07201402 Permit File
Office
CITY OF DUBLIN
RECCIV V f Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
V Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
SEP 19 2007 WTFD: (614) 652-3920
BUILDING DIVISION FIRE PROTECTION PERMIT APPLICATION
CITY OF DUBLIN
Application Date - :I Bldg. App. # 67° 5 Fire Protection App. # ®H 0'0-oA-
PROJECT INFORMATION
Project Address (425: j4?e7Yj 104ce a. S1-:; ~e iC? Project Name /0k5-/e.4-g 45
Owner/Tenant Contact Name C: 13 RE Telephone 7 fc 11 - ?-7-7q
APPLICANT INFORMATION
Fire Protection Contractor ' ri evle F--e Alt> t't t~io6A. s tP: s'
Address '7 N 3 i IM oktgcme& 6 -i\je i0lojvt Ci'fV C'l- . `-t 3cl6`f Telephone 41qJ 67,311 zz.Cl `f
State Certificate Number ~S ILL = Dublin Registration Number 07187
Installer Name Lzo Pi- A . 5fe r State Certificate Number ti y-69 -005 l
SCOPE OF WORK
(Mark One) New Replace Repair Alteration VI/
FIRE DETECTION AND ALARM SYSTEM (Number of Each)
Detectors Strobes Horns Fire Alarm Boxes Other SUPPRESSIONS STEM (Number of Each)
Standpipes On Site Water Piping Sprinkler Heads _1 Limited Area Other
FEES LQO
FIRE DETECTION OR SUPPRESSION PERMIT PROCESSING FEE
LOW VOLTAGE PERMIT (DETECTION ONLY) $30.00 Minimum fee
plus $20.00 each 1,000 sq ft or fraction thereof over 1,000 sq ft
OUTSIDE PLAN REVIEW SERVICES (EXAMINER'S FEE AS CHARGED)
STATE SURCHARGE (3%)
TOTAL FEE DUE k -
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 said laws. This permit conveys no right to
open any street, alley or sidewalk or any part thereof, nor to make any connection to a water main.
Signature of Licensed Contractor 't-2- DATE c7-10-0"7
Print Name r4kd/t'r,> J S ~I r,~. t rt DATE 10 07
FOR OFFICIAL USE ONLY
Review Comments: rye sv/inlf/e~ c~/ i~T1~i on dr-envli7g mecy'y W4?517i!7A76n
Townsfi~'~ f/ie ,Ueog/~ir~nf 4r~o~oyg/. x'~q~P~
Fire Department: F%e rs / Date: 9 6 0
Plans Examiner: Date: b
Issued by CBO: Date: JA
~z_~~7
+ CITY OF DUBLIN
Division of Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016
Phone: (614) 410-4670 - Inspection Line: (614) 410-4680
Application Number . . . . . 07-00201402 Date 10/02/07
Property Address . . . . . . 655 METRO PL S
Parcel Number: 273-002483
Alternate Address: METRO CENTER
Tenant nbr, name . . . . . . PLASTEKARDS SUPPRESSION
Application type description FIRE PROTECTION
Property owner . . . . . . . CB RICHARD ELLIS
Contractor . . . . . . . . . BRIGADE FIRE PROTECTION
Permit . . . . . . FIRE SUPPRESSION PERMIT
Additional desc . .
Permit Fee . . . . 60.00 Plan Check Fee .00
Issue Date . . . . _-3'Ug Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 60.00
Special Notes and Comments
CONTACT WASHINGTON TOWNSHIP FIRE
PREVENTION FOR INSPECTIONS AT 766-0857
Other Fees . . . . . . . . . SURCHARGE FEE - FIRE 1.80
Fee summary Charged Paid Credited Due
Permit Fee Total' 60.00 .00 .00 60.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1.80 .00 .00 1.80
Grand Total 61.80 .00 .00 61.80
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.