HomeMy WebLinkAbout20101013 Insp Arch & Eng Phase 1A.pdf
North Carolina Department of Health and Human Services Division of Health Service Regulation Construction Section 2705 Mail Service Center • Raleigh, North Carolina 27699-2705 http://www.ncdhhs.gov/d
hsr/Drexdal Pratt, Director Beverly Eaves Perdue, Governor Steven C. Lewis, Chief Lanier M. Cansler, Secretary Phone: 919-855-3893 Fax: 919-733-6592 Location: 1800 Umstead Drive n Dorothea
Dix Hospital Campus n Raleigh, N.C. 27603 An Equal Opportunity /Affirmative Action Employer October 13, 2010 Mr. J. Anthony Rose, FACHE, Administrator (via e-mail only) Catawba Valley
Medical Center 810 Fairgrove Church Road Hickory, NC 28602 Re: Project No. HL-7918-TF/MS/ALH FID No. 933080 CON No. E-8126-08 Catawba Valley Medical Center Women’s Oncology & Surgery
Expansion Phase 1A Hickory (Catawba County) Dear Mr. Rose: Phase 1A of the referenced project above was inspected on October 5, 2010 and was found to be complete except for the following
deficiencies that must be corrected before we can notify Licensure that the project is approved: Architecture Comments: 1. Where they are not already labeled, all smoke partitions shall
have labels added above the ceiling or visible where there is no dropped ceiling to identify them as smoke partitions. Including but not limited to the Data Alcove in Corridor SLC100B.
[NCSBC Section 703.5] 2. Fire stop around conduit penetration and in several holes in the vertical brick fire barrier above the corridor doors between Corridor SLC100C & SLC100D. 3.
Above the ceiling at the 2-hour rated bulkhead in Corridor SLC100C fire stop around conduit penetrations in the far corner of the vertical fire barrier and also fire stop holes near
the small hatch. 4. Fire stop gap in smoke partition next to conduit in Corridor SLC100C. 5. Double doors to Mechanical Equipment SLC104 must have automatic flush bolts on the inactive
leaf to provide positive latching and have an astragal or other type of smoke seal. [NFPA 101 Section 18.3.6.3.8] 6. The double doors opening into Corridor SLC100C from the Mechanical
Mechanical Room adjacent to
Project No. HL-7918-TF/MS/ALH October 13, 2010 Catawba Valley Medical Center Page 2 of 4 Women’s Oncology & Surgery Expansion – Phase 1A Mechanical Room SLC104 must have automatic flush
bolts on the inactive leaf to provide positive latching and an astragal or other type of smoke seal. Also provide a sign on the inside of the doors that reads “Open Door Slowly”. 7.
Fire stop around hot water pipe above ceiling in Corridor SLC100B near Sterile Supply Storage. 8. Provide a sign on the inside of the corridor door leading to the CO² Gas Room that reads
“Open Door Slowly”. 9. Adjust closer on the 90 minute door at the top of the communicating stair from Storage SLC102 to PACU and finish installing lock. 10. Fire stop conduit with green
wires running through wall to Operating Room J above ceiling near hand washing sink. 11. Copper pipe coming from the drip pan above Operating Room J, that will be extended through the
ceiling above the hand washing sink, must be sealed to prevent the passage of smoke. 12. Cap the empty conduit that is penetrating through the smoke partition above the ceiling across
from Service Elevator 5. 13. Newly-installed opposite-swinging doors to PACU must be provided with positive latching and an astragal or other type of smoke seal at the meeting edges.
14. Fire stop around wall anchor for the data tray above the ceiling at 2-hour shaft wall in PACU. Also confirm which rated system was used to provide the 2-hour shaft wall rating from
the PACU side. 15. Fire stop around sheetrock patch in 2-hour fire barrier at Mechanical Chase. 16. Please provide details on what type of access control will be installed at the cross
corridor doors between Corridor SLC100C & SLC100D. Also, check travel distances within all exit access corridors on the ground level to determine if exiting through these doors and down
Corridor SLC100C to the loading dock is required in order to be within maximum allowed travel distances. If exiting is required in this direction then an exit sign will need to be installed
on the Corridor SLC100D side of the doors. If exiting is required in this direction, then the doors may be locked only in accordance with NCSBC Section 1008.1.8.6 for delayed egress
locks; or Section 407.9 for special locking arrangements. Access-control doors are not acceptable in the means of egress from the Corridor SLC100C side of the doors. 17. While reviewing
the Life Safety Plan for access control to Corridor SLC100C we noticed that there appears to be a dead end condition that exceeds 20’ in the corridor near the elevators adjacent to the
Jade Room. How does this existing condition meet dead-end corridor limitations? 18. Interim life safety measures for Phase1B work must include: a. Submit a letter from the local building
inspections department and the Fire Marshall stating their approval of interim exiting through the PACU. b. Add exit sign on both sides of opposite-swinging PACU doors.
Project No. HL-7918-TF/MS/ALH October 13, 2010 Catawba Valley Medical Center Page 3 of 4 Women’s Oncology & Surgery Expansion – Phase 1A c. Confirm that there is 8’ of clearance to continue
exit access corridor through PACU. d. Add a temporary exit sign on the PACU side of the double doors near the exit stair and also add one directing exiting toward the stair visible after
exiting these doors. e. Submit an exit signage plan for interim life safety for the surgery area. Engineering Comments: 1. Please install all missing piping supports in the medical vacuum
main line above the first floor corridor maintaining a maximum distance between supports no greater than that allowed by 2005 NFPA 99 Table 5.1.10.10.4.5. 2. Please provide redundant
ground continuity for the critical branch circuits serving receptacles in the Trumpf boom and Beacon Medaes column between the point at which the circuits exit the boom/column in flexible
non-metallic conduit and where they enter the metallic junction box above ceiling in accordance with 2008 North Carolina State Electrical Code (NCSEC) Section 517.13 (A). 3. Please terminate
the drain line serving the auxiliary drain pan installed to protect the roof leader drain above Operating Room J at a location that provides observation of the line in the event of a
leak. 4. Please connect all conductive surfaces of lighting installed above Operating Room J to an equipment grounding conductor in accordance with 2008 NCSEC Section 517.62 and 517.63
(C)(2). 5. Please correct the mislabeled critical branch circuit identifiers on the Trumpf boom. 6. Please update the panel schedule for Panel CHSA to indicate the breaker serving Panel
CHSORB. 7. Please provide cab lighting and controls for Elevator 5 from a life safety branch source as required by 2008 NCSEC 517.32 (G). 8. Please distinctively identify the critical
branch receptacles installed in the service level telecom room as required by Licensure 10A NCAC 13B .6227 (f)(4). 9. Please insure that the communications telecom equipment installed
in the service level telecom room is connected to a critical branch source as required by 2008 NCSEC 517.33 (A)(7). 10. Please correct the Area D fire alarm system addresses to reflect
the appropriate space names. 11. Please provide damper access doors to serve the service level shaft enclosure duct penetrations installed above ceiling at an accessible location acceptable
to the hospital staff. 12. Please insure that all return air combination fire/smoke dampers close on loss of the associated return air fans as required to maintain the integrity of the
penetrated shaft enclosures and smoke barriers in accordance with 2006 North Carolina State Building Code Sections 716.5.3 and 716.5.5.
Project No. HL-7918-TF/MS/ALH October 13, 2010 Catawba Valley Medical Center Page 4 of 4 Women’s Oncology & Surgery Expansion – Phase 1A The laundry area that was inspected during our
visit that will be requested for use at a future date will require the following: 1. Submit a revised life safety plan showing the location of suites and showing how exiting will work
from the Laundry, Electric Generator and Generator suite or suites of rooms. The travel distances to exits through intervening rooms needs to be addressed from all areas. 2. Show existing
perimeter suite wall ratings and the required 1-hour fire barrier separating the Laundry as a hazardous area since the Laundry is larger that 100 ft². [NFPA 101 Section 18.3.2.1] 3.
Door from the Janitors Closet to the Generator Room will need to be replaced with a 90-minute door when this wall is changed to a 2-hour fire barrier. 4. Duct that goes through the wall
of the Janitors Closet to the Future Generator Room will be required to have a fire damper when this wall is changed to a 2-hour fire barrier. When the deficiencies listed above have
been corrected we must received written confirmation and documentation from your architect that they have inspected the work and it is complete. Once the letter is accepted we will notify
the DHSR Acute and Home Care Licensure and Certification Section that the project is approved. Please use our Project No. HL-7918-TF/MS/ALH on all correspondence related to this project.
If you have any questions or if we can be of any further assistance, please contact us at the telephone number or email address listed below. Sincerely, Mark A. Saulnier Alex Harwell
Architect Engineer DHSR Construction Section DHSR Construction Section (919) 855-3896 (919) 855-3887 mark.saulnier@dhhs.nc.gov alex.harwell@dhhs.nc.gov cc: Freeman White – Josh Stewart,
Benie Wix, Kevin Barbee, Douglas Stover (via e-mail only) CVMC – Scott Echelberger, Doug MacMillan, Shannon Hefner (via e-mail only) DHSR Construction – Alex Harwell, Thad Ferree (via
e-mail only) Catawba County Fire Marshall – Mark V. Pettit (via e-mail only) Catawba County Building Inspections – Joel Herman (via e-mail only)