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HomeMy WebLinkAboutWZ-02-057500 West 29th Avenue Wheat Ridge, Colorado 80215 The City of Wheat Ridg Telephone 303/ 235-2846 FAX 303/235-2857 April 12, 2002 Gilbert Hack H and L Architecture 1621 1 P Street Suite 110 Denver, CO 80202 Dear Mr. Hack: The following are my comments regarding your submittal for approval of an administrative amendment for the Exempla Healthcare property located at 8300 West 381 Avenue within the City of Wheat Ridge. I have reviewed the document and have the following comments: 1. The legal description on the first sheet is illegible. Staff questions whether the Jefferson County Clerk and Recorder's office will accept this as a recordable document. 2. Please change "Developmental Description" to "Explanation of Amendment" 3. Please correct the spelling of "toal" to "total" under "Explanation of Amendment". 4. Please remove the subtitle "Demolition and move the written description to be included under the "Explanation of Amendment". 5. Add the following case number to the first sheet : Case No. WZ-02-05. 6. In the title block, add "Administrative Amendment". 7. Add a mayor's certificate to read as follows: "Approved this day of by the City of Wheat Ridge. Mayor" 8. Next to the City Clerk's attestation of the Mayor's signature, add a "seal" location. Please make the changes itemized above and resubmit one copy of the changes. If you have questions concerning any of the above, do not hesitate to contact me at 303-235-2848. Sincerely, Meredith Reckert, AICP Senior Planner c: WZ-02-05 file • BUILDING DATA S . ~ i BUILDING__ADDRESS EXEMPLA LUTHERAN MEDICAL CENTER s 8300 West.-38th Avenue Wheat Ridge, CO 80033 i!/` °M . ' ewl PROJECT AREA o~•~l amS DK t~~ r ,F' t k~11!'I i t~ ~ ~ + - f t11t..tl~ ter ~ 1~ a~ ~ 6 First Floor: New: 1,332 s.f. Remodel: 958 s.f. r . ~ . # ~1 ~ ~ ~ csc~ ~ ~ as, • Buldig foo Rem~iodv Tqd Camp GOVERNING CODES 1~A V , 'I . . • ~ . • - ~i +~.+fr• 3 6 Mint ~ +~ii~TY-_ ~ ~ t ~ ~ ~ « . 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A.. mil' Cfl'1 i` .i Yr va w a . ~ 1 w e-.e ' 1•~9 9F . r a °wplMi Mbl~ ? E- • ~ ' 'fir, e . S' I • ♦ • . -`~a ~a S0~4 ses•ss •~~r~s 4el+ir •s~+s♦ ~r° • •+r~y1< Y 1 e r"-a S ■ T M! ! a vrrI %wooItiL LJ V L U IVIC )AIN AM NUM N I ICOLOGY EXPANSION ril f H # L ARCHITECTURE LTD, RA n---iATinN nNc um r ~r~losaaaeast• - s~►sai.sasasayt• I UTHERAN PtlEDICAL C amlasiaiW as PROJECT' LOCA-170N EX~nfi pI IL I o`wHrar LAND USE CASE PROCESSING APPLICATION' of `""c4rP ao Planning and Development Department` 7500 West 29'" Avenue, Wheat Ridge, CO 80033 4 Phone (303) 235-2846 coi oR poo ~~L ORADO (Please print or type all information) Applicant" 4L Avkamrlume Addressl1621 1$''4 S1reg-A t !x8 le 110 Phone 303-Z95'-1742- State ColecarS-o Zip SozoZ Fax3QI_:2_ Z-6439 City ~ea.tvz•~ Owner Tvct l,o. L/ec4( 1%rare AddressA3oO W .3r_ AJeu%Je Phone3o3-4ZS--?l03 City LA.1 `delo State CnLpraAo Zip SlW'2.-k Fax Contact~•LLer~ 'AaAc Address LloZl 1884 S~ro~ktSn'•~e 110 Phone ?r~3-,20-q3 14 57 City i~arrv~c State C..Ieoo.d.o Zip ROZ02. Fax &Z-44 (The person listed as contact will be contacted to answer questions regarding this application, provide additional information when necessary, post public hearing signs, and will receive a copy of the staff report prior to Public Hearing.) Location of request (address): Type of action requested (check one or more of the actions listed below which pertain to your request.) Application submittal requirements on reverse side ❑ Change of zone or zone conditions ❑ Special Use Permit ❑ Consolidation Plat ❑ Subdivision: Minor (5 lots or less) ❑ Flood Plain Special Exception ❑ Subdivision: Major (More than 5 lots) ❑ Interpretation of Code ❑ Preliminary ❑ Final ❑ Lot Line Adjustment ❑ Right of Way Vacation ❑ Planned Building Group ❑ Temporary Use, Building, Sign ❑ Site Development Plan approval ❑ Variance/Waiver (from Section ) ❑ZoningOrdinanceAmendment Other. t~ AS' 1meniJy-Ae#.4 Detailed description of request: Te aw,mru~ e•ucre-J/A -MG.InnPd 0c) s~t~u 'Cns IC-+ -Tip 1 Lt u Required information: Assessors Parcel Number: Size of Lot (acres or square footage): Current Zoning: p41~ Proposed Zoning: kin 6%A uc Current Use: RND Proposed Use: fJo eSnai I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that in filing this application, I am acting with the knowledge and consent of those persons listed above, without whose consent the requested action cannot lawfully be accomplished. Applicants other than owners must submit power-of-attorney from the owner which approved of this action on his behalf. Signat tl~ G ~v e ~PR)'•'• Subscribed and sworn to me this Z day of Gtr 20QZ- CD l 1C2-~J Q Nota Public pVe~;: p My commission expires --211110Lv s+'••.....• Cg- Date received Fee $ 0.00 Receipt No. /.27 7 Case No. W Da Comp Plan Desig. Zoning 7Jf/ 1) Quarter Section 'Mgap /✓t a7 Related Case No. Pre-App Mtg. Date Case Manager eC/Ge~21 Case No.: 0205 Quarter Section Map No.: App: Last Name: _filbert Hack Related Cases: App: First Name: /o H+L Architecture Case History: Owner: Last Name: Exempla Lutheran Owner: First Name: 1 App Address: 1621 18th St., Suite 110. Review Body: City, State Zip: Denver, CO 80202 APP:Phone: 3.03-295-1792 K APN: Owner Address: 300 W. 38th Ave. 2nd Review Body: City/State/Zip: heat Ridge, CO 80033 2nd Review Date: Owner Phone: 303-425-2103 Decision-making Body: Project Address: 8300 _ Approval/Denial Date: Street Name: Pest 38th Avenue City/State, Zip: heat Ridge, CO 80033 Reso/Ordinance No.: Case Disposition: Project Planner: Reckert File Location: JActive Notes: Follow-Up: NE27 I mend 'HD to allow construction of new addition dm. 39-262-00-010 dm. - Conditions of Approval: District: III Date Received: 3/22/2002.. Pre-App Date: GILBERT A. HACK 61FI STRU T 7E11 )I R r OR;,; ti i.41 III rim H+L ARCHITECTURE FRED BUENNING, AIA ASSOCIATE DIRECT: 303 244.9343 1621 18TH STREET, SUITE 110 DENVER,COLORADO 80202 MAIN: 303295.1792 EMAIL: f6uenning®hlarchcom FACSIMILE: 303292.6437 WEU: www.hlarch.mm 5707 WEST 6TH AVE. Gordon B. TOwne, P.E. DENVER, CO 80214 303.233.5838 FAX 303.233.0516 Bierbach Consulting Engineers, Inc. StruduraIConsultant, Exempla HEALTHCARE EXEMPLA LUTHERAN MEDICAL CENTER 8300 West 38th Avenue Wheat Ridge, Colorado 80033 303-425-2104 Fax 303-467-8854 Al Davis Director, Facilities Management Pager 303-514-9227 E-mail davisa®exempla.otg EXEMPLA SAINT JOSEPH HOSPITAL 1835 Franklin Street Denver, Colorado 80218 303-837-7687 Fax 303-866.8111 Wheat Ridge Planning and Development Department PRE-APPLICATION MEETING SUMMARY Date; / m /zoo I Attending Applicant: Attending Owner: NL ~G Vc S Address/Phone: Address/Phone: P Attending Staff: Ete2Li,`~~ ~e..r / M4..., t-t. A-e_' Address or Specific Site Location: Existing zoning: P ~kl) Existing Comp. Plan: Applicant/Owner Preliminary Proposal: A~ ADDlication(s * Building Permit Only * Planned Unit Development * Zone Change * Variance * Site Plan * Temporary Use Permit * Minor Subdivision * Conditional Use Permit * Major Subdivision * Special Use Permit Street Vacation * Lot Line Adjustment Planning Division Public Works Easements Roads/Transportation Setbacks Survey Info. Use Drainage/Erosion Height Control Zoning Flood Plain Landscaping Traffic Parking ROW Vacation Signs ROW Dedication Comp Plan Public Improvements Access Building Division Soils Height Utilities Fire Access Planning Division's comments: ansf~ :5 °h s~ bv:tA ~od ~c,f lic ~ln aw.e~ ~u ems' 1-2wPalui~ OTD Viz L'r, 47. C- e~r( t ~U(l C+, 6%~1S Nte2~eX, `t'o A-SS:~ae__ Ccc~1~_ Ct,"l ia.tn.c2.~ cls paa-T a~ b.S ~~~F,l v..g (a Q.`r~7C YC,V('et{7 In V ]xei a~ Pxis`~i ~~fth~c Public Works Department's comments: ~y VJc y Qle" Or ~e PUv~kus c sir J •"'~R->~:~- ~u•*PAC-f STuD:1 ~"i~`'R.1J_F l~cq'u:RG{17f~'~tL: ~NI~nJEC~. \S4CE'E~ci -r te( Wl ~l Wes- 1'lf o~~ 1 tvL i ck 6o'L two, ~Q~ S4C~dF'FOLJ PM~~aX.. ✓ Building Division's comments: s,,- e~,4` ft_ .6PM~J es ac~~.... ca w~ Other comments: a J MA Staff Initials: Op~' Applicant Initials: ,I -ALTHOUGH STAFF REACTION MAY E FAVORABLE AT THE TIME OF PRE-APPLICATION MEETING, THE FINAL RECOMMENDATION MAY CHANGE DUE TO INFORMATION UNAVAILABLE TO THE STAFF OR APPLICANT AT THE PRE-APPLICATION MEETING. THE CITY RESERVES THE RIGHT TO REQUIRE ADDITIONAL INFORMATION AT ANY TIME DEEMED NECESSARY FOR THE PROPOSED PROJECT. e:\p1a ing\forms\preappmt 1621 1 8 111 STREET SUITE 110 DENVER, COLORADO 80202 (303) 295-1792 FAX 13031 292 6437 TO W \C=p~gQ DATE _1 laYl'G CJ~f~ CXi l 7ptc&AutuTl~pgc~me a i 2"`d Waor r1SdO lxioS"~ 2ct'w ~~ycravc Whc ~rcc ~~ar~o q()2t5- PROJECT C Ic LL %ercLja cc rc4o(m~ ATTN `.GG ~sSICKg `-1 r(,Q7,.'Z WE ARE SENDING HEREWITH: PRINTS ❑ TRACINGS O SPECIFICATIONS O CORRESPONDENCE ❑ PHOTOGRAPHS ❑ PHOTOSTATS ❑ SAMPLES ,7 FOR YOUR INFORMAI ION' G PLEASE RETURN ❑ FOR YOUR RECORD ❑ SHOP DRAWINGS Ll REVIEWED FOR GENERAL CONFORMANCE U REVIEWED FOR GENERAL CONFORMANCE WITH CORRECTIONS ❑ SUBMIT SPECIFIED ITEM ❑ REVISE AND RESUBMIT O FOR YOUR REVIEW, PLEASE RETURN WITH CORRECTIONS AND COMMENTS ~d:sc_~sse h_e_.-e ~s ~ ~ :fie Sr,.G~~ _~N~s~~,n•,4.1 L~ l ?ce 4tl_11s~a~et.~__c ~~~UG Y`I ~~I O wt As noel 1 In L~ , uot_ F'rm- mq frftcC\ ~00.~ rl-fit Cam! r:or ~o ~16er it00.t rew SINCERELY YOURS, H+L ARCHITECTURE LTD. AIA ❑ 1 ST CLASS ❑ EXPRESS MAIL ❑ PICK UP Li cc: BY Year Area Average Daily Census 2000 Outpatient Visits (Surgery) 32 2001 Outpatient Visits (Surgery) 30 2000 Hospital Inpatient 197 2001 Hospital Inpatient 212 2000 West Pines 41 2001 West Pines 45 Lutheran Medical Center South Wing Cardiology Addition 3rd Floor Addition 4th to 6th Floor Shell Space 7th Floor Penthouse SCHEMATIC DESIGN June 05, 2001 3521 18TH STREET, SUITE 110 H+ 1?ENVER, COLORA0O 80202 L 303.295.1492 3fAC51MLLE 30.3.292.6437 ARCHITECTURE info@hlarch.com e : -M .hlarcn.cOm 10 H -VE)I 18TH STREET, SUITE 792 =_EMER, COLORADO 80202 VOICE: 303.295.6492 _CSIMIIE 303.292.6437 -EMAIL info@hla¢h.cam ARCHITECTURE =~wEa: www.hlar<n.<om Project Description Exempla Lutheran Medical Center South Wing Cardiology Addition 8300 West 38th Avenue Wheatridge, Colorado 80033 PROJECT DESCRIPTION The Schematic Design product was produced through a series of interviews with the facility, department users, site tours of other facilities and gaming sessions. This process produced several initial flow and relationship diagrams. Through further discussion the Third Floor Cardiology Unit developed into a series of bubble diagrams. Through the refinement of the department relationships and facility meetings a single, more defined diagram was generated. The Schematic Design included in this package is the result of those meetings and gaming sessions. The initiation and direction of the project coincides with the strategic plan and Exempla's vision for their continued growth and development as set forth in the facilities Master Plan. The expansion of the South wing is set to include the full build out of a third floor Cardiology Department. This department will include services available for both in-patient and out patient treatment. The remainder of the expansion will be future build out space. This future build out space will extend the existing building up three floors from the Cardiology expansion. First floor design modifications will be include the installation of two new geared elevators in existing shafts located at the north end of the South Wing. Other changes will include a new holeless hydraulic elevator, located on the south side of the building, to handle the anticipated traffic from the second floor Medical Office Building One's Cardiology clinic and the new Third Floor Cardiology Center. Second floor modifications and changes will be the introduction of a new elevator lobby associated with the two new north elevators. Additional modifications will include some minor renovation work on the south end of the floor. This work is in direct response to the new hydraulic elevator being installed. The third floor development is for the new Cardiology Center. This center will include space for the relocation of the existing Cath Lab and equipment along with a new Cath Lab and space allocated for the future build out of a third Lab. In conjunction with the Cath Labs will be a new EP lab room. These rooms are grouped together to allow for greater control, patient privacy and staff efficiencies. The development of this type of suite also allows for preoperative and postoperative care to take place within the same suite. Adjacent to the new Cath lab suite will be a Cardiac Rehabilitation Unit, EKG/Echo/Testing Center and Pulmonary Functions Lab. All of which will utilize one central reception and waiting area. The new Cardiac Rehabilitation facility will include patient changing facilities, rehabilitation gym, consultation room and staff work areas. The Echo, EKG, Testing rooms will be grouped together for better staff flow and patient care. The Pulmonary Function Labs will now be grouped together and able to Page 3 H+L 3821 18TH STREET, SUITE 110 DIENVER, COLORADO 80202 yoISI 303.295.6492 FACSIMILE 303.2926437 GRAIL hlahmm ARCHITECTURE IM.PR www www.nlaxrcn.com Project Description share many areas with both Cardiac Rehab and Echo, EKG. The relationships of these department and location on the floor create a new Cardiac Suite. The remainder of occupiable floors will be constructed as shell space. This shell space will permit the facility to expand the in-patient care areas. The types of expansion capabilities include 24 medical beds with support areas per floor. Also, the possibility of a 16 bed or 18 bed Intensive Care Unit or Critical Care Unit. The final development, of the three floors, is still under consideration and being evaluated against the facilities Strategic Growth Plan and Vision. OWNER'S GOALS The Owner's goals for this project is to bring together on one floor the Cardiology Department. A plan to build a facility to handle the current needs of the community it serves and the future needs of that community. It is a vision to develop a floor in the facility for a specific use, thus providing the people it serves a single place to handle their needs. Page 4 H+L 1621 18TH STREET, SUITE 110 DENVER. COLORADO 60202 '~VOICE: 301295.1792 51CSI SIMILB 303.2922.6437 {EtifAIL' infopnhlarch.com ARCHITECTURE _==win: ,~w,,.hhr<h~om Project Narratives Exempla Lutheran Medical Center South Wing Cardiology Addition 8300 West 38th Avenue Wheatridge, Colorado 80033 NARRATIVES These narratives illustrate a description of the project in the Schematic Design Phase. This information is intended solely to be helpful in the construction cost estimating. They represent a judgement of what may be expected in subsequent design: however, during subsequent design the drawings and this narrative will change. SITE NARRATIVE Current site conditions will be maintained with minimal disturbance. The only site work associated with this project is for the installation of the new south hydraulic elevator. Currently the parking totals and locations are being reviewed under a different contract. This review will be addressed in a separate project and will run concurrently with the building addition. ARCHITECTURAL NARRATIVE The following description focuses on the architectural scope of work. Any reference to existing construction or building refers to the 1983 two-story South Wing addition. Medical Office Building One, located to the South of the 1983 addition will be referred to as MOB 1. Currently the facility maintains several building standards. The standards are for Hardware, Finishes, and Fixtures, both mechanical and electrical. Project Summary: To provide Exempla Lutheran Medical Center with a Cardiology Center. The center will group together on one floor Cardiac Rehabilitation, Cardiac Cath Lab, EKG, Echo, Pulmonary Function, Stress, and staff support functions. Located in the new third floor addition of the South Wing will be two new Cath Labs, a six bed pre/post operative care area, EP Lab, Stress testing room, Treadmill room, Gamma Camera with hot lab and processing, Pulmonary Procedure Room, PFT Room, Bronchoscopy Lab, three physician Read Rooms, Education and Consultation Rooms, Doctor Sleep, Staff Lockers and Lounge, Central waiting and Reception, two EKG Exams, two Echo testing rooms, Holter Lab, twenty person education room, staff work rooms and office, along with a Cardiac Rehabilitation Gym. The fourth, fifth and sixth floor additions to the existing building will be lesser in square footage to correspond to the existing structural capacity. These floors will be built as shell space. The floors are currently being reviewed for several different uses. A sixteen or eighteen bed Critical Care Unit or Intensive Care unit to be located on the fourth floor or a twenty-four bed Telemetry unit. For floors five and six a twenty-four patient bed unit is being considered. Page 13 18TH DENVER, COLORADO 80202 H+L ...:VOICE 303.295.1492 R3033966434 -EMAIL i f hh.com ARCHITECTURE ¢"=wge: w.w.nWla,cn.com Project Narratives 2. The seventh floor will house the mechanical functions required for the new addition. The existing elevator hoist, for the central elevator, will be relocated to the new penthouse floor level. New mechanical air handling units will be installed along with the support function required by the system. A new elevator machine room will be built within the penthouse for the two new geared elevators located on the north end of the new addition. Codes Enforced: A. State: 1. State of Colorado Department of Heath Health Facility Regulations. 2. American institute of Architects Guidelines for Design and Construction Of Hospital and Health Care Facilities, 1997 3. NFPA Life Safety Code 1997 for new and existing healthcare occupancy. 3. B. City: 1. Uniform Building Code, 1997 2. Uniform Mechanical Code, 1997 3. Uniform Plumbing Code, 1997 4. National Electrical Code, 1997 Building Information: A. Occupancy: • Group I, Division 1.1,Type I F.R. • NFPA 101, New Health Care Construction • NFPA 101, Existing Health Care Construction B. New Construction: • UBC 1997, Fully Automatic Sprinklered, Type I, F.R. • NFPA 220, Type 1 (332) C. Existing Construction: • UBC 1997, Fully Automatic Sprinklered, Type 11, F.R. • NFPA 220, Type II (222) D. Fire resistive Construction: Table 5-A and 6-A • Columns • Beams supporting floors • Beams supporting roof • Structural bracing • Roof/ Ceiling assembly Shaft Enclosures • Exterior non bearing walls 3-hr 3-hr 3-hr 3-hr 2-hr 2-hr 2-hr < 20'-0" 1-hr < 40'-0" Page 14 DENVER. COLORADO 90202 H+L VOICE: 01 18TH STREET, SUITE 110 VQISI 303.292.6491 FA~CSIMIIE 303.292fi43] CMAIL: Info@hlarch.cam ARCHITECTURE Project Narratives E. Building Separation: Table 3-13 • Group I from Group B 2-hr F. Specific use area separation: Table 3-C • Trash rooms 1-hr • Soiled Linen rooms 1-hr • Storage > 100 sq.ft. 1-hr • Storage < 100 sq.ft. NA • Employee Lockers NA G. Floor to Floor Height • Basement Elevation 86'-0" • Basement to First Floor Existing 1001-0" • First Floor to Second Floor Existing 114'-0" • Second Floor to Third Floor Existing 126'-0" • Third Floor to Fourth Floor 12'-0" 138'-0" • Fourth Floor to Fifth Floor 12'-0" 150'-0" • Fifth Floor to Sixth Floor 12'-0" 162'-0" • Sixth Floor to Seventh Floor 12'-0" 174'-0" • Seventh Floor to Roof 14'-0" 188'-0" H. Square Footage • Basement Existing • First Floor Existing • Second Floor Existing • Third Floor 24,933 square feet • Fourth Floor (shell) 17,800 square feet • Fifth Floor (shell) 17,800 square feet • Sixth Floor (shell) 17,800 square feet • Seventh Floor (Penthouse) 8 600 square feet Total 86,933 square feet 4. Building Materials A. Roof: Primary facility roof to be Single ply EPDM Roof Membrane chemically fastened non- ballasted roof system. Tapered insulation to provide positive flow of no less than Yd' per foot. 8" minimum return vertically, from insulation to parapet flashing. Penthouse roof system to meet LIL design number P921 Page 15 H+L ARCHITECTURE -I 21 18TH STREET, SUITE 110 -D).NVER, COLORADO 80202 VOICE: 303.295.1792 2--FACSIMILE 303192.6437 F1,AIL i hlarch.com W6B: www.hlarchcom Project Narratives B. Floors: Third floor (existing roof) was designed for future expansion. The fourth, fifth, sixth and seventh floors will be reinforced poured in place concrete with the penthouse roof possible of metal roof deck. C. Interior Partitions: Will be constructed of 3-5/8" metal studs at 16" on center with 5/8" type "X" gypsum each side. Sound attenuation blankets to be provide for all exam rooms, office's, treatment rooms, consultation rooms and patient rooms. Vertical shafts will be constructed to meet UL Design No. U438. Smoke Compartment partitions will be constructed to meet UL design No. U465. Occupancy separation will be constructed to meet UL Design No. U411. Interior windows will be hollow metal with tempered glass, wired glass or fire rated glazing. D. Exterior Walls: Exterior walls will be constructed of 6" structural studs with %2' exterior grade sheathing with vapor barrier. A 2" air space will be provided between the modular face brick and the sheathing. Interior finish will consist of 5/8" Type "X" gypsum wallboard over metal stud. Exterior windows will be aluminum frame with 1" insulated glass and spandrel panels. A 6" Kawneer curtain wall system will be installed at the connector between the main bed tower and the new south wing addition. E. Interior Finishes: Interior finishes are based from the Exempla Lutheran Medical Center standards. Floor finishes will be of heat welded sheet vinyl with cove base, VCT, ceramic tile and carpet. Wall finishes will be of paint, Acrovyn wall protection and vinyl wall coverings with some rooms having borders. Ceiling will be gypsum, 2 x 4 lay-in acoustic ceiling tile system. Page 16 H+L ARCHITECTURE General Building Description: The new facility will include added floors in the South Wing, which was built in 1984. The third floor will be cath/cardiology with the possibility of adding patient floors on the 41h, 5'h and 61h Floors. A mechanical penthouse will be located on the upper roof. Fire Protection Systems The facility will be completely sprinklered per UBC '97 and NFPA 13 & 14. A 6" fire main was stubbed above the existing 2nd Floor ceiling for future expansion. Plumbing Systems Project Narratives Mechanical Narrative 1. 2. 3. A. Domestic Water System: =-1621 IBTH STREET. SUITE 110 DENVER, COLORADO 80202 &6ICE~ 303.295A792 FACSIMILE: 303.291.6437 SAIL mfoNhlarch.com Ee: www.hlarch.com ETY A 4" cold water and 3" hot water riser are stubbed above the existing 2nd Floor ceiling for future expansion. Domestic cold, domestic hot and hot water circulating piping shall be type "L" copper, insulated with 1"fiberglass insulation. Plumbing fixtures shall be: • Water closets, wall hung flush valves will be equipped with bedpan washers in Patient Rooms. Public water closets will be automatic flush valves. • Urinals in the Public Areas will be wall mounted with automatic flush. • All counter mounted sinks will be 18 ga. stainless steel. Counter mounted lavatories will be vitreous china, self-rimming. Lavs and sinks will have gooseneck faucets and wrist blade handles. Fixtures will be American Standard or Kohler B. Sanitary Server Systems: Future 4" waste risers were installed in the existing South Wing and capped in the 2nd floor ceiling space. The new waste and vent systems will be an extension of the existing systems. C. The storm drain system for the new roof will connect to the existing storm leaders on the existing 2nd floor. Page 17 18TH STREET, SUITE 110 DENVER, COLORADO 80202 H VOI : VOICE 303.29.7192 93 FACSIMILE: 303.292.6437 -{EMAIL: i 7 hlach.mm ARCHITECTURE ~ti~€e 7 . : w.w. na,cn.~om Project Narratives D. Medical Gas System. 3/4 N20, 3/4" HPN, 4" VAC, and 1 Y4" O2 are capped in the 2ns Floor ceiling space for future expansion. Medical gases will be installed per NFPA 99 and where required. 4. Heating Ventilating and Air Conditioning Systems. A. Chilled Water System. 8" chilled water supply and return piping is capped in space. Chilled water piping will be extended up to the roof penthouse. The 8" piping size is capable of supplying 1500 gpm, which is more than adequate for the new expansion. Control of this system will be Delta 'P' pressure independent two way control valves for the cooling coils. Chilled water piping will be schedule 40 steel welded and type 'L' copper. The new expansion will add between 100 to 250 tons of cooling to the central plant. The plant houses chillers totaling 1700 tons (700 T, 700 T, 400 T) The connected capacity is approximately 1400 tons which leaves a reserve of 300 tons, but with no backup. If any one of the chillers were taken out of service on a hot day, the entire facility would suffer. Provisions will need to be made to remove the existing400 ton chiller and replace it with a 1000 ton chiller. Related primary and secondary pumps would also be required. B. Heating Water System. 3" hot water supply and return piping is capped in the second floor of the South Wing, along with a 6" high pressure steam and 2" medium pressure return. The piping is capped ready to extend for future expansion. Heating water and steam piping will be schedule 40 steel welded and type'L' copper. C. HVAC System. A built-up blow-thru air handling system will serve all areas of the new expansion. The system will include a prefilter section, economizer section, and heating and cooling coil section, supply and return plug fan and a 90% efficient final filter section. The supply and return fan will be controlled by variable frequency drives for variable air volume operation. Low pressure sheet metal ductwork will be distributed through the facility. Variable air volume terminals with heating coils will be located at individual spaces for temperature control. The air handling unit shall be Energy Labs or equal. The Third Floor is divided into two smoke compartments. The supply/return/exhaust ductwork systems will be configured so as to function as a smoke control system. The alarm compartment will be exhausted and surrounding compartments will be at a positive pressure. Page 18 COLORADO 80202 HH - ~ L 1_31A1CSfM(LE: STREETSUITElto 303.295.1)92 303.29_ 643) EMAIU L: hla'h.mm ARCHITECTURE DER: -,r„..niz¢hcom Project Narratives 5. Building Automation System. A. The B:A.S. will be Andover Controls and will bean extension of the existing Andover System. Thermostats will be low voltage for direct digital controls. B. Large motorized dampers and control valves will be pneumatic and controlled through an electric-pneumatic switch. The central BAS computer will be programmed to control the new systems. 6. Project Closeout. A. Testing and Balancing of all systems, air and hydronic, will be accomplished at the completion of the project. B. Operation and maintenance manuals will be assembled by the contractor and delivered to the owner. C. Staff training for new equipment will be performed by the contractor. Page 19 1681 STREET SUITE 110 DENVER. COLORADO 80202 H+L VOICE 303.295.7192 A I 303.29 EM L h com I ?1 f EMAIL info@hlarch com . . . ~w.n7archcom ARCHITECTURE _w€R: Project Narratives Electrical Narrative 1. Scope The electrical design shall consist of normal and emergency power, lighting, fire alarm, nurse call, lightning protection and telecommunications/data as required for a complete and functional electrical system for the South Wing Addition. The electrical system shall be designed to accommodate the addition of 27,000 square feet for the Cardiology floor and three (3) additional 17,750 square foot shell floors. 2. Anticipated Load Based on a 80,250 square foot, 4-story addition. Loads are estimated and will be refined in later design phases. 3. Life Safety Power 39 KW of additional load is anticipated for egress illumination, exit signs, alarm system, hospital communications, and elevator cab lighting controls and communications. Existing life safety panel "EHS1" has a spare 50 Amp 3 Pole circuit breaker that will be utilized to feed a 100 Amp panel on the 3rd Floor. A new 50 Amp circuit breaker will be provided in the existing space to serve a 100 Amp panel located on the 51h Floor. Dry type step down transformers will supply two (2) 120/208-volt sub-distribution panels on the associated floors. 4. Critical Power 130 KW of additional load is anticipated for task illumination, fixed equipment, selected receptacles and special power circuits for functions related to patient care. A 600 Amp panel will be provided on the 3rd Floor to feed four (4) 100 Amp panels located on the 3rd, 4'h, 5'h and 6'h Floors. Dry type step down transformers will supply 120/208-volt sub-distribution panels. A new fused 600 Amp switch and fuses will be provided in the existing 600 Amp space of Transfer Switch #2 distribution panelboard. Panelboard is Siemens I-T-E Cat. FCI, Series 6, 480V, 30, 4W with 20" space. Panelboard is located in the power plant. The power plant is approximately 750 feet away from the south wing. 5. Equipment Power 295 KW of additional load is anticipated for central suction systems, smoke control/ pressurization systems, heating systems, elevator and air handling units for nuclear medicine, coronary care and as required per NEC 517.34. The existing 600 Amp panel "EEDPSr located in the south wing basement has one (1) existing 200 Amp space and one (1) spare 200 Amp fused switch. One (1) new fused switch and fuses will be provided to serve two (2) 200 Amp panels located in the mechanical penthouse. Dry type step down transformers will be provided for 120/208-volt sub-distribution panels. Existing load has not been provided to confirm the additional load will not overload the circuit. A 600 Amp, auto transfer switch, 600 Amp distribution board and 600 Amp circuit breaker may need to be provided for the additional load. Existing Distribution Board "D3" has available 1600 amp space for a new fused switch, and the generator distribution board has space available for a new circuit breaker if the new transfer switch is required. Page 20 H+L 6g11tlTHSTREET, SUITE 110 QE,NVER,COLORADO 90102 VACSI 303.295 V 92 FACSIMILE 303.291.6437 . . L i t ARCHITECTURE W:EB:E9: w.wNhlndx.. xr<9 <am Project Narratives 6. Normal Power 290 KW of additional load is anticipated for the normal power requirements of the addition. Existing panel "MDPS" has four (4) 200 Amp spaces that will be utilized for the remodel. Fused switches will be provided to feed four (4) 200 Amp 277/480 volt panels located on the 3rd, 0, 5'h and 6th Floors. Dry type step down transformers will be provided for 120/208-volt sub-distribution panels. The existing normal main distribution center "NMDC" may not meet current NEC requirements for AIC exitings. The 5000 Amp, 480/277 30 distribution board may be replaced, or panel "MDPS" may be refed from a new 1200 Amp fused switch in distribution panel D3 located in the power plant. 7. Lighting Lighting will consist of parabolic and lensed fluorescent luminaires. Lamps will be T8 and electronic high power factor low harmonic ballasts will be provided for the 3rd floor. Minimum lighting will be provided for the shell space as required by code. 8. Fire Alarm Fire alarm system will tie into the existing system with the addition of a Notifier AM2020 panel. Addressable devices will be provided for the addition. The new Notifier panel will be located in the 1s' Floor Fire Control Center. 3`d floor will be fully monitored and 4'h 5'h and 6th floor shell space will be monitored to meet code. 9. Nurse Call Nurse call will be provided for the 3rd floor as a stand-alone system tied into the existing nurse call system. 10. Telecommunications/Data 11 12. Telecommunications/data will be provided for the 3rd floor addition. Lightning Protection Air terminals will be provided at the 6'h floor perimeter and mechanical penthouse. Downleads will be provided and bonded to 3/4"x10' copper ground rods at the building perimeter. T.V.S.S. T.V.S.S. will be provided at service entrance panels D1 and D2. Both panels have a 3000 and 4000 Amp bus with a tie switch. T.V.S.S. will be provided for each bus on each panel for a total offour (4) T.V.S.S. Page 21 H -I- L oICE: 8TH STRE30329TE I ID DENVER, COLORADO 00202 --YOKE: 303.29 f7i[$IMILf J03.292,6437 2.643) LMAIL ARCHITECTURE nfo®hlxech.cam ~YFO: www.hla¢h com Project Narratives Structural Narrative Project Summary: The addition will be a vertical expansion of the existing South Wing that was built in 1983. Provisions were made in the design for part of the building to extend upward through 11 floors plus a roof. 2. Building Informaion: A. Foundation The existing foundation is drilled piers extending into bedrock. B. Roof The existing roof above the second floor was designed to become the third floor. C. Structure The existing columns have threaded Lenton couplers for extending the new columns. All of the existing structure is poured in place concrete. 3. Building Construction: The new floors and columns will be constructed using reinforced poured in place concrete up through the roof-penthouse floor. If the penthouse is small enough to be detached from the lateral system the penthouse roof may be constructed of steel with steel roof deck. A. Structural Floors: Provide approximately 12" floor slabs for floors 4 through 71h floor. If a concrete is used for the roof it will be approximately a 10" slab. Spandrel beams will be provided at all of the slab levels. The columns shall have 5,000 psi concrete and the slabs and beams shall have 4,000 psi concrete. B. Stair and Elevator Walls: The walls shall be reinforced concrete using 4,000 psi concrete. Grade forty dowels were provide in the existing wall construction to be bent up into the new walls. C. Lateral Load Resistance: All lateral load resistance will be provided by a duel system of slab and column frames and shear walls. The walls will all be 12" thick to match the existing walls. Page 22 H+L ARCHITECTURE .1621 18TH STREET, SUITE 110 DENVER, COLORADO 80202 VOICE: 303.295.1792 FAcSIMI E 303.292 6437 uJo0larch.com :`WEB: www.hlarch.com Project Narratives D. Design Loads: Hospital-Floor designed for a load of 40 psf for patient floors, 60 Psf for service areas, 100 psf for stairs and corridors, and 150 psf for the mechanical 7 h floor. The roof areas shall be designed for a 30 psf snow load plus drifting as required. E. Elevator Penthouses: Elevator penthouses shall be constructed of structural steel beams and columns. Roof deck shall 1.5" Type B (20 gage). Bracing shall be provided by diagonal steel bracing. F. Concrete: Normal weight coarse and fine aggregate plant mixed type I Cement. Fly ash use will be limited to 20%. Provide a 28 day compressive strength of 5,000 psi for slabs and beams and columns. G. Concrete Curing and Finishing: Curing To comply with ACI 318 but not less than 7 days. Use moisture retaining covering. 2. Finishing Horizontal Surfaces- Broom finish - Exterior wearing surfaces. Steel trowel finish - Interior slabs that are visible or covered with carpet or resilient flooring. 3. Finishing Vertical Surfaces- Provide rubbed finish for concrete exposed to sight. As such it shall be formed against selected form lining, and rubbed with approved abrasive rocks and a Portland cement paste to a uniformly smooth and evenly colored surface. H. Concrete Form Removal: Remove forms to comply ACI-318. Horizontal forming removal shall not commence until the concrete has reached 100% of the design strength nor sooner than 14 days after placement. Steel: All steel shall conform to ASTM-A572 or ASTM-36/50 dual specification with FY=50 ksi. All plates bars and angles shall conform to ASTM-A36. All tubes shall conform to ASTM- A500 with FY=50 ksi. All anchor bolts shall conform to ASTM-A449. No painting will be required, with the exception of loose lintel angles, which shall be galvanized. Page 23 8TH STREET. SUITE 110 -DENVER, COLORADO 00202 H+L -VbI [':)(171CE: 303 .295.7492 92 ~'JMWILE: 291 6437 .com ~ l wn la;n:«m ARCHITECTURE w-fi: ww - Project Narratives J. Cold formed metal Framing: Work includes all labor, material, equipment and services necessary to provide C-shaped metal stud framing. All exterior studs shall be 6" x 1-5/8" x 14 gage spaced at 16" o.c. Studs shall conform to ASTM A570, 50 ksi yield. Provide prime coated finish, coordinate primer with fireproofing manufacturer. K. Forming: Forming will have to be supported form the columns as they are poured above the floors. The existing third floor does not have the capacity to support the shoring for the floors above. Page 24 WALKER PARKING CONSULTANTS PARKING SUPPLY / DEMAND ANALYSIS EXEMPLA LUTHERAN MEDICAL CENTER WHEAT RIDGE, COLORADO Prepared for: EXEMPLA HEALTHCARE Exempla H E A L T H C A R E MAY 10, 2001 EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 EXECUTIVE SUMMARY ii INTRODUCTION 1 SCOPE OF SERVICES 2 DEFINITION OF TERMS 3 STUDY METHODOLOGY 4 STUDY AREA 4 PARKING SUPPLY/DEMAND ANALYSIS Parking Supply 7 Effective Parking Supply 8 Survey Days 9 Parking Demand 1 1 Current Conditions 1 1 Future Demand 14 Parking Adequacy 16 Current Conditions 16 Future Conditions 16 Conclusion 18 APPENDIX A Occupancy Count Information 19 WALKER -0 PARKING CONSULTANTS TABLE OF CONTENTS LIST OF TABLES AND FIGURES Table 1: Parking Supply Page 7 Table 2: Effective Parking Supply Page 8 Table 3: Occupancy Counts Page 10 Table 4: Surrey Day Demand Page 13 Table 5: Design Day Demand Page 14 Table 6: Future Parking Demand Page 15 Table 7: Parking Demand Comparison Page 15 Table 8: Year 2001 Adequacy Page 16 Table 9: Year 2006 Adequacy Page 17 Photograph 1: Lutheran Medical Center Page 7 Photograph 2: Employee Lois A & B Page 8 Photograph 3: Physician Parking Page 9 Photograph 4: MOB Parking Page 10 Photograph 5: Employee Lot D Page 11 Map 1: Medical Center Mop Page 5 Graph 1: Distributor, of Parking Page 7 Graph 2: Monthly Activity, Page I I Graph 3: Survey Day vs. Design Day Page 12 EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 Walker Parking Consultants was engaged by Exempla Healthcare to perform a parking study update at Lutheran Medical Center. A similar study was conducted by Walker in 1999. The hospital asked Walker to provide current and projected parking demands based on planned construction projects. These projects include a multi-level heart center, the addition of 35-50 beds, and the demolition and rebuilding of the older portion of the hospital. The current parking supply at the hospital is 2,144 spaces. However, when the supply is adjusted to reflect a cushion necessary for efficient operation, the effective supply is reduced to 1,970 spaces. Parking demand was determined by creating parking models and observing levels of parking on on average busy day. Four separate inventory counts were performed on Tuesday, March 27'", 2001. Walker's counts revealed that peak demand occurred at 10:30 a.m. when occupancy reached 1,720 vehicles. When reviewing current parking supply and demand in aggregate terms for this campus, it appears that the current supply is adequate to meet the current demand, however, these numbers are misleading. Certain patron groups are currently experiencing difficulty in finding a space at peak times. Over the course of the next 4-5 years the demand will continue to increase. Consequently, the medical center will be faced with a large parking deficit if it does not increase its parking supply. Similar to the current-year adequacy, the projected deficit of only 6 spaces by 2006 doesn't realistically reflect the future need for spaces, especially for associates, physicians, and patients. The MOB parking areas contain a surplus of parking, but these parking areas are not convenient for patrons of the main hospital buildings and therefore, it is important to look at parking in two separate areas; the main hospital and the MOB's. The main hospital is projected to have a 236-space deficit by 2006, while the MOB is projected to have a 230-space surplus. The deficit in supply at the main hospital is prevalent even now on a daily basis at the main patient/visitor lot and in the employee lots. In consideration of the current and future parking issues facing Lutheran Medical Center, Walker recommends that a minimum of 250-300 new spaces be created to serve the medical center and its patrons. Immediate attention is needed to provide additional parking in the physician lot (50-60) spaces and in the main visitor/patient lot (60-80 spaces). WALKER PARKING CONSULTANTS EXECUTIVE SUMMARY EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 Lutheran Medical Center is located in Wheat Ridge, Colorado, a suburb 20 minutes northwest of downtown Denver. Walker Parking Consultants performed a supply and demand study for the hospital in 1999. Since that study, a number of variables have changed including increased staffing and patient volumes. The Medical Center is planning multiple changes that will further elevate parking demand. These plans include a new heart center consisting of several additional floors. Futhermore, visitor parking will be affected by the demolition of the older portion of the hospital that will be re-built. This study shall focus on the current and 5-year projected state of parking at the Wheat Ridge-based campus. WALKER PARKING CONSULTANTS INTRODUCTION 1 'A EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 Walker Parking Consultants was retained by Exempla Healthcare to provide parking consulting services. The purpose of this study was to determine the present and future parking needs of the campus. The following was our scope of services for this engagement: Met with hospital representatives once and confirmed study objectives, boundaries, procedures, and project schedule. 2. Reviewed the 1999 Walker report and any other existing reports/studies pertinent to parking or traffic at Exempla Lutheran Medical Center. 3. Reviewed the hospital's master plan for its impact on parking supply and demand. 4. Reviewed the hospital's inventory of existing parking spaces to determine number, user assignment (employee/physician/ visitor), time restrictions, fees, etc. 5. Collected and reviewed historical data supplied by the hospital via a background information survey form supplied by Walker. 6. Conducted occupancy counts at selected times on a typically busy day for all spaces in the study area. This determined the pattern of parking utilization, and helped to identify/document unusual patterns. We required level of activity information from the hospital on the day the survey was completed. Required was the number of outpatients, inpatients, ER patients, and MOB patients, along with the number of physicians and employees in the hospital and MOB. 7. Determined the present parking supply and demand. This was based on data gathered from the hospital and parking demand ratios developed from Walker's database of other medical facilities. Compared 2001 parking demand ratios with those developed in 1999. 8. Summarized our findings and conclusions about current parking adequacy in this draft report and we will discuss with appropriate hospital staff. 9. Incorporate one consolidated set of comments from staff into a final report. WALKER PARKING CONSULTANTS SCOPE OF SERVICES 2 i EXEMPLA LUTHERAN MEDICAL CENTER WALKER PARKING SUPPLY/DEMAND ANALYSIS PARKING CONSULTANTS ® MAY 10, 2001 Several terms may be used in this report that require clarification. DEFINITION OF TERMS i These terms are defined as follows: ® 1. Survey Day - The day occupancy counts were taken on the subject property. This day should represent a typical busy day. 2. Design Day - The day that represents the level of parking demand the parking system is designed to accommodate. This S level of activity is a reasonably high percentile of absolute peak activity. 3. Effective Supply - The total supply of parking spaces is adjusted to reflect the cushion needed to provide for vehicles moving in and out of spaces, spaces unavailable due to s maintenance, and to reduce the time necessary for parking patrons to find the last few available spaces. The adjustment varies as to the amount and type of parking, but typically the effective supply is 85% to 95% of the total number of spaces. A 4. Parking Demand - The number of spaces required by various user groups and visitors to the subject properly. 411 5. Demand Ratio - The ratio of the number of vehicles observed 4,lb to occupy parking spaces compared to a reference number. For example, if there are 1,000 full-time equivalent (FTE) associates and an observed peak occupancy of 400 vehicles in the employee lot, the demand ratio is 0.40 (40011000) for FTE's. 6. Optimum Utilization Factor - The factor applied to the calculated demand for parking to allow it to operate at maximum efficiency. The factor allows for a 5% to 15% "cushion" for vehicles moving in and pulling out of parking stalls and reduces the time necessary for patrons to find a 4b space when few are available. 0 4 3 +O EXEMPLA LUTHERAN MEDICAL CENTER if PARKING SUPPLY/DEMAND ANALYSIS 4 MAY 10, 2001 Walker Parking Consultants acquired annual bed census figures from 4 Exempla Healthcare and conducted extensive occupancy counts on the survey day, Tuesday, March 27, 2001. This information was used to determine the parking patterns and utilization and generate demand ratios. The current parking supply/demand is determined before future projections are established. 4 Lutheran Medical Center is located in Wheat Ridge, Colorado, a s suburb of Denver. The study area is bound by 38" Avenue to the north, residential development to the east, 32' Avenue to the south and Foothills Medical Center to the west. Maps of the campus and its parking locations are contained on the following pages. 1W WALKER PARKING CONSULTANTS STUDY METHODOLOGY STUDY AREA 4 EXEMPLA LUTHERAN MEDICAL CENTER WALKER PARKING SUPPLY/DEMAND ANALYSIS PARKING CONSULTANTS MAY 10, 2001 Tap 1: Lutheran Medical Center Map Exempla Lutheran Medical Center Map Phyarian Parking -@ 3. n i The Blue . Hesse Orim r Tv km Com vnity IP Develavmeni 5 /W W U ~a _U d tC L Q~ J m Q W t fC w Q Y C 0 J S C p.6 f z~ w z a N w A 4 A A A s ~ `.z ¢ n x p p 0 6 ` ~ ~ ~ ~ ° " v t LL' 3 ^y . n- s y v o w n 6 E g ~ ~ W cp e e ~ _ c V 6 Y W 3 g < n ~ ~ n n n ~ n n n n ~ n n i~ w, ° u c a Co ci o a F 4 x < t: a e m 5 0 0 0 O s 7C a -J -J W N r w o _ > N' Y w op m 0 0 ~ = tC a 0 0 s L , a i,y. s s J .6 3 EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 Walker inventoried the study area parking supply at Lutheran to determine the number of spaces, the user assignments le.g. employee, physician, and patient] and identified restrictions pertaining to campus parking. This inventory includes all spaces used by visitors, staff, physician, patients, and the general public. The complete parking supply is shown in the following table. Table I: Parking Supply Type of Number of Parking Name of Location User Groups Spaces Surface Main Lot Patients, Visitors 398 Surface Lot A Employees 198 Surface Lot B Employees 451 Surface Lot C Employees 72 Surface Lot D Employees 211 Surface ER Lot Patients, Visitors 76 Surface Radiation/Oncology Lot Patients 26 Surface MOB Parking Lot Patients, Visitors 517 Surface MOB Physician Lot Physicians 95 Surface Hospital Physician Lot Physicians 100 Total 2,144 Source: Walker Parking Consultants, 2001 The current parking supply at Lutheran is 2,144 spaces. This parking is available entirely in the form of surface parking. Graph 1: Distribution of Parking Supply Distribution of Parking Supply 932 1,017 ■Employee Parking ■Patient Parking ❑Physician Parking 40 WALKER PARKING CONSULTANTS PARKING SUPPLY Photograph 1:Lutheran Medical Center 7 EXEMPLA LUTHERAN MEDICAL CENTER WALKER PARKING SUPPLY/DEMAND ANALYSIS PARKING CONSULTANTS MAY 10, 2001 EFFECTIVE PARKING SUPPLY Once the inventory counts were performed, Walker applied an optimum utilization factor to the results. This factor represents the level that a parking area operates at peak efficiency. Often a facility will be perceived as full by potential patrons, even when there are still a small number of spaces available. Patrons may experience frustration and delays as they have to search for the last few vacant spaces or may avoid parking altogether. The optimum utilization factor engineers a "cushion" against this perception, assuring both the perception and reality of adequate parking. The factor is also applied as a "cushion" for spaces lost to poor or improper parking, snow removal, repair, Photograph 2: Employee Lots A & 8 derelict vehicles, and the like. Optimum utilization factors are adjusted by the type of patron and type of facility. Associates who tend to park in the same place every day necessitate a 95% factor. If the employee parks in a smaller, reserved parking area (e.g. physicians) the factor would be 100%. Patients and hospital visitors who are unfamiliar with the area will r..._, fr i require a factor of 90%. This factor is applied to both large surface 1 P lots found on the hospital campus because of the relative difficulty of finding on open space during peak times. When the optimum utilization factor is applied to the total parking spaces in the study area, the effective supply is rendered. The effective parking supply for the Lutheran campus is 1,970. The following table displays the calculations used to determine the effective supply. Table 2: Effective Parking Supply Number of Utilization Effective Name of Location Spaces Factor Supply Main Lot 398 90% 358 Lot A 198 95% 188 Lot B 451 90% 406 Lot C 72 100% 72 Lot D 211 95% 200 ER Lot 76 90% 68 Radiation/Oncology Lot 26 100% 26 MOB Parking Lot 517 90% 465 MOB Physician Lot 95 95% 90 Hospital Physician Lot 100 95% 95 2,144 1,970 Source: Walker Parking Consultants, 2001 8 EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 SURVEY DAYS Demand is determined from occupancy counts conducted at typical busy times. Based on conversations with officials at Lutheran Medical Center, it was determined that Tuesday is typically the busiest day of the week. Walker counted the number of parked cars tkoughout the study area at four different intervals of time. The occupancy count was conducted on Tuesday, March 27, 2001. The results' of the occupancy counts are summarized and expressed in the following table and graph. Photograph 3: Physician and Visitor Parking ' Complete breakdowns of the occupancy counts are contained in the attached Appendix A. WALKER PARKING CONSULTANTS 9 1qP • e e e e e e e e e e e e e >e a~ `o U 6 a O E z EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 Table 3: Parking Occupancy Count Summary (March 27", 2001) Number Occupied Spaces at: Location of Spaces 8:30 AM 10:30 AM 12:30 PM 2:30 PM Main Lot 398 243 351 340 375 Lot A 198 83 108 114 126 LotB 451 383 394 384" 357 Lot C 72 72 72 72 67 Lot D 211 198 210 207 205 ER Lot 76 49 53 65 58 Radiation/Oncology Lot 26 23 20 16 24 MOB Parking Lot 517 310 372 267 298 MOB Physician Lot 95 67 76 65 76 Hospital Physician Lot 100 71 64 85 61 Peak occupancy occurred at 10:30 a.m. revealing a car count of 1,720 vehicles. This level of occupancy represented 89% of the effective parking supply and 80% of the total supply. WALKER PARKING CONSULTANTS Photograph 4: MOB Parking 10 8:30,4M 10:30 AM 12:30 PM 2:30 PM EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 CURRENT CONDITIONS As seen in the following graph, the monthly activity levels at the hospital fluctuated significantly throughout the yearn, with May being the busiest month. The average activity of these months is 22,348 patient days. This activity includes: outpatient plus % observation patients, ER registrations, and inpatient bed census. Graph 2: Lutheran Medical Center Activity by Month (Year 2000) Z Q 2 S C Co G a P N Q The level of activity on the survey day at the hospital campus was evaluated in comparison to peak levels of activity for inpatients, outpatients, and emergency room treatments. Walker recommends that hospitals should design their parking supply based on the 85h percentile level of patient activity. This level is equivalent to a very busy day that may occur once or twice a month. Designing parking to meet the absolute peak level of parking would leave many unused spaces during the majority of the year. Conversely, designing for the average level would mean inadequate parking during half the year. Design day demand statistics are based on the 85" percentile level of activity. The following graphs compare the level of activity during our survey day to the level of activity during the design day (85h percentile). The data used in the development of these graphs was provided by hospital administration. WALKER PARKING CONSULTANTS PARKING DEMAND Photograph 5: Employee Lot D z Data reflects 2000 hospital activity levels. r spa cz \A J5' < < < < ~oC4 `J ~.0~ FQ C` ~J PJO, \-e- Go a~. e C~ ~e ~ O EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 Graph 3: Survey Day vs. Design Day Activity r U Q 0 0 E Q 600 500 400 300 200 100 0 > F GO > V t- N N N Outpatients ER Patients Inpatient Census ■Survey Day ❑Design Day 0 `c '2 a 'a 2 a > u Q These graphs illustrate that during our survey day, levels of activity closely mirrored the level of activity projected for the design day. The outpatient and inpatient numbers were actually higher during the survey day. The comparison of the activity levels helps us to determine whether the conditions during observation are adequate upon which to base parking demand. To more precisely determine the number of spaces needed for each type of parking patron, the parking occupancy numbers are compared to group population statistics provided by the medical center3. From this comparison, a demand ratio is determined for each group, which is then used to project the number of parking spaces needed for each type of patron. The day Walker conducted the original parking ' The statistics used in the study were provided by Exempla Healthcare. WALKER -4 PARKING CONSULTANTS 12 Survey Day Design Day EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 occupancy counts (March 27", 2001) is referred to as the survey day. The following table displays the parking demand at Lutheran on the survey day. Table 4: Survey Day Demand Design Parking Parking Patron Statistic Demand Ratios Demand Physicians 719 0.20 spaces/physician 144 Associates - 1,646 0.40 spaces/associate 658 Volunteers 122 0.20 spaces/volunteer 24 Inpatients/Visitors 238 0.55 spaces/occupied bed 131 Outpatients 505 0.55 spaces/daily outpatients 278 ER Patients 182 0.35 spaces/ER visit 64 MOB Physicians 120 0.80 spaces/physician 96 MOB Staff 396 0.40 spaces/associate 158 MOB Patients 120 1.35 spaces/physician 162 Total 1,715 Design statistics provided by: Exempla Healthcare These demand ratios are typical for hospitals and MOB's. However, in some cases, the theoretical demand ratios may slightly differ from actual observed conditions on the survey day. While the majority of the parking supply at Lutheran Medical Center is designated for specific user groups, many of the areas of parking are abused (e.g. employees parking in areas intended for patient/visitor use). Consequently, it not possible to determine site-specific ratios for every group based on the occupancy counts. However, these ratios are typical for hospitals and reflect the overall picture of parking demand on the hospital campus. Physician and associate numbers will fluctuate little from day to day during the week in most hospitals, regardless of the level of patient activity. Parking areas that are affected by different levels of activity are the patient and visitor parking areas. Data from the year 2000 was evaluated to determine the 85'h percentile level of activity of bed census. This data (see Graph 3) was used to reflect the average conditions within the busiest month and create the Design Day parking demand. The following table shows this information. Lutheran patient activity levels on our survey day are very similar to the data developed for the design day. WALKER PARKING CONSULTANTS 13 EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 Table 5: Design Day Parking Demand Design Parking Parking Patron Statistic Demand Ratios Demand Associates 1,646 0.40 spaces/associate 658 Volunteers 122 0.20 spaces/volunteer 24 Inpatients/Visitors 224 0.55 spaces/occupied bed 123 Outpatients 484 0.55 spaces/daily outpatients 266 ER Patients 241 0.35 spaces/ER visit 84 MOB Physicians 120 0.80 spaces/physician 96 MOB Staff 396 0.40 spaces/associate 158 MOB Patients 120 1.35 spaces/ohvsician 162 Design statistics provided by: Exempla Healthcare A comparison between the design day and the survey day shows that the occupancy levels witnessed during our survey day very closely mirror the demand expected on the design day. A difference of only two spaces exists between the two days. This difference concludes that the activity observed is adequate upon which to base current parking demand. FUTURE DEMAND Future demand is determined in much the same manner as current demand. Walker analyzed the planned changes and incorporated them into the parking demand model. All future changes as described by hospital administration and the Master Plan (October 1999) have been accounted for. The major changes included in future projections include the following: • Adding 35-50 beds over the next three to five years. • Planning a new,- multi-level heart center in the south wing. • Demolishing and re-building the older portion of the hospital on the northern side of the medical center. • 3% annual increase in employees°. The future demand model is displayed in the following table. Actual employee projections were not provided by hospital administration and therefore, 3% annual increases were assumed. WALKER PARKING CONSULTANTS 14 EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 Table 6: Future Parking Demand (Year 2006) Design Parking Patron Statistic Demand Ratios Demand Associates 1,908 0.40 spaces/associate 763 Volunteers 122 0.20 spaces/volunteer 24 Inpatients/Visitors 275 0.55 spaces/occupied bed 151 Outpatients 531 0.55 spaces/daily outpatients 292 ER Patients 191 0.35 spaces/ER visit 67 MOB Physicians 143 0.80 spaces/physician 115 MOB Staff 473 0.40 spaces/physician 189 MOB Patients 143 1.35 spaces/physician 193 Tota 1.961 The future (year 2006) demand for Lutheran Medical Center is projected to be 1,961 spaces. This represents an increase over the current demand of 245 spaces. The following table compares the parking demand by category for current and future levels. Table 7: Parking Demand Comparison Increase/ Category Current Year Year 2006 Decrease Physicians 144 167 23 Associates 658 763 105 Volunteers 24 24 0 Inpatients/Visitors 123 151 28 Outpatients 266 292 26 ER Patients 84 67 -17 MOB Physicians _ 96 115 19 MOB Staff 158 189 31 MOB Patients 162 193 31 Totals 1,717 1,961 245 The category that experiences the greatest increase in demand is associates. The demand for this patron group will increase by 105 spaces over the current demand. WALKER PARKING CONSULTANTS 15 EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 CURRENT CONDITIONS Parking adequacy is the ability of the parking supply to handle the parking demand. The following table represents the parking adequacy of the hospital in the year 2001. This calculation was made by subtracting the estimated current parking demand from the current parking supply. The current parking adequacy of, the hospital campus is a surplus of 261 spaces. Table 8: Year 2001 Parking Adequacy Parking Supply Spaces Current Current Patron Demand Factor Needed Suooly Adeauac Associates 658 900/ 732 780 48 Volunteers 24 95% 26 30 4 Inpatients/Visitors 123 900% 137 178 41 Outpatients 266 900/ 296 216 -80 ER Patients 84 900% 94 76 -18 Hospital Subtotals 1,300 1,435 1,380 -55 MOB Physicians 96 95% 101 95 -6 MOB Staff 158 95% 167 152 -15 MOB Patients 162 900/ 180 517 337 MOB Subtotals 416 44 764 16 ota s 1,717 1,883 ,144 6 Source: Walker Parkins C?,~,adr~~k 9rY11 Although an overall surplus exists, it is important to individually analyze each user group. Several areas are experiencing a deficit including staff physicians, outpatients, ER patients, MOB physicians, and MOB staff. Associates overall show a surplus, however individual lots like C and D routinely are 95-100% occupied, so patrons of those lots may perceive there is inadequate parking. The outpatient adequacy number is significant because it is indicative of the problem occurring on the main patient/visitor lot. This lot routinely fills to capacity and experienced a peak occupancy of 375 vehicles during our survey day. This number, when compared to the effective supply, represents the lot being 1 10% full. Additional parking needs to be created for this patron group. FUTURE CONDITIONS Hospital administration is anticipating ongoing changes in the future. Each of these changes will have an impact on the parking environment WALKER PARKING CONSULTANTS PARKING ADEQUACY 76 EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 at the Medical Center campus. The new heart center, projected construction projects, and the increasing number of beds will create new demand for quality, close parking. These future changes and how the parking will be impacted are summarized in the following table. Table 9: Year 2006 Parking Adequacy Parking Supply Spaces Future Future Parking Patron Demand Factor Needed Supply Adequacy Physicians 167 95% 175 100 -75 Associates 763 90% 848 780 -68 Volunteers 24 95% 26 30 4 Inpatients/Visitors 151 90% 168 178 10 Outpatients 292 90% 324 216 -108 ER Patients 67 90% 74 76 2 Hospital Subtotals 1,465 1,616 1,380 -236 MOB Physicians 115 95% 121 95 -26 MOB Staff 189 95% 199 152 -47 MOB Patients 193 90% 215 517 303 MOB Subtotals 497 534 764 230 Source: Walker Parking Consultants, 2001 According to the above table, the campus as a whole will have a deficit of 6 parking spaces in the year 2006. However, as these numbers are analyzed it becomes clear that parking in certain areas is more inadequate than depicted by Table 9. The subtotals portray a more realistic picture of parking conditions on the campus. Many times the numbers portrayed in tables do not accurately depict the real parking issues facing different facilities. This is especially true at Lutheran Medical Center where the majority of vacancies exist on the MOB parking lot. While the MOB is projected to have a surplus of 230 spaces in 2006, the main hospital is projected to have a deficit in parking of 236 spaces. The MOB lot unfortunately does not provide close parking for individuals that are going to the main hospital. Therefore, the surplus that exists on the MOB,lot cannot be considered a remedy to the parking deficit experienced on the main campus. 40 WALKER PARKING CONSULTANTS 17 EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 Lutheran Medical Center administration understands that parking is and will continue to be a concern throughout the campus. This supply and demand study has outlined the issues facing the current and future levels of demand. Walker has identified that although parking is currently adequate on a campus-wide basis, several patron groups are struggling to find an open space on a more localized basis. As the hospital continues its plan for growth in the future, additional parking demand must be met with additional supply. Walker has shown that Lutheran has a current deficit among certain user groups on the main campus and this deficit will increase in the future. In order to provide adequate parking for current conditions, the medical center should immediately add 5060 more physician spaces and 60-80 more visitor/patient spaces. In anticipation of future growth and development, the medical center should consider adding within the next few years a total of 250300 parking spaces on the main campus, distributed among several user groups. While a decision about structured parking was not part of the scope of this study, it is apparent that this may soon become the most viable option for adding necessary parking supply. WALKER -4 PARKING CONSULTANTS CONCLUSION 18 EXEMPLA LUTHERAN MEDICAL CENTER PARKING SUPPLY/DEMAND ANALYSIS MAY 10, 2001 OCCUPANCY COUNT INFORMATION The occupancy count information contained in the body of the report represented the summary of the survey day. The following information is a detailed breakdown of the occupancy observed during the survey day at four separate intervals of time. Table 1: Tuesday, March 27", 2001 (8:30 a.m.) Type of Total Occupancy Percent Parking Name of Location Capacity 8:30 a.m. Occupied Surface Lot Main Lot 398 243 61% Surface Lot Lot A 198 83 42% Surface Lot Lot B 451 383 85% Surface Lot Lot C 72 72 100% Surface Lot Lot D 211 198 94% Surface Lot ER Lot 76 49 64% Surface Lot Radiation/Oncology Lot 26 23 88% Surface Lot MOB Parking Lot 517 310 60% Surface Lot MOB Physician Lot 95 67 71% Surface Lot Hospital Physician Lot 100 71 71% Source: Walker Parking Consultants, Table 2: Tuesday, March 27'", 2001 (10:30 a.m.) Occupancy Type of Total 10:30 Percent Parking Name of Location Capacity a.m. Occupie Surface Lot Lot A 198 108 55% Surface Lot Lot B 451 394 87% Surface Lot Lot C 72 72 100% Surface Lot Lot D 211 210 100% Surface Lot ER Lot 76 53 70% Surface Lot Radiation/Oncology Lot 26 20 77% Surface Lot MOB Parking Lot 517 372 72% Surface Lot MOB Physician Lot 95 76 80% Surface Lot Hospital Physician Lot 100 64 64% Parking Consultants, WALKER PARKING CONSULTANTS 19 EXEMPLA LUTHERAN MEDICAL CENTER WALKER PARKING SUPPLY/DEMAND ANALYSIS PARKING CONSUtTANTS MAY 10, 2001 Table 3: Tuesday, March 27', 2001 (12:30 p.m.) Occupancy Type of Total 12:30 Percent Parking Name of Location Capacity p.m. Occupied Surface Lot Main Lot 398 340 85% Surface Lot Lot A 198 114 58% Surface Lot Lot B 451 384 85% Surface Lot Lot C 72 72 100% Surface Lot Lot D 211 207 98% Surface Lot ER Lot 76 65 86% Surface Lot Radiation/Oncology Lot 26 16 62% Surface Lot MOB Parking Lot 517 267 52% Surface Lot MOB Physician Lot 95 65 68% Surface Lot Hospital Physician lot 100 85 85% Source: Walker Parking Consultants, 2001 Table 4: Tuesday, March 27th , 2001 (2:30 p.m.) Type of Total Occupancy Percent Parking Name of Location Capacity 2:30 p.m. Occupied Surface Lot Main lot 398 375- 94% Surface Lot Lot A 198 126 64% Surface Lot Lot B 451 357 79% Surface Lot Lot C 72 67 93% Surface Lot Lot D 211 205 970% Surface Lot ER lot 76 58 76% Surface Lot Radiation/Oncology Lot 26 24 92% Surface Lot MOB Parking Lot 517 298 58% Surface Lot MOB Physician Lot 95 76 80% Surface Lot Hospital Physician lot 100 61 61% Source: Walker Parking Consultants, 2001 20