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An architect has just received client approval of the Schematic Design documents for a three-story,...

An architect has just received client approval of the Schematic Design documents for a three-story, outpatient medical clinic. The clinic is located within a mixed-use development governed by

a City-approved Planned Development (PD) document. The medical clinic design utilizes standardized departmental layouts and includes outpatient clinics, as well as treatment spaces,

administrative spaces and public/lobby spaces.

The site needs to accommodate four different vehicular traffic flows: patient traffic, staff traffic, service and delivery traffic, and emergency services traffic. In addition, a pedestrian plaza

must connect to the mixed-use development sidewalks. The plaza must provide space for bicycle parking and will serve as the future bus stop.

The site design addresses several challenges related to building orientation. The southeast facade, with excellent visibility from the highway, is the location of all service equipment. The

building entrance faces northwest, convenient to the parking but not visible from the highway.

The client believes future patient volumes will outgrow the clinic. The PD document allows for a planned Phase 2 development on the adjacent vacant site to the southwest. Phase 2 would

include a second building (2 story, 80,000 BGSF) and/or a parking deck.

Other considerations for the project include:

    Protected tree requirements are defined in the PD document.

    Easy pedestrian access must be provided from Sycamore Boulevard.

    All required parking for the clinic must be accommodated on site.

    Programmed area includes 109,450 Departmental Gross Square Feet (DGSF) / 130,184 Building Gross Square Feet (BGSF).

    Exterior material percentages are dictated by the PD document and shall not exceed specific percentages for Primary and Secondary Finishes.

    All service equipment needs to be screened; see PD document for restrictions.

    Signage opportunities are important to the client.

    Acoustical privacy is a concern of the healthcare system.

The following resources are available for your reference:

    Drawings, including a perspective, plans, and exterior elevations

    Building Program, including client's departmental program and detailed program for Treatment 01 (Infusion)

    Exterior Material Cost Comparisons

    Planned Development Document

    IBC Excerpts, showing relevant code sections

    ADA Excerpts, showing relevant sections from the ADA Standards for Accessible Design

Which of the following design solutions best addresses the client’s concerns related to building orientation, vehicular circulation, and future expansion?

A.

Locate all vehicular traffic access on one side of the site to simplify circulation and position the main entrance on the southeast facade facing the highway for maximum visibility.

B.

Separate vehicular traffic by type with dedicated access points, place the main entrance facing northwest toward parking for convenient access, and locate service equipment on the southeast facade screened as per PD requirements.

C.

Cluster patient and emergency vehicle access on the northwest facade with the main entrance adjacent, position staff and service access on the northeast, and minimize the pedestrian plaza to maximize parking area.

D.

Position the main entrance on the northeast facade to align with future Phase 2 development, route all vehicular traffic through a centralized loop road, and locate service equipment behind the building without screening to reduce costs.

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