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4.1.1 New Buildings
New buildings shall comply with the provisions of this standard.
4.1.2 Existing Buildings
4.1.2.1 Additions to Existing Buildings
Additions shall comply with the provisions of this standard.
4.1.2.2 Alterations to Existing Buildings
Portions of a heating, ventilating, and air-conditioning system and other systems and equipment that are being altered shall comply with the applicable requirements of this standard.
4.1.2.2.1 Heating, Ventilation, and Air-Conditioning System Alterations
Alterations to mechanical systems serving the building heating, cooling, or ventilating needs shall comply with the requirements of Section 6, "Systems and Equipment," applicable to those specific portions of the building and its systems that are being altered. Any new mechanical equipment installed in conjunction with the alteration as a direct replacement of existing mechanical equipment shall comply with the provisions of Sections 6.2, 6.4, 6.5, and 6.6.
4.1.2.2.2 Space Alterations
Alterations to spaces listed in Table 6.4 shall comply with the requirements of Sections 6.7, 7, 8, and 9, applicable to those specific portions of the building and its systems that are being altered. Any alteration to existing health care space in a building that will continue to treat patients during construction shall comply with Sections 10.1, 10.3, 10.4, and 10.5.

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