Developing Health Care

Commentary on Developing Medical Office Buildings and Surgery Centers

Current Project Chronicles (August 27, 2010) - Southwest Orthopedic and Spine Hospital
August 27, 2010

This past week we have worked on or accomplished these activities:

  • Exterior wall framing at the second/third floor levels is about 85% complete all the way around the building
  • Parapet sheathing at the high roof is 50% completed
  • Both stair towers are erected structurally and decked
  • Main entrance steel canopy was put into place this week by the iron workers
  • West elevation stair tower concrete was placed (stairs, landings at both floor levels)
  • South elevation stair tower concrete slab on grade was placed
  • Fire line and domestic water line is installed on the south elevation of the building and will be inspected by the city and fire marshal on 8/30
  • First and second floor electrical in wall rough in continues
  • First floor overhead ductwork continues
  • First floor overhead mechanical piping continues
  • First floor sprinkler piping continues
  • Second floor plumbing rough in continues
  • Third floor interior wall layout is complete
  • Third floor coring for plumbing continues
  • Fire caulking and sound proofing started this past week on the first floor
  • Fire taping of top out board started this past week on the first floor
  • Structural steel fire proofing is 75% complete

A significant amount of work is taking place weekly, most of which is the framing and overhead mechanical rough ins. The rain this past week has had some effect on exterior work. Our focus right now is getting the building sheathed and the high roof down to where it is substantially dried in, the low roof is substantially dried in. We currently have  90+ men working onsite. As more areas open up, we will continue to add to that number to ensure we stay as productive as possible. We continue to push hard as we approach a holiday weekend next week, and the job will be shut down on Monday, September 6 for Labor Day.

Current Project Chronicles (August 20, 2010) - Southwest Orthopedic and Spine Hospital
August 20, 2010

The following work activities have taken place this past week:

  • Slab on grade at the kitchen was placed
  • The second floor fireproofing is substantially complete
  • Exterior framing continues on the second and third floors
  • Overhead mechanical rough-ins continue (plumbing, duct work, mechanical piping, sprinkler piping)
  • Miscellaneous steel work at the stair towers and mechanical screen walls are getting closer to being completed
  • Electrical in wall rough-ins continue
  • Fire line and domestic water line are being installed on site
  • Roofing crew has mobilized on the high roof
  • Interior drywall (Dense Armor) is going in at the top out locations through the first floor for the fire rated walls
  • Interior drywall is being fire taped
  • Interior door frames arrived
  • High roof mechanical curbs are being set/installed

We are aggressively pushing the job–this weekend will make the 7th consecutive Saturday we have worked. The weather this past week was mostly cooperative, but we did experience some rain Monday evening which really saturated the site Tuesday. The safety and quality of work being put in place is excellent, and we couldn’t be more pleased in that regard.

Current Project Chronicles (August 13, 2010) - Southwest Orthopedic and Spine Hospital
August 13, 2010

We are making good progress on the fireproofing, currently on the second floor. Wall layout and framing is running concurrent on all three floors as of this past Wednesday. The electrician is roughing in all in wall boxes on the first floor for power and data. The mechanical contractors continue overhead mechanical work on the first floor (wet and dry systems). This past week the site utility contractor has been working on running the fire line service under 40th street to the building site.

We continue the steel work although most of what is left is miscellaneous detail work. The roof continues to make progress (weather cooperating), and we are almost ready to pour the remaining section of slab on grade at the kitchen. The interior wall layout is substantially completed through the second floor, and we have crews on floor three laying out as of yesterday. We are still waiting on permanent power from APS so all work being put in place is being powered by three diesel generators.

Current Project Chronicles (August 6, 2010) - Southwest Orthopedic and Spine Hospital
August 6, 2010

Since May 19th, we have erected over 520 tons of structural steel and have 95% of the buildings concrete (slabs/decks) in place. This past Sunday night we had cooperating weather so we were able to place the last section of slab on deck at the third floor.

We are making good progress on the first floor fireproofing of the structural steel, which has allowed us to begin hanging the overhead duct work in the Pre-Op and PACU area. The second floor bed tower is 100% laid out for interior walls, and we actually have a substantial amount of exterior walls built on this floor. The exterior walls on the south and west elevation are currently being sheathed.

By the end of today, we should have the low roof down to where we are substantially dry on the first floor thanks to clear days; the weather has been much more cooperative this week then last week.

We are in the process of making the fire line taps on 40th street that will provide fire protection (sprinklers) for the hospital; this is a tedious process where the city is involved with numerous inspections and observations.

The plumbers are working this Saturday on layout for patient rooms on the second floor and coring concrete for their piping runs.

We are very happy with this past week’s performance.

Current Project Chronicles (July 31, 2010) - Southwest Orthopedic and Spine Hospital
July 31, 2010

This past week we have really been standing lots of interior walls on the first floor. We also placed the first section of concrete deck up on the third floor and completed the concrete curb on the second floor that separates the low roof from the bed towers. The remaining third floor section left to pour is now scheduled for tomorrow (Sunday) night. We are working today, Saturday, blowing the rain water out of the deck where we will be working Sunday night. We have a limited area within the building on the first floor where we have been able to fireproof the steel structure and actually started hanging some duct work. APS has set the buildings transformers and should start pulling and landing primary wiring for us hopefully this week, worst case next week. The building’s sanitary sewer lines are about 90% completed, and we just got started on the storm sewer lines. We anticipate being able to make the water main taps within the next two weeks pending the cities civil inspector’s approval of the sanitary sewer tie in. We just started interior wall layout on the second floor yesterday and should begin some additional exterior wall framing this coming week. Overall it has been a safe week; the rains did hurt somewhat this past week, and the site is extremely saturated.

Current Project Chronicles (July 23, 2010) - Southwest Orthopedic and Spine Hospital
July 26, 2010

As you can see from the attached pictures, the work crews have been very busy onsite this past week. 

  1. Sanitary sewer is being installed
  2. Portion of the mech yard footing was placed
  3. Transformer pads were set for APS transformers
  4. Roofing is being installed over the low roof
  5. Exterior walls at the south and west elevations are built
  6. Interior walls are going up and second floor wall layout between column lines 11 and 6 started today
  7. Overhead plumbing , i.e. roof drains are being installed at the low roof
  8. Mechanical stub ups/penetrations are installed at the low roof
  9. Expansion joint separation wall is built and sheathed at the low roof
  10. Second floor slab on deck has been placed along with a portion of the curb
  11. Third floor steel deck is almost ready for concrete - concrete to be placed here next week
  12. Roof decking is being installed
  13. Elevator hydraulic jacks were set in place
  14. Overhead mechanical hangers continue to be installed
  15. Building lightning protection system conduits have been installed at exterior column locations
Current Project Chronicles (July 17, 2010) - Southwest Orthopedic and Spine Hospital
July 19, 2010

This week we have been working the entire project site, such as:

  1. Taping the sewer main at 40th street that the hospital sewer will feed
  2. Laying the gas line for Southwest Gas
  3. Completed placing the concrete site light pole bases within the parking areas and driveways
  4. Started exterior wall framing
  5. Continuation of interior wall layout
  6. Set the first set of permanent stairs within the building
  7. Began decking the third floor and installed safety perimeter cable
  8. Resumed work at the roof level - setting the final section of structural steel at the roof line
  9. Continued misc detail welding on the structure under the supervision of the special inspector
  10. Continuation of overhead mechanical & electrical rough in work, i.e. installing sleeves in the deck for electrical runs, setting roof drains and laying out hangers that will support duct work and piping

We placed our first elevated concrete deck on the second floor the morning of July 17–a picture of the concrete going down at the second floor level is included below. It has been a productive and safe work week. However it has been very hot, the last three days the iron workers have had to come down off the steel around 11:00 am due to the heat and potential risk this heat exposes them to (heat exhaustion/stroke and falls). To stay productive instead of erecting  steel after 11:00 a.m., we mostly catch up on the detail welds and misc work.

Current Project Chronicles (July 10, 2010) - Southwest Orthopedic and Spine Hospital
July 12, 2010

This past week has been very busy–activities included:

  • Roughed in the electrical conduit for the parking lot light poles
  • Drilled the light pole bases
  • Poured most of the light pole bases
  • Connected the building sewer and water lines to the utility sewer and water lines at the mechanical yard and passed the City of Phoenix Inspection for this
  • Second floor elevated deck is substantially completed, fastened and shear studs are in place for the first section to be poured
  • Performed numerous misc and detail welds per the structural design
  • Relocated the crane back to catch the roof line steel on the N elevation
  • Continued overhead layout for mechanical
  • Mobilized the wall framing contractor and have started preliminary interior wall layouts
  • Shot the second floor elevations for levelness in preparation of mobilizing the elevated concrete deck crew this coming week

We are working the iron workers today (Saturday). The last couple of days this past week were extremely hot, thankfully this morning we have a breeze and scattered rain showers around the valley.

Next week we will be very busy onsite with additional trades mobilizing.

Current Project Chronicles (July 2, 2010) - Southwest Orthopedic and Spine Hospital
July 2, 2010

The steel structure is very close to being 100% complete. We have a significant amount of detail work and welding to perform. The electrical for the parking lot lighting was roughed in this past week. Footings for the site wall parallel to 40th street was placed this past week as well. The utility contractor continues to progress with the rough in for APS. Overall it has been another good week in regards to safety and productivity.

Current Project Chronicles (June 25, 2010) - Southwest Orthopedic and Spine Hospital
June 25, 2010

This week we began overhead layout and some rough-in work for the HVAC ductwork under the low roof section of the building. There is a significant amount of coordination taking place right now onsite as well as using 3D modeling of the mechanical and electrical systems that will run overhead in the ceilings.

We have also started excavating for the site walls that surround the mechanical yard as well as the site wall parallel to 40th street.

Steel work continues to progress nicely even though we have experienced extreme heat the last three days.

We are starting to ramp up again with the mechanical and electrical trade subcontractors along with the concrete sub. The utility contractor started Thursday trenching for the primary power feed that will provide power to the hospital. This work is approximately 5-6 weeks from being completed due to coordination with APS and SW Gas.

We are happy to report another safe and productive work week is behind us.