- A series of planned changes and updates to the physical plant of an existing facility
- A renovation project that includes modification of an entire building or an entire area in a building to accommodate a new use or occupancy
- Only the altered, renovated, or modernized portion of an existing building system or individual component shall be required to meet the installation and equipment requirements in the Guidelines.
- When such construction impairs the performance of the balance of an affected building system, upgrades to that system shall be required beyond the limits of the project to the extent required to maintain existing operational performance.
- Routine repairs and maintenance to buildings, systems, or equipment. This project type does not require improvements to building features or systems.
- Replacement of building furnishings and movable or fixed equipment. These projects only require improvements to building systems that serve the equipment being replaced and only to the extent necessary to provide sufficient capacity for the replacement.
- Minor changes to the configuration of an existing space do not require upgrade of the entire space.
- Cosmetic changes or upgrades to an existing space do not require an upgrade of the entire space.
- Improvements to a building system or a space that cannot reasonably meet the requirements of this document should be permitted provided the improvement does not impair other systems or functions of the building.
- Existing systems that are not in strict compliance with the provisions of this document should be permitted to continue in use, unless the AHJ has determined that such use constitutes a distinct hazard to life.
- Replacement of mechanical, electrical, plumbing, and fire protection equipment and infrastructure for maintenance purposes due to the failure or degraded performance of the components being replaced should be permitted provided the health and safety in the facility is maintained at existing levels.
- Federal accessibility standards. The Americans with Disabilities Act (ADA), which became law in 1990, extends comprehensive civil rights protection to individuals with disabilities. Under Titles II and III of the ADA, health care facilities are required to comply with the Americans with Disabilities Act Standards for Accessible Design for alterations and new construction. The Uniform Federal Accessibility Standards (UFAS) also provides criteria for accessible design. Individual federal agencies provide direction on applicable criteria to be used for the design of federal facilities.
- State and local accessibility standards. Many state and local jurisdictions have adopted ICC A117.1: Accessible and Usable Buildings and Facilities, which is also available for use in providing quality design for the disabled. However, some state and local standards for accessibility and usability are more stringent than ADA, UFAS, or ICC/ANSI A117.1. Designers and owners, therefore, are responsible for verification of all applicable requirements.
- NEHRP Recommended Seismic Provisions for New Buildings and Other Structures
- International Building Code
- Clean Air Act (CAA)
- National Environmental Policy Act (NEPA)
- Occupational Safety and Health Act (OSHA)
- Resource Conservation and Recovery Act (RCRA)
- Safe Drinking Water Act (SDWA)
- Superfund Amendments and Reauthorization Act (SARA)
- Toxic Substance Control Act (TSCA)
- Part 20 (10 CFR 20), Standards for Protection Against Radiation
- Part 35 (10 CFR 35), Medical Use of Byproduct Material