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“Access to Safe, Quality Healthcare Environments that Meet California’s Diverse and Dynamic Needs” OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OSH-FD-700 (REV 12/16/15) Page 1 of 2 APPLICATION FOR OSHPD PREAPPROVAL OF MANUFACTURER’S CERTIFICATION (OPM) OFFICE USE ONLY APPLICATION #: OPM-0450-13 OSHPD Preapproval of Manufacturer’s Certification (OPM) Type: New Renewal Update to Pre-CBC 2013 OPA Number: Manufacturer Information Manufacturer: Germfree Laboratories, Inc. Manufacturer’s Technical Representative: Ronald Lavicott Mailing Address: 4 Sunshine Blvd. Ormond Beach, FL 32174 Telephone: 386-265-4343 Email: [email protected] Product Information Product Name: Horizontal Laminar Airflow Workstation Product Type: ISO 5 / Class 100 Horizontal Laminar Flow Hood Product Model Number: BZ-3, BZ-4, BZ-6 General Description: ISO 5 / Class 100 Horizontal Laminar Flow Hood designed for the handling of materials in a sterile working environment. Applicant Information Applicant Company Name: Sun Structural Engineering, Inc. Contact Person: Changhua Sun Mailing Address: 2091 Las Palmas Dr. Suite D Carlsbad, CA. 92011 Telephone: (760)438-1188 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, 2016. Signature of Applicant: Date: 9-20-2017 Title: President Company Name: Sun Structural Engineering, Inc. Jeffrey Y. Kikumoto OPM-0450-13 11/14/2017 11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto 1 of 10

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Page 1: OSHPD PREAPPROVAL OF MANUFACTURER'S CERTIFICATION (OPM) · PDF fileJeffrey Y. Kikumoto OPM-0450-13 11/14/2017 11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto

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

OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION  

STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OSH-FD-700 (REV 12/16/15) Page 1 of 2

 

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

OFFICE USE ONLY

APPLICATION #: OPM-0450-13

OSHPD Preapproval of Manufacturer’s Certification (OPM)

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

Manufacturer Information

Manufacturer: Germfree Laboratories, Inc.

Manufacturer’s Technical Representative: Ronald Lavicott

Mailing Address: 4 Sunshine Blvd. Ormond Beach, FL 32174

Telephone: 386-265-4343 Email: [email protected]

Product Information

Product Name: Horizontal Laminar Airflow Workstation

Product Type: ISO 5 / Class 100 Horizontal Laminar Flow Hood

Product Model Number: BZ-3, BZ-4, BZ-6

General Description: ISO 5 / Class 100 Horizontal Laminar Flow Hood designed for the handling of materials in a

sterile working environment.

Applicant Information

Applicant Company Name: Sun Structural Engineering, Inc.

Contact Person: Changhua Sun

Mailing Address: 2091 Las Palmas Dr. Suite D Carlsbad, CA. 92011

Telephone: (760)438-1188 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, 2016.

Signature of Applicant: Date: 9-20-2017

Title: President Company Name: Sun Structural Engineering, Inc.

 

Jeffrey Y. Kikumoto

OPM-0450-13

11/14/2017

11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto 1 of 10

Page 2: OSHPD PREAPPROVAL OF MANUFACTURER'S CERTIFICATION (OPM) · PDF fileJeffrey Y. Kikumoto OPM-0450-13 11/14/2017 11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto

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

OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION  

STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY OSH-FD-700 (REV 12/16/15) Page 2 of 2

 

Registered Design Professional Preparing Engineering Recommendations

Company Name: Sun Structural Engineering, Inc.

Name: Changhua Sun California License Number: S4609

Mailing Address: 2091 Las Palmas Dr. Suite D Carlsbad, CA. 92011

Telephone: (760)438-1188 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 1950-16

Other* (Please Specify):

*Use of criteria other than those adopted by the California Building Standards Code, 2016 (CBSC 2016) 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 2016 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 2016 & ALL PRE-2016 CODE BASED PROJECTS

Signature: Date: 11-14-2017

Print Name: Jefffrey Kikumoto

Title: SSE

Condition of Approval (if applicable):

 

 

Jeffrey Y. Kikumoto

OPM-0450-13

11/14/2017

11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto 2 of 10

Page 3: OSHPD PREAPPROVAL OF MANUFACTURER'S CERTIFICATION (OPM) · PDF fileJeffrey Y. Kikumoto OPM-0450-13 11/14/2017 11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto

Jeffrey Y. Kikumoto

OPM-0450-13

11/14/2017

11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto 3 of 10

Page 4: OSHPD PREAPPROVAL OF MANUFACTURER'S CERTIFICATION (OPM) · PDF fileJeffrey Y. Kikumoto OPM-0450-13 11/14/2017 11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto

Jeffrey Y. Kikumoto

OPM-0450-13

11/14/2017

11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto 4 of 10

Page 5: OSHPD PREAPPROVAL OF MANUFACTURER'S CERTIFICATION (OPM) · PDF fileJeffrey Y. Kikumoto OPM-0450-13 11/14/2017 11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto

Jeffrey Y. Kikumoto

OPM-0450-13

11/14/2017

11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto 5 of 10

Page 6: OSHPD PREAPPROVAL OF MANUFACTURER'S CERTIFICATION (OPM) · PDF fileJeffrey Y. Kikumoto OPM-0450-13 11/14/2017 11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto

Jeffrey Y. Kikumoto

OPM-0450-13

11/14/2017

11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto 6 of 10

Page 7: OSHPD PREAPPROVAL OF MANUFACTURER'S CERTIFICATION (OPM) · PDF fileJeffrey Y. Kikumoto OPM-0450-13 11/14/2017 11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto

Jeffrey Y. Kikumoto

OPM-0450-13

11/14/2017

11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto 7 of 10

Page 8: OSHPD PREAPPROVAL OF MANUFACTURER'S CERTIFICATION (OPM) · PDF fileJeffrey Y. Kikumoto OPM-0450-13 11/14/2017 11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto

Jeffrey Y. Kikumoto

OPM-0450-13

11/14/2017

11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto 8 of 10

Page 9: OSHPD PREAPPROVAL OF MANUFACTURER'S CERTIFICATION (OPM) · PDF fileJeffrey Y. Kikumoto OPM-0450-13 11/14/2017 11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto

Jeffrey Y. Kikumoto

OPM-0450-13

11/14/2017

11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto 9 of 10

Page 10: OSHPD PREAPPROVAL OF MANUFACTURER'S CERTIFICATION (OPM) · PDF fileJeffrey Y. Kikumoto OPM-0450-13 11/14/2017 11/14/2017 OPM-0450-13: Reviewed for Code Compliance by Jeffrey Kikumoto

Jeffrey Y. Kikumoto

OPM-0450-13

11/14/2017

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