Form DSA 140: Application for Approval of Construction ...
Transcript of Form DSA 140: Application for Approval of Construction ...
140 APPLICATION FOR APPROVAL OF CONSTRUCTION CHANGE DOCUMENT – CCD CATEGORY A/B This application is for construction changes, as defined in IR A-6, to approved contract documents. This form shall be completed by the Design Professional in General Responsible Charge of the project, in accordance with California Code of Regulations, Title 24, Part 1, Section 4-338 (c) and in compliance with DSA IR A-6.
School District/Owner: DSA File #:
-
Project Name/School: DSA App. #:
-
APPLICANT CCD Cat. A / B, #: Date Submitted: Attached Pages?: No Yes (_____pages)
For CCD Cat. B, this is a voluntary submittal, DSA required submittal (attach DSA notification requiring submission).
Firm Name: Contact Name:
Email: Phone Number: Address: City: State: Zip:
A DSA 301-N, DSA 301-P, or 90-Day Letter has been issued for this project.
For project currently under construction.
To obtain DSA approval of existing uncertified building(s).
DESIGN PROFESSIONAL IN GENERAL RESPONSIBLE CHARGE Name of Design Professional in General Responsible Charge: Professional License #: Discipline:
Design Professional in General Responsible Charge Statement: The attached Construction Change Documents have been examined by me for design intent and appear to meet the appropriate requirements of Title 24, California Code of Regulations and the project specifications. They are acceptable for incorporation into the construction of the project. Signature: _______________________________________________________________________________________ DESIGN PROFESSIONAL IN GENERAL RESPONSIBLE CHARGE
CHECK THIS BOX: To confirm that all CCD drawings and, when applicable, first sheet or index of calculations and specifications have been stamped and signed by the Responsible Design Professional listed on DSA 1 for this this project. Brief description of construction change (attach additional sheets if needed):
List of DSA approved drawings affected by this CCD:
DSA USE ONLY For business office use only
Date Sent Return By Delivery Method
DSA Stamp
SSS Date Approved / Disapproved / Not Req’d
FLS Date Approved / Disapproved / Not Req’d
ACS Date Approved / Disapproved / Not Req’d
Remarks
DSA 140 (rev 12-16-16) Page 1 of 1 DIVISION OF THE STATE ARCHITECT DEPARTMENT OF GENERAL SERVICES STATE OF CALIFORNIA
DN
FLAG POLE
VISITOR/STAFFPARKING
74 STALLS
DROP OFF
SERVICEYARD
AC PAVING& STRIPING,
TYP.
AC PAVING,TYP.
AC PAVING,TYP.
CONC. WALK
CONC.HARDSCAPE
PLANTER
NOTE:ALL OFFSITE IMPROVEMENTS BY OTHERS.DRAWING SHALL BE REVISED UPON RECEIPTOF UPDATED OFF-SITE PLANS
DN
DN
EJEJ
EJ
EJ
INCREMENT 2FDC
(N)(N)
(N)
KEYPAD OPERATEDACCESS GATE W/ KNOX BOX
KB
KEYPAD/CAR READERw/ MOUNTING POST
SKA-2
1
Arc
hitectu
re E
ng
ine
erin
g P
lann
ing
In
terio
rs
© , D
LR
Gro
up inc. , a C
alif
orn
ia c
orp
ora
tion, A
LL R
IGH
TS
RE
SE
RV
ED
Atta
chm
ent N
o.to D
ated
:
8/1
1/2
017 9
:59:0
4 A
M
75-1
51
11-0
0
05.2
4.1
7
TR
UC
KE
E H
IGH
SC
HO
OL M
OD
ER
NIZ
AT
ION
CC
D-0
8 P
AR
TIA
L S
ITE
PL
AN
2015
TA
HO
E *
TR
UC
KE
E U
NIF
IED
SC
HO
OL D
IST
RIC
T
SK
A-1
CC
D-0
88/
11/2
017
AS
1.2
6"
20' -0" CLEAR
SEE /55 AS9.3
KEYPAD & CARD READERW/ MOUNTING POST
KEYPAD & CARD READERW/ MOUNTING POST
VE
RIF
Y w
/MA
NU
FA
CT
UR
ER
1 0' -
0"
VE
RIF
Y w
/MA
NU
FA
CT
UR
ER
1 0' -
0"
CLR
FR
OM
I NT
ER
SE
CT
ION
4 0' -
0"
SKA-3
1
LOCATE LOOP DETECTORPER MANUFACTURERINSTALLATIONREQUIREMENTS.
Arc
hitectu
re E
ng
ine
erin
g P
lann
ing
In
terio
rs
© , D
LR
Gro
up inc. , a C
alif
orn
ia c
orp
ora
tion, A
LL R
IGH
TS
RE
SE
RV
ED
Atta
chm
ent N
o.to D
ated
:
8/1
1/2
017 9
:59:0
4 A
M
75-1
51
11-0
0
05.2
4.1
7
TR
UC
KE
E H
IGH
SC
HO
OL M
OD
ER
NIZ
AT
ION
CC
D-0
8 C
ON
TR
OL
LE
D A
CC
ES
S S
WIN
G G
AT
E
2015
TA
HO
E *
TR
UC
KE
E U
NIF
IED
SC
HO
OL D
IST
RIC
T
SK
A-2
CC
D-0
88/
11/2
017
SCALE: 1/8" = 1'-0"SKA-2
1 CONTROLLED ACCESS GATE
ACCESS CONTROL SYSTEM
1. ONE (1) 1838-081 MULTI-DOOR ACCESS CONTROLLER2. TWO (2) 1815-250 KEYPAD AND DK PROX CARD READER3. ONE (1) 1830-185 NETWEOK ADAPTER4. TWO (2) HEAVY DUTY MOUNTING POST PAD MOUNT
AS
9.3
STANDARD MOUNTING DETAILS, PERMANUFACTURER.
4"1'
- 2
"
CONCRETE PAD
FINISHED GRADE
#4 T & B
3" M
IN. C
LR.
3" MIN. CLR.
1' - 6"
KEY SWITCH FOR FIRE DEPTKNOXBOX #3502 SINGLE SWITCH WITHPLATE MOUNTED ONTO POST.
INSTALLATION AND WIRING PERMANUFACTURER INSTALLATIONINSTRUCTIONS.
DIGITAL KEYPAD CARD READER
MOUNTING POST BASE PLATE
MOUNTING POST GOOSENECK
PLAN AXON
Arc
hitectu
re E
ng
ine
erin
g P
lann
ing
In
terio
rs
© , D
LR
Gro
up inc. , a C
alif
orn
ia c
orp
ora
tion, A
LL R
IGH
TS
RE
SE
RV
ED
Atta
chm
ent N
o.to D
ated
:
8/1
1/2
017 9
:59:0
4 A
M
75-1
51
11-0
0
05.2
4.1
7
TR
UC
KE
E H
IGH
SC
HO
OL M
OD
ER
NIZ
AT
ION
CC
D-0
8 K
EY
PA
D D
ET
AIL
S
2015
TA
HO
E *
TR
UC
KE
E U
NIF
IED
SC
HO
OL D
IST
RIC
T
SK
A-3
CC
D-0
88/
11/2
017
SCALE: 1" = 1'-0"SKA-3
1 KEYPAD FOOTING DETAIL
SCALE: 1" = 1'-0"SKA-3
2 FIRE DEPT KEY SWITCH INSTALLATION LOCATION
AS
9.3
DOORKING1838081ACCESS
CONTROLLER
DOORKING1815250
CARDREADER/KEYPAD
COMBO
2-22 GA 6-CONDUCTORSTRANDED SHIELDED
IN 0.75"C. UG
2-22 GA 6-CONDUCTORSTRANDED SHIELDEDIN 0.75"C. UG
18 GA 2-CONDUCTORSTRANDED SHIELDED IN
0.75"C. UG GATECONTROLLER
DOORKING1800080
CELLULARNETWORKADAPTER 18GA. 8-CONDUCTOR STRANDED,
SHIELDED NON-TWISTED (DATA)18GA. 3-CONDUCTOR (12V POWER)IN 0.75"C.DOORKING
1200080TRANSFORMER
BOX
DOORKING1815250
CARDREADER/KEYPAD
COMBO
PROVIDE 2 EXTRA 16V ACTRANSFORMERS, INSTALL
ONLY IF NEEDED FORKEYPADS/CARD READERS,
DOOR KING 1804-060
INSTALL ACCESS CONTROLLER, CELLULARNETWORK ADAPTER, AND TRANSFORMERBOX ON A POST OR BRACKET TO KEEPTHE EQUIPMENT ABOVE THE SNOW LINE,POSSIBLY NEAR (OR ON) THE GATECONTROLLER
ROUTE DC POWER CABLESPROVIDED WITH ACCESS
CONTROLLER IN 0.5"C.
TRUCKEE HIGH SCHOOL CARD READER /KEYPAD / GATE CONTROLLER WIRING
DIAGRAM
120V PER PLANS
120V PER PLANS
KNOX KEYSWITCH
1-18 GA 2-CONDUCTORSTRANDED SHIELDEDIN 0.75"C. UG
SKE1
Keypad
Gate Swing
KnoxboxAccess
1. KEYS ARE IN OFF POSITIONSTATUS: GATE IS CLOSED
Keypad
NORMAL ACCESS
Gate Swing
KnoxboxAccess
Keypad
EMERGENCYACCESS
Gate Swing
KnoxboxAccess
LOOP DETECTOR SEQUENCE OF OPERATION
2. KEYPAD IS IN ON POSITIONSTATUS: GATE IS OPEN
3. KNOXBOX IS IN ON POSITIONSTATUS: GATE IS OPEN
LEGEND:
KEY IN OFF POSITION
KEY IN ON POSITION
SIGNAL INDICATING CLOSED
SIGNAL INDICATING OPEN
BYPASSED SIGNAL
ENGAGED SIGNAL