Azita Footohi - Senior Comprehensive Thesis Project by Azita Footohi

NA TU RA L HEALING

NATURAL HEALING CENTER AZITA FOOTOHI COMPREHENSIVE PROJECT Interior Architecture Program College of Design University of Oregon, Eugene, Oregon Submitted for completion of a Bachelorâ&#x20AC;&#x2122;s Degree in Interior Architecture, June 2019.

Azita Footohi B. Interior Architecture Candidate June 2019 COMPREHENSIVE PREPARATION AND PLANNING

Esther Hagenlocher WINTER & SPRING COMPREHENSIVE DESIGN STUDIO

Linda Zimmer 2

NATURAL HEALING CENTER FORT VANCOUVER - VANCOUVER, WA

PROJECT BY - AZITA FOOTOHI

Thank you to everyone who inspired me to create this project and have helped me persevere through my fiveyear academic journey at the University of Oregon: Mom, Dad, and my sister, Parisa. Thank you for being my rock and support and encouraging me to believe in myself and all of my capabilities. To all the faculty who helped me grow as a student. Thank you for pushing me to be the best student I could be, and making my college experience so worthwhile. And to Dr. Newman. By introducing me to Holistic Medicine, and healing myself and my family, I couldnâ&#x20AC;&#x2122;t thank you more. Although you are no longer with us, your memory always remains with me and my family. And of course, to all of the wonderful friends I have made in the College of Design. You all helped me survive the chaos of the past five years!

â&#x20AC;&#x153;Health is more than the absence of disease. Health is about jobs and employment, education, the environment, and all of those things that go into making us healthy.â&#x20AC;? -Joycelyn Elders

TABLE OF CONTENTS

FINAL PROJECT

PROGRAMMING AND SITE ANALYSIS

TECHNICAL DESIGN CONSIDERATIONS

DESIGN PROCESS

PROJECT RESEARCH

ABSTRACT GUIDING PRINCIPLES COMPREHENSIVE PROJECT STATEMENT FINAL DESIGN PRESENTATION

PROGRAM SUMMARY DETAILED PROGRAM ADJACENCY DIAGRAM EXISTING CONDITIONS DOCUMENTATION SITE SELECTION ANALYSIS

CODE ANALYSIS & IMPLEMENTATION BUILDING SYSTEM APPROACH HVAC STRATEGY/BUILDING ENERGY STRUCTURAL STRATEGY LIGHTING DESIGN APPROACH FF&E SPECIFICATIONS/SCHEDULES

PARTI DIAGRAM EXPLORATION PRELIMINARY SCHEME EXPLORATION FIRST QUARTER REVIEW SECOND QUARTER REVIEW THIRD QUARTER REVIEW

INTERVIEWS/FIRST PERSON RESEARCH PRECEDENTS/CASE-STUDIES BIBLIOGRAPHY

CHAPTER 1

FINAL PROJECT

ABSTRACT

NATURAL HEALING CENTER FT. VANCOUVER POST HOSPITAL 700 E BARNES ROAD, VANCOUVER, WA 98661 TOTAL SQ. FT: 37,439 History, Innovation, and technological advancements are all words to describe the impact the Fort Vancouver Post Hospital made in the Pacific Northwest. Once a beacon of innovation during its heyday in the early twentieth century, the Post Hospital still stands as a notable landmark in the greater Vancouver area, visible from the Interstate-5. This proposal explores the adaptive reuse of a historical landmark into an innovative health facility, which hearkens back to its roots as a medical establishment. The components of a holistic medical facility will be further explored in order to gain an understanding of how those elements can be appropriately integrated into the historic Post Hospital, and how those elements can respond effectively to the Fort Complex as a whole. The Fort Vancouver Post Hospital is placed on a serene landscape, surrounded by an abundance of evergreen and pine trees, which emphasizes its Pacific Northwest roots. With the Fort Complex making the city of Vancouver a landmark in the region, the unique landscape supports its position as a national landmark. What makes the location of the hospital especially unique in the Fort Complex is its secluded approach via the streets in order to reach the hospital. This allows the visitor to drive through the complex and experience the site wholly amidst the approach to the hospital. By fully immersing oneself in the journey, a connection to the history and the significance of the site can be gained, which is also supported by the historical context podiums dispersed throughout the Fort Complex.

GUIDING PRINCIPLES

GUIDING PRINCIPLES ZONES With privacy increasing towards the back, there are multiple zones along the way for one to retreat in, whether they be zones for recreation, or relaxation.

CIRCULATION With all movement originating at the central hearth, all movement, henceforth, occurs around the perimeter of the building. This happens primarily in the glass gallery walkways, which flank the lobby core.

DEGREES OF PRIVACY As progression occurs towards the back end the building, the visitor will go through multiple layers of private zones, making the back of the building more private. Along the way, visitors have an opportunity to retreat from the public sphere.

ILLUMINATION The glass galleries provide a unique opportunity for light to enter the walkways of the building. Additionally, by opening the floor plates in the lobby core, this also allows for another way for the Post Hospital to get illuminated.

RADIATING USE The lobby core acts as the center of all activity and as the programmatic feature which connects the user to all other functions throughout the building. It also serves as the center of all activity and links the user and building not only on a horizontal axis, but on a vertical one as well.

COMPREHENSIVE PROJECT STATEMENT

PROGRAM DEVELOPMENT WHAT IS HOLISTIC MEDICINE?

Holistic medicine addresses healing for the entirety of the body, which means that the physical, mental and spiritual aspects of the body are being taken into consideration when healing an individual. Not only does holistic medicine prevent medicine, but it also assists in healing present ailments in the body. Another important element is that holistic healing aims to encourage the body to build strength to heal itself and implement the natural abilities inherently available in our physiology to stimulate healing without relying on drugs and medication. According to the American Holistic Health Association, founded in 1989, practitioners take the following elements into consideration during diagnosis and treatments: 1 o o o o o o

Physical Nutritional Environmental Emotional Spiritual Lifestyle

Treatment options include: o o o o o

Safe, natural, and effective treatment options which include lifestyle changes, self-care, and alternatives to conventional medicine and drugs Addressing the underlying cause of illness rather than treating only the symptoms Holistic physicians make it a goal to know their patients well in order to interpret what treatment options are most appropriate for their patients Preventing illness by tapping into the patient’s natural healing ability Seeing illness as a dysfunction of the whole body in its entirety rather than as an isolated event

"Optimal health is much more than the absence of sickness. It is the conscious pursuit of the highest qualities of the physical, environmental, mental, emotional, spiritual, and social aspects of the human experience." -American Holistic Health Association WHAT IS INTEGRATIVE CARE?

Integrative care is the process of integrating conventional medicine alongside holistic health care principals. The conventional health care method is considered “dehumanizing” since often, a traditional healthcare practitioner may spend about 10-15 minutes with their patients, whereas a holistic healthcare practitioner may spend up to 30-120 minutes with their patients. The holistic health care method is then integrated with traditional medicine to create a unique and comprehensive form of care.

Acupuncture Massage College; American Holistic Health Association

COMPREHENSIVE PROJECT STATEMENT INTENTIONS

The intention of this site is to become a â&#x20AC;&#x153;Wellness Centerâ&#x20AC;? that incorporates Natural Healing practices. This covers a broad spectrum of healing practices, but many fall under the same category of natural healing. The categories and sub-categories are as follows:2 -

Traditional alternative medicine o Acupuncture o Homeopathy o Chinese/Oriental Medicine o Naturopathy Body o Tai Chi o Massage o Yoga o Chiropractic Care Diet and Herbs o Dietary Supplements o Herbal Medicine o Nutrition/Diet External Energy o Qigong o Reiki Mind o Meditation (This encompasses many forms) Senses o Visualization and Guided Imagery

Based on personal experience under Homeopathic care, many Naturopathic Doctors can cover multiple areas of health care, such as Chinese/Oriental Medicine, administering herbal/dietary supplements and dietary/nutritional advice. Because these program elements deal with a significant amount of overlap, this can lead to the sharing of interior spaces which can be occupied at different times of the day. Because holistic medicine also encourages the connection to the natural elements, this can be an excellent opportunity to incorporate some of the programmatic spaces with the outdoors, especially since the front lawn leading to the main entry of the building is large enough to accommodate various activities. For instance, the yoga or tai chi sessions can be held outdoors when the whether permits for outdoor activities. Another opportunity to integrate the outdoors is to hold the sessions with the Naturopathic Doctor or Homeopathist outdoors.

Johns Hopkins Medicine

COMPREHENSIVE PROJECT STATEMENT

NATURAL HEALING CENTER AZITA FOOTOHI - COMPREHENSIVE STUDIO - FORT VANCOUVER POST HOSPITAL - SPRING 2019 - LINDA ZIMMER

FINAL PRESENTATION - SPRING

PACIFIC OC EAN

TEACHING KITCHEN SEATING NOOKS

MEDITATION NOOKS/ GALLERY SPACE

GENDER NEUTRAL RESTROOMS

EXTRA SEATING

torical site dating pital within the dent for military during World s during the war, 30,000 troops rvation Corps d didn’t receive he construction uthern end of the becoming a long t’s Historic Trust

THIRD FLOOR PLAN

SCALE: 3/32” = 1’0”

pe, surrounded s its Pacific Northr a landmark in nal landmark. By y and the signifi-

LARGE OFFICE

LEARNING LIBRARY

LARGE OFFICE SM. OFFICE

SM. OFFICE

STORAGE

COUNSELING LOBBY

STORAGE

LARGE FITNESS ROOM

CONFERENCE ROOM

GROUP SPACE

LY UNUSED

PRESENT

STORAGE

Building vacant

SECOND FLOOR PLAN

SCALE: 3/32” = 1’0”

iginating at the central enceforth, occurs around building. This happens gallery walkways, which

INTERSTATE-5

VACY

owards the back end the o through multiple layers the back of the building he way, visitors have an om the public sphere.

towards the back, there ng the way for one to be zones for recreation,

NATUROPATHIST OFFICE

de a unique opportunity alkways of the building. the floor plates in the ows for another way for lluminated.

NATUROPATHIST OFFICE

STORAGE

TEA BAR

NATUROPATHIC/ NUTRITIONIST LOBBY

LECTURE HALL

HYDROTHERAPY ROOM STORAGE NUTRITIONIST OFFICE

the center of all activity c feature which connects unctions throughout the s the center of all activity uilding not only on a horiical one as well.

MAIN ENTRY

STORAGE

FIRST FLOOR PLAN

SCALE: 3/32” = 1’0”

STORAGE PHYSICAL THERAPY SPACE MASSAGE ROOMS

EMO TIO N

EDITATION

AL ENT NM RO VI

TIC CINE

PHYSICAL THERAPY LOBBY

CHIRO ROOMS

LAUNDRY

EXAM ROOM

STORAGE

CHIROPRACTOR OFFICES

FREE WEIGHT/ MAT SPACE

CHIRO/MASSAGE LOBBY

STORAGE

CHIROPRACTIC

THERAPIES

BASEMENT FLOOR PLAN

SCALE: 3/32” = 1’0”

FINAL PRESENTATION - SPRING

NATURAL HEALING CENTER AZITA FOOTOHI - COMPREHENSIVE STUDIO - FORT VANCOUVER POST HOSPITAL - SPRING 2019 - LINDA ZIMMER

PACIFIC OCE AN

TEACHING KITCHEN SEATING NOOKS

MEDITATION NOOKS/ GALLERY SPACE

FT. VANCOUVER POST HOSPITAL

GENDER NEUTRAL RESTROOMS

EXTRA SEATING

700 E BARNES ROAD. VANCOUVER, WA 98661 TOTAL SQ. FT: 34,322 SQ FT Based in Vancouver, Washington, Fort Vancouver stands as a historical site dating back to the time of American Western expansion. The Post Hospital within the site was constructed in 1904-05 and stood as a prominent precedent for military architecture during its time. The hospital was especially active during World War I, being one of the most active hospitals in the united States during the war, serving approximately 21,000 patients. It then went on to serve 30,000 troops active in the Spruce Production Division, and the Civilian Conservation Corps following. By 1946, the hospital experienced a lack of activity, and didn’t receive sufficient modifications and wasn’t maintained properly. After the construction of Interstate 5, a portion of the hospital was relocated to the Southern end of the building and became the current shape that it stands in today , becoming a long structure, versus a “T” shape. The building is now under the Fort’s Historic Trust and is a prominent building visible from I-5.

THIRD FLOOR PLAN

SCALE: 3/32” = 1’0”

The Fort Vancouver Post Hospital is placed on a serene landscape, surrounded by an abundance of evergreen and pine trees, which emphasizes its Pacific Northwest roots. With the Fort Complex making the city of Vancouver a landmark in the region, the unique landscape supports its position as a national landmark. By fully immersing oneself in the journey, a connection to the history and the significance of the site can be gained.

LARGE OFFICE

LEARNING LIBRARY

LARGE OFFICE SM. OFFICE

SM. OFFICE

STORAGE

Note: Historical data provided by the Fort Vancouver Historic Trust COUNSELING LOBBY

STORAGE

LARGE FITNESS ROOM

CONFERENCE ROOM

GROUP SPACE

WWI - II

1905

Post Hospital est.

INTERSTATE 5 EST.

1946

ARMY TRAINING FACILITY

1952

Deemed surplus by Army

CURRENTLY UNUSED

2007

“T” Section acquired

PRESENT

Admitted to Historic Trust

STORAGE

Building vacant

SECOND FLOOR PLAN

GUIDING PRINCIPLES

SCALE: 3/32” = 1’0”

INTERSTATE-5

ZONES With privacy increasing towards the back, there are multiple zones along the way for one to retreat in, whether they be zones for recreation, or relaxation.

NATUROPATHIST OFFICE

STORAGE

TEA BAR

NATUROPATHIC/ NUTRITIONIST LOBBY

LECTURE HALL

HYDROTHERAPY ROOM STORAGE

COUNSELING ROOM SEATING NOOK

LIFE ST YL

UAL RIT PI

PHYSICAL

HOLISTIC MEDICINE

PHYSICAL THERAPY LOBBY

CHIRO ROOMS

STORAGE PHYSICAL THERAPY SPACE MASSAGE ROOMS

LAUNDRY

EXAM ROOM

STORAGE

CHIROPRACTOR OFFICES

FREE WEIGHT/ MAT SPACE

CHIRO/MASSAGE LOBBY

STORAGE

Seeing illness as a dysfunction of the whole body in its entirety rather than as an isolated event. 5

Preventing illness by tapping into the patient’s natural healing ability.

RITIONAL NUT

Holistic physicians make it a goal to know their patients well in order to interpret what treatment options are most appropriate for their patients. 3

SCALE: 3/32” = 1’0”

EMO TIO N

FIRST FLOOR PLAN

Addressing the underlying cause of illness rather than treating only the symptoms.

MAIN ENTRY

STORAGE

AL ENT NM RO VI

Safe, natural, and effective treatment options which include lifestyle changes, self-care, and alternatives to conventional medicine and drugs.

NUTRITIONIST OFFICE

HERBAL SUPPLEMENTS

DEEP BREATHING

MEDITATION

CHIROPRACTIC

MOST COMMON THERAPIES

BASEMENT FLOOR PLAN SCALE: 3/32” = 1’0”

FINAL PRESENTATION - SPRING

CHAPTER 3

FINAL PROGRAMMING & SITE ANALYSIS

PROGRAM DEVELOPMENT

PROGRAM SUMMARY Space/Room

Quantity

Type/Name

Sq. Ft. (ea.)

Occ.

Lighting

Medical Check-in/ Reception

Lobby and Reception

630

Daylighting, electric

Reception Storage

File Storage and printers/fax

170

1-3

Daylighting, electric

370

2-5

Daylighting, ambient, electric, task

200

2-4

Daylighting, ambient, electric, task

120

6 Small

Smaller and p a single patient

and

Chiropractor/ Massage Rooms

Smaller clinic rooms with a single bed

Conference Rooms

Conference Room for doctors and patients

160

Hydrotherapy Room

Chairs with basins for Hydrotherapy treatment

270

Fitness Room/ Group Assembly

A conferences

690

15-30

Personal Training Space

Large open space for physical therapy activities

2800

Teaching Kitchen

Kitchen for group led classes

650

5-8

Daylighting, ambient, electric

Kitchen Lounge

Lounge alongside teaching kitchen

450

5-8

Daylighting, ambient, electric

Meditation Nook

Small nooks for relaxation and meditation

Daylighting, ambient, electric

TOTAL

Ambient, electric Daylighting, electric Ambient, electric Daylighting, ambient, electric Daylighting, electric

15,530 sq. ft

Space/Room

Quantity

Type/Name

Sq. Ft. (ea.)

Occ.

Lighting

2600

2040

Daylighting, ambient, electric, task

120

Daylighting, electric, task

Recreation Main Lobby

2 Bar

Lobby that directs you to various clinics. Located on

TOTAL Space/Room

5,320 sq. ft Quantity

Type/Name

Sq. Ft. (ea.)

Occ.

Lighting

Facilities Restroom (Large)

Gender Neutral

280

6-8

Electric, task

Restroom (Small)

Gender Neutral Closet

1-2

Electric, task

Laundry Room

Laundry room for washing towels

1-2

Electric, task

Storage Closet

Janitor and building facility closet

Electric, task

TOTAL

2,000 sq. ft

PROGRAM DEVELOPMENT

DETAILED PROGRAM TEA BAR:

CLINIC OFFICES:

Activities: Ordering and drinking tea; sitting at the Tea Bar; preparing tea and other beverages

Activities: This is the place where private, one-on-one meetings are conducted between the patient and the doctor. Depending on which clinic office it is, there could be an examination bed, or other equipment in the room relating to that form of treatment.

Duration: 20-30 minutes Familiarity: Public

Duration: 30-90 minutes

Adjacencies: Main Lobby - Piano Room Ground Floor Stairs Tea Bar Kitchen

Familiarity: This is a private space, in which the doctor would guide the patient to.

Design Character: Clean, soft, wood aesthetic; minimalistic

Adjacencies: Other clinic offices, egress stairwell, single-occupancy restroom, hallway storage closets

Key Furniture, Fixtures & Equipment: Bar stools, pendant lighting above bar, cash register (iPad), tea preparation equipment (teapots, steeper, teacups, etc.) Illumination: Daylighting, electric, task Safety & Security: Public for all visitors to the Natural Healing Center. Behind the bar is only accessible to Tea Bar employees. Acoustics: The dropped ceiling of the Tea Bar helps contain the noise of that space, however, there may be residual noise from the adjacent program elements. Materiality: Easy to clean surfaces on the tea bar counter, which are made of quartz. The wood cladding on the facade of the tea bar is soft in appearance, while being a durable building material.

Design Character: Comfortable, cozy, inviting Key Furniture, Fixtures & Equipment: Desk for doctor, bookshelf, cabinet Nutritionist: Examination table, body examination equipment (scale, BMI monitor, etc) Naturopathist: Examination table, examination equipment (scale, blood pressure machine, etc.) Counselor: Sitting Room furniture (coffee table, sofa, couch, table lamp, etc.) Illumination: Daylighting, ambient, electric, task Safety & Security: This space is very private, and is only accessible to doctors, and their patients. This room has the capability to be locked in order to keep patient files secure. Acoustics: Sound levels are comfortable, and walls should have appropriate sound proofing to maintain confidentiality for patients. Materiality: Soft, neutral colors on vertical surfaces; light-colored and warm textiles on furniture pieces; plants to bring vitality to the space.

PROGRAM DEVELOPMENT

DETAILED PROGRAM (cont.) FITNESS ROOM:

MASSAGE ROOM:

Activities: Various â&#x20AC;&#x153;fitnessâ&#x20AC;? activities, including Yoga, Tai Chi, Qi Gong, etc. This room may also be used as a space to hold seminars and group meditation sessions.

Activities: Single, or dual massage sessions; either facial or full body massages

Duration: 30-90 minutes Familiarity: Semi-Public; Although this space is accessible to the general public, most would not being using it unless they are attending a class or seminar. Adjacencies: Fitness Room storage Gender Neutral Restrooms Janitorial and facility closets Design Character: Warm, inviting, relaxing Key Furniture, Fixtures & Equipment: Shelves to store belongings, exercise equipment, dimmable lighting Illumination: Daylighting, ambient, electric Safety & Security: Public to all users of the facility; room can be locked to secure exercise equipment Acoustics: During exercise sessions, due to the type of fitness activities happening in the space, noise will be minimal; for seminar related activities, the acoustics of the space will prevent an excess of noise reverberation and echo within the room. Materiality: Floors will be waxed and easy to clean, especially between exercise sessions and seminars. The materiality will also be generally warm and have a clean aesthetic.

Duration: 30-90 minutes Familiarity: This is a private space, in which the masseuse would guide the patient to. Adjacencies: Other chiropractic and massage offices, single-occupancy restroom, hallway storage closets Design Character: Dim, comfortable, cozy, relaxing Key Furniture, Fixtures & Equipment: Massage Bed, chair for user to set belongings on, storage shelf to hold towels and other massage equipment, candles and dimmable light fixtures. Illumination: Ambient, electric Safety & Security: This space is very private, and is only accessible to massage therapists, and their patients. This room has the capability to be locked in order to keep massage equipment secure. Acoustics: Sound levels in this space will be extremely minimal. There may be music playing that has a more ambient quality, should it be desired. Materiality: Soft, neutral colors on vertical surfaces; warm tones on all other finish materials.

PROGRAM DEVELOPMENT

HYDROTHERAPY ROOM: Activities: Administering hydrotherapy treatments Duration: 30-60 minutes Familiarity: This is a private space, in which you would need to have made arrangements to have permission to enter. Adjacencies: Laundry Room Naturopathic/Nutritionist Reception Lobby Naturopathic/Nutritionist Reception Storage Room Design Character: Warm, inviting, relaxing Key Furniture, Fixtures & Equipment: Cushioned seating, basins to place feet in for hydrotherapy treatment, cabinets for towel and equipment storage, dimmable light fixtures Illumination: Ambient, electric Safety & Security: This space is private, and is only accessible to hydrotherapy patients and the therapists. This room has the capability to be locked in order to keep hydrotherapy equipment secure. Acoustics: This room will generally be fairly quiet, but is suited for quiet chatter amongst the patients and therapists. Materiality: Easy to clean surfaces, especially for after each hydrotherapy treatment session. Durable materials are also a must, as the furniture and floor will experience a good amount of traffic, and experience wear and tear with its exposure to moisture.

PROGRAM DEVELOPMENT

ADJACENCY DIAGRAM In the process of developing the design for the Natural Healing Center, it was important to consider, noise, proximity and convenience of use in the consideration of adjacencies throughout the building. Because of the general shape of the building, the brick masonry walls become quite limiting in the degree of creativity there can be in developing the adjacencies of the project. Some aspects that had to be taken into consideration were how the flow of movement would take place between related facilities, and what sectors of the project would want to be more private. Through this process, it was concluded that the physical care sector should remain on the east end of the building, while all clinic-related activities should occupy the west end, since they would require two building sectors to operate.

PROGRAM DEVELOPMENT The following diagram outlines the process in which adjacencies were developed. All facilities which were to be included within the building were recorded, and related activities were identified by color. By doing so, a quick and clear organization method could be ascertained and adjacencies were able to be determined from there on.

SITE DEVELOPMENT

SITE DEVELOPMENT SITE RESTRAINTS AND PROPOSED SOLUTIONS

There are no present ADA access considerations on the site. How do you prevent the exclusion of ramp users from stair users? o Instead of providing stairs and ramps to reach the entrance of the hospital, only a ramp can be provided to consolidate the modes of access to the entrance and unify the different types of users. Noise pollution from the Highway (I-5) is relatively high on the North end of the site o This can influence whether the windows facing the highway can be used due to the amount of noise pollution. o Suitable insulation may need to be implemented in the restructuring of the wall systems throughout the interior How structurally and code compliant is the interior? o The Post Hospital appears to be constructed via timber frame construction. Per the Post Hospital Envelope Assessment conducted by Carleton Hart Architects, the exterior of the building consists of masonry with mortar and requires repair to prevent damage from the elements. 3 o The wooden porches and wooden trim work also require attention to make the surfaces even and strip the led paint, therefore requiring refinishing of all wooden surfaces. o The Post Hospital Envelope Assessment also proposes that restructuring happens to all the shear walls and floor diaphragms of the structure. Will exterior finishes and structure have to be modified for energy sustainability purposes? o Reglazing of the single-paned windows is integral and should be replaced with double-paned windows. Approach to the entrance is underwhelming. How can the approach to the site become more inviting? o If a ramped entrance were to be implemented, the approach can be enhanced through the use of shrubbery, which can also serve as an excellent backdrop for outdoor program activities. How can the site accommodate for a large number of visitors? Especially regarding motor vehicles o Because a parking structure will negatively impact the natural aesthetic of the site, ground level parking should be enhanced by more effectively delineating parking spots in all the paved portions of the surrounding streets. o A bus stop should be inserted closer to the Post Hospital to provide easier access to public transportation users, and especially for those who are part of the Accessible User group. The site appears to be two “attached” structures. How do you establish a connection between the portions, and how does the integration of the program play with the existing structure? o With there being two distinguishable structures, this would be an excellent opportunity to divide the program elements into two major categories to establish zoning within the building. The existing glazed “porches,” or walkways, serve as an adequate means of connecting these portions of the building, and this connection can also be enhanced by the daylight coming through.

Post Hospital Envelope Assessment

SITE DEVELOPMENT o

EXISTING CONDITIONS

CODES ANALYSIS

I. ZONING

a. What are the main zones for project types? R-2, Assembly, Commercial, etc. *What are your site’s “base zones?” According to the City of Vancouver, Washington zoning map, the Fort Vancouver Post Hospital falls under the “Public Facility” comprehensive plan designation in sector D-4. b. What are the permitted uses in a zone or zones? If you want to “change occupancy” – like an existing building is in an industrial zone and you want this to be residential, you need to state this. *Does this apply to your project? Explain. The Vancouver, WA Municipal Code defines a Public Facility as: 1. Any park within the city of Vancouver and maintained either by the city of Vancouver, the county of Clark, or the state of Washington. 2. Any recreational area within the city of Vancouver and maintained by either the city of Vancouver, the county of Clark, or the state of Washington, including but not limited to any skateboard park, recreational park, public park or trail, any city, county, state or other public building, grounds or appurtenances thereto. 3. Any public school within the city of Vancouver. 4. Any public library within the city of Vancouver. 5. Any public pool within the city of Vancouver. 6. Any public building within the city of Vancouver. 7. The transit mall as defined in VMC 7.13.030. (Ord. M-3624, 2003) This is an appropriate classification for the Post Hospital since it is a government owned and operated building, under the Fort Vancouver Historic Trust. However, under the National Parks Services, Land Ownership/Management Map, the portion of the Fort Vancouver, that the Post Hospital resides in, is owned by the City of Vancouver. Although it is my intention to make the Natural Healing Center a public facility, it does not fall under the seven classifications of the defined “Public Facility”, and would therefore need to change its classification from a CPX: Central Park Mixed-Use, which includes contains the Vancouver National Historic Reserve that includes Officers Row, Vancouver Barracks, Fort Vancouver and Pearson Air Park, to a MX: Mixed Use District. The MX zoning classification provides the Vancouver “community with a mix of mutually supporting retail, service, office, light industrial, and residential uses.”

CODES ANALYSIS

c. What are the Design regulations/restrictions? Ex. Heights, setbacks, façade design, landscape requirements, historic preservation issues? *Which of these apply to your project, list, give dimensions, etc., and explain. Historic Preservation: On June 19th, 1948, Fort Vancouver was established as National Site, with the mission of the site being to preserve the site for it being a “primary center of early economic, cultural, and military development in the Pacific Northwest and to interpret the important part played in the nation’s westward expansion by the fur trade and other activities carried on at the Fort.” Under the National Environmental Policy Act of 1969, an environmental statement, or environmentalimpact statement, must be established to assess the impact any changes to a National Site would make on the surrounding environment, sociological impacts, or both, on park resources or adjacent areas. The Vancouver National Historic Reserve Cooperative Management Plan also states that three goals must be addressed under its ordinance and are as follows: • Preservation of historic structures, physical assets, and cultural landscapes. • Education and interpretation of the significance and history of the area for public benefit. • Public use of and accessibility of the Historic Reserve (National Park Service 1999: p.iii). Development Standards: In reference this chart, the Post Hospital would fall under the Office Commercial Industrial (OCI) category, because it follows the described criteria: 1. Areas with existing concentrations of technology-oriented, research and development, and professional service uses or close proximity to major institutions capable of utilizing or supporting new technology-oriented, research and development, and professional service businesses. 2. Existing light or heavy industrial areas which are undergoing a transition to predominantly office and/or mixed commercial and industrial activity. 3. Areas which are underutilized and could provide the type of environment attractive for new technology-oriented, research and development, and professional service office-style development. 4. Areas with access primarily along major highways and arterials, preferably well served by transit.

CODES ANALYSIS

DEVELOPMENT STANDARDS OCI

STANDARD

(Office Commercial Industrial)

(Light Industrial)

(Heavy Industrial)

Minimum Lot Size

None

Maximum Lot Coverage

100%

75%

100%

Minimum Lot Width

None

Minimum Lot Depth

None

Minimum Setbacks

None

Minimum setbacks adjacent to residential district

Pursuance to the screening and buffering standards contained in VMC Tables 20.925.030-1 and 20.925.030-2, plus an additional 1/2 foot for each foot the building exceeds 20 feet in height to a maximum setback requirement of 40 feet. Buildings in excess of 20 feet may be stepped.

Minimum setbacks adjacent to non-residential districts

Pursuant to buffering and screening standards contained in VMC Tables 20.925.030-1 and 20.925.030-2.

Maximum Height

35' - 75'

45â&#x20AC;&#x2122;

None

Minimum Landscaping Req. (% of total net area)

15%

10%

*The green fill represents the applicable material that relates to the Fort Vancouver Post Hospital

INDUSTRIAL ZONING DISTRICTS USE TABLE OCI

USE

ECX

(Office Commercial Industrial)

(Light Industrial)

(Heavy Industrial)

(Employment Center Mixed-Use)

conditional use (C)

prohibited use (X)

permitted (P) use

CIVIC (Institutional) Medical Centers

*The green fill represents the applicable material that relates to the Fort Vancouver Post Hospital

CODES ANALYSIS d. *Are there any other special requirements applicable to your projectâ&#x20AC;&#x2122;s zone? Historic Buildings: In accordance with the International Existing Building Code, a historic building undergoing alteration or change of occupancy shall be investigated and evaluated. In case of an unsafe condition, conditions determined by the code official to be unsafe shall be remedied, as is prescribed by Section 1201.5 of the International Existing Building Code. Work shall not be required beyond what is required to remedy the unsafe conditions. Fire Safety in Historic Buildings: As stated in Section 1203.2 of the International Existing Building Code, every historic building that does not conform to the construction requirements specified in the code for the occupancy or sue and that constitutes a distinct fire hazard as defined herein shall be provided with an approved automatic fire-extinguishing system as determined appropriate by the co official. However, an automatic fire extinguishing system shall not be used to substitute for, or act as an alternative to the required number of exit from any facility. Change of Occupancy in Historic Building: Historic buildings undergoing a change of occupancy shall comply with the applicable provisions of Chapter 10, except as specifically permitted in this chapter [Chapter 12]. Where Chapter 10 requires compliance with specific requirements of Chapter 7, Chapter 8 or Chapter 9 and where those requirements are subject to the exceptions in Section 1202, the same exceptions hall apply to this section.

II. OCCUPANCIES/OCCUPANT LOAD & CONSTRUCTION

a. *What are the occupancy groups/classifications in your project (by approx. sq. footage)? Why are these important? Occupancy groups and classifications are vital in preserving the health, safety, and welfare of the occupants within the building. Depending on the intended use of the building, certain measures must be considered, particularly regarding hazardous and nonhazardous materials, to ensure the safety of the building inhabitants. Occupancy classifications will also help determine the load factor of the designated building. The occupancy classification for my Natural Healing Center would fall under the category of Business Group B, Clinic Outpatient, as well as Storage Group S-1, Moderate Hazard Storage. Business Group B occupancy includes among others, the use of a building or structure or a portion thereof, for office, professional or service-type transactions, including storage of records, and accounts. This classification is appropriate, because there will be clinical offices in my healing center that are outpatient, that offer a variety of services. Storage Group S occupancy includes, among others, the use of a building or structure, or a portion thereof, for storage that is not classified as a hazardous occupancy. This occupancy classification covers the storage of herbal supplements, botanicals, herbal salts, scrubs, etc. that will be stored within this facility.

CODES ANALYSIS b. What are the occupant loads for each occupancy group – give examples. *For your own project, develop a spreadsheet to relate to your program spaces (if you are unsure, speculate your needs). MAXIMUM FLOOR AREA ALLOWANCES PER OCCUPANT OCCUPANT LOAD FACTOR

TOTAL SQUARE FOOTAGE

OCCUPANCY LOAD

300 gross

5 net

763

153

Business Areas

150 gross

21,022

140

Exercise Rooms

50 gross

4380

Mercantile

50 gross

2612

FUNCTION OF SPACE Accessory storage areas, mechanical equipment room Assembly without fixed seats (chairs only – not fixed)

According to Section 1004.5 of the IBC, in areas without fixed seats, “the number of occupants shall be computed at the rate of one occupant per unit of area as prescribed in [the table above]. For areas without fixed seating, the occupant load shall be not less than that number determined by dividing the floor area under consideration by the occupant load factor assigned to the function of the space as set forth in [the above table]. Where an intended function is not listed in [the above table], the building official shall establish a function based on a listed function that most nearly resembles the intended function.” The Post Hospital will have one Assembly space on the ground level which will exceed an occupancy load of 50 people, since it is an Assembly space which will contain seats which are not fixed.

III. OTHER REGULATORY AGENCIES OR ORGANIZATIONS THAT AFFECT YOUR PROJECT

a. Please list other agencies or organizations that publish guidelines or requirements for our project. Summarize these requirements and describe how these may affect your design. (For instance, childcare centers have sq. footage requirements and ratios food service has health and safety requirements, etc.) I will have to work with the National Parks Services (NPS) in order to modify the building in ordinance with historical preservation guidelines. This is particularly regarding the exterior façade of the building, and also with understanding the permissible degree of modification that can be made to the exterior landscape of the site. The Food and Drug Administration (FDA) and State Health Department may also provide guidelines regarding the sale of dietary supplements and the care and handling of said items. Additionally, if a tea bar/café is integrated in the design, they may also outline how the sale of beverages will have to take place in ordinance with State health laws.

CODES ANALYSIS b. Please list one “certification” or “standards” that would be compatible with the goals of your program and/or building. This might include LEED or WELL building standards. Discuss whether it might be advantageous to aim to achieve a certain level of performance or whether you might selectively apply some standards and not others to your design. The WELL Building Standard would be appropriate for my project, primarily because my program focuses on natural healthcare, and will be providing healthcare related amenities. This building standard will encourage building practices which support the health and wellbeing of all its visitors and occupants through the innovative use of natural elements and sustainable building materials. WELL consists of ten supporting concepts to encourage a holistic method of healing which are facilitated through the architecture. The ten concepts in WELL are: Air, Water, Nourishment, Light, Movement, Thermal Comfort, Sound, Materials, Mind, and Community. Each concept consists of subcategories which will explain how mastery of the ten concepts can be attained. Examples of standards are listed below, and demonstrate what would be most appropriate to apply to the Post Hospital: Air:

Water:

- A02 – Smoke-Free Environment - A07 – Operable Windows - A12 – Air Filtration - A13 – Active VOC Control

Thermal Comfort: - T01 – Thermal Performance - T04 – Individual Thermal Control - T06 – Thermal Comfort Monitoring Sound:

- W06 – Drinking Water Promotion - W08 – Handwashing

- S01 – Sound Mapping - S03 – Sound Barriers - S04 – Sound Absorption - S05 – Sound Masking

Nourishment: - N04 – Food Advertising - N05 – Artificial Ingredients - N07 – Nutritional Education - N08 – Mindful Eating - N10 – Food Preparation - N12 – Food Production

Materials: - X01 – Fundamental Material Precautions - X02 – Hazardous Material Abatement - X06 – Site Remediation - X09 – Cleaning Products and Protocol - X11 – Long-Term Emission Control

Light:

Mental: - L01 – Light Exposure and Education - L05 – Enhanced Daylight Access - L06 – Visual Balance - L01 – Light Exposure and Education - L07 – Electric Light Quality - L08 – Occupant Control of Lighting Environments

Movement: - V03 – Movement Network and Circulation - V05 – Site Planning and Selection - V06 – Physical Activity Opportunities - V09 – Exterior Active Design

- M01 – Mental Health Promotion - M02 – Access to Nature - M05 – Stress Support - M07 – Restorative Spaces - M08 – Restorative Programming - M09 – Enhanced Access to Nature

Community: - C01 – Health and Wellness Awareness - C10 – Family Support - C14 – Bathroom Accommodations - C15 – Emergency Preparedness - C16 – Community Access and Engagement

CODES ANALYSIS

IV. EGRESS & FIRE RATING

a. What is the maximum travel distance to an exit for occupancy if the space is sprinkled and if it is unsprinkled? *What is the sprinkler code for your project?â&#x20AC;? Approved automatic sprinkler systems must be provided in all new buildings and structures. In ordinance with IBC 903.3.1.2.2-3, automatic sprinkler systems must be installed in open-corridors, as well as attics, regardless of whether the attic is used for living purposes or storage. In both occupancy Groups B and S, in an unsprinkled system, the maximum travel distance to a point of egress is between 75 and 100 feet, being contingent upon the occupancy load of that portion of the building. However, with a sprinkled system, the maximum travel distance is 100 feet. b. What is a dead-end corridor? What are the length limits? A dead-end corridor is a corridor which does not provide a path of egress or a means in which to exit a building. This can be especially dangerous in a time of crisis within a building. The length limit for a dead-end corridor is 20 feet where there is more than one exit or exit access doorway is required. With occupancy Groups B and S, the length of dead-end corridors shall not exceed 50 feet. Additionally, a dead-end corridor shall not be limited in length where the length of the dead-end corridor is less than 2.5 times the least width of the dead-end corridor. c. What is a minimum egress corridor width? *Estimate the minimum for your particular occupancy. In a region of the building with an occupancy load of less than 50, the minimum egress corridor width is 36 inches. Otherwise, the minimum corridor width is 44 inches. My occupancy load would require a minimum egress corridor width of 36 inches, throughout a majority of the building. On the ground level, there will be an Assembly space which will exceed an occupancy load of 50. Therefore, this region of the building will require a minimum corridor width of 44 inches. d. What is the minimum number of exits required in a building? How is this determined? *How many exits do you need for your occupancy according to your type? The number of exits is dependent on the number of stories present in your building, and what the occupancy load is per story. For the Post Hospital, with there being four stories (including the attic and basement), and the occupancy load falling between 1-500 per floor, there would need to be 2 exits at the ground level, along with at least 2 points of egress on each floor. e. When does a room need more than one exit, for what occupancy load? *List the space in your project that may be affected by this in your program? A room or space requires more than one exit when the occupancy load exceeds the prescribed occupancy load maximums listed in Table 1006.2.1 in the IBC code. Group B has an occupancy load maximum of 49. Therefore, if the calculated occupancy load exceeds 49, I would need to add an additional exit to the room or space.

CODES ANALYSIS In the Post Hospital, the ground level contains an Assembly space which will exceed an occupancy load of 49, reaching a limit of 153 for the occupancy load limit. This space will, therefore, require an additional exit. f.

What is the minimum clear width requirement for an egress door/s? Does it change for different occupancies? Protruding objects, such as handrails, shall not reduce the minimum clear width of accessible routes. However, in the case of egress doors, when fully opened, they shall not reduce the minimum width requirement of a passageway by more than 7 inches. The only occupancy group exception applies to individual dwelling units and sleeping units in Group R2 occupancies and dwelling units in Group R-3 occupancies. Neither of these exceptions apply to the Post Hospital.

g. What is the minimum distance allowed between two exits on upper floors (This will determine lower floors), on street level/first floor? *rehearse this with at least two diagrams that show how stairs may be positioned in your building to provide egress. The minimum distance allowed between two exits on upper floors with a Group B and S classification is 75 feet.

h. What is a minimum stairway width? How is this calculated for specific occupancies? *Please show the calculations for your project. Stairways shall have a clear width of 48 inches minimum between handrails. The only exception applicable to the Post Hospital is that the minimum width between handrails can be less if an automatic sprinkler system is installed in the stairway. i.

What s a “place of refuge?” Are “places of refuge” required for your project? According to IBC, an “Area of Refuge” is an area where persons unable to use stairways can remain temporarily to await instructions or assistance during an emergency evacuation. Areas of refuge can be incorporated by implementing a large floor-level stair landing. Places of refuge would be required for my project if it is not sprinkled; however, they are not required in stairways which have an automatic sprinkler system installed.

What is a fire compartment? How do you know if you need to divide your building into fire compartments? *Do you need to? Defined by fire compartmentation is when a building is sub-divided to restrict the degree in which fire will spread throughout a building. This can be accomplished through the fire proofing of building

CODES ANALYSIS materials between sub-sections of a building. By doing so, this can prevent inhabitants of a building from being trapped in the case of a fire. One can determine the need for the division of a building into fire compartments if it fits the following criteria: • The use of, and fire load of a building, and the resulting severity of a fire and ease of evacuation • The height to the floor of the top story in the building, which also indicates the ease of evacuation and how easily rescue teams can reach trapped individuals on the upper floors • The availability of automatic sprinkler systems, which will determine the rate in which fire will spread throughout a building. In the case of the Post Hospital, it would be useful to integrate a fire compartmentation system because the building is a series of four combined buildings. By compartmentalizing the building, it will prevent the spread of a fire to the adjacent structures, which make up the building. k. When is an egress stair to be completely enclosed for fire and egress? When can a stair be open at the first level but not above? *Color code diagrams from 4G to show the number of stairs and which would need to be fireproofed. For all occupancies, exit access stairways and ramps that serve floor levels with any single story are not required to be enclosed. In the case of the Post Hospital, because multiple stories, as well as a basement floor, are involved, the enclosure of egress stairs for fire and egress are required. Because there are two floors above the ground floor and a basement floor below, at least 3 stories, with 2 stairways each, would have to be enclosed.

What is the typical time span fire rating for: exposed steel columns or beams, for: an enclosed stair, for: a fire demising wall (these can be made from sheet rock or from masonry)? *What are the fire ratings for your project? • Exposed steel columns/beams: 4 hours or less; contingent upon galvanization and thickness of steel • Enclosed stair: 2 hours • Fire demising wall: 1 hour The fire rating for the Post Hospital follows the aforementioned criteria, however the fire rating must be modified due to the roof being constructed of light frame timber and the remaining structure being constructed out of brick masonry.

CODES ANALYSIS m. When do you not need to fireproof major beams, columns or trusses â&#x20AC;&#x201C; has to do with time limit for combustibility and height about inhabited spaces. Give an example or two of spaces/room types that do not need fire proofing. Except in Group F-1, H, M and S-1 occupancies, fire protection of structural members in roof construction shall not be required, including protection of primary structural frame members, roof framing and decking where every part of the roof construction is 20 feet or more above any floor immediately below. Fire-retardant-treated wood members shall be allowed to be used for such unprotected members. n. Related to m., give an example of fire classes, for wall assemblies. (i.e. medical, theater, corridors, etc.) GROUP

FIRE-RESISTANCE RATING (hours)

A, B, E, H-4, I, R-1, R-2, U

F-1, H-3b, H-5, M, S-1

H-1, H-2

F-2, S-2, R-3, R-4

a. In Type II or V construction, walls shall be permitted to have a 2-hour fire-resistance rating. b. For Group H-1, H-2 or H-3 buildings, also see Sections 415.7 and 415.8.

Regarding the Natural Healing Center, specifically, the breakdown of Group Types and Space Types to fire-resistance ratings are as follows: SPACE TYPE

GROUP

FIRE-RESISTANCE RATING (hours)

Doctor/Clinic Offices

Exercise Rooms

Pharmacy

Tea Bar/CafĂŠ

CODES ANALYSIS

V. PLUMBING

a. Please show a quick chart and calculations for the following: How many bathrooms are required for your project, based on use and occupancy? How many fixtures in each? What are the % of fixtures needed for being HC accessible, and % of rooms that need accessible bathrooms (for ex. In hotels and other public situations)? Look for requirement of changing baby station in public bathrooms. How might this change with Unisex bathrooms. Use diagrams as appropriate. List your occupancy maximum and the count.

MINIMUM NUMBER OF REQUIRED PLUMBING FIXTURES Water Closet

Lavatories

Accessible Fixtures (%)

CLASSIFICATION Male

Business

Mercantile

Male

Female

Accessible Bathrooms (%)

Female

1 per 25 for the first 50 and 1

1 per 40 for the first 80

per 50 for the remainder

and 1 per 80 for the

exceeding 50

remainder exceeding 80

1 per 500

1 per 750

At least 5 percent At least 5 percent

The water closet and lavatory values for the Post Hospital would be as follows: Water Closet

Lavatories

CLASSIFICATION

Accessible Accessible Fixtures (%) Bathrooms (%)

Male

Female

Male

Female

Business

Mercantile

b. Are there requirements for drinking fountains? *What are they? Under Group B, the drinking fountain requirement is 1 per every 100 people. As for Group M, the requirement is 1 per every 1000 individuals. The drinking fountain requirement for the Post Hospital would be approximately 3 drinking fountains.

CODES ANALYSIS

VI. VERTICAL CIRCULATION

a. Stairs, what is the maximum Rise and maximum Run allowed (public/commercial, not residential code)? According to Section 1011.5.2 of the International Building Code, “Stair Riser heights shall be 7 inches (178 mm) maximum and 4 inches (102 mm) minimum.” This measurement can be established by measuring the vertical distance between the nosings of each adjacent tread. Rectangular tread depths shall have a 11 inch (279 mm) minimum horizontal measurement. This measurement can be taken “between the vertical planes of the foremost projection of adjacent rods and at a right angle to the tread’s nosing. b. What are the Handrail height and Guardrail heights for public/commercial stairs (Guardrails and handrails can be separate distinct entities)? What are the proper minimum lengths of the extensions at top & bottom of the stairs or at the top or bottom of a ramp? In accordance with Section 1014.2 of the IBC, handrails shall be uniform and have a minimum height of 34 inches (864 mm) and a maximum height of 38 inches (965 mm). Where handrails are not continuous, Section 1014.6 states that “handrails shall extend horizontally not less than 12 inches (305 mm) beyond the top riser and continue to slope for the depth of one tread beyond the bottom riser.” The same goes for ramps. c. When is guardrail required regarding elevation changes, i.e. stair wells, etc. Section 1015.2 of the IBC states that “Guards shall be located along open-sided walking surfaces, including mezzanines, equipment platforms, aisles, stairs, ramps and landings that are located more than 30 inches (762 mm) measured vertically to the floor or grade below at any point within 36 inches (914 mm) horizontally to the edge of the open side.” d. What is the ADA Ramp Rise to Run ratio? When using a ramp as a means of egress, Section 1012.2 of the IBC states that ramps shall have a slope measurement that is not steep than one vertical unit to 12 horizontal units, making it an 8-percent slope. All other pedestrian ramps may follow a 1:8-unit ratio, or 12.5-percent slope, and cannot exceed this value. e. When are stair landings required? On ramps and stairs, how do you size the landings? Stairway landings, according to Section 1011.6 of the IBC, are required at the top and bottom of each stairway. The width of the landing shall follow the width of the stairway or ramp. The depth should be measured perpendicular to the direction of travel, and the minimum length should be equal to the width of the stairway or ramp, or 48 inches (1216 mm), whichever is less.

CODES ANALYSIS f.

What is head height clearance and max. requirement for stairs? Show also what the codes say with regard to the spaces under open stairs (protruding elements) – this may be critically important for some of you. Section 1011.3 of the IBC states that stairs must have a minimum headroom clearance of 80 inches (2032 mm). This measurement must be maintained along the full width of the stairs and its landing, and should be continuous above the whole stairway, up to where the perpendicular height meets the landing below, one tread depth past the bottom riser. Protruding elements are permitted to extend below the minimum ceiling height. However, Section 1003.3.1 of the IBC states that where a protruding element exists, a minimum headroom of 80 inches (2032 mm) must be provided over any circulation paths, which include walks, corridors, aisles, and passageways.

g. What kinds of elevator types are there? What is the benefit of using one type over another? Table 3001.3 of the IBC shows that the following elevator types exist: Automotive lifts; Belt manlifts; Conveyors and related equipment; Elevators, escalators, dumbwaiters, moving walks, material lifts; Industrial scissor lifts; and Platform lifts, stairway chairlifts, wheelchair lifts. The varying types of elevators comply with different standards and are appropriate for each given application. h. Examine and document the vestibule required for public elevators. Show how elevator lobbies might be protected in case of fire. As stated in Section 3006.3 of the IBC, “an enclosed elevator lobby shall be provided at each floor to separate the elevator hoistway shaft enclosure doors from each floor by fire partitions in accordance with Section 708.” Automatic sprinkler systems may also be installed in the elevator lobby to add further protection in the case of a fire.

VII. ACCESSIBILITY

a. What does clear floor space mean? Clear floor space, according to Section 1109.2.1.6, is an area of open space, typically for those requiring wheelchairs to maneuver, rotate, or approach a built-in feature, such as a sink or toilet.

CODES ANALYSIS b. What is the required clear floor space needed for door swings: According to the 2010 ADA Standards, Section 603.2.3, “doors shall not swing into the clear floor space or clearance required for any fixture. Doors shall be permitted to swing into the required turning space.” However, in a non-fixture oriented space, Section 803.3 of the ADA Standards states that “doors shall not swing into the room unless a clear floor or ground space complying with [the permitted clear floor space dimensions] is provided beyond the arc of the door swing.” c. What are the Front approaches-Pull side & Push side dimensions? What are the Hinge side approachesPull side & Push side? What are the Latch side approaches- Pull side & Push side? According to Section 404.2.4.1 of the 2010 ADA Standards, the maneuvering clearances at manual swinging doors and gates are as follows:

MANEUVERING CLEARANCES AT MANUAL SWINGING DOORS AND GATES Type of Use

Minimum Maneuvering Clearance

Approach Direction

Door or Gate Side

Perpendicular to Doorway

Parallel to Door (beyond latch side unless noted)

From front

Pull

60 inches (1525 mm)

18 inches (455 mm)

From front

Push

48 inches (1220 mm)

0 inches (0 mm) 1

From hinge side

Pull

60 inches (1525 mm)

36 inches (915 mm)

From hinge side

Pull

54 inches (1370 mm)

42 inches (1065 mm)

From hinge side

Push

42 inches (1065 mm) 2

22 inches (560 mm) 3

From latch side

Pull

48 inches (1220 mm) 4

24 inches (610 mm)

From latch side

Push

42 inches (1065 mm) 4

24 inches (610 mm)

1. 2. 3. 4.

Add 12 inches (305 mm) if closer and latch are provided. Add 6 inches (150 mm) if closer and latch are provided. Beyond hinge side Add 6 inches (150 mm) if closer is provided.

CODES ANALYSIS d. What are the requirements for protruding objects? Give an example of a few of these objects. Section 1003.3 of the IBC describes the various circumstances involving protruding objects, and how to accommodate for these different conditions: Headroom (1003.3.1) – “A minimum headroom of 80 inches (2032 mm) is provided over any circulation paths, including walks, corridors, aisles and passageways.” Post-mounted objects (1003.3.2) – “A free-standing object mounted on a post or pylon shall not overhang that post or pylon more than 4 inches (102 mm) where the lowest point of the leading edge is more than 27 inches (686 mm) and less than 80 inches (2032 mm) above the finished floor. Where a sign or other obstruction is mounted between posts or pylons and the clear distance between the posts or pylons is greater than 12 inches (305 mm), the lowest edge of such sign or obstruction shall be 27 inches (686 mm) maximum or 80 inches (2032 mm) minimum above the finished floor or ground.” Horizontal projections (1003.3.3) – “Objects with leading edges more than 27 inches (686 mm) and not more than 80 inches (2030 mm) above the finished floor shall not project horizontally more than 4 inches (102 mm) into the circulation path.” e. What is the clear floor space for a lavatory (height)? And from the wall? Do the same for toilets and urinals using centerline dimensions. Section 1109.2.1.6 the IBC states that “where doors swing into a family or assisted-use toilet or bathing room, a clear floor space not less than 30 inches by 48 inches (762 mm by 1219 mm) shall be provided, within the room, beyond the area of the door swing.”

CODES ANALYSIS

BUILDING STRATEGIES

HVAC STRATEGIES In order to create a seamless design with clean ceiling surfaces, HVAC will be concealed in the ceiling system of the building. Exposed ceiling elements don’t work with the design aesthetic of the building which is why this aspect of the design is extremely important. Because of the convenient location of the glass gallery walkways, the primary HVAC units will be lined along those hallways, and will branch off into the adjacent spaces within each brick masonry building core. Some exceptions will have to made in the western-most core towards the clinic offices, where the units diverge from the general path. In the main lobby core, some of the HVAC systems can be concealed behind the dropped ceiling panels.

REFLECTED CEILING PLAN SCALE: 3/32” = 1’0”

STRUCTURAL STRATEGIES The original structure featured a structural stud wall which ran right along the center of the main lobby core, and into the western-most brick masonry building core. In order to open up these spaces, structural columns have been placed instead to establish a lighter feel in the main lobby. The western building core has still maintained the stud wall support system. Because the green wall does not continue down into the Basement Level, a series of thick structural columns have been placed to support the load of the monumental concrete green wall system. 54

BUILDING STRATEGIES

LIGHTING DESIGN STRATEGIES The lighting throughout the Post Hospital is key feature in establishing the mood and general aura throughout the building. The glass galleries are integral in bringing in natural daylight into the walkway cores of the building. Because the brick masonry portions of the building lack the same levels of natural daylight, it is important that the electric lighting work efficiently alongside the relatively minimal daylight that is coming in. Many of the programmatic spaces work better with a dimmable option on the light fixtures, which is why that capability is given to many of the spaces, especially the fitness rooms and the massage/chiropractic clinics.

RCP LEGEND WALL SCONCE CAN FIXTURE PENDANT LIGHT SECURITY CAMERA FIRE ALARM NOTIFIER EGRESS LIGHTING SMOKE DETECTOR EXIT SIGN HVAC SUPPLY

Plan showing former structural wall in the main lobby and western-most building cores.

HVAC RETURN

FF&E SPECIFICATIONS

ATLANTIC - CULDESAC LOCATION:

Clinic Offices MANUFACTURER:

Bernhardt Design

SIZE/DIMENSIONS:

Width 35.5”, Height 28”, Depth 29π75” FINISH:

Legs: Maple - Shade 871 Upholstery - Molly by Kvadrat 465640–110

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: The low height of the chair makes the space feel more low and squat, making it

more comfortable for speaking to medical practitioners.

FUNCTION: Seating for the “sitting room” area of each private office. INSTALLATION SPECIFIC NEEDS: n/a

MOREAU - MARK GOETZ - 7027 LOCATION:

Clinic Offices, Ground Floor Lobby MANUFACTURER:

Bernhardt Design

SIZE/DIMENSIONS:

Width 76.5”, Height 29.5”, Depth 28.5” FINISH:

Legs: Maple - Shade 870 Upholstery - Molly by Kvadrat 465640–110

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: This soft seating in the clinic offices, especially, are meant to make the patient

feel at home and be more comfortable to open up to the medical practitioners.

FUNCTION: Provides additional seating in the “sitting room” area of each private office and in the ground

floor lobby.

INSTALLATION SPECIFIC NEEDS: n/a

FF&E SPECIFICATIONS

CARON - SUZANNE TROCMÉ LOCATION:

Tea Bar

MANUFACTURER:

Bernhardt Design

SIZE/DIMENSIONS:

Width 19”, Height 41.375”, Depth 22π125” FINISH:

Legs: Maple - Shade 870 Upholstery - Molly by Kvadrat 465640–110

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: The warm colored wood and soft color of the upholstery balances well with the

surrounding wood aesthetic of the tea bar.

FUNCTION: Provides seating at the tea bar. INSTALLATION SPECIFIC NEEDS: n/a

ANNE - ROSS LOVEGROVE LOCATION:

Massage and Chiropractic Rooms MANUFACTURER:

Bernhardt Design

SIZE/DIMENSIONS:

Width 25∏625”, Height 29.5”, Depth 25” FINISH:

Legs: Walnut - LV8 Upholstery - Molly by Kvadrat 465640–110

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: The frame-like wood of the chair has a light and airy appearance, and is a unique

furniture piece to add to the Massage and Chiropractic rooms.

FUNCTION: Provides seating if there is an additional person accompanying the patient, or could be a sur-

face to set personal belongings on.

INSTALLATION SPECIFIC NEEDS: n/a

FF&E SPECIFICATIONS

LUMIERE PENDANT LOCATION:

Glass galleries/passageways MANUFACTURER:

Feiss

SIZE/DIMENSIONS:

Width 9.5”, Height 26”, Depth 9.5” Chain: Length 60” FINISH:

Finish: Oil-Rubbed Bronze, Material: Dark Weathered Oak/Steel/ Aluminum /Rope, Shade Material: Seeded Glass

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: A historic lighting fixture which hearkens back to the roots of the original struc-

ture. With its outdoor lantern aesthetic, it fits appropriately in the glass galleries, which were originally exposed to the open air. FUNCTION: Unique element to illuminate the glass gallery hallway/walkway. INSTALLATION SPECIFIC NEEDS: Sloped ceiling adaptable (0-30)

EVERLY 42141 PENDANT LOCATION:

Pendant lights above tea bar seats MANUFACTURER:

Kichler

SIZE/DIMENSIONS:

Diameter 10.5”, Height 15.75”, Canopy Diameter 5” Chain: Length Adjustable To 51.75” FINISH:

Color: Clear Seedy Finish: Olde Bronze

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: This light fixture also is reminiscent of the colonial era, especially with its seedy

glass aesthetic. The darkened bronze finish is also meant to give the fixture an antiquated look. FUNCTION: This fixture illuminates the tea bar in the main lobby on the ground level. INSTALLATION SPECIFIC NEEDS: Sloped ceiling adaptable (0-45)

FF&E SPECIFICATIONS

FAIRMONT SMALL FLUSH MOUNT LOCATION:

Clinic Offices MANUFACTURER:

Maxim Lighting

SIZE/DIMENSIONS:

Height 4”, Diameter 13” Weight: 6.6 lbs FINISH:

Material: Metal Dimmable when used with Standard dimmers

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: A sleek yet historic ceiling flush lighting element that uses a brass-like finish to

give an antiquated appearance to the lighting fixture.

FUNCTION: Down-lighting for the clinic offices, which also has a dimming function, which allows the user

to have some flexibility with the nature of the lighting within the office. INSTALLATION SPECIFIC NEEDS: n/a

OCULUX 2 IN. LED ROUND OPEN REFLECTOR KIT LOCATION:

Hallways, reception, and lobby spaces MANUFACTURER:

WAC Lighting

SIZE/DIMENSIONS:

Aperture: Diameter 2.15”, Cut-out: Diameter 3.06” FINISH:

Finish: Brushed Nickel, White Color Temperature: 2700, 3000

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: The white aesthetic of the can fixture allows it to blend into the ceiling to give it a

seamless finish.

FUNCTION: This fixture allows for a even wash of light throughout the office, reception, and lobby spaces. INSTALLATION SPECIFIC NEEDS: n/a

FF&E SPECIFICATIONS

ORB CLEAR TABLE LAMP, CLEAR GLASS LOCATION:

Clinic Offices, Main Lobby MANUFACTURER:

Lucas McKearn - HedgeApple SIZE/DIMENSIONS:

Width 10”, Height 25”, Depth 10” FINISH:

Color: Clear Glass Material: Clear Glass Cream Cylinder Shade Included

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: The glass base of the lamp creates a unique effect on the surface below, and

helps illuminate the space even more. The soft, clear appearance also compliments the surrounding finishes. FUNCTION: Provides additional task lighting in the clinic offices and the main lobby. INSTALLATION SPECIFIC NEEDS: n/a

GLASS GEM LED TABLE LAMP LOCATION:

Massage Rooms MANUFACTURER:

West Elm

SIZE/DIMENSIONS:

Width 10”, Height 8”, Depth 9” FINISH:

Glass shade with an iridescent finish Metal base in an Antique Brass finish.

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: The iridescent quality of this light fixture creates a unique and mystical reflection

of the wall, which can help the client relax during their massage session.

FUNCTION: A “night light”-like fixture too keep the room dim, but still provide some light. INSTALLATION SPECIFIC NEEDS: n/a

FF&E SPECIFICATIONS

LUX SPA TREATMENT BED LOCATION:

Massage Room MANUFACTURER:

Spa & Equipment

SIZE/DIMENSIONS:

Width 28”, Height 23”, Depth 71” FINISH:

Upholstered in PU vinyl Accessories Cabinet and drawers Heavy Duty Solid Wood Legs

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: The white and soft wood color go along with the general aesthetic of the room.

Additionally, the vinyl material allows for easy cleaning after each session.

FUNCTION: This table is used for facial and back massages, and has the added benefit of additional stor-

age underneath.

INSTALLATION SPECIFIC NEEDS: n/a

KAIRA STORAGE BENCH LOCATION:

Massage and Chiropractic Rooms MANUFACTURER:

West Elm

SIZE/DIMENSIONS:

Width 48”, Height 16”, Depth 15.7” FINISH:

Solid engineered hardwood frame Frame: water-based Sand finish Door: water-based Oyster finish

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: The soft wood aesthetic matches the materiality of the rest of the chiropractic

and massage rooms, and the sliding panel adds a nice touch, especially in regards to storage.

FUNCTION: Meant to store towels, lotions, and other equipment necessary in the massage and chiroprac-

tic rooms.

INSTALLATION SPECIFIC NEEDS: Bench cushion not included.

FF&E SPECIFICATIONS

MOLLY BY KVADRAT - 110 LOCATION:

All upholstered furniture MANUFACTURER:

Maharam - Kvadrat SIZE/DIMENSIONS:

Width: 55” FINISH:

100% Wool 75,000 cycles, Martindale method

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: The neutral tone of the upholstery compliments any color of wood, and also

works well against the surrounding finishes of the room. FUNCTION: Upholstery for all furniture pieces.

INSTALLATION SPECIFIC NEEDS: Maintenance: S-Clean with mild, water-free dry cleaning solvent.

SILHOUETTE BY HELLA JONGERIUS - 720 LOCATION:

Throw Rugs in Offices MANUFACTURER:

Maharam

SIZE/DIMENSIONS:

Maximum Width: 14’ 9”, Maximum Length: 65’ 7”, Height: 1 5/8” FINISH:

100% Wool Traffic: Moderate Traffic

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: The tufted quality of the rug makes the offices feel more cozy and comfortable

for patients, helping the patients feel more at home.

FUNCTION: Throw rug for the “sitting room” area of the clinic offices. INSTALLATION SPECIFIC NEEDS: Maintenance: Vacuum or brush lightly to remove surface dust.

FF&E SPECIFICATIONS

CHALK - 001 SHEEP LOCATION:

Wallcovering in Hallways MANUFACTURER:

Maharam

SIZE/DIMENSIONS:

Width: 54â&#x20AC;? FINISH:

100% Linen Finish: PFOA-Free Stain Resistant

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: The upholstered and textured wallcovering helps break up the vertical surfaces

from being simply painted, to adding a bit more texture. The fabric feel helps accentuate the aesthetic of softness and comfort. FUNCTION: This wallcovering is a finish for the walls. INSTALLATION SPECIFIC NEEDS: Maintenance: X-Vacuum or brush lightly to remove surface dust.

SW 6234 - UNCERTAIN GRAY LOCATION:

Office Walls

MANUFACTURER:

Sherwin Williams

SIZE/DIMENSIONS:

n/a

FINISH:

Eggshell

MATERIAL PROPERTIES & CONSIDERATIONS AESTHETIC INTENTION: This paint color is meant to instill a sensation of relaxation and comfort, especial-

ly in the clinic offices. The color is soothing and is meant to create an aura of calmness for the patients. FUNCTION: This paint is a finish for the walls. INSTALLATION SPECIFIC NEEDS: n/a

CHAPTER 4

DESIGN PROCESS

PARTI DIAGRAM EXPLORATION

CRISS-CROSS With the central node being signified by the cluster in the main entry, the criss-crossing lines demonstrate the circulation pathways within the Post Hospital, and how within each of the four distinct structures of the building, there are smaller nodes, which signify the heart of each sector.

PARTI DIAGRAM EXPLORATION

CURVES Reflecting the flowing waters of the Columbia River, the parti diagram represents the organic forms which I would like to implement in my design. The varying curved heights also demonstrate the degree of separation between public and private spaces within the building.

PARTI DIAGRAM EXPLORATION

VOID This parti diagram represents the way in which natural daylight should illuminate the entry space of the building. The illuminated entry then spans out into the side wings of the Post Hospital which are also illuminated by the glass gallery walkways. Natural daylight, therefore, serves as a means for wayfinding.

PARTI DIAGRAM EXPLORATION

PRELIMINARY SCHEME EXPLORATION

SCHEME 1: VOID

OFFICES MEDICAL RECREATION FITNESS BASEMENT

PRELIMINARY SCHEME EXPLORATION

SCHEME 2: PUBLIC CANTILEVER

OFFICES MEDICAL RECREATION FITNESS BASEMENT

PRELIMINARY SCHEME EXPLORATION

SCHEME 3: LINE

OFFICES MEDICAL RECREATION FITNESS BASEMENT

PRELIMINARY SCHEME EXPLORATION

MOOD BOARD EXPLORATION

FIRST QUARTER REVIEW

SECOND QUARTER REVIEW

THIRD QUARTER REVIEW

NATURAL HEALING CENTER FORT VANCOUVER POST HOSPITAL

AZITA FOOTOHI - COMPREHENSIVE STUDIO - IARC 489 - SPRING 2019 - LINDA ZIMMER

TEACHING KITCHEN

SEATING NOOKS

A A

MEDITATION NOOKS/ GALLERY SPACE

GENDER NEUTRAL RESTROOMS

EXTRA SEATING

THIRD FLOOR PLAN

SCALE: 1/16” = 1’0”

LARGE OFFICE

LEARNING LIBRARY

LARGE OFFICE SM. OFFICE

SM. OFFICE

STORAGE

A A COUNSELING LOBBY LARGE FITNESS ROOM

STORAGE

GROUP SPACE

STORAGE

SECOND FLOOR PLAN

SCALE: 1/16” = 1’0”

NATUROPATHIST OFFICE

STORAGE

A A

NATUROPATHIC/ NUTRITIONIST LOBBY

TEA BAR

LECTURE HALL

HYDROTHERAPY ROOM

STORAGE

NUTRITIONIST OFFICE

DIRECTORY

STORAGE

FIRST FLOOR PLAN

SCALE: 1/16” = 1’0”

CHIRO ROOMS EXAM ROOM

STORAGE

A A

CHIROPRACTOR ROOMS

MASSAGE ROOMS LAUNDRY

CHIRO/MASSAGE LOBBY

PHYSICAL THERAPY LOBBY

FREE WEIGHT/ MAT SPACE PHYSICAL THERAPY SPACE

STORAGE

BASEMENT FLOOR PLAN

SCALE: 1/16” = 1’0”

D. OVERHANGS & PERFORATIONS D

GUIDING PRINCIPLES

Changes in scale, through the implementation of dropped ceiling elements, and perforations in the floor plates create a more dynamic feel to a seemingly confining space.

THIRD QUARTER REVIEW

DETAIL FOCUS AREA: ZEN GARDEN

DETAIL ELEVATION - ZEN GARDEN SCALE: 1/8” = 1’0”

A. INTERSECTION With all movement origination at the central hearth, all movement, henceforth, occurs around the perimeter of the building.

B. LAYERS As progression occurs towards the back end the building, the visitor will go through multiple layers of private zones, making the back of the building more private.

C. ZONES With privacy increasing towards the back, there are multiple zones along the way for one to retreat in, whether they be zones for recreation, or relaxation.

D. OVERHANGS & PERFORATIONS D

Changes in scale, through the implementation of dropped ceiling elements, and perforations in the floor plates create a more dynamic feel to a seemingly confining space.

DETAIL FOCUS AREA: ZEN GARDEN

DETAIL PLAN - ZEN GARDEN SCALE: 1/8” = 1’0”

DETAIL FOCUS AREA: PRIVATE OFFICE

DETAIL ELEVATION - ZEN GARDEN SCALE: 1/8” = 1’0”

DETAIL PLAN - ZEN GARDEN

LONGITUDINAL SECTION - A

SCALE: 1/8” = 1’0”

DETAIL ELEVATION - PRIVATE OFFICE

DETAIL PLAN - PRIVATE OFFICE

SCALE: 1/4” = 1’0”

SCALE: 1/8” = 1’0”

TRANSVERSE SECTION - B SCALE: 1/16” = 1’0”

SCALE: 1/16” = 1’0”

DETAIL FOCUS AREA: PRIVATE OFFICE

CHAPTER 5

PROJECT RESEARCH

INTERVIEWS

PEOPLE WHO HAVE BEEN TREATED FOR ANXIETY Azita Footohi and Lienne VanWinkle interviewed individuals about their personal experiences with anxiety, counseling, and self-care. PATIENT 1: (CONDUCTED BY LIENNE V ANWINKLE)

What environment makes you feel most at ease? There’s two; The first one is a living room with a cozy chair and a warm fireplace. A comfy chair that makes you want to curl up and read a book in. It also makes it easier to have conversation because the environment is more friendly and personable. I prefer soft lighting because it’s almost like having a blanket around you with the fabrics and the warmth of the firelight. The other type is like a garden room, with natural light, greenery, leaves, and flowers. Nature is calming and sunlight is friendly. An organic garden has a feeling of being casually well-cared for because it is not too manicured and perfect, or too wild and overgrown.

2. Of the five senses, what are different aspects that make you feel at peace? Visually - I like clean, light, casually homey settings. Nothing sterile, or too shiny or modern. Sounds - Little birds and crickets, soft instrumental and new age music. At work, I used to put on ocean wave surf to create a peaceful and thought provoking sound. Gentle wind/light breeze also. Touch - Natural surfaces like wood and brick. I prefer synthetic fleeces that are soft to my hand. I do not like cold flooring, I want neutral to warm feels of the surfaces. Scents - The first time I went to a resort, they had lavender in the soap. It was heavenly. I love soft, floral scents like gardenia and frangipani. Fresh, clean scents like lemon, pear, pine, juniper, and ocean breeze are very enticing. Sages can also be very nice. Taste - The blueberry merlot tea I had would be wonderful in a healthcare setting. Tea with lemon, raspberry, or light mint is also lovely. 3. When you are feeling troubled, do you find it most beneficial to discuss in a small group, private, or mixture of both? I prefer one-on-one because it’s easier to talk about the very personal things with someone you trust. I also think it’s more efficient because you can focus completely on what your situation is. In a group setting other people may be dealing with issues that are not relevant to you, so part of that time may not help you. 4. What do you do, independently from counseling, that helps you? Well trying to make sure I get enough sleep helps a lot. Taking my anti-depression medication is also very beneficial. I try to take time to let myself think and I’ll also let myself cry sometimes to just let the feelings flow. Projects also help because I feel like I’m doing something positive and helpful for others. Volunteering is something I want to get into because I’d be doing something for other people. Taking time to appreciate more what is going well is something I remind myself to do. Something that is

INTERVIEWS important, but hard to do, is changing the way I talk to myself. It is not easy, but it can be a very effective tool in how I treat myself with care and how I feel. 5. Can you give/categorize your overarching cause of anxiety? Lack of self-confidence. Not knowing who I really am and not feeling comfortable in my own skin. 6. What kind of you lighting environment do you prefer when you are confiding in someone? Like daylight, dimmed lights, candlelight? When you are first opening up to someone, I want softer, cozier light. But when I am trying to figure out my next steps and solutions, I want bright daylight. 7. What scale/size of space do you feel most comfortable and safe in? For one-on-one, I would think a room that’s like a small living room. I wouldn’t want to be in a room that’s too small that I felt trapped, but at the same time I don’t want a space that’s too big that I felt there was nothing to hold me. I want to feel embraced, but not smothered. Ceiling height matters. I would not want it too high because it wouldn’t be warm or cozy. 8. What other non-related services would you like in a therapy center? Coffee and/or tea shop would be great. Little nooks to read or journal privately would be nice. Depending on the weather, an enclosed or open air sunroom/garden room. A place that had activities would tend to be distracting. Maybe a place for chair message, less personal but still de-stresses. I think it would be great to have resources that would help people find other groups and make connections to jobs, volunteering, etc.

INTERVIEWS

PATIENT 2: (CONDUCTED BY AZITA FOOTOHI)

What environment makes you feel most at ease? Going to a spa. I like the low lighting, the atmosphere and calmness. It’s relaxed, with no rush and no hustle and bustle. People take their time to talk to you, you can read a book, and take it easy. The first thing I think of Spa Gregories [in Southern California]. Everyone’s focus is on getting well, and there’s no negativity. I also like an environment where there are a lot of windows where I can see trees and streams. My dentist’s office has large windows that looks out into a garden, and I feel like that is very important [to making me feel comfortable]. Also, when I go hiking, I find it comforting to see people walking, with the warm sun shining on me. Basically, I like spaces that are not rushed, where you can take it easy.

2. Of the five senses, what are different aspects that make you feel at peace? Visually - Running water and lotus blossoms. I like simple spaces but with pops of color. I don’t like sterile spaces; it can be white, but there needs to be some color alongside it. Like I would love it combined with blue. Sounds - Also running water, rain, and wind chimes. I also remember sounds from when I used to go camping, like cicadas. Touch - Soft, comforting things, like heavy weighted blankets. I bought a cable knit blanket from Target, and when I sleep with it, I sleep so peacefully. Scents - Of the senses, smells are very important, like the smell of coffee. I also love lavender, roses, and lemon. Taste - Chocolate, especially dipping fruit in chocolate in a fondue fountain. I also love the taste of rosewater. 3. When you are feeling troubled, do you find it most beneficial to discuss in a small group, private, or mixture of both? One-on-one has always been better for me than a group. I’m not discrediting a group, but private feels better. Of course, it depends on the situation. When I’m talking about deep stuff that I don’t normally share, it helps to have one person. They are identifying with me, there is eye contact, and they are focused on me. However, when there is a group, I can relate to someone in the group, and that is very powerful. I would be okay “bearing my soul” with an individual, but I wouldn’t get as deep in a group setting. I also need to get a feel of the group, because if I feel like someone mentions something that the other group members agree with, I will open up too because I don’t feel like I’m outnumbered. 4. What do you do, independently from counseling, that helps you? Read the bible and pray. I go walking and like to listen to music, especially Christian music, because I like worshipping God, and how much He loves me. I need to start journaling again, because I find it to be helpful to reread my old entries to understand my blessings and see where I’ve been on my journey.

INTERVIEWS 5. Can you give/categorize your overarching cause of anxiety? I don’t where to begin. It didn’t happen overnight, and it has happened over a very long time. I’ve also tried to figure it out myself, but I don’t really 100% know yet. 6. What kind of you lighting environment do you prefer when you are confiding in someone? Like daylight, dimmed lights, candlelight? I love candlelight, low lighting and natural lighting. I’m okay with either bright or overcast lighting, as long as I have access to natural light. 7. What scale/size of space do you feel most comfortable and safe in? Medium, because I can get claustrophobic if it’s too small. For example, an elevator feels too confining. However, I do like small nooks. I have a space like this in my house, and I would love to turn it into a relaxation nook with books. There is also a large window there which makes it comfortable. 8. What other non-related services would you like in a therapy center? I would love to go to a facility where it’s got it all. I like a place where there are books, or where I can relax, or do different activities. There is a place to read, or drink a beverage, exercise and get health tips. It would be convenient to have it all in one place. I would do away with any computers and phones. The technology doesn’t add to my appointments. My doctors just type as I’m talking, and oftentimes, the reports they print out for me afterwards aren’t accurate to what I mentioned, or there are embellished.

INTERVIEWS

PATIENT 3: (CONDUCTED BY LIENNE V ANWINKLE)

What environment makes you feel most at ease? Listening to music or studying in my room.

2. Of the five senses, what are different aspects that make you feel at peace? Visually - Nature Sounds - Nature, relaxing music like soundtracks that are peaceful, calming. Also ambient noise like fan blowing create nice white noise. Touch - My bed. The softness of the blankets and pillows. Scents - Food being cooked. Nature and flowers. Taste - Food from my childhood like quesadillas from Mucho Gusto. 3. When you are feeling troubled, do you find it most beneficial to discuss in a small group, private, or mixture of both? I think it depends on what is being discussed. If something is personal, then I prefer one-on-one. But in most social settings, like hanging out, I prefer small groups. If I want to get to know someone, I prefer one-on-one. However that is separate from anxiety. With anxiety, I prefer small groups. That way there’s no pressure on me to talk, but it’s not overwhelming like a huge party. 4. What do you do, independently from counseling, that helps you? I exercise multiple times a week. I meditate, not for much time, but I think it still helps. I spend time alone studying, listening to music, or watching TV. This alone time is important because I don’t have to be “on” or entertain anyone. To be honest, I haven’t found counseling to be that beneficial for my anxiety in the past year. All the things I just listed have been more helpful. 5. Can you give/categorize your overarching cause of anxiety? I don’t know what the overarching cause is. If I did, I would stop doing that. My best guess is that it is something in my lifestyle. I am very hard on myself and put a lot of pressure on myself. Also last year I was very over scheduled in school. I’ve taken steps to change that and I think it has helped. The reason I seek treatment is because anxiety affects my everyday life in ways I don’t like. 6. What kind of you lighting environment do you prefer when you are confiding in someone? Like daylight, dimmed lights, candlelight? In the morning I prefer lots of light, both natural and artificial if needed. At night I prefer softer, dimmed light or candlelight. 7. What scale/size of space do you feel most comfortable and safe in? I feel more comfortable in smaller spaces, but size of the space doesn’t have a big influence on me.

INTERVIEWS

8. What other non-related services would you like in a therapy center? Massages could be nice. I donâ&#x20AC;&#x2122;t really want much else besides the therapy itself though. This is because I am going to the place for therapy and donâ&#x20AC;&#x2122;t want to stay longer than necessary. It could be beneficial to include other forms of therapy. I know that animal therapy is a thing. There may be other forms of therapy besides counseling that could be added.

INTERVIEWS

MEDICAL PRACTITIONER INTERVIEW PSYCHOLOGIST: (CONDUCTED BY IRIKAA PILANI A)

This interview was with a psychologist from India, who provided an overview of the criteria for her job. She also gave her professional opinion and observations on improving healing through environment and other programs. 1.

Describe your job duties? In a “nutshell” my primary job duties are two-fold: get counsel and talk to students and people who are dealing with stress and mental health issues and guide them towards healthy life. To do this: I conduct outreach and engagement to various schools and college students by having different seminar programs and workshops. I collaborate with other community providers and social service agencies to secure resources for clients that may be the “hurdles” that is holding them back from securing their household and various issues. This means that I have to spend a lot of case management time researching what their situation are individually, brainstorming and problem solving with family and friends(sometimes) to help them overcome anxiety and other issues.

2. What is the range of reasons people seek counseling? Various kinds of people from teenage students to married people who are struggling due to stress. For better thought clarity it is important to counsel and talk to people. 3. What kinds of spaces do you think are the most imperative to have in your facility? I believe that there should be as much variation as possible. However, Community spaces are designed to be flexible as well as open and social. These spaces serve as locations for meeting with family, having casual interactions and structured therapies, and help to reduce stress associated with inpatient care. They are designed to promote patients’ participation in therapeutic activities and reduce the amount of time spent alone in their rooms. 4. What do you do, independently from counseling that helps you? Well trying to make sure I get enough sleep helps a lot. I try to take time and go to places quiet that makes me feel homely to let myself think and I will let myself cry sometimes to just let the feelings flow. Projects also help because I feel like I am doing something positive and helpful for others. Volunteering is something I want to get into because I would be doing something for other people. Taking time to appreciate more what is going well is something I remind myself to do. Something that is important.

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INTERVIEWS 5. What kinds of spaces do you wish you had more of? There are different kinds of spaces you need to counsel people, there should be group classroom spaces, where people can talk to each other and express their feelings, that often times helps them to share their problems and deal with stress. At the same time, there should be private rooms which gives them warmth and feeling of home that they can talk to professional and share whatever they. Patients want often likes to talk to people who do not judge them and suggest them without listening to them. There should be workshops that allow different people to work together using these psychology-based interview and analysis techniques to create home, office and landscape environments for our clients. 6. What environment do you find people are most comfortable opening up in? Visually – People always like view of something it can be different materials, which tells them something or view of outside which connects them and think about different situation they have been and open p about it. Sounds - I personally do not like too much noise because it can be distraction. A movement is more important that sound. Sounds of birds are nice but people talking is distracting because patients can think they others can hear them. Touch - Light surfaces like wood, brick. Provide warmth and homey feeling. For students it is important to be out of their usual environment. Therefore, a place there they can be relaxed like water, trees around (nature) etc. Scents - Health places should always smell fresh like nature outside. 7. Do you observe that patients tend to be most at ease in private, small group, or a combination discussion? Private rooms always promote a quieter environment, leading to better sleep and sharing for most and lowered levels of agitation for some patients. However, findings differ for children’s environments and some disagreement exists about the safety of private vs. shared rooms. For counseling spaces, on the other hand, social aspects are found to be particularly important because comfort, relationships and communication are essential to improving outcomes. 8. What is your concern when it comes to patients? Do you think design has role in it? Suicides are the greatest concern and studies recommend that staff have visual access to patients at all times to reduce such incidents. For the design of patient spaces, the objects in the room and design features, such as doorknobs, shower curtains, window treatments, ceiling and fixtures, need to be specified to prevent self-harm. As much as possible, the design should give patients a sense of control over their environment through such elements as lighting flexibility, furniture options and space layouts. 9. Describe one thing you find fulfilling about working in the industry. “I find it fulfilling to work in this industry because I can see firsthand and directly the positive impact I have on another person. I can immediately provide someone with a resource that can make their lives better for having worked with me.” Those kids who have been abused, neglected, or traumatized and who do not feel they can trust anyone. My fulfillment comes when I see that child opening up and reaching back for me.”

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INTERVIEWS

10.

What other kinds of programs do you offer? I am trained as a generalist, which means that I treat a broad range of concerns and disorders, but I have the freedom to specialize in areas that I enjoy working with, like anxiety. I also do a fair bit of presentations and outreach activities in the community, such as teaching stress relief strategies or talking about the warning signs for psychological distress. My job also involves meeting with colleagues for case conferences and peer supervision, research on treatment effectiveness and program evaluation, crisis intervention, and record keeping.

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INTERVIEWS

NATUROPATHIC DOCTOR AND MASSEUSE – BUSINESS PARTNERS: (CONDUCTED BY AZIT A FOOTOHI)

This interview involves two doctors that are currently in the process of establishing a new medical practice together. Additionally, some of the responses relate specifically to one of the interviewee’s primary medical practice as a Naturopathic medical practitioner. Many of their commentary discusses some of the current design decisions they taking into consideration for their new office. 1.

What is the range of reasons people seek treatment? Primary Practice: People who have done everything traditional medicine has had to offer. Also, some patients like to only use natural healing methods. New practice: We would describe our new practice as a Rejuvenation Center. As a general note, people are tired of not having personalized healthcare, and are unhappy with how traditional doctors give out prescriptions without understanding if that is the best mode of treatment for that patient. Patients often require other supplemental treatments, and traditional doctors are not paying attention to what is really happening to the patient. It is required that the doctor look at the whole body, and understand the side effects of prescription medications. I’ve seen people go through horrific illnesses and accidents and get put on pain medications. Some try to get themselves off of them, “cold-turkey”, while others become addicted to them. For this reason, healthcare needs to be customized for each individual, and needs to go beyond simply prescribing pharmaceuticals.

2. What kinds of spaces do you think are the most imperative to have in your facility? A comfortable, inviting, and relaxing waiting area. Having a friendly receptionist. A large treatment area where we can fit more than one person. Customized nurse treatment stations. Clinical hydrotherapy treatment where they can have privacy. Secondary waiting area where patients aren't exposed to the street traffic. Medicinal areas with showers. Massage spaces. Salt room treatment areas. Having different treatment rooms that can be customized. A water feature towards the back of the building. Would love to have a kitchen, and a room large enough to have exercise classes, like yoga. We would also like an outdoor courtyard, with potted herbs and a water feature, and also bringing the outside, in, while encouraging people to get outside. We would like to establish an overall feeling that is quiet and as restful as possible. A space for people where they don’t want to leave. The flow of the building should invite people to rest, rejuvenate, and heal. We would definitely like to keep it as quiet as possible and create a calm ambiance, that has a cocoon-like feeling. The front entry space would be more public, whereas the back would be more quiet. The ability to keep the space silent is not just for privacy reasons. It is not relaxing when you are trying to do breathing exercises and you can hear people around you. Obviously there is the discipline of blocking out the noise by yourself but you don’t want to make it too difficult for the patient, either. We would also like a place to check in electronics because they are so disruptive, regardless of the EMF [electromagnetic field] part of it. However, EMF is actually quite disruptive, and impacts you on a cellular level. Also, there is the addiction part of having your cell phone next to you, but you should try to be comfortable with your phone next to you without checking it.

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INTERVIEWS We’d like you to get in touch with your body, in order to understand what healing is. Basically, re-educating yourself on what you need in your life. 3. What kinds of spaces do you, currently, wish you had more of? Larger spaces and more spaces. 4. What supplementary treatments do you usually suggest to your patients? Current practice: Hydrotherapy, which is not typically covered by insurance. Because it isn’t covered by insurance, my new practice will offer it at an economical rate. Hydrotherapy is the practice of using water and temperature to stimulate healing. This can be seen with dry sheet wraps and wet sheet wraps. Electricity is also used with certain hydrotherapy treatments. Hydrotherapy boosts the immune system, and detoxifies the system. I also suggest sauna treatment, botanicals, and nutrition and diet changes. I also offer customized botanical treatments. It is my passion to have an herb garden to teach patients how to to make their own medicine. I also find it to be important to connect with nature. 5. What environment do you find people are most comfortable opening up in? Visually – Warm toned colors. There is an emotional aspect to colors, and there are select colors that are more calming. Sounds - Communication is key in any body treatment plan. Often people have not experienced certain treatments methods, and they need to be walked through by their health practitioner. This kind of environment will set trust. Patients want to know that you are more than just the money they spent for the treatment. Patients want to know that doctors care, and that they are not alone after treatment. This establishes empowerment for their own health. Even if I am giving patients a difficult dieting treatment, that is the patient’s choice to follow through with it, and I need to help them meet their health goals. That means not truncating their health concerns, and helping the patient establish new habits and lifestyle changes. This results in a counterculture to the “American” way around you. It’s also important to honor a patient's family, as well. There is social isolation that happens when you are the only family member undergoing a treatment. This is where the education aspect comes into place, in helping a whole family change their lifestyle for the better. Touch - Personally, I like natural materials like leather, wool and cotton. We want people to by cozy, and use materials that are easily cleanable. Also, balancing the natural elements. We’d like to use as many textures as possible to stimulate the senses. Scents - It’s our dream to have it customized. There are certain scents and sounds that stimulate certain parts of the brain, so each person would be different. Some people have certain hemispheres of the brain that can be can be healed or activated with certain scents. However, you need to have allergies addressed, so there would need to be a good ventilation system in place to address other people's health. Also you would need to address VOCs patients bring from outside. The side effects can linger for days. This is an area that I have issues with in my current practice, and people don’t often realize how much of an impact it has on your lifestyle. Taste - Primarily a teaching kitchen to teach patients whole food cooking. Showing meal planning. It would be a great way to show simple ways for meal prep. Teaching people to make their own shampoo, deodorant, bath salts, conditioners, hand creams, and lip balms that are non-toxic and natural. The kitchen

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INTERVIEWS aspect is a huge part of the empowerment for patients. People can also learn how to save money on their grocery bills. 6. What is the scale of space which you feel like you can most effectively do your practice? That is a very tricky answer. Our dream is to have a stand-alone facility that has a rural feel but easy access. Minimum of 25,000 sq ft in retail space. This is not including courtyard and ambiance of location. This size is a starting space. We can put a number of recliners in one room. Hydrotherapy and massage rooms can be smaller, and could be, technically, the size of crate elevator. But, I would want it to be comfortable, and not feel like a prison cell. 12 x 12 is the smallest we can go for a massage room. You need room for body movement and people to move. We’d like a giant room for salt treatments, but it would be nice to also have smaller rooms in case patients want to be treated on a smaller scale. 7. What amenities are important to have in your work environment, whether they be in your office or in adjacent rooms. I definitely need my own cubicle and office space that I can retreat to, so that I can have a study space that is not a treatment area. A break room would be great for employees. Having a sink between treatment rooms is also convenient, or in each treatment room. We would also need a laundry space. We also need an easy walkway between treatment rooms, while trying to keep foot traffic to a minimum. We also need a men’s and women’s restroom with showers between the two lobbies. A rehydration area with sink for patients to rehydrate themselves between treatments is also necessary. Having skylights available in the waiting rooms is also great, getting outdoor lighting especially from the outdoor courtyard. You must also consider that some people with migraines may be sensitive to light so it would be convenient to have adjustable lighting. Fluorescents are too harsh, so it would be excellent to have warmer lighting available. Different rooms with different local themes i.e. forests, beach, etc. would be nice, to bring the outdoor feeling in. 8. Do you find that your office practices complementary medicine, and how do you maintain the balance of naturopathy and modern medicine? Our education in a naturopathy covers surgeries, but traditional medicine teaches that pharmaceuticals and surgery are the only things that can treat a patient. My education background is in chemistry and the sciences, and I did research in the field, so I definitely try to integrate that with my natural medicine practice. I will also refer my patients to other practitioners to address a patient's specific needs. And I also offer alternatives to other conventional treatments. 9.

With your new practice, how are planning on combining different medical techniques into one facility? It depends on the customized treatment plan. I am creating a space strictly for my new business and my current practice. I would like to hire a hydrotherapist that I can train, who can run that aspect of the business while I am not in. The goal is to replicate ourselves as best as we can, for the times when we are not in the office.

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ASULA WELLNESS CENTER

818 NW MARSHALL ST, PORTLAND, OR 97209 Holding two offices in Portland and Lake Oswego, the Asula Wellness Center is a place for visitors to feel rejuvenated and experience healing through various techniques. What is unique about Asula is the integration of Chiropractic, Acupuncture, Massage, Naturopathy, and Prolotherapy healing techniques, all available within one facility. An emphasis is placed on treating and preventing illness, unrest, and injury to ensure that the body performs efficiently as a whole. Their practices are personalized to each of their patients and focus on long term solutions versus quick, impermanent fixes.

â&#x20AC;&#x153;Wellness is a holistic approach to understanding your health, based on the belief that physical, emotional and environmental factors all play a role in how you feel. Some patients seek wellness to correct imbalances, while many choose wellness as a line of defense against the onset of illness or injury.â&#x20AC;? -Asula Wellness Center 106

PRECEDENT STUDIES

ACUPUNCTURE: A form of Traditional Chinese Medicine, Acupuncture is a natural health care technique used for thousands of years. It focuses on the concept of Qi, or vital energy, which flows through the body to balance one’s emotional and physical health. Stagnation or excess of Qi can cause pain, disease, and discomfort in a person, and Acupuncture helps create a healthy flow of energy within the body. Hair-thin needles are placed on the appropriate “meridian points” of the body to stimulate energy flow and stimulates healthy regeneration of the body’s organs in order to reduce pain and disease. Forms of discomfort address include pain, stress, insomnia, depression, anxiety, allergies, asthma, and digestive disorders.

MASSAGE: A healing technique prevalent in many cultures, massage focuses on reducing strains and sprains throughout the body to stimulate healing and regeneration of the muscles, while simultaneously increasing blood flow and lymph circulation throughout the body. Asula’s massage service is usually provided in conjunction with their chiropractic services but is also available individually to all patients if they choose. Not only does massage provide physical relief, but it also allows for mental relaxation, and Asula provides various forms of massage, such as deep tissue massage, myofascial release,

PROLOTHERAPY: A form of regenerative injection therapy, prolotherapy focuses on the treatment of acute and chronic injuries. Its mild inflammation response helps stimulate damaged tissue to heal itself, which focuses on the healing of ligaments, joint capsules, tendons, fascia, and muscle fibers. Patients often experience the restoration of function of joints and the alleviation of discomfort due to long term injuries which have been previously unresolved. Patients usually require on average, 2-3 rounds, of administering the prolotherapy injection, and are spaced about 3-5 weeks apart.

CHIROPRACTIC: Focusing on providing musculoskeletal and neurological relief through non-invasive means. Techniques are taught to the patients to essentially “teach” the body what healthy body alignment is to prevent joint pain, musculoskeletal discomfort, headaches, and chronic pain from escalating or returning. Age, level of activity, and occupation are few of the considerations taken into account when coming up with the appropriate Chiropractic treatment regimen.

NATUROPATHY: Naturopathic Physicians emphasize their healing on addressing common health problems, including physical pain, digestive health, hormone balancing, and detoxification, which are tested using lab testing and lifestyle analysis in order to create a unique treatment regimen for each patient. Herbs and supplements, dietary interventions, lifestyle management, and hormone balance are all methods of treatment suggested to patients, and are, again, catered to each patient accordingly. Detoxification techniques are also provided to Asula’s patients as well, and the general time spent on their patients range from 60 minutes for the first visit, to 30 minutes for all follow-up visits.

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PRECEDENT STUDIES

CAVALLO POINT LODGE at FORT BAKER 601 MURRAY CIR, SAUSALITO, CA 94965

“Refreshing scents of eucalyptus and pine welcome you to the tranquil Healing Arts Center & Spa at Cavallo Point. Designed for nurturing and renewal, this contemporary oasis of serenity is a place to replenish your body, mind and spirit.” -Cavallo Point Lodge

SPA TREATMENTS:

HEALING ARTS SERVICES: CES:

MEN'S TREATMENTS:

- Massage - Body Treatments -Detoxifying scrubs - Stone Massage - Skincare

- Acupuncture - Clinical Massage - Nutrition & Training - Energy Work - Meditation

- Massage - Deep Tissue - Skincare - Training - Personal Training

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- Hypnotherapy & Guided Imagery - Healing Arts - Herbs

PRECEDENT STUDIES

INTEGRATIVE MEDICINE: With the Cavallo Point Lodge providing what would typically be called â&#x20AC;&#x153;spaâ&#x20AC;? like treatments, they also provide Integrative Medicine treatments which include a unique blend of modern medicine and traditional Eastern-Western medial treatments. Some of the treatments provided under the Integrative Medicine include: Acupuncture, Dietary Supplements (Herbal Medicines, Vitamins), Nutritional counseling, Fitness and body awareness programs, including yoga and martial arts practices, and mind-body relaxation techniques

With the project being situated on a historical landscape, the Cavallo Point Lodge was developed through the direction of the National Park Services to create a 142-unit lodge at Fort Baker, near Sausalito, California. The 200,000 square foot project is divided as follows: - located on 45 acres on the San Francisco Bay - Lodging rooms - 11,000 sq. ft. - Spa facilities - 15,000 sq. ft. - Meeting space - 90 seat Michelin star rated full service restaurant

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PRECEDENT STUDIES

ONE TASTE HOLISTIC HEALTH CLUB SHANGHAI, CHINA

“Caring for the society’s wellbeing, One Taste wishes for the development of our spiritual enlightenment, where they have pioneered an open forum for reunification, as we journey back to our own hearts.” -Crox International Co.

“By utilizing natural materials such as solid wood and stone, with the reflections DESIGN FIRM: CROX Design

of silver foil, One Taste places a strong focus on ‘simplicity’ to ensure the charm

PROJECT TYPE: Club

of the materials’ original touch and warmth.”

SITE LOCATION: Shanghai, China COMPLETION DATE: June 2012 AREA: 360㎡

- Architizer • • •

MATERIAL: Teak Timber Flooring, Fir

“We often experience nature’s beauty from afar，generally from our comfort

Timber Ceiling, Lauan Wood, Marble Stone, Mirrors, Foil Ceiling

zones. A subtle separation can create the safety we need, and from a place of peace, we can then enjoy and ponder the wonders and beauties of nature.” -Tsung-Jen Lin [Project Architect]

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PRECEDENT STUDIES Set in the urban landscape of Hangzhou in Shanghai, China, One Taste Holistic Health Club is able to establish a sense of ease and tranquility, despite its location in a heavily populated city. Situated between the Chenghuang Temple and the West Lake, the design reflects the ripples of the waters of the West Lake with its fluid design and wave-like wall texture. The use of this wave-like wall element allows for unique spaces for refuge, whilst creating expansive, public areas. With masonry walls surrounding the perimeter, visitors are encouraged to meditate and relax, with a fine balance of privacy and opportunities for socialization being provided.

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BIBLIOGRAPHY 2015 Washington State Building Code (In ordinance with IBC):

- https://up.codes/viewer/washington/ibc-2015/chapter/3/use-and-occupancy-classification#3 - https://up.codes/viewer/washington/ibc-2015/chapter/10/means-of-egress#10

2018 International Building Code (IBC):

- https://codes.iccsafe.org/content/IBC2018/chapter-3-occupancy-classification-and-use - https://codes.iccsafe.org/content/IBC2018/chapter-11-accessibility - https://codes.iccsafe.org/content/IBC2018/chapter-14-exterior-walls

Acupuncture and Massage College:

- https://www.amcollege.edu/blog/what-is-holistic-medicine

American Holistic Health Association:

- https://ahha.org/

Asula Wellness:

- https://www.asula.com/home

Bernhardt Design:

- http://bernhardtdesign.com/

Cavallo Point Lodge:

- https://www.cavallopoint.com/index.html

Centers for Disease Control and Prevention (CDC):

- https://www.cdc.gov/nchs/data/nhsr/nhsr079.pdf

Houzz:

- https://www.houzz.com/

Johns Hopkins Medicine:

- https://www.hopkinsmedicine.org/healthlibrary/conditions/complementary_and_alternative_medicine/types_of_ complementary_and_alternative_medicine_85,P00189

Lumens - Light and Living:

- https://www.lumens.com/

Maharam:

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- https://www.maharam.com/products

National Center for Complementary and Integrative Health (NCCIH) – U.S. Department of Health and Human Services:

- https://nccih.nih.gov/research/statistics/NHIS - https://nccih.nih.gov/research/statistics/2007/camsurvey_fs1.htm - https://nccih.nih.gov/research/statistics/2007/cam-use-by-age-2007 - https://nccih.nih.gov/research/statistics/2007/cam-use-by-race-among-adults - https://nccih.nih.gov/research/statistics/2007/most-common-cam-therapies-among-adults - https://nccih.nih.gov/research/statistics/2007/diseases-conditions-for-which-cam-is-frequently- used-among- adults

National Park Service – U.S. Department of the Interior (NPS):

- https://www.nps.gov/fova/learn/historyculture/index.htm - https://www.nps.gov/fova/learn/historyculture/people.htm - https://www.nps.gov/fova/learn/historyculture/places.htm

One Taste Holistic Health Club:

- http://www.crox.com.tw/index.php?action=projects_content&id=4

Post Hospital Building Assessment – Carleton Hart Architects Sherwin Williams:

- https://www.sherwin-williams.com/homeowners/color/find-and-explore-colors/paint-colors-by-family

Spa & Equipment:

- https://www.spaandequipment.com/home.php

West Elm:

- https://www.westelm.com/

Y Lighting:

- https://www.ylighting.com/

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