Applying to Construction Review Services

Applying to Construction Review Services (CRS)

Application requirements

Before your first conference or Initial Review, you must provide the following:

  • A fully completed Construction Review Services (CRS) application packet.
  • The appropriate review fee based upon the initial project cost as determined from the construction fee table, flat fee schedules or building conversion.
  • Mail the application and fee ONLY (do not include plans, supporting documents, etc.) to: Washington State Department of Health, PO Box 1099, Olympia, WA 98507-1099

To begin the plan review process, most projects will also require additional documents. A detailed list and mailing instructions are provided on our Plan Review Process webpage.

Certificate of Need

Prior to submitting to CRS, your project may require you to obtain a Certificate of Need (CoN). The Certificate of Need program is a regulatory process that requires certain healthcare providers to obtain state approval before building certain types of facilities or offering new or expanded services.


Preliminary design

A preliminary review addresses questions on project scope and process. This is particularly encouraged for those that have not recently been involved with licensed healthcare projects in Washington State. Preliminary plan review conference goals include assistance with:

  • Feasibility of a building or project
  • Determining the appropriate plan review fee
  • Determining applicable licensing requirements
  • Development of the functional program
  • Interpretation of specific regulations that significantly impact the project
Design development review

During the creation of design development documents, a conference is helpful to review the main project elements. At this point, the functional program should be sufficiently established so that the planned operations can be compared with the major components required by code. Identification of non-compliant elements will save costly redesign during construction documentation. Design development review goals include assessment of:

  • Scope of services provided
  • Size and capacity of rooms
  • Number, location and type of support spaces
  • Any known compliance issues/ alternative proposals
Construction document review

As the construction documents near completion, a conference is helpful to review final details and prepare for plan review submission. It's also a good time to validate how questions from previous conferences have been addressed. If no previous conferences have occurred, we will identify as many high priority issues in the time left before plan review. Goals include:

  • Address final design details
  • Prepare for plan review
  • Provide updates on alternative method requests
  • Identify/recommend cost saving measures
Plan review intake

Large projects often benefit from an intake conference to ensure minimum submittal requirements are met and to orient the reviewer with the plans. This is typically done when the final documents are submitted for the initial plan review.

Post plan review

A post-review conference may be requested by the design team following receipt and analysis of CRS plan review comments. This has proved very useful in clarifying the intent of a comment or identifying how corrections should be made.

More Resources

Applying to CRS | Applications | Certificate of Need (CoN) | Desk Reference Manuals | Local AHJ (courtesy of WABO) | Plan Review Fee | Reviewers