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CONSTRUCTION DESIGN RELEASE 328103
State Form 41191 (R915-98) Construed,
Report Printed on: August 16, 2007 EXST. V-S
Indiana Department of Homeland Security
DIVISION OF FIRE 8 BUILDING SAFETY
PLAN REVIEW DIVISION
402 W. Washington St, Room E245
Indianapolis, IN 46204
To: Owner I Architect I Engineer
Wilson Johnson Embers
Richard L Embers 10700123
8207 Melrose Drive
Lenexa KS 66214
INDIANA 02
HOS 0000
OSIER SAfE1Y
Available At YearL Lleenm arurh
SUPPORT HOOSIER SAFETY
8 email: 9134382660, mail@wje-archftects.com
ARCH ELEC MECH
PLUM
B, REM
Type of release
Standard
Project name
Davits Dialysis Center
Street address
158 E Carmel Dr
City I County
CARMEL HAMILTON
the Flre Prevention and Building Safety Commission. The proect is released for constructon subject to, but not necessarily limited to, the conditions
listed below. THIS IS NOT ABUILDING PERMIT. All required local permits and licenses must be obtained prior to beginning construction work. All
construction work must be in full compliance with all applicable State miss. Any changes in the released plans andim, specifications must be filed with
and released by this Office before any work is alteredJ his release may be suspended or revoked if it is determined to be issued in error, in violation
of any rules of the Commission or If it is based on incorrect or insufficient information. This release shall expire by limitation, and become null and
void. if the work authorized is not commenced within one (1) year from the above date.
CONDITIONS:
Note :(A1A 8 Al B): In accordance with the affidavit sworn under penalties of perjury in the application for construction design release the plans
and specifications filed in conjunction with this project shall comply with all of the applicable rules and laws of Fire Prevention and Building Safety
Commission. Providing false information constitutes sn act of perjury, which is a Class D felony punishable by a prison term and a fine up to 610,000.
In accordance with Section 19 of the General Administrative Rules (675 IAC 12.6-19) a complete set of plans and specifications that conform
exactly to the designthat :was released by the office of the state building commissioner shall be maintained on the construction jobsite as well as a
copy of the design release.
3B THIS`PROJECT HAS BEEN REVIEWED UNDER THE 2003 INDIANA BUILDING CODE.
3B1003P3 Landings at doors shall be designed and dimensioned in accordance with Section 1003.3.1.5, IBC
(675 IAC 13-2.4).
tPlease be advised that if an administrative. review of this action is desired, a written petition for review must be fled at the above address mth the
?FirePrevendon and Building Safety Commission identifying the matter for which a review is sought no later than eighteen (18) days from the above -
stated date, unless the eighteenth day falls one Saturday, a. Sunday, a legal holiday.under State statute, or a day in which the Department of Fire
and Building Services is closed during normal business hours. In the latter case, the filing deadline will be the first working day thereafter. If you
choose to petition, and the before-mendoned procedures are -Glowed, your petition for review will be granted, and an administmtIve proceeding will
be conducted by an administrative law judge of the Fire Prevention and Building Safety Commission. If a petition for review is not filed, this Order will
be final, and you must comply with its requirements.
Filed By
Code review official
TONY BRADSHAW
Address (name.title of local official,street,city,state and ZIP code
DEPT OF COMMUNITY SERVICE
JIM BLANCHARD
ONE CIVIC SQUARE
CARMEL, IN 46032
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