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Home My WebLink About2007-Certificate of Occupancy CITY HALL Inspection Services Div 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 City of Oshkosh OfHKOfH ON THE WATER Approved: Issued: 08/03/2007 08/08/2007 FOX VALLEY PLASTIC SURGERY SC 2400 WITZEL AVE OSHKOSH WI 54904 CERTIFICATE OF OCCUPANCY An Occupancy Permit is hereby issued for the Medical Office and Surgery Center located at 2400 Witzel Ave as described in Building Permit #121954. This space shall be used as approved and is located in the C-1 Neighborhood Business District. LIMITATIONS: Maximum number of persons: Per the Stamped State Approved Plans Certificate of Occupancy shall be required prior to occupancy, should additional building(s) be erected, or should any buildings mentioned above be altered or moved. The use of land, or buildings, shall not be changed until a Certificate of Occupancy is issued for that occupancy. All conditions noted above must be complied with in order for this certificate to be valid. 01 cc: Hoffman LLC Job Address 2400 WITZEL AVE Building Permit Work Card Permit Number 0121556 Create Date 9/14/2006 Owner FOX VALLEY PLASTIC SURGERY SC Contractor HOFFMAN LLC Category 221 - New Offices, Banks, Professional Plan V3-90-0906 Occupany Permit Required Flood Plain No Height Permit Not Required Class of Const: 2Bibc UsefNature New Plastic Surgery Center - 2 Story - 23,410 sf. Foundation Only. *Note: Storm Drainage Approval and Approval of items on I of Wo,k '00'09 ""'ew to be 0""000 "'0' to '''","00 of Above Fo",',"oo PeIm ,. ~ HVAC Contr Plumbing Contr Electric Contr Inspections: Date 9/29/2006_ ~____ Type Footings Inspector AIIY!l_l?an_nho!______ approved [Request HnefWilisfart pouring Friday 9/29 and several days after.9729/2006 =-FooiingsbeingfOrmed - no concerns with soil orfOrms-=- IOK to pour when ready - AD ! I DatefTime requested: 9/28/2006 09:06 AM Notice Type: Access: C Requested By: HOFFMAN LLC - Lori (Delrar) o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Ready DatefTime: 9/29/2006 Phone Number: 920-731-5464 Date Type Footings Inspector ~annhoff rEQUEST LINE / READY FOR A FOOTING INSPECTION. 10/3/2006 - No time - AD I I I _________ DatefTime requested: 10/2/2006 09:01 AM Access: C Requested By: !?~LHRAR -_LAURI~______________ Phone Number: (920) 731-5464 o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid no time II Notice Type: Ready DatefTime: 10/2/2006 09:01 AM ---__jJ Page 1 of 1 Job Address 2400 WITZEL AVE Building Permit Work Card Permit Number 0121954 Create Date 9/14/2006 Owner FOX VALLEY PLASTIC SURGERY SC Contractor HOFFMAN LLC Category 221 - New Offices, Banks, Professional Plan V3-90-0906 Occupany Permit Required Flood Plain No Height Permit Not !3~quired Class of Const: 2Bibc Use/Nature New Plastic Surgery Center - 2 Slo;Y=-23,410 sT Work abovethefouridatio~-~-----~-~---------- of Work ~- HV AC Contr Plumbing Contr Electric Contr Inspections: Date ~E:.?!?_O~_-:-___ Type ~gh In [Request line / Looking for above ceiling inspeciIon-jn garage. [make it now. Would like to lock up on Friday, 3/23/07. I I [ I l_______ __________________ Date/Time requested: 3/21/2007 Access: Inspector ~Iiy_n_ !:)a~nb-9ff______n___________ _ no time ---~- ------------------------ ---------_--__nn------l It is a hard ceiling, but there are access doors to see up there if you can't ....._~ 11:09 AM Notice Type: Ready Date/Time: 3/21/2007 11 :09 AM Requested By: 1i.9'=fMAN LL~ - Stev~_f:!~~man________ Phone Number: none given o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Date 4/2/2007 Type Rough In Inspector Allyn Dannhoff :Sta~rting torock, no concerns noted. Not doing shaft yet - designer approach not yet determined.-- approved w/cond. ~_J 1____________________ Date/Time requested: Access: Requested By: o Reinspect Fee 0 Fee Waived Notice Type: Ready Date/Time: Phone Number: D Reinspect Fee Paid Date ?.!~/2007 ____lQ:OO~JYI__ Type ~()_l!g_h_l~__________ Inspector ~I!y_~ !:)a~n_b~fL_n_______~_n___ approved focoriCerns noted --~------- ----------------~----~---------------------------------- I L______ DatelTime requested: 5/2/20rE~~_ 03:48 PM _ Access: [=-=_==---==----- Requested By: o Reinspect Fee 0 Fee Waived Notice Type: Ready Date/Time: 5/2/2007 03:48 PM _--===:J Phone Number: D Reinspect Fee Paid Type Final_ Inspector Allyn Da~nhoff approved l ~ Date 7/31/2007 Date/Time requested: Access: r----- Requested By: _____ o Reinspect Fee 0 Fee Waived Notice Type: Ready Date/Time: --=- l Phone Number: D Reinspect Fee Paid Page 2 of 2 Job Address 2400 WITZEL AVE Building Permit Work Card Permit Number 0121954 Create Date 9/14/2006 Owner FOX VALLEY PLASTIC SURGERY SC Contractor HOFFMAN LLC Category 221 - Ne~gffices,~anks,_Prof~~i'!.r1.~____._.________~___ Plan V3-90-0906 Occupany Permit Required Flood Plain No Height Permit ~.<:>lREl9.!:Jired Class of Const: 2Bibc Use/Natu re :NewPiasITcsurgerYCenTer:-2Stoiy-=-Z3,41DSf. W6""rkab-ove Thef6undatTori~--'----' ___.~_""~""_""____m______ of Work ---------l I HV AC Contr Plumbing Contr Electric Contr Inspections: Date Type Foundation Backfill [~tt'",_'0~O~006 . "0 time. AD Date/Time requested: 10/20/2006 08:05 AM Inspector Allyn D~""r:!nho!!.._.._________ no time ..----r I I I ---.J Notice Type: Ready Date/Time: 10/24/200509:00 AM Access: Requested By: HOFFMAN LLC.- Steve o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Phone Number: 920-540-5872 Date 1~~~2/2006.. _:..____ Type !3.~ug~~__ Inspector ~JIY!1_gar:!ll.ho!!...___._______ no time !Re"e" H'~~h,y~-rn"aml"g Ityo",rn 'ot.'e"ed-'" lookl', at'"~_~~~~_mU .. .... --=~J Date/Time requested: 12~Q[?_00~ 03::!.Q!'~ Notice Type: Ready Date/Time: 12/20/~~Ql'~ Access: [~~====~=-===----=--=-===~==-- ====--=~=~=~---- J Requested By: t:l().fFMAN_,=,=-g..:~teve H~IIr11.~__________ Phone Number: 920-540-587~___m__ o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Date ~1?/.?9~ ...:..~_ Type Rough In SeeFCI\f~faxed toMark Robbins/Architect on 2/15/07. . L..._______ Date/Time requested: ________ r---------- Access: I Requested By: o Reinspect Fee 0 Fee Waived Inspector Allyn Da~nhoff___ approved w/cond. ~ Notice Type: Ready Date/Time: Phone Number: o Reinspect Fee Paid Date 3/1~~007 _:..________. Type Rou~h In __ Inspector ~lIyn[)_Clrlnhoff...___ _____________ approved INoTmm-edfateconcems notecr:-Advised Steve to set up anleeling with Mark-Robbins-to review code and options for me-cha niCaT--i [hase/Shaft and other firestopping/penetration issues. Advised Steve to check spec's for how HVAC ducts were to be hung/ensure they jl are meeting the design requirements. - ------- --------- Date/Time requested: __._._ Notice Type: Ready Date/Time: Access: Requested By: _______.______.____________________________._ Phone Number: o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Page 1 of 2 Job Address 2400 WITZEL AVE Owner WITZEL LOT 2 LLC Service b New 0 Change. Temp 0 N/A Volts 120/240 Circuits Electric Permit Work Card Permit Number 121763 Create Date 9/27/2006 Contractor SCHOMMER ELECTRICAL CONTRACTlt Type . Overhead 0 Underground 0 N/A Luminaires Amps 100 Switches Receptacles $150.00 Value Use/Nature of Work 1640 - Commercial-Temporary Service New Plastic Surgery Center 1100 A OH Temporary service I I ~ Inspections: Date 09/27/2006 Type Temporary Inspector Kevin Benner approved w/cond. PM Faxed request Correct issues with the equipment ground bar. Called Bob Schommer while on site. Earl from Schommer Electric Called @ 12:21 PM to state the violations were corrected. c..pproved to energize, Faxed to WPS 9/27/6 PM DatelTime requested: 09/27/2006 00:00 PM Access: Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Ready DatelTime: 09/27/200607:17 AM Phone Number: 731-2299 Date Type Rough In Inspector Kevin Benner Date/Time requested: Access: Requested by: o Reinspect Fee 0 Fee Wavied 00:00 00 Notice Type: Ready DatelTime: 00:00 00 Phone Number: D Reinspect Fee Paid Job Address 2400 WITZEL AVE Electric Permit Work Card Permit Number 122421 Create Date 11/6/2006 Owner WITZEL LOT 2 LLC Contractor SCHOMMER ELECTRICAL CONTRACTlt Service . New 0 ChangeO Temp 0 N/A I Type 0 Overhead . Underground 0 N/A Volts 120/208 Circuits Luminaires Amps 2000 Switches Receptacles Use/Nature 642 - Commercial-New Building Wiring New Plastic Surgery Center - 2 Story - 23,410 sf. of Work Value $490,000.00 Inspections: Date 08/02/2007 r'"""''"' T esl DatelTime requested: 08/02/2007 12:26 PM Access: Type Reinspect Inspector Kevin Benner approved Notice Type: Ready DatelTime: 08/02/2007 02:00 PM Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Phone Number: 851-5979 Earl Date 08/0212007 Type Final Inspector Kevin Benner not approved emergency Illumination test for the exterior (missing lamps and the ful function of the gas lights and re-strike Its need to the verified), breakers for the sterilizers is sized incorrectly and the flex feeding the sterilizers needs to be supported. E.C.called 8/3/7 and stated that the breakers are not available until 8/1317, will be installed 8/14/7. DatelTime requested: 08/02l200~ 00:00 PM Access: Requested by: o Reinspect Fee 0 Fee Wavied Notice Type: Ready DatelTime: 08/0212007 00:00 PM Phone Number: D Reinspect Fee Paid Date 08/28/2007 Type Re Final Inspector Kevin Benner approved w/cond. Adam Krause stated that he witnessed the final emergency illumination test which passed. Town & Country Electric provided the review and corrections of the Sterilizers which is supported by their attached documentation. DatelTime requested: 08/28/2007 08:33 AM Access: Requested by: o Reinspect Fee 0 Fee Wavied Notice Type: Ready DatelTime: 08/28/2007 08:33 AM Phone Number: D Reinspect Fee Paid Job Address 2400 WITZEL AVE Owner WITZEL LOT 2 LLC Service . New 0 Change 0 Temp 0 NIA Volts 120/208 Circuits Electric Permit Work Card Permit Number 122421 Create Date 11/6/2006 Contractor SCHOMMER ELECTRICAL CONTRACTIt I Type 0 Overhead . Underground 0 NIA Luminaires Amps 2000 Switches Receptacles $490,000.00 Value UselNature :i42 - Commercial-New Building Wiring New Plastic Surgery Center - 2 Story - 23,410 sf. of Work Inspections: Date 07109/2007 Type Final See Field Notes reviewed with Bruce & Nate Inspector Kevin Benner not approved DatelTime requested: 07105/2007 01:02 PM Access: Meet Bruce on site Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Notice Type: Ready DatelTime: 07105/2007 01 :02 PM Phone Number: 851-5979 Earl Date 07/12/2007 Type Consultation Inspector Kevin Benner approved w/cond. Review the Humidifier H-2 installation for the necessary corrections. Discussed the removal of shelving and installing the unit away from the wall to compenasate for the angle in the wall to acheive our necessary "workspace". DatelTime requested: 07/12/2007 12:44 PM Access: Requested by: Hoffman Construction Phone Number: 540-5872 Steve Hallman o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid - - - - - - -- - - - - - - - - - - - - - - -- - - --- - - - - -- - - - - - -- - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -- - - - - -- - - - - - - - - - - - - - - - - - -- - - - - - -- - - - - - -- - - - - - - - - - - - - - - - -- - - - -- - - - - - - - - - - - - - - - -- -- Date 07/20/2007 Type Reinspect Inspector Kevin Benner approved w/cond. ~mail request I Humidifier H-2 Reviewed the previously violations that were noted. Most were corrected. Work still to be completed for the Final Inspection. Reviewed with Earl. Notice Type: Ready DatelTime: 07/12/200701:30 PM DatelTime requested: 07/18/2007 02:59 PM Access: Requested by: Hoffman Const I Steve Hallman o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Notice Type: Ready DatelTime: 07/18/200702:59 PM Phone Number: 540-5872 Date 07/30/2007 Type Final Inspector Kevin Benner not approved Fax request I Emergency Testing to take place at this date. Transfer did not comply, exterior illumination is not complete, need to inspect the performance of the quartz re-strikes for the exterior emergency illumination when all are installed. Reviewedwith the E.C. and Const Managers on site. DatelTime requested: 07/20/2007 07:11 AM Access: Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Notice Type: Ready DatelTime: 07/30/2007 Phone Number: Bob - 920-731-2299 Job Address 2400 WITZEL AVE Owner WITZEL LOT 2 LLC Service . New 0 ChangeO Temp 0 N/A Volts 120/208 Circuits Electric Permit Work Card Permit Number 122421 Create Date 11/6/2006 Contractor SCHOMMER ELECTRICAL CONTRACTlt I Type 0 Overhead . Underground 0 N/A luminaires Value $490,000.00 Amps Use/Nature of Work 2000 Switches Receptacles 642 - Commercial-New Building Wiring New Plastic Surgery Center - 2 Story - 23,410 sf. Inspections: Date 05/01/2007 Type Consultation Inspector Kevin Benner approved Distribution grounding for the emergeny power. DatelTime requested: 04/30/2007 09:37 AM Access: Notice Type: Ready DatelTime: 04/30/2007 09:37 AM Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Phone Number: 851-5979 Earl Date 06/28/2007 Type Abv Ceiling Inspector Kevin Benner not approved ENT, Flexible metal conduit support, MC cable support, CL2 wiring suport (Earl was to discuss with the G.C. about sub-contractors correcting their installations). DatelTime requested: 06/27/2007 08:09 AM Access: Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Notice Type: Ready DatelTime: 06/28/2007 08:09 AM Phone Number: 851-5979 Earl Date 06/28/2007 Type Consultation Inspector Kevin Benner approved w/cond. Auto door operator proper connection of the wiring method to the enclosure, Work Space for an enclosed breaker adjacent to the witchboard, otherwise there is only misc. items that were confirmed for correctness before the installations are completed. DatelTime requested: 06/27/2007 08:10 AM Access: Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Notice Type: Ready DatelTime: 06/27/200708:10 AM Phone Number: 851-5979 Earl Date 07/09/2007 r- ",m,. DatelTime requested: 07/05/2007 01:02 PM Access: Type Reinspect Inspector Kevin Benner approved w/eond. Notice Type: Ready DatelTime: 07/05/200701:02 PM Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Phone Number: 851-5979 Job Address 2400 WITZEL AVE Owner WITZEL LOT 2 LLC Service . New 0 Change 0 Temp 0 N/A Volts 120/208 Circuits Electric Permit Work Card Permit Number 122421 Create Date 11/6/2006 Contractor SCHOMMER ELECTRICAL CONTRACTlt I Type 0 Overhead . Underground 0 N/A Luminaires Amps Use/Nature of Work 2000 Switches Receptacles 642 - Commercial-New Building Wiring New Plastic Surgery Center - 2 Story - 23,410 sf. $490,000.00 Value Inspections: Date 03/02/2007 Type Abv Ceiling railS ooly fo< the Dpem'oo Room' DatelTime requested: 03/01/2007 01 :26 PM Access: Inspector Kevin Benner approved Notice Type: Ready DatelTime: 03/02/2007 00:00 PM Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Phone Number: 851-5979 Earl Date 03/09/2007 Type Rough In Inspector Kevin Benner approved Exterior walls that have not been inspected yet. Discussed the layout for the "Sterilzers" by the O.R.'s. Decided the equipment will be cord and plug connected and the receptacle will be located in the plumbing work space. DatelTime requested: 03/09/2007 08:10 AM Access: Notice Type: Ready DatelTime: 03/09/200708:10 AM Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Phone Number: 851-5979 Earl Date 03/14/2007 Type Consultation Inspector Kevin Benner RTU VFD installation locations in the units Met Tom & Brian from B&P Mech., Mark from Temp Systems, Earl from the E.C. & Steve Hallman from Hoffman Corp. I think that we decided to install the VFD's in closets on the 2nd floor rather than inside the RTU DatelTime requested: 03/13/2007 12:45 PM Access: Requested by: Phone Number: o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _._ _ _ _ _ _ _ _ _ w _ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ __ Date 04/17/2007 Type Rough In Inspector Adam Krause approved r" of ,eoood 1100< e,_ the """oda Notice Type: Ready DatelTime: 03/14/200709:00 AM DatelTime requested: 04/12/2007 01:00 PM Access: Notice Type: Ready DatelTime: 04/17/2007 09:00 AM Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Phone Number: 851-5979 " Job Address 2400 WITZEL AVE Electric Permit Work Card Permit Number 122421 Create Date 11/6/2006 Owner WITZEL LOT 2 LLC Service . New 0 ChangeO Temp 0 N/A Volts 120/208 Circuits Amps Contractor SCHOMMER ELECTRICAL CONTRACTlt I Type 0 Overhead . Underground 0 N/ A Luminaires Value 2000 Switches Receptacles 342 - Commercial-New Building Wiring New Plastic Surgery Center - 2 Story - 23,410 sf. $490,000.00 Use/Nature of Work Inspections: Date 11115/2006 Type Underground Inspector Kevin Benner approved . ill be installing UG for a couple of days. !Reviewed the layout of the power distribution piping and layout of the transfer switches with Earl from the E.C. DatelTime requested: 11/14/2006 08:37 AM Access: Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Ready DatelTime: 11/14/200600:00 PM Phone Number: 851-5979 Earl Date 01/09/2007 Type Service Inspector Kevin Benner approved w/cond. Late AM or Ealry PM Inspection APPROVED TO ENERGIZE PROVIDING THE FAULT CURRENT IS LESS THAN 65k (MCB is 65KAIC} (one bonding locknut was loose & Earl stated that would correct immediately) Faxed to WPS 1/10/07 DatelTime requested: 01/08/2007 06:38 AM Access: Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Ready DatelTime: 01/08/2007 11 :30 AM Phone Number: 851-5979 Earl Date 02102/2007 Type Rough In Inspector Kevin Benner approved Exterior walls Discussed the GFCI requirements in the "operating rooms". DatelTime requested: 01/31/2007 10:49 AM Access: Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Ready DatelTime: 02101/2007 00:00 PM Phone Number: 851-5979 Earl Date 02115/2007 rMemeOl Rn DatelTime requested: 02113/2007 08:44 AM Type Rough In Inspector Kevin Benner approved Notice Type: Ready DatelTime: 02115/200708:44 AM Access: Requested by: o Reinspect Fee 0 Fee Wavied Phone Number: D Reinspect Fee Paid Job Address 2400 WITZEL AVE Electric Permit Work Card Permit Number 123491 Create Date 2/13/2007 Owner WITZEL LOT 2 LLC Contractor TOWN & COUNTRY ELECTRIC Service b New 0 ChangeO Temp . N/A I Type 0 Overhead 0 Underground. N/A Volts Circuits Luminaires Value Amps Use/Nature of Work Switches Receptacles $60,485.00 643 - Commercial-Addition/Remodels COMM / LOW VOLTAGE WIRING INCLUDING ACCESS CONTROL, BURGLAR ALARM, NURSE CALL AND SURVEILLANCE Inspections: Date 08/28/2007 Type Final Inspector Kevin Benner approved Inspections were provided with Permit # 122421. DatelTime requested: 08/28/2007 08:37 AM Access: Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Ready DatelTime: 08/28/2007 08:37 AM Phone Number: Job Address 2400 WITZEL AVE Owner WITZEL LOT 2 LLC Service b New 0 ChangeO Temp . N/A Volts Circuits Electric Permit Work Card Permit Number 123570 Create Date 2/20/2007 Contractor TOWN & COUNTRY ELECTRIC I Type 0 Overhead 0 Underground . N/A Luminaires Value Amps Use/Nature of Work Switches Receptacles 641 - Commercial-New Service COMM/ wiring for voice, data and CATV. $23,262.00 I Inspections: Date 08/28/2007 Type Final Inspections were provided with Permit #122421 Inspector Kevin Benner approved DatelTime requested: 08/28/2007 08:38 AM Access: Notice Type: Ready DatelTime: 08/28/2007 08:38 AM Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Phone Number: Electric Permit Work Card Job Address 2400 WITZEL AVE Permit Number 123740 Create Date 3/8/2007 Owner WITZEL LOT 2 LLC Contractor TOWN & COUNTRY ELECTRIC Service b New 0 Change 0 Temp . N/A Type 0 Overhead 0 Underground . N/A Volts Circuits Luminaires Amps Switches Receptacles Use/Nature 642 - Commercial-New Building Wiring COMM / Low voltage wiring for audio/visual systems. of Work Value $25,970.00 Inspections: Date 08/28/2007 Type Final Inspections were provided under Permit #122421 Inspector Kevin Benner approved Date/Time requested: 08/28/2007 08:39 AM Access: Notice Type: Ready Date/Time: 08/28/2007 08:39 AM Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Phone Number: Job Address 2400 WITZEL AVE Owner WITZEL LOT 2 LLC Electric Permit Work Card Permit Number 123764 Create Date 3/12/2007 Contractor BRAUN ELECTRIC Service b New 0 ChangeO Temp . N/A Type 0 Overhead Volts Circuits Luminaires o Underground. N/A Value Amps 95 Switches Receptacles $2,000.00 Use/Nature 643 - Commercial-Addition/Remodels COMM / WIRE ELEVATOR AT THE RENAISSANCE SURGERY CENTER of Work Inspections: Date 06/28/2007 Type Final Inspector Kevin Benner not approved Open conductors, raceway support, raceway mechanical installation is not correct. Reviewed with the elevator technician on site and the Earl from the E.C. DatelTime requested: 06/28/2007 00:00 AM Access: Requested by: Phone Number: o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - -- - - - -- -- Date 08/0212007 Type Re Final Inspector Kevin Benner approved Notice Type: Ready DatelTime: 06/28/2007 00:00 AM DatelTime requested: 08/28/2007 08:42 AM Access: Notice Type: Ready DatelTime: 08/28/2007 08:42 AM Requested by: SCHOMMER ELECTRICAL CONTRACTIN o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Phone Number: HVAC Permit Work Card Permit Number 123425 Create Date 02/02/2007 Job Address 2400 WITZEL AVE Owner WITZEL LOT 2 LLC Contractor B & P MECHANICAL, INC. Fuel ~~ U Oil J U Electric! ~~J U Solid I Value $549,200.00 System 0 New ,_~ 0 Replace ..-J D_(:>th~._,___~ U iorc~ Air J U Radiant ___ U~~~rr1, __J ~~~=~~=,=] O::\f~~l____J D.E~.9frTc. . J ~,_~ofwat~=J U_~uPPJ:====] D_~<in.~~,u!ne!] Chimney Type rIChimneyA,----'(rCFimneyB--==~= 0 Direct v~6C= .. =~=_-.-=-~ot~Ie'-J ~;~~~:"" r7PRO\lIDE~(jRijERYCENTER- ---- ---- ...-. .- --l Inspections: Date 3/14/2007 Type Rough In Inspector Allyn Dannhoff approved 'No im-mediate concerns noted. Advised Steve to set up a meeting with Mark R6-bbins to review code and options for mechanical 'chase/shafta~d ()therfirestopping/penetration issues. Advised Steve to check spec's for how HVAC ducts were to be hung/ensurethey are :meeting the design requirements. i L--___.._ Date/Time requested: Access: 1"""-.-' l_._. Req uested By: o Reinspect Fee 0 Fee Waived Notice Type: Ready Date/Time: Phone Number: o Reinspect Fee Paid Date 4/2/2927_ Type ~l~___ Inspector ~_Dannhoff approved w/cond. [Starting'to rock, no concerns noted. Not doing shaft yet - designer approach not yet determined. I I I L__-"-._._,~____ I I ...__._____.___J Date/Time requested: ________ Access: Requested By: ,_""______________,___,, __,_,_._ Phone Number: o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Notice Type: __ Ready Date/Time: Date 7/31/2007 Type f.i11~__ Inspector Ally~Dannhoff approved Date/Time requested: 1----.._-'--------------- Access: L Requested By: o Reinspect Fee 0 Fee Waived Notice Type: Ready Date/Time: . --:====--====----=~___=__=~_,.___=:::J Phone Number: o Reinspect Fee Paid Job Address 2400 WITZEL AVE Owner WITZEL LOT 2 LLC Plumbing Permit Work Card Permit Number ~22247_ Contractor BADGER EXCAVATING LLC Create Date 10/24/2006 Roof Drain Misc. Fixtures Use/Nature New surgery center- 6" Sanitary, 6" water, 8" storm and 10" storm laterals with 4 inlets to underground storm detention system. Per'state I of Work iapproved plans. I I " I Category Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain ~~Q...::J~~~~trial-Exteri~~ter~____ Shower Water Softner Floor Drain Local Waste Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Plan Value $85,000.00 Wait. St. Shamp Sink Coffee Maker Ice Chest FlrlWst Sink Int Grease Trap Exam Sink Catch Basin 4 Ext Grease Trap Sculry Sink Wash Ftn RPZ Valve Hand Sink Urinal Eye Wash Statn Plaster Sink Standp Rec Wtr Sewer Mtrs Surgeons Sink Ice Maker Deduct Meters F Prep Sink Gar Drain Wtr Usage Mtrs Serv Sink Soda Disp Size Sanitary Sewer 6" Type Lateral # Conn.Type 1 New Material Plastic Storm Sewer 8" 10" Plastic Plastic Lateral Lateral Water Service 6" Plastic Lateral New New New Inspections for Work Card 89242 Date ~~Q.~ Type Underground Inspector Paul Wolf rarting work for underground detention system. I i approved I DatelTime requested: 11/6/200608:17 AM Access: C=-- Ready Date/Time: ~~l006 08:17 AM Requested By: BADGER EX~_AYi\!)NG__ o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Notice Type: Telephone Number: I -.J Date 11/7/2006 Type Under.9roun<:f~_____ Inspector E'.?_~I WoJf_____~~__________ approved w/cond. Ilnstalling storm detention system. I I i I i L-___ Date/Time requested: 11/7/200611 :28 AM Notice Type: Telephone Number: Access: 1---- -------- Ready Date/Time: 11/7/2006 11 :28 AM Requested By: BADGER EXCAVATING o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid --.--J Date 11/7/2006 Type Underground Inspector Paul Wolf approved 'Detentlon-sysiem workS, 6" layer of stone and matting are installed. --I _____________ .J Date/Time requested: Access: 11/8/200608:20 AM Notice Type: Telephone Number: Ready Date/Time: ~Y8/2006 9.?..:.20 AM_Requested By: ~i\Dg~R_~~~i\.Yi\JI.ti.~_LL~~~ o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Date 11/8/2006 Type ~n.<:ferg.':()~___ Inspector '=-Cl_LlI_\llJ~~________ approved r--'-.~'-'-----"-~---"'-'---"-----------'---'_._---.-.----..-------..----.-------..-.------.-- IChambers for water detention system on the north end on parking lot are installed. I I l_ -l __.J Date/Time requested: 11/8/200601 :44 PM Notice Type: Telephone Number: _________~__ Access: C------~----- J Ready Date/Time: 11/8/2006 01 :44 PM Requested By: BADGER EXCAVATING LLC o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Inspections for Work Card 89242 Date ~1~~Q.Q!?_ Type .\:!.l:1~~c:!___ Inspector Paul Wolf ;IYetenHonsystem being started on south end of site. approved .. ....1 J Date/Time requested: 11/17/200€O7:15 AM Notice Type: Telephone Number: Access: C. Ready Date/Time: 11/17/20OE 07:15 AM Requested By: BADGER EXCAVATING o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Date 11/17/2006 Type Underground Inspector Paul Wolf approved South detention system chambers being installed. Bedding material, liner and fabric have been installed. - I i I __._~_,.___,___.___ ".J Date/Time requested: Access: 11/17/200€O7:18 AM Notice Type: Telephone Number: Ready Date/Time: 11/17/200E 07:18 AM Requested By: BADGER EXC~\lJ\::rI_~___ o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Date 12/19/2006 Type Sewer Inspector Paul Wolf approved [Storm-work -fir1ls~-- I j I I I L_________ Date/Time requested: 12/19/200H~.~~~ Access: Notice Type: Telephone Number: Ready Date/Time: 12/19/20~ 09:31 AM Requested By: BADGER EXCAVATING LLC o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Plumbing Permit Work Card Permit Number 12~230___ Create Date 09/26/20Q.~ Contractor R J PARINS PLUMBING AND HEATING I Plan ~_____ Value ___~08,000:2Q Wait. St. Shamp Sink Coffee Maker Ice Chest FlrlWst Sink Int Grease Trap 2 Exam Sink 2 Catch Basin Ext Grease Trap Sculry Sink 3 Wash Ftn RPZ Valve 1 Hand Sink 15 Urin~1 Eye Wash Statn 1 Plaster Sink Standp Rec Wtr Sewer Mtrs Surgeons Sink Ice Maker Deduct Meters F Prep Sink Gar Drain Wtr Usage Mtrs 3 Serv Sink 4 Soda Disp Job Address 2400 WITZEL AVE Owner WITZEL LOT 2 LLC Category 440 - Industrial-Interior Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature [Newsu-rgery center- Interior plumbing per state plan approval. "check #37319 --- of Work Shower 3 Water Softner Floor Drain 13 Local Waste 24 Lndry Tray Clothes Wshr 19 Disposal Bidet Dishwasher Beer Tap 9 Sump Pump Lab Sink 2 Classrm Sink Sterilizer Breakrm Sink Dip Well 12 Ejector/Grind Drink Ftn 4 outside silcock -------1 I I I I Sanitary Sewer # Storm Sewer Water Service Size Material Type Conn. Type Inspections for Work Card 88695 Date 10/25/2006 Type Underground Inspector Paul Wolf approved I~equested info on trap primer valves.**Note: Only 13 water closets are to be installed, not 19 as permit indicates. Fixture count was wrong on permit rpPlication form.** I l i I I ____J Date/Time requested: 10/24/200E08:59 AM Notice Type: Telephone Number: Access: ~ve cell 371.3399 Ready late afternoon on Wednesday 10-25 ~-~~.=--=---=-__ Ready Date/Time: 10/24/200108:59 AM Requested By: R J PARI~PLU""!.BING AN[)_ HEATING IN~ o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid l Date 11/8/2006 Type Underground Inspector Paul Wolf not approved Partial underground, vent serving floor outlet fixtures shall be installed between the 2 upmost fixtures as a circuit vent. 1-1/2" vent was not installed at proper-l point. I I I I .J l_______~___~~_______-,-----____ ___________________ Date/Time requested: 1.!!~~.Q6_9.T~?_~M _ Notice Type: Telephone Number: Access: [=~----------------_======:=-~--------- Ready DatelTime: 11/9/2006 07}.T~ Requested By: R J PARINS PLU_MBING AND HEATING INC o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid _____--= l Date 11/9/2006 Type Underground Inspector Paul Wolf approved rartial underground_ I i I I i ! i -1 I -------------------j Date/Time requested: ~1Q/20Q.1Q!.:53 AM _. Access: [:_----------------- Ready DatelTime: 11/10/200l 07:53 AM Requested By: R J PARINS PLUMBING AND HEATING INC o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Notice Type: Telephone Number: --------1 Date 11/13/2006 Type Undergro~_~_____ Inspector '=-a~IWol!__________ approved [Partial underg-round, restroom, exam sinksand-garage-FD branch-:------------------- ! ! I I I -----------------l i I I _J Date/Time requested: Access: 11/14/200~07:39 AM Notice Type: Telephone Number: Ready Date/Time: .!.1/14/2001 07:39 AM Requested By: R J PARINS PLUI\IIElING ~1\J.~.J-lEATING INC o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Inspections for Work Card 88695 Date ~~ Type Underground Inspector Paul Wolf _~~__________ approved [G-arage floor drain and north restrooms with various sinksandstacks.---------------------------------------------------~--- i I I ! L____ Date/Time requested: 11/15/200E01: 16 PM Notice Type: Telephone Number: Access: C~====_ ___ Ready Date/Time: !1/15/20_Q.€ 01:16 PM Requested By: R J PARINS PLUMBING AND HEATING INC o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Date 11/16/2006 Type Underground Inspector Paul Wolf approved Underground building drain completed. ! I l___.___~_ ~ Date/Time requested: 11/17/200(07:18 AM Notice Type: Telephone Number: Access: 1-- ------------------------ Ready DatelTime: ~7/2CLQ.€ 07:_18 AM _ Requested By: ~lE.~Rlti~_'='=-yM13~C3_AN[)':iEATING INC o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid ---~======J Date 11/29/2006 Type ~nder[t"()un~__ Inspector Pa':lI_Wol~__~__m____. approved ffns-ta-lihub drains-and-vents.--------------~ ---------- Date/Time requested: 11/29/20~~09:38_~_ Notice Type: Telephone Number: Access: C-==-~---- Ready Date/Time: 11/29/200( 09:~8 AM Requested By: ~~PARI~-,=-L~~~ING AN~l:lEATING INC o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid __..J Date 2/9/2007 Type Rough In Inspector Paul Wolf approved [".--------.. IBasement wall work and 1st floor partial rough wall work. I I I I ------------1 !_~:.....-~ Date/Time requested: Access: 2/12/200707:21 AM Notice Type: Telephone Number: Ready Date/Time: 2/9/~922_ ~~?~ AM_ Requested By: ~}J'~~N_~J='.L_UM~L~C3_~t_I[) _H~~ILt'i~ IN~_ o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Inspections for Work Card 88695 Date 2/28/~~9!__ Type Rough In Inspector ~~l Wolf not approved ave,""d wo'" 0" 2 ,'"oitvoo'ed d"i", ,rn "" '","lied pee Com in 82.31. Woo, 0"" with ,'ombee 'ftee di"o,,'oo wi'h Deo K"ft 'com De" 0' Comm. . -1 . ! L Date/Time requested: 2/28/200709:03 AM Notice Type: Fe Telephone Number: Access: L____ ______ Ready Date/Time: ?/28/2007_ 09:03 AM _ Requested By: ~_L~FiI_t:'J_~_P_L~M_BI!'!C?_Jl.!:-IP!1~~_ll~<3~~ o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid --------~ Date 3/7/2007 Type ~ough In Inspector -,=-aLlI'{V_o.~~________________ approved K!Ver1tover RP valve install with plumber_-Violations-on circUit vents have not been-correcledattlmeofinspection:----- --------------------------i _-.J Date/Time requested: ~QQI._Q1:Q.~_~_ Notice Type: Telephone Number: Access: L~ -------~ Ready Date/Time: 3/7/2007 _ 9.1:05 P~__ Requested By: ~PARINS E!-UMJ3ING AND HEATING INC o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid ] Date 3/14/2007 Type Rough In Inspector Paul Wolf approved IEtfloor rough completed. I I i ! --------------l I I I I ___ ________________ _______J I ! I i I l_______ __________________________________________ _ ___________ _____________ Date/Time requested: 3/14/2Q_Q.'i'.08:~Q.!,-~_ Notice Type: Telephone Number: _ _______ Access: [~~=-=~-=-_=_-==~=~=_-====~~-====~~::=~==~=_=_=~== Ready Date/Time: ~/14/209_L 08:30 AM _ Requested By: '3 J PA'3Jl'J_~F'gJfv1!3_I!'!~~t':J[)!iEATlfi~l!'i~ o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Date 4/19/2007 Type ~ough lrl________ Inspector -,=-~I_Wolf approved !2ncffioor waTIwork. Overhead venting at east side of 2nd flor not completed. I i -1 I I _____________________J Date/Time requested: 4/19/200707:12 AM Access: Notice Type: Telephone Number: Ready Date/Time: ~1~/200'i'. 07:1~~~ Requested By: R J PARIN~LUIII!!3_ING AND JjEATING INC o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Inspections for Work Card 88695 Date ~~~Q!_ Type Rough In Inspector Paul Wolf 2ndftoor venting in ceiling area and partial final in exam rooms.. I ! i approved l I i I I i I___.......o.-_~+ DatelTime requested: 6/13/200708:00 AM Notice Type: Telephone Number: Access: [__ Ready Date/Time: 6/13/200z:.. 08:00 AM Requested By: R J PARINS PLUMBING AND HEATING INC o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Date 7/12/2007 Type Consultation Inspector Paul Wolf approved w/cond. ICocation of RP valves shall comply with COMM 82.41. I I I I I L______. Date/Time requested: Access: 7/12/200709:42 AM Notice Type: Telephone Number: Ready Date/Time: 7/12/2007 09:42 AM Requested By: !3~~RINS PLUry1BING AND HEATING INC o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Date 7/23/2007 Type Q.onsultation Inspector ~ul Wolf approved rtienlo-ver code requirements of RP valve installation and did a walk-thru with plumber befOre final. ! -, I ! I J I I l__ Date/Time requested: 7/20/200708:34 AM Notice Type: Telephone Number: Access: L:===_____ Ready Date/Time: 7/20/2007 08:34 AM Requested By: R J PARINS PLUMBING AND HEATING INC o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Date 8/2/2007 Type Final Inspector Paul Wolf approved 1-------- I --~_.._-_._- .._---~-~-------_._--.+- , , , I L Date/Time requested: ~~~1J:~_ Notice Type: Telephone Number: Access: [----- Ready Date/Time: 7/24/2007 12:21 PM _ Requested By: ~ PARI~_'=!-J:lry1!lING AND HEATING INC o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid ! I I ~ "",.. j, commerce.wi.gov ~i!E9Jl!Jen Safety and Buildings 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304 TOD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov '.;': Jim Doyle, Governor Mary P. Burke, Secretary August 28, 2006 CUST ID No. 920100 ATTN: Buildings & Structures Inspector HOFFMAN MARK J ROBBINS N434 GREENVILLE CENTER PO BOX 8034 APPLETON WI 54914 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/2812008 SITE: Renaissance Surgery Center of Oshkosh 2400 Witzel Ave City of Oshkosh FOR: Facility: 674203 RENAISSANCE SURGERY CENTER OF OSHKOSH 2400 WITZEL AVE Object Type: Building ICC Regulated Object ID No.: 1083720 Major Occupancy: Business; Type lIB Metal Frame Unprotected class of construction; New plan; 23,410 project sq ft; Completely Sprinklered; Occupancy: B Business; Sprinkler Design: NFPA-13 Sprinkler; Component(s) submitted with this transaction: HVAC ICC; Allowable area determined by: Unseparated Use Object Type: HV AC ICC System Regulated Object ID No.: 1083721 Mechanical refrigeration system; V A V system included; 23,410 sq ft Area Heated The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: Also Address · IECC 803.3.4/Comm 63.1027(2)(a) Reheating, recooling, mixing or other simultaneous operation of heating and cooling systems to the same zone may be provided if the variable air volume (VA V) systems reduce the air supply to each zone to a minimum before reheating, cooling, or mixing takes place. The minimum volume must be no greater than the largest of the following: (1) 30% of the peak supply volume; (2) The minimum required to meet ventilation requirements of Comm 64.0403; or (3) 0.4 cfrn/sf of zone conditioned floor area. Submit . Comm 61.30 (3) - Submit, prior to installation, one (1) set of properly signed and sealed precast plans, a completed SB-118 application form including this transaction number and signed by the building designer, and $100 submittal fee to Safety & Buildings, P.O. Box 7162, Madison, WI 53707-7162. Note as per Comm 2.31(1)(d)6. the fee for a structural component erected prior to plan submittal may be an additional $200. . Comm 61.30(3) - Submit, prior to installation, one (1) set of properly signed and sealed truss plans, a completed SB-118 application form including this transaction number and signed by the building designer, and $100 submittal fee to Safety & Buildings, P.O. Box 7162, Madison WI 53707-7162. Note as per Comm 2.31(1)(d)6. the fee for a structural component erected prior to plan submittal may be an additional $200. ." " MARK J ROBBINS Page 2 8/28/2006 Reminders . This review does not include approval or registration for the installation of Boilers and Pressure Vessels indicated on this plan. The installation of any Boiler or Pressure Vessel shall be registered with the Department by the installer before the system is placed in operation as prescribed by COMM 41.41. Registration shall be in writing on Form SBD-6314. This form, and additional information, may be obtained via telephone at 608-266- 1818 or via the Internet at http://www.commerce.state.wi.us/SB/SB-DivForms.htrnl#Boilers . This review does not include approval for the installation of mechanical refrigeration equipment. Form SBD-34 may be obtained from our web site at commerce.state.wi.us. Contact the Refrigeration/Boiler Safety Inspector at the phone number below for submittal requirements. . This review does not include approval for elevator/escalator/ lift indicated on your plans. Contact Brian Rausch at (262) 521-5444 for submittal requirements or click on forms at our web home page http://www.commerce.state.wi.us/SB/SB-HomePage.htrnl. Designers are reminded that an elevator car capable of accommodating an ambulance stretcher for buildings 4 stories in height or more, as well as for all outpatient clinics, nursing homes and hospitals, is required by!BC 3002.4. Also, a drain or sump is required for any elevator pit. . IMC 1001lComm 64.1001 Provide boilers and pressure vessels that are constructed and installed in compliance with the standards of the American Society of Mechanical Engineers, as adopted under Comm 41. · IMC 1101/Comm 64.1101 Air conditioning systems shall be constructed and installed in compliance with the standards of the American Society of Mechanical Engineers, as adopted under Comm 45. · IBC 903.3.1.lIComm 61.30(3)/Comm 61.31(1)(b) This structure is indicated as being fully protected by an automatic ftre sprinkler system (see NFPA 13). This approval does not include a review of the system. The owner shall have and make available upon request by the department a copy of the reports documenting the acceptability of the completed system (see NFPA 13-2002, sections 10-1 and 10-2). A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. If plan index sheets were submitted in lieu of additional full plansets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. If this construction project will disturb one or more acres ofland, an Erosion Control Notice of Intent (NOl) shall be filed with the department 14 days prior to any earth disturbing activities. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 10 1.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Fee Required $ 1,570.00 Fee Received $ 1,740.00 Refund Amt $ 170.00 Donald L Diedrick Plan Reviewer, Integrated Services (920)492-5606 , M- TH 6:30 am - 4:00 pm, Fri a.m. Only don.diedrick@wisconsin.gov cc: Peter R Ocbs, State Building Inspector, (920) 948-3500 , Friday, 7:45 A.M. - 4:30 P.M. Bert Fredericksen, Fredericksen Engineering Inc David Janssen, Fox Valley Plastic Surgery Sc Tim J Marty, Elevator Inspector, (920) 428-9422 Jon P Wolf, Boiler Inspector, (920) 723-0032 """- j commerce.wLgov ~i!E9J)!Jen Safety and Buildings 4003 N KINNEY COULEE RO LA CROSSE WI 54601-1831 TOO #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov ""., Jim Doyle, Governor Mary P. Burke, Secretary September 10, 2006 CUST ill No. 1025698 A TTN: Buildings & Structures Inspector DA Vill JANSSEN FOX VALLEY PLASTIC SURGERY SC 2700 W 9TH AVE SUITE 205 OSHKOSH WI 54904 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 REGISTRATION OF COMMERCIAL BUILDING SITE EROSION CONTROL NOTICE OF INTENT SITE: Renaissance Surgery Center of Oshkosh 2400 Witzel Ave City of Oshkosh, 54904 FOR: Object Type: Soil Erosion Control Regulated Object ill No.: 1096725 Anticipated start date: 09/12/2006; Anticipated end date: 09/01/2007; 2 Acres disturbed area This letter acknowledges receipt of a Notice of Intent with our agency. By virtue of the owner's signature on the application fonn, he/she has indicated that an erosion control plan and a long-term stormwater management plan meeting the requirements set forth in NR 216.46 and 216.47, respectively have been developed and will be implemented. Please note: I. That earth disturbing activities shall not begin before 14 days after we received the signed Notice of Intent application to our agency. 2. That this approval has not included any review by the Department of Commerce ofthe required erosion control plan, required general stormwater management plan or any plumbing plan for this project. Plan submittal may be required for any stormwater piping system on the premises and any stormwater infiltration or reuse systems per s. Comm 82.20. These may be submitted separately or as part of the general plumbing plan submittal. 3. That there may be erosion control inspections conducted by the Department of Commerce during the construction of this project. 4. The owner shall retain the above mentioned erosion control and stormwater management plans on the construction site and make them available to state and/or local inspectors as requested. 5. That plan review and/or inspections by the local municipality and/ or DNR may be required by local permitting ordinances or DNR rules. 6. The owner shall file a Notice of Termination with our department when the site has been stabilized per NR 216.55. FOX VALLEY PLASTIC SURGERY SC Page 2 9/1 0/2006 Inquiries concerning this correspondence may be made to Brian Ferris at (608)785-9335, or at the address on this letterhead. Please refer to the Transaction ID No. referred to in the regarding line when making an inquiry or submitting additional information. Sincerely, Jeannie Dixon License/Permit Prog Associate, Integrated Services (715) 634-4870, Fax: (715) 634-5150 7:45 am - 4:30 pm Mon - Fri jeannie.dixon@wisconsin.gov cc: Peter R Ochs, State Building Inspector, (920) 948-3500 , Friday, 7:45 A.M. - 4:30 P.M. Mark Boehlke, Hoffman LLC Brian Oleson, Martenson & Eisele fit.... /J commerce.wi.gov ~i!E9oO!Jen Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TOD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary December 22, 2006 CUST ID No. 920100 ATTN.' Buildings & Structures Inspector MARK. J ROBBINS N434 GREENVILLE CENTER PO BOX 8034 APPLETON WI 54914 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 COMPONENT RECEIVED SITE: Renaissance Surgery Center of Oshkosh 2400 Witzel Ave City of Oshkosh, 54904 FOR: Facility: 674203 RENAISSANCE SURGERY CENTER OF OSHKOSH 2400 WITZEL AVE Object Type: Precast Plank Regulated Object ID No.: 1112796 The department has received the above component plan indicated as being reviewed for compliance with the general design concept and submitted by the building designer named above. The Department has filed the plans and other related documents. The department will rely on, and hold responsible, the building design professional and/or supervising professional of record for compliance with the rules. The responsible professional should particularly insure that proper loads and fire resistive rating have been incorporated to correspond to the building design. Particularly insure: proper dead and live loading, including snow drift loading increases, unbalanced loads, equipment loads, proper bearing/supports, concentrated loads etc, are properly conveyed to foundations; and that required fire ratings have been employed. The submitted materials have not been reviewed by the Department for compliance with all applicable administrative rules. The department reserves the right to formally review the plans in the future if the department determines that such a review is warranted, and to order corrective actions with respect to the outcome of that review. A copy of the plan that is identical to the plan submitted for our file shall be available for inspection at the job site. When the total building volume exceeds 50,000 cubic feet, the plan shall bear an indication of review that has been signed or initialed by the building designer of record. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Please refer to Transaction ID No. referred to in the regarding line when making an inquiry or submitting additional information. Sincerely, Jane M Rush LicenselPerrnit Associate, Integrated Services (608)264-7826 , juanita.rush@wisconsin.gov cc: Peter R Ochs, State Building Inspector, (920) 948-3500 , Friday, 7:45 A.M. - 4:30 P.M. __{ 'l.t'":f! .... j commerce.wi.gov ~i!~gJ)!Je!:! Safety and Buildings 2331 SAN LUIS PL STE 150 GREEN SAY WI 54304 TOO #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary February 01,2007 CUSTIDNo. 920100 ATTN: Buildings &Structures Buildinglnspector MARK. J ROBBINS N434 GREENVILLE CENTER PO BOX 8034 APPLETON WI 54914 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 (Please forward a copy of this letter to the fire department conducting inspections of this project.) CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/28/2008 SITE: Renaissance Surgery Center of Oshkosh 2400 Witzel Ave City of Oshkosh, 54904 FOR: Facility: 674203 RENAISSANCE SURGERY CENTER OF OSHKOSH 2400 WITZEL AVE Object Type: Building ICC Regulated Object ID No.: 1083720 Revision; Major Occupancy: Business; Type 1m Metal Frame Unprotected class of construction; New plan; 23,410 project sq ft; Completely Sprinklered; Occupancy: B Business; Sprinkler Design: NFPA-13 Sprinkler; Component(s) submitted with this transaction: Precast Plank, HV AC ICC; Allowable area determined by: Unseparated Use Object Type: BV AC ICC System Regulated Object ID No.: 1083721 Revision; Mechanical refrigeration system; V A V system included; 23,410 sq ft Area Heated The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: · Revision involves enclosing the exterior of second floor Unfinished Area P250. · All code requirements specified in plan examination letter of August 28,2006 shall still apply. Trusses for new area shall also be included. · Any future alterations to this area shall be submitted for review and approval prior to construction. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Ifplan index sheets were submitted in lieu of additional full plansets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. If this construction project will disturb one or more acres ofland, an Erosion Control Notice ofIntent (NOI) shall be filed with the department 14 days prior to any earth disturbing activities. . In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. f.."._ MARK J ROBBINS Page 2 2/1/2007 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Donald L Diedrick Plan Reviewer, Integrated Services (920)492-5606 , M- TH 6:30 am - 4:00 pm, Fri a.m. Only don.diedrick@wisconsin.gov Fee Required $ Fee Received $ Balance Due $ cc: Peter R Ochs, State Building Inspector, (920) 948-3500 , Friday, 7:45 A.M. - 4:30 P.M. David Janssen, Fox Valley Plastic Surgery Sc Tim J Marty, Elevator Inspector, (920) 428-9422 Jon P Wolf, Boiler Inspector, (920) 723-0032 150.00 150.00 0.00 Proposed Rules: The Wisconsin Division of Safety & Buildings is in the process of adopting the 2006 International Code Council suite of building codes, including the International Existing Buildings Code, with a likely effective date in the second half of 2007. You may view or download the proposed chs. Comm 61-65 hearing draft at \vww.commerce.wi.gov/SB/SB~CodeDevelopment.htm1 There will be a public hearing on this package December 21 in Madison. Written comments will be accepted until January 5,2007. New Rules: Effective April 1, 2007, the Division of Safety & Buildings will be implementing new erosion control and storm water rules in ch. Comm 60 for projects begun on or after that date. You may view or download the rules at \vww.commerce.wi.gov/SB/SB-CodeDevelopment.html Included in the rules will be expanded erosion control coverage for all commercial construction sites regardless of size. Required erosion control submittal information to us may be done with a planned on-line webtool. ~ ~ CORRECTION NOTICE / FIELD INSPECTION REPORT JOB LOCATION:.2;01? t:<J ~ \.fze / ~p City of Oshkosh //_J"r' Inspection Services Division CONTRACTOR: ~"""~ "biii 215 Church Avenue, PO Box 1130 / Oshkosh, WI 54903-1130 PROJECT TO BE INSPECTED:- (~M-V It ~ r" Phone: (920) 236-5050 ( / Fu (920) 236-5084 TYPE OF INSPECTION: ,eo. ~ t, .. Violations must be corrected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment and/or occupancy. Upon completing the corrections, the owner/contractor/agent must sign and date at the bottom of this notice and return it to the Inspection Services Division by the Compliance Date of 'P~t'~,.... Yo d::Jt.'S.l.L y:.,'f'bf ,nEMftCO})E INSPECTION RESULTS I .s Print Name Company Signature: Date ~ ~ CORRECTION NOTICE / FIELD INSPECTION REPORT JOB LOCATION: ;z.~O O.J;I-Z-e/ 4u-e City of Oshkosh j / f'./' Inspection Services Division CONTRACTOR: 1tt>- ~ ~ #'\.. 215 Church Avenue, PO Box 1130 / .rr Oshkosh, WI 54903-1130 PROJECT TO BE INSPECTED: ~~ e.f-' /~ ~h'l Phone: (920) 236-5050 Fax (920) 236-5084 TYPE OF INSPECTION: rc~ ~ Violations must be corrected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment and/or occupancy. Upon completing the corrections, the owner/contractor/agent must sign and date at the bottom ofthis notice and return it to the Inspection Services Division by the Compliance Date of . ./.i:('.EM#CO))E INSPECTION RESULTS ~ 2'~~ -b -.l.-o1r- Phone # Print Name Company Signature: Date =~ a; p.. -' ~ ~ o +" U - ro p.. ,s '" :> ,..., +" ,..., (fJ o p.. 'C):S '" '~. ro 8 ~ ui .~ .8 +" ;:j o (fJ d.> ;:0 . ...., (fJ ~ o p.. (fJ '" ... '<:I ~ ro (fJ ro <l.l '<:I ...., '" .i:; +" ro '" ... u bO ~ I~ .~ ... p.. :>> ,.:;, .+" ~ '" 8 ~ o ... '~ '<ll ... i 'a) ,.c: +" '<:I ~ ro (fJ <ll ;5 (fJ - "", ~-p._ - 0 <ll p.. d o +" u ro p.. 8 "..., <ll .i:; . '.~ (fJ o p.. ro <ll ~. ro 8 <J.j 3: ui ~ .8 +" ;:j o (fJ <ll ~ (fJ ~ -0 p.. (fJ <ll ... '<:I ~ - , ,. .1: 1 HoffrnanTM .. , planners. archit.ects. constiuctionmanagers April 2,2007 Mr. Allyn Dannhoff Director of Inspection Services .. City of Oshkosh ,\ 215 Church Avenue P.O. Box 1130 Oshkosh WI 51903-1130 Xe: Correction NoticelField Inspection Report dated 2/15/07 .. Dear Mr. Dannhoff, I'm writing this lette~ in response'toyourCorrectionNoticelField Inspection Report dated 2(i5/07. You'll find an item-by-item response to the report as well as a copy for your reference. Let this letter act as ~ertification to all items requiring certification. .. ' , Th~ listed items are: ~ !tem #1 - Sulnnit truss plans to D.O.C Action - Will comply - in progress '. - Item #2 - What is the purpose of the angle plates welded to the basement columns? The Supervising Professional..:... .' .. . , . . Action - See enclosed ~ett~r of purpose and c,ertification from structural engineer. See exhibit 'D' } page. Item #3 -'- SuperVising Professional shall provide inforIDation demonstJ::ating that the flat roof system satisfies section!BC 2603.4.1.5.' " A~tion - Per!BC 2603.4.1.5.. ."A thermal ba'rrier is not required.. .provided the assembly ~iththe foam ,plastic insulation satisfactorily passes FM 4450 or UL 1256". Provided are the product information on Firestone building product ISO 95+. -See Exhibit 'A' - 3 pages. and a letter of certification that IS,O 95;+ meets the requirements ofFM 4450 or UL 1256. . '\ . Item #4- The Supervising profeSSIonal shall review/approve all Fire rated - Fire Stopping .. assemblies.. . Copies of the testedllisted assemblies to be us~d.. ..shall be n'mde available on site... Action - As requested a copy of all assemblies have been made available on site for inspection. Item #5 - Coordinate all trades, including'suspended ceiling, to I?rovide electricl,tl servicing, clearance to VAVboxes. . . Action - Will comply. It~m #6 - Provide ipforrnation demonstJ::ating how. continuity of the 1 hour fire protection of columns and beams wilfbe provided (gypsum wrapped columns to spray protected beams). '. Action - It is the intent of the construction process (and documents) that the fire proo~Ee' .. r t'V' allow for the track and fire rated gypsum to be applied, ~here indicated. The spray-p l' 1 be E D applied where necessary to maintain the required fire rating assembly at these areas. . , .... ... J, " It~m #7 - ReIninder/advisory - Handrail~ shall be pwyided on both sides of the stairs @ 34" t<A13Rir()'.3 ;;1.007 lielght. _ . I.. - " . Action - Completed. See building. .. . t'.' . . . g DfPART. MENT OF N434,GreenJille Center Appleton, WI 54914 RmMM NI~1f}fllt't<rnOf.~EN'f'l' , 800.236.2370 PO Box 8034 Appleton, WI 54912 ' , processelrlffi'tbNJe tMe www.hoffman.net . main 920.731.2322 fax 920.731.4236 TOTAL PROJE:.~GEMENT - made in the, usa Vision taken to the power of green r Item #8 - Verify the emergency illumination levels... for each fixture used. Action - See enclosed engineering light level drawings cut sheets and calculations. See exhibit 'B' ....: 25 pages. Item #9 - All mechanical chases (connecting 2 or more stories) shall be revised to be 1 hour shaft construction. The chases do not meet exception under 707.2... Action - Revised per Construction Bulletin CB 16 & 17. See Exhibit 'c' attached CB16 #5, #6, #7 & CB 17 #7 - 10 pages. If you have any questions, comments or concerns, please contact me any time at (920) 380-7859. Sincerely, ~~ Mark J. Robbins Project Architect Hoffman LLC mrobbins@hoffman.net 920.380.7859 w 920.540.2676 c Cc: Steve Hallman, File Ytre$tone. BUILDING PRODUCTS COMPANY " ~1 €X~t~\T A ,. March 21, 2007 ~~~~ ?" ~ ,.a::} \ Pf-. 3 Mr. Mark Robbins @ mrobbins@hoffman.net Re: Renaissance Center Dear Mr. Robbins, Please accept this letter as confirmation that Firestone ISO 95+ insulation foam core meets the code requirements for foam plastic insulation, which includes a flame spread index ofless than 75 and a smoked development index of less than 450 per ASTM E84. It is important to note that ASTM E-84 Flame Spread indexes are not required for foam . plastic roofing insulation that has passed FM 4450 or UL 1256 and is pali of a Class A, B or C exterior fire rated assembly (see mc, BOCA, SBCCr, and ICBO model building codes, Chapter 26). It should also be noted that smoke developed values do not apply to roofing insulation. ~ Robin Query Roofing Solutions, North Central Region ',-l: -; \< t ( 1: RECEIVED APR 0 J , DEPARTMENT OF COMMUNITY DEVELOPMENT NOBODY COVERS YOU BETTER 310 East 96th Street, Indianapolis, IN 46240-3702.317-575-7000 Technical Hotline: 1-800-428-4511 . Technical Facsimile: 800-242-0504 http://www.firestonebpco.com ,. It: i' ~ = = CEt;:;<C :=~~ ~~f:8 ~::Sb o<c'2O tnt?St;:j ~Cl...(/) G::<C . l..&..J c::i 9::~~ ~I---:::> <.nt:]LW :::;;;::::a::::0:Z: ~c::~ <C V> :z cqa5~ gs~~ V> V> L,.Wc::.Q ':;;:i='~ ~~(/) ~::j~ ~a3~ ~~eJ ~~~ <CLLJV> ~~~ ~Er5~ ~6~ "",,'2OLLJ w:z::::j '2O<C<c ~Utn (/} CL Z ~~~ CL: (/) c:::a ~ (7j LLJ :x: = <C <.::> :z is z o = L.l.J~~ ~<'::>i= ::z: <C ::2~~ ~~8 _OCL ~Ct:::U) 25t:~ <C<co t5 (r) t;:; ~t3~ U)~Lt.... ~gsE CLV>'3:: ~~~ CL F= :z -<C<C g::::EB2 (/):::::2:0 ...... =0 CL CL <..) "'" LLJ <C ~. ~ .~ ?e~~~ <t'"(Z-. LLJ vi ZoO::: '-9 <CO'2O O:::~:E ~NV> ,-,-,~<C ::iEr!-~ c:::lCOCt::::. "'" -' LLJ <3<6 a::::~<...:> ::J5c::.1- co LL.J ~ =LLJc> 0:: V> ~ Zof~ E gs E . Lt.... co a...: E588S !:2.~ r5~r;g ~ V) I-I-(/) ~\:i: S2B;.;::: 10::: L1..... Q:) .-- L.J....J ~~5 8~ OLLJ~ J---;-Lt.... -'aJ~ <30 _::;:::2: . St5 ~ :;Elj ~ ZX5 8 ~o~~ogs ~~~~:~ c.-C;)~5~~ ~8:z:~(/)Q:) :::E:s::B es~ ~w:3FE:Q Uix5~~t05 ~~~~::J~e: o = ........: I I I I i I I .~ """"'.....'..."..~oi-_-'-......~~_,. >< <C ::2 E E <d- N en "CD v I I- <( CD Q Z l;I'J - S ..... ~ ~ ... ~ ~ ~ 00 N +-' ... ~. ~ ~ 6- ~+-,:::l ~ 0(1) 0..- "'0'- Q) ;...";:; (j) ~(f)+-' C (f) ;...LL-o ~Q.. I...., ,.Qa::::o ,.Q -0 := c ~ B (f) . '" C c:::> tl 0 os "" .. .. ... ~ * bIl .S . "" == os . ~ - Q M -' LW i=' V> -' <C "'" = t- o = "'" t- V> ,A Firestone Building Products ISO 95+ GL Flat and Tapered Description: Firestone ISO 95+ GL flat and tapered roof insulation consists of a closed-cell polyisocyanurate foam core laminated to a black glass reinforced mat facer. Flat and tapered ISO 95+ GL provide outstanding thermal performance on commercial roofing applications, while providing positive roof top drainage to eliminate ponding water when tapered ISO 95+ GL is used, All Firestone polyisocyanurate insulations use EPA accepted blowing agents and qualify under the Federal Procurement Regulation of Recycled Material. Flat and tapered ISO 95+ GL with IsoGard Foam Technology incorporates a HCFC-free blowing agent that does not contribute to the depletion of the ozone (ODP-free). Advantages: 1. Outstanding thermal performance. 2. Meets FM 4450 and UL 1256 for direct-to-steel-deck applications. 3. Compatible with ballasted, fully adhered and mechanically attached single-ply, modified bitumen and built-up roofing systems. 4. Available in flat boards 4' x 4' (1.22 m x 1.22 m) and 4' x 8' (1.22 m x 2.44 m) in thickness ranging from 1.0" (25.4 mm) to 4.0" (101.6 mm). 5. Available in tapered boards 4' x 4' (1.22 m x 1.22 m) and 4' x 8' (1.22 m X 2.44 m) with slopes ranging from 1/16" per foot (.5%) to }'2" per foot (4%). Specification Compliance: ASTM C1289,Type II, Class 1 UL Classified FM Class 1 Approved Manufactured in an ISO 9002 Registered Facility Method of Application: Insulation shall be neatly fitted to all roof penetrations, projections and nailers, No more insulation shall be installed than can be covered with membrane and completed before the end of each day's work or before the onset of inclement weather. ISO 95+, GL flat and tapered may be installed using: Fasteners and plates. Hot asphalt. Firestone approved insulation adhesives, For ballasted systems, the top layer of Firestone insulation may not be mechanically attached. Storage and Precautions: 1. Keep insulation dry at all times. 2. Elevate insulation above the deck or ground. 3. Cover insulation with waterproof tarps. 4. Flammable. Keep away from fire and ignition sources. 5. Do not install over wet, damp or uneven substrates, Firestone Building Products Company 525 Congressional Blvd. Carmel, Indiana 46032 5ales: (800) 428-4442 e Technical (800) 428-4511 Internet Address: http://www.fireslonebpco.com PRODUCT DATA , .~;. ',' '~:'. ',"~' .,':. ~" ., v: "l' #"" Thickness* inches 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 2.0 2.1 2.2 2.3 2.4 L TTR** fehoF/Btuin 6.0 6.6 7.2 7.8 8.4 9.0 9.6 10.3 10.9 11.5 12.1 12.8 13.4 14.0 14.7 Thickness* inches 2.5 2.6 2.7 2.8 2.9 3.0 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 4.0 L TTR** ffhOF/Btu in 15.3 15.9 16.6 17,2 17.9 18.5 19.1 19.8 20.4 21.1 21.7 22.4 23.0 23.7 24.3 25,0 * 1" (inch) equals 25.4 mm (millimeters) ** Long Term Thermal Resistance (L TTR) values provide a 15-year time-weighted average in accordance with CAN/ULC S770, Physical Prooertv POL YISO PHYSICAL f;lROPE~l,]ES .",~.'j:'';<~ ; " ' Metric Values ASTM Test English Values Compressive* 01621 20 psi 138 kPa Strength Density 01622 2 pcf 32 kg/m3 Dimensional Stability D 2126 <2% <2% Moisture Vapor E 96 <1 Perm <57.5 Transmission ng/(paesem2) Water Absorption C209 <1% by <1% by volume volume Service Temperature -1000 to -730 to 2500F 1210C * 25 psi (172 kPa) available upon request This sheet is meant only to highlight Firestone's products and specifications. lnformalion is subject to change without notice. Firestone takes responsiblllly for furnishing Quality materials, w~ich meet Firestone's published product specification. As neither Firestone itself nor its representatives practice architecture. Firestone offers no opinion on, and expressly disclaims any responsibility for the soundness of any structure on which its products may be ap~ied. If questions arise as to the soundness of a structure, or its abilily to support a planned installation properly, the Owner should obtain opinions of competent slructuralenglneers before proceeding. Firestone accepts no liability for any structural failure or for resultant damages. and no Firestone Representative is authorized to vary this disclaimer. ~ CORRECTION NOTICE / FIELD INSPECTION REPORT JOB LOCATION: C- J:.j~O /;(j)t'<tf.".~ l CONTRACTOR: fk;<<W14 i1 PROJECT TO BE INSPECTED:~Ul4t\t"t~.s;.::\ TYPE OF INSPECTION: vz::.,,^<<-( ~ City of Oshkosh Inspection Services Division 215 Church Avenue, PO Box 1130 Oshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax (920) 236-5084 Violations must be corrected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment and/or occupancy. Upon completing the corrections, the owner/contractor/agent must sign and date at the bottom of this notice and return it to the Inspection Services Division by the Compliance Date of "CODE . ,,' INSPECTION RESULTS . ..) . '''c..;~ ( i.-/"" I'D,L.. ",.Ie E.i~. ~ J.lrJlIr ~f' Co /, '" rt t:...P a <Jl e~ " . k:: f\"'L.-':!t: h ~. . kJ{- !;-,. f..lf.....,. dJ..'.J-,....1 hil k.- ~ ~,.. L'-- k.\ P'-.o>. I ~ { .....,J I ....J Print Name Company Signature: Date BUILDINGS, HV AC, COMPLIANCE STATEMENT SBD-9720 This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical designer) observing construction of projects within buildings with total areas 50,000 cubic feet or greater and bleachers (Comm 50.1 O/Comm 61.50). Failure to submit this form may result in penalties as specified in Comm 50.26/Comm 61.23 and/or local ordinances. This form must be submitted prior to the plan approval expiration date or another submittal may be requir~d. " " General Instructions: Prior to the initial occupancy of new buildings or additions and the final occupancy of altered existing buildings, submit this completed and signed form to: · The municipal building inspection office (refer to the plan approval letter for agency address and · Safety and Buildings, 10541 N Ranch Road Hayward, Wi. 54843 Note: If the review was done by the municipality, thecompliance statement goes only to the municipal building inspector. A copy is not needed by Safety & Buildings. Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1 )(m)]. 1. PROJECT INfORMATION: Please fill in the following with information from your plan approval letter. Transaction ID Number: 1286541 Project Name: Renai~sance Surgery Center of Oshkosh Site Number: 714935 Site location (number & street): 2400 WitZel Avenue . City D Village D Town of : Oshkosh County of: WinnebaQo 2. PURPOSE OF THIS STATEMENT: (Check Box A, 8, C, or D to indicate purpose and complete any other applicable boxes and information. Attach additional pages if necessary.) Check those which apply: - Building Object ID # 1083720 D HVAC Object ID # D Lighting Object ID # D Partial Completion Description of Portion Completed A) - Statement of Substantial Compliance To the best of my knowledge, belief, and based on onsite observation, construction of the following building and/or HVAC items applicable to this project have been completed in substantial compliance with the approved plans and . specifications. . . BUILDING/LIGHTING ITEMS 1. Structural system including submittal and erection of all building components 10. Exterior lighting & control requirements (trusses, precast, metal building, etc.) 11. Interior lighting & control requirements 2. Fire protection systems (sprinklers, alarms, smoke detectors) designed, 12. All conditions.of lighting plan approval installed, and tested (including forward flow on back flow devices) by and applicable variances appropriately registered professionals 3. Shaft and stairway enclosure 4. Exits including exit and directional lights 5. Fire-resistive construction, enclosure of hazards, fire walls, labeled doors, class 0 HVAC ITEMS of construction, fire stopped penetrations 6. Sanitation system (toilets, sinks, drinking facilities) 1. HVAC system including final test 7. Barrier-free including Comm 18 elevators andlifts 2. All c;;ollditionsofHVAC plan approval and 8. Energy envelope requirements applicable variances 9. All conditions of building plan approval and applicable variances The following items are not in compliance and must be addressed: B) D Statement of Noncompliance Due to the following listed violations, this project is not ready for occupancy: C) 0 Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date.) D) D Project Abandoned 3. SUPERVISING PROFESSIONAL SIGNATURE FOR: :::~:;::mb~' :::'O_:7~ghti"g C"'to;:~:~~~:::"~~ O(~P'~~"'t"" D7d!f L RIJ'.I,.I-...... ." t 'T"'''4>()~ S8D-9720 (R.04/2005) /~EO A~ 1;3 ~ BUILDINGS, HV AC, COMPLIANCE STATEMENT SBD-9720 \cn .~Oj ~ This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical \)~ designer) observing construction of projects within buildings with total areas 50,000 cubic feet or greater and bleachers (Comm 50.10/Comm 61.50). Failure to submit this form may result in penalties as specified in Comm 50.26/Comm 61.23 and/or local ordinances. This form must be submitted prior to the plan approval expiration date or another submittal may be required. General Instructions: Prior to the initial occupancy of new buildings or additions and the final occupancy of altered existing buildings, submit this completed and signed form to: . The municipal building inspection office (refer to the plan approval letter for agency address and . Safety and Buildings, 10541 N Ranch Road Hayward, Wi. 54843 Note: If the review was done by the municipality, the compliance statement goes only to the municipal building inspector. A copy is not needed by Safety & Buildings. Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1 )(m)]. 1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter. Transaction ID Number: 1286541 Project Name: Renaissance Surqerv Center of Oshkosh Site Number: 714935 Site location (number & street): 2400 Witzel Avenue . City 0 Village 0 Town of : Oshkosh County of: Winnebaao 2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other applicable boxes and information. Attach additional pages if necessary.) Check those which apply: . Building Object ID # 1083720 0 HVAC Object ID # o Lighting Object ID # o Partial Completion Description of Portion Completed A) . Statement of Substantial Compliance To the best of my knowledge, belief, and based ononsite observation, construction of the following building and/or HV AC items applicable to this project have been completed in substantial compliance with the approved plans and specifications. o BUILDING/LIGHTING ITEMS 1. Structural system including submittal and erection of all building components 10. Exterior lighting & control requirements (trusses, precast, metal building, etc.) 11. Interior lighting & control requirements 2. Fire protection systems (sprinklers, alarms, smoke detectors) designed, 12. All conditions of lighting plan approval installed, and tested (including forward flow on back flow devices) by and applicable variances appropriately registered professionals 3. Shaft and stairway enclosure 4. Exits including exit and directional lights 5. Fire-resistive construction, enclosure of hazards, fire walls, labeled doors, class . HVAC ITEMS of construction, fire stopped penetrations 6. Sanitation system (toilets, sinks, drinking facilities) 1. HV AC system including final test 7. Barrier.free including Comm 18 elevators and lifts 2. All conditions of HVAC plan approval and 8. Energy envelope requirements applicable variances 9. All conditions of building plan approval and applicable variances The following items are not in compliance and must be addressed: B) 0 Statement of Noncompliance Due to the following listed violations, this project is not ready for occupancy: C) 0 Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date.) D) 0 Project Abandoned 3. SUPERVISING PROFESSIONAL SIGNATURE FOR: DBuilding . HVAC 0 Lighting Bert Fredericksen Date: Julv 27. 2007 Name (please print or type) ~ ~ ~~ Phone number: 262-243-9090 Customer 10 #: 262233 Signature ~. ./ -:::2,~ ~. . SBD-9720 (R.04/2005) ~ , ~ ~ 9 ~ ~ ~ a:~ wE zg za. wg? co= z~ s;::s was ~UJ -, ..c: en c!:, o g ..lil:: ;:;!; ..c: '" c t/) E '~ o ~o 8 _<l:C'),!!! Of3;::S: :Sx.c ~GS~ ;\ ~ cj '5j - C\Jn:o ~Il o C') ~ E~ ~~ E .c",- U) .. c o co.- :2g ~ 2,.:..:rrJ ~.6 .. >. ~@)~~ U?Q302. ~~C::=E OC\j li3.- a. I.t(O.o~O ~~~~~ ~..ooQ)6 ?;;~~~~ O)U.LUO~ FROM : MEDR~CE ~::~ u cO JO!:i% % .........r-- ~...a.. & ~ ~t-o ~<iCL -:'C ~ 512 ~i~ t; ~l3 7 ~I/I of' :1:<<1 o :&11 -oQffi t-:ci....,. o ~i-'-~~ ::~:~ f ... ~ .':S:X t") M< Ul &II ...~Q.l'" · r I- :;1:,;;..:."'... ~~"'i z ~i~....gi ~u 6~ W IXO~...nCl ~~-ltl ~ .III"'''' .Cl.J c.: " UJ ~ .oW::J ...-.: HX a:: ~"'~ztj~ ~~~. _ .~.C.hjllCln a" ~ 5 ~~a:~~UI.... !:L ~- ~ ~l.~~iii~ ~!iil! i (!) lDg8:W ~i "$I:"oal 6 l5.o0': ~~ u I ,l!'z ...... ~t\l.ojooo ~ -0 00 ('.:;. !-. ~ !.1Il!e31-'.U....::NU "'1 -< af!....e~- ~ .... 0.: Ou.....:\' UIJ C > ~ g~~t5M~ ~ ~ 1~WIOfoft. C'l-t.' > Ci O' ~ '~ s I J .. lit i i I ., OJ .. l. ,.: ~'g !j ~~~. 4;C :. .ao~ ~ x" - ;2 ~. I&J ",:.c~ CI >- .. .oc =. ;:;1=. ,. ,~X ::: ;-0:.0& ~;-:~-.a In -:.=.- It~~~~~ rm:e~~ VlWu=iU ;::a:;t~...; Q....C'c~... ~:Z::I:~a:U N915>u~ ~<:&! w 0; .....! i 2i ~ ~ ~ i . . jD U Z:tl:" ~I ~i--l-~i lICw wtl r:! I ~ J-'U~ a. > >~. ::! at:w ..<O-"'i~ W..J .....-#... o\u -i:~~ ~- J , I J ; . i r1 ;~H t;; J ,,= ~~ I) ~I i~ - ~~ - ~ii ~__!~S!:~+-!'l~-iM .. I I M Z .... .... .. 4( : ~e5 ~ ~8~ tll un.."" - - ,.. ",.~ . - M .~ ~ ~ FAX NO. : 18002579046 Aug. 13 2eJ07 12:03PM Pi . IX ~ r. % ~ l/lCt: g ffi ,r _zi .~ In !a.Q.!E ~!! ~!4J ~ c 3 ~c oei ,.. ~ l&. ,,.. ~~ .en w .0" 0;:; ':;I u U N~ ........ 0'" m- q;.ol"l !:;.~ ~ ~ u.. $trl .,S!~ ~! . rJ ~*~~ it\.. ~:z: WUI,'" a:w tIl'" .;i~:il~ ; -:; 3'f. ..i a;! l! ~ l&. .,., M 4C h. ... ~~.. lii)C~ QI..iII-o... .;:) 0 loI tD~ 65 ...x 10 en ='~:o> 8~ :i ~ i~~: M1 !~ ijleN.. ,4: m M C'lo~~ -~ .J ...MO.. -u W b N.., ~ ~ N- ,tel -I') .., ..0- 1tI- t .1 z - -< M~! lIJ....8~ ~~4# IA NO -.M .a ,.,,.. ~ N- ....'" -.., - .., ,.,IQ ('1111'1 - <JJ- G_ .....11'1 -Q ...=- N~ It)- N- 'N ~Cl' ID ~- ...- ~ ! -~_ z .~~ ~ 1D 1- ~ ...- ;t ':Ii ~ .W H > , . ~ II --~~ RECEIVED _ELECT'RJC::~ a Faith Technologies, Inc. brand AUG 2 7 2007 Faith Technologies, Inc. 2662 American Drive P.O. Box 627 Appleton, WI 54912-0627 (920) 738-1500 August 24, 2007 DEPARTMENT OF COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION Renaissance Surgery Center LLC 2400 Witzel Ave. Oshkosh, WI 54904 Attn: Diana Krause RN BSN RE: Autoclave certification Diana: On August 23,2007, John Gatton and Cory Allen reviewed the three Autoclave sterilizers in question by the local inspector (letter attached). We also reviewed a washer/disinfector from the same vendor. We offer the following findings: Autoclave #1 Model # V116 Serial # 0123598-01 Vessel # 089022 Circuit breaker size: 110 amp Voltage: 208 volt 3 phase Nameplate: 208 volt 30 KW 83.3 amps Actual power reading: 77.7 amps . Note: this unit is on EM power Autoclave #2 Model # 3023 Eagle Series Serial # 0572007-S Vessel# 25890 Circuit breaker size: 11 Oamp Incoming voltage: 208 volt 3phase Nameplate: 208 volt 30KW Actual Power reading: 82.3 amps Autoclave #3 Model #3023 Eagle Series Serial #1068071 S Vessel #21133 Circuit breaker size: 110 amp Incoming voltage: 208 volt 3 phase Nameplate: 208 volt 30KW Actual Power reading: 80.7 amps 1 " W asherl disinfector Model #444 Serial #3630293006 Incoming voltage: 480 volt 3 phase Nameplate: 480 volt 3phase 9.6kw Actual power reading: 29 amps ("' ME" s;."1~.::o t:>~ Trio<:: 201)1/ ') General notes and findings: 1) Equipment manuals are on site, copy attached. 2) Fuses, contactors, and wire match ratings for each use. 3) Eagle series Autoclave, see sheet 2 of 3 for specific information regarding that unit We believe that our onsite review and enclosed documentation answers/satisfies the City of Oshkosh's questions. If you should have any further questions or concerns please don't hesitate to contact me at 920- 225-6540. Sincerely, TOWN & COUNTRY ELECTRIC a Faith Technologies, Inc. Brand ~MM1 Richard Merbach Vice President Appleton Division ~~..tt'""t",..,. ~,.." C 0 A6 """" +<' ,-c:. flW ~ ...... ,. ....\.... ......~Oti \}~.f.,,~. 't" " ~... e. e,. .pJ ^ ~ ~...A.. . DQ - (,~ I 1-( .",. scon R. "".cr %';, . · ~1AHt.~~(l= ~ ~ S i 1:1 : $~ ,,:'~;_',.l,., (i) ~ :: :xl: E- 2 /i;),2i3 g E :: O. NE"::::::t.l...'k fJ r; : eL_1 '.tJ.1..ra 0 f::'1 V ~u 'I ~ · \N'~>f,") OU ;:~~'" tJ ", ~ · it Iv. {; (iff::' it: Q ~,-" ,~~ ~ 00 "~IJt~' }t~ , 1;00~""".,;'~'~i;~~;;;('{:;' ~'#t.. . C~'. .-,y' 1#1. "~, ".j 1. -z;~z ... Scott Mahnke Me Mahon 2 RE: Sterilizer Approvals Page 1 of2 Steve Hallman from: Dannhoff, Altyrr J. [adannhoff@ci.oshkosh.wi.us] Sent: Thursday, August 16, 200710:44 AM To: ~nner. Kevin; 'schommerelectric@yanoo,com'; Steve Hallman Cc; 'terry.fameree@wisconsin.govl Subject: RE: SteriliZer Approvals Gentlemen; As a point of clarification. In my discussion with Kevin, there was not a clear indication of what the purpose of the requested meeting wasJis. Given the concerns Kevin has expressed, this office Is not comfortable rendering any form of review/approval of this piece of equipment. Given the alterations, refurbishing, parts replacement that have occurred; such'review is better left to Third Party Listing Testing Agencies or a Wisconsin Registered Electrical Engineer. If the state desires to review and approve they have such authority. I suspect the state's decision, if requested to review/approve, will be based on their comfort level and knowledge of such equipment design issues. Sincerely; Allyn Dannhoff Director of Inspection Services ---0t1g1nat Message---- From: Benner, Kevin Sent: 'Thursday, Aupust 1.6, 2007 10:05 A.M To: 'schommereledTic@yahoo.rom'; ',hallmanOholfman.nel:' cc:: 'terry.rameree@Wisc.onsln.llov'; Oilnol1off, Allyn J. subject: sterlll2er Approvals Gentlem.en. This correspondence is in reference to my several conversations with multiple people about the approval of the sterilizers for the surgery center located @ 2400 Witzel in the City of Oshkosh. I have kept my Supervisor Allyn Dannhoff aware of the situation as this has progressed and he has been in agreement with the decisions to date. The latest request from Rick (Earl) VanEperen of Schommer Electric to meet on site to further discuss this issue has been denied by Mr. Dannhoff. With what has been described to myself by the people who "refurbish" this equipment, this department is not in a position to approve this installation. The majority of the items of concem are as follows: o The nameplate did not match the 8quipmentl hence the OCPD's (circuit breakers) do not match the current dfBW of the equipment. o The party that refurbishes the equipment are mplacing nameplates with a nameplate that has the ElL listing label on it. This labeling activity is not being done with the association of the listing company and they afe mplacing these labels in the field. o. The party that is replacing the labels stated that they are obtaining the labels from the manufactuffJ RE: Sterilizer Approvals Page 2 of2 of the equipment but they ara not affiliated Mlh the manufacture or the listing company. o The party that refurbishe,s ~he equipment have conflloting stories aboufwhaf they do to refurbish this equipment. One person states that they only replace components that need replacement, and another states that they replace af, components that af9 electrical or machanical in nature and that they will change components basad on the customers request, such 8S heaters/zes. o t did not find installation instructions on site which is required wIth aI/listed equipment. This installation may be approved per Comm 16.11 of the State of Wisconsin Electrical Code. Comm 16.11 Use of approved materials and construction methods. (1 ) MATERIALS. Materials, equipment and prodUcts which do Dot comply with the requirements of this chapter shall not be used unless approved in writing by the department. Approval of materials, equipment and products shall be based on sufficient datal tests and other evidence that prove the mat~rial, equipment or product meets the intent oftbe requirements of this chapter. Dam, tests and other evidence shall be prOVided by a qualified independent third party. No(e: Examples ofaqualified independent third party includo ~ nationally recognized testing laboratory end a'profc:asiOrnsl engineer. (2) METHODS O"P INST ALLATrON. Methods of instalh\tion which do not comply wi~ the regulations of this chapter shall not be used unless approved by the depa:rtt1\ent. (3) NEW PRODUCTS, CONSTRUCTlONS OR Mi\TElUALS. The incorporated National Electrical Code may require new products, constrUctions or materia.ls which may not be available at the time this chapter is adopted. In such event, the department may pennit the use of the products. constructions or materials which comply with a pre"iou~ edition of the National Electrical Code. History: Cr. Register, October. \990, No. 418. eft'. 11-1-90; CR 02-072: r. and This may be accomplished with approval of a Third Party listing Company. State of Wisconsin Registered Professional Electrical Engineer. or from a Department of Commerce Safety & Buildings Electrical Inspector. Our district State of Wisconsin Electrical Inspector Is Terry Fameree. His Ph # is 920-360-2529 or amail terry .fameree@wisconsin.gov Kevin Benner City of Oshkosh Electrical 'nspector 920-236-5046 0\1 \) 0.. 0.. . / . AMSCO RELlANCEe WASHER. MODEL 444 APPLICATION For use In heaithcare facilities where instruments, utensils and other hard good products are processed. The Reliance 444 Washer is available as a single- or double-door unit which can be installed either as a freestanding unit or recessed through a barrier wall(s). DESCRIPTION Reliance Model 444 Washer is a meChanical washer equipped with an Eagle 3000 Stage 3'" control system. The washer is designed with six adjustable cycles: instruments, gentle, utensils. glassware, plastic goods and . anesthesia/respiratory goods. Four additional cycles are available for customized programming to meet specific operating requirements. Each pre-programmed cycle is equipped with pre-wash, wash, rinse and thermal rinse (including drain discharge cool down) phases. Washer is built to seismic design and includes a vented system and interior chamber light. Reliance 444 Washer offers both manifolded and non-manifolded washing. The washer is available with a power or manua!, vertical sliding door in a single- or double-door configuration. Size (WxHxL) Exterior dimensions: · 42 x 80 x 31 inches (1067 x. 2032 x 787 mm). Interior chamber dimensions: · 24 x 26 x 24 inches (610 x 660 x 610 mm). Load height · 31 inches (787 mm) at:cve finished floor. STANDARDS Washer meets applicable require- ments of the following: · Canadian Standards Association (CSA) Standard C22.2 No. 151- 1986. · Underwriters L.aboratorles CULl Standard 544 as certified by ETL Testing Laboratories, Inc. - certifica- tion pending for Electric units only The Selections Cheeked Below Apply to This Equipment VOLTAGE" Sleam :J 208 V, 3 Phase, 4.wire ::l 240 V. 3 Phase. 3-wire :J 480 V, 3 Phase, 3-wlre :J 600 V. 3 Phase, 3-wlre . Electric :J 480 V. 3 Phase. 3-wire :J 600 V, 3 Phase. J-wire Careful consideration !it/auld be given to voltdge selection prior 10 ordaring. llter changes fllquire sutJ5tantial field modification. POWER :l Steam :l Electric OOOR CON FIGURATION :l Single :l Power :l Manual :l Double :l Power :l Manual OPTIONS ::l Heated Pure Waler Rinse :J Instrument Lubricant with Healed Pure Water Rinse :J EnZ'jme Treatment :l NOll-vented System with Dryer :J NOll-vented System without Dryer .:) Vented System wilh Cryer :J Top Utility Connections ACCESSORIES. " ':l AnesthesiaIRespiratory Rack Q Transfer Cart :l 4-Level Manifold Instrument Rack :l. 3-level Mallifold Instrument Rack :l 2.Level Manifold Instrument Rack .:J Air Compressor :) Detergenl/Chemical Extension Kit tor use with 15-, 30-, 45-gaJlon container :l Seismic Tie-down Kit . . Seq separale produclliterarurIIlor Mareni!/ Handling Accessories. Item Location(s) FEATURES Vertical sliding door(s) is constructed of tinted, tempered glass with stainless steel trim to allow operator to view chamber with the door closed. While cycle is in progress, glass door remains cool to the touch. Sliding door(s) is configured for either manual or power door operation. .. Manual door(s) is opened and closed by sliding door up and down. A counterweight mechanism allows door to remain open at any height. " Power door(s) is opened and closed automatically using touch 'pads on the control panel, located on the same side of washer as the door berng operated. Each power door includes a safety sensor gasket to retract door if an obstruc- tion is detected in the doorway. If power failure occurs. door(s) can be opened manually. The manual access handle is located on the top edge of the door and concealed behind the top service panel. If double power doors are ordered, a door interlock feature is provided to prevent contamination. Stainless steel pump is powered by a dual-speed motor. High pump speed provides the equivalent capacity of a 7-1/2 HP motor, 240 US gal/min at 70 ft (908 Umin at 21.33 m) head pres- sure. Low pump speed provides the equivalent capacity of a 2 HP motor. 90 US gal/min at 25 ft (341 Umin at 7.62 m) head pressure. Pump impetler is mounted directly on motor shaft and does not require additional bearings. Pump motor is equipped with drip- proof frame. magnetic starter, over. load protection and sealed bearings, requiring no periodic lubrication. Pump, spray system and all recircu- lating piping are stainless steel construction. Rotary spray assemblies are posi- tioned (one at top and one at bottom of chamber) to reach all surfaces of load. Depending on accessory in chamber. manifold connector auto- maticaiIy connects to accessory at the start of each cycle. Heating coil (steam or electric) in bottom of wash chamber (sump) raises and maintains water tempera- ture up to lBooF (820C) during Wash phase and up to 2030F (950C) during Thermal Rinse phase. Removable stainless steel filters in chamber sump prevent debris from entering pump. 75 W flood light, mounted within an explosion/vapor proof enclosure, illuminates chamber's interior. Wash chamber is constructed of 16 gauge, #304 L stainless steel (No.4 finish), argon-welded. Chamber inhibits corrosive action of detergent and is easy to clean with no enameled surfaces to chip or crack should an object be accidentally dropped in chamber. Double-walled, insulated construc- tion of chamber exterior reduces heat loss and noise level to work area. Detergent injection pump automati- cally adds a selected quantity of detergent (1/8 to 2 oz/US gal) to water during Wash phase. Detergent is pumped directly from container, located in injection pump drawer. A low level sensor is included to indicate when detergent level in container is low. Vented System includes a 1/15 HP fan. Chamber vapors are exhausted to the building exhaust system through a 3-inch (76 mm) 00 vent connection located on top of the chamber. Control panel, mounted at eye level to the right of the chamber, allows easy monitoring of all cycle phases. Control system includes six pre- programmed, adjustable cycles (GENTLE. INSTRUMENTS, GLASS- WARE, UTENSILS, ANESTHESIN RESPIRATORY GOODS and PLASTIC GOODS) and four custom-program- mable cycles. Once cycle is started, programmed cycle values are locked in and cannot be changed until cycle is completed. Descaling cycle is provided for easy removal of scale and other hard water deposits from chamber and recircula- tion piping without the need for additional cycle programming. 2 Descaling cycle is factory pro- grammed and can be modified by the operator. Priming cycle is provided for auto- matic priming of chemical pump(s) on initial start-up of equipment or as needed. Drain Discharge Cool Down feature ensures water drained; at the end of each phase, from the chamber sump to building drain system does not exceed 140"F (60oC). If water tem- perature in sump is greater than 1400F (60"C), cold water is automatically added to reduce water temperature being discharged to the building drain. Piping, valves, electrical components and wiring are easily accessible through key-locked access panels, located on top and bottom of cabinet. CYCLE DESCRIPTION ADVISORY NOTE: STERIS does not intend. recommend nor represent in any way that this Aefiance Washer be used for the terminal disinfection or sterifization of any regulated medical device. Refiance Washers are intended to perform an initiaf step in the repro- cessing of soifed. reusable medical devices. If medical devices wiff be contacting blood or compromised tissues. such devices must be termi- nally reprocessed in accordance with current good hospital practices before each use in human patients. On initial daily start-up, setting the Power-Off/Standby switch to POWER prepares the washer for Cycle opera- tion by filling and heating the optional purified water tank. Once tr~atment cycle is selected, washer automatically processes load through the following standard phases. Additional phases are included in certain treatment cycles, depending on unit configuration. . Pre-Wash - Water (cold or hot) enters sump from building supply. Once sump fills, pre-wash water is recirculated and sprayed over load for selected time interval (15 seconds to 15 minutes). On comple- .tion of phase. water is sent to drain. . Wash - Hot tap water enters sump from building supply, where a selected amount of detergent is added automatically. Detergent solution is heated and maintained a: temperature ranging from 14QoF (60oC) to 1800F (820C). Once set temperature is reached, solution is recirculated and sprayed over load for the selected time interval (2 to 15 minutes). On completion of phase, solution is sent to drain. · Rinse - Hot tap water enters sump from building supply. Rinse water may be heated and maintained at temperature ranging from 11 OOF (430C) to 1800F (820C). Once sump fills, rinse water is recirculated and sprayed over load for the selected time interval (15 seconds to 15 minutes). On completion of phase, water is sent to drain. . Thermal Rinse - Hot tap water enters sump from building supply. Rinse water is h.eated and main- tained at temperature ranging from 1800F (820C) to 203DF (950C). Once set temperature is reached, rinse .water is recirculate'd and sprayed over load for the selected time inteNal (1 to 10 minutes). On completion of phase, water is sent to drain. On completion of daily usage. washer can be placed in a Standby mode by setting Power-Off/Standby SwitCh to OFF/STANDBY position. Once switch is set, there is a one-minute delay befcre power door(s) automatically locks and sump and optional punfied water tank drain for 2 minutes. CONTROL SYSTEM Design Features Microcomputers menitor and control washer operations and functions. Cycle progresses automatically through the designated phases as programmed. Control system features pre-pro- grammed temperature ranges for each cycle. If operator selects an out- of.range temperature setting when mOdifyll'!g the cycle vaiues, comroi Cycle Printout Oisp!ay Window Status iouch Pads Manual Operation Touch Pads Program Touch Pads system alerts operator with reference message and halts further operation unO I correct value is entered. Controls are housed in a vertical column, mounted to the right of the chamber. If double door option applies, controls are mounted in a vertical column to the right of the chamber on the load-side and the left of the chamber on the unload-side, Salient features include: 1. Hinged door at the top of load- side control column provides access to: · Power.Off/Standby Switch - includes two settings which direct operation of the control. Positioning switch to POWEi=l initializes the controls and prepares washer for daily cycle opera,ion: positioning switch to OFF/STANDBY places washer if' Standby mode and turns off all AC power to the control. · Printer Function Switch - controls the following t-NO printer functions: Control Panel Stage 3'" Control Column ~ Print - pressing top of printer function switch generates a printout of the actual chamber water temperature, water temperature in optional purified water tank and actual chamber air temperature during optional Drying phase Print Values - pressing bottom of printer function switch generates a complete printout of all currently set cycles and cycle values. .. Integral Thermal Printer. provides an easy-to-read priNed record of whether load was properly rinsed at the preset temperature. as we!! as a complete list of the alarm and abort in-cycle messages. Printer take-up spool automatically stores an entire roll of paper, providing cycle records whIch can be saved for future reference. 2. Control Panel. consisting of a Dispiay Window and three rows of membrane-type Touch Pads, is included on load-side and, if double door option applies, unload-side control columns. Cycle initiation and eycre value program- ming can be performed from either control panel. . Display Window features a 2- line )( 20-character, easy-to-read vacuum fluorescent display. Display shows cycle status, time, temperature, warnings and instructional messages. Display also indicates any abnormal conditions that may exist when a cycle is in progress. All mes- sages are complete readouts with no codes to be cross- referenced, · Status Touch Pads allow operator to view available cycle menus, select a cycle, review a cycle before processing and start, stop and abort cycles. · Manual Operation Touch Pads allow operator to double cycle time while reviewing cycle or RELIANCE MOOEl 444 SiN 3625993001 VALUES REliANCE 1.10 DEL 444 9flMl3 7:46:56A = = =: =:: ~ = ': = = =- == = =' :::. ='2 : CYCLE PROGRAM REVIEW. . C'(ClE '. GENTLE . ====:=~===:=:s#~: REVIEW TIME 7;46.58A REVIEW GATE 9/16/93 U~IIT NUMBER 3625993001 1\,100'OR SP~EiJ .. LOW PRE.WASH 1 ~EC:RC. TIME.. 0:158 WATER TEMP.. caw ENZYME WASH SOAKI~G TIME: 1 :005 I WATER TEMf'. = HOT , PUMP 1 'NASH 1 I ~-~'R~ .IME ' nos I ..tvf~. J. ~ Q:v . !IEATEO.n = 1 SO.OF ! RmSE 1 I RECIRC. ilME: D:tSS WAfER TEMf'... HOT during processing, acknowledge alarm conditions. and open and close power chamber door(s). · Program Touch Pads allow operator to bypass cycle phases and/or modify factory-set cycle values to meet specific operating needs. Available cycles, along with phase times and tem per- atures for each cycle, can be modified using CHANGE VALUES touch pad. 3. Operator/Supervisor Touch Pad- Selectable Features are acces- sible through either control panel. · Time Display and Printout Units - permits selection of either Standard AMIPM or 24 hour military (MIL). · Security Access Code - requires entry of a four-digit access code in order to change cycles and cycle values. Pressing the CHANGE VALUES touch pad causes display to request entry of an access code. If access code is not properly ..-- ../ THERMAL RECIRC. TIME.. 1:005 HEATED'\T .. t80.0F LUBRICANT P. WATER 1 NON !lEC:. TIME, O:IOS PURe H20 ORVING TIME . 7:005 HEATEDAT .. 240.~ ~~~~.~~~s~ss,~.~ . CYCLE PROGRAM ilEVIEw . s CYCLE - mSTR. . :::::t=%.:zZ=".!!I'!It~!t~~~ REVIEWTIME 7:4e;5~A REVIEW DATE 9f1S,1l:l UNlTNUMB€1\ 36~001 MOTOR SP~:O c HIGH PRE-WASHl RECIRC. TIME ~ O:l:S WATEilT:MP.' COLD ENZYME WASH SOAKING TIME. 1: ODS WATER TEMP, H0i PU!'.lJ:l 1 WASH 1 flECIRC. TiME. z:gOS HEATED AT . 150 OF Sample Printout- Factory-Set Cycle Vall.le$ 4 entered. display advances to first cycle (and related cycle values) not requiring an access code. · Date and Time - permits change of date and time. Technical Data ContrOl system consists of two microcomputer printed circuit boards located throughout the unit. An internal battery backs up all cycie memory for up to ten years. If a power failure occurs during a cycle. the control battery back-up system ensures that (1) proper cycle comple- tion will occur once power is restored, and (2) cycle memory will be retained. When power is lost, the cycle is held in Standby mode until power is restored, thus exceeding the minimum govern- ment specification of one minute. Once power returns, the event is recorded on the printout and cycle phase resumes or restarts, depending on phase the cycle was in at the time of power loss. Even jf the RAM battery should fail. factory-setting values wifl 6e preserved in the control's main EPROM chip. Resistive Temperature Devices (RTD) sense temperature inside the chamber and optional purified water tank. These signals, converted into electrical impulses, provide accurate control inputs and readouts throughout the entire cycle. Individual temperature calibrations can be made by a trained service technician. Water lever sensors monitor water level of the chamber sump and optional purified water tank. If water level and/or temperature sensor failure occurs, the alarm sounds and a message is printed, Printer Board has a 24-corumn, alphanumeric printer which produces characters within a five-by-seven dot matrix on 2-1/4" wide, single ply thermal paper. Printer is controlled by a dedicated microcomputer. Print speed is approximately 48 lines per minute. Paper tape exits from an opening flush with the surface of the control panel and it is taken up automatically by an idler spool mounted above the main printer assembly Five paper tape rolls are furnished with each unit. SAFETY FEATURES Vertical chamber door is equipped with a cable safety latch to prevent dcor from falling in case cable breaks accidenrally Washer is equipped with a safety lockout feature so that cycle cannot start unless door is fully closed. If door is opened during a cycle, all utility seNices to chamber are shut off and cycle stops. Door interlock feature (power double doors only) is provided to prevent contamination in a double door unit. Door interlock feature allows only one door to be opened at a time whenever power is on. When cycle is in process. door interlock prevents either door from being opened without first pressing STOP/RESET touch pad. A main power ON/OFF switch, located on the electrical supply box, must be used to shut off power to the unit before seNicing. Installation Washer is designed as a fully enclosed cabinet for freestanding or recessed installation. Clearance between top of unit and ceiling must be at least 13 inches (330 mm). If unit is recessed through one or two barrier walls, stainless steel barrier flanges are included to provide a finished wan appearance OPTIONAL FEATURES Enzyme Treatment - following the Pre- Wash phase, load is sprayed for 20 seconds and soaked with a mixture of enzyme detergent and warm water to facilitate the breakdown of protein soils. Instrument Lubricant with Heated Pure Water Rinse. a controlled quantity of lubricant IS automatically added :0 heated pure water and . sprayed (not recirculated) over ioad for 10 seconds during Pure Water Rinse phase \\ Heated Pure Water Rinse - pure water is heated within the tank and sprayed (not recirculated) over load fer 10 seconds following the Thermal Rinse phase. System includes a stair.less steel tank mounted to side of unit, under cabinet panels. and steam or electric heating coils. Non-vented System with Dryer - includes a 1/15 HP fan and cold water condenser. Chamber vapors are exhausted through condenser to the room. Drying system includes a 1.5 HP blower and 3 electric heaters. totalling 7.4 kW. System heats and maintains chamber air at temperatures ranging from 150"F {66~C} to 2400F (1160C). No additional duct work is required. Non-vented System without Dryer. includes a 1/15 HP fan and cold water condenser. Chamber vapors are exhausted through condenser to the room. No additional duct work is required. Vented System with Dryer. includes a 1.5 HP blower and 3 electric heaters, totalling 7.4 kW. System heats and maintains chamber air at temperatures ranging from '-50QF (660C) to 24QoF (1160C). Additional duct work is required. Top Utility Connections. allow easy installation of utilities if supplied from the ceiling. ACCESSORIES. Transfer Cart. for transferring accessories into and out 01 wash chamber. Includes one storage shelf and is equipped with a locking system for attaching the cart to washer when transferring loads. 4-Level Manifold Instrument Rack. used to hOld lcaded instrument trays during processing. Accepts eight full sized instrument trays 3 x 10-1/2 x 24 inches (76 x 267 x 610 mm). 3-Level Manifold Instrument Rack - used to hold loaded instrument trays during processing, Accepts two full sized instrument trays, 3 x 10.1/2 x 24 inches (76 x 267 x 610 mm), on top level: GPB or two full sized instrument trays, 3 x 10-1/2 x 24 inches (76 x 267 x 610 rnm). on middle and bottol"1 levels 2-Level Manifold Instrument Rack - used to hold loaded instrument trays during precessing. Accepts four tuil sized instrument trays, 3 x 10-1/2 x 24 inches (76 x 267 x 610 mm); or two full sized instrument trays 3 x 10- 1 /2 x 24 inches (76 x 267 x 610 mm) on bottom level and one oversized instrument tray (maximum space available 14 x 22-1/;2 x 24 inches [355.6 x 71.5 x 610 mm]) on top level. AnesthesiaIRespiratory Rack - used to process different types of anesthe- sia/respiratory tubing. Air Compressor. designed to yield air at 125 psi. Includes air line regula- tor and motor. Motor is open drip proof design and features built-in overload protection. Detergent/Chemical Extension Kit - includes 50 feet of tubing, 50 feet of electrical wiring, a pick-up tube and low level sensor for remote location of chemical container. . See separate product literature for information on Ma teria! Handling Accessories. PREVENTIVE MAINTENANCE A coast-te-coast network of skilled service specialists can provide periodic inspections and adiust~ents to assure low-cost peak performance, STERIS representatives can provide information regarding the optional Preventive Maintenance Agreement (PMA) ENGINEERING DATA Shipping Weight. 1075 lbs (488 kg) Operating Weight - 1200 lbs (544 kg) A-weighted Equivalent Surface Sound Pressure Level" - 67.6 dB Heat Loss - 1580 BIU/hr (1667 kJ/h) Hot Water Consumption per Cycle" - 37.8 gal (143 L) Cold Water Consumption per Cycle": .. Vented System - 47.3 gal (179 L) ~ Non-Vented System - 97.6 gal (369 L) Steam Consumption per Cycle - 29 Ibs (13.2 kg) Pure Water Consumption per Cycle" - 12.6 gal (48 L) . Ca/culatedasdescribedin ISO-3746 standard. .. Sasedon Instrument Cycle with Pure Water Rinse and Drying options. NOTES 5. For all ventilation ducting from 1. Machine is Shipped in 1 crate. washer, STERIS recommends Maximum size is 52" W x 90" H x installation of a dedicated corro- 41" L (1321 x 2286 x 1041 mm). sion-proof, water tight duct to the exterior of the building, sloped 2. Customer must ensure that washer towards the washer. A 3' (76 mm) stands on a non-combustible floor. ID flexible duct is recommended. (Floor should be leveL) 6. Minimum ceiling height for removal 3. STERlS recommends that shutoff of doors is 93" (2362 mm). valves and vacuum breakers (by STERIS recommends illumination of others) be installed on service 7. fines. and that disconnect switches the service area (if applicable) (with lockout in OFF position; by along with provision of a conve- others) be installed in electric nience outlet far maintenance. supply lines near the equipment. 8 Recommended compressor: 3/4 4. Pipe sizes shown indicate terminal HP, 1.5 US gallon tank, 2.6 scrm outlets only. Building service lines, at 100 psi. (See Air Compressor provided by others, must supply Notes.) the specified pressures and flow rates. . . . CHECK LOCAL CODES _ . . PRE-PROGRAMMED CYCLE PHASES AND APPLICATIONS (FACTORY SETTINGS - General Note: Treatment time does not include filling, heating and draining.) PRE.WASH ENlYME TREATMENT WASH RINSE THERMAL HEATED PURIFIED WATER RINS!: (up 10 4)i DRYING (up 10 4) Spray Soak Rinse Rinse (up to 5) (up to 4) RINSE (without luhricant) I (with lubricant) Standard Optional Standard Standard Standard Optional Optional Time- 15 sec. 20 sec. 1 min. 15 sec. 15 sec. I 2m;". I 15 sec. 1 min. 10 see. 7 min. Temp erlllu re' Cold Hot I N/A Cold Cold Hol Tap Hot Hot Tap Air Healed to Tap Tap I Tap Tap Water Heated Tap Water Healed N/A 24<rF (11SOC) Water Water Water Water & Mai~tained Water & Maintained sel point at 150'F (!iIi'C) at 180'F (82'C) (not maintained) Pre-programmed I Cycles: Gentle Cycle X X X X X a min. X X X X X Inslrumenls X I X X I X X X i X X X X I X , Glassware I X I I I . X X X X I I X Ulensils I X I I X I X I X X I X Anesthesial I I j I I I I I 158' F (70'C)"' Respiratory Goads i X i X X X for 60 min Plastic Goods I X I t i I I X I X I X I 200'F (93'C)"- I X Applicable Control defiIrJlt times and temperatures given, selectable ranges an these cycles are aperatar cantraffed. Air heated to set paint, not maintained. 6 UTILITY REQUIREMENTS Hot Water (HW). 1/2" NPT, 15-50 psig (103-345 kPa) dynamic. Hot watefmu~tn:i1il:; i~lJoplied at 1100F (430C) minimum. ~l~imum flow rate - 11.2 US gpm (43 L/min), Cold Water (Cwy 1/2" NPT, 30-50 psig (206-345 kPa) dynamic, Cold water must be supplied at 60cF (16cC) maximum. Maximum flow rate - 15.2 US gpm (58 Umin), Pure Water (PW) (if option applies) 5(8" 00, 5-50 psig (35-345 kPa) dynamic, Maximum flow rate - 13.3 US gpm (51 Umin). Recommended minimum specific resistivity of 0,1 megohm per em. Steam (S). (Steam Unit only) 1/2" NPT, 30-80 psig (207-550 kPa) dynamic. Maximum static pressure - 90 psig (620 kPa). Maximum flow rate - 300 Ibs/hr at 80 psig (135 kg/ h at 550 kPa), Peak flow rate " 370 Ibs/hr (170 kg/h), Air (A) 1/8" NPTF, 50-125 psig (345-860 kPa) static. Maximum flow rate " 1 scfm (0.03 mJ/min), Clean and dry air is recommended. Ventilation (V) (Steam Unit) 3" (76 mm) 00 vent connection Maximum flow rate" 75 scfm (2,1 mJ/min). (Not required if Non- vented System option is selected,) Ventilation M (Electric Unit) 3' (76 mm) 00 vent connection. Maximum flow rate - 30 scfm (0.85 mJfmin), (Not required if Non-vented System option is selected,} t 4S'p143rnml--l ~ C~==:::::::=~ ! . r 4"(1~mm) , ~-. \ lOA I \ r \ I ON I i v -+ 31'{787 mm) + I ++ --e. ! +-E +#-€R PW , j H'W Soifed Side TOP VIEW 27.3/S" (695 mm! 80' (2032 rom) 31' (787 mm) Load Hei 9 hI , i L- 42" (1067 mmj-----J FRONT VIEW Drain (D) 2" NPT. A 4" 00 fleer drain and a floor sink are recommended. Maximum flow rate. 90 US gpm (342 Umin), Condensate Return (CR) (Steam Unit only) 1/2" NPT, Peak flow rate. 1 US gpm (4 Umin) Electricity (E) (Steam Unit) 208 V, 60 Hz, 3-Ph, 4-wire: 240 V, 60 Hz, 3-Ph, 3-wire 480 V, 60 Hz. 3- Ph, 3-wire; or 600 V, 60 Hz, 3.Ph, 3- wire. Electricity (E) (Electric Unit) 480 V, 60 Hz, 3-Ph, 3-wlre: or 600 V, 60 Hz, 3.Ph, 3-wire. Refer 10 equ(omenr drawing for location of utility if washer is equipped with Top Utility Connections option, , . . CHECK LOCAL CODeS, . . B~~:~r~ -r1 . 'I ~ u-l I -r-' ! i I 93' (2362 mm) Minimum Ceiling Heignt Pass Through Door (Optional) E A V , ! ~I+ .... I I II ~----------------, I E V I l :r-hnA'---: I: r +. ~I [!, f f ',~ : I I, I ! S I 10 00+1 I ~ ~': + I , + i I PIN i I I I 90' (22.35 mm) Wall Opening I Helghl 39.1i2' (2274 mm) Raised 000 r Heighl Cil C S I , 4-, H~, C'IL-+ +-0 -+ Reliance 444 Washer SIDE VIEW AIR COMPRESSOR NOTES 1. Requires 115/110 V. 60 Hz. 1 Phase for compressor motor. 4. Inlet air temperature should be less than 800F (270C). Locate air inlet outside of enclosed service areas. Inlet air pipe size is 3/8". Increase pipe one size diameter for every 10' (3048 mm) that inlet filter is placed away from unit. 5. Air compressor supplied with 1/2" pipe outlet. Supply pipe and 1/2" to 1/8" reducer (supplied by others) are required for connection of compressor to washer. 2. SAE 30 oil (supplied by others) required far start-up. 3. Service clearance or 2' (610 mm) required around compressor. TANK I MOTOR 'Nelght Camp, Operating Number Ibs (kg) Slages Speed of Size I Capacity Max. Press. I I Operating (RPM) Cytlnders Lubricatian In {mm) liS gal (l) psijkPal Electrical Speed 44 1 I 1700 1 Splash I See I 1.5 125 1115 Volt I 1700 (20) lIlusl13tian {5,71 (861) lPh. 60 Hz r i i I 12-112" (317 mml 14" (356 mm) ! ...:L-~ r-- 16-1/4" {413 mmJ I - , Air Compressor NO TE: Because of STERIS's continuing program of research and development. all specifications and descriptions are subject to change without notice. Some options may affect utility consumptions. Obtain certified drawings for design and installat;on. For further information, please contact: S T E R I S~ === =-= :::- "= STERIS CORPORATION 5960 Heisley Road. Mentor. OH 44060-1834. USA 216-354-2600. 800-JIT-4-USE (800-548-4873) In Canada: 800-661.3937 AMSCO International. Inc. is a wholly owned subsidiary of STERIS Corporation. SO-553R4 @1997. STERlS Corporation Ail rights reserved. Me (111/97) This etatJ is intended far tile exclusive use of STERlS customers. including Jrc.'1itects or deSigners. ReprOduction in 'wIlOIlf'ar'in-{Jartby a/hers is (Hohibited. 1. GENERAL INFORMATION 1.1 General The product literature included in this manual contains factual data relating to the principal characteristics of the Reliance 444 Washers and the 1-1 122992.406 Load/Unload Modules (option). This literature is informative rather than instructional. It provides and conveys, through text and illustrations, a general concept of the equipment, its purpose, capabilities, limitations and technical specifications. Summary of Warnings and Cautions The following is a summary of safety precautions which must be observed when operating or servicing this equipment. WARNINGS indicate the potential for danger to personnel, and CAUTIONS indicate the potential for damage to equipment. These precautions are repeated (in whole or in part), where applicable, throughout the manual. Observance of these safety precautions will minimize the risk of personal injury and/ or the possible use of improper maintenance methods which may damage the unit or render it unsafe. It is important to understand that these precautions are not exhaustive. AMSCO could not possibly know, evaluate and' advise maintenance departments of all conceivable ways in which maintenance might be done or the possible hazardous consequences of each way, WARNING. CHEMICAL BURN HAZARD A Washer detergents are caustic and can cause adverse effects to exposed tissues. Do not get in eyes, on skin or attempt to ingest by mouth. · Read and follow the precautions and instructions on the detergent label and In the Material Safety Data Sheet (MSDS) prior to handling the detergent, refilling the detergent container or servicing the detergent injection pump. · Wear protective gloves, face shield and clothing whenever handling the detergent or servicing the injection pump and lines. WARNING. CHEMICAL BURN/EYE INJURY HAZARD A Wear gloves and eye protection when removing clamps and replacing squeeze tubes. Residual detergent/lubricant might remain in used squeeze tubes. If detergent/lubricant contacts skin or eyes, immediately flush with running water for at least 10 minutes. If contact was with the ,eyes, seek medical attention. WARNING - HEALTH HAZARD A Vapors from solvents can be harmful. Use with adequate ventilation. Follow directions on the container. WARNING. PERSONAL INJURY HAZARD A Always press EMERGENCY STOP BUTTON prior to clearing conveyor and lor chamber obstruction. A In case of power loss, automatic door{s} lowers slowly due to gravity. Keep hands out of door area to avoid personal injury. A The chamber door is heavy. Lifting it manually may require two people. WARNING. PERSONAL INJURY AND/OR EQUIPMENT DAMAGE HAZARD A Regularly scheduled preventive maintenance, in addition to the faithful performance of the minor maintenance described below, is required for safe and reliable operation of this equipment. Contact AMSCO service to schedule preventive maintenance. x i 22992-406 .- WARNING. PERSONAL INJURY AND/OR EQUIPMENT DAMAGE HAZARD \ ^ Only fully qualified service personnel should make repairs and adjustments to this equipment. .. Maintenance done by inexperienced, unqualified personnel or Installation of unauthorized parts could cause personal injury, invalidate the warranty, or result in costly damage. Contact your AMSCO sales or service representative regarding service options. A Use a 18 x 2 x 4 piece of wood to support pump while sliding it out of the unit. Pump is very heavy and will fall if not supported properly, causing personal injury and/or equipment damage. A Use a 18 x 2 x 4 piece of wood to support pump while sliding It back into the unit. Pump is very heavy and will fall if not supported properly, causing personal injury andlor equipment damage. WARNING. ELECTRIC SHOCK AND lOR BURN HAZARD A Disconnect all utilities before servicing. Do not service washer unless all utilities have been properly locked out. Always follow OSHA lockout-tagout and electrical safety-related work practice standards. (See 29 CFR 1910.147 and .331 through .335.) A Lock building electrical supply disconnect switch to OFF and close unit supply valves before performing any service on the unit. If unit is started during maintenance procedures, hot waterl steam may be sprayed Into washer. A Lock building electrIcal supply dIsconnect switch in OFF position and depressurize valve (main and auxiliary lines) before making repairs. IWARNING . BURN HAZARD A Except for emergency, do not open door when cycle is in progress. In an emergency, first stop cycle by pressing the STOP touch pad and wait for water flow to stop. Wear protective gloves and face shield whenever reaching into the chamber. . . A Allow piping to cool down before inspecting and/or cleaning supply~line strainers. A Wear gloves and face protection and open door slowly if it is necessary to open door during a cycle. Hot water/steam may be sprayed through door opening when checking automatic stop while washer is operating. A Allow unit to cool down before performing any service on the pump. Piping and valves become very hot during unit operation. A A Allow unit to cool down before performing any service on pump. Surface of motor and piping become very hot during unit operation. After pressing STOP touch pad, wait until water stops before opening door slowly. Hot water/ steam may be sprayed through door opening if door is opened too soon. WARNING. FALL HAZARD A To prevent falls, keep floors dry. Promptly clean up any spills or drippage. xi 764323.183 CAUTION.. POSSIBLE EQUIPMENT DAMAGE HAZARD: A Use non-abrasive cleaners when cleaning unit. Follow directions on containers and rub In a back.and-forth motion (in same direction as surface grain). Abrasive cleaners will damage stainless steel. Cleaners rubbed in a circular motion or applied with a wire brush or steel wool on door and chamber assemblies can be harmful to stainless steel. Do not use these cleaners on painted surfaces. A When choosing a detergent, select one with a low chloride content. Detergents with a high chloride content can be harmful to stainless steel. A Always position each manifold and/or bottom rotary spray over a manifold connector before operating unit. If manifolds and/or bottom rotary sprays are not positioned correctly, damage may result and unit will be una ble to effectively wash load. A Always use a silicone lubricant to lubricate squeeze tubes. Petroleum-based lubricants, such as Vaseline or grease, will cause squeeze tubes to melt. A A A A A A A A Observe the Electrostatic Precautions outlined in Section 7.13.1. Always wear a grounding wrist strap when removing or replacing PC boards or ICs. Carefully tighten set screw. The metal set screw can easily strip the plastic threads in the roller block assembly. Make sure a cooling fan is attached to rear motor shaft. Check that the fan blades are positioned to send airflow to motor. Motor will overheat without a cooling fan. Solenoid valves are equipped with a special material which can be attacked by oils and grease. When replacing entire valve, wipe threads clean of cutting oils and use Teflon tape to seal pipe joints. Do not use carbon tetrachloride, trichloethylene, thinner, acetone or similar solvents in cleaning any part of airline regulator or filter. Water and a mild soap is recommended. Once chamber door has been manually lowered, ensure cable is correctly aligned and routed on all six cable pulleys. Once chamber door has been lowered, ensure cable is correctly aligned on all sixcable pulleys. To prevent voiding the warranty or damaging the equipment, use only authorized AMSCO parts. xii 122992-406 TABLE 2-1 2-2 2-3 3-1 3-2a 3-2b 3-3 4-1 4-2 6-1 6-2 7-1 7-2 7-3 7-4 7-5 7-6 7-7 7-8 7-9 LIST OF TABLES TITL E .. ......... ................ .................................................... ........ ....... ............. ..... ........ P AGE C yele Description Cha rt......... ................... ........ .............. ...... .................... .... ........... ......2-5 Factory Preset Cycles ................................. ..... .............. ........ .....,... ................ ..... ......... ..2-6 Manually Entered Cycle Codes .................................... ............ ........... ............... ......... 2-16 Drain Timing Chart .... ..... ......... ..... ....... .................. .............. .................. ........................ 3-6 Conveyor System In pu ts ....................................... ...... ........ ....... ........... ........ .............. 3-10 Configu ration In pu ts.. ................... ....... ............ .... .... .... ........ .......... ...... .... ......... ...........3-10 Conveyor System Ou tputs .... ............ ........................................... ........... ........ ...... ......3-10 Detergen t! Clean ing Products......... ........ ........ .... ...... ....... ......... .................. ............. .....4-2 Preven ti ve Main tenance Gu ide.... ....... ..... ........ ................................... ............ ..............4-9 Ivfanually Entered Cycle Codes... ............. .................. .......... .................. ..... ............. ... 6-24 Schematics Listing, Reliance 444 Maintenance Manual............................................ 6-25 Reliance 444 Steam-Heated Service Mode Program Tree ...........................................7-2 Reliance 444 Electric-Heated Service Mode Program Tree .........................................7-3 Hoplab Factory Setu P, Steam-Heated Unit .............................:.................................. 7-19 Hoplab Factory Setup, Electric-Heated U niL.............. ............. ........ ............ .............7-20 Dip Switch Settings-Printer PC Board ........................................................................7-26 Dip Switch Settings-Printer Interface PC Board ........................................................ 7-26 Dip Switch Settings-Remote Panel Interface PC Board............................................. 7-26 Dip Switch Settings-Control PC Board.. ......................................................... ............ 7-26 Dip Switch Settings-II 0 Driver Board ....................................................................... 7~26 ix 1Z2992.~C6 1-.; -'-.. ._---~... ,,' -. 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"0 :.... , , 't\J ~-\ l~- 'w jJ ~ 1~1 I i~' " -:J Ii :11 ;V1 .\ II · I I I t I €) D -0 r'l :fO 1> -t - Z C1 :;:0 rrl o C - :;:0 l"'1 3: l"'1 Z -4 f/.l , ~ ,. " p ~ :oD :oD !g :al ~(J\ '! ... i~ " 18 II :oD .0 ~ J 5 ~Q\o :Ul ..... !bt :1 ;0" :U1 .- ~^! ~ IE: SCHOMMER ELECTRICAL CONTRACTING 'II Nl64 Two Mile Road · A. ppleton, WI 54914-9121 U INC. (PO) 731-.1.299 IlI'AX 731-4550 schommerd<<tric@yahoo.com DATE: r/l3lo> , TO: ,( -e. VI;' 8 en n -C "" COIvlPANY: ";:1'1 spec"" r FAX# Cf,1.0- ~3~- S"o ?,/ FROM: Schommer Electrical Contracting ~/'I No. of Pages with Coversheet :L. PI"' 0 c eolc.(II'.( L ,'.j. 1:' f 't-hq f- Q.... E:. /J e I ;", 5 ~~ ~s,.p.;~/ :L I4cf F/fJotl" H~ "" 11 e./l '7 -4 f(.e VI qr;.rcu1C.~ (;0/[:0 . d 0(;6 JI~lJ3l3 ~3WWOHJS p[:01 L00(;-[1-~n~ i :" C:0 . d ltllOl Burton Outpatient n (:: II (~L ~ The perfect blend of minimal heat output and high color temperature, low-maintenance and top performance. The Outpatient II is the documented industry leader for diagnostic and procedure lights. More physicians choose the Outpatient II than any other diagnostic light for focusable flood-type light, maximum intensity and shadow-free operation. With minimal heat output and high color temperature. the Outpatient II is the perfect low-maintenance, top performing light for nearly every application in the hospital, surgical suite or physician's office. Features: . 8000 Footcandles (87,000 Lux) at 24". . 33000K Color temperature. . Focuses with central removable, autoclavable SteriHandle. . Friction knob allows user to position self-balancing arm without a tool for drift-free positioning. . Cool operation. assured with heat filters and dichroic coatings. . Shadow-free operation provided by 3 "optically improved' 50-watt halogen bulbs, each with 9000-hour average bulb life. . Bulbs are wired in parallel to assure continuous operation. . Design allows removal or replacement ofSteriHandle with one hand (for assuring sterile procedures)- . Floorstand model includes footswitch, locking casters and cord wrap_ . Mounting systems meet California Seismic codes. . 11SV models standard; 230V models availalbe. ~tJ!: 60601-1/6060 t-2-41. ~rtifie9 . 5-year warranty. . Made in the USA. Product BrQ9,hure - PDF (4.65 K) ~1,~S~:~'~~i~2;~~~".Y~~:;;:~:-.~.:~.~~."~. ;.'.~"':":~; . . .. ,..',r!'f,.,:,,'i . ; "'i~i'c' ,'. r,~,:. ,.,. I 'S;,;.; ~. , ."..~~;~';[:;~~:(i~;~::~:';.I: . '.:'~ <:::-,~:~".;:,~::~~.:~.;:.:: \1:~.tJtt:--' . 8/S/Z0C ... 11..-_____ __..1:__1 1:...1..:_.. """....."'n....tnn nntT\!:lhP11t ? htrnl C:0/C:0-d 0C:6 JI~lJ3l3 ~3WWOHJS p~:0~ L00c:-~~-~ntl