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Home My WebLink AboutBB06 00057 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER 8806 00057 DATE ISSUED: 02/15/2006 345 . 6th Street, Bremerton, WA 98337 (360) 478-5275 Fax: (360) 478-5278 A~~,?ESSOR NUMBER: A!\PLlCANT NAME: , )'~. . OWNER NAME: .~ CONTRACTOR: LENDER NAME: 3967-006-001-0100 ROHWEIN ELECTRIC INC CROMWELL GORDON N JR MD ROHWEIN ELECTRIC INC SUBMITTED: 02/10/2006 VALUATION: $1,000.00 $38.75 2211 $25.19 4580 $4.50 0236 $68.44 Building Permit Plan Review Fee State Surcharge TOTAL FEES: Inspection Requests DCD: Building Inspections L&I: Department of Labor and Industries 2600 CHERRY AVE 1740 RIDDELL RD, BREMERTON, WA 98310 2600 CHERRY AVE STE 202, BREMERTON, WA 9,8310 1740 RIDDELL RD, BREMERTON, WA 98310 ZONING: INST PHONE: (360) 479-1427 PHONE: PHONE: PHONE: SITE ADDRESS: ADDRESS: 08/14/2006 STATUS: ISSUED , and State and Federal laws. DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and Washington Department of Labor and. Industries (L&I) regulations require an asbestos survey be performed to determine whether there are asbestos- containing materials in the work area or structure. The asbestos survey must be conducted by and EPA-certified (AHERA) building inspector (except renovation or owner-occupied single family residences).DCD: For more information, please contact Clean Air Agency through: their web site at www.c1eanair.org or by phone at 800-552-3565 or 206-689-4058. The l&1 web site can be found at www.lnLwa.gov/p-ts/asbestos/asbestos.htm. DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Washington State Building code or of any other ordinance of the City of Bremerton. Permits presuming to give authority to violate or cancel the provisions of the Washington State Building code or other ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the building official from requiring the correction of errors in the construction documents and other data. The building official is APPROVED: Fire Alarm Permit HARRISON OPTIMUM CLINIC-FIRE ALARM INSTAllATION Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: Square Footage: Bid Price from Applicant (360) 473.5870 (360) 415-4000 Fire Inspections HID: Bremerton, Kitsap County Health District PW: Department of Public Works 1 TOTAL (360) 473-5380 (360) 337-5285 (360) 473-5270 This permit shall become null and void if the described and authorized by this permit has not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned at any time after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the.City against any and all responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Law under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use'or occupancy. I have read, and agree to abide by SIGNATURE OF OWNER OR AGENT: PRINTED NAME: CONDITIONS City of Bremerton's approval this application pertains only to the City's regulat ry jurisdiction; and thus compliance with City regulations does not necessarily ensure compliance with federal or state laws. 1. (DCD-01) 2. (DCD-02) ~ I Page 1 of 3 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER 8806 00057 DATE ISSUED: 02/15/2006 345 - 6th Street, Bremerton, WA 98337 (360) 478-5275 Fax: (360) 478-5278 2600 CHERRY AVE 1740 RIDDELL RD, BREMERTON, WA 98310 2600 CHERRY AVE STE 202, BREMERTON, WA 98310 1740 RIDDELL RD, BREMERTON, WA 98310 A~ESSOR NUMBER: 3967-006-001-0100 ZONING: INST SITE ADDRESS: AP~L1CANT NAME: ROHWEIN ELECTRIC INC PHONE: (360) 479-1427 ADDRESS: OW~ER NAME: CROMWELL GORDON N JR MD PHONE: ADDRESS: CONTRACTOR: ROHWEIN ELECTRIC INC PHONE: (360) 479-1427 ADDRESS: LENDER NAME: PHONE: ADDRESS: SUBMITTED: 02/10/2006 APPROVED: 02/15/2006 EXPIRATION: 3. (FIRE-01) 4. (FIRE-07) 5. (FIRE-11) 6. (FIRE-12) 7. (FIRE-21) 8. (FIRE-22) 9. (FIRE-27) 10. (FIRE-30) 08/14/2006 STATUS: ISSUED also authorized to prevent occupancy or use of a structure where in violation of the Washington State Building code or of any other ordinances of the City of Bremerton. FIRE: Fire Protection systems shall comply with: International Fire Code-IFC International Building Code-IBC National Fire Protection Assoc.-NFPA Bremerton Municipal Code-BMC FIRE: No Double Keyed Deadbolts. On required exit doors, doors are not allowed to be secured with locks requiring a key from the inside to open the lock. IFC 1008.1.8.3 (2.3) Fire: Copies of fire ordinances and Bremerton Municipal Codes are available at the City's website, www.ci.bremerton.wa.us. To reach Scott Rappleye, call 360-473-5384 or e-mail at Scott.Rappleye@ci.bremerton.wa.us. To reach Mike Six, call 473-5284 or Michael. Six@ci.bremerton.wa.us FIRE: Address numbers shall be sized depending on the distance of the building, from the street: 0-50' from the street :Number size shall be 6-12" minimum height; 50' to 100' from street: Number size shall be 12-18" minimum height; Greater than 100' from street: Number size shall be 18-24" minimum height; I FC/BMC 505.1.1 FIRE: Provide Fire Extinguishers per IFC Section 906. FIRE: Knox Box: A Knox Box is required to provide Fire Department Access: Commercial: 3200 series Knox Box Commercial: (>10 keys/elevator) 4400 Knox Vault Commercial: (multi-story/MSDS sheets, Pre-fire plans, Haz-Mat data, Key Storage) require1300 series Knox Cabinet Gates:w/ occupants behind gate. Opticom/Knox key switch 3500 series. Gates:w/out occupants behind Knox Padlock 3750 series. Residential: 1650 series Knox Box (<5 units) IFe 506.1 Fire: Exits shall m'eet all requirements of 2003 International Building Code Chapter 10. FIRE: Identification. Fire protection equipment shall be identified in an approved manner. Rooms containing controls for air-conditioning,systems, sprinkler risers and valves, or other fire detection, suppression or control elements shall be identified for the use of the fire department. Approved signs required to identify fire protection equipment and equipment location, shall be constructed of durable materials, permanently installed and readily visible. IFC510.1 FIRE: All Fire Alarm systems shall be pretested prior to scheduling an inspection with the Fire Marshals office. All Pretest record shall be made available to Fire Marshal at the time of inspection. FIRE: Conduct safety meetings with all employees, showing the evacuation plan, locations of fire alarm panels, sprinkler system, extinguishers and all exits. FIRE: Fire Alarm System shall be designed, installed, tested and maintained in accordance to NFPA 72. IFC Section 907 FIRE: L&I electrical certification-Shall be provided for both electric and fire alarm panels prior to final occupancy. ~ ~ ? Page 2 of 3 ~SESSOR NUMBER: AfPLlCANT NAME: OWNER NAME: \, CONTRACTOR: LENDER NAME: SUBMITTED: 11. (FIRE-32) 12. (FIRE-36) CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER 8806 00057 DATE ISSUED: 02/15/2006 345 . 6th Street, Bremerton, WA 98337 (360) 478-5275 Fax: (360) 478-5278 3967-006-001-0100 ROHWEIN ELECTRIC INC CROMWELL GORDON N JR MD ROHWEIN ELECTRIC INC ZONING: INST PHONE: (360) 479-1427 PHONE: PHONE: (360) 479-1427 PHONE: FIRE: Building Plans on CD-Provide building plans on CD to be used as needed for pre-fire planning. FIRE: Alterations/Repairs/Additions: Existing structures shall be considered new construction if the cost of alterations/repairs/additions exceeds 50% of the county assessed valuation over a 70 month timeframe. At that time the entire building is required to meet the current codes. MINIMUM INSPECTIONS REQUIRED Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478.5275 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. . 02/10/2006 APPROVED: 02/15/2006 Electrical (State of Washington) Final Inspection - Fire SITE ADDRESS: ADDRESS: ADDRESS: ADDRESS: ADDRESS: EXPIRATION: 2600 CHERRY AVE 1740 RIDDELL RD, BREMERTON, WA 98310 2600 CHERRY AVE STE 202, BREMERTON, WA 98310 1740 RIDDELL RD, BREMERTON, WA 98310 08/14/2006 STATUS: ISSUED '- Page 3 013 . Building Permit AppIicatio~ 1;\ City of Bremerton, WA 98337 Phone: (360) 478-5275 Fax: (360) 478~5278 '.. , ,C>~ O()05"1 APPLICA1'IT: DOWNER S-CONTRACTOR DAUTHORIZED ENT - ,IV 5T Cp.JJ-S Tax .\.ccount ~umber. I' Sict: .\.Jdress: Ot~DO t-~ fiNe.. ~~, tJJA CjK3\D Ownt:=:: H-tt.r'(\E,frV\. M-e..A..tt...cJ..J u...-t-t..V r>v~\ w~ 'i&310 Cuuc::l.ctor: t<.'t>hw~V\. f:1-e...c..{.y,"c.. ,~c.... ' .\ddress: ~. 30'1 'Br w~ '1~3'O Conrr:J.ccor License;:;:: -=RDI-\-w~r ~~D &'5. : Expir:J.rion Dace: .\ddress: .;l. 5 OU) Cj\..Q._~'V' LJ Ave. 11 c+c 'J.J c;; l2..'d d .ej ( 1(0 a.d . 'DW~fn) I . ~ Check the type of application for beloe8a ~ ~~o ~ ~r. H1J7f01 U I7J FEB 1 0 2006 (';/1//1 c o SF RESIDEl\j"TIAL NEW 0 COl\'liVfERCIAL NEW 0 GARAGFC BREMERTON-DEPT. OF o DCPLE.~ 0 COMl\-fERCIAL RE~fODEL 0 ACCESSoi~..M~~ DEVELOPMENT o "'L~'WFACTURED HOME 0 COl\iLyfERCIAL ADDITION 0 SIGN o RESIDENTL-li. REMODEL 0 COMl\-IERICAL REPAIR DDEl\'lO o RESIDENTIAL ADDITION 0 ),iIULTI-F--\....'YHL Y 0 GRADING (Cubic yards: o RESIDENTIAL REP.<\IR ;&t TENAJ.'\iT I~fPROVE~fENT 0 OTHER: Scope of Work Proposed: 'f",v-e.. F\lCLVvY\. ~bS~-e..I'V\- A-JA..\:-h'bn.'s -f-n ~1'3~ S ~f.,-t.e.-N\ +c 0..(.. C-o WL-o d~ U-~ ) YV\..fY t)\J~ c:.....k;e..s Square Footage: D\veiling: Ga.r:tge: Decks: IS THIS PROPERTY WITHIN 200 FEET OF.-\ SHORELINE? YES NO X_ Valuation .:; I, ODD. - , Plan Review Fee i d. S~l 4 Permit fee .:;;;? (/ '1 0 J Q . I Surc~es i ,E1'i~. S5Q.0f}-- : : State: 3 -1-.50 r."TotalFees 8' 4- f- r :\pplic::uions for which no pennit is issued within 180 days following the date of .lpplication 3hall expire by limitation. .ma ?l..ll1o .lOd other data submitted foc review may thereafter be rerurned to the applicant or destroyed by the building official. The ouddin:; oificial may extend the time for .lction by the .lpplicant for .1 period not exceeding 180 days on request by the .lpplic:J.nt ;huw;n~ chat circumstances beyond the control of the applicant have prevented olcrion from being taken. No applicant shall be ;:xceno<:u more chan once. In order to renew action on an olpplication after expiration, the applicant shall resubmit plans and pay .1 new ?iJ./1 re..;e-;v fee. .APPLICkVPS SrGNATURE:~ ~. DATE: &-/ '1} ()~ CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT Receipt Number: BDD0005728 .... ,..itch.... 345 - 6th Street, Suite 600, Bremerton, WA 98337-1873 (360) 473-5275 Fax: (360) 473-5278 ~21~bu6 .m__~ .44 .ttw,,4t;: .'Permj{ "Fi~ De~#fiption ttw, .s . ~ _._ BB06 00057 Plan Review Fee 4' ~eceipt # . rpayme'J:lt,. Method .. '#' <. N...... l<'~' . CHECK .- v~ C~hjer:;:VWQI!F::c ',;:::' v/' C 44 ~~w .. !'.:. \44: "'~:l IO~~EIN~EL!t~RIS. ., 4;~~~-~~~ - '!!T .~ ran - ' ,4t;: Cod u,~' ,- ',* - .,q;'. .~ ~OriginaliFei' _M C Amount J: . . * ", . $25.19 Total: ,~ 1/4580 .,. :I. . it: :0<< IAm,ount paTd 4\: 'LReceipt Dat. - -4\> :-\ !;~ reviWus.;~ayme ritlR istory11' . I Fe~ Descrid1lpn 44 11 44 44 ,.,-~ J+, At. C~ck . A:-' Number:-- ',' Jr" 1912 Total: .~ayment Am9}Wt $ 25.19 $25.19 '#1' An1'ountq, .':' PaiCk .C , ,. ,,",;:;Fee- ~. B.ce ...,>~*'''',~ $25.19 $25.19 $0.00 :4\' Permit # -. Page 1 of 1 Rohwein Electric, Inc. 1740 NE Riddell Road, Suite 309 Bremerton, WA 98310 (360) 479-1427 FAX (360) 479-1431 fDl~@~D\C~[W LnJ FEB 1 0 2006 BREMERTON-DEPT. OF COMMUNITY DEVELOPMENT OPTIMUM CLINIC RENOVATION PR~. Bf. T -~ <._~;;;.~;; 2520 CHERRY AVE. t".l~. BREMERTON, W A 98310. "Oil ~~~ ~~APPROVI:D ~ (r- 0 ~ 1%12:6 ~ / 6500 ---if'oS1 FIRE ALARM SYSTEM SUBMITTAL INFORMATION ROHWEIN ELECTRIC, INC. OPTIMUM CLINIC RENOV AllON PROJECT 2520 CHERRY AVE. BREMERTON, WA 98310 SUBMITTAL FOR FIRE ALARM SYSTEM, PRODUCT DATA Horn/Strobe System Sensor, P1224MC Strobe System Sensor, S1224MC Heat Detector Chemtronics 601 Smoke Detector System Sensor, 100 Series I hereby certifY that the equipment and/or material shown and marked in this submittal is that proposed to be incorporated into Optimum Clinic Renovation Project and is in compliance with the project requirements, is compatible with the existing equipment, can be installed in the allocated spaces, and is hereby submitted for approval. CertifiedbY:t~ For: Jo ee Stnckland Project Manager ~ 't /OCp . Date Models Available Strobes Red ~ S1224MC White S1224MCW Horn/Strobes Red > P1224MC White P1224MCW Product Overview Operates on either 12V or 24V Widest range of candela options: 12V: 15 and 15/75 candela 24V: 15, 15/75, 30, 75, 110 candela Easy candela selection Lower current draw Easy DIP switch selection for horn options Easy mounting with QLiickCllck'" Synchronizable with MOL Sync.Circuit'M module Meets UL.1971, NFPA72, and ADA signaling requirements The models P1224MC, P1224MCW, S1224MC, and S1224MCW Incorporate a new patent-pending voltage booster design that has a more consistent flash bulb voltage over the range of candela selections. The benefit to the customer is a high quality strobe device. @ LISTED CS549Y602NK17954 1= -.. 7125-1209:222 ~ 7135-1209:223 3014150 @ MEA .pproved 122-0U 12~ SpectrAlertQll Selectable Output Strobes and Horn/Strobes offer enhanced features that include the widest range of candela options available and the capability to rec- ognize and self-adjust for either 12 or 24 volt operation. With an overall feature set that combines performance, Installation ease, flexibility, and a consistent, aestheti- cally pleasing appe.arance, the SpectrAlert Selectable Output devices provide both the innovation and efficiency synonymous with the SpectrAlert name. Performance. SpectrAlert selectable candela wall-mount strobes and horn/strobes offer key performance features long associated with the SpectrAlert name. The select- able candela strobes and horn/strobes offer average current draws that are not only lower than conventional fixed-candela SpectrAlert products, but also lower than simi- lar selectable candela products. By consuming less current, the ability to connect even more devices per loop is possible, resulting in a lower installed cost. Installation. SpectrAlert selectable candela strobes and horn/strobes offer the same installation-friendly features synonymous with the SpectrAlert name, such as the option of 2- and 4-wire operation; the ability to use standard size backboxes with no encroachment into the box; and, universal mounting incorporating the labor-saving QuickClickTW feature. Such labor-savings features make wire connections simple and fast, further reducing installed cost. Flexibility. SpectrAlert multi-candela strobes and horn/strobes offer the broadest range of candela options. In addition, the selectable candela strobes and horn/strobes can operate on either 12V or 24V, with no setting required; the device recognizes and self-adjusts to the correct current automatically. Temporal 3 or Continuous tone options continue to be available, in either an Electro-Mechanical or 3kHz pattern. Aesthetics. SpectrAlert selectable candela strobes and horn/strobes incorporate the same stylish, low profile design of the conventional SpectrAlert products, for a consis- tent and aesthetically pleasing appearance across the entire product line. Engineering Speclftcatlons General SpectrAlert horns, strobes and horn/strobes shall be capa- ble of mounting to a standard 4" x 4"x 11/2" back box or a single gang 2" x 4" X F/8" back box using the universal mounting plate included with each SpectrAlert product. Also, SpectrAlert products, when used in conjunction with the accessory Sync-Circuit Module, shall be pow- ered from a non-coded power supply and shall operate on 12 or 24 volts. 12 volt rated devices shall have an operating voltage range of 10.5-17.5 volts. 24-volt rated devices shall have an operating voltage range or 17-33 volts. SpectrAlert products shall have an operating tem- perature of 320 to 1200P and operate from a regulated DC or full wave rectified, unfiltered power supply. Strobe Strobe shall be a System Sensor SpectrAlert Model listed to UL 1971 and be approved for fire protective service. The strobe shall be wired as a primary signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible signaling applianc- es, flashing at 1Hz over the strobe's entire operating volt- age range. The strobe light shall consist of a xenon flash tube and associated lens/reflector system. Specifications Horn/Strobe Combination Horn/Strobe shall be a System Sensor SpectrAlert Model listed to UL 1971 and.UL 464 and shall be approved for fire protective service. Horn/strobe shall be wired as a primary signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible signaling appliances, flashing at 1Hz over the strobe's entire operating voltage range. The strobe light shall consist of a xenon flash tube and associated lens/reflector system. The horn shall have two tone options, two audibility options (at 24 volts) and the option to switch between a temporal 3 pattern and a non-temporal continuous pattern. Strobes shall be powered independently of the sounder with the removal of factory installed jumper wires. The horn on horn/strobe models shall operate on a coded or non-coded power supply (the strobe must be powered continuously). Synchronization Module Module shall be a System Sensor Sync-Circuit listed to UL 464 and shall be approved for fire protective service. The module shall synchronize SpectrAlert strobes at 1Hz and horns at temporal 3. Also, the module shall silence the horns on horn/strobe models, while operating the strobes, over a single pair of wires. The module shall be capable of mounting to a 411116" x 411116" X 21/8" back box and shall control two Style Y (class B) or one Style Z (class A) circuit. Module shall be capable of multiple zone synchronization by daisy chaining multiple modules together and re-synchronizing each other along the chain, The module shall not operate on a coded power supply. \j;!llk Test SpectrAlert horn/strobe and horn only work on 'walk tests' with time durations of 4 seconds or greater Weight. strobe and horn/strobe 8.8 oz. Mounting 4" x 4" x 11/2" or 2" x 4" x 17/s" standard boxes !....\l)u:. Ter/,1Inl.I!:-.J Voltages 12 or 24VDC and FWR unfiltered Operating voitage range*" 12V: 9.5-17.5V; 24V: 16-33V Operating vOltage rdnge* (with Sync"Clrcult module, MOL) 12V: 10.5-17.5V; 24V: 17-33V *Note for Strobes: Do not exceed; 1) 16-33 or 9.5- 17.5 voltage range limit; 2) maximum number of 70 strobe lights when connecting the MOL Sync module with a maximum line Impedance of 4 ohms per loop and;' 3) maximum line Impedance as required by the fire alarm control manufacturer U.S. Patent Numbers 5,593,569 5,914,665 6,049,446 12 to 18 AWG Dimensions Strobr~ ar1d horn/strobe wit)1 universal plate 5" x 55/s" x 215/16' Str0Ge and tlOrnjstrobe with sma/! footprint plate 33/s" x 55/s' x 25/10" Horn Vv lth universai 11lounting ptate 5" x 55/8" X 15/1S" Hum wit!lout mounting plate 2'5/16' x 55/1." x 15/1s" ~\Jeighi . horn ot~ly 7.2 oz. indoor Operating Temperalure 320F to 1200F (OOC to 490C) Maximum humidity 95% 8S tested per Ul464 Weatherproof (110m and horn/ strobes) Operating Temperature 320F to 1500F (OOC to 660C) (outdoor strobe only) -4{)oF to 15soF (-40"C to 700q ULC Canadian Models -40oC to 660C SpectrAlert Current Draw Tables Strobe Only _.._--~.-..~._----_._----._---_.__.-.-----._----_._.__.--.------.-..-----.-------------.,.-----------------------..-----"----------------___"0.____."-. '!'\,L:.kAbE t\'I~AN CLJhRENI lIW\] PEAh CURRENT ~Il"""; iN RUSH CUHRE:NT I"'AI A1.A~Y l<.L2.4:Y. ~ A~ ~U2.Y: A.U~ 9.SV 12V 17.5V 16V 24V 33V 9.5V 12V :L7,5V 161< 24V 33V 9.5\1 12V 17,5V 16V 2"-1/ 33V Cdndr:!il DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR 15 99 84 65 59 49 44 52 47 42 38 40 38 221 227 174 159 155 135 15 137 129 165 133 301 62 49 79 87 91 129 91 117 133 177 189 265 15/75 119 in 79 69 58 52 62 55 48 43 44 41 NA NA NA NA N~ NA 9 194 159 206 155 322 NA NA NA NA NA NA 89 119 131 175 177 253 30 NA NA NA NA NA NA 80 87 57 68 53 58 243 578 175 254 147 194 5 206 129 170 127 330 47 51 61 79 93 121 63 1071:2 171 165 253 75 NA NA NA NA NA NA 144 130 100 90 81 72 NA NA NA NA NA NA 0 534 251 430 217 518 NA NA NA NA NA NA 77 115 119 175 183 255 110 NA NA NA NA NA NA 194 171 130 118 103 93 NA NA NA NA NA NA 6 506 314 370 270 434 NA NA NA NA NA NA 95 113 131 181 181 247 Horn/Strobe 1.5cd: Dc:aU!1 Selects AVERAGE MEAN CURRENT (mAl &.12l!. ~ High/Low Terr,p 9.5V 12V 17 .5V 16V 24V 33V ~ ",n~ VOll.......\/':: Non DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR Electro- High Temo 104 87 72 65 59 52 62 55 58 50 58 53 mech. Non 109 92 80 71 69 61 71 63 6g 61 74 67 Low Temo 102 87 70 62 56 50 58 53 53 46 53 49 Non 104 89 73 86 61 54 63 57 !>II 52 63 58 3000 Hz High Tomo 105 89 73 66 60 54 63 56 6Q 52 59 55 Interrupt. Non 111 94 82 73 73 64 74 65 73 65 77 71 Low T8mo 103 87 70 83 57 51 59 53 54 47 54 51 Non 105 89 74 67 ~ 56 64 58 61 54 66 60 Horn/Strobe 1.5/75cd: Detaul~ Selects AVER~,GE MEAN CURRENT (mA) (\J.J.2',i Al~ H1eh/l.ow Temp 9.5V 1.2V 17.5\/ 16V 24V 33V 1~!le \ o;u~ne ' Non DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR Electro- High Temb 124 U4 86 75 68 60 72 83 64 55 62 56 mech. Non 129 119 94 81 78 69 81 71 75 66 78 70 Low Temb 122 U4 84 72 65 58 68 81 59 51 57 52 Non 124 116 87 76 70 82 73 65 84 57 67 61 3000 Hz High Temb 125 116 87 76 69 62 73 64 68 57 63 58 Interrupt. Non 131 121 96 83" 82 72 64 73 79 70 81 74 Low Temb 123 U4 84 73 66 59 69 61 60 52 58 54 Non 125 116 88 77 72 64 74 66 67 59 70 63 Horn/Strobe 3Ocd: Horn/strobe 75cd: Ct-:')I':; "O.c .',;.~" ~~~'l,'\Gf '.IEIt'i ,~L?"~:.' ,n"" ~L~~\: r'..t:i),LI)',\ 7e"''P !G\I 24V 33\' "la,'" '':.::nlil\1t:: '~un DC fW. DC fWR DC fWR Elect~ HII" rom_ 90 93 73 eo 71 7) mech. Non 99 101 84 91 87 87 low rom. 86 91 88 7e 88 e9 Non 91 95 73 82 78 78 3000 Hz HII" r_ 91 94 75 82 72 7' Interrupt. Non 0210388 95 90 91 Law rom. 87 91 89 77 87 71 Non 92 98 78 84 79 80 r.kftolllt Sal(lq{s WE'F. \m Me \:>. C:....?F'l::~T, 'v. Tone Electro- Iftth mech. low 3000 Hz Hie" InlemIIJt. Low Horn/Strobe 1.1.0cd: [jdNJI~ ~!:l;e(.ts '~\;:<>"'('J;:. \H'~", GJf:>~e:"''' i"'l/" ,M...2~,{ ~I;;,I'. L0'.\ 7':.':'\'iP -;,6\1 :.!4V 33\/ lone \',,:Url\; 'Non DC fWR DC fWR DC fW. Electro- HI," rom 204 17910 13 108 mech. Non 213 187 27 0 3 122 Low rom. 200 177 10 12 10.4 Non = 181 10 13 2 113 3000 Hz HI'" r_ 20" 1BO 10 132 2 110 InteI'Tupt. N.n 216 189 161 1.. 126 Low rom. 201 17710 127 1 108 Non 206 162 10' 1~ 115 Sound Output Guide Default Selects UL Reverberant Room d8A@ volts DC 2.S. .u .1Z.S. .u. M II Temporal Low Volume' Electromechanical 70' 74' 76 76 80 81 3000 Hz Interrupted 71' 75 78 77 80 82 High Volume Electromechanical 76 79 81 81 82 84 3000Hz Interrupted 77 81 83 82 84 85 Low Volume Electromechanical 75 78 81 81 84 86 3000 Hz Interrupted 76 79 83 82 85 87 High Volume Electromechanical 80 83 86 85 87 88 3000 Hz Interrupted 81 85 87 86 88 88 'This tone only suitable for private mode use at rated voltage as tested by UL. NOIl- Temporal Current Draw M.....rements (Average RMS Method) Note: The 12V 15/75 cd strobe was only tested at the 9.5-17.5 volt-FWR/DC limits. All other 12V strobes were only tested at the 8-17.5 volt-FWR/DC limits. A1124V strobes were only tested at the 16-33 volt-FWR/DC limits. This does not include the 80% low end or 110% high end voltage limits. Strobe Only: AVERAGE RMS CURRENT (mAl 61.12.\1, ~-\' 9.5V 12V n.5V 16V 24V 33V C::mdele DC FWR DC FWR' DC FWR DC FWR DC FWR DC FWR 15 105 110 74 77 56 63 60 65 47 58 44 59 1575 124 149 89 89 67 72 72 75 55 64 49 64 30 NA NA NA NA NA NA 92 111 67 96 59 89 75 NA NA NA NA NA NA 161 161 117 121 94 106 110 NA NA NA NA NA NA 210 209 150 151 120 131 Horn/Strobe l.Scd: Default Selects AVERAGE RMS CLlRRENT (mA) &.12)[ e.~ High/Low Temp 9.5V 12V H.SV 16V 24V 33V Tor.e VOlume INon DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR Electro- High Temo 112 117 85 87 71 77 74 78 66 77 69 83 mech. Non 120 124 96 97 66 91 88 91 84 95 91 104 Low TeInD 109 114 80 83 65 72 68 73 58 70 66 76 Non 112 117 85 68 72 79 75 79 67 80 74 88 3000 Hz High T8mb 114 118 86 68 72 78 75 79 67 79 72 85 Interrupt. Non 122 125 98 99 89 94 91 93 88 98 94 107 low Temo 109 114 81 84 66 72 69 74 59 71 62 76 Non 113 118 86 89 73 80 76 '81 70 82 77 91 Horn/strobe 1.5/75cd: Default Selects AVERAGE RMS CURRENT (mA\ ~ ~ High/Low Temp 9.5V 12V l7.5V l6V 24V 33V ione Volume /Non DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR Electro- High Temo 131 156 1M 99 62 86 86 I.... 74 83 74 88 mech. Non 139 163 1U 109 97 100 ill< 101 92 101 96 109 Low Temb 128 153 95 95 76 81 80 83 66 76 71 81 Non 131 156 100 100 83 88 87 89 75 86 79 93 3000 Hz High Terno 133 157 101 100 83 87 87 89 75 85 77 90 Interrupt. Non 141 164 11 111 100 103 103 103 98 104 99 112 Low Temp 128 153 96 96 77 81 81 84 67 77 87 81 Non 132 157 101 101 84 89 68 91 78 88 82 96 Horn/Strobe 3Ocd: Horn/Strobe 75cd: De~alllt S~Ie-,;;t6 ',\f:R~,?r. '~M;:: C!.:PiiE'H ,J'd,) :ll.2.1.~ High'Lr'W Temp lG'..r' 2.d.V 33V 70n.;o: VO,~'jW!:' /hioll DC fW. DC fWR DC fW. Elect~ Hit" Tom. 10 120 86 1101 84 110 mech. Non 12 1371 131 Low Temo 1 119 78 116 81 103 N... 10 12S 871101! 69115 3000 Hz Hit" rom. 107 = 87 107 67 112 Interrupt. Non 1391 12 1101 1304 Low r..... 10 12b 79 99 17 103 N... 101 127 90 11 92 118 Det,j()H S",le-:-;tl'> r,\J':;~('.t j;.~.j", ;:..I1~i',' . Ai.:1;;). :/4'. ~.W Hlf"/l::lW Tom- \>l\i<,l[llC Electro- HiCh mech. low 3000 Hz High Interrupt. low Horn/Strobe 1.1.0cd: Df.l(i1ult Spk~ts I,vF~~II(',r. R'A:; rt;ia'~crr :0-\0\\ H'tzb,....(JW ;o,'c \'olu!"I)-e Electro- Hlth . meoh. ALMV 2.4'/ 331< leI".::' iNon Tom Non ] N... ] N... Tem N... ]6\' Low 3000 Hz Hllh Interrupt. Low SpectrAlert Ordering Information ./ White Avg. mA* Avg. mA* Red Voltage Candela ONom. VDC ONom.FWR** Horn/Strobes P1224MC~ P1224MCW 12/24 Selectable: 15, 15/75, 30, - - ~ 75, 110 cd Stl'obf~C; S1224MC ~ S1224MCW 12/24 Selectable: :1.5, :1.5(75, 30, - - 75, 110 cd o\ccessories Sync-Circuit Module MOL MDLW 12/24 NA 10/11 12/15 Sync-Circuit Module (for Canada) MDLA MDLWA 12/24 NA 10/11 12/15 Small Footprint Mounting Plate for Single Gang Only S-MP S-MPW NA NA NA NA Surface Mount Back Box Skirt BSS SBSW NA NA NA NA Universal Mounting Plate (replacement) D-MP D-MPW NA NA NA NA Not..: Agency listings- Indoor models: UL, ULC, FM, CSFM, MEA. Weatherproof models: UL, CSFM (strobe only), MEA, ULC. All of these SpectrAlert products are designed for wall mount only. All weatherproof models lm!.M. use weatherproof beck box model WBB. Installation of less than 75 candela strobes may be permissible under the equivalent facilitation clause of the ADAAG (Sec. 2.2). However, It Is the responsibility of the person or entity designing the nre alarm system to determine the acceptability of less than 75 candela strobes. All 15/75 candela strobes or horn/strobes are recommended for 20' x 20' rooms or less. *Horn and horn/strobe current draws assume horn Is set at temp 3, electromechanical tone and high audibility. ** FWR = Full Wwve Rectlned System Sensor Sales and Service System Sensor Headquarters 3825 Ohio Avenue St. Charles, IL 60174 Ph:800/SENSOR2 Fx: 630/377.6495 Documents-on-Demand BOO/73&-7872 x3 www.systemsensor.com <<l 2003 System Sensor. The company reservea tha right to Change ..-educt specificatiOns without notice. System Senaor Canada Ph: 905.812.0767 Fx: 905.812.0771 System Senaor Europe Ph; 44.1403.276500 Fx: 44.:1.403.27650:1. System Senaor In China Ph: 86.29.524.6253 Fx: 86.29:524.6259 System Senaor In Slnppore Ph: 65.6273.2230 Fx: 65.6273.2610 System Senaor - Far Ent Ph: 85.22.:1.91.9003 Fx: 85.22.736.6580 System Sensor - Auatralla Ph: 6:1.3.54.281.142 Fx: 6:1.3.54.281.:1.72 System Senaor - India Ph: 91.124.637.1770 x.2700 Fx: 91.124.637.3118 A05-0325-002008/03o;U147 FEATURES: · Easy Installation. Secure wires to heat detector. A simple push and twist motion attaches detector to mounting plate. . Reversible mounting plate for 31/4 or 4 inch octagon box, or open mounting. · Low Profile. Only 1 3/8 inch from ceiling surface with junction box mounting. White finish blends with ceiling. · Visual Indication. When fixed temperature element is activated, heat collector disc drops , 'y from detector. Replacement of Qt1lector is then required. · Operation Testing. Rate-of-rise feature is automatically self-restoring, allowing regular testing. I A FIGGIE INTERNATlONAL COMPANY II Chemetioiiics' @ HEAT DETECTORS SERIES 600 · Rate-ot-Rise and Fixed Temperature · One or Two-Circuit, Normally Open @ LISTED' ~ ~ CALIFORNIA Approved. Board B,I~~~~tE of Standards and LISTED Appeals, N.Y,C. Designed in accordance with NFPA Standard 72E The pneumatic rate-of-rise element responds to a rapid rise in temperature, apprQximately 15oF. (80C) per l)1inute, by expansion of air within the sealed chamber faster than it can escape , through a calibrated vent. The resultant increase in, pressure depresses the diaphragm, causing the electrical con- tact to close the circuit. ' The fixed temperature element uses a fusible alloy. When activated, the exter- nal heat collector drops away to pro- vide quick visual confirmation that the element has operated. The units protrude only 1 3/8 inch from the ceiling surface with a junction box mounting. They have pleasing con- tours and an all.white finish that conforms to ceiling aesthetics. ROp.... . ";:;-'f': .A5'ClJtt Fire Systems A FIOOIE INTEIlNATIOHAL COMPANV. APPROVED The Series 600 Heat Detector is attrac- tive and durable, and features com- bination rate-of-rise and fixed- temperature detectors. Heat detect,ors are available in 1350F and 2000F , temperature ratings. Rate-of-rise detects heat by quickly responding to rapid temperature in- crease. Rate-of-rise units have wide spacing allowance (If 50-foot centers. See Specification Table for details. Fixed temperature re'acts to heat by responding to a specific temperature setting. Series 600 Detectors use the same reliable pneumatic rate-of.rise element used in former models, but offer added aesthetic appeal. Main Office: 1000 East Edgerton Road Cleveland Ohio 44147 (216) 526-8980 Toll Free 1-800-ASCOA-US Chicago Office: 1000 Governors Highway University Park Illinois 60466. (70s) 534-1000 Toll Free'-1-S00-32:!tt4~.' Installation ~ Identification on Each detector includes a patented reve Heat Collector mounting plate. In one position, it e8,SI IN attaches to 4" junction box, 3v." octa - ''''Oone box or plaster ring. In reverse, the plate can be used for open wiring without a junction box. A Yc" space Gray Ring between detector and mounting surface allows for wire connections. All mounting ~fil screws are concealed. \~ The detector simply attaches to the mount- ing plate with a push and twist motion. No tools required. Mounting plate is molded of white self- extinguishing thermoplastic rated at 10S.C. The plate is extremely strong yet adapts to uneven mounting surfaces. Series 600 Testing Methods Models601/621 and 602/622 can be tested by the application of quick heat from any convenient source. A portable hair dryer is recommended. However, do notapply heat that exceeds the fixed temperature rating of the detector. Models 603/623 and 604/624 cannot be tested. However, the fusible alloy element is generally considered so reliable that testing is not necessary. Screw Terminals Dual Circuit Detector (used to send two ,ndependent signals) CIRCUIT NO. , CIRCUIT NO. 2 CONNECTED SIMl.AR TO CIRCUIT NO. t I WIRE CONNECTED TO NEXT DETECTOR OR END OF LINE j:,::OM ALARM PANEL OR PREVIOUS DETECTOR WIRE CONNECTED _ TO NEXT DETECTOR OA END OF UNE RESISTOR NOTE: All dual CircUlI models come with lwo (2) normally open dry conlacts. Standard Single Circuit Detector .---r WIRE FROM FIRE ~, ALARM PANEL OR PREVIOUS DETECTOR WIRE CONNECTED TO NEXT DETECTOR "'"----- " OR END OF UNE ~ RESISTOR NOTE All SIngle CIrcuit models come with one (1) normally open dry contact. .A5'Cll4 Fire Systems A FIOGIE INTERHATIONAlCOMPANY a 1-NO Circuit Model 601 Maximum Spacing Allowance. 2-NO Circuit Model Description 621 Rate-at-Rise and For two Fixed Temp., indepen. 1350F (57OC). dent signals 622 Rate.ot.Rise and For !wo Fixed Temp. indepen. 2000F (94OC). dent ~ignals 623 Fixed Temp. For two Only, 1350F indepen. (57OC). dent signals 624 Fixed Temp. For two Only, 2O()OF Indepen. (94OC). dent SIgnals Applications UL FM SOxSO It ''';/ Normal temperature tluctuations and ceiling temperatures not exceeding 1QooF (38OC). Normal temperature SOxSO It fluctuations and ceiling temperatur~s exceeding 1Qoo (38OC) but not 1500F (66OC). 602 30x30 It Gray Spot 8 603 Unusually violent temperature fluctuations and ceiling temperatures not exceeding l000F (38OC). 25x25 It 2Ox20 It Gray Spot @) --" 604 Unusually violent temperature fluctuations and ceiling temperatures exceeding 1 ()()O (38OC) but not lSOOF (66OC). 15x15 It 15x15 It * Refer to NFPA Standard 72E for application requirements. Important Notes: Heat detectors should be used for property protection. Reliance should not be placed soley on heat detectors for life safety. Where life safety is involved, smoke detectors must also be .used. Battery Back-up: Heat detectors should be electronically supervised with battery back-up at the panel. The Rate-of-Rise mechanism may be subject to reduced sensitivity over time. Annual testing of the rate-of-rise opera,tion is recommended. . C'- " --' .....~ .lT~ I 2T8" Junction Box Mounting Ceiling Surface Mounting Electrical Ratings 6-125 Volts A.C., 3.0 Amp. 6-28 Volts D.C., 1.0 Amp. 125 Volts D.C., 0.3 Amp. 250 Volts D.C., 0.1 Amp. ... saUARE BOX BEY.~S'!@t...l; MO!.lNTlNG BASE .t-IK),,,!, MOt,I"l)NG ~ ~MOUNTlNGBASE ~ . 'U.- REVERSIBlE MOUNTING PLATE n . _...... ROUND HE'D b ~Iil:- SU,RF~E MOUNTING ~ ~ MOU,NTlNG BASE .-.- CUT FOR SURFACE MOUNTING . - REVERSIBLE MOUNTING PlATE Ordering Information Please specify: Series Model Number Temperature Rating listings/Approvals U.L. listed F.M. Approved Approved Board 01 Standards and Appeals, N.Y.C. Approved Fire Marshal, Stale of California Series 600 Detector and Mounting Base Installation The seller makes no warranties, express or implied including, but not limited to, the implied warranties of merchantability and fitness for a particular purpose, except as expressly stated -in seller's sales contract or sales acknowledgement form. I" . .'\....... Chemetron Fire Systems and Chemetronics are Trademarks of ASCOA Fire Systems. . .-' 1'- j'~~' t(' e 1991, 1986 Figgie International Inc., All rights reserved Models Available 2151/2151A. Photoelectronic Detector .. A' sullix denotes ULC listed product Product OVerview Sleek, low-profile design Compatible with 400 Series product Two LEDs blink In standby, providing 3600 visibility Field sensitivity metering of detector to meet the requirements of NFPA 72 Broad range of adapter bases available with built-In shorting spring @ I @ US1ED 5911 7272-1209:159 (2151) CS308 MEA 12 MSFM .pproved .prewed 205-94-E OX5A4.AY 1973 System Sensor 100 Series Plug-In Smoke Detectors ofter superb performance and reliability in a profile which is just 1.6N (4.2 em) deep. Model 2151 (photoelectronic sensor) can be used with a variety of different adapter bases in several wiring config- urations and voltages. Other features Include: low current draw, stable performance In high air velocities, built-In tamper resistant base design, remote LED option, removable cover, and bullt.ln test switch. The 100 Series is designed to meet the performance criteria designated by UL. Its sensing chambers are sealed against back pressure air flow, dirt, and insects. This chamber is protected by a fine mesh screen which can be cleaned or replaced. Additional key features include a variety of mounting bases and a full line of accessories. Photoelectronlc Alll00.Series photoelectronic smoke detectors contain a unique optical sensing chamber designed to sense smoke particles produced by a wide range of com- bustion sources. A custom integrated circuit incorporares signal processing to reduce false alarms. Specifications Operating Voltage/Alarm Current See Adapter Base Selection Guide following Construction Flame retardant thermoplastIc St andby Current Photo: 85jJ1\ Standby Temperature 320F to 1200F (00 to 490C) Sensitivity 3% :I:.7%/ft. Photo U L LI sted Velocity Range Photo: 0 - 3000 fpm (0 - 15.2 m/s) Shipping Weight 3.6 oz. (102 g) Humidity Range 10'K0 - 93" RH noncondenslng Size 1.66" h. (42 mm) 4.1"/104 mm dia. unftanged base 6.1"/155 mm dill. ftllnged bllse Smoke Detector Spacing On smooth ceilings (as defined In NFPA 72). spacing of 30 feat (900 sq. ft.) may be used liS a guide. Other spacing may be used depending on ceiling height. high air movements. and other conditions or response requirements. Adapter Base SelectIon GuIde Base Model Number Loop Type Current Limit Resistor Contact Type Nominal Voltage Current Draw on Alarm (mAl 8110LP 2-wlra* No - 12/24VDC 10-100" 8110RLP 2-wlre* Yes - 24VDC 22-62 8112LP 4-wlre Yes Form A&C 24VDC 14-39 8114lP 4-wlre Yes Form A&C + A Supervlsory 120VAC 75 mA AC Max 1l116lP 2-wlre* No Form C . 24VDC 12-100** 8401t 2-wlre* No - 12/24VDC 10-100** OFunctlonallty contll1lant on panel compatibility ..Must be limited by control panaI Reley Contact RlItlng.: Resistive or Inductive (60'JI. _rfect.", load. Form A: 2.0A et 30 VIIC/DC Form C: O.M at 110Voc. 2.011 lit 30VDC 1.011 et 125VIIC. 2.011 at 30VAC tfllll1geleBB base JunctIon Box SelectIon GuIde'" Base Model Number Single Gang 3W Octagon 4" Octagon 4" Square 50mm 60 mm 75 mm 8401 NO NO NO NO YES YES NO S110lP/RLP YES YES YES YES NO NO NO 8112lP /B116lP YES YES YES YES YES YES YES 8114lP NO NO YES YES NO NO NO o Box depth contll1lent on be8II 81111 wire size. Refer to Natlonel Electrtcsl Colle or local appllc.ble codes for IIPPlOprtate recommendations. Ordering Infonnatlon Part No. 2151 Description Low-profila p/lotoelectronic detector. Must be mounted to one ofthe B100 Serles or B400 Sarles bases listed In Adapter Base SeleCtion Guide. 2151A low-profila photoelectronlc detector. UlC listed. Accessories F110 RA400Z Retrofit replacernent t1ange for 8400 Serl" t1anged bases. Remote annuncIator for 2 or 4 wire systems. 3-32V. Use with Ion and photo plug-In detectors. Fits standard alngle gang electrical box. Sounder base. Requires an external 24 VDC power supply. Mounts to 4" square electrical box (1111" minimum depth. 2lt' recommend- ed). Detector sensitivity test tool. (See below.) Use with most analog or digital multimeters. Sstlsfias NFPA 72 requirement for sensl- tlvlty testing. Surface mounting kit provIdes for entry of surface wIrIng con- duit. For USe with B401 or B401Rmountlng boses only. End of line reley for power supervision. 12/24 VDC systems. Test magnet. Test magnet with 32" telescoping hendle. Detector removal tool. Allows Installation and/or removal of 100 Series detector heeds from base In high ceiling Installations when used with XP-4. XP-4 Elttenslon pole for XR-2. Comes In three 5 ft. sections. C58-227-a1 Raplacement dust cover for 100 Series smoke detectors. RMK400 Recessed mounting kit for 2151 detector (B401 sold separately). EOLR-1 M 02-a4-01 M02-a9-00 XR-2 8401BH MOD400R SM K400 Syatem Sensor Canada Ph: 905.81,2.0767 Fx: 905.812.0771 Syatem SenMr Europe Ph: 44.1403.891920 Fx: 44.1403.891921 . Syatllm Sensor In China Ph: 86.29.8832.0119 Flt: 86.29.8832.5119 SJatem Sensor In Slncapore Ph: 65.62r3.2230 Fx: 65.6273.2610 SystlIm Sensor - Far Eaat Ph: 86.22.191.9003 Fx: 85.22.736.6580 SystlIm Sensor - Avatralla Ph: 613.54.281.142 Flt: 613.54.281.172 System Sensor Sales and Service The MOD400R Aeld Sensltlvlty Test Module can be used with any standerd DC volt mater or multi meter to check the sensitivity range of System Sensor detectors (satisfies NFPA 72 requirement for sensitivity testing). System Sensor Headquarters 3825 OhIo Avenue St. Charles. Il60174 Ph:8oo/SENSOR2 Fx: 630/377-6495 www.systemsensor.com System ....sor - India Ph: 91.124.237.1770 x.27oo Fx: 91.124.237.3118 SJatem '-r - Rusala Ph: 70.95.937.7982 Fx: 70.95.937.7983 AQ5.0182.OO8.3/05011426 C 2005 System Sensor. The compa~ r_rves the right to chqeproduct opeclficstiona without notice. Fll '860& oQO 08 Letter of Transmittal April 14, 2006 Project Info: Key People: Assigned DOH Reviewer: Facility Administrator: Architect / Engineer: Sprinkler / Contractor: Other: '" CRS# 8397 Harrison Memorial Hospital Chapter 246-320 WAC Hospitals Optimum/IV Therapy Clinic Project location: Steve Pennington steve. pennington@doh.wa.gov Harrison Memorial Hospital Scott Bosch 2520 Cherry Street Bremerton, W A 98310 (360) 792-7505 sbosch@harrisonmedical.org P ACIFICADD Ramzi Haddad 3601 43rd Avenue Ct., NE Tacoma, WA 98422 (253) 468-1629 ramzi@ezcadd.com N/A Facility Contact: Building Official: Fire Alarm Contractor: N/A Other: Copies To: [8] Local Building Official: City of Bremerton [8] Washington State Patrol, Fire Protection Bureau [8] Architect / Engineer: P ACIFICADD D Sub-Contractor: N/ A D Sub-Contractor: N/ A [8] Dept. of Labor and Industries, Electrical Section Page 1 of 11 Construction Rcview Services 310 Israel Road SE Tumwater, WA 98501 PO Box 47852 . Olympia, Washington 98504-7852 www.doh.wa.gov/crs tel. 360-236-2944 fax. 360-236-290 I 2600 Cherry Avenue, Suite 202 Bremerton, W A Harrison Memorial Hospital Ram Prasad 2520 Cherry Street Bremerton, W A 98310 (360) 792-6550 rprasad@harrisonmedical.org City of Bremerton Jim Svensson 286 4th Street Bremerton, W A 98337 (360) 478-5243 jsvensson@ci.bremerton.wa.us N/A N/A D DOH Child Birth Center Licensing D DOH Office of Accommodations & Res. Care Survey [8] DOH Office of Health Care Survey D DSHS, , Aging & Adult Services Administration D DSHS, , Div. Of Alcohol and Substance Abuse D Other: [8] CRS File Plan Review Comments for Project #8397 Harrison Memorial Hospital Chapter 246-320 WAC Hospitals Optimum/IV Therapy Clinic Memo: - Authorized to Begin Construction - The construction documents have been reviewed per Chapter 246-320 WAC Hospitals and found acceptable. The stamped approved copy of the documents shall be kept and available for the licensing staff on site. Please note the following: . Any changes/deviations (incl. change orders or addenda) from the approved documents must be submitted to the Department for review and approval. Please include your CRS number on all communications to Construction Review Services. . You must notify the department when construction is complete, either by the included "pink" card or by completing the form on the CRS web site. Additional instructions may be printed on the pink card. When we receive notification, we will notify DOH Office of Health Care Survey that you have completed the review process and are ready for licensing. . Hospital licensing regulations do not allow use of the completed project area until the Office of Health Care Survey has been notified by CRS that the project has been completed. . The local building official is responsible for building construction permitting and occupancy. . Final licensing approval may be subject to a site inspection by DOH Office of Health Care Survey to verify compliance with Hospital licensing regulations. If you have any questions please feel free to contact Construction Review Services. You can monitor project status and fill out our online survey at www.doh.wa.gov/crs. Page 2 of1l Plan Review Comments for Project # 8397 Facility Name: Site Address: Harrison Memorial Hospital 2600 Cherry Avenue, Suite 202 Bremerton, W A Facility ID: 000028 Facility Data: Occupancy Group: B Construction Type: II I-hr Applicable Code: 03 !BC Number of Licensed Beds: Current: NA Added: NA Removed: Total: NA Number of Apartment units: NA Automatic Fire Sprinkler System: Private occupancy: Two person occupancy: 013 013R 013D [gJ Not Applicable Automatic Fire Alarm System: [gJ Yes Special Egress Control Devices: o Not Applicable DYes [gJNot Applicable NA DYes [gJNo N/A Compartmentation on all floors required: Approved Smoke Control System: Maximum allowable licensable Beds: Based on size of rooms used for sleeping N/A Residents Based on size of common rooms N/A Residents Certificate of Need Approval Required: Yes o No [gJ Granted: Yes o No o The data above is based on the information presented to the Department of Health Construction Review Services. Any change in the facility or facility program that causes the above information to be incorrect is subject to review by DOH Construction Review Services. Approval for construction is not approval for licensure. A copy of this certificate will be sent to the licensing agency. Page 3 of 11 Plan Review Comments for Project # 8397 Harrison Memorial Hospital Chapter 246-320 WAC Hospitals Optimum/IV Therapy Clinic Plan Review Comments "" .", B " ;> " .", 2 " 0- " ;> 0- S 2 -< S 0- 0 0 0- U -< z 1 1RI c 2 00 3 1RI Page 4 of 11 Two complete plans and specifications for the fire alarm system installation or modification shall be submitted for review and approval prior to system installation. The department reserves the right to defer plan review and inspections to the local authority having jurisdiction (AHJ). Plans and specifications shall include, but not be limited to, a floor plan; location of all alarm-initiating and alarm-signaling devices; alarm-control and trouble- signaling equipment; annunciation; power connection; battery calculations; conductor type and sizes; voltage drop calculations; name, address, and phone number of the agency receiving off-premises transmission of alarm; and the manufacturer, model numbers, and listing information for all equipment, devices, and materials. Incomplete plans and specifications will be returned without review. Plans and specifications may be submitted separately from construction documents during the construction of the project. For small renovation projects in which devices are only to be relocated or very few devices are to be added, provide two plans that shows the relocation of devices may be submitted for review in lieu of the above requirements. This information can be included on the electrical or architectural plans. Verify with Department staff to determine if the scope of your project meets this criteria. Section 907.1, International Fire Code Per conversation with Ram Prasad 3/23/06, shop drawings will be submitted at a later date. Approved 4/14/06 - Based on receipt of copies of local fire department and city permit buy off ou completion of work. Comment: Building is not sprinklered. Provide tamperproof receptacles in exam rooms, general nursing exam rooms, pediatric wards, and waiting rooms. Your functional program states you will be seeing pediatric patients so all your rooms will require tamperproof outlets. WAC 246-320-525, Table 525-5, WAC 246-320-405(9)( e )(ii), and NFPA 70-517-18-(c). Approved 3/23/06 - Based on submission received February 8, 2006. Tamperproof receptacles are provided. Ensure the patient toilets meet the current requirements. ANSI 117-1 ,July 1,2005. Approved 3/23/06 - Based on submission received February 8, 2006. Plan Review Comments for Project # 8397 'It "0 8 " ;> E "0 2 " 0, " ;> 0, E 2 <t: E 0, 0 0 0, U <t: Z 4 !KI 5 !KI 6 !KI 7 !KI 8 !KI 9 !KI Page 5 of 11 Provide exam rooms and all IV treatment areas with a floor finish that is easily cleanable and/or maintainable. WAC 246-320-815(1 ), WAC 246-320-525(6)(a)(i) Approved 3/23/06 - Based on submission received February 8, 2006. Sheet vinyl provided per red-lined drawings. Provide 50 sq ft around each infusion area chair. Include enough space between chairs to provide access to both sides of the chair in case of emergencies. WAC 246-320-775(4)(a)(i) Approved 3/23/06 - Based on submission received February 8, 2006. Appropriate space provided. Provide Oxygen and Vacuum outlets for Outpatient clinics. Portable tanks may be used in the ratio of 1 tank for every 5 beds with a minimum of 1 tank. WAC 246-320-525, Table 525-2 Approved 3/23/06 - Based on submission received February 8, 2006. Portable units provided. Provide a drinking fountain or equivalent (bottled water) accessible to the public (waiting areas) on each floor. WAC 246-320-525( 4)( e) Approved 3/23/06 - Based on submission received February 8, 2006. Drinking fountain provided. Please provide 2-sets of stamped and signed architectural, mechanical, and electrical drawings, and I-set specifications for new construction, excluding minor alterations, prepared by, or under the direction of, an architect registered under chapter 18.08 RCW. The services ofa consulting engineer registered under chapter 18.43 RCW must be used for the various branches of the work where appropriate. The services of a registered professional engineer may be used in lieu of the services of an architect, if work involves engineering only. WAC 246-320-505(1), WAC 388-78A-2820(1)(b)(i)(A), WAC 388-97-29510 Approved 3/23/06 - Based on submission received February 8, 2006. Provide medication distribution and storage in accordance with chapter 246-873 WAC, hospital pharmacy standards, and meeting at least one of the four requirements of WAC 246- 320-535(5)(a) through (d). MEDICATION STORAGE IN HOSPITALS Federal Requirement 21 CRF 1301.75 Physical security controls for practitioners (1). Controlled substances listed in Schedules II, III, IV, and V shall be stored in a securely locked, substantially constructed cabinet. However, pharmacies and institutional practitioners may disperse such substances throughout the stock of non-controlled substances Plan Review Comments for Project # 8397 'It "0 8 <l.l > " "0 0 <l.l l5. <l.l > "" E e <t: E "" 0 0 "" u <t: Z 10 IX] Page 6 of 11 in such a manner as to obstruct the theft or diversion of the controlled substances. Washington State Requirements Drugs shall be stored under proper conditions of sanitation, temperature, light, moisture, ventilation, segregation, and security . WAC 246-873-070 (4) Continued on Next Page: Comment 9 Continued: (1) It is the joint responsibility of the director of pharmacy and the director of nursing to ensure that drug handling; storage and preparation are carried out in conformance with established policies, procedures, and accepted standards. (2) Locked storage or locked medication carts shall be provided for use on each nursing service area or unit. Guidelines for Accepted Standards The following are two examples of what are considered to be substantially constructed cabinets: (1) A cabinet made of metal, OS' solid wood, or 0.75" plywood with non-exposed hinges or non-removable pins if hinges are exposed. (2) A metal filing cabinet with a metal bar capable of being locked in placed to block the opening of the drawers. The cabinet should be secured to the floor or wall to prevent theft of the entire cabinet. Cabinets made of particleboard are NOT substantially constructed. The lack of structural strength makes this material unsuitable for attaching hinges or locking systems. Approved 3/23/06 - Based on submission received February 8, 2006. Pyxsis unit provided. Provide a functional program detailing the services provided and the operational methods affecting the facility, building, premises and residents. Provide information in the functional program detailing how waste is handled. If you are not using a clinical sink please detail how you will handle any waste generated by the patients. Describe how the medical records are secured after hours. WAC 246-320-505(2)(a) The below sample list can be used and modified to address your particular use. Tvpes of Residents Admitted To This Facilitv List the types of residents and the quantity for each. Types of residents may include such classifications as elderly, frail elderly, developmentally disabled, mental health clients, chemically dependent, etc. Identify evacuation categories in the facility and the quantities of each. Services Offered List each type of service offered in the facility, such as, assisted living services contracts, dementia (Alzheimer's) care, dementia care locking unit, adult day care, etc. Include a Plan Review Comments for Project # 8397 "" B ;:: " E E o u Page 7 of 11 """ " ;> e 0. 0. -< """ " ;> o 5- 0. -< o z sample individual resident plan. Activities Provided Give examples of the activities, the frequency of the activities, and where each will occur. Continued on Next Page: Comment 10 Continued: Transportation Describe any transportation used by and for the residents. Who owns the transportation? Who operates the transportation? List the typical reasons for transporting the residents. Staffinl!: List types of staff such as: administrator, alternate administrators, nursing assistants, LPN, RN, foodservice workers, janitors, security, groundskeepers, etc. List quantities of each job type. List work shifts and types and quantities of staff by each shift. Identify how staff will contact administrators and alternate administrators. What method will be used to ensure CPR, First Aid, HIV / AIDS training is received by employees in their first 30 days of employment? Tvpes of Rooms List room types included in this facility such as: resident rooms, TV rooms, TV room, resident workshop, activity room, utility room, dining room, kitchen, counseling rooms, meeting rooms, smoking room, laundry room, staff bathrooms, etc. Describe the use for each. Medication Storal!:e And Use Where do residents store their own meds under category A? Where does the facility store meds for category Band C? Does that area have adequate lighting and work surface? Who assists and supervises medications? What kind of assistance do they provide? How is the medication distributed? Is there a handwashing sink nearby? Where is the medication administered? Communication Svstems How are residents going to notify staff of an emergency? How are non-ambulatory residents going to contact staff in an emergency? How is staff going to notify other staff in an emergency? How is staff going to notify outside services of an emergency? (i.e. if only one staff person is working alone and has an emergency on the 4th floor, how will they call 911? From what phone?) Plan Review Comments for Project # 8397 "" 9 ;: 0) E E o u 11 [8] 12 [8] 13 [8] 14 [8] 15 [8] Page 8 of 11 "0 0) > 2 0. 0. <: "0 0) > o Ii 0. <: '0 z Security Systems How are the building(s) and surrounding areas secured? What alarm systems, if any, are used? What type of locking mechanisms will be used in dementia care units? Approved 3/23/06 - Based on submission received February 8, 2006. Functional program provided. Provide medical emergency signal (MES) device and nurse call (NC) system plans. WAC 246-320-405(9)( e )(i), WAC 246-320, Table 525-1 Approved 3/23/06 - Based on submission received February 8, 2006. Required devices provided. Provide Soiled Utility room with a double compartment sink, clinical sink and self closing doors. Table 302.1.1, International Building Code, and NFPA 101, Table 18.3.2.1 Approved 3/23/06 - Based on submission received February 8, 2006. Plans redlined to provide a bedpan wand in toilet 117. Facility states that in the history of the clinic that there is not a history that would require the need of a sink. Provide negative pressurization to the Soiled Utility room. Provide at least 70 CFM differential in all areas to establish pressure relationships in accordance with the requirements of WAC 246-320-525, Table 525-3. Negative, positive and equal pressures are defined in WAC 246-320-010(83). Approved 3/23/06 - Based on submission received February 8, 2006. Proper pressurizations provided. Provide catalog cut sheets on the type of faucet controls and spouts used in patient care areas of the facility. Controls shall be wrist, knee, or foot controls or equivalent and gooseneck spouts without aerators. Laminar flow devices are an acceptable replacement for an aerator. WAC 246-320-525(4) Approved 3/23/06 - Based on submission received February 8, 2006. Per redlined drawings - eliminate aerator on faucets PI-I, P7-I and P7-3. Existing faucets (that were reviewed in a previous project) will be verified during survey. If you will have an Ice machine it shall have appropriate backflow protection. Air-cooled ice machines shall have an air separation or air-gap on the drain line. Water-cooled ice machines shall have a reduced pressure backflow assembly on the potable water line to the cooling unit and an air gap separation on both drain lines. WAC 246-290-490(2)(b) and WAC 246-320-525( 4)(a) Approved 3/23/06 - Based on submission received February 8, 2006. Per discussion with Ram Prasad, this item has been changed to refrigerator with freezer. Plan Review Comments for Project # 8397 'It -0 8 OJ :> " -0 0 OJ i5.. OJ :> "'" E 2 <: E "'" '0 0 "'" u <: z C 16 [RJ Page 9 of 11 Existing Exam rooms are just under the required 80 sq ft and 8' dimension required. They will be allowed - provided recliners are used in these rooms. WAC 246-320-815(5)(d) Provide 3' -0" doors to all exam rooms. Section 1008.1.1, 2003 International Building Code Approved 3/23/06 - Based on submission received February 8, 2006. 3 foot doors provided. Plan Review Comments for Project # 8397 17 [8] 18 [8] R 19 [8] 20 [8] 21 [8] Page 10 of 11 Provide listed ground-fault circuit interrupter receptacles within five feet of any sink, toilet, bath, or shower and those areas serving counter-top surfaces. Article 210.8 and 517.20, NFPA 70 and WAC 246-320-99902(3), and WAC 246-337- 140(3) , Approved 3/23/06 - Based on submission received February 8, 2006. GFCl's are provided. Provide manufacturer's labeled carpet specifications and radiant panel test report for each carpet used in this project. WAC 246-320-525(6)(b), and Chapter 8, International Building Code Approved 3/23/06 - Based on submission received February 8, 2006. Spec provided. Recommend hard (gyp board) ceiling in all Toilet rooms. Clarify in the functional program if an airborne isolation rooms. Is so, then this room would require negative air pressure, with 100% exhaust, a handwash sink and closers on the door. WAC 246-320-505(2)(a) Approved 3/23/06 - Based on submission received February 8, 2006. Room 127 will be designed as a negative pressure room. Air changes are as required for a ED airborne precaution room. Provide a listed reduced pressure backflow assembly (RPBA) on the water supply(s) to the building. WAC 246-320-525(4)(a) Approved 3/23/06 - Based on submission received February 8, 2006. Existing RPBP is provided per Ram Prasad. Preliminary Construction Review Conference - 11/10/05. Attendees:Janet Smoot - Department of Health Steve Pennington - Department of Health S. Ram Prasad - Harrison Memorial Hospital The preceding comments are preliminary comments, and may be revised during subsequent submissions. Additional requirements may be cited during subsequent submissions. Responses to the above comments are expected to be submitted with your construction documents, in writing, and by incorporating the comments into the construction documents and/or functional program. Items Received: App, Fee Project Status: DD Fee: $2,970.00, Chk #127701 Note: The following items were red-lined on the drawings during conference dated 3/23/06: Handicap toilet revised to 17-19" per ANSI 117. Plan Review Comments for Project # 8397 Construction Review Conference -3/23/06 Attendees:Janet Smoot - Department of Health Steve Pennington - Department of Health John Williams - Department of Health S. Ram Prasad - Harrison Memorial Hospital The preceding comments are preliminary comments, and may be revised during subsequent submissions. Additional requirements may be cited during subsequent submissions. Responses to the above comments are expected to be submitted with your construction documents, in writing, and by incorporating the comments into the construction documents and/or functional program. Items Received: App, Fee Project Status: CD 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 regulationsfound in the Washington State Administrative Code and associated references. These comments do not relieve the facility ;rom 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 # 8397