oshpd preapproval of manufacturer's certification (opm) · oshpd opm-0166-13 dwg - ii...

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) 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: [email protected]

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: [email protected]

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: [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 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) 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 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

Submittal Documents

OSHPD OPM-0166-13

ATTACHMENT CTRON ERGON

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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


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