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20160505150459.pdfLetter of Transmittal �� `' Washington State Department of May 5, 2016 RECEIVED V oll° '-f I th r MAY 0 2016 1 5 Construction Review Services DEVELOPMENT SERVICES 111 Israel Rd. SE COUNTER Tumwater, WA 98501 Document Delivery Method (internal use only): PO Box 47852 ❑ Electronic ® Hard Copy Olympia, Washington 98504-7852 l Providence REC Attn: James Grafton www.doh.w tel. 360-236-236-2 94444 PO Box 24883 fax. 360-236-2321 Seattle, WA 98122 Project Info: CRS# 60640404 Project 21601 76th Ave W Swedish Edmonds location: Edmonds, WA 98026-7507 Chapter 246-320 WAC Hospitals Cardiology Cath Lab and IR Buildout Local Permit #: Key People: Assigned DOH Kevin A. Scarlett, RA, HFDP Reviewer: kevin.scarlett@doh.wa.gov Facility Swedish Edmonds Administrator: Sarah Zabel 21601 76th Ave W Edmonds, WA 98026-7507 (425) 640-4005 x. sarah.zabel@swedish.org Architect / Collins Woerman Engineer: Bruce Lindeke 710 Second Ave Ste 1400 Seattle, WA 98104 (206) 245-2055 x. blindeke@collinswoerman.com Consultant: N/A X. Contact: Swedish Edmonds Jean Doerge (425) 640-4995 x. jean.doerge@swedish.org Copies To: Facility Contact: Providence REC Jim Grafton PO Box 24883 Seattle, WA 98122 (206) 215-3531 x. james.grafton@providence.org Local AHJ: City of Edmonds Leif Bjorback 121 5th Ave N. Edmonds, WA 98020-3145 (425) 771-0220 x. 1380 bjorback@ci.edmonds.wa.us Consultant: N/A X. Contact: Swedish Edmonds Rex Kerby (425) 640-4211 x. rex.kerby@swedish.org ® Local AHJ: City of Edmonds ❑ DOH Child Birth Center Licensing ® Architect / Engineer: Collins Woerman ❑ DOH Office of Investigations & Inspections ❑ Consultant: N/A ❑ L&I Electrical Section ❑ Consultant: N/A ❑ L&I Factory Assembled Structures ® Contact: Swedish Edmonds ® CRS File ® Contact: Swedish Edmonds Page 1 of 6 Plan Review Comments for Project #60640404 Facility luta Certificate: Facility Name: Swedish Edmonds Site Address: 21601 76th Ave W Edmonds, WA 98026-7507 Estimated Date of Occupancy: 08/01/2016 Licensee UBI#: 602997735 Critical Access Facility: ❑ Yes ® No ........... ............... Occupancy I-2 Construction .............................. 1-A Applicable Code: .._.............. 2000 NFPA 101 Group: Type: 2012 IBC 2014 FGI Guidelines pW, Number of Current: N/A Added: N/A Removed: N/A Total: N/A Beds:_ >, Automatic Fire Sprinkler System: _.. .. ..............._ ® Yes ❑ No ..............._........._..... Type 13 1"' a ___ .... Automatic Fire Alarm System. .................... ®Yes ❑ No Compartmentation req'd: ®Yes ❑No Smoke Control System Provided: El Yes ®No aSpecial Delayed Egress Control: ❑ Yes ®No Location: d! ............... . Certificate of Need Required: .......... ❑ Yes ONo .................... CON Approval Granted: ❑Yes N ....... CON Number: Number of units: Private occupancy: Two person occupancy: �.� Based on size of rooms used for sleeping Residents CJ or. O Based on size of common rooms Residents F Maximum allowable licensable beds: .................... __.._.............._......._.................................. AQualifies for Assisted Living Funding Program ❑ Yes ❑No Number of qualifying units: W__............ . ........... .�.................... ..- Project will fill-out/finish the shelled space as a Cath Lab Suite. Two procedure rooms, control, support spaces and pre -post recovery bays. -kas presented WWWWWWWW IT-........ .... _......... - 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 6 Plan Review Comments for Project # 60640404 Swedish Edmonds Chapter 246-320 WAC Hospitals Cardiology Cath Lab and IR Buildout Project Status: - Authorized to Begin Construction — - Comments Not Approved — This project is not approved ved 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: lrt�p.�Aww��^.elr�lt,�v�r.coy^�`rrtificzrt��r�'r'1"�"ra�nr�rletiarn ✓ Email a copy of the approval from the local building department (final permit approval or certificate of occupancy) to c r.s-closeou1Ci)doh.°ry w° ✓ Email a floor plan showing the scope of work to: ers-closcotrt (Iolili.wa, 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 by visiting our website at mrwwdoh.wa.gov/crs or simply by pressing Ctrl+Click on the following link...... ht //fog tress.wa. ov/dohlconstrtictioitreviewsettrch/ Page 3 of 6 Plan Review Comments for Project # 60640404 Swedish Edmonds Chapter 246-320 WAC Hospitals Cardiology Cath Lab and IR Buildout Preliminary Comments ca e E 0 U Preliminary Review — 3/20/16 The following are preliminary comments provided as information and for use preparing the construction documents. These preliminary comments may be revised and/or additional preliminary comments may be made during subsequent submissions. Items Received: Preliminary Architectural Plans (x2), Vendor dwgs, FP. -kas T1 Provide a fully signed ICRA. T2 Provide completed MEP drawings. T3 Electrical should include exit lighting and egress illumination. T4 Indicate HVAC volumes and air pressurization for, along with a general indication of airflow direction of clean to less clean. T5 Provide Med Gas report upon completion of piping installation. 1999 NFPA 99-4-3 T6 Provide an HVAC Tab report upon completion of HVAC system installation. ASHRAE 170 Ch 6 & Table 7-1 T7 Provide GFCI outlets within 6ft of any sink location and at all toilet rooms, T8 Provide Nurse Call devices as required by 2014 FGI. Page 4 of 6 Plan Review Comments for Project # 60640404 Swedish Edmonds Chapter 246-320 WAC Hospitals Cardiology Cath Lab and IR Buildout Plan Review Comments: zV9 b Q ; The following comments do not apply until the full initial plan review is completed by DOH/CRS. o Z Mx Provide two sets of Fire Alarm plans as reviewed and stamped Approved by the local AHJ (City of Edmonds). Drawings must bear the City Approval Stamp including signature and date of review Approval. Upon review of this `stamped Approved' set of plans this comment will be marked Deemed (effectively same as Approved). The submittal shall include all product data cut sheets and applicable calculations for a complete submittal. 2012 IFC 907.1 2 El Provide two sets of Fire Sprinkler plans as reviewed and stamped Approved by the local AHJ (City of Edmonds). Drawings must bear the City Approval Stamp including signature and date of review Approval. Upon review of this `stamped Approved' set of plans this comment will be marked Deemed (effectively same as Approved). The submittal shall include all product data cut sheets and applicable calculations for a complete submittal. 2012 IFC 903.1 [ Contact CRS Senior Plans Reviewer Kevin A. Scarlett (KAS) at 360.236.2949 to schedule Inspection efforts. Plan one initial, one intermediate and one Final Inspection (Final within 2 weeks of project completion). Other DOH/CRS Reviewer interim site visits may occur based on project progression and Reviewer (KAS) availability. This comment will carry with the main comment file and will remain `open' until construction is complete. 4 El Obtain approval for Radiation Shielding from DOH -ORP (Office of Radiation Protection). Please include your CRS # on your submission to Radiation Protection. CRS must obtain a copy of the radiation approval letter before construction approval can be given. Contact DOH -ORP Richard Montemarano at (360) 236-3238 Rieliai-d,Mcr ntej,nkii-ano(rr),(lol,t.wa. or call 1 -800 -299 -XRAY. You may also follow link below to ORP's Plan Review requirements; wwwdoh .w,,)go vXom imp ,11Ayran¢fplnViromm1101It/R,adi4ti((�)TdxR"AylX Ra+)Tqgpkrlwan-tkgJs1,ratitrm;P/XRay FaciIitypl9an Rev iewras1pNx 2010 FGI 2.1-7.2.2.11(1); 2010 FGI 2.2-3.4.1.3 & WAC 246-225-030 5 (] Ref. Sheet M0.02 — Air Balancing Calcs Table (upper left page); Air pressurization (in general) as submitted is not approved. Adjust your airflow to always be clean to less clean. As an example; the Cath Lab & IR rooms need to be P+++; both equip closets should be neg to Cath & IR, Control can be P++ (but N to Cath & IR — but P to Scrub). Airflow in Corridor 113 can be P+ (but negative to Cath & IR — but N to Control). Also, the airflow within the Corridor needs to flow to the Scrub area — suggest more supply at Corridor ends and return above Scrub area. Manager can be P (but N to the Corridor 113). Corridor 112 can be P (but N to 113 & Recovery). Recovery 108 should be P+ (Positive to Corridor 112). The separate recovery room (also 108) may need to be Page 5 of 6 Plan Review Comments for Project # 60640404 Swedish Edmonds Chapter 246-320 WAC Hospitals Cardiology Cath Lab and IR Buildout negative to Main Recovery 108 (if an isolation is needed). The remaining table relationships are approved as submitted. ASHRAE 170 CH 6 & 7 and Table 7.1 6 0 Revise the Plumbing Fixture schedule (Table) on MO.02 to clarify/modify the following. The Table shows 5 emergency eyewashes. Identify where an eyewash is desired (please discuss prior to submission). Revise this Table to show LV2 and delete LV3. 7 0 The revised Smoke Barrier should move to terminate at the Suite entry wall/door just West of grid D. 8 0 Move the Med Gas Zone Valve box (South) to clear the door swing for corridor doors just outside Cath Lab 102. 9 1 Provide a PM plan to check the condition of any Drip Pans. 10 0 Provide a C callout for central pedestal at Cath lab 102 (ref sheet M3.12). 11 0Provide vacuum slides for D callout (ref sheet M3.12). 12 0 Provide B callout in East room 108 (ref sheet M3.11). 13 0 Provide two fixtures LO type as battery back-up, in each procedure room, instead of the X02 wall pack (bug -eyes). 14 M Provide staff assist and code call buttons in both procedure rooms. 15 M Remove the 2 horn strobes in corridor 113. 16 M Add a horn strobe near stretcher alcove 117. Compliance with the comments above provided by the Department of Health, Construction Review Services, are necessary for Phis 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 facilityfrom 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 6 of 6 Plan Review Comments for Project # 60640404