OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION

“Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs”

APPLICATION FOR OSHPD PREAPPROVAL OF MANUFACTURER’S CERTIFICATION (OPM)

OFFICE USE ONLY

APPLICATION #: OPM-0046-13 OSHPD Preapproval of Manufacturer’s Certification (OPM)

Type: x New Renewal Update to Pre-CBC 2013 OPA Number:

Manufacturer Information

Manufacturer: Quantum Storage Systems

Manufacturer’s Technical Representative: Charlie Nicely- Dean Cohen

Mailing Address: 15800 NW 15 AVE Miami, FL 33169

Telephone: 800-685-4665 Email: dean@quantumstorage.com

Product Information

Product Name: Chrome Wire

Product Type: Wire shelving products and accessories

Product Model Number:

General Description: All welds wire shelves and posts create sturdy shelving systems with flexibility to add or remove shelves when needed

Applicant Information

Applicant Company Name: Seizmic Inc.

Contact Person: Meredith Young

Mailing Address: 161 Atlantic st. Pomona, CA 91768

Telephone: 909-869-0989 Email: OPERATIONS@SEIZMICINC.COM

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: Meredith Young

Date: 7-01-2013

Title: Operations assistant Company Name: Seizmic INC

12/11/2013 OPM-0046-13: Reviewed for Code Compliance by Jeffrey Y. Kikumoto Page 1 of 3

Jeffrey Y. Kikumoto

OPM-0046-13

12/11/2013

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 5/30/13) Page 2 of 2

Registered Design Professional Preparing Engineering Recommendations

Company Name:

Seizmic INC.

Name: Sal Fateen California License Number: 25969

Mailing Address: 161 Atlantic st. Pomona Pomona, CA 91768

Telephone: 909-869-0989 Email: OPERATIONS@SEIZMICINC.COM

OSHPD Special Seismic Certification Preapproval (OSP)

Special Seismic Certification is preapproved under OSP- (Separate application for OSP is required)

Special Seismic Certification is no preapproved

Certification Method(s)

Testing in accordance with: ICC-ES AC156 FM 1950-10

Other* (Please Specify):

*Use of criteria other than those adopted by the California Building Standards Code, 2013 (CBSC 2013) for component supports and attachments are not permitted. For distribution system, interior partition wall, and suspended ceiling seismic bracings, test criteria other than those adopted in the CBSC 2013 may be used when approved by OSHPD prior to testing.

Analysis

Experience Data

Combination of Testing, Analysis, and/or Experience Data (Please Specify):

List of Attachments Supporting the Manufacturer’s Certification

Test Report Drawings Calculations Manufacturer’s Catalog

Other(s) (Please Specify):

OFFICE USE ONLY – OSHPD APPROVAL VALID FOR CBC 2013 ONLY

Signature: Date: December 11, 2013

Print Name: Jeffrey Y. Kikumoto

Title: Senior Structural Engineer

Condition of Approval (if applicable):

12/11/2013 OPM-0046-13: Reviewed for Code Compliance by Jeffrey Y. Kikumoto Page 2 of 3

Jeffrey Y. Kikumoto

OPM-0046-13

12/11/2013

1"

18 GA.

7" 2 7/8"

7"

2 7/8"

1 7/16"

1 1/2"

1/4"

4 3/8"

2 7/16"3 3/16"

Ø1/4"

Ø1/4"

3/16"

STANCHION TUBE:1" SCH 5 PIPE

(ASTM A53/A53M-12 GR-B) FOOT PLATE: CARBON STEEL PLATE(ASTM A36 / A36M-12)

4"

Ø9/16"

1/2"Ø HILTI KB-TZANCHOR

SOIL

SLAB ON GRADE

(2) ANCHORS REQ'D PER FOOT PLATE

1

2

(2) 0.1875"Ø CLEVIS PINSW/ COTTER PINS

(2) CLEVIS PINS W/ COTTER PINSREQ'D PER CONNECTION

(PERPENDICULAR TO ONE ANOTHER)

Tu Tu

Vu Vu3 1/4" MIN.EMBMNT.

TYPE 48 x 18: Tu = 1,662#/ANCHOR Vu = 287#/ANCHOR

TYPE 48 x 24: Tu = 1,735#/ANCHOR Vu = 397#/ANCHOR

TYPE 60 x 24: Tu = 1,732#/ANCHOR Vu = 407#/ANCHOR

4

1

2 3 TYP

V-ATYP

7"MIN.

7"MIN.

SLAB EDGEOR

OPENING

BASEPLATE

ANCHOR

MAXIMUM WEIGHTOF CONTENTS:

XXX*# PER LEVEL

* FOR XXX# PER LVLSEE NOTE GENERAL NOTE #6

20.750"

46.416"

47.586"

23.836"

2.041"

4.876"

22.666"

Ø0.25"Ø0.25"

0.125"

0.118"

1.320"

0.813"

2.438"

Ø0.25"

Ø0.162" 1.200"

Ø0.25"

0.700"

1.425"

Ø1.310

1.563"

Ø0.25"

Ø0.25"0.090" THK.Ø0.144" x 56

Ø1.130"

48" NOMINAL 24" NOMINAL

74"

9"

15"

15"

15"

15"

FRONT VIEW SIDE VIEW

24" CENTEROF GRAVITY

12" CENTEROF GRAVITY

MAXIMUM WEIGHTOF CONTENTS:

200# PER LEVEL

74"

48" NOMINAL 18" NOMINAL

74"

9"

15"

15"

15"

15"

FRONT VIEW SIDE VIEW

24" CENTEROF GRAVITY 9" CENTER

OF GRAVITY

MAXIMUM WEIGHTOF CONTENTS:

140# PER LEVEL

74"

Fp = 876# (LRFD)

C.G. WT. = 779#

60" NOMINAL 24" NOMINAL

74"

9"

15"

15"

15"

15"

FRONT VIEW SIDE VIEW

30" CENTEROF GRAVITY

12" CENTEROF GRAVITY

MAXIMUM WEIGHTOF CONTENTS:

200# PER LEVEL

74"

TYPE 48 x 18 TYPE 48 x 24 TYPE 60 x 24

46.8765" 46.8765" 46.8765" 46.8765" 46.8765" 46.8765"

Fp = 1213# (LRFD)

C.G. WT. = 1078#

Fp = 1244# (LRFD)

C.G. WT. = 1106#

METAL SPLIT SLEEVES

SHELF COLLAR

2 PIECE METAL SPLITSLEEVES WRAPS COLUMN

AND IS HELD IN PLACE WITHTHE SHELF COLLAR

1 3/4"

10.04" THK. RETAINER

4

TYP.1/8"

Ø0.22"

Ø0.125"

Ø0.18" 1 1/2" 1" 1 1/2"4"

4"

1 7/16"1 1/8"

1 7/16"

4"

AD

DR

ES

S:

DRAWING NUMBER:

DESCRIPTION:

DRAWN BY:

DATE:

LAST REV. BY:

REV. DATE:

APRV'D BY: SAL E. FATEEN

TYPE:

SEIZMIC

Tel.(909)869-0989

Pomona, California

EST. 1985

ENGINEERING, INC.161 Atlantic Street

Fax (909)869-0981

91768

DA

TER

EV

.B

YD

ES

CR

IPTI

ON

SCALE: N.T.S.

QU

AN

TUM

STO

RA

GE

SY

STE

MS

M.V. / A.M.

04/16/13

QUA

LIGHT DUTYSTORAGEFIXTUREDETAILS

12-1300-A

GENERAL NOTES:1. THIS OSHPD PREAPPROVAL OF MANUFACTURER'S CERTIFICATION (OPM) IS BASED ON THE CBC 2013. THE DEMAND (DESIGN FORCES) FOR USE WITH THIS OPM SHALL BE BASED ON THE CBC 2013.2. THIS PREAPPROVAL CONFORMS TO THE 2013 CBC WHERE SDS IS NOT GREATER THAN 2.53. FORCES ARE PER ASCE 7-10 SECTION 13.3.1, EQUATIONS 13.3-1, 13.3-2 & 13.3-3 WHERE SDS = 2.5, ap = 1.0, Ip = 1.5, Rp = 2.5, Ωo = 2.5 & z/h = 0.0 AT CONCRETE SLAB ON GRADE ONLY.4. THIS PRE-APPROVAL COVERS THE SUPPORTS AND ATTACHMENTS OF THE UNIT TO THE HOSPITAL BUILDING'S STRUCTURE. THE UNIT, INCLUDING THE FOOTPLATE, IS SUPPLIED BY QUANTUM. THE EXPANSION ANCHORS SHOWN ON THE DRAWINGS SHALL BE SUPPLIED & INSTALLED BY THE CONTRACTOR.5. ALL DESIGN FORCES SHOWN ON THE DRAWINGS ARE FACTORED LOADS THAT SHALL BE USED FOR STRENGTH DESIGN.6. STORAGE CAPACITY: TYPE 48 x 18 = 140# PER LEVEL

TYPE 48 x 24 = 198# PER LEVELTYPE 60 x 24 = 200# PER LEVEL

NOTE:DESIGN BASED ON:

SDS = 2.5 I = 1.5 z/h = 0.0 ap = 1.0 Rp = 2.5 Ωo = 2.5

GROUND FLOOR INSTALLATIONSLAB ON GRADE ONLY

RESPONSIBILITIES OF THE SEOR OF THE BUILDING:1. PROVIDE SUPPORTING STRUCTURE TO SUPPORT WEIGHTS AND FORCESSHOWN IN ADDITION TO ALL OTHER LOADS.2. VERIFY INSTALLATION IS IN CONFORMANCE WITH THE 2013 CBC AND WITHTHE DETAILS.3. VERIFY THAT PROJECT SPECIFIC VALUES OF SDS & z/h RESULTS INSEISMIC FORCES (Eh & Ev) THAT DO NOT EXCEED THE VALUES ON THEDETAILS.4. VERIFY THAT THE CONCRETE SLAB TO WHICH THE EQUIPMENT ISANCHORED MEETS THE REQUIREMENTS OF THE APPLICABLE ICC-ES ESR5. VERIFY THAT THE ANCHORS ARE AT ADEQUATE DISTANCES FROM ANYSLAB EDGE OR OPENINGS (REFER TO DETAIL 6)6. VERIFY THAT ALL NEW OR EXISTING ANCHORS ARE AN ADEQUATEDISTANCE FROM THE UNIT ATTACHMENTS & CHECK FOR INTERACTIONWHERE OTHER ANCHORS ARE WITHIN 18" OR 6hef FROM THIS UNITSANCHORS.

NOTES:1. THIS PREAPPROVAL ALLOWS FOR UP TO A MAXIMUM OF 2 ADJACENTCONCRETE SLAB EDGES 7" AWAY FROM MINIMUM FROM CORNER (2DIRECTIONS)2. TESTING OF EXPANSION ANCHORS PER 2013 CBC 1913A.7; TENSIONTESTING SHALL BE DONE IN THE PRESENCE OF THE SPECIAL INSPECTORAND A REPORT OF THE TEST RESULTS SHALL BE SUBMITTED TO OSHPD. a. AFTER 24 HOURS MINIMUM HAVE ELAPSED SINCE INSTALLATION, DIRECT PULL TENSION TEST AT LEAST 50% OF THE ANCHORS. b. ACCEPTANCE CRITERIA:

1. DIRECT TENSION TEST; ANCHOR SHALL HAVE NO OBSERVABLE MOVEMENT AT THE TEST LOAD. A PRACTICAL WAY TO DETERMINE OBSERVABLE MOVEMENT IS THAT THE WASHER BECOMES LOOSE.2. TORQUE TEST: THE APPLICABLE TORQUE FOR TORQUE CONTROLLED EXPANSION ANCHOR SHALL BE ACHIEVED WITHIN THE 1/2 TURN OF THE NUT.

c. IF ANY ANCHOR FAILS, TEST ALL ANCHORS.

EXPANSION ANCHORS:PER ESR-1917 & ACI 318-11ANCHORDIA (IN)

1/2

CONC.TYPE

NORMAL

MIN f'c(PSI)3,000

ANCHORTYPEKB-TZ

ICC-ESESR No

1917

MIN.EMBED3 1/4"

MIN.SPACING

4"

MIN.EDGE DIST.

7"

MIN. CONC.THICKNESS

6"

TORQUETEST (LBS)40 LBS-FT

DIRECTTENSION (LBS)

2,344 LBS

MATERIAL REQUIREMENTS:CLEVIS PIN: 0.1875"Ø Fy = 36,000 PSI, GRADE 36.FOOTPLATE: CARBON STEEL PLATE (ASTM A36/A36M-12)FOOTPLATE SLEEVE (VERTICAL TUBE): 1" SCH. 5 PIPE (ASTM A53/A53M-12 GR-B)WELD: E60XXALL BOLTS: A307 (UNLESS OTHERWISE NOTED).ANCHORS: HILTI KWIK BOLT TZ, ICC #ESR-1917.CONCRETE: 6" THICK NORMAL WEIGHT f'c = 3,000 PSI.

No. 25969

EXPIRES12-31-2015

12/11/2013 OPM-0046-13: Reviewed for Code Compliance by Jeffrey Y. Kikumoto Page 3 of 3

Jeffrey Y. Kikumoto

OPM-0046-13

12/11/2013