DOH review comments 1.pdf
Letter of Transmittal
June 5, 2015
Construction Review Services
111 Israel Rd. SE
Tumwater, WA 98501
PO Box 47852
Olympia, Washington 98504-7852
Address Plans To (internal use only):
Rosewood Courte Memory Care Community
www.doh.wa.gov/crs
Attn: Facility Administrator
tel. 360-236-2944
728 Edmonds Way
fax. 360-236-2321
Edmonds, WA 98020-5126
Project Info:
CRS# 60548773 Project 728 Edmonds Way
Rosewood Courte Memory Care Community location: Edmonds, WA 98020
Chapter 388-78A WAC Assisted Living Facility
Add Nurse Office and Apartment Local Permit #:
Key People:
Assigned DOH Kevin A. Scarlett, RA
Reviewer: kevin.scarlett@doh.wa.gov
Facility Rosewood Courte Memory Care Community Facility Contact: Same as Administrator
Administrator: Patrick Shepard
728 Edmonds Way
Edmonds, WA 98020-5126
(425) 673-2875 x. x.
patrick@rosewoodcourte.com
Architect / Robert Moore Architect Local AHJ: City of Edmonds
Engineer: Robert Moore Leif Bjorback
th
106 Madison Ave N 121 5 Ave N.
Bainbridge Island, WA 98110 Edmonds, WA 98020
(206) 371-5191 x. (425) 771-0220 x.
rmoore@robertmoorearch.com
bjorback@ci.edmonds.wa.us
Consultant: N/A Consultant: N/A
x. x.
Contact: N/A Contact: N/A
x. x.
Copies To:
of Edmonds DOH Child Birth Center Licensing
Local AHJ: City
DOH Office of Investigations & Inspections
Moore Architect
Architect / Engineer: Robert
L&I Electrical Section
/A
Consultant: N
L&I Factory Assembled Structures
/A
Consultant: N
/A
Contact: N
CRS File
/A
Contact: N
Page 1 of 5 Plan Review Comments for Project #60548773
Facility Data Certificate:
Facility Name: Rosewood Courte Memory Care Community Licensee UBI#: 601926961
Site Address: 728 Edmonds Way Critical Access Facility:
Yes No
Edmonds, WA 98020
Estimated Date of Occupancy: Currently Occupied
Occupancy Construction Applicable Code:
R2
Group: Type:
2012 IBC
Number of Current: 43 Added: 2 Removed: 0 Total: 45
Beds:
Automatic Fire Sprinkler System: Yes No Type
Automatic Fire Alarm System: Yes No
Compartmentation reqd: 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:
Put up wall to create office. Convert common area to an apartment.
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 # 60548773
Rosewood Courte Memory Care Community
Chapter 388-78A WAC Assisted Living Facility
Add Nurse Office and Apartment
:
Project Status
- NOT APPROVED -
- REVISE AND RESUBMIT
not approvednot authorized
This project is for use or licensure and construction is to begin.
Authorization to begin construction may be issued once significant issues with the construction documents
have been resolved. The 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. All documents submitted will be retained in our office until all the construction
documents have been received, reviewed, and accepted. When the project is authorized to begin construction,
a complete package of accepted documents will be stamped and signed by the department. One copy will be
returned to the facility administrator to be kept on-site for the duration of construction and one copy will be
retained for our records.
Please note the following:
Please include your CRS number on all communications to Construction Review Services.
The facility may sign an Acknowledge of Risk form if they wish to proceed with construction
without CRS approval.
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 5 Plan Review Comments for Project # 60548773
Rosewood Courte Memory Care Community
Chapter 388-78A WAC Assisted Living Facility
Add Nurse Office and Apartment
Plan Review Comments:
1 Indicate (on plan) where existing Fire Alarm Detection and Notification Devices are
located for both work locations.
2 Indicate (on plan) where existing Fire Sprinkler heads are located for both work
locations.
3 Provide a City of Edmonds Building Permit number for this work.
4 Indicate what the new office space used to be used for.
5 Indicate the type of new doors and their construction details (20min, SCWD, vision panel
in 47, listed closers and locksets, etc).
6 Indicate what wall infill at door construction materials are used (stud spacing, GWB size
& type, etc).
7 Indicate what wall, floor & ceiling finishes will be used, patched, installed new.
8 Indicate what heating & cooling devices will be provided for the new 2 bedroom
apartment and where the thermostat is located.
9 Provide catalog cuts for all new door hardware.
10 Indicate where common space is located for the use of the Memory Care residents in this
West wing (corner).
11 Indicate what corridor wall ratings are intended.
12 Indicate what is provided and intended for window types at existing and new windows in
this project (fixed, sliders, size of openings, screens, etc).
13 Indicate what room furnishings and accessories will be provided in the new resident
room to fully comply with WAC 388-78A (2 towel bars, 2 wardrobes of what size, the
correct number of electrical outlets, etc).
14 Indicate where Nurse Call devices are located.
Page 4 of 5 Plan Review Comments for Project # 60548773
Rosewood Courte Memory Care Community
Chapter 388-78A WAC Assisted Living Facility
Add Nurse Office and Apartment
15 Provide ventilation to comply with 2012 IMC outdoor air requirements.
16 Indicate how you will separate work areas from other residents and maintain work areas
with a negative pressure space. Also, do not allow dust/ debris to enter existing exhaust
and/or return air ducts.
This list of 16 items is not intended to be exhaustive. The owner/applicant must
show compliance with all facility environmental (Building) requirements of WAC
388-78A and resubmit for review prior to any construction starting.
Additional comments may arise upon CRS review of subsequent submittal
materials.
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 # 60548773