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Home My WebLink About1102 Caroline St - Building State of Washington r~-~ DEPARTMENT OF HEALTH Facilities&Services Licensing Construction Review Services Post Office Box 47852 Olympia, Washington 98504-7852 / CI~ b COMMUNITY OEVELOPi~ENT Olympic Medical Center Mike Glenn, Administrator 939 Caroline Street Port Angeles, WA 98362 LETTER OF TRANSMITTAL Submission Information Submission Status Date: February 26, 2002 [] Approved Not Approved Project: Rehabilitative Services Building [] Resubmit 2 revised copies of the plans Site Address: 321 Chambers, Port Angeles [] Accepted as noted below Submission: Plan Review Response [] Submit written responses to review CRS Project Number: 5730-004 [] Enclosures: See attached [] Applicable Code: Chapter 246-320 WAC Hospitals Plan Reviewer's Action: ~ Architectural: Approved [] Fire and Life Safety: See Comments Mechanical & Electrical: Approved [] Public Health: See Comments Copies To: [] Local Building Official: City of Port Angeles [] Washington State Patrol, Fire Protection Bureau [] DOH Acute Care Licensing ~ DSHS, Patricia Lashaway, Director [] DOH Residential Rehab Services [] DSHS, Residential Care Services, [] DOH Child Birth Center Licensing [] DSHS, Boarding Home Licensing Program [] Architect / Engineer: Lindberg & Smith Architects [] Other: Donna Davison, Facility Contact [] Contractor: [] CRS File Notes: Please see attached comments. Thank ~-6778 (Rev. 4~18/00) PUBLIC HEALTH ADVISOR (DBA: SANITARIAN) REVIEW John R. Templar, R.S. (360) 705-6786 FAX: (360) 705-6654 e-Mall: John.Templar @ doh.wa, gov FACILITY: Olympic Memorial Hospital PROJECT: Rehabilitative Services Building CRS# : 5730-004 DATE : 8 February 2002 1. We have received a letter from DOH-Radiation Protection approving a new x-ray room at this location. No x-ray is shown on the drawings. Please advise. See attached letter. WAC 246-320-505(2) 2. USG 'fine fissured' acoustical ceiling is not listed as a cleanable ceiling finish. Please see attached list. WAC 246-320-626(6)(c) 3.Faucet P-2B is not accepted (Koehler 2196). Provide gooseneck spout and wrist blade controls or equivalent. WAC 246-320-525(4)(c) 4. Provide medical emergency signal devices in hydro-pool area, hydrotherapy, gymnasium, and each exam room. WAC 246-320-525 (Table 525-1) 5.The pool policy/procedure needs to include alkalinity and calcium hardness in the testing regiment as indicated by the manufacturer. Please revise policy and resubmit, q< 6. Do not mix n' match bromine and chlorine for water disinfection, choose one method and use-itrountinelytoavoidloosingdisinfectioneffectiveness. ~,) ~ c_ ~ (~ - ~ ~ ~' ~ ~ ~ o ************************* submission is not Approved***************************** ACOUSTICAL CEILING MATERIALS FOR HEALTHCARE** Armstrong 1. Georgian w/ humiguard plus 2. Classic 3. Tundra 4. Fireguard classic 5. Fireguard georgian 6. Clean room VL & VL 7. Clean room mylar 8. Vinyl soundsoak 9. Ceramiguard-nonper rotated 10. Fine fissured 11. Fine fissured duratex fireguard 12. Ultima w/humiguard plus 13. Fine Fissured Second Look 1,2,3 14. Dune with bioblock & humiguard plus Celotex 1. ND perforated# 2. Perforated stippled# 3. Celotone chase# 4. Fine fissured 5. ND non-perforated stippled# 6. Fine textured# 7. Metal guard (perforated & non-perforated) 8. Vinyltone 9. Serene/Serene m 10. Hytone/Sand Micro # also in protectone versions USG Interiors (Auratone) 1. Sheet rock layin panels 2. Cleanroom 3. Orion 210 4. Pebbled 5. Ceramic heritage-unperforated 6. Millennia 7. Touchtone ClimaPlus 8. MARS 9. Radar ClimaPlus Lay-in ceilings shall be gasketed or clipped down to prevent passage of particles from the cavity above the ceiling plane into the room's environment. Fissured, tegular, serrated cut, or highly textured tiles are not acceptable. Ceiling finishes, installation, and maintenance shall not interfere with infection control. **for patient care spaces or where patent care supplies are stored or processed, but not for areas requiring surgical asepsis. Revised 4/20/01 STATE OF WASHINGTON DEPARTMENT OF HEALTH DIVISION OF RADIATION PROTECTION 717! Cleanwa[er £~ne, Bldg. 5 · P.O. Box 47827 · Olympia, Wasblngton 9~$04-7S27 TDD Relay 1-800-833~63S8 ~rch 15, 200! Ray Shemm Registration Number: 09161 Olympic Medical Center 939 Caroline Street Port Angeles, WA 98~62 Dear Mr. Shemm: In accordance with Wa,~hlngton State Rules and Regulations for Radiation, WAC 246- 225-030, Jeremy Corwin, Medical Physicist, has submitted to this agency recommendations for the radiation shielding of the new X-ray room In the Physical Theraov Buildina of the Olvmoic Memorial Hospital located at 32! N. Chambers SWeet, Port Angeles, WA 98362. A review of the plans submitted indicates that requirements appear to be met. Therefore, the plans are accepted. This acceptance is based on the x-ray workload as stated in the shielding calculations. [40 mA-minutes per week] Please note that full compliance with WAC 246-225-070 is expected, in that the x-ray exposure switch must be mounted in such a manner that it is impossible for an operator to make exposures fi.om an unprotected area, i.e., ~e switch must be in a permanent position at least 36 i~ches fi.om the open edge of the booth and from the direct scatter radiation fiekL pLEASE NOTE: IT IS THE RESPONSIBILITY OF THF, X-RAY USER TO ]NFORM Tl~lg, STATE OF WASHINGTON WI~,N THIS UNIT HAS BEEN .INSTALLED. CALL ALTON JENKINS AT (360) 236-3231. Si_ncer~y, ~SELF, JR. '-'Health Physicist X-Ray Plan Review and Registration (360) 236-3235 cc: Facility File ~eremy Cotwin Fire Protection Systems Review Rob Bradley Tel (360) 705-6784 FAX - (360) 705-6654 Facility: Olympic Medical Center Project: Rehabilitative Services Building CRS#: 5730-004 Date: February 25, 2002 Fire alarm plans are still required to be submitted for review and approval for this project. Please contact me at 360-705-6685 if you have any questions or concerns regarding this review. ****** PLANS ARE NOT APPROVED ****** Construction Review Service Washington State Department of Health d'C"~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .121 EAST 5TH STREET. PORT ANGELES. WA 98](,2 ELECTRICAL PERMIT Issued: 6/28/99 Permit No: 6677 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ OLYMPIC MEMORIAL HOSPITAL 1102 CAROLINE 939 CAROLINE Lot: 8,9,10 Port Angeles, WA 98362 Block: 11 Long Legal: 360/417-7000 Sub: T: S: Parc No: PSCC CONTRACTOR---------------------------~-DESIGNER--------------------------------- ANGELES ELECTRIC 524 E. FIRST ST. PORT ANGELES, WA 98362 360/452-9264 , 000/000-0000 PROJECT INFO---------------~---------------------------------------------------- prj Type: COML.NEW prj Value: $0.00 Occ Type: Cnstr Type: Occ Grp: Occ Load: Land Use: Electrical Heat Service Type Baseboard KW: 0 X Riser Voltage: 120,208 Furnace KW: 0 Overhead Service Diameter: -1 X-3 X Heat Pump KW: 0 X Underground Service Service Size: 600 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES--------------------------------------------------------------_____ NEW HOSPITAL PHYSICAL THERAPY BUILDING 600 AMP MAIN, 200 AMP AND 400 AMP FEEDERS PROJECT FEES ASSESSMENT-------------------------------------------------________ Service: $189.25 Additional Feeders: $118.50 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $307.75 $307.75 --------------------------------- --------------------------------- TOTAL FEE: $307.75 Balance Due: $0.00 COMMENTS/ACTION NEEDED , .- ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO Ull Ctl 1()(/~('f ~ KUUGH-IN I COY cR /o/trl-f', f#Vl SFI //)(1,/'19' 7UH1 , , FINAl I f/ZV /00 I 7tfh41 I GENERAL COMMENTS, P\V.ll02.UI4I'96j sf! "-1;.......... CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\21 EAST 5TH STREET. PORT ANGELES. WA 98:\62 ELECTRICAL PERMIT Issued: 5/25/99 Permit No: 6640 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ OLYMPIC MEMORIAL HOSPITAL 1102 CAROLINE 939 CAROLINE Lot: 8,9,10 Port Angeles, WA 98362 Block: 11 Long Legal: 360/417-7000 Sub: T: S: Parc No: PSCC CONTRACTOR-----------------------------DESIGNER--------------------------------- ANGELES ELECTRIC 524 E. FIRST ST. PORT ANGELES, WA 98362 360/452-9264 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: TEMPORARY SVC. ' Prj Value: $0.00 Occ Type: Cnstr Type: Occ Grp: Occ Load: Land Use: ,Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service ' Voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 100 AMPS o AMPS PROJECT NOTES------------------------------------------------------_____________ TEMP FOR PHYSICAL THERAPY BLDG. CONSTRUCTION PROJECT FEES ASSESSMENT--------------------------------------___________________ 'Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $42.50 $0.00 Misc TOTAL FEE: Amount Paid: $42.50 $42.50 -------------~------------------- --------------------------------- -------------------------- TOTAL FEE: $42.50 Balance Due: $0.00 COMMENTS/ACT/ON NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION ITPK DATE I ACCKPTED COMMENTS I YES I NO VlTCH [:]g! -IN 1 CUVER , VI r.F. :,'hn'{lf '16'lA-.. tlNAL I T I GENERAL COMMENTS: PW-I 102.U 14'961 -- ---------.-- CITY OF PORT ANGELES LIGHT DEPARTMENT ELECT'RICAL PERMIT N? 15720 51- . >c. Port Angeles, Washlngtoll..u..._....u.uu....uu/.............uu.............., 19.__...", In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to do electrical work as listed below. Address ../IQ.ud.::____u(;!!.,'_."'~..:='i!.;;.;.--u.......------.--.--...... Occupancy.-4.~'.----..uuu...u.u..u--.--.--u Owner ----.)J.~ue.t""""."-----...u...--...?i....5......Q,.;juc!..enant......----.--......--...um....-................--.....--.--........... Wiring Contractor ........C9..~1.__...C./;!2e.<=.._d:....__,._____..... By__.u____.____..m__.__.u....__..........___...____.__u__u.__.u.. .. 0 Light Outlets.......___....................._.._..... Service, volts ..................._.................. Type of Wiring: Receptacle Outlets.....................___....... No. wIres ..__............................__..... Dryer, KW..n...................................... Size wires..................................._.. Range, KW.......................................... Water Heater: 1Iain fuse ....................................... Enclosure ............................__......... KW.mm__hnmnmnnmn.mn.h.h Heat: KW'h/..n(gmml3.Bmn.nnn Type of wiring: Entrance"Cable ......_____..___............. \I Rigid Cond~.It ............................... Metalllc TubIng ________.__...... Current transformers: No. & Size............___.....___..___........... Motors: size, volts and phase: Ser. No..............__.............................. Ser. No.............................................. Ser. No.............................................. Armored Cable .............................. Non.Metalllc ................................. Knob & Tube.................................. RIgid Conduit nnnn'n.nh'mmmnm Metalllc Tubing 'nmnnn.nnnnnn. Raceway ......................................._ Circuits, Light..................___.................. UtlIlty nnh.hnnmmnnn'mmmn'mnn I-I eat .......................................-..-.- Range ............................................. Water Heater ___............................ Motor ........................................__... Drycr................................................_ Furnace ........................_~......_...__...._ Total :Load............................. Ser. No.............................................. Total ..........................._.......... :~=.~~:~~...::::::::::::::::::::::::::::::~~::~~~(~~q:::~:::::::::::::::::::::::=::::::::::::::::::::::::::::::::::::::::::::::::::::: Pel'll1it Fee .._...__n..uunuuu......u__u__.u___.nn...nn.n.nuuUUhn_...U__UUUh...__._.__n.nun...__....n__._..un.nn__.unu....u..........uh_h~....~.__ liL.........................u________. Treas. Receipt No............................. By u9(l..{f~~4~-4.,_.c. NOTICE-Current must not be turned on uotll Certificate of Inspection has been Issued. It work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15720 Address........................................................................................................................................Date..._......_......_.._.............._.._......_......... Owner ..................................._.........._......_......_..................................................... ......... Tenant.............................................................n..... Wiring Contractor ..........................................................._............................................................. By.............................................................. NOTICEr-Current must not be turned on untl1 CertifIcate of Inspection has been issued. If work Is to be con. cealed due noUce must be given the Inspector so that work n;aay be inspected before concealment. _1M Olympic Printers, Inc. ; , . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15120 ~ - // > Port Angeles. Washlngton.........,:______......~___..mm.........___......___...m. 19..m... In aooordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on. or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to do electrical work as listed below. I/('~' () . Address ...m.__.__..:::__.m....:r:..!..,~.U..:.....io._---..m--mm.--.......mm.. Occupancy._____-'~.__....If......__m.....______.__.__..__ ut. /- Owner .___.{.c.:::_:_~___.:...nL_hh._n:::..__d.,;_e..n2~:__!.(n_.::.:'t::L_~ Tenantnn_n__.n-._._._.__n..____n___.n..UUhUn_mn____.n_.n.h.__. :) ,..., ~,I..-.... C./ Wiring Contractor ____C___if'..:L___<.l-:.t:'..::.....:...__............m.__ By__.....______....__.mm....___._______.__.._____...___.____._____.. , I v Light Outlets..__....____..........._.....__........... Receptacle Outlets...____...mn...______.....__ Service, volts ...!..:~~.:n_l__..:.....(.~~_.___ No. wires _....__.!.______...m_____.....___.. . ///, Slze wires....~.m____.~m.___________........ i' / I Main fuse ....__~.~.:::..:2~~1...._......... c Enclosure .__...d__.._......__...__...__n.... Dryer, K WI............----.....----.-..---....-- Range, KW ______nnnh..n Water Heater: KW.... Type of wiring: Entrance Cable __..__...____00........___... Heat: RW.._....__....n....u Rigid Conduit ....__........m...____....... Metallic TUbing _...................___.... Current transformers: No. & Size._...............n.........____....... Motors size, volts and phase: Ser. NO....___.__.....n__.___._____............__.__ Ser. NO._____.____.___n..._..........._______........ Ser. No...._.__..__.___..._........._________.__..... Trpe of Wiring: Armored Cable ...mu__.........m_______ Non.Metallic ...00_____.........__......._____ Knob & Tube Rigid Conduit ...00______..__..._____......__ Metallic Tubing Race"\vay u.___.....__......__............__...... Circuits, LighL..........__mn._____.m.___...... Utility ______.00______.________....____............. Heat Range ..___..____..________...__.__________.__.__.. Water Heater _.....................__.....__ Motor ..._._....._........_....................... Dry er_ 00 ."._..",_,. .._..__.________ ____...._._....... Furnace ......m..._____........._. Total Load......__...............____.. Ser. No....___..........__..._......__________....... /, Total ___.........__......_.....________.____ Remar ks: ...--..--7._,,,--G..~..__:::..______.;;:~'.,Ln~.......::z__...:::__..".~n__/::n:..~.....;~.'~_"'"___n...mm.__...mnmm._ __nnn_n. U_Uh_n_U_.nn__nn_nnn______..___n__.n_____n_____.~__n_n.hUhn__n___._Un__.d__.nnn._...__n_Un__n_.".n+~_h_hn__n__h.____n_n_nn PermY Fee $__mm. __.__...m........m.m._ Treas. Receipt NO.m.m......m......._._ By ...mm__.__.mmmm__m....__.m__m__nn......____.__.___ NO rICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed (ue noUce must be given the Inspector so that work may be inspected before concealment. J\OTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15120 DatecalledforinspectioD___.____....___.........................._._....._......._.....__.._............_.___............._....._......_.......__...__...._......._....__........______............._.. Preliminary inspection dates.............................. ..................__...._...~............._........_......._......._...........__............__.._........__.........__.................... Total Load .......__._.._..__.._...++...................._......__......____ Inspectioncompleted___..................___...._.......+....................__.....__........._...._......................__........................_....________.............................___....... 1M 3.72 Olympic Printers, Inc. ...........................--............................-.-....................--....-+-...............-