Voluntary Standards for Health Facilities (Appendix A6 / OSHPD guidance)

Grounded in the retrieved California Green Building Standards Code (CALGreen) — click a citation to read the verbatim passage:

• CALGreen § 602.1 High relevance — show source text

  VOLUNTARY MEASURES. . . . . . . . . . . . . . . . . APPENDIX A5-3

  A5.1 Planning and Design . . . . . . . . . . . . . . . . . APPENDIX A5-3 A5.2 Energy Efficiency . . . . . . . . . . . . . . . . . . . APPENDIX A5-13 A5.3 Water Efficiency and Conservation . . . APPENDIX A5-19 A5.4 Material Conservation and Resource Efficiency . . . . . . . . . . . . . . . . . . . . . . . . APPENDIX A5-25 A5.5 Environmental Quality . . . . . . . . . . . . . . APPENDIX A5-35 A5.6 Voluntary Tiers . . . . . . . . . . . . . . . . . . . . . APPENDIX A5-41 A5.601 CALGren Tier 1 and Tier 2. . . . . . . . . . APPENDIX A5-41

  A5.602 CALGreen Verification Guidelines Mandatory Measures Checklist . . . . . . . . . . . . . . . APPENDIX A5-44

  A5.602.1 CALGreen Verification Guidelines

  Tier 1 Checklist . . . . . . . . . . . . . . . . . APPENDIX A5-48

  A5.602.2 CALGreen Verification Guidelines

  Tier 2 Checklist . . . . . . . . . . . . . . . . . APPENDIX A5-55

  APPENDIX A6 VOLUNTARY STANDARDS FOR HEALTH

  FACILITIES [OSHPD 1, 2 & 4] . . . . . . . . . . . APPENDIX A6.1-3 A6.1 Site Planning and Design . . . . . . . . . . . APPENDIX A6.1-3 A6.2 Energy Efficiency . . . . . . . . . . . . . . . . . . APPENDIX A6.1-3 A6.4 Material Conservation and Resource Efficiency . . . . . . . . . . . . . APPENDIX A6.1-32 A6.5 Environmental Quality . . . . . . . . . . . . APPENDIX A6.1-33

  INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . INDEX-1

  HISTORY NOTE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HIST-1

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  viii 2025 CALIFORNIA GREEN BUILDING STANDARDS CODE

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  CALIFORNIA GREEN BUILDING STANDARDS CODE – MATRIX ADOPTION TABLE

  CHAPTER 1 – ADMINISTRATION

  (Matrix Adoption Tables are nonregulatory, intended only as an aid to the code user. See Chapter 1 for state agency authority and building applications.)

  |Adopting

• CALGreen § 203.2 High relevance — show source text

  SECTION A6.203—PERFORMANCE APPROACH

  A6.203.2 Energy performance. It is the intent of this code to encourage green buildings to achieve exemplary performance in the area of energy efficiency.

  A6.203.2.1 CALGreen Tier 1. [OSHPD 1] To achieve CALGreen [Tier 1, buildings must comply with the latest edition of “Savings By](http://www.energysoft.com/ep/ 2007SBDHProcedures.pdf) Design, Healthcare Modeling Procedures” found online at http://www.energysoft.com/ep/ 2007SBDHProcedures.pdf.

  A6.203.2.2 CALGreen Tier 2. [OSHPD 1] To achieve CALGreen Tier 2, buildings must exceed the latest edition of “Savings By Design, Healthcare Modeling Procedures” by a minimum of 15 percent.

  SECTION A6.204—PRESCRIPTIVE APPROACH

  A6.204.1 ENERGY STAR equipment and appliances. All equipment and appliances provided by the builder shall be ENERGY STAR labeled if ENERGY STAR is applicable to that equipment or appliance.

  A6.204.4 Commissioning. [OSHPD 1 & 4] Building commissioning shall be included in the design and construction processes of the building project to verify that the building’s energy related systems are installed, calibrated and perform according to the owner’s project requirements, basis of design and construction documents.

  The owner and designer shall designate an individual as the Commissioning Authority (CxA) to lead, review and oversee the completion of the commissioning process activities. The owner shall document the Owner’s Project Requirements (OPR). The design team shall develop the Basis of Design (BOD). The CxA shall review these documents for clarity and completeness. The owner and design team shall be responsible for updates to their respective documents, develop and incorporate commissioning requirements into the construction documents and develop and implement a commissioning plan. The CxA shall verify the installation and performance of the systems to be commissioned, verify that training and operation and maintenance documentation have been provided to the owner’s operations staff and complete a commissioning report.

  Commissioning process activities shall be completed for the following energy-related systems, at a minimum:

  1. Heating, ventilating, air conditioning and refrigeration (HVAC&R) systems (mechanical and passive) and associated controls.
  2. Lighting and daylighting controls.
  3. Domestic hot water systems.
  4. Renewable energy systems (wind, solar, etc.).
  5. Building envelope systems.

  A6.204.4.1 Owner’s Project Requirements (OPR). The expectations and requirements of the building shall be documented by the owner and the designer before the design phase of the project begins. This shall be reviewed by the CxA. At a minimum, this documentation shall include the following:

  1. Environmental and sustainability goals.
  2. Energy efficiency goals.
  3. Indoor environmental quality requirements.

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  APPENDIX A6.1 — VOLUNTARY STANDARDS FOR HEALTH FACILITIES [OSHPD 1, 2 & 4]

  4. Equipment and systems expectations.
  5. Building occupant and O&M personnel expectations.
• CALGreen § 106.11. High relevance — show source text

  **Locate orient and shade the building as
  required in Section A6.106.11.||||| |SECTION A6.205 Building Envelope||||| |A6.205.1 Fenestration products and exterior doors.
  A6.205.1.1 Certification of fenestration products and exterior door other than field-
  fabricated.||||| |A6.205.1.2 Installation of field-fabricated fenestration and exterior doors.||||| |A6.205.2 Joints and other openings.||||| |A6.205.3 Installation and roofing products.|||||

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  APPENDIX A6.1 — VOLUNTARY STANDARDS FOR HEALTH FACILITIES [OSHPD 1, 2 & 4]

  NONRESIDENTIAL OCCUPANCIES APPLICATION CHECKLIST [OSHPD 1, 2 and 4] — continued

  FEATURE OR MEASURE	COMPLIANCE LEVELS	Col3	Col4	NOTES
  FEATURE OR MEASURE	Mandatory CALGreen	VOLUNTARY CALGreen	VOLUNTARY CALGreen	VOLUNTARY CALGreen
  FEATURE OR MEASURE	Mandatory CALGreen	Tier 1	Tier 2	Tier 2
  SECTION A6.207 HVAC Design, Equipment and Installation
  A6.207.1 Space-conditioning equipment certification by manufacturers. A6.207.1.1 Efficiency. A6.207.1.2 Controls for heat pumps with supplementary electric resistance heaters. A6.207.1.3 Thermostats. A6.207.1.4 Gas-and oil-fired furnace standby loss controls.		    	    
  A6.207.2 Space conditioning systems. A6.207.2.1 Supply air temperature reset controls. A6.207.2.2 Electric resistance heating. A6.207.2.3 Heat rejection systems. A6.207.2.4 Hydronic system measures. A6.207.2.5 Air distribution system duct leakage sealing. **A6.207.2.6 Variable air volume control for single zone systems.

• CALGreen § 504.8.5.2 High relevance — show source text

  A6.504.8.5.2 Documentation. Verification of compliance with this section shall be provided as requested by the enforcing agency. Documentation shall include at least one of the following:

  1. Product certifications and specifications.
  2. Chain of custody certifications.
  3. Other methods acceptable to the enforcing agency.

  A6.504.9 Environmental tobacco smoke (ETS) control. [OSHPD 1, 2 & 4] Where outdoor areas are provided for smoking, prohibit smoking within 25 feet of building entries, outdoor air intakes and operable windows and within the building, if not already prohibited by other laws or regulations, or as enforced by ordinances, regulations or policies of any city, county, city and county, California Community College, campus of the California State University or campus of the University of California, whichever are more stringent. When ordinances, regulations or policies are not in place, post signage to inform building occupants of the prohibitions.

  SECTION A6.505 [OSHPD 1, 2 & 4]—INDOOR MOISTURE CONTROL

  A6.505.2 Indoor moisture control. Buildings shall meet or exceed the provisions of California Building Code, CCR, Title 24, Part 2, Sections 1203 and Chapter 14.

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  APPENDIX A6.1 — VOLUNTARY STANDARDS FOR HEALTH FACILITIES [OSHPD 1, 2 & 4]

  NONRESIDENTIAL OCCUPANCIES APPLICATION CHECKLIST [OSHPD 1, 2 and 4]

  FEATURE OR MEASURE	COMPLIANCE LEVELS	Col3	Col4	NOTES
  FEATURE OR MEASURE	Mandatory CALGreen	VOLUNTARY CALGreen	VOLUNTARY CALGreen	VOLUNTARY CALGreen
  FEATURE OR MEASURE	Mandatory CALGreen	Tier 1	Tier 2	Tier 2
  DIVISION A6.1 – PLANNING AND DESIGN
  SECTION Site Development	SECTION Site Development	SECTION Site Development	SECTION Site Development	SECTION Site Development
  **A6.106.9 Building orientation.**Locate and orient the building as follows: 1. When site and location permit, orient the building with the long sides facing north and south. 2. Protect the building from thermal loss, drafts and degradation of the building envelope caused by wind and wind-driven materials such as dust.			
  DIVISION A6.2 – ENERGY EFFICIENCY
  SECTION A6.203 Performance Measures	SECTION A6.203 Performance Measures	SECTION A6.203 Performance Measures	SECTION A6.203 Performance Measures	SECTION A6.203 Performance Measures
  A6.203.1 Energy performance. [OSHPD 1] **A6.203.1.1 CALGreen Tier 1.

• CALGreen § 209.2.3.1.3 High relevance — show source text

  **
  A6.209.2.3.1.3 Daylight area, secondary sidelit.
  A6.209.2.3.1.4 Daylight area, skylit.
  A6.209.2.3.2 Controls for luminaires providing general lighting that are in or are
  partially in the skylit daylight area and or the primary sidelit daylight area.
  A6.209.2.4 Shut-off controls.||
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  || |A6.209.3 Outdoor lighting controls and equipment.
  A6.209.3.1 Outdoor lighting.
  A6.209.3.2 Luminaire cutoff requirements.
  A6.209.3.3 Controls for outdoor lighting.||
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  APPENDIX A6.1 — VOLUNTARY STANDARDS FOR HEALTH FACILITIES [OSHPD 1, 2 & 4]

  NONRESIDENTIAL OCCUPANCIES APPLICATION CHECKLIST [OSHPD 1, 2 and 4] — continued

  FEATURE OR MEASURE	COMPLIANCE LEVELS	Col3	Col4	NOTES
  FEATURE OR MEASURE	Mandatory CALGreen	VOLUNTARY CALGreen	VOLUNTARY CALGreen	VOLUNTARY CALGreen
  FEATURE OR MEASURE	Mandatory CALGreen	Tier 1	Tier 2	Tier 2
  A6.209.4 Outdoor lighting. A6.209.4.1 Outdoor lighting power trade-offs. A6.209.4.2 Outdoor lighting power. A6.209.4.3 Calculation of actual lighting power. A6.209.4.4 Calculation of allowed lighting power. A6.209.4.4.1 General hardscape lighting allowance. A6.209.4.4.2 Additional lighting power allowance for specific applications. **A6.209.4.4.3 Additional lighting power allowance for local ordinance requirements.

• CALGreen § 1-1 High relevance — show source text

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  APPENDIX A6.1-2 2025 CALIFORNIA GREEN BUILDING STANDARDS CODE

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  A6 VOLUNTARY STANDARDS FOR HEALTH FACILITIES [OSHPD 1, 2 & 4]

  DIVISION A6.1 – SITE PLANNING AND DESIGN

  SECTION A6.106—SITE DEVELOPMENT

  A6.106.9 Building orientation. Locate and orient the building as follows:

  1. When site and location permit, orient the building with the long sides facing north and south.
  2. Protect the building from thermal loss, drafts and degradation of the building envelope caused by wind and wind-driven materials such as dust, sand, snow and leaves, with building orientation and landscape features. Note: For information on sun angles and shading, visit: http://www2.aud.ucla.edu/energy-design-tools/.

  Calculations may be made using the Solar-2 tool.

  DIVISION A6.2 – ENERGY EFFICIENCY

  SECTION A6.202—DEFINITIONS

  A6.202.1 Definitions. The following words and terms shall, for the purposes of this chapter and as used elsewhere in this code, have the meanings shown herein.

  ENERGY STAR. A joint program of the US Environmental Protection Agency and the US Department of Energy. ENERGY STAR is a voluntary program designed to identify and promote energy-efficient products and practices.

  SECTION A6.203—PERFORMANCE APPROACH

  A6.203.2 Energy performance. It is the intent of this code to encourage green buildings to achieve exemplary performance in the area of energy efficiency.

  A6.203.2.1 CALGreen Tier 1. [OSHPD 1] To achieve CALGreen [Tier 1, buildings must comply with the latest edition of “Savings By](http://www.energysoft.com/ep/ 2007SBDHProcedures.pdf) Design, Healthcare Modeling Procedures” found online at http://www.energysoft.com/ep/ 2007SBDHProcedures.pdf.

  A6.203.2.2 CALGreen Tier 2. [OSHPD 1] To achieve CALGreen Tier 2, buildings must exceed the latest edition of “Savings By Design, Healthcare Modeling Procedures” by a minimum of 15 percent.

  SECTION A6.204—PRESCRIPTIVE APPROACH

  A6.204.1 ENERGY STAR equipment and appliances. All equipment and appliances provided by the builder shall be ENERGY STAR labeled if ENERGY STAR is applicable to that equipment or appliance.

  A6.204.4 Commissioning. [OSHPD 1 & 4] Building commissioning shall be included in the design and construction processes of the building project to verify that the building’s energy related systems are installed, calibrated and perform according to the owner’s project requirements, basis of design and construction documents.

  The owner and designer shall designate an individual as the Commissioning Authority (CxA) to lead, review and oversee the completion of the commissioning process activities. The owner shall document the Owner’s Project Requirements (OPR).

• CALGreen § 6.1507 High relevance — show source text

  Condenser DT = Leaving Condenser Water Temperature (°F) – Entering Condenser Water Temperature (°F)
  Kadj = 6.1507 – 0.30244(×) + 0.0062692(×)2 – 0.000045595(×)3
  where× = Condenser DT + LIFT
  COPadj = Kadj * COPstd|1. LIFT = Entering Condenser Water Temperature (°F) – Leaving Chilled Water Temperature (°F)
  2. Condenser DT = Leaving Condenser Water Temperature (°F) – Entering Condenser Water Temperature (°F)
  Kadj = 6.1507 – 0.30244(×) + 0.0062692(×)2 – 0.000045595(×)3
  where× = Condenser DT + LIFT
  COPadj = Kadj * COPstd|1. LIFT = Entering Condenser Water Temperature (°F) – Leaving Chilled Water Temperature (°F)
  2. Condenser DT = Leaving Condenser Water Temperature (°F) – Entering Condenser Water Temperature (°F)
  Kadj = 6.1507 – 0.30244(×) + 0.0062692(×)2 – 0.000045595(×)3
  where× = Condenser DT + LIFT
  COPadj = Kadj * COPstd|

  A6.207.1.2 Controls for heat pumps with supplementary electric resistance heaters. Heat pumps with supplementary electric resistance heaters shall have controls:

  A6.207.1.2.1 That prevent supplementary heater operation when the heating load can be met by the heat pump alone; and

  A6.207.1.2.2 In which the cut-on temperature for compression heating is higher than the cut-on temperature for supplementary heating and the cut-off temperature for compression heating is higher than the cut-off temperature for supplementary heating.

  Exceptions: The controls may allow supplementary heater operation during:

  1. Defrost; and
  2. Transient periods such as start-ups and following room thermostat setpoint advance, if the controls provide preferential rate control, intelligent recovery, staging, ramping or another control mechanism designed to preclude the unnecessary operation of supplementary heating.

  A6.207.1.3 Thermostats. All unitary heating and/or cooling systems including heat pumps that are not controlled by a central energy management control system (EMCS) shall have a setback thermostat.

  1. Setback capabilities. All thermostats shall have a clock mechanism that allows the building occupant to program the temperature set points for at least four periods within 24 hours. Thermostats for heat pumps shall meet the requirements of Section A6.207.1.2.

  Exception: Gravity gas wall heaters, gravity floor heaters, gravity room heaters, noncentral electric heaters, fireplaces or decorative gas appliances, wood stoves, room air conditioners and room air-conditioner heat pumps need not comply with this requirement. Additionally, room air-conditioner heat pumps need not comply with Section A6.207.1.2. Under perfor

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  APPENDIX A6.1 — VOLUNTARY STANDARDS FOR HEALTH FACILITIES [OSHPD 1, 2 & 4]

• CALGreen § 504.8 High relevance — show source text

  Documentation must be provided verifying that materials are certified to meet the
  pollutant emission limits. A list of manufacturers and theirNAF and ULEF certified materials
  is provided at http://www.arb.ca.gov/toxics/compwood/naf_ulef/listofnaf_ulef.htm.
  **A6.504.8 Finish material pollutant control.**Finish materials shall comply with Sections
  A6.504.8.1 through A6.504.8.4.
  A6.504.8.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks used on the
  project shall meet the requirements of the following standards.
  1. Adhesives, adhesive bonding primers and adhesive primers, sealants and
  sealant primers shall comply with Table A6.504.8.1.
  2. Aerosol adhesives shall meet the requirements of_California Code of Regulations,_
  Title 17, commencing with Section 94507, http://ccr.oal.ca.gov/.||
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  APPENDIX A6.1 — VOLUNTARY STANDARDS FOR HEALTH FACILITIES [OSHPD 1, 2 & 4]

  NONRESIDENTIAL OCCUPANCIES APPLICATION CHECKLIST [OSHPD 1, 2 and 4] — continued

  FEATURE OR MEASURE	COMPLIANCE LEVELS	Col3	Col4	NOTES
  FEATURE OR MEASURE	Mandatory CALGreen	VOLUNTARY CALGreen	VOLUNTARY CALGreen	VOLUNTARY CALGreen
  FEATURE OR MEASURE	Mandatory CALGreen	Tier 1	Tier 2	Tier 2
  **A6.504.8.3 Paints and coatings.**Architectural paints and coatings shall comply with Table A6.504.8.3. A6.504.8.3.2 Verification. **A6.504.8.4 Carpet systems.**All carpet installed in the building interior shall meet the testing and product requirements of one of the standards listed in Section A6.504.8.3. **A6.504.8.4.1 Carpet cushion.**All carpet cushion installed in the building interior shall meet the requirements of the Carpet and Rug Institute Green Label program. **A6.504.8.4.2 Carpet adhesive.**All carpet adhesive shall meet the requirements of Table A6.504.8.1. **A6.504.8.5 Composite wood products.

• CALGreen § 6.1507 High relevance — show source text

  LIFT = Entering Condenser Water Temperature (°F) – Leaving Chilled Water Temperature (°F)
  2. Condenser DT = Leaving Condenser Water Temperature (°F) – Entering Condenser Water Temperature (°F)
  Kadj = 6.1507 – 0.30244(×) + 0.0062692(×)2 – 0.000045595(×)3
  where× = Condenser DT + LIFT
  COPadj = Kadj * COPstd|1. LIFT = Entering Condenser Water Temperature (°F) – Leaving Chilled Water Temperature (°F)
  2. Condenser DT = Leaving Condenser Water Temperature (°F) – Entering Condenser Water Temperature (°F)
  Kadj = 6.1507 – 0.30244(×) + 0.0062692(×)2 – 0.000045595(×)3
  where× = Condenser DT + LIFT
  COPadj = Kadj * COPstd|

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  APPENDIX A6.1 — VOLUNTARY STANDARDS FOR HEALTH FACILITIES [OSHPD 1, 2 & 4]

  TABLE A6.207.1-J —COPS FOR NONSTANDARD CENTRIFUGAL CHILLERS > 300 TONS	Col2	Col3	Col4	Col5	Col6	Col7	Col8	Col9
  CENTRIFUGAL CHILLERS> 300 TONS COPstd = 6.1	CENTRIFUGAL CHILLERS> 300 TONS COPstd = 6.1	CENTRIFUGAL CHILLERS> 300 TONS COPstd = 6.1	CENTRIFUGAL CHILLERS> 300 TONS COPstd = 6.1	CENTRIFUGAL CHILLERS> 300 TONS COPstd = 6.1	CENTRIFUGAL CHILLERS> 300 TONS COPstd = 6.1	CENTRIFUGAL CHILLERS> 300 TONS COPstd = 6.1	CENTRIFUGAL CHILLERS> 300 TONS COPstd = 6.1	CENTRIFUGAL CHILLERS> 300 TONS COPstd = 6.1
  			CONDENSER FLOW RATE	CONDENSER FLOW RATE	CONDENSER FLOW RATE	CONDENSER FLOW RATE	CONDENSER FLOW RATE	CONDENSER FLOW RATE
  			2 gpm/ton	**2.

• CGBSC § 2025 Medium relevance — show source text

  ||||| |Total number of Measures required for Tier 2|Total number of Measures required for Tier 2|Total number of Measures required for Tier 2|Total number of Measures required for Tier 2|25||||| |Total number of Measures selected|Total number of Measures selected|Total number of Measures selected|Total number of Measures selected||||||

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  APPENDIX A5 — NONRESIDENTIAL VOLUNTARY MEASURES

  Documentation Author's / Responsible Designer's Declaration Statement Check the appropriate box(es) for the list below. □ Mandatory: I attest that the mandatory provisions checklist is accurate and complete. □ Tier 2 compliant: I attest that the total number of voluntary measures selected meet or exceed the total number required to achieve Tier 2 compliance. □ Partial Tier 2 compliant: I attest that the total number of voluntary measures selected do not meet the total number required to achieve Tier 2 compliance; however, partial Tier 2 compliance has been achieved.	Col2
  Signature:
  Company:	Date:
  Address:	License:
  City/State/Zip:	Phone:

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  APPENDIX A5-62 2025 CALIFORNIA GREEN BUILDING STANDARDS CODE

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  CALIFORNIA GREEN BUILDING STANDARDS CODE – MATRIX ADOPTION TABLE APPENDIX A6—VOLUNTARY STANDARDS FOR HEALTH FACILITIES [OSHPD 1, 2 & 4]

  The following sections are relocated from the voluntary appendices into one appendix to assist code users in the planning, design and construction of environmentally sustainable medical facilities under the authority of the Office of Statewide Health Planning and Development specified in Chapter 1 of this code.