HomeMy WebLinkAboutFire Inspection 3/6/2008
INSPECTION REPORT
NO.
CONFERRED WITH
SilllplexGrin,..,., BE SAFE.
REPORT T~~ W ~ h'~ S
STREET \ "'K L t\ ~
CITY & STATE ~ ~ <:>R L A \00=- I
ATT.
M A~ N'\
t:... : - 'IN Y
\ N ~ '
REPORT OF INSPECTION
per NFPA 25
R~~
N\N
ZIP S5~T)).
A business unit of Tyco Fire & Security
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BUREAU FILE
NO.
SET 1 OF 2
BUILDING OR lOCATI15pro ::s- ~t;
INSPECTOR 0 PA<.I\ I 'N H~fr
SG OFFICE \PL,,~ ~ PHONE NO.'7b3;~~f)-~t:>
DATE "3.- " - 0 ~
1. GENERAL
A. (To be answered by the Owner or Owner's representative)
a. Have there been any changes in the occupancy classification, machinery or operations since the last inspection?
b. Have there been any changes or repairs to the fire protection systems since the last inspection?
c. It a fire has occurred since the last inspection, have all damaged sprinkler system components been replaced?
d. Has the piping in all dry systems been checked for proper pitch within the past five years?
Date last checked
e. Has the piping in all systems been checked for obstructive materials?
Date last checked (checking is recommended at least every 5 years)
f. Have all fire pumps been tested to their full capacity through the use of hose streams or flow meters within the past 12 months?
g. Are gravity, surface or pressure tanks protected from freezing?
h. Are any of the sprinklers 50 years old or older? (testing and/or replacement is recommended for such sprinklers)
Are any extra high temperature solder sprinklers regularly exposed to temperatures near 300"F?
B. (To be answered by the inspector)
a. Have the sprinkler systems been extended to all visible areas of the building?
b. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector?
c. Are the building areas protected by a wet system, heated, including its blind attics and perimeter areas, where accessible?
d. Are all visible exterior 0 en in s rotected a ainst the entrance of cold air?
t...
(checking is recommended at least every 5 years)
2. CONTROL VALVES
a. Are all sprinkler system main control valves and all other valves in the appropriate open or closed position?
b. Are all control valves sealed or supervised in the open position?
No. Easily Valve Secured? Supervision
Control of Type Accessible Signs Open It yes, how? (Sealed?) Operational
Valves (Locked?)
Valves Yes No Yes No Yes No Yes No (Supvd. ?) Yes No
CITY CONNECTION
TANK
PUMP <. A,..,. <: . A ~ '", I ~ M\ ""\...., ~^ 7
SECTIONAL '-..'ll'-r_ ....~ \ 1_ " ""
SYSTEM
ALARM LINE
3. WATER SUPPLIES I .^
a. Water supply source? CityPR: 6~. LJ4 k:)!:. Gravity Tank
Water/low Test Results Made During This Inspection
t--J A
Pressure Fire Pump & Tank
Pressure Fire Pump & City-LLL'\ -
Pressure Fire Pump & Pond _ ,~
Test Size Static Static Test Size Static Static
Pipe Test Pressure Flow Pressure Pipe Test Pressure Flow Pressure
Located Pipe Before Pressure After Location Pipe Before Pressure AfIer
r,^, a-I "" ~ C ~ \1 <:: (") :Jq -<.<-.
'--/ ~ --
4. TANKS, PUMPS, FIRE DEPT. CONNECTIONS
a. Do fire pumps, gravity, surface or pressure tanks appear to be in good external condition?
b. Are gravity, surface and pressure tanks at the proper pressure and/or water levels?
c. Are fire dept. connections in satisfactory condition, couplings free, caps or plugs in place and check valves tight?
d. Are fire dept. connections visible and accessible?
5. WET SYSTEMS .--........
a. No. of systems ~ Make & Model
b. Are cold weather valves in the appropriate open or closed position?
If closed, has piping been drained?
c. Has the owner or owner's representative been advised that cold weather valves are not recommended by NFPA?
d. Have all the antifreeze systems been tested?
e. Date antifreeze systems were tested
f. The antifreeze tests indicate protection to:
system 1 2 3 4
g. Did alarm valves, waterflow alarm indicators and retards test satisfactorily?
ORIGINAL
5
temperature
sr;4~!)nR11 (4IOfi)
SimplexGrinnb~J tIS€SAFE.
6. DRY SYSTEMS
a. No. of systems--L- Make & Model
Date last trip tested - ~ - c:::>
b. Is the air pressure and priming water levels normal?
c. Did the air compressor operate satisfactorily?
d. Were all low points drained during this inspection?
e. Did all quick opening devices operate satisfactorily?
f. Did all the dry valves operate satisfactorily during this inspection?
g. Do dry valves appear to be protected from freezing?
h. Is the dry valve house heated?
::J:h. ,;:
A business unit of Tyco Fire & Security
REPORT OF INSPECTION
PER NFP4 25
INSPECTION CONTRACT
No.l~d..~31JmJQ
BUREAU FILE
NO.
INSPECTION REPORT
NO..
7. SPECIAL SYSTEMS
a. No. of systems
Type
b. Were valves tested as required?
c. Did all heat responsive systems operate satisfactorily?
d. Did the supervisory features operate during testing?
Heat Responsive Devices: Type Type of test
Valve No. 1 . . . . . .2. ....3......4...... 5 . . . . 6 . Valve No.
Valve No. 1. .2. . . . . . 3 . . . . . .4. . . . . . 5 . . . . . . 6 . Valve No.
Valve No. 1 . . . . . .2. . . . . .3. . .4 . . . . . . 5 . . . . . .6. Valve No.
Valve No. 1 . . . . 2 . . . . . .3. . . . . .4. . . . . . 5 . . . . . .6. Valve No.
C-'J Type l\.J A
. C"")
Make & Model
Auxiliary equipment:
No.
Location
Test results
1......2......3......4......5.
1 ..2......3......4. ....5.
1......2.. ...3.. ...4......5.
1......2... .3......4......5.
.. 6.
.. ..6.
. .. 6.
.....6.....
8. ALARMS
a. Did the water motors and gong operate
b. Did the electric alarms operate during te
C. Did the supervisory alarms operate duri
9. SPRINKLERS - PIPING
a. Do sprinklers generally appear to be in
b. Do sprinklers generally appear to be fre
c. Are extra sprinklers available on the pre
d. Does the exterior condition of piping, dr
and strainers appear to be satisfactory?
e. Does the hand hose on the sprinkler sy
10. EXPLANATION OF "NO" ANSWERS (For Sections 18 thru 9):
Yes N,A,:j: No
during testing? "
sting? /
ng testing? /-
good external condition? /
e of corrosion, paint, or loading and visible obstructions? /-
mises? /
ain valves, check valves, hangers, pressure gauges, open sprinklers ./
stem appear to be in satisfactory condition? /'
"S ~ E.. S lv, {)~L ~~ M'C "'iTAJ
,
11.
,
THE INSPECTOR SUGGESTS THE FOLLOWING NEC''sSARY IMPROVEMENTS, HOWEVER, THESE SUGGESTIONS ARE NOT THE RESULT OF AN ENGINEERING SURVEY:
ADJUSTMENTS OR CORRECTIONS MADE:
LIST CHANGES IN THE OCCUPANCY HAZARD OR IRE PROTECTION EQUIPMENT, AS ADVISED BY THE OWNER IN SECTION 1A:
" /
............. /
12.
13.
14. INSPECTION AND SUGGESTED IMPROV
Signature of owner or owner's representative
DUPLICATE TO:
STREET
CITY & STATE
ATT.
SG4550R22 (04/06)
?
ZIP
ORIGINAL
tNot Applicable
SilllplexGriltnel1 BE SAFE.
DRY PIPE VALVE TRIP TEST REPORT
, I PER NFPA 25
FOR ~~ W \ L~S 1V\A, 1'~- RL1\C
STREET~~~Q \,J-t~ ~i\NY \JJ'cITY~A;6R LA~~T
DATE OF TRIP TEST - - - ~ ~ INSPECTOR
A business unit of Tyco Fire & Security
NOTE: BEFORE ANY DRY PIPE VALVE IS TRIP TESTED, THE WATER SUPPLY LINE TO IT SHOULD E THOROUGHLY FWSHED. THE /WO INCH DRAIN BELOW
THE VALVE SHOULD BE OPENED WIDE, AND WATER AT FULL PRESSURE SHOULD BE DISCHARGED LONG ENOUGH TO CLEAR THE PIPE OF ANY
ACCUMULATION OF SCALE OR FOREIGN MATERIAL IF THERE IS A HYDRANT ON THE SUPPLY LINE, THIS HYDRANT SHOULD BE FWSHED BEFORE
THE /WO INCH DRAIN IS OPENED. THE DRIP VALVE ON THE DRY PIPE VALVE SHOULD BE CHECKED BEFORE TRIPPING THE DRY PIPE VALVE. TO SEE
THAT IT IS IN OPERATING CONDITION.
INSPECTION NO. J 3:J S- :3 '7 I 0
CONTRACTl {'JO.
A.l.\LD~~~~?J2.fP
I SYSTEM NO. ( ) I SYSTEM NO. ( ) I SYSTEM NO. ( ) SYSTEM NO. ( )
DRY PIPE VALVES
VALVE SERIAL NUMBER 67 qC[
MANUFACTURER (NAME) G~N'\-R~
VALVE MODEL A-~
VALVE SIZE LIlt INCH INCH INCH INCH
(LOCATION) F"-l\tR.~ OJ r be. J
CONTROLLING SPRINKLERS "
(NUMBER) - (APPROX) (APPROX) (APPROX) (APPROX)
DATE LAST TRIP TESTED? ~ - ~ -<e/)I
DATE LAST OPERATED? - .....
AIR -~S LBS LBS LBS LBS
PRESSURE BEFORE TEST S~
WATER LBS LBS LBS LBS
SIZE AND LOCATION OF TEST VALVE ~ "T--rV
WAS GATE VALVE BELOW DRY VALVE OPEN WIOE AT TEST? 4
(IF NOT, HOW MANY TURNS?)
AIR PRESSURE c:: LBS LBS LBS LBS
VALVE TRIPPED AT WATER PRESSURE S~ LBS LBS LBS LBS
TIME - MIN- SEC MIN SEC MIN SEC MIN SEC
IF SYSTEM FLOODED, LIST TIME WATER MIN - SEC MIN SEC MIN SEC MIN SEC
REACHED TEST OPENING -
PERFORMANCE ~(j~
INTERIOR OF BODY 7/
MOVING PARTS r (
VALVE CONDITION RUBBER FACING \\
SEATS , ')
RESET? 'I 'E- ~
DID ALARMS OPERATE AT TRIP TEST? (/
ALL LOW POINT DRAINS BLOWN OUT? \ (
WATER CONTROL VALVE LEFT \\
OPEN AND SEALED?
ALARM CONTROL VALVE LEFT 1
OPEN AND SEALED?
QUICK OPENING DEVICES SYSTEM NO. ~f\) SYSTEM NO. ( ) SYSTEM NO. ( ) SYSTEM NO. ( )
DEVICE SERIAL NUMBER /
MANUFACTURER (NAME) /
TYPE AND MODEL , J
AIR PRESSURE IN UPPER CHAMBER r\ A LBS LBS LBS LBS
QUICK OPENING DEVICE TRIPPED AT '/EC \ LBS SEC LBS SEC LBS SEC LBS
PERFORMANCE /
QUICK OPENING DEVICE LEFT IN SERVICE /
AND CONTROL OPEN AND SEALED?
LIST ANY UNSATISFACTORY CONDITIONS:
REMARKS
t'lCCJjFire ~ /Sih-.. i. -dlnell
Security
~gPECTIO.N ~E"O~~ . . . ?, - (, _ 0 is ~Pf~&,~~Rtg
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