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OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION

“Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs”

STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCYOSH-FD-700 (REV 5/30/13) of 2

APPLICATION FOR OSHPD PREAPPROVAL OF MANUFACTURER’S CERTIFICATION (OPM)

OFFICE USE ONLY

APPLICATION #: OPM-0268-13

OSHPD Preapproval of Manufacturer’s Certification (OPM)

Type: New Renewal Update to Pre-CBC 2013 OPA Number: OPA-2952-10

Manufacturer Information

Manufacturer: Belimed

Manufacturer’s Technical Representative: Jay Upchurch

Mailing Address: 2325 Charleston Regional Parkway, Charleston, SC 29492

Telephone: 843-216-7424, x133 Email: [email protected]

Product Information

Product Name: Small Chamber Steam Sterilizers

Product Type: Steam Sterilizers

Product Model Number: V-446 and V-446E

General Description: Belimed's MST V 446 and V 446E Steam Sterilizers have been engineered to provide the flexibility and versatility needed for immediate use in the OR, day to day operations in a surgery center,

or quick turnaround sets in sterile processing.

Applicant Information

Applicant Company Name: ISAT Seismic Bracing

Contact Person: William V Joerger

Mailing Address: 1020 Crews Road, Suite Q, Matthews NC 28105

Telephone: 510-714-0216 Email: [email protected]

I hereby agree to reimburse the Office of Statewide Health Planning and Development review fees in accordance with the California Administrative Code, 2013.

Signature of Applicant: Date: September 15, 2015

Title: Principal Structural Engineer Company Name: ISAT Seismic Bracing

10/28/2015 OPM-0268-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 1 of 9

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OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION

“Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs”

Registered Design Professional Preparing Engineering Recommendations

Company Name:

ISAT Seismic Bracing

Name: William V Joerger California License Number: S4545

Mailing Address: 1020 Crews Rd Suite Q, Matthews NC 28105

Telephone: 510-714-0216 Email: [email protected]

OSHPD Special Seismic Certification Preapproval (OSP)

Special Seismic Certification is preapproved under OSP-(Separate application for OSP is required)

Special Seismic Certification is no preapproved

Certification Method(s)

Testing in accordance with: ICC-ES AC156 FM 1950-10

Other* (Please Specify):

Equipment is considered to be rugged. OPM is for anchorage to concrete slabs.

*Use of criteria other than those adopted by the California Building Standards Code, 2013 (CBSC 2013) for component supports and attachments are not permitted. For distribution system, interior partition wall, and suspended ceiling seismic bracings, test criteria other than those adopted in the CBSC 2013 may be used when approved by OSHPD prior to testing.

Analysis

Experience Data

Combination of Testing, Analysis, and/or Experience Data (Please Specify):

List of Attachments Supporting the Manufacturer’s Certification

Test Report Drawings Calculations Manufacturer’s Catalog

Other(s) (Please Specify):

OFFICE USE ONLY – OSHPD APPROVAL VALID FOR CBC 2013 ONLY

Signature: Date: 10-28-2015

Print Name: Jeffrey Kikumoto

Title: SSE

Condition of Approval (if applicable):

STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCYOSH-FD-700 (REV 5/30/13) of 2

10/28/2015 OPM-0268-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 2 of 9

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FILE NO.: CLT-0615-088 “Empowered by Experience” REV 2

A Division of Tomarco Contractor Specialties

Submittal Documents

OSHPD OPM-0268-13

SUPPORT AND ATTACHMENT CONSTRUCTION DRAWINGS

FOR BELIMED V446 AND V-446E STERILIZERS

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OSHPD OPM-0268-13 DWG - i

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A Division of Tomarco Contractor Specialties

OSHPD OPM-0268-13

DRAWING INDEX FORBELIMED V-446 AND V-446E STERILIZERS

INDEX

Cover Page p i

Index Page p ii

General Notes p 1

Attachment Notes p 2

V-446 Layout p 3

Slab-on-Grade Details p 4

Miscellaneous Steel p 5

OSHPD OPM-0268-13 DWG - ii


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