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DOH review 2 disapproval.pdf Letter of Transmittal July 27, 2015 Construction Review Services 111 Israel Rd. SE Tumwater, WA 98501 PO Box 47852 Olympia, Washington 98504-7852 www.doh.wa.gov/crs tel. 360-236-2944 fax. 360-236-2321 Project Info: CRS# 60536816 Project 7208 210th St SW Cedar View Memory Care location: Edmonds, WA 98026 Chapter 388-78A WAC Assisted Living Facility New 80 Bed Assisted Living Facility Local Permit #: Key People: Assigned DOH Kevin A. Scarlett, RA, HFDP Reviewer: kevin.scarlett@doh.wa.gov Facility Cedar View Memory Care Facility Contact: RJ Development Administrator: Jeff Yates 401 Central St SE Olympia, WA 98501 x. (360) 528-3343 x. jeff@rjdevelopmentservices.com Architect / Richard M. Swanson - Architect Local AHJ: City of Edmonds Engineer: Richard Swanson Leif Bjorback th 7727 Canterwood DR SE 121 5 Ave N Olympia, WA 98513 Edmonds, WA 98020-3145 (360) 438-1145 x. (425) 771-0220 x. 1380 swanson.richard@comcast.net bjorback@ci.edmonds.wa.us Consultant: Encompass Engineering (Civil) Consultant: Alpine Engineering (Structural) Ray Miller Phil Hart 165 NE Juniper St, Ste 201 9297 Government Way, Ste G Issaquah, WA 98027 Hayden, ID 83835 (425) 392-0250 x. (208) 772-2522 x. rmiller@encompasses.net phil@alpineengineering.com Contact: Athay & Associates, Inc (Electrical) Contact: RJ Development Ron Athay Austin Groves, Project Manager rd 411 NE 83 St 401 Central St SE Vancouver, WA 98665 Olympia, WA 98501 (360) 574-0199 x. (360) 528-3343 x. rathay@athayeng.com austin@rjdevelopmentservices.com Copies To: of Edmonds DOH Child Birth Center Licensing Local AHJ: City DOH Office of Investigations & Inspections M. Swanson - Architect Architect / Engineer: Richard DSHS, Residential Care Services Engineering (Civil) Consultant: Encompass L&I Electrical Section Engineering (Structural) Consultant: Alpine L&I Factory Assembled Structures & Associates, Inc (Electrical) Contact: Athay Development Contact: RJ CRS File Page 1 of 11 Plan Review Comments for Project #60536816 Facility Data Certificate: Facility Name: Cedar View Memory Care Licensee UBI#: 603398812 Site Address: 7208 210th St SW Critical Access Facility: Yes No Edmonds, WA 98026 Estimated Date of Occupancy: 05/31/2016 Occupancy Construction Applicable Code: R2 ,S-2 ,B 2-A & 5-A Group: Type: 2012 IBC Number of Current: 0 Added: 80 Removed: 0 Total: 80 Beds: 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 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 Based on size of common rooms Residents Maximum allowable licensable beds: Qualifies for Assisted Living Funding Program Yes No Number of qualifying units: 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 # 60536816 Cedar View Memory Care Chapter 388-78A WAC Assisted Living Facility New 80 Bed Assisted Living Facility : Project Status - Authorized to Begin Construction – - Comments Not Approved – not approved This project is 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 at post occupancy survey. Final licensing approval is subject to a site inspection by DSHS and the Office of the State Fire Marshal to verify compliance with licensing regulations and your approved documents. If stamped approved plans are not available, the site inspection may be terminated until such time they are available as determined by the licensing inspector/surveyor. Any changes/deviations (incl. change orders or addenda) from the stamped documents must be submitted to the Department for review and approval. 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: http://www.doh.wa.gov/NotificationofCompletion.aspx Email a copy of the approval from the local building department (final permit approval or fslcrs@doh.wa.gov certificate of occupancy) to: fslcrs@doh.wa.gov Email a floor plan showing the scope of work to: If you have any questions please contact Construction Review Services at (360) 236-2944. You can monitor project status at www.doh.wa.gov/crs. Page 3 of 11 Plan Review Comments for Project # 60536816 Cedar View Memory Care Chapter 388-78A WAC Assisted Living Facility New 80 Bed Assisted Living Facility Plan Review Comments: 1 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 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 3 Verify that egress path is operationally maintained from Both Main Dining Rooms travelling North thru Life Station rooms. Also, that both sets of doors remain unlocked and operational (actually are not capable of locking) from the Dining Room side at all times. 2012 IBC 1014.2 Not Approved 6/17/15 – based on documents received 5-20-15, Architect references sheets A3.6, A3.7 and A12.2. The egress path of travel shall be maintained from both main dining room doors traveling north through life station rooms and shall remain unlocked and operational from the dining room side at all times. A note has been added to sheets A3.6, A3.7 and A12.2. This comment is approved in concept, but, will remain ‘open’ until this item is inspected in a Final Inspection. Schedule this Final Inspection with CRS Senior Plans Reviewer Kevin A. Scarlett at 360.236.2949 after completing all construction efforts relative to this or other not approved comments. –kas 4 The Occupancies on the ground floor are considered R-2 & S-2. Provide 1hr separation between the two occupancies. Revise documents accordingly including details and callouts for penetrations and opening protections. 2012 IBC Table 508.4 Not Approved 6/17/15 – based on documents received 5-20-15, Architect references details for the penetrations and opening are shown on sheet A2.4. See sheet A0.0 for the revised ground floor occupancy. Page 4 of 11 Plan Review Comments for Project # 60536816 Cedar View Memory Care Chapter 388-78A WAC Assisted Living Facility New 80 Bed Assisted Living Facility leted, Architect still must revise the Code Summary, Occupancy Group – change t IBC Table 721.1 (2). Except for the underlined issue above, this comment is approved in concept, but, will remain ‘open’ until this item (including pipe and damper penetrations) is inspected in a Final Inspection. Schedule this Final Inspection with CRS Senior Plans Reviewer Kevin A. Scarlett at 360.236.2949 after completing all construction efforts relative to this or other not approved comments. –kas 5 Provide 60min door assembly (garage side) of the Elevator 135. 2012 IBC Table 716.5 Approved 6/17/15 – based on documents received 5-20-15, Architect references Sheet A3.1 and A12.2 door 135 has been changed to a 60 minute assembly and frame M8 on the same sheet has been updated. The 60 minute door has been added to the parking side of elevator 135. -kas 6 Verify that this Facility is NOT intending to operate with contracted residential care services. WAC 388-110 Approved 6/17/15 – based on documents received 5-20-15, Architect indicates that this facility is not intending to operate with contracted residential care services. - kas 7 Provide product data sheets for all Fireplaces which demonstrate that all units are low temp and will not be hot to the touch or capable of burning residents, staff or visitors. WAC 388-78A-2700 (2) (a) Approved 6/17/15 – based on documents received 5-20-15, Architect indicates that all fire places are electric and do not get hot enough to burn someone. Only staff members will be allowed to operate the remote control link for “flame and heat” functions of the electrical fireplace. A staff member must be present at all times the heat function is operational and must stay in room after heat function is turned off until such time the fireplace is safe to touch without fear of burn. See the attached electric fireplace cut sheet. –kas 8 Verify that the courtyard doors will remain unlocked at all times for resident use unless outside conditions present a danger to the resident such as icy (slip/fall), excessive heat, lightning, or similar conditions. WAC 388-78A-2380 (9) (a) Approved 6/17/15 – based on documents received 5-20-15, Architect references sheet A12.2 note 19. Yes, courtyard doors are unlocked and remain unlocked at all times for resident use unless outside conditions present a danger to the resident. - Page 5 of 11 Plan Review Comments for Project # 60536816 Cedar View Memory Care Chapter 388-78A WAC Assisted Living Facility New 80 Bed Assisted Living Facility kas 9 Verify roll in showers have a threshold that is ½” maximum.WAC 388-78A-3030(8)(a) Not Approved 6/17/15 – based on documents received 5-20-15, Architect referencessheet A3.4, A3.5, and A9.0 for shower notes. These were previously on the plans. These notes explain the code requirements for shower threshold heights. This comment is approved in concept, but, will remain ‘open’ until this item is inspected in a Final Inspection. Schedule this Final Inspection with CRS Senior Plans Reviewer Kevin A. Scarlett at 360.236.2949 after completing all construction efforts relative to this or other not approved comments. –kas 10 Submit communication system (nurse call) shop drawings that identify a means for staff and residents to summon on-duty emergency assistance, in all toilet rooms, corridors, common areas accessible to residents, bathrooms, resident living rooms and sleeping rooms. WAC 388-78A-2930 Not Approved 6/17/15 – based on documents received 5-20-15, Architect references sheets E9.1, E9.2, and E9.3 Emergency Call System Plan added to the set. This comment is approved in concept, but, will remain ‘open’ until this item is inspected in a Final Inspection. Schedule this Final Inspection with CRS Senior Plans Reviewer Kevin A. Scarlett at 360.236.2949 after completing all construction efforts relative to this or other not approved comments. –kas 11 Revise E4.1 and other applicable drawings to indicate that (2) telephone lines are provided at each phone jack in each resident room. WAC 388-78A-2930(3) Approved 6/17/15 – based on documents received 5-20-15, Architect references E4.1 for updated notes on adding (2) telephone lines per phone jack in each resident room. -kas 12 Provide location on site plan and details for the grease interceptor. Approved 6/17/15 – based on documents received 5-20-15, Architect references sheet C5.0, C7.0 and A1.0 for updated site plans with the grease interceptor. –kas 13 Recommend bollards to protect from vehicular damage at drive side of transformer and just inside gate (center) at generator. Approved 6/17/15 – based on documents received 5-20-15, Architect references sheet A1.0 for added bollards in front of the electrical transformer. –kas 14 Provide details of grease exhaust duct indicating required rating. Use NFPA 96, and Sections 506 and 507, of the International Mechanical Code, as a checklist when Page 6 of 11 Plan Review Comments for Project # 60536816 Cedar View Memory Care Chapter 388-78A WAC Assisted Living Facility New 80 Bed Assisted Living Facility preparing detail drawings. Include at a minimum the following; grease duct size and gauge, clearances between the duct and shaft (or if there is a proposed duct wrap – rated) between fan outlet and the roof and the top of the shaft and the roof. Show locations of cleanouts in the shaft and duct access openings. Include catalog cut sheets and specifications for any rated duct wrap product. WAC 388-78A-2910 and 2850(1)(b), and Section 610, International Fire Code Approved 6/17/15 – based on documents received 5-20-15, Architect references sheet M4.2 detail 1, 2, and 3. These have been revised to show a section through the grease exhaust duct shaft to show details of shaft. -kas 15 Provide information to identify the required backup source of heat in enough common areas to keep all residents adequately warm during interruptions of normal heating operations. WAC 388-78A-2990 (3) Approved 6/17/15 – based on documents received 5-20-15, Architect references aa attached cut sheet for the building backup generato Kohler Generator and ATS Submittal Package.pdf. See notes on sheet E7.5 for additional information. -kas 16 Revise A5.0 and related Mechanical drawings. The exhaust flue for furnaces F5 & F7 appear too close to the intake for RTU-1 (10ft min separation). 2012 IMC 401.4 Approved 6/17/15 – based on documents received 5-20-15, Architect references sheet M3.4 and A5.0 have been coordinated to have the exhaust flues for furnaces -kas 17 Describe in the functional program the policy and procedures for ensuring that poisonous or toxic plants are inaccessible to residents who, based on their diagnosed condition or cognitive disabilities, may ingest or have harmful contact with such plants. WAC 388-78A-3130 Approved 6/17/15 – based on documents received 5-20-15, Architect references an attached revised functional program on policy and procedures for poison or toxic plants so they are inaccessible to residents. -kas 18 Provide specification for curtains, shades or blinds provided for visual privacy in each room. WAC 388-78A-3010(1)(e)(ii) Approved 6/17/15 – based on documents received 5-20-15, Architect references an attachment titled, drapes and blinds, certs. -kas 19 Identify all doors with special locking arrangements (such as keypad with code for egress or similar) and provide selected product information and narrative. All doors are required to meet 2012 IBC Section 1008 and WAC 388-78A-2380. Page 7 of 11 Plan Review Comments for Project # 60536816 Cedar View Memory Care Chapter 388-78A WAC Assisted Living Facility New 80 Bed Assisted Living Facility Not Approved 6/17/15 – based on documents received 5-20-15, Architect indicates that the plans have been revised to show locking arrangements (such as keypad with code for egress or similar). See sheet A2.0 and A12.2. Also, a shop drawing shall be provided before installation. This comment is approved in concept, but, will remain ‘open’ until this item is inspected in a Final Inspection. Schedule this Final Inspection with CRS Senior Plans Reviewer Kevin A. Scarlett at 360.236.2949 after completing all construction efforts relative to this or other not approved comments. –kas 20 Provide exit signs on sheet E2.3; one at SE corner of Corridor 330 with arrow pointing North & one above North door (room side) of Life Station 361. 2012 IBC 1011.1 Approved 6/17/15 – based on documents received 5-20-15, Architect references sheet E2.3 for exist sign in lower corridor. This arrow is pointing West to guide the residents to the closed path of egress. Exit sign has been added to Life Station room # 361. -kas 21 Provide exit signs on sheet E2.3; one at SE corner of Corridor 230 with arrow pointing North & one above North door (room side) of Life Station 260. 2012 IBC 1011.1 Approved 6/17/15 – based on documents received 5-20-15, Architect references sheet E2.2 for exist sign in lower corridor. This arrow is pointing West to guide the residents to the closed path of egress. Exit sign has been added to room 260. -kas 22 Remove exit sign above door to Lobby 100 (garage side) or keep this door unlocked at all times. 2012 IBC 1014.2 (2) Approved 6/17/15 – based on documents received 5-20-15, Architect references sheet A4.1, and E2.1 for removed exit sign in garage leading into Lobby 100. -kas 23 Resolve the dead end corridor at the South end of Lobby 100 (50ft max. to East door exit). Conference 108 doors can move North. 2012 IBC 1018.4 (Exception 2) Approved 6/17/15 – based on documents received 5-20-15, Architect indicates that Sheets A2.0, A3.1, and A 3.6 have been revised to have 50’ max at dead end corridor at the start of the corridor to the door. -kas 24 Provide an exit at the SW end of garage. Two exits are required from this South portion of the garage (more than 29 occupants). Suggest adding a door where sheet E2.1 has indicated an exit sign. 2012 IBC Table 1021.2 (2) Not Approved 6/17/15 – based on documents received 5-20-15, Architect references table 1021.2 (2) only one exit is required for the parking garage and we are currently Page 8 of 11 Plan Review Comments for Project # 60536816 Cedar View Memory Care Chapter 388-78A WAC Assisted Living Facility New 80 Bed Assisted Living Facility providing 2. All exit distances per the code have been met. NOTE: this is an incorrect read of the Code. The current design has a common path of travel exceeded in the SW corner (Table 1014.3). The required travel distances in the tables are exceeded. -kas Approved 7/22/15 – based on documents received 7-22-15, an exit door was added, refer to revised drawings. -kas 25 Include the two Storage rooms 109 & 124 in the S-2 Occupancy. 2012 IBC Table 508.4 Not Approved 6/17/15 – based on documents received 5-20-15, Architect references rooms 109 and 124 equal 848 S.F., so storage space is less than 10% and will remain a This comment was coordinated verbally with City review. This comment will remain not approved until CRS Reviewer can coordinate and confirm City direction. -kas Approved 7/22/15 – based on documents received 7-22-15, developer (RJ) will make the walls around room 124 and 129 have a 1 hr. rating and doors 109A, 110 & 124 will change to be 60 minute. -kas 26 Provide an explanation of what is really intended for the function of rooms 243 & 343. Suggest changing the name of rooms 243 & 343 from ‘Assembly’ to something else. Approved 6/17/15 – based on documents received 5-20-15, Architect indicates that Sheets A3.2, A3.3 and A12.1 have been revised to change the name assembly for Rooms 243 and 343 to Corridor 243 and 343. –kas 27 Provide an indication (explain or identify ‘how’ for all 6 sub-sections of this State Amendment) of how rooms 243 & 343 comply with 2012 IBC 1018.6 (Exception 2). Approved 6/17/15 – based on documents received 5-20-15, Architect indicates that Rooms 243 and 343 have been revised from Assembly room to Corridors and meet all the requirements of Section 1018.6 (Exception 2). a)2.1-Seating area is constructed as required for cor b)2.2-The floor is separated into two smoke compartme c)2.3-Each seating area does not exceed 150 S.F. excluding the corridor width per d)2.4-Total combined seating area does not exceed 300 S.F. excluding corridor e)2.5-Combustible furnishing shall meet international fire code Section 805 –YES f)2.6-Emergency egress lighting is provided – YES -kas 28 Provide catalog cuts for all sinks/showers used, including faucets. WAC 388-78A-3030 Page 9 of 11 Plan Review Comments for Project # 60536816 Cedar View Memory Care Chapter 388-78A WAC Assisted Living Facility New 80 Bed Assisted Living Facility Approved 6/17/15 – based on documents received 5-20-15, Architect references attached cutsheet book for Kitchen; Sinks/showers and faucets are called out on mechanical schedules. -kas 29 Provide an AVB (usually at wall plumbing connection to hose) at all shower hoses and any hose/sink locations. 2012 UPC 602.3 & 603.3.2 Not Approved 6/17/15 – based on documents received 5-20-15, Architect references the Plumbing Fixture Schedule on Sheet M are specified to be provided with a vacuum breaker. This comment is approved in concept, but, will remain ‘open’ until this item is inspected in a Final Inspection. Schedule this Final Inspection with CRS Senior Plans Reviewer Kevin A. Scarlett at 360.236.2949 after completing all construction efforts relative to this or other not approved comments. –kas 30 Provide backflow protection at water supply to hard plumbed devices such as ice machines & beverage machines. Also provide model number of main building Backflow protection device. 2012 UPC 602.2 & 603.3.7 and WAC 388-78A-2950 (2) Not Approved 6/17/15 – based on documents received 5-20-15, Architect references sheet M2.5 Kitchen Equipment Schedule for backflow revision. Back flow protection at water supply and hard plumbed devices such as ice machine & beverage machines are provided and shown on M2.5. The model number of the main building backflow protection device is shown on M4.2. This comment is approved in concept, but, will remain ‘open’ until this item is inspected in a Final Inspection. Schedule this Final Inspection with CRS Senior Plans Reviewer Kevin A. Scarlett at 360.236.2949 after completing all construction efforts relative to this or other not approved comments. –kas 31 Provide product cuts on all washing machines used. WAC 388-78A-3040 (3) Not Approved 6/17/15 – based on documents received 5-20-15, Architect references the water temperature for washing machines is specified on mechanical sheet M2.5 to show commercial laundry at 140degrees and resident use machine at 110 degrees shown on M2.3 and M2.4. See attached washing machine cut sheet. This comment is approved in concept, but, will remain ‘open’ until this item is inspected in a Final Inspection. Schedule this Final Inspection with CRS Senior Plans Reviewer Kevin A. Scarlett at 360.236.2949 after completing all construction efforts relative to this or other not approved comments. –kas Page 10 of 11 Plan Review Comments for Project # 60536816 Cedar View Memory Care Chapter 388-78A WAC Assisted Living Facility New 80 Bed Assisted Living Facility 32 Provide product cuts on all on the dishwasher used. WAC 246-215-04256 (1) Not Approved 6/17/15 – based on documents received 5-20-15, Architect references attached cut sheets and indicates that all dishwashers shall be commercial grade and will have 140 degree water and is shown on mechanical sheet M2.5. This comment is approved in concept, but, will remain ‘open’ until this item is inspected in a Final Inspection. Schedule this Final Inspection with CRS Senior Plans Reviewer Kevin A. Scarlett at 360.236.2949 after completing all construction efforts relative to this or other not approved comments. –kas 33 Provide a Type II hood over the dishwasher. 2012 IMC 507.2.2 Not Approved 6/17/15 – based on documents received 5-20-15, Architect references sheet M3.5 for type II hood at dishwasher. The dishwasher in the kitchen will have a condensate hood as noted in the equipment schedule on FS.01 and M3.5. This comment is approved in concept, but, will remain ‘open’ until this item is inspected in a Final Inspection. Schedule this Final Inspection with CRS Senior Plans Reviewer Kevin A. Scarlett at 360.236.2949 after completing all construction efforts relative to this or other not approved comments. –kas 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 # 60536816