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20120130170619174.pdfLetter ®f Transmittal January 30, 2012 Project Info: CRS# 60248186 Swedish Edmonds Chapter 246-320 WAC Hospitals Modular Prefabricated Oncology Clinic Key People: Assigned DOH Mina Zarelli Reviewer: mina.zarelli@doh.wa.gov Facility Swedish Medical Center Administrator: Jim Yates 1221 Madison St Ste 1110 Seattle, WA 98104 (206) 386-6000 x. jim.yates@swedish.org Architect / Perkins & Will Engineer: Brad Hinthorne 1221 2nd Ave Ste 200 Seattle, Wa 98101 (206) 381-6019 x. brad.hinthome@perkinswill.com Consultant: RAD Technology Medical Systems John Lefkus 20801 Biscayne Blvd Ste 403 Aventura, FL 33180 (908) 334-4383 x. john.letkus@rad-technology.com Contact: WA Dept of L&I Terry Kleier (360) 902-5221 x. KLER23 5 @LNI. WA. GOV Copies To: ® Local AHJ: City of Edmonds ® Architect / Engineer: Perkins & Will ® Consultant: RAD Technology Medical Systems ® Consultant: Evergreen Whitley ® Contact: WA Dept of L&I ❑ Contact: N/A ® CRS File FIECEIVED J A 012. DEVEILOMENT SERVICES G 0 U NTE R Project location: Local Permit #: Facility Contact: Local AHJ Consultant: Contact: Washitigtoit State Depadinent Of Health Construction •. Turnwater, WA .0 PO Box 47852 Olympia, Washington 98504-7852 www.doh.wa.gov/crs tel. 360-236-2944 fax. 360-236-2901 21605 76th Ave W Edmonds, WA 98026-7514 Swedish Medical Center Stefan Rehnfeldt 21605 76th Ave W Edmonds, WA 98026-7514 (425) 640-4211 x. stefan.rehnfeldt@swedish.org City of Edmonds Leif Bjorback 121 5th Avenue North Edmonds, WA 98020 (425) 771-0220 x. Bjorback@ci.edmonds.wa.us Evergreen Whitley Dave Ballard (360) 659-7735 x. DaveBallard@whitleyman.com 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 Eckrotb, Electrical Section ® L&I, John Harvey, Factory Assembled Structures Page 1 of 11 Plan Review Comments for Project #60248186 Facility Data Certificate: Facility Name: Swedish Edmonds Site Address: 21605 76th Ave W Edmonds, WA 98026-7514 Estimated Date of Occupancy: 03/01/2012 Licensee UBI#: 178049719 Critical Access Facility: ❑ Yes ❑ No Occupancy B Construction 5-B Applicable Code: 2000 NFPA 101 Group: Type: 2009 IBC 2010 FGI Guidelines W Number of Current: N/A Added: Removed: Total: Beds: Automatic Fire Sprinkler System: ® Yes ❑ No Type 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 O Based on size of common rooms Residents h Maximum allowable licensable beds: Z� W Qualifies for Assisted Living Funding Program ❑ Yes ❑No Number of qualifying units: U 17,000 sf 2-story modular/prefabricated structure on the Swedish Edmonds Campus. Out -patient Cancer Center with exam rooms, infusion bays, pharmacy, lab and support spaces. This will be a modular unit, designed to the IBC of type 5B construction. It will be manufactured offsite and reviewed by the Department of Labor and Industries. q 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 11 Plan Review Comments for Project #60248186 Swedish Edmonds Chapter 246-320 WAC Hospitals Modular Prefabricated Oncology Clinic Project Status*. MW I � I = � This project is not appLoyead 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: ® 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: • Verify that you have resolved all of the comments on this form and have submitted any revisions • Complete the Notification of Construction Completed at: !1!!p : //s ta tic.,dh ,o.,.Nv, a. M) W!i k..... Inutrd.htm ......._. • Email or fax a copy of the approval from the local building department (final pen -nit approval or certificate of occupancy); and V Email or fax a floor plan showing the scope of work. V Email: fsIMIC • Fax: 360-236-2901, Attn: Construction Review Is I - Once your construction project is complete, you may contact the DOH Office of Customer Service (360-236- 4700) for help with adjusting or amending your license to add this project. You can monitor project status at 1 Y R A � Md Q! L I , / I C-r-S - Page 3 of 11 Plan Review Comments for Project # 60248186 Swedish Edmonds Chapter 246-320 WAC Hospitals Modular Prefabricated Oncology Clinic Preliminary Comments Q 0 U Preliminary Conference — 9/8/11 Attendees: Mina Zarelli (mina.zarelli@doh.wa.gov) — Department of Health Brad Hinthorne (brad.hinthorne@perkinswill.com) — Perkins Will The preceding are preliminary comments provided as information and for use preparing the construction documents. These preliminary comments may be revised during subsequent submissions/conferences. Additional preliminary comments may be made during subsequent submissions. T1 Provide furniture plan showing exam table or chairs and fully dimension rooms and clearances. Evaluate use of exam and procedure rooms and fully describe in the functional program. T2 Provide life safety plans showing all rated partitions and general life safety information including locations of exits, horizontal exits, travel distances and exit widths. Review 2000 NFPA 101 Chapter 38 for life safety plan requirements for a Business occupancy. T3 Provide two complete sets of mechanical, plumbing, and electrical plans. 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 T4 Provide two sets of fire alarm and fire sprinkler drawings. WAC 246-320-505 & 2009 IFC Section 903 & 907 T5 Provide a comprehensive functional program for each service within this project. This document shall be prepared by the hospital staff and describe the functions and services affected by the project scope. Generally, descriptions in the functional program should relate to the floor plan. Include all procedures being performed, equipment used, and a narrative of support relationships. Identify locations and types of sedation and medications used. If medication or sedation is not used in this project, then state so in the functional program. WAC 246-320-505(2)(c)(i)(A) & 2010 FGI 1.2-2 T6 Additional comments may follow based on responses and additional information. When referencing drawings in the response letter, provide sheet #, revision # and date as applicable. When referencing the functional program or supplemental information in the response letter, identify specific location of information via page and or paragraph number. Page 4 of 11 Plan Review Comments for Project # 60248186 Swedish Edmonds Chapter 246-320 WAC Hospitals Modular Prefabricated Oncology Clinic Plan Review Comments: El The plans received 10/18/11 were incomplete, however adequate written information was provided in the functional program and project manual to review the project. Verification that all code requirements have been met can be achieved through a site visit prior to project approval. WAC 246-320-505(2)(i) Not Approved 1/26/12 — Schedule a site visit at the project team's convenience to satisfy this comment. 2 Inconsistencies were found between the spec sheets, drawings, project manual and functional program. Provide direction as to which information shall govern in these situations. WAC 246-320-505(2)(c)(ii) Note 1/26/12 — Review of documentation provided was limited to changes made in response to comments. No direction was provided as to which information shall govern when inconsistencies are found. El Provide 1-hour rated stair enclosures at both exit stairs. NFPA 101: 3 8.2.4.2, 7.2.2.5, & 7.1.3.2. Exit enclosure shall provide a continuous protected path of travel to an exit discharge, unless the stair meets the requirements of section 7.7.2. NFPA 101:7.1.3.2.2 Provide revised life safety plan showing location of rated walls, and provide rated door & wall assembly. Doors to exit shall have closers. Approved 1/26/12 — Life safety plans received 12/23/11 and 1/9/12 have been revised to enclose stair with a 1-hour rated enclosure. The east stair will only be enclosed on the first floor meeting the requirements of NFPA 101:7.2.2.5.1.3 4 ❑X Vertical openings, including elevator and mechanical shafts are required to have a 1-hour fire rated enclosure. NFPA 101:38.3.1.1 & 8.2.5.2 Not Approved 1/26/12 — Per note on 5-2.1, all shafts are constructed of studs with 5/8" GWB both sides, etc. Provide construction details for the mechanical shafts and how GWB will be fastened on the inside of the shaft. 5 FX_1 Two complete plans and specifications for the fire alarm system installation or modification shall be submitted for review and approval prior to system installation. Page 5 of 11 Plan Review Comments for Project # 60248186 Swedish Edmonds Chapter 246-320 WAC Hospitals Modular Prefabricated Oncology Clinic Plans and specifications shall include, but not be limited to, a floor plan; location of all alarm -initiating and alarm -signaling devices; alarm -control and trouble -signaling equipment; annunciation; power connection; battery calculations; conductor type and sizes; voltage drop calculations; name, address, and phone number of the agency receiving off -premises transmission of alarm; and the manufacturer, model numbers, and listing information for all equipment, devices, and materials. Incomplete plans and specifications will be returned without review. Plans and specifications may be submitted separately from construction documents during the construction of the project. NFPA 101:38.3.4, WAC 246-320-505 & 2009 IFC Section 907 Approved 1/26/12 — Fire alarm drawings were received 12/23/12 6 ❑X Provide emergency lighting in Waiting room 101. NFPA 101: 38.2.9.1 & 7.9 Approved 1/26/12 — Emergency lighting has been provided per plan received 12/23/12 7 [H] Provide a plan identifying the locations of fire extinguishers on each floor. NFPA 101: 38.3.5 Approved 1/26/12 — Fire extinguishers have been provided per plan received 12/23/12 8 [El It appears that ductwork is penetrating the exit stair enclosure (204) per sheet M2.2. Penetrations into and openings through an exit enclosure are prohibited. NFPA 101: 7.1.3.2.1(e) Approved 1/26/12 — Ductwork has been re-routed per plan received 12/23/12 9 ❑x Clarify the boundary of the exterior canopy. Sprinklers may be required to be installed under exterior roofs or canopies exceeding 4 feet in width. NFPA 13: 5-13.8 Not Approved 1/26/12 — Provide sprinkler coverage at the south canopy. Response received 12/23/12 states that exterior canopy at the south facade complies with NFPA 13: 8.15.7.3(1). Clarify code version referenced. Please note the adopted code is the 1999 version of NFPA 13. Other versions may be accepted on a case by case basis. LAB 10 0 Provide equipment list and detailed floor plan layout for the Blood Draw 108 and Lab 107. Provide furniture and partition layout, dimensioned clearances and any additional information to clarify the function as described in the functional program. Page 6 of 11 Plan Review Comments for Project # 60248186 Swedish Edmonds Chapter 246-320 WAC Hospitals Modular Prefabricated Oncology Clinic FGI 1.4-1.3.1, 2.2-4.1.1.3 Approved 1/26/12 — Lab equipment has been shown on plan received 12/23/12 11 0 Separate Lab 107 from 108 with a door. FGI 3.1-4.1.2.1 Approved 1/26/12 — Door has been added per plan received 12/23/12 12 0 Identify all on -site tests performed in the lab in the functional program. Are urine tests collected at this site? FGI 3.1-4.1.2.2 Approved 1/26/12 — Functional program received 12/23/12 describes lab testing at this location. 13 0 Provide an additional sink in the Lab for handwashing. FGI 3.1-4.1.2.3 Approved 1/26/12 — Per functional program and response received 12/23/12, no additional lab sink is needed. 14 0 Address the quantities of flammables being stored in the lab, the need for emergency shower, storage areas for supplies, and administrative areas. FGI 2.2-4.1.2.4 and 2.2-4.1.6 Approved 1/26/12 — All items above have been addressed in the functional program received 12/23/12 1ST FLOOR 15 0 Provide a furniture plan layout for the waiting/reception space. Maintain 5 ft clear between all furniture. 2010 FGI 3.1-7.2.2.1 Approved 1/26/12 — Furniture layout is shown on plan received 12/23/12 16 0 Clarify the use of the soiled utility room 117. What treatments, procedures and exams are performed on the first floor, that require a flushing hopper? FGI 3.1-3.6.10 Approved 1/26/12 — The hopper is use to dispose of emesis per functional program received 12/23/12 17 0 Identify space for the storage of wheelchairs in the Infusion Treatment Department and on the main floor. FGI 3.1-6.1.7 & 3.6-3.6.11.1 Approved 1/26/12 — Wheelchair storage space has been identified on plan received Page 7 of 11 Plan Review Comments for Project # 60248186 Swedish Edmonds Chapter 246-320 WAC Hospitals Modular Prefabricated Oncology Clinic 12/23/12 18 El Provide information in the functional program related to materials and supplies circulation routes through the building. Address linen/laundry, trash, clean clinical supplies, hazardous waste, etc. Where is the receiving and break down area? FGI 3.1 Sections 5.2.4, 5.32 & 5.41 Approved 1/26/12 — The functional program received 12/23/12 has addressed the above concerns. 19 ❑x Identify location for the storage of office supplies and paper products. These are not allowed to be stored with the clean clinical supplies. FGI 3.1-5.3.3.1 Approved 1/26/12 — Location has been identified in the functional program received 12/23/12 20 EX-1 Identify location for the storage of building maintenance supplies and equipment. FGI 3.1-5.6.3 Approved 1/26/12 — Location has been identified in the functional program received 12/23/12 21 ❑x Provide wall construction details for the acoustic walls at the exam rooms and financial consultation room. Coordinate with the acoustic walls described in the functional program. Provide an STC rating of 50 between the Financial Counseling 217 & public space, and Exam rooms & public space. FGI 1.2-6.1.3 Not Approved 1/26/12 — Provide additional information. Per drawings received 12/23/12, "two layers GWB will be provided to achieve STC 50". This does not provide enough information to ensure STC rating. Provide gage of studs, insulation, stud/GWB height, etc. Do all/any layers of GWB extend to underside of structure? 22 ❑x Provide cut sheets for the rescue hardware to be provided on all restroom doors that swing in from the corridor. Approved 1/26/12 — Rescue hardware cut sheets were received 12/23/12 23 FX-1 Provide visual observation of Infusion bays 241 and 224. FGI 3.6-3.2.4 Approved 1/26/12 — Facility has reviewed the observation and acoustic separation Page 8 of 11 Plan Review Comments for Project # 60248186 Swedish Edmonds Chapter 246-320 WAC Hospitals Modular Prefabricated Oncology Clinic needs and has determined the revised plans received 12/23/12 will provide sufficient patient observation. 24 ❑x Provide visual and acoustical separation between infusion treatment area (bays 241, 240, 239) and public spaces (sub waiting, open stair, and corridor). Infusion areas may be open, but must be separate from administrative and waiting areas. FGI 1.2-2.2.2.5(4) & 3.6-3.2.12 Approved 1/26/12 — Doors have been added to separate per plan received 12/23/12 25 ❑x Provide the following in the Airborne Isolation Infusion room 253: - handwash station in the room, -gowning area directly inside the door -GWB ceiling in the restroom -door and hardware information (closer and edge seals required) -privacy curtain/screen that is smooth & easy to clean -HEPA filter on the exhaust air if mixing with non-AII room air prior to discharge outside. FGI 3.1-3.4.1.2 Approved 1/26/12 — The above information has been provided in the drawings and cut sheets received 12/23/12 Note: Sheet A0.2 show an ACT ceiling in the AII room and restroom. This approval is based on a separate document that shows a GWB ceiling. 26 0 Provide a drinking water dispensing unit separate from the handwash sink at the Nourishment Station 227. FGI 3.6-3.6.7.2 Approved 1/26/12 — Spec received 12/23/12 27 ❑x Identify a separate toilet room on the 2nd floor for staff to use that is convenient to the nurse station. FGI 3.6-3.7.2 Approved 1/26/12 — Location has been identified in the functional program received 12/23/12 28 0 Provide equipment list and detailed floor plan layout for the Pharmacy department on the 2nd floor. Identify the location of the biosafety cabinets, work areas and additional information to clarify the use as described in the functional program. FGI 1.4-1.3.1 Page 9 of 11 Plan Review Comments for Project # 60248186 Swedish Edmonds Chapter 246-320 WAC Hospitals Modular Prefabricated Oncology Clinic Approved 1/26/12 — Equipment layout is provided on plan received 12/23/12 29 El Not enough information was provided to review the pharmacy. Review FGI Section 2.2- 4.2 and provide detailed information on plans or in the functional program for all requirements. Approved 1/26/12 — Additional information was provided on plans and in the functional program received 12/23/12 30 [] Mechanical plans appear to be incomplete. System must provide ventilation to all rooms listed in 2010 FGI Table 7-1. Exam 131 does not have a supply or return in the room. Approved 1/26/12 — Ventilation is provided to all rooms per plans received 12/23/12 31 0 Provide 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, and outdoor ACH. Not Approved 1/26/12 — Review mechanical system to meet the requirements of 2010 FGI Table 7-1. Provide a negative pressure relationship and 12 ACH at Room ISO 253. The column for ACH and outdoor ACH seems incorrect (i.e. restrooms require 10 ACH). 32 El Provide cut sheet for plumbing fixture P4 and P413. If sinks are required for cleaning of equipment and other lab needs, an additional sink shall be provided for handwashing. A double basin sink may be provided in lieu of this requirement. Approved 1/26/12 — Cut sheets were received 12/23/12 33 0 Plumbing fixture P2 has a non -gooseneck faucet. Verify there is adequate clearance for washing hands. A gooseneck type faucet is recommended. Clarify whether there are sensor faucets at all locations per the functional program. Approved 1/26/12 — Per response received 12/23/12, clearance has been verified. 34 IE Per eyewash spec, the manufacturer states that the product may not meet ANSI Z358.1- 2009. This is required by the FGI and maybe required by L&I. Please clarify that this equipment is desired by the facility. DOH does not regulate eyewash locations, and so this equipment may be acceptable. FGI 3.1-8.4.3.7 Approved 1/26/12 — Per response received 12/23/12, eye wash meets ANSI Page 10 of 11 Plan Review Comments for Project # 60248186 Swedish Edmonds Chapter 246-320 WAC Hospitals Modular Prefabricated Oncology Clinic requirement. 35 0 Provide copper tubing is provided for supply connections to ice machines. FGI 3.1-8.4.3.4 Approved 1/26/12 — Per plans received 12/23/12, copper piping will be provided. 36 0 Describe the quantity of medical gases in the facility, both in -use and in storage. Depending upon amount, rated separations may be required. List total number and size of all cylinders throughout the facility (stretchers, storage rooms, etc) WAC 246-320-505(2)(c) Approved 1/26/12 — Per response received 12/23/12, quantities of med gas will not be significant enough to required rated separation. 37 ❑x Identify location for the Bio-safety cabinets. Will makeup air be provided? FGI 3.1- 8.2.4.4 Approved 1/26/12 — Plans received 12/23/12, provide the above information. 38 ❑x Provide details for the air gap where condensate drains into the building drains. Provide connections to drains that are cleanable. FGI 3.1-8.4.2.7 Approved 1/26/12 — Air gap details are shown on plans received 12/23/12. 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 11 of 11 Plan Review Comments for Project # 60248186