Embed Size (px)
Citation preview
“Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs”
OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION
STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OSH-FD-700 (REV 12/16/15) Page 1 of 2
APPLICATION FOR OSHPD PREAPPROVAL OF MANUFACTURER’S CERTIFICATION (OPM)
OFFICE USE ONLY
APPLICATION #: OPM-0369-13
OSHPD Preapproval of Manufacturer’s Certification (OPM)
Type: New Renewal Update to Pre-CBC 2013 OPA Number:
Manufacturer Information
Manufacturer: Omnicell, Inc.
Manufacturer’s Technical Representative: Chris Muir
Mailing Address: 590 E. Middlefield Road, Mountain View, CA 94043
Telephone: (650) 251-6329 Email: [email protected]
Product Information
Product Name: Half Height Cabinet
Product Type: Automated Medication Dispensing Cabinets
Product Model Number: MED-FRM-102, -103, -104, -020, -021, -029, -039
General Description: Medication storage and dispensing cabinets.
Applicant Information
Applicant Company Name: Omnicell, Inc.
Contact Person: Chris Muir
Mailing Address: 590 E. Middlefield Road, Mountain View, CA 94043
Telephone: (650) 251-6329 Email: [email protected]
I hereby agree to reimburse the Office of Statewide Health Planning and Development review fees in accordance with the California Administrative Code, 2016.
Signature of Applicant: Date: 06/02/2017
Title: Engineer Company Name: Omnicell, Inc.
M
aa
MM
aa
--
n
a
n
ggg
11
gg
D
ee
00
D
ee
0
D
22
i
22
ssppn
M
ppn
M-
e
d
-
e
d
D
-1
D
1
ra
nD
0
ra
ni
0
ag d
ss
02
ag d
s
2
g i
is
ge
np
e
np
e
ge ge Cn Cn
d
Cs C
d
s ai a
d
n a
d
bn
ii
bg
E
ig
E
ng n
m
eC
mm
eC
mm
eC
aa
ta
a
sa
i
sa s
l
b
:
b
bi b
E
n
E
n
m
e
m
e
m c
t
m c
t
a
t
s
a
t
s
a
b
l
b
:
t
c
t
c
399999999
spensing Cabinetsspensing Cabinets
, -103, -104, -020, -021, -029, -03-2, -103, -104, -020, -021, -029, -03
and dispensing cabinets. and dispensing cabinets.
-1103
untain View, CA 940
Email: chrism@omn
net
ication
D-FRM
on stor
a
@
ountain View, CA 9404
mni
n
di
D
o
Email: chri
n
M
ra
catiatio
et
,
h m@@o
st
i-104, -020, -021, -029, -0-104, -020, -021, -029, -0
OPM-0369-13
01/19/2018g/ /
01/19/2018 OPM-0369-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 1 of 9
“Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs”
OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION
STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OSH-FD-700 (REV 12/16/15) Page 2 of 2
Registered Design Professional Preparing Engineering Recommendations
Company Name: Degenkolb Engineers
Name: Adrian M. Nacamuli California License Number: S 4857
Mailing Address: 1300 Clay Street, Suite 900, Oakland, CA 94612
Telephone: (510) 250-1216 Email: [email protected]
OSHPD Special Seismic Certification Preapproval (OSP)
Special Seismic Certification is preapproved under OSP- (Separate application for OSP is required)
Special Seismic Certification is not preapproved
Certification Method(s)
Testing in accordance with: ICC-ES AC156 FM 1950-15
Other* (Please Specify):
*Use of criteria other than those adopted by the California Building Standards Code, 2016 (CBSC 2016) for component supports and attachments are not permitted. For distribution system, interior partition wall, and suspended ceiling seismic bracings, test criteria other than those adopted in the CBSC 2016 may be used when approved by OSHPD prior to testing.
Analysis
Experience Data
Combination of Testing, Analysis, and/or Experience Data (Please Specify):
List of Attachments Supporting the Manufacturer’s Certification
Test Report Drawings Calculations Manufacturer’s Catalog
Other(s) (Please Specify):
OFFICE USE ONLY – OSHPD APPROVAL VALID FOR CBC 2016 & ALL PRE-2016 CODE BASED PROJECTS
Signature: Date: 01-19-2018
Print Name: Jeffrey Kikumoto
Title: SSE
Condition of Approval (if applicable):
aaamnn
me
nnme
idtd
ttt
d
heh
dd
heh
b
//
oeo
b
oo
dy
o
dy
o
ema
r
ema
tdmin
h
E
dit
nFh
E
tt
F
E
btt
oe
x
be
th
eo
S
x
beh
r
p
ho
Cr
yd
A
p
Cyd
A
e
Cd
AC
e
ad
t
C
ed
ai
h
CC
rd
ls
hF
1
i/
is
eF
1
o e
ft
eo
5
o e
reo
o
S 5
eor
ro
S 56
nr
Cr
r
66
n
bC r
b
A 6 6
E c
nb
Cd
A
E c
nu
ad
A
Ex c
iu
a
C
x
at
a
C
x
ats
C
r
p
o
is
’
p
oft
1
e
Bo
or
e
Bn
or
5
r
n
5
ri
urb
u
6
e
sn
b
6
e tt
snu
6
CC
e a
yu
C
n a
ytd
n a
yat
ds
FF
c
is
ai
FF
c
nto
M
e
teB
on
MM
r
eBn
g
MM
eBn
g
MM
mu
n mu S
1
(
mus
S
11
P
is
S
9
P
ly
t
99
C
Pt P
dy
ai
99
C
la
an
dy
a
5FM 195
ea
nnsn
5
e
tsn
0FM 1950
e
tnt
d
0F
a
ene
d
F
a
ege
a
M
ss
rg a
M
s
ri m
a
M
( e
omr
M
e
oS
md
P e
rS dd
1
P
rt
rs
1
l S
pt s
9
e S
ppa C
9
e S
aappa
an
CC
9
a pp
aaypaa
nn
CC
5
a p
yaa
nt
Co
5
s
y ar
de r
o
0
s
brtt
de
0
e
bbti
d
e
beit
ar
ee
ai
S
e
ro
S
ro
S
dr
p
drs
a
p
spapy
Cay
CaC
b
orb
ot
b
oiee
r’ss
ce Data
C
DDe Dae
’s C
y the California Building Standardy the California Building Standardsd. For distribution system, interior ose adopted in the CBSC 2016 msed. For distribution system, interior ose adopted in the CBSC 2016 masee ad
nufac
ICC-ES A 50-15
adopte ode, 20ot perm tion wher than those adopted in the CBSC 2016 may be used
sis, and pecify):
Manufacturer’s Certification
Calculations
-EI
a 0o waher than those adopted in the CBSC 2016 may be used
ys :
Manufacturer’s Certification
Calculations
S A 950-
te odrm tan those adopted in the CBSC 2016 may be
nd/ Spe
urer’s Cert
doppe
dop
CCC-E -155
ee, 2
ss, a
nu ctur fic tio
y)
yopted in the CBSC 2016 mopted in the CBSC 2016 m
OPM-0369-13OPM 0369 13
01/19/2018
01/19/2018 OPM-0369-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 2 of 9
Jeffrey Y. Kikumoto
OPM-0369-13
01/19/2018
01/19/2018 OPM-0369-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 3 of 9
Jeffrey Y. Kikumotoy YYYY KKiikkuummootooy
OPM-0369-133366696699OP
01/19/2018011 111999/2220001801 1199/220018
01/19/2018 OPM-0369-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 4 of 9
5/8"Ø A325 THROUGH BOLTS IN STANDARD HOLE AT BASE BRACKET & ANGLE BELOW SLAB; (8) TOTAL PER BRACKET; TACK WELD NUT BELOW LEG OF ANGLE OR PROVIDE TAPPED HOLE
0 / /2018 OPM-0369-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 5 of 9
Jeffrey Y. Kikumoto
OPM-0369-13
08/06/20188///0065
Jeffrey Y. Kikumotore YYY KKiiki uummotoo
OPM-0369-13P
01/19/2018111 199//220001881 199/2200 8
01/19/2018 OPM-0369-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 6 of 9
Jeffrey Y. Kikumoto
OPM-0369-1333
01/19/2018
01/19/2018 OPM-0369-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 7 of 9
Jeffrey Y. Kikumoto
OPM-0369-13
01/19/2018
01/19/2018 OPM-0369-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 8 of 9
Jeffrey Y.YYYYYY Kikiiiiiii umoto
OPM-0369-11111113
01/19999999/200001111111111111111188888888888888888
01/19/2018 OPM-0369-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 9 of 9
