07201490 Permit File
CITY OF DUBLIN
office
Diyisidnoif ilding Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
QC T 0 9 2007 WTFD: (614) 652-3920
FIRE PROTECTION PERMIT APPLICATION
Application Date Bldg. App. # ~201LJlq Fire Protection App. # 07- _201 L/90
PROJECT INFORMATION L t
Project Address S u. rl Project Name m1ioij 66
Owner/Tenant Contact Name KgZe:S~ Telephone
APPLICANT INi TIO
Tff- Fire Protection r o
Address if)qq V~ Telephone 1-7001
CertificatDublin Registration Number 7 7
Installer Name State Certificate Number p$! /OV
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 U
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 gp% part thereof, o to make any connection to a water main.
Signature of Licensed Contractor Og~IS15 DATE O 9 0T
Print Name DATE $ 07
FOR OFFICIAL USE ONLY
Review Comments: `The drAta117q mPefs WgShiiJo
Towns k~ a~~~finen fc~/ x ors/~ -
-
Fire Department: amw. L Date:
Plans Examiner: Date: 0 0, "'5 0
Date: Irs 1 a
Issued by CBO:
E10-M
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 . . . . . 07-00201490 Date 10/15/07
Property Address . . . . . . 4545 W DUBLIN-GRANVILLE RD
Parcel Number: 273-008269
Alternate Address: SHOPPES AT RIVER RIDGE
Tenant nbr, name . . . . . . LEARNING EXPRESS SUPPRESS
Application type description FIRE PROTECTION
Property owner . . . . . . . THE SHOPPES AT RIVER RIDGE
Contractor . . . . . . . . . S.A. COMUNALE CO. INC.
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
i
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.