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