OSHPD project consisted of a ground-up addition to include 2 operating rooms, 2 labor rooms and 5 delivery rooms. Project also included the installation of complex security monitoring systems and nurse call. The emergency room addition consisted of new masonry block building includes retaining walls, a glu lam supported roof system with metal stud framing for interior walls. Existing emergency room was also remodeled. Entry and site work were also included in this project.