630-23-108 - 12W CARDIAC STRESS LAB CONSTRUCTION DRAWINGS - BID DOCUMENTS.pdf

CONSTRUCTION

SUBSYSTEM

BUILDING WALL

SECTION

ELEVATION

INTERIOR

ELEVATION

DOORS

ROOM NUMBER

PLAN & SECTION

DETAIL REFERENCE

REFERS TO A TYPICAL

ASSEMBLY

LOCATION ON DRAWING

SHEET

SHEET DETAIL IS

LOCATED

REFERS TO NUMBER ON DOOR

SCHEDULE, SEE SHEET A511

REFERS TO NUMBER ON

FLOOR PLAN

LOCATION ON

DRAWING SHEET

ARROW INDICATES DIRECTION OF ELEVATION

SHEET LOCATION WHERE ELEVATION IS

LOCATED

Room name

A101

SIM

NUMBER INDICATES ELEVATION

ON SHEET

LOCATION ON

DRAWING SHEET

101A

A101

A101

PARTITION

TYPES

REFERS TO INTERIOR PARTITIONS,

SEE SHEET G004

REVISION

REVISIONS ARE SHOWN WITHIN

"CLOUDED" AREA REVISION

NUMBER & DATE WILL APPEAR IN

TITLE BLOCK SPACE SO LABELED

SHEET LOCATION WHERE

ELEVATION IS LOCATED

A101

DEMOLITION NOTE REFERS TO DEMOLITION

NOTES ON THAT SHEETX

CONSTRUCTION NOTE REFERS TO CONSTRUCTION

NOTES ON THAT SHEET

X

REFERS TO EXISTING GRID

LINES IN PROJECT

REFERS TO NEW GRID LINES

EXISTING GRID LINE

NEW GRID LINE

E 23rd St

1s r A ve

E 25th St

Asser Levy Playground

Skyport Marina

Asser Levy Recreation Center

United Nations International School

Reter Copper Village

DIVISION NAME

CONCUR

SUBMISSION REVIEW LOG:

DO NOT CONCUR

DIVISION NAME

CONCUR DO NOT CONCUR

DIVISION NAME

CONCUR DO NOT CONCUR

DIVISION NAME

CONCUR DO NOT CONCUR

DIVISION NAME

CONCUR DO NOT CONCUR

DIVISION NAME

CONCUR DO NOT CONCUR

DIVISION NAME

CONCUR DO NOT CONCUR

DATE

DATE

DATE

DATE

DATE

DATE

DATE

Revision No. SHEET # SHEET TITLE

GENERAL

G001 COVER SHEET

G002 LIFESAFETY, ABBREVIATIONS & CODE NOTES & PARTIAL

PLAN

G003 INFECTION CONTROL RISK ASSESSMENT

G004 PHASING

ARCHITECTURAL

AD101 TWELFTH FLOOR PARTIAL DEMOLITION PLAN AND RCP

A101 TWELFTH FLOOR CARDIAC STRESS LAB PLAN AND

PARTITION TYPES

A111 TWELFTH FLOOR CARDIAC STRESS LAB RCP & DETAILS

A401 INTERIOR ELEVATION

A511 DOOR LEGEND, SCHEDULE & DETAILS

A601 FINISH PLAN, FINISH LEGEND, NOTES & DETAILS

A602 FINISH BOARD

A603 TWELFTH FLOOR EQUIPMENT PLAN & SCHEDULE

A701 SIGNAGE

FIRE PROTECTION

FP001 FIRE PROTECTION LEGENDS & SYMBOLS

FX101 TWELFTH FLOOR PLAN - FIRE PROTECTION - DEMOLITION

FP101 TWELFTH FLOOR PLAN - FIRE PROTECTION - NEW WORK

MECHANICAL

M-001 MECHANICAL NOTES, LEGENDS, & SYMBOLS

MD101 TWELFTH FLOOR PLAN - HVAC - DEMOLITION

MH101 TWELFTH FLOOR PLAN - HVAC - NEW WORK

M-501 MECHANICAL SCHEDULE AND DETAILS

PLUMBING

P-001 PLUMBING NOTES, LEGENDS, & SYMBOLS

PD101 TWELFTH FLOOR PLAN - PLUMBING - DEMOLITION

P-101 TWELFTH FLOOR PLAN - PLUMBING - NEW WORK

P-501 PLUMBING SCHEDULES AND DETAILS

P-601 PLUMBING RISER DIAGRAMS

ELECTRICAL

E-001 ELECTRICAL LEGENDS & SYMBOLS

ED101 TWELFTH FLOOR PLAN - LIGHTNING - DEMOLITION

ED102 TWELFTH FLOOR PLAN - ELECTRICAL EQUIPMENT -

DEMOLITION

EL101 TWELFTH FLOOR PLAN - LIGHTING - NEW WORK

EP101 TWELFTH FLOOR PLAN - ELEC EQUIPMENT - NEW WORK

E501 ELECTRICAL DETAILS

E-601 ELECTRICAL DIAGRAMS

FIRE ALARM

FA001 FIRE ALARM LEGENDS & SYMBOLS

FA101 TWELFTH FLOOR PLAN - FIRE ALARM - NEW WORK

FA501 FIRE ALARM DETAILS

TECHNOLOGY

T-001 TECHNOLOGY LEGEND, ABBREV, & GENERAL NOTES

TD101 TWELFTH FLOOR PLAN - TECHNOLOGY - DEMOLITION

TN101 TWELFTH FLOOR PLAN - DATA/ACCESS/CCTV - NEW WORK

T-501 TECHNOLOGY DETAILS

SITE MAP SYMBOLS

IMAGE: GOOGLE EARTH

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

PhaseARCHITECT/ENGINEER OF RECORD STAMPCONSULTANT

321 4 5 6 7 8 9 10 a r c h i t e c t s www.abovegroupinc.com COA/CA Lic. No. 31120

305 East Dr., Suite H, Melbourne, Florida 32904

PH: 321.345.9026

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G001

COVER SHEET Renovate 12W Cardiac Stress Lab

423 EAST 23RD STREET, NEW YORK, NY 10010

630.23.108

03/24/2025 MC DK

100% BID DOCUMENTS

Renovate 12W Cardiac Stress Lab

423 EAST 23RD STREET,

NEW YORK, NY 10010

DRAWING LIST

TRUE

NORTH

Revisions: Date:

ABBREVIATIONS:

A LABEL CLASS A DOOR

A/C AIR CONDITION

A/E ARCHITECT/ENGINEER

ABV ABOVE

ACT ACOUSTICAL CEILING TILE

AD AREA DRAIN

ADH ADHESIVE

ADJ ADJACENT

ADMIN ADMINISTRATION

AFC ABOVE FINISHED COUNTER

AFF ABOVE FINISHED FLOOR

AHU AIR HANDLING UNIT

ALT ALTERNATE

ALUM ALUMINUM

APPROX APPROXIMATE

ARCH ARCHITECT

ASB ASBESTOS

ASSN ASSOCIATION

AUTO AUTOMATIC

AUX AUXILIARY

BAT BATTEN

BD BOARD

BEV BEVEL

BKG BACKING

BLDG BUILDING

BOT BOTTOM

BTWN BETWEEN

C TO C CENTER TO CENTER

CAB CABINET

CONC CONCRETE

CIR CIRCLE

CL CENTER LINE

CLG CEILING

CLG HT CEILING HEIGHT

CLR CLEAR

CMU CONCRETE MASONRY UNIT

CNTR COUNTER

COL COLUMN

CONC FLR CONCRETE FLOOR

CONSTR CONSTRUCTION

CONT CONTINUE

COORD COORDINATE

CSWK CASEWORK

CT CERAMIC TILE

CTRL CONTROL

DAT DATUM

DC DIRECT CURRENT

DEG DEGREE

DEL DELETE

DEMO DEMOLITION

DEPT DEPARTMENT

DTL DETAIL

DIFF DIFFERENCE

DIM DIMENSION

DIR DIRECTION

DR DOOR, OR DRAIN

DR OPNG DOOR OPENING

E.J. EXPANSION JOINT

EL ELEVATION

ELEC ELECTRIC

ELEV ELEVATOR

EMER EMERGENCY

ENGR ENGINEER

EQ EQUAL

EQUIP EQUIPMENT

EQUIV EQUIVALENT

ESP ESPECIALLY

EXIST EXISTING

FA FIRE ALARM

FAS FASCIA

FD FLOOR DRAIN

FE FIRE EXTINGUISHER

FEC FIRE EXTINGUISHER CABINET

FIN FLR FINISH FLOOR

FIXT FIXTURE

FLR FLOOR

FP FIRE PROTECTION OR FIREPROOF

FRT FIRE RETARDANT TREATED

FRZ FREEZER

FT FEET OR FOOT

FURN FURNISH OR FURNITURE

GA GAGE OR GYPSUM ASSOCIATION

GAL GALLON

GALV GALVANIC OR GALVANIZED

GB GRAB BAR

GC GENERAL CONTRACTOR

GEN GENERAL OR GENERATOR

GL GLASS

GLU LAM GLUED LAMINATED WOOD

GT GROUT

GYP GYPSUM

GYP BD GYPSUM BOARD

HB HOSE BIBB

HC HOLLOW CORE

HDWD HARDWOOD

HM HOLLOW METAL

HT HEIGHT

HVAC HEATING, VENTILATING,

AND AIR CONDITIONING

ID IDENTIFICATION

ILLUM ILLUMINATION

INCL INCLUDED

INFO INFORMATION

INSUL INSULATION

INT INTERIOR

JAN JANITOR

J-BOX JUNCTION BOX

LAB LABORATORY

LAM LAMINATE

LAV LAVATORY

LDR LEADER

LED LIGHT EMITTING DIODE

LT LIGHT

LVD LOUVERED

LVR LOUVER

LVT LUXURY VINYL TILE

LYR LAYER

MAINT MAINTENANCE

MATL MATERIAL

MAX MAXIMUM

MECH MECHANICAL

MEMO MEMORANDUM

MID MIDDLE

MIRR MIRROR

MISC MISCELLANEOUS

MLDG MOLDING (MOULDING)

MLWK MILLWORK

MO MASONRY OPENING

MTL METAL

MULL MULLION

NA NOT APPLICABLE

NAT NATURAL

NIC NOT IN CONTRACT

NO NUMBER

NOM NOMINAL

NUM NUMERAL

OC ON CENTER

OCC OCCUPY

OFF OFFICE

OPNG OPENING

OPP OPPOSITE

OSHA OCCUPATIONAL SAFETY

AND HEALTH ADMINISTRATION

OZ OUNCE

PART PARTIAL

PAT PATTERN

PEN PENETRATE

PERF PERFORATED

PERP PERPENDICULAR

PLAS PLASTER OR PLASTIC

PLBG PLUMBING

PLYWD PLYWOOD

PNL PANEL

PRB PROFILE BASE

PRCST PRECAST

PREFAB PREFABRICATE

PRELIM PRELIMINARY

PREP PREPARATION

PREV PREVIOUS

PROP PROPERTY

PTD PAINTED

PVC POLYVINYL CHLORIDE (PLASTIC)

QA QUALITY ASSURANCE

QC QUALITY CONTROL

QT QUARRY TILE

QTB QUARRY TILE BASE

QTR QUARTER

QTY QUANTITY

R RADIUS OR RISER

RAD RADIATOR

RB RESILIENT BASE OR RUBBER BASE

RBR RUBBER

RCP REFLECTED CEILING PLAN

RCVR RECEIVER

RD ROAD OR ROOF DRAIN

REC RECESSED

RECT RECTANGLE

REF REFERENCE OR REFRIGERATOR

REINF REINFORCE

REQ REQUIRE

REQD REQUIRED

RES RESINOUS FLOORING

RESIL RESILIENT

RET RETURN

REV REVISION

RF RUBBER FLOORING

RM ROOM

RND ROUND

RO ROUGH OPENING

SALV SALVAGE

SBSTR SUBSTRATE

SCHED SCHEDULE

SCHEM SCHEMATIC

SECT SECTION

SEP SEPARATE

SF SQUARE FOOT (FEET)

SLNT SEALANT

SMK SMOKE

SPEC SPECIFICATION

SPKLR SPRINKLER

SPLY SUPPLY

SQ SQUARE

SS STAINLESS STEEL

STD STANDARD

STOR STORAGE

STR STRINGERS

STRUCT STRUCTURAL

SURF SURFACE

SUSP SUSPEND

SVT SOLID VINYL FLOOR TILE

SYS SYSTEM

T&G TONGUE AND GROOVE

TECH TECHNICAL

TEL TELEPHONE

TEMP TEMPERATURE OR TEMPORARY

THK THICKNESS

THRU THROUGH

TMPD TEMPERED

TO TOP OF ___

TRANS TRANSOM

TRTD TREATED

TYP TYPICAL

U HEAT TRANSFER COEFFICIENT

UNO UNLESS NOTED OTHERWISE

UPS UNINTERRUPTIBLE POWER SUPPLY

UTIL UTILITY

UV ULTRAVIOLET

VAC VACUUM

VAR VARIES

VCT VINYL COMPOSITION TILE

VENT VENTILATION

VERT VERTICAL

VEST VESTIBULE

VIF VERIFY IN FIELD

VOL VOLUME

W/ WITH

W/O WITHOUT

WD WOOD

WSCT WAINSCOT

WSF WELDED SEAM SHEET FLOORING

WT WEIGHT

1.

1.

1.

2.

a.

1.

2.

A. PRIMARY APPLICABLE CODES AND STANDARDS - EXISTING BUILDING / RECONSTRUCTION

1. THE DEPARTMENT OF VETERANS AFFAIRS HAS ADOPTED THE LATEST EDITION OF THE

FOLLOWING CODES AND STANDARDS AS A MINIMUM FOR ALL PROJECTS PERFORMED IN THE

MODERNIZATION, ALTERATION, ADDITION OR IMPROVEMENT OF ITS REAL PROPERTY AND THE

CONSTRUCTION OF NEW STRUCTURE.

a. NFPA 101 LIFE SAFETY CODE, 2024 EDITION

b. NFPA NATIONAL FIRE CODES (WITH THE EXCEPTION OF NFPA 5000 AND NFPA 900)

c. NATIONAL ELECTRIC CODE (NEC)

d. INTERNATIONAL PLUMBING CODE (IPC)

e. ASME BOILER AND PRESSURE VESSEL CODE

f. ASME CODE FOR PRESSURE PIPING

g. ARCHITECTURAL BARRIERS ACT ACCESSIBILITY STANDARDS (ABAAS) INCLUDING VA

SUPPLEMENT, BARRIER

h. FREE DESIGN GUIDE (PG-18-13)

i. ENERGY POLICY ACT (EPAct)

j. VA DIRECTIVES, DESIGN MANUALS, MASTER SPECIFICATIONS, VA NATIONAL CAD STANDARD

APPLICATION GUIDE, AND OTHER GUIDANCE

k. ON THE TECHNICAL INFORMATION LIBRARY (TIL)

l. VA MENTAL HEALTH DESIGN GUIDE

m. INTERNATIONAL BUILDING CODE (IBC) - ONLY WHEN SPECIFICALLY REFERENCE IN VA DESIGN

DOCUMENTS

n. OCCUPATIONAL, SAFETY AND HEALTH ADMINISTRATION (OSHA) STANDARDS

2. THE CONSTRUCTION CLASSIFICATION IS TYPE II (222). THE MINIMUM FIRE RATING FOR ALL

LOAD-BEARING STRUCTURAL ELEMENTS IS 2HRS. IF DURING CONSTRUCTION, ANY DAMAGE TO

EXISTING FIREPROOFING IS OBSERVED OR IF DISCOVERED THAT ANY FIRE PROTECTION IS

MISSING, THE CONTRACTOR SHALL REPAIR TO MAINTAIN FULL PROTECTION.

3. THE RENOVATION OF THE 12W CARDIAC STRESS LAB PROJECT (717 SQUARE FEET) OF THE

12TH FLOOR W WING BUILDING 1 OF THE VAMC MANHATTAN CAMPUS.

NFPA 101 REVIEW

A. CHAPTER 20 NEW AMBULATORY HEALTH CARE OCCUPANCIES

(20.1.1.1) THE REQUIREMENTS OF THIS CHAPTER SHALL APPLY TO NEW BUILDINGS OR

PORTIONS THEREOF CURRENTLY OCCUPIED AS AMBULATORY HEALTH CARE

OCCUPANCIES, UNLESS THE AUTHORITY HAVING JURISDICTION HAS DETERMINED

EQUIVALENT SAFETY HAS BEEN PROVIDED IN ACCORDANCE WITH SECTION 1.4..

B. MEANS OF EGRESS - CHAPTER 39 AND CHAPTER 7

THERE IS NO CHANGE TO THE EXISTING CORRIDOR PLAN CONFIGURATION AND EXISTING.

C. FIRE PROTECTION EQUIPMENT - CHAPTER 39 AND CHAPTER 9

THE EXISTING CORRIDORS ARE FULLY PROTECTED WITH AN AUTOMATIC SPRINKLER

SYSTEM.

(39.3.5) EXTINGUISHMENTS REQUIREMENTS. PORTABLE FIRE EXTINGUISHERS SHALL BE

PROVIDED IN EVERY BUSINESS OCCUPANCY IN ACCORDANCE WITH SECTION 9.9.

(9.9) WHERE REQUIRED BY ANOTHER SECTION OF THIS CODE, PORTABLE FIRE

EXTINGUISHERS SHALL BE SELECTED, INSTALLED, INSPECTED, AND MAINTAINED IN

ACCORDANCE WITH NFPA 10, STANDARD FOR PORTABLE FIRE EXTINGUISHERS.

D. INTERIOR FINISHES - CHAPTER 39 AND SECTION 10.2

(39.3.3.2.1) INTERIOR WALL AND CEILING FINISH MATERIALS COMPLYING WITH SECTION 10.2

SHALL BE CLASS A OR CLASS B IN EXITS AND IN EXIT ACCESS CORRIDORS.

(39.3.3.2.2) INTERIOR WALL AND CEILING FINISHES SHALL BE CLASS A, CLASS B, OR CLASS C

IN AREAS OTHER THAN THOSE SPECIFIED IN 39.3.3.2.1..

CODE NOTES:

EXIT SIGN

LIFESAFETY LEGEND:

EXISTING WALL TO REMAIN

EXISTING 2 HOUR RATED FIRE PARTITION

EXISTING WALL MOUNTED FIRE

EXTINGUISHER E

NEW PARTITION WALL

EXIT ACCESS TRAVEL DISTANCE

169 SF

NEW

ECOCARDIOGRAPH

ROOM

12014W

342 SF

CARDIAC STRESS

TESTING

TREADMILL

ROOM

12015W

31 SF

HOT LAB

12015AW

136 SF

HALLWAY

12015CW

30 SF

CHANGING

AREA

12015BW

286 SF

CARDIAC

CATHETERIZATION

NURSES

12016W

137 SF

CARDIOLOGY

FELLOWS ROOM

12013W

144 SF

NEW OFFICE

12012W41 SF

TOILET

12011W

145 SF

STORAGE

12117W

37 SF

DARK ROOM

12010W

39 SF

JANITOR

12009W

34 SF

SOILED UTILITY

12007W

193 SF

WEST STAIRWAY

STAIR

E

EXISTING TO REMAIN

TRAVEL DISTANCE TO EXIT = 98'-0" NEW EXIT SIGNEXISTING EXIT SIGN

KEY PLAN

PROJECT

AREA

NEW

ECHOCARDIOGRAP

H ROOM

CARDIAC

STRESS

TESTING

TREADMILL

ROOM

CHANGING

AREA

HOT

LAB

HALLWAY

OFFICE

CARDIOLOGY

FELLOWS

ROOM

CARDIAC

CATHETERIZATION

NURSES

TLT

NON SLEEPING SUITE

1,930 SQ. FT

SMOKE COMPARTMENT:

12TH FLOOR WEST

7,270 SQ. FT.

EXISTING

SMOKE

DOOR

EXISTING

SMOKE

DOOR

EXIT STAIRWAY

WEST STAIRWAY

BLDG-1

STAIR 2

EXISTING 30 MIN

SMOKE BARRIER

EXIT STAIRWAY

CENTER STAIRWAY

BLDG 1

STAIR 1

SMOKE COMPARTMENT:

12TH FLOOR CENTER

10,420 SQ. FT.

ELEV

ELEV

ELEV

ELEV

ELEV

ELEV

ELEV

ELEV

EXISTING 2 HOUR BARRIER

EXISTING 2 HOUR BARRIER

EXISTING 2 HOUR BARRIER

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

PhaseARCHITECT/ENGINEER OF RECORD STAMPCONSULTANT

321 4 5 6 7 8 9 10 a r c h i t e c t s www.abovegroupinc.com COA/CA Lic. No. 31120

305 East Dr., Suite H, Melbourne, Florida 32904

PH: 321.345.9026

Au to de sk

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G002

LIFESAFETY, ABBREVIATIONS &

CODE NOTES & PARTIAL PLAN

Renovate 12W Cardiac Stress Lab

423 EAST 23RD STREET, NEW YORK, NY 10010

630.23.108

03/24/2025 MC DK

100% BID DOCUMENTS

1/4" = 1'-0"

12TH FLOOR PARTIAL LIFE SAFETY PLAN

N

PROJECT

NORTH

TRUE

NORTH

1/16" = 1'-0"

12TH FL PARTIAL LIFE SAFETY PLAN WEST WING

A.

B.

C.

D.

E.

F.

THE PURPOSE OF INFECTION CONTROL PROCEDURES IS TO MINIMIZE THE POTENTIAL FOR THE SPREAD OF INFECTIONS DUE TO DEGRADED AIR QUALITY, ENVIRONMENTAL CONTAMINATION, OR CONTAMINATION OF WATER.

IT IS THE POLICY OF THIS MEDICAL CENTER THAT A SYSTEMATIC APPROACH BASED ON ASSESSMENT AND PLANNING WILL EFFECTIVELY MANAGE THE ISSUE OF TRANSMISSION OF INFECTIOUS DISEASES AND THE AGGRAVATION OF ALLERGIES. THE OVERALL APPROACH RELIES ON PRE-CONSTRUCTION ASSESSMENT, MANAGEMENT OF HVAC SYSTEMS, AND AGGRESSIVE USE OF A VARIETY OF BARRIERS. CONTRACTOR IS TO WORK CLOSELY WITH THE VA FACILITY MANAGEMENT SERVICE CENTER, THE INFECTION CONTROL PROGRAM STAFF AND THE SAFETY AND OCCUPATION HEALTH MANAGER TO HAVE IN PLACE A MONITORING PROGRAM TO ASSURE RIGOROUS IMPLEMENTATION OF THE REQUIRED MEASURES, REFER TO PROJECT SPECIFICATIONS.

THE CONTRACTOR SHALL VERIFY ALL EXISTING CONDITIONS IN THE FIELD AND COORDINATE ALL INFECTION CONTROL REQUIREMENTS WITH THE DEMOLITION AND NEW CONSTRUCTION. THE CONTRACTOR SHALL REPORT ALL DISCOVERIES TO THE OWNERS' REPRESENTATIVE FOR RESOLUTION PRIOR TO BEGINNING.

CONTRACTOR TO INSTALL BARRIERS AND OTHER MEASURES. CONSTRUCTION BARRIER DOOR(S) MUST BE SELF-CLOSING. PROVIDE DUST CONTROL AND CONTAINMENT STICKY MATS ON ALL ACCESS DOORS INTO CONSTRUCTION AREA. ANTE-ROOM REQUIRED AT CONSTRUCTION ENTRY. PROVIDE MANOMETER MONITORS

FOR ALL CONSTRUCTION BARRIERS.

CONTRACTOR TO DISPOSE OF MATERIALS BEFORE 8:00 AND OR AFTER 4:00 PM UNLESS ARRANGED WITH THE VA TO DISPOSE OF DURING NORMAL HOURS. USE ROUTE AGREED UPON BY ICRA TEAM AND COR FOR TRANSPORT OF TRANSPORT CONTAINERS THROUGH THE FACILITY. CONTRACTORS CAN ONLY DEVIATE TO NORMAL HOURS WITH THE APPROVAL OF THE INFECTION CONTROL NURSE AND COR DUE TO PARTICULAR CIRCUMSTANCES THAT MAY OBSTRUCT PROGRESS. A CLEAR PLAN WILL HAVE TO BE SUBMITTED AND

PRECAUTIONARY INFECTION CONTROL MEASURES IMPLEMENTED.

CONTRACTOR TO COVER CARTS AND WEAR BOOTIES WHEN DISPOSING MATERIALS.

CONTRACTOR TO CHANGE MATS MULTIPLE TIMES A DAY AS NEEDED AND MOP FLOORS BEHIND THEM

MULTIPLE TIMES A DAY.

CONTRACTOR TO MAINTAIN CONTINUOUS NEGATIVE AIR PRESSURE WITHIN THE WORK SITE UTILIZING WINDOW EXHAUST FANS STRATEGICALLY LOCATED OR PROVIDED NEGATIVE PRESSURE AIR HEPA UNITS AND EXHAUST TO EXTERIOR OF THE BUILDING. CONTRACTOR TO INCLUDE MONITORING MANOMETER AT

ANTEROOM SO THE NEGATIVE PRESSURE CAN BE INSPECTED.

INFECTION CONTROL NOTES:

INFECTION CONTROL RISK ASSESSMENT

TABLE 1 - Construction, Renovation, and/or Maintenance Activity Category

Activity Category determined from Table 1 ( A, B, C, or D):

Category A

Inspection and/or facility upkeep generally defined as follows :

Work can be completed in a single shift, not to exceed 10 hours.

Patients and/or employees may be in the area depending on the activity.

Work that does not create dust or debris.

Removal of ceiling tile or access to mechanical or electrical chase for visual inspection limited to 1 tile per 50 square feet with limited exposure time (not to exceed an hour for each tile) within the shift.

Minor interior updates (e.g., replacing floor or ceiling tiles, carpentry work to include hanging signage, and painting without sanding) that do not create dust or debris.

Limited building system maintenance such as basic plumbing on potable systems (e.g., faucet replacement) or basic electrical work such as replacement of light bulbs, receptacles, or switches.

Infection Control Risk Assessment Matrix of Precautions for Construction & Renovation

Category C

Small-scale construction, renovation, or maintenance generally defined as follows :

Work requiring longer than a single week to complete but not exceeding 6 months.

Patients and employees are not to be in the area until activity is completed.

Demolition/removal of preexisting floor covering, casework, lay-in ceiling, or other architectural elements.

Demolition/removal of more than 32 ft 2 of drywall/framing, hard ceilings, and doors/framing and minimal infrastructure such as electrical circuits and branch piping.

Installation of new walls, ceilings and doors including framing, drywall/plaster and associated work.

Plumbing work such as the installation of new sinks, showers and toilets and associated plumbing.

Shut down of sections of potable water systems.

Electrical work such as installation of conduit and wire for lighting, receptacles and switches for an area, the installation of conduit and wire for new devices such as terminal units, fans etc.

Modification of existing fire alarm and suppression systems.

Mechanical work such as the installation of ductwork, diffusers, and terminal units for an area.

Category D

Large-scale construction, renovation, or maintenance generally defined as follows :

Work exceeding 6 months in duration.

Patients and employees are not to be in the area until activity is completed.

Large-scale demolition of building components and infrastructure including removal of multiple doors, walls, framing, ceilings, flooring, piping, electrical and HVAC.

The installation building components such as new walls, ceilings and doors including framing, drywall and associated plaster work.

Plumbing work such as the installation of:

new medical gas systems, steam/heating hot water, condensate systems, multiple sinks, showers and toilets including associated plumbing.

Shutdown of potable water, steam/heating hot water, condensate, and medical gas systems.

Electrical work such as installation of electrical feeders, distribution panels, conduit and wire for lighting, receptacles and switches for an area, the installation of conduit and wire for new devices such as terminal units, fans etc.

Installation of fire alarm and suppression systems.

Electrical shutdown of multiple panels.

Mechanical work such as the installation of air handling equipment, associated ductwork, diffusers, heat exchangers, terminal units and controls.

NOTE: If any of the bulleted criteria in a higher activity category pertains to the work that will be done (even if the other criteria are in a lower category), use the higher activity category for the VHA ICRA.

Category B

General maintenance and repair work generally defined as follows:

Prolonged inspection and work that may take longer than a single shift but not exceeding a week.

Patients and employees are not to be in the area until activity is completed.

Work that creates minimal dust and debris.

Interior finish or surface repairs, updates, or modifications such as repair of firewall's and barriers, and new flooring that produces minimal dust and debris. Controlled sanding activities (e.g., wet or dry sanding) that produce minimal dust and debris.

Plumbing work such as installation or replacement of a single fixture or piping for a single fixture. Any work on sanitary plumbing including snaking of drains.

Electrical work such as installation of cabling/wiring/conduit for a single device, installation of new device such as a light fixture that produces minimal dust and debris.

Air Handler and/or fan shutdown/startup and HVAC work such as replacement of a single diffuser, single terminal unit or a single device that produces minimal dust and debris.

Service(s)/Types(s) of Area(s)Area

Figure: Isometric drawing of affected area assessment.

Activity Area**

Area Above

Area Below

Adjacent Area 1

(e.g., OR, Unit/Ward, Sterile Processing, Administrative, etc.)*

Point of Contact (POC) POC Contact Information

Adjacent Area 2

Adjacent Area 3

Adjacent Area 4

TABLE 2 - Affected Area Assessment Identify the areas and associated patients that will be affected by the construction/renovation/maintenance activity (see the Figure for a visual representation of adjacent affected areas).

* There may be more than one Service/type of area for each row. List all.

** List the area(s) in which the construction/renovation/maintenance activity will occur. NOTE: When the Activity Category is B, C, or D, the control measures are determined by the Patient Risk in the adjacent affected areas.

TABLE 3 - Patient Risk Category

Overall Patient Risk Category determined from Table 3 ( Low, Medium, High, or Highest ):

LOW RISK MEDIUM RISK HIGH RISK HIGHEST RISK

Public hallways and gathering areas not in clinical areas

Office areas not in clinical areas

Breakrooms not in clinical areas

Bathrooms or locker rooms not in clinical areas

Mechanical/electrical rooms not in clinical areas

Waiting areas

Clinical engineering (biomedical)

Materials management

Sterile processing department – dirty side

Kitchen, cafeteria, gift shop, coffee shop, and food kiosks

Patient care rooms and areas, including spinal cord injury units

All acute care units, including mental health

All outpatient units and clinics

Emergency department

Community Living Centers, domiciliary, and transitional residences

Employee health

Pharmacy – general work zone

Medication rooms and clean utility rooms

Imaging suites – diagnostic imaging

Laboratory

All transplant units

All intensive care units

All oncology units and chemotherapy/infusion centers

OR theaters and restricted areas

Hemodialysis units

Procedural rooms*

Pharmacy compounding area

Sterile processing department – clean side

Transfusion services

Imaging suites – interventional imaging

Dedicated isolation wards/units for infectious diseases

TYPE C

Using Table 3, identify the patient risk category for each area listed in Table 2. Of the patient risk categories identified, select the one with the greatest risk as the overall Patient Risk Category for the activity.

HIGH RISK

Non-patient care areas: Patient care support areas such as: Patient care areas such as: Procedural, invasive, sterile support and highly compromised patient care areas such as:

* Procedural Rooms are designated for the performance of patient care activities that may require high-level disinfected or sterile instruments and some environmental controls but is not required to be performed with the environmental controls of an operating room (OR). The room is intended for procedures that are performed in an aseptic surgical field and penetrates the protective surfaces of a patient ’s body (e.g., subcutaneous tissue, mucous membranes, cornea) or entry into or opening of a sterile body cavity.

Examples of these spaces include, and are not limited to, Cardiac Catheterization Suites, Electrophysiology Suites, Endovascular/GI Suites, Angio Suites and other spaces which may have high risk patient populations.

TABLE 4 - Level of Infection Prevention and Control Precautions Match the Overall Patient Risk Category (Low, Medium, High, Highest ) determined from Table 3 with the planned Construction/Renovation/Maintenance Activity Category ( A, B, C, D) from Table 1 to determine the minimum Level of Infection Prevention and Control Precautions ( I, II, III, or IV) using Table 4 below.

Level of Precautions determined from Table 4 ( I, II, III, or IV):

A B C D

I II II III

I

I

II

II

II

III

IV

III

IV

LOW Risk Group

MEDIUM Risk Group

HIGH Risk Group

HIGHEST Risk Group

Patient Risk Group Activity Category

An infection prevention and control permit is required for Level III and Level IV. Consult with Infection Prevention and Control for Level I and Level II.

IV

IVIV

TYPE D

TABLE 5 - Required Infection Prevention and Control Measures, by Level of Precautions Controls defined below for the Level of Precautions identified for the activity must be in place before the activity begins and maintained until work is completed and the area is activated. Control measures for each Precaution Level must also include the control measures in the preceding Level(s) .

As the activity progresses, a full re-evaluation of remaining activity type and patient risk is required prior to downgrading the Level of Precautions.

Level I 1.

2.

3.

Perform work activity in a manner that does not create dust.

Immediately replace any ceiling tile, close access panels, etc., upon completion of work.

Any materials and equipment being brought into the facility must be free of contaminants and loose material.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

All control measures in Level I and the following:

Provide active means to control airborne dust from dispersing into occupied areas and/or water mist surface to control dust (e.g., Mobile Dust Containment Cart or some other system).

Ensure worker clothing is clean and free of visible dust before leaving the work area.

Remove or isolate air diffusers (supply and return) to protect the HVAC system from dust and reduce air turbulence. Rebalance system to address diffuser isolation.

When the work involves or impacts potable water systems including stagnation due to reduced usage, the piping shall be flushed twice a week or isolated from the main system.

Seal doors to prevent dust migration.

Contain all trash and debris in the work area. Perform daily cleaning and disposal of trash (covered) from work area using an identified exit route.

Any equipment, tools, or materials removed from the work area must be in sealed containers and/or cleaned of dust and debris prior to removal from the area.

Nonporous/smooth and cleanable containers (with a hard lid) must be used to transport trash and debris from the construction areas.

These containers must be damp-wiped cleaned and free of visible dust/debris before leaving the contained work area.

Install a sticky (dust collection) mat at entrance of contained work area based on facility policy. Sticky mats must be changed routinely and when visibly soiled.

Maintain clean surroundings when area is not contained by damp mopping or HEPA vacuuming surfaces at least daily.

Level II

1.

2.

3.

4.

5.

6.

All control measures in Levels I and II and the following:

Ensure availability of equipment for cleaning hands.

Construct and complete critical barriers meeting NFPA 241 requirements. Barriers must extend to the ceiling or if ceiling tile is removed, to the deck above.

All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to floor and ceiling (or floor/roof deck above) and secure from movement or damage.

Seal all penetrations in containment barriers, including floors and ceiling, using approved materials (UL schedule firestop if applicable for barrier type).

Maintain .01 inches /water gauge negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors, or comply with the alternative method outlined in Appendix A of this document. These control measures must be maintained continuously 24/7 for the duration of the project. HEPA filtered exhaust if discharged directly to the outdoors must be at a distance of 25 feet or greater from entrances, air intakes and operable windows. Exhausting discharged air into shared or recirculating HVAC systems, or other shared exhaust systems (e.g., bathroom exhaust) is prohibited.

Install a differential pressure sensing device (e.g., magnehelic, manometer, or digital monitoring) on exterior of work containment to continually monitor and document negative pressurization. The “ball in the wall” or similar apparatus are not acceptable.

Level III

Level of Precautions

Control Measures

1.

2.

3.

4.

All control measures in Levels I, II and III and the following:

Barriers must be hard barriers unless temporary to install final barrier.

Containment must include an anteroom to ensure pressure control. Anteroom must be large enough for equipment staging, cart cleaning, workers’ PPE and cleaning.

Worker clothing and/or PPE must be removed or clean and free of visible dust before leaving the work area anteroom. HEPA vacuuming of clothing or use of cover suits is acceptable.

Workers must wear shoe covers or have a method to clean shoes in anteroom. Shoe covers must be removed prior to exiting the anteroom to the occupied space (non-work area). Damaged shoe covers must be changed immediately.

Level IV

TABLE 6 - Minimum Infection Prevention and Control Measures Required Upon Completion of the Activity Controls defined below shall be completed upon completion of the activity and inspected prior to terminating measures defined in Table 5.

Level I - II

1.

2.

1.

2.

1.

Cleaning:

Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

HVAC Systems:

Remove isolation of HVAC system in areas where work is being performed. Verify that HVAC systems are clean and operational.

Verify the HVAC systems meet original airflow and air exchange design specifications.

Water systems:

Until the potable water system is activated and in use, flushing shall continue at least twice per week in accordance with VHA Directive 1061.

Level of Precautions

Measures

Level III - IV

1.

2.

1.

2.

1.

2.

3.

4.

5.

1.

2.

1.

2.

3.

1.

Construction areas must be inspected by an infection preventionist and engineering representative (and others as determined by the facility) for final activity/project close out and removal of infection prevention and control measures.

Work Area Cleaning:

Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

Removal of Critical Barriers:

Critical barriers must remain in place during all work involving drywall removal, creation of dust and activities beyond simple touch-up work. The barrier may NOT be removed until a work area cleaning has been performed. Additional cleaning may be needed after removal of barrier.

All (plastic or hard) barrier removal activities must be completed in a manner that prevents dust release. Use the following precautions when removing hard barriers:

Carefully remove screws and painter tape.

If dust will be generated during screw removal, use hand-held HEPA vacuum.

Drywall cutting is prohibited during removal process.

Clean all stud tracks with HEPA vacuum before removing outer hard barrier.

Use a plastic barrier to enclose area if dust could be generated.

Negative Air Requirements:

The use of negative air must be designed to remove contaminants from the work area.

Negative air devices (fans, filters, monitoring and documentation equipment) must remain operational at all times and in place for a period after completion of dust creating activities to remove contaminants from the work area and before removal of critical barriers.

HVAC systems:

Upon removal of critical barriers, remove isolation of HVAC system in areas where work is being performed.

Verify that HVAC systems are clean and operational.

Verify and document through a TAB the HVAC systems meets original airflow and air exchange design specifications.

Water systems:

Until the potable water system is activated and in use, flushing shall continue at least twice per week in accordance with VHA Directive 1061.

Unique permit number:

Location of Construction / Renovation / Maintenance

Level of Precautions

Control measures to be in place for the duration of the activity (Check the box for the activity’s Level of Precautions to indicate the Control Measures)

1.

2.

3.

Perform work activity in a manner that does not create dust.

Immediately replace any ceiling tile, close access panels, etc., upon completion of work.

Any materials and equipment being brought into the facility must be free of contaminants and loose material.

Infection Prevention and Control Construction/Renovation/Maintenance Permit This page must be posted at the entrance to the project area for Level III and Level IV activities.

Level of Infection Prevention and Control Precautions

Level I

Level II

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

All control measures in Level I and the following:

Provide active means to control airborne dust from dispersing into occupied areas and/or water mist surface to control dust (e.g., Mobile Dust Containment Cart or some other system).

Ensure worker clothing is clean and free of visible dust before leaving the work area.

Remove or isolate air diffusers (supply and return) to protect the HVAC system from dust and reduce air turbulence. Rebalance system to address diffuser isolation.

When the work involves or impacts potable water systems including stagnation due to reduced usage, the piping shall be flushed twice a week or isolated from the main system Seal doors, to prevent dust migration.

Contain all trash and debris in the work area. Perform daily cleaning and disposal of trash (covered) from work area using an identified exit route.

Any equipment, tools, or materials removed from the work area must be in sealed containers and/or cleaned of dust and debris prior to removal from the area.

Nonporous/smooth and cleanable containers (with a hard lid) must be used to transport trash and debris from the construction areas. These containers must be damp-wiped cleaned and free of visible dust/debris before leaving the contained work area.

Install a sticky (dust collection) mat at entrance of contained work area based on facility policy. Sticky mats must be changed routinely and when visibly soiled.

Maintain clean surroundings when area is not contained by damp mopping or HEPA vacuuming surfaces at least daily.

Level III

1.

2.

3.

4.

5.

6.

All control measures in Levels I and II and the following:

Ensure availability of equipment for cleaning hands.

Construct and complete critical barriers meeting NFPA 241 requirements. Barriers must extend to the ceiling or if ceiling tile is removed, to the deck above.

All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to floor and ceiling (or floor/roof deck above) and secure from movement or damage.

Seal all penetrations in containment barriers, including floors and ceiling, using approved materials (UL schedule firestop if applicable for barrier type).

Maintain .01 inches /water gauge negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors, or comply with the alternative method outline in Appendix A of the VHA ICRA template. These control measures must be maintained continuously 24/7 for the duration of the project. Exhausting discharged air into shared or recirculating HVAC systems, or other shared exhaust systems (e.g., bathroom exhaust) is prohibited.

Check box to indicate exhaust method: Exterior ☐ Alternative Interior Method ☐ Install a differential pressure sensing device (e.g., magnehelic, manometer, or digital monitoring) on exterior of work containment to continually monitor and document negative pressurization. The “ball in the wall” or similar apparatus are not acceptable.

Level IV

1.

2.

3.

All control measures in Levels I, II and III and the following:

Barriers must be hard barriers unless temporary to install final barrier.

Containment must include an anteroom to ensure pressure control, Anteroom must be large enough for equipment staging, cart cleaning, workers ’ PPE and cleaning.

Worker clothing and/or PPE must be removed or clean and free of visible dust before leaving the work area anteroom. HEPA vacuuming of clothing or use of cover suits is acceptable.

Workers must wear shoe covers or have a method to clean shoes in anteroom Shoe covers must be removed prior to exiting the anteroom to the occupied space (non-work area). Damaged shoe covers must be changed immediately.

a.

b.

c.

d.

e.

f.

Appendix A: Alternative To Outdoor Exhaust Requirements

This Appendix provides an equivalent ICRA control measure to requirements detailed in this VHA ICRA template (Table 5 Level III, item 5) that would allow interior construction space exhaust.

Interior Construction Space Exhaust:

If the facility is not able to exhaust to the building exterior , the Healthcare Environment and Facilities program office has identified an alternate industry-recognized standard interior exhaust procedure that is accepted as providing an equivalent level of infection prevention and control (IPC), and safety. The alternate interior exhaust procedure is implemented by completing the following:

If exhaust is directed indoors, then the system must be HEPA filtered. Prior to start of work, including assembly of the ICRA barriers, initial baseline air sampling measurements for particulate levels must be taken in the planned area of discharge. Once containment is erected and completed, HEPA filtration must then be verified by particulate measurement, using a particle counter with multi-channel capabilities to measure down to 0.3 microns, to confirm that the discharge of the HEPA unit does not exceed the baseline particulate count of the area to which the exhaust is directed. Verification must continue at least three times per day (once every 8 hours), 7 days per week, during the use of the negative air machine and HEPA filter. Any exceedance must trigger a work stoppage and an immediate response and resolution . All particulate measurements, including the baseline measurement, must be documented and retrievable.

To accommodate the sampling, the negative air pressure machine must be fitted with a 2 ft section of ridged ductwork at the discharge. The sample port for monitoring must be in the ridged ductwork section.

Vapor generating processes must be assessed and appropriate filtration must be installed to mitigate transmission to the facility.

Engineering must do a complete flow and pressure analysis and document the area to which the air is being discharged to ensure the flow and pressure relationships in that area are not being adversely impacted by the additional flow. Ideally, this is done as part of the construction package to ensure the design is implementable and no additional HVAC changes are required to accommodate the exhaust from the negative air equipment.

Install device on exterior of work containment to continually monitor negative pressurization. To ensure proper pressure is continuously maintained, the device(s) shall have a visual pressure indicator, data collection and alarm.

Exhaust must be directed to Low Risk areas as defined in Table 3 in this VHA ICRA template. Ideally this discharge must be located so as not to impinge on high traffic areas or create a nuisance with noise or excessive airflow.

NOTE: Exhaust into shared or recirculating HVAC systems, or other shared exhaust systems (e.g., bathroom exhaust) is not acceptable.

Project Manager Contact Phone Number Contractor

Project Start Date:

Completion Date:

Permit Expiration Date:

Activity Category Overall Patient Risk Category (A, B, C, or D (I, II, III, or IV)(Low, Medium, High, or Highest)

Additional Requirements:

Project Manager Signature:

Infection Preventionist Signature:

Date:

Date:

X

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

PhaseARCHITECT/ENGINEER OF RECORD STAMPCONSULTANT

321 4 5 6 7 8 9 10 a r c h i t e c t s www.abovegroupinc.com COA/CA Lic. No. 31120

305 East Dr., Suite H, Melbourne, Florida 32904

PH: 321.345.9026

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G003

INFECTION CONTROL RISK

ASSESSMENT

Renovate 12W Cardiac Stress Lab

423 EAST 23RD STREET, NEW YORK, NY 10010

630.23.108

03/24/2025 MC DK

100% BID DOCUMENTS

NUCLEAR MEDICINE

A12014AW

STRESS LABORATORY

12015W

CARDIAC NURSE

12014W

WAITING

AREA

HALLWAY

12012W

CARDIOLOGY

FELLOWS ROOM

12013W

CARDIAC

CATHETERIZATION

NURSES

12016W

NEW

OFFICE

12013W

HALLWAY

STORAGE

12117W

TOILET

12011W

DARK

ROOM

12010W

JANITOR

12009W

SOILED

UTILITY

12007W

WEST

STAIRWAY

STAIR 2

PHASE 2

PHASE 1

PHASE 3

THE PURPOSE OF INFECTION CONTROL PROCEDURES IS TO MINIMIZE THE

POTENTIAL FOR THE SPREAD OF INFECTIONS DUE TO DEGRADED AIR QUALITY,

ENVIRONMENTAL CONTAMINATION, OR CONTAMINATION OF WATER. IT IS THE

POLICY OF THE VA THAT A SYSTEMATIC APPROACH BASED ON ASSESSMENT AND

PLANNING WILL EFFECTIVELY MANAGE THE ISSUE OF TRANSMISSION OF

INFECTIOUS DISEASES AND THE AGGRAVATION OF ALLERGIES. THE OVERALL

APPROACH RELIES ON PRECONSTRUCTION ASSESSMENT, MANAGEMENT OF

HVAC SYSTEMS, AND AGGRESSIVE USE OF A VARIETY OF BARRIERS.

CONTRACTOR IS TO WORK CLOSELY WITH THE VA FACILITY MANAGEMENT

SERVICE CENTER, THE INFECTION CONTROL PROGRAM STAFF AND THE SAFETY

AND OCCUPATION HEALTH MANAGER TO HAVE IN PLACE A MONITORING A

PROGRAM TO ASSURE RIGOROUS IMPLEMENTATION OF THE REQUIRED

MEASURES. REFER TO PROJECT SPECIFICATIONS.

1. THE CONTRACTOR SHALL VERIFY ALL EXISTING CONDITIONS IN THE FIELD AND

COORDINATE ALL INFECTION CONTROL REQUIREMENTS WITH THE DEMOLITION

AND NEW CONSTRUCTION. THE CONTRACTOR SHALL REPORT ALL DISCOVERIES

TO THE OWNER'S REPRESENTATIVE FOR RESOLUTION PRIOR TO BEGINNING.

2. CONTRACTOR TO INSTALL BARRIERS AND OTHER MEASURES TO CONTROL

CONSTRUCTION DEBRIS. BARRIERS MAY CONSIST OF FIRE RATED PLASTIC

SHEETING WHERE AGREED TO BY THE VA INFECTION CONTROL

PROGRAM STAFF. CONSTRUCTION BARRIER DOOR(S) MUST BE SELF-CLOSING.

PROVIDE DUST CONTROL AND CONTAINMENT STICKY MATS AN ALL ACCESS INTO

CONSTRUCTION AREA IF REQUIRED.

3. CONTRACTOR TO DISPOSE OF MATERIALS PRIOR TO END OF WORK DAILY. USE

ROUTE AGREED UPON BY ICRA TEAM AND COR FOR TRANSPORT OF CONTAINERS

THROUGH THE FACILITY.

4. CONTRACTOR TO USE HARD COVER CARTS WHEN DISPOSING OF MATERIALS.

5. CONTRACTOR TO CHANGE MATS MULTIPLE TIMES A DAY AS NEEDED AND MOP

FLOORS BEHIND THEM MULTIPLE TIMES A DAY AS OFTEN AS NEEDED TO

PREVENT TRACKING OF CONSTRUCTION DUST AND DEBRIS.

6. CONTRACTOR TO MAINTAIN CONTINUOUS NEGATIVE AIR PRESSURE WITHIN

THE WORK SITE UTILIZING WINDOW EXHAUST FANS STRATEGICALLY LOCATED

OR PROVIDE NEGATIVE PRESSURE AIR HEPA UNITS AND EXHAUST TO EXTERIOR

OF THE BUILDING. WHERE REQUIRED, CONTRACTOR TO INCLUDE MONITORING

MANOMETER AT ANTEROOM SO THE NEGATIVE PRESSURE CAN BE INSPECTED.

7. MEASURES REQUIRED TO BE TAKEN FOR THE TYPE OF WORK (SEE CHART)

WILL VARY BY DEPARTMENT ADJACENCIES PER FLOOR THROUGHOUT THE

HOSPITAL. REFERENCE THE ICRA CLASS IV CHART AT RIGHT FOR THE MINIMUM

REQUIREMENTS TO BE FOLLOWED IN EACH AREA.

8. FURNITURE IN THE EXISTING NURSE ROOM TO BE SALVAGE AND RELOCATED

BY GC AND TURN OVER TO EMS. GC NEEDS TO COORDINATE WITH THE VA.

9. GC TO FOLLOW ALL ICRA PROCEDURES AS OUTLINED ON SHEET G003 AND

COORDINATE WITH THE VA.

PHASING NOTES:

DURING PHASE 1 OF CONSTRUCTION, ADMINISTRATIVE STAFF WILL BE

RELOCATED TO ACCOMMODATE THE WORK REQUIRED FOR THE FIRST TWO

PHASES OF THE PROJECT. CONSTRUCTION ACTIVITIES ARE RESTRICTED TO

WEEKENDS AND EVENINGS, COMMENCING AFTER 5:00 PM ON THURSDAYS AND

CONTINUING THROUGH SUNDAY NIGHT. ALL WORK MUST BE COMPLETED AND

THE SPACE PREPARED FOR OPERATIONAL SERVICE BY NO LATER THAN 6:00 AM

ON MONDAY MORNING. AS SPECIFIED, ALL ACTIVITIES ARE TO PROCEED ONLY

WITH PRIOR COORDINATION, NOTIFICATION, AND APPROVAL FROM THE

CONTRACTING OFFICER ’S REPRESENTATIVE (COR). CONTRACTOR TO INSTALL

FIRE RATED PLASTIC SHEETING WHERE AGREED TO BY THE VA INFECTION

CONTROL PROGRAM STAFF. DEMOLITION AND CONSTRUCTION OF PHASE 1 TO

PROCEED.

PHASING 1:

UPON THE COMPLETION OF PHASE 1, ALL EQUIPMENT/FURNITURE FROM THE

EXISTING STRESS LAB WILL BE TEMPORARILY RELOCATED TO THE NEWLY

CONSTRUCTED ECHOCARDIOGRAPH ROOM AND HALLWAY AS NEEDED. THIS

RELOCATION WILL FACILITATE THE RENOVATION OF THE CARDIAC STRESS

TESTING TREADMILL ROOM AND THE HOT LAB AS PART OF THE SUBSEQUENT

PHASE OF THE PROJECT. DEMOLITION AN CONSTRUCTION OF PHASE 2 TO

PROCEED. CONSTRUCTION ACTIVITIES ARE RESTRICTED TO WEEKENDS AND

EVENINGS, COMMENCING AFTER 5:00 PM ON THURSDAYS AND CONTINUING

THROUGH SUNDAY NIGHT.

PHASING 2:

UPON THE COMPLETION OF PHASE 1 & 2, PHASE 3 WILL COMMENCE. DURING THIS

PHASE, STAFF WILL BE ABLE TO MOVE INTO THEIR NEWLY RENOVATED SPACES.

REFER TO THE DEMOLITION SHEET FOR DETAILED INFORMATION ON AREAS

DESIGNATED FOR DEMOLITION AND ELEMENTS OF THE HALLWAY THAT MUST

REMAIN UNCHANGED. DEMOLITION AND CONSTRUCTION OF PHASE 3 TO

PROCEED. CONSTRUCTION ACTIVITIES ARE RESTRICTED TO WEEKENDS AND

EVENINGS, COMMENCING AFTER 5:00 PM ON THURSDAYS AND CONTINUING

THROUGH SUNDAY NIGHT.

PHASING 3:

LEGEND:

EXISTING 2 HOUR FIRE RESISTANCE RATED FIRE BARRIER

EXISTING CONSTRUCTION TO REMAIN

DEMOLITION SCOPE

EXISTING DOOR TO BE DEMOLISHED

PHASING AREA OF WORK:

PHASE 1

OUTSIDE SCOPE OF PHASE

PHASE 2

PHASE 3

KEY PLAN

PROJECT

AREA

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

PhaseARCHITECT/ENGINEER OF RECORD STAMPCONSULTANT

321 4 5 6 7 8 9 10 a r c h i t e c t s www.abovegroupinc.com COA/CA Lic. No. 31120

305 East Dr., Suite H, Melbourne, Florida 32904

PH: 321.345.9026

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G004

PHASING Renovate 12W Cardiac Stress Lab

423 EAST 23RD STREET, NEW YORK, NY 10010

630.23.108

03/24/2025 MC DK

100% BID DOCUMENTS

1/4" = 1'-0"

TWELFTH FLOOR PHASING PLAN

N

PROJECT

NORTH

TRUE

C.

D.

E.

F.

G.

H.

I.

J.

K.

L.

M.

N.

O.

P.

Q.

R.

S.

THE CONTRACTOR SHALL VERIFY ALL EXISTING CONDITIONS IN THE FIELD

AND COORDINATE ALL REMOVAL ACTIVITIES WITH NEW CONSTRUCTION.

THE CONTRACTOR SHALL REPORT ALL DISCREPANCIES TO THE OWNER'S

REPRESENTATIVE FOR RESOLUTION PRIOR TO BEGINNING REMOVALS.

PROTECT ALL CONSTRUCTION TO REMAIN FROM DAMAGE DURING

REMOVAL OF ADJACENT CONSTRUCTION. REPAIR/REPLACE

CONSTRUCTION TO REMAIN THAT WAS DAMAGED DURING DEMOLITION TO

MATCH THE QUALITY OF THE NEW WORK. PROVIDE DUST CONTROL AND

CONTAINMENT MATS, FLOOR AND WALL PROTECTION.

THE ARCHITECTURAL DRAWINGS SHOW PRINCIPAL AREAS WHERE WORK

MUST BE ACCOMPLISHED UNDER THIS CONTRACT. INCIDENTAL WORK

MAY ALSO BE NECESSARY IN AREAS NOT SHOWN ON THE

ARCHITECTURAL DRAWINGS DUE TO CHANGES AFFECTING EXISTING

ELECTRICAL, OR OTHER SYSTEMS. SUCH INCIDENTAL WORK IS ALSO A

PART OF THE CONTRACT. CONTRACTOR SHALL INSPECT THOSE AREAS

AND ASCERTAIN WORK NEEDED AND DO THAT WORK IN ACCORDANCE

WITH THE CONTRACT REQUIREMENTS AND AT NO ADDITIONAL COST TO

THE OWNER.

DO NOT DRILL OR CUT EXISTING FLOOR JOISTS, BEAMS, COLUMNS OR

OTHER STRUCTURAL ELEMENTS UNLESS SPECIFICALLY NOTED. MAKE

OPENINGS OF PROPER SIZE FOR CONDUITS AND PIPING AND OTHER

ITEMS PASSING THROUGH OPENINGS.

GC TO SCAN THE SLAB AT EA LOCATION OF PROPOSED FLOOR/SLAB

PENETRATION PRIOR TO CUTTING TO ENSURE THAT AREA IS CLEAR OF

EMBEDDED CONDUITS AND/OR LIVE CONDUCTORS.

REPAIR, PATCH AND FINISH, OR REFINISH AS APPLICABLE, TO MATCH

ADJACENT EXISTING FINISHES DAMAGED OR NEWLY EXPOSED DURING

THE PERFORMANCE OF THE WORK OF THIS CONTRACT.

WHERE CUTTING OF EXISTING SURFACES OR REMOVAL OF EXISTING

FINISHES IS REQUIRED TO PERFORM THE WORK UNDER THIS CONTRACT,

AND A NEW FINISH IS NOT INDICATED, FILL RESULTING OPENINGS AND

PATCH THE SURFACE AFTER DOING THE WORK, AND FINISH TO MATCH

ADJACENT EXISTING SURFACES.

WHERE A NEW CEILING IS NOT SCHEDULED, INSTALL CONDUITS AND

PIPING IN EVERY CASE ABOVE THE CEILING. REMOVE EXISTING CEILING

AS NECESSARY. AFTER INSTALLATION OF CONCEALED WORK, REINSTALL

REMOVED CEILING AND PATCH AND REFINISH TO MATCH ADJACENT UN-

REMOVED CEILINGS.

WORK SHOWN IS NEW UNLESS SPECIFICALLY NOTED OR OTHERWISE

INDICATED AS EXISTING.

PROVIDE HEADERS/LINTELS OVER EVERY OPENING IN BOTH NEW AND

EXISTING WALLS AND PARTITIONS.

WHERE "MATCH EXISTING" IS INDICATED, NEW CONSTRUCTION OR

FINISHES, AS APPROPRIATE TO THE NOTE, SHALL MATCH THE EXISTING IN

THE PARTICULAR.

DEFINITIONS

M1. REMOVE: REMOVE AND LEGALLY DISPOSE OF ITEMS EXCEPT

THOSE INDICATED TO BE REINSTALLED, SALVAGED, OR EXISTING.

M2. SALVAGE: ITEMS INDICATED TO BE SALVAGED SHALL REMAIN THE

OWNER'S PROPERTY. REMOVE, CLEAN AND PACK OR CRATE ITEMS TO

PROTECT AGAINST DAMAGE. IDENTIFY CONTENTS OF CONTAINERS AND

DELIVER TO OWNER'S DESIGNATED STORAGE AREA.

M3. REINSTALL: REMOVE ITEMS INDICATED. CLEAN SERVICE AND

OTHERWISE PREPARE THEM FOR REUSE. STORE AND PROTECT AGAINST

DAMAGE. REINSTALL ITEMS IN THE SAME LOCATIONS OR IN LOCATIONS

INDICATED.

M4. EXISTING: ORIGINAL ITEM TO REMAIN. PROTECT CONSTRUCTION

INDICATED AS EXISTING AGAINST DAMAGE AND SOILING DURING

SELECTIVE DEMOLITION.

M5. RESTORE: ITEMS INDICATED SHALL BE BROUGHT BACK TO THEIR

ORIGINAL CONDITION. ORIGINAL CONDITION IS THE CONDITION THAT THE

REFERENCED ITEM WAS IN WHEN THE BUILDING WAS FIRST

CONSTRUCTED.

M6. REPLACE: EXISTING ITEM TO BE REMOVED. PROVIDE NEW ITEM TO

MATCH EXISTING.

CONTRACTOR TO ABIDE BY ALL THE ICRA INFECTION CONTROL

REGULATIONS.

CONTRACTOR SHALL KEEP THE SITE CLEAN AT ALL TIMES AND

COORDINATE TRASH REMOVAL WITH THE VA.

TEMPORARY CONTINUOUS CONSTRUCTION BARRIER MUST BE IN PLACE

PRIOR TO ANY DEMOLITION. G.C. TO DETERMINE LOCATION FOR

TEMPORARY CONSTRUCTION BARRIER DOOR ACCESS. CONSTRUCTION

BARRIER DOOR(S) MUST BE SELF-CLOSING. PROVIDE STICKY MATS ON

ALL ACCESS DOORS INTO CONSTRUCTION AREA. ANTE-ROOM REQUIRED

AT CONSTRUCTION ENTRY. PAINT PUBLIC FACE OF TEMP BARRIER WHITE.

PROVIDE NANOMETER PRESSURE MONITORS FOR ALL CONSTRUCTION

BARRIERS.

PROVIDE NEGATIVE PRESSURE AIR HEPA UNITS AND EXHAUST TO

EXTERIOR OF THE BUILDING.

CONTRACTOR TO REVIEW & FOLLOW ALL ABATEMENT REQUIREMENTS

PRIOR TO THE START OF GENERAL DEMOLITION.

GC TO COORDINATE WITH VA WHEN MAJOR SHUTDOWNS ARE TO OCCUR.

SHUTDOWNS WILL NEED TO OCCUR AFTER REGULAR BUSINESS HOURS,

OVERNIGHT AND WEEKENDS AS NEEDED TO MINIMIZE IMPACT TO

PATIENTS AND STAFF.

GENERAL DEMOLITION NOTES:

DEMOLITION LEGEND:

DEMOLITION SCOPE

EXISTING WALL TO REMAIN

EXISTING DOOR TO REMAIN

EXISTING 2 HR FIRE RATED FIRE BARRIER

DEMOLITION NOTE10

NOT IN SCOPE

EXISTING DOOR TO BE DEMOLISHED

5 6

25 6

KEY PLAN

PROJECT

AREA

4 4

8'-0" 8'-0"

8'-0"

8'-0"

8'-0"

8'-0"

NUCLEAR

MEDICINE

A12014AW

STRESS LABORATORY

12015W

CARDIAC NURSE

12014W

CARDIOLOGY

FELLOWS

ROOM

12013W

CARDIAC

CATHETERIZATION

NURSES

12016W

NEW

OFFICE

12013W

WAITING

AREA

HALLWAY

12012W

HALLWAY

HALLWAY

STORAGE

12117W

TOILET

12011W

DARK

ROOM

12010W

JANITOR

12009W

SOILED

UTILITY

12007W

WEST

STAIRWAY

STAIR 2

LIMIT CEILING REMOVAL TO THE

4' X 8' AREA SHOWN.

CEILING DEMO

EXTENT OF

EX

TE

NT

O

F

CE

ILI

NG

D

EM

O

DEMOLITION TAG10

RCP DEMOLITION LEGEND:

CEILING HEIGHT TAG

EXISTING 2' X 2'

SUSPENDED ACOUSTICAL CEILING

TILE TO BE REMOVED IN ITS

ENTIRETY

RECESSED CAN FLUORESCENT LIGHT

FIXTURE - SEE MEP DRAWINGS

EXISTING

GYPSUM BOARD SOFFIT

TO REMOVED

REFER…