21911 76TH AVE W STE 106sNiotiomm-N
FIR]
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/666 FIRE PREVENTION
Serving Brier, P-at6nds, a*nd 12425 Meridian Ave S INSPECTION REPORT
. :1 0 EDMONDS
Moiii.itlake Terrace Everett, WA 98208 D BRIER
0 MOUNTLAKE TERRACE
Phone (425) 551-1200 [1 UNINCORPORATED
-1272
C311, JLI&JL%j A www.FireDistrictl.org Fax (425) 551
21911 76 th Avenue W Suite 106 98026
LOCATION:
BUSINESS I NAME: Puget Sound Surgical Center PHONE: 4257782220
MAILING 21911 76th Avenue W, Suite 106, Edmonds, WA 98026
ADDRESS:
BUSINESS OWNER:
EMERGENCY-1: Landerholm, Robert
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
It :5 Y S I tMb:---FL d/ I j
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HOME PHONE:
4254221958
HOME PHONE:
HOME PHONE:
fffyENCY STYft& SHIFT
SCHEDULED 1--eb 2017
DATE DUE �
593 15 7
UFIR 0
CURRENT
CITY YES NO
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INITIAL INSPECTION DATE
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12425 Meridian Ave S
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BUSINESS NAME: P bA f e,-r .36 AAA 5uVg-4)CAt (fea&,PHONE: �2� 77,?Z 2 z o
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NAME OF INSPECTOR:
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FIRE PREVENTION
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lst RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO,
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
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DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
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2
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2
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DATE:
SECTION:
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LETTERNEEDED F] YES NO
LETTERNEEDED F) YES NO
8
FIRE DEPARTMENT COPY
— —
— — — — — — — — — —
FIRE PREVENTION
Serving Briet; Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
)FIR
Everett, WA 98208
OEDMONDS
0 BRIER
e Town of Woodway
DIST T
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
wthwwFireDistrictLorg
Fax (425) 551-1272
0 UNINCORPORATED
" FREQUENCY
STATION & SHIFFII
LOCATION: 21911 76th Ave W
106
730
16 A
I
BUSINESS NAME: Puget Sound Surgical Center
PHONE: 4257782220
SCHEDULED
DATEDUE 11' (12,101112
MAILING 21911 76th Ave W #106
LIFIR � 593 2157
ADDRESS: Edmonds
98026
BUSINESS OWNER: Landerholm, Robert
HOME PHONE: 4254221958
EMERGENCY-1: Billing, Peter
HOME PHONE: 4254786541
CURRENT
KEY ACCESS-2: Kocaj, Ben
HOME PHONE: 2537202100
CITY YES NO
BUSINESS
LICENSE
%
P RSON CONTACTED:
INITIAL INSPECTIdN DATE
NAME OF INSPECTOR:
FIRE
�E — I —
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LO(�ATIONS / COMMUNICATIONS
1 A&
2
2
3
3
4
4
5
5
6
6
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D E DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
.4
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES [I NO
I LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
January 3, 2012
Please verify and correct the following information:
Name of Company (DBA):
Puget Sound Surgical Center
Edmonds Location :
21911 76th Avenue W #106
In conformity with the
terms of the International
Fire Code, application is
hereby made to store, use
Compressed gases -oxidizers
or maintain the following
activity, storage or pro-
cesses:
c/o Puget Sound Surgical Center
Mailing Address:
21911 76th Ave W #106
Edmonds, WA 98026
EFD UFIR #:
(for office use)
5932021OB157
Your Signature
CL4 L) r f ale
Your Name (print)
�j
Arnber pucfp)�
Your Title
7Rfe and Z!�eryl o�-Icer
Please make corrections, attach $40 payable to the City of Edmonds and mail to:
Fire Marshal
Department of Fire Prevention
121-5 th Avenue North
Edmonds, WA 98020
FOR OFFICE USE ONLY
Rec'd
7 -z-
Check#
N 1913
CITY OF EDMONDS
DEPARTMENT OF FIRE PREVENTION' .
PERMIT
T- E � WJ Lt
CE Vt
MAR 2 b PAID
EDMONDS FIFIE DEPT.
January 1, 2011 593-202-1013-157 December 31, 2011
Date of Issue LIFIR Number � Date of Expiration
I This PERMIT is issued to: I Puget Sound Surgical Center I
I located at: 121911 76th Avenue W I Edmonds, WA __]
I To engage in the business, occupation or process of: _F I
And shall constitute permission to maintain, store, use or handle * materials or to conduct
process which produce conditions hazardous to life or property or to install equipment used in
connection with such activities as follows:
Compressed gases -oxidizers
I Allowed Occupant Load: I --
Pursuant to the provisions of the International Fire Code, any violation of the Code may be
grounds for the revocation of this PERMIT.
This permit does not take the place of any
license required by law and is not
transferable. Any change in the use or
occupancy of premises shall require a new
permit.
rtment of Fire Pr6ention
This Permit Must Be Posted At All Times in The Premises Identified Above
City of Edmonds Community Development Code 19.25.020
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
November 20, 2009
Please verify and correct the following information:
C-101ZA
Name of Company; DBA
PSASC k Cc�.g
SUZ
r--) NZO
(Am6u Cc �4= LA-Q-f_,U A-
Edmonds Location
21911 76th Avenue
In conformity with the terms of
Compressed gases -oxidizers
the International Fire Code,
application is hereby made to
store, use or �maintain the ,
�ollowing activity, storage or
processes:
Mailing Address:
PSASC
21911 76th Ave W #106
Edmonds WA 98026
0' M1,
EFID UFIR #:
5932021013,11511��"."'
(for office use)
Your Signature
Your,Name (print)
Your Title
S�Z
Please rnalke'dorrectildris, attach $40 payable to the City of Edmonds,
and mail,to:
Fire Marshal
City of Edmonds
S121 71'5!�_Avenue. North.
WA 98020
FIRE PREVENTION
CITY OF EDMONDS SAFETY SURVEY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
21911 76th Ave W 106
LOCATION:
BUSINESS NAME: Puget Sound Surgical Center PHONE: 4257732220
MAILING 21911 76th Ave W #106
ADDRESS: Ed onds 98026
FREQUENCY I STATION& SHIFT
16 C
SCHEDULED n2/0 1 /1 a
DATE DUE 0� 10
UFIR I� 593 2157
BUSINESS OWNER: Landerholm, Robel HOMEPHONE: 4254221958
EMERGENCY-1: Billing, Peter HOME PHONE: 4WjW&;M H -7
KEY ACCESS-2: K 0 c_,4,17, t3 elil HOME PHONE: .5 5- 3 - ??,0 — '�_j e) 0
PERSON CONTACTED: (A,Q/\, _3 ^ uL,) So Q INITIAL INSPECTION DATE
5 -- 7? 0 1 C-)
NAME OF INSPECTOR: -Tr' C
FIRE FE afAc)
SYST EMS: 1. —
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
8z 'Z�. T�p V_ ^.in
ENTER CODE ONLY ONCE 0,
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
ist RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
1
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
E:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
8
DATE:
DISPOSITION:
8
t., LETTER NEEDED C] YES [3 N
��TTER NEEDED E] YES 0 NO
FIRE DEPARTMENT COPY
OV EDAf
0
P
NOTIC
TO PERMITTEE AND/OR OWNER
DO NOT REMOVE
a(PARTIAL APPROVAL Ej CORRECTON REQUIRED ENFORCEMENT VIOLATION
Owner S-Ve4,�� c6M-b;�_ -Permit Number 0
JobAddress Site Contact
110
Ll WORK DESCRIBED BELOW HAS BEEN If PECT? kA IS APPROVED
E) APPROVED PLANS AND JOB CARD MUST BE AVAILABLE TO INSPECTOR ON SITE
LJ CORRECTIONS LISTED BELOW MUST BE MADE: BEFORE WORK CAN BE APPROVED AND/Olt THE NEXT PHASE
OF WORK IS STARTED
El RECALL FOR INSPECTION Q $45 REINSPECTION FEE MUST BE PAID PRIOR TO INSPECTION REQUEST
L3 STOP WORK -UNTIL AUTHORIZED TO CONTINUE BY CITY INSPECTOR
El NO PERmrr.sTop WORK.REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY WITH
ALL APPLICABLE CITY CODES
-Ty A-<3-vt-,ce 71�- A' A,'-A-uleW
flv-16e�cae_ a-lT /Jul
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED TO BE CORRECTED WITHIN
�&O CALENDAR DAYS OR PENALTIES MAY BE APPLIED. FOR INSPECTION CALL 425-771-0220
El Building El Planning El Engineering N'Fire El Public Works
Inspector p t 13)tq(" Date
White: Permit File Pink. Enforcement Buff: Applicant
Westfall, John
From: Westfall, John
Sent: Monday, October 16, 2006 11:36 AM
To: Bullis, Ann; Smith, Mike; Snook, Mike
Subject: BLD20060559 Surgery Center TCO Correction Item 21911 76th Ave #106
The interior gas room quantity of oxidizing gases meets MAQ from IFC Table 2703.1.1 (1) when 1500 cu.ft is doubled for
sprinkler =3000 cu ft (footnote d), and could be doubled again for exhausted enclosure =6000 cu ft (footnote e).
The gas quantity in the gas room is 3840 cu ft.
They require an occupancy permit, however for being over 540 cuft ECDC 19.25.020. 1 have the with the correction
notice and will administer for $30 upon final completion.
John
Westfall, John
From:
Westfall, John
Sent:
Friday, October 13, 2006 10:04 AM
To:
Snook, Mike; Graf, Jeannine
Cc:
Smith, Mike; Bullis, Ann
Subject:
Accepted: TCO for PSASC
Jeannine:
I've signed a Temporary CO for Fire Dept on Surgery Center 21911 76th Ave W #106 Permit #2006-0559. The condition
for final is the evaluation of the Max allowable quantities in the interior gas room vs. the amount they have installed.
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I
GAS AND VACUUM SYSTEMS
99-35
Chapter 4 Gas and Vacuum Systems
i
4-1 * Scope.
4-1.1* Ihis chapter covers the performance, maintenance,
installaticri, and testing of (1) nonflammable medical gas sys-
tems with operating pressures below 300 psig (2068 kPa),
(2) flarrinable and nonflammable laboratory gas systems, (3)
vacuum wstems used within healthcare facilities, (4) waste
anesthetic I gas disposal (WAGD) systems, and (5) manufac-
tured assemblies that are intended for connection to the niedi-
cal gas, %Icuum, or WAGD systems.
4-1.2 hherever the term medical gas occurs in this chapter,
the provisions shall apply to all patient gas systems. Wherever
the name of a specific gas occurs, the provision applies only
to that gas.
4-1.3 This chapter does not apply to portable cornpressed
gas systems.
4-1.4 An existing system that is not in strict compliance wi . th
the provisions of this standard shall be permitted to be contin-
ued in use as long as the authority having jurisdiction has
determiuccl that such use does not constitute a distinct hazard
to life.
4-2 Nature of Hazards.
4-2.1*� Gas Systems.
4-2.2* Vicuum Systems. There are potential fire and explo-
sion haz2rds associated with medical gas central piping systems
and me4ical-surgical vacuum systems. The various compo-
nents are usually not independent isolated components, but
are pansof a larger system dedicated to total patient care and
safety.
Many of these components are covered by existing standards
to . mininize the fire, explosive, and patient safety hazard.
With the increased use of vacuum systems, the potential for
mistaken interconnection with oxidizing gases, for ingestion
of flammable anesthetic gases, and for undercapacity requir-
ing extended overheated operation all present potential haz-
ards or compound other hazardous conditions that should be
properly addressed. While the potential for these problems
exists, the former Subcommittee on Vacuum Systems and
Equipmentwas unaware of the actual occurrence of any signifi-
cant fire -related hazards with vacuum systems.
There are also potential hazards to patients in the un-
planned shutdown or failure of the systems secondary to a
fire and,�or the inability of the system to provide adequate
levels of performance under normal or emergency situations.
There isa.Iso the potential for mistaken interconnection with
pressuriied nonflammable medical gas systems described in
Sectionsli�3 through 4-6.
4-2.3 Maiufactured Assemblies. Specific hazards associated
with manufactured assemblies are the same as those listed in
4-2.2 as well as additional hazards resulting from improper
assembl, - v, separation and leakage resulting from hidden semi-
permanent connections, improper connection resulting in
cross -connection, and blockage and flow problems resulting
from clanage to hoses, etc.
4-2.4 Wate Anesthetic Gas Disposal (WAGD) Systems.
There 2,re potential fire and explosion hazards associated with
the gasesthat are removed from the anesthesia machine by the
WACD qstem. These gases typically include oxygen, nitrous
oxide, and halogenated anesthetics. There are also potential
hazards to patients and staff resulting from exposure to these
gases or from improper interface between the very low pres-
sures in the breathing circuit and the high vacuum present
in some WAGD systems. There is also the hazard of intercon-
nection between the WAGD system and the other medical gas
systems, and especially the medical surgical vacuum system.
4-3 Level I Piped Systems.
4-3.1 Piped Gas Systems (Source and Distribution) —
Level 1.
4-3.1.1* Source I vel 1.
4-3.1.1.1 Cylinder and Container Management.
(a)* Cylinders or supply containers shall be constructed,
tested, an� maintained in accordance with the U.S. Depart-
ment of Transportation specifications and regulations.
(b) Cylinder contents shall be identified by attached labels
or stencils naming the components and giving their propor-
tions. Labels and stencils shall be lettered in accordance with
CGA Pamphlet C-4, Standard Method of Marking Portable Com-
pressed Gas Containers to Identify the Material Contained.
(c) Contents of cylinders and containers shall be identified
by reading the labels prior to use. Labels shall not be defaced,
altered, or removed.
4-3.1.1.2 Storage Requirements (Location, Construction,
Arrang��-
-J
db�a e 0
a Nonflamnuible Gases Y Quantity; In -Storage, C�onnected,
or Bot
sto"i
1. Source�s in storage locations shall be protected
or located so that cylinders or compressed gases shall
no, be heated to the activation point of integral safety
devices. In no case shall the temperature of the cylinders
exceed 130'F (54'C). Care shall be exercised when han-
dling cylinders that have been exposed to freezing tem-
peratures or containers that contain cryogenic liquids
to prevent injury to the skin.
2.* Enclosures shall be provided for supply systems cylinder
'fold locations for oxidizing agents such
storage or marn
as oxygen and nitrous oxide. Such enclosures shall be
constructed of an assembly of building materials with
a fire -resistive rating of at least I hour and shall not
communicate directly with anesthetizing locations.
Other nonflammable (inert) medical gases may be
stored in the enclosure. Flammable gases shall not be
stored with oxidizing agents. Storage of full or empty
cylinders is permitted. Such enclosures shall serve no
other purpose.
3. Provisions shall be made for racks or fastenings to protect
cylinders from accidental damage or dislocation.
4. The electric installation in storage locations or manifold
enclosures for nonflammable medical gases shall comply
with the standards of NFPA 70, National Electrical Code,
for ordinary locations. Electric wall fixtures, switches,
and receptacles shall be installed in fixed locations not
less than 152 cm (5 ft) above the floor as a precaution
against their physical damage.
5. Storage locations for oxygen and nitrous oxide shall be
kept free of flammable materials [see also 4-3.1.1.2(a) 71.
1999 Edition
��36
HEALTH CARE FACILITIES
6. Cylinders containing compressed gases and containers
for volatile liquids shall be kept away from radiators,
steam piping, and like sources of heat.
7. Combustible materials, such as paper, cardboard, plas-
tics, and fabrics shall not be stored or kept near supply
system cylinders or manifolds containing oxygen or ni-
trous oxide. Racks for cylinder storage shall be permitted
to be of wooden construction. INrappers shall be re-
moved prior to storage.
Exception: Shipping crates or storage cartons for tylinders.
8. When cylinder valve protection caps are supplied, the),
shall be secured tightly in place unless the cylinder is
connected for use.
9. Containers shall not be stored in a tightly closed space
such as a closet [see 8-2.1.2.3(c)].
10. Location of Supply Systems.
a. Except as permitted by 4-3.1.1.2 (a) I Oc, supply systems
for medical gases or mixtures of these gases having
total capacities (connected and in storage) not ex-
ceeding the quantities specified in 4-3.1.1.2(b)l and
2 shall be located outdoors in an enclosure used only
for this purpose or in a room or enclosure used only
for this purpose situated within a building used for
other purposes.
b. Storage facilities that are outside, but adjacent to a
building wall, shall be in accordance with NFPA 50,
Standard for Bulk O)ggen Systems at Consumer Sites.
c. Locations for supply systems shall not be used for
storage purposes other than for containers of nonflain-
mable gases. Storage of full or empty containers shall
be permitted. Other nonflammable medical gas supply
systems or storage locations shall be permitted to be
in the same location %ith oxygen or nitrous oxide or
both. However, care shall be taken to provide adequate
ventilation to dissipate such other gases in order to
prevent the development of oxygen -deficient atmo-
spheres in the event of functioning of cylinder or mani-
fold pressure -relief devices.
d. Air compressors and vacuum pumps shall be located
separately from cylinder patient gas systems or cylinder
storage enclosures. Air compressors shall be installed
in a designated mechanical equipment area, ade-
quately ventilated and with required services.
11. Construction and Arrangement of Supply System Locations.
a. Walls, floors, ceilings, roofs, doors, interior finish,
shelves, racks, and supports of and in the locations
cited in 4-3.1.1.2(a)10a shall be constructed of non-
combustible or limited -combustible materials.
b. Locations for supply systems for oxygen, nitrous oxide,
or mixtures of these gases shall not communicate with
anesthetizing locations or storage locations for flam-
mable anesthetizing agents.
c. Enclosures for supply systems shall be provided with
doors or gates that can be locked.
cl.' Ordinary electrical wall fixtures in supply rooms shall
be installed in fixed locations not less than 5 ft
(1.5 m) above the floor to avoid physical damage.
e. Where enclosures (interior or exterior) for supply sys-
tems are located near sources of heat, such as furnaces,
incinerators, or boiler rooms, they shall be of construc-
tion that protects cylinders from reaching tempera-
1999 Edition
tures exceeding 130'F (54'C). Open electrical
conductors and transformers shall not be located in
close proximity to enclosures. Such enclosures shall
not be located adjacent to storage tanks for flammable
or combustible liquids.
Smoking shall be prohibited in supply system enclo-
sures.
g. Heating shall be by steam, hot water, or other indirect
m MLea�_Cylincler ranires all not exceed 130-F
(549Q.
'C
(b) Additional Storage :Requirements for Nonflamnablee Gasa
t 000 f
K�� �
Greater than 3000ft3 (85 M3).
s s s
stems or aving, a total
capacity of more than 20,000 ft"' (566 M) (NTP),including
unconnected reserves on hand at the site, shall comply
with NFPA 50, Standardfor Bulk O)ggen Systems at Consumer
Sites.
2. Nitrous oxide supply systems or storage locations having
a total capacity of 3200 lb (1452 kg) [28,000 W (793 M3)
(NTP) ] or more, including unconnected reserves on hand
at the site, shall comply with CGA Pamphlet G-8. 1. Standard
for the Installation of Nitrous Oxide Systems at Consitiner Sites.
3. The walls, floors, and ceilings of locations for supply sys-
tems of more than 3000 ft3 (85 M3) total capacity (con-
nected and in storage) separating the supply system
location from other occupancies in a building shall have
a fire resistance rating of at least I hour. This shall also
apply to a common wall or walls of a supply systen location
4. Locations for supply systems of more than 3000 fi" (85 m3)
total capacity (connected and in storage) shall be vented
to the outside by a dedicated mechanical ventilation sys-
tem or by natural venting. If natural venting is used, the
vent opening or openings shall be a minimum of 72 in. 2
"�(0.05 M2) in total free area. i��
(c) Storag-e-7DVgz-Fe-ni-ei7rs7-or-7Vo--nTammable Gases Les5thar 3000
fP (85 m3). Doors to such locations shall be �rovidecl Aith
louvered openings having a minimum of 72 in. (0.05 m 2) in
total free area. Where the location of the supply system door
opens onto an exit access corridor, louvered openings shall
not be used, and the requirements of 4-3.1.1.2(b)3 and 4 and
the dedicated mechanical ventilation system required in
4-3.1.1.2(b)4 shall be complied with.
4-3.1.1.3 Material —Oxygen Compatibility.
(a)* Oxy en system components, including, but not lim-
19
ited to, containers, valves, valve seats, lubricants, fittings, gas-
kets, and interconnecting equipment including hoses, shall
have adequate compatibility with oxygen under the cunditions
of temperature and pressure to which the components may
be exposed in the containment and use of oxygen. Easily
ignitible materials shall be avoided unless they are parts of
equipment or systems that are approved, listed, or proved
suitable by, tests or by past experience.
(b) The provisions of 4-3.1.1.3(a) also apply to nitrous
oxide, oxygen -nitrous oxide mixtures, and to other medical
gas mixtures containing more than 23.5 percent oxygen.
(c) Manufactured assemblies in which are intended to be
piped nitrous oxide or oxygen shall be (1) constructed of
metal, or (2) tested to pass a minimum 200 flarre spread
rating and 200 smoke developed index in accordance with
NFPA 255, Standard Method of Test of Surface Burning Characteris-
Date:
To:
From:
Subject:
[,U *"go] Z-111 � 19111 ��
May 9, 2006
Development Services Lead Marie Harrison
Fire Marshal John J. Westfa.11 425.771.0213
,PC06-141: Birth & Family Clinic TI 2191176 1h Ave W. #106
The following has been reviewed under the 2003 International Codes. Please resubmit
with changes.
1. Your comments for Building Dept #2 response dtd 5/1/06 purport to show lead -lined
partitions on sheet T1. 11 C. I find no sheet numbered as such.
If you mean sheet T2.1 1 C, I see no notation for "lead -lined partitions".
2. Your comments for Building Dept #4 response dtd 5/1/06:
Sheet A2.00: provide notation "For informational purposes only -not approved
for construction.
3. Sheet TO.0 Undelete fire alarm system modification deferred submittal requirement.
4. T2.1 1 C Please evaluate the functionality for doors B1 01 at WAITING area to be
arranged as automatic fire door assemblies held open with smoke detectors
interconnected to building fire alarm system.
5. Sheet T2.12C Add exit signs at matchlines B.3 - 8 and DA - 8
Cc: Mr. Michael Benes fax (425) 774-7803
Assistant Building Official Ann Bullis
City of Edmonds Sb Fire Marshal.
TAYLOR - GREGORY- BUTrERFIELD
L17op" ARCHITECTS
DATE-.' May 1, 2006
REVUE
5 2'1'_;"):1')
BUILDING DEPAPI'V01-1
CITY OF EDIVIOND:Z;!
TO: Ann Bullis, Assistant Building Official, Building Division, City of Edmonds
FROM: Michael Benes
RE: Plan Check: 06-141
Project: Birth and Family Clinic Tenant Improvement
Project Address: 21911 76 th Avenue W
See the following information, corrections, or clarifications as required.
1) Clearly show on the plans that the permit is for the Birth and Family Clinic only, and that Dr. Seto Eye Clinic
and PSASC are under separate permits.
TGB: See marks and notes on Sheet T1. 10.
2) Show location of lead lined partitions at x-ray areas.
TGB: Locations of lead -lined partitions shown on Sheet T1. I I C.
3) Medical gas is listed as a separate permit on the coversheet. For general review purposes, specify which
rooms will have medical gas and what types of gas(es). -
TGB: Medical gas is under a separate Permit Note on Sheet TO.00 has been struck.
4) Is the medical gas room on Sheet A2.0 included with this permit? This medical gas room was removed frorn
the Dr. Seto T.I. until the mechanical system was designed. Are you intending to include it with this permi-?
If so, provide previously requested information from myself and the Fire Marshal.
TGB: Medical gas room is under a separate Permit Sheet A 2.00 is included for informational
purpose only.
5) Will clinic use include more than 5 people incapable of self-preservation? Note on plans under occupancy
on Sheet TO.00
TGB: Clinic use will not include more than 5 people incapable of self-preservation. See note on
TO.00 under Occupancy.
654 5th *Vd'tSouft.'Suite 300,_Edrnonds,WA,98020::`�1 *A;n �,!+�ione--425 778.1530� Fax 425 774.7803 www.TGBArchitects com
Incorporated in the State of Washington
6) Clearly show on Sheet T1.10 that exits are spaced apart minimum 1/3 the overall diagonal dimension of the
tenant space. Show the overall diagonal dimension and dimensioned distance between exits.
TGB: See Sheet TI. 10 for dimensions;
7) Dimension the worst case common path of egress travel (100 feet maximum) to the point where the
occupant has access to 2 exits (corridors are part of the exit access and must be included). IBC 1013.3 exc.
#1.
TGB: See Sheet TI. 10 for Path of Travel notes.
8) Dimension accessible maneuvering distances at waiting room door near checkout area, at door to rooms
Bi 07, 13110, B1 52 and exit door next to 13157.
TGB: Clearances have been shown at all door and areas noted above.
9) A portion of the reception and check-out counters must be accessible per ICCANSI Al 17.1 section 904.
Provide dimensioned details of the counter and cross-reference on the floor plans where they apply.
TGB: See details 2-41T6. 10. Details are cross-referenced on Sheet T2. I I C.
10) Show where plumbing fixture information on Sheet T6. 10 applies. Plumbing is listed as a deferred submittal.
TGB: Plumbing will be a deferred submittal. Plumbing information has been removed from the
drawing set
Sincerely,
Michael Benes
MB/sb
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