Attachment 1 - SOW PT and Prosthetics Bridging Docs.pdf

BRIDGING STUDY

CONSTRUCT PHYSICAL THERAPY & PROSTHETICS BUILDING

Project Number 636-503

December 6, 2019

13605 1ST Ave.N #100, Plymouth, MN 55441 P:763.412.4000 F:763.412.4090 ae-mn.com A Service-Disabled Veteran Owned Business

VA NWIHCS – BRIDGING STUDY - PHYSICAL THERAPY & PROSTHETICS BUILDING

636-503

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BRIDGING STUDY - CONSTRUCT PHYSICAL THERAPY & PROSTHETICS BUILDING

Project Number 636-503

OWNER

Department of Veterans Affairs Nebraska-Western Iowa Health Care System 4101 Woolworth Drive Omaha, NE 68105

Contact: Robert Venner Project Manager Facilities Engineering, Projects Section

MS 138

4101 Woolworth Drive Omaha, NE 68105 O 402-995-5852 C 402-651-1689

PROJECT TEAM

ARCHITECTURE

ANDERSON

13605 1st Avenue North, Suite 100 Plymouth, MN 55441

(763) 412-4000

CIVIL

ANDERSON

13605 1st Avenue North, Suite 100 Plymouth, MN 55441

(763) 412-4000

STRUCTURAL ENGINEERING

IMEG Corporation 15 Sunnen Drive Suite 104 St. Louis, MO 63143 314-951-2522

MECHANICAL ENGINEERING / ELECTRICAL ENGINEERING/LOW VOLTAGE and SECURITY SYSTEMS IMEG Corporation 15 Sunnen Drive Suite 104 St. Louis, MO 63143 314-951-2522

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Table of Contents Executive Summary

Discipline Narratives

1.0 CIVIL

2.0 ARCHITECTURAL

3.0 STRUCTURAL

4.0 MECHANICAL

5.0 ELECTRICAL

6.0 LOW VOLTAGE AND SECURITY SYSTEMS

7.0 GEOTECHNICAL EVALUATION

List of Appendices

APPENDIX 1: SELECT OUTLINE SPECIFICATIONS

APPENDIX 2: ENERGY MODEL REPORT

APPENDIX 3: GEOTECHNICAL EVALUATION AND REPORT FOR ACC

APPENDIX 4: THERAPY POOL CUT SHEET

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List of Drawings

CIVIL

C101 SITE DEMOLITION PLAN

C102 SITE IMPROVEMENTS PLAN

C103 SITE UTILITIES PLAN

C104 SITE GRADING PLAN

ARCHITECTURAL

GI010 1ST FLOOR LIFE SAFETY PLAN

AE011 LOWER LEVEL PLAN

AE111 1ST FLOOR PLAN

AE121 2ND FLOOR PLAN

AE201 EXTERIOR ELEVATIONS

AE202 EXTERIOR ELEVATIONS

MECHANICAL

M001 1ST FLOOR PLAN

M002 ENLARGED MECHANICAL ROOM LAYOUT

M003 HVAC ZONE DIAGRAM

M004 BASE CHILLED WATER FLOW DIAGRAM

M005 HEATING FLOW DIAGRAM

M006 HVAC AIR FLOW DIAGRAM

M007 1ST FLOOR PLAN FIRE PROTECTION

M008 FIRE PROTECTION DIAGRAM

ELECTRICAL

E001 1ST FLOOR PLAN

E003 ELECTRICAL DIAGRAM

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Executive Summary The scope of this report establishes the design direction for VA Project 636-503, Construct Physical Therapy & Prosthetics Building to be solicited as a Design/Build project. Included in this report are Level 1 documents such as plan diagrams, exterior elevations, building sections, interior finish schedule, and performance specifications. Also included are VA Design Criteria and applicable building codes for the project.

The project will construct a new 28,608 gross square foot Physical Therapy and Prosthetics Building. The building will be a single-story concrete and steel structure with the capability of being expanded vertically. It will be located adjacent to and to the east of the ACC on the NWI Health Care System campus located at 4101 Woolworth Avenue, Omaha, Nebraska, 68105. It will be connected to the ACC at its northeast corner. A future project will construct the second floor atop the Physical Therapy & Prosthetics Building.

The study includes:

1. Civil A. Assessment of existing site utilities affecting or affected by the proposed building.

B. Conceptual site plan showing the proposed building location, site storm drainage modifications, and modifications to site utilities and sidewalks to support the proposed building.

C. VA Design Criteria and applicable codes for civil work.

2. Architectural

A. Space Planning.

B. Exterior Envelope.

C. Interior Design.

3. Structural A. Design development foundation, wall, and steel framing plans, sections and details for the building shell.

B. Descriptions for foundation and structural systems for the proposed building.

C. VA Design Criteria and applicable codes for structural work.

4. Mechanical/Plumbing/Fire Protection A. Design Development mechanical, plumbing, and medical gas plans, details, schedules, and riser diagrams.

B. VA Design Criteria and applicable codes for mechanical and plumbing work.

5. Electrical A. Design Development power, lighting, and systems plans, schedules and risers diagrams.

B. VA Design Criteria and applicable codes for electrical work.

6. Low Voltage/Security A. Design Development low voltage and security plan.

B. VA Design Criteria and applicable codes for low voltage and security work.

7. Geotechnical Evaluation.

A. Geotechnical Report completed for the work associated with the ACC. This report covers the area of the proposed Physical Therapy & Prosthetics Building.

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Discipline Narratives

1.0 CIVIL

1.1 NARRATIVE:

The civil scope of this report is to establish the major items that need to be addressed with the proposed Physical Therapy and Prosthetics Building from a utility and site design perspective.

Included are schematic level design layouts, developed to ensure feasibility of the project.

The new Physical Therapy and Prosthetics Building will be sited immediately east of the Ambulatory Care Center building (ACC), with the main entrance located on the north side adjacent to the large existing parking lot. Visitors can be dropped off at the curb adjacent to the main entry and will be protected by a new overhead canopy. The project includes a new service drive south of the new building and a new 4-ft dock for delivery truck accommodations.

A new sidewalk is included around the perimeter and employees will enjoy an outdoor patio at the southwestern portion of the building.

Site grading is not included in the scope of these bridging documents, but proposed spot elevations are provided in critical locations, which are based upon schematic-level design standards. Surface drainage will continue to flow easterly, where storm water enters an existing detention pond. New storm sewer will capture runoff from a larger surface area than current conditions, resulting in a more efficient transfer of water into the basin. The new impervious surface areas will trigger storm water treatment requirements, which should be accommodated by expanding the footprint of the basin.

Site removals will primarily include the removal of existing utilities and paving, in order to accommodate the new building and associated improvements. The project will include a conservative landscaping package, which can be described as surface restorations, maintenance strips with an efficient application of small and medium height foundation plantings.

1.2 VA DESIGN CRITERIA:

* PG-18-1 Master Construction specifications

* PG-18-3 VA Design and Construction Procedures

* PG-18-4 Standard Details and CAD Standards

* Physical Security Design Manual for Life Safety Protected Facilities

* PG-18-13 VA Barrier Free Design Standard

* PG-18-15 Minimum Requirements for A/E Submissions

* Signage Design Guide

1.3 APPLICABLE CODES: Work to comply with all applicable local building codes including:

* ABAAS (Architectural Barriers Act Accessibility Standards)

* PG-18-13 VA Barrier Free Design Standard

* 10-State Standards

* Nebraska Department of Transportation Drainage Design and Erosion Control Manual, 2018

* City of Omaha Construction Code and Specifications

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2.0 ARCHITECTURAL

2.1 NARRATIVE:

A. Program For Design

1. The program for the proposed building was developed by the VA using its SEPS tool. The program was modified through a number of user group meetings held at the Omaha VAMC in October, 2019. The modified program was used to develop the proposed layout while staying within the area limitations of the project as outlined in the SCIP for the project.

2. Several spaces not included in the original Program for Design, but necessary for a complete, stand-alone, fully functioning facility have been included in the proposed layout.

Design criteria for these spaces can be found in various VA Design Guides and Design Manuals found on the VA TIL website.

3. An aquatics component has been added to the program at the request of the users. This facility requires that a basement be included to service the therapy pool piping, pumps, motors and filters. The pump basement is accessed by an internal stair. An exterior door should also be provided to accommodate equipment replacement should that be necessary.

The grade changes around the exterior of the building would make inclusion of this service door relatively easy.

4. The scope of this study does not directly address equipment and furnishings requirements for the programmed spaces. Requirements for those items can be found in the VA Design Guides referenced below.

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PROGRAM FOR DESIGN

Room Code Room Name Net Area Qty Net Area Functional Areas PMRS Prosthetics

PATIENT AREAS

Shared Reception Lobby 160 1 160 RCP03-RCP02 Reception 480 1 480 FA 2 FA 1

WTG16-

WTG03 Waiting 410 1 410 FA 2 FA 1

CLSC1 Patient Education 30 1 30 FA 1

TNPG1-

TPG01 Patient Toilets 180 2 360 FA 2 FA 1

TNPG1-

TPG01 Family Toilet 60 1 60 FA 2 FA 1

PMRS GYM

WTG15 PTEC Sub-wait 310 1 310 FA 5 DR001 PTEC Dressing 60 2 120 FA 5 TPG01 Patient Toilet 60 1 60 FA 5 PTTC1 PTEC Treatment Clinic 875 1 875 FA 5 PTEA1 PMRS Mat Platform 220 1 220 FA 3 PTGL1 PMRS Gait Lane 200 1 200 FA 3 PTTC1 OTBC Treatment Area 650 1 650 FA 8 PTEA1 OTEC Exercise Area 450 1 450 FA 9 OTDL1 ADL Evaluation and Training 400 1 400 FA 10 PMRS Clinic/Treatment EXRG3 PMRS Exam/Treatment 150 8 1200 FA 3 EXB01 PMRS Bariatric Exam/Treatment 180 1 180 FA 3 PTTC1 PTBC Private Treatment Table 150 2 300 FA 4 PTTC1 PTBC Semi-Private Treatment Table 150 1 150 FA 4 PTTC1 PTBC Treatment Clinic 150 2 300 FA 4 EXRG3 OTEC Special Treatment 150 1 150 FA 9 OTDL1 OTEC Orthotic and Splinting 150 1 150 FA 9

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SRS01 OTEC Patient Project Storage 120 1 120 FA 9 Aquatics PTWT1 HydroWorx 2000 Pool 500 1 500 TSSU1 Shower/Toilet 80 2 160 WTG03 Subwait 80 2 160 Prosthetics and Sensory Aids TPG01 Patient Toilet 60 1 60 FA 2 DR001 Dressing 35 1 35 FA 2 EXRG3 Fitting/Exam, Soft Goods Fab. 120 2 240 FA 2 EXRG3 Fitting/Exam, Custom Fab. 120 1 120 FA 2 EXRG3 Dynamic Alignment 300 1 300 FA 2 OPCR1 Cast 160 1 160 FA 2 TROR1 Prosthetics Team Evaluation 300 1 300 FA 2 Clinic Support SRE01 Equipment, Equipment 420 1 420 FA 4,5,8,9 FA 3 UTLC1-USCL1 Utility, Soiled 270 1 270 FA 4,5,20 FA 3 LCCL1-SRSE1 Clean Supply, Linen 150 1 150 FA 20 FA 3 SRLW1 Stretcher/Wheelchair 100 1 100 FA 20

JANC1 HAC 60 1 60 FA 20

STAFF & SUPPORT AREAS

Prosthetics Lab ` APAH1 Sewing 120 1 120 FA 3 SRCS1 Shoe Modification Materials 100 1 100 FA 3 BMCW1 Workspace, Wheelchair Repair 200 1 200 FA 3 SRPS1 Orthotics/Prosthetics Parts 100 1 100 FA 3 APFB1 Orthotics/Prosthetics Workstation 100 1 100 FA 3

APLA1 CAD/CAM 200 1 200 FA 3

APFB1 Restoration 150 1 150 FA 2 APLA1 Fume Alcove 200 1 200 FA 3 APMS1 Dust Alcove 300 1 300 FA 3 UTC01 Trash/Recycling Room 50 1 50 FA 3

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Prosthetics Inventory SRE01 Wheelchair-Active 200 1 200 FA 3 SRE01 Wheelchair-Dirty, DME-Active 200 1 200 FA 3 SRPS1 Wheelchair-Parts 200 1 200 FA 3 SRLW1 Wheel Chair/Stretcher Storage 40 1 40 FA 3 MRRS1 Prosthetic Appliance Mailing 80 1 80 FA 3

BMCW1

Prosthetic and Orthotics Maintenance 150 1 150 FA 3

Clinic Work Areas OFA07 PT-OT Therapists 56 18 1008 FA 5,9 OFA07 Prosthetics 56 5 280 FA 4 Work Areas OFA09 Office, PMRS 100 2 200 FA 21 OFA09 Office, Prosthetics 100 3 300 FA 4 OFA07 Prosthetics Purchasing 56 4 224 FA 4 OFA07 Prosthetics Repair 56 3 168 FA 4 Staff Support CFR02-CRF01 Conference 500 1 500 FA 20 FA 4 SL001 Lounge 400 1 400 FA 21 FA 4 LR001 Lockers 140 1 140 FA 21 FA 4 TNPG1 Staff Toilet 60 3 180 FA 21 FA 4

JANC1 HAC 60 1 60 FA 3

16,220 Total Net SF 1.36

22,059 Total Dept.

SF

1.30

28,600 Total Bldg.

SF

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B. Space Planning

1. Due to the natural grade change on the site, the proposed building shall be physically connected to the adjacent ACC by a stair and elevator that will connect the ground floor of the ACC with the proposed building. Corridor modifications and exit reconfiguration of the east exit of the ACC will be necessary to accommodate this connection. There is both a public connection to the ACC lobby and an “off-stage” connection that requires some remodeling within the ACC to achieve.

2. The main entrance faces the existing parking lot to the north. The entrance zone includes the vestibule, lobby, waiting, reception and public toilets, elevator and stair connecting to the ACC.

3. Patient areas are accessed from the lobby. The PMRS Gym is located at the front as it will have the highest volume of patients and has a large window to the north. The additional patient spaces including PMRS Clinics, Aquatics, and Prosthetics are organized in a “U” shaped corridor around the gym. Clinical staff work space and clinical support is also within the “U”.

4. The Prosthetics Lab is located directly behind the Prosthetic patient area. It includes an open work area with adjacent dust and fume alcoves.

5. The Prosthetics Inventory area is located behind the front reception desk.

6. Staff support spaces and “off-stage” work areas are located at the southwest corner of the building. Here there is a staff entrance, patio, and views to the ACC landscaped courtyard.

7. The main building mechanical and electrical spaces are located at the southeast corner of the building.

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C. Exterior Envelope

1. Exterior Shell and Building Façade: The adjacent ACC building shall guide the selection of exterior finish materials for the proposed Physical Therapy & Prosthetics building. The exterior materials include, stone, precast, and aluminum panel cladding and aluminum and glass curtainwall openings.

2. Main entrance façade (north elevation) matches the higher level of finishes of the north elevation of the ACC. It is clad primarily in stone and aluminum and glass curtain wall. The entrance canopy also matches the ACC painted steel canopy with a glass roof.

3. Secondary facades (west, south and east elevations) match the materials on the secondary facades of the ACC (south and east elevations). The materials include smooth-finished precast wall panels, flat aluminum panels, strip windows, and aluminum louvers.

4. Considerations for the future vertical expansion include:

a) Two-story high front façade (north elevation). This gives prominence and visibility to the building in the initial phase. It also allows for the two-story high window into the large gym space, making it the central design feature. Translucent glass on the lower window panels provide privacy.

b) The future second floor (phase 1 roof) is cantilevered on portions of the east, west and south. These portions are clad in the flat aluminum panels. The cantilevers are part of a strategy to achieve the 29,300 square feet required by the future Whole Health space program.

c) The future phase includes a horizontal expansion to the south to house a service elevator, and could include a canopy providing cover to the exterior loading dock.

d) Stub up columns on the roof to facilitate future column connections.

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VIEW FROM NORTH WITH ACC

PHASE 1

PHASE 2

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ENTRANCE APPROACH

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ENTRANCE APPROACH

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SECTION THROUGH GYM

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VIEW INTO GYM

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VIEW FROM NORTHEAST

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VIEW FROM NORTHEAST

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VIEW FROM SOUTH

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AERIAL VIEW FROM SOUTHWEST

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AERIAL VIEW FROM SOUTHEAST

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AERIAL VIEW FROM NORTHEAST

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a. Interior Design

1. The interior design concept should include interior materials as provided in the list of finishes. Additional finishes should consider cost, sustainability, durability and overall aesthetic quality. Items not specifically identified in this document should be selected based on information found on the VA TIL. All interior finish materials should be selected to comply with PG-18-13, Barrier Free Design Guide and UFAS with guidelines as outlined in the VA Interior Design Manual.

2. Design solutions should promote the health, safety and welfare of the veterans, visitors and staff. He interior design package should be a major component in creating an environment that is professional, safe, functionally appropriate and aesthetically pleasing. The interior environment should follow the precedent established by the ACC.

3. Clinical Spaces: These spaces include exam, treatment, evaluation, fitting, therapy rooms, and the associated hallways and corridors. Luxury Vinyl Tile (LVT) flooring with rubber base is preferred in these areas. A sheet flooring with welded seams should be utilized in areas where such a flooring material is deemed advantageous. Walls should be painted. Acoustic tile should be the predominant ceiling system in these areas. A wall protection system should be utilized to protect the walls and corners from damage due to impact from rolling carts, wheel chairs and the like.

Specialty finish materials, such as decorative acrylic panels can be used in public areas to enhance the space and provide visual privacy in areas such as reception desks and within waiting areas.

4. Administrative Spaces: These spaces include private offices, shared office spaces, conference rooms and administrative workrooms. Carpet tile flooring with rubber base is preferred. Walls should be painted. Acoustic tile ceiling systems should be used predominantly. Space defining bulkheads or soffits could be used, though sparingly as a cost consideration.

5. Staff Support Spaces: These spaces include staff break rooms, locker areas and the like. LVT flooring with rubber base should be used in these spaces. Walls should be painted. Acoustic tile ceiling systems should be used predominantly.

6. Toilet Rooms/Shower Rooms: These spaces, whether intended for public, patient or staff use, should have a porcelain tile flooring with an integral cove base, porcelain tile wainscot and epoxy painted walls. Ceilings should be painted gypsum board. The aquatic therapy room should have similar finishes.

7. Building Support Spaces: These spaces include housekeeping rooms, mechanical rooms, electrical rooms, data rooms, and other rooms that contain equipment necessary to run the facility. Finishes for these spaces should be evaluated and selected for their durability and appropriateness for the space. A trowel on epoxy flooring system could be an appropriate choice for a mechanical room or pump room. A vinyl sheet good could be an appropriate choice for an electrical or data room. Epoxy paint should be used in spaces that could become wet or may require a hose cleaning. Finished ceilings should be avoided due to the need to distribute various utilities from these spaces throughout the building in the ceiling plenum above other finished spaces.

Housekeeping spaces should utilize porcelain tile flooring and wainscoting with epoxy painted walls and a painted gypsum board ceiling. Alternatively, a vinyl wrapped gypsum panel in a suspension grid can be used in these spaces.

8. Interior Building Materials:

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a. Doors/Frames/Hardware: Solid core wood doors should be used in the public, patient, administrative and support spaces. Hollow metal doors should be used on building support spaces. Interior doors should be set in 16 ga hollow metal frames with hospital stops. Hardware groups should be specified for the specific application of each door.

The NWI VA uses a Best/Coremax M3 keyway.

b. Interior Partitions: Interior partitions shall be 5/8” gypsum wallboard on metal stud construction. The type of wallboard used should be selected for the intended application and finish. Partitions should be painted using low or zero-VOC emitting products where possible.

c. Wall Protection: Surface applied corner guards and rail system similar to that used in the ACC should be specified for use in the public and clinical areas of the proposed building.

4” high rubber base should be used on partitions where LVT or carpet are specified for the flooring. Base materials for other locations should be selected for compatibility with the adjacent flooring finish.

d. Casework: Laminate casework with solid surface countertops should be used in areas with or without sinks. Casework should be lockable. Materials used in the casework construction should be specified as not containing urea formaldehyde or other harmful chemicals. Other specialty equipment casework should be specified as required by PG- 18-5. Window stools should also use a solid surface material.

e. Ceilings: Lay-in acoustical ceiling in a 2’ x 2’ grid should be used predominantly. The large open gym has a linear metal ceiling. Gypsum soffits or bulkheads could be used to create spatial interest or to define the space. Soffits should also be provided above upper wall cabinets to prevent dust from accumulating in those areas.

f. Window Coverings: Manual roller type window shades should be provided at the interior side of exterior windows to control light. Power operated shades should be considered for applications where manual operation is not practical. Blackout shades should be considered where room darkening is necessary.

g. Signage and Wayfinding: Life safety signage shall be specified according to the VA Signage Design Standard. The design of the Interior signage package for directional and room identification signage should match the precedent set by the ACC. The VA Signage Design Standard and Barrier Free Design Guide shall be followed for types and locations of signs.

h. Equipment: Coordinate which equipment items are VA Procured-VA Installed (VV), VA Procured-Contractor Installed (VC) and Contractor Procured-Contractor Installed (CC).

Refer to PG-18-5 Equipment Guide for additional information. Regardless of whether an item is VV, VC or CC, Contractor shall coordinate and include sufficient blocking or backing in partitions to support the equipment. For toilet grab bars, provide floor supported backing, and use retractable grab bars in locations where grab bars do not parallel partitions adjacent to toilets.

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INTERIOR ROOM FINISH SCHEDULE

Room Code Room Name Floor Base Walls, Primary

Walls, Accent Wainscot Ceiling

PATIENT AREAS

Shared Reception

Vestibule Terrazzo Terrazzo Paint Paint Paint Lobby Terrazzo Terrazzo Paint Paint Paint

RCP03-RCP02 Reception Terrazzo Terrazzo Paint Paint Paint

WTG16-

WTG03 Waiting Carpet Rubber Paint Paint Paint CLSC1 Patient Education Carpet Rubber Paint Paint Paint TNPG1-TPG01 Patient Toilets Porcelain Porcelain Epoxy Epoxy Porcelain Paint TNPG1-TPG01 Family Toilet Porcelain Porcelain Epoxy Epoxy Porcelain Paint

PMRS GYM

WTG15 PTEC Sub-wait LVT Rubber Paint Paint Linear Metal DR001 PTEC Dressing LVT Rubber Paint Paint Acoustic Tile TPG01 Patient Toilet Porcelain Porcelain Epoxy Epoxy Porcelain Paint PTTC1 PTEC Treatment Clinic LVT Rubber Paint Paint Linear Metal PTEA1 PMRS Mat Platform LVT Rubber Paint Paint Linear Metal PTGL1 PMRS Gait Lane LVT Rubber Paint Paint Linear Metal PTTC1 OTBC Treatment Area LVT Rubber Paint Paint Linear Metal PTEA1 OTEC Exercise Area LVT Rubber Paint Paint Linear Metal OTDL1 ADL Evaluation and Training LVT Rubber Paint Paint Acoustic Tile

PMRS Clinic/Treatment EXRG3 PMRS Exam/Treatment LVT Rubber Paint Paint Acoustic Tile EXB01 PMRS Bariatric Exam/Treatment LVT Rubber Paint Paint Acoustic Tile PTTC1 PTBC Private Treatment Table LVT Rubber Paint Paint Acoustic Tile PTTC1 PTBC Semi-Private Treatment Table LVT Rubber Paint Paint Acoustic Tile PTTC1 PTBC Treatment Clinic LVT Rubber Paint Paint Acoustic Tile EXRG3 OTEC Special Treatment LVT Rubber Paint Paint Acoustic Tile OTDL1 OTEC Orthotic and Splinting LVT Rubber Paint Paint Acoustic Tile

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SRS01 OTEC Patient Project Storage LVT Rubber Paint Paint Acoustic Tile Aquatics PTWT1 HydroWorx 2000 Pool Porcelain Porcelain Epoxy Epoxy Porcelain Paint TSSU1 Shower/Toilet Porcelain Porcelain Epoxy Epoxy Porcelain Paint WTG03 Subwait Porcelain Porcelain Epoxy Epoxy Porcelain Paint Prosthetics & Sensory Aids TPG01 Patient Toilet Porcelain Porcelain Epoxy Epoxy Porcelain Paint DR001 Dressing LVT Rubber Paint Paint Acoustic Tile EXRG3 Fitting/Exam, Soft Goods Fab. LVT Rubber Paint Paint Acoustic Tile EXRG3 Fitting/Exam, Custom Fab. LVT Rubber Paint Paint Acoustic Tile EXRG3 Dynamic Alignment LVT Rubber Paint Paint Acoustic Tile OPCR1 Cast LVT Rubber Paint Paint Acoustic Tile TROR1 Prosthetics Team Evaluation LVT Rubber Paint Paint Acoustic Tile Clinic Support

SRE01 Equipment, Equipment Sheet Vinyl Rubber Paint Paint Paint

UTLC1-USCL1 Utility, Soiled Sheet Vinyl Rubber Paint Paint Paint

LCCL1-SRSE1 Clean Supply, Linen Sheet Vinyl Rubber Paint Paint Paint

SRLW1 Stretcher/Wheelchair LVT Rubber Paint Paint Acoustic Tile JANC1 HAC Porcelain Porcelain Epoxy Epoxy Porcelain Paint

STAFF & SUPPORT AREAS

Prosthetics Lab

APAH1 Sewing Sheet Vinyl Rubber Paint Paint Acoustic Tile

SRCS1 Shoe Modification Materials Sheet Vinyl Rubber Paint Paint Acoustic Tile

BMCW1 Workspace, Wheelchair Repair Sheet Vinyl Rubber Paint Paint Acoustic Tile

SRPS1 Orthotics/Prosthetics Parts Sheet Vinyl Rubber Paint Paint Acoustic Tile

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APFB1 Orthotics/Prosthetics Workstation Sheet Vinyl Rubber Paint Paint Acoustic Tile

APLA1 CAD/CAM

Sheet Vinyl Rubber Paint Paint Acoustic Tile

APFB1 Restoration Sheet Vinyl Rubber Paint Paint Acoustic Tile

APLA1 Fume Alcove Sheet Vinyl Rubber Paint Paint Acoustic Tile

APMS1 Dust Alcove Sheet Vinyl Rubber Paint Paint Acoustic Tile

UTC01 Trash/Recycling Room Sheet Vinyl Rubber Paint Paint Acoustic Tile

Prosthetics Inventory

SRE01 Wheelchair-Active Sheet Vinyl Rubber Paint Paint Acoustic Tile

SRE01 Wheelchair-Dirty, DME-Active Sheet Vinyl Rubber Paint Paint Acoustic Tile

SRPS1 Wheelchair-Parts Sheet Vinyl Rubber Paint Paint Acoustic Tile

SRLW1 Wheel Chair/Stretcher Storage Sheet Vinyl Rubber Paint Paint Acoustic Tile

MRRS1 Prosthetic Appliance Mailing Sheet Vinyl Rubber Paint Paint Acoustic Tile

BMCW1

Prosthetic and Orthotics Maintenance

Sheet Vinyl Rubber Paint Paint Acoustic Tile

Clinic Work Areas OFA07 PT-OT Therapists Carpet Rubber Paint Paint Acoustic Tile OFA07 Prosthetics Carpet Rubber Paint Paint Acoustic Tile Work Areas OFA09 Office, PMRS Carpet Rubber Paint Paint Acoustic Tile OFA09 Office, Prosthetics Carpet Rubber Paint Paint Acoustic Tile OFA07 Prosthetics Purchasing Carpet Rubber Paint Paint Acoustic Tile OFA07 Prosthetics Repair Carpet Rubber Paint Paint Acoustic Tile Staff Support

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CFR02-CRF01 Conference Carpet Rubber Paint Paint Acoustic Tile SL001 Lounge LVT Rubber Paint Paint Acoustic Tile LR001 Lockers LVT Rubber Paint Paint Acoustic Tile TNPG1 Staff Toilet Porcelain Porcelain Epoxy Epoxy Porcelain Paint JANC1 HAC Porcelain Porcelain Epoxy Epoxy Porcelain Paint Building Support Corridors/Hallways LVT Rubber Paint Acoustic Tile Stair Rubber Rubber Paint Exposed Mechanical Resinous Resinous Epoxy Exposed Electrical Resinous Resinous Epoxy Exposed Data/IT LVT Rubber Paint Exposed Aquatic Equipment Resinous Resinous Epoxy Exposed Elevator Machine Rubber Paint Exposed

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2.2 VA DESIGN CRITERIA: Design and construction to conform to all VA Design Criteria, including, but not limited to:

ii. Physical Security Design Manual for Life-Safety Protected Facilities

iii. PACT (Patient Aligned Care Team) Space Module Design Guide

iv. PG-18-1 Master Construction specifications

v. PG-18-3 VA Design and Construction Procedures

vi. VA Signage Design Guide

vii. PG-18-4 Standard Details and CAD Standards

viii. PG-18-5 Equipment Guide

ix. PG-18-9 Space Planning Criteria, and VA-Space & Equipment Planning System (VA-SEPS)

x. PG-18-10 Elevator Design Manual

xi. PG-18-13 Barrier Free Design Standard

xii. PG-18-14 Room Finishes, Door and Hardware Schedule

xiii. PG-18-15 Minimum Requirements for A/E Submissions

2.3 APPLICABLE CODES: Work to comply with all applicable local building codes including:

xiv. NFPA 101 Life Safety Code

xv. 2012 International Building Code

xvi. ABAAS (Architectural Barriers Act Accessibility Standards)

xvii. VA Barrier Free Design Standard

2.5 SPECIFICATIONS:

xviii. EXTERIOR FAÇADE AND BUILDING SHELL

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3.0 STRUCTURAL

3.1 NARRATIVE:

A. Sub-Structure System

1. Foundation System

a. The foundation system of the new building is anticipated to match the existing ACC foundation system. Foundation design is based off the geotechnical engineering report done by Terracon on October 26, 2017.

1) Column foundations are anticipated to be auger cast piles. Each pile should extend 5 feet into the bearing stratum if end bearing piles are needed. The primary pile capacity is anticipated to be derived from skin friction.

2) For piles experiencing uplift, at a minimum, a #9 reinforcing bar should be installed in the upper 60 feet.

3) Foundation frost walls will be cast-in-place concrete grade beams or concrete walls supported on pile caps at each grid line.

4) Pile caps and grade beams should extend a minimum of 3 1/2 feet below the lowest adjacent grade.

5) 4,000 psi concrete will be used for grade beams and piers.

6) Refer to Figures S1 and S2 for an anticipated typical pile cap detail for both lateral and gravity piles.

b. Alternate Basement Construction

1) Foundation walls will be 12” to 14” thick reinforced cast-in-place concrete walls.

2) A separate pool consultant should be brought on board to provide the pool design and type of construction. A cast-in-place reinforced concrete pool is anticipated.

3) Waterproofing and perimeter drain tile will be placed at the base of the wall and around the proposed pool.

4) Backfill along the wall will be a clean compacted granular fill material.

c. Special Foundation Requirements

1) Geotechnical testing and inspection will be required during construction to verify the actual on-site soil conditions prior to concrete placement.

d. Existing Utilities

1) There are several existing utilities extending east-west and north-south under the new building site that service the existing ACC building. Refer to the Figure S3 for the approximate location of known utilities from the existing ACC building utility plans.

2) The plan is to re-route these utilities around the new building to avoid all new required pile caps and piles. Refer to the Figure S4 for approximate location of relocated utilities in relation to the new building.

e. Slab-on-grade Construction

1) The typical slab-on-grade will be 5", 4,000 psi concrete reinforced with welded wire fabric. Thickened reinforced concrete slabs will be provided at highly loaded areas below CMU interior partitions, and at locations with depressed slab locations.

2) The first floor slab elevation is anticipated to be slightly below or match the elevation of the existing ACC building.

3) Slab depressions will be provided for flooring, equipment, etc., as required.

4) A 10 or 15 mil polyethylene vapor retarder will be provided below the slab.

B. Superstructure System

1. Floor Construction

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a. The floor construction is anticipated to be of similar construction as the existing adjacent ACC building. An expansion joint between the ACC building and the new building is anticipated. Size to be determined in Design Development phase. Finished floor elevation for the new building is anticipated to match the finished floor elevation of the existing ACC building.

2. Roof/Future Second Floor Construction - Composite Steel and Concrete

a. Conventional wide flange framing with welded shear studs and composite metal deck forms.

b. One-hour fire rating is required.

c. Concrete floor slab thickness and reinforcing is anticipated to 3 1/2” normal weight concrete on top of 2” steel composite floor deck reinforced with welded wire mesh.

d. At the north end of the building behind the exterior glazing, the second floor is anticipated to slope up to match the future roof elevation to provide an open atrium space behind the glazing. The structural steel and concrete deck should slope accordingly to create this open space.

e. Mechanical rooftop units are not anticipated to be supported by the future second floor structure.

3. Future Roof Construction – Structural Steel and Metal Deck

a. Conventional wide flange framing spaced at 6’-0” on center will support 1-1/2" steel roof decking. The structure will be sloped 1/4" per foot to provide positive roof drainage.

b. No fire rating is required.

4. Columns

a. The columns are anticipated to be steel wide flange columns with an option to be hollow structural sections where exposed.

b. Columns – Wide Flange Sections

1) Columns will be ASTM Designation A992, Grade 50 ksi steel.

2) One-hour fire rating is required.

3) Columns will be full height of the structure with no splices and will extend up approximately two to four feet above the future second floor.

c. Columns – Hollow Structural Sections

1) Columns will be ASTM Designation A500, Grade B.

2) One-hour fire rating is required.

d. Anticipated bay spacing

1) Approximate bay spacing is anticipated to range between 20’ to 45’ with the shorter spans in the north-south direction. Refer to Figure S5 for approximate typical second floor bay framing layout.

C. Lateral Load Resisting System

1. Multiple options can be chosen for the lateral system in the building. Moment frames, braced frames, or shear walls located at the elevator towers or stair tower walls can be used to resist the lateral forces due to wind and seismic load requirements. Moment frames provide maximum flexibility for future space re-configurations but are typically more expensive than braced frames.

2. Lateral Load Resisting System – Braced Frames

a. Concentrically braced frames can be used to provide the lateral support for the structural framing. Tube steel sections will be used for the bracing elements to allow for easy integration into the steel stud wall system. Locations and sizes should be determined during the Design Development phase of the project.

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3. Lateral Load Resisting System – Moment Frames

a. Structural steel wide flange columns and beams can be connected to form ordinary rigid frame elements to provide the lateral support for this structure. Locations and sizes should be determined during the Design Development phase of the project.

4. Lateral Load Resisting System – Shear Walls

a. Ordinary reinforced concrete masonry shear walls can be used for the lateral support of the structure. Locations and sizes should be determined during the Design Development phase of the project.

D. Exterior Enclosure

1. The exterior enclosure of the building is anticipated to be a mixture of multiple façade types to match the construction of the existing ACC building. It will include glazing, metal panels, precast, and stone.

2. Exterior Walls - Metal panel or Stone with Steel Stud Backup

a. Steel studs will be used to back up the stone veneer or metal panel exterior. Stud depth and approximate gauge will be finalized during the Design Development phase. The final gauges and details will be selected by the stud supplier using a performance specification.

b. Lintels will be galvanized hot rolled sections or galvanized cold formed studs with diagonal bracing to structure. The selection will be finalized during the Design Development phase.

3. Exterior Walls - Architectural Precast

a. Precast panel façade will be used on three sides of the building and will be supported from the steel structure and concrete foundation. The system will be a delegated design element to be designed by a precast supplier.

4. Screen Wall

a. At the north end of the building, the stone façade will extend up to create a screen wall that will eventually form the north wall of the future second floor. The northeast stairwell is also planned to extend up during this phase to serve the future second floor.

E. Additional Considerations

1. Physical Security

a. The building must meet the design requirements for a “life safety” facility per the requirements of the U.S. Department of Veterans Affairs, including but not limited to, the Physical Security Design Manual (PSDM) for VA Life-Safety Protected Facilities.

b. The building will need to account for building envelope blast loads as outlined in Chapter 6 and Progressive Collapse utilizing the Tie Force Method as outlined in Chapter 7 of the PSDM.

c. Blast loads from a design level threat W1 and W0 shall be included for loading docks, mailrooms, and lobbies.

d. In order to meet the physical security standards outlined in the PSDM, the design team must include a security specialist and a structural blast specialist.

2. Canopies

a. There is anticipated to be two steel framed canopies at the north and south entries of the building. The aesthetics of it should match the existing canopies for the ACC building. The exposed structural steel elements shall be treated as AESS with high performance paint.

F. Performance Requirements

1. Live Load

a. Building live loads are designed as follows:

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1) Typical floors: 100 psf

2) Penthouse floors: 100 psf

3) Mechanical rooms: 125 psf

4) Compact storage: 400 psf

5) Live load reduction: Not Used

b. Snow, Wind and Seismic Loads: Snow load is based on ASCE7 Chapter 7 as follows:

1) Ground snow load: 25 psf

2) Exposure factor, Ce: 1.0

3) Thermal factor, Ct: 1.0

4) Importance factor: 1.2

5) Flat roof snow load: 25 psf

c. Wind load is based on ASCE7 Chapter 28 as follows:

1) Design wind speed: 120 mph

2) Exposure class: C

3) Risk Category IV

d. Seismic load is based on ASCE 7 Chapter 12 as follows:

1) Importance Factor 1.5

2) Risk Category IV

3) Anticipated Short Period, Ss 0.097

4) Anticipated One-Second Period, S1 0.045

5) Seismic Design Category A

G. Vibration Requirements

1. Based on the intended use of the building, IMEG recommends designing the areas of floors supporting sensitive equipment for sensitive floors as set forth by AISC Design Guide 11 - Floor Vibrations due to Human Activity.

3.2 VA DESIGN CRITERIA:

∗ PG-18-3 VA Design and Construction Procedures ∗ Physical Security Design Manual for Life Safety Protected Facilities

3.3 APPLICABLE CODES:

∗ VA H-18-8

∗ 2018 IBC

∗ ACI 318-14

∗ ACI 530-13/TMS 402-13

∗ AISC 360-10

∗ ASCE 7-16

∗ AWS D1.4-98

∗ SJI K-10

∗ SDI 2010

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Structural Attachments

Figure S1

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Figure S2

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Figure S3

Figure S4

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Figure S5

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4.0 MECHANICAL

4.1 NARRATIVE:

A. Existing Conditions

1. Chilled Water

a. The existing campus is currently served via a decentralized chilled water system. This system utilizes four water cooled chillers. The system consists of one Trane 1,300 ton centrifugal chiller, one Trane 950 ton absorption chiller, one McQuay 500 ton centrifugal chiller and one 500 ton multi-stack chiller. These are in three separate locations in or near Building 1

b. The current system has been deemed inadequate for the current campus and does not provide N+1 redundancy for the campus.

c. The VA currently has plans to upgrade the central plant to update the chilled water systems in order to add the required redundancy and accommodate future campus expansion. The planning and implementation of these upgrades are not complete.

d. Two existing 4” pipes are currently routed from the Building 1 chiller plant to Building 2 boiler plant. These pipes are routed through the steam tunnel connecting Building 1 and Building 2. These pipes are currently unused and abandoned in place. The existing pipes were installed, tested for leakage, drained, and then capped on both ends and are unused. The pipes provide a potential route to run chilled water from the chiller plant through the steam tunnel to the new building.

2. Steam

a. The campus is served via a boiler plant in Building 2 that is approaching the end of its useful life. The system consists of two 30,000 pounds per hour steam water tube steam boilers and one 17,250 pounds per hour steam fire tube steam boiler.

b. A utility tunnel connects Building 1 and the boiler plant Building 2.

c. An existing 6” high pressure (90 psi) direct buried steam pipe and 2” high pressure condensate pipe serving the Ambulatory Care Center (ACC) building is routed from the boiler plant under the proposed building site. These lines will require relocation as part of this project.

3. Controls

a. The campus currently has Schneider EcoStruxure controls to monitor and control the mechanical equipment.

4. Plumbing

a. The proposed building site is to the east of the new ACC building. The existing storm, sanitary sewer, and sanitary sewer force main lines are routed to the south of the proposed building site.

b. An existing direct buried water main is routed under the proposed building site and will need to be relocated.

5. Ambulatory Care Center (ACC)

a. The ACC is currently in construction and will be completed by the time the Physical

Therapy & Prosthetics (PT&P) building will start construction. The proposed location of the PT&P building is directly to the east of the ACC and will connect to the ACC.

b. The chilled water supply, chilled water return, steam, domestic water service, fire protection water service, and power lines serving the ACC are all routed under the proposed site of the PT&P building and will need to be relocated.

B. New Systems

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1. HVAC

a. Design Conditions

1) Design Conditions will be determined in accordance with the VA HVAC Design Manual Chapter 7 for Omaha NE.

2) Mechanical equipment will be sized based on the summer design conditions of 94.5°F dry bulb and 76.4°F wet bulb.

3) Winter design conditions will be based on an exterior temperature of -5°F.

4) Interior design temperature setpoints are to be per the VA HVAC design manual.

5) The project includes one level on grade at this time with a planned future second floor addition.

b. Air Handling Unit (AHU)

1) A modular AHU will be located inside the first floor mechanical room on a housekeeping pad. The unit will have approximately 66 tons of cooling capacity, capable of approximately 25,000 cfm of cooling air, approximately 21,500 cfm of heating air, and 6500 cfm of outdoor air.

2) The AHU for the new building will include the following components:

a) Steam humidifier.

b) MERV 14 final filters

c) Variable speed supply fan.

d) UV light.

e) Chilled water-cooling coil.

f) Pumped hot water heating coil.

g) Economizer air mixing section.

h) Variable speed return fan.

i) MERV 8 pre-filters.

3) The AHU will be controlled by the building automation system.

4) Variable frequency drives (VFDs) or electronically commutated motors (ECMs) will allow energy savings at off-peak conditions for the supply fan and return fan. VFDs or ECMs will be provided by the equipment manufacturer.

5) An economizer section of the AHU will allow up to 100% outside air for “free cooling” when weather conditions allow.

6) The AHU will shut off when the fire alarm system activates.

c. Variable Air Volume (VAV) Boxes

1) Approximately 50 pressure independent VAV boxes with heating water reheat coils will be provided for the zones served by the AHU.

2) Each zone will be connected to a thermostat.

3) Units will be controlled by the building automation system.

d. Air Distribution

1) All building supply, return, relief, and outside air ductwork will be galvanized steel ductwork.

2) Ductwork in the lower level aquatics mechanical room and in the aquatics space on the first floor will be corrosion resistant.

3) Supply and outside air ductwork will be insulated with wrapped or board external insulation. All exposed duct in mechanical spaces are to be external board insulation.

4) Ductwork Sizing Criteria

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a) Medium pressure ductwork between the AHU and VAV boxes to be sized with a pressure drop of 0.15”/100ft and a maximum velocity of 1,500FPM in public areas or 2,500 FPM in mechanical spaces

b) Low pressure ductwork down stream of VAV boxes, return duct, and general exhaust duct to be sized with a pressure drop of 0.08”/100 ft. and a maximum velocity of 1,500 FPM.

e. Pool Unit

1) A separate dehumidifying pool AHU will be provided to serve the aquatics area.

2) The reheat coil capacity on the pool AHU will be sized to maintain a space temperature up to 82°F.

3) Specialty corrosion resistant materials will be provided for ductwork, floor drains, sprinklers, piping, supports, grilles, registers, louvers, and other mechanical equipment and accessories in the aquatics space to combat corrosion.

f. Split Systems

1) Cooling only packaged split system air conditioning units will be provided for supplemental cooling in electrical rooms, IT closets, and elevator machine rooms.

2) An interior wall-hung air conditioning fan coil unit will be connected to an exterior condensing unit. Condensing units will be mounted outside on concrete pads.

3) System will be capable of providing cooling down to –5F exterior temperature.

4) Interior unit to be provided with condensate pump and copper drain pipe with ½" elastomeric insulation.

g. Chilled Water

1) The new system load will be 65 tons for the current project and will be 120 tons for complete buildout, including the upper floors. The following are options for the cooling for the new building.

a) Base: Provide two new 70-ton standalone scroll air-cooled chillers for the new building to provide chilled water to the new building AHU with N+1 redundancy.

The air-cooled system will utilize a 30% glycol mixture for the working fluid and heat trace all exterior exposed piping. The system should be planned for a campus chilled water plant upgrade to allow for future connection to the campus system. 6” supply and return Piping is to be installed from the mechanical room to the utility tunnel near the existing abandoned 4” piping system in the tunnel for future use. The direct buried portions of the piping system should be installed as part of the project. The air-cooled chiller yard will be located on the southeast end of the building in a fenced enclosure. It shall account for a future third chiller to provide the required cooling for the future building addition.

b) Alternate: Provide chilled water from campus plant. New 6” chilled water taps will be connected to the existing chilled water supply and return headers in the chiller plant. The pipes will be routed through Building 1 and into the steam tunnel using the same path as the previously unused 4” pipes. Remove and replace the abandoned pipes. The chilled water pipes are to penetrate the tunnel wall and route direct buried to the new building. This Option is only feasible if the planned campus central chiller upgrade project is complete.

Confirm project status with the VA.

2) Pumps

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a) Two base-mounted end suction chilled water pumps with VFDs serving the AHU cooling coil will be located inside the first floor mechanical room on a housekeeping pad.

b) The pumps will be approximately 7.5 hp and capable of pumping approximately 300 gpm at 60 ft of head. Pumps will be sized with N+1 Redundancy. Pumps to be sized for the future second floor at the time of installation.

3) Piping

a) Chilled water piping 2” and smaller will be hard drawn copper. Shutoff valves will be ball type, and check valves will be swing type. Piping 2-1/2” and larger will be Schedule 40 steel with butt-welded or flanged joints. Shutoff valves will be butterfly type, and check valves will be double-door type.

b) All chilled water piping will have rigid cellular phenolic foam insulation.

c) Pipe Sizing Criteria:

i. Piping 2” and below to be sized with a maximum pressure drop of 4.0 ft WG/100ft with a 4 fps maximum velocity.

ii. Piping over 2” to be sized with a maximum pressure drop of 4.0 ft WG/100ft with a 10 fps maximum velocity.

h. Steam

1) Relocate the existing 6” 90 lb. steam and 2” steam condensate lines serving the ACC that are routed under the new building site.

2) Provide 4” steam and 1-½" steam condensate to the new building from the relocated lines serving the ACC. The incoming 90 lb. steam line will be sized for the final build out including the second floor (approximately 2,200 MBH total capacity).

3) Provide a steam condensate meter and tie it into the controls system.

4) Anchors, supports, expansion joints, and expansion loops will be provided as required for the steam and steam condensate pipe routing.

5) A steam pressure reducing station located in the first floor mechanical room will reduce the steam pressure to 15 psi from the supplied 90 psi in the building. The station will have a full flow bypass.

6) Piping

a) Steam piping 2” and smaller will be schedule 40 steel piping with screwed or welded joints.

b) Steam piping 2-1/2” and larger will be steel piping with butt-welded or flanged joints.

c) Condensate piping will be seamless Schedule 80 steel.

d) Vent piping will be seamless steel.

e) All above ground…