Healthcare HOPD Addition: 308 Issues Found
An anonymized healthcare HOPD addition plan review uncovered coordination and code issues across disciplines—before permit.
Enterprise & volume pricing
Key findings
Drawing Index Audit: 18 missing, 4 mismatched out of 200 sheets
General
200 index entries | 178 perfect matches | 4 mismatched | 18 missing Mismatched (4): P000: Expected: PLUMBING COVERSHEET | Actual: PLUMBING + MEDICAL GAS COVERSHEET (p76) C000: Expected: COVER SHEET | Actual: COVER SHEET (p1) C200: Expected: SITE PLAN | Actual: SITE PLAN (p29) P000: Expected: PLUMBING COVERSHEET ...
Egress Blocked for Phase 2 Occupied Spaces During Phase 3 Construction
Architectural
The phasing plan indicates that Office H183 is to be built out during Phase 2 (shaded green). It is accessed via a door adjoining Corridor H184. However, Corridor H184 is designated as part of the Phase 3 work area (shaded orange), which involves interior demolition and build-out. Because Phase 3 construction occurs after Phase 2, the required...
Unresolved Template Placeholders for Structural Design Criteria
Structural
The structural general notes contain multiple unresolved template placeholders. Critical design criteria have been left blank, including the Seismic Response Coefficient ('<Insert Cs here>'), Design Base Shear ('<Insert V here>'), wind net uplift pressures for steel joists ('<Insert pressure here>'), and bracketed options for roof deck puddle...
Inaccessible A325 Bolts in Closed HSS Column
Structural
Detail 4 specifies connecting a 1/2' girt plate to an HSS6x6 column using '(4) 3/4'Ø A325 BOLTS'. Because the column is a continuous Hollow Structural Section (HSS) and is capped off at the top ('1/4' CAP PL WELD WATERTIGHT'), the interior of the tube is entirely inaccessible. It is physically impossible to install the standard nuts and washers...
Inadvertent Demolition of 1-Hour Fire Barriers Due to Ambiguous Demolition Note
Architectural
Demolition Note A directs the contractor to 'REMOVE ITEMS SHOWN WITH A DASHED LINE STYLE, UNLESS OTHERWISE INDICATED.' However, the 'WALL RATING LEGEND' defines the '1-HOUR FIRE BARRIER' using a dashed line style (a red rectangular block with alternating white dashes). Because the 1-hour fire barrier symbol inherently contains dashes and is not...
Fire-Rated Partitions Lack Type X Gypsum Board Specification
Architectural
The Interior Partition Schedule specifies assemblies such as 1B3S as having a '1 HR' fire-resistance rating in accordance with design 'UL U419'. However, the surface materials are specified only as standard '5/8' GYPSUM WALLBOARD'.
Patient Treatment Bays Open to Corridor in Group I-2
Architectural
The drawings show patient treatment spaces (e.g., 'PRE-OP BAY H204' and 'PACU BAY H209') completely open to adjacent corridors ('CORRIDOR H201' and 'CORRIDOR H207'), separated only by 'CUBICLE CURTAIN TRACK' (Keynote 10 2123.A00). Under IBC Section 407.2, corridors in Group I-2 occupancies must be separated from other areas. The exception in...
Insufficient Corridor Width for Stretcher or Bed Movement
Architectural
The architectural plan shows 'CORRIDOR H244' (which provides access directly to Operating Room 6) with a dimensioned width of 5'-8 1/4' (68.25 inches). According to IBC Table 1020.3, corridors serving stretcher traffic in ambulatory care facilities must have a minimum width of 72 inches, and Group I-2 areas required for bed movement must have a...
Incorrect Code Editions Listed in Applicable Codes
General
The APPLICABLE CODES section directs contractors to comply with the 'IBC 2024 EDITION' and 'IFC 2024 EDITION', as well as heavily outdated codes such as the 'IMC 2003 EDITION' and 'NFPA 70 (NEC) 2008 EDITION'. However, Section 901.2 of the 2021 IBC mandates that fire protection systems be installed in accordance with 'this code' (the 2021 IBC)...
Invalid negative operating weights in Medical Equipment Seismic Schedule
Structural
The MEQ SEISMIC SCHEDULE lists an invalid 'EQUIP OP WEIGHT' of '-147149371.71 lb' for multiple items, including 'BRK0174 Bracket Wall' and 'TIN0363 Table, Instrument, Assembly'. IBC Section 1606.3 requires that the maximum weight of fixed service equipment be included when determining dead loads for design, which inherently requires using...
Issue categories
More example findings
Drawing Index Audit: 18 missing, 4 mismatched out of 200 sheetsGeneralCritical
Summary: 200 index entries | 178 perfect matches | 4 mismatched | 18 missing Mismatched (4): P000: Expected: PLUMBING COVERSHEET | Actual: PLUMBING + MEDICAL GAS COVERSHEET (p76) C000: Expected: COVER SHEET | Actual: COVER SHEET (p1) C200: Expected: SITE PLAN | Actual: SITE PLAN (p29) P000: Expected: PLUMBING COVERSHEET ...
Why it matters:
Suggested next step:
RFI draft: 📄 251202_17990060_SBL HOPD IFC QA QC.pdf - Page 119 Schedule --- 📄 251202_17990060_SBL HOPD IFC QA QC.pdf - Page 100 Schedule --- 📄 251202_17990060_SBL HOPD IFC QA QC.pdf - Page 76 Schedule --- 📄 251202_17990060_SBL HOPD IFC QA QC.pdf - Page 2 Schedule --- 📄 251202_17990060_SBL HOPD IFC...
Egress Blocked for Phase 2 Occupied Spaces During Phase 3 ConstructionArchitecturalCritical
Summary: The phasing plan indicates that Office H183 is to be built out during Phase 2 (shaded green). It is accessed via a door adjoining Corridor H184. However, Corridor H184 is designated as part of the Phase 3 work area (shaded orange), which involves interior demolition and build-out. Because Phase 3 construction occurs after Phase 2, the required...
Why it matters: Failing to maintain a continuous, safe means of egress for occupied portions of a building during phased construction presents a severe life safety hazard. The building official will not allow occupancy of Phase 2 areas if their required egress path is compromised by the subsequent Phase 3 construction without an approved temporary egress route.
Suggested next step: Please revise the phasing plan to provide an approved temporary means of egress for Office H183 during Phase 3 work, or adjust the phasing boundaries so that Corridor H184 is completed in Phase 2 and protected from Phase 3 construction activities.
RFI draft: Please revise the phasing plan to provide an approved temporary means of egress for Office H183 during Phase 3 work, or adjust the phasing boundaries so that Corridor H184 is completed in Phase 2 and protected from Phase 3 construction activities.
Unresolved Template Placeholders for Structural Design CriteriaStructuralCritical
Summary: The structural general notes contain multiple unresolved template placeholders. Critical design criteria have been left blank, including the Seismic Response Coefficient ('<Insert Cs here>'), Design Base Shear ('<Insert V here>'), wind net uplift pressures for steel joists ('<Insert pressure here>'), and bracketed options for roof deck puddle...
Why it matters: Because the required seismic forces, wind uplift pressures, and deck fastening details are missing, the contractor cannot properly bid, detail, or design the delegated structural components (such as open web steel joists) or correctly install the roof deck. This missing information will prevent the contractor from proceeding with delegated...
Suggested next step: Please provide the completed design values for the Seismic Response Coefficient (Cs), Design Base Shear (V), wind net uplift pressures for steel joists, and specify the exact roof deck weld patterns and sidelap fasteners to replace the placeholder text in the Structural General Notes.
RFI draft: Please provide the completed design values for the Seismic Response Coefficient (Cs), Design Base Shear (V), wind net uplift pressures for steel joists, and specify the exact roof deck weld patterns and sidelap fasteners to replace the placeholder text in the Structural General Notes.
Inaccessible A325 Bolts in Closed HSS ColumnStructuralCritical
Summary: Detail 4 specifies connecting a 1/2' girt plate to an HSS6x6 column using '(4) 3/4'Ø A325 BOLTS'. Because the column is a continuous Hollow Structural Section (HSS) and is capped off at the top ('1/4' CAP PL WELD WATERTIGHT'), the interior of the tube is entirely inaccessible. It is physically impossible to install the standard nuts and washers...
Why it matters: This detailing error creates an unbuildable connection. Because the interior is sealed, workers cannot install the bolts, and special inspectors cannot visually verify thread engagement, washer placement, or bolt tensioning. This will result in construction delays and require the connection to be redesigned, either by using specific blind...
Suggested next step: Please advise if the 1/2' girt connection plate should be welded directly to the HSS6x6 column face, or if an approved blind bolting system should be specified. Standard A325 bolts and their corresponding nuts cannot be installed or inspected within a closed, capped hollow structural section.
RFI draft: Please advise if the 1/2' girt connection plate should be welded directly to the HSS6x6 column face, or if an approved blind bolting system should be specified. Standard A325 bolts and their corresponding nuts cannot be installed or inspected within a closed, capped hollow structural section.
Inadvertent Demolition of 1-Hour Fire Barriers Due to Ambiguous Demolition NoteArchitecturalCritical
Summary: Demolition Note A directs the contractor to 'REMOVE ITEMS SHOWN WITH A DASHED LINE STYLE, UNLESS OTHERWISE INDICATED.' However, the 'WALL RATING LEGEND' defines the '1-HOUR FIRE BARRIER' using a dashed line style (a red rectangular block with alternating white dashes). Because the 1-hour fire barrier symbol inherently contains dashes and is not...
Why it matters: If the contractor strictly follows the literal instructions of Note A, they will inadvertently demolish all existing 1-hour fire barriers, including those protecting egress corridors. This would eliminate the required fire-resistance-rated separations for the building's means of egress during the construction phase, causing a severe life safety...
Suggested next step: Please clarify Demolition Note A to explicitly exempt the '1-Hour Fire Barrier' line type from being demolished, or revise the 1-Hour Fire Barrier symbol in the Wall Rating Legend to a solid or non-dashed style to prevent the accidental demolition of required fire protection devices and ensure compliance with IBC 3302.1 and 3310.2.
RFI draft: Please clarify Demolition Note A to explicitly exempt the '1-Hour Fire Barrier' line type from being demolished, or revise the 1-Hour Fire Barrier symbol in the Wall Rating Legend to a solid or non-dashed style to prevent the accidental demolition of required fire protection devices and ensure...
Fire-Rated Partitions Lack Type X Gypsum Board SpecificationArchitecturalCritical
Summary: The Interior Partition Schedule specifies assemblies such as 1B3S as having a '1 HR' fire-resistance rating in accordance with design 'UL U419'. However, the surface materials are specified only as standard '5/8' GYPSUM WALLBOARD'.
Why it matters: IBC Section 703.2.1 requires fire-resistance ratings to comply with tested assemblies under ASTM E119 or UL 263. UL U419 specifically requires fire-resistance-rated Type X gypsum board to achieve a 1-hour rating. Specifying standard 5/8' gypsum board contradicts the tested assembly requirements and will result in failed fire inspections and...
Suggested next step: Please update the construction materials for all 1-hour and higher fire-resistance-rated partitions (such as 1B3S, 1B6S, and 1C3S) to explicitly specify '5/8' Type X Gypsum Wallboard' to comply with the UL U419 listing.
RFI draft: Please update the construction materials for all 1-hour and higher fire-resistance-rated partitions (such as 1B3S, 1B6S, and 1C3S) to explicitly specify '5/8' Type X Gypsum Wallboard' to comply with the UL U419 listing.
Patient Treatment Bays Open to Corridor in Group I-2ArchitecturalCritical
Summary: The drawings show patient treatment spaces (e.g., 'PRE-OP BAY H204' and 'PACU BAY H209') completely open to adjacent corridors ('CORRIDOR H201' and 'CORRIDOR H207'), separated only by 'CUBICLE CURTAIN TRACK' (Keynote 10 2123.A00). Under IBC Section 407.2, corridors in Group I-2 occupancies must be separated from other areas. The exception in...
Why it matters: If this facility is classified as Group I-2, having treatment bays open to the corridor is a severe life safety violation unless the area is designed and explicitly demarcated as a Care Suite per Section 407.4. Failing to provide rated corridor separation walls or designate suite boundaries will result in permit rejection and require major...
Suggested next step: Confirm if the PRE-OP and PACU areas are intended to be Group I-2 Care Suites. If so, provide updated drawings explicitly showing the suite boundaries and required fire-rated partitions. If not, provide the required corridor separation walls for these treatment rooms in accordance with IBC 407.2.
RFI draft: Confirm if the PRE-OP and PACU areas are intended to be Group I-2 Care Suites. If so, provide updated drawings explicitly showing the suite boundaries and required fire-rated partitions. If not, provide the required corridor separation walls for these treatment rooms in accordance with IBC 407.2.
Insufficient Corridor Width for Stretcher or Bed MovementArchitecturalCritical
Summary: The architectural plan shows 'CORRIDOR H244' (which provides access directly to Operating Room 6) with a dimensioned width of 5'-8 1/4' (68.25 inches). According to IBC Table 1020.3, corridors serving stretcher traffic in ambulatory care facilities must have a minimum width of 72 inches, and Group I-2 areas required for bed movement must have a...
Why it matters: Corridors in healthcare facilities must provide adequate clear width to allow the safe transport of patients on stretchers or beds, as well as maneuverability during emergencies. An undersized corridor is a major life safety and accessibility violation that will result in rejected permits, failed inspections, and require significant structural...
Suggested next step: Please confirm the facility's occupancy classification (Ambulatory Care or Group I-2) and revise the partition layouts for CORRIDOR H244 to provide the required minimum clear width (72 inches or 96 inches, respectively) per IBC Table 1020.3, ensuring the thickness of all wall finishes is accounted for.
RFI draft: Please confirm the facility's occupancy classification (Ambulatory Care or Group I-2) and revise the partition layouts for CORRIDOR H244 to provide the required minimum clear width (72 inches or 96 inches, respectively) per IBC Table 1020.3, ensuring the thickness of all wall finishes is...
Incorrect Code Editions Listed in Applicable CodesGeneralCritical
Summary: The APPLICABLE CODES section directs contractors to comply with the 'IBC 2024 EDITION' and 'IFC 2024 EDITION', as well as heavily outdated codes such as the 'IMC 2003 EDITION' and 'NFPA 70 (NEC) 2008 EDITION'. However, Section 901.2 of the 2021 IBC mandates that fire protection systems be installed in accordance with 'this code' (the 2021 IBC)...
Why it matters: Bidding and building to incorrect code editions—especially relying on a mechanical code that is nearly two decades out of date or a future unadopted building code—will cause widespread non-compliance across multiple disciplines. This will result in failed inspections, potential safety hazards, permitting delays, and costly rework to meet the...
Suggested next step: Please confirm the legally adopted code editions for this project and revise the APPLICABLE CODES schedule on sheet F000 to accurately align with the 2021 IBC, 2021 IFC, and the correspondingly adopted mechanical and electrical codes for the jurisdiction.
RFI draft: Please confirm the legally adopted code editions for this project and revise the APPLICABLE CODES schedule on sheet F000 to accurately align with the 2021 IBC, 2021 IFC, and the correspondingly adopted mechanical and electrical codes for the jurisdiction.
Invalid negative operating weights in Medical Equipment Seismic ScheduleStructuralCritical
Summary: The MEQ SEISMIC SCHEDULE lists an invalid 'EQUIP OP WEIGHT' of '-147149371.71 lb' for multiple items, including 'BRK0174 Bracket Wall' and 'TIN0363 Table, Instrument, Assembly'. IBC Section 1606.3 requires that the maximum weight of fixed service equipment be included when determining dead loads for design, which inherently requires using...
Why it matters: Using massive negative placeholder weights (-147 million pounds) completely invalidates structural dead load and seismic force calculations. This prevents the proper design of seismic anchorage required by IBC 1613.1, leading to rejected permits and significant life-safety hazards if heavy medical equipment is inadequately supported and becomes...
Suggested next step: Please revise the MEQ SEISMIC SCHEDULE to provide the actual, correct operating weights for all equipment and anchor allowances currently listing '-147149371.71 lb'.
RFI draft: Please revise the MEQ SEISMIC SCHEDULE to provide the actual, correct operating weights for all equipment and anchor allowances currently listing '-147149371.71 lb'.
Missing Seismic Connection Requirement for Ceiling-Mounted Medical EquipmentStructuralCritical
Summary: The drawing designates certain ceiling-mounted medical equipment, such as the surgical boom BOM0818 and surgical lights LTS0803 in OR 5, without the 'S' tag. According to the MEQ Tag Legend, the 'S' designates that the item 'Requires Seismic Connection'. By omitting this tag in the equipment's connection box (showing only '- E - T'), the...
Why it matters: IBC Section 1613.1 requires that every structure, including nonstructural components permanently attached to structures, be designed and constructed to resist the effects of earthquake motions. Heavy ceiling-mounted surgical equipment suspended over patient areas poses a critical life-safety hazard if not properly anchored for seismic forces....
Suggested next step: Please confirm if ceiling-mounted equipment such as BOM0818 and LTS0803 require seismic bracing. If so, update the medical equipment tags to include the 'S' (Requires Seismic Connection) designation to ensure compliance with seismic design requirements per IBC 1613.1.
RFI draft: Please confirm if ceiling-mounted equipment such as BOM0818 and LTS0803 require seismic bracing. If so, update the medical equipment tags to include the 'S' (Requires Seismic Connection) designation to ensure compliance with seismic design requirements per IBC 1613.1.
Recirculation of Hazardous Air from Laser RoomMechanicalCritical
Summary: The drawing shows room 'LASER H145' is equipped with a Return Grille ('RG-E 24x24/300'). Laser procedures generate laser plume (surgical smoke), which contains airborne particulate matter, toxic gases, and pathogenic contaminants. IEBC Section 807.3 requires operations producing such contaminants to be provided with local exhaust. Providing a...
Why it matters: Recirculating hazardous laser plume through the return air system poses a severe health hazard to building occupants and will fail health and safety inspections. Correcting this requires redesigning the ductwork to provide dedicated local exhaust routed to the exterior, which impacts permitting, material costs, and construction schedules.
Suggested next step: Remove the return air grille (RG-E) from LASER H145 and provide dedicated local exhaust to safely evacuate airborne contaminants in compliance with IEBC 807.3.
RFI draft: Remove the return air grille (RG-E) from LASER H145 and provide dedicated local exhaust to safely evacuate airborne contaminants in compliance with IEBC 807.3.
Fire Hydrant Minimum Clearance Obstructed by Oxygen Tank Farm PadCivilCritical
Summary: The site plan indicates a 'PAD FOR OXYGEN TANK FARM' located in the eastern utility area. A fire hydrant ('HYD') is explicitly noted as being 'visible adjacent to the oxygen tank pad'. IFC Section 509.2 requires that 'Approved access shall be provided and maintained for all fire protection system equipment to permit immediate safe operation'....
Why it matters: Firefighters require adequate, unobstructed clear space around a hydrant to connect large-diameter hoses, operate the hydrant wrench, and maneuver safely during an emergency. Placing a high-hazard oxidizer (oxygen tank farm) immediately next to a critical fire protection water supply creates a severe physical obstruction and operational hazard,...
Suggested next step: Please revise the site plan to relocate either the fire hydrant or the oxygen tank farm pad to ensure a minimum 20-foot clearance around the fire hydrant, in compliance with IFC Appendix D Figure D103.1. Ensure the new location maintains all required separations and safe access for both utilities.
RFI draft: Please revise the site plan to relocate either the fire hydrant or the oxygen tank farm pad to ensure a minimum 20-foot clearance around the fire hydrant, in compliance with IFC Appendix D Figure D103.1. Ensure the new location maintains all required separations and safe access for both utilities.
Missing Directional Exit Signs in Primary Exit Access Corridors H201 and H207ArchitecturalCritical
Summary: IFC Section 1013.1 requires the path of egress travel within exit access areas to be marked by readily visible exit signs to clearly indicate the direction of travel when the path is not immediately visible. While the drawing plots exit signs in other areas per the legend, it entirely omits directional exit signs along the continuous egress...
Why it matters: The absence of egress directional signage in main hospital corridors will cause confusion and delay during an emergency evacuation, directly threatening the life safety of patients and staff. This major non-compliance will prevent the issuance of a Certificate of Occupancy.
Suggested next step: Please review the egress path along Corridors H201 and H207 and add illuminated, directional exit signs at required locations and intersections to clearly indicate the path of egress travel, ensuring compliance with IFC Section 1013.1.
RFI draft: Please review the egress path along Corridors H201 and H207 and add illuminated, directional exit signs at required locations and intersections to clearly indicate the path of egress travel, ensuring compliance with IFC Section 1013.1.
Fire Protection System Shutdown Requires Fire Code Official ApprovalGeneralCritical
Summary: The Mechanical Renovation Notes direct the contractor to obtain permission solely from the owner before shutting down or partially/completely draining existing mechanical and fire protection systems. However, Section 901.4.3 of the fire code explicitly prohibits removing or modifying any fire protection or life safety system without approval...
Why it matters: Shutting down or draining a fire protection system impairs its operation and modifies the building's active life safety protection. Bypassing the fire code official creates a severe life safety hazard during construction, limits the fire department's situational awareness in an emergency, and can lead to immediate stop-work orders or...
Suggested next step: Please revise Mechanical Renovation Notes 9 and 10 to explicitly require the contractor to obtain approval from the fire code official prior to shutting down, partially draining, or modifying any existing fire protection or life safety system.
RFI draft: Please revise Mechanical Renovation Notes 9 and 10 to explicitly require the contractor to obtain approval from the fire code official prior to shutting down, partially draining, or modifying any existing fire protection or life safety system.
This is an anonymized example. Findings shown are excerpts for illustration. Actual project details have been modified to protect client confidentiality.
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