Loading...
08200184 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 . . . Subdivision Name . . . Legal Description . . . Property Zoning . . . . 8/29/08 273-001895 7450 HOSPITAL DR DUBLIN OH 43016 00000 POST RD ENTRY 3452 76.582 ACRES PLANNED UNIT DEVELOPMENT Owner . . . . . . . . . OHIO HEALTH CORP Contractor . . . . . . Application number . . Description of Work . . Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Special conditions . . Dr. Pomerant Use Group B Approved . . . . . . . DAIMLER GROUP, INC., THE 614 488-4424 08-00200184 000 000 COM BUILDING ALTERATION 2B - PROTECTED/NONCOMB BUSINESS 7450 Hospital Drive Construction Type 2B VOID UNLESS SIGNED BY f ici LDING 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. FR CITY OF DUBLIN Ohio 43016 Division of Building Standards • 5800 Shier-Rings Road . Dublin, Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 REINSPECTION FEE FORM Return this form Shier Rings Rd. Address: Type Inspection: Reason for disapproval: _r------' ?, ? ? Inspector PermitNo. X' " ?:?`r ?? ?? ; ? Date Fees must be paid prior to reinspection. Inspectors will not accept payments of any kind. 1 /03 cn v -0 ? -v m * -0 -n -n ,n -n cn G? > '0 0 0 c 0 o 0 c ,i 0 v ? 7; 3 ? tn c 3 c? ? ? a E. v °c = °o = °c 0 o - ? ? cD ? ?. cD ?c ? c Z c 3 c Z ? o ? I '"jj? Q in ?. ? ? -1 ml ? , C. 7 fl. 7 c? ? ? . n rt ? ? to f? ? ? (G N ?1 tQ - ? ? 0 rt c i ?' G n = 3 <p ? ? 3 ? =? c ? N N ' c c °; 0 ? " 0 '0 _ o 3 0 ? n ? ? M. ? ? Q ? ? ? z ° cD ? t° o a ' co p o ° 19 . ° o' a o o o (D ? ? y ? ? ?4 ? ? "? ? y F Mv lc?ll 7 ? ? ? i7 a ? o m ? 0 Z Lo U) Z O ? ,n O ? o, ? W Z ? 0 = (D a .. ? ?N ? ?a ? o? H yy y CD • ?C .? 0 °° O ??? CD =d ?CD ? ? ?? bd ? ? O s d ? fl- ?. ' ?v oc ? cr o 0 ? 0 ? w 0 j C7) DATE INSPECTION NPE COMMENTS APPROVAL CODE INSPECTOR c" Je.SA,6 1 r/ ?? rt SI?+ ? Pip ' ZZ O y t Gv? //s AC?d? - G ll?/? Erl ? 17L y /?i,- f?*1 e'e ?'e ?cfrf .? A-Aer 2 a? I Building Standazds - Review Services '"- LL-- l V L V Comm rcial Building Permit Application FEB 2 7 2008 800 Shier Rings Road Dublin OH 43016 i4 Pnone (614) 410-4670 BUILDING DIVISION ?y Q CITY OF DUBLIN CTfY OF DUBLIlV. Application Number ov' Received Date Sta?v PROJECT INFORMATION ? New Building O Buildi' g Addirion Alterarion/Fitup ? Accessory ? Change of Occupancy Project Name Dr. O -c Pmject Size ? S uareFeet a,?6 Project Address ?'' ?t ?Y • Estimated $ Cosc of Construcaon OC70. Ta1c Pazcet Q11? $D', Number OBC C?onstruction Type(s) OBC U? oup(s) PROPERTY OWNER Corporate/Company Name (if applicable) k.1 o. ?G I Owner (person's name) Title Address i I co , City/State/Zip ?l p Telephone i Fax Email TENANT (if aFPlicable) Company Name i Contact Name ' Title Address City/State/Zip Telephone Fax Email ARCHITECT Design ProfessionaPs Name , Y Contact Name r Ohio Registration Number (0'1 ? g Address LA)• c City/State/Zip MUaAm ? 43() 1 ? Telephone Fax , Email CIVII. ENGINEER (if aPplicable) Design Professional's Name Company Name Ohio Registration Number Address City/State/Zip Telephone ' Fax Email GENERAL CONTRACTOR Company Name ? Dublin Registration Number Contact Name ' Title Address 1533 ?? S City/State/Zip o Telephone q$ _ Fax Lq _ p(,,U Email PROJECT REPRESENTATIVE / ONTACT (original signature required) I acknowledge and make this applicat ?on as, or on behalf of, the owner and further assert that I am the agent / representative to be contacted co erning matters relat ing to this application. Signature X (print name) Date Company Phone Email Commercial Building Permit Application Page 1 of 3 BLD-201 01/14/08 Y Commerci4l Building Permit Application 1 PROJECT INFORMATION ( iqomplered by Design Professional ) Application Number Project Address ??lYW'"? ?? S +GxM' L' ? ?' i "`?S . , ? , ..: h, -,,.,.., 3 , . M Y I .. ; ?• 1 1 `-i• 1 V `? \Y?/ `KV \? ??`! ? ?v?.VI l? ? New Building ' ? Accessory Structure ? Addition: Fire Wall ? Yes ? No ? Change of Use: ? Entire Stnicture ? Partial `?Alteration: Article 34 ? Yes ? No ? Change of Occupancy: ? Entire Structure ? Partial Previous Use(s): s OBC Use Group(s): 'g ? ( x Occupancy Description: d -? OBC Use Group(s): 3 Mixed Use: No ? Yes - ; if Yes: ? Separated ? Non-Separated OBC Construction Type: ? Stories Above Grade: Building Height: Basement: OYes )(No F'm Resistive Construction Rating . ?. ..?X ? Exterior Walls Q Hr N A Fire Walls Hr F1oor/Ceiling Hr ColumnsBearing Wall Hr Exit Enclosures Hr Shafts Hr Corridors Hr Tenant Separation Hr Flt>( or Infcxnatioa 1' . S'u r' v . . : . WY w- ;. °3 N ... ..... Basement lstFloo= a a o 2°d Floor 3`d Floor j OFloor & above Allowable Maximum Floor Area first floor footprint): ? 0 3 Squaze Feet This value includes: Street ontage increase? ?'es ? No Increase for sprinklers? ?,Yes ? No Commercial Building Permit Application Page 2 of 3 BLD-201 01/14/08 Commerci4l Building Permit Application Application Number PROJECT INFORMATION ' ( Continued ) Project Address (i!t)tBn%_ . ??•??? ? ' ,Y? Horizontal Eacits ? Yes ? No Smoke controURemoval system ? Yes y? No Limited Sprinkler System U Yes XNo Unlimited Area Building ? Yes No Full Automatic Sprinkler System Wes ? No Manual Fire Alazm XYes ? No Standpipe System )(Yes ? No Auto Fire Alarm ?Yes %No : < f ???? , . . ? , \ ? ??4??1?"? ,? '< ' ?' .z^' ?? ., ..', .. ., . .i,.., .. Occupancy Descripfion: 1 r C " OBC Use Group(s): Mixed Use: No 0 Yes -' if Yes: ? Sepazated ? Non-Separated OBC Construction Type: 'u Bl Number of Stories Above Grade : ? dg Height: Basement: ?Yes ,?No Floor Infonnation Fl ,. , ,. Basement 1 S` Floor a? $ a49 a? 2'd Floor 08 3`d Floor a g 1? cl O 3 4t' Floor & above D ? a q 7-?o 3 Allowable Maximum Floor Area ( irst floor footprint): ?C) ?j Squaze Feet This value includes: Street 4rontage increase? )(Yes ? No Increase for sprinklers? Yes ? No .p,. .? .-r .: , ,n ._ . .,, ..,... , . .. . _ _ .. a _., Horizontal Exits ? Yes )(No Smoke controURemoval system ? Yes ? No Limited Sprinkler System ? ? Yes VNo Unlimited Area Building ? Yes X No Full Automatic Sprinkler System ' XYes ? No Manual Fire Alarm Yes ? No Fstandpipe System ' 1KYes ? No Auto Fire Alarm ? Yes No I, ` Q. , the Design Professional, have read and understand the contents of this application. The informationi con ed in this application, attached exhibits, and other submitted information is complete and in all respects true and correct, to the best o?iy lrnowledge and belief. Signature of Design Professional X ?16E? COA t the C1ty 0f.?? -fu Building Standards - inprocessing d outprocessing 614-410-4670 Fax 614-761-6566 jbrock@dublin.oh.us Review Services - plan review ac 'vities and tracking 614-410-4620 Fax 614-718-4346 ssnyder@dublin.oh.us Commercial Building Permit Application ', Page 3 of 3 BLD-201 01/14/08 Cii-l ?F DLBx.iN- LWd use aw wny RanOe na,dny 5800 SFder-Mgs Rood Dubfm. Ohio 43016-17.36 Phone/TD0:614-410-4600 Fax: 614-4144747 Web Site: www.dubNn.Oh.us CERTIFICATE OF ZONING PLAN APPROVAL APPLICATION # DATEISSUED NAME OF BUSINESS/ FAGLITY (1 APPL? ?? C ADDRESSOFSUBJ PROPERTY I p \ • NAME GF P / A RIZED AG ? I NT { FIIONE l - - - A A? ol `- r iv .t1 T e C. - G 7? "CA " ?01?U ADDRESS OF APPLICANT/ AUTHORIZE AGENT ( o K 43016 NAME OF PROPERTY OWNER PHONE PLEASE DESCRIBE IN LAYMAN'S TERULS 7HE EXISTiNG AND PROPOSED USE(S) OF ALL PARTS OF THE LAND AND/OR BUILDINGS. IF A CHANGE OF USE IS PROPOSEfl, PLEAS EXPl.A1N. (IE, RETAIL SPACE TO MEDICAL OFFICE SPACE, ETC.) I?lt .,. - - -- ?C-G? o t?Yt C?-Q? ? ONE (1) ORIGINAL SIGNED APF ? ONE (1) COPY OF A SCALED SI Additional documerrtation may be wiil be retumed to the applicant PLAN DRAWN IN INK indicating all current and proposed land uses, structures, and other siie improvements. jired for various types of projects. Partial or incomplete appiications and drawings cannot be processed and mail. 2ft-IN FAR AFC12F 11SF C E IIABER DATE CASE NUMBER DATE CASE NUMBER DATE NOTES: ? 20NING INSPECTION REQUIRED UPON C OMPLETION? YES NO If yes, please call 614-410-4680 to sched e an inspection. A Certiticate of Zoning Compliance wifl be issued after the work is inspec4ed and approved by Land Use and Long Range Pla ing. APPROVED APPROVED AS NOTED This Certificate of Zoning Plan Approval is issc ued for, and in reference to the property and use descnbed above, and as approved by the City Administrator or designee, or the City Counci , Board of Zoning Appeals, Planning & Zoning Commission, or the Architectural Review Board as appropriate. DISAPPROVED AS NOTED BY' DATE: CERTIFICATE OF ZONING PLAN A I F'PROVAL 3/10/2006 1 CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Application Number . .... 08-00200184 Date 3/24/08 Property Address .. .... 7450 HOSPITAL DR Parcel Number: 273-001895 Alternate Address: MEDICAL OFFICE BUILDING Tenant nbr, name .. .... 150 DR. POMERANT #150 Application type description COM BUILDING ALTERATION ----------------------------------------------------------------- ----------- Application desc Sq Ft. 2209# -------------------------- --------------------------------------- ----------- Property owner . . . . . . . HOSPITAL PROPERTIES INC Contractor . . . . . . . . . DAIMLER GROUP, INC., THE --------------------- Structure Information 000 000 ----------- ----------- Construction Type . . . . . 2B - PROTECTED/NONCOMB Occupancy Type . . . -------------------------- . . . BUSINESS --------------------------------------- ----------- Permit . . . . . . COMMERCIAL BUILDING PERMIT Additional desc . . Permit Fee .... 320.00 Plan Check Fee .. - 1 .00 Issue Date . . . . R Valuation . . . . 3 }c7l(0,6 0 Expiration Date . . 9/20/08 Qty Unit Charge Per Extension BASE FEE 160.00 2.00 80.0000 THOU COM BLDG PLAN REVIEW 160.00 Special Notes and Comments *** IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID. TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A $20.00 EXTENSION FEE *** SIGNED CHIEF BUILDING OFFICIAL f ey S. Tyler, AIA CORRECT N R Q EST #1 AND PHASED PLAN APPROVAL #1 FOR PRE WALLBOARD (I RIOR FRAMING WITHOUT WALLBOARD AND ROUGH MEP) ONLY 1. THE BUILDING IS FULLY SUPPRESSED. THE MODIFICATIONS TO THIS SPACE ARE BEING PERFORMED UNDER THE AEGIS OF PERMIT 08-200172. 2. THE BUILDING IS PROVIDED WITH AN AUTOMATIC FIRE PROTECTIVE SIGNALING SYSTEM WITH AUDIBLE AND VISUAL FIRE 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 ..... 08-00200184 Date 3/24/08 ---------------------------------------------------------------------------- Special Notes and Comments ALARMS IN ALL PUBLIC SPACES. THERE HAS BEEN NO APPLICATION FOR A FIRE ALARM PERMIT. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . COM BLDG INSPECTION ALT 150.00 COM CERTIFICATE OF OCC 120.00 SURCHARGE FEE - BLDG 17.70 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 320.00 .00 .00 320.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 287.70 .00 .00 287.70 Grand Total 607.70 .00 .00 607.70 This permit is granted on the express condition that said work shall in all respects, conform to the ordinances of the City of Dublin and all laws of the State of Ohio regulating construction, installation, repair and alteration and may be revoked at any time upon violation of any provisions of law. CITY OF DUBLIN Dr. Pomerants Office March 22, 2008 08-200184 Page 3 of 3 TO REQiTEST 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 R 4iewand Signed, , Rarpham, AIA e S yl r, AIA Commercial Plans Examiner Chief u' ding Official Plan Approval will be valid only upon receipt by the City of Dublin, Division of Building Standards, of one signed ;?;P1 of is Plan pproval of the submitted plans. . ? 3 Ownerdr Owner's Representative Date eilYeIs C?e Print Name and Title as Signed NABuilding Standards\E3arpham\Reviews 2008\08-200184 clpl Dr Pomerants.doc CITY OF DUBLIN Building Standards • 5800 Shier Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 CORRECTION REQUEST #1 and PHASED PLAN APPROVAL #1 For 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. March 22, 2008 RE: Dr. Pomerants Office ADDRESS: 7450 Hospital Drive, Suite 150 APPLICANT: Jennifer Carney, Carney Ranker Architects, Ltd. 614.792.1000 APPLICANT NO. 08-200184 The plans dated 2/26/08 and revisions under cover of Vetter letter dated March 13, 2006 for the captioned project have been reviewed for compliance with the provisions of the Ohio Building Code (2007). The review was based upon the following criteria: Use Group: B-Business Area: 2,209 SF Occupant Load: 22 @ 1:100 Construction Type: IIB Notes: 1. The building is fully suppressed. The modifications to this space are being performed under the aegis of Permit 08-200172. 2. The building is provided with an automatic fire protective signaling system with audible and visual alarms in all public spaces. There has been no application for a fire alarm permit. The architectural documents are sealed by Jennifer Powell Carney, Ohio registered architect #10748, and the MEP by Bruce Vetter, Ohio registered engineer, #E-63372 to comply with the requirements of the OBC Section 106.3.4.1 and have been reviewed, therefore, in accord with OBC Section 104.1. OBC 107.33 Phased approval. The building official shall issue an approval for the construcrion of foundations or any other part of a building or structure before the construcrion 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 operarion and without assurance that an approval for the entire structure will be granted. Such approvals shall be issued for various stages in the seguence 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. PLEASE NOTE. Further approvals will require a response to Item 2 and Fire Alarm drawings APPROVED by Dublin Building Standards. Item 1 Fire Alarm Drawings shall be submitted for review; contain all information required by NFPA 72-2007 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 2 Please have Dr. Pomerants provide a detailed description of procedures anticipated to be performed in Room 104 Procedure 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, CITY OF DUBLIN Dr. Pomerants Office 08-200184 which are to be satisfactorily dealt with in the field.• March 22, 2008 Page 2 of 3 Item A OBC 106.3.1 Approval of construction documents. When the construction documents have been determined to conform to the applicable provisions of the rules of the Board in accordance with the procedures set forth in Section 105.3.1, the building official shall endorse or stamp such plans as approved. One set of construction documents shall be kept by the building official. The other set(s) shall be returned to the applicant, kept at the work site and shall be open for inspection by the building official or the building official's designated representative. Item B OBC 105.7.2 Posting. The certificate of plan approval shall be posted in a conspicuous location outside of the building and in the front part of the premises on which is, or will be the approved building or equipment to which the approved plans relate. The owner and the contractor shall, so far as possible, preserve and keep the certificate posted until the completion of the work to which the approved plans relate Item C OBC 106.4 Amended construction documents. If substantive changes to the building are contemplated after first document submission, or during construction, those changes must be submitted to the building official for review and approval prior to those changes being executed. The building official may waive this requirement in the instance of an emergency repair, or similar instance. Item D OBC 109.1 General. Construction or work for which an approval is required shall be subject to inspection by the building official and such construction or work shall remain accessible and exposed for inspection purposes until approved. This includes firestopping and draftstopping (Chapter 7 OBC), mechanical work; piping, ducts and systems (Chapter 3 OMC), structural members and connections (Chapter 16 OBC), and electrical work (Chapter 27 OBC). All systems and elements covered by code are to be inspected and approved before being covered. Item E OBC 1103.1 Where required. Buildings and structures, temporary or permanent, including their associated sites and facilities, shall be accessible to persons with physical disabilities. Item F 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 G 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. Item H The existing electrical conductors, if removed, abandoned, or altered, shall be accomplished to the electrical field inspector's approval. Electrical work found not to meet the code's standards shall be corrected to the electrical field inspector's approval. The start of construction indicates acceptance of all of the conditions listed above. This review does not preclude the necessity to conform to provisions which may have been omitted or overlooked in the review process, but which are requirements of the code. Ultimate responsibility for legal compliance with the Standards of Safety rests with the registered design professional, the tenant and the owner. Phased Plan Approval will be valid only upon receipt by the City of Dublin, Division of Building Standards, of one signed copy of this Phased Plan Approval to the submitted plans. NABuilding Standards\EIarpham\Reviews 2008\08-200184 clpl Dr Pomerants.doc WASHINGTON TOWNSHIP , DATE: FIRE DEPARTMENT 6200 Eiterman Road, P.O. Box 3248 Dublin, Ohio 43016 614-652-3920 • Fax 614-766-2507 March 10, 2008 IWAR j Z 2008 C.i ?? ?? PI) 11 11` TO: Jeffery S. 1'yler, Director Division of Building Standards City of Dublin 5800 Shier Rings Road I3ublin, Ohio 43016 ATTN: Ray M. Harpham, Commercial Plans Exarniner RE: Washington Township's Fire Department Plan Review P'ROJECT: DR POMERANTS OFFICE - TENANT IlbiPROVEMENTS APPLICATION No: 08-200184 LOCATION 7450 Hospital Drive, Suite 150 RECEIVED: Febniary 29, 2008 BUII..DING CODE DATA: Use: B, Office space. Constructi6ri: II B, Noncombustible - Un-Pi`oteeted [Existing] Area: 2,209 SF [Area of Improvements] Occupancy: 22 Tatal Notes: Existing building with interior alterations. Improvements include new wall partitions with daars and finishes, mechanical, electrical lighting and power requirements. The building curreritly tias an automatic fire 5uppression systerii locAted ttirougtiout and a fire atarm/detection system in the Public-Use Spaces, of which will require changes pursuant to the Improvement plans. Mr. Harpham: We have reviewed the construction documents for the referenced Interior improvements, with as submitted ta the Division af Buiiding Standards February 27, 2007, for matters of concem to the Washington Township Fire Department regarding rules relating to the 2007 Ohlo Building Code (OBC) and the fire prevention and the Dublin Fire Code(DFC) based upon the 2000 Intemarional Fire Code. We are able to recommend approval of the plans submitted with the following conditions: OBC 106.1.1.1 Fire proteetion 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 atl information as required by the referenced installation standards in OBC Ch 9. a. Whe» they are made available, submit for appraval, prior to the start af system(s) installation, complete information regarding the fire protection systems or the alteration of the system(s) information required by the 2007 NFPA 13, Chapter 22, Plans and Calculations for Fire Suppression Systems Trustees Gene Bostic • Denise Franz King • Charles Kranstuber Fiscal Officer Joyce E. Robinson Chief Allan Woo WASHINGTON TOWNSHIP DATE: March 10, 2008 FIRE DEPARTMENT Permit 08-200184 Page 2 of 2 Thank yau for the appartunity to review the submission. Please feel free to call with any questions. WASHINGTON TOWNSHP FIlZE DEPARTMENT Michael A. Boryca, ArchitecdP s Examiner Alan Perkins, CFPS (614) 488-4009 Fire Marshal 7t CITY QF Dt;BLIN.n Lana use aw Lonp Ronpe ?IanrYnp 5800 Shier-Ringi Road Dubfin, Ohio 430161236 Phone/ TDD: 614-410-4600 Fmc: 614-410-4747 Web Site: www.dub6n.di.us CERTIFICATE OF ZONING PLAN APPROVAL APPLICATION # og - zeFtn t8+ DATE ISSUED z L8 ja8 NAME OF BUSINESS/ FACILITY (IF APPLICABLE) ADDRESS OF SUBJECT PRO RTY U TKc- V NAME OF APPLICANT/ AUTHORIZED AGENT PHONE ` ? 40, _ ADDRESS OF APPLICANT/ AUTHORIZEO AGENT NAME OF ROPERTY OWc P°- 8- y ya ? PL ASE DESCRIBE IN LAYMAN'S TERMS THE EXISTING AND PROPOSED USE(S) OF ALL PARTS OF THE LAND AND/0R BUILDINGS. IF A CHANGE OF USE IS PROPOSED, PLEASE EXPLAIN. (IE, RETAIL SPACE TO MEDICAL OFFICE SPACE, ETC.) ?EtJAN j ?1"?t,l P C?e ?AG ?eR ?j ??f L? ?? ?E DtG?kZ `-j4?LDl?6 Pl.tASE SU6MIT TME FOLLOWING: ? ONE (1) ORIGINAL SIGNED APPLICATION ONE (1) COPY OF ASCALED SITE PLAN DRAWN IN INK indicating all current and proposed land uses, structures, and other site improvements. Additionai 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. 3-a6 -101? FOR QFFICE U5E ONLY CASE NUMBER DATE CASE NUMBER DATE CASE NUMBER DATE ?.._ . 20NING INSPECTION REQUIRED UPON COMPLETION? ? YES )<NO If yes, please cail 614-410-4680 to schedule an inspection. A Certificate of Zoning Compliance will be issued after The work is inspected and approved by Land Use and Long Range Planning. ? APPROVED APPROVED AS NOTED This Certificate of Zoning Pian Approval is issued for, and n r erence to the properry 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. ? CERTIFICATE OF ZONING PLAN APPROVAL 3110/2006 . CITY OF DUBLIN , Division of Buiiding Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410,4670 • Inspection Line: (614) 462-3865 (Franklin County) Application No. 0$' -2-OU Pg (1 Date 3? ?v ? New BRemodel ? Residential ommercial 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 ministr ve Code and all reguljZts,.,of the Franklin County Board of Health. Job Address _Z4426 Parcel No. Subdivision/Proiect Name Owner's Name Contractor's Name Contractor's Address Does the sewer discharge into an i How far distant from any dwelling, well or What is the size of the main drain? san Lot No. Telephone Telephone Number Of what i?*? d? fihe vent pipes consist? the Of what material does the house drain consist? *INDICATE NAME OF CERTIFIED BACKFLOW This form must be properly filled out and returned to accompanied by a fee calculated upon the followini, R of the City of Dublin at least four days prior to the date of the FIRST INSPECTION, WATER TANK REPLACEMENT FEE $35.00 RESIDENTIAL COMMERCIAL Application for permit & first fixture............................... $50.00 Application for permit & first fixture.............................. $60.00 rLv Number of remaining fixtures X$10.00 =$ -? Number of remaining fixtures X$12.00 =$?1 ?g Total Inspection Fee ..................................................... $ Total Inspection Fee .................................................... $ 1W ? 1? Re-inspection fee (based upon disapproved Inspection and collected by the Franklin County Board of Health ONLY) $45.00 AirAdmittance Valve "Backflow Preventers Bath Tubs Bed Pan Washers Bidet Chemical Sinks Dental Cuspidors Dilution Sum Dish Washers Floor Drains Garage Catch Basin Gas Water Heater Electric Water Heater Interceptor Kitchen Sink Lavatories Mop Sinks Outside Faucets Roof Drains Rough-in Openings for Future QtV. Showers Sterilizers Sump Pump Trap Primer Urinal Wash Fountain Washing Machine Water Closets Water Lines Water St ra Tank Other sm ? GRAND TOTAL O 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 ..... 08-00200184 Date 3/31/08 Property Address ...... 7450 HOSPITAL DR Parcel Number: 273-001895 Alternate Address: MEDICAL OFFICE BUILDING Tenant nbr, name ...... 150 DR. POMERANT #150 Application type description COM BUILDING ALTERATION ----------------------------------------------------------------- Application desc ----------- Sq Ft. 2209# ----------------------------------------------------------------- Property owner . . . . . . . HOSPITAL PROPERTIES INC ----------- Contractor . . . . . . . . . DAIMLER GROUP, INC., THE --------------------- Structure Information 000 000 ----------- ----------- Construction Type . . . . . 2B - PROTECTED/NONCOMB Occupancy Type . . . . . . BUSINESS ----------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT ----------- Additional desc . . Permit Fee .... 168.00 Plan Check Fee .. .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/24/10 Qty Unit Charge Per Extension BASE FEE 60.00 9.00 12.0000 EA COM PLUMBING >1 FIXTURE -------------------- 108.00 --------------------------------------------- Special Notes and Comments ----------- *** IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID. TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A $20.00 EXTENSION FEE *** SIGNED CHIEF BUILDING OFFICIAL Jeffrey S. Tyler, AIA CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1 FOR PRE WALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD AND ROUGH MEP) ONLY l. THE BUILDING IS FULLY SUPPRESSED. THE MODIFICATIONS TO THIS SPACE ARE BEING PERFORMED UNDER THE AEGIS OF PERMIT 08-200172. 2. THE BUILDING IS PROVIDED WITH AN AUTOMATIC FIRE PROTECTIVE SIGNALING SYSTEM WITH AUDIBLE AND VISUAL FIRE 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 ..... 08-00200184 Date 3/31/08 ----------------------- Special Notes and ------------ Comments ------------- ---------------------------- ALARMS IN ALL PUB LIC SPACES. THERE HAS BE EN NO APPLICATION FOR A FIRE ALARM PERMIT. ----------------------- Fee summary ----------------- ------------ Charged ---------- ------------- Paid ---------- ---------------------------- Credited Due ---------- ---------- Permit Fee Total 168.00 .00 .00 168.00 Plan Check Total .00 .00 .00 .00 Grand Total 168.00 .00 .00 168.00 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. 03/25/2@o8 a8:13 6144523851 FRAPJk':LIhJ C(7 HEHLTH PAGE 02 .--?-? Franklin County Board of Health PLUMBING REVIEW TRANSMITTAL. Plan Review Fee Schedule 1 - 5 Fixtures $ 25.00 6 - 20 Fixtures $ 35.00 21 - 40 Fixtures $ 65.00 41 or more Fixtures $100.00 Date: ,Job Name Address: C ity: Signature: Number of Fixtures: Amount Due: ? TWO SETS OF PLUMBING PLANS COMPLETE WITH ISOMETRICS ARE REQUTRED (do not subrnit full sets) f NENI L'' ZEMODEL T}iIS APPROVED SET OF PLANS 49? Mi i?T IRF QN_TH?J-QB SITE. N1ans Submitted hy- Addres, cify& zip Paici BY: E?APPROVED Check E] DISAtPPROVED , Copy To: - --. G•- ? f --- -- I nspector: _ Date: _2?p.?, ? _ANLy -pUFRATL9NSS'0 THE nFS1(',NF[7 SYSTFM MUST BE ?y1SW Pk1U? 1?0-?NSPECTION. Franklin County Board of Healtii ? 280 East Broad Street f Columbus, OH 43215 (614) 462-3160 phone ? (614) 462-3851 fax f CITY oF DUBLIv Division o# Building Standards - 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 4144670 • Inspection Line: (674) 410-4680 Date March 26, 2008 Applicarion No. 08-200184 APPLICATION FQR ELECTRICAL PERNIIT Job Address 7450 Hospital Drive Suite 150 Parcel No. 273-001895 ? Dr. Pomerant's Office Lot No. pwner Name Hospital Properties, Inc. Teiephone Contrador Naine Telephone Denier Electric Co., Inc. Contractor Address , 4000 Gantz Rd.. Ste. ?r?c?re??Citv. OF?,?i90.''. Residentisl: New Sq. Ft. Temporary Seivice $40.40 .:: ;;: F;;; $40.00 Nrnimum plus $20.00 for eacb. Low Voltaee Systems: Square Feet,..._. 540.00 Miminaunu plus $10.00 fot each Commercisl: New Sq. Ft Temporuy Service $60.00...... S60.00 Minimam plus $fiO.W and up to 50,999 Sq. Ft (sizes Low Valtage Systenns: Squaz?i S30.00 Minimum (ptus $20.4 S9- 540 Sq. Ft. -• ........................... . !r 1000 Sq. FL over 1000 Sq. Ft AIteration/Addition?Sq.'Ft 25209 - . .........................................................................................................?.,_ each additiona11000 Sq. Ft. or fracrion thereof over 1000 Sq. Ft 180.00 we, See Fee ScJiedule) ??- for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.) ??. 3% State of Ohio Surcharge (commercial only) 5.40_ Totsl $ 18? JUB DESCRIPTION Tenant Finish Electric '[his permit is grMted on 1fe express condition that the said worlc shail in all respeds, oonforrn to the ord'ppmm af the City of Dublin, all the laws of the State and the Natiortal Dectric Code ulating construdion, inst?lation, ?alr and alteration, and may be revoked at any time upon violadon of any prov?i?'is of saij+i . T ///J Signature of licensed contractor or Division of Buiiding Standards 614338-4664 ? Dublin Registra.tion No. 08-237 ea1.'o naco: innooi CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Application Number ..... 08-00200184 Date 3/27/08 Property Address ...... 7450 HOSPITAL DR Parcel Number: 273-001895 Alternate Address: MEDICAL OFFICE BUILDING Tenant nbr, name ...... 150 DR. POMERANT #150 Application type description COM BUILDING ALTERATION ---------------------------------------------------- ------------- Application desc ----------- Sq Ft. 2209# ----------------------------------------------------------------- Property owner . . . . . . . HOSPITAL PROPERTIES INC ----------- Contractor . . . . . . . . . DAIMLER GROUP, INC., THE --------------------- Structure Information 000 000 ----------- ----------- Construction Type . . . . . 2B - PROTECTED/NONCOMB Occupancy Type . . . . . . BUSINESS ----------------------------------------------------- ------------ Permit . . . . . . ELECTRICAL PERMIT ----------- Additional desc . . Permit Fee .... 180.00 Plan Check Fee .. .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/23/08 Qty Unit Charge Per Extension BASE FEE 60.00 2.00 60.0000 THOU COM ELECTRIC SERVICE 1K-50K SF 120.00 ----------------------------------------------------------------- Special Notes and Comments ----------- *** IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID. TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A $20.00 EXTENSION FEE *** SIGNED CHIEF BUILDING OFFICIAL Jeffrey S. Tyler, AIA CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1 FOR PRE WALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD AND ROUGH MEP) ONLY l. THE BUILDING IS FULLY SUPPRESSED. THE MODIFICATIONS TO THIS SPACE ARE BEING PERFORMED UNDER THE AEGIS OF PERMIT 08-200172. 2. THE BUILDING IS PROVIDED WITH AN AUTOMATIC FIRE PROTECTIVE SIGNALING SYSTEM WITH AUDIBLE AND VISUAL FIRE 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 ..... 08-00200184 Date 3/27/08 ----------------------- Special Notes and ------------ Comments ---------------- ------------- ------------ ALARMS IN ALL PUBLIC SPACES. THERE HAS BEEN NO APPLICATION FOR A FIRE ALARM PERMIT. ----------------------- Other Fees . . . ---------- ------------ . . . . . . ---------------- SURCHARGE FEE ------------- - ELECTRIC ------------ 5.40 ------------- Fee summary ----------------- ------------ Charged ---------- ----------------------------- Paid Credited ------------ Due Permit Fee Total 180.00 ---------- --- .00 ------- ---- .00 ------ 180.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5.40 .00 .00 5.40 Grand Total 185.40 .00 .00 185.40 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. , 4 CITY OF DUBLIN Building Standards • 5800 Shier Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 PLAN APPROVAL #1 This is not a Building Permit. It is a record of our review of documents submitted with your application for a Building Permit. May 23, 2008 RE: Dr. Pomerants Office ADDRESS: 7450 Hospital Drive, Suite 150 APPLICANT: Jennifer Carney, Carney Ranker Architects, Ltd. 614.792.1000 APPLICANT NO. 08-200184 The plans dated 2/26/08 and revisions under cover of Vetter letter dated March 13, 2006 and Dr Pomerants' Apri14, 2008 letter, for the captioned project have been reviewed for compliance with the provisions of the Ohio Building Code (2007). The review was based upon the following criteria: Use Group: B-Business Area: 2,209 SF Occupant Load: 22 @ 1:100 Construction Type: IIB Notes: 1. The building is fully suppressed. The modifications to this space are being performed under the aegis of Permit 08-200172. 2. The building is provided with an automatic fire protective signaling system with audible and visual alarms in all pubtic spaces. The modifications are being performed under the aegis of Permit 08-200256 The architectural documents are sealed by Jennifer Powell Carney, Ohio registered architect #10748, and the MEP by Bruce Vetter, Ohio registered engineer, #E-63372 to comply with the requirements of the OBC Section 1063.4.1 and have been reviewed, therefore, in accord with OBC Section 104.1. OBC 106.31 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 starrcp 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 sha[l be open for inspection by the building official or the building official's designated representative. The Drawings are APPROVED. The items required for code compliance, but not necessarily covered in detail in the construction document referred to in earlier Approvals remains a part of this plan approval. The start of construction indicates acceptance of all of the conditions listed above. This review does not preclude the necessity to conform to provisions which may have been omitted or overlooked in the review process, but which are requirements of the code. Ultimate responsibility for legal compliance with the Standazds of Safety rests with the registered design professional, the tenant and the owner. Phased Plan Approval will be valid only upon receipt by the City of Dublin, Division of Building Standards, of one signed copy of this Phased Plan Approval to the submitted plans. 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 CITY OF DUBLIN Dr. Pomerants Office 08-200184 RqM.H d Signed, RaAAI---- Commercial Plans Examiner 4 e i y S. yler, AIA Chie ui ding Official March 22, 2008 Page 2 of 2 Plan Approva ill be valid only upon receipt by the City of Dublin, Division of Building Standards, of one signed copy of this n Approval of e submitted plans. Owner or Owner's Representative Date 41lr,6r C'SBIK "'o"t , 4G Print Name and Title as Signed NABuilding Standards\Harpham\Reviews 2008\08-200184 a Dr Pomerants.doc 04/18/2008 12:03 6147921001 CARNEY RaNKER ARCHIT PAGE 03i03 ' 04/03/08 THU 13:62 FAX 614 1 P66 4900 BJ POM.ERa!v'I'S AtD Z ooi U and . y ?- April 4,2008 To Wham it May Can ern; The procedure room t Dr. B.J. PQmeranta' office in Dublin is used for rninor surgeries e ch as skin tag removai, care of abcesses, ancl cyst removal. If you have any questi ns please contact our office. Sincerelv . ? . .? B,J,Pornerants,M,b. 340 E. Town St 3545 Olentangy Rivez Rd. 5130 Bradenton AvQ, Suite 7-500 5uite 130 3uite A Calumbus, Ohlo 43215 Columbus, Ohio 43214 Dublin, Ohio 43017 hone: 614-365-7500 9 Fax; 614-365-4900 CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Date a/q /o ? Application No. 012) •?? ?li? APPLICATION FOR ELECTRICAL PERMIT % 541 ,?? Job Address 7q50 JJ // VSr? / n I I)(? Parcel No Subdivision Lot No. Owner Name /3?r Telephone 3'-77?? Contractor Name Telephone Contractor Address Dublin Registration No. Residential: New Sq. Ft. Alterat Temporary Service $40.00.................................................. $40.00 Minimum plus $20.00 for each additiona1500 Sq. kddition Sq. Ft. - 1000 Sq. Ft. Low Voltage Systems: Square Feet $40.00 Minimum plus $10.00 for each additiona1500 Sq. Ft. or fractivn thereof over 1000 Sq. Ft. CommerciaL• New Sq. Ft. Alteration/Addition Sq. Ft. Temporary Service $60.00 .......................................................................................................................... $60.00 Minimum plus $60.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. and up to 50,999 Sq. Ft. (sizes above, See Fee Schedule) Low Voltage Systems: Square Feet $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 $ I ')'" 1 ? JOB DESCRIPTION This permit is granted on the express condition that the said work shall in all respects, conform to the ordinanoes of the City of Dublin, all the laws of the State and the National Electric Code regulating construction, installation, repair and alteration, and may be revoked at any time Signature of licensed contractc 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 ..... 08-00200184 Date 8/06/08 Revision number . . . . . . . 1 Property Address ...... 7450 HOSPITAL DR Parcel Number: 273-001895 Alternate Address: MEDICAL OFFICE BUILDING Tenant nbr, name ...... 150 DR. POMERANT #150 Application type description COM BUILDING ALTERATION ---------------------------------------------------------------------------- Application desc Sq Ft. 2209# ---------------------------------------------------------------------------- Property owner . . . . . . . OHIO HEALTH CORP Contractor . . . . . . . . . DAIMLER GROUP, INC., THE --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . 2B - PROTECTED/NONCOMB Occupancy Type . . . . . . BUSINESS ---------------------------------------------------------------------------- Permit ...... LOW VOLTAGE ELECTRIC PERMIT Additional desc . . Permit Fee .... 70.00 Plan Check Fee .. .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/31/09 Qty Unit Charge Per Extension BASE FEE 30.00 2.00 20.0000 THOU COM ELECTRIC LOW VOLTAGE 40.00 ---------------------------------------------------------------------------- Special Notes and Comments *** IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID. TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A $20.00 EXTENSION FEE *** SIGNED CHIEF BUILDING OFFICIAL Jeffrey S. Tyler, AIA CORRECTION REQUEST #1 AND PHASED PLAN APPROVAL #1 FOR PRE WALLBOARD (INTERIOR FRAMING WITHOUT WALLBOARD AND ROUGH MEP) ONLY l. THE BUILDING IS FULLY SUPPRESSED. THE MODIFICATIONS TO THIS SPACE ARE BEING PERFORMED UNDER THE AEGIS OF PERMIT 08-200172. 2. THE BUILDING IS PROVIDED WITH AN AUTOMATIC FIRE 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 ..... 08-00200184 Date 8/06/08 Revision number . . . . . . . -------- 1 --------------- --------------- ----------- --------------------------- Special Notes and Comments PROTECTIVE SIGNALING SYSTEM W ITH AUDIBLE AND VISUAL FIRE ALARMS IN ALL PUBLIC SPACES. THERE HAS BEEN NO APPLICATION FOR A FIRE ALARM PERMIT. --- --------------- ----------- ----------------------------------- Other Fees . . . . . . . . . ------------ SURCHAR.GE FEE - ELECTRIC ------------- 7.50 ----------- ----------------------------------- Fee summary Charged -- ---------- ----------------- Paid Credited D ---------- ---------- ----- ue ----- --------------- Permit Fee Total 70.00 .00 .00 70.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 7.50 5.40 .00 2.10 Grand Total 77.50 5.40 .00 72.10 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.