oshpd preapproval of manufacturer's certification (opm) · oshpd opm-0166-13 dwg - ii...
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OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION
“Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs”
STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCYOSH-FD-700 (REV 5/30/13) Page 1 of 2
APPLICATION FOR OSHPD PREAPPROVAL OF MANUFACTURER’S CERTIFICATION (OPM)
OFFICE USE ONLY
APPLICATION #: OPM-0166-13
OSHPD Preapproval of Manufacturer’s Certification (OPM)
Type: New Renewal Update to Pre-CBC 2013 OPA Number:
Manufacturer Information
Manufacturer: Skytron LLC.
Manufacturer’s Technical Representative: Bob Vreeland
Mailing Address: Skytron US, 5085 Corporate Exchange Blvd SE, Grand Rapids, MI 49512
Telephone: (616) 656-1189 Email: bvreeland@skytron.us
Product Information
Product Name: Skytron Ergon II
Product Type: Hospital Ceiling Mounted Booms
Product Model Number:
E2FPM48, Q2FPM36, LC2ALFX-RAY/AUT7TV-1300, ECT2FPM48/2AFC2/AUT7TV5, ETM2SCM36-PF60/2FPM48, ETM2FPM48/2EPM48, EC2FPM48/AUT7TV5, ECT2FVBM36/2AFC1/AUT5, LCT2AFC2/2AFC2/AUT7TV5
General Description: Skytron’s Ergon II ceiling mounted booms are mounted from a single point of attachment.
Multiple booms at different elevations are used for equipment, monitors and lights.
Applicant Information
Applicant Company Name: ISAT Seismic Bracing
Contact Person: William V Joerger
Mailing Address: 1020 Crews Road, Suite Q, Matthews NC 28105
Telephone: 510-714-0216 Email: wvjoerger@isatsb.com
I hereby agree to reimburse the Office of Statewide Health Planning and Development review fees in accordance with the California Administrative Code, 2013.
Signature of Applicant: Date: November 12, 2014
Title: Principal Structural Engineer Company Name: ISAT Seismic Bracing
08/17/2015 OPM-0166-13: Reviewed for Code Compliance by William Staehlin Page 1 of 14
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OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION
“Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs”
Registered Design Professional Preparing Engineering Recommendations
Company Name:
ISAT Seismic Bracing
Name: William V Joerger California License Number: S4545
Mailing Address: 1020 Crews Rd, Matthews NC 28105
Telephone: 510-714-0216 Email: wvjoerger@isatsb.com
OSHPD Special Seismic Certification Preapproval (OSP)
Special Seismic Certification is preapproved under OSP-(Separate application for OSP is required)
Special Seismic Certification is no preapproved
Certification Method(s)
Testing in accordance with: ICC-ES AC156 FM 1950-10
Other* (Please Specify):
Equipment is considered to be rugged. OPM is for anchorage to concrete slabs.
*Use of criteria other than those adopted by the California Building Standards Code, 2013 (CBSC 2013) 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 2013 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 2013 ONLY
Signature: Date: 08-17-2015
Print Name: William Staehlin
Title: Senior Structural Engineer
Condition of Approval (if applicable):
STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCYOSH-FD-700 (REV 5/30/13) Page 2 of 2
08/17/2015 OPM-0166-13: Reviewed for Code Compliance by William Staehlin Page 2 of 14
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FILE NO.: CLT-1014-148 “Empowered by Experience” REV 4
A Division of Tomarco Contractor Specialties
Submittal Documents
OSHPD OPM-0166-13
SUPPORT AND ATTACHMENT CALCULATIONS FOR SKYTRON ERGON II BOOMS
SKYTRON, LLC
ISAT1020 Crews Road Suite Q
Matthews, N.C. 28105 704-841-4080
OSHPD OPM-0166-13 DWG - i
6
08/17/2015 OPM-0166-13: Reviewed for Code Compliance by William Staehlin Page 3 of 14
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HPD OPM 0166SHPD OPM 0166HPD OPM 0166SHPD OPM 0166
Submittal Documents
OSHPD OPM-0166-13
ND ATTACHMENT CALKYTRON ERGON II BN ID ND ATTACHMENT CALKYTRON ERGON II B
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OSHPD OPM-0166-13
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William Staehlin
OPM-0166-13
08/17/2015
FILE NO.: CLT-0515-070 “Empowered by Experience” Index Rev 4
OSHPD OPM-0166-13 CALCULATION INDEX
INDEX
Cover Page p i
Index Page p ii
General Notes p 1
Attachment Notes p 2
Skytron Ergon II at Metal Deck Slabs p 3
Skytron Ergon II at Solid Concrete Slabs p 4
Skytron Ergon II Top Plate Details p 5
Skytron Ergon II Mounting Plate Details p 6
Skytron Ergon II Miscellaneous Steel Page 1 p 7
Skytron Ergon II Miscellaneous Steel Page 2 p 8
Skytron Ergon II Miscellaneous Steel Page II p 9
Skytron Ergon II Moments and Forces p 10
OSHPD OPM-0166-13 DWG - ii
08/17/2015 OPM-0166-13: Reviewed for Code Compliance by William Staehlin Page 4 of 14
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6
OSHPD OPM-0166-13 DWG - 1
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08/17/2015
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OSHPD OPM-0166-13 DWG - 3
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