oshpd preapproval of manufacturer's certification … type: new renewal update to pre-cbc 2013...

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

OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION

STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OSH-FD-700 (REV 12/16/15) of 2

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

OFFICE USE ONLY

APPLICATION #: OPM-0458-13

OSHPD Preapproval of Manufacturer’s Certification (OPM)

Type: New Renewal Update to Pre-CBC 2013 OPA Number: OPA-0527-10 & OPA-2091-07

Manufacturer Information

Manufacturer: Steris Corporation

Manufacturer’s Technical Representative: Carlos Guzman

Mailing Address: Av. Avante 790 Parque Industrial Guadalupe, Guadalupe N.L. Mexico C.P. 67190

Telephone: + 52 (81) 80088502 Email: [email protected]

Product Information

Product Name: 26 x 26 Steam Sterilizer

Product Type: Steam Sterilizer (Process Type)

Product Model Number: AMSCO 400, AMSCO 430 LS, Century, Evolution & Evolution L.

General Description: Steam sterilizers are designed for fast, efficient sterilization of heat and moisture material

Stable material in life science and healthcare applications, floor Mounted Sterilizer.

Applicant Information

Applicant Company Name: Engineering ONE Group, Inc.

Contact Person: James Yan, PhD, SE

Mailing Address: 17130 Glen Aspen Dr., San Diego, CA 92127

Telephone: 858.876.8695 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, 2016.

Signature of Applicant: Date: 11/27/2017

Title: President & CEO Company Name: Engineering ONE Group, Inc.

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

OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION

STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OSH-FD-700 (REV 12/16/15) of 2

Registered Design Professional Preparing Engineering Recommendations

Company Name: Engineering ONE Group, Inc.

Name: James Yan, PhD, SE California License Number: S5914

Mailing Address: 17130 Glen Aspen Dr., San Diego, CA 92127

Telephone: 858.876.8695 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 not preapproved

Certification Method(s)

Testing in accordance with: ICC-ES AC156 FM 1950-16

Other* (Please Specify):

*Use of criteria other than those adopted by the California Building Standards Code, 2016 (CBSC 2016) 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 2016 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 2016 & ALL PRE-2016 CODE BASED PROJECTS

Signature: Date: 05-01-2018

Print Name: Jeffrey Kikumoto

Title: SSE

Condition of Approval (if applicable):

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oshpd preapproval of manufacturer's certification … type: new renewal update to pre-cbc 2013...

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