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3257 CAMINO DE LOS COCHES; 200; US120053; Permit
10/27/2020 US120053 Permit Data City of Carlsbad Hazardous Installations Permit No: US120053 3257 CAMINO DE LOS Job Address: Status: PENDING COCHES Permit Type: HI Applied 3/8/2012 Parcel No: 2550313200 Approved: Lot #: 0 Reference No.: Issued: PC #: Inspector: Project Title: DR. EVAN GOLD, DMD MED (ANESTHESIA) GAS SYSTEM IN MEDICAL OFFICE Applicant: UTGARD CONSTRUCTION STE L 12225 WORLD TRADE DR SAN DIEGO CA 619 293-0234 Owner: PS F LOS COCHES LL C P0 BOX 676192 RANCHO SANTA FE CA Fees ($) Add'I Fees ($) Total ($) Balance ($) 244 0 244 0 1/1 Certified Medical Testing 7600 N. Ingram Avenue Suite 234 - Fresno, CA 93711 Phone 800/ 243-5427 Fax 559/ 435-8827 - Email certifiedtesting@sbglobai.net - website www.viyegas.com HOSPITAL OR CONTRACTOR: CONTACT PERSON'S INFORMATION: NAME: C NAME: .. H ADDRESS: -. - r Lt- ADDRESS: PHONE #: PHONE#: PROJECT FACILITY:\ ' ) I - JOB #_________ AREA OF PROJECT:_________________ PROJECT l)ESCRIPTION:_____________ Repaired or Replaced Components: 5.1.12.1.12.1 Verified function of replaced device. Confirmed no adverse impact with other system equipment.________________ 5.1.12.1.12.2 Verified proper equipment operation, product quality (where applicable) and appropriate alarm activation._________________ PIPED GAS SYSTEMS - LEVEL 1- ASSE 6030 VERIFICATION PROCEDURES Tests Performed: Form # (Pass) / (N/A) Tests Performed: Form # (Pass) / (N/A) Standing Pressure Test C2 NFPA 99.5.1.12.3.2 Final Tie-In Test C7 NFPA 99.5.1.12.3.9 Cross Connection C3 NFPA 99.5.1.12.3.3 ç$ Operational Pressure Test C3 NFPA 99.5.1.12.3.10 Valve Test C4 NFPA 99.5,1.12.3.4 Gas Concentration Test C3 NFPA 99.5.1.12.3.11 . Alarm Test C6 NFPA 99.5.1.12.3.5 \)-c.iç MedicalAirPurity C9 NFPA 99.5.1.12.3.12 Piping Purge Test C3 NFPA99.5.1.12.3.6 Q.,c, Labeling NIA NFPA 99.5.1.12.3.13 .\ Piping Particulate Test C5 NFPA 99.5.1.12.3.7 R.\Z) Source Equipment Verification C8 NFPA 99.5.1.12.3.14.1 - Piping Purity Test C5 NFPA99.5.1.12.3.8 All Medical Gas Component design and configuration facets of this Construction Project comply with applicable NFPA 99 Criteria. All Medical Gas Component design and configuration facets of this Construction Project DO NOT comply with applicable NFPA 99 Criteria. Medical Gas System Gas Concentration Pressure Test Results Flow Test Results Temperature Test Results > COMMENTS: A - ,. p. - Technician: ' \ '.. Date: ' i / ¼ " Report Recipient: / I. Carlsbad Fire Department Compressed Gas Systems Acceptance Test This check list is only to be used as a guide. Refer to all NFPA Standards, applicable codes and regulations prior to inspection. ADDRESS: 32'1 (4Mii.06 bC L45 k4c CARLSBAD, CA '1-ii PHONE: INSTALLING INSTALLING CONTRACTOR:____________ PHONE:____________________________________ CONTRACTORLIC NO:CBD BUS LIC NO:: PHONE: OR: INSPECT___ SIGNATURE: DATE: DATE: Mi4' (Circle) (Circle) Code Acceptance Test - IPC1330.2 Inspection request A minimum of 48 hour notice required. CN Test preparation Permit on site. Permit holder to supply all materials for test. Only oil free dry nitrogen shall be used - CN IPC1329 2 for test. NFPA 99-5.1.10.3.8.2 Separate tests Le testing shall be accomplished by separately charging and testing each individual piping system. CN 1PC1302.0 Installer's certi ication AHJ shall require evidence of competency of the installers certification specifically 4E CN CA State Amendment identifying competency in installation of gas systems. - - Rough test (before attachment of system components) OK CN Med Gas: Test at 1 & % times the working pressure (Never less than 150 psig). Maintain until each joint examined with 1PC1329 6 soapy water for leakage. Vacuum mmHg 24 hours. _piping: _Negative _pressure _at_12_ _for - Final test (after 24 hours) CN IPC1329.7 Med Gas: System pressure to be leak free. (gauge variations due to changes in ambient temperature are acceptable) Vacuum remain negative _piping: _To_ _at_ _pressure _at_12_mmHg. - Construction and Ventilation Piping joints Copper to copper joints shall be brazed without flux using copper-phosphorus or copper phosphorus- ' - CN • CMC 13 20 1 silver brazing filler metal (BCuP series) - - Piping for vacuum Shall be listed seamless Type K or L copper tubing, or other approved or listed material. CN CMC13• 174 Schedule 40 or "heavier" PVC is acceptable for vacuum systems. Room construction Quantities in excess of exempt amount require one hour construction in gas extedmcaa, 4g CN CFC3006.2 interior room ogac c"t - 1-hour exterior room: At least one exterior wall and at least one sprinkler. Two -36 cubic inch vents; 1 within 6" of CN floo •" of ceiling - ourS tenor r (no exterior wall): Sprinkler required, Supply and exhaust vent ducts to be 1-hour shaft CFC3006.2 enc osures and to vent to the exterior. Mechanical ventilation at I cfrn/f. 1-hour interior room (with an exterior wall) below permit amounts: Sprinkler not required. (Above permit Note: Construction amounts: Sprinkler required); Two 36 cubic inch vents; 1 within 6" of floor and 1 within 6" of ceiling. Mechanical inspector will verify 1- ventilation at 1fm/f2. hour construction Gas cabinits: Connected to exhaust port. Ventilation at face of access ports not less than 200 fpm; minimum of 150 fpm at any point of the access port or window. Internal sprinkler required. Exterior supply locations: Oxidizer gas systems in quantities greater than the exempt amount to be in accordance with which below distances) _CFC4004.2.1_ _references _Table _4004.1.2_ _(set _back Piping imbedded within concrete floors or concrete walls shall be installed in a continuous protective conduit unless _3 CIN NFPA 99-4-5.1.2.10 exempted by NFPA99-4-5.1.2.10 Piping underground shall be in a continuous protective enclosure. Exception: Air pressure lines and vacuum lines OK CN NFPA 99-5.1.10.3.5.2 for clinics are not required to be in a secondary conduit. Other gas piping installed below graded shall be installed in a conduit. split two a_pipe) _(Can't_be_ _conduits _such _as _halves _of - OK CN NFPA 99-5.1.3.3.2 Lockable doors Rooms containing gas, oxygen, air and other gases shall be lockable. : CN CFC3006.2 Storage Gases shall be stored in areas dedicated to the storage of such gases without other storage or uses. Cylinders secured Compressed gas cylinders shall be secured to prevent falling. Cylinders not in use shall have OK CN - . NFPA 5 1 3 32 protective caps in place over the valves. Code Labeling Labels for piping and manifolds All gas piping and manifolds shall be permanently labeled with the gas they carry CN or control. Labels to be at not more than 20' intervals and at every change in direction. Labels shall be locatedbefore and after barriers, behind access doors, at inlets & outlets and vertically at every floor. Labels shall be posted on NFPA 99-5.1.11 access doors to enclosures containing gas piping, valves or components. Lettering at least 3/8" high & parallel to axis of pipe. Labels to include: Type of Gas; Direction of flow (arrows); working pressure (only if 200 to 300 PSI). Labels for valves All gas valves shall be labeled indicating "(Type of gas) (source, main line, riser for, service) CN NFPA99C 1.11 shutoff valve for (location or zone), "Do not open or close valve except in an emergency". Lettering to be at least 3/8" (see also) 34 high. NFPA 99-5.1.3.1.2 Labels for cylinders Compressed gas cylinders shall be labeled so that contents are identified. CN Door sign for oxidizing gases (i.e. Oxygen, Nitrous Oxide, etc) "CAUTION OXIDIZING GAS(ES) STORED WITHIN OK CN NFPA 999.4.4.1 -NO SMOKING NFPA 99-5.1.3.1.6 Door sign for air 'CAUTION GASES - NO SMOKING OR OPEN FLAME" OK CN Door sign for gases other than oxygen and air "CAUTION GASES - NO SMOKING OR OPEN FLAME ROOM OK CN NFPA 99-5.1.3.1.5 MAY HAVE INSUFFICIENT OXYGEN OPEN DOOR AND ALLOW ROOM TO VENTILATE BEFORE ENTERING" - Permit amount sign: Where applicable, permit amount signage to be conspicuously posted inside the room. OK CN Lettering shall be at least one inch in height and shall be of a contrasting color to the background and shall be CFD Policy CFC 104.1 consistent with "OXIDIZING GAS QUANTITIES IN THIS ROOM SHALL NOT EXCEED 504 CUBIC FEET OF EXPANDED (NTP) GAS." Lettering of at least Win size shall state "DO NOT REMOVE THIS SIGN BY ORDER OF THE FIRE MARSHAL." Third Party Certification - System certification Prior to placing system in service, system certification shall be completed by a qualified, AHJ IPC1331.0 approved independent 3" party verification agency. System certification documentation shall indicate compliance with 1PC1331.2 PCI 331.0 I Documentation of system certification shall be provided to the City inspector prior to final permit approval. ' CN OXIDIZER LIQUIDS AND SOLIDS —DISTANCE FROM DETACHED BUILDINGS AND OUTDOOR STORAGE AREAS TO EXPOSURES MINIMUM DISTANCE TO BUILDINGS, LOT LINES, PUBLIC STREETS, PUBLIC ALLEYS, PUBLIC WAYS OR MEANS OXIDIZER CLASS WEIGHT (pounds) OF EGRESS (feet) 1 Note a Not Required 2 Note 35 3 Note 50 over 10t0100 75 101to500 100 501to1,000 125 1,001 to 3,000 200 4 3,001 to 5,000 300 5,001 to 10,000 400 over r 10,000 As required by the fire code official t-or i: 1 TOOt = JU4.5 mm, i pound = U.4b4 Kg. a. Any quantity over the amount required for detached storage in accordance with Section 2703.8.2, or over the outdoor maximum allowable quantity for outdoor control areas. NFPA 99 Table 5.1.11 Standard Designation Colors and Operating Pressures for Gas and Vacuum Systems Gas Service Abbreviated Name I Colors (Background/Text) Compressed Air Mad Air Yellow/black MEÔiALAIR,.S.PE • Carbon dioxide CO2 Gray/black or ~#W-WAWKW Helium He I Nitrogen N2 Nitrous oxide N20 02 Oxygen _______ or white/green Oxygen/CO2 mixtures 02/CO2 n%(n is % of CO2) I I White/black Vacuum Med Vac Waste anesthetic gas WAGD disposal YA1Lt'1aIr Other mixtures Gas A %/Gas B% Colors as above Major gas for background/ minor gas for text Non-Medical air (level 3 gas- powered device) Yellow and white diagonal stripe/black - --.. - - Non-Medical and level 3 vacuum White and black diagonal stripe/black boxed Laboratory air Yellow and white checkerboard/black Laboratory vacuum White and black checkerboard/black boxed Instrument air White/Red Notes: NFPA 99 is not formally adopted by the CFC as indicated in 3006.4 but is a recognized standard where the CFC and the IPC are silent. Per CFC 3006.1 (amended) the gas system is to be in compliance with CFC 3006 (including veterinary use) however, all piping, manifolds, connections, regulators, alarms, sensors and associated equipment is to be in compliance with the IPC. Max. Su000rt SDacina 'Kin. (0.635 cm) 5 f (1.52m) 3/8 in. (0.953 cm) 6ft. (1.83m) 1/2 ifl. (1.270 cm) 6ft. (1.83m) 3/4 in. (1.910 cm) 7 ft. (2.13 m) 1. in. (2.540 CM) 8ft. (2.44m) 1-1/4 in. 9ft. (2.74m) 1-1/2 in. 10 ft (3.05 m) .1 Carls b a d April 10, 2012 Office of Fire Prevention Division Dr. Evan Gold, D.M.D. 3257 Camino de losCoches , Suite 200 Carlsbad, CA 92009 Occupancy Group (Class) Restrictions. The Carlsbad Fire Department has concluded their review of the plans submitted for permitting and occupancy. During this review, the Carlsbad Fire Department cited that while refuted by you the applicant, we believe that the appropriate Occupancy Group or Class for your business is an 1-1.2, not a B. The implications of an "I" occupancy could be profound if not adequately addressed at the outset of a project. However, the Carlsbad Fire Department has stated their position on this matter and conceded that while therein lies a potential to make a case that a "I" designation is appropriate, that a designation of a "B" occupancy group is appropriate so long as there are not five- (5) or more Patient Treatment Rooms. If at any time, you elect or it is reported to our office by the Dental Board of California that your practice has expanded to five- (5) or more patient treatment rooms, you shall be required to make all necessary changes to meet all applicable codes and standards adopted at that time. By signing below you agree to the terms of this letter in perpetuity and agree to make all necessary corrections should you elect to expand your practice or have been found in violation of this agreement and have been given your due process before the appropriateCity Ofiiciais. Should you have any questions, please call us at 760-602-4665. I 4~q-7-- GREGO V RYAN Deputy Fire Marshal I, Dr. Evan Gold, by means of my signature agree to all terms and conditions stated herein. Signed Date 1635 Faraday Avenue 9 Carlsbad, CA 92008 • (760) 602-4666 • FAX (760) 602-8561 UI2-o53 )1W2 To ensure proper installation and operation of your Guardian JJTM Automatic Switching Manifold /Alarm System, please read these instructions thoroughly before beginning installation. Operating Temperature Range -7 °C to 54 °C (19 °F to 130 °F) High flow operation in cold or humid climates may require external regulator heaters Rated 02 Flow Minium 100 LPM at 50-55 psi when connected to an appropriate gas cylinder and regulator Rated N20 Flow Minium 100 LPM at 50-55 psi when connected to an appropriate gas cylinder and regulator High Pressure Alarm 60 psi Low Pressure Alarm 40 psi Electrical Power Supply 115 VAC / 60 HZ Pre-Installation Kit Main Manifold with Cover Office Control Panel (Wall or Desk) 4 Pressure Regulators (2 N20 and 2 02) 4 Tank Hoses (2 N20 and 2 02) I Set Tank Restraints - Power Supply Manifold Templates Installation Instructions User Manual Installation Screws The Guardian HTM Automatic Switching Manifold/Alarm System is complete once the Zone Valve (if system requires a zone valve), the Manifold Pre-Installation Kit and the enclosed Manifold Package are installed. These instructions assume that both the Pre-Installation Kit (for the appropriate manifold model) and the Zone Valve rough-in (if system requires a zone valve) have already been installed. Note: A dental office utilizing an automatic manifold that has been properly installed in a remote location (an area separate from the dental office proper) is required to have a zone valve. An automatic manifold that is not remotely located does not require the installation of a zone valve. Follow the "Office Control Panel" installation instructions for the appropriate model. The avail- able models are identified in the Table of Contents. 02 Pipeline - Copper 1/2" 0.0. ] To Vac. Pipeline Il—Copper 1/2" O.D. Dental Office Area I Outlet d14 TROtn Stations c N20 Pipeline Copper 3/8 O.D. Surface r Quick Connect Triple Outlet UI 02 Zone ir Tt Th\ II Pipeline I Copper Valve I N20 1120.D. I Pipeline To Vac. I Copper - Pipeline 3/80.D. -. Copper *9! I Recessed Quick Theae,itArnaconnectmpleOutlet: Wall Mount Office Control Panel c54E!Ji .1i Desk Mount Office Control Panel " Power Transformer_ 110 VAC to 12 VDC I fill (6' line) locate 110 outlet within 5' of this point Pressure Rel Valve (N20) 51 N20 DISS Connection to floor N20 DISS Hose (4 feet) Guardian ll" Automatic Switching Manifold! Alarm System Pressure Relief Valve (02) 02 DISS Connection 02 DISS Hose (4 feet) 02 Regulator P120 Regulator ffitmusNa us Oxide Oxide Tank Restraints Oxygen I I Oxygen Nitrous Oxide Supply Oxygen Supply 1733 W. Parkside Lane • Phoenix, AZ 85027 c;in r I •-- -.-- UL-jlj H 00 00 00 INSTALLATION Note: In order to operate and function properly, the temperature in the manifold system's environment needs to fall within the following ranges: 19 to 130 F; -7 to 54 C. These ranges are based on NFPA 99 specifications. Environments at low end of temperature range may require a heating device on regulators or cylinders according to manufacturers recommendations. Take main manifold from the shipping carton and separate manifold cover from the main mani- fold block by removing the cover that is attached by velcro. Remove the brass caps from both the nitrous oxide gas line (left) and the oxygen gas line (right) that are located in the tank room. Remove the red caps from the outlet fittings at the top of the main manifold and attach the main manifold to the gas lines. Note: Use 2 wrenches when tightening the fittings. Using the 3 1/2-inch screws, secure the main manifold to the wail through the mounting holes in the main manifold block. The bottom of the manifold must be installed a minimum of five feet from the floor. Note: When studs are not available to secure the manifold block directly to the wall, a mounting board 18 inches wide, 4 inches tall and 1 inch thick (secured to the wall studs) is recommended. Remove the red cap from the light gray cable and plug the cable into the connector (cable port) at the top of the main manifold circuit board labeled "Office Controller." Push the cable connector into the port until there is a click and the cable connector cannot be easily pulled out of the port. For systems requiring a zone valve: Remove the red cap from the black cable and plug the cable into the connector (cable port) at the top of the circuit board labeled "Zone Valve." Push the cable connector into the port until there is a click and the cable connector cannot be easily N20 riser pulled out of the port. 11 02 riser Main manifold— ff fi [ —Main manifold N20 connection W I ii ii ' 02 connection 4 Mount the tank restraint mounting brackets within 3 feet of manifold and attach them to the wall 40 inches up from the floor. When attaching the tank restraint brackets, locate wall studs and secure the brackets to the wall using the 3 1/2-inch black screws. Note: When studs are not available to secure the brackets directly to the wall, it is recommended that a mounting board 48 to 60 inches wide, 4 inches tall and 1 inch thick be secured to the wall studs. Note: NFPA requires that gas cylinders be adequately secured. To continue installation of the Automatic Switching Manifold/Alarm System, 2 full tanks of nitrous oxide gas and 2 full tanks of oxygen gas are required. Do not attempt installation and initial start-up without having 2 full tanks of both gases. WARNING: DO NOT OPEN TANK VALVES DURING THIS PART OF THE INSTALLATION PROCESS. TANK VALVES MAY BE OPENED ONLY AFFER ALL OF THE SUBSYSTEMS HAVE BEEN INSTALLED. INSTRUCTIONS FOR OPENING TANK VALVES WILL BE GIVEN LATER IN THIS INSTALLATION MANUAL. Arrange gas tanks in the tank restraints with the 2 nitrous oxide tanks to the left and the 2 oxygen tanks to the right. 1. Take the nitrous oxide pressure regulators from the shipping carton and remove the red caps from the DISS gas fittings. Attach the nitrous oxide pressure regulators to the 2 nitrous oxide gas tanks. Adjust the regulators so that each is on the left side of the gas tank and the pressure gauge is easily readable. Take the oxygen pressure regulators from the shipping carton and remove the red caps from the DISS gas fittings. Attach the oxygen pressure regulators to the 2 oxygen gas tanks Adjust the regulators so that each is on the left side of the gas tank and the pressure gauge is easily readable. Connect gas hoses to inlets on bottom of manifold. 5 For identifying which tank is in use, connect N20 tanks 1 and 2, and 02 tanks 1 and 2 as indicated in the diagram. If inappropriately connected, system will not function properly. 2 15/16 N20 RISER 3/8 RIGID COPPER 5' IT F LOOR TO HEX OF RISER (NOTE: N20 FITTING IS 1/2 HIGHER THAN 02 FITTING) 0 0 0 61/2 PROTECTIVE SHIPPING CAPS REMOVE & REPLACE WITH COPPER COUPLINGS AT INSTALLA11ON, TIOVAC EXPLOSION PROOF RECEPTACLE Locate no furM than 4' from manifold. IMPORTANT Use Type Kor I Pre-cleaned, capped copper only. Use Silver Solder or similar brazing alloy with at least a 1000°F melting point only. Cat Cat Cable Cable to to Zone Office 12V DC Valve Controller linen lloo Power Transformer fl fl SUAh'IJ/AN//e. rAm, TAPICA O--O TMAK1 tS2 O-Ith.--O --.-o --o O_rAm_O O ——O ---.- __4 )4.r DONCITOUCH €0 €0 02 RISER 1/2 RIGID COPPER 59-1/2. FLOOR TO HEX OF RISER (NOTE: 02 FITTING IS 112 LOWER THAN N20 FilliNG) 0 oEI 0 31/2' REF. N200ISS 02 DISS MALE FITTINGS MALE Ffl1NGS - 123/8°_ —13°REE— 510 FLOOR FRONT VIEW APPROXIMATELY OXYGEN a ZONE VALVE-COVER OFF ZONE VALVE-COMPLETE OXYGEN MEO1CAt. GEE GHUT.OEE VALVES CLOSE SELV R EMERGENCY tERRORS OXiDE 10 00 Od bo 00 IN THE TANK ROOM: IT IS IMPERATIVE THAT THE FOLLOWING STEPS ARE COMPLETED IN THE EXACF ORDER THAT THEY ARE USTED. Remove power supply and cable from the shipping carton. Plug the power supply connector to the receptacle at the top of the main manifold circuit board labeled "Power." Plug the power supply into a explosion proof 120-volt outlet that is within 4 feet of the main manifold circuit board. The LEDs on the main manifold circuit board will start flashing and go through a start-up sequence. At the same time, the LEDs on the office control panel will start blinking and the audio alarm will beep with every change in the LEDs until the start-up sequence is complete. When the sequence is complete, the office control panel will beep 3 times and then have no LEDs on or audio alarm beeping. In the tank room, the main manifold circuit board should display the following: 2 blue "Empty" LEDs will be lit-up 2 green "Empty" LEDs will be lit-up Red LED will be blinking With the main manifold circuit board displaying the LEDs as described above, the system has been installed correctly and is ready for additional testing. 5. Pull the power supply plug from the outlet to shut off power and proceed to the "System Tests" section of this installation manual. 11 LEGACY REPORT NER-258 Reissued July 1, 2008 - T 'e""" office U 5360 "'m MI Road, WhitUe, California 90601 • (562) 699)543 ICC Evaluation Service, Inc. I Regional Offlceu 900 Montclair Road, Suite A Birmingham, Alabama 35213 • (205) 599-9800 www.icc-es.org Regional Office. 4051 West Flossmoor Road, Country Club His, Illinois 60478. (708) 799-2305 Legacy report on the BOCAe National Building Code/I 990, the 1988 Standard Building Code© with 1989/1990 Revisions, the 1988 Uniform Building CodeTm with 1990 Accumulative Supplement DIVISION: 09—FINISHES Section: 09260—Gypsum Board Assemblies B. Two-Hour Cavity Shaft Wall (Nonload-Bearing) REPORT HOLDER: 1. Two and one-half-inch-wide, minimum No. 25 gauge "J" floor and ceiling runner. USG CORPORATION 550 WEST ADAMS STREET 2. One-inch-thick SHEETROCK brand Gypsum Liner CHICAGO, ILLINOIS 60661 Panels 24 inches wide - no screw attachment. EVALUATION SUBJECT: 3. Minimum No. 25 gauge USG Steel C-H stud. Screws not required to attach stud to runner. E-shaped studs are used for closure panels at end walls or columns, USG Drywall Shaft Partition Systems or in lieu of C-H studs. (If "J" runners are used at end 1.0 SUBJECT walls, the gypsum liner is fastened at the ends with 1/ inch Type S screws, 12 inches on center.) The H- USGe Drywall Shaft Partition Systems Section of C-H stud normally faces shaft. 2.0 PROPERTY FORWHICH EVALUATION IS SOUGHT 4. Gypsum panels attached as follows: a. Base layer: 1/2-inch SHEETROCK FIRECODE© Fire Resistance TYPE C or 5/8-inch SHEETROCK FIRECODE© Type X gypsum panels applied vertically with 1- 3.0 DESCRIPTION inch Type S screws 24 inches on center in field CAVITY SHAFT WALL SYSTEMS and at edges. A. One-Hour Cavity Shaft Wall (Nonload-Bearing) b. Finish layer: 1/2-inch SHEETROCK FIRECODE© Type C or 5/8-inch SHEETROCK FIRECODE© Two and one-half-inch-wide, X gypsum panels applied vertically or-inch-wide, minimum No. 25 gauge horizontally and attached with 1% inch Type S "J" floor and ceiling runners. screws at 12 inches on center in field and at One-inch-thick SHEETROCK brand Gypsum Liner edges - 6 inches from top, bottom and ends. When applied vertically, the joints must be panels 24 inches wide - no screw attachment. staggered with the joints in the base layer. Minimum No. 25 gauge USG Steel C-H stud. Screws Joints and screw heads on outer layer only are not required to attach stud to runner. E-shaped studs finished with SHEETROCK Joint Tape and may be used for closure panels at end walls or SHEETROCK Joint Compound when required for columns. (If "J" runners are used at end walls, the decorative purposes. gypsum liner is fastened at the ends with 15/8-inch Type S screws 12 inches on center.) The H-Section of 5. Fire Damper (optional) (not shown) - 11/2 hour curtain- C-H stud normally faces shaft. type fire damper encased in a No. 22 gauge galvanized sleeve, installed in a 48 inches wide x 36 A single ply'/,-inch USG SHEETROCK FIRECODEc inches high opening framed with E-Studs and J- Type C gypsum panels installed vertically with 1 inch Runners. No. 16 gauge galvanized steel, 11/2 inches Type S screws 12 inches on center in field and at x 1 /2 inches mounting angles are attached to the edges - 6 inches from top, bottom and ends. Joints damper sleeve on the face layer side of the wall only and screw heads are finished with SHEETROCK Joint around all 4 sides of the sleeve using 2 inch long No. Tape and SHEETROCK Joint Compound on this ply, 10 sheet screws 2 inches from each end and 6 inches when required for decorative purposes. o.c. The mounting angles must be installed such that ]CC-ES legacy reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject 0/the report or a reconvnendafionj?r its use. There is no warranty be ICC Evaluation Service, Inc., express or implied, as to any finding or other matter in this report, or as to any product covered by the report. Copyright © 2008 Page 1 of 6 US2.c)O3 10 3 Fire Barrier 2001 Silicone RTV Foam Product Data FILL, VOID OR CAVITY MATERIALS CLASSIFIED BY UNDERWRITERS LABORATORIES, INC. FOR USE IN THROUGH-PENETRATION FIRESTOP SYSTEMS. SEE CURRENT UL FIRE RESISTANCE DIRECTORY 7M32. Made in U.S.A. 1. Product Description 3M" Fire Barrier 2001 Silicone RTV Foam is a medium-density, two-part silicone elastomer supplied as A and B liquid components designed for use as a fire, smoke, noxious gas and water sealant. 3. Physical Properties 2001 Silicone RTV Foam is designed to seal large and/or complex penetrations such as cable bundles and trays, conduit bundles and multiple pipe runs. Penetrating items can be easily added, changed or removed. There is no ampacity derating of cables when product is used properly. The A Component is black and the B component is off-white for easy identification and inspection of the mix. When the A and B components are thoroughly mixed in a 1:1 ratio by either weight or volume, the product will expand and cure to a foamed elastomer at room temperature. Only a mild exotherm is exhibited during the curing reaction. In one to five minutes, the two mixed components will expand, foam, cure and flow around all penetrating items in an opening, forming a compression seal. 3M Fire Barrier Silicone RN Foam Features Foams in place to seal complex penetrations Cures in one to five minutes to form a compression seal Elastomenc compression seal Re-enterable/repairable Excellent sound barrier properties No ampacity derating of cables when used properly Provides up to a 3-hour fire rating Easily mixed by hand or automated mixing and dispensing equipment. 2. Applications Use to seal construction openings and penetrations through floor slabs, walls and other fire-rated building partitions and assemblies against the passage of flame, noxious gas, smoke and water. Restores fire rated construction to original integrity. Product Unit Volume Units/ctn. Wt. Ctn. Lbs. (Kg) 2001 Silicone 7 fl. oz. Kit *30 cu. in. 12 34 lbs. (15.4 kg.) RTV Foam 2 lb. Kit (Part A&B) *138 cu. in. 12 32 lbs. (14.5 kg.) 16 lb. Kit (Part A&B) *1106 Cu. in. 1 18 lbs. (8.2 kg.) 80 lb. (Part A&B) *5528 cu. in. 1 42.5 lbs. (19.3 kg.) Part A 42.5 lbs. (19.3 kg.) Part B *Foam densities will vary with field conditions, i.e., hole size, type, number of penetrating items and temperature of products. Unrestrained foam rise can result in values as low as 14 lb/ft.3 while restricted foam rise will result in much higher values. For illustrative purposes, a value of 25 lb/ft.3 was used. Manufactured by Dow Coming Corporation for 3M. 4. Specifications Product Typically Specified Divisions The firestopping foam will be a Division 7 Thermal and Moisture Protection Firestopping two-part, silicone elastomer. The 07270 foam shall be listed by independent test agencies such as UL or FM and Division 13 Special Construction Fire Suppression and Supervisory Systems be tested to, and pass the criteria of, 13900 ASTM E 814 Fire Test, tested under Division 15 Mechanical positive pressure. It shall comply with 15250 Mechanical Insulation Fire Protection the requirements of the NEC (NFPA- 15300 70), BOCAI, ICBO, SBCCI and NFPA Code #101. Division 16 Electrical 16050 Basic Electrical Materials and Methods 5. Performance A. Typical Physical Properties These values are not intended for use in preparing specifications As Cured - Physical1 CTM 0176 Appearance...................................................................................Dark gray to black elastomeric foam CTM 092A Snap Time2, minutes........................................................................................I to 2 CTM 0845A Density 3, lbs/ft3 ............................................................................................. 18 to 25 CTM 0826 Cell Structure4, closed cell, percent............................................................................................>50 ASTM 0 3574 Tensile Strength, psi..............................................................................................15 CTM 0740 K Factor5, 17 lbs/cu ft foam, BTU-in/hr-ft2-°C ................................................................................................ 0.45 CTM 0585 Linear Coefficient of Thermal Expansion, (-25 to 150°C), cm/cm °C ................................................................................................. 3.2X10 As Cured - Flammability6 CTM 0316A Fixed Ignition Time, seconds.................................................................................20 Glow-Out Time, seconds.......................................................................................10 CTM 0780 Limiting Oxygen Index, LOI rating..........................................................................39 One part A thoroughly mixed with one part B and cured at 25°C (77°F) for 24 hours. Contact 3M for current sales specifications. 2 Time to nonpour conditions. Also time to begin foam rise. 3 Power mixed for 30 seconds and cured in nonconfined condition. Breathability method. 5Cured foam sample thickness --1.0 inch. 6Tests, claims, representatives and descriptions regarding flammability are based on small-scale laboratory tests. Such tests are not reliable for determining, evaluation, predicting or describing the flammability or burning characteristics of the product under actual fire conditions, whether the product is used alone or in combination with other products. Firestopping Properties Meets the criteria of ASTM E 814 Fire Test, tested under positive pressure. Consult current UL Fire Resistance Directory for systems listed under 3M Product 2001 Silicone RN Foam. Firestopping Code Requirements CABO ICBO SBCCI BOCA NFPA Council of Uniform Standard Basic/National Life Safety NEC American Building Code Building Code Building Code Code #101 National Building Officials (1991 edition) (1991 edition) (1990 edition) (1991 edition) Electric Code Report Number 302(d) Application 103.2.4 Structural 901.2 Penetrations 6-2.3.6 Penetrations 300-21. Fire NER 243 for Permit and Fire Resistance and Misc. Openings Stopping Integrity and Fire Barriers 1704 Vertical Fire 705.1.6 Fire Stopping 902.1 Structural Spread at Exterior (Curtain Wall) Building Assemblies Walls (Curtain Walls) (Curtain Wall) 1706 Shaft Enclosure 1001.3 Penetrations 913.4.1 Through- of Fire Resistant Penetration System Assemblies (Floor/Ceiling, Roof/ Ceiling Assemblies) 1701 Construction 1001 .3.6 Method E: 915.6 Vertical Joints Through-Penetration Shafts Protection Systems 4304(e) Walls and Partitions 4304(f) Membranes 4305 Floor/Ceilings, Floors City of New York, NY Report MEA 152-83-M Vol. III. City of Los Angeles, CA Research Report RR 24463. 6. Installation Techniques A. Inhibition of Cure Certain materials, chemicals, curing agents and plasticizers can inhibit the cure of 3M Fire Barrier Silicone RTV Foam, including: Organotin and other organometallic compounds Silicone rubber containing organotin catalyst Sulfur, polysulfides, polysulfones and other sulfur-containing materials Amines, urethanes and amine- containing materials Unsaturated hydrocarbon plasticizers Preparatory Work The penetration opening and all related surfaces must be clean of dirt, dust and loose impediments. Surfaces must also be free of water, oil or other free liquids. Painting or Coating Most coatings/paints do not adhere to this product. Damming the Penetration Damming is required to prevent the liquid foam mixture from running out before it foams. Damming materials may also contribute to the fire resistant properties of particular system configurations. Check system design to make sure that proper damming materials and technique are used. Mixing the Components Prior to use, Part A and Part B components must be thoroughly stirred in their original containers to uniformly redisperse any fillers or pigments that may have settled. When mixing Part A and Part B, use clean containers and mixing equipment. If stirred containers stand for more than four hours, re-stir. At time of installation, material temperature should be between 65°F (18°C) and 80°F (27°C). This can be done by bringing the containers into a room between 65°F (18°C) and 80°F (27°C) and allowing them to sit for 12 hours. Please check material temperature prior to use if there is a possibility it is outside this range. To properly catalyze 3M Fire Barrier 2001 Silicone RTV Foam, an equal quantity of Part A is added to an equal quantity of Part B by either weight or volume. For batch mixing by hand or power mix, vigorous and thorough mixing should be maintained for 30 to 60 seconds. The mixed product begins to foam shortly after mixing; therefore, it should be dispensed in the penetration as soon as mixing is completed. For large-volume applications, the use of suitable automatic mixing, metering and dispensing equipment is recommended. A list of equipment manufacturers is available from 3M upon request. The type and degree of mixing can significantly affect the cell structure and density of the final foam product. Hand mixing will typically result in higher densities than power mixing by automatic mixing, metering and dispensing equipment. Typical expansion is 2:1 to 4:1 depending on the type and degree of mixing. Working Time When properly mixed, 3M Fire Barrier 2001 Silicone RTV Foam has a snap time (or working time) of one to two minutes at 77°F (250C). Snap time is dependent upon the temperature of the A and B components just before and after they are mixed. Installation CAUTION: When using 3M Fire Barrier 2001 Silicone RN Foam to seal large penetration openings, care should be exercised to avoid gas entrapment. Adequate ventilation should be provided to prevent build-up of hydrogen gas. Forced air ventilation is necessary if the work area has less than two cubic feet of free air space for each pound of liquid mixing being foamed. Adequate ventilation must be provided to prevent build-up of hydrogen gas at explosive levels. Waste materials must be considered with regard to these precautionary measures during disposal and storage. Waste materials should not be sealed in such things as plastic bags and similar containers that could trap hydrogen gas. 3M Fire Barrier 2001 Silicone RTV Foam should not be dispensed in liquid layers thicker than 1 inch (2.54 cm) at any given spot. Allow at least 15 minutes between application of each foam layer. If the opening is not filled to the desirable level when the cured foam has completed its expansion, repeat the injection and cure procedure until the desired fill rate is attained. To permit a clear view when filling a wall cavity, damming materials are built up gradually. The top of the opening is dammed for the final shot of foam. After the foam is installed, damming materials are left in place for 24 hours to allow the penetration seal to cure fully. After 24 hours, the penetration seal must be completely inspected by removing the damming materials. Curing foam should completely fill the penetration, providing a tight, compressive fit. Any remaining gaps are filled with freshly mixed foam or 3M Fire Barrier 2000 Silicone Sealant. The seal should then be reinspected after an additional 24 hours. Damming materials that are part of a specific system design must be replaced to their proper positions. Quality Control Snap Time, minutes' 1-2 Free Foam Density1, 14-10 lb/ft (gm/cm) (0.22-0.32) Color Chart Comparison (3M Form #98-0400-2359-4) Pass Cell structure Chart Comparison (3M Form # 98-0400-2359-4) Pass Standard procedures for measuring snap time and free foam density are available from 3M upon request. Totally unconfined, density values as low as 14 We (.22 gm/cm) may be obtained. Clean Up Excess foam around the penetration seal can be removed with a sharp knife or blade. Spills of Part A and Part B liquid components can be removed with high flash-point mineral spirit solvent. Follow manufacturers precautions when handling solvents. Installation Notes: Shown are examples of UL classified applications of 2001 Silicone RTV Foam. Additional drawings and details are available through your Authorized 3M Fire Protection Products Distributors. 1. Metal pipe/conduit/insulated cables All cases require a minimum 7-inch depth of 2001 Silicone RTV Foam. All cases 1 inch thick Fiberfraxa Duraboard LD at the bottom surface of floor openings. Maximum 2.7 percent cable fill allowed based on cross-sectional area. 2. Cable tray through concrete wall All cases require a minimum 7-inch depth of 2001 Silicone RTV Foam. All cases 1 inch thick Fiberfrax® Duraboard° LD required at both wall surfaces. Maximum two steel open ladder-back cable trays 18" wide x 3" deep. Maximum cable fill in trays is 39 percent based on cross-sectional area. 14 Max Stis'I Pipe 8" Concrete Floor .4?.I00l I I 0 0.41 II I c'.•Io 110 1 0 -V o 0 ( yo 0 000 0 ill A / 7" Depth / 3M Fire Barrier 2001 silicone Foam 0 0101 05 .,, Fire Rated Board Mjltiple Cables 7. Maintenance Storage Part A and Part B components of 3M Fire Barrier 2001 Silicone RN Foam are delivered in separate containers. They should be stored out of the weather in their unopened containers at or below 90°F (320C). When stored in the original unopened containers at this temperature, shelf life is 12 months from date of shipment from 3M. Partially used containers should be sealed tightly and stored in a similar manner. Safe Handling Information Consult Material Safety Data Sheets prior to handling and disposing of 2001 Silicone RTV Foam. CAUTION: Immediately upon mixing A and B components of 2001 Silicone RN Foam, a chemical reaction takes place that results in the generation of hydrogen gas. Appropriate caution should be exercised. Keep away from sparks and open flame. The liquid Part B component of 2001 Silicone RN Foam in contact with bases or catalytic oxidizing materials, could generate hydrogen gas. A bulged Part B container may indicate hydrogen gas pressurization, and appropriate caution should be exercised. If this occurs, see Material Safety Data Sheet or call 3M at 612/733-1110. 8. Availability 3M Fire Barrier 2001 Silicone RN Foam is available from 3M Authorized Fire Protection Products Distributors. 2001 Silicone RTV Foam Part B cannot be shipped by air. It is available in 7 fl. oz. kits, 2 gallon (Part A & B) kits, 16 gallon (Part A & B) kits, and 80 lb. (Part A & B) kits. Important Notice to Purchaser: 3MFireBarrier Fire Rated Board 2001 Silioone Foam I - - - - - 00 000 Muleple Cables —(2) Cable Trays 8" Concrete! Masonry Wall Fire Rated Board Complete document indudos system/application pages. LIMITATION OF REMEDIES AND LIABILITY: If the 3M product is proved to be defective, THE EXCLUSIVE REMEDY, AT 3M'S OPTION, SHALL BE TO REFUND THE PURCHASE PRICE OF OR TO REPAIR OR REPLACE THE DEFECTIVE 3M PRODUCT. 3M SHALL NOT OTHERWISE BE LIABLE FOR LOSS OR DAMAGES, WHETHER DIRECT, INDIRECT, SPECIAL, INCIDENTAL, OR CONSEQUENTIAL (INCLUDING, BUT NOT LIMITED TO, LOSS OF PROFITS, INVESTMENT, GOODWILL OR BUSINESS OPPORTUNITY), REGARDLESS OF THE LEGAL THEORY ASSERTED, INCLUDING NEGLIGENCE, CONTRACT, WARRANTY, OR STRICT LIABILITY. 3 Fire Protection Products 3M Center, Building 207-1 S-02 St. Paul, MN 55144-1000 800 328 1687 Recycled paper 40%pre-consumer 10% post-consumer Litho in U.S.A. e 3M 1997 98.0400-2365-1