07201607 Permit File
CITY OF DUBLIN
office
Division of Building Standards • 5800 Shier-Rings Road • Dublin, EC30 V ED
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 4 2007
momm WTFD: (614) 652-392J 0
NOV 1 BUILDING DIVISION
FIRE PROTECTION PERMIT APPLICATION CITY OF DUBLIN
• ~?~~~~"'C
Application Date /)-I4 -0/ Bldg. App. # O1 A,0 61c~ Fire Protection App. #Q;1
PROJECT INFORMATION
Project Address ss Ane+r o PIQ, So,,+( c ~,4Y '730 Project Name 30sc t'
Owner/Tenant Contact Name r,NG f~~ t4o, 5,- +~t Telephone Co"i- 76 y-~ 779
APPLICANT INFORMATION
Fire Protection Contractor A ~ oa«r, r S s+..s
Address Telephone G v- x-73 - X1 04/
State Certificate Number S3 • As- 13 as Dublin Registration Number 07-
Installer Name Loti,n, S4h~c~- State Certificate Number Sy-as- oog/
SCOPE OF WORK x
(Mark One) New Replace Repair Alteration
FIRE DETECTION AND ALARM SYSTEM (Number of Each)
Strobes Horns Fire Alarm Boxes Other
SUPPRESSION~YSTEM (Number of Each)
n pipes On Site Water Piping Sprinkler Heads 7 Limited Area Other
FEES
FIRE DETECTION OR SUPPRESSION PERMIT PROCESSING FEE $60.00
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 O
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 rt thereo' or t make any connection to a water main. / .46 Signature of Licensed Contractor DATE llf /l
Print Name z-11AII/ - i-ry/mT DATE It /'V/1'
FOR OFFICIAL USE ONLY
Review Comments:
/V Z-
Fire Department: Date: rd -"7
Plans Examiner: a Date: 2 07
Issued by CBO: Date: Z~ 4
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 . . . . . 07-00201607 Date 11/29/07
Property Address . . . . . . 655 METRO PL S
Parcel Number: 273-002483
Alternate Address: METRO CENTER
Tenant nbr, name . . . . . . BOSCH #730 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 . . . . 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.