07201568 Permit File
CITY OF DUBLIN
CffA%;Sg of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
WTFD: (614) 652-3920
FIRE PROTECTION PERMIT APPLICATION
Application Date /U317 Bldg. App. # 0T;;9,01 ~ Fire Protection App. # 0T ,~01 _ ((J
PROJECT INFORMATION A3!3 nn~~1
Project Address 4) TU i- C- r 142c, Project Name e-ek)MA,J
Owner/Tenant Contact Name /'dJA4 Telephone
APPLICANT INFORMATION
Fire Protection Contractor FP ^ AeL -
Address 217 %~.'9•~'i.~ 5-1 L Z)11 Z Telephone
State Certificate Number 1 Z 55 /(,Y -5- Dublin Registration Number
Installer Name /hri~~a7.c / State Certificate Number-,5
Sy
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 12- 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%) ~d
TOTAL FEE DUE
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, no(.to make any connection to a water main.
Signature of Licensed Contractors DATE
Print Name 0.f '45-5.4-) /S18 DATE
FOR OFFICIAL USE ONLY
Review Comments: e s rin /er q/ q ior) drawl' meefs yl/ sh1 n rownsh
Fire L,edadmenf Aainrowl. Nyr-' 73e- "M'171 C.RCI re h- encrs ;Mt? d00a ed -1;66517 of
NfPit /3 For insfza//ofio~ 00P_.- Mfkr sys+ms (AM7 17oi-;r-c1 on do-awl;7q)
f _/1
Fire Department: 4-Me / hos- h4 Date: _1114-147
Plans Examiner: Date: b
Issued by CBO: Date: =0
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 . . . . . 07-00201568 Date 11/07/07
Property Address . . . . . . 4353 TULLER RD
Parcel Number: 273-009095
Alternate Address: TULLER RIDGE CORP CENTER
Tenant nbr, name . . . . . . MICROMAN/SUPPRESSION
Application type description FIRE PROTECTION
Property owner . . . . . . . SCHOTTENSTEIN MGMT CO
Contractor . . . . . . . . . VFP FIRE SYSTEMS
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
J
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.