DOH REVIEW.docx
Letter of Transmittal
June 29, 2017
Construction Review Services
111 Israel Rd. SE
Tumwater, WA 98501
Document Delivery Method (internal use only):
PO Box 47852
Electronic Hard Copy Olympia, Washington 98504-7852
Mithun
www.doh.wa.gov/crs
Attn: Rocky Flores
tel. 360-236-2944
st
1201 101 St Ste 200
fax. 360-236-2321
Seattle, WA 98101
Project Info:
CRS# 60630671 Project 21500 72nd Ave W
location: Edmonds, WA 98026-7707
Sunrise of Lynnwood
Chapter 388-78A WAC Assisted Living Facility
Local Permit #:
Facility Remodel
Key People:
Assigned DOH Kevin A. Scarlett, RA, HFDP
Reviewer: kevin.scarlett@doh.wa.gov
Facility Sunrise of Lynnwood Facility Contact: Sunrise of Lynnwood
Administrator: Justin Embry Christopher Matt
21500 72nd Ave W 21500 72nd Ave W
Edmonds, WA 98026-7707 Edmonds, WA 98026-7707
(425) 776-3600 x. (425) 776-3600 x.
lynnwood.ed@sunriseseniorliving.com lynnwood.mc@sunriseseniorliving.com
Architect / Mithun Local AHJ: City of Edmonds
Engineer: Rocky Flores Leif Bjorback
1201 101st St Ste 200 121 5th Ave N.
Seattle, WA 98101 Edmonds, WA 98020-3145
(206) 623-3344 x. (425) 771-0220 x. 1380
rockyf@mithun.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
Architect / Engineer: Mithun
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 #60630671
Facility Data Certificate:
Facility Name: Sunrise of Lynnwood Licensee UBI#: 601272968
Site Address: 21500 72nd Ave W Critical Access Facility: Yes
No
Edmonds, WA 98026-7707
Estimated Date of Occupancy: June 2016
Occupancy R2 Construction 5-A Applicable Code:
Group: Type:
ALL FACILITY TYPES
Number of Current: N/A Added: N/A Removed: N/A Total: N/A
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
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:
RESIDENTIAL CARE
FACILITIES ONLY
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:
Minor remodel of existing ALF (mostly common areas affected). -kas
NOTES
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 # 60630671
Sunrise of Lynnwood
Chapter 388-78A WAC Assisted Living Facility
Facility Remodel
:
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
crs-closeout@doh.wa.gov
certificate of occupancy) to:
crs-closeout@doh.wa.gov
Email a floor plan showing the scope of work to:
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
www.doh.wa.gov/crs
by visiting our website at or simply by pressing Ctrl+Click on the following link......
https://fortress.wa.gov/doh/constructionreviewsearch/
Page 3 of 5 Plan Review Comments for Project # 60630671
Sunrise of Lynnwood
Chapter 388-78A WAC Assisted Living Facility
Facility Remodel
Plan Review Comments:
ID #
Not Approved
Approved
Comment
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 you are not replacing flooring in Spa/Toilet E109.
4 Verify that the new sinks provided will not use spray hoses.
5 Provide a list (specific) for all hard plumbed equipment. Coffee maker/s, Ice machine/s,
beverage dispensers, hot pans, etc..
6 Each piece of hard plumbed equipment must be installed with an RPBA device on the
domestic water supply side. 2012 UPC 601
7 Each piece of hard plumbed equipment must be installed with an indirect waste having a
minimum 1” air gap from the drain pipe/hose to the flood plane of the waste receptacle.
2012 UPC 801
8 Indicate what door/s are to receive special locking devices.
9 Any shower modifications will require an AVB installed at the wall plumbing to hose
connection. Similar at any sink hoses installed. 2012 UPC 603
10 Provide CO detectors in all (each) resident room and in all corridors and common spaces
(suggest 30ft centers along corridor where mfrs data is not available). These may be
individual battery type single station units.
Page 4 of 5 Plan Review Comments for Project # 60630671
Sunrise of Lynnwood
Chapter 388-78A WAC Assisted Living Facility
Facility Remodel
11 Provide GFCI electrical outlets in all ‘kitchenette’ areas, also within 6ft of any sink and
at each dishwasher. NFPA 70
12 Verify that all exit signs provided are equipped with a battery back-up in case of power
loss.
13 Verify that the A2X type light fixtures provided are equipped with a battery back-up in
case of power loss.
14 Provide A2X type light fixtures in each corridor to provide a minimum of 1fc along
egress path (approx. 2 to 4 fixtures each corridor – depending on corridor length).
15 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). This comment will carry with the main
comment file and will remain ‘open’ until construction is complete.
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 # 60630671