07201511 Permit File
CITY OF DUBLIN 10M -rJ-1
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Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
OCT. 15 2007 WTFD: (614) 652-3920
FIRE PROTECTION PERMIT APPLICATION
Application Date Bldg. App. # Fire Protection App. #
PROJECT INFORMATION
Project Address 1537 7541 ;Sit,,,) w i I A:cd Project Name ~ i-i
Owner/Tenant Contact Name I b•,r(u sA 5 Telephone
APPLICANT INFORMATION
Fire Protection Contractor X44 cl.%~ , ~7r= `7'•u,,, 5" s/~ s lvrC.
Address ve. Plc k C, N OGto`~ Y3tu,y Telephone ,1 3 ZLo
State Certificate Number v~S'-13c~, Dublin Registration Number ()7-ig7
Installer Name Looy1 State Certificate Number y i1; -a0 `5 l
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
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
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 iJ.d 7
Print Name r i c~lr:/ J S k ' DATE /,G,/) ' a7
FOR OFFICIAL USE ONLY
Review Comments: - Th s r/nklP aller lb 'n ce W9sh1ivh TowAsh.,
/Cite e l 4 rov4 X P
artment: fiip M9isf19 Date:
Fire F
ner: Date: C7 1 8
Plans ami
Issued by CBO: Date: /o D
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 . . . . 07-00201511 Date 10/18/07
Property Address . . . . . . 7537 SAWMILL RD
Parcel Number: 273-008408
Alternate Address: KROGER CENTER #19
Tenant nbr, name . . . . . . FIG MEDICAL SUPPRESSION
Application type description FIRE PROTECTION
Property owner . . . . . . . PLAZA PROPERTIES
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.