20120130170601066.pdfLetter of Transmittal
January 23, 2012
Project Info:
CRS# 60261298
Swedish Edmonds Hospital
Chapter 246-320 WAC Hospitals
Cardiac Imaging Center
Ivey People:
Assigned DOH Mina Zarelli
Reviewer: mina.zarelli@doh.wa.gov
Facility Swedish Edmonds Hospital
Administrator: Stefan Rehnfeldt
Architect /
Engineer:
Consultant:
Contact:
21601 76th Ave W
Edmonds, WA 98026
(425) 640-4211 x.
stefan.rehnfeldt@swedish.org
Collins Woerman
Scott Rice
710 Second Ave, Ste 1400
Seattle, WA 98104
(206) 245-2071 x.
srice@collinswoerman.com
N/A
N/A
X.
X.
Copies To:
® Local AHJ: City of Edmonds
® Architect / Engineer: Collins Woerman
❑ Consultant: N/A
❑ Consultant: N/A
❑ Contact: N/A
❑ Contact: N/A
® CRS File
-' EIVED
w ' 3 2 .
Washington State Department Of
Health
Construction Review Services
310 Israel Rd. SE
Tumwater, WA 98501
PO Box 47852
Olympia, Washington 98504-7852
www.doh.wa.gov/crs
tel. 360-236-2944
fax.360-236-2901
Project 7320 216"' St SW Suite 110
location: Edmonds, WA 98026
Local Permit #:
Facility Contact: Same As Administrator
X.
Local AHJ: City of Edmonds
Leonard Yarberry
121 5th Avenue North
Edmonds, WA 98020
(425) 771-0220 x.
yarben-y@ci.edmonds.wa.us
Consultant: N/A
X.
Contact: N/A
X.
❑ DOH Child Birth Center Licensing
❑ DOH Office of Accommodations & Res. Care Survey
® DOH Office of Investigations & Inspections
❑ DSHS, Div. Of Alcohol & Substance Abuse
❑ DSHS, Aging & Adult Services Admin.
® L&I, Bill Eckroth, Electrical Section
❑ L&I, John Harvey, Factory Assembled Structures
Page 1 of 5 Plan Review Comments for Project #60261298
Facility Data Certificate:
Facility Name: Swedish Edmonds Hospital
Site Address: 7320 216th St SW Suite 110
Edmonds, WA 98026
Estimated Date of Occupancy:
Licensee UBI#: 602997735
Critical Access Facility: ❑ Yes ® No
Occupancy B
Construction
2-B
Applicable Code:
2000 NFPA 101
Group:
Type:
2009 IBC
2010 FGI Guidelines
CA
W
Number of Current:
N/A
Added:
Removed:
Total:
Beds:
>4
Automatic Fire Sprinkler System: ® Yes
❑ No
Type 13
Automatic Fire Alarm System:
® Yes
❑ No
Compartmentation req'd:
❑Yes
®No
Smoke Control System Provided: ❑ Yes ❑No
w
Special Delayed Egress Control:
❑ Yes
®No
Location:
Certificate of Need Required:
❑ Yes
®No
CON Approval Granted:
❑ Yes ❑No
CON Number:
Number of units: Private occupancy: Two person occupancy:
Based on size of rooms used for sleeping Residents
Z
® Based on size of common rooms Residents
H Maximum allowable licensable beds:
z�
UQualifies for Assisted Living Funding Program ❑ Yes ❑No Number of qualifying units:
Remodel of existing unlicensed clinic space into a Cadiovascular Diagnostic Imaging Clinic under the hospital
license.
The data above is based on the information presented to CRS. Any change in the facility or facility program that
causes the above information to be incorrect is subject to review by CRS. Approval for construction is not
approval for licensure. A copy of the facility data certificate will be sent to the licensing agency.
Page 2 of 5 Plan Review Comments for Project #60261298
Swedish Edmonds Hospital
Chapter 246-320 WAC Hospitals
Cardiac Imaging Center
Project Status*.
- Authorized to Begin Construction I
ITTTIIIM�
This project is d for use or licensure. The construction documents have been reviewed and
construction can begin, subject to construction permitting from the local building official.
This project will not be approved until the comments labeled as "not approved" have been resolved by
providing a written response to each of the comments. When referencing drawings or attached materials,
provide sheet or page #, revision # and date as applicable. Additional comments may follow based on design
team response and site inspections may be required to verify compliance.
Please note the following:
IN The stamped "Authorization to Begin Construction" drawings will be delivered to the Facility
Administrator. These shall be kept available on site for inspection during construction and post
occupancy survey.
Any changes/deviations (incl. change orders or addenda) from the stamped documents must be
submitted to the Department for review and approval.
Beginning construction prior to resolving the attached comments will constitute facility
acknowledgement that you are proceeding at your own risk.
Please include your CRS number on all communications to Construction Review Services.
PROJECT CLOSE-OUT REQUIREMENTS You must notify the department when construction is
complete by completing the following steps:
V Verify that you have resolved all of the comments on this form and have submitted any revisions
V Complete the Notification of Construction Completed at:
✓ Email or fax the assigned reviewer (see page 1) a copy of the approval from the local building
department (final permit approval or certificate of occupancy); and
V Email or fax the assigned reviewer a floor plan showing the scope of work.
Contact the DOH Office of Customer Service (360-236-4700) for help with revising your license to
include thjEjjjnitgt.
You can monitor project status at www,(fig:)Ii.wt.gov/(,,�-s.
Page 3 of 5 Plan Review Comments for Project # 60261298
Swedish Edmonds Hospital
Chapter 246-320 WAC Hospitals
Cardiac Imaging Center
Plan Review Comments:
Q o
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U ¢ 2
1 0 Provide two complete plans and specifications for the fire alarm, plumbing, mechanical
and electrical systems for review and approval. Plans shall be coordinated between
disciplines and must be stamped and signed by a Washington State licensed architect or
engineer complying with all applicable codes, regulations, and requirements.
WAC 246-320-505
2 El Provide plans that show emergency lighting, and exit signage.
2000 NFPA 101 Section 7.9 & 7.10.1
3 0 Provide a fire extinguisher at every 75 feet. NFPA 101:9.7.4
4 0 Provide a curtained area for in -room changing in Xray SH217 and NI US 107.
FGI 3.1-1.2.2
0 Provide visual privacy at the Nuclear Imaging waiting room US 100. Per functional
program, this area is used for uptake and patients will be gowned. This waiting room
should not be combined with waiting for other uses (non -gowned patients or guests).
FGI 3.1-1.2.2
6 El Provide an area where patients can hang clothing or secure valuables when changing.
FGI 2.2-3.6.8.2(2)
7 El Clarify what radiation protection will be provided in the Echo and Vascular Rooms. Per
the functional program, radiation protection is provided and the plans do not show any
additional protection. Need more info/WAC 246-320-505(2)(c)
0 Clarify the use of the Nuclear Imaging room as an inpatient infusion area. Will
inpatients be seen at this location or any locations in the clinic? Additional mechanical
system requirements may apply depending on response.
9 0 Identify on the plans, the location of the Infusion Room (#5). Per functional program,
this room is equipped with a recliner, sink, supply storage, and (3) lead lined walls.
10 0 Identify the window from the Nuc Tech Workroom (#7) for viewing patients as
described in the functional program.
Page 4 of 5 Plan Review Comments for Project # 60261298
Swedish Edmonds Hospital
Chapter 246-320 WAC Hospitals
Cardiac Imaging Center
11 ❑x Identify the Changing room (#9) as described in the functional program.
12 0 Provide a space for the storage of a wheelchair, accessible to this department.
FGI 3.1-3.6.11.5
13 ❑x Provide storage for staff s personal effects convenient to individual workstations and
under staff control. FGI 3.1-6.3.1
14 0 Provide a mechanical system plan. Include a mechanical schedule showing that the
mechanical system meets the requirements of 2010 FGI Table 7-1. Provide info on
individual room pressurization, air changes per hour, outdoor ACH, and rooms with
100% exhausted air.
-Ventilation must meet the requirements of Table 7-1 in Part 6 for each space and Table
2.1-2 for the hot lab and treatment room. The waiting room, uptake room, and treatment
rooms shall meet the requirements of a Nuc Med treatment room.
-MERV 14 air filtration must be provided at all diagnostic radiology spaces. Table 6-1
15 El All electrical outlets located within six feet of outside edge of sinks are required to be
GFCI. 2008 NFPA 70 Section 210.8(B)
16 0 Provide a photo or a cut sheet for all of the handwashing sink faucets in this clinic.
These must have wrist blades and be gooseneck or provide similar clearance to meet FGI
3.1-8.4.3.2
Compliance with the comments above provided by the Department of Health, Construction Review Services are necessary for this facility to meet
the requirements of the applicable licensing regulations found in the Washington State Administrative Code and associated references. These
comments do not relieve the facility from the responsibility to meet the requirements of any other applicable federal, state or local regulations.
In the event of conflicts between other jurisdictions and these written comments, the most stringent shall apply.
Page 5 of 5 Plan Review Comments for Project # 60261298