S02_Attachment 05 (FSWPP)_36C24123R0177.pdf

ATTACHMENT 05

Fire & Smoke Wall Penetration Permit

7 pages

22 August 2023

Providence, Rhode Island VA Health Care System (650)

“Site Prep: Room 277”

Design-Build

ATTACHMENT D

VA MEDICAL CENTER POLICY MEMORANDUM 138-

PROVIDENCE, RHODE ISLAND September 12, 2011 (138)

FIRE WALL/SMOKE BARRIER PENETRATION PERMITS

1. PURPOSE

To establish policy and procedures regarding penetrations in ceilings, floors, pipe chases, fire walls, and smoke barriers for the purpose of maintaining the integrity of the Type II- 222 construction as required in NFPA 101, Chapter 8 and the Joint Commission to provide for the safety of occupants during fire incidents. (The equivalent Construction Type per ICC Building Code is Type 1B).

2. POLICY

All penetrations made in floors, fire barriers, and smoke partitions for the purpose of installation/removal of pipe, conduit, cable, ductwork or other modifications including incidental damage, or the removal of such items, will be repaired and fire-stopped upon the completion of the work, and documented as repaired. This policy applies to all vertical and horizontal penetrations and to all medical center staff and contractors.

3. DEFINITIONS

a. Penetrations are any holes, openings, or faults created in a fire barrier or smoke partition that compromises the integrity of the smoke or fire rating of the penetrated structure.

b. Fire stopping materials are any materials used to replace or repair any penetrations. Materials used must meet specifications and tested assemblies by FM (Factory Mutual) or UL (Underwriters Laboratory) that ensure the original integrity and rating of the penetrated surface will be restored.

c. Fire barriers are floor/ceiling assemblies, and walls, including supporting construction, that meet the conditions of acceptance of NFPA 251, Standard Methods of Tests of Fire Endurance of Building Construction and Materials. Fire barriers are designed to form fire compartments and are constructed to be continuous from outside wall to outside wall, floor to floor or ceiling, from one fire barrier to another, or a combination thereof, including continuity through concealed spaces.

d. Smoke barrier is a continuous membrane designed and constructed to restrict the movement of smoke. Smoke barriers are designed to form smoke compartments and are constructed to be continuous from outside wall to outside wall, floor to floor or ceiling, from one fire or smoke barrier to another, or a combination thereof, including continuity through concealed spaces.

e. Submittals are manufacturer’s literature, data, installation instructions, and detail drawings for each type of penetrating item and the construction of the barrier it is passing through, indicating the type of fire-stopping and/or smoke stopping material used.

Manufacturer's details shall indicate the listing number given by FM, or UL for each fire-stopping system. Alternate submittals can be a Certified Laboratory test report for ASTM E814 test of systems not listed by FM or UL. (ASTM E814 is the Standard Test Method for fire tests of through penetration fire stops). Another type of submittal is a written Manufacturer's Engineering Judgment, derived from a similar UL system, that a modified design meets the required protection level of a UL listed test.

f. Products used are either factory built fire-stop devices or field erected through penetration fire-stop systems to form a specific listed fire-stop system that will maintain the required integrity of the fire or smoke barrier and stop the passage of gases or smoke.

Through penetration fire-stop systems and fire-stop devices, tested in accordance with ASTM E814 or UL1479 use the "F" or "T" rating to maintain the same rating and integrity as the fire barrier being sealed. "T" ratings are not required for penetrations smaller than or equal to 4 inch nominal pipe or 16 square inches over all cross sectional area. Products requiring heat activation to seal an opening by its intumescence shall exhibit a tested and demonstrated ability to function as designed to maintain the fire or smoke barrier. Fire stop sealants used for fire-stopping or smoke sealing shall have the following properties:

(1) Contain no flammable or toxic solvents;

(2) have no dangerous or flammable out-gassing during the drying or curing of products;

(3) water resistant after drying or curing and unaffected by high humidity, condensation or transient water exposure;

(4) when used in exposed areas, shall be capable of being sanded and finished with similar surface treatments as used on the surrounding wall, ceiling or floor surface, and

(5) materials shall be asbestos free.

g. Fire stopping system or devices used for penetrations by glass pipe, plastic pipe or conduits, unenclosed cables, or other non-metallic materials shall have the following properties:

(1) Classified for use with the type of penetrating material used, and be asbestos free.

(2) Penetrations containing loose electrical and/or computer data cables, and other non- metallic communication cables shall be protected using fire-stopping systems that allow unrestricted cable changes without danger to the seal.

(3) Intumescent products which would expand to seal the opening shall act as a fire, smoke, toxic fume and water sealant.

(4) Products used shall have a maximum flame spread of 25 and smoke development of 50 when tested in accordance with ASTM E84. and shall be FM or UL rated or tested by an approved laboratory in accordance with ASTM E814.

4. MEMBERSHIP

None.

5. PROCEDURES

a. Prior to performing any firestopping, submit for approval all product data drawings and installation instructions, as required by "Submittals” after examining the Contract Documents and performing an on-site careful examination of the areas to receive fire-stopping. If there is any doubt about the location of fire or smoke rated partitions, request or refer to information contained in the current SOC (Statement of Condition) drawings that are available in the FMS office. In all cases when a ceiling, floor, wall or partition designated as a fire or smoke barrier is compromised for the purpose of installation, repair, or other modification, the following steps are required:

(1) All penetration contracted work, including Information Resource Management (IRM) projects, is to be submitted and approved by Facilities Management Service's Project Manager or FMS Maintenance & Operations or the Safety Manager.

(2) A penetration permit must be secured from a FMS Project Manager or FMS Maintenance & Operations Supervisor prior to disturbing the integrity of any wall or floor/ ceiling barrier. The permit must be available for inspection at the subject location. (See Attachment A).

(3) Provide temporary fire-stopping, smoke seal and waterproofing of all penetrations in smoke and fire rated floor and wall assemblies immediately following core drilling or cutting if permanent work and fire-stopping measures will follow at a later time.

(4) Where penetrations are created in existing floors and/or partitions, they shall be temporarily fire-stopped by the close of construction each day. In the case of major projects requiring the prolonged existence of floor and/or partition openings, temporary fire-stopping shall be provided at the end of each work day. Temporary fire-stopping may constitute a single layer of fire rated gypsum board secured in place over the opening or mineral fiber may be placed in the opening. Fiber thickness shall be sufficient to meet or exceed the inherent fire resistance rating of the building material being penetrated and shall be secured in place with non-combustible material or fasteners.

(5) After the final work is completed, the penetration must be fire-stopped according to the submitted and approved UL or FM listed through penetration fire-stopping materials or system that meet the original smoke barrier or fire rated construction requirements.

(6) Upon completion of any penetration repair, a visual inspection for approval shall be requested from and completed by a FMS Project Manager or FMS Maintenance & Operations Supervisor.

(7) After completion of the field inspection, the completed permit will be signed by the Contractor/Installer and the inspecting FMS Project Manager or FMS Maintenance Supervisor. That signed document shall then become the official Document or Record and be distributed as indicated on the Permit Form.

6. RESPONSIBILITY

a. It is the responsibility of the Project Section/FMS Maintenance/Safety to ensure that penetration permits are issued and final inspections are conducted. Any deficiencies found remaining will be discussed with the COTR and remedied by the fire-stop installer.

b. Chief, Facilities Management Service is responsible for ensuring that any Providence VA Medical Center staff making penetrations into fire and/or smoke barriers shall secure penetration permits prior to beginning work, properly fire-stop the wall/ceiling/floor penetration, and sign off the permit after inspection and completion of the work.

c. Contractors are responsible for assuring that they properly fire stop any penetrations that they made in ceiling, floor, pipe chases, fire rated walls, and smoke barriers in accordance with submitted and approved fire-stop materials and/or systems.

d. Contracting Officer Technical Representatives (COTR's) are responsible for ensuring that all Contractors and FMS personnel adhere to this policy during construction, renovation or demolition activities, including pulling electrical and/or data cables. The COTR is also responsible for verifying that all holes and penetrations made during the construction activities are properly sealed. The COTR is also responsible for ensuring that this memorandum is properly inserted in applicable Contracts and Work Orders issued by Facilities Management Service.

7. REFERENCES

NFPA 101, Chapter 8, dated 2009.

8. RESCISSIONS

Policy Memorandum 138-11 Fire Wall/Smoke Barrier Penetration Permit, dated April 17, 2008.

VINCENT NG

Medical Center Director

Attachments: A - Fire/Smoke Wall Penetration Permit

DISTRIBUTION: D

ATTACHMENT A

FIRE/SMOKE WALL PENETRATION PERMIT

Contractor/ FMS Dept/ VA Service (IRM):

Responsible Person for Request (Firm/Dept/Person):

Location of Penetrations (Bldg./Floor):

Work Narrative (Project No. /Purpose):

Before issuing a Fire/Smoke Wall Penetration Permit, the FMS Project Manager or FMS Maintenance/Safety Section shall review the following checklist with the Permit requesting Responsible person for compliance. (Contractor to be reminded that all penetrations shall be temporarily fire stopped at close of each work day).

Question Yes No N/A Did the responsible person (indicated above) obtain prints of SOC Plans from FMS or Maintenance Section PM, and/or Project Plans detailing hourly rated walls and smoke barriers in the building; and have they thoroughly identified the scope of the fire stop work?

Is the manufacturer’s UL or FM (fire sealant ) product application guide for each type of wall or floor construction penetrated by each type of utility element been submitted, approved, and available for on-site review by installers and inspectors?

Has the Responsible person (indicated above) prepared an itemized schedule of floor and fire/smoke walls to be penetrated indicating the UL or FM system to be used?

Materials utilized in repair: Fire stopping materials / UL or FM System Number(s) / Attach Submittals:

Wall Board Type & number of layers (if used):

Other: (Manufacturer’s Engineering Judgment): Attach Submittal:__________________________________

Approving Official / Project Manager: ________________________________ Date:

After penetrations are sealed, FMS or Maintenance Department Project Manager, and/or PVAMC Safety Officer and the installer (GC) Responsible person shall inspect the area to ensure compliance with the required standards, make any corrections, and sign-off on the lines below.

Signature of Responsible Person Filing for Permit:_______________________________________________

Signature of FMS or Maintenance Dept PM:

Signature of COTR:

Submit fully signed copies to Contractor, COTR, PVAMC Safety Officer, and FMS or Maintenance Project Manager & Operations Supervisor.