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BP13261 CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT - A Permit # tit.. S' -t -f'i ,l I:))" J'. 3 0.. (j~ Date: -7- ,'J, , (j 1 Approximate Completion Date: Site Plan Attached: ,/ REScheck Attached: Complete Plans Attached Aoolication for: Residential Commercial/Industrial ~ New Construction Manufactured Home Modular Move-on: Home Accessory Building Other Remodel ~ Addition_ Accessory Building: Garage _ Pole Barn_ Other Floor Type: Dirt _ Concrete _ Electricity: Yes _ No Sign Erecting, Awnings _ Decks/Handicap Ramps (plot plan required) _ Satellite Dishes/Radio Antenna/Cell Towers (plot plan required) _ Other Utilities: Public Water: Yes No Private Well If yes, responsible entity: Blair _ OPPD Line _ Kennard _ Agreement needed: _ Date Agreement Received: _ Public Sewer: Yes_ No Septic Drawing Provided: _ If yes, responsible entity: BI~ir _ Kennard _ County Road Permit Required: Yes_ No _ Submitted: Yes _ No _ l~~itional pescription of proje.E1}fnegessary: ~~ d-JL. /I'\.MJ\))..tI~~,~.t:::_,;;,. /~ C" :u..CJL/,,", &,/ut/...... \ oj). V"~ ov.:;t d 1 ~<.VVM / V'- ~ ~ &.;.vf= Proiect Information: Job Address: Y ION. d) ~~ H 6 C; t1tJ5. :g{p;.;?7 :5/.-e / Legal Description (if applicable) :B (! hb~'l-aI /hi.. /1M li-t I 'kf ~ t'l /Ir/ /?c / Owner: ~1.v'Yh. CJYlVrh_ \~. Address: Phone#:i,~D ~3)'.5:S"""" Contractor: 1 }av..;)w","VJ ~-;;tJ~-v- Phone #: ~ to D - J ),S-,s-' Address: ~"O". &l)'Y!.. Cj () v? ~~ C. Cell #: Separate permit~a~~or el~ttJI,~IJmbing, hearting, ventilating and air conditioning, and septic systems. By my signature below, I acknowledge this building permit application does not constitute issuance of this bUilding permit. I further agree that construction covered by this permit application shall not be commenced until I have received a copy of a permit signed by the Building Inspector. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the codes/ordinances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within 180 day r is ot co pleted within two (2) years of date of issue. 7-/J-t;/7') Date ZONING REVIEW: Conditional Use Permit Required: Yes _ No_ Date CUP Approved: State Fire Marshal Required: Yes No Variance Required: Yes _ No_ Minimum Setbacks: Front _ Second Front Side Side Rear_ lot Sauare FootaJ:fe: length x Width: lot Coverage % W I ~ \ Driveways/Sidewalks: Sidewalk required: Yes_ No_ Sidewalk Waiver: Yes Date Waiver Approved: Preexisting Garage requires driveway to be less than 3' from property line: Yes_ Approved by: No~l~ Flood Plain: Yes No If yes, specify special requirements: BUilDING INSPECTOR REVIEW: Number of Stories One Two Th ree Four >Four High Rise (>75 ft)_ Type of Residential Structure: Ranch _ Two Story _ Split Entry _ Raised Ranch _ Other Rooms _ Bedrooms _ Bathrooms _ Fireplaces _ Gas_ Electric _ Egress in Basement: Required: Yes _ No _ Provided on Plans: Yes _ No_ Sleeping Rooms Living Area Other Egress Sauare FootaJ:fe: Main level: Basement: (Unfinished) Garage: Detached Garage: Addition: Porch: Front Rear Deck that affect setbacks: Rear Second level: Third level (Finished) 2 bay_ 3 bay_ 4 bay_ 5+ bay Pole Barn: Remodel: Side Front Side Occupancy Classification: Assembly, theaters, with stage Assembly, theater, without stage _ Assembly, nightclubs _ Assembly, restaurants, bars, banquet halls_ Assembly, churches _ Assembly, arenas _ Assembly, general, community halls, libraries, museums _ Business Educational Factory and industrial, moderate hazard _ Factory and industrial, low hazard _ High Hazard, explosives _ (section continued on next page) High Hazard HPM Institutional, supervised environment _ Institutional, incapacitated _ Institutional, restrained _ Institutional, day care facilities _ Mercantile Residential, hotels _ Residential, multiple family _ Residential, one- and two-family Residential, care/assisted living facilities Storage, moderate hazard _ Storage, low hazard _ Utility, miscellaneous _ Is buildin~ reauired to be protected bv automatic fire sprinkler svstem?" No Only partially in some areas or rooms Please Specify Yes _ If yes, the standard to which the sprinkler system will be designed: NFPA 13 NFPS 13R NFPA 13D Driveway Grade: 20% grade or less? Yes _ No_ (Dale will review new residential construction. AI will review all second access requests and industrial and commercial driveway requests) Required Off Street Parking: Permit Fee Calculation: Buildin~ Permit Deposit Fee: Commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater $ Fee - $500.00 Residential additions/remodels/accessory buildings valued under $10,000 $ Fee = $200.00 All other permits Fee = $50.00 $ RESIDENTIAL - NEW CONSTRUCTION: Permit fee is: Finished sqfft area (not including finished basement area) Finished basement sqfft area Unfinished basement sqfft area Garage sqfft area Total Valuation: X $92 X $56 X$29 X$25 $ $ $ $ $ $ $ $ Total Valuation Multiplied by 0.006 = Issuance Fee: 25.00 Total Permit Fee = Deposit + Permit Fee + Issuance Fee RESIDENTIAL - ADDITIONS / REMODELS and COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS: Business/lndustrialjEducationalj Assembly/Factory/Storage/Utility *Porches with roofs/screened patios are considered additions Construction valuation computation: Sqfft area X $63 Except for the following: Accessory Buildings & Interior Remodeling Proiects: sqfft area X $43 Pole barns with no hard surface floor: sqfft area X $25 Sign Erecting/Awnim!s and Decks/Handicap Ramps: sqfft area X $25 (Minimum valuation of $2000) Construction valuation computation: Finished sqfft area ~) "} J t.\' X$ !J3 $ \ '1b/ 35;). ()O . Construction valuation is ...................................Permit fee is: $0 TO $50.......................................................... $0 $51 TO $500........................................................$25 $501 TO $2,000........................................................$25 + $3 lJer additional $100 $2,001 TO $25,000........................................................$70 + $13 per additional $1,000 $25,001 TO $50,000..................................................... $370 + $10 per additional $1,000 $50,001 TO $100,000..................................................... $620 + $7 per additional $1,000 $100,001 TO. $500,000..................................................... $970 + $5 per additional $1,000 $500,001 TO$1,OOO,OOO ..................................................$2,970 + $4 per additional $1,000 $1,000,001 AND OVER ..................................................$4,970 + $3 per additional $1,000 Permit Fee calculated from chart above $ $ $ J 8;2;).00 25.00 -:;: /34'7. 00 I 8 4 '1. 00 Issuance Fee: Total Permit Fee = Deposit + Permit Fee + Issuance Fee Additional Comments: Approved by: Cj(! 1/. ~ Date: O'~ (J--r:Jl Contingent On Approval by Fire Marshall Meet IBC, IPC, IMC and NEC Code Requirements Sleeping Rooms below Story and in Basement required to have egress For Office Use Only Date Permit Paid: Permit Fee: Deposit Amount Receipt # Deposit Paid by for return to: Building Inspection Pouch given: Yes _ No E (l4 ~;,!: MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 9'10 ~W . Mail Address. 2ip 1'V\ t~,-"t;.t.) (S}( 25 WI f '1 S~ 0 {\(\.~Q. COMMERCIAL 0 RESIDENTIAL 0 Addition ~ Application Date: ?--l8'"-'O'1 Job Address o /1 Mail Addr~s A,/~tL\ l,v Heat Pump Central AlC Tons Furnace # of Units BTUIH AlC Furnace Completion Date: Boiler Chart BTU Fee Up to 100,000.............................. ..$15.00 100,000-500,000......... ........ .......... ...$30.00 500,000-1,000,000.................\ ........ .$40.00 1,000,000-1,750,000... ... ... ... ........ .. ..$60.00 Over 1,750,000.................... ...... ....$100.00 Notice I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. (J~ ,y:~ Date fJ M 1905 (iIJ Permit Fee: $ ~ D .:./ N'l 51-- Zip \o~'r~ (I o Repair FurnacelHeat Pump/Air Conditioner (Per Unit) Up to and including 100,000 BTU / 3Ton............................$15.00 FurnacelHeat Pump/Air Conditioner (Per Unit) Over 100,000 BTU / 3 Ton.............................................$25.00 Refrigeration Units/Coo1erslLines/Compressor - Commercial (New or Replacement) (Per Unit) .. . .. . . . . . .. .. . .. . . .. .. . .. . .. . . . . .. . . . . . .. .. . .. . .. . . . .. . . . .. . . .. .. . .. . . . . .. .. .$15.00 Boiler (use ETU Chart to left)......... ... ..... ... Appliance Vent/Fans.................... ....$10.00 Duct System... ... ... ...... ...... ... ........ ..$15.00 /5-. 0,) Gas/Air Outlets.................First 5 x $6.00 . . . . . . .. .Additiona1 x $1.00 Radiant Heat Systems/Gas/Water Piping System..................... ... ...... ..$50.00 Modular Home... ... ......... ... ............. $50.00 ~ Permit Issuance Fee........................ ..$25.00 Total d.S,- L):'--- Current License on File D)~S 0 No 0 NjA / Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved By:(~\;:' \ ))-"l~ , II V I Rev. 2008-10 PLUMB~~~~~itIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 ~ Application Date: ((t '{; (C)~ Job Address Comments: Notice I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. fJ P 2044 '\ O~ Permit Fee: $ Zip Phone D Phone ~-l {-If 2SG o Replacement O ,Zip n''lAho\.. ~ ' ( :5 c o Addition 0 Alteration 0 Repair ON :S;t/l/( PLUMBING PERMIT FEES Modular Home... ... ......... ... ....$50.00 Type of Fixture No. Kitchen............................. .$12.00 x Bath... ..Residential/Single Stall $12.00 x_ ......... ...... .....Multi-Stall $25.00 x Rough-In Bath....... ......... ........$8.00 x_ Additional Sinks....... ... .......... .$6.00 x Slop Sink/Laundry Tray/Drain.....$6.00 x ~ Water Heater............... ... .. .....$10.00 x Outside Water Faucet...................$6.00 x Drinking Fountain........................$6.00 x 4>.00 Backflow/Grease Trap............ .$15.00 Water Service. .. . . . . . . .. . .. . . . .. . . . . $15 . 00 Sewer............................. ....$15.00 Groundwork..................... ....$15.00 Septic Tank & Laterals............ $15.00 Lawn Sprinkler System.......... ..$10.00 Sprinkler System (Commercia1)..$30.00 Gas/Water Piping System (Commercial)..................... ...$50.00 Permit Issuance Fee................ .$25.00 Current License on File Comment: Total Yes 0 No 0 NjA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved BYJ:, Q').-!b I' I Rev. 2008-10 CITY OF BLAIR, NEBRASKA Phone 402-426-4191 RECEIVED OF: ADDRESS (>' ~., '( ," . 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Also, it is your responsibility to know the 2006 International Buildinq Code requirements that apply to your project. Please understand this packet is only designed and distributed to aid you in your building permit process. A copy of the International Building Code is available for your use at the Blair Public Library. I have read the above disclosure and accept this building permit documentation on my own behalf assuming full responsibility as the owner/contractor for this project. /~jJL ~-Jk'~5 6-J. Contractor Owner/Occupant City of Blair :?-/I-o <1 Date (5)- EQUAL HOUSING 218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail cllyofblair@cLblair,ne,us ..,,,,,,,,, FILE C py Supplemental Instruction 1112 N West Ave Sioux Falls. SD 57104-1333 phone (605) 336-1160 fax (605) 336-7926 www.teamtsp.com ADDRESS ~ J () fil. j ~#-Jt( S 4, , Tb Solvc, 1\1 Excd. 'fhgcllwr, PROJECT Addition and Renovation Memorial Community Hospital & Health System Blair, Nebraska Marshalltown - Minneapolis - Rochester - Omaha - Rapid City - Sioux Falls - Sheridan l PERMIT NO:..1J ~ {; I ~UPPLEMEN _J ==_ INSTRUCTION NO.: 205 DATE OF ISSUANCE: August 5, 2009 FROM ARCmTECTUE TSP, Inc. 1112 North West Avenue Sioux Falls, SD 57104 11 OWNER Memorial Community Hospital & Health System 810 North 220d Street PO Box 2~~ Blair, Nebraska TO CONTRACTOR (Name and Address) Hawkins Construction Company PO Box 9008, Station C Omaha, NE 68109 PRQlEC(T N\JMBER; CONTRACT FOR: 07Q?~1?6 CM GMP CONTRACT DATED: The Work shall be carried out in accordance with the followin~ supplemental instructions issued in accordance with the Contract Documents, For items described herein that require a change in Contract Sum and Contract Time, please submit an itemized proposal for the proposed modifications to the Contract Documents. Within 1 0 da~s, the Contractor must submit this proposal or notify the Architect, in writing, of the date on which proposal submission is anticipated. ITEM NO. 1: Administration remodel See attached sheets for changes and additional comments herein. 1. Submit unit pricing per door to provide key card access hardware at the following door locations: ' . a. AlO9, AI0S, A115, A125 for the following a. Exten all office and conference walls t9 9\lyk l r\l4~?\f ~9l.tn~ frf1~mi~~i?nr en walls to deck to reduce sound transmission at the followmg locations only: AlOl, AI03, A116 Whit noise system for the entire suite (similar to Blair Clinic). http://www.lencore.com/prod uct-serv i ces/ slJectra i Contact: Indoff Office Interiors in Omaha. Mike Fosmer at 402-571-4456 As it pertains t the Kitchen floor material, check quantities ofthe followin~ material in the a. Dark wood grain VSF b. Light wood grain VSF c. VSF as noted on the schedule () I" < ee Iv oJ c: ov""k-" J \, l.sl.-e, ATTACHMENTS: . SI-205 A-112, A124, A-144, A-432, ELl 03, EPI03, EY103, MD-I02, MH-104 ISSUED BY: Rex A. Hambrock, AIA (Name & Title) APPROVAL AS A RESULT OF AN INSPECTION SHALL NOT BE CONSTRUED TO BE AN APPROVAL G:I200h'<071161l1JIJ -1\!~mulial CllmHl IILl~pital Addilioll- D!air,NE\{Jj-D(lt:Ulll<':1lIS\(IS'.COIlS1Jut.:li0rOplJ~lioVIO~TfON()l:)'F THE PROVISIONS OF THE CODE OR OF OTHER ORDINANCES OF THIS JURISDICTION. (Signature) cc: File yy yy" ""h.......;.. yy y,,/, ~ X tB ~:L Hi, -= '~~~ r!. ::::::::.. i-;;3 ,) ~ ,) ')'iG ~ r!. r!. gj -f) ."", " .- ,J _ / II' / / I / 'r' '. I - IA Uil i A1 41 T 1\101 I I - I A102 J. ,) U rI rI I ~ J ,) I 'r' i- t =cv / ~ / / I / , t r\ - -- ~ $ - @~ <V ~ ~ ,)' ,) - ~\ / /. - LJ IH I 1\108 ~ ~ Hc::J ~ -- ~ ~ rI ,) ~ , r!. ,.j / ii / / l- '\: )...... @ r\ l- I C124 I @ A 21 ~, [ ii!iiiiii!i ~ ~ ~ IA 23 rI J w--.. '\: ~ I; / - - "( ~ IZI (9' 09 C! - - ~ -- ~ ~ .., - IZI Iw ~ ""\ ~ ~ ~~H - I<v ~ 5 - ~ - A117 ~ 119~ % I- {y.:;"",,!! [mI] w_ , " - -------., l <V F ~ - C&CSJ ~~~J @ - ~ - 11 " &A11~1 ~~= ~~ .. 112'; ,~ \~ @<v ~~ .... ~.:U. ~~ F l' ~ 13 r ~ A1 3( ] ~ k s~DMINISTRATION AN,4 ,./ \ ~~:'/8. = 1'-0" ~ / """4' '~ PROJECT 1IT1.E: PROJECT #: 07060136 SHEET # OF # TSP, Inc. 9802 Nicholas Street, Ste 350 Memorial Community Hospital CONSULT #: 1 OF 1 Omaha, Nebraska 68114 & Health System DRAWN BY: JAN phone: (402) 493-8997 Addition and Renovation CHECK BY: RAH fax: (402) 493-9228 ~ ,"",N_ DATE: 07/29/2009 SHEET ID# www,teamtsp.com ISSUE TYPE & NUMBER A-144 To Solve. To Excel. Together. 81-205 BUILDING PERMIT DEPOSIT AGREEMENT A $500.00 refundable deposit is being collected for any new commercial, new residential, and any additions, remodels and accessory building valued $10,000 or greater at the time of your building permit application. A $200.00 refundable deposit is being collected for any residential remodel, addition or accessory building valued under $10,000. A $50.00 refundable deposit is being collected for all misc. permits. The City reseNes the right to not refund this deposit if any of the following conditions occur during the construction period: 1) Theft of water seNice by the plumber, owner or general contractor. 2) All permits have not been obtained. 3) All required inspections have not been obtained. 4) Occupancy occurs prior to a final inspection. 5) The project is completed without a final inspection being done. 6) Storm Water Management Plan inspection not obtained. (If Required) If any or all of these situations occur during construction, you may forfeit your deposit. I hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. ~~ clJ- dJ Contractor/Owner Contractor/Owner City of Blair ?:- /<!-tJ9 Date 1<.1 Solve. To Ex",:], 'lI)gelher, Supplemental Instruction 1112 N West Ave Sioux Falls, SD 57104-1333 phone (605) 336-1160 fax (605) 336-7926 www.teamtsp.com Marshalltown - Minneapolis - Rochester - Omaha - Rapid City - Sioux Falls - Sheridan lI.\20Ilh\()7()110 )36 - l\felllllJ ial Cnl1l111110c.]llt,lJ Additinn nliHl.NE\OJ -DOCUillcnls\u:'i-Cl1ll::;li'llClion AdJl1jllislratinll\()6~Sf\Sl 20'1\Sl :20) !lRO'1()l) do., vi w ~~o mI~W' ~(I): .....fa:: (/) .UUw ::>:::>0>=0 l30::: ffi~ <(~t"')>.o r a:: w 0:: o u 00 "':::> 111\ r / / II \ , II '~ll , ,II / ~g I ' n / \ '/ / ,,/ 111\ / j n' , , / , \ .,0 \11 / ...m \ n j \ 11, / \111 a a: a, a: I I, I, I, NmO ~ 0, co ;..: 'it) '<t'",.,,,,., u.: ~~ <<( >- a..b 0-' U: UG 'I ~l, <co ::': ~ U- tHo :I: '" ~ C\I il '" .... ~ '" t:; ~~~ .@. ...0: oW m ::E :::> Z .. w .;,;.;,;;.:;.: i!: b!::iiXlco W W ffi ~ 5 ..ffi a:z<(w~!!2 g:82ia~ 10 o C}I 00 <<( z w :c Ub 1---' ~ :iilECMl .o..(U~~ :g!-~ ~ ~.t::fS13 .ciaa:ffi :::J~-c ~~ ~ 8 ~ ca ~ __ "0 c; ...; E '" ::;; ogv ~m~ ~iif~ ~~ !~ "'... NE lllO ~ E-- ~ '" ~ U~ !i iit ~ ~i~ ~ p~ rl' -r-r- II I I In-. I I" 'I 14 ~.J, I l EXAM I rAxt05' II L___~ I I I EXAM r---il --r-t,-tX..!~3J I --c':ft ----~--------- HML I r---il I! I L~~2J \:-, '- -.....- ECHO. r---il 1~1 L~l~~ /- __ f L.. - -"\- -IE':!I1-.... EXAM rAxt04' L___~ ...-, " I ( I HALL rAxt09' ~ L___~ ~- III I ~ I I --.., _,...J I I I I I I I NURSE I rAxt15' I L___~ I _.l.., __...J EXAM rAxt14' L___~ ----;t --E~ WAmNG rAxt16, L___~ PATIENT RECORDS rAxt1a, L___~ TlT. rAxt-17, L :.J Ib.J ~ / (... I ENDOSCOPY rAxt26, l_~-~ 71 :.J \ TSP, Inc. 9802 Nicholas Street, Ste 350 Omaha, Nebraska 68114 Memorial Community Hospital & Health System Addition and Renovation Blair, Nebraska phone: (402) 493-8997 fax: (402) 493-9228 www.teamtsp.com To Solve. To Excel. Together. 18' -Ol)OCTOR'S OFFICE r---il L~"!Q.8J ---------li---- !G3-- -, C:____ , \ , __...J EXAM rAxt10, L___~ _ Eft - - ~- - - CUNIC- NURSE DIRECTOR rAxt11, L___:.J - 7 CLINIC .../ DR.'S ff- CHART/DlCT II rAxt23' II L___~ II n n I r---' r----, r---- - ~Ir_----lk-~=-- V"" ADMINISTRATION DEMO PLAN SCALE: 1/8" = 1'-0" SHEET # OF # PROJECT #: 07060136 CONSULT #: DRAWN BY: JAN CHECKB~ ~ DATE: 07/29/2009 ISSUE TYPE & NUMBER 1 OF 1 SHEET 10# A-112 81-205 1 ,j~1 ~ '-~ ~i~ ~: fl, ~_c L ~: ~r~,~ ! Jt'1; ~_~ ;,; .., I'rdiQ IX 0-"'~ .~-_jp'" '~~11;'~ ~ti;' ~qW~~'~ ~:'~~ ~ ~l~O_ ~ aE1 MJ-71~:lo~ ~Jt I~~I~~:I I~ Banlaa ,. V,)3a o~ E A-7 .,~ J I BB' BBf(\ @ ~ ~ BB;t.!:-l iJ1B2 aB3~: GBB3 S ~~~ ,~ll,~:~ R ~ D )"'=' 17 J"., ~\ W, BB2,[]ill]~, @H\i--c----BB2401= I~ IC124IBB4 I~:' ~ 7.'.~. 'BB~." '~. n,l~ ?4 T Y "t:' L1A:~1 i WAITINGIB~ ~r7 . BB~~BB3 L1A-~~'P~~, ~\rICE PNL @ 0 BB3 IM1~BB4 rL1 BB ~~ ~ BB~ BB3 = ~~~ Q [!![] ~ .--'> A ;. '" >1l L1A-'2.0 /?'r ;. B4 ~~I E1A_~L ~~ B3 BB3 OD-CUlICS OFRCE I A113 I ;. ,~ BB3 CORR A127 I ~ S, A2fJ ~lIINL ~. ELSM1A-1 ""~ 00- SVPl'ORT SEIMCES OFACE A [@]~r' ;.. \ 16. ALL LIGHT FIXTURES, 2X4 AND 1 X4, SHAll BE EXISTING LIGHT FIXTURES FROM THIS AREA. NOT ALL LIGHT FIXTURES WILL BE REUSED OR REUSED IN THE SAME AREA, THE FOllOWING ARE FIXTURE lYPE DISCRIPTIONS FOR THE EXISTING ADMIN AREA: AA2 - 1X4, 2-LAMP, 32W T8 BB2 - 2X4, 2-LAMP, 32W T8 BB3 - 2X4, 3-LAMP, 32W TB BB4 - 2X4, 4-LAMP, 32W TB 17, MODIFY SWITCHING FOR THIS ROOM AS SHOWN. 18. MODIFY SWITCHING AND CIRCUITING FOR THIS ROOM. ELIMINATE CRITICAL BRANCH CIRCUIT AND CONTROL SWITCH. CIRCUIT ALL LIGHTING IN THIS ROOM FROM THE NORMAL BRANCH, PROVIDE NEW COVER PLATE FOR WALL SWITCH. 19. PROVIDE NEW EXIT SIGNS FOR ADMIN AREA. CIRCUIT EXIT SIGNS FROM E1A-7. 20, PROVIDE NEW lYPE C1 LIGHT FIXTURE. CIRCUIT AND CONTROL FROM OTHER lYPE C1 LIGHT FIXTURES IN CORRIDOR Sl10, ~P~ )<DNORTH ADMINISTRATION AREA LIGHTING PLAN - FIRST LEVEL AREA IBI TSP,1nc. 9801 Nicholas SImeI; SIe 350 Omaha, Nebrasl<a68114 PROJECT #: 07060136 CONSULT #: DRAWN BY: 1RU CHECK BY: TAIl DATE: 07 29 09 ISSUE lYPE & NUMBER PROJECT mu:: Memorial Community Hospllal & Health System Addttlon and Renovation ~mM'~ phone: (402) 4~91l7 I,~ (402) 493-9228 www.teamlsp.com 81-205 To Solve. To Excel. Together. ~~ , ~y ~ ",,>\( ~~ N ,') '~.~1 ,-,-:-,/ d~'} ~ ,'~-<\ - . 'r-:~:'( I,}' \\\ '-""& 2- "':'oC",r\<" \ \. :'~ \'\ \\ ~; ~-- ,,\ " \ \ ," : OD.IT& REV CYClE OFFICE @D BB3 -;-\ 1,1 "i,,:j "j '1~ ,i,'i ",..,~ .~ @ "'" GM -1 lS) l =a= SM2A- L GM -1 lS) I~U ,-, -1 --- / 2HR~ HR GM -1 lS) LS2A9 GM -1 GM -1 lS) t 13 ~ \: NOTE: CIRCUITING IS BASED OFF OF EXISTING DRAWINGS, ELECTRICAL CONTRACTOR SHALL FIELD VERIFY CIRCUITS AVAlLABILE, SHEET # OF # 1 OF 1 SHEET ID# EL103 : : ! I ~ Ii! i .... I CORR I A127 I 1M"' ~ "t1 6~1) - - A~/'\~ " ~_~;C t~/,~ " ,'\~- - \', \ , (Qlt-!ING B C\' \ \ / I F109B.l~:-\ - t : l '\ "'\ . {~7 28, CONNECT TO A 20A/1P CIRCUIT BREAKER IN PANEL L1A. PROVIDE CIRCUIT BREAKER AS REQUIRED. 29, PROVIDE RECEPTACLE ON A DEDICATED CIRCUIT FOR MICROWAVE. COORDINATE EXACT LOCATION WITH ARCH, ELEVATIONS PRIOR TO ROUGH-IN. 30. PROVIDE RECEPTACLE ON A DEDICATED CIRCUIT FOR REFRIGERATOR, COORDINATE EXACT LOCATION WITH ARCH, ELEVATIONS PRIOR TO ROUGH-IN. 31. EXISTING RECEPTACLES SHOWN ARE PER OWNER'S EXISTING DRAWINGS. IF EXISTING DEVICES ARE NOT LOCATED AS SHOWN, PROVIDE NEW DEVICE IN THAT LOCATION, UNLESS NOTED OTHERWISE, TYPICAL. 32. ONLY (1) DUPLEX RECEPTACLE REQUIRED FOR THIS LOCATION. IF THERE IS ONLY (1) EXISTING RECEPTACLE AT THIS LOCATION, DO NOT PROVIDE AN ADDITIONAL RECEPTACLE. IF THERE ARE NO RECEPTACLES AT THIS LOCATION, PROVIDE (1) NEW DUPLEX RECEPTACLE. .AU ADMINISTRATION AREA ~ @~~~~ ,~~N - FIRST LEVEL AREA '8' TSP, Ino 9W21icho1as Sfrnet, SIe 350 Omaha, NebIaska 68114 EP103 PflOJEllI'lIILEl 07060136 SHEET # OF # 1 OF 1 PROJECT #; CONSUL T#: DRAWN BY: CHECK BY: DATE: ISSUE lYPE & NUMBER Memorial Community Hospital & Health System Addition and Renovation ~ mM'N~~ TRII TAD 8/5 09 phone: (402)493-ll997 faJc (402) 493-9228 WMY,Ieamtsp,com SHEET 101 81-205 To Solve. To Excel. Together. 1 o SHEET KEYNOTES GENERAL SHEET NOTES 10. RECONNECT EXISTING GRillE, VERIFY NECK SIZE. 11. EXISTING T-STAT RELOCATED TO NEW LOCATION. 12. T -STAT SHAll OPERATE TWO REHEAT COILS AS SHOWN. 13. REBALANCE EXISTING EXHAUST FAN TO NEW SYSTEM AIRFLOW. A. RELOCATE ALL EXISTING GRILLES & DIFFUSERS IN NEW CElUNGS. PROVIDE ADDITIONAL DUCTWORK AS NECESSARY AND COORDINATE WITH NEW UGHTlNG LAYOUT. C. BAlANCE AIRFLOWS FOR ALL GRILLES OR DIFFUSERS, 14. ax6 RIA DUCT FROM EXISTING DUCT DOWN TO NEW RETURN GRILLE. ~ -~'! ~ ~I bj b!J /1~~~'lc t1&i... a ~I-. ,. t ~ X C\ 'v ~ v / ~O "~twrs-2 ~ 730 ~12I::::J ' -~ ';'~' 220 / SA ';'~ 14 ~290 ~ RA o-:C?!=;' /~ '" ~ '" ~ C'l c /150 .u-- ~~ -r ,..L (,( 1 -./ ",..-J~ ~ 1,,1 h~~ I !! [j~ (~~iTORAGE @ @~o ;16} ~)::--.. - ~' U ~ ~1061 ~ ~~ I . HRGEN~ - \ ~ olt I OFFlCE~17 ; 175 ,--- . T -= gO ~I Cl03ll 0> N/A I'l~ \ ~~ b (" x 0> I ~)04~1 '_ N ~ T - ~ ~ / \ - xm -.2 ()<0 'R ' -<*c ,.- '(;OR ,I'\l /' <D ~" ~60 f~~\J I Cl25l~ \ - I Cl051~ / \.sl ~ i:..2 '-- - / '--, <Xl 225 i ~1 :~~jjsll!~:6~ f ~ ,~= I o~~. 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Together. 1 OF 1 SHEET 101 81-205 MH-104 BUILDING INSPECTION REPORT OF BLAIR D WASHINGTON COUNTY D OTHER tltIIA NAME OF DATE INSPECTION REQUESTED' ,:j> - "]' . ..J? e-;-("~ ,.^_~ C? /~) "',l) (~) d':" :Lv -. TIME INSPECTION REQUESTED''/ , , _:_:.s'~~,,:)~'i'f; . / ~/l " TYPE OF INSPECTION REQUESTED: D CONFERENCE BUILDING: D FOOTING D DECK FOOTING c':18~:,FRAMlNG D DRYWALL D FINAL D PARTIAL COMMENTS: UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE D PARTIAL D STATUS CHECK ~ F~ED PASSED FAILED D D COMMENTS: ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT D PARTIAL COMMENTS: MECHANICALI'~~ ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL PASSED FAILED D D PASSED FAll"ED D D COMMENTS: PLUMBING: D GROUNDWORK ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL D PRESSURE TEST PASSED FAILED D D COMMENTS: D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' (f) Score ~ ()f t; e e ~ (J... .-f:-(ri):-.J~' ~ INSPECTOR' ~~~ DATE OF INSPECTION MADE: ~ .-' J- {;. ~ <J 1 TIME' lo.:;.l.Gl ~ FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY ------,,:::---- 74fAf, CITY OF BLAIR BUILDING INSPECTION REPORT o WASHINGTON COUNTY o OTHER .A DWI ( N(sfe(l-{.,.fv'l J<Jdc NAME OF /,!S? /<~) " j '/\'",,'!" 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(I DATE INSPECTION REQUESTED' '-1 ~ ce,ll ,- /~ t '; I / '/7 ,") /' "," TIME INSPECTION REQUESTED' -",/. </ ,f,f /'1, l",' , PERMIT ;' iI TYPE OF INSPECTION o CONFERENCE o STATUS CHECK BUILDING: 0 FOOTING 0 DECKFOOTING~:"FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL COMMENTS: UTILITIES: 0 SEWERTAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE o PARTIAL PASSED FAILED ~' 0 COMMENTS: ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL PASSED FAILED o 0 COMMENTS: PASSED FAILED o 0 MECHANICAL:.~;::'ROUGH-IN 0 NC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL COMMENTS: PLUMBING: 0 GROUNDWORK t:?hC,ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL o PRESSURE TEST PASSED FAILED o 0 COMMENTS: o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED PASSED FAILED o 0 NOTES/REMARKS' INSPECTOR' At.w,rt/v DATE OF INSPECTION MADE: cr -.J 1-'0 ~ TIME' II AVW\J FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY Jl~~ ,!;:8;:CITY OF BLAIR BUILDING INSPECTION REPORT o WASHINGTON COUNTY LOCATION OF //1 f".<,JI' ,r'\ ':::;J/ f/ / TIME INSPECTION REQUESTED' /f' NAME OF DATE INSPECTION REQUESTED' /' TYPE OF INSPECTION REQUESTED: 0 CONFERENCE BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYW ALL,~rn;;,:.fINAL !:~'PARTIAL COMMENTS: UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE o PARTIAL o STATUS CHECK ~ED F~ED COMMENTS: ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL PASSED FAILED o 0 COMMENTS: PASSED FAILED o 0 MECHANICAL:D ROUGH-IN 0 A/C 0 FURNACE 0 RADIANTHEAT:'~ "FINAL [Sj/PARTIAL '-",- "-", I/"">-~ COMMENTS: PLUMBING: 0 GROUNDWORK 0 ROUGH-INiESl::::FINAL 0 WATER METER INSTALLED "~:PARTIAL o PRESSURE TEST )(ED F~ED COMMENTS: AED F~LED o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' T f-I; 5 'f 5 A -, N "(,, ro \ire fi p WI ;;J 5 () ~ t ,V Sv kd. ~ 5t ~v r\.. fJ ~ A ( vJ /::l +c.f:(c,-...J @ O{:r::zZe uJrt- N iP/}lJJ(JvrJ iJ.-{ , rlo (I AV' -: INSPECTOR' cy:/ W4 DATE OF INSPECTION MADE: 10 -{,- () 9 TIME' / ~ fW"-. FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY