STEVENS HEALTH DEPT APPROVAL LETTER.docx
Letter of Transmittal
June 28, 2017
Construction Review Services
111 Israel Rd. SE
Tumwater, WA 98501
PO Box 47852
Olympia, Washington 98504-7852
Address Plans To (internal use only):
Swedish Edmonds
www.doh.wa.gov/crs
Attn: Facility Administrator
tel. 360-236-2944
21601 76th Ave W
fax. 360-236-2321
Edmonds, WA 98026-7507
Project Info:
CRS# 60574911 Project 21601 76th Ave W
location: Edmonds, WA 98026
Swedish Edmonds
Chapter 246-320 WAC Hospitals
Local Permit #:
Linear Accelerator Replacement
Key People:
Assigned DOH Kevin A. Scarlett, RA
Reviewer: kevin.scarlett@doh.wa.gov
Facility Swedish Edmonds Facility Contact: Swedish Edmonds
Administrator: Jim Yates Jody Elsom
21605 76th Ave W 21605 76th Ave W
Edmonds, WA 98026 Edmonds, WA 98026
(206) 386-6000 x. (206) 349-3244 x.
jim.yates@swedish.org jody@projectplanningpartners.com
Architect / CollinsWoerman Local AHJ: Edmonds, City of
Engineer: Scott Rice Leif Bjorback
nd
710 2 Ave, Ste 1400 121 5th Ave N.
Seattle, WA 98104 Edmonds, WA 98020-3145
(206) 245-2071 x. (425) 771-0220 x.
srice@collinswoerman.com bjorback@ci.edmonds.wa.us
Consultant: Mac Miller Facility Consultant: Sparling
Chris Lee Derek Holdt
th
PO Box 47983 4100 194 St SW
Seattle, WA 98146 Lynnwood, WA 98036
(206) 768-4266 x. (206) 667-0527 x.
chris.lee@macmiller.com dholdt@sparling.com
Contact: N/A Contact: N/A
x. x.
Copies To:
, City of
DOH Child Birth Center Licensing
Local AHJ: Edmonds
DOH Office of Investigations & Inspections
Architect / Engineer: CollinsWoerman
L&I Electrical Section
Miller Facility
Consultant: Mac
L&I Factory Assembled Structures
Consultant: Sparling
/A
Contact: N
CRS File
/A
Contact: N
Page 1 of 4 Plan Review Comments for Project #60574911
Facility Data Certificate:
Facility Name: Swedish Edmonds Licensee UBI#: 602997735
Site Address: 21601 76th Ave W Critical Access Facility: Yes
No
Edmonds, WA 98026
Estimated Date of Occupancy: 09/25/2015
Occupancy B Construction 2-B Applicable Code: 2000 NFPA 101
Group: Type: 2012 IBC
2010 FGI Guidelines
ALL FACILITY TYPES
Number of Current: Added: Removed: Total:
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:
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:
Replacement of existing linear accelerator with new linear accelerator and replacement of existing casework and
finishes.
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 4 Plan Review Comments for Project # 60574911
Swedish Edmonds
Chapter 246-320 WAC Hospitals
Linear Accelerator Replacement
:
Project Status
-Authorization to Begin Construction-
-At Owner’s Risk-
not approvedSubject to construction permitting from the local building
This project is for use or licensure.
official, construction can begin without delay.
Proceeding with construction constitutes facility acknowledgement that it is doing so at its own risk. Initial plan
review of the construction documents may or may not have occurred, however construction may begin, subject to
construction permitting from the local building official.
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.
Please include your CRS number on all communications to Construction Review Services.
You can monitor project status at www.doh.wa.gov/crs.
Once your construction project is complete, you may contact the DOH Office of Customer Service for help
with adjusting or amending your license to add this project. Their telephone number is 360-236-4700.
You can monitor project status at www.doh.wa.gov/crs.
Page 3 of 4 Plan Review Comments for Project # 60574911
Swedish Edmonds
Chapter 246-320 WAC Hospitals
Linear Accelerator Replacement
Plan Review Comments:
ID #
Not Approved
Approved
Comment
1 Approved – 06/25/2015 - The DOH/CRS Plans Reviewer has reviewed and
approved this project. It appears this project is in compliance with applicable
regulations and codes. Provide a copy of any changes made during construction.
When the project is complete, you must complete the project closeout process.
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 4 of 4 Plan Review Comments for Project # 60574911