OSHPD PREAPPROVAL OF MANUFACTURER'S … · 07/08/2015 OPM-0200-13: ... ICC-ES AC156 FM 1950-10...
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OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION “Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs” STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OSH-FD-700 (REV 1/24/13) Page 1 of 2 APPLICATION FOR OSHPD PREAPPROVAL OF MANUFACTURER’S CERTIFICATION (OPM) OFFICE USE ONLY APPLICATION #: OPM-0200-13 OSHPD Preapproval of Manufacturer’s Certification (OPM) Type: New Renewal Update to Pre-CBC 2013 OPA Number: Manufacturer Information Manufacturer: Pentair Equipment Protection Manufacturer’s Technical Representative: Nate Westby Mailing Address: 2100 Hoffman Way, Anoka, MN. 55303 Telephone: (763) 422-2660 Email: [email protected] Product Information Product Name: Cabinet Rack Product Type: Communication Equipment Product Model Number: ENC2178S, ENC2189S, ENC21710S, ENC21712S General Description: Hoffman Pentair Cabinet Closed frame LAN rack is designed to hold electronic equipment in communication data centers and telecommunication rooms. Applicant Information Applicant Company Name: EASE Co. Contact Person: Jonathan Roberson, S.E. Mailing Address: 5877 Pine Ave. Suite 210, Chino Hills, CA. 91709 Telephone: (909) 606-7622 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: 3/12/15 Title: Principal Engineer Company Name: EASE Co. 07/08/2015 OPM-0200-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 1 of 10 a a C C N N a a C C C N N t t C C N N n a t a a C C n a a a a C C n a a C t b b 2 c c b b 2 i i n n n n e N e n N e n N C t t C C t C C a t C Ca a C 2 a at C 2 ab ta C b a bi a o i c o n c o s n s e e e e et d t d d t d d d C d C C f t l f o r o a a s a l s m e m e m e m d e d d e d f f t L r L a A a A A m A m A m m N N e e r r L a L a A c A c A k k N k t N t i s r s a a i d a d c S c S S e k e k s o s o t s o s o i o i o s g o g o s g m g m g m n m n m n m d n n s d e e e S s o s o s o i o g m g m n m n e 189S, ENC21710S, ENC21712S net Closed frame LAN rack is de 189S, ENC21710S, ENC21712S inet Closed frame LAN rack is de centers and telecommunication r centers and telecommunication ro Emai Nate.west uipmen 8S, E entair Cabinet Closed frame LAN rack is designed to tion data centers and telecommunication rooms. on S il: west u 78 entair Cabinet Closed frame LAN rack is designed to h at en EN Cabinet Closed frame LAN rack is designe data centers and telecommunication rooms nta d to S, E pm ma il: Na on Jeffrey Jeffre Y. Y Kikumoto Kik moto OPM-0200-13 07/08/2015 / /
Transcript of OSHPD PREAPPROVAL OF MANUFACTURER'S … · 07/08/2015 OPM-0200-13: ... ICC-ES AC156 FM 1950-10...
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 1/24/13) Page 1 of 2
APPLICATION FOR OSHPD PREAPPROVAL OF MANUFACTURER’S CERTIFICATION (OPM)
OFFICE USE ONLY
APPLICATION #: OPM-0200-13
OSHPD Preapproval of Manufacturer’s Certification (OPM)
Type: New Renewal Update to Pre-CBC 2013 OPA Number:
Manufacturer Information
Manufacturer: Pentair Equipment Protection
Manufacturer’s Technical Representative: Nate Westby
Mailing Address: 2100 Hoffman Way, Anoka, MN. 55303
Telephone: (763) 422-2660 Email: [email protected]
Product Information
Product Name: Cabinet Rack
Product Type: Communication Equipment
Product Model Number: ENC2178S, ENC2189S, ENC21710S, ENC21712S
General Description:Hoffman Pentair Cabinet Closed frame LAN rack is designed to hold electronic equipment in communication data centers and telecommunication rooms.
Applicant Information
Applicant Company Name: EASE Co.
Contact Person: Jonathan Roberson, S.E.
Mailing Address: 5877 Pine Ave. Suite 210, Chino Hills, CA. 91709
Telephone: (909) 606-7622 Email: [email protected] 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: 3/12/15
Title: Principal Engineer Company Name: EASE Co.
07/08/2015 OPM-0200-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 1 of 10
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E1125844
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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: EASE Co.
Name: Jonathan Roberson, S.E. California License Number: S4197
Mailing Address: 5877 Pine Ave. Suite 210, Chino Hills, CA. 91709
Telephone: 909-606-7667 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 not preapproved
Certification Method(s)
Testing in accordance with: ICC-ES AC156 FM 1950-10
Other* (Please Specify):
*Use of test 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: 07/08/2015
Print Name: Jeffrey Kikumoto
Title: SSE
Condition of Approval (if applicable):
STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCYOSH-FD-700 (REV 1/24/13) Page 2 of 2
07/08/2015 OPM-0200-13: Reviewed for Code Compliance by Jeffrey Kikumoto Page 2 of 10
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