HomeMy WebLinkAboutFire Protection Report 11/15/2007
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SUMMIT FIRE PROTECTION
575 MINNEHAHA AVE. W. ST. PAUL, MN 55103. (651) 251-1880 3026 40TH AVE. NW. ROCHESTER, MN 55901. (507) 280-0622
418 GREAT OAK DR., WAITE PARK, MN 56387 . (320) 257-6390 760 LIBERTY WAY, NORTH LIBERTY, IA 52317 . (319) 665-4330
4208 ENTERPRISE CIRCLE. DULUTH, MN 55811. (218) 740-4412
SHEET I OF 2 . Use separate sheet for each huilding inspection
REPORT OF INSPECTION
MINNESOTA LICENSE NO. C007S
INSPECTION NAME
STREET
CITY & STATE
JOB NUMBER
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ILDING/LOCATION .5""/f /HE.
INSPECTOR A~ /' .:~ :...Ii/ /,
DATE //- /:/j. '7
ownAer'sESelction (to be answered by Owner or Occupant) . J It;.,.. .t...,...
. xp am any occupancy hazard changes since the previous inspection: l/'
B. Describe fire protection modifications made since last inspection:!jO!il,
C. Describe any fires since last inspection: )./ Jl. e.
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D. When was the.system..piping last checked for stoppage, conisio~ of fore,izn material?
E. When was the d.r...Y.-PiPing system last checked for proper pitch? Al~
F. Are dry valves ~~atel~~d from freezing? /./~
Signature ".. ....L ~,'"'''' . '. Title ;; '. '. . "
-......,-
Date
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Inspector's Section (All responses reference current inspection)
1. General
a. Is the building occupied?)6YJs D No
b. Are all systems in service? ~Yes D No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of th;. storage and the sprinkler deflectors0'Yes D No
d. Does all electrical heat tape appear to be satisfactory? DYes D No...o NA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? DYes D N~ NA
2. Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position? .aYes D No
b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? )zl'Yes D No
3. Tanks, Pumps, Fire Department Connections 11 fA-
a. When was fire pump last tested for performance? /1/
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained') DYes D No e1 NA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight'.',.e:lYes D No D NA
Are they accessible and visible? ~es D No DNA
4. Wet Systems
a. Are cold weather valves (O.S. & Y) in the appropriate open or ;;losed position? DYes D No zr NA
b. Have antifreeze ~ystem soluti.09~been tested? DYes D No..a NA
c. What temp IS antifreeze? f\!
d. In areas protected,by wet system(s), does the building appear to be properly heated in all areas, including blind attics and perimeter areas
where accessible?.QYes D No D NA
5. Dry System (See Items Jl to 13)
a. Are dry valve(s) in service? DYes D No jtNA
b. Are the air pressures and priming water levels in accordance with the manufasturer's instructions? DYes D No$NA
c. Has the operation of the air or nitrogen supplies been tested? DYes D No 121 NA Are they in service? DYes D No JJ'NA
d. Were low points drained during this inspection? DYes D Noel Nj\ How many? ,-I/*"
e. Did quick-opening devices operate satisfactorily? DYes D No .eI NA
f. Did the dry valve(s) trip properly during the trip pressure test? DYes D NoZNA
g. Did the heating equipment in the dry-pipe value room(s) operate at time of inspection? DYes D No 0 NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre-action valves operate properly during testing? DYes D No 2f NA
b. Did the heat-responsive devices operate properly during testing?, DYes D No aNA
c. Did supervisory devices operate during testing? DYes D No e NA
d. Did flow for kitchen hood system shut off gas or electric? DYes D No Cl'NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? DYes D No .a NA
b. Did electric alarm(s) test satisfactory? ):1Yes D No DNA
c. Did supervisory alarm service test satisfactory? 2J'Yes D No DNA
d. Did tamper swithces test satisfactory? J2fYes D No D NA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? aYes D No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) ...t::JYes DNo
c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) !aYes D No
d. Is stock of spare sprinklers available? )21Yes D No
e. Does the exterior condition of sprinkler system appear to be satisf;lctory? !:J'Yes D No
f. Are sprinklers of proper temperature rating for their locations? ...dYes D No
g. Are any sprinkler heads on a recall list? DYes .Ila'No
Signature: (j\;J:>rr."'" <-/~,.<(.; i...~.//.'l_..
NA =NOT APPLICABLE
Date:
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SUMMIT FIRE PROTECTION
575 MINNEHAHA AVE. W' ST. PAUL, MN 55103. (651) 251-1880
3026 40TH AVE. NW. ROCHESTER, MN 55901 · (507) 280-0622
418 GREAT OAK DR., WAITE PARK, MN 56387' (320) 257-6390
760 LIBERTY WAY, NORTH LIBERTY, IA 52317 . (319) 665-4330
SHEET 2 OF 2 - Use separate sheet for eachsystem inspection Type of System <</1"'1'"1' . ,
Inspection Name and Numger . r } /' -I"'I.. ";/ How Many? ,(
4:Zt/i'A.v.' ..A ...'. /1 ,I I What Size? . 1.1.1
" .jJ, , Plow Switch or
-xraiiiiChec!; with Pressure Switch
9. Date dry-pipe valve trip tested (control valve partially open) J /.JL (See Trip Test Table which follows)
10. Date dry-pipe valve trip tested (control valve fully open) '~ee Trip Test Table which follows)
11. Date quick-opening device tested j.. 1./+. (See Trip Test Table which follows)
DRY VALVE / . TRIP TEST TABLE 0.00
12. Date
MAKE MODEJ SERIAL NO. I MAKE I MODEL SERIAL NO.
/ I I
DRY PIPE Time to Trip A~ter Air Trip POint Time Water Reached Alarm Operated
OPERATING Thru Test Pipe ressure pressure Air Pressure Test Outlet Properly
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without
0.0.0.
,.....- With~ .. . " -.--.._----.- -
0.0.0.
deluge or preaction valve tested .... (See Trip Test Table which follows)
NKJ TRIP TEST TABLE
Operation o PNEuMATj; o ELECTRIC o HYDRAULIC
Piping Supervised DYES / o NO I Detecting media supervised DYES o NO
DELUGE & Does valve operate from the manual trip and/or remote control stations DYES o NO
PREACTION Is there an accessible facility in each circuit for testing Method of testing-circuits
VALVES DYES o NO
Does each circuit operate Does each circuit Maximum time to
MAKE MODEL suoervision loss alarm ooerate valve release ooerate release
YES I NO YES I NO YES I NO
I I I
antral Valve Maintenance Table.
Control Valve Mamtenance Table
13. See C
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Connection Control
Valve
Tank Control Valves
Pump Cont~Valve~
Sectional Control Valves
System Control Valves / y#,N 1" I- i/' Yi::;, IyE~" /,.j;,) Y~::':' 1i,,,,C ;1,.;1;.
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Other Control Valves
Kitchen Control Valve
16. Water,ilPw ~st at Sprinkler Riser
Water Supply Source:
Date
tit
Test Pipe
Location
Tank
Size of
Test Pipe
Static
Pressure
Pump
Residual Differential
(Flow)
essure
Last Water Flow Test
This Water Flow Test
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/1 (;7
..2 Ii
II
14. Explain any "No" answers and comments:
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Date:
II. IS.; 7
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Signature: