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Facilih� Namc: Providenrc E�crctt :1ledical Ccntcr Facility ID: 000058 <br /> Sitc Acldress: 916 PaciPc A��enuc <br /> r�����u, �vn vszo�� <br /> H���i��� n:��:�: <br /> Occupancy Gruup: 1 I.I Cunstniction Typc: 1 F.R. Applicable Code: 1997 UI3C <br /> Number of Apmiment units: 1'iA Pri��a�e occapancy: NA Two person oceupancy: NA <br /> Automatic Fire�prinkler System: �13 ❑13R �]13D ❑ Not Applicable <br /> Automatic Pire Alarm Systcm: � Yes ❑ Nut Applicable <br /> Compartmentation on all iloors rcquircd: �Ycs ❑Not Applicablc <br /> Special Egress Control Devices: NA <br /> Approved Smokc Control Systcm: ❑Ycs �Nu <br /> Maximum allowablc liccnsable Beds: 362 <br /> Bascd on size of rooms used for slceping NA Residents <br /> Bascd on sizc of common rooms NA Rcsidcnts <br /> The data abuve is based on the information preser.lcd tn the Department ot Hcalth Construction Review S�rvices. <br /> Any chnngc in the facility or facility program thal causes thc abore infortnation to bc inwrrect is suAject to <br /> rcview by UGH Construction Revicw Serviccs. Apprnval fur construction is not proval for licensure.A copy oP <br /> Ihis ccrtificatc��ill hc scnt to thc licensing a�ency. <br /> � ,� � . <br /> Approving Autha y <br /> � � <br /> � ���� <br /> �,��, 3 ���� Plan Rcvicw Comments for Project N 6824 <br /> He�ic�� Rcy-. A=Archiicc� Y'=Fire& Lite Saln} ti=Sanitnrian 111=�lechanicall Eleancal 5P=5mal1 Projects C=Conference Note <br />