08200892 Permit File*************** -COMM. JOURNAL- ******************* DRTE SEP-02-2008 ***** TIME 09:58 ********
MODE = MEMORY TRANSMISSION STRRT=SEP-02 09:55 END=SEP-02 09:58
FILE N0.=011
STN COMM. ONE-TOUCHi STRTION NpME/TEL N0. PRGES DURRTION
N0. ABBR NO.
001 OK 13307999142 006i006 00:01:59
-City of Dublin -
************************************ -City of Dublin - ***** - 6147616566- *********
CI? OFRUBLIN
Ufvisian a# Bu9tding Slandards • 5800 Shier-Rings Road • Dublin, Ohio 43016
PhonQ: (694) 418-4670 • lnspectian Line: (614) 410."80'
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Aanucatioa Na.
TEIIMPOtZARY S7RllC7URE PERMIT
Proiect Rdd:ess vb? ?+P\ ??Mp-Y? ? C,11n "?jChoo i
preiee. Name V?'('{\G- '?t7 t' 4~i C1?2C' ?? C?L \-( .
tnstafmbon Date
n Bleaatierz (dra-Mings requires!) ? Qther. Please Gst.. ,
CA 5'tage
Fee
l¢stallct Iniarmatien. .
Contac; Name LAL-?C`O rl?l ?.C??C?u?l
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Conpar_y_fSame ( W
C3maarty ACdress
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Ontisimof BuMha &andards t?'I? 1 ? Itsu2 Date
FxmlRarnaarary s}r+ntvre !"ermA
??TY ??? D'UBi.fIN
Dearision o# Buz€dfng Stansiards • 5800 Shiet-Rings Road - Dubiin, 0hia 43E316
f'hone: (674) 410-4670 • inspeataon Lins; (614) 410-4680'
Date ? ? ),-2Cj - - 08,
Pppfication No, 09?• ?? ? 1 ?
TENIPORARY STRUCTURE PERi'rfNT
Proiect Adc+cess_?... d _JL;.U? `,...P'- i M?? fi't1 C4? ?JC.hoO
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Proiec' Name /?(1'?Q?'. ?
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instaiip-ison
E3 Bteachers (draNings required) in Cther, Please 6ist...
? Stage
reA _
Irzstaller lntarrnatian,
Contac; Name I
Compar.y Name .
C:,mpany tlddreSs 3a5
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cov. siate..?ip
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Telephone " -7 14 Fax
NUt6S
avision of Bliewing Standards
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CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Application Number ..... 08-00200892 Date 8/29/08
Property Address ...... 6780 COFFMAN RD
Parcel Number: 273-002929
Alternate Address:
Tenant nbr, name ...... OBAMA RALLY STRUCTURE
Application type d escription COM TEMPORARY STRUCTURE
Property owner . ...... BOARD OF EDUCATION OF THE DUBL
Contractor . . . . . . . . . FORTY TWO INC.
--------------------- Structure Information 000 000 ---------- ------------
Occupancy Type .
----------------------- . . . . . NOT APPLICABLE
-----------------------------------------
------------
Permit . . . . . . TEMPORARY STRUCTURE PERMIT
Additional desc . .
Permit Fee ... . 70.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 70.00
-----------------------
Other Fees . . . -----------------------------------------
. . . . . . SURCHARGE FEE - BLDG ------------
2.10
-----------------------
Fee summary
----------------- -----------------------------------------
Charged Paid Credited
---------- ---------- ---------- ---- ------------
Due
------
Permit Fee Total 70.00 .00 .00 70.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2.10 .00 .00 2.10
Grand Total 72.10 .00 .00 72.10
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.
? ?TY OA? DUBLIL !
Bu'ldding Standards - 5800 Shiefi-Ripgs Road - Dub1En, OhEo 43016
Phon5: t6'i4i 4'1?l-4•67t3 - Er?s?+ect6or Lir?e: (fi A4) 41t?-468fl
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ApDI?CAYiG*f ?\O. ,S(?
APPLI'CAMO?'; FOR 3ELECTRICAL PEk'.MIT
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ien*_?v?ry Sezviea J4?.? ,..... .......:..........................,._.;............,......,...<.................,.......,.......,.. ............... ??.Et?1;'?7r,ir?tr« glus $21O.tK1 £oa• euch addit;nncci 500 Sq. Ys. ar fraetion derevf ote:r iOUt) Sj. F: ?
LOw Vc11Cage <_'ys:ctr,s: SqCatt; : e^C!
.R,40.00 j0,1iasimexxu plu= S 1'v'.t3U tur ziahsddado*vd 500 Sci. .F:,. or fraMati :tle3'ao.F Uver :M 5I. R. ?.m., .
i:srmmereaa3.:
New Sq. Ft. AlLerasm.AdCitivn Sy. kt.
....,..... .? ..... .. .. ... ............,.............. .......,.. ....... ...... .................................. ....... $60.50 NI Wrlisr,rt p)lis ?60 .U4 f<rr cssch udd!fdOYlal 1000 Sq. FC. 7C IrACL2JP. ihafa0f Ov'iEZ 1000 SS. ??.
ur3 up .0 50,999 Sq. rt. (?,,Nzt: a7bc>ve, See Fee Sc.tstcluAe)
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(.pli,: $20.00, i'trc eac,Pi ac;iiiriozta] 1000 Sy. Ff. Cr fYa:.tiun thrrtaf cv,,r 1000 Sa. Ft. ) . 3% Statc oC C)hio S'.:ri;'r>r.rge (:a.rn:nem;a1 012±ji
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Thss pe--mLs grart,ed or t)e expr= wrachRoq, tho-€ tCe safd woe: shal: ih qfl rr,;,ec tz, wfa-m atie c:-di!?n:,--.ot &re Gtitv ef
Dubiin, eM the laws of the S#sie and the Nalenai Ele?c G:.45 reguloVing conszr.?dic». insilal?latian. rE'i7??r anc arwrstjon,
artd rnay ba revoked et ar.y be-r.e :.=n vioiatior: cr any prov?sbns of said #av;r,
u27rCi2"w'rM 'Ji llCierSOQ ?mnt',rZ,-tfir Gr fY'3i1'eoWilBf
Jivis+on ofi °uiiding SiGndards
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CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Application Number ..... 08-00200892 Date 8/29/08
Property Address ...... 6780 COFFMAN RD
Parcel Number: 273-002929
Alternate Address:
Tenant nbr, name ...... OBAMA RALLY STRUCTURE
Application type d escription COM TEMPORARY STRUCTURE
Property owner . ...... BOARD OF EDUCATION OF THE DUBL
Contractor . . . . . . . . . FORTY TWO INC.
--------------------- Structure Information 000 000 ---------- ------------
Occupancy Type .
----------------------- . . . . . NOT APPLICABLE
-----------------------------------------
------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee ... . 60.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/25/09
Qty Unit Charge Per Extension
BASE FEE 60.00
-----------------------
Other Fees . . . -----------------------------------------
. . . . . . SURCHARGE FEE - ELECTRIC ------------
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.
?t?'i..'v.?';.:^?`•..,.ut:G.i`i'?S$ .'ti..?'iat VV?ndi"S,0,
Da't.e: ; ?u. LS .'-1ug 2CC2 :6:2E:54 -340C
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EC: '?M1VJ)Yf1 ?!=!"N" <I";=7:,ii::'?e:;'.,.7fL.:5>? '>?3? H3rV?.a?.' C2??-J?a?-.?C??I'•,.,v1.1i'!
Setbjet't:
Anthony:
The foflowing items need to be completed:
. Fiil out at#ached (3) documertts. YoLr contractors Registration form must ba returned vsitfi a copy of your
Ohio State Electrical Certificate & your current Liability Certificate showing the City of Dublin as the
Certificats Holder. Please fax the iterrs to 614-761 -6566 or scan & emaii to me ASAP.
. A Licansed Ohio Architect or Engineer must observe the construction and certify that the construction went
complete and is in compliance with the 2007 Ohio Building Cade.
.'fhe foliowring fees are needed. Contractor Registration #ee $60.00. Temporary 5tructure fee $72.10,
Electrical Generator parmit $61.80, (3) Saturday aiter hours inspections inWOh?ing INashington Township fire
Dept, Electricel Inspec.?tor & Structura! Building Inspector $765.00 = Total Due $955.90
The documents and fees must be submittsd and paid no later then 2:00 tomorrow Friday Attgust 29, 2008.
If I can be ot any assistance to you, please cantact me. Our hours of operation are M-F 5:00 AM - 4:00 PM.
Sincerely,
Tina M. KaUffman
Office Specialist It
5800 Shier Rings Road
Dublin, OH 43016-1236
Ph: 614410-4670
Fx` 614-761-6566
Attachmerts
Coffhnan_Rslly.pdi f136, K;
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CITY OF DUBLIN
Division of Building Standards * 5800 Shier-Rings Road * Dublin, Ohio 43016
Telephone: (614)410-4670 * Inspection Line: (614)410-4680
ANTHONY CALDWELL
FORTY TWO INC.
4325 MAHONING AVENUE
YOUNGSTOWN, OH 44509
2008 REGISTRATION CERTIFICATE
GENERAL CONTRACTOR
Registration Number: 08-6240
FORTY TWO /NC.
4325 MAHON/NG AVENUE
YOUNGSTOWN, OH 44509
This City of Dublin Contractor's Registration is being granted pursuant to Chapter
150.140-150.146 of the Codified Ordinances of the City of Dublin.
This Contractor's Registration will remain active until December 31, 2008.
However, registrations will be suspended if copies of Commercial Liability
Insurance and/or State of Ohio Qualification Certificates are not forwarded to our
office once they expire.
Please note: Contractor Registrations must remain current until each job worked
on has been issued a Final Occupancy.
Additional Document Number Expiration
Requirements Date
COMMERCIAL LIABILITY INSURANCE TBD 03/15/11
STATE OF OHIO QUALIFICATION CERTIFICATE 200705103048 01/01/38
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Tw Tina Fronu Meredith Pet+ach
Fam 614-761-6566 PsBes: 3
Phaw 614-010-4602 Data: 8/29/2008
Ree: Dub{in OH Registration CQ
? Urgent ? For Review ? Please Commant D Piease Reply D Piease Rocycle
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