09-1062 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00001062
Property Address: 79800 HIGHWAY 111 STE 109
APN: 649-020-040- - -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 40000
c&-t!t 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 826766
Date: i'1- I 1 04 _Contractor<7:F�— --�✓ �/���
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( 1 I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERA11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/17/09
Owner:
99C ONLY STORES
C/O JEFF GOLD
4000 E UNION PACIFIC AV
COMMERCE, CA 90023 DE
[�
720139
Contractor: �" `
PERFORMANCE SYSTEMS TECH I
5531 CROSS DRIVECffVOFs,..A':'W,HTA
HUNTINGTON BEACH, CA 929 `.='tiv r�+s
(714)927-8290
LiC. No.: 826766
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: -
Carrier SPARTA INS CO Policy Number 003WK04049
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, 1 shall forthwith comply with those provisions.
�Datela-12-og Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for,
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes. _
D`a�e.,�-`l%-Signature (Applicant or Agent) �/���
Application Number . . . . . 09-00001062
LQPERMIT
Structure Information
Construction Type . .
. . . TYPE V, UNPROTECTED
Occupancy Type . .
. ... BUSINESS <50
Other struct info . .
. . . CODE EDITION 2007
FIRE SPRINKLERS YES
MIXED-USE'OCCUPANCY B
OCCUPANT LOAD
15.00
1ST FLOOR SQUARE FOOTAGE 1493.00
-----------------------------------------------------------------------------
2ND FLOOR SQUARE FOOTAGE
.00
Permit . . .
BUILDING PERMIT
Additional desc
1493 SF T.I. SUITE 109
Permit Fee . . . .
349.50 Plan Check Fee
227.18
Issue Date . . . .
Valuation . . . .
40000
Expiration Date
6/15/10
Qty Unit Charge
Per
Extension
BASE FEE
252.00
15.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
97.50
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
44.06 Plan Check Fee
11.02
Issue Date
Valuation . . . .
0
Expiration Date
6/15/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1453.00 .0200
-----------------------------------------------------------------------'-----
ELEC GARAGE OR NON-RESIDENTIAL
29.06
Permit . . .
PLUMBING
Additional desc .
Permit Fee. . . . .
69.'00 Plan Check Fee
17.25
Issue Date . . . .
Valuation . . . .
- 0
Expiration Date
6/15/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
6.00 6.0000
EA PLB FIXTURE
36.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
5.00 3.0000
EA. PLB FIXTURE DRAIN/VENT REP/ALT
15.00
----------------------------------------------------------------------------
Special Notes and Comments
INTERIOR T.I. DENTAL
OFFICE 1493SF. TYPE
LQPERMIT
Application Number
09-00001062
----------------------------------------------------------------------------
Special Notes and
Comments
V -B CONSTR.."B" OCCUPANCY.
15
OCCUPANT
LOAD. 2007 CODES.
[JEFFERSON.DENTAL
- DR
ABUL HASHEM & DR SYEDA
HUQ)
-
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
ACCESSIBILITY
PLAN REVIEW
21.72
BLDG STDS ADMIN
(SB1473)
2.00
ENERGY REVIEW
FEE
21.72
STRONG MOTION
(SMI) - COM
8.40
Fee summary
-----------------
Charged
Paid
----------
Credited
----------
Due
Permit"Fee Total
----------
462.56
----------
.00
.00
462.56
Plan Check Total
255.45
.00
.00
255.45
Other Fee Total
53.84
.00
.00
53.84
Grand Total
771.85
.00
.00
771.85
John R. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of
Banning `
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
4.
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
Rubidoux CSD
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
i\
RIVERSIDE COUNTY
FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
77-933 Las Montanas Rd STE 201 • Palm Desert, CA 92211 • (760) 863-8886 • Fax (760) 863-7072
October 28,2009
RE: TENANT IMPROVEMENT PLAN CHECK
LAQ-09-TI-035 Jefferson Dental 79-800 Hwy 111 Ste. 109 La Quinta,CA
You have been issued a release for a tenant improvement on an existing building. THIS IS NOT AN
OCCUPANCY PERMIT.
It is prohibited to use/process or store any materials in this occupancy that would classify it as an "H"
occupancy per Sec. 307 of the 20007 UBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2007 UBC. Note correction/addition of
exit sign locations on approved plans page 1.
A minimum 2A10BC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible
location within 75' walking distance from any point in your building or suite. Fire extinguishers can
be installed by a licensed extinguisher company with a State Fire Marshal service tag attached to the
extinguisher, or purchased from a retail store with a sales receipt attached. A licensed fire extinguisher
company must service extinguisher yearly.
All breakers must be labeled and a clearance of 36 inches must be maintained around the panel at all
times.
A durable sign stating "This door to remain unlocked during business hours" shall be placed on or
adjacent to the front exit door. The sign shall be in letters not less than one inch high on a contrasting
background. ,
Provide key(s) to the tenant space for inclusion in the main building Knox Box. Key(s) shall have
durable and legible tags affixed for identification of the correlating tenant space. Key(s) shall be
provided at time of final inspection.
If this facility has existing supervised automatic fire sprinklers and if more than 10 sprinklers are
relocated / added plans are required and shall be submitted for approval
Approved suite address shall be placed in such a position to be plainly visible and legible from the
street. Said numbers shall contrast with their background.
Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. A re-
inspection fee will be required if more than one (1) inspection is necessary. Requests for inspections
are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886.
All questions regarding the meaning of these conditions should be referred to the Fire Department
Planning & Engineering Staff at (760) 863-8886.
Sincerely,
�A
By:
Jason Stubble
Fire Safety Specialist
Bin C2v
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Per it #6!l�
( l/lY
l
Project Address:ln—TOU7
Owner's Name:
A. P. Number: `—� a� o '-- Q Q
Address:
Legal Description:
City, ST, Zip:
Contractor: P'e -- Nom. ((,,..
C
Tee h one•
1P
Address:
Project Description:
City, ST, Zip:
` J
Telephone:
State Lic. # :
City Lic. #;
Arch., Engr., Designer:
Address: 3 V
City, ST, Zip:r l rN Cl
Telephone o 1 l
CoP Y•nstructi n Type:
a #•
S t to Lic.
Project Addn Alt
type (circle e one : New er Re air Demo
Name of Contact Person: I, �Icu LJ `
Sq. Ft.:�
# Stories:
# Units: ,
Telephone # of Contact Person:'] — 3�j " _t�
Estimated Value of Proje 60 d
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Q
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Q
Truss Calcs.
Called Contact Person
to1
Plan Check Balance.
V
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
I
Mechanical
4
Grading plan
2°" Review, ready for correction issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
n
Total Permit Fees
Uu N
WM
mwfyo
/006 aA,!q' Az-'e�
o LA
CO S*F v DEPT.
801LDING & \/ ED
pPp9 - cT►oN
FOR C0NSTRu
L
ACE !I 1
0 9 BY
"i0t°Z
ULTRA CLEAN
LUBRICATED COMPRESSOR
6
INSTALLATION
1
_AND SER1/dCE. . moi' TECH WEST INC.S
Manufacturers of Dental Vacuum
and Air Systems
MANUAL
2625 N. Argyle Ave. • Fresno, CA 93727
Revised 8-08 (559) 291-1650 • (800) 428-7139 • FAX (559) 348-9677
77 - O&o Ay
Figure 2
Dryer Purge
Connection
ULTRA CLEAN LUBRICATED COMPRESSOR
INSTALLATION
Alternate Air
Connection
to fresh air supply.
�- Electrical Connection
to disconnect and
electrical panel
220 v
(110 v / 220 v ) on the
single models only.
Air Out
Connection to building
supply line.
Ol
0
J
DUAL ULTRA CLEAN LUBRICATED COMPRESSOR
55
KEY
PART NO.
DESCRIPTION
UNIT
1
SBHA-21-375
STEEL BRAID HOSE ASSEMBLY
1
2
SBHA-10-375E
STEEL BRAID HOSE ASSEMBLY
1
3
SBHA-9-375E
STEEL BRAID HOSE ASSEMBLY
1
4
FPH-375
PURGE FLEX HOSE CLEAR
PER FT
5
ZZACS61
1/4 HOSE ASSEMBLY
1
6
PFT -500
POLY FLO TUBE 1/2
PER FT
7
CFAO-375
COALESCING FILTER 3/8
1
.9
DPB-100
DRYER PURGE BUCKET
1
10
CPT -100
COMPRESSOR PURGE TANK
1
11
RDC -100
REPLACEMENT DESICCANT CARTRIDGE
1
12
CV -37513-100
3/8 CHECK VALVE
2
13
DSV -230
PURGE VALVE SOLENOID VALVE 230V
1
14
SBHA-18-375
STEEL BRAID HOSE ASSEMBLY
2
15
CCH -230
LUBRICATED COMPRESSOR HEAD 230V
2
16
RFV -100
RUBBER MOUNTING FEET
4
17
PSC -3
PRESSURE SWITCH
1
18
POVA-100
SAFETY POP OFF VALVE
1
15
ULTRA CLEAN LUBRICATED COMPRESSOR
INSTALLATION
The Ultra Clean Lubricated Compressor location should be level, accessible and well ventilated.
If the Ultra Clean Lubricated Compressor will be located in a confined space, provide adequate ventilation.
Electrical
(1) Line voltage must be within the limits of Figure 1 below. (Install a "buck -boost
transformer" if line voltage is not between these values.) Circuit breaker switches
must be 20 - 30 amp depending on model and voltage necessary.
(2) Local code may require you to provide one quick disconnect (safety switch) for the
compressor..
(3) See Figure 1 below for breaker size and line voltage.
CAUTION - Voltage must be 110/128 v or motor damage may occur.
CAUTION - Voltage must be 208/240 v or motor damage may occur.
Figure 1: Recommended Wire and Breaker Size
Model
Voltage
Amperage
Wire Size
(Gauge)
Recommended
Breaker Size
Single Head Compressors
ACL2S2
230
7.2
12
20
ACL2S 1
115
13.6
12
20
1075"alrHead-Compressors j
-ACL"41D2)�
f"2�30
(-14.4)
12J
L, 20 . -
Triple Head Compressors
ACL6T2
230
21.6
10
30
K3
VACUUM
AND AIR LINE
SIZING
CHART
NUMBER, OF
OPERATORIES
SEE NOTE
VACUUM LINE AIR LINE
PIPE DIP METER PIPE DIAMETER
PVC sch 40 COPPER TYPE "M" COPPER TYPE "M"
1
3/4"
3/4"
1/2"
2
1"
1"
1/2"
3
1"
1"
1/2"
4
1 1/4"
1 1/4"
1/2"
�5�
r1'1/4" -i
x1'1/21,
[, 1/2';'
6
1 1/4"
1 1/2"
1/2"
7
1 1/2"
1 1/2"
3/4"
8
1 1/2"
1 1/2"
3/4"
9
1 1/2"
2"
3/4"
10
2"
2"
3/4"
11
2"
2"
1"
12
2"
219
1"
{t
'=`Maintenance&`_Seruie`/Notes' M
24
WHIRLWIND: VACUUM -PUMP
CITY OF LA �UiN�� �a
BUILDING & SAFES' DEPT.
APPROVED
FOR CONSTRUCTION
i� 11 BY
DATE
i�
f
_-Yr
CAD
Gulq
O
= NIG
��ticawrsrtr:c. '
L 11
y
INSTALLATION
AND SERVICE
MANUAL
Revised 8-08
TECH WEST INC.
Manufacturers of Dental Vacuum
and Air Systems
2625 N. Argyle Ave. • Fresno, CA 93727
(559) 291-1650 • (800) 428-7139 • FAX (559) 348-9677
747-Ak5c Wwx /�l 5v1�- /Q7 /( eFricje�
WHIRLWIND PUMP
'INSTALLATION
The WhirlWind location should be level, accessible and well ventilated.
If the WhirlWind will be located in a confined space, provide cross ventilation and install an
exhaust fan.
The following utilities are required:
(a) Cold Water Suoolv L stall a separptei172':cold,wat&r-_ branch for the Whirlwind water
intake(s). This will cool and lubricate the shaft seal. Water pressure should be
between 25 and 55 psi (water must remain on during operation) or shaft seal damage will
occur.
(b) Waste Disposal The W_hirlWind-will: xh ua st,bottTvapor_and'liquid. aw ste �P.rovid eexhaus
vent -sized -to -2-" n diamete a d,a waste drainywhich complies with local code.
(c) Vacuum Line The main vacuum line from the operatories must connect to the WhirlWind
vacuum pump intake manifold.
(d) Electrical
(1) Line voltage must be within the limits of Table 1 below. (Install a "buck -boost
transformer' if line voltage is not between these values.) Pro—vide�aaeparate_line-fo�
each pump.motoc.'_Circuit bre0Ker_switches"must,be`20,arrip
230 v
115 v
TABLE 1
208 v constant
110 v constant
245 v constant
130 v constant
(2) Local code may require you to[pr_ovideLone quick-disconnect7(safety_switch)-fo�� r-eac
[pumpmotor
(3) The WhirlWind is controlled by a 24 volt circuit. For remote control, provide one 18/3
jacketed cable for each pump motor.
2
WHIRLWIND PUMP
INSTALLATION
(a) Check the shipping carton for damage. This could detect damage to the unit which might
otherwise be overlooked.
(b) Remove the WhirlWind from its shipping carton. Inspect the unit for damage. (Single
WhirlWind's are shipped bolted to a pallet. This pallet is intended for shipping use only and
should be discarded).
(c) Inventory your Hook -Up Kit. Check its contents against the inventory sheet included. These
items will be used in the remaining steps.
(d) Mount the WhirlWind. To dampen vibration, ensure rubber isolators are installed on each
WhirlWind Pump.
Refer to the schematic diagram. of Figure 1 for steps (e) (f) and (g).
(e) Connect the cold water supply. See Figure 2. Turn the water on and check for leaks in the
water control assembly.
(f) Make the necessary waste connections. Figures 3 and 4 show typical installations. To install
a Tech West Exhaust Separator or Water Recycler see the applicable installation sheet.
(g) Connect the main vacuum line. For Single Whirlwind's, connect flexible hose to the pump
intake manifold (Figure 5). For Dual and Triple WhiriWind's, connect to the vacuum intake manifold
(Figure 6).
Refer to the wiring diagram of Figure 7 for steps (h) and (1). Detailed wiring
diagrams are on the inside of each pump relay panel cover plate.
(h) Connect remote control 18/3 jacketed cable to each pump relay panel. Use wire connectors
which provide secure mechanical connections. See Figure 8.
(i) Connect to line voltage (via safety switch(es) if required by local code).
Use C1=2agaug.e TH.HNagrade wire-and--approved.--conduit3for permanent wiring.
See Figure 9. (Single WhirlWind pumps may operate on either 115 volt or 230 volt
lines. For terminal changing instructions see inside of relay panel cover plate.
(j) Turn on the WhirlWind. Check the pump(s) for leaks and the vacuum level
following the instruction in "Weekly Servicing" page 8.
3
Figure 1: Plumbing Schematic
1. Line Filter 4. Impeller 7. Exhaust Vent
2. Cold Water Supply 5. Solenoid Valve 8. P -Trap Adapter
3. WhirlWind Pump 6. Exhaust Separator 9. Waste Line 7
Figure 2: Water Connection
4 1/4" 'Blue Hose
4
Brass Adapter
Brass Close Nipple
Brass Bushing
i»
Safety
Switch
I
Safety
Switch
I6 I
Main
Vacuum
Figure '3: Typical Dual WhirlWind Vacuum Installation
Figure 4: Sink Cabinet Installation ..
Dual Ci
Valve A
3/4"
Coupling
Main
Vacuum -p-
3/4"
►3/4" Flexible Line
PVC Hose
apter
FLUE ALL HOSE CONNECTIONS EXCEPT THIS ONE)
Figure 5: Vacuum Connection For Single Whirlwind Pump
Main
Vacuum
Line
rip Two
1
GLUE ALL EXHAUST HOSE CONNECTIONS SECURELY WITH PVC GLUE
Figure 6: Vacuum Connection For Dual WhirlWind Pump
0
SINGLE WHIRLWIND
KEY
PART NO.
DESCRIPTION
UNIT
32
RFV -100
RUBBER FEET FOR VACUUM PUMP
3
33
PTA -100
P -TRAP ASSEMBLY
1
34
ES -1
EXHAUST SEPARATOR TANK
1
39
CVF-750
314" CHECK VALVE
1
14
FIGURE 9. HOW TO SIZE A VACUUM AND AIR SYSTEM
BOTH THE DRAWING AND THE SIZE CHART ARE SIZED TO ACCOMMODATE AN AIR AND VACUUM SYSTEM FOR 100% USE. THIS IS DONE TO PRODUCE GOOD AIR AND VACUUM PRES-
SURES AND FLOWS AT ALL TIMES, FROM ALL OPERATORIES, YOU ALWAYS USE THIS DESIGN FOR A PROPER SYSTEM IN THE EVENT ALL SIX OPERATORIES ARE USED SIMULTANE•
OUSLY; YOU WOULD NOT HAVE ANY SUCTION LOSS DUE TO IMPROPERLY SIZED MAIN OR BRANCH LINES.
IMPORTANT: DO NOT FIGURE OR DRAWANY NITROUS OR SINK EVACUATION TERMINATIONS UNTIL YOU HAVE A COMPLETE SYSTEM SHOWING TERMINATION TO HIGH VOLUME EVAC-
UATION CONNECTIONS NORMALLY FOUND IN DENTAL UNIT JUNCTION BOX.
ADDITIONAL 314" VACUUM LINES FOR NITROUS OXIDE SCAVENGE AND EVACUATOR SINKS CAN BE ADDED WITHOUT AFFECTING MAIN OR BRANCH LINE SIZES. SEE FIG, 8. EXCEPT
IN AN OVERHEAD SYSTEM SEE FIG 5.
STEP 1. COUNT THE TOTAL NUMBER OF OPERATORIES TO BE PLUMBED AND SELECT THE CAV CAV UUM.LINE=SIZE FOR.EITHER.PVCOR"COPP.ER PIPE�SEE THE LINE SIZING
CHART IN FIGURE 2. IL -v - --
STEP 2. THIS PIPE SIZE YOU HAVE SELECTED WILL BE THE STARTING LINE OR MAIN LINE AND BEGINS AT THE EQUIPMENT LOCATION. THE VACUUM LINE WILL USE
A MAIN LINE RISER ASSEMBLY AS SHOWN IN FIGURES 1 AND 3.
STEP 3. AFTER FIGURING YOUR MAIN LINE SIZE, YOU MAY SELECT THE BEST LOCATION TO SPLIT YOUR PIPING LINES TO BEST ACCOMMODATE THE OPERATORIES.
IN FIGURE 3 WE HAVE SELECTED TO SPLIT THE SYSTEM INTO TWO ZONES; "A" AND "B". EACH ZONE BECOMES ITS OWN SYSTEM FOR PURPOSES ON SIZING
THE LINES PROPERLY. IF OPERATORIES ARE IN A STRAIGHT LINE, ZONE SPLITTING WILL NOT BE REQUIRED; SEE NOTE FIG 2.
STEP 4. STARTING FROM ZONE SPLIT LOCATION, COUNT REMAINING OPERATORIES AND LOOK AT THE SIZING CHART IN FIGURE 2. SELECT CORRECT BRANCH
ZONE LINE DIAMETER. IN FIGURE 3, ZONE "B" HAS 3 OPERATORIES REMAINING WHICH CORRESPONDS WITH 1" VACUUM LINE AND 112" AIR LINE IN FIGURE
2 UNE SIZING CHART. THIS SIZING LOGIC WILL CONTINUE TO THE LAST INLET ON ALL ZONES.
�UNDER•FLOOR-PIPE;SYSTEMI OVERHEAD PIPE SYSTEM
EXAMPLE A
EXAMPLE B
1
3/4"
3/4"
2
TO VAC PUMP
TO VAC PUMP
3
RISER ASSEMBLY FROM SYSTEM /
1"
r DIA CHART
1 1/4" - FIG. 3 0
1 1/4"
TOTAL RISER ASSY,
0 1/4" - FIG. 3 CO
/RISER PIPE,
i �� M.P. DIAMETER
1 1/4" - FIG. 3 0
36" MAX• -`
4" MIN.
CONTACT FACTORY IF 1 I
1" 1
r
r
O
1 1/2"
RISER PIPE OF OVER 33". MAIN
1 1/2"
1 1/2"
LINE
IPE
2"
2 1 VERTICAL
3
110SMAX
V-0�
1
4• MIN.
FROM ` / /
6 1'.
j
SYSTEM ' `
��-
KEEP FITTINGS AS
CLOSE COUPLED AS OTHER CATALOG NUMBERS COULD BE USED.
(MAIN LIATA
NE
1
HORIZONTAL
POSSIBLE. ALWAYS USE FOR PROPER RISETAL R ASSY. DIAMETESEPOWER R. ADO
KEEP FITTINGS AS
HORSEPOWER TOGETHER FOR DUAL AND TRIPLE).
CLOSE COUPLED AS
POSSIBLE ON
FIG. 1.
MAINLINE RISERt-ASSEMBLY
HORIZONTAL LINE.
FIG. 2. VACUUM AND AIR LINE SIZING CHART
ONE TO TWELVE OPERATORIES FOR OVERHEAD SYSTEM SEE FIG. 5.
[NUMBER OF -J
[OP_E_RATORIES
I -SEE NOTE
VACUUM LINE PIPE DIAMETER
I' PVC sch 401-I COPPER TYPE "M"
1
3/4"
3/4"
2
1
1"
3
1"
1"
4
1 1/4" - FIG. 3 0
1 1/4"
f 51
0 1/4" - FIG. 3 CO
L -1_1/2v
6
1 1/4" - FIG. 3 0
1 1/2"
7
1 1/2"
1 1/2"
8
1 1/2"
1 1/2"
9
1 1/2"
2"
10
2"
2"
11
2"
2"
12
2"
2"
24
THE TEE WILL ALWAYS MATCH MAIN LINE SIZE. USE REDUCER
BUSHINGS TO MATCH BRANCH (OPERATORY) LINE. LINE SIZES
WILL OECREASE WITH NUMBER OF OPERATORIES AS SHOWN
ON CHART IN FIG. 2. SEE FIG. 1 FOR
CONTINUATION
IIm
111. It 1" REDUCER 1':. MAIN LINE
BUSHING \ V
1" ZONE A
BRANCH LINE
I'A " : I" REDUCER
BUSHING
1" ZONE B
BRANCH LINE
SEE FIG. 3 FOR -' 'ALL FITTINGS ABOVE 1-'-145 SEE FIG. 3 FOR
CONTINUATION ARE TO BE DWV TYPE CONTINUATION
FIG.4 IBRANCH'LINE7OR.OPERATORY:TEES
EXAMPLE SHOW14 IS ZONE SPLIT TEE
IMPORTANT: ALL FITTINGS AND PIPING FROM THIS BUSHING TO SEE FIGURE 2
JUNCTION BOX TERMINATION MUST BE %'. FOR CORRECT
1/2" MAIN OR BRANCH LINE
1/2" SIZE ON YOUR SYSTEM.
BUSHING
BUSHING �(
i T BUSHING
10 FT.
MAX LIFT
(TYPICAL)
�• 'JUNCTION BOX FOR CONNECTION
i TERMINATION SEE NOTE. FIG, a
1/2"A TRAP MUST BE FORMED HERE A 45• ON so' ELL '
TO ALLOW WATER TO COLLECT. MAY SE USED AT THIS LOCATION.
IMPORTANT ALWAYS CLOSE COUPLE FITTINGS AT TRAP LOCATION.
WHEN INSTALLING OVERHEAD PIPING SYSTEM USE THESE BRANCH LINE TAKE OFF EXAMPLES:
YOU MUST NOT DEVIATE FROM THESE EXAMPLES ON OVERHEAD SYSTEMS. SEE FIG. 2 FOR
CORRECT MAIN OR BRANCH LINE SIZE ON YOUR SYSTEM.
FIG. 5 OVERHEAD SYSTEM
CONNECT OPERATORY SOLIDS COLLECTOR HERE VIA FLEXIBLE HOOK—UP HOSE
NOTE FOR INFORMATION ON CORRECT TERMINATION SIZE AT JUNCTION BOX
SEE FIG. 3 NOTE 2. --_ L. - _
FIG. 6TYPICAL BRANCH;LINE .TAKE;OFF
25
DO NOT ALLOW ANY PIPE
TO BRANCH OFF ANOTHER
PIPE BELOW THE CENTERLINE
OF THE MAIN OR BRANCH LINE
PIPE SEE FIG. 6 FOR CORRECT
BRANCH LINE TAKE OFF.
IMPORTANT
TO PREVENT SUCTION LOSS. 00 NOT ALLOW A TRAP
TO BE PLUMBED AT ANY LOCATION IN THE SYSTEM
EXCEPT MAINLINE RISER ASSEMBLY (FIG.1)AND
OVERHEAD VERTICAL RISER (FIG. S).
i
FIG. 7 MOST COMMON VACUUM PLUMBING ERRORS
THREE POSSIBLE PLUMBING METHODS ... SINK VACUUM
ADAPTER
FROM MAIN OR BRANCH LINE TO ... 'CONNECTION
TERMINATION IN OPERATORY, N20. "—
SINK AND JUNCTION BOX. "'TRousscAVENGE
VACUUM �'( � ��•
CONNECTION,:-
MAIN
ONNECTION.: MAIN LINE
o�
FSO S0Qf,
41SQ`Qy`'i'�
ALWAYS HOOK SINK AND/OR N20
SCAVENGE TO MAIN OR BRANCH
LINE AS SHOWN IN THESE EXAMPLES
(USING 3/4 INCH PIPE ONLY)
WITHOUT AFFECTING MAIN LINE SIZE.
REMEMBER WHEN COUNTING NUMBER O
OPERATORIES BASED ON FIG. 9 STEP 1.
COUNT OPERATORIES, NOT TERMINATION!
IN THE OPERATORIES.
>. JUNCTION BOK
<� VACUUM ;—
�� F' CONNECTION
MAIN LINE
NITROUSSCAVENG[
VACUUM NITROUS SCAVENGE
MAIN LINE CONNECTION >t vAcuuM
\\\`- / \ \I?l`: �\ ! SINK VACUUM
CONNECTION ADAPTER
SINK VACUUM 4� J CONNECTION
ADAPTER
CONNECTION
TYP
JUNCTION sox
VACUUM
'JUNCTION BOX •?,ti
VACUUM CONNECTION
CONNECTION
FIG. 8 N20 AND SINK VACUUM CONNECTIONS
BRANCH LINE TERMINATION TO TWO OPERATORIES
FIG. 10
THIS BRANCH LINE TERMINATION
IS SHOWN CORRECTLY. NEVER USE
THE INCORRECT EXAMPLE SHOWN
AT LEFT FOR VACUUM SYSTEMS.
26
NOTES
1. HANGER SUPPORTS REQUIRED EVERY
EIGHT FEET OR TO SUPPORT PIPING
WITHOUT SAGS.
2. ALWAYS STUD VACUUM AND AIR LINE INTO
WALL OR FLOOR JUNCTION BOX PER
MANUFACTURER'S TEMPLATE. IF 112" IS
REQUIRED, YOU MAY REDUCE PIPE SIZE
AS CLOSE AS POSSIBLE TO TERMINATION
POINT. IF A LARGER SIZE IS REQUIRED, THIS
CHANGE MUST BE MADE WITHIN JUNCTION BOX.
3. ALL VACUUM PIPING ILLUSTRATIONS AND.,
DRAWINGS ARE SHOWN WITH PVC PIPE SCH
40 AND DWV TYPE FITTINGS." -ALWAYS USE'
SWV FITTINGS. NOT AVAILABLE
BELOW 1 114".
4. ALL VACUUM PIPING SHOULD GRADE,
TOWARD EQUIPMENT LOCATION 114" IN
CTEN FEET.
5. WHEN INSTALLING AN OVERHEAD SYSTEM,
USE THE NEXT LARGER VACUUM PUMP
MODEL FOR BEST RESULTS.
6. IF OVERHEAD SUCTION LINE TERMINATES
IN A FLOOR JUNCTION BOX, USE THIS
EXAMPLE, TRAP MUST BE INSTALLED
BEFORE LINE RISES AS SHOWN. SEE FIG. 5&
7. INSTALL TRAP IN MAIN LINE JUST BEFORE
HOOKING THE FLEXIBLE INTAKE HOSE
CONNECTION TO PUMPS. SEE FIG. 1,
EXAMPLE B.
8. IN AN OVERHEAD SYSTEM, THE MAIN
VACUUM LINE WILL DROP DOWN TO THE
SWIRL -VAC LOCATION USING REQUIRED
PIPE SIZE. ALL OVERHEAD SYSTEMS ARE
SIZED IN THE SAME MANNER AS THE
SYSTEM SHOWN HERE.
9. DO NOT RUN POLY FLO TUBING BELOW
SLAB. ALWAYS RUN PIPE ABOVE SLAB,
THEN MAKE POLY FLO CONNECTION.
10. FIG 2 LINE SIZING CHART SHOWS MAIN
(VACUUM UNE SIZE DIAMETER FOR 4,5 AND
6 OPERATORIES At -1'1147 DIAMETER.
IF 11/4: DIAMETER IS NOT AVAILABLE, YOU
MAY USE 11/2" DIAMETER.
11. RISER ASSEMBLY MUST ALWAYS BE USED.
SEE FIG.1 EXAMPLE A FOR RISER
ASSEMBLY SPECIFICATIONS.
12. CONTROL PANEL SUPPLY LINES SHOULD BE
CONNECTED CLOSE TO EQUIPMENT ROOM
AND MUST ALWAYS CONNECT VERTICALLY
TO MAIN LINE AS SHOWN.
13. ALTERNATE CLEAN AIR INTAKE SOURCE
SHOULD BE EITHER PVC OR COPPER PIPE,
CONNECTED TO HVC. RETURN AIR DUCT.
SEE AIR COMPRESSOR DIAGRAM FIG 4.
John R. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
Rubidoux CSD
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
In cooperation with the.
r
California Department of Forestry and Fire Protection
77-933 Las Montanas Rd STE 201 • Palm Desert, CA 92211 • (760) 863-8886 • Fax (760) 863-7072
October 28,2009
RE: TENANT IMPROVEMENT PLAN CHECK
LAQ-09-TI-035 Jefferson Dental 79-800 Hwy I 1 I Ste.] 09 La Quinta,CA
You have been issued a release for a tenant improvement on an existing building. THIS IS NOT AN
OCCUPANCY PERMIT.
It is prohibited to use/process or store any materials in this occupancy that would classify it as an "H"
occupancy per Sec. 307 of the 20007 UBC.
THE FOLLOWING CONDITIONS MUST BE MET -PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2007 UBC. Note correction/addition of
exit sign locations on approved plans page 1.
A minimum 2A OBC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible
location within 75' walking distance from any point in your building or suite: Fire extinguishers can
be installed by a licensed extinguisher company with a State Fire Marshal service tag attached to the
extinguisher, or purchased from a retail store with a sales receipt attached. A licensed fire extinguisher
company must service extinguisher yearly.
All breakers must be. labeled and a clearance of 36 inches must be maintained around the panel at all
times.
A durable sign stating "This door to remain unlocked during business hours" shall be placed on or
adjacent to the front exit door. The sign shall be in letters not less than one inch high on a contrasting
background..
Provide key(s) to the tenant space for inclusion in the main building Knox Box. Key(s) shall have
durable and legible tags affixed for identification of the correlating tenant space. Key(s) shall be
provided at time of final inspection.
If this facility has existing supervised automatic fire sprinklers and if more than 10 sprinklers are
relocated / added plans are required and shall be submitted for approval
Approved suite address shall be placed in such a position to be plainly visible and legible from the
street. Said numbers'shall contrast with their background.
Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. A re-
inspection fee will be required if more than one (1) inspection is necessary. Requests for inspections
are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886.
All questions regarding the meaning of 'these conditions should be referred to the Fire Department
Planning & Engineering Staff at (760) 863-8886.
Sincerely,
By:
Jason Stubble
Fire Safety Specialist
0
mitelI start -Flow water heaters from FAMOUS PLUM...
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE l)
4 of 10
http://www.plumbingsupply.com/instant_flow_water_heaters.
rn�RdT-�tpUfs
mrcgp
These Chronomite Micro_tankless-electric water -heats
feature:
®_.Anti=scaldi_ng_factor_y preset.temperature available at 104°F,
110°F or 120°F (please specify. below)
® 98% energy efficient'
® Compac size.: 6-1/4�x 95%8"x.2'3/4"
® Easy to install
® Low installation cost
Unlimited hot water
® Meets ADA requirements
® Made in the USA
® Digital microprocessor control
® Great for use in public lavatory, non_public lavatory,
kitchen/bar sink, service sink, scrub sink, shower, dishwasher
and special applications
�/LOVV FL,O�'W MODELS:
® 0.5 gpm .flow rate
®L25 psi:minimumpressure
® Minimum operating flow rate at 0.4 gpm
®pressure andTtemperature�relief valve needed (unless
required by local code)
STANDARD FLOW MODELS:
® 1.0 gpm flow rate
® 25 psi minimum pressure
® Minimum operating flow rate at 1.0 gpm
® No. pressure and temperature relief valve needed (unless
required by local code)
77 r ONSC) /��' .�,rl za9
11/3/09 10:3-)
5 of 10
e Instant -Flow water heaters from FAMOUS PLUM... http://www.plumbingsupply.com/instant_flow_water_heaters
LOW FLOW MODELS
Model 4
Temp Rise
at 0.5 gpm
Watts
FV011ts
breaker
Price & Quantity
M -15L
57°P
4150
277
15
$301.33 F--'-
M-20L
M'-30L
33°F *
FT46-orT2FF
240
26
$291.23 -
5.7°F
F4-166
F -26-8F
—26F7--$300.50
$311.40r —
65°F
[T80OFT4
0
20
$309.09
75°F
49°F
5540
3600
F07 I
120_
20
30 J
$319.36
$292.34
* Please note: Temperature rise designed for warm incoming water temperatures.
Please specify a Factory Preset Temperature:
104°F _ 110°F = 120°F
NOTE: The microprocessor adjusts the heater's power for variations
in flow rates and pressure to assure the selected factory preset water
temperature. The microprocessor limits temperature rise according to
the factory set temperature.
ME,'
u,�r�1 3t tiffili",
VIEW CARTu.- s.'r�,�u
Please specify a Factory Preset Temperature.
104°F 110°F 120°F
11/3/09 10:37
Temp Rise
Model #
9-30
at 1.0 gpm
42°F
Watts
6240
V01ts
208
Breaker
30
Price & Quantity
$291.13
49°F
7200
240
30
$302.84
57°F
8310
277
F 30
$311.40r —
9-40
57°F
8320
r —8F
40
$291.07
65°F
9600 1240
F 40
$301.57 F
75°F
11080'
277
40
$310.78
M-50
79°F
11520
240 —F
50
$303.01 j
Please specify a Factory Preset Temperature.
104°F 110°F 120°F
11/3/09 10:37
CITY OF
LA QUINTA
BUILDING 8,
SAFETY DEPT.
APPROVED
FOR CO
STRUCTION
DATE
BY •
AMR
)ENTAL CHAI
-I
BEL -1 0
(Bel -2o)
INSTALLATION
'INSTRUCTION S
(REV. 02)
1
14) Attach plastic base cover to the base with two
5/8" long screws and a 3/8" long screw with
countersink washers & plastic screw caps. B 3/8„
(A short 3/8" screw must be used for rear.)
(See Figure 7.)
15) After the installation is completed, check all
the chair functions as per operation manual.
SPECIFICATIONS:
—/ Screw Cap
5/8"long Screws
washer
Figure 7
2318(595)
18-12(470 90•
7.58(,95
S7B(, 50) 10•
20-,2(520)
J'12.0)
+ 7358(1870) 5(125)
0
20'
-318 10 26.38(670) 30(760) 17 (fi00) 30(760) SB(600
1-22(560)_
10
* Power sealed hydraulic system powered by
F476- 6 -A -mo or Pump
*Base plate: 1/2" steel
* Bearings at link points - low friction insteel
jacket.
* Steel seat cradle
* Steel backrest support
Gh' Belmoan�t
DIMENSIONS INCHES & (MILLIMETERS)
Electrical requlrements:_115_VAC,4.6 A
�Hospltal grade p g
* Base component housing formed from solid
color acrylonitrile butadiene styrene (ABS)
* All exposed ferrous parts covered with corro-
sion -resistant paint or plating
*Weight: 381 lbs. (173 kg)
BELMONT EQUIPMENT, Division of Takara Belmont, USA, Inc.
101 Belmont Drive Somerset, New Jersey 08873 U.S.A. TEL.:(732) 469-5000 / (800) 223-1192 Fax.:(732)526-6322 / (800) 280-7504
TAKARA CO, CANADA LTD.
2076 S. Sheridan Way, Mississauga, Ont., L5J2M4, Can. TEL.:(905) 822-2755 Fax.:(905)822-6203
Printed in Japan 0611 MA
PUMP COVER
OUTLINE
LmiBelmont
I � I
�I X -CALIBUR UNIT
FLOOR TEMPLATE
I for BEL20 CHAIR i
1
1 , I
I
I
I
I I
1
I I I
1 1 I
1 I I
I
1
I
1
U T I L
CENTER
F0.ANE 1
I
APPROXIMATE CHAIR LIMIT /
I
G RA V I T Y D R A I N
I. - 1/ 7' N O Y I N A l P I P 8 1
I
I 3.3
1 I
_I I _________
_
_ ---_ --
T EL E C O Y Y U N I C A T I O N S I
11-1/1'NOMINAL PIPfi11 1
CBN T RAL VACUUM
(5/8'O.D. TUBE)
I
I UMBILICAL
CONNECTION
BRACRHT
1
- T ----- - --
II
I
-!-
FLECTflICAI CONDUIT I I I
FOR QUAD BOY
(1/2'O.D.) 11 I I
I
YAT8R11/t'
I I 1
�
THR8AD60 PIP8)
I
1 AIR11/t'
tR A N E R I I I T N R E,D E D P I P 8 1
S P A C E
I I 1 I
-___-_--_
I
I
i
I 1 Imo- 8.8"
7.3"moi 8.3"
CENTRAL VACUUM
ORAVI TY DRAIN
15/8'O.D. TUBfi)
11-1/t'NOY INAL PIPE
T E L E C O Y VU N I C A T I O N S
AIR 11/t'
(1-1/I NOVIMAL PIPE)
I
THREADED PIPET
ELEC TPICAL I WA T 1811/7'
11/7'CDNDUITI I TNPEADED PIPE
II
FINISHED FLOOR 1�
1
I �
1
I
\OT Es:
*LOCAL REGULATIONS PROVIDE THAT LICE S'ED P L U P 8 E R S� E L E C T RICIANS SHALL INSTALL UTILITIES
*WAKE SURE ALL PLU4UING C0N10R4S TO PREVA I'L I N G LOCAL C008S..
0 P L U W 8 1 N G C E N T R A L V A C U U M T O T H 8 U T I L I T Y C E N T E R S H O U L D 8 8 S PECIPIED 8Y THE CENTRAL VACUUN
SUPPLIER AND T E R 9 1 N A T BD IN UTILITY CENTER WI THS/8'O.D. TUBE PERPENDICULAR TO THE PL00R.
S I W I L A R TO THE DRAIN CONNECTION.
QCRAVItY DRAIN HAS 1-I/1'NOMINAL PIPE PROT R.UDING 1'FR04 FINISHED FLOOR.°
N O TE: C O N T R A C T O R TO SUPPLY AND PLACE TRA P. IN LINE TO CONFORM WITH LOCAL CODES. ,
® E L E C T RISC A LSC O N T R A C T O R TO SUPPLY QUAD ELfiCTRICAL OUTLET 80%.
I S I 1 ^TA�b� RI -.
B-20 X-Cali.n.�df..(2.3 MB)TWLubricate....Rdf (1.7 MB)TWWhirlwind....Rdf (845 KB)
13113
X -CALIBUR UNIT
FLOOR TEMPLATE
for BEL20CHAIR
FX�Ra�Un tI
- --- _.._._C I ®.F._.l-.. �.. liTA-- -- -
'BUILDING & SAFETY DEPT.
SECTION TWO: PRE -INSTALLATION INSTRUCTIONS APPROVED
[1] SUPPORT REQUIREMENTS
Control box:
FOR CONSTRUCTION
When mounting the model 096 control box, the wall and mounting hdware m e s ficient
withstand a 25 pound shear load. lirDArE/ BY
Arm and head: , g —/,u Z.
ThePMODEL 096 wall plate is designed for. inounting�on two 2x.4 wood`3studs-w�ithAlf6tnehes.
centers For other types of construction, the wall and mounting hardware must be.pficient towtlstand 3::;
The arm mounting bracket, part No.39, must be mounted to the wall plate using the bolts supplied with the
x-ray.
ACAUTION:
If the MODEL 096 is to be mounted in a manner other than what is specified in this manual or if
the hardware to be used is other than what is supplied, the support capability of the wall and
the strength of the hardware must be checked and verified to be adequate.
Power supply:
The MODEL_096,x-ray system wih gj�erateinpower supphyof�120VA'C,+12V AC, -12V AC (108V AC
to 132V AC). 's
[A 3'wire GROUNDED-circuit,_separately co_nnected to,ihe central distribution panel with anover-currentl
Cprotection device rated'for_ 15_ amperes. -
Recommended.wire size is.12 AWG BU_ T if the wire run distance is to exceed 50 feet 10 AWG is required.
For wire run distances in excess of 75 feet 8 AWG is required. Line voltage regulation must be within
2-5 % at 10.8 amps.
Interconnecting wiring, control box to arm and head assemblies:
6'condu`6t6r_.l2 AWG'is recommended for'wire run distances up to 50 feet. For wire runs between 50. and 751
Lfeet•10-AWG is rrequired and for wire run -distances in excess of 75 feet 8 AWG is required'
Concealed wiring for WK type:
Concealed wiring is accomplished by bringing conduit and wires into (2) flush mounted junction boxes
located (1) behind the control box and (1) behind the arm mounting plate. Recommended heights for the
flush junction boxes are : 515/8" for behind control box and 44 1/2" for behind wall plate. Wiring done in
this manner should extend 12 inches beyond the wall surface to allow sufficient wire for connections.
Junction
Boxes
FROM
POWER
SOURCE
WALL
Min 12AWG
L N -L- 3 4 5 6 7 8 8 7 6 5 4 3
Terminal Block
for Control Box
Pigtail for Arm
Mounting Bracket
NOTE:
All connections, workmanship and materials used must comply with the local codes.
k /P-? e Af
-n-'Oer') 4 ///- <;. &Fft:e
SECTION ONE: TECHNICAL DATA
DIA XW 19 CIY41 .10 1 �► �:
1. Focal point measurement .............................................. 0.8 mm x 0.8 mm
2. Rated peak tube potential ..............................................
70 kVp
3. Rated tube current.........................................................
10 mA
4. Maximum rated peak tube potential .............................
70 kVp
5.()ated lme vovoltW.................................................
f -120'V AC
6.Rnejvol ge ranges°�r..................................................
X108 V AC ° ITS VAC=
7. Range of7me voltage regulation..... ...............................
2-517o .
8. Rated line current..........................................................10.8'A
at 70 kVp, 10 mA
9.(1VIazimumline current: ................................................
411.9 A at 70 kVp, 10 mA
10. Exposure time.............................................................
0.02 , 3 sec.
19. Maximum deviation of tube potential and tube current
(ON and OFF are zero crossed.)
11. Timer accuracy............................................................
t 1 pulse (1/60 sec.)
12. Inherent filtration........................................................1.3
mmAl Equivalent
13. Added filtration...........................................................
0.8 mmAl
14. Minimum filtration permanently in useful beam
........ 2.1 mmAl Equivalent at 70 kVp
15. Nominal roentgen output
a. Distal end of regular cone ...........................................
8.2 mGy/sec. + 30 %, - 40 %
b. Distal end of long cone ...............................................
3.7 mGy/sec. + 30 %, - 40 %
(Data obtained by direct measurement in the useful beam)
16. Source to skin distance
a. Regular cone................................................................
204 mm
b. Long cone....................................................................
305 mm
17. Leakage technique factor ...........................:................
70 kVp / 0.16 mA
0.16 mA is maximum rated continuous current
for 10 mA with a duty cycle 1: 60
18. Duty cycle...................................................................
1: 60 (0.5 sec. exposure with 30 sec. interval)
19. Maximum deviation of tube potential and tube current
Pulse Tube Potential Tube Current
1 st,2nd & 3rd 70 kVp 10 t 2 mA
20. Measurement base of technique factors
4th & Up 70 ;o kVp 10 t 1 mA
a. peak tube potential......................................................
Peak tube potential of conducting half cycle
b. tube current.................................................:...............
Average of tube current during one cycle of
line frequency
c. exposure time..............................................................
Impulses of power line frequency
21. Half value layer...........................................................1.5
mmAl over
22.'Source to the base of cone distance ............................
81 mm
-'3 -
096 -WK
4.1/8• 81-1/Y 9-91,6•
X-Ray Cabinet Rough -in Dimensions for
071 A Belmont X -Ray 11 .
IIIEMOUNIINC FEAIE SHOULD RE
BOLIED 10 ME DOUBLE VER1ICAi.
2XA SIUDS. ME DOLTS SHOULD
DE SECURF,D WIEII LOCKWASIIF.RS
AND NUIS.
SPF01CAHONS, MODELS, AND ra10- SUB)ECI
10 MANG: 1,11110111 NOTICE.
F o1 W"OM Goo ON M1 .E,
i1DY eoit0u NOLE
OU411Ay rV.IE
43.5' 40.5'
—_
Imo— 50' —�-
�n-42 1/2'_8-
-ornaNrrrtyu
O O
Cabinet Width:
071A: 42'1x' Wide
096: 50' Wide
BELMONI/KOKEN
1631 MAR11N LUTHER KING D,
ST LOUIS. MO. 63106
314 231-7383
600 325-7373
(To Order Pass -Though Cabinet)
[3] ARM ASSEMBLY Y INSTA , .ATION
[3-1] WK TYPE
The INSTRUCTIONS given below are for mounting the arm and head assembly on two 2 X 4 wood studs
with 16 -inch centers. Should the MODEL -096 be mounted in a manner other than what is specified here,
the wall and the strength of the hardware used must be checked and verified as being adequate to withstand
a 100 pound shear load and a 450 -pound withdrawal force at each of the four mounting bolts.
When using concealed wiring, a flush mounted junction box with the necessary conduit and wiring must be
pre-installed at 40 5/8 inches from the floor and centered between the two studs (refer to template).
A. WALL PLATE (FIGURE 2):
1. Tape the wall mount plate template to the wall, positioning it
so that the holes are aligned with the vertical 2 X 4" stud.
NOTE: In no instance is the wall mount plate, or the arm
mounting bracket, to be a single stud.
2. Mark the hole locations.
3. Using a 3/16" drill, drill a pilot hole approximately 2" deep for
each plate bolt. CAUTION: Do not use larger dia. drill.
The electrical wire access hole should be predrilled using the
height from the floor specified on the mounting template.
4. Place the wire through the hole into the stud mount wall plate
and mount the plate to the stud with 4 coach bolts supplied.
DO NOT FULLY TIGHTEN BOLTS.
5. Holding plate firmly against the wall, place a level(a) upright
on the surface. If the wall is not plumb, use shims behind
the plate to level.
6. Place a level(b) across top edge of wall plate, level and tighten bolts securely.
NOTE: Final leveling of wall plate is described on page 13.
7. Put bolt cap to each head of bolt.
B. ARM MOUNTING BRACKET (FIGURE 3):
FIGURE 2
1. Remove access cover from bottom of arm mounting bracket. Snake electrical interconnecting wires
through bracket and out access hole.
2. Using M 8 X 20 mm bolt with washers in lower mounting hole and two M 8 X 20 mm bolts in top
mounting holes, mount arm mounting bracket to wall plate. DO NOT FULLY TIGHTEN.
3. Placing level across top edge of arm mounting bracket, level bracket then tighten bolts securely.
4. Put the bolt cap. to each head of bolt.
NOTE: Final leveling of wall mounting bracket is described on Page 13.
FIGURE 3
x 20Bolt
Access Hole I Boll Cap
Access Cover
C. If wall plate is not used, other optional, special, wall plate for "pas thru" (4X4") installation mustbe installed.
Coil�'��-� " " f Occupancy-..- Certificate 0
OF9 Building &Safety Department
This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the
. 2007 California Building Code, certifying that, at the time of issuance, this structure was in
compliance with the provisions of the Building Code and the various ordinances of the City
regulating building construction and/or use.
BUILDING ADDRESS: 79-800 HIGHWAY 111 # 109
Use classification: COMM: ( JEFFERSON DENTAL) Building Permit No.: 09-1.062
Occupancy Group: B Type of Construction: V -B Land Use Zone: CR
Sprinklers Installed: YES Sprinklers Required: YES Occupant Load: 15
Building Official . .
Owner of Building: 99c ONLY STORES
Address: 4000 E UNION PACIFIC AVE
City, ST, ZIP: COMMERCE; CA 90023
By: STEVE TRAXEL
Date: MARCH -17, 2610
POST IN A CONSPICUOUS PLACE
P_O, BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number.,
10-O0000557
Property A4ddrs88:
7980C HIGHWAY III STE 109
APIV;
549-420-040- _
Application d0$Ofipti0n:
SIGH
Properly Zoflingg
REG-ZONAL COMMERCIAL
Application ualusTion:
1100
T-144f 4 4 a"
Applinant: AFchitaet or Eengine@c
0�/ � /A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--- --- - - - ---- ------- --------------__--
CENSEOD1:G FRACTOR'SQ ATION
I hereby Affirm under penally dt par3rrry r I am ISM d under pravitio f Chapter 9 iQdmrnardng with
Secrinn iDOot eI Di iRiJbn a of the elraln ae and Fee mart Cod ! y [rare W In tut! larch and sllari-
LirenwClase; Dort C45 NO 630131
d rem f� wrtrertvrI
OWNEW LDFA D RATION
a hereby arllml u,,,*- panalty of Derpoy that I Ji[T c.e:.*pt from the C rareor's Stara Llrenge Law Im tits
faalLowusa 14MOn LSeO- 7U5I,6, 0Niir►sE* end Prafessldne Code: Any city OF county Chat requires a permit to
[Qrasirva, 9ITer, Impfoye, mwolish. or rm& any structure. prfof to iL3 laeuence. Abb requires 1 he applicant for the
permi [ to file a Llg„pd itatemam the? Fie dr &I,& is lIQ4> Od p1Pou3m tO she ofovieiorts of The Gcmbactor's Siaie
L Ice+ass taw (ninptar 9 'commenping wish fectldn 7vo h1 Of uivisi" 3 Of the ausinms aid ?ralasslons Cfldl er
mutt he or 6he to swEdnpr L11wrelrem titre the taaslE lair the allegaC arppnfpibmt. Anv vlolatien of Soudan 7031.5 by
any applicanrt tar a pentrt subpemsma aprA"VLT TO p civil pi oT apt mdra Shan riv4lhrrrd<ed ddlrrs 050M.:
f I, as Owner QI the property, or rtry empWyNs. with wagot as their sofa campahasnpa, will Qa the wprk, end
the sirucwra It, npi intended or oitmet for sale tsar_ 7044, Badness and protemlona Code: T he
Ccinifaclom' State License taw does not apply w an owner *1 propwryr wiry knrikde ar improves Inaraon,
and who does eha work hlmsNf W herself through his or her own employe llr provided that 1:16
—7oO rrncnts ars not intended or uiiceed r- sale. If, however, the building or Improvement h" Wilhir
one vow of vomildlion. the Dwner-bulkier Will here thq burden of pmvlrrg than he or she dd nD[ bulld err
Iin#owe ref the CorPgM of SaIaJ,
L _ I r, as owner of the property, prn rwelvwEly contracting with IlLcensad Cp vattms to comamia the prefect ISac.
7044, RuWms and Prdtonidma 00do: Tll,t CQntractcza' State Llcmae L&W doo not apply W an Owner of
pwTmTy who bonds or irnpraraf IM-9,0 ,h, pnd who ;vnU3 is Jorlhe projects velth a aonviwtarw licin%ud
pumiani re the Convxcil*W Stele [tame Law -I•
I S I am exempt ardor See_ _ , 9.&P.C. for tail 182"
DDts:
Owner:
CONSTRUCTION [AIDING AOMCY
I hmby affirm under p"iy of poriuty that there Is a DQMIrvGi6e 1eeCing ngency for thr performance of ore
work Ear a Wcfi this parmlt Is issued ISM. 3097, GirCJ.
Lmndgr'r, blame:
Lender's Address -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/2 3/ 10
Owrker:
99C ONLY STORES
C/O TEFF GOLD
4000 E UNION PACIFIC
commrkm CA 90023
Gor,tracxor. J� l± S IGNARAMA JL)` `
41945 BOARDWALK, n m
VALM DESERT, CA 92 11 G tYrr f {
(760)776-99107
Lic. No.: 83k73x
------------------
W01Ikigt 3 COMPENSATIONN DELL RATFUN
I hereby affirm under pener[y of penury Erb pF thq fallQwirag qyr=laratiQras:
I have Find will malnte:n a certilicAte al consent in seJr-Jnrure im workers' r'aMp*N41tl1)n, at provi¢W
Im by Section 370G of the tabor CDda, for the performance of dw work Ior which tars permit Is
Issued,
LKI hags and will maintain werkcers' EampenmWn imaranee, e# required by SMiep 3700 all The Lbbdr
Q040, Irk the pmfdrrnallce df the work for which this permit is Iemed. My wdrkam' dornpamatldn
Irlsq WX4 ruler and pOUCy number ire:
Carrier $TAT$ FUM7 POIiCY N 19365Q7
r mrtity thee. In the perform ' ca oT tea -
❑ ar witirn trig per?u"Aw'-Ll,
I enee net wmpbY eM
pwaon In any manner *9 eQ pvcome 'act M Dr taws of Calhornls,
and agree thy[, it I becgnie suhia to 1%* kGr oprgisiorr5 of Section
}} 3700 of the Labor C t shall I- compr
u L'i f d A r
WARr�IHG1. FAiLORETO SECUREWAGMEFIV CUM EF16nfION OVFTiADE AND MALL
5UBJEO AN rMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UA TO ONE HUNDRED THDUSAND
DO"AS ttiopQ0I. IN ►DQtTIQN TQ THE C45T Or' COMPENSATION, DAMAGES A5 PROVIOED FOCI IN
SECTION 37O6 DF VHE LABOR rWE, iRi F# -T. ANQ ATTQANEy'S FEES-
ArpucAmr Ae CKMO W LEDUEWNT
1IMPO TTANT Appeeatlan iX isuretay rnads to the Oirg=r of guilding and gaiety oar a permit sublea m the
rondlltone and iesirrcreone 3a[ rann w iltlg applid3tlort,
I- Each pared. upai whose he47eil this: apOICAuhn ih made. aarh persee aT W"i r4qul„r qnd ipr
whose bvviit work Is performed untler or pursuani [o any perm;[ ;ssr.ed 8% a result Fir This appllt:811' ,
the ewmcr, and the appNcant. nmA agree to. and shall datend, Indsmmily are hoetl harmless ore CIty
o! Lm Oulurf, hs txffletrb. wjtuta a.d empLoFcci inr my act or omLsslon related tD the work belnp
performed under flit follawkV iewence of this ixtout-
2- A" permit issuod as a result of thfa app%Icatian heodme3 null and vdltl if wmrlk 13 rn
MIMM. IND A3y# ROM dat8 Of Iq ;uyh6Y 4f 5vO prgenri1, 9r orl work fo 'Sul*eat
Derrma io cendellavdn. 1 .1 J
I certl Thar I have r;ad IYeg a
fy RplicaLio[r and state that the ' oil+ r anon I oarrect- Beae to PW With an
city and county ordinances and Scar. law* relating to bull a ns Iva. utruriLe rpsemutiver:
�-FtYoner upon rho ahmve-mentioned pit r for I is _
ft;AtAplitah[ Orhy
A'3eni l:
t
LQI'Jr.IthtlT
Certificate of Compliance (Sign Lf htin fPa e 1 oft) _LTG-• C
_ P ; Na'"{: Pb&w of Camtruction D New Ce nstructian 0 Addition 1 Aittr 4r
n T} Function Type UUtdnorSigns ❑ Fado ur $igrrS
Project Address. M
,�� • �] �� } � � tC �� � � � � $ � 1� Coanplian+x Mtthod UsedC] 14�1u�imum Allowed
Lighdiag Power ❑ Alternate Lighting Sour ea
Documentation Author's Declaration Statement
* l certify that this Certificate of Compliance documentation is accurate and complete.
Name C�rPr L Signature
co-pany } Date
Address 1f applicabte{
Principal Lighting Designer's Declaration Statement
■ I am eligible under division 3 of the California Business and Professions Code to accept responsibility for the lighting
design.
* This Certificate of Compliance idjantifles the Iighting features and performance specifications required far compliance %
Title 24, Pages I and 6 of the Call famia Code of keguWions.
* The design features represented on this Certificate (if Cunpiiance are consistent with the information provided to docurr
this design on the other applicable compliance forms, worksheets, calculations, plans and specifieativns submitted to the
enforeemem agcrtcy for approval with this building permit application,
Name: I Signature
Address'
• 7'
Sign Mandatory Nllea€arcs
ITidicate location an building plans of Mandatory Sign Men,,oFes Nate Block;
Mandatory Sign Lighting Controls yes
1 T§t33(a)]. All signs with permanently ennnected lighting are control led with an automatiatime switch control
�r
tftat tom lies with tltn applicable wrements of § 119, h
§133(a)2. All outdoor signs are catitrnlled with s phntu control or outdoor astronarnical time switch control.
2 Excepdon to §133(a)2. Outdoor signs arc in tunnels or large covered areas that require ilkLmination during
da I i t hours.
t§133(a�3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce
sin Power h a minimum of 65 perce at durina ni httirne hours. p
Exceptinu 1 to §133(2)3, Signs are illuminated for less than one hour per clay during daylight hours. ❑
3 Exception 2 to §133(a)3. Outdoor signs are in tunnels or large covered areas that require illumination
durin da li ht hours. ❑
Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps are used to
illuminated si s or parts of si gns.
§]33{a)4. An Electronic Message Ceriter (EMC) having a new connected lighting power Ioad greater than
15 kW has a control instafted is capable 0freducing the Iig"ng power by a minimum of 3o percznt when Y N
4 Tv"ivi!ig a demand res se si naI that is sent out liv the local uti lity. ❑ El
Exception to §133(m)4. The i;MC is required by a health or life safety statue, ordinance, or regulation, Y i f
i nclud ing but not Iimited to exit si gns and traffic s igns. ❑ 11
20L78 Nonresidendai? Comptiurwe Farms Augnsi 2009
Agplicat�cn Nurnher . . . . . 10-aa0a0557
Pexrni.t
BLUC-ELECTRICAL SIGN
Additicvial*deac .
Permit Fee
30.00
Plan Check
Fee
40
Yvsue Date
Valuatioa
. . .
. 0
Expiration Date
12120/10
Oty unit Charge Per
Extension
BASE
ME!
15.00
1.00 15.0000 EA EL_EC
SIGN 1ST CIRCUIT
15.00
-----SpecialTNotes and
Comments
1 INTERNALLY ILLUMINATED CHANNEL
LETTRR
NF,QN SIGN, PER SA
# 2011)-1442. 2007
CODES.
-------- -----------------------------------------
Other Fees . . .
. . . . ELDG S'ITID3 AI7MIN ( SS
14 73 )
1.00
Fee Summary
Charged
-----------
Paid Credited
Due
part Fee Total
T- JW
3000
_oa
.00
30.00
Plan Check Total
.00
.00
.00
.00
littler Fee Total
1.00
.00
Oa
1.00
Grand Total
31.4U
.00
.00
31.00
WFEWAL '
Certificate of Compliance and Field Inspection Energy Checklist (Sign Lighting) (Page 2 of 2)
SLTG-1C
Project Name:
pale:
Cum liance Method
Maximum Allowed Lighting Power
A
B_
C
D
F
F
G
H
i
I
K
.0
Description or location and plan location
Allowed Watts
Design
wattle
Camphes?
YN
Light
Source
Field
-Inspector�
_
` W
ti
1I
O
'�' L
Ie
�
y
M
VI
r
In
egnJ
w
O C1
IV&
1
❑
❑
a
C7
❑
C]
CJ
❑
Total Si n Arex
1. pesrgrp Wairs = !oral conmaed fighfing food i nsfalierd iu site sign. mc1uditjg polrer used by Tampa. ballasts, I;'rftrsfof-mers. power supplies, efc.
2. 1 Fai! Mete describe on Po c 2 o tfee Ins eeriotr Checkilsr Form and rake ra rare action fa correct. i�eri hrtifdt tares r�ecc.sso . rf,re addiriorud sheers - rwcessa .
The sins identified above; use only one or more of the followio g tevhnola tea: list aJ I applienble numbers that a pply in column Y above
I
High ssgre "fum (Rmju
2
Pulse star[ or ceramic rrreraf Jlaride fqmw-wrmdby a ballast with } 88,% efficiang
3
Pulse slm-i metal hahok Lora [hut are 5323 watts, are not 2549 waft or 17S wart fa s, and are served Oy a bdAur with � ON a tcien*
4
Neon or cold caeimde IGmpN with transformer orpawersupply efficiency ?! 73%with rateedoer tit current < 30 mA
5
Neon or cold earhode lumps with era firmer orpywer suprly e idere . L- 68% with rairdvu rN current 2 Sd rrrrt
6
Rmwescent kqmRs with a minimum color raadeY n tad a .Rf o 80
7
Li hr emitrin etudes LEDs wish a pow r ser pdy with 2i 80% efficiency
8
Single vortage LED externalp werdai fiat drjS gwd to ConvVr! 120IV4.4c itrpw fntu fawcr vaflage DC ar AC ouipue, hawing a nameplate ouiput power fess than ar equai m 250 wairs, 00
Lied to the Eyre Comm usion as cam i with the icobie uirerreenfs ca the .i liauce � rciere� Re ativns LSE 2U
9
Cum r MOressent! thatda M49i contain a medium screw baw sockets 6�IE2b
to
Eiewanic hulIza wi&h nda"W nlal Otr"Ffte4wncy Z 20 kh#
Fief Ins eetor !Notes or Discrepancies
2008 Yorrresidenf of Compliance Forms Augmsr 2009