Archives: Projects


PVAHCS Halls & Walls Phase 1

The Triple C design team renovated the interior of these spaces to address the unique needs of veterans.  By decreasing the number of environmental stressors and creating efficient traffic patterns that promote safety, ease, and calm, the interior of Building 1 now meets the VA’s vision for circulation of employees and patients with a welcoming atmosphere to a state-of-the-art medical center.


The entry and lobby were “re-visioned” to present an atmosphere that welcomes patients, while the Gallery and adjacent hallways were “re-visioned” to include new ceilings, column wraps, lighting, flooring, colors, seating, and signage. The 2,460 SF of Phase 1 renovations addressed safety, comfort, access, availability of ancillary services, patient confidentiality and corridor traffic through congested areas during the construction period.


The Triple C design team physically and visually separated access to hospital functions to enhance security and privacy. The Building 8 conceptual design included an extension of the second-story floor, and introduced an additional lounge and education area.

PVAHCS Value Engineering of the Master Plan

The Phoenix Veterans Affairs Health Care System (PVAHCS) completed a 10-year assessment of their Strategic Capital Investment Program. That assessment identified a capital investment of approximately $300M to provide 171,300 SF of new healthcare space at the Carl T. Hayden Medical Center and to renovate another 356,000 SF of existing space. Approximately 40 projects were identified for the needed expansion.

Triple C provided an independent value engineering assessment of the master plan and alternative recommendations for spatial arrangements, construction sequencing and other beneficial modifications. The value engineering to the proposed strategic plan included feasibility analysis, guidance and recommendations for construction phasing and implementation.

Triple C performed an analysis and derived recommendations for staffing/workload to support the expansion and workload/projected growth for the CBOCs. Triple C delivered workload projections according to strategic categories in the Medical Center’s overall master plan.

NMVAHCS Replace Central Plant Boilers

This project removed and replaced three 500 BHP, high-pressure steam boilers and associated equipment to include the DA tank, condensate tank and flash tank located in the central energy plant. In addition, all ancillary piping systems, controls, pumps, valves and other devices were replaced with state-of-the-art equipment and materials with the intention of providing the highest levels of reliability and efficiency

New boilers were sized to meet the requirement for existing and planned loads so that the plant runs as efficiently as possible. Boilers, DA tank and condensate tank safety devices adhered to standards for safety device testing established by the VA and detailed in the Technical Information Library specifications and Boiler Plant Safety Device Testing Manual (third edition).

VAHCS Improve Mental Health Inpatient Wards

This remodel project included 6,000 SF of existing space in Building 1 on the 5th Floor, C&D Wings of the Phoenix VAHCS. The space supports specialty Mental and Behavioral Health services as well as the Mental Health administrative offices. Interior design and planning included suicide-proof light fixtures, extensions to patient room cabinets, drain enclosures and updating door hardware. Additionally, Triple C addressed:

14 Patient Rooms

  • Brightened patient washroom lighting; designed washrooms for ADA compliance; widened patient doorways; asbestos remediation; updated all finishes; designed suicide-proof toilets and fixtures.


  • Designed showers and entry for ADA compliance; asbestos remediation; updated all finishes; brightened room lighting; and installed a power door operator.

Patient Seating

  • Redesigned an open sitting area for patients with updated finishes, living murals, and new wall lighting.

Fresno VACCHCS Phase 2 Chiller Infrastructure Project

The Chiller Infrastructure system required updating, upsizing, and corrections. Triple C developed a design to increase the size of the chilled water piping system to increase the distribution capacity for the main hospital. The design also included the installation of two additional chillers in the chiller plant to increase the chilled water capacity for the campus. Triple C is designing also designed an Overhead Pedestrian Canopy to provide ease of access and maintenance of the unseen raceway and utility lines.

The design provides for the connection of the medical oxygen and vacuum pump control lines and alarm control panels.  The additional chiller units were designed within the existing infrastructure of Building 22A and connect to the existing chiller infrastructure. The design included the installation of automated controls for chilled water system components which are tied into the site-wide Metasys (Johnson Controls) computer based operating system centralized in the boiler plant.

Albuquerque NMVAHCS Parking Garage

Providing a harmonious response that preserves historical influences yet celebrating modern influences, Triple C designed this new, multi-level, 350-space parking garage adjacent to the historic area on campus. The VA stakeholders and Triple C evaluated three locations during a two-day charrette. Among other factors, the options designed by Triple C addressed essential physical security setback requirements to insure safety for patients and staff.

Triple C designed the parking garage to include full accessibility with elevators from the upper/lower levels of the garage, as well as providing a vehicular traffic study to ensure that traffic does not back up on the main loop road during peak periods, Triple C assessed pedestrian safety for access to buildings and services and prepared a pedestrian traffic study.  The project included signage, remote surveillance to support overall security and safety, and Solar PV panels.

Phoenix VAHCS Outpatient Behavioral Health Building

Triple C provided the planning and design for the this 20,000 SF new Outpatient Behavioral Health Building.  Construction documents were for the first two stories of an ultimate six-story structure. The design included the architectural and engineering infrastructure for four additional future floors.

This initial PHX OBHB project will provide a new building to house primary and specialty mental and behavioral health services. The initial 1st and 2nd floors of this building will consist of outpatient clinical and group therapy mental health services.

Because the building is adjacent to the existing In-Patient Behavioral Health Building, the connectivity to the in-patient facility will allow for shared services and memory care space. Triple C will also provide construction administration services.

Albuquerque NMVAHCS Community Living Center

The Community Living Center Phase 2 project expands Phase 1 to provide 15 new beds and add a total of 10,000 SF of new space to the building. The Community Living Center isconfigured to accommodate two more residential homes/wings of 7 and 8 beds, respectively. Phase 2 will further enhance space constructed in Phase 1 to support amenities per the latest CLC Design Guidelines that increased the amount of support space required for Community Living Center functions.

The design solution includes all the needed site work to tie into the previously designed Community Living Center to provide the most efficient traffic flow patterns for the station.

Albuquerque NMVAHCS Pharmacy

This $8.5M project allows for up to 20,000 SF of new space while extensively remodeling and relocating existing spaces. Triple C developed solutions that mitigate the impact to adjacent sites, addresses historical impacts, and provides added value to the campus, such as relocating the Canteen.

Per the VHA design directives, Triple C addressed VA requirements for physical security, as well as those governing the security of pharmaceutical materials and substances. As an energy management measure, sub-metering of utilities was incorporated into the design. Third parties provided fire protection engineers and blast consultants.

Triple C’s design provides full accessibility for vehicular and pedestrian traffic, while maintaining sensitivity to the future impacts on traffic due to the new parking structure. Triple C developed signage plans to facilitate wayfinding for pedestrians and vehicles. Requirements for building access, construction staging, and phasing were included.