Amend 0002 Div 01 Specifications.pdf

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 -1 VA Medical Center; Grand Junction, CO AM-02

SECTION 01 10 10

SPECIFIC TECHNICAL ENGINEERING

AND DESIGN CRITERIA

FOR

3rd Floor Addition for Surgery Center, PACU, SPD, & ICU, Grand Junction, CO

RTA DOCUMENTS SUBMITTAL

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 -2 VA Medical Center; Grand Junction, CO AM-02

1. SCOPE:

1.1 Design and construct the 3rd Floor Addition for Surgery Center, PACU, SPD & ICU, Grand Junction, CO. The new addition will be constructed on top of the existing 2-story surgery wing which is located between Building 1 and North Avenue in accordance with the criteria contained herein and using industry standard materials and efficient practices. The objective of this contract is to design and construct the required facility as described in this document and Section 01 10 11, Functional Design Criteria, and to meet the operational requirements of the VA. The Contractor shall provide all labor, equipment and material to perform the design and construct the complete, operational facility. The Contractor is encouraged to attend the proposal conference.

1.2 The Contractor shall be responsible for the professional quality, technical accuracy and coordination of all designs, drawings, specifications and other documents or publications upon which construction is based. The design of architectural, interior design, structural, mechanical, electrical, civil and other engineering features of the work shall be accomplished, reviewed and approved by engineers, architects and interior designers who are licensed professionals with a minimum of six years experience to practice in their respective professional field in a state or possession of the United States. The structural interior design shall be designed/supervised by a registered or certified (as Appropriate for the state) interior designer who is NCIDQ certified.

1.3 The design and construction of this facility shall conform to the VA Design Standards and the requirements issued in this solicitation. The Contractor is responsible and liable for the complete design and shall not assume that the provided design criteria and drawings in this solicitation will alleviate him from performing any additional design as required to produce a complete set of construction documents.

1.4 The attached drawings indicate the siting location of the addition and its approximate maximum size, areas of the existing facility to be remodeled and renovated, and other system parameters that have been developed to date and approved by the VA and USACE. These shall be used to develop a full set of construction documents.

1.5 As built drawings of the existing medical clinic can be made available to the Contractor after project award.

2. SUMMARY DESCRIPTIONS:

2.1 This project shall construct a new addition on top of the existing 2-story surgery wing which is located between Building 1 and North Avenue. The approximately 31,000 SF 3rd floor addition will accommodate a Surgery Center, a Post Anesthesia Care Unit (PACU), a Supply Processing and Distribution unit (SPD), and an Intensive Care Unit (ICU). The project also includes floor plan development including a connection corridor between the new addition and Building 1. The project shall be designed within the criteria prescribed by http://cbbs.spk.usace.army.mil/ae.html and http://www.va.gov/facmgt/, http://www.cfm.va.gov/TIL/ and the Uniform Accessibility Standards/ Americans with Disabilities Accessibility guidelines. See Appendix S for a complete list of applicable codes and criteria.

2.2 Contractor Staging Summary. The addition is located above and adjacent to existing medical facilities and functions that will remain in operation during construction. The contractor must construct the addition/renovation in such a manner that impacts and disruptions to medical functions are kept to a minimum. The available locations on the site for the contractor to set-up trailers, employee parking, storage and staging is shown on Drawing G-001 and sketch at the end of specification 01 50 02.00 10.

2.2.1 The project site is located at 2121 North Avenue, Grand Junction, Colorado.

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 -3 VA Medical Center; Grand Junction, CO AM-02

2.3 Building Construction Summary. The addition will be new construction. Renovation work to the existing building will be as identified on the drawings and in Division 01 Specifications. Construction phasing of the project shall be as indicated on the drawings.

2.4 Appendices. Additional relevant information is contained in the following appendices which are located at the bottom of this Section 010 10 10:

APPENDIX CONTENT

A Drawing List B Code Summary C Electrical Service Test Results D Electrical 1-Line Diagram E Fire Flow Test Results F Geotechnical Report G Hazardous Materials Report H LEED Credits Checklist I Potential Plan Changes J Medical Equipment Plan & List K Room List - Surgery Addition L Site Utilities Plan M Utility Service Providers and Rates N Drawings (fold out version; full size bound separately) O Base Bid and Additive Options Plan P Domestic Water Quality Data Q OR HVAC Criteria R Boiler and Chiller Plant Utility Usage Chart S Applicable Codes and Design Criteria T Design Analysis Narrative

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 -4 VA Medical Center; Grand Junction, CO AM-02

3. DESCRIPTION OF OPERATIONS:

The VA Medical Center personnel provide a full range of medical care and treatment to retired military and civilian employees and their dependents. The 3rd story addition is to be constructed over the existing 2-story structure that was built in the 1980s and opened for use in 1986. Building 1, constructed in 1948, is a 7-story 171,220 square foot reinforced concrete structure. The 3rd Floor of Building 1, which is included in this project, is currently vacant but the status at construction start must be verified by the contractor.

4. DESIGN SUBMITTAL REQUIREMENTS:

The design requirements within this section and the following Section 01 10 11 represent the minimum quality and quantity acceptable for the proposals and project submittals. The standards, documents, and criteria referenced within this RFP, although not all attached within this RFP document, are modified to the extent indicated within this section. Each Offeror shall be responsible for obtaining any documents not attached as part of this RFP but referenced as criteria for the project. Requirements of this section may delete, revise, add to, or substitute for criteria contained in the referenced documents and this section shall be deemed the controlling authority of any changes to the other referenced documents and criteria.

4.1 Design Standards. Equipment, hardware, and materials shall be standard manufactured domestic items unless otherwise specified. Replacement parts shall be standard and readily available through commercial means. Discontinued products will not be accepted unless approved by the Contracting Officer.

4.2 Codes. The design, materials, equipment, and installation shall be in accordance with the requirements of the listed codes and design manuals, with the requirements of this section, and with the listed specifications. The building shall be of a noncombustible construction classification. Wood structural elements will not be acceptable.

4.3 English Design. This project shall be designed in English inch-pound (I-P) units due to requirements to remodel and renovate within the English-unit-designed existing building.

4.4 Drawings. Attached drawings provide information on the site and general building layout for phasing and shall be considered in the design of the facility. The RFP drawings represent a design solution that has been accepted by USACE and VA Medical Center leadership. However, the RFP drawings and approved solution are subject to change based on VA Medical Center functions at the time of contract award and Design-Build design and consequently, they may not be the actual design solution that will be provided by the Contractor. See Appendix I for revisions that will be worked into the design by the construction contractor during the charrette process. Refer to Section 01 10 12 for additional specifications related to this subject.

4.4.1 Field Information. The utility and as-built information provided in the drawings is the best information available. It is provided to assist the offerors in preparing their proposal and then during the design of this project. The Contractor is responsible for field verifying all information given. The Contractor is also responsible for obtaining all information necessary to properly design and install all work. Gathering information during design shall be coordinated through the Contracting Officer. Any survey required to provide utility locations, manhole inverts, verification of existing features, etc. shall be the responsibility of the Contractor and shall tie into the project datum.

4.4.2 Design Details and Standards. The Contractor shall create design details as required, but shall conform to the requirements of the RFP, and are subject to approval by the Government.

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 -5 VA Medical Center; Grand Junction, CO AM-02

4.5 Specifications. This RFP has provided a specification outline that shall serve as a guide for the offers to use to develop the final design specification documents. Guide specifications are available for review and reference at http://www.va.gov/facmgt/ www.cfm.va.gov/TIL/spec.asp. The contractor shall provide all relevant specifications fully edited to meet the final design and construction. Unless noted otherwise, material specifications, equipment efficiencies, equipment listing (i.e., UL, ANSI, NEMA, etc,), testing requirements, execution, etc., shall not be changed unless dictated by more stringent requirements in this RFP, including technical criteria such as codes and government and industry publications that are referenced in this RFP.

4.6 Sustainable Design. The Contractor is encouraged to design the project to meet US Green Building Council (USGBC) certification at the “Silver” rating level of Leadership in Energy and Environmental Design-New Construction (LEED®-NC). LEED®-NC is a commercial Green Building Rating Tool developed by USGBC, http://www.usgbc.org /, and is widely used throughout the country.

Sustainable design goals should be considered as they relate to building design and engineering.

Contractor shall comply with LEED-NC Indoor Environmental Quality Credits requirements 4.1 through

4.4 for low emitting materials. Formal LEED certification is not required; however, if any documentation is provided during design, it should follow USGBC requirements.

4.7 Force Protection. Not Applicable.

4.8 Barrier Free Design. This facility shall be fully accessible to all handicapped individuals in accordance with the requirements of the Americans with Disabilities Act and the Uniform Federal Accessibility Standards. Exposed plumbing pipes under toilet lavatories shall be fully screened both physically and visually. Transition between the new addition and the existing Building 1 shall comply with ADA and UFAS standards.

5. CIVIL DESIGN:

5.1 General. The project consists of design and construction for an addition above an existing structure and no civil improvements or upgrades are involved with the exception being repair and replacement of any damaged landscaping, irrigation, paving or walkways that may have occurred during construction. The contractor is responsible for making any such repairs to the satisfaction of the VA and USACE contracting Officer.

5.1.1 Waste Disposal. Project demolition and construction waste shall be disposed of off-site at a location approved by the Contracting Officer.

5.1.2 Haul Route. VA roadways sustaining damage shall be maintained and kept clean at the Contractor’s expense. The NW gate and driveway accessing off North Avenue will be the entry and exit point for haul vehicles. The gate operation hours are 0700 - 1800 from Monday thru Friday.

5.2 Permits.

NPDES Storm Water General Permit. Construction will not likely result in disturbance of more than one

(1) acre of total land area therefore this is Not Applicable.

5.2.1 Dust Permit. N/A

5.2.2 Digging Permit. N/A

5.3 Grading. N/A

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 -6 VA Medical Center; Grand Junction, CO AM-02

5.3.1 Finished Floor. Match 3rd Floor level of Building 1.

5.3.2 Site Drainage Concept. N/A

5.3.2.1 Building Site. N/A

5.3.2.2 Parking Area. N/A

5.4 Earthwork. N/A

5.5 Site Improvements.

5.5.1 Contractor Storage Yard. The Contractor storage yard and trailer location shall be located within the Staging Area as shown on Drawing G-001 and sketch at the end of specification 01 50 02.00 10.

5.6 Storm Runoff and Drainage. Applies only to repair of areas around the building needing to be brought back to pre-construction status.

5.13.1 Storm Runoff. N/A

5.13.2 Existing/New Storm Drainage System. N/A

5.13.3 Roof Drainage. The Contractor shall connect roof drains on top of the addition to internal drains running through the 2nd and 1st floors.

5.13.4 Storm Drain Line Materials. N/A

5.13.5 Drainage Swales. N/A

5.7 Utilities.

5.7.1 Utility Connections. All utility connections shall occur inside the building.

5.7.2 Existing Utilities. Existing utilities are shown in Appendix L.

5.7.3 Water. Interruption of potable water service to facilities, during construction, shall be minimized and restricted to the hours determined by the Contracting Officer. Final domestic water hook-up to the potable system (site and all buildings) shall be disinfected. All piping, joints, fittings, valves, valve boxes, fire hydrants, backflow prevention devices, and thrust restraint shall comply with the National Fire Code.

5.7.3.1.1 Domestic Water Service. Refer to Design Narrative, paragraph 4.0.

5.7.3.2 Fire Protection Water Service. Refer to Design Narrative, paragraph 6.0.

5.7.3.2.1 Fire Hydrants. No new fire hydrants are included in this RFP.

5.7.3.2.2 Fire Flows. Recent water and fire flow reports have been included in Appendix E of this section. Contact the Grand Junction VAMC Engineering Department for updates if applicable.

5.7.3.3 Valves and Valve Boxes. Refer to Design Narrative, paragraph 6.0.

5.7.3.4 Burial Depth. N/A

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 -7 VA Medical Center; Grand Junction, CO AM-02

5.7.3.5 Existing Water System Pressures. Refer to Design Narrative, paragraph 4.0.

5.7.3.6 Post Indicator Valves. Refer to Design Narrative, paragraph 6.0

5.7.3.7 Backflow Preventer. Refer to Design Narrative, paragraph 6.0.

5.7.3.8 Water Line Materials. Refer to VA Technical Specifications.

5.7.4 Sanitary Sewer. Sanitary sewer shall be connected to the existing system. Refer to Refer to Design Narrative, paragraph 6.0 for additional information.

5.7.4.1 Burial Depth. N/A

5.7.4.2 Cleanouts. Refer to VA Technical Specifications.

5.7.4.3 Sewer Manholes. Refer to VA Technical Specifications.

5.7.4.4 Sanitary Sewer Line Materials. Refer to VA Technical Specifications.

5.7.4.5 Design Guidance. Refer to VA Technical Specifications and Design Guidance found at the Office of Construction and Facilities Management (CFM) website at http://www.cfm.va.gov/

5.8 Force Protection. N/A

5.9 Pipe Bedding and Trench Backfill. N/A

5.10 Landscaping.

5.10.1 General. No landscaping or irrigation improvements or upgrades are involved with the exception being repair and replacement of any damage to existing landscaping and/or irrigation piping or heads that may have occurred during construction. The contractor is responsible for making any such repairs to the satisfaction of the VA and USACE Contracting Officer.

6. GEOTECHNICAL SUPPORT FOR DESIGN:

6.1 General. A current Geotechnical Report will be included in Appendix F. The Design Build Contractor is responsible for incorporating the recommendations provided by the Geotechnical Report in its design and construction of the work. Also, see section 01 10 12, paragraph 1.4.

…END…

DIVISION 01 SPECIFICATIONS

APPENDIX T

DESIGN NARRATIVE

3rd Floor Addition for Surgery Center, PACU, SPD & ICU VA Medical Center; Grand Junction, Colorado

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

DESIGN NARRATIVE

1.0 EXECUTIVE SUMMARY

1.1 PROJECT BACKGROUND

This project is titled “3rd Floor Addition for Surgery Center, PACU, SPD & ICU, Grand Junction, CO”.

HDR has been contracted by USACE - Sacramento District to provide design services with the ultimate objective of submitting a Request for Proposal (RFP) bid package for a Design/Build (DB) contract. The RFP document will be advertised by USACE – Sacramento District to all potential bidders on a “full and open” basis.

The new addition will be constructed on top of the existing 2-story surgery wing which opened for use in 1986. The VA reports that the initial structure was designed to accommodate not only this 3rd floor addition but a 4th level as well.

The approximately 30,537 SF 3rd floor addition will accommodate a Surgery Center, a Post Anesthesia Care Unit (PACU), a Supply Processing and Distribution unit (SPD), and an Intensive Care Unit (ICU). The project also includes floor plan development to provide a connection between the new addition and Building 1.

HDR’s scope of work includes the following:

• Prepare two alternative floor plans for the new 3rd floor Addition and two alternative (10%) floor plans for the renovated 3rd Floor “T” section of the Building 1 that adjoins the future Addition.

The “T” section renovation for in-patient rooms will be developed for a future VA project.

• Following selection of an acceptable alternative prepare and submit the DB-RFP document including an intermediate 35% submittal, a 100% submittal and a 100% Corrected Final/RFP document.

• Prepare and submit a Design Analysis (DA). The DA will consist of narratives from each discipline and include limited design calculations, only what is necessary to develop the10% level DB documents and an accurate design-construction cost estimate, which will be used to make value engineering analysis and decisions.

• Prepare and provide a project design-construction cost estimate (CE).

• Participate in DB-RFP review meetings and Customer interviews.

Concurrent to this project HDR is providing design services for a seismic corrections project that will include the 3rd floor Building 1. HDR will make sure that the potential building impacts and reconfigurations related to the seismic design are appropriately coordinated with the design of the surgery project. Like this project, the initial submittal for the seismic project encompasses development of alternative seismic solutions for discussion and cost estimating purposes. More precise information and drawings showing the coordinated efforts of the two projects will be provided after alternatives have been selected.

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

1.2 PROJECT AUTHORIZATION

Project Numbers: 575-202; Correct Deficiencies in Surgery / PACU and 575-203 Correct Deficiencies in SPD / ICU, P2 Project #320069

1.3 DESIGN TASKS AND FINDINGS TO DATE

1.3.1 Task 1

Task 1 included a site investigation and survey of the building and interviews of the medical and building operators that will be involved in the new surgery addition. During this survey Michael Lambert, HDR’s Project Architect, interviewed VA staff and gathered information necessary to develop an architectural program and begin preparing design of the plans. Mr. Lambert and other HDR designers also surveyed the 3rd floor of Building 1 since the surgery addition will require in-patient rooms in Building 1 adjacent and connected to the new surgery addition.

1.3.2 Task 2

Task 2 included preparation of a concept level (approximately 10%) design submittal consisting of a minimum of two floor plan solutions. The submittal consisted of drawings, specification outline, design analysis report, and a preliminary construction cost estimate. The primary purpose of this submittal was to provide alternative solutions and costs in order to facilitate selection of one alternative that will be advanced to full design and construction. HDR presented this submittal to the Government during a review conference held at the Grand Junction, CO VA Medical Center on March 12, 2009.

1.3.3 Task 3

Task 3 included preparation of two Design-Build / Request for Proposal (RFP) submittals taken to 35% and 100% status. The submittals consisted of drawings, specifications, design analysis report, and corresponding construction cost estimates. The final RFP set will be the bid document that the Government will utilize to solicit for bids leading to the development of the construction document that the successful bidder will utilize to construct the facility.

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

2.0 ARCHITECTURE

2.1 GENERAL DESCRIPTION OF DESIGN CONCEPT/APPROACH

The architectural design effort related to this project consists of development of an architectural building program based on data provided by VA medical staff followed by preparation of alternative floor plans leading to the selection of one plan that will be taken forward for additional development. Following selection, HDR will provide more detail to the plan and sectional views and will also prepare and provide exterior elevations a roof plan and a preliminary room finish schedule.

2.2 PERTINENT CODES AND DESIGN REFERENCE DOCUMENTS

• Building Code: International Building Code, 2006 edition.

• Life Safety: NFPA 101, 2000 edition, Life Safety Code.

• Design Standards: VA Standards per http://www.cfm.va.gov/TIL/

• Accessibility: UFAS and ADAAG.

• Thermal Envelope: ASHRAE Standard 90.1-2001.

2.3 BUILDING CODE SUMMARY

GJVAMC 3rd FLOOR CODE REVIEW

Based on the 2006 International Building Code.

OCCUPANCY

308.3 Occupancy in total is Group I-2.

FIRE SPRINKLERS

903.2 Automatic fire sprinklers are required.

ALLOWABLE FLOOR AREA AND BUILDING HEIGHT

Table 503 Allowable Area For Type I-2 Occupancy, an unlimited area and story height is permitted with Type IA construction. Type IA construction is assumed.

FIRE RESISTANCE REQUIREMENTS FOR TYPE IA CONSTRUCTION

Table 601 Structural frame: 3 hours Exterior bearing walls: 3 hours.

Interior bearing walls: 3 hours.

Nonbearing walls and partitions: 0 hours Floor construction: 2 hours Roof construction: 1 ½ hours

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

FIRE RESISTANCE BASED ON PROPERTY LINE

Table 602 Assumption is that the distance from the building to any real property line is greater than 30 feet.

The new portion of project has no area limit, but the existing portion of the third floor is of unknown construction type. An assumed property line between new and existing portions of the building would require 3 hour fire separation. This would be in effect between floors as well.

SPECIAL PROVISIONS FOR I-2 OCCUPANCY.

407.3.2 At patient rooms, locks on doors shall be operable from the corridor side by authorized staff only, but not restrict egress from the patient room side shall be used.

407.4 Smoke barriers shall divide the third floor into refuge areas of not more than 22,500 square feet. Egress to smoke compartments shall be less than 200 feet.

This will necessitate the creation of 3 refuge areas as defined by 407.4.1 over the entire third floor. A single refuge area must be able to maintain the existing occupant load while absorbing a neighboring occupant load.

A refuge area occupant load must be able to be evacuated into a neighboring smoke compartment area. The following list provides the vital statistics and is based on the assumption that existing elevators can be equipped with automatically activated fire resistive rated magnetic hold open doors without the benefit of an elevator lobby.

Smoke Compartment Area 1.

Total Floor Area = 19,684sf Total Refuge Area* = 17,500sf Total Refuge Capacity = 583 occupants.

Smoke Compartment Area 2 containing Med/Surge Ward and PACU Total Floor Area = 21,061sf Total Refuge Area* = 18,353sf Total Refuge Capacity = 611 occupants

Smoke Compartment Area 3 containing existing portion of third floor.

Total Floor Area = 9,432sf Total Refuge Area = 9,432sf Total Refuge Capacity = 314 occupants.

*Mechanical, electrical, telephone and elevator related rooms not included in refuge area.

Table 1004.1.1 Occupancy Rates Accessory Storage and Mechanical Rooms = 300sf/person Inpatient treatment areas = 240sf/person

407.4.1 Refuge area occupancy rate for floors with patient beds = 30sf/person.

INCIDENTAL USE AREAS

Table 508.2 calls out Group I-2 waste and linen collection rooms as being 1 hour fire resistant. Since the whole floor will be equipped with automatic fire sprinklers, storage rooms do not need fire rated walls.

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

EGRESS

1005.1 The loss of any one exit will not reduce the available capacity of any one means of egress by 50%.

Table 1005.1 Egress Width for I-2 Occupancy.

Stairways: 0.3 inches per occupant Egress components: 0.2 inches per occupant Assuming 196 occupants on the third floor:

Required minimum stairway width based on occupancy = 58.8 inches Distributed over 8 stair enclosures, this equals 7.35 inches per stair. Minimum stair width governs.

Required minimum egress component width based on occupancy = 39.2 inches. Minimum corridor width governs.

1005.2 Door swings may encroach up to half way through the minimum egress path width. Doors fully open may encroach up to 7 inches into minimum egress path.

1006.3 Emergency power shall provide 90 minutes of means of egress illumination after power supply failure. This shall be provided for rooms needing more than one exit and along paths of egress.

1007.6.1 A 30” x 48” area of refuge shall be within each stair enclosure at the stair landing and free of the door swing. Per 1007.6.3, two way communication shall be available at the area of refuge with directions on use and contact information (1007.6.4). A sign fitting the requirements of ICC A117.1 with the text “Area of Refuge” shall be posted at the door at each area of refuge location (1007.7).

1008.1.1 Doors sizes

Doors accommodating the movement of beds shall have a minimum of 41.5 inches clear width. Patient room doors shall have a 44”x 84” size unless otherwise noted. OR, Endoscopy, Cystoscopy, and Orthoscopy, shall abide by VA standards. SPD doors shall be 48” wide standard. Double door ways shall be 72”x84” typical unless otherwise noted.

Minimum doorway size per code = 32”x80”. Standard door leaf size shall be 36”x 84” unless otherwise noted. ICU patient room doors shall be sliding with tempered glass with break away egress component.

1008.1.1.1 4” projections into the required clear width may occur between 34” and 80” above finish floor.

Below 34”, no projections are allowed.

1008.1.2 Doors shall swing in the direction of egress.

1008.1.3.4 Access controlled egress door shall be regulated by this provision of the code. Access to SPD from semi restricted corridor, egress through SPD to exit stair, access to ICU from public corridor, access to semi restricted corridor from ICU, and access to PACU from public corridor, shall all have access control.

1008.1.8 contains door hardware requirements.

1009. Standard stairway dimensions apply except as noted for area of refuge above.

1011. Standard exit signage applies. Both tactile and illuminated signs shall be provided as prescribed. No point along egress path or within a room with two or more exits shall have a sign more than 100 feet or greater than the listed distance, whichever is less.

1013 contains provisions for guard railing for generic use, fall protection at roofs and mechanical equipment.

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

1014.2 Egress through adjoining room guidelines are met.

1014.3 Common path of travel maximum is 75 feet. All spaces conform.

Table 1016.1 With automatic fire sprinklers, the maximum travel distance to an exit enclosure is 200 feet.

Design complies.

1017.2 Corridor widths minimums.

24” for access to electrical, mechanical, or plumbing systems or equipment.

44” minimum standard 72” for surgical areas – no bed movement 96” for bed movement areas.

Table 1017.1 Corridors may be non-rated with automatic fire sprinkler system.

1017.3 No dead end corridors occur.

1017.4 Details mechanical concerns related to rated and unrated corridors.

ACCESSIBILITY

1101 The entire 3rd floor shall be compliant with this chapter in coordination with ICC/ANSI A117.1-2003 or Federal Standard 595 Uniform Federal Accessibility Standards.

INTERIOR FINISHES for I-2

Table 803.5 Class B materials required.

803.1 Class B materials have a flame spread of 26-75 with smoke developed 0-450.

805 and 806 cover use of combustible finishes in Type I construction.

EXISTING BUILDING ALTERATIONS

3403.1 and 3403.2 These provisions in the code justify that both existing and new portions of the Building 2 shall conform to the 2006 IBC requirements for structure. Portions of the project not effecting existing structure nor adding more than 5% to existing forces shall not be required to bring existing structural elements up to current code.

3403.3 Nonstructural alterations to an existing building are permitted to be made of the same materials of which the building or structure is constructed, provided that they do not adversely affect any structural member or fire resistance rating of any part of the building or structure. This shall apply to the Building 1 portion that includes Med/Surge Ward.

It is inferred by these three provisions that the existing two floors in Building 2 will not need to be improved for nonstructural elements.

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

3403.4 Stairways in the existing portion of the building need not be brought up to current code where existing space and construction will not allow a reduction in pitch or slope. An area of refuge within existing stairway enclosures is prohibitive and therefore will not be accommodated.

2.4 ARCHITECTURAL PROGRAMMING

Due to the short turnaround time between notice to proceed and the first submittal due date HDR performed an accelerated and somewhat truncated programming effort that consists of the following steps:

• Building Survey

• Interviewed VA Medical Staff including Medical and Engineering to identify and record planned functions in the new Surgery Addition

• Prepared alternate floor plans for review and further discussion

2.4.1 Room List

The following list was developed as a result of HDR’s review of VA design guidelines and its interview sessions with VA staff. This list, and future iterations resulting from the upcoming review conference, will be updated in subsequent design submittals:

Room Number Room Name Prior Room

Number Prior Room

Name 3001 Corridor 3001 No change 3002 Corridor 3002 No change 3003 Corridor 3003 No change 3004 Corridor 3004 No change 3005 Corridor 3005 No change 3006 Corridor 3006 Semi Restricted Corridor 3007 Semi Restricted Corridor 3007 No change 3008 Semi Restricted Corridor 3008 No change 3009 Semi Restricted Corridor 3009 No change 3010 Semi Restricted Corridor 3010 No change 3011 Semi Restricted Corridor 3011 No change 3012 Corridor 3012 Semi Restricted Corridor 3013 Corridor 3013 Semi Restricted Corridor 3014 Corridor 3014 Semi Restricted Corridor 3015 Corridor 3015 Semi Restricted Corridor 3016 Exit Stair 3016 Stair 3017 Exit Stair 3017 Stair 3018 Exit Stair 3018 Stair 3019 Exit Stair 3019 Stair 3020 Exit Stair 3020 Stair 3021 Exit Stair 3021 Stair

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

Room Number Room Name Prior Room

Number Prior Room

Name 3022 Nurse Station 3022 No change 3023 Patient Room 3023 Patient 3024 Toilet /Shower 3024 No change 3025 Toilet /Shower 3025 No change 3026 Patient Room 3026 Patient 3027 Toilet/Shower 3027 No change 3028 Patient Room 3028 Patient 3029 Patient Room 3029 Patient 3030 Toilet/Shower 3030 No change 3031 Toilet/Shower 3031 No change 3032 Patient Room 3032 Patient 3033 Patient Room 3033 Patient 3034 Toilet/Shower 3034 No change 3035 Toilet/Shower 3035 No change 3036 Patient Room 3036 Patient 3037 Patient Room 3037 Patient 3038 Toilet/Shower 3038 No change 3039 Toilet/Shower 3039 No change 3040 Patient Room 3040 Patient 3041 Mechanical Access Storage 3041 Mechanical Access 3042 Mechanical 2 3042 Mechanical 3043 Toilet/Shower 3043 No change 3044 Patient Room 3044 Patient 3045 Soiled Utility 3045 No change 3046 Nurse Break 3046 No change 3047 Corridor 3047 Hall 3048 Staff Toilet 3048 No change 3049 Staff Toilet 3049 No change 3050 Patient Room 3050 Patient 3051 Toilet/Shower 3051 No change 3052 Toilet/Shower 3052 No change 3053 Patient Room 3053 Patient 3054 Patient Room 3054 Patient 3055 Toilet/Shower 3055 No change 3056 Toilet/Shower 3056 No change 3057 Patient Room 3057 Patient 3058 Patient Room 3058 Patient

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

Room Number Room Name Prior Room

Number Prior Room

Name 3059 Toilet/Shower 3059 No change 3060 Toilet/Shower 3060 No change 3061 Patient Room 3061 Patient 3062 Patient Room 3062 Patient 3063 Toilet/Shower 3063 No Change 3064 Toilet/Shower 3064 No Change 3065 Patient Room 3065 Patient 3066 Patient Room 3066 Patient 3067 Toilet/Shower 3067 No change 3068 Toilet/Shower 3068 No change 3069 Patient Room 3069 Patient 3070 PACU 3070 No change 3071 Nurse Station 3071 No change 3072 Sterile Supply & Equipment 3072 Sterile Supply 3073 PRE-OP 3073 Patient Toilet 3074 Scheduler Office 3074 Storage 3075 SPD Hall 3075 Hall 3076 SPD Toilet 3076 Staff Toilet 3077 Storage 3077 No change 3078 SPD Locker 3078 Staff Locker 3079 SPD Decontamination/Wash 3079 Decontamination 3080 SPD Sterile Prep 3080 Sterile Prep 3081 SPD EtO Sterilizer 3081 EtO Sterilizer 3082 SPD Breakout 3082 Breakout 3083 SPD Clean Mobile Storage 3083 Clean Mobile Storage 3084 SPD Storage 3084 Storage 3085 SPD Work Station 3085 Work Station 3086 SPD Office 3086 No change 3087 SPD Equipment Storage 3087 Equipment Storage 3088 Mechanical Room 3 3088 Mechanical 3089 Electrical 3089 Mechanical 3090 OR Nurse Office 3090 Storage 3091 OR Equipment Storage Room 3091 Nurse Manager Office 3092 Mechanical 1 3092 Mechanical 3093 Electrical Room 3093 Electrical 3094 Communications 3094 Telephone 3095 Women Scrub Locker 3095 Women Scrub Restroom

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

Room Number Room Name Prior Room

Number Prior Room

Name 3096 Men Scrub Locker 3096 Men Scrub Restroom 3097 Scrub Lounge 3097 No change 3098 Clean Core Hall 3098 Women Scrub Locker 3099 Scrub Break 3099 Men Scrub Locker 3100 Clean Core 3100 No change

Clean Core Housekeeping

Aide 3101 Housekeeping Aide 3102 OR Sterile Supply 3102 Sterile Supply 3103 Endoscopy 1 3103 Endoscopy 3104 Endoscopy Workroom 3104 Workroom 3105 Endoscopy 2 3105 Endoscopy 3106 OR 1 3106 No change 3107 OR 2 3107 No change 3108 Soiled Holding 3108 No change

Anesthesia Office and

Workroom 3109 Anesthesia Workroom 3110 Storage 3110 Anesthesiologist Office 3111 Orthoscopy 3111 No change 3112 Cystoscopy 3112 No change 3113 Storage 3113 Sterile Supply

3114 ICU 1 3114 ICU

3115 Toilet 3115 No change 3116 Nurse Station 3116 No change 3117 ICU Hall 3117 Hall 3118 ICU Hall 3118 Hall 3119 ICU Sterile Supply 3119 Sterile Supply

3120 ICU 2 3120 ICU

3121 Toilet 3121 No change 3122 Toilet 3122 No change

3123 ICU 3 3123 ICU

3124 Toilet 3124 No change

3125 ICU 4 3125 ICU

3126 Soiled Utility 3126 No change 3127 ICU Nurse Manager Office 3127 Nurse Manager Office 3128 Toilet 3128 No change

3129 ICU 5 3129 ICU

3130 Elevator Lobby 3130 No change 3131 Electrical Room 3131 Electrical

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

Room Number Room Name Prior Room

Number Prior Room

Name 3132 Medical Gas Storage 3132 Medical Gas 3133 Housekeeping Aide 3133 Housekeeping 3134 Equipment Storage 3134 Storage 3135 Lobby 3135 Existing Lobby Area 3136 Toilet 3136 Electrical Closet 3137 Toilet 3137 Electrical Closet 3138 Toilet 3138 Interstitial Space 3139 Hall New New 3140 Electrical Room New New 3141 Catalytical Converter New New 3142 Telephone New New 3143 Storage New New 3144 Communication New New 3145 Interstitial Space New New

2.4.2 Notes from Meetings with Medical Staff

During the week of February 9, 2009 HDR met with various members of the VA medical and engineering staffs in order to discuss the wants, needs and requirements related to surgery addition. Additional meetings were held on March 12, 2009 prior to and during the 10% design review conference. Additional meetings were held on May 7, 2009 to review and discuss the 35% design submittal. Refer to Part F.3 of this manual to review the minutes and sketches that were prepared based on these discussions.

2.5 EXTERIOR SYSTEMS AND MATERIALS

2.5.1 Wall Systems

EIFS finish over metal stud framing.

2.5.2 Doors and Frames

See Room by Room Criteria Sheets (Section 01 10 11).

2.5.3 Windows

Aluminum storefront.

2.5.4 Louvers

Sheet metal frames and fins.

2.5.5 Roof System

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

Single ply.

2.5.6 Exterior Signage

N/A

2.6 INTERIOR SYSTEMS AND MATERIALS

Refer to drawings for locations.

2.6.1 Walls

See Room by Room Criteria Sheets (Section 01 10 11).

2.6.2 Paints and Finishes

Latex and epoxy paint.

2.6.3 Floor Finishes

See Room by Room Criteria Sheets (Section 01 10 11).

2.6.4 Ceiling Finishes

See Room by Room Criteria Sheets (Section 01 10 11).

2.6.5 Acoustic and Thermal Insulation

R33 EIFS on external walls.

2.6.6 Door Hardware

See Room by Room Criteria Sheets (Section 01 10 11).

2.6.7 Case Work

See Room by Room Criteria Sheets (Section 01 10 11).

2.6.8 Equipment

See Appendix J of Section 01 10 10.

2.6.9 Toilet Accessories

See Room by Room Criteria Sheets (Section 01 10 11).

2.6.10 Visual Communication Accessories (White/Bulletin Boards, Projectors and Screens)

As required by user.

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

2.6.11 Interior Signage

TBD

2.6.12 Fire Rated Elements

2.6.13 Sealants and Caulking

2.7 ACCESSIBILITY CONSIDERATIONS

The floor plan included in this design accommodates ADA and IBC 2006 requirements related to egress and accessibility for handicapped individuals.

2.8 FORCE PROTECTION FEATURES

N/A

2.9 ACOUSTIC DESIGN CONSIDERATIONS

TBD

2.10 OTHER CONSIDERATIONS

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

3.0 STRUCTURAL

3.1 GENERAL DESCRIPTION OF DESIGN CONCEPT/APPROACH

The structure is currently a two story concrete building enclosed in pre-cast wall panels. Floor construction is two-way concrete slabs with drop panels supported by concrete columns, resting on foundation system which consists of concrete pile caps supported by steel piles. The new 3rd story is constructed with steel beam and column system and shall be enclosed by exterior light gage steel panels. New roof structural diaphragm consists of metal decking welded to steel framing.

3.2 PERTINENT CODES AND DESIGN REFERENCE DOCUMENTS

The following items listed are references used for design of the building:

• International Building Code, 2006 Edition

• TI 800-01, Design Criteria

• TI 809-02, Structural Design Criteria for Buildings

• ASCE 7-05 Minimum Design loads for Buildings and Other Structures

• AISC Specification for Structural Steel Buildings ASD Design Manual, Ninth Edition

• 2005 ACI 318, Concrete Design Manual

• AISI, Specifications of the Design of Cold Formed Steel Structural Members

• AWS D.1.,Structural Welding Code by The American Welding Society, 2000,17th Edition

• AISC, Seismic Provisions for Structural Steel Buildings, 2002 Edition

• SDI Design Manual for Composite Decks, Form Decks and Roof Decks

3.3 SEISMIC, LIVE, DEAD AND WIND LOAD CONSIDERATIONS

According to the drawings of the existing structure by MCB Architects dated July 16, 1986, a 3rd story addition has been anticipated, and the structural elements are proportioned to resists the loads from the future added level so, the current roof is built flat, and according to the existing drawings, designed for 100 psf live load plus 25 psf partition loading.

The following loads are considered applicable in analysis of the structural:

Dead Loads – Self weight of the structure.

Live Loads – Floor live loads are as shown below which are in accordance to requirements of the IBC 2006, and additional partition loading of 25 psf is assumed. Reduced live load will be used to check the strength of the gravity load resisting system such as, girders, columns, and foundations as code permits

• Roof 20 psf uniform

• Operating Rooms 60 psf uniform & 1000 Lbs Concentrated

• Patient Rooms 40 psf uniform & 1000 Lbs Concentrated

• Corridors 1st floor 100 psf uniform & 1000 Lbs Concentrated

• Corridors above 1st floor 80 psf uniform & 1000 Lbs Concentrated

Super-Imposed Dead Loads – Super-Imposed loads are estimated to be about 10 psf, and consist of mechanical / electrical / plumbing loads, suspended ceiling, etc.

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

Wind Loads – Wind design load parameters are based on ASCE 7-05.

Snow Loads – 30 psf.

Seismic Loads – Seismic design of the existing structure is based on UBC 1985 and corresponding seismic response parameters are:

Seismic Zone = 1 Z = 3/16

Occupancy Importance Factor = 1.5 K = 1.00 CS = 0.14 (maximum)

Base Shear V (Service) = (Z I K C S) W = 0.0394 W Base Shear V (Ultimate) = 1.4 x (Z I K C S) W = 0.055 W

In other words, the structure is currently designed for base acceleration of only: 0.055 g

Seismic design load parameters based on IBC 2006 are as follows:

Site Class E Site Class D

Resp. Modification Factor R = 4 4 Seismic Importance Factor I = 1.50 1.50

Site Class = E D Ss = 0.287 g 0.287 g S1 = 0.067 g 0.067 g Fa = 2.382 1.57 Fv = 3.500 2.40 Sds = 0.456 g 0.300 g Sd1 = 0.156 g 0.107 g Ta = 0.318 sec 0.318 sec

Response Coefficient Cs = 0.137 g 0.090 g Seismic Design Category = D C ρ = 1.0 1.0

As can be seen above, the Site Class is assumed to be type “D,” which is a reasonable assumption in absence of more credible geotechnical information. The most recent geotechnical studies available on this site were performed by “Lambert & Associates” and the results can be found in their report dated January 2, 2008. The said report includes a section on seismicity, in which they make an unsubstantiated reference to presence of Site Class type “E.” As shown above, the difference between Site Classes “D” and “E” amounts to a substantial jump (52%) in the calculated base shear, and an entirely different Seismic Design Category. The structural calculations or the geotechnical report used to design the existing 2 story structure are not available at this time to investigate the effect of increased new base acceleration, however we will use the seismic parameters based on Site Class “D,” unless type “E” is substantiated.

3.4 SPECIAL LOADS (Mono-Rails, X-Ray Machines, Other)

TBD by Design/Build engineer.

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

3.5 STRUCTURAL ELEMENTS

3.5.1 Framing

Support system for gravity loads consists of steel beams (or bar joist) and girders that are supported by steel columns. Lateral loads are transferred to the exterior of structure through roof metal deck diaphragm, and are finally resisted by metal braced frames / wall panels.

3.5.2 Slab, Footings and Foundation

N/A

3.5.3 Metal Decking

2 Inch deep Ga. 18 metal decking.

3.5.4 Roof Systems

Metal deck roof diaphragm supporting roofing and insulation.

3.5.5 Load Bearing Walls and Partitions

Interior partitions are not intended to resist any loads from the roof structure.

3.5.6 Isolated Equipment Foundations

N/A

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

4.0 MECHANICAL

4.1 GENERAL DESCRIPTION OF DESIGN CONCEPT/APPROACH

The mechanical systems for the 3rd floor addition to the clinic and renovation to the existing 3rd floor will be designed in accordance with the VA design guides and standards listed below. The systems include Heating, Ventilating and Air Conditioning (HVAC), plumbing (including medical gases and vacuum), sanitation waste and storm drainage.

The clinic was originally designed to accommodate two additional floors. The utilities (low, medium steam, domestic water, and sanitary waste) were design to accommodate these floors. Connection interface points for these utilities are located in the second floor mechanical rooms. The health services to be provided as part of the 3rd floor addition (surgery center, ICU, Recovery and SPD) tend to be very energy intensive. At this time it appears the capacities provided in the original design are adequate to support the addition

The design concept for each of the required systems is discussed below. Should the system descriptions be in conflict with any of the codes, standards and design guides discussed below, the codes, standards and design guides shall govern.

4.2 PERTINENT CODES AND DESIGN REFERENCE DOCUMENTS

The HVAC and Plumbing system design for the 3rd floor addition will comply with the following codes and standards, and Design Guides and those codes and standards referenced therein:

• International Mechanical Code – 2006

• International Energy Conservation Code – 2006 (except where hospital design requirements dictate otherwise)

• International Plumbing Code – 2006

• International Fuel Gas Code - 2006

• NFPA 99 – Standard for Health Care Facilities – 2005

• Compressed Gas Association Standards

• Department of Veteran Affairs (VA) – Office of Construction and Facilities Management

(OCFM) – HVAC Design Manual for Hospitals – Feb. 2008

• E-Mail, Dohkai (VA CFM) to Gupta (VA CFM) dated 05-13-2009 Modifying VA Operating

Suite Ventilation and Filtration Requirements (See Vol II, Appendix Q)

• Telephone Call Record, Blomquist (HDR) to Dohkai VA CFM), Operating Room Design

Temperature ( See Vol. II, Appendix Q)

• VA – OCFM – Plumbing Design Manual for Hospitals – Jan. 2006

• VA – OCFM – Sanitary Design Manual for Hospitals – Jun. 2006

• VA – OCFM - Surgical Service Design Guide – Aug. 2005

• VA – OCFM – VA Space Planning Criteria, March 2008

• VA – Office of Acquisition and Material Management – Supply, Process& Distribution Design

Guide – Sept. 1994

• VA – OCFM Technical Summaries – Checklist for HVAC Related Life Safety Requirements

• The design build contractor shall refer to the VA-OCFM website for additional VA requirements

Wherever the VA HVAC Design Manual is referenced within this narrative it shall be interpreted as the VA HVAC Design Manual as modified by the E-Mail, from Dohkai (VA CFM) to Gupta (VA CFM), dated May

U.S. Department of Veterans Affairs

3rd Floor Addition for Surgery Center, PACU, SPD & ICU 01 10 10 VA Medical Center; Grand Junction, CO APPENDIX T AM-02

13, 2009, titled “Modifying VA Operating Suite Ventilation And Filtration Requirements” and the Telephone Call Record, Blomquist (HDR) to Dohkai VA CFM), Operating Room Design Temperature.

If the requirements of the documents referenced above conflict with the requirements of the codes and standards, the more stringent code, standard or design guide shall govern.

4.3 MECHANICAL SYSTEMS OUTLINE

4.3.1 Direct Digital Control System

The direct digital control system (DDC) shall be a Johnson Controls Inc (JCI). BacNet DDC system and shall integrate in to the existing JCI DDC system.

The system shall be configured such that each mechanical room has a local controller with an interface where maintenance can connect a laptop to troubleshoot system problems. The primary control point is the central plant control room. Control shall be through graphical displays that are identical in form and function as the existing displays. See the VA HVAC Design Manual for additional DDC requirements including minimum point schedule requirements.

4.3.2 Heating, Ventilation, Air Conditioning and Exhaust

The VA HVAC Design Manual for Hospitals along with the Surgical Service and Supply, Process and Distribution Design Guides provide the basis for the HVAC design for the health care services provided in the addition. The system concept described below was developed in accordance with these design guides and is designed to fit within the confines of the mechanical spaces shown on the VA’s preferred floor plan (see Appendix N). The design build contractor can propose an alternative design so long as it complies with the codes, standards and the design manuals described above, and conforms to the VA’s preferred floor plan.

Three new air handling units with reheat terminal units are…