DEPARTMENT
6200 Eiterman Road, P.O. Box 3248
Dublin, Ohio 43016
614-652-3920 • Fax 614-766-2507
Apri122, 2008
R??VED
APR 25 ZOD$
TO: Jeffery S. Tyler, Director
Division of Building Standards
City of Dublin
5800 Shier Rings Road
Dublin, Ohio 43016
ATTN: Ray M. Harpham, Commercial Plans Examiner
RE: Washington Township's Fire Department Plan Review
PROJECT: STONERIDGE INTERNAL MEDICIlVE - PHASE 3a & 3b
TENANT IlVIPROVEMENTS
APPLICATION No: 08-200175(1)
LOCATION 3900 Stoneridge Lane
RECEIVED: April 17, 2008
BUII.,DING CODE DATA
C/Tr oF o-?
U?CIN
Use: B, Medical off'ices for medical practices with exam, treatment and procedure rooms.
Construction: V B, Combustible - Un-Protected
Area: 5,226 SF [Ph. 3a: 1,026 SF + Ph. 3b: 4,200 SF = Area of Improvements]
Occupancy: 52 [Area of Improvements] 300 Total in Building
Notes: Existing building with interior Tenant alterations. Improvements include plumbing,
HVAC and electrical lighting and power requirements. The building cunently 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. Harpham:
We have reviewed the Revised CMwqwtion Documents for the referenced Tenant Improvements along with the
Response Letter dated 4/8/08, as submitted to the Division of Building Standards February 25, 2008, 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 aze able to recommend approval of the plans submitted with the following conditions:
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 existing system(s) information required
by the 2007 NFPA 13, Chapter 22, Plans and Calculations for Fire Suppression Systems and the specifications,
wiring diagrams, battery calculation, and floor plans required by NFPA 72 (2007)§A4.5for any revisions to the
existing Fire Alarm/Detection Systems.
b. Separate permits are required for the alterations to the existingAutomatic Fire Suppression System, and the
Frre Alarm cg Fire Detection system.
c. Yisual 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 lens. This appliance measurement shall place
Trustees Gene Bostic • Denise Franz King • Charles Kranstuber Fiscal Officer Joyce E. Robinson Chief Allan Woo
lw
WASHINGTON TOWNSHIP
FIRE DEPARTMENT
DAT'E: Apri122, 2008 Permit 08-200175(1) Page 2 of 2
the bottom of the lens at 80 inches above the finish floor surface. Caution should be exercised to coordmate
this item early in the buildingprocess with the contractor installing the rough-in bozes for these fire alarm
devices.
2. 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 `shelving' with standards, as shown on SheetAll, 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 lrnow 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. The drawings were not
revised to show com,pliance with this requirement Your response indicated that, "Clearances above stored items
and the ceilings of storage roorns shall be neaintained at the prescribed distances. " However, the drawings still
show shelving levels that potentially would place open storage within the required clearances. Please revise the
ddails as previously asked, so that no shelving standards e.dend into the required clearance. Several ojthese
details show shelving and standards within 12 inches ojthe ceiling.
Thank you for the opportunity to review the submission. Please feel free to call with any questions.
WASHINGTON TOWNSHg' FIRE DEPARTMENT
Michael A. Boryca, Architect/Pns Examiner Alan Perkins, CFPS
(614) 4884009 Fire Marshal
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. vv - 200 Jr1.5
Date T2?/6 ? New $Remodel ? Residential IkCommercial
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 Parcel No.
Subdivision/Project Name -QIIOtQ?
Owner's Name
Contractor's Name
Contractor's Address3y?
Does the sewer discharge into an indivfHow far distant from any dwelling, well or cisteri
N
What is the size of the main drain?
Of what material does the house drain consist?
the
*INDICATE NAME OF CERTIFIED BACKFLOW TESTER
Lot No
Telephone
Telephone(W??418-561ZA
n Number
Of what : ?ab doft vent pipes consist? ?C-
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 Applic tion for permit & first fixture.............................. $60.00
Number of remaining fixtures;X $10.00 =$ -?Number of remaining fixtures X$12.00 =$2A!2.-
L,
Total Inspection Fee ..................................................... $ Total Inspection Fee .................................................... $ W
Re-inspection fee (based upon disapproved Inspection and collected by the Franklin County Board of Health ONLY) $45.00
Qty.
Air Admittance Valve
*Backflow Preventers
Bath Tubs
Bed Pan Washers
Bidet
Chemical Sinks
Dental Cuspidors
Dilution Sum
Dish Washers
Drinkin Fountain
Floor Drains 'Z
Garage Catch Basin
Division of Building Standards
05/19/08 09:19 FAX 6144623851
PIan Review Fee S--Hedute
1- 5 Fixtures $ 25.00
6 - 20, Fixtures $ 35.00
21-40 Fixtures $ 65.00.
41 or more Fixtures $1 00.00
COUNTY BOAKD OF HEALTH
Zooi
T?NS??????
Numberot Fixtures:
Amount Due;
0c,>--- - -
THIS APPROVED SET OF PLANS '
MUST BE ON THE JOB SiTE.
ANY ALTERMTIONS TO -THE -
Date: ? . DESYGN?MSWM ?'REMODEL
-Y.-?-? REVISED R TO INSPE N.
Job Name: ?T?1c 1?Lt-, C-?L.
Address;
city:
Signature:
Plans Submitted by:
Address: -, *S tZ?-
City & Zip LCA 323 t Phone #:
• s???11lPIR?r 44+71'dF?c.i '?a"-sS"??
` . ' : " . ' . `? . ? •
Paid By: „ L9? ? . . . . ? q kPE'RQUED p.t .';.
Q /?. ??.?-t D? r CS,c?.._? I.tw- a=?
??
cnec?c #: - ? - ? . o?8A'0P
_ . ?..
Co'YTo: Inspector:
? .?. . ? . ..?::.. . . ?;:
a,-P92
,=?_:
" ?,?-
'ri?'_ .d`?i_"ii• _•??? '• ':'l`.? ..i.it'?`_,?? ? '??• .ie Cac? , 5 ?`?.. . .c?..v,..
_ . .. . . •• ....-. s ?a•• ? , ?(.:f' ? :?:?3?.rr_• K
' ' :-,• =?r+aK'V!Ll.n:,..' '. " , '.ti? ?• . . ?tc F.E -
:-?
Neat#? 28E??as?Beoa?S??ee ?: Colurri?ius; 0??2?f?
,.. 1.c._ - r ''
? Franklin EountY B?aa€c? of t
J ? ??'??•? ??? ?s?? i?FIOR?Q"r??}????
.. Franklin-':Go.unty,'-
?
mrLUM?IN
CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Application Number ..... 08-00200175 Date 5/20/08
Revision number . . . . . . . 1
Property Address ...... 3900 STONERIDGE LN
Parcel Number: 273-009146
Alternate Address: STONERIDGE INTERNAL MED.
Tenant nbr, name ...... STONERIDGE INTERNAL PH 3
Application type description COM BUILDING ALTER.ATION
----------------------------------------------------------------------------
Application desc
WAITING AREA AND ENDOSCOPY SUITE
----------------------------------------------------------------------------
Property owner ....... DEPT OF MEDICINE FOUNDATION IN
Contractor . . . . . . . . . LEHMAN DAMAN CONST. SVC, INC.
--------------------- Structure Information 000 000 ----------------------
Construction Type ..... 53 - UNPROTECTED COMB
Occupancy Type . . . . . . BUSINESS
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee .... 264.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/12/11
Qty Unit Charge Per Extension
BASE FEE 60.00
17.00 12.0000 EA COM PLUMBING >1 FIXTURE 204.00
Special Notes and Comments
CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1
FOR PRE-WALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD AND
ROUGH MEP) ONLY.
BUILDING IS FULLY ALARMED AND SUPPRESSED.
CORRECTION REQUEST #2 AND PHASED PLAN APPROVAL #2
FOR PREWALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD) AND
ROUGH MEP ONLY
BUILDING IS FULLY ALARMED AND SUPPRESSED
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.
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
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 ..... 08-00200175 Date 5/20/08
Revision number . . . . . . . 1
----------------------------------------------------------------------------
Special Notes and Comments
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 264.00 .00 .00 264.00
Plan Check Total .00 .00 .00 .00
Grand Total 264.00 .00 .00 264.00
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.
WASHINGTON TOWNSHIP
DATE:
FIRE DEPARTMENT
6200 Eiterman Road, P.O. Box 3248
Dublin, Ohio 43016
614-652-3920 • Fax 614-766-2507
March 14, 2008
TO: Jeffery S. Tyler, Director
Division of Building Standards
City of Dublin
5800 Shier Rings Road
Dublin, Ohio 43016
pTTN: Ray M. Harpham, Commercial Plans Eacaminer
?. E C EVI D
RAR r % 2008
j
1,.6 ( Y ?? ?UBLI
RE: Washington Township's Fire Department Plan Review
PROTECT: STONERIDGE INTERNAL MEDICINE - PHASE 3a & 3b
TENANT Il"ROVEMENTS
APPI.ICATION No: 08-200175
LOCATION 3900 Stoneridge Lane
RECEIVED: February 29, 2008
BUII.DING CODE DATA:
Use: B, Medical offices for medical practices with exam, treatment and procedure rooms.
Construction: V B, Combustible - Un-Protected
Area: 5,226 SF [Ph. 3a: 1,026 SF + Ph. 3b: 4,200 SF = Area of Improvements]
Occupancy: 52 [Area of Improvements] 300 Total in Building
Notes: Eacisting buitding with interior Tenant alterations. Improvements include plumbing,
HVAC and electrical ligt?ting and power requirements. The building cunently has an
sutomatic fire suppression system located throughout and fire ala.mildetection system
which will both require changes pursuant to the Tenant Improvement plans.
Mr. Harpham:
We have reviewed the Construction Documents for the referenced Tenant Improvements project Issue Date: 02-21-08, as
submitted to the Division of Buiiding Standards February 25, 2008, for mattErs of concem 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 Intemational Fire Code.
We are able to recommend approval of the plans submitted with the following conditions:
OBC 106.1.1 Information on conatcuction documenb. Because the construction documents do not have enough
information for a compiete plan review, this correction letter is a request for missing information and contains a review
only of the items submitted. A complete review will be performed upon receipt of the required information. Ttiis mav
result in additional items not contained in this correction letter; Section 106 OBC.
1.1 Are any new Medical Gases to be added or the existing amounts increased in the progosed new work? The
Plumbrng drawi»gs mention that there is new work on the ozygen and medical vacuum lines. Please verify
2. OBC 106.1.1.1 Fire protection aystem drawings. Drawings for the fire protection system(s) shall be submitted W
indicate canformance with this code and the consttuction documents and shall be approved prior to the start of system
installation. Drawings shall contain all infomnation 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 existing system(s) information reqbired
Trustees Gene Bostic • Denise Franz King • Charles Kranstuber Fiscal Officer Joyce E. Robinson Chief Allan Woo
WASHINGTON TOWNSHIP
FIRE DEPARTMENT
DATE: March 14, 2008
Permit 08-200175
Page 2 of 2
by the 2007 NFPA 13, Chapter 22, Plans and Calculations for Fire Suppression Systems and the specifications,
wiring diagrams, battery calculation, and floor plans required by NFPA 72 (2007)§A4.5 for any revisions to the
e.actsting Fire Alarm/Detection Systems.
b. Separate permits are required for the alterations to the existingAutomatic Fire Suppression Syslem, and the
Fire Alarm & Fire Detection system.
c. Yisual 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,tloor 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 initiatfng device lens. This appliance measurement shall place
the bottom of the lens at 80 inches above the finish, floor surface. Caution should be exercised to coordinate
this item early in the building process with the contractor installing the rough-in boxes for these fire alarm
devices.
DFC OBC 9061 General. Portable fire extinguishers shall be provided in occupancies and locations as required by the
Intemational Fire Code.
a. The Cover Sheet indicates that portable fire extinguishers are to be "located and relocated as shown on the
drawings, " however, the floor plans submitted for our review did not show or note any fire extinguishers be
located or relocated. Please verify these requirements and show any such changes on the floor plans.
4. 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 spriniclered
areas of buildings.
Open storage `shelving' with standards, as shown on SheetAll, 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
buiTding, 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/P1a?E?caminer Alan Perkins, CFPS
(614) 488-4009 Fire Marshal
Joseph W. Testa, Franklin County Auditor Page 1 of 1
-?? ? V J? C?''?A.^? C
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Summary
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Commercial Nm!
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Parcel ID Address Index Order Card
273-009146-00 3900 STONERIDGE LN Street Address 1 of 1
Owner Information Tax Bill Mailing
Call 614-462-4663 if incorrect Information
DEPT OF MEDICINE Mail Changes Only - Click
FOUNDATION INC Here
OSU INTERNAL MEDICINE
LLC
3900 STONERIDGE LN
DUBLIN OH 43017
Value Information
Market Land Value 841,600
Agricultural Value 0
Market Impr. Value 2,658,400
Market Total Value 3,500,000
Sales Data
Sale Amount $0
# of Parcels
Conveyance #
Exempt #
Legal Description
JALL INVESTMENTS
PROPERTIES
LOT 2 3.513AC.
273-N098AAAA-004-00
Building Data
Year Built 1993
Tax Dist 273 CITY OF DUBLIN-WASH Board of Revision No
TWP-DUBLIN CSD Homestead No
School Dist 2513 DUBLIN CSD 2.5% Reduction No
[680] CHARTIB EXMPT Assessments No
Land Use (HOSP, HOMES FOR AGED, CDQ Year
ETC
Neighborhood 00103
2007 Annual Taxes $0.00 2007 Total Taxes
Paid $0.00
Print « First « First < Previous Nezt > Last »
Data updated on 09/09/2008
Street Address
Summary 1 of 1
t
'
rN THE COURT OF COMMON PLEAS
PR08ATE DIVISION
FRANKLIN COUNTY, Offl0
OSU INTERNAL MEDICINE. LLC,? ) CASE NO: y'55'S'q 3
. ?
and - `
DMF OF OHIO, INC.,
plaintiffs
v.
JU.17GE BELSKIS
AGIZEED ENTRY ANp pRpER
APPRO'VING MERGER
JIM pETRO, ATTORNEY GEN?RAL
OF THE STATE OF OHIO,
Defendant
2-7 ID'•30
This cause came befate the Court on May 2", 2003 at t&-M a.m, on the Complaint for
Declaratory Judgment Approving Merger of Plaintiffs OSU Internal Medicine, LLC (the "L'LC")
and DMF of Ohio, Inc. ("DW"). Present were Shelli T. Clark on behalf of the LLC, Michaal E.
DeFrank on behalf of DMF, and Monica A. Moloney on bebalf of Defenda.nt Jim Petro, Attorpey
General of the State of Ohio ("Defendant"). Upon a hearing and review of the pleadings and the
accompanying documents filed therewith, the Court makes the following tnciings and ordery:
1. Jurisdiction a.nd venue is proper in this cour[ pursuant to R.C. §§2101.24(13)(1)(b) and
109.23, The Court is a division of tl7e court of common"pleas of the county in which the
public benefit corporation's prineipal office is located. _
MOD0332D.3
,
FIi-ED ?
MAY 2 7 2003
LAW11rNGE A. BF-LSKIS
PROBATE.lIJDaE
.(
1 The Court appxoves ilic proposed merger of DMF of Ohio, Inc., Aii Ohio nonprofit
corporation, witli and into OSU Intemal iviedicine, LLC, an phio limited liability companny
(the "LLC"), on the [erms stated in the Agreement and Alap of Merger. Sucb approvQl is
conditioned upon tlze cnntraeTual ob[igation by the LLC and iu sole mamber, Ohio State
Universiry Physicians, Inc., as provided in the Agreement and Plan of Merger, that from and
af[er the merger the LLC will comply with Sections 1702.39 and 1702.41 of tbe Ohio
Revised Code.
- IT IS SO ORDERED.
udge Belsltis ?-? ?/r 7,
A. eed:
Shelli Turner Clarlc (0072373)
Attorney for OSU Internal Med.icine, LLC and
Oh'to State Universiry Physicians, Inc.
Taft, Stettin.ius & Hollisrter LLP
21 E. State St. 121 floor Columbus, OH 43215 T'elephone: (614) 221-2838
Fa.x: (614) 221-2007
.r?rr
MichaB] L.. DeFrank (0040429)
Attomey for DMF of Ohio, Inc.
Hemmer Spoor Pangburn DeFrank PLLC
Suite 300
250 Grandview Dr.
F[. Mitchell, KY 41017
Telzphone: (859) 344-] 188
Fax: (859) 578-3869
M0003330,3 - ? '
FII.ED ?-.
MAY 2 7 2003
I-AWHEiVCE q. BELSK{S
PROBATE JUDaE
!
1im PeLro
.Attorney Ganeral of the State of Ohio
,.
-' ?? 4 •; " !?L,--?--?
Monica A/Moloney (OOl 7347)
` Assistant Attorney Genaral. State of Ohio
Charitn,ble Law Section
l Ol East Town St., 4"' floor
Columhus, OH 4321 5-51 48
Telephone: (614) 644-8673
Fax: (614) 466-9788
H:UIMOSU Ayrce4 Frvy.wpq
,
hS0003320.3
-3-
ir ! 13TT-)
?ILED 1
MAY 2 7 2003
, LA4YneIVCEA.8EL.8K{S
PROBATE JUpQE
. ;-? , . .
DoC ID --? 200314900618
I II?II IIIn Ii? ?I I? N? ?I (I? I? u?I:Ii?I INQ ?? ??
oArE aocuweNr 11) peBCaMcr+ "a , aor-o Per,AL-rr cFKT coPY
asnVlml 2W3140aoo1e MEROERroONesric(MeR) 12e.00 Ioe.oo -oo .OD .oo
iiecaipt
Thii ia not a bill• Pla+e 4o not rontit pymeaG
TAFT, STETTINIUS, HOLLlSTER
21 E. STATE 8TREET
COI,UMIRUS, ON 43218
sTATE oF oHio ,
Ohio Secretary oP9tate, J. Keapetb RIAakWell
' 1384746
lt ie hareby cortified that the Soamlary of Sw?n af Ohio haa cuatody of the buainose roeords for
08U 1N'CEANAL MEpICIN$, [.[.C
and, that eald bueinaqe recorde ahow the fttina and rocording ot`
Documenl(s) • DacumQnt No(e):
MERCkR/DOMItBTYC 200314900618
*
4
Q ?
?; + o
Uaioed B4eer of America
9up ntOhin
Otilee af tlie 9eefntacy of 8uu
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the 5ecrolary of Slate nt Columbus,
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DATfi: QOCUMWNT 10 DESCRIPTION PIUMO FXPED PBNALTY CEpT GopY
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ITY OF DUBLIN ?6 3 - -c
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Buiiding 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 . . . . . .
Parcel Number . . . . .
Property Address . . .
9/08/08
273-009146
3900 STONERIDGE LN
DUBLIN OH 43017
FR
Subdivision Name . . .
Legal Description . . .
Property Zoning . . . .
Owne r . . . . . . . . .
Contractor . . . . . .
JALL INVESTMENTS
PROPERTIES
LOT 2 3.513AC.
PLANNED UNIT DEVELOPMENT
?QF MF1?Tl?T?.T? ?nTrmm??rTnrT T1?'r
LEHMAN DAMAN CONST. SVC, INC.
614 252-3400
Application number .. 08-00200175 000 000
Description of Work .. COM BUILDING ALTER.ATION
Construction type ... 5B - UNPROTECTED COMB
Occupancy type . . . . BUSINESS
Flood Zone . . . . . .
Special conditions . .
OSU INTERNAL MEDICINE LLC 3900 STONERIDGE LANE
USE GROUP - B-BUSINESS
Approved . . . . . . . ? a VILld* gfficial
VOID UNLESS SINED BDING OFFICIAL
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.
Clffice
March 21, 2008
UNIFIED RESPONSE LETTER (URL)
Mr. Bruce A. Gardner
Gardner Architects
5 East Winter Street, Suite 300
Review services Delaware, OH 43015
5800 Shier-Rings Road
Dublin, OH 43016-1236
Re: Dublin Permit Application #08-200175
Phone:614-410-4600 Stoneridge Internal Medicine Phase III
Fax:614-718-4346
www.dublin.oh.us
Dear Mr. Gardner:
The City of Dublin's Review Services Team has completed review of materials
submitted February 25, 2008, 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 - phased approval & correction (review letter attached)
Dublin Fire Code - generally favorable w/ comments (review letter attached)
Site Engineering Standards - no review required
Zoning & Landscape - disapproval (plan review letter attached)
Note the Building Plan Review Letter is not a Building Permit. You may wish to
address Building items and Fire comments in your resubmittal along with the Zoning
items.
Please provide a unified resubmittal responsive to the attached review letters
consisting of three (3) updated and complete plan sets and the disapproved marked up
check prints 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.E.
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 and PHASED PLAN APPROVAL #1
For PRE `VALLBOARD (Interior Framing without wallboard) AND ROUGH MEP) O\LY
This is not a Building Permit. It is a record of our review of documents submitted with your application for a
Building Permit.
Date: March 20, 2008
RE; STONERIDGE INTERNAL MEDICINE PHASE 3 Tenant Alteration
APPLICANT: Bruce A. Gardner, Gardner Architects, 740.363.7620
APPLICANT NO. 08-200175
ADDRESS 3900 Stoneridge Lane
The plans, dated February 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: 5,226 SF (To be Remodeled) Building Total 39,084
Occupancy: Unchanged
Construction Type: VB
Notes: Building is fully alarmed and suppressed
The architectural, documents are sealed by Bruce A. Gardner, Ohio registered architect #7078, the mechanical and
the electrical by Russel T. Edwards, Ohio registered engineer #56015 to comply with the requirements of the OBC
Section 107.3.4.1 and have been reviewed, therefore, in accord with OBC Section 104.1.
OBC 107.3.3 Phased approval. The building official shall issue an approval for the construction of foundations or
any other part of a building or structure before the construction documents for the whole building or structure have
been submitted, provided that adequate information and detailed statements have been filed complying with pertinent
requirements of this code. The holder of such approval for the foundation or other parts of a building or structure
shall proceed at the holder's own risk with the building operation and without assurance that an approval for the
entire structure will be granted. Such appi•ovals shall be issuecl for various stages in the sequence of construction
provided that all information and datn reguired by the code for that portion of the building or structure has been
submitted. The holder of a phnsed plnn approval may pi•oceed only to the point for which approval has been given
This PHASED PLAN APPROVAL is for PRE WALLBOARD (Interior Framing without
wallboard) AND ROUGH MEP) ONLY and does not include any of the Items listed below.
PLEASE NOTE. Further approvals will require resolution of the Items listed below and Fire
Alarm and Fire Suppression drawings APPROVED by Dublin Building Standards.
Item 1 Fire Suppressiort Drawirtgs shall be submitted for revietiv; contain all inforrrtation required by
NFPA 13-2002 Chapter 14; and be approved before any, equipntent is installed or remodeled.
A separate Pennit from the ciry 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
equipnierat is installed or remodeled. A separate Permit from the city of Dublin is required.
Item 3 OMC 306.5.1 Sloped roofs. Where appliances, equipment, fans or other components that
require service are installed on a roof having a slope of three units vertical in 12 units
horizontal (25-percent slope) or greater and having an edge more than 30 inches (762 mm)
above grade at such edge, a level platform shall be provided on each side of the appliance to
which access is required for service, repair or maintenance. The platform shall be not less
than 30 inches (762 mm) in any dimension and shall be provided with guards. The guards
STONERIDGE INTERNAL MEDICINE PHASE 3 Tenant Alteration
Permit No.: 08-200175
March 20, 2008
Page 2 of 3
shall extend not less than 42 inches (1067 mm) above the platform, shall be constructed so as
to prevent the passage of a 2 1 -inch-diameter (533 mm) sphere and shall comply with the
loading requirements for guards specified in the building code.
a. Exhaust Fan EF-1, referred to in note 2 on sheet Hl-1, will need to comply with the
require»ients of this section.
b. Please coordinate this work with the Zoning Compliance Correction letter.
Item 4 The capacity of the existing generator, 225A ATS, and the feeder size is exceeded by the loads
of panels EC 1 B and EC 1 B 1 along with the existing panels EC 1 A and EC 1 E. NEC 701.6
a. Please renledy the conditiora.
Item 5 Improper working clearance in front of panel EC 1 C due to the door swing. NEC 110.26
a. Revise the opening to comply.
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 responrl to the Fire Marsltal's comtrterats
The followiiig items are regtiired for code conipliance, blit are raot necessarily, covered iii detail ira the
construction docu»ients. This list is a reminder to the design professional and coritractors of issties, which
are to be satisfactorily dealt with in the f eld:
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 systents (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
NABuilding StandardsUfarpham\Reviews 2008\08-200175 plcl Stoneridge P3.docNABuilding StandardsTarpham\ReNiews 2008',08-200175 plcl
Stoneridge P3.doc
STONERIDGE INTERNAL MEDICINE PHASE 3 Tenant Alteration
Permit No.: 08-200175
March 20, 2008
Page 3 of 3
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 Four (4) 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
Revie ed and Signed,
,
?
ay M. arpham, AIA
C'omiarQcial Plans Examiner iJ
Owner or Owner's Representative
, i 4.4
Print Name and Title as Signed
Jeffrey S. Tyler AIA
Chief Building Official
4
Date
?
NABuilding Standards\I-Iarpham\Reviews 2008\08-200175 plcl Stoneridge P3.docNABuilding Standards\HarphamUieviews 2008\08-200175 picl
Stoneridge P3.doc
?w 3/,-)- ?1?f >
DATE:
WASHINGTON TOWNSHIP
FIRE DEPARTMENT
6200 Eiternian Road, P.O. Box 3248
Dublin, Ohio 43016
614-652-3920 • Fax 614-766-2507
March 14, 2008
TO: Jeffery S. Tyler, Director
Division of Building Standards
City of Dublin
5800 Shier Rings Road
Dublin, Ohio 43016
ATTN: Ray M. Harpham, Commercial Plans Examiner
RE: Washington Township's Fire Department Plan Review
PROJECT: STONERIDGE INTERNAL MEDICINE - PHASE 3a & 3b
TENANT MIPROVEMEIVTS
APPLICATION No: 08-200175
LOCATION 3900 Stoneridge Lane
RECEIVED: February 29, 2008
BUILDING CODE DATA
Use: B, Medical offices for medical practices with exam, treatment and procedure rooms.
Construction: V B, Combustible - Un-Protected
Area: 5,226 SF [Ph. 3a: 1,026 SF + Ph. 3b: 4,200 SF = Area of Improvements]
Occupancy: 52 [Area of Improvements] 300 Total in Building
Notes: Existing building with interior Tenant alterations. Improvements include plumbing,
HVAC and electrical lighting and power requirements. The building cunently 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. Harpham:
We have reviewed the Construction Documents for the referenced Tenant Improvements project Issue Date: 02-21-08, as
submitted to the Division of Building Standards February 25, 2008, for matters of concern to the Washington Township Fire
Department regarding rutes 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 submitted with the following conditions:
OBC 106.1.1 Information on construction documents. Because the construction documents do not have enough
information for a complete plan review, this conection letter is a request for missing information and contains a review
only of the items submitted. A complete review will be performed upon receipt of the required information. This mav
result in additional items not contained in this conection letter; Section 106 OBC.
1.1 Are any new Medical Gases to be added or the existing amounts increased in the proposed nerv work? The
Plumbing drawings mention that there is new work on the oxygen and medical vacarum lines. Please verify
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) installad'on, complete
information regarding the fire protection systems or the alteration oJthe exisdng system(s) informadon reguired
Trustees Gene Bostic • Denise Franz King • Charles Kranstuber Fiscal Officer Joyce E. Robinson Chief Allan NX'oo
WASHINGTON TOWNSHIP
FIRE DEPARTMENT
DATE: March 14, 2008 Permit 08-200175
Page 2 of 2
by the 2007 NF'PA 13, Chapter 22, Plans and Calcttlations for Fire Suppression Systems and the speciftcations,
wiring diagrams, battery calcitlation, and floor plans required by NFPA 72 (3007)§A4.5 for any revisions to the
exisdng Fire Alarm,'Detection Systents.
b. Separate permits are required for the alterations to the ezistingAutomatic Fire Suppression System, and the
Fire Alarni & Fire Detecdon systene.
c. Visteal aJarm inrtiadng sigrral app/iances shall be mounted in accordance with Secdon 4.28.3 ADAAG. The
appliance shall be placecl 80 in. above the highest floor level tivithin the space or 6 in. belotiv the cei/ing,
ivhichever is lo?ver. In accordance with the provisions of this code section, the measurement for the 'appliance '
shall be taken to the bottom of the visual alarm initiating device lens. This appliance measurement shall place
the bottom of the lens at 80 inches above the_finish_floor surf'ace. Caution should be exercised to coordinate
this item early in the bui/ding process with the contractor instal/rng the rough-in boxes for these frre alarnl
devices.
DFC 315Z.1 Ceiling clearance. Storage shall be maintained 2 feet (610 mm) or more below the ceiling in
nonsprinklered areas of bui(dings or a minimum of 18 inc6es (457 mm) below sprinkler head deflectors in sprinklered
areas of buildings.
Open storaqe `shelving' with standards, a.r shown on Sheet A11, are clra»m and'"or diniensioned such that the storage
of items ?vould be placed tivithin 18 to 24 inches (or less) qf the ceilings. Please kno+t, ihat in this fii/ly suppressed
builcling, no display or storage shal/ be a!/owed within 18 inche.r qf'the ceiling. Thrs ivr!/ limit the amount of storage
plnced trpon the lop shelving unils and within the slorage hins as drawn. Plense revdse.
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/P;4 Examiner Alan Perkins, CFPS
(614) 488-4009 Fire Marshal
March 20, 2008
Mr. Bruce Gardner
Gardner Architects
5 East Winter Street, Suite 300
Delaware, OH 43015
Review Services
5800 Shier•Rings Road
Dublin, OH 43016-1236
Re: Stoneridge Medical Phase III
Permit Application #08-200175
Phone: 614-410•4600
Fax:614-718•4346
www.dublin.oh.us
Dear Mr. Gardner:
Plans submitted on February 25, 2008, for the above-referenced project have been reviewed for
zoning compliance and are being returned to your attention for revision. The purpose of this
letter is to summarize all revisions required for zoning compliance only. Please review the
contents of this letter with all plan review comments indicated on the plan set labeled "Z/E."
All revisions must be coordinated with any applicable plan review comments made separately
by the Division of Building Standards, the Office of the City Engineer, and/or the Washington
Township Fire Deparhnent. Please return all marked plans and attachments with vour
resubmittal to expedite the next round of permit application plan review.
The proposed roof-top mounted exhaust fan shown on the mechanical sheets for this
project must be fully screened to meet code. Any exterior modifications to this building first
require the review and approval of the Dublin Planning and Zoning Commission due to the fact
that the site is located in a planned zoning district. Any platforms or railings around the
proposed fan that are required by the state building code will also require the approval of the
planning Commission.
If the proposed exhaust fan can be revised and located below the roof deck, resulting in no
exteriar building faqade changes, Zoning Compliance can be approved. Please give such a
design change serious consideration. Scheduling Planning Commission review will otherwise
delay this phase of the project for 2-3 months.
Please feel free to call me at (614) 410-4664 if you have any questions or comments concerning
this review. The plan review staff will be glad to meet with you or your design team to review
the comments listed above. Please let us know if we can be of any assistance regarding this
project.
Sincerely,
Dave Marshall
Development Review Specialist
DM/df
S/Review Services/Dave/2008/Stoneridge Phase 11132008
SEP-08-2008 08:16 AM RogArs Fire Protection
u?.
Sept. e, 200$
Lehman Daman Gonstniction
777 Taylar Ave.
Columbus, Ohio 43219
Attn; Mr. Steve Hensley
2840 Fisher Rd. Unit A
Columbus, 4hia 43204
c]ffice (614) 272-5559
Fax (614) 272-7702
Subject: Additian of one sprznkler izt the Frocedure raom #1, Pahase III of the
aSU Medical 13uilding, SConeridge, 3900 Staneridge T,ane, bublin, t7hia.
Steve,
'Ih,e existing litte that was tapped ta supply the additional sprinkler as
mentioned above had only 5 existing sprintrlers an it. Line in project are
designed to carry up to 10 sprinklers per side. Tota1 sprinklers off line is
now 6 and canfortns to existing sprinkler system design.
Sincere ,
?
Giregory . Rog
54-25,1355
G-OQ7
614 272 7702 P.91
Rogers
Fire Protection Co.
Sprinkler S,yslents l)4+.clgned d'c In.sttrll[!cl