CONSTRUCTION FEE TABLE
Project Cost					Project Review Fee
$	0	to	$	999	$	120
1,000		to	1,999			250
2,000		to	2,999			325
3,000		to	4,999			410
5,000		to	9,999			530
10,000		to	19,999			665
20,000		to	29,999			820
30,000		to	39,999			975
40,000		to	49,999			1,125
50,000		to	64,999			1,325
65,000		to	79,999			1,535
80,000		to	99,999			1,845
100,000		to	124,999			2,200
125,000		to	149,999			2,550
150,000		to	199,999			2,970
200,000		to	249,999			3,325
250,000		to	324,999			3,650
325,000		to	449,999			4,100
450,000		to	574,999			4,600
575,000		to	699,999			5,200
700,000		to	849,999			5,825
850,000		to	999,999			6,550
1,000,000		to	1,249,999			7,150
1,250,000		to	2,499,999			7,850
2,500,000		to	2,999,999			8,550
3,000,000		to	3,499,999			9,300
3,500,000		to	4,999,999			10,750
5,000,000		to	6,999,999			12,200
7,000,000		to	9,999,999			13,800
10,000,000		to	14,999,999			15,850
15,000,000		to	19,999,999			17,850
20,000,000		to	29,999,999			19,900
30,000,000		to	39,999,999			23,000
40,000,000		to	59,999,999			25,600
60,000,000		and over				28,700

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Installation of finishes only		$120.00
Change of approved use only		$120.00
Mobile Units
The first submission for review and approval of the site installation of a mobile unit		$470.00
	Each additional submission of the same project	$285.00
The first submission for review and approval of the equipment supplier of a mobile unit		$470.00
	Each additional submission of the same project	$285.00
Technical Assistance
Each eight staff hours or fraction thereof for technical assistance.		$410.00*
*For technical assistance requiring travel, the program may increase the fee to include travel

Building Conversions.
Building conversion fees will be based on the value of existing construction. Fee's will be charged for project review based on the project fee table. The existing construction value is based on the local area cost data. Project sponsors may submit specific cost data that accurately describes the estimate good faith value for the program's consideration. We generally find that the state average cost data is sufficient for most projects. The project sponsor may use the following data to determine the value of the building:

Hospital (Acute Care)	$200.00 per square foot
Nursing Home	$150.00 per square foot
Boarding Home	$120.00 per square foot
Other Facility Types	$ 90.00 per square foot

Once the value of the building has been determined (by multiplying the costs above by the square footage of the licensed area) the fee is derived from the construction fee table.
 

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Fee reductions.  A request for a fee reduction can be sent by email, fax (360) 236-2901, or mail to Construction Review Services. The program will review the request and make a determination on the total reduction allowed by rule.

The project may qualify for a decrease the project review fees, when:

• Upon prior approval by the program the project sponsor may exclude from the "project cost" the cost for fixed or installed technologically advanced clinical equipment such as but not limited to: Lithotripters, CT scans, linear accelerators, and MRIs. In your request, please include an itemized list of the equipment and their associated cost(s) that you would like to exclude from the estimated project cost. To assist in expediting the process, please include a copy of your equipment estimate.
   

• The project is prepared by a state licensed architect or engineer when architectural or engineering services are not required by rule. 
   

• A facility is converted from another occupancy as defined by the state building code; a facility is converted from one license to another; or, a facility that is currently unlicensed, but was previously licensed through the DOH or DSHS, wishes to be reviewed for relicensure. The amount of fee reduction will be determined by the estimated amount of systems review required to ensure that the rules have been met.
   

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Chapter 246-320 WAC - Definitions

The definitions in this section apply throughout this chapter unless the context clearly indicates otherwise:

1. "Certified" means facilities that must be certified to participate in Medicare or Medicaid programs and meet physical environment minimum standards as required in the Code of Federal Regulations.

2. "Change of approved use only" means a change in the function of a room that does not alter the physical elements.

3. "Finishes" includes, but is not limited to, products such as carpet, vinyl wall covering, wall paper, exterior siding, landscaping, or paneling applied to an existing surface as the exposed surface.

4. "Licensed" means facilities licensed from the state department of health (DOH) or state department of social and health services (DSHS) that must obtain approval from construction review services before licensure activity.

5. "Permit" means a recommendation to the licensing or certifying authority from construction review services indicating that a facility meets the physical environment rules and the plan review process is complete.

6. "Program" means the Washington state department of health, construction review services.

7. "Project" means a change to a facility including new construction, replacement, alterations, additions, expansions, conversions, change of approved use, improvements, remodeling, renovating, and upgrading of the following types of facilities:

1. "Ambulatory surgery center" defined as a facility that is required to be certified for participation in Medicare or Medicaid or ambulatory surgical facilities licensed under chapters 70.230 RCW and 246-330 WAC;

2. "Birthing centers" (formerly maternity homes) and "childbirth centers" licensed under chapters 18.46 RCW and 246-329 WAC;

3. "Boarding homes" licensed under chapters 18.20 RCW and 388-78A WAC;

4. "Correctional facilities" as defined under RCW 43.70.130(8);

5. "Hospice care center" licensed under chapters 70.127 RCW and 246-335 WAC;

6. "Hospitals" licensed under chapters 70.41 RCW and 246-320 WAC;

7. "Nursing homes" licensed under chapters 18.51 RCW and 388-97 WAC;

8. "Private alcohol and chemical dependency hospitals" licensed under chapters 71.12 RCW and 246-324 WAC;

9. "Private psychiatric and alcoholism hospitals" licensed under chapters 71.12 RCW and 246-322 WAC; and

10. "Residential treatment facilities" licensed under chapters 71.12 RCW and 246-337 WAC; and

11. "Temporary worker housing" licensed under chapters 70.114A RCW and 246-358 WAC.

8. "Project cost" means all costs directly associated with the project, initially estimated and corrected by certification to the date of completion of the project and including all fixed and installed clinical equipment in the project and contractor supervision, inspection, and overhead. This cost does not include:

1. Taxes;and

2. Architectural or engineering fees; and

3. Land acquisition fees.

9. "Project sponsor" means the person, persons or organization, planning and contracting for the design and construction of facilities, generally the owner or the owner's representative.

10. "Technical assistance" means assistance provided by the program to facilities either at the program offices or at the project location including:

    1. Information on the laws, rules and compliance methods and technologies applicable to the regulations;

    2. Information on methods to avoid compliance problems;

    3. Assistance in applying for permits, licensure or certification;

    4. Information on the mission, goals, and objectives of the program; and

    5. Assistance to parties constructing projects not required to be licensed or certified and voluntarily wish to comply with rules or guidelines in the interest of safety or best practices.

9. "Value of existing construction" means the value of an existing building or portion thereof at the time of project submission, based on the current market value of the structure as documented by the project sponsor, or, as determined by assigning a cost per square foot value.
   
    

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