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MEDICAL AIR/VAC LEVEL 3 DENTAL CLINICS
Updated: 04/05/12 gh D1,60 go i y-ob 633
NFPA 99C 2002 r
5-03-367-7llEr cR
City of Tigard to provide, 2-ea copies of"Medical Gas System Installer Performance
. sting Record"to installer for record keeping.
_Check installers Medical Gas Certification Card OAR 918-695-0410
OAR 918-750-0190
_Stamped and Approved Plans on Jobsite
n rte Provide Manufacture's Install. Instruct. on all Equip. 5.3.10.10.13.1
Purging is required for Brazed Compressor Air, Brazing Cert not req.
r4-i.T P,45) at fc2'1(Ii)UNDERSLAB VAC/AIR PIPING
. . ., n. .'. '.'s con•u 5.3.10.10.4.2 & 5.3.10.10.7.3
nder slab w/junction boxes, no joints in conduits 5.3.10.10.7.4
7Under slab conduit slope: 1/4"per 10' length, no sags,
and slope back towards vacuum pump 5.3.10.10.1 & 5.3.10.10.10.2
Ji Accessible cleanouts shall be provided where necessary to clear the
piping of obstructions. 5.3.10.10.10.3
ro 604/if Labeling of Vacuum and Air pipes at this time. See Book. 5.3.11.1.4/ 5.3.12.2.5.11
7 Vacuum: Check pipe sizing with Manufacturers Install Instructions. 5.3.10.10.13.1
To coa,&Compressed Air: Check pipe sizing Manufacturers Install Instruct 5.3.10.10.13.1
Test for Compressed Air Piping:
r c,r»rCopper Type L or K, min 1.5 times the pump working pressure 5.3.12.2.3.5
Test for Vacuum Piping
6 K,_ Vacuum Sch 40 PVC 19 HgV 5.3.12.2.4.3
NIA Vacuum copper, type L or K tube, test,
with Nitrogen NF test at 15 psi 5.3.12.2.3.1/5.3.12.2.3.6
TOPOUT VAC/AIR PIPING
Check copies of"Medical Gas System Installer Performance
Testing Record"to see if it has been updated.
heck installers Medical Gas Certification Card OAR 918-695-0410
A Stamped and Approved Plans on Jobsite OAR 918-750-0190
.4 4, Provide Manufacture's Install. Instruct. on all Equip. 5.3.10.10.13.1
,Alirzopper pipe support Table 5.3.10.10.5
PVC pipe support 5.3.10.10.6.6
Vacuum Piping 1
` i v ac pump trap seal (4"TO 6")to be vented in a conventional manner 5.3.3.6.3.2 (2)
cessible cleanouts shall be provided where necessary to clear the
piping of obstructions. 5.3.10.10.10.3
1
.-- .
v
} �
" _ Labeling of Vacuum and Air pipes at this time. See Book. 5.3.11.1.4/5.3.12.2.5.11
4 Vacuum drain directly connected, trapped and vented 5.3.3.6.3.1
.4r-rap/drain 2 pipe sizes larger than separator waste outlet, min 2" 5 .3.3.6.3.2 (6)
acuum exhaust to go to outside 5.3.3.6.4.1
A. DRAIN FOR RECEIVING TANK-(114d) ,v a r ys‘12 5.3.3.6.3.2
. - ' . . . . . - • _ 5.3.3.6.3.2 (1)
Deep seal trap to be vented in a conventional manner 5.3.3.6.3.2 (2)
Additional trap vent (which shall be the same size as the check valve
dia.) installed between the holding tank drain ck. valve & the drain trap,
on the inlet side of the trap. Both vents shall rise 6"above the top of the
1 tank before going to the horiz. 5.3.3.6.3.2 (3)
41--Trap & drain branch shall be not less than two pipe sizes larger than the
waste pipe from the separator but not less than 2"
(see pg 86 in Annex for illustration) 5.3.3.6.3.2 (6)
Vac. pump trap under-slab/above grade, shall be deep seal 4"-6" 5.3.3.6.3.2 (7)
_Vent for the vacuum check valve shall be not less than the size of
the check valve 5.3.3.6.3.2 (8)
Vent for trap shall be not less than one-half the size of the trap and
drain branch Eg. 2"trap= 1 1/4"vent pg 421 UPC 5.3.3.6.3.2 (9)
B. DRAIN for POSITIVE PRESSURE, air/water/waste SEPARATOR 5.3.3.6.3.3
Deep seal trap(4"TO 6")to be vented in a conventional manner 5.3.3.6.3.2 (2)
Accessible cleanouts shall be provided where necessary to clear the
piping of obstructions . 5.3.10.10.10.3
Trap and drain branch shall be not less than two pipe sizes larger than the waste pipe
from the separator, but not less than 1 1/2"pipe 5.3.3.6.3.3 (3)
The vent shall be same size as trap and trap drain 5.3.3.6.3.3 (4)
Verifier Final report submitted to AJH 5.3.12.1.6
/ Initial Standing Vacuum Test (24 hrs,2 inspections req.)
ff'V Air Compressor Test to be performed with station outlet valve bodies &
ce plates (if used), & other dist sys. components installed. 5.3.12.1.2 /5.3.12.2.7.1
it Piping: Test at 1.5 times pump operating pressure 5.3.12.2.3.5
Vac Piping PVC Plastic 19 Hg 5.3.12.2.8/5.3.12.2.8.1
Copper pipe 19 Hg 5.3.12.2.8/5.3.12.2.8.1
Copper/PVC 19Hg, Drop ok to 12Hg 5.3.12.2.8.3
FINAL,VAC/PRESSURE GAS PIPING
Ave plumber/med gas installer, provide performance check sheet
signed for records. 5.3.10.10.15.1
Stamped and Approved Plans on Jobsite OAR 918-750-0190
2
.4 rovide Manufacture's Install. Instruct. on all Equip. 5.3.10.10.13.1
-ss eck piping labels 5.3.11.1.4/ 5.3.12.2.5.11
LEVEL 33 5 PPLY SYSTEMS BOTTLED GAS STORAGE CHECKS
Signage ofi ressu gas storage room (if required) (other than Oxygen) labeled
as follows: "CAUTION Medical Gases No Smoking or Open Flame
Open Door & allow Room to Ventilate Before Entering" 5.3.3.1.5
Signage on locations containing oxygen (if required) shall have their
door(s) labeled as follows "CAUTION Medical Gases NO Smoking or
Open Flame" 5.3.3.1.6
PLAN REVIEW
Job Addr: s Permit #
FOR: Non-Me. cal Air/Vacuum/Medical Pressure .as Installations
Provide two sets of plans
Provide Medical : Jo8 value for Permits Fees
Check with He. Depa .ment for Installation: Level I, Level 2, or Level 3
Provide sting& Labeling o Vacuum and Dental Air pumps 3.2.5/3.2.6
Pr. tide Manufacture's Install. Ins ct. on all Equip. 5.3.10.10.13.1
ystem Sizing-Flow Requirements for tation Inlet/Outlet UPC Table 13-4
Size of GasNacuum Piping UPC Table 13-6
Max. Pipe Support Spacing UPC Table 13-7
3