Attachment 2 Revised Drawings Amendment-0002 - 07-15-2025.pdf

PROJECT SITE PROJECT LOCATION

Engineers Architects

Revisions: Date

Drawing Title

Approved

Project Title

Location

VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

Date Checked Drawn

FULLY SPRINKLERED

ACG Project Number

Headquarters:

Apogee Consulting Group, P.A.

1151 Kildaire Farm Road, Suite 120 Cary, North Carolina 27511 www.acg-pa.com 919-858-7420 U.S. Department of Veterans Affairs# © COPYRIGHT Apogee Consulting Group, P.A.

PROJECT SITE MAP PROJECT LOCATION MAP

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G-001

COVER SHEET

1 4CMK

A/E RENOVATE B200 GROUND

FLOOR FOR BRONCHOSCOPY

PROCEDURE ROOM

J.H. QUILLEN VAMC

LAMONT AND VETERANS WAY

MT. HOME, TN 37604 NOVEMBER 15, 2024

BID DOCUMENTS

621-24-10123-148

A/E RENOVATE B200 GROUND FLOOR FOR

BRONCHOSCOPY PROCEDURE ROOM

J.H. QUILLEN VAMC

LAMONT AND VETERANS WAY

MT. HOME, TN 37604

VA PROJECT #: 621-24-101

WVS

DRAWING LIST

GENERAL

G-001 COVER SHEET 1 4

G-002 CAMPUS MAP 2 4

G-003 GROUND FLOOR CONSTRUCTION ROUTING PLAN 3 4

G-004 ICRA INFORMATION AND DETAILS 4 4

ARCHITECTURAL

A-001 ARCHITECTURAL SYMBOLS, ABBREVIATIONS AND NOTES 1 5

A-101 GROUND FLOOR PLANS 2 5

A-102 PARTIAL ROOF PLAN 3 5

A-110 GROUND FLOOR REFLECTED CEILING PLANS 4 5

A-501 PARTITION TYPES, DOOR SCHEDULE AND DETAILS 5 5

INTERIORS

I-001 GENERAL NOTES, ABBREVIATIONS AND ROOM FINISH SCHEDULE 1 3

I-101 GROUND FLOOR FINISH, WALL PROTECTION, AND SIGNAGE PLAN AND GROUND FLOOR EQUIPMENT PLAN 2 3

I-201 CASEWORK, WALL PROTECTION, AND EQUIPMENT ELEVATIONS, CASEWORK DETAILS AND AXONOMETRIC VIEW 3 3

FIRE SUPPRESSION

FX001 FIRE SUPPRESSION GENERAL INFORMATION 1 2

FX100 GROUND FLOOR FIRE SUPPRESSION DEMOLITION AND FIRE SUPPRESSION PLANS 2 2

PLUMBING

P-001 PLUMBING GENERAL INFORMATION 1 6

PW100 GROUND FLOOR DRAIN, WASTE, AND VENT DEMOLITION, AND DRAIN, WASTE, AND VENT PLANS 2 6

PP100 GROUND FLOOR DOMESTIC WATER DEMOLITION AND DOMESTIC WATER PLANS 3 6

PG100 GROUND FLOOR MEDICAL GAS DEMOLITION AND MEDICAL GAS PLANS 4 6

P-501 PLUMBING DETAILS 5 6

P-901 SANITARY, DOMESTIC WATER, AND MEDICAL GAS PIPE RISERS 6 6

MECHANICAL

M-001 MECHANICAL GENERAL INFORMATION 1 12

M-100 GROUND FLOOR OVERALL PLANS 2 12

M-101 GROUND FLOOR BRONCHOSCOPY RM A024A PLANS 3 12

M-102 GROUND FLOOR MECHANICAL ROOM A012 PLANS 4 12

M-103 GROUND FLOOR MECHANICAL ROOM C029 PLANS 5 12

M-104 FIRST FLOOR MECHANICAL PLANS 6 12

M-105 MECHANICAL ROOF PLAN 7 12

M-301 MECHANICAL SECTIONS 8 12

M-501 MECHANICAL DETAILS 9 12

M-502 MECHANICAL CONTROLS 10 12

M-503 MECHANICAL CONTROLS 11 12

M-601 MECHANICAL SCHEDULES 12 12

ELECTRICAL

E-001 ELECTRICAL GENERAL NOTES, SYMBOL LEGENDS, AND ABBREVIATIONS 1 9

E-002 TECHNOLOGY AND FIRE ALARM GENERAL NOTES, SYMBOL LEGENDS AND ABBREVIATIONS 2 9

E-100 GROUND FLOOR OVERALL PLAN 3 9

E-101 GROUND FLOOR ELECTRICAL PLANS 4 9

E-102 GROUND FLOOR LIGHTING PLANS 5 9

E-103 MECHANICAL POWER PLAN ENLARGEMENTS 6 9

E-501 ELECTRICAL DETAILS 7 9

E-601 SINGLE LINE DIAGRAM 8 9

E-602 ELECTRICAL SCHEDULES 9 9

N N

1 Addendum 01 07/11/2025

W

AL

TE

R DAVID VAN SCOTER

REG. NO. 9953

Docusign Envelope ID: 66F67929-807E-43AF-8EB3-C674D3071CBC

7/15/2025

WALL SECTION

SYMBOL

INTERIOR ELEVATION

SYMBOL

COLUMN GRID

ELEVATION SYMBOL

REVISION NOTE

ENLARGED DETAIL CALLOUT

ROOM DESIGNATION

SYMBOL

BREAK LINE

ROOF SLOPE

DIRECTION SYMBOL

DETAIL #

PAGE #

DETAIL #

PAGE #

VIEW NORTH ARROW

A8.1

EXTERIOR ELEVATION

SYMBOL

DETAIL #

PAGE #

A8.1

A8.1

A8.1

BUILDING SECTION

SYMBOL

DETAIL #

PAGE #

A8.1

A8.1

DETAIL SECTION

SYMBOL

DETAIL #

PAGE #

A8.1

WALL GRID

(REPRESENTS

FACE OF EXISTING

WALL)

XX.X

ELEVATION

0'-0"

ROOM

NAME

101A

NORTHNORTH

LEGEND

BUILDINGS IN SCOPE

CONTRACTOR STAGING

AREA

Engineers Architects

# NEW KEY NOTES:

Revisions: Date

Drawing Title

Approved

Project Title

Location

VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

Date Checked Drawn

FULLY SPRINKLERED

ACG Project Number

Headquarters:

Apogee Consulting Group, P.A.

1151 Kildaire Farm Road, Suite 120 Cary, North Carolina 27511 www.acg-pa.com 919-858-7420 U.S. Department of Veterans Affairs# © COPYRIGHT Apogee Consulting Group, P.A.

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G-002

CAMPUS MAP

2 4CMK

A/E RENOVATE B200 GROUND

FLOOR FOR BRONCHOSCOPY

PROCEDURE ROOM

J.H. QUILLEN VAMC

LAMONT AND VETERANS WAY

MT. HOME, TN 37604 NOVEMBER 15, 2024

BID DOCUMENTS

621-24-10123-148

WVS

GENERAL SYMBOL LEGEND

SCALE: NO SCALE

CAMPUS MAP

NORTH

1 STAGING AREA, COORDINATE WITH COR FOR EXACT

LOCATION. CONTRACTOR PERMITTED UP TO 30'X50'

AREA. PROVIDE 6' H TEMPORARY CHAIN LINK PANEL

FENCING WITH WIND SCREEN AND ONE 8' WIDE

SWINGING GATE. PANEL FENCING TO BE WEIGHTED

WITH SAND BAGS.

W

AL

Docusign Envelope ID: 4407C7FD-0318-499F-B91A-339CA5083F04

11/8/2024

R

P

U

24 22

A056

OFFICE

A024A

BRONCHOSCOPY

VENTILATORY

TESTING

A054

PULM.

STORAGE

A052

VENTILATORY

TEST AREA

A050

BLOOD GAS

LAB

A046

ANTE

A024

GAS STOR.

A048

CORRIDOR

A053

S. UTILITY

A045

COPY

A043

MALE TOILET

A060

ELEC.

CLOSET

A022

TELE CLO.

A020

CHAPLAN

OFFICE

A018D

CHIEF

CHAPLAIN

OFFICE

A018CCHAPLAIN

SVC

A018

CHAPLAIN

OFFICE

A018B

CHAPLAIN

OFFICE

A018A

STORAGE

A016A

CHAPLAIN

OFFICE

A016

DIET'N

OFFICE

A015

CRNA

A064

FEMALE

TOILET

A062A

FEMALE

LOCKERS

A062

MALE

LOCKERS

A060A

WAITING

A040

OFFICE

A042

SUPV RESP

THERAPY

OFFICE

A044

CORRIDOR

A057

CORRIDOR

A058

CORRIDOR

CG-55

CORRIDOR

CG-37

MECH

D024A

NURSE MGR

C002C

CLINICAL

NURSE

C002B

OFFICE

C002A

C002

BATH

C001A

VACANT

C001

STAIR

VACANT

C004

VACANT

C003

BATH

C003A

BATH

C004A

VACANT

C006

VACANT

C005

VACANT

C007

OFFICE

C008

BATH BATH

C007A

STORE

C009

CHIROPRACTIC

WAITING RM

C010

OFFICE

C012

OFFICE

C011

BATH

C011A

BATH

OFFICE

C014

OFFICE

C013

ANTE RM

C016B

TLT

C016A

ICU 4 - BARI

C016

CORR

CG33

CRASH

C057A

CLEAN

C017

BIO-MED

C015

EQUIP STOR

C057

ELEC

C055

IT

C053

IT

C051

TLT

C049A

ICU-5 BARI

C049

CORR

CG30

ICU-6

C047

TLT

C047A

TLT

C045A

ICU-7

C045

ICU-8

C043

TLT

C043A

TLT

C041A

ICU-9

C041

ICU-10

C039

TLT

C039A

TLT

C037A

ICU-11

C037

TLT

C035A

ICU-12

C035

ICU-13

C033

CORR

CG27

LINEN

C031

STAFF CONF /

LOUNGE

C030

STAFF TLT

C031A

ALCOVE

C027A

HOUSEKEEP

C028A

RECYCLING

C028

STAFF TLT

C040

MALE

LOCKERS

C030B

FEMALE

LOCKERS

C030A

STAFF TLT

C038

CORR

CG29

CORR

CG22

CORR

CG25

EQUIP

C036A

MED GAS

C036

MEDS

C023

EMS SOILED

HOLDINGS

C034

SPS SOILED

C032

OFFICE

C025

TEAM WORK

C027

NOURISH

C021

LOGISTICS

STOR

C042

CONSULT

C026

WARD

CLERK/TEAM

WORK

C019CORR

CG34

ICU 3

C018

TOILET

C018A

ICU 2

C020TOILET

C020A

ICU 1 -

ISOLATION

C022

ANTE RM

C022B

TLT

C022A

STRETCHER/

WC HOLDING

C024

HAC

C026A

MECH RM

C029

C024

TOILET

C026

RECYCLING

C028

WAITING

ELEVATOR

S4

ELEVATOR

S3

TELE

ALCOVE

CART

CORR

CG27A

ELEV LOBBY

CG35

STORAGE

B069

TRASH /

LINEN

C035

ELEC

B067

ALCOVE

CART

TELE

HAC

B065 TEL

B059

WAITING

B057

LAB

B073 ON-CALL

B075 TLT

C033A

WOMEN'S

LOCKERS

B055A

ON-CALL TLT

B075A

TLT

B057A

TLT

B057B

HALL

B055

OFFICE

B053

MEN'S

LOCKERS

B055B

TELE

B002

ELEC

B004

STORAGE

B001

DIETIC

KITCHEN

B003

MULTI-PURPOSE

RM/CCU

SOILED

UTILITY

B005

WORK

STATION

B006

CLEAN LINEN

B007

NURSE

STATION

MULTI-PURPOSE

RM/CCU

CORRIDOR

PATIENT RM

B006

PATIENT RM

B008

PATIENT RM

B010

PATIENT RM

B012

PATIENT RM

B014

MULTI-PURPOSE

RM/CCU

LOUNGE

B016

FEMALE

LOCKERS

B016C

MALE

LOCKERS

B016A

TLT

B016B

TLT

B016D

HOUSEKEEP

B015

MED RM

B011

MULTI-PURPOSE

RM

B017

OFFICE

B013

BATH

B017A

LOGISTICS

STORAGE

B018

STAIR

PATIENT RM

B020

PATIENT RM

B022

PATIENT RM

B024

PATIENT RM

B026

PATIENT RM

B028A

B028

DIALYSIS

UNIT

B030

WORKROOM

BATH

B056

CORRIDOR

SOILED

B060G

RESPITORY

CARE

B32

OFFICE

B060A

ENGG MECH

RM

B062

OFFICE

B060B

STORAGE

B060E

RT STORAGE

B060D

EMPLOYEE

LOUNGE

B060C

CORRIDOR

STORAGE WC

B064

MECH RM

A096

LINEAR

ACCELERATOR

VAULT 1

A069

STAIR

A097

HVAC

STORAGE

A069N

LINEAR

ACCELERATOR

VAULT 2

A069K

PHYSICS

STORAGE

A069M

STORAGE

A069L

MECH RM

A069H

STORAGE

A069H

OFFICE

A069F

CONTROL RM

A069J

WAITING

AREA

DRESSING

RM

A069ESTORAGE

A069D

HAC

A093

DOOR

CONTROL

A069C

MECH

CLOSET

A069B

CONTROL RM

A069B

CORRIDOR

CHIEF

CONTROL

A073

WAITING

A068

PATIENT TLT

A068A

OFFICE

A070A

ADMIN

OFFICE

A070

PATIENT TLT

A071

RAD

ONCOLOGY

NURSE

A075

OFFICE

A072

OFFICE

A072A

EXAM AREA

A074

ELEC CLOSET

A091

STORE

A089A

LAB

EQUIPMENT

A089

CT SCAN

A077

EXAM AREA

A076

BREAK RM

A078

OFFICE

A080

STORE

A082 RAD/ONCOLOGY

A083

PHYSICIST

A085

TREATMENT

PLANNING

A087

OFFICE

A026

OFFICE

A026A

STRETCHER

EXAM

A028

MALE TLT

A057

FEMALE TLT

A059

HAC

A029

HOME PAP

THERAPY CO.

A031

PROPOSED

RESP. CARE

VENTILATOR

STORAGE

A041

HOME PAP

THERAPY CO.

A033

OFFICE

A033A

HOME PAP

THERAPY CO.

A030

PHYSICIAN

OFFICE

A032

OFFICE

A033B

MULTIPURPOSE

A040A

PULMONARY

A042

MULTIPURPOSE

A034

PULM

FELLOWS

A036

PHYSICIAN

OFFICE

A038

PHYSICIAN

OFFICE

A040

MEN'S REST

MEN'S VEST

CORRIDOR

WOMEN'S

VEST

WOMEN'S

REST

PRE-FUNCTION

SPACE

INTERNET

LOUNGE

BOARD ROOM

VESTIBULE

ENTRY

CORRIDOR

SERVING

PANTRY

CAFE

PRE-FUNCTION

SPACE

EMERGENCY

GENERATOR

A010

MECHANICAL

ROOM

A010A

STAIR

MECH RM

A012

ELECTRICAL

SWITCHGEAR

A008

TEL

A006A

TELE-COM

RM

A006

CHAIR/TABLE

STORAGE

SMALL

MEETING RM

CISCO

TELE-PRESENCE

MULTIPURPOSE

RM

SMALL

MEETING RM

CISCO

TELE-PRESENCE

RM

ELEC CLOSET

ELEC RM

TELECOM

ELEVATOR

P2

ELEVATOR

P1

CORRIDOR

STAIR

BMS

STORAGE

A005

BIO-MED

WORK AREA

A003

TLT

A066B

TLT

A066A

TLT

A003A

ESCORT SVC

STORAGE

A066 STOCK/STORAGE

A001D

BIO-MED

A001

OFFICE

A001A

OFFICE

A001B

STORE

A001C

CORRIDOR

C O

R R

ID

O

R

STORAGE

A025B

CHURCH

A025A

CHAPEL

A025

CORRIDOR

EUCHARIST

A027

MALE TLT

A023

FEMALE TLT

A021

RECYCLING

OFFICE

D0XX

ELEVATOR

LOBBY

ELEVATOR

S6

ELEVATOR

S5

LOBBY ELEV

CORRIDOR

STORAGE

D019A

ISOLATION

RM

D019B

CONTROL

STATION

D029

NURSE MGR

D030

PACU/RECOVERY

D019

CORRIDOR

FAMILY

WAITING

E033

TOILET

E024

STORE

E022

MECH

E020

HOLDING RM

E018

BATH

E018A

BATH

E016A

HOLDING RM

E016

CYSTO

STORAGE

E029A

COMM

E015

STORAGE

GAS

E017

ENDO/CYSTO

PROCEDURE

RM

E029

CYSTO

PROCEDURE

RM

D038

STORAGE

D036

ENDOSCOPY

PROSEDURE

D035

ENDOSCOPY

PROSEDURE

D034

ENDOSCOPY

PROSEDURE

D033

MINOR

TREATMENT

D032

STERILE

STORAGE

D028

CORRIDOR

SURGY

LOUNGE

D027

SPECIAL

PROCEDURES

ROOM

D026A

CONTROL

ROOM

D026B

EQUIPMENT

STORAGE

D026C

SPS STERILE

SUPPLY

ROOM

D024

ANESTH

WORK RM

D013

CORRIDOR MENS

LOCKER

D027A

MENS

SHOWER

E026B

D027B

FEMALE

TOILET

E027A

FEMALE

SHOWER

E027B

FEMALE

LOCKER

E027

MENS

LOCKER

E026

WRK AREA

D038

SOILED

D037

STERIS

SOILED RM

D039A

SCOPE RM

D039

STERIS

CLEAN RM

D039B

STATION

NURSE

E019

MEDS RM

E021

HAC

E023

TELE

E025

ELECTRICAL

E028

ELECTRICAL

E030

STORAGE

E032TRASH

E031

SPS STERILE

CART ROOM

D030

PATIENT

HOLDING

D022

FAMILY

WAITING

D022A

PATIENT

TOILET

D022B

RECOV

CLEAN

SUPPLY

D021

RECOV

SOILED

UTILITY

D020

NURSE

STATION

D018

PNEUMATIC

TUBE

CHART'G

D018A STAFF TLT

D017

OR-1

D012

SOILED

HANDLING

D016

ELEC

D014

OR-2

(ORTHOPEDIC)

D010

CORRIDOR

STERILIZER

D011

CLEAN

SUPPLY

D009

CORRIDOR

SURGY

EQUIPMENT

STORAGE OR-3

D008

SUB STERILE

D007

HAC

D005

OR-4

D006

STORAGE

D004

CORRIDOR

HAC

D002

STAIR

WORK ROOM

D001

ANESTH

OFFICE

D001A

NURSE MGR

D001B

ANESTH

OFFICE

D001D

CHIEF OF

ANESTH

D001C

HOLDING RM

E013

HR

E011

BATH

E011A

CORRIDOR

HOLDING RM

E009

HOLDING RM

E007

BATH

E007A

STORAGE

E005

HOLDING RM

E003

LOUNGE

STAFF

E001

BATH

E001A

BATH

E003A

WAITING RM /

AMBULATORY

/ SURGERY /

MRI

E002

STAIR

IN PATIENT

HOLDING

X101

STAFF TLT

X102

HOLDING RM

E006

HOLDING RM

E008

BATH

E008A

HOLDING RM

E010

HOLDING RM

E012

HOLDING RM

E014

BATH

E012A

MATERIAL SUPPLY

ENTRY POINT

WORKER ENTRY

POINT

LEGEND

CONSTRUCTION ROUTE

AREA OF WORK

Engineers Architects

Revisions: Date

Drawing Title

Approved

Project Title

Location

VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

Date Checked Drawn

FULLY SPRINKLERED

ACG Project Number

Headquarters:

Apogee Consulting Group, P.A.

1151 Kildaire Farm Road, Suite 120 Cary, North Carolina 27511 www.acg-pa.com 919-858-7420 U.S. Department of Veterans Affairs# © COPYRIGHT Apogee Consulting Group, P.A.

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G-003

GROUND FLOOR CONSTRUCTION

ROUTING PLAN

3 4CMK

A/E RENOVATE B200 GROUND

FLOOR FOR BRONCHOSCOPY

PROCEDURE ROOM

J.H. QUILLEN VAMC

LAMONT AND VETERANS WAY

MT. HOME, TN 37604 NOVEMBER 15, 2024

BID DOCUMENTS

621-24-10123-148

WVS

SCALE: 1" = 20'-0"

GROUND FLOOR CONSTRUCTION ROUTING PLAN

N O

R T H0 2010 40

A. CEILING TILES TO BE REPLACED AT THE END OF

EACH SHIFT FOR WORK AREAS OUTSIDE OF A

RATED CONSTRUCTION BARRIER. IF THE TILES

CANNOT BE REPLACED, THE SPRINKLER

SYSTEM MAY BE CONSIDERED OUT OF SERVICE

IN THESE AREAS AND 1-HOUR FIRE RATED

SEPARATION WILL BE REQUIRED BETWEEN THE

CONSTRUCTION AREA AND THE OCCUPIED

PORTIONS OF THE BUILDING.

SHEET NOTES:

1 Addendum 01 07/11/2025

W

AL

3 5/8" INSULATED WALL

WITH METAL STUDS @

16" O.C. WALL TO

EXTEND TO UNDERSIDE

OF DECK

5/8" FIRE RESISTANT

GYPSUM BOARD - BOTH

SIDES

EXISTING CEILING SYSTEM

BASE - TO MATCH

EXISTING AREA

EXISTING FLOOR

UNDERSIDE OF EXISTING

DECK

C E

IL

IN

G H

E

IG

H T

V A

R

IE

S F

IE

L D

V E

R

IF

Y

W A

L L

H E

IG

H

T V

A R

IE

S

F

IE

L D

V E

R

IF

Y

5"

B

1-HR RATED U.L. DESIGN NO. U419

3 5/8" INSULATED WALL WITH

METAL STUDS @ 16" O.C.

WALL TO EXTEND TO

UNDERSIDE OF DECK

5/8" GYPSUM BOARD - BOTH

SIDES

EXISTING CEILING SYSTEM

BASE - TO MATCH

EXISTING AREA

EXISTING FLOOR

UNDERSIDE OF EXISTING

DECK

C E

IL

IN

G H

E

IG

H T

V A

R

IE

S F

IE

L D

V E

R

IF

Y

W A

L L

H E

IG

H

T V

A R

IE

S

F

IE

L D

V E

R

IF

Y

5"

A

NON-RATED

EXISTING WALL

2'-0"

EXISTING CEILING TO BE

REMOVED AND RE-INSTALLED

EXISTING LIGHT TO REMAIN

ILSM TEMPORARY BARRIER TAG

PROJECT:

PRIME CONTRACTOR:

SUB CONTRACTOR:

EMERGENCY CONTACT NO.:

BARRIER INSTALLATION DATE:

BARRIER EXPIRATION DATE:

ILSM SIGNAGE

INTERIM LIFE SAFETY MEASURES IN EFFECT

RENOVATE B200 GROUND FLOOR

BRONCHOSCOPY PROCEDURE ROOM

THIS EXIT IS CLOSED AND LEADS TO A

CONSTRUCTION AREA.

PLEASE USE ALL ALTERNATE EXITS AS MARKED.

1' - 5"

1/2"1/2"

/2

/2

/2

/2

/2

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EQ.EQ.

DUST CONTROL PLAN NOTES

1. THE VAMC INFECTION CONTROL GROUP HAS CONFIRMED THE DESIGNATION FOR THIS PROJECT IS LEVEL IV FOR THE CLASS OF PRECAUTIONS OR LEVEL OF INFECTION CONTROL ACTIVITIES. HARD SURFACE BARRIERS SHALL BE USED EXCEPT IN THE AREA INDICATED ON THE PHASING PLAN WITH PLASTIC BARRIERS (MINIMUM 4MIL) TO SEAL AREA FROM NON-WORK AREA AS LONG AS THE

SPRINKLER SYSTEM IS INTACT AND ACTIVE.

2. THIS PROJECT NEEDS AN ENTRY VESTIBULE FOR CLOTHING CHANGES (PROVIDE AND LOCATE A STAGING AREA FOR HAZMAT SUITS NEAR THE PLASTIC BARRIER ENTRANCE SPACES - CONSTRUCTION ANTEROOM. THEY SHALL BE USED WHEN GOING INTO CONSTRUCTION AREA AND LEAVING THE CONSTRUCTION AREA) AND TOOL STORAGE AND TIGHT SEALS SHALL BE MAINTAINED AT THE FULL PERIMETER OF WALLS AND WALL PENETRATIONS. ANY DUST SHALL BE IMMEDIATELY CLEANED IF TRACKED OUTSIDE OF THE CONSTRUCTION BARRIER. UPON COMPLETION OF THE CONSTRUCTION PHASE, DUST BARRIERS SHALL BE REMOVED CAREFULLY TO MINIMIZE SPREADING OF DUST AND THE CONTRACTOR SHALL HAVE TEMPORARY DUST PROTECTION IN PLACE BEFORE REMOVAL OF A PERMANENT BARRIER. [AFTER EACH PHASE, PERFORM TASKS STATED IN CONTAMINATION OF PATIENT ROOMS, SUPPLIES, EQUIPMENT

AND RELATED AREAS NOTE 2.

3. PROVIDE STICKY MATS AND BLANKET AT THE PLASTIC BARRIER ENTRANCE SPACES (CONSTRUCTION ANTEROOM) AND CHANGE DAILY OR MORE OFTEN AS NEEDED TO PREVENT THE SPREAD OF DUST AND DEBRIS INTO ADJACENT CLEAN SPACE.

INTERNAL DEMOLITION AND CONSTRUCTION ACTIVITIES DUST AND DEBRIS CONTROL

1. USE CORRIDORS AS PRIMARY CONSTRUCTION ACCESS.

2. TRAFFIC CONTROL: DESIGNATED ENTRY AND EXIT PROCEDURES SHALL BE DEFINED. EGRESS PATHS SHALL BE FREE OF DEBRIS;

DESIGNATED ELEVATORS SHALL BE USED DURING SCHEDULED TIMES; AND ONLY AUTHORIZED PERSONNEL SHALL BE ALLOWED TO ENTER THE CONSTRUCTION ZONE. SIGNAGE SHALL DIRECT PEDESTRIAN TRAFFIC AWAY FROM THE CONSTRUCTION AREA AND

MATERIALS.

3. CONTRACTOR SHALL USE TWO CARTS TO TRANSFER CONSTRUCTION MATERIAL IN AND OUT OF THE PROJECT - A CLEAN CART SHALL BE USED; THE NOT-SO-CLEAN CART SHALL BE USED BETWEEN THE MAIN ENTRY AND THE CONSTRUCTION STAGING/PREP AREA.

4. DEMOLITION DEBRIS: DEBRIS SHALL BE REMOVED IN CARTS WITH TIGHTLY FITTED COVERS, USING DESIGNATED TRAFFIC ROUTES.

EFFORTS SHALL BE MADE TO MINIMIZE USE OF ELEVATORS WITH AN EMPHASIS ON TRANSPORT DURING THE LOWEST PERIOD OF ACTIVITY. DEBRIS SHALL BE REMOVED DAILY AND AT TIMES SPECIFIED BY THE VAMC. IF CHUTES ARE USED TO DIRECT DEBRIS OUTSIDE, HIGH EFFICIENCY PARTICULATE AIR (HEPA) FILTERED NEGATIVE AIR MACHINES SHALL BE USED, AND THE CHUTE OPENING SHALL BE SEALED WHEN NOT IN USE. FILTERS SHALL BE BAGGED AND SEALED BEFORE BEING TRANSPORTED OUT OF THE CONSTRUCTION AREA. THE CONTRACTOR SHALL NOT HAUL DEBRIS THROUGH PATIENT-CARE AREAS WITHOUT PRIOR APPROVAL OF THE COR.

5. EXTERIOR WINDOWS: WINDOWS SHALL BE SEALED TO MINIMIZE INFILTRATION FROM ANY ADJACENT EXCAVATION DEBRIS.

6. ALL EQUIPMENT REMAIN IN THE ORs AND ASSOCIATED ROOMS SHALL BE COVERED AND PROTECTED PRIOR STARTING EACH

CONSTRUCTION PHASE.

VENTILATION AND ENVIRONMENTAL CONTROLS

1. AIR SYSTEM FLOW: THE COR VERIFY AND ACKNOWLEDGE CONTRACTOR WHETHER THE CONSTRUCTION AREA USES FRESH/OUTSIDE OR RE-CIRCULATED AIR; FILTERS SHALL BE ADDED OR RETURN VENTS COVERED AS NEEDED WITH FILTER MATERIAL OR PLASTIC. AIR

MUST FLOW FROM CLEAN TO DIRTY AREAS.

2. NEGATIVE AIR PRESSURE: THE AIR WITHIN THE CONSTRUCTION AREA SHALL BE NEGATIVE WITH RESPECT TO SURROUNDING AREAS AND WITH NO DISRUPTION OF AIR SYSTEMS OF ADJACENT AREAS. USE OF THE NEGATIVE AIR PRESSURE SYSTEM WITHIN THE ENCLOSURE TO REMOVE DUST SHALL PASS AIR THROUGH AN INDUSTRIAL GRADE, PORTABLE HEPA FILTER CAPABLE OF FILTRATION RATES OF 300-800 CUBIC FEET PER MINUTE (FT3/MIN), OR EXHAUST AIR DIRECTLY TO THE OUTSIDE IF APPROVED BY VAMC. IF EXHAUST SHALL BE TIED INTO A RE-CIRCULATED AIR SYSTEM, A PRE-FILTER AND HEPA FILTER SHALL BE USED BEFORE EXHAUST TO PREVENT

CONTAMINATION OF THE DUCTS.

3. FOR EXHAUST DUCT ROUTING THRU CORRIDOR: INSTALL HARD DUCT WITH NON-FLANGE HANGER HUNG FROM CEILING ABOVE, BOTTOM OF DUCT SHALL BE A MINIMUM OF 7'-2" A.F.F.

4. ADJACENT AREAS: THE STATUS OF SEALED PENETRATIONS AND INTACT CEILING SHALL BE VERIFIED DAILY.

5. AIR EXCHANGE RATES AND PRESSURE RELATIONSHIPS: VAMC AND CONTRACTOR SHALL VERIFY AND MAINTAIN PROPER RATES IN CRITICAL AREAS NEAR CONSTRUCTION ACTIVITY AND ENSURE AIR IS NOT BEING RE-CIRCULATED WITHOUT FILTRATION FROM THE CONSTRUCTION AREA ELSEWHERE. PROVIDE AIR PRESSURE TESTING THROUGHOUT THE PROJECT IN THE FREQUENCY AS IDENTIFIED

BY THE COR.

CONTAMINATION OF PATIENT ROOMS, SUPPLIES, EQUIPMENT AND RELATED AREAS

1. WORKSITE CLOTHING: CONTRACTOR PERSONNEL CLOTHING SHALL BE FREE OF LOOSE SOIL AND DEBRIS BEFORE LEAVING THE CONSTRUCTION AREA. IF PROTECTIVE APPAREL IS NOT WORN (E.G., COVERALLS, FOOTGEAR AND HEADGEAR) A HEPA-FILTERED VACUUM SHALL BE USED TO REMOVE DUST FROM CLOTHING BEFORE LEAVING THE BARRICADE. IF PROTECTIVE APPAREL IS UTILIZED, THE CONTRACTOR SHALL CONSTRUCT A SPACE OR ANTEROOM FOR CHANGING CLOTHING AND STORING EQUIPMENT (DESIGNATED AREA. ALL EQUIPMENT, TOOLS, TOOL CARTS, AND MATERIALS TRANSPORTED THROUGH OCCUPIED AREAS SHALL BE MADE FREE FROM DUST AND MOISTURE BY VACUUMING AND WET WIPING BEFORE THEIR REMOVAL FROM THE CONSTRUCTION ZONE OR WORK AREA.

2. POST CONSTRUCTION: DO NOT REMOVE BARRIERS AND KEEP ALL HVAC ISOLATION UNTIL CONTRACTOR HAS CLEANED CONSTRUCTION SITE, VA EMS STAFF HAS DONE A TERMINAL CLEANING, AND VA INFECTIOUS DISEASE CONTROL HAS INSPECTED AND APPROVED THE

CLEANING.

ICRA NOTES

IIILOW Risk Group 1

Note: Infection Control approval will be required when the Construction Activity and Risk Level that indicates

It is the Contractor's Responsibility to provide the following Infection Control Precautions depending upon the Area Class Designation

I

I

III

MEDIUM Risk Group 2

HIGH Risk Group 3

HIGHEST Risk Group 4 V

V

IV

V

IV

III

IV

II

III

Patient Risk Group Table

Infection Control Matrix - Class of Precautions: Construction Project by Patient Risk

TYPE A

Construction Project Type

Major demolition and construction projects Includes, but is not limited to:

• Removal or replacement of building system component(s).

• Removal/installation of drywall partitions.

• Invasive large-scale new building construction.

• Renovation work in two or more rooms.

Work that generates a moderate to high level of dust or requires demolition or removal of any fixed building components or assemblies Includes, but is not limited to:

• Removal of preexisting floor covering, walls, casework or other building components.

• New drywall placement.

• Renovation work in a single room.

• Nonexisting cable pathway or invasive electrical work above ceilings.

• The removal of drywall where a moderate amount of dust and debris is created.

• Dry sanding where a moderate amount of dust and debris is created.

• Work creating significant vibration and/or noise.

• Any activity that cannot be completed in a single work shift.

Small scale, short duration activities which create minimal dust Includes, but is not limited to:

• Work conducted above the ceiling (e.g., prolonged inspection or repair of firewalls and barriers, installation of conduit and/or cabling, and access to mechanical and/or electrical chase spaces).

• Fan shutdown/startup.

• Installation of electrical devices or new flooring that produces minimal dust and debris.

• The removal of drywall where minimal dust and debris is created.

• Controlled sanding activities (e.g., wet or dry sanding) that produce minimal dust and debris.

Inspection and Non-Invasive Activities Includes, but is not limited to:

• Removal of ceiling tile for visual inspection-limited to 1 tile per 50 square feet with limited exposure time.

• Limited building system maintenance (e.g., pneumatic tube station, HVAC system, fire suppression system, electrical and carpentry work to include painting without sanding) that does not create dust or debris.

• Clean plumbing activity limited in nature.

Type of Construction / Project Activity Table

Group 2 Medium Risk

Group 1 Low Risk

• Physical Therapy

• Radiology departments

• All patient waiting rooms

• All outpatient clinics

• Research Areas

• Respiratory Therapy

• Office areas (non-clinical)

• FES/EMS areas

I

Patient Risk Group

TYPE D

TYPE C

TYPE B

TYPE A

Group 4 Highest Risk

Group 3 High Risk

• Emergency Room

• Clinical Laboratories (specimen)

• Same Day Surgery

• Pharmacy

• Nutrition and Food

Service/Canteen

• Procedural Areas (GI)

• Inpatient Mental Health

• Any area caring for immunocompromised patients

• Cardiac Cath Lab/IR

• Central Sterile Supply

• Sterile Processing Service

• Intensive Care Units

IIII

TYPE DTYPE CTYPE B

Class IV The ICRA classification for this project is Class IV.

C

LA

S S

IV

During Construction Project Upon Completion of Project

1. Includes all activities required by Class III

2. Obtain Infection Control Permit from Hospital Safety Officer or Facilities Management

Maintenance and Engineering department before construction begins.

3. 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.

4. All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to ground and ceiling and secure from movement or damage. Apply tape that will not leave a residue to seal gaps between barriers, ceiling or floor.

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

6. Containment units or environmental containment units (ECUs) approved for Class IV precautions in small areas totally contained by the unit and that has HEPA-filtered exhaust air.

7. Remove or isolate return air diffusers to avoid dust entering the HVAC system.

8. Remove or isolate the supply air diffusers to avoid positive pressurization of the space.

9. Negative airflow pattern must be maintained from the entry point to the anteroom and into the construction area. The airflow must cascade from outside to inside the construction area. The entire construction area must remain negatively pressurized.

10. Maintain negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors. Exhaust discharged directly to the outdoors that is 25 feet or greater from entrances, air intakes and windows does not require HEPA-filtered air.

11. If exhaust is directed indoors, then the system must be HEPA filtered. Prior to start of work, HEPA filtration must be verified by particulate measurement as no less than 99.97% efficiency and must not alter or change airflow/pressure relationships in other areas.

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

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

14. Contain all trash and debris in the work area.

15. 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.

16. Worker clothing must be clean and free of visible dust before leaving the work area.

HEPA vacuuming of clothing or use of cover suites is acceptable.

17. Workers must wear shoe covers prior to entry into the work area. Shoe covers must be changed prior to exiting the anteroom to the occupied space (non-work area). Damaged shoe covers must be immediately changed.

18. 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.

19. Consider collection of particulate data during work to monitor and ensure that contaminates do not enter the occupied spaces. Routine collection of particulate samples may be used to verify HEPA filtration efficiencies.

• Medical/Surgical Units

• Negative pressure isolation rooms

• Outpatient Chemotherapy

Areas

• Operating rooms

• Post Anesthesia Care Unit

• Dialysis

• Dental

C

LA

S S

V

1. Includes all activities required by Class IV

2. Obtain Infection Control Permit from Hospital Safety Officer or Facilities Management

Maintenance and Engineering department before construction begins.

3. 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.

4. All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to ground and ceiling and secure from movement or damage. Apply tape that will not leave a residue to seal gaps between barriers, ceiling or floor.

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

6. Construct anteroom large enough for equipment staging, cart cleaning, workers. The anteroom must be constructed adjacent to entrance of construction work area.

7. Personnel will be required to wear coveralls at all times during Class V work activities.

Coveralls must be removed before leaving the anteroom.

8. Remove or isolate return air diffusers to avoid dust entering the HVAC system.

9. Remove or isolate the supply air diffusers to avoid positive pressurization of the space.

10. Negative airflow pattern must be maintained from the entry point to the anteroom and into the construction area. The airflow must cascade from outside to inside the construction area. The entire construction area must remain negatively pressurized.

11. Maintain negative pressurization of the entire workspace using HEPA exhaust air systems directed outdoors. Exhaust discharged directly to the outdoors that is 25 feet or greater from entrances, air intakes and windows does not require HEPA-filtered air.

12. If exhaust is directed indoors, then the system must be HEPA filtered. Prior to start of work, HEPA filtration must be verified by particulate measurement as no less than 99.97% efficiency and must not alter or change airflow/pressure relationships in other areas.

13. Exhaust into shared or recirculating HVAC systems, or other shared exhaust systems (bathroom exhaust) is not acceptable.

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

15. Contain all trash and debris in the work area.

16. 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.

17. Worker clothing must be clean and free of visible dust before leaving the work area anteroom.

18. Workers must wear shoe covers prior to entry into the work area. Shoe covers must be changed prior to exiting the anteroom to the occupied space (non-work area).

Damaged shoe covers must be immediately changed.

19. 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.

20. Consider collection of particulate data during work to monitor and ensure that contaminates do not enter the occupied spaces. Routine collection of particulate samples may be used to verify HEPA filtration efficiencies.

Construction areas must be inspected by an infection preventionist or designee and engineering representative for discontinuation or downgrading of ICRA precautions.

Work Area Cleaning:

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

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

Removal of Critical Barriers:

1. 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.

2. 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:

1. Carefully remove screws and painter tape.

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

3. Drywall cutting is prohibited during removal process.

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

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

Negative Air Requirements:

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

2. Negative air devices 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:

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

2. Verify that HVAC systems are clean and operational.

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

It is the Contractor's Responsibility to provide the following Infection Control Precautions depending upon the Area Class Designation

During Construction Project

C

LA

S S

I

Cleaning:

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

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

HVAC Systems:

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

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

Upon Completion of Project

1. Execute work by methods to minimize raising dust from construction operations.

2. Perform noninvasive work activity as to not block or interrupt patient care.

3. Perform noninvasive work activities in areas that are not directly occupied with patients.

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

5. Immediately replace any displaced ceiling tile before leaving the area and/or at end of noninvasive work activity.

C

LA

S S

II

Cleaning:

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

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

HVAC Systems:

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

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

1. Includes all activities required by Class I

2. Perform only limited dust work and/or activities designed for basic facilities and engineering work.

3. Perform limited dust and invasive work following standing precautions procedures approved by the organization.

4. This Class of Precautions must never be used for construction or renovation activities.

5. Provide active means to prevent airborne dust from dispersing into atmosphere.

6. Water mist work surfaces to control dust while cutting.

7. Seal unused doors with duct tape.

8. Block off and seal air vents.

9. Replace adhesive walk-off mats at entrance and exit of work area. Replace used mats in accordance with manufacturer's recommendations.

10. Remove or isolate HVAC system in area where work is being done to prevent contamination of duct system.

Construction areas must be inspected by an infection preventionist or designee and engineering representative for discontinuation or downgrading of ICRA precautions.

Work Area Cleaning:

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

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

Removal of Critical Barriers:

1. 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.

2. 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:

1. Carefully remove screws and painter tape.

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

3. Drywall cutting is prohibited during removal process.

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

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

Negative Air Requirements:

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

2. Negative air devices 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:

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

2. Verify that HVAC systems are clean and operational.

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

C

LA

S S

II

I

1. Includes all activities required by Class II

2. Obtain Infection Control Permit from Hospital Safety Officer or Facilities

Management Maintenance and Engineering department before construction begins.

3. Provide active means to prevent airborne dust dispersion into the occupied areas.

4. Means for controlling minimal dust dispersion may include hand-held HEPA vacuum devices, polyethylene plastic containment, or isolation of work area by closing room door.

5. Remove or isolate return air diffusers to avoid dust from entering the HVAC system.

6. Remove or isolate the supply air diffusers to avoid positive pressurization of the space,

7. If work area is contained, then it must be neutrally to negatively pressurized at all times.

8. Seal all doors with tape that will not leave residue.

9. Contain all trash and debris in the work area.

10. 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.

11. 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.

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

13. Clean construction area at the end of each shift by damp mopping or HEPA Vacuum.

For Type C activities, follow procedures for Class IV.

Cleaning:

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

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

HVAC Systems:

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

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

HEPA NEGATIVE AIR UNIT FINISHED FLOORING TO BE KEPT CLEAN. FLOORS NOT

BEING REPLACED MUST BE PROTECTED. COVER WITH

ROSIN PAPER / FIRE RATED PLYWOOD.

FIRE RATED PLYWOOD, TEMPORARY.

SALVAGE PROTECT AND STORE

EXISTING WINDOW TO BE RE-INSTALLED

AFTER CONSTRUCTION IS COMPLETE.

V .I

.F

E X

IS

T

IN

G

W A

L L

FLOOR SLAB ABOVE

CEILING

SWIVEL CASTERS WITH

TWO LOCKING BRAKES

MOBILE CART

A D

J U

S T

A B

L E

H E

IG

H

T

HEPA NEGATIVE

AIR UNIT

EXISTING WALL

CEILING

FLEX PORTION

R

P

U

24 22

A050

VENTILATORY

TEST AREA

A048

GAS STOR.

A045

S. UTILITY

A043

COPY

A060

MALE TOILET

ELEC.

CLOSET

A022

CORRIDOR

A053

CORRIDOR

PULMONARY

PROCEDURE

ROOM

A052

VENTILATORY

TEST AREA

A054

PHARMACY

WORKROOM

A024A

PHARMACY

WORKROOM

A024

OFFICE

A056

CUBICLE

STUDY

A057

CORRIDOR

CG-37

R

P

U

24 22

PULMONARY

PROCEDURE

ROOM

A052

VENTILATORY

TEST AREA

A054

PHARMACY

WORKROOM

A024A

PHARMACY

WORKROOM

A024

OFFICE

A056

MALE TOILET

A060

ELEC CLOSET

A022

VENTILATORY

TEST AREA

A050

GAS STORAGE

A048

UTILITY

A045

CORRIDOR

CG-55

CORRIDOR

CG-37

CUBICLE

STUDY

A057

TELE CLOSET

A018A

COPY

A043

Engineers Architects

Revisions: Date

Drawing Title

Approved

Project Title

Location

VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

Date Checked Drawn

FULLY SPRINKLERED

ACG Project Number

Headquarters:

Apogee Consulting Group, P.A.

1151 Kildaire Farm Road, Suite 120 Cary, North Carolina 27511 www.acg-pa.com 919-858-7420 U.S. Department of Veterans Affairs# © COPYRIGHT Apogee Consulting Group, P.A.

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ICRA INFORMATION AND DETAILS

4 4CMK

A/E RENOVATE B200 GROUND

FLOOR FOR BRONCHOSCOPY

PROCEDURE ROOM

J.H. QUILLEN VAMC

LAMONT AND VETERANS WAY

MT. HOME, TN 37604 NOVEMBER 15, 2024

BID DOCUMENTS

621-24-10123-148

WVS

SCALE: NO SCALE

ICRA BARRIER WALL TYPE

SCALE: NO SCALE

ILSM CONSTRUCTION EGRESS SIGNAGE

SCALE: NO SCALE

CROSS SECTION "A"

SCALE: NO SCALE

ICRA MOBILE CONTAINMENT CART

SCALE: 1/8" = 1'-0"

GROUND FLOOR ICRA DEMOLITION PLAN

SCALE: 1/8" = 1'-0"

GROUND FLOOR ICRA REFLECTED CEILING DEMOLITION PLAN

1 ICRA BARRIER WALL TYPE A. TO BE PUT UP AND TAKEN DOWN IN ONE SHIFT.

2 STICKY MATS.

3 HEPA FILTER.

4 ICRA BARRIER WALL TYPE A.

5 ICRA BARRIER WALL TYPE B.

6 THIS SIDE OF BARRIER TO BE FINISHED. SANDED, PAINTED, AND BASE TO MATCH EXISTING.

7 ABOVE CEILING WORK TO BE COMPLETED DURING OFF HOURS.

8 INSTALL HEAVY DUTY OSHA FIRE RETARDANT FLOOR PROTECTION,13 MIL.

9 CEILING WORK ON THIS SIDE OF BARRIER TO TAKE PLACE DURING OFF HOURS,

COORDINATE WITH COR.

10 PLASTIC BARRIER OR TEMPORARY WALL SYSTEM. BASIS OF DESIGN STARC WALL OR

EDGEGUARD OR EQUAL

KEY NOTES:

N O

R T

H0 4 8 16

N O

R T

H0 4 8 16

W

AL

AFF ABOVE FINISHED FLOOR

ACP/APC ACOUSTIC CEILING PANEL/

ACOUSTIC PANEL CEILING

ACT ACOUSTIC(AL) TILE

ADJ ADJUSTABLE

ADT'L ADDITIONAL

AGG AGGREGATE

ALT ALTERNATE

AL ALUMINUM

APPROX APPROXIMATE(LY)

ASPH ASPHALT

AUTO AUTOMATIC

B/O BOTTOM OF

BD BOARD

BLDG BUILDING

BLKG BLOCKING

BOT BOTTOM

BRG BEARING

CENTERLINE

C/C CENTER TO CENTER

CJ CONTROL JOINT

CLL CONTRACT LIMIT LINE

CEM CEMENT(ITIOUS)

CMU CONCRETE MASONRY UNIT

CLG CEILING

CLR CLEAR

COL COLUMN

CONC CONCRETE

CONST CONSTRUCTION

CONT CONTINUOUS

CPT CARPET

CT CERAMIC TILE

CTR CENTER(ED)

DF DRINKING FOUNTAIN

DS DOWNSPOUT

DBL DOUBLE

DEG DEGREE

DEMO DEMOLITION

DET/DTL DETAIL

DIA DIAMETER

DIM DIMENSION

DN DOWN

DWG(S) DRAWING(S)

E EAST

EC ELECTRICAL CONTRACTOR

EHO ELECTRICAL HOLD OPEN

EJ EXPANSION JOINT

EW EACH WAY

EA EACH

EIFS EXTERIOR INSULATION

FINISH SYSTEM

EL ELEVATION

ELEC ELECTRIC(AL)

ELEV ELEVATOR

EMER EMERGENCY

EQ EQUAL

EQUIP EQUIPMENT

EXIST EXISTING

EXT EXTERIOR

EWC ELECTRIC WATER COOLER

FD FLOOR DRAIN

FE FIRE EXTINGUISHER

FFE FINISH FLOOR ELEVATION

FV FIELD VERIFY

FEC FIRE EXTINGUISHER CABINET

FDN FOUNDATION

FIN FINISH

FLSHG FLASHING

FLR FLOOR

FRMG FRAMING

FT FOOT/FEET

FTG FOOTING

GC GENERAL CONTRACTOR

GA GAUGE

GALV GALVANIZED

GEN GENERAL

GYP GYPSUM

HM HOLLOW METAL

HDWR HARDWARE

HOL HOLLOW

HOR HORIZONTAL

HT HEIGHT

HVAC HEATING/VENTILATION/AIR

CONDITIONING

ID INSIDE DIAMETER

IN INCH

INCL INCLUDING

INSUL INSULATION

INT INTERIOR

JAN JANITOR

JT JOINT

LAV LAVATORY

LB(S) POUND(S)

L/S LANDSCAPE

LT LIGHT

MO MASONRY OPENING

MAS MASONRY

MAT'L MATERIAL

MAX MAXIMUM

MECH MECHANICAL

MFR MANUFACTURER

MIN MINIMUM

MISC MISCELLANEOUS

MTD MOUNTED

MTL METAL

N NORTH

NIC NOT IN CONTRACT

NTS NOT TO SCALE

NOM NOMINAL

OC ON CENTER

OD OUTSIDE DIAMETER

O TO O OUT TO OUT

OPNG OPENING

OPP OPPOSITE

OVHD OVERHEAD

PEB PRE-ENGINEERED BUILDING

PJF PREFORMED JOINT FILLER

PT PRESSURE TREATED

PERIM PERIMETER

PL PLATE

PLAM PLASTIC LAMINATE

PLBG PLUMBING

PLYWD PLYWOOD

PNT PAINT

PR PAIR

PTD PAINTED

PWR POWER

RB RUBBER BASE

RD ROOF DRAIN

RO ROUGH OPENING

RAD RADIUS

REC RECESSED

REINF REINFORCED

REQ'D REQUIRED

REV REVISED (REVISION)

RM ROOM

S SOUTH

SB SPLASH BLOCK

SF SQUARE FEET

SS STAINLESS STEEL

SIM SIMILAR

SPEC SPECIFICATIONS

SQ SQUARE

STD STANDARD

STL STEEL

STOR STORAGE

STRUCT STRUCTURAL

SUSP SUSPENDED

T&G TONGUE AND GROOVE

T/O TOP OF

TELE TELEPHONE

TRTD TREATED

TS TUBE STEEL

TYP TYPICAL

UNFIN UNFINISHED

UNO UNLESS NOTED OTHERWISE

VCT VINYL COMPOSITION TILE

VIF VERIFY IN FIELD

VERT VERTICAL

W WEST

W/ WITH

W/O WITHOUT

WC WATER CLOSET

WWF WELDED WIRE FABRIC

WD WOOD

WH WATER HEATER

WT WEIGHT

CL

DEMOLITION KEYNOTE DOOR NUMBER

TYPICAL KEYNOTE CEILING/ SOFFIT

HEIGHT

MATL

1'-0"

1#

1. INDICATIONS OF PROJECT LIMITS OR LINES OF DEMARCATION ARE SHOWN FOR GENERAL SCOPE DEFINITION AND REFLECT THE UNDERSTANDING OF THE DESIGNER AS TO THE LIMITATIONS OF THE WORK AREA IN AN OCCUPIED AREA. ACTUAL CONTRACT LIMITS ARE TO BE DETERMINED BY AGREEMENT BETWEEN THE COR AND

CONTRACTOR BEFORE THE START OF THE WORK.

2. DRAWINGS ARE PREPARED USING PRODUCT DIMENSIONS AND DETAILS FROM BASIS OF DESIGN PRODUCTS.

PRODUCTS MAY CHANGE IN DIMENSION AND DETAIL BEFORE THEY ARE INCORPORATED INTO

WORK. PRODUCTS FROM OTHER MANUFACTURER’S ARE ALSO ACCEPTABLE. DIMENSIONS AND DETAILS FOR ALTERNATE PRODUCTS MAY VARY FROM BASIS OF DESIGN. CONTRACTOR SHALL VERIFY INSTALLATION REQUIREMENTS FOR ALL PRODUCTS TO BE INCORPORATED INTO WORK (INCLUDING THICKNESS FOR RECESSED OR SEMI-RECESSED PRODUCTS) AND IS RESPONSIBLE FOR ACCOMMODATING AND COORDINATING CHANGES TO OTHER MATERIALS OR PRODUCTS THAT ARE NECESSARY BECAUSE OF THESE DIFFERENCES.

3. THE DRAWINGS AND SPECIFICATIONS ARE SEPARATED INTO DISCIPLINES FOR CONVENIENCE. THE SEPARATIONS ARE USED ONLY FOR THE PURPOSES OF CONVENIENCE AND REFERENCE AND IN NO WAY DO THEY DEFINE OR LIMIT THE SCOPE OR INTENT OF ANY PART OF THE DRAWINGS AND SPECIFICATIONS AS A WHOLE. THE FACT THAT THE DRAWINGS ARE SEPARATED IN NO WAY SUGGESTS THAT THE WORK IS NOT TO

BE CONSTRUCTED AS A COMPLETE, INTEGRATED AND UNIFIED WHOLE.

4. THE DRAWINGS AND SPECIFICATIONS, INCLUDING DRAWINGS PREPARED BY SPECIFIC ENGINEERING DISCIPLINES ARE COMPLEMENTARY; ITEMS SHOWN IN ANY ONE LOCATION IN THE DRAWINGS SHALL BE CONSIDERED TO BE REQUIREMENTS OF THE CONTRACT FOR CONSTRUCTION. IN THE EVENT OF AN INCONSISTENCY BETWEEN THE DRAWINGS AND SPECIFICATIONS, OR WITHIN EITHER DOCUMENT, THE CONTRACTOR SHALL SEEK CLARIFICATION OR INTERPRETATION FROM THE COR PRIOR TO BIDDING. WHERE INCONSISTENCIES ARE NOT CLARIFIED PRIOR TO BIDDING, AND WHERE THE ACTUAL SOLUTION OR INTENT CANNOT BE REASONABLY INFERRED, THE CONTRACTOR SHALL PROVIDE THE BETTER QUALITY OR GREATER

QUANTITY OF WORK.

5. THE CONTRACTOR SHALL NOTIFY THE COR IMMEDIATELY SHOULD DISCREPANCIES BE FOUND IN THE

DRAWINGS AND SPECIFICATIONS.

6. THE CONTRACTOR IS RESPONSIBLE FOR CHECKING ALL FIELD CONDITIONS AND DIMENSIONS AS THEY RELATE TO THIS PROJECT, FOR EACH PHASE. SHOULD DISCREPANCIES EXIST BETWEEN THE WORK INDICATED AND

ACTUAL FIELD CONDITIONS, NOTIFY THE COR PRIOR TO PROCEEDING WITH THE WORK.

7. DO NOT SCALE THE DRAWINGS. DRAWING SCALES AS INDICATED ARE FOR REFERENCE ONLY AND ARE NOT INTENDED TO ACCURATELY DEPICT ACTUAL OR DESIGNATED CONDITIONS. WRITTEN DIMENSIONS SHALL

GOVERN.

8. PROVIDE SEALANT AT ALL INTERSECTIONS BETWEEN DIFFERENT MATERIALS.

9. COORDINATE WORK OF ALL TRADES PRIOR TO STARTING CONSTRUCTION.

10. REFER TO ALL OTHER TRADE DRAWINGS AND SPECIFICATIONS FOR ADDITIONAL INFORMATION ON THIS

PROJECT.

11. PROVIDE BLOCKING AT PARTITIONS AS REQUIRED FOR MOUNTING OF WALL-MOUNTED ITEMS: PROVIDE SUPPLEMENTAL FRAMING AT WALL OPENINGS INCLUDING KING STUDS, JACK STUDS, AND CRIPPLE STUDS, AS

REQUIRED FOR COMPLETION OF THE WORK.

12. DIMENSIONS SHOWN ARE TO FACE OF GYPSUM BOARD, FACE OF CONCRETE/MASONRY WALLS, OR FINISHED

FACE OF EXISTING WALL SURFACE.

13. ALL WOOD IN CONTACT WITH CONCRETE SHALL BE PRESSURE TREATED.

1. KEY NOTES AND DRAWINGS ARE INTENDED TO GRAPHICALLY REPRESENT GENERAL WORK AND DO NOT

PORTRAY FULL SCOPE OF THE PROJECT. SEE SPECIFICATIONS FOR DETAILED REQUIREMENTS.

2. REMOVE EXISTING CONSTRUCTION AS DESIGNATED HEREIN AND CLEAR AREA OF DEBRIS PRIOR TO

PROCEEDING WITH NEW CONSTRUCTION.

3. EXISTING EQUIPMENT REMOVED SHALL BE PROPERLY DISPOSED OF, OFF PROJECT GROUNDS. COORDINATE

WITH COR.

4. AT AREAS INDICATED TO BE PATCHED AND REPAIRED, FOR ADDITION AND RENOVATION PROJECTS: THE CONSTRUCTION AND ASSEMBLY OF THE PATCH OR REPAIR SHALL MATCH THE ASSEMBLY AND INTEGRITY OF THE ADJACENT EXISTING CONSTRUCTION, FOR FIRE RATING, MATERIALS, FINISH, THICKNESS, AND QUALITY.

5. COORDINATE WORKING HOURS ALLOWED FOR DEMOLITION AND WASTE REMOVAL WITH COR.

6. NOTIFY COR OF ANY DEMOLITION REQUIRED AND NOT INDICATED FOR INSTALLATION OF ELECTRICAL OR DATA ITEMS. AFTER SUCH DEMOLITION AND INSTALLATION, PATCH OR REPLACE MATERIALS AND FINISHES TO MATCH

EXISTING.

7. CONTRACTOR SHALL PROTECT AREA ADJACENT TO THE DEMOLITION AND NEW CONSTRUCTION WORK TO PREVENT DAMAGES, (IF DAMAGED REPAIR, RE-PATCH, SAND SMOOTH AND REFINISH TO MATCH EXISTING.)

REPAIR OR REPLACE ITEMS DAMAGED DURING CONSTRUCTION ACTIVITIES AT NO ADDITIONAL COST.

8. THE INFORMATION CONTAINED IN THESE DEMOLITION DOCUMENTS DEFINES GENERAL SCOPE ONLY AND DOES NOT RELIEVE THE CONTRACTOR OF THE RESPONSIBILITY OF PROVIDING ALL DEMOLITION REQUIRED FOR THE

COMPLETION OF THE PROJECT.

9. DO NOT ENCROACH ON ADJACENT OCCUPIED AREAS NOT IDENTIFIED WITHIN THE SCOPE OF WORK.

10. REFER TO THE ELECTRICAL DRAWINGS FOR FURTHER INFORMATION REGARDING DEMOLITION OF ELECTRICAL

SYSTEMS.

11. BEFORE THE START OF WORK, IDENTIFY ANY REQUIRED DEMOLITION BEYOND THE IDENTIFIED PROJECT SCOPE WHETHER ABOVE, BELOW, OR OUTSIDE THE PROJECT AREA. NOTIFY AND COORDINATE WITH THE COR, PROVIDE DEMOLITION OF THESE AREAS AND PATCH THE SAME AS A PART OF THE SCOPE OF THE PROJECT.

12. ALL DEMOLITION WORK SHALL BE PERFORMED WITH DUE CARE AND DILIGENCE IN ORDER TO PREVENT ARBITRARY DAMAGE OR INTERRUPTION OF SERVICE OR CONCEALED UTILITIES INTENDED TO REMAIN IN SERVICE. DISCOVERY OF UTILITIES OR CONDITIONS LOCATED DIFFERING FROM THOSE INDICATED OR THAT

ARE NOT IDENTIFIED, SHALL BE REPORTED TO THE COR.

13. VERIFY ALL EXISTING CONDITIONS PRIOR TO BEGINNING WORK. NOTIFY COR AND ARCHITECT OF ANY

CONFLICTS PRIOR TO PROCEEDING WITH DEMOLITION.

14. ALL ITEMS BEING SALVAGED OR REMOVED SHALL REMAIN THE PROPERTY OF THE OWNER UNTIL CONFIRMATION HAS BEEN MADE AS TO WHETHER THE OWNER WILL RETAIN SUCH ITEMS. ALL ITEMS NOT BEING RETAINED BY THE OWNER OR DESIGNATED ON THE DRAWINGS, ARE TO BE RELOCATED OR

REINSTALLED FROM THE SITE BY CONTRACTOR IN APPROVED MANNER.

15. CONTRACTOR SHALL NOTIFY COR OF ANY AREA REQUIRING DEMOLITION OTHER THAN SHOWN IN THESE DRAWINGS DUE TO UNFORESEEN CONDITIONS, TO ACCOMMODATE INSTALLATION OF ALL OTHER TRADES (INCLUDING ROOF PENETRATIONS). AFTER SUCH DEMOLITION AND INSTALLATION, PATCH OR REPLACE

MATERIALS AND FINISHES TO MATCH EXISTING.

16. COORDINATE WITH COR FOR CONSTRUCTION ACCESS ROUTE AND LOCATIONS OF DUMPSTER AREA.

COORDINATE WITH COR FOR SCHEDULE OF USE OF ACCESS ROUTE FOR WASTE REMOVAL AND CONTRACTOR

USE OF FREIGHT ELEVATOR (AS REQUIRED).

17. WHERE INSTALLATION OF NEW FIXTURES, EQUIPMENT, DEVICES, OR SYSTEMS REQUIRES REMOVAL OF EXISTING WALL SURFACE, CONTRACTOR SHALL COORDINATE THE EXTENT OF SUCH REMOVAL AND PATCH/

REPAIR THE EXISTING WALL AFTER INSTALLATION.

2 HOUR FIRE SEPARATION

1 HOUR FIRE SEPARATION

1 HOUR FIRE SMOKE SEPARATION

SMOKE RATED

EXPOSED PLUMBING AT

BARRIER FREE

LAVATORIES

SHALL BE INSULATED.

LEVER OPERATING

CONTROLLED

SOAP DISPENSER

CLEAR

TYPICAL ACCESSIBLE

LAVATORY AND MIRROR

1'-3" 1'-3"

M

IN

M A

X

M

A X

INTERCOM

STATION INTERCOM

MASTER

STATION

INTERCOM

WALL

OUTLET

INTERCOM STATION

T O

B O

T T

O M

O F

R

E F

L E

C T

IV

E

S

U R

F A

C E

O F

M

IR

R

O R

NOTE: FIRE EXTINGUISHERS

HAVING A GROSS WEIGHT

NOT EXCEEDING 40 LB (18.14

KG) SHALL BE INSTALLED SO

THAT THE TOP OF THE FIRE

EXTINGUISHER IS NOT MORE

THAN 5'-0" (1.53 M) ABOVE

THE FLOOR.

FIRE EXTINGUISHER

CABINET

ELECTRICAL PANEL

DUPLEX

OUTLET

SWITCH

THERMOSTAT

TELEPHONE

OR DATA

OUTLET

FIRE ALARM

PULL

(3-6" MIN)

(4'-0" MAX)

INTERCOM

STATION

DUPLEX

OUTLET

COMPUTER

TERMINAL

MISC. WALL DEVICES

CLOCK

NURSE

CALL

DOME

LIGHT

CLOCK OUTLET

CLOCK & NURSE CALL DEVICES

PAPER TOWEL

DISPENSER

2'-0" AT SIDEWALLS

AT COUNTER SINKS

1'-6" AT SIDEWALLS

AT LAVATORY

NOTE: PROVIDE WALL BLOCKING

FOR ALL WALL MOUNTED

EQUIPMENT AND ADA WALL

MOUNTED ACCESSORIES. BLOCKING

SHALL EITHER BE STEEL STRIP, 6"

WIDE, WITH LENGTH EXTENDING

ONE STUD SPACE BEYOND END OF

ITEM SUPPORTED, OR 5 1/2" WIDE

FIRE TREATED WOOD BLOCKING

ONLY AT GRAB BAR CONDITIONS.

TELEPHONE

OR DATA

OUTLET

ACCESSORIES

HAND

SANITIZER

GLOVE

DISPENSER

SHARPS WITH

GLOVE DISPENSER

1. ACCESS PANELS ARE NOT PERMITTED IN SOFFITS, CHECK ALL VALVES, FIRE DAMPERS, REHEAT BOXES, ETC.

FOR ACCESS POINTS. ARRANGE FIRE AND SMOKE DAMPER ACCESS FROM NON-CORRIDOR SIDE.

2. LIGHTS, DIFFUSERS, EXIT SIGNAGE, SPRINKLER HEADS, AND SMOKE DETECTORS MUST BE CENTERED IN

CEILING PANELS IN WHICH THEY OCCUR.

3. COORDINATE WITH SEPARATE MECHANICAL AND ELECTRICAL DESIGN PACKAGES FOR CEILING MOUNTED

DEVICES.

4. PAINT CUT EDGES OF ACT TO MATCH CEILING TILE WHERE EXPOSED TO VIEW.

5. CONTRACTOR TO REVIEW CEILING LAYOUT AS SHOWN AND NOTIFY ARCHITECT OF ANY CONFLICTS BEFORE

PROCEEDING WITH CONSTRUCTION.

1. ALL MECHANICAL SHAFTS SHOULD BE FIRE RATED CONSTRUCTION. AS SHOWN ON PLAN.

2. REFER TO FLOOR PLAN SHEET FOR FIRE RATED AND SMOKE PARTITION LOCATIONS. ALL FIRE & SMOKE PARTITIONS SHALL EXTEND FROM FLOOR SLAB TO THE UNDERSIDE OF STRUCTURE - DECK ABOVE. ALL PENETRATIONS SHALL BE SEALED AND PROTECTED WITH FIRE RATED SEALANT TO MAINTAIN THE INTEGRITY

OF THE PARTITION.

3. PARTITION INSTALLATION SHALL CONFORM TO ALL CODE…