Chapter 4 — SPECIAL DETAILED REQUIREMENTS BASED ON OCCUPANCY AND USE
427 Medical Gas Systems — 2025 California Building Code
California Building Code (Title 24, Part 2) · 2025 edition · updated 2026-09-25 · California
CBSC: official editions, supplements and errata
Italicized text is a California amendment to the model code, as printed in the official publication.
Cite as: 2025 California Building Code (Title 24, Part 2) § 427 · Effective January 1, 2026 · Official source: Building Standards Commission
[F] 427.1 General. Medical gases at health care-related facilities intended for patient or veterinary care shall comply with Sections 427.2 through 427.2.3 in addition to the requirements of Chapter 53 of the California Fire Code .
[F] 427.2 Interior supply location. Medical gases shall be located in areas dedicated to the storage of such gases without other storage or uses. Where containers of medical gases in quantities greater than the permitted amount are located inside the buildings, they shall be located in a 1-hour exterior room, 1-hour interior room or a gas cabinet in accordance with Section 427.2.1, 427.2.2 or 427.2.3, respectively. Rooms or areas where medical gases are stored or used in quantities exceeding the maximum allowable quantity per control area as set forth in Tables 307.1(1) and 307.1(2) shall be in accordance with Group H occupancies.
[F] 427.2.1 One-hour exterior room. A 1-hour exterior room shall be a room or enclosure separated from the remainder of the building by fire barriers constructed in accordance with Section 707 or horizontal assemblies constructed in accordance with Section 711, or both, with a fire-resistance rating of not less than 1 hour. Openings between the room or enclosure and interior spaces shall be provided with self-closing smoke- and draft-control assemblies having a fire protection rating of not less than 1 hour. Rooms shall have not less than one exterior wall that is provided with not less than two vents. Each vent shall have a minimum free air opening of not less than 36 square inches (232 cm [2] ) for each 1,000 cubic feet (28 m [3] ) at normal temperature and pressure (NTP) of gas stored in the room and shall be not less than 72 square inches (465 cm [2] ) in aggregate free opening area. One vent shall be within 6 inches (152 mm) of the floor and one shall be within 6 inches (152 mm) of the ceiling. Rooms shall be provided with not fewer than one automatic fire sprinkler to provide container cooling in case of fire.
[F] 427.2.2 One-hour interior room. Where an exterior wall cannot be provided for the room, a 1-hour interior room shall be provided and shall be a room or enclosure separated from the remainder of the building by fire barriers constructed in accordance with Section 707 or horizontal assemblies constructed in accordance with Section 711, or both, with a fire-resistance rating of not less than 1 hour. Openings between the room or enclosure and interior spaces shall be provided with self-closing smoke- and draft-control assemblies having a fire protection rating of not less than 1 hour. An automatic sprinkler system shall be installed within the room. The room shall be exhausted through a duct to the exterior. Supply and exhaust ducts shall be enclosed in a 1hour rated shaft enclosure from the room to the exterior. Approved mechanical ventilation shall comply with the California
SPECIAL DETAILED REQUIREMENTS BASED ON OCCUPANCY AND USE
Mechanical Code and be provided with a minimum rate of 1 cubic foot per minute per square foot (0.00508 m [3] /s/m [2] ) of the area of the room.
[F] 427.2.3 Gas cabinets. Gas cabinets shall be constructed in accordance with Section 5003.8.6 of the California Fire Code and shall comply with the following:
Cabinets shall be exhausted to the exterior through a dedicated exhaust duct system installed in accordance with Chapter 5 of the California Mechanical Code .
Supply and exhaust ducts shall be enclosed in a 1-hour rated shaft enclosure from the cabinet to the exterior. The average velocity of ventilation at the face of access ports or windows shall be not less than 200 feet per minute (1.02 m/s) with a minimum of 150 feet per minute (0.76 m/s) at any point of the access port or window.
Cabinets shall be provided with an automatic sprinkler system internal to the cabinet.
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