07201267 Permit File
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CITY OF DUBLIN
Division of Building Standards • 5800 Shier-Rings Road • Dublin, ,
Phone: (614) 410-4670 • Inspection Line: (614) 410-46 ` ' 'V 'R_
4 "am WTFD: (614) 889-2347 AUG 2 7 2007
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FIRE PROTECTION PERMIT APPLICATION A
Application Date. Bldg. App. #C-7 -aQ1~y Fire Protection App. #
PROJECT INFORMATION
Project Address _ :7S3 3 .r#'~ y Project Name
Owner/Tenant Contact Name T'/Jd ~?cat ~tis~if*9 ih Telephone 41 ly_- 974, - G7SY
APPLICANT INFORMATION
Fire Protection Contractor
Address ZYQ7 -40",'f Telephone 67y 3 5 3va
State Certificate Number s- 3 ZS' / 38`4 Dublin Registration Number d 7- Z` & 0
Installer Name 5A,4w41 FofTL-iP State Certificate Number 33q-
SCOPE OF WORK
(Mark One) New - Replace Repair Alteration
FIRE DETECTION AND ALARM SYSTEM (Number of Each) N1-4
Detectors Strobes Horns Fire Alarm Boxes Other
SUPPRESSION SYSTEM (Number of Each)
Standpipes On Site Water Piping Sprinkler Heads Limited Area Other
FEES too
FIRE DETECTION OR SUPPRESSION PERMIT PROCESSING FEE .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 t . C3
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 VVW ZA 0V, DATE
FOR OFFICIAL USE ONLY
Review Comments: 4 Zh' c _w/ii7A-/er c>'/' wl;7o inees Was'61;70 Tawnsho~p Fi!e
D~~r~n,~rf o~oror.9/. X~o~,v)
Fire Department: fi c ors / Date: 9S' o'
Plans Examiner: Pate: O O
Issued by CBO: _ Date: y7
CITY OF DUBLIN
Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Applicant
Application Number . . . . . 07-00201267 Date 9/14/07
Property Address . . . . . . 7533 SAWMILL RD
Parcel Number: 273-008408
Alternate Address: KROGER CENTER #18
Tenant nbr, name . . . . . . DR. RICHARD SHEPHERD/SUPP
Application type description FIRE PROTECTION
Property owner . . . . . . . PLAZA PROPERTIES
Contractor . . . . . . . . . NORTHSTAR 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
Spec:ial 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.