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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 AGENCY OSH-FD-700 (REV 5/30/13) Page 1 of 2 APPLICATION FOR OSHPD PREAPPROVAL OF MANUFACTURER’S CERTIFICATION (OPM) OFFICE USE ONLY APPLICATION #: OPM-0088-13 OSHPD Preapproval of Manufacturer’s Certification (OPM) Type: New Renewal Update to Pre-CBC 2013 OPA Number: Manufacturer Information Manufacturer: STERIS Manufacturer’s Technical Representative: Zach Miday Mailing Address: STERIS Corporation, 5900 Heisley Rd, Mentor, Ohio 44060 Telephone: 440-392-7688 Email: [email protected] Product Information Product Name: STERIS AMSCO 400 SMALL, CENTURY AND LAB – 16” AND 20” STERILIZERS Product Type: Steam Sterilizer Product Model Number: STERIS AMSCO 400 16” and 20”, Century 16” and 20”, Lab 110 and Lab 250 General Description: The STERIS steam sterilizers are designed for fast, efficient sterilization of surgical instruments, utensils, fabrics, and liquids used in medical applications in the Healthcare industry. Configurations allow for increased access to the chamber or an attached steam generator. 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: October 21, 2014 Title: Principal Structural Engineer Company Name: ISAT Seismic Bracing William Staehlin OPM-0088-13 02/19/2015 02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 1 of 15

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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 AGENCY OSH-FD-700 (REV 5/30/13) Page 1 of 2

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

OFFICE USE ONLY

APPLICATION #: OPM-0088-13 OSHPD Preapproval of Manufacturer’s Certification (OPM)

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

Manufacturer Information

Manufacturer: STERIS

Manufacturer’s Technical Representative: Zach Miday

Mailing Address: STERIS Corporation, 5900 Heisley Rd, Mentor, Ohio 44060

Telephone: 440-392-7688 Email: [email protected]

Product Information

Product Name: STERIS AMSCO 400 SMALL, CENTURY AND LAB – 16” AND 20” STERILIZERS

Product Type: Steam Sterilizer

Product Model Number: STERIS AMSCO 400 16” and 20”, Century 16” and 20”, Lab 110 and Lab 250

General Description: The STERIS steam sterilizers are designed for fast, efficient sterilization of surgical instruments, utensils, fabrics, and liquids used in medical applications in the Healthcare industry. Configurations allow for increased access to the chamber or an attached steam generator.

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: October 21, 2014

Title: Principal Structural Engineer Company Name: ISAT Seismic Bracing

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 1 of 15

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, 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: 02/19/2015

Print Name: William Staehlin

Title: SSE

Condition of Approval (if applicable):

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

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 2 of 15

FILE NO.: CLT-0314-037 to 040 “Empowered by Experience” REV 6

Submittal Documents

OSHPD OPM-0088-13

SUPPORT AND ATTACHMENT OPM DRAWINGS

AMSCO 400 SMALL

CENTURY 16” AND CENTURY 20” LAB 110 AND LAB 250

STERILIZERS - 16” x 16” AND 20” x 20”

STERIS

ISAT

1020 Crews Road Suite Q Matthews, N.C. 28105

704-841-4080

6

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 3 of 15

FILE NO.: CLT-0314-037 to 040 “Empowered by Experience” Index Rev 2

OSHPD OPM-0088-13

CONSTRUCTION DRAWING INDEX DRAWING INDEX Cover Page p i Index Page p ii Construction Drawings for OPM-0088-13 AMSCO 400 Small, Century and Lab Equipment

Slab-On-Grade Notes p 1 AMSCO 400 Small 16”, Century 16” and Lab 110

Attachment Layout for Slab-On-Grade p 2 AMSCO 400 Small 20”, Century 20” and Lab 250

Attachment Layout for Slab-On-Grade p 3 AMSCO 400 Small, Century and Lab Elevated Slab Notes p 4

AMSCO 400 Small 16”, Century 16” and Lab 110 Attachment Layout for Elevated Slab p 5

AMSCO 400 Small 20”, Century 20” and Lab 250 Attachment Layout for Elevated Slab p 6

AMSCO 400 Small, Century and Lab Attachment Notes p 7 AMSCO 400 Small Attachment Forces p 8 AMSCO 400 Small, Century and Lab Equipment Support Detail p 9

AMSCO 400 Small, Century and Lab Supplemental Steel for Elevated Slab p 10

Century and Lab Attachment Forces p 11

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 4 of 15

6

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 5 of 15

CG

H

EIG

HT

6" MIN.

TABULATED

LENGTH

SIDE-TO-SIDE

TA

BU

LA

TE

D

WID

TH

FR

ON

T-T

O-B

AC

K

10" MINIMUM

EDGE DISTANCE

ex

ey

6"

10" MINIMUM

EDGE DISTANCE

6

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 6 of 15

CG

H

EIG

HT

6" MIN.

TABULATED

LENGTH

SIDE-TO-SIDE

TA

BU

LA

TE

D

WID

TH

FR

ON

T-T

O-B

AC

K

10" MINIMUM

EDGE DISTANCE

ex

ey

6 3/4"

6 3/4"

10" MINIMUM

EDGE DISTANCE

6

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 7 of 15

6

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 8 of 15

CG

H

EIG

HT

TABULATED

LENGTH

SIDE-TO-SIDE

TA

BU

LA

TE

D

WID

TH

FR

ON

T-T

O-B

AC

K

10" MINIMUM

EDGE DISTANCE

ex

ey

10" MINIMUM

EDGE DISTANCE

6

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 9 of 15

CG

H

EIG

HT

TABULATED

LENGTH

SIDE-TO-SIDE

TA

BU

LA

TE

D

WID

TH

FR

ON

T-T

O-B

AC

K

10" MINIMUM

EDGE DISTANCE

ex

ey

10" MINIMUM

EDGE DISTANCE

6

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 10 of 15

6

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 11 of 15

6

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 12 of 15

1 5/32"

3 13/32" F

OR

16"

3 1/4" F

OR

20"

3" 8 17/32"

3 3/8" 3 3/8"57/64"

2"

2 3/4" 3 1/4"

4 17/32"

3/4" TYP.3/4" TYP.

3 13/32"4"

4"

6

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 13 of 15

4 1/2" MIN.

3 1/4" NWC OR SAND LWC

CONCRETE f'c = 3000 psi MIN.

3" M

AX

.

1" MAX. OFFSET

ON EITHER SIDE OF CENTER

12" TYP.

10" MIN.

EDGE DIST.

1" MIN. TYP.

4" MIN.

THICKNESS

3000 psiI MIN.

6

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 14 of 15

6

William Staehlin

OPM-0088-13

02/19/2015

02/19/2015 OPM-0088-13: Reviewed for Code Compliance by William Staehlin Page 15 of 15