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Home My WebLink AboutReport of Inspection 3/22/2007 -.-.--.-.---..,- INSPECTION REPORT NO. CONFERRED WITH "tqCD I Fire ~ /SimpleXGri...,1 / SeCurity . - ~-- --~ -- -----~ -------: --.-- ---.- ------=----._~--._--_. REPORT OF INSPECTION per NFPA 13 & 25 REPORTTO~~'L~ ~~~{, ~lD~. STREET j L.I }:., Ie:: ." \ ",\ ~ '.~ CITY&STAT'f'~~-<-R.- j ..~\~; ~.;~\ ~ Z1P$~3'1~ ATT.=- . -= INSPECTION CONTRACT NO.~?O~~~O BUREAU FILE NO. 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. If 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? Da..,,,, '''''k''' '''',''',' i, .",,"~_ "',,,. ""'~ 5 "'.J e. Has the piping in all systems been checked for obstructive materials? D... ,," "',...., -= I''''''''' " -m_dod "' ,_ ,~~ 5 _, I. Ha~., fl. -", b,,, to"", to "." 'AI ,,_ """,, U" "'" " ,,~ ",..... m Ik>w _. ."" ., '''' 12 "'m'" g. Are gravity, surface or pressure tanks protected from freezing? ,. A. ""y "., -- 50 ,... old m oId,a 1_", Mdlm -'-"'1 ~ """""~_ "" '"'" "'",_, Are any extra high temperature solder sprinklers regularly exposed to temperatures near 3000F? 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; jnclt1~g.'its blind attics and perimeter areas, where accessible? d. Are all visible exterior 0 enin s rotected a ainstthe.eni;ance of cold air? SET 1 OF 2 BUlLO'NG OR L\'CATIO~SPECTED l {.~~" INSPECTOR' "" 'r'.Ib." ~ -:<\Tt' t..\ t'\ _ SG OFFICE f'LYl104--rJ . PHONE Nd)''?>;;;].5~. DATE=- "3 - ~ ~ 4 () r"J 2. CONTROL VALVES a. Are all sprinkler system main control valves and all other.ital~.s in the appropriate open or closed position? b. Are all control valves sealed or supervised in the open' position? No. Easily Valve Secured? .1....~l'\lision Control of Type Accessible Signs Open If yes, how? (S'eaTed'?j . Operational Valves (LockedlJ Valves Yes No Yes No Yes No Yes No (Supvd. ? Yes No CITY CONNECTION 'MNI( p".-j .....,... R ~ 1'1\ j .RF \I ./ \/ \/ y- ,~ ~ ILv'k' / PUMP . SECTIONAL SYSTEM ..hR.Y , ~FV Iv V V" V ~. ~'f) I LO( k' V ALARM LINE J ..R P\J.L. V" V Y' _l/' .c.-" ,(_ {\ 3. WATER SUPPLIES . a. Water supply Source? Cityf'R loR L A K ~ Waterflow Test Results Made During This Inspection Gravity Tank t\l A Pressure Fire Pump & Tank Pressure Fire Pump & City Pressure Fire Pump & Pond N-l\ Test Size I 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 After (5) Pl~ .2 55 24 _40 4. TANKS, PUMPS, FIRE DEPT. CONN a. Do fire pumps, gravity, surface or p b. Are gravity, surface and pressure t c. Are lire depl. connections in satisfa d. Are fire depl. connections visible a 5. WET SYSTEMS //~ a. No. of systems /_ b. Are coid weather valves in the app It closed, has piping been drained? c. Has the owner or owner's represen d. Have all the antifreeze systems been tested? e. Date antifreeze systems were tested f. The antifreeze tests inrfi('~to ~.~.__.._ ECTIONS Yes NA:j: No' ressure tanks appear to be in good external condition? /' anks at the proper pressure and/or water levels? V ctory condition, couplings free, caps or plugs in place and check valves tight? V nd accessible? ....v"" <, Make & Model ropriate open or closed position? tative been advised that cold weather valves are not recommended by NFPA? ... .. tqeD / ;::u~ty / Simp'ex~r~nn(e!' REPORT OF INSPECTION ,. PER NFPA 13 & ~5 "- 1;- L'~^~ f\,~ 11\, ~. Ll~G INSPECTION CONTRACT <;~' r~";(" ':':) '- ( NO. c.. .,' .n.'..... BUREAU FILE NO. INSPECTION REPORT NO. 6. DRY SYSTEMS a. No. of systems Make & Model C l:. \ Date last trip tested <0 --;-""" c 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....t.. t f"'"t:>f\<r' .. ~- j" \- SET 2 OF 2 Yes NA:j: No' ./' '7 \...,1" J/ ,/ ,/ v 7. SPECIAL SYSTEMS a. No. 01 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 Valve NO.1. . . . . .2 . . . . . . 3 . . . . . .4. . . Valve No.1. . . . . .2. . . . . . 3 . . . . . .4. . . Valve No.1. . . . . . 2 . . . . . .3 . . . . . .4. . . (, Make & Model t'.. t':\ Type of test . . . 5 . . . . . .6 . . . . . . Valve No. . . . 5 . . . . . . 6 . . . . . . Valve No. . . .5. . . . . .6. . . . . . Valve No. Valve No.1. . . . . .2 . . .. . 3 . . . . . .4. . . . . . 5 . . . . . .6. . . . . '. Valve No. Auxiliary equipment: No. ( Type I' ,: h location Test results 1......2......3......4......5......6...... 1......2......3......4......5......6.... 1......2......3......4......5......6...... 1......2......3......4......5......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 Yes NA: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 a ear to be in satisfacto condition? V 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 pp ry 10. EXPLANATION OF "NO" ANSWERS (For Sections 1B thru 9): <.,...,\.cpu- r/\\.:: ~\,\f,) --:':,t,:.\.:- --~- . --. - - 11. THE INSPECTOR SUGGESTS THE FOllOWING NECESSARY IMPROVEMENTS, HOWEVER, THESE SUGGESTIONS ARE NOT THE RESULT OF AN ENGINEERING SURVEY: I \ \ \ \ \ 12. ADJUSTMENTS OR CORRECTIONS MADE: 13. LIST CHANGES IN THE OCCUPANCY HAZARD OR FIRE PROTECTION EQUIPMEN ,AS ADVISED BY THE OWNER IN SECTION 1A: "- ~ / 14. INSPECTION AND SUGGESTED IMPROVE,M NTS WE,R.~ DI~C~S$~.p..:.~IT. H ~~~~ND~.RSI~..N. ED OWNER OR OWDNaEteR'~~P~~, ~~NTATI~U Signature of owner or owner's representativ L. I I DUPLICATE TO: STREET CITY & STATE ATT. SG4550R2.2 (04.05) ZIP :j:Not Applicable 'Explain (No) Answers on Back ot Sheet INSURAf\JCE BUREAU COpy