| (i) complete ventilation systems (supply, return, exhaust), all fire and smoke partitions, locations of all dampers, registers, and grilles, air volume flow at each device, and identification of all spaces (e.g. corridor, patient room, operating room); (ii) boilers, chillers, heating and cooling piping systems (steam piping, hot water, chilled water), and associated pumps; (iii) cold and warm water supply systems, water heaters, storage tanks, circulating pumps, plumbing fixtures, emergency water storage tank(s) (if provided), and special piping systems such as for deionized water; (iv) nonflammable medical gas piping (oxygen, compressed medical air, vacuum systems, nitrous oxide), emergency shutoff valves, pressure gages, alarm modules, gas outlets; (v) drain piping systems (waste and soiled piping systems, laboratory drain systems, roof drain systems); (vi) fire protection piping systems (sprinkler piping systems, fire standpipe systems, water or chemical extinguisher piping system for cooking equipment); (vii) piping riser diagrams, equipment schedules, control diagrams or narrative description of controls, filters, and location of all duct-mounted smoke detectors; and (viii) laboratory exhaust and safety cabinets. (F) Electrical drawings. Electrical drawings shall include: (i) electrical service entrance with service switches, service feeders to the public service feeders, and characteristics of the light and power current including transformers and their connections; (ii) location of all normal electrical system and essential electrical system conduits, wiring, receptacles, light fixtures, switches and equipment which require permanent electrical connections, on plans of each building level: (I) light fixtures marked distinctly to indicate connection to critical or life safety branch circuits or to normal lighting circuits; and (II) outlets marked distinctly to indicate connection to critical, life safety or normal power circuits; (iii) telephone and communication, fixed computers, terminals, connections, outlets, and equipment; (iv) nurses calling system showing all stations, signals, and annunciators on the plans; (v) in addition to electrical plans, single line diagrams prepared for: (I) complete electrical system consisting of the normal electrical system and the essential electrical system including the on-site generator(s), transfer switch(es), emergency system (life safety branch and critical branch), equipment system, panels, subpanels, transformers, conduit, wire sizes, main switchboard, power panels, light panels, and equipment for additions to existing buildings, proposed new facilities, and remodeled portions of existing facilities. Feeder and conduit sizes shall be shown with schedule of feeder breakers or switches; (II) complete nurses calling system with all stations, signals, annunciators, etc. with room number noted by each device and indicating the type of system (nurses regular calling system, nurses emergency calling system, or staff emergency assistance calling system); (III) a single line diagram of the complete fire alarm system showing all control panels, signaling and detection devices and the room number where each device is located; and (vi) schedules of all panels indicating connection to life safety branch, critical branch, equipment system or normal system, and connected load at each panel. (3) Construction document changes. Any changes to the final construction documents which affect or change the function, design, or designated use of an area shall be submitted to the department for approval prior to authorization of the modifications. (g) Special submittals. (1) Self-certification. (A) In an effort to shorten the plan review and approval process, the hospital owner/operator or representative may request approval of final construction documents under the self-certification review process. (i) The owner/operator shall submit the items in subsection (b)(1)(A) - (D) of this section and a completed self-certification form, signed by the hospital owner/operator, architect of record, and engineer(s) of record attesting that the plans and specifications are based upon and comply with the requirements of this chapter. (ii) By signing and submitting the self-certification form, the hospital owner/operator accepts the following conditions. (I) The department retains the right to review the final construction documents, conduct inspections of the project, and withdraw its approval. (II) The hospital owner/operator has a continuing obligation to make any changes the department requires to comply with the licensing rules whether or not physical plant construction or alterations have been completed. (III) The hospital owner/operator is ultimately responsible for compliance with the Texas Hospital Licensing Law (Health and Safety Code, Chapter 241) and this chapter. (B) The department will review the request for self-certification and notify the hospital owner/operator if the request is approved or denied. If denied, the department will review the final construction documents in the chronological order in which the documents were received. Construction may not begin until the final construction documents have been reviewed and approved. (2) Fast-track project. At the discretion of the department, projects for new hospitals or major new additions may be allowed to submitted under the fast-track project in not more than three separate packages. A fast-track project shall be requested in writing on facility letterhead, signed by hospital administration, with a brief written description and narrative of the proposed project. Construction may not begin until the first package has been approved by the department. (A) First package. The first package shall include: (i) the items in subsection (b)(1)(A) - (C) of this section; (ii) a map showing the location of the proposed facility site and adjacent surrounding area at least two miles in radius identifying any hazardous and undesirable location noted in §133.162(a) of this title; (iii) preliminary architectural plans and a detailed building site plan showing all adjacent streets, site work, underslab mechanical, electrical, and plumbing work, and related specifications; and (iv) foundation and structural plans. (B) Second package. The second package shall include complete architectural plans and details with specifications and fire safety plans as described in subsection (f)(1) and (2)(A) - (D) of this section. (C) Third package. The third package shall include complete mechanical, electrical, equipment and furnishings, and plumbing plans and specifications, as described in subsection (f)(1) and (2)(E) and (F) of this section. Package three may be submitted with the second package. (3) Minor project. If a hospital owner/operator believes that a proposed project is a minor project as described in §133.161(a)(2)(C) of this title (relating to Requirements for Buildings in which Existing Licensed Hospitals are Located), the hospital owner/operator shall provide to the department a brief written description of the proposed project and floor plans of the areas of work. (A) If it is determined that the proposed project is a minor project, the department will notify the hospital owner/operator of the approval, and state the number of inspections that will be required. A minimum of one inspection will be conducted. (B) The department will notify the hospital owner/operator that a proposed project is not approved as a minor project if the project involves any of the following: (i) remodeling or alterations which involve alterations to load bearing members or partitions; (ii) a change in functional operation; (iii) affects fire safety (e.g. modifications to the fire, smoke, and corridor walls); (iv) adds beds or services for which the hospital is not currently licensed; and (v) significantly changes the mechanical, electrical, plumbing, fire protection, or piped medical system. (C) The hospital owner/operator shall submit final construction documents in accordance with subsection (f) of this section if the department determines the project is not a minor project. (4) Fire sprinkler systems. (A) When the sole purpose of a project is installation of a sprinkler system, whether a partial or complete system, the hospital owner/operator shall submit to the department for approval the items in subsection (b)(1)(A) - (C) of this section and sprinkler documents. Cont'd... |
