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Home My WebLink About22-4055 (2)City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BNC-004055-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 06/21/2022 -0, A of 02 26 21 0290 00000 0030 6860 Medical View Ln MA, 1b, 0 Name: PREMIER COMMUNITY Permit Type: Building New (Commercial) Contractor: UNIVERSAL ENGINEERING HEALTHCARE GROUP INC Class of Work: New Construction SCIENCES LLC Address: 37912 Church Ave Building Valuation: $1,890,000.00 Contractor: PARK & ELEAZER Dade City, FL 33526 Electrical Valuation: $200,000.00 CONSTRUCTION Phone: Mechanical Valuation: $170,000.00 Plumbing Valuation: $140,000.00 Total Valuation: $2,400,000.00 Total Fees: $103,073.33 Amount Paid: $103,073.33 Date Paid: 5/18/2022 3:33:04PM CONSTRUCT NEW MEDICAL BUILDING 6527 SQ FT gg 14 Water Impact Fee $14,523.97 Mechanical Plan Review Fee $445.00 Electrical Plan Review Fee $520.00 Driveway Fee $45.00 Building Plan Review Fee $4,745.00 Address Fee $30.00 Plumbing Permit Fee $740.00 Mechanical Permit Fee $890.00 Fire Plan Review Fee $195.81 Transportation Impact Fee - City $387.25 Impact Fee - Medical/Dental Office $38,337.45 Plumbing Plan Review Fee $370.00 Electrical Permit Fee $1,040.00 Wastewater Impact Fee $30,054.55 Building Permit Fee $9,490.00 Public Safety Impact Fee (Non -Res) - Police $1,141.00 Public Safety Impact Fee (Non -Res) - Admin $118.30 REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection, whichever is greater, for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUP CONTRACTOR SIGNATURE N F� o A70eq.0 cjs--- Xbl' PE IT OFFICEII! ;11 1119 0 1*1111 r r 000 4 1111 I'Ll &11:2 813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 Building Department Date Received 4/0 8/ 2 022 �� Phone Contact for Permittingg — Owners Name Premier Community Healthcare Owner Phon® Number 352-518-2000 Owners Address 37M Church Ave. Dade Ci FL 33525 Owner Phone Number Fee Simple Titleholder Name^� Owner Phone Number Fee Simple Titleholder Address E! JOB ADDRESS 68 00/6862 Medical Lane Zephvrhills, FL 33542 =, LOT# SUBDIVISION C---- PARCEL ID# 02-26-20290-00000-0030 and 02-26-21-0290-00000-0050 I - (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ElINSTALL CONSTR ADD/ALT ® SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR ® COMM OTHER TYPE OF CONSTRUCTION BLOCK ® FRAME STEEL DESCRIPTION OF WORK Private Provider - Alterations BUILDING SIZE 6,527 SO FOOTAGEMT- HEIGHT _ ��c�s:��ccc accce.c�aeae;csE �La �ctac��ce � t�€¢�cEcc�e.ise. €e,a c��e �s�[�c cace ab =BUILDING $ 15890,000 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $20O OOO AMP SERVICE PI�dGRESS ENERGY Q W.R.E.C. w- PLUMBING $ 140,000 I �MEGHANIGAL $ VALUATION OF MECHANICAL INSTAL TI�ON 170,000 3 =GAS Q ROOFING ® SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO `r. BUILDER COMPANY )nstruction Co Inc SIGNATURE REGISTERED I Y / N I FEE CURREN I Y / N Address 368 aldin Rd Ste C Dunedin FL 3469 License # ,GC018550 �� ETI3LECTRICIAN �v COMPANY / SIGNATURE REGISTERED Y / N ' FEE CURREN Address License # PLUMBER ^� COMPANY HD SIGNATURE REGISTERED I YIN J FEE CURREN Y I N �I Address License # j MECHANICAL COMPANY =D SIGNATURE REGISTERED Y / N J FEE CURREN Address :1 License # OTHER COMPANY SIGNATURE REGISTERED Y % N FEE CURREN r Y / N Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-0-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. —PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required, (A/C upgrades over $7500) — Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways -needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency -Asbestos abatement. Federal Aviation Authority -Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone W' unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1 acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM T MAY RESULT IN YOUR YOU I DTOOB N PAYING TWICE FOR I ROVEMENTS TO YOUR PROPERTY. IF Y U�� FINANCING, CONSULT OTL C Mid OF- FLORIDA JURAT (F.S. fi117 7 OVINER OR AGENT CONTRACTOR r subscribedandswom or affirmed) before Subsririlbed and s ed) b fbie me this P 41o:r b Who is/are 5-ni ,or has/have produced Who islare personally, R o m or has/have produced -as identification. 07 k 02 a 1 L4s identification. Notary Public Notary Public Commission Noif Commission No Name of Notary typed, printed or stamped avR CHERYL HENW000 aeon 6 Notary Public - State of Florida Commission # GG 242035 My Comm. Expires Aug 29, 2022 Bonded through National Notary Assn, Name of Notary typed, printed or stamped 13, DAPHNE C. STORTZ Commission # HH 121331 Expires July 18,2025 Bonded TI%m Tmy Fain hw $004U16-7019 n wo :J 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be -subject to "deed' restrictions' which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law: both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division --Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractore) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not property licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a 'certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to denfin issuance. Furthermore. if Pasco County WaadSewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances, CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as arnended): If valuation of work is $2,500,00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone other than the "owner". I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the 'owner' prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development, Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work and that it is ri responsibility to identify what actions I must take to be in compliance, Such agencies include but are not limited to: Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WaterA/Vastewater Treatment, Southwest Florida Water Management District -Wells, Cypress Bayheads, Welland Areas, Altering Watercourses, Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency -Asbestos abatement. Federal Aviation Authority -Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone W" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required, If I am the AGENT FOR THE OWNER. I promise in good faith to inform the owner of the permitting condition,, set font) in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance. of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes, Every perroft issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEN EMEN `MAY RES T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND OBTAI FINANCING, ULT FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or affirmed) before me this Ed scribed (a irme this and sworn to d)b f lie by re Ders( 11 know tome at, has/have produced Wha�70are personally known to me or has/have produced Who ist identification. as identification. -------Notary Public A Notary Public Commission No. fl-\ NO Raln�e of Notary —typed v, inted orstampedNotary typed, printed or stamped DANIEU.E JONES AMy CoMkilISSION # GG 933220 EXPIRES: February 9,2024 6 'c' Bonded Thiru Notary Pubk Underwriliers 5/13/22, 9:29 AM Mail - Jackie Boges - Outlook Jackie Boges <jboges@ci.zephyrhiIls.fI.us> Fri 5/13/2022 9:23 AM To: Maureen Rainey <mrainey@springengineeringinc.com> Hello Maureen, I have attached the permit invoice for fee payment for the permit issuance . 00= https://outlook.office.com/mail/sentitems/id/AAQkADQlYWEzOGFkLTZiZGItNGFhMil hNjJILTVIMTJmZjhjNGNhZQAQANXSXY7Wcr1 MhLRrCR%2Fq 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received C r l /2022 ` Phone Contact for Permitting - Owners Name Premier Community Healthcare Owner Phone Number 352-51.8-2000 Owner's Address 37912 hUi'Gh �Ve.,Dade Citljl, 33525 Owner Phone Number Fee Simple Titleholder Name .._ Owner Phone Number Fee Simple Titleholder Address .JOB ADDRESS 6860/6862 Medical Lane. Zep>�rhills FL 33542 � LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONITR H ADDIALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR ED COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE= HEIGHT tttttt--t R s tt tttxtIt"tkILtILttikkttt��€ BUILDING S VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FL OD ZONE AREA =YES NO k BUILDER 1 COMPANY �r r C � e iz-C. (, ol"Istt C I;ICO SIGNATURE a REGISTERED �/ N IEE CURREN Address ='63 hill Lo Ba-, Blvd.. C Ica1,v� aer i L License# El,f � 1 r2519 ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENY N Address License # �............._,...�.._.._. PLUMBER � COMPANY SIGNATURE REGISTERED Y / N FEE CURREN Y ! N License ## 7 IV MECHANICAL' . COMPANY NN SIGNATURE/ REGISTERED Y; FEE cuRREN YIN � �� 1 add j � License rt OTHER COMPANY E SIGNATURE REGISTERED ;;;��EF CURREN �Y/ Address License # C RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-OW Permit for new construction, Minimum ten (1 0) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects COMMERCIAL. Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms, R-O-W Penult for new construction. Minimum ten (10) working clays after submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed. Sanitary Facilities & 1 dumpster, Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. *—PROPERTY SURVEY required for all NEW construction, Directions; Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways -needs ROW City of Zephyrhills Water and Sewer Impact Fee Calculatiol Fir. MMAI Impact Fees Within City Limits Outside City Limits Water Facilities Capacity Fee $ 14,523.97 $ 18,154,96 Wastewater Facilities Capacity Fee $ 30,054.55 $ 37,568.18 TOTAL 44,578.51 $ 55,723.14 fwi;lL� DP�U 17t)��!- 4#.5-V7 15 1-7.591, "VT ) jtj4 0-T& VAD pt-ftrj CL"WEL-1 f"" '*- I Y2 ffiA PARK ELEAZE R' Amw� Uwgmg Winer 2163 GO to Bay MY Suite 200 Owwater FL 33710, ApQrhhs Budd"T 111mrtment AN Sth St AAMW Fk 335-1, zwwwds NAVY flpmt=,�t: Now abov. min Wat W nerve as all DAIN fc'.ir Robert ,h pe-,, mA ky Prom"""', t"Ahe'l,"Alf al 1 41 JAL- Qnz�,,,)O NOU"YAW1, 2 no �P Permit No d Date Permitted Builder Name/Owner Name UP; V(�(_ 1 ri Control # County Parcel No. C)2-~-2.-(- ? a ,? j " �1 7� SubDiv: L t i Address/Location _ � e&� 2 C V l Caw L Classification/Type of Use ReIC TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: 5 2."7 Exempt YesEl No -7 How Determined Impact Fee Amount S 38, �-'7" , 10 Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt =Yes = No How Determined PARKS AND RECREATION FEE Land Account Land Credit Recreation Account Recreation Credit Zone Exempt =Yes No How Determined LIBRARY FEE Land Account Land Credit Facility Account Facility Credit Exempt1-1 Yes = No How Determined . Amount S Land Total _ Recreation Total Total Amount $ Facility Total T Total Amount RESOURCE FEE ERU Total Amount Prepared By i Checked. OWEN 110�r= r k ill MIXA61XU&Jffi• BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME. RECEIPT NO 101:141418[tv", BY P c- PASCO COUNTY DA�Qt DEVELOPMENT SERVICES 6AI, C "1 8731 Citizens Drive Date: 4/19/2018 E COUNTY F New Port Richey, FL 34654 LOW , 01'EN SMCT& WBR'-';v PLACES, 727-847-2411 NOT A PERMIT Receipt #: 1753392 ----------- 7 RENEW 16,no IN in Park, per Unit 0226210000001000041. ACCOUNT CO UNITS IN O'C FEE AMOUNT PAID RECEIPT # 2ATE X 24503100-329010 1.00 13;�l �31 $5,475.26 $5,47526 1753392 4/19/18 TOTALS: $5,476.26 $6,475.26 ftoj2U PAid By Check # Auth # Cashier ID Workslition 1753392 Check 17386 17386 534 BCCCP15W Total Payments: Comments: While you will be paying your bill with Pasco County Development Services, the full amount of the credit card or e-check fees, NOT shown above, is collected by First Billing payment services. MyReports/reports//PRODUCTION/PASCO/ReceiptPOS—V5.rpt 4/19/2018 Page 1 of 1 City of Zefhyrhills , t (2 Uniform Notic4ea Low -Voltage Alarm Syste Pr ct CI, Owner's/Customer Name # Address City 2eLkv �-A St Zip Phone 11 E-mail ContractorR(-Q C-abl-Liz- aAsAj .Lic.#-gs�' �00 Address5459 7) bankp- C&eV- Oicr6e t % City —ro-e"p-, — St FL Zip 33 (0 Phone B33 - 4-75 -'193A—DateProjectComplete Scope of Work: EPVT 4 L PI&A P IFOR---ed �kc_ Signature; t or contractor or authorized representative Notice is hereby given t �tv-.'ha-g-ealarm system project has been completed at the address c,r$ it , specified above. I certi 'hat all of the foregoing information is true and accurate. 10/1/13 section 553.793 FS o^ouaignEn,emp ox1 a°m"^^"/.°/ c""",,"`o""w"w,'"�w°o"uw/""p°u/= g]UNIVERSAL' ��8�� N�� Private Provider Firn� Universal Engineering Sciences Private Provider: George W. Dixon, BCA Address.- 9OO2Palm River Road Tampa, FL33S1Q4438 Phone: 8137408506 Fox: 8137408708 Email: lqmpainfo@QniversaLEMit1eq(jnkcorti Sheets: Premier Community Healthcare Zephyrhi|ks—S8O0&GB62Medical Ln.Zephyr iUsFL Architectural — 21 pages Mechanical — 5 pages Structural — 10 pages Electrical — 4 pages Plumbing — 3 pages | hereby certify that oothe best ofmyknowledge, information, and belief the referenced plans submitted were reviewed for, and are in compliance with, the Florida Building Code and all local amendments to the 2020 Florida Building Code by the following affiant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute and holds the appropriate license or certificate. The design professional is responsible to make any necessary adjustments and/or revisions to ensure code compliance, Do"uSmne^*' ]/3/2DZ2 Ross HowsarePX3766 Signature. Date: Plans Examiner. 8|dQ *""ww"ad by. Signature: Date.9/3/2O22 Plans Examiner, Elec George W, Dixon, PX440 ,_Signature Plans Examiner, Mech Signature: oQuosignecl by, Plans Examiner, Plum Private Provider 7 State of Florida, County of Hillsborough, SWORN AND SUBSCRIBED before me, by means 4(n physical presence or 171 online notarization, on the day of jn_,,L�k �, 2022 by George W. Dixon and ing personally known to me and who being fully sworn and cautioned, state that the foregoing ietrue ead coffect toUhe,�q§JdjQ7j§/herknowledge or belief. Sign'Ature of Notary Notary Public Stamp: Name Form # 9B-3,053-2002-01 Notice to MiAldi&g-Official &( Use of Private Provider Effective January 20, 2003 Pro lect Name: PREMIER CONTMUTNITY HhALTHCARE ZEIIBAIRRILLS. FLORIDA 0.2 -26 --1 1 -0'A'30- 00000 - 0030 Parcel Tax TD� Services to be provided: Plans Review Inspections Note: If the notice applies to either private plan, review or private inspection services the Building Official may require, at his or her discretion, the private provider be Used for both services pursuant to Section 553,791(2) Florida Statute. the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above, Universal Engineering Sciences Private; Provider Firm:-,--- Mark K Hardy Private Provider: 9802 Palm River Road,Tarnpa, FL 33619 Address: Telephone: 8 .1 1 - 3-740 11 1 8 1 50( 1 Fax: 813-740-8606 Email Address (Optional): 'I'anipaBIDScheduling0UniversalEngincering.com Florida License, Rea-istration or Certificate 57233 I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subJect of the enclosed permit application, as autho6zed by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perforill the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law, Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires initimium insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence. of the licensed or certified personnel and the level of their insurance and tu-n satisfied that my interests are adequately protected. I agree to indemnify, defend., and hold harinless the local government, the local building official, and their building code enforcement personnel from tiny and all claims arising from my use of these licensed or certified personnel to perform building code inspection ser v I eel', with respect to the building that i,, the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce, the applicable codes within his or her charge PLIT-Stlant to the standards established by s, 553,791, Florida Statutes. If I make arty changes to the listed private providers or the services to be provided by those private -pro\,idcrs1, I shall, within I business day after any change, Lif)CIate this notice to reflect such changes. The building plats review and/or inspection services provided by the Private provider is limited to building code compliance and does not include review for fire code, land use, environmental or other codes, Page I of 2 The following attachracrits are Provided as required: 1. Qualification statements and/or resumes of the private provider and all duly authorized representatives. 2. Proof of insurance for professional and comprehensive liability in the amount of $1 million per occurrence relating to all services performed as a private provider, including tall coverage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual Corporation Partnership Print Corpor ti N on ante ?Tint Partnership Name By: B (signature} (signatare) (signature) Print Name. Print m Print Name, Address:, Its, k=Q Address:-5— pc.� Address: Telephone No, Telephone Telephone No,_ No_ Please use appropriate notary block. S'YATE OF 300MMM Individual Before me, this day of 120�_, personally appeared who executed the foregoing instrument, and acknowledged before n-ic that same was executed for the purposes therein expressed. Personally known.4.11 ; or Produced identification Signature of Notary Public-, NOTA My commission expires: Corporation Before me, this day of personally appeared of orporatit u, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Type of identification produced WMM= Before me, this day of personally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Print Name ;_)1frur\(4r L NotAtY Public State of FIG-ri'da Jennifer M maffert com Won a a III N2 4 108 &E p. 1,1116120215 Page 2 of 2 01) (3eotechnicm Engineering g]UNIVERSAL Construction Materials Testing & Inspection ENGINEERING SCIENCES Building Code Compliance OCCUPati0i),11 Fieath & Safety EnvlronrTlental Grounded in Excellence Building Envelope Alternative Inspection Services Agreement Project: Premier Community Healthcare Zephyrhills — 6860 & 6862 Medical Ln, Zephyrhills FL Private Provider Firm: Universal Engineering Sciences Private Provider Name: George W. Dixon, BU 1097 Address: 9802 Palm River Road, Tampa, FL 33619 Phone: 813-740-8506 Fax: 813-740-8706 Names, License/Certificate Numbers, and License description of provider and duly authorized agents who will be providing services for this project. me License/Certificate No.: License/Certificate Type: fi a Mark Hardy �7233 al ProfessinalEngineer s g OV-1, An BN1008, SFP33, PX440, BU10917 --AE Sta]ndard Inspector, 1 &2, Plans Examiner BCA r � sp ctor, 1 j 111 1111-1 lvgwjii;iMM rKenneth BN6668 & PX�-595 L Standard Inspector & Plans Examiner Scheitler BN2552, PX2340 Standard Inspector & Plans Examiner og' �SR er Myers BN6695 Standard Inspector teve Lee BN5627, PX2961 1 Standard Inspector & Plans Examiner Frank Ross Robert Mason BN4490, PX4174 Stephen Williams B 908 BN6908 1 Jeffrey Campbell BN6679 Standard Inspector BN6929, PX3766 Standard Inspector & Plans Examiner — Timothy Henline BN7069, PX4134 Standard Inspector & Plans Examiner BN8281 Standard Inspector 1.BN6655, PX3589 Standard Inspector & Plans Examiner PX4440, AR96356 Plans Examiner & Architect 11M j" Signature of Alternative7P4Q C, , C) State of Florida, County of Hillsborough, &GE\!`: Sworn to (or affirme and subscribed before me, by means of physical presence or 0 onlinWWblk�a"iion, this day of v �-g kh ;nll Inownto me ..... 2022, by George W. Dixon, wh is er 0 y Kim Y. White i. of ary Printed Name of Notary Signature N Notary Public Stamp: April 14, 2022 Zephyrhills Building Department 5335 81h Street Zephyrhills, Fl, 33542 EVIVIES1010 MFINWET20" M al OLN To Whom It May Concern, Building Construction Services Premier Community HealthCare - Zephyrhills SEI Project No.: 2021-18 Building Alteration Application Approval Fed -Ex On behalf of our client, Spring Engineering, Inc. has enclosed the following information for a building alteration permit approval for the Premier Community HealthCare - Zephyrhills project: 1. Pen -nit Application 2. Private Provider Documentation 3. One (1) Affidavit to Authorize Agent. 4. (3) Sets of signed and sealed Architectural Plans (21 sheets at 42" x 30") 5. (3) Sets of signed and sealed Structural Plans (10 sheets at 42" x 30") 6. (3) Sets of signed and sealed Mechanical Plans (5 sheets 42" x 30") 7. (3) Sets of signed and sealed Electrical Plans (4 sheets at 42" x 30") 8. (3) Sets of signed and sealed Plumbing Plans (3 sheets at 42" x 30") Please review this information and issue your approval as soon as possible. If you have any questions or need additional information, please call our office. Very truly yours, Derek Ray Senior Project Manager D91mr Enclosures N N cc: Aaron Brandt (Sent Via Email) Cheryl Henwood, SEI LTa m Atlanta: 3014 US Highway 19 1320 Ellsworth IndusFrial _Blvd, Holiday, FL 34691 Suite A-1 800 Tel: 727-938-1516 sei@�springengineeringinc,com Atlanta, GA 30318 Fax: 727-942-4174 www,spfn_qerigip_geriggirlc.coDi Tel-, (404) 881-8370 From: Sent: To: Cc: =4= EXTERNAL EMAIL Maureen Rainey Maureen Rainey <mrainey@springengineeringinc.com> Monday, May 9, 2022 9:16 AM Bill Burgess Bldg Dept; Derek Ray RE: Request Information for Impact Fee Calculation 1"s Egme so i ii I T I i I ill I I ill! ii iiii I Ili i Atlanta Administrative Assistant mraineva,si)rin2ens ineerin�zinc.com httD://www.si)rinv-en2ineerinainc.com/ I I N 21 91h14% \k. %51 En- gine-eirwing Architecture - Engineering - Land Planning YEARS %a# a MLIVERING INNOVATWE DESIGN NATIONWIDE This communication is confidential and may be legally privileged. It is agreed by the recipient of this data that the work project is the sole and E property of Spring Engineering, Inc. and that it will not be provided to any additional users, including surveyors, engineers, architects, f contractors, etc., without the approval and consent of this firm. It is understood that the accuracy of any data obtained by this transmittal is sut to the certified paper drawing and that SEI assumes no liability in the use of this data. AutoCAD File Disclaimer The accompanying files are as a matter of courtesy and are in no way to be taken as appurtenant to, associated with or as a replacement of copies of the officially sealed do( The data is provided "as is" without warranty of any kind either expressed or implied. Any person(s) or organization(s) making use of or rely, this data, is responsible for confirming its accuracy and completeness. These files do not include a professional architectlengineer's stamp drawings with such stamp are to be considered as true and final. SPRING ENGINEERING, INC. is not responsible for edited or reproduced of this digital data. From: Bill Burgess <bburgess@ci.zephyrhills.fl.us> Sent: Monday, May 9, 2022 8:21 AM To: Maureen Rainey <mrainey@springengineeringinc.com> Subject: RE: Request Information for Impact Fee Calculation Good Morning Maureen, So that I may accurately assess our water/sewer impact fee, I need the number of practitioners and employees on a normal 8 hour shift/day. The number you quoted seems like a rotational basis and will greatly increase your impact fee....Thanks, Bill From: Bldg Dept <BldgDei)tPci.zephvrhills.fl.us> Sent: Monday, May 9, 2022 7:23 AM To: Bill Burgess <bburgess@ci.zgahyrhills.fltjs> Subject: FW: Request Information for Impact Fee Calculation Bill number of employee and doctors for new medical office From: Maureen Rainey <mrain ey@sprmgenEineeringjnc.com> Sent: Thursday, May 5, 2022 1:23 PM To: Bldg Dept <BldRDei)t@ci.zei)hvrhills.fl.us> Cc: Derek Ray <draes rin en ineerin inc.com>; Susan Colgan <sc �IanL@ i allD ineenn incxom>; Nick Lingle <nlin le s rin en inger > Subject: Request Information for Impact Fee Calculation EXTERNAL EMAIL ZMEM The number of providers (Including women's health, behavioral health, and pediatrics) for Zephyrhills is 8 and the total staff is 26. Please provide any request for permit fees or permitting question to us and will see to them being taken care of. Maureen Rainey Atlanta Administrative Assistant mraine yCa)s rin � http-,//w",w.s in en ineerin inc�xoni/ 2r _g�� N This communication is confidential and may be legally privileged. It is agreed by the recipient of this data that the work project is the sole and E property of Spring Engineering, Inc. and that it will not be provided to any additional users, including surveyors, engineers, architects, f contractors, etc., without the approval and consent of this firm. It is understood that the accuracy of any data obtained by this transmittal is sut to the certified paper drawing and that SE/ assumes no liability in the use of this data. A utoCAD File Disclaimer The accompanying files are as a matter of courtesy and are in no way to be taken as appurtenant to, associated with or as a replacement of copies of the officially sealed do( The data is provided "as is" without warranty of any kind either expressed or implied. Any person(s) or organization(s) making use of or rely, this data, is responsible for confirming its accuracy and completeness. These files do not include a professional architect/engineer's stamp drawings with such stamp are to be considered as true and final. SPRING ENGINEERING, INC. is not responsible for edited or reproduced of this digital data. From: Bldg Dept <Bldgl)ept(@ci.z�h rhi ls.fl.us> Sent: Thursday, May 5, 2022 7:44 AM To: Kim Y. White <KYWhite@un!'y�ersa lien �ineer�incom> Subject: RE: Private Provider Registration for Universal Engineering Sciences Ht ••UfTG-'&-" 1LU6-E-UCC1TrT BUILDING FOR THE IMPACT FEE ON OUR PERMIT. Bldg Dept Generic ID for BLDG Dept. E-mails. City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 Disclaimer: Fla. Stat. 668.6076 "Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead,contact this office byphone ociow/ddng." Bill Burgess Building Official City of Zephyrhills Disclaimer: Fla. Stat668.6O76"Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity.Instead, contact this office byphone oriovvrtiNg." CONTACT PERSON PAR 2 3 2022 PERM17 APPLICATION THE CONTACT PERSON WILL BE CONTACTED FOR CORRECTIONS, ERRORS, ADDITIONAL INFORMATION, ETC. FBC 104.1.6 TIME LIMITATIONS: AN APPLICATION FOR A PERMIT FOR ANY PROPOSED WORK SHALL BE DEEMED TO HAVE BEEN ABANDONED SIX MONTHS AFTER THE DATE OF FILING FOR THE PERMIT, UNLESS A PERMIT HAS BEEN ISSUED WITHIN THE SIX-MONTH DATE. COMPANY: RAW9* 0=0 E EMAIL: .AjG��Ve-6je com FAX: PERMIT SERVICE NAME: PERMIT SERVICE TELEPHONE: NOTES: Affach Business Card Here: ,Sldev,svcsibcs/cpforins/pefTnitverWication 124-15 Page ? of 2 CATION FORM COMMERCIAL PERMIT VERIS PRoJECT1 OWNER/ NAME: -------- coNTROL NO.: BUILDER: CHECKUST ITEMS Site PI proved Flood Zone Reviewed Flood Calculations Requi d • al" Mechanical Fire Marshal I COMMENTS TO BE PLACED ON SCREEN Wind Speed: Flood Zone: 8FE: Panel No.: Zoning. District: Setbacks: Page I of 2 v ays/doc spedeltstibcslcpformsicommerdalperm(tvedfication 12-845 10/20/22, 9:18 AM Mail - Jackie Boges - Outlook RE: BNC-004055-2022 Sub Permit Alex Laccabue <alex@parkeleazer.com> Wed 10/5/2022 10:52 AM EXTERNAL EMAIL 1. American Plumbing Services of Florida, Inc a. Name: Coy Merrick b. License# CFC1427755 c. Contact# 352-795-4177 cl, Address: 7135 W Gulf to Lake Hwy Crystal River, FL 34429 2. Tri-Area Electric Contractors, Inc a. Name: William Leone b. License# EC13010632 c. Contact# 330-360-6859 d. Address: 2603 14th Ave SE Ruskin, FL 33570 3. Oasis Mechanical, LLC a. Name: Milian Jimenez b. License# CMC1251055 c. Contact# 786-525-1785 d. Address: 2141 loth Ave North, Lake Worth Beach, FL 33461 PACKE ELEAZER CONS TRU ('I ION RUM" UWAM�Alj Alex Laccabue I Project Manager 2363 Gulf to_Day_alvd, Suite 200 Qearwater, Florida 33765 Office:Q27) 216-6591 Ext 2127 Cell: (L13) 625-5545 www.p,qrkeleazer.com From: Jackie Boges <jboges@ci.zephyrhills.fl.us> Sent: Wednesday, October 5, 2022 9:02 AM To: Alex Laccabue <alex@parkeleazer.com> Subject: Re: BNC-004055-2022 Sub Permit From: Alex Laccabue <a- x@ -le p ,j1rkeleazer.com> Sent: Monday, September 26, 2022 1:01 PM https://outlook.office.com/maii/id/AAQkADQlYWEzOGFkLTZiZGItNGFhMil hNjJILTVIMTJmZjhjNGNhZQAQAKwNBSGkuFNHiO2Z4WBYc%2FI%3D 1/4 10/20/22, 9:18 AM Mail - Jackie Boges - Outlook To: Jackie Boges <jLoges@cizep iyLhiJlsflus> L _ Subject: RE: BNC-004055-2022 Sub Permit EXTERNAL EMAIL Master permit:# BNC-004055-2022 How do I register them to application and how many need to switch from your records? Thanks, PARK§ELEAZER CONSTRUCTION Alex Laccabue I Project Manager 2363 Gulf to Bay Blvd, Suite 200 Clearwater, Florida 33765 Office:Q27) 216-6591 Ext 2127 Cell:,(813) 625-5545 www.p.g_rkeleazer.com 1. LIZ V 1 mp?�IPT77 -Uyil M 131 .U-" Sent: Monday, September 26, 2022 12:44 PM To: Alex Laccabue <alexL@parkeleazer.qorn> Subject: Re: BNC-004055-2022 Sub Permit what is the master permit # for 1? the cost to switch out will be $ 20 per change and last they must be registered and signed onto the application. From: Alex Laccabue <Alex@ pgrkeleazer.corn> Sent: Friday, September 23, 2022 1:50 PM To: Jackie Boges <jLoges@d.zepjyLhi Is.flus> Cc: Jodi Brant <Lo i(c _L_�tri-areaelectric.com>; ��Mtpj_Qm ingsvc@ -rnbing�vc@ grnail.com <a l; �u_gmail.com> Subject: RE: BNC-004055-2022 Sub Permit EXTERNAL EMAIL Jackie, I am following up from our conversation via phone earlier this week pertaining to switch sub permits on the master permit. Specifically we will need to change electrical and plumbing from my understanding. Can you follow up once you check and let me know what is needed for these adjustments? Thanks, PARK E ELEAZER 410NISTPUC110N, Qearwater, Florida 33765 Office:Q27) 216-6591 Ext 2127 Cell:,(a]-3) 625-5545 �Kww.parkeleazercorn https://outlook.office.com/maii/id/AAQkADQ1 YWEzOGFkLTZiZGItNGFhMi 1 hNjJILTVIMTJmZjhjNGNhZQAQAKwNBSGkuFNHiO2Z4WBYc%2FI%3D 2/4 From: Alex Laccabue Sent: Wednesday, September 21,2O22y:43AM To:]Log�ji@LJ_zep2yLlU1sji.us Subject:8NC-8O4O55-2D22 Jackie, Thanks for the call this is for permit number BNC-004055-2022 at 6860 Medical View Lane checking in on sub permits attached. Mechanical: Oasis Mechanical Corp. Electrical: Tri-Area Electrical Construction Concrete: Puleo's Concrete Inc PARK E ELEAZER CONSTRUCTION Alex Laccabue I Project Manager jacNeBogen Senior Code Support Specialist City ofZephvrhiUs 5335 8th Street ZephyrhiUs,FL8S542 D23'7OD-OO2OExt. 3SI3 Disclaimer: Fla. Stat. 668.6076 "Under Florida law, e-mail addresses are public records. Ifyou donot want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Insteadcontact this office byphone ocinvvdhng.^ JacWeBuges Senior Code Support Specialist City ofZephvrhiUs 5335 8th Street Zephyrhi||s,FL33S42 813-78O'OD2OExt. 3513 https://outlookzffice.com/maii/id/AAQkADQ1YWEzOGFkLTZiZGItNSphMn»NjJ|LTVIMTJmZjhjNGNhZQAQAKwNBS8kuFNHiO2Z4WBYc%2F|%3D 3/4 10/20/22, 9:18 AM Mail - Jackie Boges - Outlook Disclaimer: Fla, Stat, 668,6076 "Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing." https://outlook.office.com/mail/id/AAQkADQlYWEzOGFkLTZiZGItNGFhMil hNjJILTVIMTJmZjhjNGNhZQAQAKwNBSGkuFNHiO2Z4WBYc%2FI%3D 4/4 City of Zephyrhdls Uniform Notice of a Low -Volta e Alarm System Project Owner's/Cu to�meer^Name t to s ttn ` tY `�4 Address d £� ® t�k t c City �t t ! St Zip Phone E-mail 77 Contractor e A"f of �� iD 1 U # c ' Lam-—Lic.#F4Ooae�U Addres +P� V G t> c r City r� St "m L Zip Phone S� ' ateProjectComplete Scope Work Signature: Own r or tenant or contractor or authorized representative Notice is hereby gi n that a low -voltage alarm system project has been completed at the address specified above. I certify that all of the foregoing information is true and accurate. 10/1/13 section 553.793 FS 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Owner's Namc Yr `, tP-W Owner's Address l �Zc( t T— � ova, t � t }� 1.�% % �2a Owner Phone Number Fee Simple Titleholder Name Owner Phone Number F.`II>J..1.71�1#.��i7►1 (OBTAINED FROM PROPERTY TAX NOTICE) NEW CONSTR R ADD/ALT SIGN DEMOLISH INSTALL REPAIR SFR COMM OTHER BLOCK FRAME STEEL BUILDING SIZE SQ FOOTAGE HEIGHT .......�� BUILDING $ l7 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ e� AMP SERVICE PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ ----� =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS —� FLOOD ZONE AREA =YES NO 813-780-0020 Date Received �mmmmnm�� Owner's Name | | Owner's Address |?/` Phone Contact for Permitting Owner Phone Number Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number I Fax'813-780-0021 JOB ADDRESSLOT SUBDIVISION PARCEL|D# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTK ADDAALT F---1 S|8N �--1 F--� DEMOLISH | | INSTALL | | REPAIR PROPOSED USE �—� SFR F—1 COMMF--� OTHER TYPE OFCONSTRUCTION �—� BLOCK F—� FRAME F--� STEEL [--1 D��l�T|�}��UV0�� |��//��(g1 /�� ~��6/ /��2 LG�/�o/ ~1��J(^�N� --� /��d(-�J/��| 8 BUILDING SIZE SQ FOOTAGE HEIGHT I i F--lBU|LD|NG �_� VALUATION 0FTOTAL CONSTRUCTION =ELECTR|CAL AMP SERVICE �--� PROGRESSENERGY F--1 VV.R.E.C. | |PLUK4B|NG =K4ECHAN|CAL VALUATION C>FMECHANICAL INSTALLATION F--lGAS [--\ ROOFING F—� SPECIALTY F--� OTHER �� _� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA | |YES WD 4-4- BUILDER COMPANY SIGNATURE nsa/orenso pEsounesw Address Lioenno# ELECTRICIAN COMPANY SIGNATURE Reo/aTsnso FeeouRnsm Address License# PLUMBER COMPANY SIGNATURE neG/erEneu FEecumnEw Address I Lioanoo# MECHANICAL COMPANY SIGNATURE eeo/arsnso FEeounnem Address Linanoo# � OTHER ' SIGNATURE 1-7 REGISTERED FeEounnew Address & Lioonoe# RESIDENTIAL Attach (2) Plot Plans; (2)sets ufBuilding Plans; (1)set ofEnergy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpater; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (2)complete sets ofBuilding Plans plus o Life Safety Page; (1)set ufEnergy Forms. R-D-W Permit for new construction. Minimum ten (18)working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2)aeta of Engineered Plans. °^°°PROPERTYSURVEY required for all NEW construction. Fill out application completely. Owner & Contractor sign back ofapplication, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Renoufs if shingles Sewers Service Upgrades A/C Fen000(P|oVSunxeyFootaAe) Driveways -Not over Counter ifonpublic roadwaya'neodeROW 813-780-0020 City nfZeDhvrh'USPermit Application Fax-813-780-0021 Building Department NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may besubject ho^dead^restrictions" which may bemore restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and |000| regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" ofthis application for which they will be responsible. If you, as the owner sign as the uontraotur, that may be an indication that he is not properly licensed and is not entitled topermitting privileges inPasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned UOde[St8OdS that Transportation Impact F*oo and Recourse Recovery Fees may apply (othe construction of new bui|dinga, change of use in existing bui|dingo, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such feea, as may be due, will be identified atthe time of permitting. It is further understood that Transportation Impact Faua and Resource Recovery Feeamuotbepaidpriortonaoeivinga^oedi6oateof000upancy^orfina|powerre|eaaa.|fthepnojeotdoesnotinvo|veacedifioateofnooupanoyorfinu| power re|eaoe, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVuter/Sowor Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of AQriuu|turaandConoumarAffaire.|ftheopp|ioantieaomaonaotherthan(h*''ovvner'.|certifythat|haveobtainedaoopyoftheubuvedosoribed dooumentandpromiseingoodfaithtodo|iverittotha^mwner'priortocommenoement. CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulating conetruotion. County and City oodes, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take toboincompliance. Such agencies include but are not limited to: - [)eD2[tDl8Ot Of EOVi[OnDl8Dt8l P[DteCtiOO-CVD[eSS Bayh88ds. Wetland /\[eGS and EDViFOnrDeBi3llV Sensitive Lands, Water/Wastewater Treatment. - S0UfhVVeSt Florida VV8t8r M@D@ge[DeDf District -Wells, CVD[eSS B@Vhe8dB, VV8tlGOd /\[e@S, Altering W@t8rCOU[S8S. - /\[nlV CO[DS of Engineers -Seawalls, []OCkS, Navigable Waterways. - [>eD8[fOOeDf Of Health & Rehabilitative Services/Environmental Health Unit -Wells, yV@SfeVVate[ Treatment, Septic Tanks. - []S [cAVi[ODrOeOt8l Protection /\geOcV-/\SheStOS 8h8t8[AeDt. - Federal Aviation Authority- Runways. | understand that the following restrictions apply tothe use offill: - Use of fill is not 8l\0VVed in Flood Zone "\/" UDleSS expressly permitted. - If the fill [D8t8[i@l is to he used in Flood Zone "A`, it is understood that 8 drainage Dl@D addressing 3 "COrDDeDSatiOg VOlUnle" will be submitted at time of permitting which is prepared by @ D[OfeSSiOO@l 8OQiOee[ licensed by the State of Florida. - If the fill Dl8t8[i8l is to be used in Flood Zone "A' in CODDeCfi0D with @ permitted building using St2OM wall COnSi[UCiiOD' I certify that fill will be used only to fill the area within the stem wall. - If fill [D3t8[i@l is to be used in any area, I certify that use Of such fill will not adversely @ffeC1 @'U8CeDt properties. If use of fill is found to 8dV9[8e|V affect @di@CeDf properties, the OVVn8[ may be Cited for violating the conditions of the building permit issued under the attached permit @DD}iC3fiDD, for lots less than one /1\ acre which are elevated by fill, an engineered d[GiD8g8 plan is required. If | am the AGENT FOR THE OWNER, | promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. | understand that separate permit may be required for electrical wmrk, p|umbing, aigna, weUa, puo|a, air conditioning, gaa, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring o ounedion of errors in p|ane, construction or violations ofany codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (AO) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (DO) consecutive dayo, the job is considered abandoned. FLORIDA JURAT(F.S. 117.03) OWNER ORAGENT Subscribed and sworn to (or affirmed) before me this Who is/are personally known tomoorhas/have produced Commission No. Name of Notary typed, printed or stamped CONTRACTOR Ec-ck- Subscribed and sworn t (oraffirmed) before me this Commission No. Name of Nota'ry typed,'printed or stamped Er. [F. =1.10 4) 1 Prepared for: Premier Community Health Rowan Rd System Type: Access Control System GIBBENS DRAKE SCOTr, INC Submitted by: Johnson Controls 9"IE63rdSMULTIE100 RAYTOWN, \UMTJ 64133 Date: January 27, 2023 ACCESS CONTROL SYSTEM PAGE # PART # DESCRIPTION ***"* HEAD END ***** 9 7-74 DOORS HOSTED ACCESS CONTROLLER ***** FIELD DEVICES ****" 11 KT-SG-MT KANTECH SINGLE GANG MULTITECH READER 19 T.REX-XL2-NL TREX PIEZ012R E LAY, NO LOGO 21 199-12-W DOOR CONTACT 1" DPDT WHITE =111_11111� ��/�yU��U! Ethernet ��V Four -Door /—/1��r�||�� ~��vv�~�� [_L�l^~./'^~i--��~��[] �—��/--[/��/ \~��/'U��|^~/ / j/ KT-4OOEihemet-mady[ourdoorcontroller suppooseight, rewdeo(EnunPassSccuhiy Management Software) and can be conD,(),ured in kwo User hipnd|yOperational modes. KT-400'sStoxda|oneModeoOershasicd001-securityoSix@asimp|ewebhmwserwiihout the needW connect ioa host system. Akemndvek/ KT-4OOcnn be uscd with the powcdo| EntmPass Semrity Mana-emex|Software to pumidemo/eadvancedond[uUyintoprated access control [eamres. KT-400 Standalone Mode* Weal /br sites that only nupd basic doorsecuhty, the KI 400burd00rcun/mUerfeamres an embedded websenarwhich enables i\mOperate in a Standalone Nilode - meaning no EntraPasosoftware isiequi/ed. Johnson �c -,, (1,%, ,K Controls One Combined Hardware and Web -based Software Solution With no exi[a secuEity software to purchase and install, and using an intuitive web browser for wick set up, KT-400 Standalone provides a cost effective, yol, feature rich alternative for four door srrcurity. Responsive Web -based Software Intuitive and responsive wet} hosed softUvaie Enables you to simply manage, and c >!rfigurr your four door security from anywhere, using a desktop or r-noblle device. Standalone Set -lap Wizard KT-400 Standalone offers the ultimate simplicity in access control installation. Simply power up 0-400, connect to a web browser, follow the quick set rip configuration wizard and your four -door security is up and running m minutes. Standalone Parameters Cardholders Door Access Card families or Site Codes Fvents O'ne! ators SCliedules Holidays Action Schediik,,r monitored Points (Inputs) Airxihaiy Outputs Browsers Mohile Opc i.iting Soltrvare Integrations Upgrade Patti I art wages Fimm/are vefsion 2,000 (1,000 with image/ 1,000 without image( Per do,r, per user Unlimited 60,000 (C)HIme Mode) 2 (Installer, Operatoi) 20 (1) intervals) 25 00 10 1,2 Sa lai i, Googl: C.hi n i , I'Vozilla f irefox, Interne! E xplorei, Microsoft I dge iOS, Aimlroid (No native app) Basi, intrwi n via icdays Entrallass/ Irattrix rnlist F i< (h, Spanish, Italian? Ki -xioG Sl,a ,r'_ilonrr rrersior, z,03 <rd higher on K'. 4001ev 1 Suh,cct to IiTmvvarc' rrl.}gr<rr't fccs� KT-400USiDg Ent[aP@ss Ethernet —Ready EO[FVD1ed 4—Door Controller TheKT-4OOfnurdoor con\m||erisa cyherreni|inNnnU easy'to-usenehvoi ked access control so|utionWkhSuppoI-tfor flit) hoei�-Iht (EntaPaeSecohtyMana0ememSoftware) ioPmxXSFslid ioSmaft readersWdoors |N/0UTcnnim0. The KT-40Ohas all oxboard E(hemet port that connects to exisLin0 network inhagmcture and leverages the benefits of |P'hancd systems, Combine KT400 With EntmPasssecurity mana0emenisoltwarztocreate, a hi2h|ysco|aWe solution that can bedep|oyed within one bui|din� nrucmss mu|hp|e locations, Built —In EXD3nSi0D The KT-400aUowo connectionio expansion modules in opde/\n add inpvb or to add ou/pvissuch as re|ayoand dmin outputs. Combinin0 inputand output expansion modv|es provides the flexibility io connect up to 256 inpuh and 2560otpoh. S1GtUS Indicators LEDspmvNe important conUoUerstotusnnd diagnogicinfonnadnn. The KT-4OOhas multiple LED status Indicators fortroll b|eshooUn8. netwo[k activity, power statlAs and OLAIArts activity, Easy Network Connectivity Tlie auto -sensing 101008aoeTonbou'U Rhemetport amomadcaUyselects compa(iWe Bhemekspeeds Wprovide faster network connectivity, |t,e|iminaiesthe ncedio purchase an exitnma| Eihnmeidcvire' saving time and money. The KT-400uses 128bitAES encrypUontocommunicutewiN the Gateway, Rer0OVahl8 Terminal Blocks In older to expedite installation and [aci|im\eserviceability, KT-400[eauues ncmmmb|eiermina| b|ocksthat are simple to connect and are, color -coded forquickidemiOcadon. Built—in Web Configuration Th* web cnn��umdon page is accessiWethmugh any bmwsec It con he used m vehry and coxf 0ure the |P settn8s of the KT-4O0 For enhanced secvhtK oice the KT-4OOisconh,urell, the Web coil D8uraUon pngecat) no |ongcrbeacceased. TheKT-4OOcat be rnseiko fac(oryde',,Iuk /n ihecase of conh8uadon ermrond the web cnn5g7uration pa#evviU once again be accessible, Occupancy Level Controls 0-40Osvppons occupancy msthcbons for four bca| areas atthe conimUer level Willi \heand-pass back featope. Thisfe*iuve allows Lite operawr/n dehnea particularaea that may have capocity|imitadons' such as an auditorium, conference room, or bbora\ory, The KT-4OOcan be conU�ured h |imk Uhe nmouni o[peop|e permkks in(othisam�� nce\he |imii has been eeched. no addibono| personnel will he allowed menterthe defined Ioradnn, Th)s prevents ovorcmwdin,�jorviolation n[capacity negu/aUons. Johnson nson �� Low Bandwidth Consumption The E ntraPass software monitors events occurring at the doors by polling the KT 400 door controllers. The rntraPass Multi -Site Gateway only communicates vvith the KT-400 if an event has occurred. CoriimUnlCatlori integrity is ensured through a heartbeat signal which is sent at regular intervals to the Entralvass system, This asynchronous communication significantly reduces the amount of bandwidth required to manage the access control system over the neiw•=ork If there is a communication failure between EntraPass and the KT-400an alarm will be triggered in the EntraPass systern. Supervised Lock Power There are four supervised door lock outputs vvaith an internal power supply (12 VDC), In addition, an extemal power supply (12 VEX - 24 VUC) may (-lso be used to provide power to the lock outputs. This eliminates iihe need for additional relays_ The lock outputs will still be Supervised by the KT-400. Multiple Communication Ports KT-400 provides multiple controller configurations to suit your Specific access control needs. These con! -figurations provide communication with the EntraPass Gateway. Yora can choose any of the following options; If) iFthernet) RS-485 (COM=t) using a USB to RS-485 converter Configurable Reader Outputs There are four different possil;le oritputs for each of the four onboard reader interfaces for a total of 16 I_ rrcrgramrrrable outputs. Reader outputs are used to provide the user with visual (LEDs) and/or audible (buzzer) feedback on access control events. Elevator Interface he K'-400 Ethermt four -door controller Supports elevator ruler acing with the addition of expansion modules such as the RFI I.8, KT-MOD- INP16, KT MOD-OUT16 and KT-MOD-1016. Alarm Panel Integration SC MAX>?S, Power -Series, PJwei See ies Wo and fore rSeries Pro intrusion alamr panel data integration (air be accomplished by corm cting it to the KT-400 controller. Using the K1 4(,-)t); IntraPass Special, Corporate or Global Editions are able to receive intrusion events, view the StatuS of Z01)eS and partitions, and progtain .jsers code. In a ddifinn! the system can be arlt ed/disiatr-nec (single or multiple partitions) via the reader of manual opccralion from the vvoikstation. End -of -Line Resistors The K 1 400 has can onboard capability of monrtoring `16 Input Zones (expaw!aable to maximum 256 zones with the addition of expansion nroci es). It (:air support a ir<axiMuM of 128 inputs using double endof line (FOL) resistors or 256 inputs using; none or single E-o(_. resistors. This allows the, system to monitor more States associated icated with a customers installation, significairtly increasing the level or security. Johnson Controls Basic System Diagram - �cof "'Y Manag,,.- Johnson #0 Controls Specifications Physical -__ Cabinet Dimensions (NxVVxD) 37.6 x 30.5 x 126 cm (14"8 x 12.0 x 4.95 in) PCP Dimensions 0 WAIxD) 23.1 x 14.0 x 3.4 am (9._ x 55 x 1.3 in) Cabinet Weight 4.0 kg (8.8 Ib) Environmental Operating Temperature 2to 49° C (35° to 120° F), indoor use only Nurnidity Level Maximum, 85% relative humidity non -condensing Electrical Power Input KT-400 '16.5 VAC or 24 VAC, 75 VA, Class 2 transformer Battery Backup 12 VDC/ 7 or 12 Ah battery supervised, rip to "i2 hours of operation Reader Power Output Maximum LOA @ 5 VDC or 12 VDC, typical 250mA per reader, protected and supervised Operational Reader Types VViegand, proximity, ABA clock and data, bar code, magnetic, integrated keypad, smart care] 8 (EntraPass Security Management Software), 4 (Stanaalone Mode); Kantech ioProx XSF air(] ioSm�art # of Readers Supported readers only # of Cards when disconnected `00,000 (K1 400 �rnd Ki-400 PCB) from EntraPass (Offline Model) Monitored Points (Inputs) 16 monitored points, single EOL, double EOL Points Maxinium Wising AWG #22 - 600 m (2,000 ft) Door Strike power 12 VDC, r-naximam 2,OA, typical 500mA per lock, supervised External Lock Power 12 Or 24 VDI (up to 28 VDC) supply up to 750 mA firer lock for a total of 3 amp Reader Outputs 6 outputs, 2`r rnA maXln'luf l each, Open collector Outputs LEDs (door error 2, door 3, door 4, f ED, 0011 and OU ]"2) and buzzers (Buz, door 1, door ' c'oor 3, Auxiliary Outl:tuts door 4) 25 niA each, open collector llector C)utputs Controlled Output Relay Four onboaid Foam C controlled Outputs relay, 30 VDC 3 amp max each Communication Ports RS-232 With R1-12, RS-485, Ethernet 10/10OBase-T with R 1-45 : SCSI 6-pin connectoi, bi-dk,�chonai data exchange. SUppOr"l.ed. Supplies 12 VDC, Expansion Port 500 mA maximum shared-- With i2 VDC auxilrary port Auxiliary Port Auxiliary 12 VDC, 500 mA maximum shared SPI expansion port Cormnunlcatlon Speed Up to 115,200 band (automatic detection over RS-232 and RS-485), 10/1.00Base--T over Ethernet 256 "T for appjwo'`ion and d to stol0Q,' (configuration and events ran teside for o mininmin of 10 Flash Memory years without polder) RAM 28 MB for app!icadon loat'ing and running Network Autonomy Distributed data and processing Regulatory EN61000 6 1, EN61000-6-2, ENf15032, EN60950-1, EN50130-4, FCC Class B, JL-294, OiL-1076, CE, RolIS, W ESE Warranty KT-400 hardware 5 years Johnson Controls urdering KT-400 Order Information KT-4C0 KI-400 PCP, accessory kit and metal cabinet with lock anc keys KT-400 -PCB KT-400 PCB and accessory kit. Expansion Modules KT- MOD -INP16 16-zone input module with 41 cm (16 in) SPI cable KI-MOD-REL8 8-relay outputs module with 41 cm ('16 in) SPI cable KT-MOD-OUT16 16-zone output module with 41 cm (16 in) SPI cable KI--MOD-1016 RS 48`T Input/Output Module; compatible with KT-400 and KT-1 contra-!iers Integration Modules Ki-1 -1 100 DSC PowerSeries Intel iation Kit: IT 100 intebration module and CBL.K-I1-100 cable kit KT-4401VK DSC MAXSYS InteSration Kit: integration module and 1.8 m (6 ft) RS-232 connector cable set CBLK-I1100 DSC PoweiSeries Cable Kit: 3 m (10 ft) RS-232 connector cable set CBLK-44C1VK DSC MrAXSYS Cable Kit: 1.8 m (6 ft) RS-232 connector cable set and EPROM set CwPLK-IT1t2 Cable kit Kantech/DSC Poi NerSe3ies Nee RS-232 to 422 converter, connector and cable 1.8 m (6 ft). Requires a Cumn)UM ication Module TL28C Fit m==^tare version 4.1Q.4.2.9 or higher Accessories Kl-iVOD-SPI 16 SPI cable 41 cm (16 in) Kl V'0D SPI-36 SPI cable It cm (36 in) KT-4u0--ACC A. <cssory Kit: lesirtors Mx 1K O 31x 5.6K O, �?iound cs,iw, battery conmctor and screwdriver K1 -400-CAB Black metal cabims't with lock and keys KT MOD CAB Cabiiret fc- up te: E> expansion nx>dc ies, ii,clu(irr lock, keys and 92 cm 36 in) SPI cable KI-IAMPER Tamper switch K I -LOCK Cabinet !cc k ands' kevs KT 400 CON Removable terrain sl block K 31 ED PLAU Al<<<;n (3 1_IN indi atoi Power Supplies I R1675 Wire in tiansfotme,r, 110 VAC/ 16.3 VAC (7 VA), JL approved KI BAIT-12 (lei cell bat! Ill v, a' `V' 7 Ali KI BAT IT ",2"?2 Gel cell battery, 12 V, 12 ,Ali Johnson 40 Controls KT-400 Starter Kits SK-C[400 S[M SK-C[-4OO-S[S6 SK-SE-400-S[M EntmPass Corporate Edition EntmPass [onpnratnEdidon EmraPass Special Edition EintraPao Specia|Edidon KT-400 Expansion Kits EK-400-MTM KF10", EK-40O-MTSG K7400 EK-4OO-S[M KT-4OO [K-400-5[S(, KT-400 U�B-485co�edcr(])'TRl�� ns�nne/ KT(3) ��UL�S[ K7�4OO ' (l) KT-BATT�l2ba�e�' (1) MFP-ZKSUL KT-MUL-MTKID (l) smaxcards (5)(US and Canada) KT-SG-S[(3) US8-485converter (l)' TR1675hansforme/ KT-4OO KT-SG-�T-KP(1) (l) K7�ByJT-lZhaVery(l) MFP-2KSHL ' ' sirrartcands(5)(USandCanada) USB-485conveder(1) TR1675uonsforme/ ' KT-�UL�S[(3) KT400 (l) KT-BATT-1lbaVc�(1) MFP-2KSHL KT-�UL-�T-KP(l) ' ' smurl,cards (S)(U3and. Canada) USB-4O5come�er(l) TRlO7Si�ns[ormer Kl�SG�SC(3) KT-40J ' ' (1) KT'DATT�12haVery(1) M[P2KSUL KT-SG-�T-KP(1) ' ' smart cards (S)(US and Canada) KT-MULMT(ZI) TR1675uandormer(1). KT'8/V[1--12 hnUcry (1)(USslid Canada) K1-S6-MT(4) TRl§75transformer (l)' K|BATT-12 battery (1)(US and Canada) KT'MULSC (4) TR1571-bans[ormer("). KT-D4TT-l2battery (1)(US and Canada) About Johnson (-K}OtP0|s ]ohnson[ontro|sisaglobal diversified !echno'M),yandmuN'industha|leader sen/inQawide range, ufcuskzmeoinmole than lSOcounihes. Our 120.000 emp|oyeescreaie intelligent buiNin-s, efficient eneCgySo|utions, integrated infrasVzcture and next generation tnansporLaiion systems that work seam|ess|ytogether, to deliver on the promise of smart cities and communides,Ourcommitmentiosustainabi|iiydaLesback ioour roots in 188S,with the invendonofthe first e|ectricmom thermostat. Foraddihuna| informadon, please visit www.kantech,com o/foUow us on lmbtei, Facebook and Unked|n. n��m��o��""�**��"� ^� tllwpwLA 1"=*1,11 Yfl (I'llm°v~wm°uvo*m`^"w+�11uw"=^=*umy =r i (,"hy i= °)ta( 1,=, �,l(",( �, �v� Johnson nson Controls From Tyco Security Products October 2017 ProductNew FlexibleioSmart Cards and Cards Tyco Security Products is pleased announce ioSmart Card Readers and Cards. Based on WARE Plus, Kantech's ioSmart Card Readers provide a high level of security by ,•ling end -to -end encryption credentials and the EntraPass access control software. The readers also give customers an easy and powerful way to move from! •. to advanced smart card technology, popular FeaturesKey End -to -end encryption for high level of security ioSmart readers provide end -to -end AES 128-bit encryption between the ioSmart card and ioSmart reader, ioSmart reader and Kantech KT-I and KT-400 controllers over RS-485 and the aforementioned controllers to EntraPass software over 1P. i'fiYk'xt 2l .. ��C4 s.•� a.. 1 Benefit The end -to -end encryption ensures the highest level of security from the credential all the way to the EntraPass Software system. 1 ioSmart Smart Card Readers & Cards From Tyco Security Products Cost-effective solution to transition from proximity to advanced smart card technology Kantech's ioSmart Smart Card Readers give customers an easy, flexible and cost-effective way Kn- popular Kantech ioProx solution or another proximity system. Multi -technology models (1351 MHz and 125 KHz) provide the option to read •• proximity and smart cards • the customers to • at their •. With keypad Without keypad Many customers today are still using proximity technology over other technologies because • simplicity. However, they are starting to realize the benefits of smart card technology because of the high security, and flexibility. The ioSmart card readers and cards provide an ideal solution for companies wishing to transition to smart cards. Tf-ye WARE Plus EVI based ioSmart cards provide encrypted sectors for pre-programmed card credentials to simplify installation thus saving costs, and have sufficient sectors •, for customers to use for • applications such as vending, cafeteria, bus/train, 2 ioSmart Smart Card Readers & Cards tMl' From Tyco Security Products October 2017 144436 Standard (UID) x x Capacitive touch keypad available ioSmart Smart Card Readers include an intuitive LED status bar that clearly indicates various - --- I - n iti - . - 1 'IMIMr. There ar—''— 'v%ilt'ble with inte lis-'citive keypad support for dual factor authentication, combining contactless card presentation with a PIN. Benefit Not only do the ioSmart Card Readers with capacitive keypad provide an aesthetically pleasing addition to any • environment, the keypad, which is backlit, provides ease of use when entering a PIN. Since the keypad relies on the electrical properties of a human body to detect when and where on the keypad a user touches, a capacitive touchscreen can be controlled with a simple touch with a human finger to move through the various number sequences for a PIN. It only requires a light touch to function properly making • a more streamlined and technology forward aethetic. The readers also include an intuitive LED status bar that gives a visual indication of access conditions to the user. Ordering Information ioSmart Smart Cards ioSmart Smart Card Starter Kits 6 ioSmart Smart Card Readers & Cards From Tyco Security Products October 2017 ioSmart Smart Card Expansion Kits TR1675 transformer (1), KT-BATT-12 battery (1) (US KT-4007 KT-MUL-MT (4) 7-400-MTM and Canada) sp gg KT-PTC1640UG 120V 16 VAC 40 VA transformer, EK-1M-MTM KT-1-M KT- M U L- MT (1) KT-PS4085 12 VDC Power supply, KT-BATT-12 battery 7 7 7 4 �I'III\W&WMRk`EII 7 q . . . ... ...... IN S 'M KT-PTC1640CG 120V 16 VAC 40 VA transformer EK-lM-MTM-C KT-1-M KT-MUL-MT (1) (Canada only), KT-PS485 12 VDC Power supply, KT- BATT-12 battery EK-1-MTM-C KT-1 KT- M U L- MT (1) n/a MI, W I ,M"Mg q ggj RE 'M 7W2 4 " TR1675 transformer (1), KT-BATT-12 battery (1), EK-400-SCSG KT-400 KT-SG-SC (4) (US and Canada) KT-PTC1640CG transformer 120V 16 VAC 40 VA EK-IM-SCM-C KT-1-M KT-MUL-SC (1) (Canada only), KT-PS485 12 VDC Power supply, KT- BATT-12 battery For more information on EntraPass 7.10, please email kantechsalts �tcoj�ntxom� or contact your Kantech account representative, 7 ioSmart Smart Card Readers & Cards From Tyco Security Products October 2017 (D20z7Tyco Security Products. All Rights Reserved, Tycoendthepmductnameo|istedahoveaemadoand/u/egisteedmarks. Unauthorized use isstrictly prohibited, Product offerings and specifications are subject tochange without notice. Actual products may vary from photos. Not all products include all features. Availability varies by region; contact your sales representative. 8 From, Tyco Security Products TRmprovides acomplete solution to exit detection and door surveillance for access control applications. Outstanding innovations such aohorizontal and vertical Detection Zone Targeting and DGP(Digital Signal Processing) make TRexthe fastest and most reliable exit detector on the market today. Horizontal and vertical targeting adds an extra layer ofsecurity byadjusting the detection zone. The detection area o|the Simple Two -Step Installation: 1 . Choose Location ° Recommended locations include door header, wall or ceiling. ° Ensure clear line nfsight from detector to every part ofdetection area. ° Detection zone pattern indown and away from door (to inhibit tampering), ° Donot place detector directly armu from a window TRex can beadjusted oothat itwill not "hit" the floor along the doorjamb, defeating any attempt tocircumvent door supervision bysliding objects under the door. In addition, ituses infrared detection coupled with D8Psampling toallow the TRextoaccurately detect exits and prevent false "Door Forced Open" alarms. ared Detection Zone c. Adjust = Can be adjusted to detect an individual either infront cvdoor orseveral steps away from door. °Detection zone span and target direction is set by turning louver direction screws. General Detector Type ........ Passive infrared Filter Technology Digital Signal Processing (DSP) Detector Lens ... Curtain -type Fresnel Ions Detection Range Narrow Targeting Area ...... _3 m (10 ft) Whole Body . . ...... , , 6 m (20 ft) Piezo Buzzer ................... . 90 dB at 28 VDC, 5-28 VDC, 20 mA (XL & X1_2 only) Main Relay Contacts. . ............ SPID T, 1 A max @ 30 VDC max Main Relay Timer ................. Adjustable, 0.5 to 60 seconds Main Relay Recycle Timer, , , . , . . . . . Fixed, 0.75 seconds off Lock Control Relay . . . ............ Available on LT2 and X1_2 models only, solid-state relay, N,C., 2A max @ 30 VDC, timed at 2 seconds fixed Tamper Switch ........ .... N.C., 100 mA max @ 30 VDC max Indicator Light ............... Red/Green LED Mounting, . . .................... Optional backplate available for mounting the T. REX on a standard single -gang electrical box Physical Dimensions (H x W x D) ........ ... 4.5 x 19 x 4.75 cm (1.75 x 7.125 x 1,875 in) Electrical Power Consumption . . ...... 12-28 VDC, 50 mA Regulatory Certifications .................... U1_294, CE, FCC, LILC Product Diagram Tamper switch N.C. Function selection jumpers: Latch, fast/slow detection, LED disable From Tyco Security Products Model Numbers TREX-LT ....... ...... ........ T.Rex request -to -exit detector with tamper and timer, white -1-,REX-Lr-NL , . ........ . T.Rex request -to -exit detector with tamper and timer, white (unbranded) TREX-LT2 T. Rex request -to -exit detector with tamper, timer and 2 relays, white T.REX-IT2-NI .... ........ ... TRex request -to -exit detector with tamper, timer and 2 relays, white (unbranded) TREX-XL, ... ....... T.Rex request -to -exit detector with tamper, piezoelectric buzzer and timer, white T.REX-XL-NL ............ .... T.Rex request -to -exit detector with tamper, piezoelectric buzzer and timer, white (unbranded) TREX-XLBLK ...... T Rex request -to -exit detector with tamper, piezoelectric buzzer and timer, black TREX-X1_2 ........ ............ T.Rex request -to -exit detector with tamper, piezoelectric buzzer, timer and 2 r whit :2- N .......... [T. R -XL ...... request-to-exitor with -to-exit detector with detector nT.Rex tamper, piezoelectric buzzer, timer and 2 tamper, I', buzzer, ffm, :hffe o a s w ,br'a�n T.REX-XL2BLK ..... ........ ... T.Rex request -to -exit detector with tamper, piezoelectric buzzer, timer and 2 relays, black LREX-PLATE... ......... Single -gang box mounting back plate, white Integrated 90 dB piezo for door Infrared sensor alarm controlled by remote panel or through on -board relay (5-28 VCD) Main relay k control relay Main relay timer jumpers 16-step digital timer from 0.5 to 60 seconds X-Y targeting using two adjustable louvers to target a specific area of detection such as a door handle or panic bar TREX-XL2 model shaven Lock control relay and main relay terminal Power terminals and tamper output On -board computer � 180-12 � M� * Lifetime Warranty w Colors: vvhke' Brown, Grey orBlack * uLand UiCApprovod ~ 180-12 & l84-l2VL|VCFire Rated ° Available inClosed Loup. Open Loop and SPOT * 3/4" and l" Diameter Mounting w Standard lz" Leads orTerminals w Self -Locking wSolid, One Piece Design w //e" Diameter also Available - ca|| Factory w Switches o,Magnets are Available Separately w Standard 1/2''+ Gap on Steel * Wide Gap V'+ Gap on Scon| ~ Supervisory Loops Available The GR|180 Series is the industry standard 3/4^diameter recessed steel door switch set with 12" leads. The 184 Series is a 1" diameter switch set. The innovative GR| aooV'T Series is a 3/4^ diameter recessed switch set designed for residential, commercial and industrial steel doors and frames. The shorter length and the introduction o[pCboard type terminals makes the installation ufthe set quick and simple with no soldering, 8 connectors nrtape nucatch during installation o, namova|, reducing the cost of installation and creating greater profitability. .82U^ ~�--2337mm 0.74Or �4uo 1O10mn MAGNET 23.37mm 0.740" 01&8Omm SWITCH 180-12 Series Recessed Steel Door Switch Set z \\ I 0- M-;moj .0 11111: 1 ; 11� 1111 it FEA i F Sill i:iiiii I n I Cori! 1 f 80/184/8080-T SERIES @ (@ LISIED LISTED * Recessed Magnetic Contact 12" #22AWG Leads or Screw Terminals Longer Leads, Zip Cord or Jacketed Cable Upon Request Built-in E.O.L. Resistors and Diodes Upon Request + Supervisory Loops Upon Request Switches and Magnets Available Separately Colors: White, Brown, Gray, Black Indicates U.L. 10C Fire Rated V, PART NUMBERS: Closed Loot) Open Loop SPDT DPDT Standard Gap Up To 1/2" On Steel* 3/4" Dia. I" Dia. 180-12 > 184-12 185-12 189-12 190-12 194-12 195-12 199-12 3/4" Dia. 8080-T 8585-T 1" Dia. 8484-T 8989-T Wide Gap 3/4" + 3/4" Dia. 180-12WG > 185-12WG 190-12WG 195-12WG On Steel* 1" Dia. 184-12WG 189-12WG 194-12WG 199-12WG 3/4" Dia, 8080-TWG 8585-TWG 1" Dia. 8484-TWG 8989-TWG *Gaps will increase substantially for installations other than steel *Gaps up to one inch on steel when paired with MC-180 Door Channel Magnet WARRANTY - Lifetime warranty against workmanship, material and factory defects. TOLL -FREE 1-800-445-5218 TOLL -FREE 1-800-523-1227 GEORGE RISK INDUSTRIES, INC. (308) 235-4645 G.R.I. PLAZA FAX (308) 235-3561 KIMBALL, NE 69145 in E-MAIL: sales�griskxom IMADFIN U.S.A. WEB SITE: www.grisk.com lip & 1 911P RECESSED 3/4 C; Ft I 00 STEEL DOOR SWITCH SET, INSTALLATION APPLICATIONS: The G.R.I. 180-12 is the industry standard 3/4" diameter recessed steel door switch set with 12" leads. The innovative G.R.I. 8080-T series is a 3/4" diameter recessed switch set designed for residential, commercial and industrial steel doors and frames. The shorter length terminals makes the installation of the set quick and simple. Mir mm 2`23- =3 -EM ,Mir MEr 00 3.0, .5- , t.5. 29 rA _T4 'EFLUINALS Lr..km 12.713m m *0[r ..'emm 10A7M Inismm - tl AON ET UWIMH 8080-T GRI products meet or exceed these minimum general specifications: PART NUMBER LOOP TYPE ELECTRICAL CONFIG. REED FORM MAXIMUM INITIAL CONTACT RESISTANCE (Q) MAXIMUM CONTACT RATING (W) MAXIMUM SWITCHING VOLTAGE (VDC) MAXIMUM SWITCHING CURRENT (A) 180-12 Closed N/O A .150 10 200 .400 180-12WG Closed N/O A .150 10 200 .400 184-12 Closed N/O A 150 10 200 .400 184-12WG Closed N/O A .150 10 200 .400 8080-T Closed N/O A '150 10 160 .400 8080TWG Closed N/O A .150 10 160 .400 ---94-84-T Closed N/O A .150 lb 160 A00 8484-TWG Closed N/O A .150 10 160 .400 185-12 Open N/C B .140 5 175VDC 250 185-12WG Open N/C B .140 5 175VDC .250 189-12 O en N/C B 140 5 175VDC .250 189-12WG O en N/C B .140 5 175VDC .250 8585-T Open N/C B .140 5 175VDC .250 8585--IWG Open N/C B .140 5 175VDC .250 8989-T Qpen N/C B 140 5 175VDC 250 8989-TWG Open N/C B 140 5 175VDC 250 190-12 Open/Closed SPDT C .140 5 175VDC .250 190-12WG Open/Closed SPDT C .140 5 175VDC .250 194-12 Open/Closed SPDT C .140 5 175VDC .250 194-12WG Open/Closed SPLIT C .140 5 175VDC .250 195-12 DPDT C X 2 .140 5 175VDC .250 -195-12-WG 1 T9_1_2 DPDT DPDT C X 2 _= _2 .140 140 5 _5 175VDC -175VDC .250 -250 --__D-PDTj_7X CONTACT YOUR G.R.I. DISTRIBUTOR OR CALL: GEORGE RISK INDUSTRIES, INC. TOLL -FREE 1-800-445-5218 G.R.I. PLAZA TOLL -FREE 1-800-523-1227 KIMBALL, NE 69145 (308) 235-4645 IN FAX (308) 235-3561 MADE IN US,A, E-MAIL: salesC(�,'griskxorn BA-90 Rev. Q 10/08/2013 WEB SITE: www.grisk.com I JIM Prepared for: Premier Community Health Rowan Rd System Type: Access Control System GIBBENS DRAKE SCOTr, INC Submitted by:]oh +on Controls 4MIE,63r4STRMTX7MI00 RAYTOWN, \OSSO(TV 64133 Date: January 27, 2023 ACCESS CONTROL SYSTEM PAGE # PART # DESCRIPTION ***"* HEAD END ***** 3 KTI.. 4 DOORS HOSTED ACCESS CONTROLLER 11 KT-SG-MT **"** FIELD DEVICES KANTECH SINGLE GANG MULTITECH READER 19 21 T.REX-XL2-NL 199-12-W ±REX PIEZO/2RELAY, NO LOGO CONTACT 1" DPDT WHITE L OF75 AI-= Kantech KT-4001 Powerful, Ethernet -Ready Four -Door Controller KT-400 Ethernet -ready four -door controller supports eight readers (EntraPass Security Management Software( and can be configured in two user friendly operational modes. KT-400's Standalone Mode offers basic door security using a simple web browser without the need to connect to a host system, Alternatively, KT 400 can be used with the powerful FntraPass Security Management Software to provide more advanced any, gully integrated access control features. Standalone Mode KT-400 SCandalone Made* Ideal for sites tliat only ne l basi< door sec urity, the Kl 400 foul dooi e ontrollc i it aturE s efYib ci(ed weh serve i which , I:ables it Ic of ewle In a Standalmi IvIo i - me inn( no r IltiaPas so(t6vaw Is ic,qulred. Johnson One Combined Hardware and Web -based Software Solution A,,'ith no extra security software to purchase and install, and LISIlig, an intuitive web browsei for quick set up, K I-400 Standalone provides a cost effective, yet rfe, tWre rich alternative for four door security. Responsive Web -based Software Intuitive and responsive web -based software enables you to simply manage and configure your four -door security from anywhere, using a desktop or mobile device. Standalone Set -Up Wizard KI-400 Standalone offers the ultimate simplicity in access control €nstallation. Simply power up 0400, connect to a web browser, follow the quick set-up configuration wizar(� and your four coot security is up and running in minutes_ Standalone ode Parameters Cardholders 2,000 (1,000 with image/ 1,000 without image) Door Access Per door, per user Card Families or Site Cosies ilnlirnited Fvenis 00,000 ((Df'fime. Mode.) Operators 2 (Installer, Operator) Schedules 20 (J intervals) Holidays "?�> Action Scheduler 100 Monitored Points (h p its) 16 Auxiliary Oritputs 12 BIowsers Saf; ri, Google Chrome, Mozilla FErefox, Internet Fxplorer, Microsoft Edge Mobile OperMing Software iOS, Android (No native app) IntegmLions Basic intrusion vl;r, relays Upgr de, Path E inraPassl hattrix l angrrages (nglish, French, Spanish Italian Firmware version K1 100 SL�wcl,rlrnle version 2,03 o:icl higher on Kf-400iev1 (Scrl>j<d to upgrade fees) Johnsonf KT-400 using EntraPass Ethernet -Ready Encrypted 4-Door Controller The KT-400 ('our -door controller is a cyber resilient and easy -to -use networked access control so{u1i0n with Support for up to eight (EntraPass Security (Management Software) ioProx XSF and ioSn-iart readers (4 doors IN/OU 1 (ontrol). the Kf 400 has an on --board Ethernet port that connects to existing network infrastructure and leverages the benefits of IP-based systems_ Combine KT-400 with EntraPass security management Software to create a highly scalable solution that can be deployed within one building or across multiple locations. Built -In Expansion The KT-400 allows connection to expansion modules in order to add inputs or to acid outputs such as relays and drain outputs. Combining input and output expansion modules provides the flexibility to conned up to 256 inputs and 256 outputS. Status Indicators LEDs provide important controller status and diagnostic information. The KT-400 has multiple LED status indicators {or. troubleshooting, network activity, power status and outputs activity. Easy Network Connectivity The auto -sensing 10/'10013ase-T onboard Ethernet port automatically selects compatible Ethernet speeds to provide faster network connectivity. It eliminates the need to purchase an erxt€sired Ethernet device, saving time and money. The KT-400 uses 128-bit AES encryption to communicate with the Gateway. Removable Terminal Blocks In order to expedite installahon and laciiitate serviceability, K-1 400 features removable tertrinal blocks that are simple to connect and are color -cooed for quick identification. Built-in Web Configuration The web con`iguration page is accessible through any NOwst!. It can be used to ve i`y and configures the IP settings o` the K T -400 For enhanced security, once the K1 400 is cenfignred, the web configurM1011 page can no longer be accessed, Me Kl-400 can be reset to factors default in the case of a configuration) error and the web confign[ation page will once again be accessible. Occupancy Level Controls K; 100 supports occu;lancy restrictions for fOU! local areas at the controller level with the anti -glass knack feature, 1 his `eatrrie allows the operator to ciefine a particular area that may have capacity limitations, such as an auditorium, conference room, or laboratory. The KT-400 (,art be configured to linlrt the amount of people permitted into this area. Once the limit has been reached, no additional persowiel will be ollowt-,, i to enter thf ciefinec location. This prevent; overcrowding or violation of capacrty rcgUl<111011S. Johnson )f Controls Low Bandwidth COO5UnODLiOn The EnimPasssoKwarpmonitors events ocmrrin,otthe doors bypolling [lie KT400doorcontmUers, The EnifaPassMuki Sire Gateway only comrnuxica\es With file KT'400 if an even, has occurred. Communication iniegri{y isenovr*d \hmuRh a hoartbea\xigna| which is sent at e0o|ar intervals to the EntraPosssysiem. Thisasynchmnnus communication significantly neducesthe amountof bandwidth required to mana�,,e the access conim| system over the not -work. /fthere is a communication failure between En/raPass and Supervised Lock Power Thepeare, fnursupervised door lock ou\pUls with all inusma| power Supp|y(12 VD[), In addition, an external power supply (l2 VD[ - 24 VDC) may also be uxed to pmvide power to the lock outpub, This e|immates the need fnr additional relays. The lock odpuS Will gi|| he Multiple CorOr0UOiCa[i0D Ports KT-4OO provides mukip|e conboUerconfigurations tomkyou/specific access control needs. These xonUOu1-a110ns provide communication �bh the EnimPasy Emteway, You can choose any of the hUmwin0 options: ' |P([themet) Configurable Reader Outputs Thoreare [ourdiMereni possible ouipNSforeach of the fnuronboard nanUeriNeAfacesfor a total o[l6 programmable oo/pub. Reader outputs are used to provide the uservviuh VIma| (LEDs) anWoraudibie (buzzer)feedback on access control events, [l8Vak]r Interface The KT-4OO [themsufour doorcontroller suppoos e|am/or/n(cUacing with the addkinn ofoxpansion modv|es such osU`e KFMDD-RELB. KT-MDD-|NP1O. KT-MDD-OUTlhond KT-MOD-|O1G, /\la[Ol Panel Integration DSCMAXSYS. PowerSehes. Pomo,SehesNenundPmwerSehesPro imwsinna|armpanel Uauintegration can braccomplished by connecting it to Uhe KT'400contmUec Usin2 ,he KT-400� EntraPass Spmcim|. [orpoiafeorGloba| Edidonsare able to ie(eive immsinn evewa, vimmthe sIa1us o[/onexand pardVons, and pro -ran) oseo' code, /n addition thesydem can he onnnd/dIisarmed (sinQien/ mokiple paniiinns) via the reader ormanuai nnemdon homthe workstation, End -of -Line Resistors The KT-400 has an onboard capabi|ityo[moniiohn8 16 inpNzonex (e«pandab|eio maximum ZS8zones with |he addition ofexpansion modo|es). It can suppoda *aximvm cdl28 innoo, using double end-oHinc (EOt ) veustnrs orJ5§ inpWs osmQ none or single EOL nsistoo. Thiso||oWx Vhesystamtomonitor more states osSociaiedWilli a cuStomor'SingaUahon' si0niDcandymcneosingthe level of securily. Johnson 401 Controls Basic System Diagram gourity Manage Expansion DSC Modules Alarm Panel F Door Locking Devices Request -To -Exit Detector Door Readers KT-1, KT-300, KT-400 & KTES )z Johnson Controls Specifications Physical Cabinet Dimensions (l--xVVxD) 37.6 x 30.5 x 12.6 crn (14.8 x 12.0 x 4.95 in) PCB Dimensions (NXWXD) 211 x 14.0 x 3.4 cm (3-1 x 5.5 x 1.3 in) Cabinet Weight 4.0 kg (8.8 Ih) Environmental Operating Temperature 2° to 49" C (35" to 120" F); ulcoor rise only Humidity Level MaxilrIua! 85% relative humidity non -condensing Electrical Power Input KI-400 16.5 VAC or 24 VAC, 75 VA, Class 2 transformer Battery Backup 12 VDC/ 7 or 12 Ali [)artery supervised; up to 12 hours of operation Reader Power Output Maximum IDA (a 5 VDC or 12 VDC typical 250mA per reader, protected air(, supervised Operational Reader Types Wiegand, proximity, ABA clock and data, bar code, magnetic, Integrated keypad, smart <ard # of Readers Supported 8 (EntraPass Security Management Software), 4 (Standalone Mode); Kantech ioProx XSF and ioSnrart reac,ers only # of Cards when disconnecte � rOD,r')OG (KT-400 and KT-4'?C?-PCB) frond EntraPass (Offlir;e Mode) Monitored Points (Inputs) 16 monitored points, single EOL, double EOL PolntS MaXIMUni Wiring AVVG #22 600 in (2,000 ft) Door Strike Power 12 VDC, n,axiniUln 2.OA, typical 500rnA per lock, supervised External Lock Power 12 or 24 VDC (up tc 28 VDC) srlpply Up to 750 mA per lock. for a total of 3 amp Reader Outputs 16 outputs, 25 mA maximum Each, open collector outputs LEDs (door c oor . dooi 3, door 4 t E D, OEM and 01,11-2) and buzzers (Buz dcol i, door 2, door 3, Auxiliary Outputs ( ooi 4) 25 I1)A each, open collector outputs Controlled Output Relay Four oriboald Foiin C. cciiiholled outputs relay, 30 VDC-, 3 amp max eacli Communication Ports RS-232 with R) 12, RS-485, Ethernet 10110013ase-T with R1--45 SPI 6-pin cUllnectol, hi--directlonal f ala exchange SUppoitet . Supplies 12 VD{_, Expansion Port 500 inA rn&ximurn shared with 12 VDC auxili aiv port Auxiliary Port Auxiliary 12 VDC, 500 mA maximum shared SPI expansion port CornlllUnication Speed : Up t(, :. 15,200 baud (alltonlaticc detection over RS-232 and RS-485), 1011.0013ase- l over Fthemet 256 MR for appllcatio,l and data stoidPe (configuration f and events ( m resid w a ,irlirntln) of 10 Flash Memory years avid?out Power) RANI 128 MB for application loacil,r; and running Network Autonomy Distnbuted d,ta and processing Regulatory EN61-000-6 r LNt it,00-6-2, EN5503%, EN009V -1, I N50130--4, FCC Class B, til_ 294, U1- "(1176, CE, Rol"{S, VV F l Warranty KT-400 harde,,are 5 years Johnson , Controls Ordering Information KT-400 Order Informafion KT-400 K-1-400 PCB, accessory kit and metal cabinet with lock and keys KT-400-PCB K1 400 PCB and accessory kit Expansion Modules KT OL" €NP16 16-zone inlrut module with 41 cm (16 in) SPI cable. KT-MOD-REL8 8-relay outputs module with 41 un (16 in) SPI cable KT-MOD-OUT16 16 Zone output module with 41 cm (16 in) SPI cable KT-N,',OD-1016 RS 485 Input/output Module; compatible with KT-400 and KT-1 controllers Integration Modules KT-11100 DSC Power rSeries infestation Kit_ 11 100 integration module and CBLK-€1-100 cable kit F--4401VK DSC MAXSYS Integration Kit: integration module and 1.8 in (6 `t) RS 232 connector cable set CB1 K-I1100 DSC PowerSeries Cable Kit: 3 m (10 It) RS-232 connector cable set CBLK-4401VK DSC MAXSYS Cable Kit: 1.8 ill (6 ft) RS 232 connector cable set and EPROM set CBLK-lTl2 Cable kit, Kantech/DSC PowerSeries Neo, RS-232 to 422 converter, connector and (able 1.8 m (6 it). Requires a Communication Module 11 280 Firmware version 4.10.4.29 or higher ,Accessories KT--MOD-SPI- 6 SPI cable 41 cn) (6 in) K1-MOD SPI-36 SPI cable 92 cm (30" ill) KT-400-ACC A, ( (ssory Kit: resistors Mx 1K 0, )2x 5.6K 112), giourd Jv,iro, Itatte[y connector and sr:revvrf fiver KT-400-CAB Black metal c abii)M with lock and keys KT (r OD -CAE; Calbinet fcrr uji, to 6 expansion ri(dul s, ndl,ldine lack, keys and 92 cm (36 it SPI c t ble KT-TAMPER Tamper switch K1 LOCK Cabinet lock and 2 keys KT 400-CON Removable terininai block KT 31 rD-Pl ATE A€arin (3 1,111) D) Indic atoi Power Supplies tR1675 `Arue-in trtrnsfoncre�,10 Vt1C116.5 VAC r VA), Ul approved KT- GATT-12 Gel cell b<attery, 12 V, 7 Ah KT- E3A T-i2 2 Ge=l cell batteiy,, 1i V, 12 Ali Johnson 40 Controls KT-400 Starter Fits SK--CE-400-SCM SK CE-400-SCSG SK-SE-400- SCM SK-SE-400-SCSG Entr t <ss Corporate l�dition hitraPass Col poste Edition Entr rf ass Special Edition Fntra[}ass Special Edition KT-400 Expansion Kits EK-400-MTM KI-4n0 EK-400-M fSG Kf-400 EK-400-SCM K--40U FK 400-SCSG K--400 About Johnson Controls KT MUL-SC (3), KT-400 KT MUL-M--KP (1) KT SG -SC (3), K?-4v0 KT SG-K=FT -KP (1) KT-MU!. SC (3), KT-400 KT-MUL-MI KP (1) K- SG -SC (3), KT-4C 0 KT SG-MT-KP (1) USB 485- converter (1), TRi675 hanstoriner (1), KT BAf f- s battery (r), MF P-2KSHl- smart cards (5) (US and Canada) USE-485 converter (1), 1 R1675 transformer (1)1 Kl BA---12 hattery (1), MF P-2KSHL sr-nart cards (5) (US arrd Canada) USB-485 converter (1), 1 R1675 transformer (1), K-IPATT-12 battery (:1), MFP-2KSH1 smart cards (5) (US and Canada) US13-485 converter (1), TR1675 transformer (1), Ki-BA---12 battery (1), MFP-2KSHL smart cards (5) (US and Canada) KT--MUL-MT (4) TR1675 transformer (1), KT-BAT1-12 battery (1) (US and Canada) KI SG -MT (4) 1 R 16 75 transformer (1), K--BATT 12 battery (1) (US and Canada) KT-MUL-SC (4) 1 R1675 transformer (1), KT-BAT--12 hattery (1) (US arm Canada) K--SG-SC (41) TR1675 transformer ('), KT BAT--12 battery (1) (US and Canada) Jo'lnson Controls is a global diversified technology and multi -industrial leader serving a wide range of customers in more than 1i)0 countries. Our- 120,000 employees create intelligent: buildings, efficient energy solutions, integrated infrastructure and next generation transportation systerns that work sea[Tilessly together to deliver on the promise of smart cities and communities. Our commitment to sustainability dates back to our roots in 1885, with the invention of the first electric room then mostaL. For additional infoi niation, please visit www.kantecli.com or follow us an -f-vvitter, Facebook and Linkedln. C )1 + K hr C iur All, glht-eIVECI 4 lu-t ot11) an i t -: 9t101 r t tO ho H Ki W't .;pit notice. cta>>1 i73 t,>, rxtot. No .311 4ou'1 ii .ial a.e ,„c'hIt, Eo te,i;II, . , W IdW, y, t ,E' taY . KT0144-DS-201908-R]1-FiS-EN 7 Johnson Controls xel-TAnff ITO From Tyco security Products October 2017 ProductNew FlexibleioSmart Card ReadersCards Tyco Security Products is pleased to announce Kantech ioSmart Card Readers and Cards. Based on WARE Plus, ioSmart Card Readers provide of security by enabling # # # encryption credentials • the EntraPass access controlsoftware. readers also give customers an easy and powerful way to move from proximity cards to advanced smart card technology, • FeaturesKey End -to -end encryption for high level of ioSmart readersprovide en• • - • AES 128-bit encryption between the ioSmart• . • aforementioned controllers to EntraPass software over IP. r g, AES-12E ("my}ttad lmtd ncrypted WARE �.. Msmad card e Benefit The end -to -end encryption ensures the highest level of security from the credential all the way to the EntraPass Software system. Cost-effective solution to transition from proximity to advanced smart card technology Kantech's ioSmart Smart Card Readers give customers an easy, flexible and cost-effective way to move from proximity cards to advanced smart card • whether they are using the t•• Kantech ioProx solution • another • system. Multi -technology models (13.56 MHz and 125 KHz) provide the option to read both proximity and smart cards allowing the customers to migrate at their pace. With keypad Without keypad Many customers today are still using proximity technology over other technologies because of • However, they are starting to realize the benefits • smart card technology because of the high security, and flexibility. The ioSmart card readers and cards provide an ideal solution for companies wishing to transition to smart cards. The MIFARE Plus EV1 based ioSmart cards provide encrypted sectors for pre-programmed card credentials to simplify installation thus saving costs, and have sufficient sectors *pen for customers to use for other applications such as vending, cafeteria, bus/train, From Tyco Security Products October 2017 14443B Standard (UID) x x Capacitive touch keypad available ioSmart Smart Card Readers include an intuitive LED status bar that clearly indicates various 2ccess conditions to the user. There are also models available with integrated backlit, capacitive keypad support for dual factor authentication, combining contactless card presentation with a PIN. Not only do the ioSmart Card Readers with capacitive keypad provide an aesthetically pleasing addition to any commercial environment, the keypad, which is backlit, provides human body to detect when and where on the keypad a user touches, a capacitive touchscreen can be controlled with a simple touch with a human finger to move through the various number sequences for a PIN. It only requires a light touch to function properly making for a more streamlined and technology forward aethetic. The readers also include an intuitive LED status bar that gives a visual indication of access =11 [MITI Me 3 ioSmart Smart Card Readers & Cards Bluetooth-ready for future proofing F.T—= with the ability to upgrade the reader firmware in the field, ioSmart Card Readers provide a solution that customers can rely on for long-term • and easier service and support well after the readers have been deployed. This offers customers an uncomplicated path to secure, feature -rich technology as it is released. The Bluetooth technology also gives customers the ability to use the reader for a variety of future applications. Unique design allows time -saving wiring to standard door contacts and T.Rex devices -FIcit w-MtiV rather than running the wires all the way to a controller. Benefit -Mi-ft costly. Since ioSmart Card readers can be wired • to standard door contacts and T.Rex devices, this saves on the the cost • the wire and the installation time necessary to run the wires from door contacts and T.Rex devices to the controller housed in a server room or utlity closet. Available in mullion and single -gang models for indoor and outdoor installations can be installed in indoor • outdoor applications. 51 Ordering r 1 ioSmart Smart Cards ioS art Smart Card Starter Kits :M From Tyco Security Products October 2017 ioSmart Smart Card Expansion Kits I . a ME MMM TR1675 transformer (1), KT-BATT-12 battery (1) (US -400-MTM KT-400 KT-MUL-MT (4) and Canada} SO g Ago)g; "M IBM, V KT-PTC1640UG 120V 16 VAC 40 VA transformer, EK-IM-MTM KT-1-M KT-MUL-MT (1) KT-PS4085 12 VDC Power supply, KT-BATT-12 battery )""k -6 KT-PTC1640CG 120V 16 VAC 40 VA transformer EK-lM-MTM-C KT-I-M KT-M U L-MT (1) (Canada only), KT-PS485 12 VDC Power supply, KT- BATT-12 battery 0"- g ffil EK-1-MTM-C KT-1 KT-MUL-MT (1) n/a I "M , WN TR1675 transformer (1), KT-BATT-12 battery (1). EK-400-SCSG KT-400 KT-SG-SC (4) (US and Canada) KT-PTC1640CG transformer 120V f 16 VAC 40 VA EK-1M-SCM-C KT-1-M KT-MUL-SC (1) (Canada only), KT-PS485 12 VDC Power supply, KT- I BATT-12 battery For more information on EntraPass 7.10, please email kantechsale-s(@tycoint.0 m or contact your Kantech account representative. 7 ioSmart Smart Card Readers & Cards From Tyco Security Products October 2017 (D3Dz7Tyco Security Products. All Rights Reserved. Tycoandthepmductname,|igedabovea,emadoend/orregigeedma/ke. Unauthorized use is strictly prohibited. Product offerings and specifications are subject to change without notice. Actual products may vary from photos. Not all products include all features, Availability varies by region; contact your sales representative. The Smart Exit Detector TRex provides acomplete solution to exit detection and door surveillance for access control applications. Outstanding innovations such aohorizontal and vertical Detection Zone Targeting and D8P(Digital Signal Processing) make TRexthe fastest and most reliable exit detector onthe market today. Horizontal and vertical targeting adds an extra layer of security by adjusting the detection zone. The detection area o[the Simple Two -Step Installation: 1 . Choose Location ° Recommended locations include door header, wall mceiling. " Ensure clear line cfsight from detector tnevery part c«detection area. ° Detection zone pattern iadown and away from door (to inhibit tampering). ° oonot place detector directly across from owindow TRexcan beadjusted nothat it will not ^hK^the floor along the doorjamb, defeating any attempt tocircumvent door supervision bysliding objects under the door. Inaddition, Kuses infrared detection coupled with DSPsampling toallow the TRnxtoaccurately detect exits and prevent false "Door Forced Open" alarms. �red Detection Zone °Can be adjusted to detect an individual either in front of door or several steps away from door. ° Detection zone span and target direction ioset byturning louver direction screws. General Detector Type ................... Passive infrared Filter Technology ...... ....... , . Digital Signal Processing (DSP) Detector Lens ................... Curtain -type Fresnel lens Detection Range Narrow Targeting Area ...........3 m (10 fff Whole Body ... .............. 6 m (20 ft) Pozo Buzzer .... .......... ...90 dB at 28 VDC, 5-28 VDC, 20 mA (XL_ & XL2 only) Main Relay Contacts .......... SPD E 1 A max @ 30 VDC max Main Relay Timer. ........... . , Adjustable, 0.5 to 60 seconds Main Relay Recycle Timer . ........ . Fixed, 0.75 seconds off Lock Control Relay .... Available on LT2 and XL2 models only, solid-state relay, N.C., 2A max @ 30 VDC, timed at 2 seconds fixed Tamper Switch .................. N.C., 100 mA max @ 30 VDC max Indicator Light . . . . . . ....... ... . , Red/Green LED Mounting . . . . .......... ..... Optional backplate available for mounting the T.REX on a standard single -gang electrical box Dimensions (H x W x D). ..... 4.5 x 19 x 4.75 cm (1.75 x 7.125 x 1.875 in) Electrical Power Consumption ..... ........ 12-28 VDC, 50 mA Regulatory Certifications . ...... ... UL294, CE, FCC, ULC Product Diagram Tamper switch N.C. Function selection jumpers: Latch, fast/slow detection, LED disable Frorn Tyco Security Products Model Numbers TREX-LT ...... T Rex request -to -exit detector with tamper and timer, white LREX-LT-NL ....... T.Rex request -to -exit detector with tamper and timer, white (unbranded) TREX-LT2 ....... .... T.Rex request -to -exit detector with tamper, timer and 2 relays, white TREX-LT2-NI ...... ............ T Rex request -to -exit detector with tamper, timer and 2 relays, white (unbranded) TREX-XL. ... T. Rex request -to -exit detector with tamper, piezoelectric buzzer and timer, white TREX-XL-NL ... ................ TRex request -to -exit detector with tamper, piezoelectric buzzer and timer, white (unbranded) TREX-XLBLK .... T.Rex request -to -exit detector with tamper, piezoelectric buzzer and timer, black TREX-XL2 ...................... T.Rex request -to -exit detector with tamper, piezoelectric buzzer, timer and 2 LREX-XL2 �-NL rel s hit e T.R x quest re -to-exit detector with tamper, piezoelectric buzzer, timer and 2 L Rla s_white -r,REX-XL2BLK ......... ...... T Rex request -to -exit detector with tamper, piezoelectric buzzer, timer and 2 relays, black TREX-PLATE... Single -gang box mounting back plate, white Integrated 90 dI3 piezo for door Infrared sensor alarm controlled by remote panel or through on -board relay (5-28 VCD) Main relay Lock control relay relay and main relay terminal F_ Main control relay I Main relay timer jumpers Power terminals 1 6-step digital timer from 0.5 to 60 seconds and tamper output X-Y targeting using two adjustable louvers to On -board computer target a specific area of detection such as a door handle or panic bar TREX-XL2 d.1 shown pLifetime Warranty * Colors: White, Brown' Grey or Black * ULanu u|C Approved ~ 180-12m 184-12 UL10CFire Rated w Available in Closed Loop, Open Loop and SPor * 3/4" and 1" Diameter Mounting * Standard 12" Leads or Terminals ~ Self -Locking * Solid, One Piece Design * 7/8^ Diameter also Available - Call Factory w Switches nrMagnets are Available Separately * Standard l/z^~ Gap onSteel * Wide Gap 1''. Gap on 3too| * Supervisory Loops Available The 5m180 Series bthe industry standard 3/4^diameter recessed steel door switch set with 12" leads. The 184 Series is a 1" diameter switch set. The innovativeGn| 808U'TSeries isa 3/4^ diameter recessed switch set designed for residential, commercial and industrial steel doors and frames, The shorter length and the introduction of PC board type terminals makes the installation of the set quick and simple with no soldering, aconnectors ortape tucatch during installation or removal, reducing the xmx or installation and creating greater profitability. �8Z0" �--23.37mm 0.740" 018�8Omm| ��.84O^ ' 08.84mmrJ---1 �88^ 10]0mm MAGNET GY92D^ 23.37mn /vu,nx .S2O^ 23.37mm 0J48^ 0 18,8Dmm � 0340^ 08,h4r SWITCH 1 SO- 12 Series Recessed Steel Door Switch Set Musm 184-12 Series Recessed Steel Door Switch Set 920" 23,36mm 0 740 ' 18,80Pv'n 0 340. 0 A-64mr 0 7233�937,rfif WkGrqel SWI.CH 180/184/8080-T SERIES @ 0, LISTED LISTED * Recessed Magnetic Contact 12" #22AWG Leads or Screw Terminals Longer Leads, Zip Cord or Jacketed Cable Upon Request Built-in E.O.L. Resistors and Diodes Upon Request + Supervisory Loops Upon Request Switches and Magnets Available Separately Colors: White, Brown, Gray, Black Indicates U.L. 10C Fire Rated V, Standard Gap Up To 1/2" 3/4" Dia. On Steel* 1" Dia. 3/4" Dia. 1" Dia. Closed Loop Open Loop SPDT DPDT 180-12 184-12> 185-12 190-12 189-12 194-12 195-12 12 8080-T 8585-T 8484-T 8989-T Wide Gap 3/4" + 3/4" Dia. 180-12WG 185-12WG On Steel* 1" Dia. 184-12WG> 189-12WG 3/4" Dia. 8080-TWG 8585-TWG 1" Dia. 8484-TWG 8989-TWG *Gaps will increase substantially for installations other than steel *Gaps up to one inch on steel when paired with MC-180 Door Channel Magnet 190-12WG 195-12WG 194-12WG 199-12WG WARRANTY: Lifetime warranty against workmanship, material and factory defects. TOLL -FREE 1-800-445-5218 TOLL -FREE 1-800-523-1227 GEORGE RISK INDUSTRIES, INC. (308) 235-4645 G.R.I. PLAZA FAX (308) 235-3561 KIMBALL, NE 69145 E-MAIL: sales(a)griskxom MADE IN ITSAWEB SITE: www.grisk.com k 0-T k RECESSED 3/4 & 1 WAArm k AA " F STEEL DOOR SWITCH SE INSTALLATION APPLICATIONS: The G.R.I. 180-12 is the industry standard 3/4" diameter recessed steel door switch set with 12" leads. The innovative G.R.I. 8080-T series is a 3/4" diameter recessed switch set designed for residential, commercial and industrial steel doors and frames. The shorter length terminals makes the installation of the set quick and simple. r 11 i.4= 35Dm M 3sm M r 0 .7,Cr izzomm mffl_=61111mm L , sw -TEMINALS 10.16M 'art It, 0 123M m tq AOR ET UA117D H Mir 2LS0 Mir 25 8080-T WrINLI 184-12 GRI products meet or exceed these minimum general specifications: I 10�4_ 5"1101 PART NUMBER LOOP TYPE ELECTRICAL CONFIG. REED FORM MAXIMUM INITIAL CONTACT RESISTANCE (Q) MAXIMUM CONTACT RATING (W) MAXIMUM SWITCHING VOLTAGE (VDC) MAXIMUM SWITCHING CURRENT (A) 180-12 Closed N/O A .150 10 200 .400 180-12WG Closed N/O A .150 10 200 .400 184-12 Closed N/0 A 150 10 200 .400 184-12WG Closed N/O A .150 10 200 .400 8080-T Closed N/O A .150 10 160 .400 8080-TWG Closed N/O A .150 10 160 .400 8484-T Closed N/O A .150 10 160 .400 8484JWG Closed N/O A .150 10 160 .400 185-12 Open N/C B .140 5 175VDC .250 185-12WG Open N/C B .140 5 175VDC .250 189-12 012en N/C B .140 5 175VDC 250 189-12WG Open N/C B .140 5 175VDC .250 8585-T QO n N/C B 1 140 5 175VDC 250 8585-TWG 0 en N/C B .140 5 175VDC .250 8989-T Mpe 0 en N/C B 140 5 175VDC .250 8989-TWG Open N/C B .140 5 175VDC 250 190-12 OperL/Closedd SPDT C .140 5 175VDC .250 190-12WG Open/Closed SPDT C .140 5 175VDC 250 194-12 Open/Closed SPDT C .140 5 175VDC 250 194-12WG Open/Closed SPDT C 140 5 175VDC .250 195-12 DPDT C X 2 .140 5 175VDC .250 195 12WG �'_ "W" 1 9-12 �12 - DPDT DPDT _DT C X 2 _7X _2 .140 1-40 5 _5 175VDC -175VDC .250 .250 I W 'FM_ D T -Z-X= M T_75Vb_C CONTACT YOUR G.R.I. DISTRIBUTOR OR CALL: GEORGE RISK INDUSTRIES, INC. TOLL -FREE 1-800-445-5218 G.R.I. PLAZA TOLL -FREE 1-800-523-1227 KIMBALL, NE 69145 (308) 235-4645 FAX (308) 235-3561 MADE IN USA, E-MAIL: sales Ca)grisk.com BA-90 Rev. Q 10/08,12013 WEB SITE: www.grisk.com Premier Community Medical View Ln .0 Zephyrhills, FL po E No 4 Access Control System '05* fa Data Booklet 1,01VA Prepared for: Premier Community Health Rowan Rd System Type: Access Control System GIBBENS DRAKE SCOTT, INC Submitted by: Johnson Controls 9NI E, 61rd STWT, SUM 100 RAYTOWN, MSSOUTI 64133 Date: January 27, 2023 RLGINEMUNG RkMACOM46,10 ACCESS CONTROL SYSTEM PACE # PART # DESCRIPTION *** HEAD END ***** 3 KT-A00 4 DOORS HOSTED ACCESS CONTROLLER 11 •**** FIELD DEVICES KT-SG-MT KANTECH SINGLE GANG MULTITECH READER 19 T.REX-XL2-NL TREX PIEZO/2RELAY, NO LOGO 21 199-12-W DOOR GONTACT 1° DPDT WHITE Kantech KT-400 Powerful, Ethernet -Ready Four -Door Controller K1-400 Cthemet ready four door controller supports eight read' rs (rntiaPass Se(Airity Management Softwar(,) and can be configured in two user friendly operational mr)des. KT-400's Standalone [rode offers basic door security using a simple web browser without the need to conmert to a host system. Altematively, KT-400 can bo used with the powerful E ntraPass Se( urity Managernent Software to provide irmre advanced" and fully integrated access control features. Standalone Mode KT- 00 Standalone Made* Ideal for sites that only need basic r1d or sr entity the K 4 four d,>vr cOIit1011er 'es[Mes ail emh(It,GE:d Wf'h si'(`Ve` wlilCh eliahleS IC toOp".I�lte Iri �x Stand, (I(1? � UdP _ niC:c3(?Ing no f ntral))2ss sWtwaie is rewmed. Johnson Controls One combined Hardware and Web -based Software Solution VVith no extra security software to purchase and insiall, and using an intuitive web browser for quick set up, KT-400 Standalone proeic,es a <c st-effective, yet feature rich alternative for four -doer security. Responsive Web -based Software Intuitive and responsive web based software enables you to simply manage and configure your four door security from anywhere, rising a desktop or mohile device. Standalone Set --Up Wizard KA-400 Standalone offers the ultimate simplicity in access control installation. Simply power up 0400, connect to a web browser, follow the quick set-up configuration wizard and your four -door security is up and running in minutes. Standalone Mode Parameters Cardholders 2,000 (1,000 with image/ 1,000 without image) Dom Access Per door, per user Carc Families or Site Codes Unlimited Events (itw(.)0 (olli ne Mode) operators 2 (Installer, operator) Schedt les 20 ( inteivals) liolic ays 25 Action Schedule[ R O Monitored Points (hi„n its) c> Auxihary outputs 12 Browsers S,3foii, Google Chrome, Mozilla hrefox, Interne! Explore,-,, Microsoft Edge Mobdr, Operating 7 Soltvvare OS, Android (No native '--'pp') Integiatlons Basic inhuslon vlri relays Upc,lac!e. PAh EnuaPass/ hattrix Languages I nt hsh, F iench, Spanish, Italian 1 11 n1 "ate vel si r1 K 1 400 Sto Fi le ne v c rslon 2.03 a 'd higher on K i /#v of cti l (Suh;ect to fIP n)wa+c rflayracic ICC) J n s& Controls KT-400 using EntraPass Ethernet -Ready Encrypted 4-Door Controller The KT-400 four -door controller is a cyber-resilient and easy -to -use networked access control solution with support for up to eight (Entra?ass Security Management Software) ioProx XSE and oSmart reac=ers (4 doors ICrlfOLT control). The KT-400 has an on -board Ethernet port that connects to existing network infrastructure and leveiages the benefits of IP-based systems. Combine KT-400 with F ntr Pass security management software to create a highly scalable solution that call be deployed within one hUilding or across multiple locations. Built -In Expansion The KT-400 allows connection to expansion modules in order to add inputs or to add outputs such as relays and drain outputs. Coro NMFIg iirput and output expansion modules provides the flexibility to connect up to 256 inputs and 256 outputs_ Status Indicators LEDs provide important controller status and diagnostic infoi mation. The KT-400 has multiple LED status indicators for: troubleshooting, network activity, bower status ancl, outputs activity. Easy Network Connectivity The auto -sensing 101110013ase-T onboard Ethernet port automatically selects compatible Ethernet speeds to provide faster network connectivity. It eliminates the need to purchase an external Ethernet device, saving time and money. The KT-400 uses 128-bit AES encryption to conm)(micate with the Gateway. Removable Terminal Blocks In order to expedite installation and facilitate serviceability, KT-400 features removable terminal blocks that are simple to connect and are color -cooed for quick ioentification. Built-in Web Configuration the oveb configuration page is accessible through any browser. It can be used to verify and configure the !P sc ttmigs of the KT-400. For enh,�riced security, once the K1 400 is confrz mec', the wel) configuration page can to longer be accessed. the KI-400 call be reset to !actc rF default in the case of a configuration or and the web configuration page will once again be accessible. Occupancy Level Controls K 1 400 supper is occupancy i estrictions for lour local areas at the ccntroiler level with the antipassback feature. Hits feature allows the ope;r",tor to define a particular area that mov have capacity limiterions, such as an auditorium, conference room or laboratory. The K r- 400 can be configurc>c to hirlit the amount of people permitted into this are Owe the limit has been reached, lie additional personnel will he allowed to enter the defined location. This proven, a over crowdin or violation of capacity reoulations. Johnson Controls Low Bandwidth Consumption The t ntraPass software monitors events occurring at the Coors by polling the KT-400 door controllers. The EntraPass Multi -Site Gateway only communicates with the KT-400 if an event has occurred. Co III ITlUnlcattell integrity is ensured through a heartbeat signal which is sent at regular intervals to the EntraPass system. This asynchro noun cernmunication significantly reduces the amount of bandvoidth required to manage the access control system over the network If there is a communication failure between EntraPass and the KT-400 an aiatm will be triggered in the Entralvass system. Supervised Lock Power there are four supeivised door lock outputs with an internal power supply (12 f1DC). In addition, an external power supply (a2 VDC - 24 UDC) may also be used to provide power to the lock outputs. This elirrrinates the need for additional relays. The lock outputs will still be supervised by the KT-400. Multiple Communication Ports K1 400 provides multiple controller configurations to suit your specirrc access control needs. Fliese configurations provide communication with the EntlaPass Gateway. You can choose any of the following options: Ill (Ethernet) RS-485 (,COM1) using a USB to RS-485 coaaverter Configurable Reader Outputs There are four different possrhle outputs for each of the four onboard reader interfaces for <a total of i6 programmable outputs. Reader outputs are used to ptovide the user with visual (LEDs) and/or audible (buzz:r) feedback on access control events. Elevator Interface The K1-400 EChernct roar-c.00r controller supports elevator n,terfacing with the addition of expansion modules such as the KT-MOD-R[ l 8, KT-tvfOD INP16, KT-MOD-OU 116 and KT-MOD-IC116. Alarm Panel Integration DSC MAXSYS, Power Series, PowerSeries Nero and I owerSeries F'ro hntrusion alarrn panel data integration can be accomplished by connecting it to the of 400 controller. Using the K 1-400; EntiaPass Special, Corporate or Global F_c!itioars are able to receive intrusion events, view the statUS 01 zones and partitions, anC proparn users' code. In addition the system can be amied(disaiinec7 (single or multiple partitions) via the redder or manual operation from the voorkstation. End -of -Line Resistors The KT-400 has an onboaroA capfahii ty of monitoring 16 input zones ;expandable to a iaximuM 256 zones with the addition of expansion modules). It can support a maximum of 128 inputs using double end of- line (EQL) resistors or 256 inputs using none or single EC?[_ resistors. This allows the system to r7?onitor more ,tates asso( mated with a c ustomer's installation, significant(,,! increasing [lie lave! of security. Johnson 40 Controls Basic System Diagram Joh n son Controls Specifications Physical Cabinet Dimensions (lixiNxD) 37.6 x 30.5 x 12.6 cm (14.8 x 12.0 x 4.95 In) PCB Dimensions (HxWxD) 23.1 x 14.0 x 3.4 cm (9.1 x 5,5 x 1.3 in} Cabinet Weight 4.0 kg (8.8 Ib) Environmental Opeiating Temperature 2" to 49' C ( 5" to 120' F); indoorUse only Humidity Level Maximum 85% relative llunridity non -condensing Electrical Power Input KT-400 16.5 VAC or 24 VAC, 75 VA, Class 2 transformer Battery Backup 12 VDC/ 7 or 12 Ah battery supervised, up to 12 hours of operation Reader Power Output Maximum 1.OA a 5 VDC or 12 VDC, typical 250rT)A per reader, protected and supervised Operational Reader Types VViegand, proximity, ABA clock and data, bar code, magnetic, integrated keypad, smart card 8 (f ntraPass Security Management Software), 4 (Standalone Mode); Kantech ioPiox XSF and ioSmart # of Readers Supported readers only # of Cards when disconnected 100000 (KT-400 and KT 400-PCB) rrolrn EntraPass (Otflne Mode) Monitored Points (Inputs) 16 monitored points, single EOL, double i_OL. Points Maxin-win �Ahiind i AVVG #2' -- 600 Ili (2,000 it) Door Strike Power 12 VDC, maximum ?.DA, typical 500mA Per lock, supervised Fxternal t_ock tower 12 or 24 VDC (up to 28 VDC) supply up to 71f0 mA per fork for a total of 3 amp Reader OUtputs 6 01-M)Lits, 25 rTmA nlaxin`lUlil each, Opel? tO iector Outputs dl l [-Ds (door 1 >?r < door 3 d =oi 4, LED, CUT2 and OU12) and buzzers (Buz, door 1, door 2, door 3, Auxiliary Outputs door 4) 25 nrA each, open collector outputs Controlled Output Relay Four onboard Forn? C controlled outputs relay, 30 VDC, 3 amp max each C0111(ilUnic<atlOn Ports RS 232 with RJ-r2, RS...485 Edwrnet. M/1.00Base-T with RJ--45 Expansion Pori SPI 6--pin convector, bi directional data exchange supported. Supplies 12 VDC, 500 rrrA maximum shareo with 12 VDC auxiliary port Auxiliary Port Auxiliary 12 VDC, 500 mA maximum shared SPI expansion port U nlllurnicatiori Speed lip to 115,200 hand (`automati( detection over RS-z32 and RS- 481) :0`100E3ase-1 over I thernet 25E MB for applica}i{>�r and d� to raoi�,ge (,conf gurat!�rn and ove ;ts ellr residefor ar�inirlaur?? of 10 Flash P3e�rriort� years without povver) IMI r28 NIB for application load u g anct running Network Autonomy DistriNited data and processing Regulatory FN61000-6 1, E N61000-6 2, EN55032, IN60950 1 [ N50130 4, FCC Class B, UL-294, U1 1076, CF, RGIiS, VVLEE Warranty KT-400 hartr war< -> years Johnson Controls urdering Information KT-400 Order Information KT-400 KT-400 PCB, accessory kit and metal cabinet with lock and keys KZ-400-I'CB KT-400 PCB and accessory kit Expansion Modules KT MOD-INP'16 '16zoneinput _nodule with 41 cm (16 in) SPI cable Kt-MC?D-RFL8 8 relay outputs module with 41 cm (16 in) SPI cable KT f,/OD- OUT16 16 zone output i7jodule with 41 crr (16 in( SPI cable KT MOD 1016 RS-485 lnput/Output N10dHle; compatible with KT-400 and KT-:1 controllers Integration Modules KT-11100 DSC Powei Series Integration Kit: I1 100 integration module and CBLK-11-100 cable kit KT-4401VK DSC MAXSYS Integration Kit: integration module and 1.8 in (6 ft) RS-232 connector cable set CBLK-IT100 DSC PowerSeries Cable Kit: 3 in (10 ft) RS-232 connector cable set CBLK-4401VK DSC MAXSYS Cable Kit: 1.8 m (6 ft) RS-232 connector cable set and FROM set CB1,K-ITV2 Cable kit, Kantech/DSC PowerSeries Neo, RS 232 to 422 converter, connector and cable 1.8 m (6 it). Requires a Comnrunicat;on Module 11280 Firmware version 4,10.4,29 or higher Accessories KT--MOD-SPI-16 SPI cable 41 cm (16 in) K i--MOD -SPI- 36 SPI cable 92 cm (36 in) KT 400 ACC A t es'sor 1 y Kit iesistc>rs A x 1K 0, 32x t �.CK S'l, around vcir<x bilreiy connector anc! serezvrlliver KT-400-CAB Black rneial cabinet, with to(k r,nd keys KT-MOD CAB Cabinet for rip to 6 rxpow ion ri)odules, including lock, keys and 92 cin (36 in) SPI cable KT-TAb,1PFR 7ampe= switch KT-LOCK Cabinet lock and 2 keys KT-400-CON Removable tefirmial block KT- 3l FD PLAT F Alarm (3 1 E D) indicator Power Supplies ( R116;'S U"lire-in tranrsrormer, 110 VAC% 16.S VAC (7 VA), L)L approved KT-KAI 1-12 Gel cell battery, 12 V, 7 Ah KT-BAT 1 212 Gel cell b 1tn ry, lr V, 12 Ali Johnson '. Controls KT--400 Starter Kits SK CE 400 SCP✓ SK ('E-400-SCSG SK SE 400 S'M SK SE 400-SCS6 Entr aP iss Corporate Edition EnhaPass Corporate Edition EntraP ss Special Edition Entrap ,ss Special Edition KT-400 Expansion Kits EK 41,)1-f1'1TM K?-400 1 K- 400-lv1 T SG KT--400 EK 400 SCM KT-400 EK-400-SCSG KT-400 KT ML.11_ Se (3), USB 485 cuiiverter (2) TR167. tr isformer K l 400 KTK�U! - M (KP (1} rl), K i BA[I 12battery (1) K, E f 2KSHl smart cards (5) (US and Canada) KT SG -SC (?}, USB-485 converter (1), TR1675 transformer sformer KI 100 (1), KT FATIF battery (1), MEP 2KSH1. KT SG-M1-KP (1) smart Bards (1 5) (US anf'. Canada) KT KtUL-SC (3), USB zI85 converter (1) TRi675 transformer KT-400 (1), KZ BATT-12 battery (t), M P sKSHI_ 0 IIr1UE_ MT-KP (1) smart cards (5) (US anc (anaoa) K I SG SC (3), USB-4£s5 converter (1) TR167t transformer KT- 100 -), KZ BAT T-12 battery (1), KTE 1)2KSHL KT SG Cyr-1-KP (1) smart cards (5) (US and Canada) KT MUL-BIT (4) TRi675 transformer (1), KT-BAIT-12 battery ( I) (US arfd (,.anada) KI-SG-BIT (4) rR1675 transformer (1), Kf BAIT-12 battery (1) (US (mc! Canada) KT f1Ui -SC (4) tR1675 transformer (1), KT E'ATT-12 hattery (1) (US ,end Canad a) KT SG SC (4) 1 R1075 transformer (A K f RA1 t 12 battery (1) (US and C,-Mac a) About Johnson Controls ohnson Controls is a global diversified tecbnology and multi-industri 3i {easier serving a wide canoe of customers in more than 150 countries. Chic 120,000 employees create intelligent buildings, efficient energy solutions, integrated infrastructure and next generation transportation systerns that vvor` se'ai`l ess y together to deliver on the prornise or smart cities and communities. our commitrserIt to sustainability dates back to our roots in 1885, witb the invention of the first ele(Aric room thermlostat. r-or additional information, please visit w wv,kantech.com or follow us on twitter, (acebook and Linkedin- t 11 r t All r >ro ,O,ct sI t —01 c r t ('ar;._ V Mh ut mot te. At t ial n t l M y i f x photon Not i I p oduct, im ude il ft _ toms Availability v,ai es by wpon, Co itd<t ,, r s,Ues KTO144-DS-201908-R]1-HS-EN Johnson + L From Tyco Security Products October 2017 New Product Announcement Flexible ioSmart Card Readers and Cards Tyco Security Products is pleased to announce Kantech ioSmart Card Readers and Cards. Based on WARE Plus, Kantech's ioSmart Card Readers provide a high level of security by enabling end -to -end encryption between the credentials and the EntraPass access control software. The readers also give customers an easy and powerful way to move from proximity cards to advanced smart card technology, whether they are using the popular Kantech i*Pr*x s*lutiftntir ?j�*Ithei��,#rriiixiffiity system—.hWti-techn;*4*y readers provide the option to read both proximity and smart cards allowing the customers to migrate at their own pace. Key Features at a Glance End -to -end encryption for high level of security ioSmart readers provide end -to -end AES 128-bit encryption between the ioSmart card and ioSmart reader, ioSmart reader and Kantech KT-I and KT-400 controllers over RS-485 and the aforementioned controllers to EntraPass software over IP. RS-486 AES-128 . 'P Proximity 125 kHz cards encrypte" d a it RS-485 Secure IP AE& 128 AI-,S 128 enctypIsd eriuMed MIFARE a01 RS-485 AES 128 alcrymod errvylood MIFARE i0smart card The end -to -end encryption ensures the highest level of security from the credential the way to the EntraPass Software system. i Cost-effective solution to transition from proximity to advanced smart card technology io move from proximity cards to advanced smart card technology, whether they are using the MHz and 125 KHz) provide the option to read both proximity and smart cards allowing the customers to migrate at their pace, With keypad Mml keypad Many customers today are still using proximity technology over other technologies because of simplicity. However, they are starting to realize the benefits of smart card technology because of the high security, and flexibility. The ioSmart card readers and cards provide an ideal solution for companies wishing to transition to smart cards. The WARE Plus EV1 based ioSmart cards provide encrypted sectors for pre-programmed card credentials to simplify installation thus saving costs, and have sufficient sectors open for customers to use for other applications such as vending, cafeteria, bus/train, ioSmart WARE Plus EVI (Kantech cards) 0 a, I I U WNW, WARE Plus (UID) 2 ioSmart Smart Card Readers & Cards From Tyco Security Products October 2017 14443B Standard (UID) x x Capacitive touch keypad available ioSmart Smart Card Readers include an intuitive LED status bar that clearly indicates various access conditions to the user. There are also models available with integrated backlit, capacitive keypad support for dual factor authentication, combining contactless card presentation with a PIN. Benefit Not • •• the ioSmart Card Readers with capacitive keypad provide an aesthetically pleasing addition to any commercial environment, the keypad, which is backlit, provides ease of use when entering a PIN. Since the keypad relies on the electrical properties of a human body to detect when and where on the keypad a user touches, a capacitive touchscreen can •- controlled with a simple touch with a human finger to move through the various number sequences for a PIN. It only requires a light touch to function properly making for a more streamlined and technology forward aethetic. The readers also include an intuitive LED status bar that gives a visual indication of access MOREMMURIMOM-011 M-11MAM-Wo isigno 7orng nom Bluetooth-ready for future proofing ioSmart Smart Card Readers are Bluetooth-ready and it firmware upgradeabl with the ability to upgrade the reader firmware in the field, ioSmart Card Readers provide a solution that customers can rely on for long-term performance, and easier service and support well after the readers have been deployed. This offers customers an uncomplicated path to secure, feature -rich technology as it is released. The Bluetooth technology also gives customers the ability to use the reader for a variety of future applications. Unique design allows time -saving wiring to standard door contacts and T.Rex devices rather than running the wires all the way to a controller. Benefit costly. Since ioSmart Card readers can be wired directly to standard door contacts and T.Rex devices, this saves on the the cost of the wire and the installation time necessary to run the wires from door contacts and T.Rex devices to the controller housed in a server room or utlity closet. Available in mullion and single -gang models for indoor and outdoor installations e��Vt* e�-S r i wfi can be installed in indoor or outdoor applications. 59 KANTECH Frorn Tyco Security Products October 2017 Ordering Information ioSmart Smart Card and Multi-Techno ioSmart Smart Cards iobrnarT bmarT tara biarTer KITS USB-485 converter (1), TR1675 EntraPasIsM KT -MUL-SC (3) transformer (1), KT-BATT-12 battery (1), transformer . "r"'� SK-CE-400-SCM Corporate KT-400 KT-MUL-MT-KP MFP-2KSHL smart cards (5) (US and Edition (1) Canada) "A A"M USB-485 converter (1), TR1675 EntraPass KT-MUL-SC (3) transformer (1), KT-BATT-12 battery (1), SK-SE-400-SCM Special KT-400 KT-MUL-MT-KP MFP-2KSHL smart cards (5) (US and Edition (1) Canada) 0 'EM "gm '750 MFP-2KSHL smart cards (5), KT- EntraPass PTC1640UG 120V / 16 VAC 40 VA SK-CE-IM-SCM Corporate KT-1-M KT-MUL-SC (1) transformer, KT-PS4085 12 VDC power Edition supply, KT-BATT-12 battery N" VE 6 ioSmart Smart Card Readers & Cards From Tyco Security Products October 2017 ioSmart Smart Card Expansion Kits TR1675 transformer (1), KT-BATT-12 battery (1) (US EK-40-MTM KT-400 KT-MUL-MT (4) and Canada) 7iii# —11 -- 7,11 �' ig"I"610t, OEM; IWAR, !'M k,iAN 0 WIN �g' ilimi .s KT-PTC1640UG 120V 16 VAC 40 VA transformer, EK-1M-MTM KT-1-M KT-MUL-MT (1) KT-PS4085 12 VDC Power supply, KT-BATT-12 battery OMEN"""MMI-I'M ms".M" KT-PTC1640CG 120V 16 VAC 40 VA transformer EK-IM-MTM-C KT-1-M KT-MUL-MT (1) (Canada only), KT-PS485 12 VDC Power supply, KT- BATT-12 battery EK-1-MTM-C KT-I KT- M U L- MT (1) n/a IN - J) 7IIIIM MZIo' VRA"0g2 "I TR1675 transformer (1), KT-BATT-12 battery (1). EK-400-SCSG KT-400 KT-SG-SC (4) (US and Canada) KT-PTC1640CG transformer 120V 16 VAC 40 VA EK-1M-SCM-C KT-1-M KT-MUL-SC (1) (Canada only), KT-PS485 12 VDC Power supply, KT- BATT-12 battery For more information on EntraPass 7.10, please email kantechsalts t coint.com� or contact your Kantech account representative. 7 ioSmart Smart Card Readers & Cards From Tyco Security Products October2017 @ 2017 Tyco Security Products. All Rights Reserved. Tyro and the product names listed above are marks and/or registeredma/ks. Unauthorized use is strictly prohibited. Product offerings and specifications are subject to change without notice. Actual products may vary from photos. Not all products include all features. Availability varies by region; contact your sales representative. 8 'KANTECH TRexprovides acomplete solution to exit detection and door surveillance for access control applications. Outstanding innovations such aahorizontal and vertical Detection Zone Targeting and DSp(Digital Signal Processing) make TRexthe fastest and most reliable exit detector onthe market today. Horizontal arid vertical targeting adds un extra layer of security by adjusting the detection zone. The detection area of the Simple Two -Step Installation: 1 , Choose Location ° Recommended locations include door header, wall or ceiling, ° Ensure clear line ofsight from detector roevery part cxdetection area, ° Detection zone pattern indown and away from door (to inhibit tampering). ° oonot place detector directly across from awindow T,Rexcan headjusted so that itwill not ^hit^the floor along the doorjamb, defeating any attempt tncircumvent door supervision bysliding objects under the door. In addition, ituses infrared detection coupled with DSPsampling toallow the [RexVnaccurately detect exits and prevent false "Door Forced Open" alarms. ired Detection Zone 2, Adjust Can be adjusted to detect an individual either infront ofdoor mseveral steps away from door. ° Detection zone span and target direction isset bvturning louver General Detector Type ....... Passive infrared Filter Technology .............. Digital Signal Processing (DSP) Detector Lens ... ............. Curtain -type Fresnel Ions Detection Range Narrow Targeting Area ......... 3 m (10 ft) Whole Body ........ ...... 6 m (20 ft) Piezo Buzzer ...... ... 90 dB at 28 VDC, 5-28 VDC, 20 mA (XL & X1_2 only) Main Relay Contacts ... ....... SPD1, 1A max @ 30 VDC max Main Relay Timer. , . .... ......... Adjustable, 0.5 to 60 seconds Main Relay Recycle Timer . ....... . . Fixed, 0.75 seconds off Lock Control Relay ............... Available on LT2 and XL2 models only, solid-state relay, N.C., 2A max @ 30 VDC, timed at 2 seconds fixed Tamper Switch ......... ........ N.C., 100 mA max @ 30 VDC max Indicator Light ...... ....... . Red/Green LED Mounting ... .............. Optional backplate available for mounting the T.REX on a standard single -gang electrical box Physical Dimensions (IT x W x D). .... ..4.5 x 19 x 4.75 cm (1.75 x 7.125 x 1.875 in) Electrical Power Consumption . ...... ..... 12-28 VDC. 50 mA Regulatory Certifications .................... UL294, CE, FCC, ULC Product Diagram Tamper switch N.C. FFunction selection jumpers: Latch, fast/slow detection, LED disable Model Numbers TREXTT ............. T.Rex request -to -exit detector with tamper and timer, white LREX-Li-NL ...... ... 1,Rex request -to -exit detector with tamper and timer, white (unbranded) TREX-LI-2 . ................. T. Rex request -to -exit detector with tamper, timer and 2 relays, white TRFX-IT2-Ni ...... T, Rex request -to -exit detector with tamper, timer and 2 relays, white (unbranded) TRFX-XL ...... ............ .... T.Rex request -to -exit detector with tamper, piezoelectric buzzer and timer, white T.REX-XL-NL. . ....... T.Rex request -to -exit detector with tarriper, piezoelectric buzzer and timer, white (unbranded) TREX-XLBLK .... ......... TRex request -to -exit detector with tamper, piezoelectric buzzer and timer, black TREX-XL2. . ... ....... T Rex request -to -exit detector with tamper, piezoelectric buzzer, timer and 2 [T.REX-XL2-NL .. relays white ........ T.Rex request -to -exit detector with tamper, piezoelectric buzzer, timer and 2 .tu ::�de 'z'.', timer _r an, Crela :white s unbranded T,REX-XL2BLK ...... ... T.Rex request -to -exit detector with tamper, piezoelectric buzzer, timer and 2 relays, black TREX-PLATE. . . ......... Single -gang box mounting back plate, white Integrated 90 dB piezo for door Infrared sensor alarm controlled by remote panel or through on -board relay (5-28 VCD) a: -1-Y Lock control relay F_ � m�ront.lrelv and main relay terminal Lock Main relay timer jumpers Power 16-step digital timer from 0.5to 60 seconds and tamper output X-Y targeting using two adjustable louvers to On -board computer target a specific area of detection such as a door handle or panic bar TREX-XL2 model shoem w Lifetime Warranty m cmno: White, Brown, Grey o,Black m VLanu VLCxpprovqU w 180'12a l8*-l2ULl0CFire Rated ~ Available inClosed Loup. Open Loop and SPOT w 3/4" and l" Diameter Mounting w Standard 12" Leads orTerminals w Self -Locking * Solid, One Piece Design * 7/8" Diameter also Available Call Factory * Switches orMagnets are Available Separately * Standard 1/2''+ Gap on Sx/o| wWide Gap 1''+Gap onSteel w Supervisory Loops Available The GRI 180 Series is the industry standard 3/4" diameter recessed steel door switch set with 12" leads. The 184 Series is a 1 " diameter switch set. The innovative GR| 8080-T Series is a 3/*^ diameter recessed switch set designed for nsideroia|, commercial and industrial steel doors and frames. The shorter length and the introduction of PC board type terminals makes the installation of the set quick and simple with no soldering, econnectors urtape uocatch during installation orremoval, reducing the cost o[ installation and creating greater profitability. .32Dr ~w--23.37mm 0J40" 01G�8Dmm| ��.340^ ' 08.64mm NUMEM 23.37mm 0740" 018.8Dmm 0.S2Or 023.37mn ..v.2"m/ 180-12 Series Recessed Steel Door Switch Set 960, 24.3&,,sr, 9W J47 8.64TY 10 �, exnm Immum 0 740 0 18,80ff"'m 0 340 0 8,64MM .11W I 10, 16mm, 0 �, < 70, 0 2P.72mm L 422AMS 2 040' "irr, " 5W70A 184-12 Series Recessed Steel Door Switch Set m 'AM 11 10, 16mm SYA"CH RECESSED 3/4 99 & 1 9!PP O�rO ORSITCH SEf* 180/184/8080-T SERIES @ (@ LISTED LISTED + Recessed Magnetic Contact 12" #22AWG Leads or Screw Terminals Longer Leads, Zip Cord or Jacketed Cable Upon Reque * Built-in E.O.L. Resistors and Diodes Upon Request I + Supervisory Loops Upon Request Switches and Magnets Available Separately Colors: White, Brown, Gray, Black Indicates U.L. 10C Fire Rated V, PART NUMBERS: Closed Loom,, Open Loop SPDT DPDT Standard Gap Up To 1/2" 3/4" Dia. , 180-12 1�0 185-12 190-12 195-12 On Steel* 1" Dia. 184-12> 189-12 194-12 12 3/4" Dia. 8080-T 8585-T 1" Dia. 8484-T 8989-T Wide Gap 3/4" + 3/4" Dia. 180-12WG 185-12WG 190-12WG 195-12WG On Steel* 1" Dia. 184-12WG 189-12WG 194-12WG 199-12WG 3/4" Dia. 8080-TWG 8585-TWG I" Dia. 8484-TWG 8989-TWG *Gaps will increase substantially for installations other than steel *Gaps up to one inch on steel when paired with MC-180 Door Channel Magnet WARRANTY - Lifetime warranty against workmanship, material and factory defects. TOLL -FREE 1-800-445-5218 TOLL -FREE 1-800-523-1227 GEORGE RISK INDUSTRIES, INC. (308) 235-4645 G.R.I. PLAZA FAX (308) 235-3561 KIMBALL, NE 69145 E-MAIL: sales@griskxom MADE IN U.S.A. WEB SITE: www.grisk.com 0 C:3Ft I RECESSED 3/4519 & 111 00 STEEL DooR SWITCH SET INSTALLATION APPLICATIONS: The G.R.I. 180-12 is the industry standard 3/4" diameter recessed steel door switch set with 12" leads. The innovative G.R.I. 8080-T series is a 3/4" diameter recessed switch set designed for residential, commercial and industrial steel doors and frames. The shorter length terminals makes the installation of the set quick and simple. Mir SO- sm- CUSIOMP! LOGO AM Z33Rn' 0 .7t[F Mir Mir 0E1.13mm .j'W 3dr F- 0 _-W :j 0 ZSm 0 23X mm 0 EFMIN.AIS T-1 �w I 1220MM .17 IM- 10.1awn iCi.,6mm I , . n.. M AOR Er RAJ M, H 8080-T GRI products meet or exceed these minimum general specifications: PART NUMBER LOOP TYPE ELECTRICAL CONFIG. REED FORM MAXIMUM INITIAL CONTACT RESISTANCE M) MAXIMUM CONTACT RATING (W) MAXIMUM SWITCHING VOLTAGE (VDC) MAXIMUM SWITCHING CURRENT (A) 180-12 Closed N/O A 150 10 200 .400 180-12WG Closed N/O A .150 10 200 .400 184-12 Closed N/O A .150 10 200 .400 184-12WG Closed N/O A .150 10 200 A00 8080-T Closed N/O A .150 10 160 A00 8080-TWG Closed N/O A .150 10 160 .400 8484-T Closed N/O A .150 10 160 .400 8484-IVG Closed N/O A 150 10 160 .400 185-12 Open N/C B .140 5 175VDC .250 185-12WG Open N/C B .140 5 175VDC .250 189-12 Open N/C B .140 5 175VDC .250 189-12WG Open N/C B .140 5 175VDC 250 8585-T Open N/C B .140 5 175VDC .250 8585-TWG en N/C B .140 5 175VDC .250 8989-T O en N/C B .140 5 175VDC .250 8989JWG Open N/C B 140 5 175VDC .250 19 0 1-2 Open"Closed SPDT c- .140 5 175VDC .250 1-9012WG Open/Closed SPDT c .140 5 175VDC 250 194-12 Open/Closed SPDT C .140 5 175VDC .250 194-12WG Open/Closed SPDT C .140 5 175VDC .250 195-12 DPDT C X 2 .140 5 175VDC .250 195-12WG 199-1-2 DPDT DPDT C X 2 _7 = .140 _140 5 _5 175VDC 17_5VDC .250 250 DPTTTj_r_XY .1-40 175 CONTACT YOUR G.R.I. DISTRIBUTOR OR CALL: GEORGE RISK INDUSTRIES, INC. TOLL -FREE 1-800-445-5218 G.R.I. PLAZA TOLL -FREE 1-800-523-1227 KIMBALL, NE 69145 (308) 235-4645 V FAX (308) 235-3561 MADE 1' t, S�A, E-MAIL: saIesC&grisk.com BA-90 Rev. Q 10/08/2013 WEB SITE: www.grisk.com