BU5 – Straight pin-header, division 2.54, 2x16
BU7 – Straight pin-header, division 2.54, 1x5
C1 - 220nF
R1..R3 - 9k1
R4..R5 - 2k2
Jp7/Jp8 - Straight pin-header, division 2.54, 1x3 / Jumper, division 2.54mm
Jp9..Jp11 - Straight pin-header, division 2.54, 1x2 / Jumper, division 2.54mm
Optional:
Surface Mount 0.5mm TSOP-56 Socket Meritec 980020-56-01

Cut lines to connector BU7 pins 35 and 36.
Solder chip on adapter contactpads or apply socket.