Attachment 2 - Drawings General.pdf

Engineers Architects

Revisions: Date

Drawing Title

Location

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

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.

Approved

Project Title VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

Date Checked Drawn

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H .r v t

COVER VOLUME 1

MICHAEL E. DEBAKEY VAMC

2002 HOLCOMBE BLVD.

HOUSTON, TX 77030

BID DOCUMENTS

21-313

EHRM INFRASTRUCTURE UPGRADES

MICHAEL E. DEBAKEY VAMC

2002 HOLCOMBE BLVD.

HOUSTON, TX 77030

VA PROJECT #: 580-22-700

1 31CMK

EHRM INFRASTRUCTURE

UPGRADES

JANUARY 14, 2025

580-22-700

WVS

000 G-001.1

VOLUME 1

VOLUME 1 OF 4

DRAWING LIST - VOLUME 1

GENERAL

000 G-001.1 COVER VOLUME 1 1 31

000 G-002 CAMPUS AND SITE MAP 2 31

000 G-501 ICRA INFORMATION AND DETAILS 3 31

000 G-502 TYPICAL ICRA CONDITIONS 4 31

000 G-503 CONTRACTOR WORK PROCEDURE 5 31

100 GL-100 BUILDING 100, BASEMENT FLOOR TOWERS INTERIM LIFE SAFETY PLAN 6 31

100 GL-111 BUILDING 100, FIRST FLOOR, PHASE 1, TOWER 1 LIFE SAFETY PLAN 7 31

100 GL-112 BUILDING 100, FIRST FLOOR, PHASE 2, TOWER 2 LIFE SAFETY PLAN 8 31

100 GL-113 BUILDING 100, FIRST FLOOR, PHASE 3, TOWER 3 LIFE SAFETY PLAN 9 31

100 GL-120 BUILDING 100, SECOND FLOOR TOWERS INTERIM LIFE SAFETY PLAN 10 31

100 G-100 BUILDING 100 BASEMENT FLOOR COVERAGE PLAN 11 31

100 G-110 BUILDING 100 FIRST FLOOR COVERAGE PLAN 12 31

100 G-120 BUILDING 100 SECOND FLOOR COVERAGE PLAN 13 31

100 G-130 BUILDING 100 THIRD FLOOR COVERAGE PLAN 14 31

100 G-140 BUILDING 100 FOURTH FLOOR COVERAGE PLAN 15 31

100 G-150 BUILDING 100 FIFTH FLOOR COVERAGE PLAN 16 31

100 G-160 BUILDING 100 SIXTH FLOOR COVERAGE PLAN 17 31

103 G-110 BUILDING 103 FIRST FLOOR COVERAGE PLAN 18 31

104 G-110 BUILDING 104 FIRST FLOOR COVERAGE PLAN 19 31

108 G-110 BUILDING 108 FIRST FLOOR COVERAGE PLAN 20 31

108A G-110 BUILDING 108A FIRST AND SECOND FLOOR COVERAGE PLANS 21 31

109 G-100 BUILDING 109 BASEMENT FLOOR COVERAGE PLAN 22 31

109 G-110 BUILDING 109 FIRST FLOOR COVERAGE PLAN 23 31

109 G-120 BUILDING 109 SECOND FLOOR COVERAGE PLAN 24 31

110 G-100 BUILDING 110 BASEMENT FLOOR COVERAGE PLAN 25 31

110 G-110 BUILDING 110 FIRST FLOOR COVERAGE PLAN 26 31

110 G-120 BUILDING 110 SECOND FLOOR COVERAGE PLAN 27 31

110 G-130 BUILDING 110 THIRD FLOOR COVERAGE PLAN 28 31

120 G-110 BUILDING 120 FIRST FLOOR COVERAGE PLAN 29 31

123 G-110 BUILDING 123 FIRST FLOOR COVERAGE PLAN 30 31

125 G-110 BUILDING 125 FIRST AND SECOND FLOOR COVERAGE PLANS 31 31

CIVIL

000 C001 OVERALL CAMPUS PHASING PLAN 1 9

000 C002 OVERALL CAMPUS TRAFFIC CONTROL PLAN 2 9

000 CD100 DEMOLITION PLAN 3 9

000 CD101 DEMOLITION PLAN 4 9

000 CD102 DEMOLITION PLAN 5 9

000 C200 SITE & PAVING PLAN 6 9

000 C201 SITE & PAVING PLAN 7 9

000 C202 SITE & PAVING PLAN 8 9

000 C500 CONSTRUCTION DETAILS 9 9

STRUCTURAL

100 S-001 GENERAL NOTES 1 12

100 S-002 LOADING DIAGRAM 2 12

100 S-100 BUILDING 100, BASEMENT FOUNDATION, TELECOM ROOM, TOWER 1, 2, & 3 3 12

100 S-101 BUILDING 100, FIRST FLOOR FRAMING TELECOM ROOM, TOWER 1, 2, & 3 4 12

100 S-102 BUILDING 100, SECOND FLOOR FRAMING TELECOM ROOM, TOWER 1, 2, & 3 5 12

100 S-103 BUILDING 100, THIRD FLOOR FRAMING TELECOM ROOM, TOWER 1, 2, & 3 6 12

100 S-104 BUILDING 100, FOURTH FLOOR FRAMING TELECOM ROOM, TOWER 1, 2, & 3 7 12

100 S-105 BUILDING 100, FIFTH FLOOR FRAMING TELECOM ROOM, TOWER 1, 2, & 3 8 12

100 S-106 BUILDING 100, SIXTH FLOOR FRAMING TELECOM ROOM, TOWER 1, 2, & 3 9 12

100 S-107 BUILDING 100, ROOF FRAMING TELECOM ROOM, TOWER 1, 2, & 3 10 12

100 S-500 CONCRETE DETAILS 11 12

100 S-501 STEEL DETAILS 12 12

100, 103, 104A, 108, 108A, 109, 110, 120, 121, 122, 123, 124, 125, FISHER HOUSE (1, 2, AND 3), VA REGIONAL OFFICEW

AL

TE

R DAVID VAN SCOTER

REG. NO. 9953

Docusign Envelope ID: 4347F947-D407-40B0-BEA8-3B760489F051

1/14/2025

H

BUILDINGS IN SCOPE

BUILDINGS IN SCOPE

WITH LIMITED WORK

108A 108

104A 105

102A

106-107

ENTRANCE

CAMBRIDGE

ENTRANCE

ENTRANCE

H O

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O M

B E B

LV

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ENTRANCEALMEDA

ENTRANCE

O L D

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WEST LEE

EAST LEE

S O

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SHEEHAN AVE

MIXON AVE

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FISHER HOUSE 1

FISHER HOUSE 2

FISHER HOUSE 3RINGNESS AVE

VA REGIONAL

OFFICE

C A

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PARKING DECK

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HOTEL

Engineers Architects

Revisions: Date

Drawing Title

Location

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

SHEET NOTES:

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.

Approved

Project Title VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

Date Checked Drawn

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H .r v t

CAMPUS AND SITE MAP

MICHAEL E. DEBAKEY VAMC

2002 HOLCOMBE BLVD.

HOUSTON, TX 77030

BID DOCUMENTS

21-313

2 31CMK

EHRM INFRASTRUCTURE

UPGRADES

JANUARY 14, 2025

580-22-700

WVS

000 G-002

SITE KEY

Scale: No Scale

CAMPUS MAP AND LOGISTICS PLAN N

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R T H

0 4 8 16

PROJECT LOCATION AERIAL

A. WORK AT THE FISHER HOUSES (3) IS LIMINTED

TO BRINGING NEW FIBER INTO EXISTING TR

ROOMS. WORK DOES NOT INCLUDE

REPLACEMENT OF ALL DATA DEVICES WITHIN

THE BUILDINGS.

100, 103, 104A, 108, 108A, 109, 110, 120, 121, 122, 123, 124, 125, FISHER HOUSE

(1, 2, AND 3), VA REGIONAL OFFICEW

AL

INFECTION CONTROL RISK MITIGATION RECOMMENDATIONS MATRIX OF

PRECAUTIONS FOR CONSTRUCTION AND RENOVATION

INFECTION CONTROL RISK MITIGATION RECOMMENDATIONS MATRIX OF

PRECAUTIONS FOR CONSTRUCTION AND RENOVATION

PLASTIC WINDOW

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

EXISTING CEILING

FLEX DUCT

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

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S F

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L D

V E

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4 7/8"

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

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H T

V A

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4 7/8"

3 5/8" METAL STUDS @ 16"

O.C.

A

B

FIRE RESISTANT SEALANT,

BOTH SIDES

SEALANT, BOTH SIDES

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

HEPA

NEGATIVE AIR

UNIT

FINISHED FLOORING TO BE KEPT

CLEAN. FLOORS NOT BEING REPLACED

MUST BE PROTECTED. COVER WITH

ROSIN PAPER.

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

ISLM TEMPORARY BARRIER TAG

PROJECT:

PRIME CONTRACTOR:

SUB CONTRACTOR:

EMERGENCY CONTACT NO.:

BARRIER INSTALLATION DATE:

BARRIER EXPIRATION DATE:

F L E

X D

U C

T

FIRE EXTINGUISHER ON

PORTABLE FLOOR

BRACKET (ILSM MAY

REQUIRE MORE THAN

ONE).

PROVIDE STICKY

MATS (CHANGED END

OF SHIFT OR MORE IF

NECESSARY TO

MAINTAIN

CLEANLINESS).

HEPA NEGATIVE

AIR UNIT

DISCONNECT SUPPLY AND

COVER.

COVER ALL RETURNS

AT THE

GRATE/DIFFUSERS

SUSPENDED PLASTIC

ZIPPER WALL

CURTAIN BARRIER

POST ICRA, ILSM, FIRE

INPECTION SHEETS

VISIBLE TO PUBLIC

NOTE:

A. TURN UP EXHAUST ON EXTERIOR ON SIDE.

CONTRACTOR SHALL VERIFY LOCATION OF AIR

INTAKES ARE AT THE PROPER DISTANCE FROM

EXHAUST. VERIFY LOCAL JURISDICATION CODE

AND VA REQUIREMENTS FOR DISTANCE PRIOR

TO STARTING WORK.

EXHAUST LOCATION

- SEE NOTE A

G-501

_____5

G-501

G-003

PROVIDE DIGITAL

NEGATIVE PRESSURE

MONITORING SYSTEM

ILSM SIGNAGE

INTERIM LIFE SAFETY MEASURES IN EFFECT

FOR RENOVATION HOUSTON EHRM

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

/2

EQ.EQ.

ICRA NOTES

DUST CONTROL PLAN NOTES

1. 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 NOTE 6A.

2. 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

3. 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.

4. 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.

5. 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.

6. EXTERIOR WINDOWS: WINDOWS SHALL BE SEALED TO MINIMIZE

INFILTRATION FROM ANY ADJACENT EXCAVATION DUST.

7. ALL EQUIPMENT REMAIN IN THE IMPACTED ROOMS SHALL BE

COVERED AND PROTECTED PRIOR STARTING IN THAT AREA.

VENTILATION AND ENVIRONMENTAL CONTROLS

8. AIR SYSTEM FLOW: THE COR TO VERIFY AND ACKNOWLEDGE

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.

9. 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. EXHAUST AIR DIRECTLY TO THE OUTSIDE. 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.

10. ADJACENT AREAS: THE STATUS OF SEALED PENETRATIONS AND

INTACT CEILING SHALL BE VERIFIED DAILY.

11. 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

12. 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.

13. 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.

IIILOW Risk Group 1

Class III

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

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

I

I

II

MEDIUM Risk Group 2

HIGH Risk Group 3

HIGHEST Risk Group 4 IV

IV

IV

IV

IV

III

III

II

II

Patient Risk Group Table

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

TYPE A

Construction Project Type

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

• Work exceeding 6 months in duration.

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

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

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

• Plumbing work such as the installation of:

a. new medical gas systems,

b. steam/heating hot water, condensate systems,

c. multiple sinks, showers and toilets including associated plumbing.

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

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

• Installation of fire alarm and suppression systems.

• Electrical shutdown of multiple panels.

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

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

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

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

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

• Demolition/removal of more than 32 ft2 of drywall/framing, hard ceilings, and doors/framing and minimal infrastructure such as electrical circuits and branch piping.

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

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

• Shut down of sections of potable water systems.

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

• Modification of existing fire alarm and suppression systems.

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

General maintenance and repair work generally defined as follows:

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

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

• Work that creates minimal dust and debris.

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

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

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

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

Inspection and/or facility upkeep generally defined as follows:

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

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

• Work that does not create dust or debris.

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

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

• Limited building system maintenance such as plumbing on potable systems limited to faucet replacement etc. and electrical work such as replacement of bulbs, receptacles, or switches.

Type of Construction / Project Activity Table

Group 2 Medium Risk

Group 1 Low Risk

• Waiting areas

• Clinical engineering

(biomedical)

• Materials management

• Sterile processing department – dirty side

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

• Public hallways and

• gathering areas (non-clinical)

• Office areas (non-clinical)

• Breakrooms (non-clinical)

• Bathrooms or locker rooms (non-clinical)

• Mechanical/electrical rooms (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

• Patient care rooms and areas

• All acute care units

• All outpatient units and clinics

• Emergency department

• Community Living Centers, domiciliaries, and transitional residences

• Employee health

• Pharmacy – general work zone

• Medication rooms and clean utility rooms

• Radiology departments

• Laboratory

• All transplant units

• All intensive care units

• All oncology units and chemotherapy/infusion centers

• OR theaters and restricted areas

• Hemodialysis units

• Procedural rooms*

• Pharmacy compounding area

• Sterile processing department – clean side

IIII

TYPE DTYPE CTYPE B

Class IVor control procedures are necessary.

C

LA

S S

IV

During Construction Project Upon Completion of Project

1. Includes all activities required by Class I, II, and III

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

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

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

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

• Transfusion services

• Imaging suites – interventional imaging

• Dedicated isolation wards/units for infectious diseases

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.

Water systems:

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

Upon Completion of Project

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

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

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

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.

Water systems:

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

1. Includes all activities required by Class I

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

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

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

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

6. Seal doors, to prevent dust migration.

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

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

9. 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.

10. 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.

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

CONSTRUCTION ACTIVITIES SHALL BE CLASSIFIED AS FOLLOWS UNLESS NOTED OTHERWISE:

1. INSTALLATION OF CABLE TRAY IN CORRIDOR CEILINGS SHALL BE CONSIDERED CONSTRUCITON ACTIVITY TYPE B.

2. ALL CONDUIT SPECIFIED TO BE INSTALLED IN WALL SHALL BE CONSIDERED CONSTRUCTION ACTIVITY TYPE C.

3. CONSTRUCTION OF NEW ROOMS SHALL BE CONSIDERED CONSTRUCTION ACTIVITY TYPE D.

4. INSTALLATION OF NEW DOORS TO OR FROM EXISTING SPACES SHALL BE CONSIDERED CONSTRUCTION ACTIVITY TYPE C.

C

LA

S S

II

I

1. Includes all activities required by Class I and II

2. Ensure availability of equipment for cleaning hands.

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 floor and ceiling (or floor/roof deck above) and secure from movement or damage.

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

6. Maintain .01 inches /water gauge negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors (unless a work specific waiver is approved by VHA’s Office of Healthcare Engineering); this must be maintained continuously 24/7 for the duration of the project. Exhaust discharged directly to the outdoors that is 25 feet or greater from entrances, air intakes and windows is not required to be HEPA-filtered. Exhausting discharged air into shared or recirculating HVAC systems, or other shared exhaust systems (e.g., bathroom exhaust) is prohibited.

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

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

Work Area Cleaning:

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. Additional cleaning may be needed after removal of barrier.

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:

i. Carefully remove screws and painter tape.

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

iii. Drywall cutting is prohibited during removal process.

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

v. 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 contaminants from the work area.

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

HVAC systems:

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

Water systems:

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

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

Work Area Cleaning:

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. Additional cleaning may be needed after removal of barrier.

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:

i. Carefully remove screws and painter tape.

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

iii. Drywall cutting is prohibited during removal process.

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

v. 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 contaminants from the work area.

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

HVAC systems:

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

Water systems:

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

Engineers Architects

Revisions: Date

Drawing Title

Location

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

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.

Approved

Project Title VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

Date Checked Drawn

/1

/2

:1

:3

P

M C

U s e rs \c k u rk u l\ D o c u m e n ts

\A

-3

-V A

H o u s to n -E

H R

M

M A

S T

E R c k u rk u lG V

Y

H .r v t

ICRA INFORMATION AND DETAILS

MICHAEL E. DEBAKEY VAMC

2002 HOLCOMBE BLVD.

HOUSTON, TX 77030

BID DOCUMENTS

21-313

3 31CMK

EHRM INFRASTRUCTURE

UPGRADES

JANUARY 14, 2025

580-22-700

WVS

000 G-501

Scale: 1/2" = 1'-0"

ICRA MOBILE CONTAINMENT CART

Scale: 3/4" = 1'-0"

ICRA BARRIER WALL TYPE

Scale: 1/2" = 1'-0"

TYPICAL ICRA VESTIBULE SECTION

Scale: 1/2" = 1'-0"

TYPICAL ICRA VESTIBULE

Scale: 3" = 1'-0"

ILSM CONSTRUCTION EGRESS SIGNAGE

100, 103, 104A, 108, 108A, 109, 110, 120, 121, 122, 123, 124, 125, FISHER HOUSE

(1, 2, AND 3), VA REGIONAL OFFICEW

AL

TELECOM OR OTHER

FUNCTIONAL ROOM

CORRIDOR

NON-RATED (TYPE B)

TEMPORARY BARRIER

TEMPORARY DOOR

NEW DOOR

NEW ROUGH OPENING

M

IN

C

L R

STICKY MATS

TELECOM OR OTHER

FUNCTIONAL ROOM

CORRIDOR

PLASTIC SHEET ICRA

BARRIER

ZIPPER DOOR

EXISTING DOOR

STICKY MATS

NEW DOOR AT CORRIDOR EXISTING DOOR TO REMAIN

NEW TELECOM OR

OTHER FUNCTIONAL

ROOM

CORRIDOR

1-HR RATED (TYPE A)

TEMPORARY BARRIER

45-MIN RATED

TEMPORARY DOOR

NEW DOOR

NEW ROUGH OPENING

STICKY MATS

NEW WALLS

M

IN

C

L R

TELECOM OR OTHER

FUNCTIONAL ROOM

CORRIDOR

NON-RATED (TYPE B)

TEMPORARY BARRIER

TEMPORARY DOOR

REMOVE EXISTING DOOR

AND FRAME

INFILL ROUGH OPENING

AS NEEDED

M

IN

C

L R

STICKY MATS

EXISTING DOOR AND FRAME TO BE

REMOVED

NEW DOOR AND ROOM AT

CORRIDOR

NEW TELECOM OR

OTHER FUNCTIONAL

ROOM

CORRIDOR

1-HR RATED (TYPE A)

TEMPORARY BARRIER

45-MIN RATED

TEMPORARY DOOR

NEW DOOR

NEW ROUGH OPENING

STICKY MATS

DEMO EXISTING WALLS

M

IN

C

L R

NEW DOOR AND ROOM AT

CORRIDOR

NEW FLOOR FINISH

DEMO FLOOR FINISHES

NEW TELECOM ROOM IN OPEN

SPACE

1-HR RATED (TYPE A)

TEMPORARY BARRIER

45-MIN RATED

TEMPORARY DOOR

STICKY MATS

REMOVE EXISTING

EQUIPMENT

TELECOM OR OTHER

FUNCTIONAL ROOM

PLASTIC SHEET ICRA

BARRIER

ZIPPER DOOR

EXISTING DOOR

STICKY MATS

EXISTING DOOR TO REMAIN

TELECOM OR OTHER

FUNCTIONAL ROOM

DEMO EXISTING WALLS

NEW TELECOM OR

OTHER FUNCTIONAL

ROOM

CORRIDOR

1-HR RATED (TYPE A)

TEMPORARY BARRIER

45-MIN RATED

TEMPORARY DOOR

NEW DOOR

NEW ROUGH OPENING

STICKY MATS

M

IN

C

L R

NEW DOOR AND ROOM AT

CORRIDOR

EXISTING ROOM

NEW TELECOM OR

OTHER FUNCTIONAL

ROOM

NEW TELECOM OR

OTHER FUNCTIONAL

ROOM

1-HR RATED (TYPE A)

TEMPORARY BARRIER

45-MIN RATED

TEMPORARY DOOR

STICKY MATS

NEW DOOR AND WALL AT EXISTING

ROOM

EXISTING

NEW DOOR

NEW WALL

EXISTING ROOM

1-HR RATED (TYPE A)

TEMPORARY BARRIER

45-MIN RATED

TEMPORARY DOOR

REMOVE EXISTING DOOR

AND FRAME

INFILL ROUGH OPENING

AS NEEDED

STICKY MATS

NEW TELECOM AT STORAGE ROOM

PLASTIC SHEET ICRA

BARRIER

ZIPPER DOOR

EXISTING DOOR

STICKY MATS

PLASTIC SHEET ICRA

BARRIER

ZIPPER DOOR

EXISTING DOOR

STICKY MATS

NEW TELECOM OR

OTHER FUNCTIONAL

ROOM

EXISTING ROOM

CORRIDOR

PLASTIC SHEET ICRA

BARRIER

ZIPPER DOOR

EXISTING DOOR

STICKY MATS

1-HR RATED (TYPE A)

TEMPORARY BARRIER

45-MIN RATED

TEMPORARY DOOR

STICKY MATS

REMOVE EXISTING

EQUIPMENT

NEW TELECOM AT OPEN SPACE

NEW TELECOM OR

OTHER FUNCTIONAL

ROOM

VACANT LARGE

SPACE

STICKY MATS

1-HR RATED (TYPE A)

TEMPORARY BARRIER

45-MIN RATED

TEMPORARY DOOR

STICKY MATS

NEW DOOR

NEW WALL

NEW TELECOM AT NURSE STATION

PLASTIC SHEET ICRA BARRIER

ZIPPER DOOR

NEW DATA RECEPTACLE

STICKY MAT

INDIVIDUAL RECEPTACLE

CORRIDOR

PLASTIC SHEET ICRA

BARRIER

ZIPPER DOOR

ABOVE CEILING WORK IN CORRIDOR

CABLE TRAY WORK

ABOVE

STICKY MATS

PLASTIC SHEET ICRA

BARRIER

ZIPPER DOOR

EXISTING WALL

NURSE STATION OR

OPEN WORK AREA

NEW DATA RECEPTACLE

EXISTING WALL

EXISTING CASEWORK

20'-0" MAX

C L E

A R

M

IN

WORK WITHIN OPEN AREA

A. WORK RELATED THE REMODELING OF EXISTING

ROOMS INTO NEW TELECOMMUNICATION ROOMS

SHALL BE PERFORMED SEQUENTIALLY BY FLOOR

STARTING AT THE LOWEST FLOOR LEVEL. ALL WORK,

EXCLUDING WORK IN TELECOMMUNICATIONS ROOM,

WILL BE COMPLETED ON THE FLOOR AND APPROVED

BY THE COR BEFORE PROCEEDING TO THE NEXT

FLOOR.

B. CONTRACTOR WILL BE ALLOWED TO MODIFY OR

CONSTRUCT FOUR TELECOMMUNICATION ROOMS AT

A TIME. ALL FOUR ROOMS MUST BE COMPLETED AND

APPROVED BY COR PRIOR TO PROCEEDING TO WORK

ON ADDITIONAL ROOMS.

C. WORK HOURS AND SPECIAL CONSIDERATIONS WITHIN

THE WORK CONSTRAINT BY AREA MATRIX.

D. ANY DATA PORTS MOVED FROM OLD

INFRASTRUCTURE TO NEW SHALL BE OPERABLE AT

THE END OF EACH SHIFT. NO AREA OF THE FACILITY

IS TO LOSE DATA SERVICE FOR MORE THAN ONE

SHIFT.

E. COORDINATE WITH COR FOR ALL OUTAGES THAT

WILL AFFECT MORE THAN 6 ROOMS AT A TIME.

OUTAGE MUST BE APPROVED IN WRITING A MINIMUM

OF 3 WEEKS PRIOR.

F. DATA CABLING REPLACEMENT FOR AREAS SERVED

BY A NEWLY CONSTRUCTED TELECOMMUNICATIONS

ROOM SHOULD BE INSTALLED IN THE FOLLOWING

MANNER:

F.1 CONSTRUCT CLOSET, INSTALL RACKS

AND EQUIPMENT.

F.2 RUN CABLING TO EACH ROOM SERVED

BY THE CLOSET DOWN THE CORRIDORS

AND COIL THE CABLES OUTSIDE EACH

ROOM.

F.3 TERMINATE ALL CABLES AT THE PATCH

PANELS WITHIN THE NEW CLOSET.

F.4 PULL OUT OLD CABLES AT EACH ROOM

AND TERMINATE NEW CABLES AS

SPECIFIED. A MAXIMUM OF 6 ROOMS CAN

BE TAKEN OUT OF SERVICE AT A TIME.

F.5 BLANK ANY FACEPLATES NO LONGER

USED UTILIZING STAINLESS STEEL

COVERS.

F.6 TEST AND CERTIFY ALL CABLES PER

SPECIFICATION PRIOR TO MOVING TO

THE NEXT ROOM.

F.7 PLUG ALL EXISTING EQUIPMENT INTO

NEW PORTS.

G. DATA CABLING REPLACEMENT FOR AREAS SERVED

BY A MODIFIED TELECOMMUNICATIONS ROOM

G.1 PERFORM ANY SPACE EXPANSION OF

CLOSET REQUIRED BY DOCUMENTS

G.2 BUILD ONE NEW RACK AT A TIME IF SPACE

IS CONSTRAINED. RUN CABLING TO EACH

ROOM SERVED BY THE CLOSET DOWN

THE CORRIDORS AND COIL THE CABLES

OUTSIDE EACH ROOM.

G.3 TERMINATE ALL CABLES AT THE PATCH

PANELS WITHIN THE NEW RACK.

G.4 PULL OUT OLD CABLES AT EACH ROOM

AND TERMINATE NEW CABLES AS

SPECIFIED. A MAXIMUM OF 6 ROOMS CAN

BE TAKEN OUT OF SERVICE AT A TIME.

G.5 BLANK ANY FACEPLATES NO LONGER

USED UTILIZING STAINLESS STEEL

COVERS.

G.6 SCHEDULE WITH THE COR TO BE

PRESENT DURING TEST AND CERTIFY ALL

CABLES PER SPECIFICATION PRIOR

TO MOVING TO THE NEXT SET OF ROOMS.

G.7 PLUG ALL EXISTING EQUIPMENT INTO NEW

PORTS.

G.8 REPEAT FOR EACH RACK UNTIL ALL

RACKS IN CLOSET ARE COMPLETED.

H. REMOVE ALL EXISTING CABLING THAT HAS BEEN

DISCONNECTED AS PART OF THIS PROJECT. REMOVE

CABLING BY FLOOR AFTER COMPLETION OF NEW

DATA CABLING ON EACH FLOOR.

I. CONTRACTOR TO PROVIDE A DRAFT PHASING PLAN

DENOTING THE ORDER IN WHICH THE TELECOM

IMPROVEMENTS WILL BE COMPLETED WITHIN 30

DAYS OF PROJECT AWARD.

J. CONTRACTOR SHOULD KEEP A ROLLING 3 WEEK

LOOK AHEAD DENOTING SCHEDULE FOR CABLING

WORK IN EACH ROOM.

K. CONTRACTOR TO SCHEDULE WALK THROUGH OF

EACH DEPARTMENT AT LEAST 30 DAYS PRIOR TO

STARTING WORK TO DISCUSS SEQUENCING AND

SPECIAL REQUIREMENTS OF DEPARTMENT.

L. CONTRACTOR WILL BE RESPONSIBLE TO SETUP ALL

PROJECT MEETINGS USING THE MICROSOFT TEAMS

OR AN EQUIVALENT APPLICATION.

TELECOM ROOM PHASING NOTES

Engineers Architects

Revisions: Date

Drawing Title

Location

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

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.

Approved

Project Title VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

Date Checked Drawn

/1

/2

:1

:3

P

M C

U s e rs \c k u rk u l\ D o c u m e n ts

\A

-3

-V A

H o u s to n -E

H R

M

M A

S T

E R c k u rk u lG V

Y

H .r v t

TYPICAL ICRA CONDITIONS

MICHAEL E. DEBAKEY VAMC

2002 HOLCOMBE BLVD.

HOUSTON, TX 77030

BID DOCUMENTS

21-313

4 31CMK

EHRM INFRASTRUCTURE

UPGRADES

JANUARY 14, 2025

580-22-700

WVS

000 G-502

Scale: No Scale

TYPICAL ICRA CONDITIONS

100, 103, 104A, 108, 108A, 109, 110, 120, 121, 122, 123, 124, 125, FISHER HOUSE

(1, 2, AND 3), VA REGIONAL OFFICEW

AL

Engineers Architects

Revisions: Date

Drawing Title

Location

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

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.

Approved

Project Title VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

Date Checked Drawn

/1

/2

:1

:3

P

M C

U s e rs \c k u rk u l\ D o c u m e n ts

\A

-3

-V A

H o u s to n -E

H R

M

M A

S T

E R c k u rk u lG V

Y

H .r v t

CONTRACTOR WORK PROCEDURE

MICHAEL E. DEBAKEY VAMC

2002 HOLCOMBE BLVD.

HOUSTON, TX 77030

BID DOCUMENTS

21-313

5 31CMK

EHRM INFRASTRUCTURE

UPGRADES

JANUARY 14, 2025

580-22-700

WVS

000 G-503

CONTRACTOR WORK PROCEDURE

OUTPATIENT CLINICS X X X X X X X

SLEEP LAB X X X X X X X X

RETAIL SPACE X X X X

RADIOLOGY / IMAGING X X X X

MORGUE X X X X

PHYSICAL THERAPY X X X X X X

PHARMACY X X X X X NOTE 3 X X X X NOTE 3 X X X X NOTE 3 X X X X NOTE 3

INPATIENT MENTAL HEALTH X X X X

INPATIENT NURSING UNIT X X X X NOTE 1 X X X X NOTE 1 X X NOTE 1 X X X X X NOTE 1

ENDOSCOPY X X X X

MEDICAL RECORDS X X X X

LOGISTICS X X X X

LAB / MICROBIOLOGY X X X X X X X

INFORMATION TECHNOLOGY X X X X

ICU / CRITICAL CARE X X X X NOTE 1 X X X X X NOTE 1 X X X X X NOTE 1 X X X X X NOTE 1

ONCOLOGY / HEMATOLOGY X X X X

SURGERY X X X X X NOTE 2 X X X X X X NOTE 2 X X X X X X X NOTE 2 X X X X X X NOTE 2

DIALYSIS X X X X X

SPECIALTY CLINICS X X X X X X X

FACILITIES X X X X

ENGINEERING X X X X

EMS X X X X

EMERGENCY DEPARTMENT X X X X X NOTE 1 X X X X X NOTE 1 X X X X X X X NOTE 1 X X X X X X NOTE 1

EDUCATION X X X X

CANTEEN X X X X X X

DIETARY / FOOD SERVICE X X X X

COMMON AREA X X X X

STERILE PROCESSING X X X X X X X X X X X X X

INTERVENTIONAL CARDIOLOGY X X X X X X X

BIO - MED X X X X X X

ANESTHESIOLOGY X X X X X

ADMINISTRATION X X X X X

DEPARTMENTS

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WORKING HOURS SHUTDOWN CRITERIA REMARKS WORKING HOURS

SHUTDOWN

CRITERIA

REMARKS WORKING HOURS SHUTDOWN CRITERIA REMARKS WORKING HOURS SHUTDOWN CRITERIA REMARKS

TYPE A TYPE B TYPE C TYPE D

100, 103, 104A, 108, 108A, 109, 110, 120, 121, 122, 123, 124, 125, FISHER HOUSE

(1, 2, AND 3), VA REGIONAL OFFICE

NOTE: COORDINATE ADVANCED NOTICE PERIOD WITH COR

W

AL

ST-15

BA-490

BA-320BA-314B

SUMP

K5

K5

K5

B2

K5

K1

(VV)

COMPACTOR

TRASH

CONTAINER

(VV)

TRASH

CONC.

4"

PAD

PAD

CONC.

4"

PAD

CONC.

4"

4"

CONC.

PAD

ZBA01A

ZBA02

ZBA03

ZBA04

ZBA05

ZBB04

ZBB02 ZBB03 ZBB05ZBC03

ZBC02

ZBC06

ZBC07

ZBC04

ZBC01

ZBC05

ZBD01

ZBD03

ZBD02

ZBD04

ZBE01E

ZBE05

ZBE06

ZBE07

ZBE02

ZBE03

ZBE04

ZBE11

ZBE12

ZBF02

ZBF01

ZBG01

ZBG03

ZBG02

ZBG04

ZBG05

ZBH01H

ZBH03

ZBH04

Z B H

ZBK02

ZBK03

ZBK04

ZBK05

ZBL01

ZBL02

ZBL04

ZBL03

ZBL08

ZBL07

ZBL06

ZBL05

ZBL13

ZBL11ZBL12

ZBL10 ZBL09ZBL14

ZBL17

ZBL15ZBL16

ZBN01

ST-2

BB-302A

BB-304 BB-302 BB-300

BB-308A

BB-310 BB-306BB-308

BC-406

BC-404

BC-402

ST-4

BC-408

BC-400

BC-404A

BC-412

BC-410

BC-410A

ST-12

S-5 S-4

S-1 S-2 S-3

BB-102

BB-100

ST-6

BB-100E

BB-100FBB-100GBB-100HBB-100JBB-100KBB-100L

BB-100E

CBB-100

C B B A

BB-120

BB-110

BB-100C BB-100B BB-100A

CBB-300

BB-130

PL-1

CBB-200

T-1

T-2

BB-230BB-260A

BB-260

BB-242B

BB-244

BB-242

BB-242A

BB-230E

BB-220A

BB-230C

BB-220B

B B D

BB-220C

BB-210A

BB-220

BB-100

CBB-204

BB-240A

BB-240

BB-230D

BB-240B

B B A

BB-230B

BB-204

BB-210

BB-210B

BB-260B

BB-100

ST-8-B

CBC-300

BB-291

BB-281

BC-350F

BB-290

BB-251

BB-231

BB-271A

BB-271B

BB-271

BB-261

BB-241B

B B 1A

BB-221

BB-241

XCBB-300

BB-211

BB-201

P-4, P-5 & FUT

BB-201A

BB-175

BB-202A

P-1, P-2, P-3

BB-250

BB-248A BB-248B

BB-246

BB-100D

CBB-203

BB-248B

BB-248C

BB-202

BB-200A

BB-200

CBB-202

CBB-200

T-1

T-1

BB-130

BC-350

BC-350A

P-15

P-16

B C B

BC-350C

P-14

CBA-200

P-13

BC-352

BA-205

ST7-B

BB-110

STAIR-13

BC-252C

BC-250C

BC-200

S-9

S-8

ST-9

BC-251

S-10 FUT

CBC-201

S-7 S-6

BC-220

BC-210

BC-250F

CBC-206

BC-220B

BC-220A

BC-230

BC-250E

BC-250D

CBC-208

BC-230A

CBC-207

BC-250S

BC-329 BC-331

BC-325

BC-327

CBC-300

BC-320B

P-6, P-7, P-8

P-9, P-10 & FUT

BC-275A

CBC-200

CBC-200A

BC-271

BC-275 BC-301

BC-240

BC-252B

BC-250A

BC-252A

BC-252

BC-250B

BC-250U

BC-310

BC-320A

C B C

BC-335

BC-333

BC-337

BC-349

BC-322B

BC-350E

BC-324

BC-322

CBC-302

B C

C B C

BC-322A

BC-350D

BC-350

BC-270J

BC-272

BC-250G BC-250J

BC-250H

BC-250L

BC-250NBC-250K

BC-250R

BC-250M

BC-250P

BC-270C

BC-270D

BC-270B

BC-270E

BC-270G

BC-270H

BC-262

BC-262B

BC-250VBC-250T BC-250W

CBC-209

BC-250X

BA-150

BC-266

BC-270

BC-270A

BC-264B

BC-264

BC-264A

BA-173

C B C

BC-260

BC-300B

S-12

BC-262A

BA-199

P-16

P-15

BA-201

BA-203

BC-350A

B C B

BC-350C

P-14

CBA-200

P-13

BA-205

BC-352

BC-300A

T-4

T-3

STAIR-13

XBC-310A

BB-290

BC-207

BC-201

BC-203

BC-205

BC-209

CBC-100

BC-100A

ST-14

BA-101

CBC-205

ST-10

BC-100B

BC-100

CBC-204

BLDG 104

S-9

S-8

BA-362

BA-360

BA-358

BA

DS-1 DS-2 DS-3 DS-4

DS-12

DS-11DS-10DS-9

DS-5 DS-6 DS-7 DS-8 NT-10 NT-9 NT-8 NT-7

DS-13 DS-14 DS-15 DS-18DS-17 NT-4DS-16

NT-3CAC-1 NT-2

NT-5 NT-6

NT-1DS-19

BA-369

CBA-201

CBA-202

BA-300

BA-360

BA-362A

B A

CBA-300

BA-370 BA-368

BA-364

BA-365

CBA-303

BA-366

BA-363

B A A

CBA-301

BA-356

BA-361

BA-352A

BA-312

BA-308

BA-306

BA-310

CBA-302

BA-200C

BA-314A

BA-320

BA-335

BA-367

BA-305

BA-307

BA-335A

CBA-307

BA-326A

CBA-308

BA-350

CBA-310

BA-309

BA-352

BA-348

BA-320A

BA-330 BA-340

BA-201

BB-260B

BB-210B

BC-350A

P-15

P-16

B C B

BC-350C

P-14

CBA-200

P-13

STAIR-13

BC-352

BA-205

BA-160

BA-314BCBA-305

BA-354

CBA-311

BA-309A

BA-326B

BA-326 BA-342 BA-344 BA-346

BA-BA-370

BA-

BA-

CBA-100

BA-100

BA-150A

BA-160

BA-150

BC-250H BC-250P

BC-270E

BC-270F

BC-270G

BC-264A

BC-270H BC-270J BA-150 BA-173

BC-300A

C B C

BA-199

BA-400A

ZBN02

2/259

4D/260 4D/260

2/259 2/259

4D/260

7/259

HANDRAIL

SEE 2/259

7/259

SEE 2/259

HANDRAIL

2/259

7/259 7/259

4A/2604D/260

CORNER GUARDE

SEE 7/304-SIM

HANDRAILS

SEE 2&3/259

GUARDRAILS

GUARDRAIL

SEE 7/259

GUARDRAIL

SEE 7/259

SEE 7/259

GUARDRAILS

HANDRAIL -SEE

2 & 3/259

TOP RUNG @ TOP OF DOOR FRAME

TOP OF RAILS @ 12" ABOVE TOP RUNG

LADDER SEE 2/260

RAILING SLEEVE

LOCATIONS SIM

CGCG

CGCG

IN CONCRETE WALL

PTN TYPE K2 AT OPENINGS

RAMP

DOWN

UP

UP

UP

R A M P

D O W N

UP

UP

B1 B2 B3 B4 B5

B6 B7 B8 B9 B10

B11 B12 B13 B14 B15

B16 B17 B18 B19 B20

CG CG

CG

CG

CG

CG

CG

CG

CG

CG

CONTROL ROOM

CLINAC VAULT

CONTROL ROOM

HW43

HW43

CG CG

CG

CG

1 1

AREA 1784 SF

AREA 1756 SF

EGRESS PATH

EGRESS PATH TAG

EGRESS PATH TAG - COMMON PATH

EGRESS IDENTIFICATION

XXX

XXX

CAPACITYCLR

EXTERIOR

EXIT

XX" ###

EXIT

IDENTIFICATION

EGRESS CLEAR

WIDTH

EGRESS

CAPACITY

0"

ACCESS DOORS TO TUNNEL.

DOORS TO BE LOCKED

DURING PHASE 1, TOWER 1

CONSTRUCTION. PROVIDE

SIGNAGAE "DOOR LOCKED

FOR CONSTRUCTION".

ACCESS DOORS TO TUNNEL.

DOORS TO BE LOCKED

DURING PHASE 2, TOWER 2

CONSTRUCTION. PROVIDE

SIGNAGAE "DOOR LOCKED

FOR CONSTRUCTION".

ACCESS DOORS TO TUNNEL.

DOORS TO BE LOCKED

DURING PHASE 3, TOWER 3

CONSTRUCTION. PROVIDE

SIGNAGAE "DOOR LOCKED

FOR CONSTRUCTION".

A. EXISTING HEALTHCARE BUILDING IS SPRINKLERED

IN ACCORDANCE WITH NFPA 101 19.3.5.7

B. MAXIMUM TRAVEL DISTANCE TO EXIT IS 200' AS PER

NFPA 101 19.2.6.2.2

Engineers Architects

Revisions: Date

Drawing Title

Location

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

SHEET NOTES:

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.

Approved

Project Title VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

Date Checked Drawn

/1

/2

:3

:5

A

M C

U s e rs

\c k u rk u l\ D o c u m e n ts \A

-3

H o u s to n -E

H R

M B ld g

-1 c k u rk u lG

V Y

H

.r v t

BUILDING 100, BASEMENT FLOOR

TOWERS INTERIM LIFE SAFETY PLAN

MICHAEL E. DEBAKEY VAMC

2002 HOLCOMBE BLVD.

HOUSTON, TX 77030

BID DOCUMENTS

21-313

6 31CMK

EHRM INFRASTRUCTURE

UPGRADES

JANUARY 14, 2025

580-22-700

WVS

100 GL-100

N

AREA OF WORK

KEY PLAN

SCALE: NO SCALE

LIFE SAFETY LEGEND

Scale: 1" = 30'-0"

BASEMENT FLOOR LIFE SAFETY PLAN

NORTH

0 3015 60

W

AL

1A -7

C

1A-731

1A-7

B

1A-739

C 1A

-7 12-

1A-7

1A-7

1A-735

1A-736

1A-737

1A-738

1A-7

1A-7

C 1A

-7 12-

1A -7

65-

C 1A-711

1A -7

65-

1A-7

A

1A-734

1A-725

C

A -7

1A-755

1A-754

1A-753

C 1A

-7

1A-724

1A-723

1A-722

1A-740

1A-7

FEC

FEC

FEC

103 S F

INTERVIEW

1A-7 65

194 S F

CLEAN

1A-7 34

129 S F

EXAM 11

1A-7 33

129 S F

EXAM 12

1A-7 32

51 SF

TOILET

1A- 76 4B

58 SF

BARIATRIC

TOILET

1A- 76 4C

107 S F

SOILED

1A-7 39

146 S F

EXAM 7

1A-7 38

146 S F

EXAM 8

1A-7 37

146 S F

EXAM 9

1A-7 36

148 S F

EXAM 10

1A-7 35

135 S F

EXAM 6

1A-7 28

141 S F

EXAM 5

1A-7 27

141 S F

EXAM 4

1A-7 26

106 S F

EQUIPMENT

1A-7 40

132 S F

EXAM 3

1A-7 22

337 S F

CARE

STATION

1A-7 29

109 S F

MEDICATION

ROOM

1A-7 31

78 SF

ALC

1A-7 21

61 SF

NOURISHMENT

1A- 74 0A

52 SF

STAFF

TOILET

1A- 76 4A

109 S F

EQUIPMENT

1A-7 25

131 S F

STAFF WORK

1A-7 30

81 SF

ALCOVE

1A- 73 4A

546 S F

CORRIDOR

C1A-7 12

426 S F

CORRIDOR

C1A-7 11

250 S F

CORRIDOR

C1A-7 15

402 S F

CORRIDOR

C1A-7 14

197 S F

CORRIDOR

C1A-7 13

62 SF

BARIATRIC

TOILET

1A-7 53

52 SF

TOILET

1A-7 54

52 SF

TOILET

1A-7 55

139 S F

EXAM 2

1A-7 23

142 S F

EXAM 1

1A-7 24

CHASE

T-5

M7250

R7000 M3150 M3150 R7000

M

M

F0535 F0535

C1A-101

VEST

C

RASH

C

ART

STRETC

H

ER

TRASHCONDUMENTS

COUNTER CABINET

COUNTERPASTRY

TRASH

CONDUMENTS

CONDUMENTS

COUNTER

CABINET

COUNTER

PASTRYPAS

TRY

ADMIN ASST

MEDICATION RM.

CONS

1A-276A

DIETICIAN

SECY.

TMT/WAIST

MED & TMT

PROCPROC

EKG

COPY RM.

CONS

FEC

FEC

FEC

FE

FEC

FEC

FEC

FIA01

(VV)

FIA01

(VV)

(VV)

FIA01

FEC

GMA031

PUSH PL

PUSH PL

PUSH PL

FA025

PUSH PL

GMA032

PUSH PL

PUSH PL

GMA031GMA031

THA01

(VV)

GMA031GMA031

EMERGENCY

OXYGEN

INLET

GMA156 (VV)

GMA156 (VV)

BILL CHANGER (VC)

COMMODITY MACHINE

STAMP VENDING (VC)

FEC

TD

G1(3'-4")

TDTD

FEC

GMA151

(VV)

FIA01

(VV)

HEATING STRIP

TV

PAC

MAN

TV FOR

GAMES

TV FOR

MOVIES

FEC

REF

PRINTER

COPIER

GP35

GP35

GP35

GP26

AO OFFICE

CHIEF

COPY/MAIL

CORR

WASTE

HAC

CORR

MRI

EXTREMITY

CONTROL

EQUIPMENT

READING RM

BREAK ROOM

ELEC

POWER SUP & COMP

MRI

T

PLANTER

BERM

CORR.

PHYS

MT

MLKR

MECH. ROOM

MRI EQUIP. ROOM

MRI ROOM

CONTROL AREA

PREP AREA

DRESS

DRESS

WAITING

TOILET

CORRIDOR

MRI-SUITE

LNG

CORR

READING RM

PREP ROOM

READING RM

CONT

CORR

CORRIDOR

SOILED

UTILITY

CLEAN LINEN DRESSING

ROOM

TECH

OFFICE

OFFICE

READING RM

RECEPT/WAIT

WAITING

REGISTRATION

GERIATRIC

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STAFF/PHYS.

WORKSTATIONS

CORRIDOR

EXAM 4

ROOM

TOILET

PAT. TLT.

TRIAGE

TRIAGE

ASSISTED

CARE

PATIENT

HOLDING

CORRIDOR

MECHANICAL BAY-11

AMBULANCE

VESTIBULE

CLERK

REGISTRATION

MEAN'S TEST.

MEAN'S TEST.

MEAN'S TEST.

VIC

CLERK'S

WORKROOM

COORDINATORS

ESCORT

ELEVATOR

MED. DIR

OFFICE

ADMIN. ASST

CORRIDOR

NURSE

CODER OFFICE

COPY

CONF

ROOM

BED

CONTROL

TLT.

WAITING

ER/URGENT

CARE WAITING

WALK-IN

VESTIBULE

CORRIDORTRIAGE

TRIAGE

CORRIDOR

TRIAGE

STRETCHER

TRIAGE

WORK

EQUIPMENT

STORAGE

EXAM 10

EXAM 9

EXAM 8

ADMISSIONS

CLERK

PORTABLE

X-RAY

EXAM 7

CORRIDOR

NOURISHMENT

NURSE CONTROL

CRASH

CART

CRASH

CART CORRIDOR

EXAM 11

EXAM 12

EXAM 13

EXAM 14

NURSE CONTROL

EXAM 15

EXAM 16

EXAM 17

EXAM 18

CORRIDOR

CORRIDOR

GYN.

EXAM 6

TOILET

ROOM

ANTE

ROOM

PSYCH.

EXAM

MEDICATION

ROOM

GEN.

EXAM 2

TREATMENT

BAY

CORRODORCORR.

TOILET

ON CALL

EFFECTS

LINEN

WHEELCHAIR

SHOWER

HA

C

ISOLATION

MEDICATION

ISOLATION

WORK ROOM

RESIDENTS

VEST

MECHANICAL BAY-8

VEST

FIRE CONT

COORIDOR

TRANSFER

BED

CONTROL

READING WAIT

STOR

SOC. WORKER

VISC

ROOM

WORK

OFFICE CLERK

FILESTAFF

OFFICE

STAFF

OFFICEAO OFFICE

SEC OFFICE

DIAGNOSTIC

ROOM

TOILET

WAITING

PET CT

LAB ROOM

REPROCESS

OD EXAM

RECEPTION

WAITING

OFFICE

WAY

PASSAGE

ROOM

EDUCATION

PATIENT

EXAM EXAM

PGY PGY

CHIEF

OFFICE

DIAGNOSTIC

ROOM

OFFICE

NURSES

LASER

EXAM

EXAM

WAY

PASSAGE

EXAM

TECH

OFFICE

CORRIDOR

EQ

UI

PM

EN

T

HO

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LA

B

C

ON

TR

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AN

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DR

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SI

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DR

ES

SI

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TO

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FT

CORR

VEST

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EX/TMT

EX/TMT

CONT

EX/TMT

EX/TMT

EX/TMT

EX/TMT

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EX/TMT

EXAM/TMT.

EX/TMT

EXAM/TMT

CORR

EXAM/TMT.

MAS SUPV

DIETICIAN

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OFFICE

EX/TMT

EX/TMT

EX/TMT

EX/TMT

EX/TMT

EX/TMT

EX/TMT

EX/TMT

CORR

EXAM/TMT.

EXAM/TMT.

HAC

EXAM/TMT.

EX/TMT

LEAD CLERKS

OFFICE

CORR

OFFICE

OFFICE

OFFICE

OFFICE

FT

VEST

VEST

VEST

MT

DIETARY

CASE MGMT.

TELECARE MNGR.

OFFICE

EXAM/TMT

CONS

EXAM

WAIT

CONT

EX/TMT

EX/TMT

EX/TMT

EX/TMT

EX/TMT

EX/TMT

CORR

EX/TMT

EX/TMT

EX/TMT

EX/TMT

EX/TMT

SOILED UTILITY

STAFF LOUNGE

CORR

NUR

CORR

CORR

CORR

MECHANICAL BAY -12

EXAM

EXAM

EXAM

W/C T

CORR

FD

MECHANICAL BAY -10

STAFF LOUNGE

CORR

VEST

EXAM/TMT

EX/TMT

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CORR

EX/TMT

EXAM

EX/TMT

EX/TMT

EX/TMT

EX/TMT

CONS

EX/TMT

EX/TMT

OFFICE

EX/TMT

EX/TMT

EX/TMT

EX/TMT

EXAM/TMT.

EX/TMT

EX/TMT

EX/TMT

EX/TMT

OFFICE

GENERAL

EXAM/TMT.

EXAM/TMT.

OFFICE

EX/TMT

CORR

EXAM

COPY RM.

OFFICE

EXAM/TMT.

EXAM/TMT.

CORR

SOILED

EX/TMT

STAIR

EX/TMT

WAIT

MECHANICAL BAY - 9

PHYS.

SECY.

CHIEF

SOCIAL WORK

SOCIAL WORK

CSSL PHARM.

ADMIN.

CORR.

PHYS.

EXAM/TMT

EXAM/TMT

EX/TMT

EX/TMT

EX/TMT

NURSE

CORR.

EX/TMT

EX/TMT

EX/TMT

EX/TMT

UTILITY RM.

EX/TMT

EX/TMT

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CONT

EX/TMT

EX/TMT

EX/TMT

WAIT

NASSA TEAN AA

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CORR

EX/TMT

EHU EX/TMT

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EX/TMT

EX/TMT

EXAM/TMT

EXAM/TMT

EXAM/TMT

EXAM/TMT

HC EX 2

EXAM/TMT

EX/TMT

H & RF EX 2

H & RF EX 1

EXAM/TMT

PENSION

PAIN MGMT

TMT

PAIN MGMT

PSYCHL

CORR

EX/TMT

COPY RM.

EX/TMT

HAC

ADMIN. SPACE

FT

VEST

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EX/TMT

EX/TMT

EX/TMT

TEST

EX/TMT

EX/TMT

EX/TMT

EX/TMT

OFFICE

EXAM/TMT

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CORR

CORR

SUPPLIES

VEST

FT

MT SOCIAL WORK

CORR

VEST VEST

CHECKIN

HEMA CHIEF

EXAM/TMT

EXAM/TMT

HEMA PHYS

PATIENT EDUCATION

EX/TMT

H & RF WAIT

CORR

CORR

CORR

CORR

VEST

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RECEPTION

EXAM

EXAM

CORR

EX/TMT

CONT

EX/TMT

NUR

EX/TMT

EX/TMT

EX/TMT

EX/TMT

EX/TMT

EXAM

CORR

EX/TMT

MAS SUPV

HAC

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FT

STAIR

STOR

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CORR

EXAM/TMT

OFFICE

COPY RM.

CONF. ROOM/

EXAM RM

TREATMENT RM.

TREATMENT RM.

EXAM/TMT

MEANS

COMP &

OFFICE

OFFICE

CORRIDOR

CORR

STORAGE

EXAM/TMT.

EXAM/TMT.

OFFICE

OFFICE

EXAM RM

EXAM RM

EXAM RM

CONFERENCE

STAIR

STAIR

CONSUMER AFFAIRS

EXAM/TMT RM

PAT FUNDS

TRAVEL

EXAM

EXAM

CORRIDOR

VEST

CORR.

HAC

GROUP ROOM A

CORR.

CORR STOR

MAMO

WAITING

OFFICE

CORR

OFFICE

EXAM/TMT

EXAM ROOM

CORR

LVN

VEST

RN

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RECEPTION

WAITING ROOM

MT

CORRIDOR

STORAGE

FT

STOR

CORR

MECHANICAL BAY-7

RECEPTION

SHR

CORR

ELEVATOR

UNAS

ELEVATOR ELEVATOR

SERV ELEV LOBBY

POOL MECH

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STAIR

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BMS

ELEVATOR ELEVATOR

CORR

CORR.

CORRIDOR

CONFERENCE

HAC

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FUT

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CORR.

THERAPY POOL

COURT

ATS TERMINAL

MALE CHUTE

CORR

CORR

MANAGER

CORR

EXAM

CORR

CORR

COURT

EX/TMT

ELEVATOR ELEVATORELEVATOR

OT SCI ADM

ELEVATOR ELEVATORELEVATOR

EQ STOR

P ELEV LOBBY

TOWELS & SUITS

D R S G

S H R

T

F

S T F

SHR & T F1

F DRSG TECH

HEMA CHIEF

EX/TMT

HEMA TECH

HEMA PHYS

EX/TMT

CONS

EX/TMT

EX/TMT

HEMA TECH

VEST

EXAM/TMT

EXAM/TMT

RELEASE OF INFORMATION

EXAM

PRIMARY CARE 4 EXPANSION

STORAGE

EXAM

EXAM

EXAM

EXAM

CORR.

T…