07201444 Permit File
CITY OF DUBLIN RECEIVED
Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio4 01
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 St' L 2007
WTFD: 614 652-3920
39 ii A
1 DIVIS ION
Office FIRE PROTECTION PERMIT APPLICATION
Application Date 7 91 167 _ Bldg. App. # 07- 201 7w Fire Protection App. # 01. p0 X Lkyq
PROJECT INFORMATION
Project Address 517'5 Ern62ALD r'A214WA y Project Name YIE2 izor j &Fel eAtA
Owner/Tenant Contact Name , ex lam- N Telephone 5-60- S- h6
APPLICANT INFORMATION `,~2
Fire Protection Contractor k32o6AOC FiQE k1cf-EC ICO-I ~/srErb?s /,vC .
Address '713= ~I/jc y s(,~ :~w2 y 1.V . Telephone Oq f>-73 ZZo4l
State Certificate Number 53 25" 1.32ly Dublin Registration Number 07.IP~
Installer Name `.ctlnl a 0. 6-TeadA2T State Certificate Number Y £V9 00-,i l
SCOPE OF WORK
(Mark One) New Replace Repair Alteration J
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 27 Limited Area Other
FEES ~C 'xx
FIRE DETECTION OR SUPPRESSION PERMIT PROCESSING FEE $5
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 15.
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 an art thereof, nor to make any connection to a water main.
Signature of Licensed Contractor DATE 91.2 )t? 7
Print Name PAr! 1' ~SAi~ DATE Z 1C) FOR OFFICIAL USE ONLY
Review Comments: 7 snr1;7k1Pr 4174ero/ion dluwiita mer WgjA- 1 * Townch
Fire Deou?fi>7Pnf gAD~ov~/ x riXP
Fire Department: Date: /O 3 0
Plans Examiner: Date: 104/07
Issued by CBO: Date: iDAIQ
r I I - I
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 . . . . . 07-00201444 Date 10/04/07
Property Address . . . . . . 5175 EMERALD PKY
Parcel Number: 273-007487
Alternate Address: AIRTOUCH II
Tenant nbr, name . . . . . . VERIZON CAFETERIA/SUPPRES
Application type description FIRE PROTECTION
Property owner . . . . . . . ALTER ASSET MGMT
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 uporrviolation of any provisions of law.