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Home My WebLink About05110106-State Release Would you like to reduce your turnaround time? ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT efile24-7@dhs.stateJn.us~ Or VISIT OUR WEB SITE AT wwwJn.gov/dhs/osbc -----~ .................. ~l~t:~J~ number i~elease date CONSTRUCTION DES GN RELEASE ~ ~u. ~ O/~'OOM ~ I//U~/UO ~/ ~?'~[ State Form 41191 (R915-98) ..... ~ ~ Construction type : Occupancy clessiflcation ~ Report Printed on: November 4. 2005 I A, SPK B REM ~ Scop~ofrelease INDIANA 021 DIVISION OF FIRE SAFETY I PLAN REVIEW F 402 W. Washington St,, Room E245 Indianapolis, IN 46204 $ ~oos~ Standarc To: Owner / Architect / Engineer Carson Design Associates Thomas J Kemp 10200051 2325 Pointe Parkway Suite 200 SUPPORT HOOSIER SAFETY ARCH ELEC Type~lease -- Project name Molina Healthcare Street address 11711 North Meridian Street ~ Carmel IN 46032 ct~ l~C0-unty ~ax & e-math 3178435975, admin@caraondesign.com CARMEL I HAMILTON Th~c~iJ~ ~o~-~-5~i{ { e ~ {'~a bo ve mferenceci project have~'~'" ~"~n ~~p~i~i~uie s of the Fire Prevention and Building Safety Commission. The project is released for construction subject to, but not necessa~ly limited to, the conditions listed below. THIS tS NOT A BUILDING PERMIT. All required local permits and licenses must he obtained prior to beginning construction work. All construction work must be in tall compliance with all applicable State rules. Any changes in the released p~ans aha/or specifications must be filed with and released by this Office before any work is altered. This release may be suspended or revoked if it is aerermined to be issued n error, ~n volaflon of any rules of the Commission or if it is based on incorrect or insufficient information. This release shall expire by lim ration, and become nu and void. if the work authedzed is not commenced within one [1) year from the above date CONDITIONS: Note :(A1A & ALS): In accomanne w~th the affidavit sworn under penalties of perjuq/in the application for construction design release the plans and specifications filed in conjunction With this project shall comply with al of th~ a~plicab e rules and laws of Fire Prevention and Suid n~ Safety Commission. Providing false information constitutes an act of perjury, which is a Class D felony punishable by a prison term and a fine up to $10,000. In accordance with Section 19 of the General Administrative Rules 675 lAC 12~6-19) a complete set of plans end specifications that conform exactly to lhe design that 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. 4G0412AF No addition, alteration, or repair shall reduce ex,sting exit capacities to tess than that required under the provis~0ns of the rules o! the Indiana Fire and Building Safety Commission for new construction in accordance with 675 lAC 12-4-12(d). 4G0412AC No addition or alteration shall cause an existing building, structure, or any part of the permanent heating, ventilating, air conditioning, electrical, plumbing, sanitary, emergency detection, emergency communication, o[ fire or explosion suppression systems to become unsafe or overloaded under the provisions of the rules of the Commission for new construction in accordance with 675 lAC 12-4- 12(c). 4G0603AF Plans anc~ specifications for the revised fire suppression system shall be filed with the required application, fees. and complete details in accordance with 675 lAC 12-6- 3(a), 7(h)17 and 675 lAC 13-1-8. (N.F.P.A. #13) Please be advised that E an administrative review of this action is desired a written petition for review must be flied at the above address with the Fire Prevention 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 fails on a 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, tn the latter case, th~ filing deadline will be the first working day thereafter, If you choose to petition, and the before*mentioned procedures are followed, your petition for review will be granted, and an administrative proceeding will be conducted by an aomlnistrative law judge of the Fire Prevention and Building Safety Commission. If a petition for review is not filed this Order will ee ~inaL eno you must comply with its requ~remems Page 1/2 ~iied By ~ PATRICiA CRAYTO~ Address (name,title of local officiaLstreet,city,state and ZIP code DEPT OF COMMUNITY SERVICE JIM BLANCHARD ONE CIVIC SQUARE Would you like to reduce your turnaround time? ELECTRONICALLY FILE YOUR PROJECT WITH STATE OF INDIANA AT eflle24.7@dhs.state.in.us, Or VISIT OUR WEB SITE AT wwwJn.gov/dhs/osbc Code review officia C~e~& Plan Review Branch State Fire Marsha CARMEL iN 46032 ~'~0~ ~'~ Fax & e-_m_~il: 31_ ~571249~_rd~a~!.in.~9~ Page 2/2