health care project

Yoon + Jun Design WorksA R C H I T E C T U R E S T U D I O 7 Works : The New Patient Care Tower | 2012 Summer Studio by Jongyoun Jung, Euijun Jeong

P R O F E S S O R : B E N J A M I N R I L E Y

2Y O O N + J U N D e s i g n W o r k s : J o n g y o u n J u n g , E u i j u n J e o n g | P R O F E S S O R : B E N J A M I N E R I L E Y 2 0 1 2 S U M M E R S T U D I O | T H E N E W P A T I E T C A R E T O W E R D E S I G N @ The Advocate Chr ist Medical Center (ACMC) Campus

01.1INTRODUCTION

PROJECT DESCRIPTION

COURSE OVERVIEW

Partum units; mechanical floor(s); and a bridge or tower connection to a new parking structure across Kostner Street. Conceptual design work used to in-form the comprehensive design work to include: connecting to the existing hospital main entry/lobby (possible winter garden); the new parking structure across Kostner Street (possible green wall); and a new link connection to the future second floor NICU in the South Patient Tower. The new Patient Care Tower will be located in close proximity to the existing East/West and South Patient Towers and will need to address several issues around connectivity as well as circulation of patients, materials and staff.

Evidence-based design and biophilic design prin-ciples will be used to guide the experiential design process. This studio will rely heavily on handmade physical models as a tool for understanding the expe-riential quality of the patient rooms and patient tower. Students will be expected to read and discuss vari-ous articles and book excerpts relating to the studio design process. Each student is responsible for the programmatic and comprehensive building design on site 1 below (limited to public functions, i.e., lobby and its support functions, maternity services, building cores and shell, and mechanical and electrical ser-vices).

site 1: 300,000+ sf patient tower: 183 private rooms (healing garden)

site 2: 331,000 sf + 1,046 space employee parking structure (green wall)

site 3: 138,000 sf ground level connector (winter garden)

“Advocate Christ Medical Center, located in Oak Lawn, is a recognized leader in the medical community and one of the major tertiary and quaternary referral hospitals in the Midwest. This premier teaching institution excels in a variety of specialties including neurosciences, oncology, pediatrics and women’s health. One of the largest and most comprehensive providers of cardiovascular services in Illinois, it’s nationally renowned for its advanced procedures in the treatment of heart disease, heartfailure and stroke. Christ Medical Center shares its campus with Advocate Hope Children’s Hospital—the only freestanding children’s hospital in Chicago’s south and southwest suburbs.”

The new Patient Care Tower will add approximately 308,000 BGSF to the Advocate Christ Medical Center (ACMC) campus. The building will most likely comprise seven inpatient floors. There will be a total of 183 private patient rooms in the new tower. For this studio, only the following programmed spaces will be the responsibility of the student to design comprehensively: the labor delivery / recovery suite and 28 bed Post

PEDAGOGICAL STATEMENT

Neighborhoods function as nodes in the larger net-work of the village and city. Without top-down master planning, neighborhoods can be an inefficient piece of their ecosystem and allowed to under-serve the whole. Presently, the inter-relationships of the neigh-borhoods are a symbiosis that allows competition and exploitation. The political, social, and economic fac-tors that divide a village or city into parts are reflected inside their individual neighborhoods. Political and commercial factors divide neighborhoods into lots. Private ownership of the lots habitually ensures that distinct parcels will passively contribute to a neigh-borhood’s ecosystem.

Lots within a neighborhood can become nodes within a network. This possibility usually remains outside the control of the architect unless they are working with communally owned properties or individually owned campuses. If prominent, lots in a neighbor-hood that are brought together to be nodes linked by ties, though invisible, will promulgate an urban network paradigm. Accelerating this pattern shift re-quires recognition. Recognition is commensurate to the organism and its organization.

The idea of a neighborhood acting as a network im-plies consensual function, which implies co-owner-ship. Sharing natural resources, such as rainfall, day-light, and wind, requires the same top-down planning that could guarantee neighborhoods actively ben-efiting a city’s “biome”. Unlike the gorilla-style com-mandeering of vacant land in a city to force mutual-ism in an area of disinvestment, in a campus setting, individual ownership can self-propagate mutualistic and commensal relationships between lots of diverse function - even between discrete parcels of land.


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CONCEPT DESCRIPTION

In Evidence Based on Design, there are many ways to design medical center for not only the patients, but also the staff, such as making a home-like environ-ment, ease of way finding, getting even natural light into the building, and biophilic design.

In my design, in order to accomplish E.B.D, the main concept of the new patient building focuses on com-munication with users, communication with its neigh-borhood, and communication with nature.

This “healing way”, uses the outdoor greenery spac-es that are surrounding the building to attract natural light into several small atriums of the building, and articulates a dynamic building shape. The atriums become a “sign” to help people easily find their way. Each floor is connected to green spaces either hor-izontally or vertically within tow or three story high gardens. This means that each patient room can have equally good view and intimacy with the nature, even though they do not have the same orientation.

Also, the bridge between the parking garage and the new patient building becomes a promenade for pa-tients, staff, and the neighborhood.

In addition, the Advocate Christ Medical Campus sur-rounding the parking lots would use as a place for wildlife through the biophilic design. The healing way starts from new park in front of the parking garage, and would be continuous along the west side of the parking garage and its roof garden, and finally con-nects with the winter garden.

Lastly, the “healing way” including the arcade and several atriums would be the center of the whole Ad-vocate Christ Medical Campus.


02.1SITE ANALYSIS

95th STREET 95th STREET95th STREET

KO

STN

ER A

VE.

SITE

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5

6

7

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pic 4. South Side view from the Existing Building

pic 5. North Side Kostner Ave. -Few Vegetationpic 1. South Side Kostner Ave. -Few Vegetation

pic 6. Huge Parking Lotspic 2. Huge Parking Lots

pic 7. North side of the Sitepic 3. East Side of the Site with Existing Campus

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2

SITE ANALYSIS


SITE ANALYSIS

There are some design factors that will make con-nection with existing buildings and community. First-ly, urban farm on the top of parking garage will give visual advantage for patient tower. Also, patients can get fresh vegetables from urban farm. It can provide job opportunity for community too.

SEEN & UNSEEN CONNECTION

Oak Lawn is a village in Cook County, Illinois, United States. The population was 55,245 at the 2000 cen-sus. Oak Lawn is a suburb of the city of Chicago, lo-cated southwest of the city. It shares borders with the city in two areas, but is surrounded mostly by other suburbsOak Lawn is known for its community hospital, which serves the residents of Chicago and its suburbs. Christ Community Hospital (now known as Advo-cate Christ Medical Center) was built in Oak Lawn in 1960 and has expanded with the development of Hope Children’s Hospital, along with becoming a part of Advocate Health Care. Christ Hospital also has a state-of-the-art Level 1 trauma center, providing trau-ma patients with advanced emergency medical care. The emergency department treats more patients than any other hospital in Illinois.

Now, the medical campus is surrounded by huge parking lots. Also, there are a few vegetations around the site. Thus, it is difficult to get nice view from pa-tient tower. Also, making a public space that has close connection with nature is very difficult.

We have two strategies to solve current site prob-lems. Firstly, we make heavy vegetation on the park-ing garage. By that, entire campus can get a visual advantage from vertical vegetation. Also, we make vegetation path (it called healing way) that surround patient tower, will make good spaces that connected with nature.

PROBLEM SEEKING & SOLVING


Figure 2. Floor Plan

NURSING AREA

FAMILYAREA

PATIENTAREA

Figure 3. Patient Wall

The reason why we tilt the shape of patient room is to control visual direction to the parking garage. Also, the shape gives feeling of the space deeper that makes spatial quality higher. Dark wood flooring makes cleaners detect dust on the floor easier so that the patient room can keep clean. Bright color wood for furniture is helpful to make the atmosphere of the room likes home, so patients feel the hospital famil-iar. Some parts of wall are painted with healing color that gives psychological help for patients.

CONCEPTUAL DESIGN

Evidence-Based Design in healthcare is an exten-sion of the theories of evidence-based practice and evidence-based medicine. Evidence-based medicine stems from Professor Archie L. Cochrane’s premise that much “evidence” for best practices for medical treatments and interventions is available in the form of relevant randomized controlled trials. He strongly advocated that this evidence should be collected, an-alyzed, validated and then widely disseminated.

EVIDENCE BASED ON DESIGN

PATIENT ROOM DESIGN

Figure 4. East Side and South Side Wall

Figure 1. Concept Sketch

03.1PATIENT ROOM DESIGN


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Brazilian CherryTree

BirchNaturalTree

BackPaintedGlass

Flooring

Furniture

Wall Paper

2. Material

- Easy to see the dust on the floor- Makes rich space

- Contrast with floor - Makes bright space- Makes soft atmosphere

- Using Healing Colors depends on program

Ante-L.D.R

Labor Delivery Room

Postpartum Room

YG

3. Meaning of Healing Colors

BLUE

YELLO

Soothes- Relaxes mentally, as well as physically- Helps alleviate depression, nervousess, and anxiety - Offers a sense of renewal, self-control, and harmony

- Stimulates mental process- Activates memory- Encourages communication

- Calms and Sedates- Cools- Aids intuition

Larger size of window let more daylight into the room that reduces depression of patients. Vertical vegetation on the parking garage gives distant view of nature. Also, healing way gives closer con-nection with nature. Both of factors can reduce pain and stress of patient. Home-like furniture, such as bed and sofa, makes patient room more familiar that improves patients’ sleep. Also, dark color floor diminish hospital acquired infections. PATIENT ROOM DOOR PERSPECTIVE VIEW


Figure1. Door Perspective | AM 9:00 Figure5. Pillow Perspective | AM 9:00

Figure2. AM 10:00 Figure6. AM 10:00Figure3. PM 1:00 Figure7. PM 1:00Figure4. PM 5:00 Figure8. PM 5:00

03.2DAYLIGHT STUDY


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EBD DEGIGN FACTORS FOR PATIENT ROOM

1. Reducing Pain - provide well designed outdoor gardens

2. Reducing Patient Stress - provide nature views provide visual art to enable patients to experience simulated nature

3. Improving Patients’ Sleep - Providing Home like furniture and atmosphere

4. Reducing Depression - linking higher daylight or sun exposure by providing larger windows

5. Reducing Hospital Acquired Infections - clean floor, furniture covering

PATIENT PILLOW PERSPECTIVE VIEW



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04.1BUILDING DESIGN

CONCEPT GENERATION

Figure 1. Concept Sketch

SITE



SOUTH KOSTNER AVE. PERSPECTIVE VIEW


Only one core...? Two core...!!Grid System &

Shear Wall system

TRIAGE

SUNKEN GARDEN

SUNKEN GARDEN

LIBRARYCAFERETAIL SHOP

CHURCHVIEWINGROOM

LOADINGAREA

STAFF ENTRY

STAFF ZONE

DEPARTINGAREA

TRIAGEconnection with N I C U

C - SECTION

ATRIUM (2F - 3F)LOBBY

ATRIUM (1F - 2F)PUBLIC ZONE

IN & OUTCIRCULATION

BRIDGEconnection with Parking garage

ANTE - L . D. R

STAFF ZONE

HEALINGGARDEN

1st FLOOR 2nd FLOOR

1. Reducing Hospital-Acquired Infections2. Reducing Medical Errors3. Reducing Pain4. Reducing Depression5. Reducing Spatial Disorientation6. Fostering Social Support7. Decreasing Staff Stress8. Increasing Staff Effectiveness

Evidence Based on Design Factors

This section study drawing shows the concept of a sunken garden and daylight studies. The sunken gar-den, which has step benches and oak trees, gives a large exterior green park for patients, staff, and public. Additionally, the sunken garden gives more intimate connection between the new tower and the existing buildings. A pond in the sunken garden that combined with dining space can acts as a light re-flector which makes the underground dining space bright. Also, the atrium as 9 stories height on north side is another factor that lets light and nature into the building.

Conceptual Section Design

CONCEPTUAL SECTION SKETCH

ADJACENCY DIAGRAM

04.2BUILDING DESIGN

DESGIN DEVELOPMENT


STAFF ZONEPUBLICZONE

PUBLICZONE

NURSINGAREA

NURSINGAREA

NURSINGAREA

HEALINGGARDEN

POSTPARTUM ROOMwith own Healing garden



POSTPARTUM ROOM

with own Healing garden


PUBLICZONE

NURSINGAREA

NURSINGAREA

NURSINGAREA

HEALINGGARDEN




POSTPARTUM ROOM



PUBLICZONE

NURSINGAREA

NURSINGAREA

NURSINGAREA

HEALINGGARDEN




POSTPARTUM ROOM


MECHANICALROOM (6F & 10F)

HEALINGGARDEN

HEALINGWAY

I. C. U FLOORS (7 f ~ 9 f )Each Floor has 36 of I.C.U

SITE PLAN

NN

ARCADEFROM EXISTING BLDG.EXISTING BUILDINGS

BRIDGEFROM PARKING GA-RAGE @2nd FLOOR

PARKING GARAGE

PRIVATEENTRY FOR PATIENT AND STAFF

LOADING LOT

SERVICEELEV

PUBLIC ELEV

STAFF, PATIENTELEV. LOBBY

STAFF, PATIENTELEV. LOBBY

MAINENTRY

SUNKENGARDEN

3rd FLOOR 4th FLOOR 5th FLOOR 6th - 10th FLOORS

WEST ELEVATION

NORTH ELEVATION

EAST ELEVATION

SOUTH ELEVATION

PUBLIC AREANURSINGAREAPATIENTAREA

INDEX


0 10 30 60(feet)

N

SECURITY

SECURITY

MAIN ENTRY

ENTRYFOR ONLYPATIENT &STAFF

SERVICE ENTRY

PUBLICAREA

TRIAGE

DEPARTINGAREA

STAFFZONE

CAFE HEALINGGARDEN

COURTYARD

COURTYARD

SOUTH CORE NORTH CORELIBRARY

FLOWERSHOP CHURCH

SECURITY

C-SECTION

STAFFZONE

HEALINGGARDEN

SOUTH CORE NORTH CORE

N

0 10 30 60(feet)

BRIDGEFROM NICU@EXISTING BLDG.

BRIDGEFROM PARKINGGARAGE

PUBLIC AREA

COURT YARD

SERVICE AREA

LOBBY

ANTEPARTUM

HEALING WAYHEALING WAY

N

0 10 30 60(feet)

NURSESTATION #1

NURSESTATION #2

STAFFZONE

L . D . R L . D . R

SECURITY

PUBLIC AREA

SOUTH CORE NORTH CORE

SERVICE AREA

HEALINGGARDEN

COURT YARD

LOBBY

Through the south core adjacent to the main entry, a patient who has reservation with c-section would be able to go to there directly. The other patient can go to the triage for the exam.

There are c-section and anti-partum on the second floor. Second floor is connected with both existing building (NICU) and parking garage. Since c-section is located on west side, it is directly connected to NICU. Also, in emergency, movement between c-section and anti-partum is easy.

Third floor is for LDR. Staff area for LDR is located on the center of the floor that makes staff work more efficient. Also, decentralized nurse station Improve the qual-ity and safety of healthcare. Every patient room is arranged in same direction that reduces medication errors. Surrounding healing way is combined with not only patient area, but also staff area. Thus it makes high quality nature-integrated space for pa-tient, family and staffs.

1st FLOOR 2nd FLOOR 3rd FLOOR

0 10 30 60(feet)

0 10 30 60(feet)

EAST ELEVATIONSOUTH ELEVATION

04.2BUILDING DESIGN

DESIGN DEVELOPMENT


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Parking lotParking lot

Parking lot

Parking lot

Parking lot

Parking lot

Parking lot

Parking lot

Parking lot

Mech. Floor

Postpartum (24)

Postpartum (24)

L.D.R (13)

Ante-L.D.R (8)

Public,ChurchRetail, Library

Lab / Kitchen

ICU (36)Cardiac Telemetry (36)

Cardiac Telemetry (36)

Trauma (12)Resp.(24)Orthopedics (23)

Mental Health (23)Med. Surg(37)

Woman’s Surgery (38)Future NICU (64)Lobby / Clinics)

Pharmacy /Lockers

Mech. Floor

Mech. Floor

ICU (36)

ICU (36)

N

0 10 30 60(feet)

NURSE STATION #1NURSERY

NURSE STA-TION #5NURSERY

NURSESTATION #2, 3

NURSESTATION #4NURSERY

POSTPARTUM ROOM

POSTPARTUM ROOM POSTPARTUM ROOM

STAFFZONE SOUTH CORE NORTH CORE

LOBBY

There are 24 post-partum rooms on the fourth floor. Even though some patient rooms faced east and west side, it can get advantage from healing way. Staff areas for post-partum are located on the center of the floor that makes staff work more efficient. Also, decentralized nurse station Improve the quality and safety of healthcare.

4th, 5th FLOOR

0 10 30 60(feet)

0 10 30 60

LONGITUDINAL SECTIONTRANSVERSAL SECTION

WALL SECTIO DETAIL ELEVATION DETAIL

WALL SECTION



Two main lobbies on the first floor are designed by bio-philic design theory. Two story high large windows let a lot of day light into the space. Elevator core is covered with marble stone and artificial waterfall in front of the core activates the lobby space. Furthermore, mimicry tree that covers column structure reduce distinction be-tween exterior and interior space.

MAIN LOBBY DESIGN

EBD DEGIGN FACTORS FOR PATIENT ROOM1. Reducing Pain - provide well designed outdoor gardens

2. Reducing Patient Stress - provide nature views provide visual art to enable patients to experience simulated nature

3. Improving Patients’ Sleep - Providing Home like furniture and atmosphere

4. Reducing Depression - linking higher daylight or sun exposure by providing larger windows

5. Reducing Hospital Acquired Infections - clean floor, furniture covering

SOUTH SIDE MAIN LOBBY

04.2BUILDING DESIGN

INTERIOR DESIGN



NORTH SIDE LOBBY ONLY FOR PATIENT & STAFF BIOPHILIC DESIGN DETAIL

BIOPHILIC CONCEPT SKETCH


HEALING GARDEN BIRD’S EYE VIEW

04.2BUILDING DESIGN


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NORTH KOSTNER AVE. PERSPECTIVE VIEW

PHYSICAL MODEL


1. OCCUPANCYInstitutional occupancies include facilities where occupants cannot fully care for them-selves, including residential care, day care, assisted living, health care, and correctional facilities.This group includes 24-hour medical, psychiatric, and custodial care facilities with 6 or more occupants, in which occupants are not capable of self-preservation in an emergency. Afacility such as this with 5 or fewer occupants may be classified as Group R-3 Residential. Group I-2 also includes 24-hour care for 6 or more infants 2 1/2 years of age of less.

2. STRUCTURE

a. Private room: 40psf - 60psfb. Operating room: 60psf - 90psfc. Lobbies: 60psf - 100psfd. Outdoor Areas: Pedestrian 100psf - 150psf Vehicular 150psf - 250psfe. Roof Loads: 80psf - 150psff. Storage: Light 125psf - 150psf Heavy 150psf - 250psf

2.1 Liveload

a. Masonry - Brick Masonry Columns and Walls (Shear Wall System) - Concrete Masony Columns and Walls (Shear Wall System)b. Steel - Beams and Girders - Open-Web Joists - Trussesc. Sitecast Concrete - Beams and Girders (Conventional Steel Frame) - One-Way Solid Slab (Semi-Rigid Joints with Supplemental Braced Frame or Shear Wall) - Two-Way Flat Slab (Semi-Rigid Joints with Supplemental Braced Frame or Shear Wall)d. Precast Concrete - Beams and Girders (Recommend Shear Wall) - Solid and Hollow Core Slab (Recommend Shear Wall)

2.2 Possible structural system

4. MECH.ELEC.SYSTEM

a. Variable Air Volume (VAV)b. VAV Reheatc. Dual-Duct VAVd. CAV Reheate. Multizonef. Air-Water Induction (Infrequently Used)g. Fan-Coil Terminals

4.1 Possible Heating and Cooling System

a. Typical Sizes of Transformer Vaults: 20’ x 40’ x 11’b. Typical Sizes of Switchgear Rooms: 30’ x 40’ x 11’c. Space Requirements for Water Pumps - Domestic Water Pumps 16’ x 12’ (200,000 to 1,000,000 sqft) - Fire Pumps (Assuming sprinklers): 30’ x 24’ (200,000 to 1,000,000 sqft)d. Vertical Distribution of Services

- Total Shaft Area : The total open area of all the mechanical and electrical shafts in a tall office building is normally equal to about 4 % of the area served on each floor, and can be estimated at about half this amount for a low-rise building. This should be divided into at least two separate shafts to relieve the congestion that would oth-erwise occur where the vertical and horizontal distribution networks connect. For maximum utility, the horizontal proportions of each shaft should lie in the range of 1:2 to 1:4.

- Electrical And Telecommunications Closets : . Major Electrical Closet: 7’-0” x 11’-6” . Small or Satellite Electrical Closet: 5’-0” x 2’-6” - Plumbing Walls (Janitor Closets, and Toilet Rooms): . Plumbing Wall : 12” for fixtures on one side : 16” for Fixtures on two sides . Minimum Janitor Closet: 8’-0” x 4’-6”e. Minimum Toilet Fixture Requirements

- Institutional Occupancies, employee and visitor toilet facilities must be separate from resident facilities.- Medical and Custodial Care (Residents only) (1) Water Closet: 1 per room (2) Lavatories: 1 per room (3) Drinking Fountains: 1 per 100 (4) Bathrooms/showers: 1 per 15 (5) Number of Occupants of Each Sex: Any number (6) Number of Water Clostes for Each Sex: Male: 1 per 30/ Female: 1 per 25 (7) Number of Lavatories: At least 1, and not less than 1 per every 2 water closets

f. Elevator Dimensions - Capacity 6000 lb - Inside Car Dimensions 5’-9” x 10’-0” - Inside Shaft Dimensions ( W x D ) 8’-2” x 11’-9”

4.2 Major Equipment Spaces for Large Building

05.1CHECK INTERNATIONAL BUILDING CODE


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5. EGRESS SYSTEM AND ACCESSIBILITY

Group I-2 Institutional Medical and Custodial Care Occupancies have special exit ac-cess requirements reflecting the needs of occupants who in many cases may be inca-pable of moving themselves to safety in the event of a building fire. See the code for details. For emergency escape and rescue requirements for residential occupancies.Egress Through Adjacent spaces :In their most conventional configuration, exit access pathways are ex-pected to proceed from rooms to corridors and then to exit. The International Building Code in most ci-cumstances also permits exit access pathways to flow through intermediate spaces to whichthe originating space is functionally related. Howev er, once an exit access path reaches a corridor, it must proceed directly to an exit stair or other exit component and cannot reenter other spaces.

5.1 Exit Access Paths

a. Unrated corridor enclosures are permitted in Group I-2 occupanciesb. Exterior corridors

Exit access ways may include open balconies on the exterior of a building. When leading to only one exit stair, such balconies must be separated from interior spaces by fire resistive walls and protected door and window openings. In the IBC, these walls and openings must have fire-resistance ratings equal to those re-quired for a corridor. Where Balconies provide two independent means of egress, adjacent walls and openings are not required to be fire rated in either code. Though not a code requirement, consideration should also be given to deigning exterior balconies to prevent the accumulation of ice and snow in cold climates.

c. The Exit - Number of the Exit: More than 1000 occupants must have at least four.

(1) Institutional Occupancies, inpatient treatment areas: 240sqft gross, 300,000 / 240 = 1,250 (1,250/4 = 312.5)(2) Institutional Occupancies, outpatient treatment areas: 100sqft gross, 300,000 / 100 = 3,000

- Direct Exit - Exit Stairways - Smokeproof Enclosures - Exit Passageways - The Exit Discharged. Accessible Routese. Egress System - Mximum Travel Distance (with Sprinklered): 200’ - Mximum Common Path of Egress Travel: 75’ - Largest Room or Area That May Have Only One Means of Egress: 1000sqft for Sleeping rooms or Suites; 2500sqft other areas - Minimum Length of Dead-End Corridor: 20’ - Door Width: Min: 32” net clear; 41.5” where beds must be moved - Minimum Clear Corridor Width:

44” serving more than 49 occupants, and 96”where beds must be moved - Minimum Stair Width:

44” serving more than 49 occupants, 36” serving 49 or fewer - Additional Requirements: Each floor must be subdivided by at least one smoke-proof wall with horizontal exits.

5.2 Corridors a. Doorways, Corridors, Ramps, and Other Components: 0.2”b. Stairs: 0.3”c. Chart from p.287 (based on our area; 300,000 sqft - 1,250/4 exits = 312.5) - Clear Width of Corridor and Stair : Corridor 70” and Stair 92” - Number of 3’-0” doors : 3 - Number of 3’-4” doors : 3 - Number of 4’-0” doors : 3 - Number of pairs of 3’-0” doors without center mullion : 2d. Stairway - Max. Riser Height: 7” - Min. Riser Height: 4” - Min. Tread Run: 11” - Max. Vertical Distance between Landings: 12’e. Ramp - Max. Ramp Slope 1:12 for ramps part of means of egress or on accessible routes 1:8 for other ramps - Min. Ramp Width: 36” clear width between sides of ramp, or handrails if any - Max. Distance Between Landings: 30” rise

5.3 Egress Components Widths (Should be sprinklered)

6. PARKING

a. (Recommended Parking Ratios for Preliminary Design: 1000 gross sqft)b. The sum of: 0.1 - 0.75 per staff, plus 0.3 - 0.75 per bed, plus 0.2 per daily outpatient Or: 4 - 10 per 1000 gross sqft

6.1 Parking Capacity

LOS A - LOS B6.2 Parking Level Of Service (LOS)

a. Ramp in Parking lot: greater than 1:20 (5%)b. Accessible car spaces: Width 96”c. Accessible van spaces: Width 132”d. Minimum Vertical Clearance: 98”

6.3 Dimension of Parking lot

health care project

Documents

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r e t o w e r d e s

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e r s t u d i o t h

t i e t c

j o n g y o u n j u

euijun jeongp r o f