07201644 Permit File
Office CITY OF DUBLIN
® n Ys~)f Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
RElms I V E~hone: (614) 410-4670 • Inspection Line: (614) 410-4680
NOV 2 6 2007 WTFD: (614) 652-3920
BUILDING DIVISION FIRE PROTECTION PERMIT APPLICATION
CITY OF DUBLIN
Application Date /.,.Z 7"c>7 Bldg. App. # 01 DO k }I ) Fire Protection App. #
PROJECT INFORMATION aXLt CI
Project Address c&%~2 ProjectName
Owner/Tenant Contact Name Zi:!e "VlAlea A-,66C, 4,'e_ c c ~ Telephone
APPLICANT INFORMATION
Fire Protection Contractor >f~.~~~r.,?,?~Gt
Address /~.S` ~'~1,~~~ ~ac~~~i..? ~1.~~'e~ Telephone 1,14 •
State Certificate Number ~r 1041 Dublin Registration Number 0711"
Installer Name G',~1,~Rt4 cWAf~~ State Certificate NumberSV .Vs /Xf&
SCOPE OF WORK
(Mark One) New Replace Repair Alteration
FIRE DETECTION AND ALARM SYSTEM (Number of Each)
Detectors Strobes Horns Fire Alarm Boxes Other
SUPPRESSION SYSTEM (Number of Each)
Standpipes On Site Water Piping Sprinkler Heads` Limited Area Other
FEES o o
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%) 1, 9)(D
TOTAL FEE DUE (akwe54
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 DATE /-,0 7
Print Name /J-Oee e J. acw DATE 1Y o 7
FOR OFFICIAL USE ONLY
Review Comments: the SOrih~f/ 9/ rQ~ion drgc,.~i~o /~et°fs l>1/4.si1hp6A Toky9.5ki
. 4e^r 4OOro?.A/• x~
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Fire Department: Date: 111301,07
Plans Examiner: Date:
Issued by CBO: Date: Jy-j/o~
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 . . . . . 07-00201644 Date 12/03/07
Property Address . . . . . . 5151 PAUL G. BLAZER MEMORIAL PKY
Parcel Number: 273-000424
Alternate Address: PARKWAY PRO PLAZA
Tenant nbr, name . . . . . . MEDCO CALL CENTER SUPPRES
Application type description FIRE PROTECTION
Property owner . . . . . . . DELPHINEUS ASSOCIATES LLC
Contractor . . . . . . . . . SIMPLEX GRINNELL
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.