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Permit PG12-149 - JS DENTAL CLINIC
JS DENTAL CLINIC 327 TIJKWILA PY PG12 -149 City okukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.TukwilaWA.gov Parcel No.: 0223000010 Address: 327 TUKWILA PY TUKW Project Name: JS DENTAL CLINIC, LLC PLUMBING /GAS PIPING PERMIT Permit Number: PG12 -149 Issue Date: 08/16/2012 Permit Expires On: 02/12/2013 Owner: Name: BETA HOLDINGS LTD Address: 18827 BOTHELL WAY NE , BOTHELL WA 98011 Contact Person: Name: MARK SUTIN Address: 206 AV G , SNOHOMISH WA 98290 Email: Contractor: Name: MARK THE PLUMBER Address: 206 AV G , SNOHOMISH WA 98290 Contractor License No: MARKPP *897CR Phone: 360 840 -0120 Phone: 360 -568 -3880 Expiration Date: 02/25/2013 DESCRIPTION OF WORK: ROUGH IN SINKS .AND AIR & VAC; INCLUDES INSTALLATION OF 3/4" WILKINS Model 975XL REDUCED PRESSURE PRINCIPLE ASSEMBLY (RPPA) ON DOMESTIC WATER SUPPLY. Value of Plumbing /Gas Piping: $8,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $450.19 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: �"J/t/U_.A.- U-1 /4 -1 Date: Of -A /�- I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions on the back of this permit. Signature: Print Name: Date: g--/4 p2O/7 This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: UPC -4/10 PG12 -149 Printed: 08 -16 -2012 PERMIT CONDITIONS Permit No. PG 12 -149 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures and fittings in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use significant quantities of water shall comply with Washington States Water Efficiency and Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments. 12: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 13: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. 14: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 15: Reduced Pressure Principle Assembly (RPPA) shall be installed per manyfacturer's specifications. 16: Upon installation RPPA shall be tested by a certified tester and copy of backflow test report shall be forwarded to City Inspector. 17: Thereafter annual backflow tests shall be performed at owner's expense, and copies of test results shall be forwarded to Tukwila Water Department, Minkler Shops, 600 Minkler Blvd, tukwila, WA 98188, phone:(206) 431 -2169, fax: (206) 575 -3404. doc: UPC -4/10 PG12 -149 Printed: 08 -16 -2012 CITY OF TUKIVilt Community Developmellitlepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov PLUMBING / GAS PIPING PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** Site Address: 3,2 Tv 12- IAA LA ---PNZKVA? 1->5k11-11-L_ 2 Li IQ Ic) 2-6-C King Co Assessor's Tax No.: 02-2-WO — t>0 1,o Suite Number: Floor: Tenant Name: A3ROOtliT89)1VSEli.,26-,i';:;‘ '...-7-'''..;,,'''f.' . Z. :....'.2. -2s:,•'-'''',.::.: Name: .. kv 0 1 14 (1.5 Address: t$14,..1 0 prlitc.mr j \I p6. City: 9)9,00 ),..." State: J iv— Zipalloll ::CONTACTT.ERSON +.:iperson-receiving al roject, :. .,.-- '..-t;..-•:1. - . " .,,,- .ic, :; :cciPuhunicAtior..f.:'!‘:".. • •., s • Nain&igt. • ,sb. G/I/4- P- Adciress: ?()( ' 5/1-0■/r° City: State: SIM) N-0 Ntick)- Loh-S11- I Address: Phone:360 675/o Contr Reg k.., Exp Des:, A/) A-E.2C-.1:17,048q -/c t, City: State: Zip: Phone. 3Vot 0 / Fax. Email: New Tenant: Yes LJ.. No 'C''r1L0-$10:11d4O*EiWit041:010.414, .. , ' 2 , Company Name: M A-p le__ -n-i-g- Adciress: ?()( ' City: State: SIM) N-0 Ntick)- Loh-S11- Zip. q5 2q 0 Phone:360 675/o Contr Reg k.., Exp Des:, A/) A-E.2C-.1:17,048q -/c 0)3 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 000 Scope of Work (please provide detailed information): s g_ R 04- C..- et, Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: VAloil/lor H:\Applications\Forms-Applications On Line \ 2011 Applications \Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Sewer: novil-iNit L it Page 1 of 2 Indicate type of plumbing fixtures and/oras piping outlets being installed and the quart low: .Fixture Type , Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap f/ Sinks 3 Rain water system — per drain (inside building) Grease interceptor for commercial kitchen ( >750 gallon capacity) 29-IR Each additional medical gas inlets /outlets greater than 5 5 yAe Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) • Fixture Type Qty . Bidet Drinking fountain or water cooler (per head) Lavatory f/ Urinal Water heater and /or vent Repair or alteration of water piping and/or water treatment equipment 29-IR Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller 5 yAe Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Fixture Type u Qty, Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping 29-IR Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter 5 yAe Gas piping outlets _, Fixture Type Qty • Dental unit, cuspidor Floor drain Receptor, indirect waste Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity Medical gas piping system serving 1 -5 29-IR inlets /outlets for a specific gas 5 yAe Each lawn sprinkler system on any one meter including backflow protection devices PERMIT APPLICATIONNOT] `S? Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR A AIATHORIZ T: Signature:j /// Print Name: �l 11-2)2 7 c uTi Mailing Address: cv [o /1- H:'Applications\Forms- Applications On Line \2011 ApplicationsWlumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: Day Telephone: D SG/O 0,) Z.0 lao HI 1ST w q82590 City State Zip Page 2 of 2 • • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 0223000010 Address: 327 TUKWILA PY TUKW Suite No: Applicant: JS DENTAL CLINIC, LLC RECEIPT Permit Number: PG12 -149 Status: APPROVED Applied Date: 07/30/2012 Issue Date: Receipt No.: R12 -02373 Payment Amount: $375.90 Initials: LAW Payment Date: 08/16/2012 12:17 PM User ID: 1632 Balance: $0.00 Payee: MARK THE PLUMBER TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7282 375.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 15.75 000.322.103.00.00 360.15 Total: $375.90 doc: Receiot -06 Printed: 08 -16 -2012 111 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 -431 -3665 Web site: http: / /www.TukwilaWA.ov Parcel No.: 0223000010 Address: 327 TUKWILA PY TUKW Suite No: Applicant: JS DENTAL CLINIC, LLC RECEIPT Permit Number: PG12 =149 Status: PENDING Applied Date: 07/30/2012 Issue Date: Receipt No.: R12 -02240 Initials: JEM User ID: 1165 Payment Amount: $74.29 Payment Date: 07/30/2012 03:20 PM Balance: $297.15 Payee: MARK THE PLUMBER TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7272 74.29 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 74.29 Total: $74.29 doc: Receiot -06 Printed: 07 -30 -2012 INSPECTION RECORD Retain a copy with permit INSPECTIO 0. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 p (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 136 /2 / -/' Project: rS /Jf AL- Type of Inspection: /= //VAL_- /3iz1 3 Address: .?,2 7 T7 /1 <(.v/L/3 PC/ Date Called: Special Instructions: Date Wanted:. id - y- /2 a.m . � Requester: i - Phone No: 2c - 66/ - OSZG 1( Approved per applicable codes. El Corrections required prior to approval. COMMENTS: -D�/ ;- - C era p k- o l i ,Ai / roils e • p 17/1'13rV 6 Date: / J —II- Eel E NSPECTION FEE REQUI ° ED. Prior td next inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Z./ INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO., CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 PC(2 -I ] Project: Z--.) S Mr.)-17; L Type of Inspection: F" 7 NIA L— t i7 [rcvt (4) Address: 32.-7 n- Pc-1 Date Called: — nj Special Instructions: Date Wanted:. Icy --.3 - ► Z. am. pan.. Requester: Phone No: ..(:)f, -(V t. - CDSZ.C.) Approved per applicable codes. EzCorrections required prior to approval. COMMENTS: l,) ;)21ti(1 l'kietS - c inr►iL — nj f6C/ c ns1' pector; n REIN SPECTION FEE REQUITED. Prior 1iext inspection, fee must be pai&, t 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 981881 (206):431 -3670 Permit Inspection Request Line (206) 431 -2451 . Project: j G OF N4 { A L.- Q a- ale_ Type of Inspection: R m +4,3 t-I- —7c N . Address: 2_ -7 Ti _ t Kt.J ti l 4 "P t't Date Called: Special Instructions: e,mot.`--! rtc2140'.Jb 0 fa i i (-t r14 A 6 (- ) r�z.►-7 -01 Date Wanted:. --Z 1- I? a.ml pm_ Requester: rnaha:._ :.. Phone No: 1 C) - :St-i0 : C. 1'2- jApproved per applicable codes. COMMENTS: Corrections required prior' to. approval.. (640.,/ - • A la) l , / a a•5 sl_ 31Ncit�.l • ,r�- i rn �,. f -e ( X11 ✓ 1 1k \Ne, eta } r l I c (1 Lair) rYeel or: REINSPECTION FEE REQUIRED. Prior t! t pa }.4 at 6300 Southcenter Blvd.. Suite 10 Date: a_ .,`.r^ next inspection. fee must be' • Call to schedulereinspection INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 12, (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pc,r Z /1c1 Project: 7s 3 . j i .( Type\of Inspection: n . to Li (J Add stri ,; Date Called: Special Instructions: tl / Date Wanted: ` 1 —r .�: a "' ' p.m. Requester: •Phone 3C/(0 ' 84 4 — (0 ( `- ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: G._ Nrc 1.k e -0` w `J ( g2e-sc,@,taf ( f r ilk() AA i Y F- -20- n 1 1 I I Inspector: ��-- k j % Date: -t -Z REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit, INSPECTION NO. . PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection : , .:., Address: -3,2 -7 7T A Ru itt PKw� Date Called: /0 /d.3 `/ I Special Instructions: Date Wanted: io oY /i. ' - ta.m P:tt,. Requesteg: %. . <. o Ilia . ; Phone No: //, . er Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: -- `re 5-- (c pa'+ ,re- Cc it/2 I Inspector: S Date: q n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be - paid at 6300 Southcenter Blvd., Suite 100. Call to schedule:;reinspection. Airuas Airgas Medical Service Customer Name: Facility Name: Facility Address: l,)‘.r =�z cription of Service Needed: 4;6A1 t 1p p n fr ' c. • Description 6 I✓ P.) e m) De,A )1y3 1 P i FL C'bsllCKSO C Special Note: QTY Description Part # Date Service Performed: Vp,P.u¢ tCl¢4•joA) aF n)ert) VPAie 1.A nP,01 -14, l 1a;7_Cop yf..&c Z d. Date 10-.2- !. SERV# 202606 1,0111\ 111\ c J-`b. .. Acct# s esa r t'A) "p 11' c 11 vh NSA re)m 1E-rt h -e4t tv et i wr, , LLc . Contact L .loo Y- -571 itiv_w4 L 1,�1f -x'10 Phone JS0e'JTALCLI �J tcp1(4 -t 1-WIL e' (S -� � � cell , cfl � �0 lr0 �n � Q n cription of Service Needed: 4;6A1 t 1p p n fr ' c. • Description 6 I✓ P.) e m) De,A )1y3 1 P i FL C'bsllCKSO C Special Note: QTY Description Part # Date Service Performed: Vp,P.u¢ tCl¢4•joA) aF n)ert) VPAie 1.A nP,01 -14, l 1a;7_Cop yf..&c Z d. Me-1/3 Ibi tt. M ) . `r C'- Q j 3 t f pA14. p 1 " I C e hlii re Sf ? A* 110441 ! /ICtJ h: y 4 A 0,to An P,cgitr t` air i-4 &A) A.4 t h 4 ka,K A564- Per -h -I p lel) ` t s esa r t'A) "p 11' c 11 vh NSA re)m 1E-rt 1l u 1 >R�-b� �' ,qt �)q.° t'lal . &1t 9.. k. t' - , �j '4 Time Started: Time Finished Travel Time MEM Technician Name: ;R j(' �1T Job Complete c� _ Job Ongoing 1 7 Customer Signature: V/i j Date: itIli V Technician Signature: k. t' - , �j '4 i ' Date: 110- 6,..,T.-- - )0 Additional service recommended on attached form Yes No Airgas Medical Services, Inc., 1831 West Rose Garden Lane, Suite 1, Phoenix, AZ 85027 Ph 623 - 434 -0229 Fax 623- 434 -0230 Airgas Medical Services, Inc., 1415 Grand Ave., San Marcos, CA 92078 Ph 800 - 247 -8378 Fax 760 =510 -1316 WILKINS. a ZURN ®company Model 975XL Reduced Pressure Principle Assembly FEAT ES- Sizes: �4 ❑ 1" ❑ 1 1/4" ❑ 1 1/2" ❑ 2" SPECIFICATION SUBMITTAL SHEET RECEIVED APPLICATION Designed for installation on potable water lines to protect AUG 0 6 201t against both backsiphonage and backpressure of contami- nated water into the potable water supply. Assembly shall TWK( VI\ provide protection where a potential health hazard exists. Maximum working water pressure Maximum working water temperature Hydrostatic test pressure End connections Threaded 175 PSI 180 °F 350 PSI ANSI B1.20.1 STANDARDS COMPLIANCE • ASSE® Listed 1013 • IAPMO® Listed • UL® Classified (less shut -off valves or with OS &Y valves) • C -UL® Classified • CSA® Certified • AVWVA Compliant C511 • Approved by the Foundation for Cross Connection OPTIONS _ „__ _._ Control and Hydraulic Research at the University of (Suffixes can be combined) REVIEWED FOf *,�ou ern California MEA425 -89 -M VOL 3 CORRECTION CODE COMPLtAN p ❑ - with full port QT ball valves (- tandar¢�PPR®VE�T�DI ❑ L - less ball valves ❑ U - with union ball valves ❑ MS - with integral relief valve mon ❑ P - for reclaimed water systems ❑ S with bronze "Y” type strainer ❑ BMS with battery operated monito ❑ FDC with fire hydrant connection; ❑ TCU - with test cocks up ❑ V - with union swivel elbows (3/4" & 1 ") ❑ SE - with street elbows ❑ FT with integral male 45° flare SAE test fitting LS AUG 13 zi 1ain vat body o tcess c� body • Fastener Elastome :s switcPity of Tukwila 'E1W DING DiV1I ACCESSORIES ❑ Air gap (Model AG) ❑ Repair kit (rubber only) ❑ Thermal expansion tank (Model XT) ❑ Soft seated check valve (Model 40XL) ❑ Shock arrester (Model 1250) ❑ QT -SET Quick Test Fitting Set ❑ Ball valve handle locks ❑ Test Cock Lock (Model TCL24) LTR # Cast Bronze ASTM B 584 Cast Bronze ASTM B 584 Stainless Steel, 300 Series Silicone (FDA Approved) Buna Nitrite (FDA Approved NorylTM, NSF Listed RECEIVED . ,. Stainless steel, 300 sergEN OF TUKVVfL.A Put; .0 8 2012 MIT CENTER est oc oc DIMENSIONS & WEIGHTS (do not include pkg.) 6, 2, 1 G A Relief Valve discharge port: 3/4" - 1" - 0.63 sq. in. 1 1/4 " -2" - 1.19sq. in. MODEL SIZE e-irr\ mm DIMENSIONS (approximate) WEIGHT A in. mm A UNION BALL VALVES in. mm 8 LESS BALL VALVES in. mm C in. mm D in. mm E in. mm F in. mm G in. mm LESS BALL VALVES Ibs kg WITH BALL VALVES lbs. kg 3/4_, 20 12 305 13 3/4 349 7 3/4 197 2 1/8 54 3 76 3 1/2 89 5 127 16 1/8 410 10 4.5 12 5.5 1 25 13 330 14 1/2 368 7 3/4 197 2 1/8 54 3 76 3 1/2 89 5 127 17 3/8 441 10 4.5 14 6.4 1 1/4 32 17 432 18 13/16 478 10 15/16 278 2 3/4 70 3 1/2 89 5 127 6 3/4 171 22 9/16 573 22 10 28 12.7 1 1/2 40 17 3/8 441 19 3/8 492 10 15/16 278 2 3/4 70 3 1/2 89 5 127 6 3/4 171 24 1/16 611 22 10 28 12.7 2 50 18 1/2 470 20 1/2 521 10 15/16 278 2 3/4 70 3 1/2 89 5 127 6 3/4 171 26 1/2 673 22 10 34 15.4 DOCUMENT #: BF- 975XL(LG) REVISION: 1/11 Page 1 of 2 WILKINS a Zurn company, 1747 Commerce Way, Paso Robles, CA 93446 Phone:805 /238 -7100 Fax:805/238 -5766 In Canada: ZURN INDUSTRIES LIMITED, 3544 Nashua Dr., Mississauga, Ontario L4V 1L2 Phone:905 /405 -8272 Fax:905 /405 -1292 Product Support Help Line: 1- 877 - BACKFLOW (1 -877- 222 -5356) • Website: http:llwww.zurn.com T. 20 to 0 15 w cc 10 cn w as 5 FLOW CHARACTERISTICS MODEL 975XL 3/4 ", 1 ", 1 1/4 ", 1 1/2" & 2" (STANDARD & METRIC) FLOW RATES (I /s) 1.26 2.52 3.8 5.0 3.2 6.3 20 3/4" (20mm) 1" (25mm) 0 15 10 1 1/4" (32mm) 9.5 12.6 20 40 60 80 5 0 FLOW RATES (GPM) 0 Rated Flow (Established by approval agencies) 158 137 2' (5omm)— 103 69 S 0) w 0) 35 50 100 150 200 250 TYPICAL INSTALLATION Local codes shall govern installation requirements. To be installed in accordance with the manufacturers' instructions and the latest edition of the Uniform Plumbing Code. Unless otherwise specified, the assembly shall be mounted at a minimum of 12" (305mm) and a maximum of 30" (762mm) above adequate drains with sufficient side clearance for testing and maintenance. The installation shall be made so that no part of the unit can be submerged. CENTRAL STATION ALARM PANEL BATTERY MONITOR SWITCH' AIR GAP FITTING • s FLOOR) 12' MIN. 30' MAX. FLOOR DRAIN —/". DIRECTION OF FLOW INDOOR INSTALLATION ( "Shown w/ optional BMS) Capacity thru Schedule 40 Pipe Pipe size 5 ft/sec 7.5 ft/sec 10 ft/sec 15 ft/sec 1/8" 1 1 2 3 1/4" 2 2 3 5 3/8" 3 4 6 9 1/2" 5 7 9 14 3/4" 8 12 17 25 1" 13 20 27 40 1 1/4" 23 35 47 70 1 1/2" 32 48 63 95 2" 52 78 105 167 OPTIONAL WATER METER PROTECTIVE ENCLOSURE INLET SHUT -OFF DRAIN DIRECTION OF FLOW OUTDOOR INSTALLATION SPECIFICATIONS The Reduced Pressure Principle Backflow Preventer shall be ASSE® Listed 1013, rated to 180 °F and supplied with full port ball valves. The main body and access covers shall be bronze (ASTM B 584), the seat ring and all internal polymers shall be NSF® Listed NorylTm and the seat disc elastomers shall be silicone. The first and second checks shall be accessible for maintenance without removing the relief valve or the entire device from the line. If installed indoors, the installation shall be supplied with an air gap adapter and integral monitor switch. The Reduced Pressure Principle Backflow Preventer shall be a WILKINS Model 975XL. WILKINS a Zurn company, 1747 Commerce Way, Paso Robles, CA 93446 Phone:805 /238 -7100 Fax:805/238 -5766 IN CANADA: ZURN INDUSTRIES LIMITED, 3544 Nashua Dr., Mississauga, Ontario L4V 1L2 Phone:905 /405 -8272 Fax:905/405 -1292 Product Support Help Line: 1- 877 - BACKFLOW (1- 877 - 222 -5356) • Website: http: //www.zurn.com Page 2 of 2 DENTAL AIR SYSTEM Installation and Operation Manual REVIEWED FOR CODE COM PLIANC APPRCVED AUG 13 2012 City of T akwiia BUILDING IVISI TECNNIQUgS RECEIVED AUU TUKVvILH PUBLIC WORKS I O RECEIVED . CORRECTION 9001 ITY OF TUKW1A I Iso 134E35 R# _. ... - FoA.GMPCO PUMT AUG .0 8 2012 I2- ILI 1)6.• PERMIT CENTE TABLE OF CONTENTS SECTION PAGE Safety Instructions 4 Congratulations 5 Warranty 5 On -Line Warranty Registration 5 Key Parts Identification 6 Sizing Guide 7 Operating Information 7 Site Requirements 8 Installation Information 10 Troubleshooting 12 Product Specifications 14 Replacement Parts 14 Maintenance 15 Optional Accessories 15 LIST OF ILLUSTRATIONS FIGURE TITLE PAGE 1 AirStar Parts Location 6 2 Overall Site Requirements 9 3 Electrical Connection Box 10 4 Intake Filter Location 15 5 Moisture Monitor and 5 Micron Filter Location 15 3 SAFETY INSTRUCTIONS Use of the AIRSTAR not in conformance with the instructions specified in this manual may result in per- manent failure of the unit. WARNING: To prevent fire or electrical shock, do not expose this appliance to rain in or moisture. All user serviceable items are described in the maintenance section. Manufacturing date code on serial number label is in the format Month YYYY. ATTENTION USERS: s Alerts users to important Operating and Maintenance instructions. Read carefully to avoid any problems. Warns users that uninsulated voltage within the unit may be of sufficient magnitude to cause electric shock. 1 ON 0 OFF Indicates the ON and OFF position for the Equipment power switch. MEDICAL ELECTRICAL EQUIPMENT WITH RESPECT TO ELECTRICAL SHOCK, FIRE, MECHANICAL AND OTHER SPECIFIED HAZARDS ONLY IN ACCORDANCE WITH UL- 60601 -1, CAN/CSA C22.2 NO.601.1 66CA Indicates protective Earth Ground for the Equipment power switch. All AirStar compressors comply with NFPA 99C level 3 requirements 4 CONGRATULATIONS YourAIRSTAR generates 100% oil -less, ultra -dry dental air which protects valuable handpieces from premature failure due to the effects of moist air and the build -up of oil residue. Because no oil is used for mechanical lubrication, there is no chance of introducing an oily film to a prepared surface which could compromise resin retention and restorations, wasting chair time. Most important, your patients's health is protected with ultra -dry air that provides an environment that is not conducive to bacterial growth. The AIRSTAR utilizes a long stroke, small bore piston to compress the air. This piston is bonded with an anti - friction polymer to eliminate the need for oil. The air is forced through the Membrane Dryer System consisting of the cooler and the membrane. This system removes moisture and air impurities providing the driest possible compressed air while maximizing performance. This 100% ultra -dry air is reserved in the main storage tank for use by the operatory air system. The AIRSTAR features include: ° Virtually Maintenance Free ° Low Pressure Dew Point ° Maximum Dryness with Quadruple Filtered Air ° Uninterrupted Compressor Availability ° Compact size for space- saving installation Since 1971, when Air Techniques pioneered the manufacture of oil -less air for dentistry, thousands of dentists have depended on their AIRSTAR. Now that your practice has an AIRSTAR , you, too, can depend on the delivery of 100% oil -less, ultra -dry air and efficient, trouble -free operation. WARRANTY Each AIRSTAR is warranted to be free from defects in material and workmanship from the date of installation for a period as follows: ❑ Standard Warranty: 2 years (24 months) on complete unit. ❑ Extended Warranty: 3 years (36 months) all motors, heads and pistons. ❑ Total 5 -year Warranty on all motors, heads and pistons. Any item retumed to our factory through an authorized distributor, will be repaired or replaced at our option at no charge provided that our inspection shall indicate it to have been defective. Dealer labor, shipping and handling charges are not covered by this warranty. This warranty does not apply to damage due to shipping, misuse, careless handling or repairs by other than authorized service personnel. Warranty is void if equipment is installed or serviced by other than dealer service personnel authorized by Air Techniques. Air Techniques, Inc. is not liable for indirect or consequential damages or loss of any nature in connection with this equipment. This warranty is in lieu of all other warranties expressed or implied. No representative or person is authorized to assume for us any liability in connection with the sale of our equipment. ON- LINE WAR r; ANTY f''Ci GISTRATION Quickly and easily register your new AIRSTAR on -line. Just have your product model and serial numbers available. Then go to the Air Techniques web site, www.airtechniques.com, click the Warranty Registration link at the top of the page and complete the registration form. This on -line registration ensures a record for the warranty period and helps us keep you informed of product updates and other valuable information. 5 KEY PARTS IDENTIFICATION Membrane Dryer Control Box Motor Circuit Breaker Motor Power Switches View A. Front Ifiew Power Line Cord 24V Circuit Breaker Control Box Sound Cover Receptacle Ifiew C. Input Power Connection Detail View Drain Valve Pressure Relief 1 Valve 1 1 Sound Reducing Intake Filters Pressure Switch Pressure Gauge • I t 1 Cooler Membrane Dryer Main Tank Check Valve Feet Flew B. Right - Side /Rear View Tank Outlet Valve • • • Supplied •• JAir Outlet Hose • • Moisture Monitor •• 1 1 1 • 5 Micron Filter View D. Tank Outlet Assembly Detail View Figure 1. AirStar Parts Location 6 SIZING GUIDE Choosing the correct size AIRSTAR for your practice depends on the number of air users and the anticipated air demand. To assure optimum compressor operation, the air demands should not exceed the number of air handpiece users shown in the chart below: Model Recommended Number of Users Number of Heads Number of Motors AS10 1 -2 1 1 AS21 2 - 3 2 1 AS22 2 - 3 2 1 AS30 3 - 4 2 2 AS50 5 -7 4 2 AS70 7 -1 0 6 3 OPERATING INFORMATION • AS10, AS21 and AS22 • If a remote Control Panel is being used, the circuit breaker on the face of the compressor Control box must be in the ON position. • The 24 volt circuit breaker must also be in the ON position. Make sure the reset button is flush with the face of the circuit breaker. If it isn't, push it in to reset. • If a Remote Control Panel is not being used, be sure that the yellow and the orange wires are connected to one another. These wires are located in the pressure switch. The circuit breaker located on the face of the compressor Control Box is the power control for the motor. • AS30, AS50 and AS70 • If a Remote Control Panel is being used, BOTH switches on the face of the com- pressor Control Box must be in the ON position. • If a Remote Control Panel is not being used, be sure that the yellow and the orange wires are connected to one another. These wires are located on the pressure switch. The power switches located on the face of the compressor Control Box are the power control for each motor. Note: Compressor motors are designed to run together. Do not run one head at a time unless one head has failed and you are waiting for service. • The motor circuit breaker must be kept in the ON position and should not be used as a switch. 7 SITE REQUIREMENTS AirStar Model Requirement AIRSTAR 10 AIRSTAR 21 AIRSTAR 22 AIRSTAR 30 AIRSTAR 50 AIRSTAR 70 Voltage Min/Max * (VAC) 105/125 105/125 200/250 200/250 200/250 200/250 Frequency (Hz) 60 60 60 60 60 60 Full Load Amps 8.0 15.0 8.0 8.0 16.0 24.0 Minimum Circuit Breaker Rating (Amps) 20 30 20 20 30 40 Minimum. Wire Size (AWG) 12 10 12 12 10 8 * Install a buck or boost transformer if service is above or below these ratings Service Clearance: Ambient Temperature: Air System Plumbing Connection: Allow 12" on all sides for all models. Must not exceed 105 °F 1/2" F.N.P.T. Shut -off valve and a 4 ft. pressure hose (supplied) Air distribution piping for all models - 1/2", type "L" or type "K" copper If pipe volume is too great, more than 235 in3 or more than 100 ft. of 1/2" diameter pipe, a pressure regulator should be installed between the main tank and the distribution piping and pressure set at 80 PSI. Environmental: Operating Indoor use at altitudes up to 2000m. Temperature 5 to 40 °C (41 to 105 °F). Maximum relative humidity 80% for temperatures up to 31°C, decreasing linearly to 50% relative humidity at 40 °C. Supply voltage fluctuation of +/- 10% of nominal voltage. Classification: IEC 60601 -1 Protection against electric shock (5.1, 5.2). Applied Parts: Protection against harmful ingress of water (5.3). Degree of safety in the presence of flammable anesthetics mixture with air or with oxygen or with nitrous oxide (5.5). Mode of operation (5.6). Class 1 There are no Applied Parts. Ordinary, IPXO Not suitable. Continuous 8 SITE REQUIREMENTS Type Style AS10 5 -20R NEMA* Green. Dot It,.,X AS21 AS22 6 -20R NEMA* Green 1= Dot AS30 AS50 Hard Wired ,n �I L1 ND IV1 AS70 *Hospital Grade Receptacle • • * *Disconnect Needed for Service a Equipment Power Connedion Plug or Hardwire as Required Building Power Buck/Boost Supply Panel Transformer (optional) Connection to 24 V Switch Only Compressor Interconnect Cade Remote Switch Yellow 2 > > 2 Brown 4 > > Orange 3 > > > for Future Use > > Use 18 Gauge, 4 Conductor, Interconnect Cade Between Compressor and Remote Switch Remote 24 Volt Switch with Pilot Light (optional) Control Cable 18 Gauge 3 Conductor Connect to orange, yellow & brown wire 36" max distance between intake pipe & compressor Connection without 24 V Switch 2 Yd 3 4 Org Brn Bechical Box Connections OUTSIDE AIR PIPE 2 -Inch Pipe for Air Intake. Must be protected from rain and animals Shroud & 016 /�I �� Screen m _ szazozozet ScfQen Shroud & 1:-EA/"'Screen Kit includes 70" of clear PVC Tubing per Number of Cylinders �Tape To 8 Screw Fitting Into Fitter Air Intake Manifold Detail Remote Air Intake Kit Manifold (see detail) IIN 36" max 13' max auIIIJIIIIIImII: Air In ake Drip Leg 2" Pipe & flexi.le hose for Air Intake supplied with Remote Air Intake Kit Manifold Figure 2. Overall Site Requirements 1/2" MNPT End fitting 1/2" Copper Main Air Line INSTALLATION INFORMATION AIRSTARs are installed by authorized Air Techniques dealer service technicians. Please review these installa- tion guidelines to make sure that your AIRSTAR will work to capacity for your office. (See Site Requirements, pages 10 and 11) • Your AIRSTAR should be installed in a well ventilated area, with at least 12 inch clearance on each side for service access and to prevent overheating during high demand periods. If other equipment is located in the vicinity, the ambient temperature of the area must not exceed 105 °F. • The installation site should be clean and dry to prevent the air intake filters from clogging. If there is a concern about the quality of air where the AIRSTAR is placed, we recommend an optional Remote Air Intake (See Optional Accessories, page 15) which allows the compressor to intake clean air from a remote location. • Air distribution piping for all models should be 1/2 ", type "L" or type "K" copper. • The minimum voltage for an AS10 or AS21 is 105 Volts. The minimum voltage required for an AS22, AS30, AS50 or AS70 is 200 Volts. Install a boost transformer if the service is below these ratings. Note: If voltage is higher than 125V/250V, install a bucking transformer. • AIR SYSTEM PLUMBING CONNECTION: The Tank Outlet Assembly (See Figure 1, View A), (the storage tank outlet for the dry air) is connected to the operatory air system via a 1/2" F.N.P.T. shut -off valve and 4 foot length of pressure hose (supplied). • ELECTRICAL CONNECTION: • If your AIRSTAR comes with a line cord, plug it into a hospital grade electrical outlet • If your AIRSTAR comes with an electrical connections box, it must be wired directly in accordance with local electrical codes. (See Figure 3 below.) GREEN BLACK WHITE I SOME AIRSTAR 1 MODELS Figure 3. Electrical Connection Box 10 L1 L2 GND INSTALLATION INFORMATION POST INSTALLATION CHECK Make Sure Everything Is Running Properly After your AIRSTAR has been installed and before it is put into operation, be sure to follow the check -out procedure detailed below: • Check that Intake Filter(s) are fully seated into the compressor head(s) and that the Tank Outlet Valve is closed. • Turn on the electricity. Check the incoming line voltage. It should be at least 105 Volts for the AS 10 and AS21; and 200 Volts for the AS22, AS30, AS50 and AS70. This voltage should remain at or above these levels while the AIRSTAR is running. If not, install the appropriate boost transformer and check that the correct main circuit breaker and wire size are being used. • Check pump -up and recovery times as detailed below and compare to the times in the table. • Turn on the AIRSTAR's power and determine the pump -up time from 0 -115 PSI. See the table below. • Drain the storage tank to 80 PSI and determine the recovery time from 85 to 115 PSI. See the table below. Model Number of Motors /Heads Pump -up Time 0 -115 PSI Maximum Recovery Time 85 -115 PSI Maximum AS10 1/1 2 minutes, 55 seconds 48 seconds AS21 1/2 3 minutes, 10 seconds 47 seconds AS22 1/2 3 minutes, 10 seconds 47 seconds AS30 2/2 3 minutes, 10 seconds 47 seconds AS50 2/4 2 minutes, 50 seconds 42 seconds AS70 3/6 2 minutes, 40 seconds 40 seconds If the recovery time differ as listed above, call authorized dealer for service. 11 TROUBLESHOOTING Problem Possible Cause Possible Solutions 1. Motor does not start. a. No electric power. b. Power not connected. c. Defective circuit breaker. a. Check circuit breaker at main power panel. b. Check 24 Volt remote connections. c. Circuit breaker needs to be replaced. Call your authorized Air Techniques dealer for service. 2 .Motor tries to start, circuit breaker trips off.(* see bot- tom of page 10) a. Voltage too Iow.If each compressor head runs separately,but will not run together, the voltage is too low. b. Power supply cable too small. c. Loose electrical connection. a. AS10 and AS21 require a minimum of 105 Volts. AS22, AS30, AS50 and AS70 require a minimum of 200 Volts. If the voltage is below the required minimum, a boost transformer must be installed. Call your authorized dealer. b. See SITE REQUIREMENTS Table. c. Call your authorized dealer for service. 3. Unusual noise. a. Intake filter(s) not seated correctly. b. Intake filter(s) clogged or dirty. c. Motor noise. d. Air leaks e. Check cooling fans a. Remove filter(s). Replace if clogged or dirty. When installing, make sure filter chamber is clean and rubber flange on top of filter is pushed all the way down into the metal cylinder b. Replace filter(s). (PN 89831) c. CaII your authorized dealer for service. d. Call your authorized dealer for service. e. If fan is loose or broken, call your authorized dealer for service. 4 Compressor cydes but no pressure buildup to 115 psi. a. Motor noise. b. Leak in compressor. c. Pressure switch needs to be adjusted. a. Replace filter(s). (PN 89831) b. Close the storage tank outlet valve. Check all fittings for Teaks. If a leak is found, call your authorized dealer for service. c. Disconnect the main power supply. Drain the storage tank slowly until a "click" is heard. Storage tank pressure should read 85 PSI on the pressure gauge. Close the tank outlet valve, turn on the power switch and verify the pump -up time for your model AirStar. Call your authorized dealer if the pump -uptime is incorrect. (See Post Installation Check for pump -up times.) 12 TROUBLESHOOTING Problem Possible Cause Possible Solutions 5. Compressor cycles when a. Leak in the compressor. a. Disconnect the main power supply. Drain the there is no air demand from storage tank slowly until a "click" is heard. the operatory. Storage tank pressure should read 87 PSI on the pressure gauge. Close the tank outlet valve, turn on the power switch and verify the pump -up time for your model AirStar. Call your authorized Air Techniques dealer if the pump - uptime is incorrect (See Post Installation Check for pump -up times.) b. Leak in the office air system. b. Look at the moisture monitor (see KEY PARTS to locate). If it is blue, perform the following: 1. With the AirStar's power switch ON, drain the storage tank to 85 PSI to start the compression cycle. 2. When the cycle shuts off at 115 PSI, close the storage tank outlet valve. 3. Wait 5 minutes and open the storage tank outlet valve. 4. If the pressure drops, the air leak is in the office air system or delivery units and not in the AirStar. Call your dealer or plumber for service. If it is pink, see #6 below 6. Moisture monitor is not blue a. Leak in the office air system. a. If the moisture monitor is pink, there is too (pink or white). much moisture in the system. Call your autho- rized Air Techniques dealer for service. b. Compressor keeps cycling. b. Check the SIZING GUIDE. There may be excessive air demands placed on the AirStar. A larger capacity model may be required. *DIAGNOSTIC PROCEDURE FOR DEFECTIVE COMPRESSOR HEAD(S) 1. Put power switches in the OFF position. 2. Reset the circuit breaker if it was previously tripped. 3. Test heads by turning ONE on at a time. If the motor fails to start, or the circuit breaker trips, the problem may be in that compressor head. Leave the power switch for the effective head in the OFF position. Call your Authorized Air Techniques dealer for service. NOTE: One head may be run TEMPORARILY while waiting for service. 4. If all heads run independently, but will not run together, check the line voltage. If the voltage is within the min. /max. voltage required in PRODUCT SPECIFICATIONS, call your Authorized Air Techniques dealer for service. 13 PRODUCT SPECIFICATIONS AirStar Modell AirStar ! AirStar AirStar AirStar AirStar AirStar Requirement 1 10 21 22 30 50 70 Horsepower /Kilowatts 0.75/0.56 1.5/1.1 1.5/1.1 1.5/1.1 3.0/2.2 4.0/3.3 Voltage Rating 115 115 208/230 208/230 208/230 208/230 Frequency (Hz) 60 60 60 60 60 60 Voltage Min. /Max. (VAC) 105/125 105/125 200/250 200/250 200/250 200/250 CFM (Cubic Ft. /Min) @ 80 psi 2.5 5.0 5.0 5.0 10.0 15.0 Pump -up Time 2 minutes, 3 minutes, 3 minutes, 3 minutes, 2 minutes, 2 minutes, 85-115 PSI 55 secs 10 secs 10 secs 10 secs 50 secs 40 secs Recovery Time 85 -115 PSI 48 47 47 47 42 40 Tank Size (cu. ft.) 0.8 1.6 1.6 1.6 2.7 4.0 (US Gal.) 6 12 12 12 20 30 Shipping Weight (Approximate Ibs) No Sound Cover 170 200 200 240 290 430 With Sound Cover 215 240 240 285 335 N/A Dimensions (inches) H 28.50 30.50 30.50 30.50 33.50 35.00 No Sound Cover W D 25.00 = 19.75 29.00 20.00 29.00 20.00 29.00 20.00 35.50 20.50 47.75 21.75 H 30.00 32.00 32.00 32.00 33.50 With Sound Cover W 25.00 31.00 31.00 31.00 36.50 N/A D 22.50 22.25 22.25 22.25 22.75 REPLACEMENT PARTS Description Part No. Intake Filter (factory installed 10 micron) 89831 5 Micron Replacement Filter Element 86193 Filter Retainer and Element Baffle 86195 Replacement Filter Bowl 86197 14 MAINTENANCE • Change the Intake Filters, PN 89831 once a year, or more often in dusty environments. See Figure 4. • To comply with NFPA 99C, a 5- micron Filter is installed on all AIRSTAR models. • Periodically inspect the Moisture Monitor. A "blue" Moisture Monitor indicates that the air in the storage tank is dry. A "pink" Moisture Monitor indicates a high level of humidity in the storage tank. To correct this situation, see TROUBLESHOOTING page 12. See Figure 5. • The only consumable parts on the AIRSTAR are the intake filter and the 5- micron exhaust filter element. See Figure 5. When replacing either filter, dispose of the removed filter in accordance with local codes. Figure 4. Intake Filter Location Figure 5. Moisture Monitor and 5 Micron Filter Location OPTIONAL ACCESSORIES Description Model Part Number AirStar 10 85491 AirStar 21, 22, 30 85492 AirStar 50 85493 REMOTE AIR INTAKE KIT AirStar 70 85494 REMOTE CONTROL PANEL w124 V switches 1- Switch Plate Kit 2- Switch Plate Kit For all AirStars 53111 53251 3- Switch Plate Kit 53250 4- Switch Plate Kit 53133 AirStar 10 85961 AirStar 21 85962 -1 M SOUND COVER AirStar 22 AirStar 30 85962 -2M 85963M AirStar 50 89523M AirStar 70 89574M 15 Air Techniques is a leading manufacturer of dental products including air and vacuum systems, film processors, digital imaging systems and intra -oral digital video systems. We have been manufacturing quality products for dental professionals since 1962. Air Techniques' products are only distributed through authorized dealers. ❑ A/T 2000 XR ❑ Accent'" ❑ AirStar® ❑ CleanStreaml" ❑ GuardianlM ❑ Peri -Pro® ❑ PolarisTM' ❑ ScanX® ❑ SensaM ❑ Spectral" ❑ STS'" ❑ VacStarl" ❑ Visix'" AIR TECHH/gUE,S 1295 Waft Whitman Road, Melville, NY 11747 -3062 1-800 -AIR -TECH (1-800- 247 -8324) • www.airtechniques.com AirStar is a registered trademark of Air Techniques, Inc. 0 Copyright 2009 • P/N 87109, Rev. 0 RECENT asnnhO COpy AUG 1161012 NM/Aft DENTAL VACUUM SYSTEM REVIEWED FOR CODE COMPLIANCE USER'S MANUAL A6732 Air Techniques Inc. Melville, NY ISO 9001:2000 ISO 13485:2003 AIR RECEIVED %EENN CITY OF TUKWILA AUG .0 8 2012 PERMIT CENTER ALLPRO /QUES IMAGING CORRECTK)N LTR #. I - CONGRATULATIONS ON YOUR PURCHASE OF THE VACSTAR DENTAL VACUUM SYSTEM Your VacStar has been engineered to deliver maximum air flow at the ideal vacuum level without creating traumatic suction pressure that could harm patients ' delicate tissue. The VacStar is a water ring pump that produces consistent high - volume air flow, even with multiple users on -line. The balanced, corrosionfree bronze impeller minimizes noise and a patented vacuum reliefvalve mon itors and maintains constant uniform vacuum pressure. A capacitor -start type motor, with a highly reliable contactor and powerful transformer can be depended on to start every time. The VacStar is designed with everything accessiblefrom the front, including the easy to clean solids collector. Ifyour VacStar comes with an integral HydroMiser, water consumption will be reduced by up to 75 %. If not, a HydroMiser can be integrated into your VacStar at a later date. The HydroMiser separates the liquid and gas dischargefrom the operatories. The gases are vented out and the liquid and its particulates are directed down the drain. The clean water extracted during this separation process is directed back toward the VacStar where it is mixed withfresh water and then directed into the pump chamber to create vacuum. This efficient reuse of water reduces the VacStar's fresh water consumption. Thousands ofdentists have depended on the VacStar since 1987. Now that your practice has a VacStar, or a VacStar with the water saving HydroMiser, you too can depend on constant, uniform delivery of vacuum to your operatories and proven trouble free operation. TABLE OF CONTENTS Sizing Guide 3 Maintenance 3, 4 Operating Information 4 Key Parts Identification 4, 5 Installation Information 6 - 8 Trouble Shooting 9 Product Specifications/Dimensions 10 Site Requirements 11 Optional Accessories back cover Replacement/Reorder back cover 2 SIZING GUIDE Choosing the correct size VacStar for your practice depends on the number of HVE (High Volume Evacuator) and SE (Saliva Ejector) users anticipated. To assure optimum vacuum, the vacuum demands should not exceed the number of HVE and SE users shown in the chart below: RECOMMENDED NUMBER OF SIMULTANEOUS USERS VacStar 20 HVE's + SE's VacStar 40 HVE's + SE's *VacStar 50 & 50H HVE's + SE's *VacStar 80 & 80H HVE's + SE's 2+ 0 3+ 0 4+ 0 7+ 0 1+ 1 2+ 2 3+ 2 6+ 1 0+ 4 1+ 4 2+ 4 5+ 3 0+ 6 1+ 5 4+ 4 3 + 6 2 + 8 HVE - High Volume Evacuator SE - Saliva Ejector 1 + 10 _ 0 + 13 1 I * These combinations apply if both pumps are running together. If only one pump is running, use the Sizing Guide for VacStar 20 or 40. MAINTENANCE ❑ Daily Maintenance - Clean vacuum lines To maintain the cleanliness ofyour, VacStar, including all the vacuum lines and tubing in your dental system, we recommend the daily use of CleanStream Evacuation System Cleaner. (see back cover) ❑ Weekly Maintenance - Clean solids collector Caution: Solids collector may contain biologically hazardous material. Wear protective gloves. Note: Clean the solids collector DAILY during the first week of operation and during the first week of Evacuation System Cleaner usage. 1. Use CleanStream Evacuation System Cleaner. 2. Turn offthe power and water supply. 3. Unscrew the solids bowl (counter clock -wise) and remove the screen and gasket. Remove all the sediment build -up from the bowl, screen gasket and inside housing. Rinse thoroughly. See Fig. 1. 4. Reassemble the bowl, screen and gasket and screw tightly back onto the solids collector body or replace screen and bowl with Solids Collector Replacement Kit PN 55094 or PN 55880. Pig. 1 Important: A worn or missing gasket and/or failure to tightly screw the bowl to the solids collector body will cause poor suction due to air leakage. DO NOT OPERATE THE VACSTAR WITHOUT THE SCREEN INSIDE THE FILTER BOWL. 3 MAINTENANCE ❑ In -Line Filter Kit If a VacStar is replacing a previous vacuum pump, an optional In -Line Filter, located in front of the inlet manifold (see Key Parts) is recommended. This In -Line Filter is designed to collect larger quantities of particulates from the discharge BEFORE it flows into the vacuum pump. Larger quantities of particulates may occur initially due to the VacStar's "pulling" power and to CleanStream Evacuation System Cleaner's ability to break down synthetic debris and proteinaceous deposits that build up in the vacuum lines. Check the filter daily and clean if required. In -Line Filter Kit for Single Vacuum Pumps #55078; for Twin Vacuum Pumps #55079. OPERATING INFORMATION ❑ AT THE START OF THE DAY Always TURN ON THE WATER before TURNING ON THE POWER. ❑ The VacStar may be turned on/off from a single, convenient location within the dental suite using a Remote Control Panel (See Optional Accessories). ❑ The vacuum level is factory preset at 10 In Hg (inches of mercury). This is the reading on the gauge when all HVE's (High Volume Evacuator) and SE's (Saliva Ejector) are CLOSED. Should this setting be too high for your needs, contact your dealer to readjust the setting. ❑ It is recommended that the system run continuously during the day. However, the VacStar can be turned off if suction is not required for a period of 15 minutes or longer. ❑ If one pump is being operated at a time, it is important to alternate pumps on an every other day schedule so that the pumps are used evenly. ❑ AT THE END OF THE DAY Always TURN THE POWER OFF, then TURN THE WATER OFF. KEY PARTS IDENTIFICATION - SINGLE UNITS Fig. 2 VACUUM 24 V RELIEF REMOTE MOTOR VALVE WIRING DRIP COVER FUSE HOLDER INLET MANIFOLD MOTOR VACUUM GAUGE INTAKE SOLIDS COLLECTOR VACUUM BREAKER WATER INLET ELECTRICAL JUNCTION BOX 4 WATER SOLENOID WATER INLET FILTER KEY PARTS IDENTIFICATION - TWIN UNITS Fig. 3 Front View VACUUM RELIEF VALVE HYDROMISER VACUUM (ON VS5OH AND VENT BREAKER VS8OHONLY) / 24 V REMOTE CONTROL WIRING BOX ELECTRICAL CONNECTION BOX VACUUM GAUGE EXHAUST MANIFOLD INTAKE SOLIDS COLLECTOR LEVELING ' BASE INLET BYPASS VALVE FEET WATER SYSTEM CHECK VALVE PLATE MANIFOLD EDUCTOR ASSEMBLY, Fig. 3a Fig. 4 Close up of Eductor Assembly TO LEFT TO RIGHT PUMP PUMP VACSTAR BASE PLATE 5 MAIN POWER SWITCHES WATER SOLENOID WATER INLET CONNECTION WATER FILTER CIRCUIT BREAKER (FOR 24V REMOTE WIRING) WATER SOLENOID * VACSTAR 50H SHOWN - OTHER MODELS SIMILAR INSTALLATION INFORMATION ❑ Plumbing(water)lines -To assure that the VacStar provides optimum vacuum, incoming water pressure must be maintained between 20 and 100 psi. -If heavy combinations ofparticulates existinthe incoming water, an in-line filter should be installed. (See Accessories /Options for the Remote Control WaterValve.) This will prevent the VacStar's water inlet filter fiuni clogging too frequently. - Incoming water temperature should be between 40 °F and 75 °F. - Water connection location is shown in Fig. 2 and 3a (water inlet connection). ❑ Suction - For VacStar 20 and 40, suction hose is connected at suction intake, found on intake solids collector assembly. See Fig. 2. - For VacStar twin pump units, suction hose is connected at suction intake, found on intake solids collector assembly. See Fig. 3. ❑ Drain lines - For Vac Star 20 and 40 without a HydroMiser or an Air/Water Separator, see Fig. 5. - For Vac Stars without a HydroMiser or anAir/Water Separator, the effluent should be discharged into an open drain or a closed vented drain. See Fig. 6. Note: For VacStars without HydroMiser, the drain may be up to 36" above the unit. Fig. 5 VacStar 20, 40 without a HydroMiser or Air /Water Separator open floor drain Fig. 6 VacStar 50, 80 without a HydroMiser or Air /Water Separator open s floor drain 6 INSTALLATION INFORMATION - For Vac Stars with a Hydro Miser (see Fig. 7) or an Air/Water Separator (see Fig. 8), gases should be vented out according to code. The waste water (with particulates) from the operatories can be discharged via an open drain or a closed vented drain. Fig. 7 VacStar with built -in HydroMiser VENT vent to outsidewith 7 schedule 40 pipe (WARNING: CONDENSATION OF WATER WILL OCCUR IN VENT PIPING. AVOID ACCUMULATION OF WATER IN VENT, SLOPE PIPING TOWARD SEPARATOR) HYDROMISER POWER CONNECTION WATER SUPPLY 1/Y COPPER TUBE TERMINAL WITH /Y FNPT SHUT OFF VALVE Fig. 8 VacStar with wall mounted Air /Water Separator VENT vent to outsidewith 7 schedule 40 pipe (WARNING: CONDENSATION OF WATER WILL 1:1 OCCUR IN VENT PIPING. AVOID ACCUMULATIO OF WATER IN VENT. SLOPE PIPING TOWARD SEPARATOR) 9u- 32 max�,, he ON 111 INTAKE FROM MAIN LINE terminate with 1' FNPT fitting AIR/WATER SEPARATOR -110" „1 0,0111) 111 /1111111M111111111111p)1.�,,''' POWER CONNECTION WATER SUPPLY 1 /2" COPPER TUBE TERMINAL WITH 1/7 FNPT SHUT OFF VALVE 2 VAC FLOOR SINK INTAKE FROM MAIN UNE - terminate with 1" FNPT fitting Wall-mou nted HydroMiser If the existing drain is higher than the HydroMiser outlet, the HydroMiser must be mounted so that its outlet is above the drain. The HydroMiser can be installed up to 36" above the base of the VacStar with the HydroMiser Wall Mount Kit ( #55087). FL RSINK Note: Vac Star 20, 40 installed in same manner ❑ IMPORTANT NOTE: ALL INSTALLATIONS Ambient temperature for all VacStar installations should be 40 °- 104 °F (5 °- 40 °C). The liquid drain from the HydroMiser or an Air/Water Separator must slope downward at least 1/4" for every 10 feet ofrun toward the drain. (Avoid local low sections, avoid creating traps in the line.) Fig. 9 VacStar with well mounted Hydromiser VENT vent to outside with 7 schedule 40 pipe (WARNING: CONDENSATION OF WATER WILL OCCUR IN VENT PIPING. AVOID ACCUMULATION OF WATER IN VENT, SLOPE PIPING TOWARD SEPARATOR) HYDROMISER POWER CONNECTION I1M»»»»»» ))»1)► »)II1»ll))))hjll.. 32" max. height 1 *��!,,,,,,, • • • • 20 VAC I9 FLOOR SINK ` Et�tta_�la -n It 0 o WATER SUPPLY 112" COPPER TUBE TERMINAL WITH 12" FN PT SHUT OFF VALVE INTAKE FROM MAIN UNE - terminate with 1" FNPT fitting 7 Note: Vac Star 20, 40 installed in same manner il, INSTALLATION INFORMATION ❑ Electric - If the voltage is below the minimum 105V or 205V, a Boost Transformer must be installed. (See Product Specifications/Dimensions) - All VacStars must be wired directly from an electrical box that complies with local electrical codes to the VacStar's Electrical Connection Box . See Fig. 10 for VacStar 20, 40; Fig. 11 for VacStar 50, 50H, 80, 80H. FIG. 10 VACSTAR ELECTRICAL JUNCTION BOX - INTERIOR VIEW VacStar 20, 40 WIRED FOR 230 VOLTS ATFACTORY POWER SUPPLY CONNECTIONS L1 L2 FOR 230 V, JUMPER TABS ARE PLACED IN POSITION SHOWN (FACTORY SET) FOR 115 V, PLACE JUMPER TABS IN POSITION SHOWN 0 FIG. 11 VACSTAR ELECTRICAL CONNECTION BOX - VacStar 50, 501-1, 80, 80H DUAL CIRCUIT PUMPS POWER LEADS RIGHT (L1)BLACK (L2) WHITE LEFT (L 1) RED (L2) BLUE * For Single Circuit connect Black and Red wires together (L1) and White and Blue wires together (L2). 8 TROUBLE SHOOTING PROBLEM POSSIBLE CAUSE POSSIBLE SOLUTIONS 1. Low suction. a. Water filter or solids collector clogged. b. Check valves are stuck. c. Low water pressure. d. HydroMiser water recycler is clogged. e. HydroMiser clogged. f. Solenoids not operating. g. Restricted air exhaust a. Clean filter and/or collector. b. Use a system cleaner like CleanStream; turn vacuum on and off to free check valve. If valve remains stuck, call your authorized Air Techniques dealer for repair service. c. Raise water pressure. d. Open bypass valve to run VacStar. Call your authorized Air Techniques dealer for repair service. e. Call your authorized Air Techniques dealer for repair service. f. Call your authorized Air Techniques dealer for repair service. g. Check air exhaust pipe size to make sure it conforms to spec; check for and clear possible restrictions in air exhaust system. 2. No suction. a. Pumps off. b. Pumps not running. c. Inlet check valves stuck closed. d. Water inlet filter and/or Solids collector clogged. e. Suction hose collapsed. f. Solenoids not operating. a. Turn pumps on. b. Call your authorized Air Techniques dealer for repair service. c. Call your authorized Air Techniques dealer for repair service. d. Clean filter. e. Hose needs to be replaced, call your authorized Air Techniques dealer for repair service. f. Call your authorized Air Techniques dealer for repair service. 3. Excessive suction. a. Relief valve stuck closed. b. Relief valve filter clogged. a. Call your authorized Air Techniques dealer for repair service. b. Call your authorized Air Techniques dealer for repair service. 4. Pumps do not run. a. Main switches off. b. Electrical problem. a. Turn main switches on. b. Call your authorized Air Techniques dealer for repair service. 5. Noisy Pumps. a. Inadequate water supply. b. HydroMiser eductor clogged. c. Drain line collapsed. d. Solenoids not operating. a. Call plumber to improve water supply system. b. Call your authorized Air Techniques dealer for repair service. c. Hose needs to be replaced. Call your authorized Air Techniques dealer for repair service. d. Call your authorized Air Techniques dealer for repair service. ALL INSTALLATIONS TO CONFORM TO LOCAL CODES 9 PRODUCT SPECIFICATIONS /DIMENSIONS ELECTRICAL VS 20 VS 40 VS 50 VS 50H VS 80 VS 80H Voltage Rating *115/230 230 230 230 230 230 Voltage MiniMax. *205/240 105/125 205/240 205/240 205/240 205/240 205/240 Full Load Amps *16/8 13.4 16 16 26.8 26.8 WATER Inlet Water Pressure (PSI) 20 - 100 20 - 100 20 - 100 20 - 100 20 - 100 20 - 100 Flow Rate Per Pump (gal/min) w /HydroMiser 0.12 0.18 N/A 0.12 N/A 0.18 Flow Rate Per Pump (gal/min) w/o HydroMiser 0.50 0.75 0.50 N/A 0.75 N/A Water Temperature( °F) 40 - 75 40 - 75 40 - 75 40 - 75 40 - 75 40 - 75 VACUUM LEVEL Preset at Factory (In Hg) 10 10 10 10 10 10 SHIPPING WEIGHT (lbs) 68 85 160 170 200 210 DIMENSIONS in. (HxWxD) 14xllx11 17x11x11 22x28x16 25x28x16 22x2816 25x28x16 *VacStar 20 may be converted from 230 Volts to 115 Volts at installation site. 10 SITE REQUIREMENTS ELECTRICAL VS 20 VS 40 VS 50 VS 50H VS 80 VS 80H Min. Circuit Breaker Rating 20A 20A 30A 30A 2 ea. 20A or 1 ea. 40A 2 ea. 20A or 1 ea. 40A WireSizeAWG (Min. Gauge) 12 12 10 10 2 ea. 12 or 1 ea. #8 2 ea. 12 or 1 ea. #8 *Boost Transformer #67002(230V) #67500(115V) #67002 #67002 #67002 #67002 2 ea. #67002 2 ea. PLUMBING VS 20 VS 40 VS 50 VS 50H VS 80 VS 8011 Min CFM @ 0" Hg 16 22 32 32 44 44 AirExhaust 2" schedule 40 pipe 2" schedule 40 pipe 2" schedule 40 pipe 2" schedule 40 pipe 2" schedule 40 pipe 2" schedule 40 pipe Ambient Temperature 40° - 104 °F (5 °- 40 °C) 40° - 104 °F (5 °- 40 °C) 40° - 104 °F (5 °- 40 °C) 40° - 104 °F (5 °- 40 °C) 40° - 104 °F (5 °- 40 °C) 40° - 104 °F (5 °- 40 °C) Overhead Plumbing Main Line Dia. Min /MaxID 1 / 11/2 1'/4/2 11/4/ 11/2 11/4/ 11/2 1'/2/2 1'/212 ininches EndFitting Max 1 " FNPT 1 " FNPT 1 " FNPT 1 " FNPT 1 " FNPT 1 " FNPT Riser Diameter Overhead Main Line 1/2" ID 1/2" ID 1/2" ID 1/2" ID 1/2" ID 1/2" ID Floor Plumbing Main Line Dia. Min./Max.ID ininches 1 / 11/2 11/4/ 2 11/4/ 11/2 1 4 / 11/2 11/2/ 2 11/2 / 2 EndFitting Max 3/4" FNPT 3/4" FNPT 1" FNPT 1" FNPT 1" FNPT 1" FNPT Branch Line Dia. Min./Max.ID ininches 3/4 / 11/2 1 / 11/2 1 / 11/2 1 / 11/2 1 / 11/2 1 / 11/2 NOTE: Suction piping must slope at least a' /4" for each 10 feet of run towards the pump. Use PVC Schedule 40 or Copper Type M. * Use Boost Transformer onlyifvoltage is expected to fall below 105/205 Volts during operation. ALL INSTALLATIONS MUST CONFORM TO LOCAL CODES 11 ACCESSORIES /OPTIONS DESCRIPTION MODEL PART NUMBER HydroMiserWallMountKit VacStar 50H, 80H 55087 Remote Control Panels with 24V switches VacStar 20, 40 VacStar 50, 50H, 80, 80H 53250 or 53251 53113 or 53149 Remote Control Water Valve, withfilter All VacStar Models 53020 (24V) - 3/4" pipe 53020 -1 (115V) -1/4" pipe 53170 (24V) - 1" pipe 53171 (115V) - 1" pipe Boost Transformer VacStar20 VacStar 20, 40, 50, 80 VacStar 80, 80H 67500 (115V) 67002 (230V) 2 each 67002 (230V) HydroMiserKit VacStar 20 VacStar 40 VacStar 50 VacStar 80 11-2 H -4 56041 56042 Air/WaterSeparator VacStar 20, 40, 50, 80 55540 In -Line Filter Kit VacStar 20, 40 VacStar 50, 50H, 80, 80H 55078 - 3 /a" pipe 55079 - 1" pipe CleanStream Evacuation System Cleaner AllVacStars 57660 Starter Kit 57640 1 Box of 32 Packets REPLACEMENT /REORDER DESCRIPTION MODEL PART NUMBER Solids Collector VacStar 20, 40 55880 ReplacementKit VacStar 50, 50H, 80, 801 55094 Air Techniques is a leading manufacturer of dental equipment from air compressors and vacuum systems to x -ray film processors, intraoral video cameras, and most recently air abrasion, rapid curing and bleaching and digital imaging systems. We have been manufacturing quality products for the dental professional since 1962. ACCENTTM Provecta 7OTM ACCLAIM® ScanX® AirStar® SealX -2TM A/T 2000® XR STSTM Peri -Pro® VacStarTM GuardianTM Amalgam Collector 100 Plus ScanX® DVM 2010 Plus ScanX® NDT Medscope ScanX® 12 EV Provecta V ScanX® 14 PORTABLE ScanX® 12 ScanX® NDT PORTABLE ScanX® 14 III AIR ALLPRO RECHNIW S IMAGING www.airtechniques.com 1-800-AIR-TECH (1- 800 - 247 -8324) PN 55151 Rev. J VacStar is a trademark of Air Techniques Inc. © Copyright 2006 Air Techniques Inc. C©hfrac/1--- l S eonziRG,/t, pt -k � p `z7er`n 1" 5 /lee ' zrin5 411111 7'A 1 744-e /lame e 49nCy a 141 Marc ge fi e- n jy_ec r /vertTylr dev:7 7e /A; ipe rAPki. 7; c 9 ' 1 if a6$ pre L Airgas Harry Pomeranz Area Manager Verifier /Inspector - ASSE 6020, 6030 Airgas'Medical Services, Inc. Kenmore, WA x(206) 909 -8581 FAX: (425) 968 -4620 • TOLL FREE: (877) 245 -8378 E -Mail: Harry.Pomeranz @airgas.com www.airgasmedicalservices.com .PERMIT COORD co� PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: PG12 149 DATE: 08/08/12 PROJECT NAME: JS DENTAL CLINIC SITE ADDRESS: 327 TUKWILA PY Original Plan Submittal X Response to Correction Letter # Response to Incomplete Letter #_ Revision # after Permit Issued DEPARTMENTS: Bui ding Division t/ Fire Prevention Planning Division Public Works TT; Structural Permit Coordinator fl DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08/09/12 Complete Incomplete 0 Not Applicable El Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg 0 Fire EI Ping 0 PW 0 Staff Initials: TUES/THURS ROUTING: Please Route Structural Review Required [7 No further Review Required fl REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved pi Approved with Conditions Not Approved (attach comments) 1-7 Notation: DUE DATE: 09/06/12 REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: tERMIT COORD CORD PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG12 -149 PROJECT NAME: JS DENTAL CLINIC SITE ADDRESS: 327 TUKWILA PY X Original Plan Submittal Response to Correction Letter # DATE: 07/30/12 Response to Incomplete Letter # Revision # after Permit Issued DEPARTMENTS: .� I Z titn:i e� Buildin "()i isio Fire Prevention Public Works Structural Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ‘E-12 Comments: Incomplete DUE DATE: 07/31/12 Not Applicable n Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route REVIEWER'S INI IALS: Structural Review Required n No further Review Required DATE: APPROVALS OR CORRECTIONS: DUE DATE: 08/28/12 Approved n Approved with Conditions n Not Approved (attach comments) tX. Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only m CORRECTION LETTER MAILED: 01) 1Q t Departments issued corrections: Bldg [ Fire ❑ Ping ❑ PW [ Staff Initials: r City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us REVISION SUBMITTAL. Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: jr. Cp - (/ / 2 Plan Check/Permit Number: PG 12 -149 ❑ Response to Incomplete Letter # • Response to Correction Letter # 1 ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: JS Dental Clinic Project Address: 327 Tukwila Py C,TY OFTUKIMLA AUG 082012 PERMIT CENTER Contact Person: Stir) iief Phone Number: s se O-0 1 Summary of Revision: Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Ce iter by: 6,- 4 Entered in Permits Plus on Obi ° 1/ I' \applications \forms - applications on line \revision submittal Created: 8 -13 -2004 Revised: Mark Sutin Mark The Plumber 206 Ave. G Snohomish, WA 98290 360.840.0120 - Mobile Re: Response to correction letter Plumbing /Gas Piping Application PG12 -149 JS Dental Clinic — 327 Tukwila Parkway Building Review Notes. 1. RPBA devices. A) %" RPBA For Vac — Wilkins 975XL (Attached) B) %" RPBA On Main to space — Wilkins 975XL (Attached) C) Bottled Water on Chairs 2. Pipe markings. Change orange air lines to a brighter orange. 3. Specified Piping for each application. Waste — ABS, schedule 40 Vacuum — PVC, schedule 40 Air lines — Copper, Type L, silver, brazed below slab. Water lines - Copper, Type L, silver, brazed below slab. 4. Medical Gas Verification. RECEIvED. CITY OF TUKWILA AUG 0 8 2012 PERMIT CENTER Dental Air and Vacuum systems to be verified and inspected for particulates by AirGas, certified medical gas verifier. August 2, 2012 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Mark Sutin Mark the Plumber 206 Avenue G Snohomish WA 98290 RE: Correction Letter #1 Plumbing /Gas Piping Permit Application Number PG12 -149 JS Dental Clinic — 327 Tukwila Py Dear Mr. Sutin, This letter is to inform you of corrections that must be addressed before your mechanical permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from both the Building and Public Works Departments. Building Department: Allen Johannessen at 206 433 -7165 if you have questions regarding the attached memo. Public Works Department: Joanna Spencer at 206 431 -2440 if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 431 -3670. encl File: PGI2 -149 W: \Pennit Center \Correction Letters\2012\PG I2 -149 Correction Letter # 1.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Tukwila Building Division Allen Johannessen, Plan Examiner Building Division Review Memo Date: August 1 2012 Project Name: JS Dental Clinic Permit #: PG12 -149 Plan Review: Allen Johannessen, Plans Examiner The Building Division conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and /or other applicable documentation. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. Portable cleaning equipment, dental vacuum pumps, and chemical dispensers shall be protected from backflow by and air gap, an atmospheric vacuum breaker, a spill- resistant vacuum breaker, or a reduced pressure principle backflow preventer. Please specify type of reduced pressure principle backflow preventer (RPPBP) devices that shall be used for the vacuum pumps and water cleaning equipment for the dental stations and provide the manufactures installation manual with specifications for those devices. (2009 UPC 603.4.18) 2. The hot water and air lines indicated on the plan are of the same color which makes it difficult to separate out. In addition some of the pipe markings are not clear or legible. Please clearly mark pipes. Provide a better clarification with other colors or markings. 3. Specify type of pipe and rating for each type of application. 4. The contractor is responsible for notifying a special inspector or agency regarding individual inspections by a third party medical gas verifier for special inspection and testing of the medical gas and vacuum pipeline. Medical gas verifier providing the special inspection shall provide final documentation and reports of all medical gas inspections and testing to the building official upon final inspection. Provide this information on the plans. (UPC 1328.2 & IBC 1703.1.1) Should there be questions concerning the above requirements, contact the Building Division at 206- 431 -3670. No further comments at this time. DATE: PROJECT: PERMIT NO: • • PUBLIC WORKS DEPARTMENT COMMENTS August 1, 2012 JS DENTAL 327 Tukwila Pkwy PG12 -149 PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) Due to the nature of the dental service business, which is considered a high hazard, a Reduced Pressure Principle Assembly (RPPA) shall be installed on the supply line to this space as backflow device for cross - connection control for in- premise isolation to protect other tenants in the building from water cross - contamination. a) Show location diagram of RPPA installation and specify size, make and model number of the backflow on your plan. b) Submit RPPA cut sheet and circle the backflow to be installed. Make sure that the subject backflow is from the WA State Department of Health Backflow Prevention Assemblies Approved for Installation in Washington State list. W:Other/Joanna /Comments 1 PG12- 149inc Contractors or Tradespeople Pier Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L &I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company MARK THE PLUMBER 3605683880 206 Ave G Snohomish WA 98290 Snohomish Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600564790 Active MARKPP *897CR Construction Contractor 2/25/2011 2/25/2013 Plumbing Unused her Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status CAMEOE*981MC CAMEO ENTERPRISES Construction Contractor General Unused 7/3/2002 7/13/2014 Active MECON "20304 M & E CONSTRUCTION Construction Contractor General Unused 9/24/1980 2/19/1985 Archived MARKPPI916B7 MARK THE PLUMBER INC Construction Contractor General Unused 1/29/2009 1/29/2011 Re- Re Licensed PLUMB" 151JR PLUMBERS, THE Construction Contractor General Unused 4/19/1985 1/29/2009 Re Licensed Business Owner Information Name Role Effective Date Expiration Date SUTIN, MARK DAVID Owner 02/15/2011 Amount Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 Travelers Cas & Surety Co 206085397 01/29/2011 Until Cancelled $6,000.00 02/15/2011 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 2 State Farm Fire Et Cas Co 98BQJ8502 01/19/2012 01/19/2013 $1,000,000.00 12/30/2011 1 State Farm Fire & Cas Co 98BJF9225 01/29/2011 01/29/2012 $1,000,000.00 02/25/2011 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https: // fortress .wa.gov /lni/bbip/Print.aspx 08/16/2012 REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions wilt require a new plan submittal and may include additional plan review fees. Lisi COPY Permft NO.. vM(HL11 Plan review approval is agiect to errors and ornkrions. Approval of construction documents does not alth rze the v olation of any adopted code or ordinance. Receipt of approved Field is acknowledged: a'�i \. E ;I TIN TENANT OOi T I EM N (33 L :.- P'ENIf G.) EXISTING TENANT 0008 TO- EM .. OPENING); 1:ST'LN.G EN NT I ES OOM TO. EMAIN �1 TI TENANT W LL TO 1 E I ELI TIN. EXTERIOR R:T - KMAIR :::WALL TYPE TO i RTfT1 1 REVIEWED FOR _. CODE COMPLIANCE APPROVED AUG i 3 2012 nI III ntinallannil Mgr MEE ril 41111P - erur: PAF TI° IO I TO BE DEMOLISH MEDICAL GAS SPECIAL INSPECTION Contractor is responsible for notifying the special inspector or agency regarding individual inspections for items listed on the Building Division approved plan. Contractor is responsible for providing the medical gas verifier access to the plans at the job site. Each medical gas verifier shall complete and sign special inspection record and a copy shall remain at the job site with the contractor for review by the Building Inspector. Contractor is responsible for retaining at the job site all special inspections records submitted by the medical gas verifier, and for providing these records for review by the Building Division Inspector upon request. Medical gas verifier shall provide his/her qualification and agency information upon request by the Building inspector. IBC 107.1 and Section UPC 103.2.2 BY Date :. )& 0 %. City 0?lUkwila BUILDING DIVISION ---- . --.�.• W ---� rem w 1 ' TA- I4OT W pfrtb A1'R %, - vII SEPARATE PERMIT REQUIRED FOR: Mechanical EKElectrical ❑ Plumbing 0 Gas Piping City of Tukwila BUI„�,�„ I�O DIVISION RECttVEl).:. CITY OF TUK MLA JUL 3 0 2012 PERMIT CENTER