36C25819B0025-0001001.pdf

Renovate Surgical Oncology, Building 31, First Floor 2 May 2019 Loma Linda VA Medical Center 100% Design Development Submittal

BASIS OF DESIGN

A. GENERAL

This design narrative provides a description of this Renovation project for Surgical Oncology, Building 31, at the Jerry L. Pettis Memorial Veterans Medical Center, located in Loma Linda, California. Building 31 is an 18,309-square-foot, two-story, steel-frame building that was constructed in 2014. The first floor of the building was not completed as part of the original construction due to budget constraints. At this time, the Veterans Affairs Loma Linda (VA-LL) would like to complete the construction of the first floor and also make modifications to the Pharmacy located on the second floor, as required to bring the pharmacy into compliance with USP 800, the United States Pharmacopeial Convention's standards on handling hazardous drugs in healthcare settings. The VA must comply with a directive that mandates the pharmacy in Building 31 be in compliance with USP 800 by July 1, 2018.

As such, this project will renovate 8,000 GSF of non-clinical space on the first floor of Building 31. The interiors of the space are primarily left unfinished, while the shell was completed as part of the original construction. Approximately 6,000 GSF of this space will be renovated into clinical exam space for Surgical Oncology, and a combined waiting and patient-support area for the building will be provided. The project will also reroute the critical power and provide redundant IT connectivity for the building. A screen wall for the mechanical equipment at the top of the building to gain efficiencies in system operations and improve aesthetics will be provided.

Site improvements must be made to bring Building 31 into compliance with the new VA Physical Security requirements. The existing parking stalls within 25 feet of the building face will be eliminated in order to provide the 25-foot standoff distance required by the Physical Security Design Manual. New bollards will be provided and other site improvements, such as landscaping and wayfinding, will be made to maintain accessibility requirements with the new standoff.

Please refer to the discipline-specific sections that follow for more detail on the project requirements.

B. CODES AND REFERENCES

2015 IBC, 2015 International Building Code, prepared by the International Code Council, Washington, D.C.

VA Standard H-18-8 – Seismic Design Requirements, August 2013, U.S. Department of

Veterans Affairs, Office of Construction & Facilities Management

VA Standard PG-18-10 – Design Manuals, 2014, U.S. Department of Veterans Affairs, Office of Construction & Facilities Management

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Drawings

Perkins + Will, Saiful-Bouquet, Glumac, Kimley-Horn & Associates, and Lynn Capouya, Inc. August 22, 2014, Existing Record Drawings titled “Veteran Affairs Cancer Center Building”, prepared for the Office of Construction and Facilities Management, Department of Veteran Affairs, Loma Linda, CA

C. CIVIL ENGINEERING

1. Scope of Work

a. Project Description:

To meet the surface parking standoff distance at an existing life-safety protected VA facility, the existing parking stall area adjacent to the building will be removed. Concrete vertical curbs will be installed a minimum of 25 feet from the building face along the north end of the building to delineate the standoff distance and prevent any parking of vehicles next to the building. Concrete bollards will be installed 25 feet from the building along the eastern side of the building.

Pavement markings for two separate dedicated drop-off lanes will be installed along the eastern side of the site. Pavement within the 25-foot setback will be removed and the ground regraded to provide a continuous sloped surface from the building to the drop-off zone. A planter island will be constructed near an existing ramp for site aesthetics.

b. Codes and Criteria:

Physical Security Design Manual for VA Life-Safety Protected Facilities, 2015.

U.S. Department of Veterans Affairs, Office of Construction & Facilities Management

2. Existing Conditions

The area adjacent to Building 31 is mostly paved surfacing that includes concrete sidewalk, curb and gutter, and asphalt pavement for the parking stalls and a 24-foot-wide drive aisle. The asphalt pavement areas slope generally to the northwest and west, while the sidewalks slope away from the building onto the asphalt pavement.

3. Demolition

Existing areas of asphalt pavement will be removed and regraded. Existing pavement markings in the parking lot area will be removed. An existing catch basin structure will be removed, and storm pipe connections will be cut and capped.

4. New Site Work

Concrete vertical curb and concrete bollards will be installed along the edges of the required standoff distance for parking. A planter island with perimeter curbing will be

Renovate Surgical Oncology, Building 31, First Floor 4 May 2019

100% Design Development Submittal installed within the standoff area. New pavement will be installed from the existing sidewalk to the bollards. Additional pavement markings and signage to delineate drop-off zone and travel lanes will be painted.

5. Water Supply

Not applicable.

6. Sanitary Sewer

Not applicable.

7. Wastewater Treatment

Not applicable.

8. Storm Drainage System

Trench drains will be used to collect pavement stormwater and conveyed by storm drain pipe to the existing storm drainage system located within the parking lot area.

9. Stormwater Management

Not applicable. The proposed improvements will not trigger stormwater requirements.

10. Erosion and Sediment Control

Silt sock barriers will be used to prevent sediment-laden runoff from leaving the project site area. Catch basin filter inserts will be installed in catch basins within and downstream of the site.

D. LANDSCAPE ARCHITECTURE

1. Scope of Work

a. Project Description

The landscape work pertains to the planting and irrigation design for the existing and proposed planter areas around the perimeter of the existing oncology building.

Planting Design - The proposed planting design utilizes materials that are low maintenance and possess medium to low water demand (per WUCOLS) once established. The proposed specimen trees on the north side of the building are native to the desert southwest, are of visual interest, and complement the contemporary design of the building. It is our opinion that, due to the existence of utilities and general design appropriateness, no trees should be proposed along the south side of the building. The shrubs are low water requiring grasses and

Renovate Surgical Oncology, Building 31, First Floor 5 May 2019

100% Design Development Submittal succulents, the shape and structure of which complement the contemporary design of the building and the color of which tie to or contrast with the building’s color.

Mulch – The mulch proposed shall be angular crushed rock. Intent is to utilize existing crushed rock and supplement for the remaining improvement areas.

Irrigation Design – The proposed design utilizes subterranean drip irrigation techniques and technologies, the control of which shall be tied to an existing or new controller, as determined by the VA grounds maintenance department

b. Codes and Criteria

Landscape and irrigation shall conform to County of San Bernardino Development code 83.10 Landscape Standards

E. ARCHITECTURE

1. Scope of Work

a. Project Description

The VA Loma Linda Surgical Oncology Renovation on the first floor of the Cancer Center includes 3,950 department square feet of clinical space in the left wing and 3,850 department square feet of non-clinical support space and public space in the right wing. The project will include an 800-square-foot interior finishes refresh at the entry, main hallway, and elevator lobby of the first floor.

The total area of renovation on the first floor is 8,600 square feet.

The second-floor scope of work includes the renovation of the existing Pharmacy, which includes a 125-square-foot expansion into the lobby area for a total of 700 department gross square feet. Additional work includes switching the location of an existing exam room, 112 square feet, and an office, 115 square feet, to maintain the back hallway north of the Pharmacy as a staff access only hallway.

The hallway work will include demolition and addition of doors and hallway interior finishes refreshing at a total of 400 square feet. The total area of renovation on the second floor is 927 square feet.

To satisfy the VA-LL’s safe patient handling requirement, an equipment alcove is provided on the first floor to store a portable patient lift. There are two existing treatment areas equipped with ceiling-mounted patient lift systems, which satisfy the department’s patient handling requirement.

The majority of the project’s architecture scope is interior renovation.

b. Codes and Criteria

NFPA 10, 13, 14, 20, 72, 101

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c. Architectural Materials

All interior construction materials will be new. Partitions will be constructed of standard drywall materials, consisting of 4-inch, 16-gauge, full-height metal studs and 5/8-inch gypsum board on each side. Acoustic batt insulation will be installed in partitions requiring sound privacy between program spaces.

Typically, finished ceiling-heights will be 9 feet, 0 inches. Suspended acoustic ceiling panels will be provided as a standard finish, though painted gypsum board finish will be provided where the program requires.

Interior door types, materials, and hardware, as well as interior room finishes, will be specified to meet VA standards per each room’s program and use. Bumper rails and wall corner guards will be installed to protect partitions from the movement of patient stretchers and wheelchairs, and seismic restraints will be applied to any oversized movable and/or stationery equipment.

2. Area Calculations

The following table indicates the current interior space tabulations for net square footages. This includes programmed spaces, but does not include existing building infrastructure, i.e. stairwells, elevator, electrical room, or mechanical rooms.

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FIRST FLOOR SURGICAL ONCOLOGY

Arrival/Discharge/Public Space

Reception 1.0 200 200 1.0 224 224 150/224 12% procurement tech position, cubicle space needed

Waiting 38.0 25 950 1.0 980 980 950/980 3% 18 exam/PR/BD, 20 infusion bays

Public Toilet-Male 1.0 55 55 1.0 64 64 55/64 16%

Pubblic Toilet-Female 1.0 55 55 1.0 74 74 55/74 35% SubTotal 1205 1268

Clinical Areas

Exam Room 5.0 120 600 6 113+114+107+115

+125+127 701 600/701 17% department converted (1) programmed triage to an exam room

Procedure Room 1.0 175 175 1 155 155 175/155 -11% department will use this mostly as an exam room

Triage 2.0 100 200 1 99 99 100/99 -51% 2nd triage converted to an exam Patient/specimen Toilet 50.0 1 50 1 45 45 50/45 -10% Blood Draw chair 2.0 120 240 1 210 210 240/210 -13% 2 chairs combined in 1 room

SubTotal 1265 1210 1265/1210 -4%

Clinical Support Nurse Station/workarea 1.0 120 120 1 117 117 120/117 -3% work area for 3 RN's Print Alcove 1.0 10 10 1 8 8 10/8 -20% Clean Utility Room 1.0 65 65 1 63 63 65/63 -3% Clean Supply Storage 1.0 80 80 1 79 79 80/79 -1% Clean Liinen Alcove 1.0 20 20 1 20 20 20/20 0% Soiled Utility Room 1.0 50 50 1 45 45 50/45 -10% Medication Room 1.0 60 60 1 58 58 60/58 -3%

EVS 1.0 40 40 1 41 41 40/41 3%

Equioment Alcove, Portable Patient lift 1.0 30 30 1 34 34 30/34 13% Med Gas storage - Clean 1.0 50 50 1 47 47 50/47 -6% MedGas Storage- Empty 1.0 20 20 1 19 19 20/19 -5%

SubTotal 545 531 385/372 -3%

Offices/Administration

Office, MD workstation 3.0 45 135 1.0 133 133 135/130 -1%

Physicians: 4 FTE’s (including Dr. Hardin as Section Chief), 1 NP. Department agreed on a share office

Office, Chief 1.0 100 100 1.0 103 103 100/103 3% Dr Hardin's Office

Office, Fellow,hotel space workstation 4.0 45 180 1.0 152 152 130/165 -16% shared office, 2 wks for fellow, 2 hotel space foe visiting MD/'s

Office, Pharmacist 2.0 45 90 1.0 94 94 90/94 4% 2 Pharmacist, shared

Office, Program Manager 1.0 100 100 1.0 97 97 100/97 -3%

Office, Shared SW, CM 1.0 110 110 1.0 107 107 110/107 -3% 1 Case Manager,1 Social Worker

Office, RN manager 3.0 45 135 1.0 144 144 135/144 7% shared office, accommodate 4 workstation

Office, QI 1.0 180 180 1.0 189 189 180/189 5% 2 workstation and file storage

Office, Tumor Registry workstation 3.0 45 135 1.0 121 121 135/121 -10% shared office

Office,Resident workstation 2.0 45 90 1.0 103 103 90/103 14% shared office

MD Workroom 1.0 270 270 1.0 284 284 270/284 5% room for 9 people Alcove,printer 1.0 15 15 1.0 15 15 15/15 0% Copy Room 1.0 80 80 1.0 80 80 80/80 0%

SubTotal 1620 1622 0%

Staff Support Lounge 1.0 120 120 1.0 126 126 5% Staff Lockers 1.0 25 25 1.0 26 26 25/26 4% Staff toilet 2.0 55 110 2.0 42+74 116 110/116 5%

SubTotal 255 268 5%

Total Area Net Area (NSF) 4890 5240 7% Circulation/walls/structure 0.60 2934 2560 Total Department Area (DGSF) 7824 7800

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F. STRUCTURAL

1. Scope of Work

a. Project Description

The first-floor interior of Building 31 is largely unfinished; however, the structure is mostly complete. The central corridor area of the first floor, which includes the corridor, elevator, elevator machine room, electrical room, waiting and reception area, an office, and the stairs, is the only area that is completely finished from a structural perspective. Within Areas A and B, as indicated in the drawings, the existing structure has been completely installed and finished with the exception of the floor slab. It appears that a 1-inch-thick unreinforced concrete slab was poured in this location in order to protect the supporting soils beneath; however, the tops of the grade beams and square pile caps in this area remain exposed.

Existing #4 rebar dowels remain in place to tie the existing grade beams, square pile caps, and finished slab within the central corridor area into the new concrete slab when finished. The second floor and roof of Building 31 consist of a completed structure.

This project will complete the installation of the reinforced concrete slab on the first floor of Building 31 within Areas A and B that fall outside of the finished central corridor. The existing dowels at the grade beams and pile caps will be unbundled and bent back into place as required to tie in to the new slab. The existing 1-inch topping that is currently covering the soil base within the unfinished Areas A and B will be removed in its entirety. The upper 6 inches of the soil base, or deeper if disturbed more than 6 inches, will need to be recompacted for placement of the new concrete slab. The new slab is expected to be a 5-inch concrete slab with #4 reinforcement at 18 inches on center each way, matching the existing slab. The top of the new slab will match the elevation of the top of the existing central corridor slab.

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SECOND FLOOR PHARMACY REMODEL

Donning Area 1.0 60 60 1.0 61 61 60/61 2%

HD Ante Room 1.0 100 100 1.0 111 111 100/111 11% Pharmacists require bigger space for storage

HD Compounding 1.0 80 80 1.0 81 81 80/81 1% Non- HD Ante Room 1.0 100 100 1.0 88 88 100/88 -12% g Room

Non HD Compounding 1.0 80 80 1.0 75 75 80/75 -6%

Work Area 4.0 45 180 1.0 193 193 180/190 7% include dispensing window, pass thru window, shelving and printer

Total Net Area 600 609 2% Circulation/wall/structure 120 91

Total Department Gross Area 720 700 -3%

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Remarks Program as per the TIL Proposed

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There is currently no anticipated structural work required on the second floor due to the renovation of the pharmacy area.

This project will also include providing mechanical screens for the large pieces of mechanical equipment mounted on the roof. These screens will be constructed in a very similar manner with respect to the original mechanical screening that was not constructed. The mechanical screen will be attached to structural steel framing consisting of HSS8x4 top and middle rail support members and HSS8x8 posts located at locations similar to the original design locations. Through field investigation, it was verified that certain wide-flange steel framing members that were intended to support the mechanical screening in the original building design were not installed. As such, this project will install these supporting members underneath the roof structure and attached to the existing steel structure.

b. Codes and Criteria

2015 IBC, 2015 International Building Code, prepared by the International Code Council, Washington, D.C.

VA Standard H-18-8 – Seismic Design Requirements, August 2013, U.S.

Department of Veterans Affairs, Office of Construction & Facilities Management

VA Standard PG-18-10 – Design Manuals, 2014, U.S. Department of Veterans Affairs, Office of Construction & Facilities Management

2. Design Loads

LIVE LOADS

Floor Live Loads Administrative Services 80 psf Clinical and Support Services 80 psf Corridors 100 psf File and Computer Rooms 125 psf Lobbies 100 psf Pharmacy and Retail 100 psf

WIND DESIGN DATA

Basic Wind Speed 110 MPH Importance Factor, Iw 1.0 Exposure Category C Enclosure Classification Enclosed Building

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SEISMIC DESIGN DATA

Latitude 34.04° N Longitude -117.241° W Mapped Spectral Response Acceleration

SS = 2.411g S1 = 1.104g

Design Spectral Response Acceleration

SDS = 1.607g SD1 = 1.104g

Site Class D Seismicity VH Occupancy Category II (Ancillary Facility) Importance Factor Ie = 1.0 Seismic Design Category D

3. Material Properties

Concrete:

Type Normal Weight Foundations F’c = 4000 psi

Reinforcing Steel:

Typical ASTM A615, Grade 60

Steel:

Wide Flanges ASTM A992 Plates, Angles, Channels ASTM A36 Tubes (HSS) ASTM A500, Grade B

G. MECHANICAL AND PLUMBING

1. Scope of Work M.1 Provide seismic support to all utility lines and new ductwork.

M.2 HVAC supply and return penetration through interstitial floor shall have rigid duct transition and supported by angle bars screwed on to the interstitial floor.

M.3 Use all rigid ductwork inside interstitial space. Flexible ductwork can only be used under interstitial space floor to connect to HVAC grilles.

M.4 Replacement of HVAC air handling unit shall be considered on all projects. HVAC air handling unit shall be the same of manufacturer as used with in LLVAMC due to proprietary control rights to Building Management System interface.

M.5 Install new ductwork and piping in renovated areas.

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M.6 Install new terminal reheat boxes in renovated areas.

M.7 New HVAC controls shall be Direct Digital Controls (DDC) and be connected to existing DDC system.

a. Project Description

The Loma Linda VA Surgical Oncology, Building 31, is being renovated.

First Floor: This floor is largely undeveloped on the west and east sides of the building at the start of renovation. Major ductwork was installed in order to provide main duct branches for systems that were installed later. The new design renovation has designed the first floor as a typical office and exam layout. New ductwork, piping, and constant air volume (CAV) or variable air volume (VAV) boxes will need to be installed to serve these spaces.

Second Floor: It is anticipated that the only floor plan changes to the second floor will be an approximately 70 SF expansion of the existing 540 SF pharmacy. The expansion will be into an existing open area/hallway. It will need to be determined in a later phase if the air handling unit (AHU) that is dedicated to the pharmacy will need to be modified or replaced to accommodate this expansion.

Existing ductwork may need to be modified, and new ductwork may need to be added for the pharmacy expansion. Two fume hoods serve the pharmacy and are currently next to each other and share the same exhaust. In the proposed plan, one of the fume hoods will be moved and require a dedicated exhaust fan, which will require a new opening in the roof.

Rooftop: At this time, no changes to rooftop equipment, piping, or ductwork is anticipated.

b. Codes and Criteria

At minimum, the following codes must be met:

• VA Physical Security Manuals (Mission Critical)

• VA Sustainable Design and Energy Reduction Manual

• VA Commissioning Process Manual

• Third Party Certification – LEED (Silver) or Green Globes (Two Globes)

• BIM Guide

• Measurement and Verification

• ASHRAE Standard 62.1, 90.1, and 170

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• Facility Guidelines Institute

• USP <797> Pharmaceutical Compounding - Sterile Preparations (CSP)

Mechanical

2. Control Zones

New zones are anticipated to be served by VAV or CAV boxes with heating hot water (HHW) reheat that are served by the existing AHU-1. Ductwork and boxes will need to be installed or adjusted for new and modified zones. When possible, CAV and VAV box models will be of similar make and model to the existing boxes. Besides for the pharmacy, all new supply, return, and exhaust diffusers will be 2’x2’. Space temperature sensors will be provided in newly renovated areas to monitor and control zone temperatures.

3. Communication Rooms

The IT room (IT-2) on the second floor is served by fan coil unit-1 and VAV-216. There are no changes anticipated for the conditioning of this room.

4. Exhaust Systems

General exhaust is provided by a 6,800 CFM rooftop fan (EF-1). New general exhaust will need to be installed for new zones on the first floor, however, EF-1 is not expected to need to be replaced or modified. The pharmacy is served by a 3,000 CFM rooftop fan (EF-3), which will be supplemented by a new rooftop exhaust fan for the HD space sized at 2,400 CFM.

Two fume hoods serve the pharmacy and are currently next to each other, and share the same exhaust. In the proposed plan, one of the fume hoods will be moved and require a dedicated exhaust fan, which will require a new opening in the roof.

5. Refrigerants

Two direct expansion (DX) fan coil units serve locations within the building, and both use R-410a refrigerant. The rooftop chiller (CH-1) uses R-410a. No modifications to existing refrigerant-using equipment or installation of new refrigerant-using equipment is anticipated at this time.

6. Sound Control

Existing sound control should be sufficient as is. No modifications or installation of new sound control equipment is anticipated at this time.

7. Anti-Terrorism/ Force Protection

Not applicable.

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8. Secured Room Requirements

Not applicable.

9. Maintenance

The existing maintenance plans should be expanded to cover new equipment and renovated areas.

10. Ductwork

The indoor distribution system shall have sheet metal ductwork per SMACNA standards with insulated round galvanized steel run-outs to the diffuser or grille. Final connection to supply air devices shall be with spin-in connectors and manual volume dampers. Flexible duct may be used for final connections above accessible ceilings. Maximum flexible duct length shall be 48”. All supply ductwork shall be pressure tested to 4 in. W.C. with maximum leakage of 5.0 cfm / 100 ft2. Provide fire dampers and combination fire/smoke dampers at all rated and mechanical duct shaft wall penetrations.

11. Test and Balance

The HVAC system shall be tested and balanced by an AABC or NEBB certified agency to conform to design parameters for airflow at each piece of mechanical equipment and air device. Airflow will need to match design airflow within 5% upon renovation completion.

12. Direct Digital Control System

New CAV and VAV boxes will be tied into any existing DDC system in a style that matches existing box DDC style, or to clients preference. Room thermostats will be tied into any existing DDC system in a style that matches existing box DDC style, or to clients preference. Additional DDC controllers and points will need to be added as necessary. Programming for new equipment will be similar to similar existing equipment.

Plumbing

13. Domestic Cold Water (CW) System

Domestic CW piping is installed in the first and second floor. The first floor will need additional piping to connect new plumbing fixtures to the existing pipes. No modifications or additions to the second floor domestic CW piping is expected unless if required by the new pharmacy layout.

14. Domestic Hot Water (HW) System

Domestic HW piping is installed in the second floor. No modifications or additions to the second floor domestic HW piping is expected unless if required by the new pharmacy layout. The second floor is provided domestic HW by an electric HW heater. The first

Renovate Surgical Oncology, Building 31, First Floor 14 May 2019

100% Design Development Submittal floor currently does not have domestic HW pipe runs, therefore new domestic HW pipes will need to be installed as necessary to serve new first floor plumbing fixtures. It is expected that a domestic HW heater will need to be installed to serve the first floor.

Additional chemical injection ports and venturi valves will be required to be meet the new VA legionella requirements.

15. Sanitary Waste and Vent

Sanitary waste and vent piping above and below grade shall be Sch. 40 PVC DWV piping meeting ASTM D-2665 using solvent cement joint assembly meeting ASTM D- 2564. No solids or grease interceptors for any cooking application are anticipated at this time. Neutralizations tanks shall be installed for pharmacy waste, if necessary.

16. Storm

No changes to the storm water system is expected during this renovation. Storm piping above and below grade shall be Sch. 40 PVC DWV piping meeting ASTM D-2665 using solvent cement joint assembly meeting ASTM D-2564.

17. Natural Gas

No modifications to the existing gas distribution system is expected. It is recommended that any new domestic HW heaters are electric.

18. Emergency Plumbing Fixtures

Emergency fixtures (showers, eyewash stations, etc.) will be installed in the pharmacy as necessary if additional emergency fixtures are required because of the pharmacy expansion.

19. Compressed Air Systems

No changes to the medical compressed air systems are expected at this time.

20. Oxygen System

Not applicable.

21. Nitrogen System

Not applicable.

22. Oil / Water Separator

Not applicable.

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H. ELECTRICAL

1. Main Distribution Switchboard and Panel Boards

The electrical source power for the build-out will be from the existing electrical service in the building, consisting of a 800A 480Y/277V switchboard. Also in the electrical room there exists a dry-type step down transformer, a 208/120V distribution switchboard and panel boards to feed the existing lighting and receptacle loads. Additional distribution panelboards will be added as necessary for the additional circuits required for the build-out on the first floor and the laboratory on the second floor. The new construction will have lighting distribution panels separate from receptacle and general power panels.

Panel boards shall have copper plated bussing, door-in-door construction, and integral surge suppression as required by the Hospital. Adjacent panelboards shall be electrically bonded together using minimum 10AWG copper grounding conductors.

2. Wiring Systems

The wiring system shall use 600-volt rated copper conductor with THHN-2/THWN-2 insulation installed in conduit. All branch circuits shall be in Electrical Metallic Tubing (EMT) in concealed or protected locations and in Rigid Metal Conduit (RMC) in exterior or unprotected locations.

• Conduits and boxes used for Fire Alarm systems shall be painted red.

• Essential power conductors shall be provided in conduits separate from normal power circuits.

3. Receptacles

Receptacles shall be hospital-grade. Four receptacles shall share an 120Volt, 20Amp branch circuit.

• Emergency power receptacles shall have red colored covers with panel name and circuit etched on it.

• Emergency power receptacles shall be provided as required per NEC Article 517.

• Receptacles within 6 feet of the edges of sinks will be Ground Fault Circuit Interrupter type.

• 30A, 120V receptacles will be provide at approximately 30’ intervals in the corridors. These receptacles will be connected to the critical branch.

4. Lighting

Lighting will consist of new LED fixtures. Ceilings with acoustical ceiling tiles will contain 2'x2' or 2'x4' lay-in LED fixtures, depending on the ceiling configuration.

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Common areas (corridors, reception, waiting, lounge) will contain 6-inch downlights, lay-in fixtures, and decorative pendant fixtures, depending on the ceiling type. Fixtures located in the center of corridors will have shielding for direct/indirect distribution.

Patient care areas and exam rooms will contain downlights and 2'x2' or 2'x4' LED fixtures. Fixtures located directly over the patient exam areas will be shielded with asymmetric distribution such that the LED source is not directly visible from below.

Restroom lighting will consist of wall mounted vanity LED fixtures and LED downlights.

Office, Workrooms, and Administrative areas will have 2'x2' or 2'x4' LED fixtures.

Utility and Storage room lighting will consist of lensed LED strip fixtures, either surface or flush mounted. Mechanical and electrical rooms will have surface or pendant mounted LED strip fixtures.

Egress lighting will be circuited to an Emergency life safety branch power circuit. Some selected lighting will be connected to the critical branch. The remaining lighting will be connected to Normal power circuits.

Lighting controls will comply with California Title 24 requirements. Areas lit by skylights and windows will have automatic dimming sensors to lower light fixture illumination levels during day light hours. Individual rooms (exam, office, workroom, restroom, storage, utility) will require manual activation to turn on fixtures. Vacancy sensors in these areas will turn off fixtures after a set period of time (adjustable).

I. TELECOMMUNICATIONS

Telephone and data network receptacles will be installed where indicated by the telecommunications designer. A 4-inch-square box with a single-gang mud ring will be roughed-in at each telecommunications receptacle location. A 1-inch (minimum) EMT conduit with bushings and a pull-string will be stubbed from the receptacle backbox to an accessible location above the ceiling.

A cable tray system will be installed along the edge of the corridors above the ceiling to manage the majority of the telecommunication cable routing from the IT closets to the telecommunication receptacles. Additional cable management will use J-hooks mounted above the ceiling to support cable. Conduit sleeves will be installed for pathways that penetrate floor levels and fire walls. Fire Rated cable transition assemblies will be installed as required through fire rated walls and floors.

Separate cable pathways will be provided as needed for the following systems:

• Security

• Public Address/Intercom

• Nurse Call

• Cable TV

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• Fire Alarm

The electrical subcontractor will provide pathways and rough-ins. Cable will be installed and terminated by each system vendor.

Fire Alarm cabling will be run in conduit completely.

J. PHYSICAL SECURITY

The VA-LL has identified Building 31 as a Life-Safety Protected Facility, and, as such, Building 31 will be brought into compliance with the site considerations of the Physical Security Design Manual for Life-Safety Protected Facilities, dated January 2015. The Physical Security Design Manual defines a Life-Safety Protected Facility as a facility that is required to protect the life safety of patients, staff, and visitors in case of an emergency; although indispensable to the mission of the VA, they are not required to remain operational in a natural or manmade extreme event or a national emergency. Refer to each discipline’s design narrative for the specific details on compliance measures for physical security.

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