Article 3

7-113 Application for plan, report or seismic compliance¶

7-113. Application for plan, report or seismic compliance extension review.

(a) Except as otherwise provided in this part, before commencing construction or alteration of any health facility, the governing board or authority thereof shall submit an application for plan review to the Office, and shall obtain the written approval thereof by the Office describing the scope of work included and any special conditions under which approval is given.

The application shall contain a definite identifying name for the health facility, the name of the architect or engineer who is in responsible charge of the work, pursuant to Section 7-115 (a), the names of the delegated architects or engineers responsible for the preparation of portions of the work pursuant to Section 7-115(a)3, the estimated cost of the project and all such other information required for completion of the application. The architect or engineer in responsible charge or having delegated responsibility may name one or more persons to act as an alternate(s), provided such persons are architects or engineers qualified under these regulations to assume the responsibility assigned.
Submission of documents to the Office may be in three consecutive stages:

A. Geotechnical Review: One application for plan

review and, when applicable, three copies of the site data must be attached.

B. Preliminary Review: Two copies of reports or pre liminary plans and outline specifications. Plans/ drawings size shall not exceed 36 × 48 inches, and bundled sets of plans/drawings shall not exceed 40 lbs in weight.

C. Final Review: Two copies of final construction doc uments and reports. Plans/drawings size shall not exceed 36 × 48 inches, and bundled sets of plans/ drawings shall not exceed 40 lbs in weight.

(b) Application for seismic compliance extension requires submission of OSHPD Application Form #OSH-FD-384, “Application for 2008 Extension/Delay in Compliance.” The submittal must comply with the applicable requirements of Chapter 6, Article 1, Section 1.5.2 “Delay in Compliance.”

(c) For every project there shall be an architect or engineer in responsible charge of reviewing and coordinating all submittals, except as set forth in Section 7-115(c).

A project may be divided into parts, provided that each part is clearly defined by a building or similar distinct

2019 CALIFORNIA ADMINISTRATIVE CODE 153

Copyright © 2019 ICC. ALL RIGHTS RESERVED. Accessed by Kevin Day (kevin.day@dgs.ca.gov), (California Building Standards Commission) Order Number #100735044 on Jul 24, 2019 03:54 PM (PDT) pursuant to License Agreement with ICC. No further reproduction or distribution authorized. Single user only, copying and networking prohibited. ANY UNAUTHORIZED REPRODUCTION OR DISTRIBUTION IS A VIOLATION OF THE FEDERAL COPYRIGHT ACT AND THE LICENSE AGREEMENT, AND SUBJECT TO CIVIL AND CRIMINAL PENALTIES THEREUNDER.

100735044

SAFETY STANDARDS FOR HEALTH FACILITIES

unit. The part, so defined, shall include all portions and utility systems or facilities necessary to the complete functioning of that part. Separate assignments of the delegated architects or engineers pursuant to Section 7115(a)3 may be made for the parts. Incremental projects pursuant to Section 7-131 shall consist of only one building.

(d) The assignment of the delegated architect or engineer pursuant to Section 7-115 (a) 3 and the responsibility for the preparation of construction documents and the administration of the work of construction for portions of the work shall be clearly designated on the application for approval of reports or construction documents.

Authority: Health and Safety Code Sections 18929 and 129675–130070.

Reference: Health and Safety Code Section 129850.

HISTORY:

(OSHPD 2/95) Regular order by the Office of Statewide Health Planning and Development to amend Section 7-113. Filed with the secretary of state on August 14, 1996, becomes effective September 13,
Approved by the California Building Standards Commission on March 19, 1996.

7-115 Preparation of construction documents and¶

7-115. Preparation of construction documents and reports.

(a) All construction documents or reports, except as provided in (c) below shall be prepared under an architect or engineer in responsible charge. Prior to submittal to the office, the architect or engineer in responsible charge for a project shall sign every sheet of the drawings, and the title sheet, cover sheet or signature sheet of specifications and reports. A notation may be provided on the drawings indicating the architect’s or engineer’s role in preparing and reviewing the documents. Plans/drawings submitted to the office shall not exceed the size and weight described in Section 7113(a)(2).

Except as provided in paragraph 2 below, the architect or engineer in responsible charge of the work shall be an architect or structural engineer.
For the purposes of this section, a mechanical, electrical or civil engineer may be the engineer in responsible charge of alteration or repair projects that do not affect architectural or structural conditions, and where the work is predominately of the kind normally performed by mechanical, electrical or civil engineers.
The architect or engineer in responsible charge may delegate the preparation of construction documents and administration of the work of construction for designated portions of the work to other architects and/or engineers as provided in (b) below. Preparation of portions of the work by others shall not be construed as relieving the architect or engineer in responsible charge of his rights, duties and responsibilities under Section 129805 of the Health and Safety Code.

(b) Architects or engineers licensed in the appropriate branch of engineering, may be responsible for the preparation of construction documents and administration of the work of construction as permitted by their license, and as provided below. Architects and engineers shall sign and affix their professional stamp to all construction documents or reports that

are prepared under their charge. All construction documents shall be signed and stamped prior to issuance of a building permit.

The structural construction documents or reports shall be prepared by a structural engineer.
A mechanical or electrical engineer may prepare construction documents or reports for projects where the work is predominately of the kind normally prepared by mechanical or electrical engineers.
A civil engineer may prepare construction documents or reports for the anchorage and bracing of nonstructural equipment.

(c) A licensed specialty contractor may prepare construction documents and may administer the work of construction for health facility construction projects, subject to the following conditions:

The work is performed and supervised by the licensed specialty contractor who prepares the construction documents,
The work is not ordinarily within the standard practice of architecture and engineering,
The project is not a component of a project prepared pursuant to 7-115(a) and (b),
The contractor responsible for the design and installation shall also be the person responsible for the filing of reports, pursuant to Section 7-151,
The contractor shall provide with the application for plan review to the Office a written and signed statement stating that he or she is licensed, the number of the license, and that the license is in full force and effect, and
The work is limited to one of the following types of projects:

A. Fire protection systems where none of the fire sprin kler system piping exceeds 2 ¹ /2 inches (63.5 mm) in diameter.

B. Low voltage systems not in excess of 91 volts.

These systems include, but are not limited to, telephone, sound, cable television, closed circuit video, nurse call systems and power limited fire alarm systems.

C. Roofing contractor performing reroofing where min imum ¹ /4 inch (6.4 mm) on 12 inch (305 mm) roof slopes are existing and any roof mounted equipment needing remounting does not exceed 400 pounds.

D. Insulation and acoustic media not involving the

removal or penetration of fire-rated walls, or ceiling and roof assemblies.

(d) The specification and use of preapprovals does not preempt the plan approval and building permit process. Construction documents using preapprovals shall be submitted to the Office for review and approval and issuance of a building permit prior to the start of construction.

The registered design professional, in conjunction with the registered design professional in responsible

154 2019 CALIFORNIA ADMINISTRATIVE CODE

100735044

charge, listed on the plan review application or the building permit application, shall review all qualities, features, and/or properties to ensure code compliance, appropriate integration with other building systems, and proper design for the project-specific conditions and installation. Stamping and signing of construction documents as required in subsection (a) and (b) shall be for this purpose only.

When preapprovals are used, they shall be incorporated into the construction documents. Incorporation by reference only is not permitted. Preapprovals must be incorporated without any modification. This subsection shall not apply if modifications are made to the preapproved details.
Preapprovals submitted after the construction documents have been approved and a building permit has been issued shall be incorporated into the construction documents in accordance with Section 7-153.
The use of preapproved details must strictly comply with all manufacturer’s instructions, conditions, special requirements, etc., which are a part of the preapproval.
Conditions not covered by a preapproval shall be substantiated with calculations, drawings, specifications, etc., stamped and signed by the registered design professional and signed by the registered design professional in responsible charge listed on the plan review application or building permit application and must be submitted to the OSHPD for review and approval prior to construction.

Authority: Health and Safety Code Sections 18929 and 129675–130070.

Reference: Health and Safety Code Section 129850.

HISTORY:

(OSHPD 2/95) Regular order by the Office of Statewide Health Planning and Development to amend Section 7-115. Filed with the secretary of state on August 14, 1996, becomes effective September 13,
Approved by the California Building Standards Commission on March 19, 1996.

7-117 Site data.¶

7-117. Site data.

(a) The site data reports shall be required for all proposed construction except:

As provided in Part 2, Title 24.
One-story, wood-frame or light steel frame buildings of Type II or V construction and 4,000 square feet or less in floor area not located within Earthquake Fault Zones or Seismic Hazard Zones as shown in the most recently published maps from the California Geological Survey (CGS) or in seismic hazard zones as defined in the Safety Element of the local General Plan.
Nonstructural alterations.
Structural repairs for other than earthquake damage.
Incidental structural additions or alterations.

(b) Three copies of site data reports shall be furnished to the Office for review and evaluation prior to the submittal of

SAFETY STANDARDS FOR HEALTH FACILITIES

the project documents for final plan review. Site data reports shall comply with the requirements of these regulations and Part 2, Title 24. Upon the determination that the investigation of the site and the reporting of the findings was adequate for the design of the project, the Office will issue a letter stating the site data reports are acceptable.

Authority: Health and Safety Code Sections 127015 and 129850.

Reference: Health and Safety Code Sections 129675–129998.

HISTORY:

(OSHPD 2/95) Regular order by the Office of Statewide Health Planning and Development to amend Section 7.117. Filed with the secretary of state on August 14, 1996, becomes effective September 13,
Approved by the California Building Standards Commission on March 19, 1996.

7-118 Building Energy Efficiency Program.¶

7-118. Building Energy Efficiency Program.

Projects that consist of any new elements related to A through D below shall include a Building Energy Efficiency Program with the submittal. The Program shall describe how the design of the building systems meets the owner’s project requirements and include the associated Basis of Design (BOD) document required under Title 24, Part 6. The BOD shall describe the building systems to be commissioned, outline design assumptions, describe how the building systems design meets the owner’s project requirements, and why the systems were selected. The BOD shall cover the following systems and components as described in the Building Energy Efficiency Standards, Nonresidential Compliance Manual:

A. HVAC systems efficiencies.

B. Indoor lighting systems efficiencies.

C. Water heating systems efficiencies.

D. Building envelope considerations.

7-119 Functional Program.¶

7-119. Functional Program.

(a) General.

Functional program requirement. The owner or legal entity responsible for the outcome of the proposed health care facility design and construction project shall be responsible for providing a functional program to the project’s architect/engineer and to the Office. The requirement applies to all scopes and disciplines of the project that affect patient care directly or indirectly, by means of new construction, additions, or modifications to specific hospital departmental functions which form an integral part of the facility. Projects that only involve equipment replacement, fire safety upgrades, or renovations that will not change the occupancy, function, or use of existing space shall not require a functional program.
Functional program purpose.

A. An owner-approved functional program shall be

made available for use by the design professional(s) in the development of project design and construction documents, and shall be submitted to the Office, at the time of application for plan review, to serve as

2019 CALIFORNIA ADMINISTRATIVE CODE 155

100735044

SAFETY STANDARDS FOR HEALTH FACILITIES

a reference for the review of the application documents.

B. Revisions to the functional program shall be docu mented and a final updated version shall be submitted to the Office prior to approval of the construction documents.

C. The facility is encouraged to retain the functional

program with other design data to facilitate future alterations, additions, and program changes.

Nomenclature in the functional program.

A. The names for spaces and departments used in the

functional program shall be consistent with those used in the California Building Code . If acronyms are used, they should be defined clearly.

B. The names and spaces indicated in the functional

program shall also be consistent with those used on submitted floor plans.

(b) Functional program executive summary. An executive summary of the key elements of the functional program shall be provided and, at a minimum, shall include the following narrative:

Purpose of the project.

A. The narrative shall describe the services to be pro vided, expanded, or eliminated by the proposed project.

B. The narrative shall describe the intent of the project

and how the proposed modifications will address the intent.

Project type and size.

A. The type of health care facility(ies) proposed for the

project shall be identified as defined by the Califor- nia Building Code.

B. Project size in square footage (new construction

and renovation) and number of stories shall be provided.

Construction type/occupancy and building systems.

A. New construction. If the proposed project is new

construction that is not dependent on or attached to an existing structure, the following shall be included:

(1) A description of construction type(s) for the

proposed project. (2) A description of proposed occupancy(ies) and,

if applicable, existing occupancy(ies). (3) A description of proposed engineering systems. (4) A description of proposed fire protection sys tems.

B. Renovation. For a project that is a renovation of, or

addition to, an existing building, the following shall be included in the project narrative:

(1) A description of the existing construction type

and the construction type for any proposed renovations or additions shall be described.

(2) A general description of existing engineering

systems serving the area of the building affected by the proposed project and how these systems will be modified, extended, augmented, or replaced by the proposed project.

(3) A general description of existing fire protection

systems serving the area of the building affected by the proposed project and how these systems will be modified, extended, augmented, or replaced by the proposed project.

Purpose of the project. The physical, environmental, or operational factors, or combination thereof, driving the need for the project and how the completed project will address these issues shall be described.
Project components and scope.

A. The department(s) affected by the project shall be

identified.

B. The services and project components required for

the completed project to function as intended shall be described.

Indirect support functions. The increased (or decreased) demands throughout, workloads, staffing requirements, etc., imposed on support functions affected by the project shall be described. (These functions may or may not reside adjacent to or in the same building or facility with the project.)
Operational requirements. The operational requirements, which include but are not limited to the following, shall be described:

A. Projected operational use and demand loading for

affected departments and/or project components.

B. Relevant operational circulation patterns, including

staff, family/visitor, and materials movement.

C. Departmental operational relationships and required

adjacencies

Environment of care requirements. The functional program shall describe the functional requirements and relationships between the following environment of care components and key elements of the physical environment:

A. Delivery of care model (concepts). This shall include:

(1) A description of the delivery of care model,

including any unique features. (2) A description of the physical elements and key

functional relationships necessary to support the intended delivery of care model.

B. Patients, visitors, physicians, and staff accommo-

dation and flow. Design criteria for the following shall be described:

(1) The physical environment necessary to accom modate facility users and administration of the delivery of care model.

156 2019 CALIFORNIA ADMINISTRATIVE CODE

100735044

(2) The physical environment (including travel

paths, desired amenities and separation of users and workflow) necessary to create operational efficiencies and facilitate ease of use by patients, families, visitors, staff, and physicians.

C. Building infrastructure and systems design crite-

ria. Design criteria for the physical environment necessary to support organizational, technological, and building systems that facilitate the delivery of care model shall be described.

D. Physical environment. Descriptions of and/or

design criteria for the following shall be provided:

(1) Light and views – How the use and availability

of natural light, illumination, and views are to be considered in the design of the physical environment. (2) Wayfinding. (3) Control of environment – How, by what means,

and to what extent users of the finished project are able to control their environment. (4) Privacy and confidentiality – How the privacy

and confidentiality of the users of the finished project are to be protected. (5) Security – How the safety and security of

patients or residents, staff, and visitors shall be addressed in the overall planning of the facility consistent with the functional program. (6) Architectural details, surfaces, and furnishing

characteristics and criteria. (7) Cultural responsiveness – How the project

addresses and/or responds to local or regional cultural considerations. (8) Views of, and access to, nature.

Architectural space and equipment requirements.

A. Space list.

(1) The functional program shall contain a list orga nized by department or other appropriate functional unit that shows each room in the proposed project, indicating its size by gross floor area and clear floor area.

(2) The space list shall indicate the spaces to which

the following components, if required, are assigned:

(a) Fixed and movable medical equipment. (b) Furnishings and fixtures. (c) Technology provisions.

B. Area.

(1) Gross floor area for the project shall be aggre gated by department, and appropriate multiplying factors shall be applied to reflect circulation

SAFETY STANDARDS FOR HEALTH FACILITIES

and wall thicknesses within the department or functional area. This result shall be referred to as department gross square footage (DGSF). (2) DGSF for the project shall be aggregated, and

appropriate multiplying factors shall be applied to reflect inter-departmental circulation, exterior wall thickness, engineering spaces, general storage spaces, vertical circulation, and any other areas not included within the intra-department calculations. This result shall be referred to as building gross square footage (BGSF) and shall reflect the overall size of the project.

Technology requirements. Technology systems for the project shall be identified to serve as a basis for project coordination and budgeting.

A. Any technology systems integration strategy shall

be defined.

B. Department and room specific detail for system and

device deployment shall be developed.

Short- and long-term planning considerations. A statement addressing accommodations for the following, as appropriate for the project shall be included:

A. Future growth.

B. Impact on existing adjacent facilities.

C. Impact on existing operations and departments.

D. Flexibility.

Patient Safety Risk Assessment. Projects associated with acute psychiatric hospitals, acute psychiatric nursing units in general acute-care hospitals, and special treatment program service units in skilled nursing facilities shall include a Patient Safety Risk Assessment. At a minimum, a Behavioral and Mental Health Risk Assessment shall be addressed as part of the Patient Safety Risk Assessment. The Patient Safety Risk Assessment shall be subject to review and approval by the California Department of Public Health.

A. Behavioral and Mental Health Risk Assessment.

A Behavioral and Mental Health Risk Assessment shall be prepared for all acute psychiatric hospitals, psychiatric nursing units within general acute-care hospitals, and special treatment program units in skilled nursing facilities. The risk assessment shall include evaluation of the population at risk and the nature and scope of the project, taking into account the model of care and operational considerations, and proposed built environment solutions to mitigate potential risks and hazards.

B. Behavioral and Mental Health Elements (Psychi-

atric Patient Injury and Suicide Prevention). The safety risk assessment report shall identify areas that

2019 CALIFORNIA ADMINISTRATIVE CODE 157

100735044

SAFETY STANDARDS FOR HEALTH FACILITIES

will serve patients at risk of mental health injury and suicide.

Informational Note: Behavioral and mental health risk should be determined through simultaneous consideration of the inherent danger of any individual environmental feature because of patient profile and acuity, the anticipated level of staff supervision for each area, and space visibility and supervision. The governing body should develop a detailed assessment of the level of risk for each program area where mental health patients will be served (e.g., emergency department, nursing units). Refer to Appendix Table Al.2-a Safety Risk Assessment Team Member Expertise of the Guidelines for Design and Construction of Hospi- tals and Outpatient Facilities published by The Facility Guidelines Institute for areas of expertise needed on the behavioral and mental health assessment team. Each area should be evaluated to identify the architectural details, surfaces, and furnishings and exposed mechanical and electrical devices and components to be addressed in the risk assessment. Examples of areas to be included in a mental health risk assessment include the following:

Highest Level of Risk

Seclusion rooms (where patient acuity poses an increased risk).
Patient bedrooms and toilet rooms (areas where patients spend long periods of time out of direct supervision of the staff).
Psychiatric emergency department (comprehensive psychiatric emergency program) and area under good supervision but dealing with unpredictable patients under initial evaluation and often under heavy medication.

Moderate Level of Risk

Activity spaces, group rooms, and treatment spaces (supervised with good visibility).
Dining rooms and recreation spaces, both indoor and outdoor.
Corridors (always visible). Lowest Level of Risk
Exam rooms, private offices, and conciliation rooms (always supervised).
Staff and support areas (not accessible by patients). Other information that could be considered can be found in Patient Safety Standards, Materials and Systems Guidelines published by the New York State Office of Mental Health, and the Design Guide for the Built Environment of Behavioral Health Facilities distributed by The Facility Guidelines Institute.

C. Behavioral and Mental Health Response.

(1) The safety risk assessment team shall identify

mitigating features for the identified at-risk locations.

(2) The design of behavioral and mental health

patient care settings shall address the need for a safe treatment environment for those who may present unique challenges and risks as a result of their mental condition.

(i) The patient environment shall be designed to protect the privacy, dignity, and health of patients and address the potential risks related to patient elopement; and harm to self, to others, and to the environment.

(ii) The design of behavioral/mental health

patient areas shall accommodate the need for clinical and security resources.

Authority: Health and Safety Code Sections 127015 and 129850.

Reference: Health and Safety Code Sections 129675-129998.

7-121 Presubmittal meeting.¶

7-121. Presubmittal meeting.

(a) A presubmittal meeting between the Office and the design professionals is required for construction or alteration projects for hospital buildings and buildings described in paragraphs (2) and (3) of Subdivision (b) of Section 129725 of the Health and Safety Code with estimated construction costs of twenty million dollars ($20,000,000) or more. The presubmittal meeting shall be held prior to the submittal of preliminary plans and specifications or final construction documents. Prior to scheduling a presubmittal meeting, the architect or engineer in responsible charge shall submit the following information to the Office:

Meeting agenda listing major points of discussion.
New and if applicable, existing floor plans.
Description and scope of the project.
Functional Program as described in Section 7-119.
Description of structural systems—vertical, lateral, foundation, etc.
Alternate method of compliance and program flexibility issues.
Type of construction.
Occupancy—existing and proposed, with justification.
Accessibility considerations, including path of travel.
Preliminary means of egress plan.
Architectural, structural, mechanical, plumbing, electrical, and fire and life safety issues.

(b) The architect or engineer in responsible charge shall record all resolutions of substantive issues in a letter of understanding that shall be submitted to the Office for acceptance prior to the submittal of final construction documents. The letter of understanding shall be based on the assumptions presented at the presubmittal meeting. Subsequent changes in design, program requirements, project delivery, or other unforeseen issues may necessitate modifications to the letter of understanding.

(c) Phased plan review and collaborative review and construction. A request for Phased Plan Review (PPR) or Collaborative Review and Construction (CRC) must be submitted to the Office in writing, prior to the presubmittal meeting being scheduled. In addition to the items listed in Section 7-121 (a), for PPR or CRC reviewed projects, the architect or engineer in responsible charge shall submit the following information to the Office:

Complete project schedule.
Proposed review matrix outlining all phases, milestones, increments, and segments for the project.

158 2019 CALIFORNIA ADMINISTRATIVE CODE

100735044

Initial draft of the Memorandum of Understanding (MOU) proposed, defining roles and accountability of the participants.

Authority: Health and Safety Code Section 18929 and 129675–130070

Reference: Health and Safety Code Section 129850

HISTORY:

(OSHPD 2/95) Regular order by the Office of Statewide Health Planning and Development to amend Section 7-121. Filed with the secretary of state on August 14, 1996, becomes effective September 13,
Approved by the California Building Standards Commission on March 19, 1996.

7-123 Preliminary plans and outline specifications.¶

7-123. Preliminary plans and outline specifications.

(a) The governing board or authority or their designated representative may submit preliminary plans and outline specifications to the Office for review prior to submittal of the final construction documents.

(b) The Office’s review of the preliminary plans and outline specifications shall be limited to the content of the preliminary plans and outline specifications submitted. A copy of the marked-up preliminary plans and outline specifications or of the approved preliminary plans and outline specifications shall accompany the submittal of the final construction documents.

Authority: Health and Safety Code Section 18929 and 129675–130070

Reference: Health and Safety Code Section 129850

7-125 Final review of construction documents.¶

7-125. Final review of construction documents.

(a) Final construction documents shall be submitted in accordance with Section 107, Part 2. Title 24. Final construction documents that are incomplete shall be returned to the applicant for completion prior to acceptance by the Office for plan review.

(b) Local government entity zoning approvals or clearances shall be furnished to the Office, when applicable, prior to approval of the final construction documents by the Office.

(c) When the Office finds items on the final construction documents that do not comply with these regulations and/or applicable sections of the California Building Standards Code, the noncomplying items shall be noted in writing with a proper code citation. The marked-up set of construction documents will be returned to the architect or engineer in responsible charge. A set of prints from corrected construction documents shall be filed for backcheck when the original check or subsequent backchecks(s) indicates that extensive changes are necessary. Where necessary corrections are of a minor nature, corrected original construction documents may be filed for backcheck. The architect or engineer in responsible charge must provide a written response to all comments made by the Office. The written response must include a description and a location of the corrections made to the construction documents. The written response may be provided as a letter, or may be provided as responses written directly on the marked-up set of drawings. Changes in construction documents, other than changes necessary for correction, made after submission for approval, shall be brought to the attention of the Office in writing or by submission of revised construction documents identifying those changes. Failure to give such notice voids any subsequent approval given to the construction documents.

SAFETY STANDARDS FOR HEALTH FACILITIES

(d) The Office’s approval of the final construction documents shall be in accordance with Section 107.3.1, Part 2, Title 24.

Authority: Health and Safety Code Sections 18929 and 129675–130070.

Reference: Health and Safety Code Section 129850.

HISTORY:

(OSHPD 2/95) Regular order by the Office of Statewide Health Planning and Development to amend Section 7-125. Filed with the secretary of state on August 14, 1996, becomes effective September 13,
Approved by the California Building Standards Commission on March 19, 1996.
(OSHPD 7/96) 1996 Annual Code Adoption Cycle will amend Section 7-125, of Part 1, Title 24, C.C.R. Filed with the secretary of state on March 4, 1997; effective April 3, 1997. Approved by the California Building Standards Commission on February 6, 1997.

7-126 Deferred submittals.¶

7-126. Deferred submittals.

(a) Conditions. Where a portion of the design cannot be fully detailed on the approved construction document because of variations in product design and manufacture, the approval of the construction documents for such portion may be deferred until the material suppliers are selected under the following conditions:

The construction documents clearly describe the deferred submittals that shall be approved by the Office prior to fabrication and installation for the indicated portions of the work.
The construction documents fully describe the performance and loading criteria for such work.
After the construction documents are approved and within 30 calendar days after commencement of construction, the architect or engineer in responsible charge shall submit a schedule to the Office indicating when the deferred submittals will be submitted to the Office for review.

Exception: Seismic Force Resisting System (SFRS), Primary Gravity Load Resisting System (PGLRS) and stairs shall not be deferred.

(b) Submittal process and notation. Submittal documents for deferred submittal items shall be submitted to the architect or engineer to whom responsibility has been delegated for preparation of construction documents, as listed on the application, for review prior to submittal to the Office. The architect or engineer to whom responsibility has been delegated for preparation of construction documents, as listed on the application, shall review and forward submittal documents for deferred submittal items to the Office with a notation indicating that the deferred submittal documents have been reviewed and that they have been found to be in general conformance with the design of the project.

(d) Fabrication and installation. The deferred submittal items shall not be fabricated or installed until their design and submittal documents have been approved by the Office.

(e) Limitations. The Office shall have sole discretion as to the portions of the design that may be deferred.

2019 CALIFORNIA ADMINISTRATIVE CODE 159

100735044

SAFETY STANDARDS FOR HEALTH FACILITIES

7-127 Projects exempt from plan review process.¶

7-127. Projects exempt from plan review process.

(a) The Office may exempt from the plan review process construction or alteration projects for hospitals, skilled nursing facilities and intermediate care facilities, if the project meets the following criteria:

The estimated construction cost is $50,000 or less. For the purpose of determining eligibility for exemption from the plan review process, the estimated construction cost excludes imaging equipment costs; design fees; inspection fees; off-site work; and fixed equipment costs, including but not limited to sterilizers, chillers and boilers.
The construction documents are stamped and signed pursuant to Section 7-115(a) and (b).
The entire project or an element of the project shall not pose a clear and significant risk to the health and safety of the patients, staff or public.

(b) Projects subdivided into smaller projects for the purpose of evading the cost limitation requirement shall not be exempt from the plan review process. (c) All requirements of Article 4, Construction must be met, except Section 7-135(a)1.

7-128 Work performed without a permit.¶

7-128. Work performed without a permit.

(a) Compliance examination. Construction or alteration of any health facility, governed under these regulations, performed without the benefit of review, permitting, and/or observation by the Office when review, permitting and/or observation is required, and without the exemption by the Office provided for in Section 7-127, shall be subject to examination by the Office to assess relevant code compliance.

Whenever it is necessary to make an inspection to enforce any applicable provision of the California Building Standards Code or the Alfred E. Alquist Hospital Facilities Seismic Safety Act, or the Office, or its authorized representative, has reasonable cause to believe that there exists in any building or upon any premises any condition or violation of any applicable building standards that makes the building or premises unsafe, dangerous, or hazardous, the Office or its authorized representatives may enter the building or premises at any reasonable time for the purpose of inspection and examination authorized by this chapter.
Examination by the Office may include, but is not limited to:

A. Review of existing plans;

B. Site visit(s) as necessary to assess the extent of

unpermitted work;

C. Inspection of work for the purpose of determining

compliance including destructive demolition as necessary in accordance with California Building Code Section 110.1 including the removal and/or replacement of any material required to allow inspection, and potentially destructive testing needed to demonstrate compliance with the California Existing Building Code ; and

D. Participation in a predesign conference with archi tects/engineers to resolve code issues relevant to the corrective or remedial work necessary.

(b) Plan review. Construction or alteration of any health facility, governed under these regulations, performed without the benefit of review, permitting and/or observation by the Office, and construction or alteration found in violation of any applicable section of the California Building Standards Code during examination, shall be brought into compliance with the current enforceable edition of the California Build- ing Standards Code. Application for Office review of construction documents and reports for the construction or alteration and corrective work necessary to remedy any violations, unsafe, dangerous, or hazardous conditions, shall be made in accordance with Sections 7-113 through 7-126. The construction documents and reports shall be prepared under an architect or engineer in responsible charge pursuant to Section 7-115 and shall clearly and separately delineate the following:

Portions of the building or structure that existed prior to the unpermitted construction or alteration;
The unpermitted construction or alteration work that is proposed to remain, including all associated dimensions, assemblies, specifications and details; and
New corrective or remedial work necessary to bring the unpermitted construction or alteration work into compliance with all applicable parts of the current Califor- nia Building Standards Code.

(c) Construction observation. The construction, inspection and observation of any construction or alteration of any health facility, governed under these regulations, previously performed without the benefit of review, permitting, and/or observation, and of any new corrective or remedial work deemed necessary by the Office, shall be in accordance with