HomeMy WebLinkAboutBLD07-181 oversize drawings not scanned)ft.,\
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City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Torvnsend, WA 9g36g
(360)379_s09s
BTJILDING PERMIT
Project Information
Permit Type Commercial Tenant Improvement
Site Address 834 SHERIDAN
Project Description
Installation ofpatient lifts in three locations
Permit #
Project Name
Parcel #
BLD07-181
948319202
Names Associated with this Project
T'ype Name
Applicant Jefferson Co publ Hosp Dist
#2
Owner Jefferson Co publ Hosp Dist
H2
Contractor U S Metal Works
Contractor U SMetal Works
Contact Phone #
License
Type License # Exp Date
0-CITY
STATE
APPLIED FOP. 12/31/2OO]
USMETWI 1 89t 05 t31 /20090-
Fee Information
Proiect Valuation
Building Permit Fee
PIan Review Fee
State Building Code Council Fee
Technology Fee for Building Permit
Record Retention Fee for Building
Permit
Project Details
Entered Bid Valuation 23,000 DoLt
$23.000.00
363.25
236.11
4.54
1.21
r 0.00
Total Fees $621.13
*** SEE ATTACHED CONDITIONS X**
Call 385-2294 by 3:00pm for next day inspection.
Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of lg0
days. Work is verified by obtaining a valid inspection.
The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certifythat the information provided as a part of the application for this permit is irue and accurate to the best of nry knowledge. I furlher cerrifythat I am the owner of the property or authorized agent of the owner.
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Datelssued: l0/1012007
ISsuedBy: PWESTERFIELD
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City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 9g36g
(360)379_s09s
BT]ILDING PERMIT
Project Information
Permit Type Commercial Tenant Improvement
Site Address 834 SHERIDAN
Project Description
Installation of patient lifts in thrce locations
Permit #
Project Name
Parcel #
BLDO7-r8l
948319202
Conditions
l0 Alterations or extensions of the fire alarm and/or fire sprinkler systems require separate permits.
Call 385-2294 by 3:00pm for next day inspection.
Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of lg0
days. Work is verified by obtaining a valid inspection.
The granting of this peflnit shall not be construed as approval to violate any provisions of the pTMC or other laws or regulations. I certifythat the infonnation provided as a part of the application for this pernrit is irue and accurate to the best of 'ry knowledge. I further certifythat I am the owner ofthe property or authorized agent ofthe owner.
Print Name Date Issued
lssued By:
l0/t0/200'r
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COMMENTS
CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
PERMIT# €,LY\O7-I 8l
SCOPE OF WORK:
DATE RECEryED 8 I -07
DATE ACTION INITIALS8.J1, h7 ENTERED INTO CHET p!-ur
CA - to Planning - No evidence J
CHECKED FOR COMPLETENESS
tt 6 rlavn +.o
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Gity of Port Townsend
Development Se rvices Depa rtment
250 Madison Street, Suite 3, port Townsend, WA 9g36g
(360)379-s095
Invoice
Date:
lnvoice #
1O-ocT-07
120
JEFFERSON CO PUBL HOSP DIST #2
834 SHERIDAN ST
PORTTOWNSB{DWA 98368-2443
Application No BLD07-181
ftoject:
ApplicationType ConrnercialTenanilmprovernent
Parcel # 94a319202
Subdivision: EISENBEISADDn-DN
Site Address: 834 SHERIDAN
Blocldlot
Description
Building Permit Fee
Han Review Fee
State Buiding Code Council Fee
Technology Fee for Buildlng Permit
Record Retenlion Fee for Building permit
Fee AnDunt
$363.25
$236.1 1
$4.50
$7.27
$10.00
Paid/Credit
$0.00
$ 150.00
$0.00
$o.oo
$0.00
Balance Due
$363.25
$86,1 1
$4.50
$7.27
$10.00
$621.13
$150.00
Total Fee Affbunt:
Total Paid/Credits:
Balance Due:$471.1
Payment due within 30 days
Page 1
Letter of Transmittal
October 4,2007
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Construction Review Services
310 Israel Road SE
Tumwater, WA 98501
PO Box 47852
Olympi4 Washington 98504 -7 852
www.doh.wa.gov/crs
tel.360-236-2944
fax.360-236-2901
Project Info:
Key People:
Assigned DOH
Reviewer:
Facility
Adminishator:
Architect /
Engineer:
cRS# 9s07
Jefferson Healthcare Hospital
Chapter 246-320 WAC Hospitals
Patient Lifts
Matthew Campbell
matthew.campbell@doh.wa. gov
Jefferson Healthcare Hospital
Vic Dirkson
834 Shridan St
Port Townsend, WA 98368
(360) 385-2200
Project
location
Building
Official:
834 Sheridan St
Port Townsend, WA 98368
Sprinkler /
Contractor:
Rice Fergus Miller
Bob Miller
262 4h St
Port Townsend, WA 98337
(360) 373-8773
bmiller-rheese@rfmarch.com
N/A
Other:N/A
Copies To:
X Local Building Official:
tr Washington State Patrol, Fire Protection Bureau
X Architect / Engineer: Rice Fergus Miller
n Sub-Contractor: N/A
Local Permit #
Facility Contact:Jefferson Healthcare Hospital
Dana Michelsen
834 Shridan St
Port Townsend, WA 98368
(360) 38s-2200
dmichelsen@jgh.org
City of Port Townsend
Jan Hopfenbeck
l8l Quincy St. Ste 301
Port Townsend, WA 98368
(360)379-s087
jhopfenbeck@cityofpt. us
N/AFire Alarm
Contractor:
Other:N/A
DOH Child Birth Center Licensing
DOH Office of Accommodations & Res. Care Survey
DOH Office of Health Care SurveyDSHS, , Div. Of Alcohol and Substance AbuseDSHS, , Aging & Adult Services AdministrationL&\ , Electrical SectionL&1, , Factory Assembled Structures
nuX cRS File
Page I of4
found.
Sub-Contractor: N/A
Other:
n!nn!trtr
Plan Review Comments for Project #Error! Reference source not
Jefferson Healthcare Hospital
Chapter 246-320 WAC Hospitals
Patient Lifts
Memo:
- Authorizedto Begin Construction -
-ED Trauma Bays Only- Redlined Drawings-
The documents have been reviewed and construction can begin without delay, subject to construction
permitting from the local building official. The stamped approved copy of the documents shall be kept
available on site for survey and inspection staff. The local building official is responsible for building
construction permitting and occupancy.
This project cannot be approved for licensure until the following comments labeled as oonot approved"
have been resolved. These comments must be resolved by providing a written response, or, by a site
inspection to veriff compliance. Please note the following:
' Any changes (incl. change orders or addenda) during construction shall be submitted to the
department for review of compliance with applicable codes.
. Approval for licensure cannot be given until all construction documents and changes have been
reviewed and approved.
' Proceeding with construction prior to resolving the attached comments will constitute facility
acknowledgement that you are proceeding at your own risk.
' If we do not receive written responses to the attached comments, we will automatically schedule
a site inspection.
' You must notify the department when construction is complete, either by the included
notification of construction complete (pink card) or by completing the form on the CRS
website. Additional instructions may be printed on the pink card. When we receive
notification, we will notify DOH Office of Health Care Survey that you have completed the
review process and are ready for licensing.
' Final licensing approval may be subject to a site inspection by DOH Office of Health Care
Survey to veri$ compliance with Hospital licensing regulations.
Approval for work at ED Trauma Bays contingent on installation of patient
lift as shown on red-lined shop drawings.
Page2 of 4
found.
Plan Review Comments forProject # Error! Reference source not
r*-))
Facili Data Certificate:
Estimated Date of Occupancy:
1-B 2OO3IBCa
Fi
Fr
t-r
t'{
Fl
(J
trr
Fli
Yes
Yes
Type
o
o
Jefferson Healthcare Hospital
Construction Type
Added:
NoYes
NoYes
oes
oYes
oYes
Applicable Code:
Certificate of Need Required:
Automatic Fire Sprinkler System:
Automatic Fire Alarm System
Compartmentation req'd:
Special Egress Control:
Smoke Control System Provided
Location
Total:
Facility Name:
Site Address:
DOH Facility ID:
Critical Access Facility:X Yes
nNo
834 Sheridan St
Port Townsend, WA 98368
CON Approval Granted:
CONNumber:
Occupancy Group: I-2
Number of Beds: Current:Removed:
tnEI
q3
<Qlrl tiEla/-2?f-l j
dY
Hd
Number of units: Private occupancy:
Based on size of rooms used for sleeping Residents
Based on size of common rooms Residents
Maximum allowable licensable beds:
Two person occupancy:
Qualifies for Assisted Living Funding Program I Ves nNo Number of qualifuing units:
a
Fd3
z
The data above is based on the information presented to CRS. Any change in the facility or facility program that
causes the above information to be incorrect is subject to review by CRS. Approval for construction is not
approval for licensure. A copy of the facility data certificate will be sent to the licensing agency.
Page 3 of4
found.
Plan Review Comments for Project # Error! Reference source not
Jefferson Healthcare Hospital
Chapter 246-320 WAC Hospitals
Patient Lifts
Plan Review Comments
Provide a minimum 3'-6" clear distance between existing sprinkler head and patient lift
traverse rail at ED Trauma rooms. WAC 246-320-505(2)(a)(ii)
Approved l0lll07 - Based on redlines to the submitted shop drawings. Traverse
rail stops shall be installed to limit travel of lift traverse rail to not within 3'-60' of
sprinkler head location, typical at each location.
El Two sets of sprinkler system working plans shall be submitted for review and approval
before any equipment is installed or remodeled. The department reserves the right to
defer plan review and inspections to the local authority having jurisdiction (AHJ).
Deviation from approved plans will require permission. Plans and specifications.
including hydraulic calculations. that are incomplete or are not stamped blr a
State returned
Plans and specifications may be submitted separately from construction documents
during the construction of the project. For small renovation projects in which heads are
only to be relocated, a plan that shows the relocation of devices can be submitted for
review in lieu of the above requirements. Section g03.I,International Fire Code
Submit sprinkler shop drawings for revised sprinkler plans designed to provide
coverage to accommodate existing and planned ceiling mounted equipment at
Radiology Room.
Compliance with the comments above provided by the Department of Health, Construction Review Services, are necessary for this facility to meet
the requirements of the applicable licensing regulations found in the Washington State Administrative Code and associated references. These
comments do not relieve thefacilityfrom the responsibility to meet the requirements ofany other applicablefederal, state or local regulations.
In the event of conflicts between other jurisdictions and these written conments, the most stringent shall apply.
Page 4 of4
found.
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2
Plan Review Comments for Project # Enor! Reference source not
STANDARD FORM OF AGREEMENT BETWEEN OWNERAND CONTRACTOR
where the basis for payment is a STIPULTITED SUM
AGREEMENT made as of this Twenty-third day of May,2007 BETWEEN:
The Owner:
Jefflerson County Public Hospital District No. 2
834 Sheridan Street
Port Townsend, Washington 98368
and
The Contractor:
U S Technical Structures
36370Industrial Way
Sandy,OR 97055
for
The Project:
WA License #USMETWI I89D9
Installation of Guldmann Patient Lift Supports(Design/Build)
The Architect is Design Review:
RicefergusMiller
262 4thAvenue
Bremerton, WA 98337
ARTICLE I: THE CONTRACT DOCUMENTS
The Contract Documents consist of this Agreement, Conditions of the Conffact (General,
Supplementary and other Conditions), Drawings, Specifications, Addenda issued prior to
execution of this Agreement, other documents listed in this Agreement and Modifications issued
after execution of this Agreement; these form the Contract, and are as fully apart of the Contract
as if attached to this Agreement or repeated herein. The Contract represents the entire and
422287.03
I
Develiipment Servfces
250 Madison Slreet, Suite 3
Port Townsend WA 98368
Phone: 360-379-5095
Fax: 360-344.4619
wranv.cityofpt.us
Commercial Building Permit Application
) Applications accepted by mail must include a check for initial plan review fee of $150
D See the "Commercial Building Permit Application Requirements" for details on
plan submittal requirements.
fi :"f"",.t+U"W.-.ooo/.ottr.^1(a
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Address: ?: f 5 L.--/P.^ L-i--
6
Phone
Email: Ce ^- s / r r s /(wta u-CJ ,%s a- , ca4
Contractor:I LDo r l(s
Addres IA {r to-ta*
Sq^uL,r, C re 17rs5-5
Phone
Email:
state Licens e*. k S m Ef U)
City Business License #:
I hereby certify that the information provided is correct, that I am either the owner or authoiized to u"tlOrit.f?af? of owner
and that all activities associated with this permit will be in accordance with State Laws and
Print Name , 50, uL1 (s: Si ^ ,/- t'5
n^tr%/
the
I
i
Port Townsend Municipal Code.
Project Address & Zoning District:
737 54 u,r/*o CZ/1
Legal Description (or Tax #)
Addition:
Block:
Lot(s
Office USe Onlv,
Permit*-Blj]oz#l
Associated Permits:Parcer# ?"r"5 /?-Aaz
Project Descriptio n:/ t, //s Fnnef
Lender lnformation:
Lender information must be provided for projects
over $5,000 in valuation per RCW 19.27.095.
Name
Project Valuation: $3 ooo
entative
Name:c.
Address -SA -., o(.A.
City/SUZip t o u)m
Phone: 3 6 O-
Email:/a*i4 I
Construction Type
Occupancy Rating:te€/to ,/, ( c8
Building lnformation (square feet)
ldfloor 22SgZ Restrooms:
2nd ftoor 6Z t 7a Deck(s)
Storage:3'dfloor La /A z-
Basement
Other:
ls it finished? Yes No
New fl Addition n RemodeliRepair,E(
Change of Use tl
Total Lot Coverage (Building Footprint):
Square feet:6/ /7O
lmpervious Surface:
o//o
Square feet:
sis - q-l,//L,'
Date: 8 -2 tr- O 7
\
t a
GOUGHLINPORTERLUNDEEN
Project Record
Date:
To:
Attn:
August 6,2007
Rice Fergus Miller Architecture
& Planning, LLP
252 Fourth St.
Bremertory W498337
Bob Miller-Rhees
AUG 2 7 ',il1il
Jefferson Healthcare
Bariatric Lift Installation
s07-0134-03
Stephen Day
Proiect:
Project No:
By:
Memorandum Sent Via email 3 Page(s)
RE: Structural Review of Bariatric Lift Installation Shop Drawings
Bob:
At your request we have reviewed the installation drawings for the Jefferson Healthcare
Bariatric Lifts prepared by ACME Construction Supply (Drawings A1.0 & A2.0, dated
7 /27 /07).
The scope of our review was to determine if the existing roof and ceiling structure is adequate
to support the new lift loads. Analysis of the new support structure as detailed in the ACME
shop drawings is not part of our review; it is expected that engineering calculations will be
prepared for design of the elements illustrated.
The load criteria evaluated is a 6001b Bariatric Lift load, plus weight of the new lift support
structure, and code applicable dead, live and snow loads at the roof structure. Existing
structural drawings for Jefferson Hospital (1987,1995) were consulted to determine the
building structure, and calculations & shop drawings for the existing ceiling/medical support
grids were also available for our review.
Bariatric Lift System in Emergencv Rooms (Ref detail A/ A1,.0 of ACME shop Drawings):
The lift support rails at this installation location are supported by existing open-web steel
joists at the roof. The shop drawings detail new connections to the top chords of the steel
joists. Our review indicates that the existing roof joists are adequate for support of the
imposed lift loads, provided the recommendations below are followed:
1. Connections to the steel joists must occur within 4" of panel points, where joist web
members attach to chord members. Ref. Figure 1 (from E/ A1,.0 of ACME drawings,
with CPL markups)
5th & PINE BUILDING '4I3 PINE STREET'SUITE 3OO . SEATTLE, WA' 98IOI
TEL: 206/343-0460' FAX: 2061343-569 I
1
COUGHLINPORTERLUNDEEN
2. Connection rods between the upper MIDI-Rail and lower MIDI-Rail must be located at
least L'-0" away from the existing joists. A minimum of (2) connection rods must be
installed in each joist bay crossed by the MIDI Rails. Ref Figure 2 (from D/A1.0 of
ACME drawings with CPL markups)
ilrnl futt- f,q't;J's rttusf
ottu?- lUFAF Exbn4{,. datsr yAilrL Pt,filf6.
I /t4AY.
CONNECTIONS FER
sTD, GULDMANN
DTTAILS
AX PER
SLIDING "MIDI-gq;;"
BY GULDMANN
- Connection location to
(E] ROOF TR.U99E9 @ a',-O', O.C. (VERlrr)G) ROOr TRU55E3 @ 6'"0" O.
t
C. (VERTY)
1
nxr9 "Mtot-MrL"
BY GULDMANN
.^4d
(t) k^Mte.s' |tt torxr 0A)' -
|.|
{}SLIDING 'MIDI-RAIL
BY GULDMANN
600 LB MAX.
Fisure 2 - Connecfion lavout and number
sth & PINE BUILDING ' 4I3 PINE STREET . SUITE 3OO . SEATTLE, WA ' 98IOI
TEL: 206/343-0460 . FAX: 2061343-5691
l4 -/UttJ
GULDMANN DEIAII.g
BRACES PER
COUG HLI NPORTERLUN DEEN
Bariatric Lift Svstem in Radiologv Room #1 (Ref. detail C/ A1,.0 of ACME Shop Drawings)
The lift support rails at this location are supported by the existing X-Ray support grid at the
ceiling. Based on review of the original shop drawings and calculations, the existing support
grid system at the Bariatric Lift location is designed to support X-Ray equipment. Our review
indicates that the existing X-Ray grid and building structure above is also adequate for
support of the new Bariahic lift loads.
We hope this memorandum answers any questions you or your client may have about the
adequacy of the existing overhead building structure to support the new Bariatric Lift loads.
If there are any other items we can assist you with in regard to this projec! please contact our
office.
Regards,
COUGHLIN PORTER LUNDEEN, Inc.
Stephen Day, P.E.
Project Manager
€XPIRES ril22l09
sth & PINE BUILDING . 4I3 PINE STREET ' SUITE 3OO . SEATTLE, WA . 98IOI
TEL: 206/343-0460 . FAX: 2061341-5691
Page 1 ofl
Rick Taylor
From: Rick Taylor
Sent: Monday, September 24,2007 3:28 PM
To: 'Tom Aumock'; Scottie Foster; Penny Westerfield
Cc: Jan Hopfenbeck
Subject: RE: BLD07-181 Jefferson Healthcare, New Lift
Thank you Tom, I made a copy of the report for the file and will srgn for you on the file in the computer
Rick Taylor
Building Inspector
250 Madison Street Suite 3
Port Townsend, WA 98368
(360) 379-4920
rtaylor@cityofpt.us
From: Tom Aumock [mailto:taumock@cablespeed,com]
Sent: Monday, September 24,2007 11:45 AM
To: Rick Taylor
Subject: Re: BLD07-181 Jefferson Healthcare, New Lift
Hi Rick.
Here's my report as an attachment. I think it is the same item.
Regards, Tom
--- Original Message ---
From: Rick Taylol
To: Tom Aumock
Cc: Jan Hopfenbeck; Scottie Foster; Suzanne Wassmer; Penny Westerfield
Sent: Monday, September24,20Q7 8:21 AM
Subject: BLD07-181 Jefferson Healthcare, New Lift
Hello Tom,
Would you take a look at this the next time you are in this office; I will leave the file on my table
Thank you,
Rick Taylor
Building Inspector
250 Madison Street Suite 3
Port Townsend, WA 98368
(360) 379-4e20
rtaylor@cityofpt.us
912412007
Thomas L. Aumock
Consulting Fire Code Official
2303 Hendricks Street, Port Townsend, WA 98368
(360)385-3938 Email:taumock@cablespeed.com Cell:(360)643-0272
TO:
FR:
DT:
RE:
CC:
PLAI\ REVIEW MEMORAI\DUM
Jan Hopfenbeck, Plans Examiner, Development Services Department
Tom Aumock, Consulting Fire Code Official
31 August 2007
BLD07-181, Jefferson General Hospital, 834 Sheridan St.,Installation of Bariatric Lifts
Mike Mingee, Fire Chief, East Jefferson Fire & Rescue
This consulting Fire Code Official is in receipt of the set of plans and specification for the above-
referenced building permit application from your office for installation of bariatric lift in the Emergency
Room and the Radiology Room at Jefferson General Hospital.
Findinss & Determinations:
1. The proposed installation shall not interfere with the operation of any installed automatic fire
sprinkler system devices. If interference is determined, then sprinkler heads shall be repositioned to
accommodate the bariatric lift support system installation. Any such changes of sprinkler heads shall
meet the manufacturers spacing requirements.
2. The same will hold true for any installed automatic fire alarm devices.
0.5 hours time was consumed in the review of this proposal, which included site inspection
It is the recommendation of this plans examiner that the subject permit application be approved subject to
the aforesaid stipulation of approval.
C:\Documents and Settings\rickt\Local Setting$Temporary Intemet Files\OLK21\BLD07-181 Jeff Gen Bariatric Lifts.doc 9/24107
)
Thomas L. Aumock
Consulting Fire Code Official
2303 Hendrioks Street, Port Townsend, WA 98368
(360) 385-3938 Email: tatrJnock@c"a,blespeed.cor,n Cell: (360) 643-0272
TO:
FR:
DT:
RE:
CC:
PLAN REVIEW MEMORANDUM
Jan Hopfenbeck, Plans Examiner, Development Services Department
Tom Aumock, Consulting Fire Code Official
3l August 2007
BLD07-181, Jefferson General Hospital, 834 Sheridan St,, Installation of Bariatric Lifts
Mike Mingee, Fire Chief, East Jefferson Fire & Rescue
'Ihis consulting Fire Code Official is in receipt of the set of plans and specification for the above-
referenced building permit application from your office for installation of bariahic lift in the Emergency
Room and the Radiology Room at Jefferson General Hospital.
F indinss & DeleMilatliqlli
1. The proposed installation shall not interfere with the operation of any installed automatic fire
sprinkler system devices. If interference is determined, then sprinkler heads shall be repositioned to
accommodate the bariatric lift support system installation. Any such changes of sprinkler heads shali
meet the manufacturers spacing requirements.
2, The same will hold true for any installed automatic fire alarm devices.
0.5 hours time was consumed in the review of this proposal, which included site inspection
It is the recommendation of this plans examiner that the subject permit application be approved subject to
the aforesaid stipulation of approval.
,;f,m0?-181
C:\Documents and Settings\zimmer\Local Settings\Temporary Intemet Files\OLKF\BLD07-l8l Jeff Gen Bariatric Lifts.doc 9/14l07
GOUGHLINPORTERLUNDEEN
Proiect Record
Date:
To:
Attn:
August 6,2007
Rice Fergus Miller Architecture
& Planning, LLP
262 Fourth St.
BremertorL WA 98337
Bob Miller-Rhees
Jefferson Healthcare
Bariatric Lift Installation
s07-0134-03
Stephen Day
Proiect;
Project No:
By:
Memoranilum Sent Vin email 3 Paxe(s)
RE: Structural Review of Bariatric Lift Installation Shop Drawings
Bob:
At your request we have reviewed the installation drawings for the Jefferson Healthcare
Bariatric Lifts prepared by ACME Construction Supply (Drawings A1.0 & A2.0, dated
7 /27 /07).
The scope of our review was to determine if the existing roof and ceiling structure is adequate
to support the new lift loads. Analysis of the new support structure as detailed in the ACME
shop drawings is not part of our review; it is expected that engineering calculations will be
prepared for design of the elements illustrated.
The load criteria evaluated is a 6001b Bariatric Lift load, plus weight of the new lift support
structure, and code applicable dead, live and snow loads at the roof structure. Existing
structural drawings for Jefferson Hospital (1987,1995) were consulted to determine the
building structure, and calculations & shop drawings for the existing ceiling/medical support
grids were also available for our review.
Bariatric Lift Svstem in Emersencv Rooms (Ref detail A/ A1.0 of ACME shop Drawings)
The lift support rails at this installation location are supported by existing open-web steel
joists at the roof. The shop drawings detail new connections to the top chords of the steel
joists. Our review indicates that the existing roof joists are adequate for support of the
imposed lift loads, provided the recommendations below are followed:
1. Connections to the steel joists must occur within 4" of panel points, where joist web
members attach to chord members. Ref. Figure 1 (from E/ A1J of ACME drawings,
with CPL markups)
5th & PINE BUILDING . 4I3 PINE STREET' SUITE 3OO . SEATI-LE, WA , 98IOI
TEL: 206/343-0460 . FAX: 2061343-5691
3tll0?-18I.
GOUG HLIN PORTERLUN DEEN
2. Connection rods between the upper MIDI-Rail and lower MIDI-Rail must be located at
least 1'-0" away from the existing joists. A minimum of (2) connection rods must be
installed in each joist bay crossed by the MIDI Rails. Ref Figure 2 (from D/A1.0 of
ACME drawings with CPL markups)
Neil (el- tiorttt't ilu.f
o&uA luFA* Fx.$/ltt{t
, {orlr yNJeL Fahtfs.
I t1'trl!,I
CONNECTIONS PrR
5TD, GULDMANN
DETAILS
MAX FER
LDMANN
SLIDING 'MIDI-RAIL'
BY GULDMANN
Fisure l, - Connection location to existinq ioist panel points
(E) Roor TRU55E5 @ 6'-0" O.C. (VERlFr')G) ROOr TRU55E3 @ g|O',O.C. (vERJft]
L
rXED "MI
BY GULPMANN MAX
*tA (l) Htpt'cxs' ftf. aotxr AAI '
SLIDING "MIDI.R.AIL'
BY GULDMANN
60{) t-B MAX.
Fisure 2 - Connecfion lavout and number
5th & PINE BUILDING ' 4I3 PINE STREET . SUITE 3OO . SEATTLE, WA . 98IOI
TEL: 206/343-0460 . FAX: 2061343-569 I
$
-/
GUIDMANN DETAII-5
8[1ACE9 FER
COUG HLIN PORTERLUNDEEN
Bariatric Lift Svstem in Radiology Room #1 (Ref. detail C/ A1..0 of ACME Shop Drawings)
The lift support rails at this location are supported by the existing X-Ray support grid at the
ceiling. Based on review of the original shop drawings and calculations, the existing support
grid system at the Bariatric Lift location is designed to support X-Ray equipment. Our review
indicates that the existing X-Ray grid and building structure above is also adequate for
support of the new Bariatric lift loads.
We hope this memorandum eruwers any questions you or your client may have about the
adequacy of the existing overhead building structure to support the new Bariatric Lift loads.
If there are any other items we can assist you with in regard to this projecf please contact our
office.
Regards,
COUGHLIN PORTER LUNDEEN, ITTc
Stephen Day, P.E.
Project Manager
5th & PINE BUILDING ' 4I3 PINE STREET ' SUITE 3OO . SEATTLE, WA . 98IOI
TEL: 206/343-0460 . FAX: 2061343-5691
EKPTRES t/27./09
'f - t .i
Structural Details &
Calculations for Patient lift
Supports
Located at:
JefFerson general hosPital
Port Townsend, Washington,983
Prepared for:
Acme Construction SuPPIY
Portland, Oregon
Date, August 2I, 2007
(swcE 0760)
SW Consulting Engin ng
Suite D94t4 SW Barbur Blvd
Portland, OR 97219
(s03) 245 4557 fax
(503) 245 4699 voice
These calculations are for the above referenced project site and for the current phase of construction only.
These calculations do not apply to similar or same configurations at this site or at a different site, except as noted above.
Actual construction shall ONLY be based on the CONSTRUCTION DOCUMENTS (CD)
porLion of this package.
Calculations are provided for review by approving authority only and shall not be used by
contractor for actual construction.
EG ir,t'.id il ri li'u Ll lt-r
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CONTENT9
Construction Documents.......
Scope of Work
Slrvctvral Notes
C onstru clton do cvm enEE
CD-A
9C- |
9N- |
CD-I TiIRU CD.6
Calculations
CalcvlaAons C- | Thru C-7
DESIGN c1w
ACME
CLIENT
PRoJEcrNo; 0760
JEFFER9ON GENERAL HOgPITAL
PROJECT
ootzt/47DATE
SHEET NO:
LOnEenE5
SUBJ ECT
CONTENTS
Satyajit \y'Vidyaratne, P. E.
LICENSEO PROFESSIONAL ENGINEER
OREGON, WASHINGTON
9414 SW Barbur Blvd, Suite 'O'
Portland, OR 97219
503.245.4699
503.245.4557 FAx
Satya@swcoinc.com
lul
SW
CONSULTING
ENGINEERING
STRUCTURAUCIVIL
CON9TRUCTION DOCU M TNTS
DESIGN c5w
ACME
CLIENT
PRoJEcr Noi oTGoPROJECT
JEFFERSON GENERAL HOgPITAL
oEtz t /o7DATE
SHEET NO:
CD-A
Congtrvchon Docvmenls
SUBJECT
Satyajit Widyaratne, P.E.
LICENSEO PROFESSIONAL ENGINEER
OREGON. WASHINGTON
9414 SW Barbur Blvd. Sulte'o'
Poruand, OR 97219
503.245.4659
603.245.4557 FAX
Satya@swcalno.oom
lru
STRUCTURAU CIVIL
SW
CONSULTING
ENGINEERING
3CO?8. OT WORK
Scope ol struclvral enqneennq eervaes by SWCE ts stnctly lmfted to the lollowtnq:
Vertrcal qravfty load desqn ol horvontal slrvt member belween ex$tnq truss
toV chords.
lnlent ol ths structural enqneernq Vackaqe, a5 ?re?ared by SWC1,
$ to de qn vertrcal qravfty svVVorts tor equV. manuf'r. shVulated load reqwremenlt
As svch, any equt?ment svVVorled by lhe hanqers ghown shovld not exceed the
maxrmum slated werqhtg, and ghould be atlached and reslraned tor verilcal and
horvontal lorces ?ef equ?ment manulaclurers recommendaAons and deaqn,
3, Manulactures equ?menl dedqn s by olhers
4, Lateral Dracrnq, lower EquV. rai and rod stfttener deeqn are ?ro?ttef'ry deaqns
by lhe eqvv, manuf'r and are nol desqned, revrewed or ana\zed by )WCE,
are are sVecfically excluded lrom lhe 5co?e ol seruces by SWCE
DESIGN c5w
ACME
CLIENT
PRoJEcr No: 760
JTFTERgON GENERAL HOSPITAL
PROJECT
o5tzUOTDATE
EHEET NO c-I
ScoVe of Work
SUBJECT
Satyajit Wdyaratne, P.E.
LICENS€O PROFESSIONAL ENGINEER
OREGON, WASHINGTON
9414 SW Barbur Blvd. sulle'o'
Portland, OR 97219
503.245.4099
503.245.4557 FAX
Satya@swceinc.com
ln
STRUCTURAU CIVIL
SW
CONSULTING
ENGINEERING
Structural Notes:
. I . All 1ramnq members and conneclorg ghown shall be "superslruE" as manvlaclured by
Thomas & BeLts, MemPhrs, TN
,2. All bolls shall be I12" dtameter bol1s and | /2" dtameler strul nvts by SvTersLrul,
,3, ?rovde anqular cvtE al ends ol memberE where ghown,
,{, Torqve all bollslnuls to 5Q ll-lbs' vnlesg noted olherwze'
5, fhe exatffiq strvclvre lo whrch lhe eqw7. & 3v77orLs are atf'ached has nol been
analyzed, fhe caVacfty ol the exoltnq sLrvclvre lo svpporE Lhe loade lrom Lhe new
Equt7. * 3u77orls shall be revewed by Lhe enqtneer-of-record tor the bwldnq,
6, All lhreaded rods ghall be ASTM A36 or A3O7
OESIGN c5w
ACME
CLIENT
PRoJEoTNo; 0760PROJECT
JEFFER9ON GENERAL HOgPITAL
o5tzt/o7DATE
SHEET NO:9N- |
Struclural NoEes
SUBJECT
Satyajit VMdyaratne, P.E.
UCENsEO PNOFEASIOW ENOINEER
OREGON, WASHINOTON
9414 SW Barbur Blvd. Sulte 'D
Po(land, OR 97219
503.245.4699
503.245,4557 FAJ(
Satya@8wceinc.@m
sw
CONSULTING
ENGINEERINGln
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Project Record
COUG H LI NPORTERLUN D EEN
Date:
To:
August 3,2007
Rice Fergus Miller Architecture
& Planning,LLP
262 Fourth St.
Bremertory WA98337
Attn:Bob Miller-Rhees
LETTE? ?rzoa.a
EoA Fe4exttN4
Ct-F (1-Y
"Fproject: Jefferson uuuttniur" €1X'ltfT',' Bariatric Liftlnstalla-yf=.Ur#
Project No:
By:
s07-0134-03
Stephen Day
Je
SU?F?}KT
t'.|€l/.J
Memorandum SentVia email
RE: Structural Review of Bariatric Lift Installation shop Drawings
Bob:
At your request, we have reviewed the installation drawings for the Jefferson Healthcare
gariatricLi?.tspreparedbyACMEConstructionSupply(D'u@
7 /27 /on.
-
The scope of our review was to determine if the existing roof and ceiling structure is adequate
to support the new lift loads. Analysis of the new support structure as detailed in the ACME
shop'&awings is not part of our review; it is expected that engineering calculations will be
prepared for design of the elements illustrated'
,3
Bariatric Lift slrstem i4 Emergency Rooms (Ref detail A/ A1,.0 of ACME shop Drawings):
The lift support rails at this installation location are suPPorted by existing open-web steel
joists at th! roof. The shop drawings detail new connections to the top chords of the steel
joists. Our review indicates that the existing roof joists are adequate for support of the
imposed lift loads, provided the recommendations below are followed:
L* 1,, Connections to the steel joists must occur within 4" of panel points, where joist webt=-{F members attach to chord members. Ref. Figure 1 (from E/ A1'.0 of ACME drawings,
with CPL markuPs)
Sth&P|NEBU|LD|NG.4l3P|NESTREET.sUlTE3o0'SEATTLE,wA.98l0l
TEL: 206/343'0460 ' FAX: 206/343'569 1
The load criteria evaluated is a 6001b Bariatric Lift load, plus weight of the new lift support
structure, and code applicable dead, live and snow loads at the roof structure. Existing
structural drawings for lefferson Hospital (1987, L995) were consulted to determine the
building structure] and calculations & shop drawings for the existing ceiling/medical support
grids were also available for our review,
{:
c0-.v,
CO UGH LI N PORTERLUN DEEN
2. Corurection rods between the uPpel MIDI'Rail and lower MIDI-Rail must be located at
least 1r-0,' away from the exisung j0ists. A minimum of (2) connection rods.must be
installed in each joist bay crossei uy tt"," MIDI Rails' Ref Figure 2 (tromD/ A1"0 of
ACME drawings with CPL markuPs)
t
*c4e&
Sbier
*,v!*k
fi*'lt$t
Ids!^l fim,*un** *yL
eONNECRON9'PER
.gTD. GULPMANN.
DE.TAIt,5
SLlprNG "Mlol:RAlLl
BY GUL^DMANN
gUDl:N6 lrMlDl-RAtt'
EYGIJIDMANN
Figure 1 - Connection lqcation to e$sting joist Panel Points
n
ilt,
,660,LB,htAX.
Fig$re 2, - goJrngction rod layout 4nd number
c0-s
5th&P|NEBU|LD|NG.4l3P|NESTREET.sUlTE30o.SEATTLE,wA.9Sl0l
TEL: 206/343'0460 ' FAX: 206/343-569 I
(Ref' detail C/ A1'0 of ACME Shop Drawings)
The lift support rails at this location are supported by the existing X-Ray zupport grid at the
ceiling, Bised on review of the original shop diawings and calculations, the existing support
grid sjrstem at the Bariatric Lift locition is dlsigned to support X'Ray equipment of 911lbs,
i'r,atrrdir.,g an increase for impact loading. Our ieview indicates that the existing X-Ray grid
and building structure ubo,re is adequaie for support of the new Bariakic lift loads.
We hope this memorandum answers any questions you of your client may have about the
adequacy of the existing overhead building structure to support the new Bariatric Lift loads'
If there uru ury other itJms we can assist you with in regard to this project, please contact our
office.
COUGHLINPORTERLUNDEEN
Regards,
COUGHLIN PORTER LUNDEEN INC.
Stephen Day, P.E.
Project Manager
gr"
"l1r
,fi
#
l
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ii'
exPrRes t/22/09
5th&P|NEBU|LD|NG.4l3P|NESTREET.sUlTE300.SEATTLE'wA'98101
TEL: 206/343'0460' FAX: 206/343-569 I co4
r,i
CALCULATION9
.l_i
' -'":''':1t
'!::
OESIGN c1w
ACME
CLIENT
PROJECT NO:0760
JETTERSON GENER'AL
PROJECT
oB/2 t /o7OATE
EHEET NO:
CaL- I'
SUBJECT
Calculailons
Satyajit Widyaratne, P.E.
LICENSED PROFESSIONAL ENGINEER
OREGON. WASHINGTON
9414 SW Barbur Blvd. Suite'D'
Portland, OR 97219
503.245.4699
503.245.4557 FAX
Satya@swc€inc.com
lnr
STRUCTURAU CIVIL
SW
CONSULTING
ENGINEERING 'i:t:n.,.t
lsi*-i' lr::
Desqn Crftena
Codet toc 2006
Sesmrc:Bvildnq Cate7ory:
9orl lype:
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D
1.41
o.52
DESIGN
c5v'/CLIENT
ACME
PRoJECTNo; 0760
JTTTTRSON GTNERAL
PROJECT
OATE 6/2t/O7
9HEET NO;
CaL-2
Deaqn Crftena
SUBJECT
SatyaJlt \Mdyaratno, P.E.
LICEN9EO PROFESSIOML ENGINEER
OREOON, WASHINGTON
9414 SW Barbur Blvd. Suite'D'
Portland, OR 97219'
503.245.4699
503.24s.4557 FAX
Satye@sw@inc.@m
llr
STRUCTURAU CIVIL
SW
CONSULTING
ENGINEERING
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f*,.&,.* Stl6t* = ('-O'/ -
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DESIGN
CSGJ
cLrENr kcxe
No.offifw^l fawlu
la+
DATE .
El rtl
SHEET N9.C-l
SUBJECT
Satyaiit Wdyaratne, P.E.
I.IC€NSED PROf ESSIOiIAL SCINEER
ofiEGON.WAs+lll€TON
9414 SW Barbur Blvd., Sulto D
Portland, OR 97219
503.245.4699
503.245.4557 FAX
satya@swcelnc.com
fin
5W
CoNSULTING
ENGINEERING
STRUCTURAL' CIVIL
l-
I
Sgrvttc- aoADs
fr?Q,4 S
R" lre
: 183d9
2@( 16e
ftSCd 4'os
5 r3.3 "t
[,",H1 d
Zt? coo€
Ss = l'4{
S, = O'Fe
s4e
ATTAC{E-c>
+' f tr; rSs
.'. SAS =' 6r16) (r.;/ ) = l.r* r
l
.'. so5, Tzsr^s = U) ('f.: i = o.ottr
s
s3,
exii
sp #t(v: at
.- n \7\at
3
rQrtL
s5
ASc6 :l.oz
fA.&eS
q ,4 (o.t?o (z.q t4llnZItz-s )fti.f )
= flo, (Urtrn^*re) s 1,67
l-dt s No.. I,: EI {seaurce ffiE )
5 5*Tr do , /1.
/
b
= 6.X( C^$S€ttllc6 mter)f, 0'3
fi,tN
t,i
ff€. cr^&Ss
D
cLrENr
A.el'\€_
DESIGN
CShJ
PROJECT NO.
07160J?rFesoriPRoJEcT
"E/u(o?
SHEET No,C'?-'
Satyajit Widyaratne, P.E.
UCENSED PROFESSIOML ENGINEER
OREGON, WASHINGTON
9414 SW Barbur Blvd., Sulte D
Portland, OR 97219
503.245.4699'
503.245.4557 FAX
satya@swcelnc.com
&,sntc cla-c
SUBJEcT
sTRucruRAL/ crvrL
fin
SW
CONSULTING
ENGINEERING
Conterminous 48 States
2003 NEHRP Seismic Design Provisions
Zip Code = 98368
Spectral Response Accelerations Ss and S1
Ss and S1 = Mapped SpectralAcceleration Values
Site Class B - Fa = 1.0 ,Fv = 1.0
Data are based on a 0.05 deg grid spacing
Period Centroid Sa
(sec) (g)
0.2 1.267 Ss, Site Class B
1.0 0.461 51, Site Class B
Period
(sec)
0.2
1.0
Period
(sec)
0.2
Maximum Sa
(g)
1.414 Ss, Site Class A ?
0.520 Sl, Site Class B 4-
s(r€ ac-r*< 9,{?<{t^fu 1.,f st4**<t E4Fteu'T#Tla /K .1
Minimum Sa
(g)
1.150 Ss, Site Class B
C'3
$uperstrut"
Threaded Products & Hardware (Series 100)
JVufs & Bolts
E-142
Hex Head Cap Screw
Sizes: /r'x 1",W x 1W,3li' x 1",
9l!' x 1W,W x%d' &Yi' x 1lt
S€e price sheet lor additional
srzes.
E-149
Slotted Hex lndented Head
Machine Screw
Sizes: W x/t',1/i' x 1",lrd'x 11/i'
&Wx1W P E-l50-S
Lag Bolt
Screw Size: %'& 14
Drill Size: W&11112'g
-+ss-t
l.-B.--..._l
E- 151-D
Wood Screw Drive
SizeAiW
Size B: 2"
Max. R6c. Load: 10O lbs.
ffi
E-l31
ffi
@
*tr@
ES-142
Seismic Stiffner Nut
Sizei ES-142-112x 1W
Bolt Dia.:14
A
ffi
E-120E
Effi
E-130
Cat
No.AB Design
Load lbs.
Cat Design Sld.No. A B Load lbs. Ctn.
E.lIp,ilE-13O-112 1Y, Y, 1800 25
Ei1*:Bli:i:1,i.:|'1t6:r.1ifi ,:;i-9ld'.:tj;11,:?ii1"000ru!fi iii:lrz5iig
E-122-112 1Y, lz 1800 10
Design
Load lbs.
srd.
Gtn.
Fi,t!j:,?/Er,.,,iinJr6.:,.:r:i:,',Jhr j;r,ll 0Q0jt::,;,;':1;;!,11i.1i:l ;',::
E-131-112 'lVz Y, 1800 10
srd.
Gtn.
Cal
No.
srd.
Gtn.
Cat
No.
AB Design
Load lbs.
EzlzUN.gti;llit;trlli;;'i.&,':::ir::*i103-0;1:1#i;:7ft ;iE-12O-112 1Y2 Y, 1800 25
E122
AB
Threaded Had
E-l51
Black available
upon request.
Machine Threaded
opposite end,
carbon ste€I.
Order by Prod. #,
rod, size and rod
length.
Standard
Rod Lengths
EilSl"iglg.,.;llllrri*'ifi,;ji;;ig Br::10;::!Zi:Jr::iilii'ii!;.i'il-00;:
E-151-112 Y, 4,6,8,10, 100
Standard Finish - GoldGalf, unless othentrise stated.
Hi19.*M1ditViifi:l:i.,'::i :':1,0,:lt;.ltt:i':i;;',;i4lll.itilirl;::il,.:;i.::)rr ri11-io4-lt8%9130.
H:tO4-l i,. I':::: _: 8 .;i,. : .4980 j ,':. . j,i;, ,
Black available upon request.
.Standard lengths 6 lt., 10 ft. and 12 ft,
ThamasWetts
Cal
No.
ttil,-o$-il/ f,/-r3,iii:;'.:J::i::::lg1::'i.'::,1i1'f'!i,i1$$f1i!l!lt&t2?1,'u'':
H-104-3/8 % 16 610
Size
Threads
per inch
Deslgn Std.
Load lbs. Ctn,
11
Rod
Size
Cat
No.
srd.
Ctn.
H-104
Series Rod
@ 2oo3 Thomas & Botts corporatlon. Spacllications are subject to change without notics WWW.tnb.COm
H-104- Hanger Rod: Continuous Thread
t-151 * Coach Screw Rod
J12
c- t{-
Superstrut
@
Metal Framing Engineering Data & Specifications
Design Data * Metal Framing Channel
Elements of Seclions W
H
DoublerChannels
w
Nominal Thickness (inches)
12 Q{ = .'|05 I - Moment of inertia
14 Q,A = .075 S - Section of Modulas
16 GA = .060 r - Radius of GYration
Z - Nominal Axis
A - Area
x
x H
ri Single Channels
Y AXIS
J
in.
Y-
s
in.!
I
in.
x-x AxtsI
in.
sA
in.2
W
ln.
Gat.
No.
H
in ln.'ln.!ln.
. , .452'
.853
at6 .697,
.677
F
Cat.
No.
A
in.
H
in
w
in.ln.'
t
in.
s
ln.
x-x Axrs
z
ln.in
s
in.r
Y.Y AXIS
I
in.
o
la
etE.!
'rl-1202 , 3.250 t : ',r,:: 1.625 :,, 1.114 . .94€ .8'-1202 1.626 1.625 ]62 .147
.992 ,' l:625.439 .B13
1an
1.402
' 1.000
1.450
..505'c-1202
E-1202
H-1202
A-14oc
B-1 .560 .112
Load ratings for /2" strut nuts used in Superstrut Channel
lf connections will be subjected to dynamic or seismic loading
conditions, contact the factory for design assistance.
Pull Out
Skenglh
lbs.
A-1200 1500 ?900c-1200 1500 20008-1200 1400 1400A-1400 1000 1400:, 8-1400 ,:,: ,.'1000 , 1400.
Salety Factor ol 3
ThomasEBetts
@ 2OO3 Thomas & B6tts Corporation. specilications are subj€ct to chango without notlce. www.tnb.com
SliP
ResistanceChannel
No.lbs
J124
C-'5
Superstrut"
Metal Framing Engineering Data & Specifications
Design Data - Metal Framing Channel Table 3 *
b-
00UBLE CHANNEL (single Channels welded back'lo'hack)
Maxlmum
Unlfom
Load Dsil.Load Defl.
1/360
Span
Cal. No.Depth Ga.Load Detl.
Col.
Load
60'BEAM OR COLUMN
66" BEAM OR COLUMN
402
72' BEAM OR COLUMN
84" BEAM OR COLUMN
When no numbers are shown, use the muimum uniform load. Dellections are given in inches; loads in lbs.
TlhomasEBetts
J 131
Ir
ttu,EE
CD
u,
E
e
@ 2003 Thomas & Betts Cofporatlon. Spsclficatlons ars subject to change wlthout notic6. WWW.tnb.COm
c-6
')
Superstrut"
Metal Framing Engineering Data & Specifications
Design Applications
ti
I
Table 6
Gonverslon Factors for Beams with Various Static Loading Gonditions
Load tables on pages 65 thru 70 lor A, B, C, E, and H series channel are for single span beams supported at the ends. These
can be used in ihe majority of cases. There are times when it is necessary to know what happens with other loading and
support conditions. Some
-common
arrangements are shown in Table 6. Simply multiply the loads from the Design Load
Tables times the factors given in Table 6. Examples shown on page J139.
LOAD AND SUPPORT CONDITION
1. Simple Beam - Uniform Load EEEEEZZZAt-^!rpan
2. Simple Beam - Concentrated Load at Center f--l-f
LOAD
FACTOR
1.00
.1.00
'1.50
1.00
DEFLECTION
FACTOB
1.00
1.25
1.10
.30
.40
2.40
3.20
.92
.42
d
50
->
E
3. Simple Beam - Two Equal Concentrated l-oads at
% Points
c
t
v,
qrRsvl
4. Beam Fixed at Both Ends - Uniform Load
*
5. Beam fixed at Both Ends: Concentrated Load
at Center
6. Cantilever Beam - Uniform Load
7. Cantilever Beam - Concentrated Load at End
8. Continuous Beam - Two Equal Spans -
Uniform Load on One Span
9. Continuous Beam - Two Equal Spans -
Uniform Load on Both Ends
l0.Continuous Beam - Two Equal Spans -
Concentrated Load at Center of One Span
1 l,Continuous Beam - Two Equal Spans -
Concentrated Load at Center of Both Spans
,P
12
%Fspan+span<1.30
ffi 1.00
'//fu4
'Hl
.25
ri
.62
.67
71
.48
ThomasE&etts
J 138 @ 2oo3lhomas & Betts Corporation, Specilications are subjoct to chang€ without notlce. WWW.tnb'COm
C-7
1
Receipt Number:
BLD07-181
BLD07-181
BLDo7-181
BLDo7-181
BLD07-181
948319202
948319202
948319202
948319202
948319202
$363.25
$236.11
$4.50
s7.27
$10.00
Total:
$363.25
$86.11
$4.50
$7.27
$10.00
$0.00
$0.00
$0-00
$0.00
$0.00
Building Permit Fee
Plan Review Fee
State Building Code Gouncil Fee
Technology Fee for Building Permit
Record Retention Fee for Building Per
$47r.13
07-0758
CHECK
Ogl27l2007 Plan Review Fee
074813
$150.00 BLD07-181
$ 471.13
Total:$471.13
genpmtrreceipts Page 1 of 1
,1 1
Receipt Nunber:
BLD07-181 948319202 Plan Review Fee
61722
Total
$236.1r $150.00
Total: $150.00
$86.11
HECKc $ 150.00
$150.00
genprntrreceipts llage '1 of 1
,03-19-' E9 L3: 58 FEOf'l-U , 5, l{etal trlorks/PICD 5036685562
Eg*rliy oriiitiii arl rieiiao.;didf th6 raiiryeiefii
T-853 P00Z/004 F-077
"f r;11|I
lr*L;r*r-
s\tpFliei: v euiainatrrt A/S - Graliam B6lls. Vei 21-?qa . Bit00 Arhus N . rjerilnartr '* {9 l*1" (r: -' ;; (*i{X*o
iir doiineorion wih handsv6r, tiie rail sysierrr lias lreerr ct)eci(ed and tesied lor ine iiriibwiirg:
l. Cqiitiot qi driy reiqrorcpfrl,p4qs, ge4r
*4lieek lirdt the ieiriibrc0ment/Eearins is securely
faSlEned
u.'tfitt isqi;illon suirgunciing thg relnforceibent/goaring is
piziced to bnsure lho gidritest possibte iboiaiiond the iginfdidernbni/Oearlr)g hds been carilect our by
anolhei doritrribior
D Seg colnil]qnts
2, Gontirit cif brabl(e.ts and pldsltc ptugs
e''lhd! all enrJstopq are lighiened
e.lhht all braikete hr'r$ tighiBrierj
E thFl plagtlq plugb have been mounted on all vlsible nuts
Ertliiit, a look cpllt has tr6dn hsertect dnd tact(s the
endStop iri place
q seb cornnrents
3. Chpgli that ttlU niil syEtems sre Dtoair
qgd lutly {irhijtlonai
D"1fi6t lheie are tro chips or other buitding v/a$te inslcle lhe
rall.riy€iefri
n.'ifrat itie travetling lrolley moves silently in lhe rait systerno that.lhe treivbtiiiig lioll€y moVes with a low power
consumptiori
q $eH commenls
4. cgnlr0l .oJ euqtiph lrqgk6, ComFhrock
add lurnrabrdr {if ti$qd)
n that \hq switch track is futiy functional and that the
longue dpee noi lquch elher cornponerits
cr ths! {hq Oqmbi'tock is fulty funoilonaland that tne
spring rqlygcts aut9nratically
D thdl there is no dust or foreign bodies in tlie rqils with
satRty lqeks. Qlean wilh eampressed alr. lf necessary
- alter thc building. rebuitdihg etc. is {inished.
Ci thbt lhe tu(olabte is fully lunctlnrinl
5. W6tUhr tdst .. t
efihe rait syst6m has been lesred {or _? ii-5'icg
- (incl. a safeiy lactor of t,S)
d that ttre rall sy$tem dld nbt gtve dUting the weighr re$t
'A'Dqq tne rail systern is still level {ollowing weight lesling
or'ingt ine rail system iias beern labelld,rt with a conrpleleci
install€r's laFel
fl sae comn'lents
6. lbet of ctilllirg hajiht and drive moior
4-tl6t ttre ceifing hoisi has be6n risted and is ft.rlly
functiohal
rif"fffiftlE drive motor has been tested qnd is fuily
funcitional
a ihe enreigency iovyerinQ cord shouid be cut olf so
that il is 1.s m/6'3" abovri thb flbor-
rl see comrnerils
7. Test or chnrgihg stflllori, claiging ilnere
and remdti: crintrcit (li uaed)
D that lhe cqlling holst chatqe$ When thai ceiling hoist is
p-laced in the charging slatlon (light or sguncl eigriat)
r4'tlitt the ceiling hoist is ehgfged in thB charghg tiners
6-that lhe remcite control hss beerr tesldcl and is {ulty
funcitonal
[r see con)mehts
8. F;fore leaVlng ihe assdfrbly 6ite
d'iollect or teriove all installatidn wasteq if lheie ate commenis, Wite tllese doWn ahd inform
the owirbr/custorher
tr seri cornmettts
Conrmerrl&:
I'he qualily corrlrol has bsen prcpafed in two si$ned
copiqs, one of whicl'r is submlited lo ihe owner/customer,
the qtller to the sorvice and inetallation depatln')enl al
Guldmdnn.li
D
E
4
uc
.)
/;
.. 03-1-9-' 09 L3 : 58 FRON-U , 5 , l'letal- lrlorks/[lCD 5836685562
.-;:' '' ' Otigii{,f +ofrttil ui'fuiiirioirdr otrfrp iuii *ysraih
T-853 P003/004 F-077
I 4, :)-
It .\
seFdiigri v, Guiijrnanh AAi . Oiehdm Beiis vei ar.pea . 8200 Artrus N . Derrrrrarrk
iii adrln€iuiidii wtn heiitloviri th@ i.iirdyiiool hgr iieen checi(ed anct reslecl ior ine ibirowirig:
r ri ''{- t t "-/
6, Tdst ot ceillrig hois! an.d drlve mojbr
o"{ti.at tnp ceilihg lrolsi has been tesidct ancl is luily
functional
n''ifiat'tlre dr'ive rndtor lras bebrr tostdrJ and is fulty
funclional
11 thd blfigrgenoy iqWedng bord shoulci be cr-it ott so
that ii is 1.9 m/6'3i above the lioor
EI oee Cornilientb
7. TeEt of chqrglqg siatign, chargtnq liners
and rerfiotb coniiol {lf irsedl
fr thdt tlte ceillng hoisi cliargBi whbh the ceiling i'ioist is
iljgced tn inri bnarging siaiion (tighp or soUnfl slgnbt)
o4!At nre b,eiling holst is chArgeo in the chbiglng iiliers
*{hat tlre rernote conirot has beien tested and is {uiiy
tunclional
u see comnrentg
B, Before
sdil.rt
5gburely
hHS btsEjri cbrii6tl oi..ir by
rqidp.rcemun!/. g pafi n g is
pp$sihi4 iirbi€irldh
l:l rne rgrntorcemEnvgganng
aiioth6f spntrati<ir'
irutglter's tab6l
c sdb cornmenls
t. $ee ebthElents
2" gd.fitfcl6lFfidkelb ahd dt+stle piugs
rr(.JFoI all enusteits are ti ghrehid
[l'ihsl aii bfiiskdt$ ar6 iEhlEired
o tlidJ plaSiit plugp hiivir been ritounted on all visibie nuts
w{nht a lor:tr ipili i\as bden insened ahd tocks ihe
ehdilop lh dlaQe[r see cohrndflts
s. chriFlt !hi.l thq ra;i stsrems are ctdan
}rld fi4ry furiQllqhal
d lhal tlidrg ere nq chiFs or other buitding waste inside the
_ r9l ovstem
a"lhdt thh riavEiling iioiley moves sllanily in the rall sydernn thnt he brivelfihg rrc[ey rnbves wrih ii ibw power
consuritpjignI se,B" eernment$
a; Gc;rpliril df ,Altytpll,lr$ql$i cdmUt-totk
anat iuiittiuls ltf iltied)s ihut thE rivrijrbh iriiik iS iutly luncriond ano rh4t lhe
tdngyc dqee nof tqueh other cornponenls
o thrit lh6 ComFi-locF is llilly funotional ancl lhar rlte
spring rFtracts aulomalicqlly
fr thht irreie is fro ortst or loibtgn boclies in the raiis wtth
saretg heks: Olgan wlli cafflpresse0 air; i[ necd$sary
- aftei ihe buiiOirig, r€buildild titc. is {iniehed.
D lllat thF tumtabld iS lully furictlonat
5. W€lEht test
ffip ilir sy"Am fra* bee-o tasled ror .|f-3.1r<g
@cl. a $elety labtcir o! 1.5J
ilfpeif itie reil $ySiem dict not give during ihe weighr resl
d.$at tfe tallsyslem is still levelfollowing weigltt teeting
Ei,^ihat ihe ratt sysiem hes been laneiterl with a completed
leaVlnB the assembly slte
or reffrove all lnstaflirtiofl Weste
tr if there ate csrnmenls. wfite lnese down and inlorrn
lhe owner&rrsiomer
R se@ comfilents
Cornnrerris:
1lre qualily cofilrol has been prepaitsd ln two eigrred
copies, one ol lvhich is sr"lbmitted to l[]6 ownei/customer.
the ellrfir lo ihe service and krstaliatlon depa.lfflertl al
Guldmarrn.
E
c
", 03-L9-' 09 L3: 59 FE0t'1-U, 5, Metal lf orks/MCD 5036685562 T-853 P004/004 F-07?
, .-:,.,.,.-,J.r.,.,,:.'.j .,!t.rr1:,. ri
ri" u{iiit' B6hif iii dti H H rrd ritirr ui, 1116 i-u i i tritiiiir,r
eer-q/ ;"_eid,il \rtrxzj,irirfi&$l&i n :3
(i"
("-.
s.rDidiei v gutrtrnann a/$ Giarrarn fiers Vii zi-esa. 82oo Arnus N . Llenrndik
rii srjiiiimlidtri witli iitinutiv$t1 iiie ratl *ystem htig been checked a,yj rdiied ior ihe tulroWlns,
1:f:qxiigl Ft ph9 1e!ffsiceitidqtb; gaar s- trst or ceinng hoisr aqo drlye rhotore':iY,LlFt $le reinlbrcernenuqtiqiliig ls securely nr'-ttrar tiie celtng holsr has beoir resled and lo lutiyIaflenb.Gl . Ighctiorratu/#rdl.i$b. tFliofl iqrraundifig the rbinforcomenVgearing ie *dn*nn"'A,rv6 moior haq been tested ind is lullyptarieH id eriqqd tli6 grdbiedt BeijBible.isotslibri turrotiorrato tiiti fgiiiiotdd'iriiinVgeeiifiti firn$ beEii iariied odi b! n ttre iinergency tbvi,bring coid qhouicj be ctri oif soahotti$i cbhiiHutor thar ir is t.S .,i/6is" "n"iu ir,l iiio.o sdB ccirnntehtF Lt ses cornlridntg
t. 'tbs! of cherglflg stdltqn, chargiirg ilners
and rernoiri cbntiot (ii usedl
tr lh€i the oeillng noisi cnaiges irvtren lho ceiling hoist is
glaceci in the chbrgipg srtttiori 6ighr or qourui sigqat)
eftiial the e,eillng l-roist is chergect irt ihe charging iiner=
E"lhat the remote conlrol liss berin testerl dnd is frtlly
2. $pattrii gf brackstF antl p,iasHc plugs
rf.$dt alf endelops are rehrenod
Urirre{ ali Hrfrql(dr$ are rlofrErreOs lhat, tda$tlc irtqgs hqve been rrioLnteo oh allvislble nuts
d,hal d lodk siiin has 6een insdfled ario iocks rhe
endsto.p iii pihce
u see cdnifiienli
s. Cligpk thil lhe tnii systoms are ctean
g.[cl fhlly fu iicliorist
s'1fr6i itierb ard no chips or otFiir bulldlng waste irrsicle the
-[lnil systAtll
d' lhlit lhit tfrivdllng trolley moves sildnily in the rail systemtr ltrdt thQ traveliing kolley mbies with alow power
corisdmptioiiq 8ed ismlT-tajnlg
+, c:cfllrol eJ ii*llgh nau,Is, Sbrirhritp4k
anil turmdble (tf ftn6.d)
d thet lhe switr*i haDk is iiriiy funciiona-t and rhar lhe
lqridrig dqbs nht i"rrsn ot#r "";*;r'il
" -
u thaiihe QomDljqe\ is fdliy {uriclto.naiand rhsr the
oprlhg r€llaats auiornatiixlty
m $ui th€rb is no dusi oi ioiblgn bodiEs in rrre ralls witri
salp.,t9 lq&ks, Gtean v{illi igrrtpregqed air, iI neoessary
- efter ihQ brtildipg, rebriitoing etc- i= riitishod,o that lhe lurntiibl6l! lully iuficthnht - .
5, wdllghl ta$t
s'r(e i'r sygrem lras boen resred tor 1/r:S!_ *g
$rcl. a saleiy tactor oi t,s)
eJhal the iEil sySidm did rmr give durirrg rhe wetgtit restd ffi! the reil6'ygtem is still leve! fottowirrg weight resling
d-lfial tHe idll syStem lras beti'i tabefled with a compleiecl
lunctional
n ,see cc,:tntilents
8. Eqfote leuvtirg the assembiy slte
el-ooilebt oi remove ati Inptqllailon weste
n i{ there aro cornmbnts, Wiiie ttrele down aid inforrrr
the own#r/cuslomer
n see cornmbnlb
ContiRerris
'ftie quality coirliol has been prepaled in iwo signed
coples, one of whlch is submitted to the oWnei/customet
the ether to the service and irt$tallaticln clopartinent at
Gulclntarrn
c inst4llor's tabel
d seo coninients
il )
-lf\t+a,:s TffHnl[flt
STRUGTURE$
*SPECIALTY
CONTRACTING
oR-ccB 0038aoo
I(/A-USMETWIl 89D9
A DMsion of U.S. Metal Works, Inc.
36370 Indusbial Way
Sandy, OR 97055
503-8064429
FAX 503-691-982:
April2,2009
Jefferson Healthcare
Port Townsend, Washington
Attn: Dana Michelsen
Re: Installation of Guldmann Patient lift supports.
Dana,
This letter is to inform you that the lifu and support structure for the lifts in Trauma roors 1, 2. and -c
where installed by Guldmann certified installers per the engineered details that were prepared for this
project by Southwest Consulting Engineering of Portland, Oregon.
If you have any questions, please feel free to call. I look forward to working with you again.
Sincerely. /Mru
US Technical Structwes
General Manager
503 806-4429
APR 9 zoog