About this file

This file contains 100% construction documents (drawings and specifications) for the Replace Equipment in Mechanical Rooms project at the VA Southern Nevada Healthcare System Medical Center in North Las Vegas, Nevada (Project No. 593-23-306). The documents are prepared by DAV Energy Solutions and include architectural, mechanical, plumbing, and electrical design drawings dated July 3, 2025.

The project scope encompasses decommissioning and demolition of existing clean steam generators (CSG-DT-1 and CSG-DT-2) and heating hot water pumps (HWP-DT-1 and HWP-DT-2), procurement and installation of two new 6,000 lbs/hr clean steam generators with associated hot water pumps on relocated skids, installation of a new reverse osmosis (RO) system in room BD160 to provide feedwater makeup with 1,000-gallon storage capacity, routing of RO supply and return piping through corridors to room BD423, modification of existing ductwork in building BH002, and procurement and installation of a new fan coil unit (FC-BD423) with associated ductwork and controls in room BD423. The work is organized in three construction phases with concurrent independent activities. Key mechanical work includes new chilled water piping connections, electrical modifications including new circuit breaker installations in panels 1-EEDH-BD and 1-EEL-BE, relocation of variable frequency drives (VFDs), and integration with the building automation system. Infection control risk assessment (ICRA) measures are required throughout construction, classified as Category D activity with Level III precautions including critical barriers, negative air pressure monitoring, and terminal cleaning. The project involves coordination across multiple trades, temporary life safety measures, and adherence to VA standards and the International Building Code 2024.

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Text version

D

U N

I TED STATES OF AMERI

CA

SR

IA

FF

A

SNARETEVFOTNEMTRAPE

BUILDING 6

NNORTH LAS VEGAS, NEVADA

N

PROJECT TEAM DRAWING SHEET INDEX

OWNER: DESCRIPTIONSHEET

VA SOUTHERN NEVADA

HEALTHCARE SYSTEM

DEPARTMENT OF VETERANS AFFAIRS

MEDICAL CENTER

NORTH LAS VEGAS, NV 89086

6900 N PECOS RD

PROJECT NO. 593-23-306 REPLACE EQUIPMENT IN MECHANICAL ROOMS

100% Construction Documents

G-001 COVER SHEET

MH-102 BD423 MECHANICAL HVAC PLAN

LOCATION MAP

NORTH LAS VEGAS, NEVADA

DEPARTMENT OF VETERANS AFFAIRS

PROJECT MANAGEMENT, MECHANICAL, AND ELECTRICAL ENGINEERING:

PHONE: 619.770.8552

DAV ENERGY SOLUTIONS

SAN DIEGO, CA 92109

2207 GARNET AVE, SUITE I

WEB: WWW.DAVENERGY.COM

M-001 MECHANICAL COVER SHEET

MH-101 BH200 MECHANICAL HVAC PLAN

MP-102 BD423 MECHANICAL PIPING PLAN

Department of Veteran Affairs

BUILDING 1

E-001 ELECTRICAL SYMBOLS, GENERAL NOTES AND

ABBREVIATIONS

ED-101 BD420, BD423 MOTOR ELECTRICAL DEMO PLAN

E-101 BD420, BD423 FCU AND MOTORS ELECTRICAL PLAN

E-102 ELECTRICAL ROOMS BD201, BD401 AND PARTIAL SITE PLAN

E-701 PANEL SCHEDULES

M-401 MECHANICAL SCHEDULES

M-501 MECHANICAL DETAILS

APPLICABLE VA STANDARDS

MASTER CONSTRUCTION SPECIFICATIONS (PG18-1)

DESIGN AND CONSTRUCTION PROCEDURES (PG18-3), TOPIC 1 - CODES, STANDARDS &

EXECUTIVE ORDERS SEPTEMBER 2013

EQUIPMENT GUIDE LISTS (PG18-5)

DESIGN MANUALS (PG18-10)

ARCHITECTURAL BARRIER ACT ACCESSIBILITY STANDARDS (ABAAS), INCLUDING VA

SUPPLEMENT BARRIER FREE DESIGN GUIDE (PG18-13)

APPLICABLE PUBLICATIONS

AS AN AGENCY OF THE FEDERAL GOVERNMENT, THE VA IS NOT SUBJECT TO LOCAL IMPOSITIONS OF CODE ENFORCEMENT PROCEDURES ( DRAWING REVIEWS, BUILDING PERMITS, INSPECTIONS, FEES, ETC). THE VA SHALL

FUNCTION AS THE AUTHORITY HAVING JURISDICTION (AHJ).

VA DIRECTIVES, DESIGN MANUALS, MASTER SPECIFICATIONS, VA NATIONAL CAD STANDARD APPLICATION GUIDE AND

OTHER GUIDANCE ON THE TECHNICAL INFORMATION LIBRARY (TIL). SEE ABOVE.

INTERNATIONAL BUILDING CODE (IBC) 2024.

INTERNATIONAL EXISTING BUILDING CODE (IEBC) 2024.

NATIONAL FIRE PROTECTION AGENCY (NFPA) 101 LIFE SAFETY CODE. NFPA 101 TAKES PRECEDENCE OVER IBC.

NFPA NATIONAL FIRE CODES, WITH THE EXCEPTION OF NFPA 5000 AND NFPA 900.

OCCUPATIONAL, SAFETY AND HEALTH ADMINISTRATION (OSHA) STANDARDS.

VA SEISMIC DESIGN REQUIREMENTS, H-18-8.

NATIONAL ELECTRICAL CODE (NEC).

INTERNATIONAL PLUMBING CODE (IPC) 2024.

SAFETY CODE FOR ELEVATORS AND ESCALATORS, AMERICAN SOCIETY OF MECHANICAL ENGINEERS (ASME) A 17.1.

ASME BOILER AND PRESSURE VESSEL CODE.

ASME CODE FOR PRESSURE PIPING.

BUILDING CODE REQUIREMENTS FOR REINFORCED CONCRETE, AMERICAN CONCRETE INSTITUTE AND COMMENTARY

(ACI 318)

MANUAL OF STEEL CONSTRUCTION, LOAD AND RESISTANCE FACTOR DESIGN SPECIFICATIONS FOR STRUCTURAL

STEEL BUILDINGS, AMERICAN INSTITUTE OF STEEL CONSTRUCTION (AISC).

ENERGY POLICY ACT OF 2005 (EPACT).

DOE INTERIM FINAL RULE: ENERGY CONSERVATION STANDARDS FOR NEW FEDERAL, COMMERCIAL AND MULTI-FAMILY HIGH-RISE RESIDENTIAL BUILDINGS AND NEW LOW-RISE RESIDENTIAL BUILDINGS, 10 CFR PARTS

433,434 AND 435.

FEDERAL LEADERSHIP IN HIGH PERFORMANCE AND SUSTAINABLE BUILDINGS: MEMORANDUM OF UNDERSTANDING

(MOU)

THE PROVISIONS FOR CONSTRUCTION AND SAFETY SIGNS. STATED IN THE GENERAL REQUIREMENTS SECTION 01 01

0 OF THE VA MASTER CONSTRUCTION SPECIFICATION.

VENTILATION FOR ACCEPTABLE INDOOR AIR QUALITY - ASHRAE STANDARD 62.1 - 2022.

VAMC APPROVED HARDWARE LOCKING STANDARDS.AMERICAN NATIONAL STANDARDS INSTITUTE (ANSI).

AMERICAN SOCIETY FOR TESTING MATERIALS (ASTM).

FEDERAL COMMUNICATIONS COMMISSION (FCC), ALL REGULATIONS, PROCEDURES AND STANDARDS FOR TWO-WAY

RADIO EQUIPMENT, SYSTEMS AND OPERATION.

ILLUMINATING ENGINEERING SOCIETY OF NORTH AMERICA (IESNA).

INSTITUTE OF ELECTRICAL AND ELECTRONIC ENGINEERS (IEEE).

INTERNATIONAL ORGANIZATION FOR STANDARDIZATION (ISO), STANDARDS FOR PROTOCOLS AND INTERFACES THAT

INCLUDE OPEN SYSTEM INTERCONNECTIONS (OSI).

JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JACHO), ENVIRONMENT OF CARE

GUIDELINES AND STANDARDS.

FACILITIES GUIDELINES INSTITUTE (FGI): 2010 , OR MOST CURRENT ISSUE, GUIDELINES FOR THE DESIGN AND

CONSTRUCTION OF HEALTH CARE FACILITIES.

THE AMERICAN INSTITUTE OF ARCHITECTS (AIA) AND NATIONAL SOCIETY OF PROFESSIONAL ENGINEERS(NSPE) RECENT ADDITIONS TO THEIR PROFESSIONAL CODES OF ETHICS ENCOURAGING “ENVIRONMENTALLY RESPONSIBLE

DESIGN”.

SIGNATURES

VA MAINTENANCE

VA OPERATIONS SUPERVISORS

MPD-101 BD423 MECHANICAL AND PLUMBING DEMO PLAN

P-103 BD160 PIPING PLAN

P-001 PLUMBING COVER SHEET

P-102 BD423 PIPING PLAN

P-401 PLUMBING SCHEDULES

P-501 PLUMBING DETAILS

P-101 BD423/BD160 RO AND ROR PIPING PLAN

P-502 RO SYSTEM DIAGRAM

TRUE

M-901 BH002 ISOMETRIC VIEW

M-902 BD423 FAN COIL ELEVATION AND ISOMETRIC VIEW

M-502 MECHANICAL CONTROLS

MP-101 CORRIDOR ROUTING MECHANICAL PIPING PLAN

E-103 BD101, BD160 RO UNIT ELECTRICAL PLAN

E-702 PANEL SCHEDULES

G-004 ICRA CONTROL PLAN

G-003 INFECTION CONTROL RISK ASSESSMENT

G-002 ICRA INFORMATION AND DETAILS

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VA FORM 08-6231

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STAMP:

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REPLACE EQUIPMENT IN MECHANICAL ROOMS

AutoCAD SHX Text 593-23-306

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AD

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DL

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AutoCAD SHX Text DAVENERGY SOLUTIONS 2207 GARNET AVE, SUITE I SAN DIEGO, CA 92109 619-770-8552 WWW.DAVENERGY.COM

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AutoCAD SHX Text DAVENERGY SOLUTIONS 2207 GARNET AVE, SUITE I SAN DIEGO, CA 92109 619-770-8552 WWW.DAVENERGY.COM

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VASNHS CAMPUS 6900 N PECOS RD, NORTH LAS VEGAS, NV 89086

ILSM SIGNAGE

INTERIM LIFE SAFETY MEASURES IN EFFECT

REPLACE DENTAL VACUUM PIPING

THIS EXIT IS CLOSED AND LEADS TO A

CONSTRUCTION AREA.

PLEASE USE ALL ALTERNATE EXITS AS MARKED.

1' - 5"

1/2" 1/2"

1/

2"

1'

0" 1/

2" 1/

2"

EQ. EQ.

1"

1/ 2"

1" 1"

1"

1/ 2"

1" 1"

1/

2"

ILSM TEMPORARY BARRIER TAG

PROJECT:

PRIME CONTRACTOR:

SUB CONTRACTOR:

EMERGENCY CONTACT NO.:

BARRIER INSTALLATION DATE:

BARRIER EXPIRATION DATE:

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

ISOLATE AND COVER ALL

SUPPLY DIFFUSERS NOT

IN OPERATION DURING

PROJECT -COORDINATE

W/ COR

COVER ALL RETURNS

AT THE

GRATE/DIFFUSERS

SUSPENDED PLASTIC

ZIPPER WALL

CURTAIN BARRIER

POST ICRA, ILSM, FIRE

INSPECTION SHEETS,

AND ALL OTHER

PERMITS VISIBLE TO

PUBLIC

FIRE PULL STATION

WITH AUDIO /

VISUAL

EXISTING WALL

BARRIER

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 JURISDICTION CODE AND VA REQUIREMENTS

FOR DISTANCE PRIOR TO STARTING WORK.

EXHAUST LOCATION

-SEE NOTE A

G-003

3 _____ G-003

G-003

FLEX DUCT

IF APPLICABLE

" A

.F .F

AP

PR

O

X.

SUSPENDED

PLASTIC ZIPPER

WALL CURTAIN

BARRIER

POST ICRA, ILSM, FIRE

INSPECTION SHEETS,

AND ALL OTHER PERMITS

VISIBLE TO PUBLIC

HEPA NEGATIVE

AIR UNIT

FINISHED FLOORING TO BE KEPT

CLEAN. FLOORS NOT BEING REPLACED

MUST BE PROTECTED. COVER WITH

ROSIN PAPER / FIRE RATED PLYWOOD.

FIRE RATED PLYWOOD,

TEMPORARY. SALVAGE

PROTECT AND STORE

EXISTING WINDOW TO

BE RE-INSTALLED

AFTER CONSTRUCTION

IS COMPLETE.

V.

I.F

EX

IS

TI

N G

W

AL

L

FLOOR SLAB ABOVE

CEILING

WHERE APPLICABLE

PLASTIC

WINDOW

SWIVEL CASTERS

WITH TWO

LOCKING BRAKES

MOBILE CART

AD

JU

ST

AB

LE

H

EI

G

H T

HEPA NEGATIVE

AIR UNIT

EXISTING

WALL

EXISTING

CEILING

FLEX DUCT -

TIE INTO

EXHAUST DUCT

WHERE APPLICABLE

Department of Veteran Affairs

DUST CONTROL PLAN NOTES

1. PROVIDE STICKY MATS AND BLANKET AT THE PLASTIC BARRIER ENTRANCE SPACES

(CONSTRUCTION ANTEROOM) AND CHANGE DAILY OR MORE OFTEN AS NEEDED TO

PREVENT THE SPREAD OF DUST AND DEBRIS INTO ADJACENT CLEAN SPACE.

INTERNAL DEMOLITION AND CONSTRUCTION ACTIVITIES DUST AND DEBRIS CONTROL

1. USE CORRIDORS AS PRIMARY CONSTRUCTION ACCESS.

2. TRAFFIC CONTROL: DESIGNATED ENTRY AND EXIT PROCEDURES SHALL BE

DEFINED. EGRESS PATHS SHALL BE FREE OF DEBRIS; DESIGNATED ELEVATORS

SHALL BE USED DURING SCHEDULED TIMES; AND ONLY AUTHORIZED PERSONNEL

SHALL BE ALLOWED TO ENTER THE CONSTRUCTION ZONE. SIGNAGE SHALL DIRECT

PEDESTRIAN TRAFFIC AWAY FROM THE CONSTRUCTION AREA AND MATERIALS.

3. CONTRACTOR SHALL USE TWO CARTS TO TRANSFER CONSTRUCTION MATERIAL IN

AND OUT OF THE PROJECT - A CLEAN CART SHALL BE USED; A SECONDARY CART

SHALL BE USED BETWEEN THE MAIN ENTRY AND THE CONSTRUCTION

STAGING/PREP AREA.

4. DEMOLITION DEBRIS: DEBRIS SHALL BE REMOVED IN CARTS WITH TIGHTLY FITTED

COVERS, USING DESIGNATED TRAFFIC ROUTES. EFFORTS SHALL BE MADE TO

MINIMIZE USE OF ELEVATORS WITH AN EMPHASIS ON TRANSPORT DURING THE

LOWEST PERIOD OF ACTIVITY. DEBRIS SHALL BE REMOVED DAILY AND AT TIMES

SPECIFIED BY THE VAMC. IF CHUTES ARE USED TO DIRECT DEBRIS OUTSIDE, HIGH

EFFICIENCY PARTICULATE AIR (HEPA) FILTERED NEGATIVE AIR MACHINES SHALL BE

USED, AND THE CHUTE OPENING SHALL BE SEALED WHEN NOT IN USE. FILTERS

SHALL BE BAGGED AND SEALED BEFORE BEING TRANSPORTED OUT OF THE

CONSTRUCTION AREA. THE CONTRACTOR SHALL NOT HAUL DEBRIS THROUGH

PATIENTCARE AREAS WITHOUT PRIOR APPROVAL OF THE COR.

5. EXTERIOR WINDOWS: WINDOWS SHALL BE SEALED TO MINIMIZE INFILTRATION

FROM ANY ADJACENT EXCAVATION DEBRIS.

VENTILATION AND ENVIRONMENTAL CONTROLS

1. AIR SYSTEM FLOW: THE COR SHALL VERIFY AND ACKNOWLEDGE TO THE

CONTRACTOR WHETHER THE CONSTRUCTION AREA USES FRESH/OUTSIDE OR

RE-CIRCULATED AIR; FILTERS SHALL BE ADDED OR RETURN VENTS COVERED AS

NEEDED WITH FILTER MATERIAL OR PLASTIC. AIR MUST FLOW FROM CLEAN TO

DIRTY AREAS.

2. NEGATIVE AIR PRESSURE: THE AIR WITHIN THE CONSTRUCTION AREA SHALL BE

NEGATIVE WITH RESPECT TO SURROUNDING AREAS AND WITH NO DISRUPTION OF

AIR SYSTEMS OF ADJACENT AREAS. USE OF THE NEGATIVE AIR PRESSURE SYSTEM

WITHIN THE ENCLOSURE TO REMOVE DUST SHALL PASS AIR THROUGH AN

INDUSTRIAL GRADE, PORTABLE HEPA FILTER CAPABLE OF FILTRATION RATES OF

300-800 CUBIC FEET PER MINUTE (FT3/MIN), OR EXHAUST AIR DIRECTLY TO THE

OUTSIDE IF APPROVED BY VAMC. IF EXHAUST SHALL BE TIED INTO A

RECIRCULATED AIR SYSTEM, A PRE-FILTER AND HEPA FILTER SHALL BE USED

BEFORE EXHAUST TO PREVENT CONTAMINATION OF THE DUCTS.

3. ADJACENT AREAS: THE STATUS OF SEALED PENETRATIONS AND INTACT CEILING

SHALL BE VERIFIED DAILY.

4. AIR EXCHANGE RATES AND PRESSURE RELATIONSHIPS: VAMC AND CONTRACTOR

SHALL VERIFY AND MAINTAIN PROPER RATES IN CRITICAL AREAS NEAR

CONSTRUCTION ACTIVITY AND ENSURE AIR IS NOT BEING RE-CIRCULATED

WITHOUT FILTRATION FROM THE CONSTRUCTION AREA ELSEWHERE. PROVIDE AIR

PRESSURE TESTING THROUGHOUT THE PROJECT IN THE FREQUENCY AS

IDENTIFIED BY THE COR.

CONTAMINATION OF PATIENT ROOMS, SUPPLIES, EQUIPMENT AND RELATED AREAS

1. WORKSITE CLOTHING: CONTRACTOR PERSONNEL CLOTHING SHALL BE FREE OF

LOOSE SOIL AND DEBRIS BEFORE LEAVING THE CONSTRUCTION AREA. IF

PROTECTIVE APPAREL IS NOT WORN (E.G., COVERALLS, FOOTGEAR AND

HEADGEAR) A HEPA-FILTERED VACUUM SHALL BE USED TO REMOVE DUST FROM

CLOTHING BEFORE LEAVING THE BARRICADE. IF PROTECTIVE APPAREL IS UTILIZED,

THE CONTRACTOR SHALL CONSTRUCT A SPACE OR ANTEROOM FOR CHANGING

CLOTHING AND STORING EQUIPMENT (DESIGNATED AREA. ALL EQUIPMENT, TOOLS,

TOOL CARTS, AND MATERIALS TRANSPORTED THROUGH OCCUPIED AREAS SHALL

BE MADE FREE FROM DUST AND MOISTURE BY VACUUMING AND WET WIPING

BEFORE THEIR REMOVAL FROM THE CONSTRUCTION ZONE OR WORK AREA.

2. POST CONSTRUCTION: DO NOT REMOVE BARRIERS AND KEEP ALL HVAC ISOLATION

UNTIL CONTRACTOR HAS CLEANED CONSTRUCTION SITE, VA EMS STAFF HAS DONE

A TERMINAL CLEANING, AND VA INFECTIOUS DISEASE CONTROL HAS INSPECTED

AND APPROVED THE CLEANING. GC TO THOROUGHLY CLEAN PREVIOUS DAYS

WORK AREA AT THE END OF THE SHIFT. VA SAFETY CREW AND ICRA STAFF TO

INSPECT THE FIELD CONDITIONS PRIOR TO ACCEPTING THE SPACE FOR DAILY

OPERATIONS. COORDINATE SCHEDULE WITH THE COR.

NTS1 ILSM CONSTRUCTION EGRESS SIGNAGE

ICRA NOTES

NTS3 TYPICAL CONSTRUCTION PLAN LAYOUT

NTS4 ICRA ROOM ELEVATION

NTS5 CROSS SECTION "A"

NTS6 ICRA MOBILE CONTAINMENT CART

CONTRACTOR TO SUBMIT ICRA ASSESSMENT, DRAWINGS, AND COORDINATE WITH

VA FACULTY AND SAFETY TO DETERMINE LAYOUTS, CLASSIFICATIONS, MATERIALS,

AND DURATIONS IN APPROVED ICRA PERMIT FOR EACH INDIVIDUAL ACTIVITY.

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VA FORM 08-6231

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REPLACE EQUIPMENT IN MECHANICAL ROOMS

AutoCAD SHX Text 593-23-306

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MD

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DL

AutoCAD SHX Text 07/03/2025

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AutoCAD SHX Text DAVENERGY SOLUTIONS 2207 GARNET AVE, SUITE I SAN DIEGO, CA 92109 619-770-8552 WWW.DAVENERGY.COM

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AutoCAD SHX Text DAVENERGY SOLUTIONS 2207 GARNET AVE, SUITE I SAN DIEGO, CA 92109 619-770-8552 WWW.DAVENERGY.COM

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Department of Veteran Affairs

GENERAL NOTES

1. ICRA PERMIT WITH LAYOUT (INCLUDING BUT NOT LIMITED TO ENTRANCE,

DURATION, CONFIGURATION, EGRESS, ILSM, EQUIPMENT PLACEMENT, AND

MATERIALS, ETC.) SHALL BE SUBMITTED BY CONTRACTOR AND APPROVED BY VA

FOR EACH CONSTRUCTION ACTIVITY AND LOCATION PRIOR TO CONSTRUCTION.

2. SEE DETAIL SHEET FOR TYPICAL DETAILS.

SAMPLE VHA Infection Control Risk Assessment for Construction, Renovation and Maintenance - MECH ROOM

VHA ICRA-1.3 (December 2024) Page 1 of 7

Introductory Information and Instructions Use this template as a baseline for performing facility Infection Control Risk Assessments (ICRAs) for construction, renovation, and maintenance work (referred to as the “activity” in this document). The template provides minimum requirements for categorizing activity types and patient risk to determine the level of precautions needed to prevent infection risks. Facilities may customize this template to incorporate site-specific information and/or to add more stringent criteria.

This VHA ICRA template pertains specifically to infection prevention. It must be used if required by the VHA Pre-Construction Risk Assessment (PCRA) for the activity. NOTE: The PCRA addresses other activity-related safety concerns (e.g., vibration, noise, hazardous materials) outside the scope of the

ICRA.

To complete the template:

1.Use Table 1 to identify the category of the construction, renovation and/or maintenance activity.

2.Use Table 2 to identify the areas affected by the activity.

3.Use Table 3 to identify the overall patient risk category that will be affected by the activity.

4.Use Table 4 to determine the level of infection prevention and control precautions needed for the activity.

Once all 4 steps above are completed: Refer to Table 5 for the minimum required control measures for the level of infection prevention and control precautions needed for the activity. Refer to Table 6 for the minimum infection prevention and control measures required on completion of the activity.

PERMIT: See the last page of this document for a fillable permit form to be used for posting at the activity site as needed.

Table 1 - Construction, Renovation, and/or Maintenance Activity Category NOTE: If any of the bulleted criteria in a higher activity category pertains to the work that will be done (even if the other criteria are in a lower category), use the higher activity category for the VHA ICRA.

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

Category A

Inspection and/or facility upkeep generally defined as follows:

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

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

• Work that does not create dust or debris.

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

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

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

Category B

General maintenance and repair work generally defined as follows:

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

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

• Work that creates minimal dust and debris.

D

SAMPLE VHA Infection Control Risk Assessment for Construction, Renovation and Maintenance - MECH ROOM

VHA ICRA-1.3 (December 2024) Page 2 of 7

• 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.

Category C

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

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

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

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

• Demolition/removal of more than 32 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.

Category D

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

• Work exceeding 6 months in duration.

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

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

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

• Plumbing work such as the installation of:

o new medical gas systems, o steam/heating hot water, condensate systems, o 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.

SAMPLE VHA Infection Control Risk Assessment for Construction, Renovation and Maintenance - MECH ROOM

VHA ICRA-1.3 (December 2024) Page 3 of 7

Table 2 - Affected Area Assessment

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

Figure: Isometric drawing of affected area assessment

Area Service(s)/Type(s) of Area(s) (e.g., OR, Unit/Ward, Sterile

Processing, Administrative, etc.)*

Point of Contact (POC) POC Contact Information

Area Above

Area Below

Adjacent Area 1

Adjacent Area 2

Adjacent Area 3

Adjacent Area 4

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

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

Activity Area**

SAMPLE VHA Infection Control Risk Assessment for Construction, Renovation and Maintenance- MECH ROOM

VHA ICRA-1.3 (December 2024) Page 4 of 7

Table 3 - Patient Risk Category

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

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

Low Risk

Non-patient care areas such as:

Medium Risk

Patient care support areas such as:

High Risk

Patient care areas such as:

Highest Risk

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

• Public hallways and gathering areas not in clinical areas

• Office areas not in clinical areas

• Breakrooms not in clinical areas

• Bathrooms or locker rooms not in clinical areas

• Mechanical/electrical rooms not in clinical areas

• Waiting areas

• Clinical engineering (biomedical)

• Materials management

• Sterile processing department – dirty side

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

• Patient care rooms and areas, including spinal cord injury units

• All acute care units, including mental health

• All outpatient units and clinics

• Emergency department

• Community Living Centers, domiciliaries, and transitional residences

• Employee health

• Pharmacy – general work zone

• Medication rooms and clean utility rooms

• Imaging suites – diagnostic imaging

• Laboratory

• All transplant units

• All intensive care units

• All oncology units and chemotherapy/infusion centers

• OR theaters and restricted areas

• Hemodialysis units

• Procedural rooms*

• Pharmacy compounding area

• Sterile processing department – clean side

• Transfusion services

• Imaging suites – interventional imaging

• Dedicated isolation wards/units for infectious diseases

*Procedural Rooms are designated for the performance of patient care activities that may require high-level disinfected or sterile instruments and some environmental controls but is not required to be performed with the environmental controls of an operating room (OR). The room is intended for procedures that are performed in an aseptic surgical field and penetrates the protective surfaces of a patient’s body (e.g., subcutaneous tissue, mucous membranes, cornea) or entry into or opening of a sterile body cavity. Examples of these spaces include, and are not limited to, Cardiac Catheterization Suites, Electrophysiology Suites, Endovascular/GI Suites, Angio Suites and other spaces which may have high risk patient populations.

Low

SAMPLE VHA Infection Control Risk Assessment for Construction, Renovation and Maintenance - MECH ROOM

VHA ICRA-1.3 (December 2024) Page 5 of 7

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

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

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

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

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

Level of Precautions

Control Measures

Level I 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.

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

1.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).

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

3.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.

Patient Risk Category

Activity Category

A B C D Low Risk I II II III Medium Risk I II III IV High Risk I II IV IV Highest Risk II III IV IV

III

SAMPLE VHA Infection Control Risk Assessment for Construction, Renovation and Maintenance - MECH ROOM

VHA ICRA-1.3 (December 2024) Page 6 of 7

4.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.

5.Seal doors to prevent dust migration.

6.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.

7.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.

8.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.

9.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.

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

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

1.Ensure availability of equipment for cleaning hands.

2.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.

3.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.

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

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

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

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

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

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

3.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.

4.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.

SAMPLE VHA Infection Control Risk Assessment for Construction, Renovation and Maintenance - MECH ROOM

VHA ICRA-1.3 (December 2024) Page 7 of 7

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

Level of Precautions Measures

Levels I - 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.

Levels III - IV 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.

VHA ICRA-1.3 (December 2024)

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

Unique permit number:

Location of construction/renovation/maintenance Project manager Project start date Contact phone number Completion date Contractor Permit expiration date

Activity Category (A, B, C, or D)

Overall Patient Risk Category (Low, Medium, High, or Highest)

Level of Infection Prevention and Control Precautions (I, II, III, or IV)

Level of Precautions

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

Level I 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.

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

1. 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).

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

3. 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.

4. 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

5. Seal doors, to prevent dust migration.

6. 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.

7. 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.

8. 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.

9. 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.

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

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

1. Ensure availability of equipment for cleaning hands.

2. 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.

3. 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.

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

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

Check box to indicate exhaust method: Exterior ☐ Alternative Interior Method ☐

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

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

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

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

3. 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.

4. 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.

Additional requirements:

Project Manager signature Date

Infection Preventionist signature Date

D Low III

III

D

Low

X

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INFECTION CONTROL RISK ASSESSMENT

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VA FORM 08-6231

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REPLACE EQUIPMENT IN MECHANICAL ROOMS

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MD

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DL

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AutoCAD SHX Text DAVENERGY SOLUTIONS 2207 GARNET AVE, SUITE I SAN DIEGO, CA 92109 619-770-8552 WWW.DAVENERGY.COM

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AutoCAD SHX Text DAVENERGY SOLUTIONS 2207 GARNET AVE, SUITE I SAN DIEGO, CA 92109 619-770-8552 WWW.DAVENERGY.COM

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G-004

BH002 ICRA PLAN

SCALE: 3/16" = 1'-0"

Department of Veteran Affairs

SHEET NOTES

KEY NOTES

1. SEE DRAWING M-001 FOR GENERAL

NOTES, SYMBOLS, ABBREVIATIONS, AND

GENERAL PHASING NOTES.

2. NO DEMOLITION SHALL OCCUR UNTIL

TEMPORARY LIFE SAFETY AND

INFECTION CONTROL MEASURES ARE IN

PLACE.

3. PROVIDE PROTECTIVE BARRIERS,

WARNING SIGNS AND TEMPORARY

PATHWAYS IN AREAS THAT WILL BE

OPERATING THE CONSTRUCTION PHASE.

COORDINATE THIS WORK WITH

FACILITIES ICRA REQUIREMENTS.

4. PROVIDE DUST AND DEBRIS BARRIER IN

ACCORDANCE WITH ICRA

REQUIREMENTS.

5. CONTRACTOR TO VERIFY WITH COR ALL

ICRA MEASURE PRIOR TO THE START OF

ANY DEMO.

IRCA. COORDINATE WITH THE VA FOR

APPROVAL.

CONSTRUCTION SIGN LOCATION. VERIFY

WITH COR.

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671 SF /

SERVICE WELL

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AREA OF WORK

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VASNHS CAMPUS 6900 N PECOS RD, NORTH LAS VEGAS, NV 89086

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SUBSTATION

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BD420

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STAGING/

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SHOP

AutoCAD SHX Text

BD139

AutoCAD SHX Text

ELEC

AutoCAD SHX Text

BD150

AutoCAD SHX Text

CORRIDOR

AutoCAD SHX Text

CB-27

AutoCAD SHX Text

CORRIDOR

AutoCAD SHX Text

CB-26

AutoCAD SHX Text

BIO MED

AutoCAD SHX Text

BD138

AutoCAD SHX Text

VESTIBULE

AutoCAD SHX Text

BD141

AutoCAD SHX Text

BIO MED

AutoCAD SHX Text

BD140

AutoCAD SHX Text

LOCKERS

AutoCAD SHX Text

BD213

AutoCAD SHX Text

ISOLATION/

AutoCAD SHX Text

TEACHING/

AutoCAD SHX Text

AUTOPSY

AutoCAD SHX Text

BD215

AutoCAD SHX Text

TOILET

AutoCAD SHX Text

SHOWER

AutoCAD SHX Text

BD216

AutoCAD SHX Text

MORGUE

AutoCAD SHX Text

BD210

AutoCAD SHX Text

HAC

AutoCAD SHX Text

BD211

AutoCAD SHX Text

STORAGE/

AutoCAD SHX Text

FORMALIN

AutoCAD SHX Text

BD212

AutoCAD SHX Text

CLEAN LINEN

AutoCAD SHX Text

BD209

AutoCAD SHX Text

REFRIGERATOR

AutoCAD SHX Text

BD214

AutoCAD SHX Text

CORRIDOR

AutoCAD SHX Text

CB-12

AutoCAD SHX Text

CORRIDOR

AutoCAD SHX Text

CB-15

AutoCAD SHX Text

DHCP

AutoCAD SHX Text

COMPUTER

AutoCAD SHX Text

BD133

AutoCAD SHX Text

NON-DHCP

AutoCAD SHX Text

COMPUTER

AutoCAD SHX Text

BD136

AutoCAD SHX Text

FEMALE LLTS

AutoCAD SHX Text

BD117

AutoCAD SHX Text

UNIFORM

AutoCAD SHX Text

DISTRIBUTION B

AutoCAD SHX Text

BD206B

AutoCAD SHX Text

ELEVATOR LOBBY

AutoCAD SHX Text

CB-21

AutoCAD SHX Text

STAIR

AutoCAD SHX Text

VESTIBULE

AutoCAD SHX Text

BA201

AutoCAD SHX Text

ELECTRICAL

AutoCAD SHX Text

SUBSTATION

AutoCAD SHX Text

BA200

AutoCAD SHX Text

MECHANICAL

AutoCAD SHX Text

BB208

AutoCAD SHX Text

CORRIDOR

AutoCAD SHX Text

CB-18

AutoCAD SHX Text

DUST

AutoCAD SHX Text

COLLECTION

AutoCAD SHX Text

BB210

AutoCAD SHX Text

EMS

AutoCAD SHX Text

SUPPLIES

AutoCAD SHX Text

BB207

AutoCAD SHX Text

ELEVATOR

AutoCAD SHX Text

LOBBY

AutoCAD SHX Text

CB-20

AutoCAD SHX Text

ELEVATOR

AutoCAD SHX Text S-3

AutoCAD SHX Text

FACILITIES

AutoCAD SHX Text

SYSTEMS

AutoCAD SHX Text

BB203

AutoCAD SHX Text

VESTIBULE

AutoCAD SHX Text

BB201

AutoCAD SHX Text

SERVICE

AutoCAD SHX Text

MODULE LOBBY

AutoCAD SHX Text

CB-19

AutoCAD SHX Text

UNIIFORM

AutoCAD SHX Text

STORAGE

AutoCAD SHX Text

BB206

AutoCAD SHX Text

ELECTRICAL

AutoCAD SHX Text

ROOM

AutoCAD SHX Text

BB205

AutoCAD SHX Text

IT TELCOM

AutoCAD SHX Text

BB204

AutoCAD SHX Text

PIP…

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