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Chapter 13 — HEALTH CARE FACILITIES AND MEDICAL GAS AND MEDICAL VACUUM SYSTEMS

California Plumbing Code (Title 24, Part 5) · 2019 edition · updated 2026-09-10 · California

Italicized text is a California amendment to the model code, as printed in the official publication.

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The Office of the State Fire Marshal’s adoption of this chapter or individual sections is applicable to structures regulated by other state agencies pursuant to Section 1.11.0.

2019 CALIFORNIA PLUMBING CODE 277

278 2019 CALIFORNIA PLUMBING CODE

CHAPTER 13

HEALTH CARE FACILITIES AND MEDICAL GAS AND MEDICAL VACUUM SYSTEMS

Part I – General Requirements.

1302.0 Design Requirements.1302.1 Building System Risk Categories. Activities,

systems, or equipment shall be designed to meet Category 1 through Category 4 requirements as detailed in this code.

[NFPA 99:4.1]

1302.1.1 Risk Assessment. Categories shall be determined by following and documenting a defined risk assessment procedure. [NFPA 99:4.2.1] 1302.1.2 Documented Risk Assessment. A documented risk assessment shall not be required for Category 1. [NFPA 99:4.2.2]

1303.0 Health Care Facilities.1303.1 Drinking Fountain Control Valves. Drinking

fountain control valves shall be flush-mounted or fully recessed where installed in corridors or other areas where patients are transported on a gurney, bed, or wheelchair.

1305.0 System Performance.1305.1 Required Operating Pressures. Medical gas and

vacuum systems shall be capable of delivering service in the pressure ranges listed in Table 1305.1.

1307.0 Brazing Procedures.1307.1 General.

Brazing procedures and brazer performance for the installation of medical gas and vacuum piping shall be qualified in accordance with either Section IX, “Welding and Brazing Qualifications” of the ASME Boiler and Pressure Vessel Code or AWS B2.2, both as modified by Section 1307.2 through Section 1307.5 [NFPA 99:5.1.10.11.11.1]

1308.0 Pipe Materials.1308.1 General. The provisions of this section shall apply

to field-installed piping for the distribution of medical gases and vacuum systems.

1309.0 Joints and Connections.1309.1 General. This section sets forth the requirements for

pipe joint installations for a medical gas or vacuum system.

1310.0 Installation of Piping.1310.1 General. The installer shall furnish documentation

certifying that all installed piping materials comply with the requirements of Section 1308.2. [NFPA 99:5.1.10.1.6]

1314.0 Medical Vacuum System.1314.1 General. The vacuum plant shall be installed in a

well-lit, ventilated, and clean location with accessibility. The location shall be provided with drainage facilities in accordance with this code. The vacuum plant, where installed as a source, shall be located separately from other medical vacuum system sources and shall be readily accessible for maintenance.

1315.0 Pressure-Regulating Equipment.1315.1 Where Required. Pressure-regulating equipment

shall be installed in the supply main upstream of the final linepressure valve. Where multiple piping systems for the same gas at different operating pressures are required, separate pressure-regulating equipment, relief valves, and source shutoff valves shall be provided for each pressure.

1316.0 Station Outlets and Inlets.1316.1 General.

Each station outlet/inlet for medical gases or vacuums shall be gas-specific, whether the outlet/inlet is threaded or is a noninterchangeable quick coupler. [NFPA 99:5.1.5.1]

1318.0 Testing and Inspection.1318.1 Where Required. Inspection and testing shall be

performed on components, or portions thereof, of new, piped medical gas or vacuum systems, additions, renovations, temporary installations, or repaired systems in accordance with Section 1318.2 through Section 1318.16, and certified in accordance with Section 1319.0.

1319.0 System Certification.1319.1 Certification.

Prior to a medical gas or vacuum system being placed in service, such system shall be certified in accordance with Section 1319.2.

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Contents — California Plumbing Code (Title 24, Part 5)
California Plumbing Code (Title 24, Part 5)
  1. Chapter 1 — GENERAL CODE PROVISIONS
  2. Chapter 2 — DEFINITIONS
  3. Chapter 3 — GENERAL REGULATIONS
  4. Chapter 4 — PLUMBING FIXTURES AND FIXTURE FITTINGS
  5. Chapter 5 — WATER HEATERS
  6. Chapter 6 — WATER SUPPLY AND DISTRIBUTION
  7. Chapter 7 — SANITARY DRAINAGE
  8. Chapter 8 — INDIRECT WASTES
  9. Chapter 9 — VENTS
  10. Chapter 10 — TRAPS AND INTERCEPTORS
  11. Chapter 11 — STORM DRAINAGE
  12. Chapter 12 — FUEL GAS PIPING
  13. Chapter 13 — HEALTH CARE FACILITIES AND MEDICAL GAS AND MEDICA…
    Overview
    1. 1301.0 General.1301.1 Applicability. This chapter applies to t…
    2. 1301.2 Where Not Applicable. This chapter does not apply
    3. 1301.3 Conflict of Requirements. The requirements of
    4. 1301.4 Terms. Where the terms medical gas or medical support g…
    5. 1301.5 Where Required. Construction and equipment
    6. 1301.6 Existing Systems. Only the altered, renovated, or
    7. 1302.2 Patient Care Spaces. The governing body of the
    8. 1302.3 Anesthesia. It shall be the responsibility of the gover…
    9. 1302.4 Wet Procedure Locations. It shall be the responsibility…
    10. 1303.2 Psychiatric Patient Rooms. Piping and drain
    11. 1303.3 Locations for Ice Storage. Ice makers or ice storage co…
    12. 1303.4 Sterilizers and Bedpan Steamers. Sterilizers
    13. 1303.5 Aspirators. Provisions for aspirators or other watersup…
    14. 1303.6 Drains. Drains shall be installed on dryers, aftercoole…
    15. 1303.7 Clinical Sinks. Clinical sinks shall be installed in
    16. 1303.8 Water Supply for Hospitals. Hospitals shall be
    17. 1304.0 Medical Gas and Medical Vacuum Piping Sys-
    18. 1304.2 Manufacturer’s Instructions. The installation of
    19. 1304.3 Category 2 Piped Medical Gas and MedicalVacuum. Categor…
    20. 1304.4 Category 3 Piped Medical Gas and MedicalVacuum. Categor…
    21. 1304.5 Certification of Systems. Certification of medical gas …
    22. 1304.6 Construction Documents. Before a medical gas
    23. 1305.2 Minimum Flow Rates. Medical gas and vacuum
    24. 1305.3 Minimum Station Outlets and Inlets. Station
    25. 1306.0 Qualifications of Installers.1306.1 General. The instal…
    26. 1306.2 Brazing. Brazing shall be performed by individuals
    27. 1306.3 Health Care Organization Personnel. Health
    28. 1307.2 Examination. Brazers shall be qualified by visual
    29. 1307.3 Brazing Procedure Specification. The brazing
    30. 1307.4 Documentation. The brazing procedure qualification reco…
    31. 1307.5 Procedures. Brazing procedures qualified by a technical…
    32. 1307.7 Qualifications. Performance qualifications of brazers s…
    33. 1307.6 Conditions of Acceptance. An employer shall be
    34. 1308.2 Cleaning. Tubes, valves, fittings, station outlets, and
    35. 1308.3 Delivery. Each length of tube shall be delivered
    36. 1308.4 Tubes for Medical Gas Systems. Tubes shall be
    37. 1308.5 Tubes for Medical Vacuum Systems. Piping for
    38. 1309.2 Changes in Direction. Positive pressure patient
    39. 1308.6 Category 3 Systems. Category 3 systems shall
    40. 1309.3 Medical Vacuum Systems. Vacuum systems shall
    41. 1309.4 Brazed Joints and Fittings. Fittings shall be
    42. 1309.5 Tube Ends. Tube ends shall be cut square using a
    43. 1309.6 Cleaning Procedures. The interior surfaces of
    44. 1309.7 Brazing Dissimilar Metals. Flux shall only be
    45. 1309.8 Nitrogen Purge. When brazing, joints shall be continuou…
    46. 1309.9 Assembling and Heating Brazed Joints. Tube
    47. 1309.10 Inspection of Brazed Joints. After brazing, the
    48. 1309.11 Memory Metal Fittings. Memory metal fittings
    49. 1309.12 Axially Swaged Fittings. Axially swaged, elastic strai…
    50. 1309.13 Threaded Fittings. Threaded fittings shall meet
    51. 1309.14 Dielectric Fittings. Dielectric fittings that comply
    52. 1309.15 Other Types of Fittings. Listed or approved
    53. 1309.16 Welded Joints. Welded joints for medical gas and
    54. 1310.2 Required Pipe Sizing. Piping systems shall be
    55. 1309.17 Welding for Stainless Tube. Stainless tube shall
    56. 1309.18 Prohibited Joints. The following joints shall be
    57. 1310.3 Pipe Protection. Piping shall be protected against
    58. 1310.4 Location of Piping. Piping risers shall be permitted to…
    59. 1310.5 Pipe Support. Piping shall be supported from the
    60. 1310.7 Connectors. Hose and flexible connectors, both
    61. 1310.6 Backfilling and Trenching. The installation procedure f…
    62. 1310.9 Changes in System Use. Where a positive-pressure medica…
    63. 1310.10 Breaching or Penetrating Medical Gas Pip-ing. Positive…
    64. 1310.11 Labeling, Identification and Operating Pres-sure. Colo…
    65. 1310.8 Prohibited System Interconnections. Two or
    66. 1311.0 Valves.1311.1 General. New or replacement valves shall …
    67. 1311.6 Zone Valves. All station outlets/inlets shall be suppli…
    68. 1311.7 In-Line Shutoff Valves. Optional in-line valves
    69. 1311.8 Emergency Shutoff Valves. Category 3 systems
    70. 1311.2 Source Valves. A shutoff valve shall be placed at
    71. 1311.3 Main Line Valve. A shutoff valve shall be provided
    72. 1311.4 Riser Valves. Each riser supplied from the main line
    73. 1311.5 Service Valves. Service valves shall be installed to
    74. 1311.9 Valves for Future Connections. Future connection valves…
    75. 1311.10 Identification of Shutoff Valves. Shutoff valves
    76. 1312.0 Central Supply Systems.1312.1 Permitted Locations for M…
    77. 1312.2 Materials. Materials used in central supply systems
    78. 1312.3 Pressure-Relief Valve Requirements. Central
    79. 1313.0 Medical Air Supply Systems.1313.1 Quality of Medical Ai…
    80. 1313.3 Category 2 Medical Air Supply Systems. Category 2 syste…
    81. 1313.2 Medical Air Compressors. Medical air compressors shall …
    82. 1313.4 Category 3 Systems. Category 3 dental air compressor su…
    83. 1313.5 Air Sources. Air sources for medical air compressors sh…
    84. 1313.6 Air Intakes. Compressor intake piping shall be permitte…
    85. 1314.2 Medical-Surgical Vacuum Sources. Medicalsurgical vacuum…
    86. 1313.7 Medical Air Receivers. Receivers for medical air
    87. 1314.3 Vacuum Pumps. Additional pumps shall automatically acti…
    88. 1314.4 Vacuum Receivers. Receivers for vacuum shall
    89. 1315.2 Pressure Relief Valves. All pressure relief valves
    90. 1314.5 Vacuum Source Exhausts. The medical-surgical
    91. 1315.3 Pressure and Vacuum Indicator Locations. Pressure/vacuu…
    92. 1316.2 Required Valves. Each station outlet shall consist
    93. 1316.3 Post Installation. After installation of the piping,
    94. 1316.4 Identification. Station outlets and inlets shall be
    95. 1317.0 Warning Systems.1317.1 Category 1. All master, area, an…
    96. 1317.2 Category 2 Systems. Warning systems associated
    97. 1317.3 Category 3 Systems. Category 3 warning systems
    98. 1318.3 Reports. The inspection and testing reports shall be
    99. 1318.4 Initial Piping Blowdown. Piping in medical gas
    100. 1318.5 Initial Pressure Tests – Medical Gas and Vac-uum System…
    101. 1317.4 Components. Functioning of alarm components
    102. 1318.2 Breached Systems. All systems that are breached
    103. 1318.6 Initial Pressure Test - Category 3 Copper PipingSystems…
    104. 1318.7 Initial Leak Test – Category 3 Plastic VacuumPiping Sys…
    105. 1318.8 Cross-Connection Tests – Medical Gas andVacuum Systems.…
    106. 1318.9 Standing Pressure Tests – for Positive Pres-sure Medica…
    107. 1318.10 Standing Pressure Tests – Medical VacuumPiping Systems…
    108. 1318.11 Standing Pressure Tests – for Category 3
    109. 1318.12 Medical Gas Piping System Purge Tests. The
    110. 1318.13 Category 3 Dental Air and Nitrogen Supply
    111. 1318.14 Operational Pressure Test. Operational pressure tests …
    112. 1318.15 Medical Gas Concentration Test. After purging
    113. 1319.2 Certification Tests. Certification tests, verified and
    114. 1319.3 Report Items. A report that includes the specific
    115. 1318.16 System Verification. Verification tests shall be
  14. Chapter 14 — FIRESTOP PROTECTION
  15. Chapter 15 — ALTERNATE WATER SOURCES FOR NONPOTABLE APPLICATIONS
  16. Chapter 16 — NONPOTABLE RAINWATER CATCHMENT SYSTEMS
  17. Chapter 17 — REFERENCED STANDARDS
  18. Appendix A — RECOMMENDED RULES FOR SIZING THE WATER SUPPLY SYS…
  19. Appendix B — EXPLANATORY NOTES ON COMBINATION WASTE AND VENT S…
  20. Appendix C — ALTERNATE PLUMBING SYSTEMS
  21. Appendix D — SIZING STORM WATER DRAINAGE SYSTEMS
  22. Appendix E — MANUFACTURED/MOBILE HOME PARKS AND RECREATIONAL V…
  23. Appendix F — FIREFIGHTER BREATHING AIR REPLENISHMENT SYSTEMS
  24. Appendix G — SIZING OF VENTING SYSTEMS
  25. Appendix H — PRIVATE SEWAGE DISPOSAL SYSTEMS
  26. Appendix I — INSTALLATION STANDARD FOR PEX TUBING SYSTEMS FOR …
  27. Appendix J — COMBINATION OF INDOOR AND OUTDOOR COMBUSTION AND …
  28. Appendix K — POTABLE RAINWATER CATCHMENT SYSTEMS
  29. Appendix L — SUSTAINABLE PRACTICES
  30. Appendix M — PEAK WATER DEMAND CALCULATOR

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