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Home My WebLink AboutSprinkler Insp. 6/9/2008 " WI" .. ............ ....... ......... ~UTOMATIC SPRINKLER CO. Setting The Standard... (651) 558-3300 . -(800) 229-6263 Fax: (651) 558-3310 AGREEMENT AND REPORT OF INSPECTION #INSPECTION "Z.. \ t l 7 ~ REPORT TO STREET SHEET 1 of 2, Use separate sheet for each building inspected MINNESOTA LICENSE NO. COO5 - '1 ~~e.. , bC{ C):":;' BUILDING OR LOCATION INSPECTOR DATE CITY & STATE Owner hires Viking Automatic Sprinkler Company to conduct an inspection of the fire suppression system at the above location or building, and prepare a written report of that inspection for an agreed upon fee. As part of this agreement, owner agrees to terms and conditions on rear of form and will complete the Owner's Section of this document. Owner's Section (fo be answered by Owner or Occupant) 1\ . A. Explain any occupancy hazard chanRes since the previous inspection: ;' Ii (') I f\/~I\.e.J , B, Describe fire protection modifications made since last inspection: " A / 'Fjf\,p , / - J (' ~ /4l /;; c!J C. Describe any fires since last inspection: D, When was the system piping last checked for stoppaRe, corrosion or forei;w !!!3tetiaI? , j E, ''''hen was th.e dry.. -Po iping system last checked for proper Pitch?~. . LV.. a L-- F. Are dry v~v.~ ad~quatelY p otjted from freezinR? , 1 . , ~. ,\') ~ . Si~ature' it -' '0 A'i. h.~ Title Pit, /1 ~-( 51 d C,d-Date Inspector's Section (All responses reference current inspection) N/A = NOT APPLICABLE 1 General a. Is the building occupied? ~es 0 No b. Are all systems in service? )lQ'es 0 No c, Does there appear to be a minimum of 18 in, (457 rom) clearance between the top of the storaRe and the sprinkler deflectors? X Yes 0 No d, Does the valve hose on the sprinkler system(s) appear to be satisfactory? 0 Yes 0 No XNj A 2 Control Valves (See Item 15) . a, Do sprinkler system control valves appear to be in the appropriate open or closed position? /J(Yes 0 No b, Are control valves in the open position locked, sealed or equipped with a tamper switch? \1\ Yes 0 No 3 Water Supplies (See Item 16) r a. Was a water flow test of main drain made at the sprinkler riser(s)? 0 Yes ~NO 4 Tanks, Pumps, Fire Department Connections a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? 0 Y~\-r 0 No ~j A b. Are fire department connectio~satisfactory condition, couplings free, caps in place, and check valves tight?11 Yes 6No 0 Nj A Are they accessible and VlSible~,,\ Yes 0 No 0 Nj A 5 Wet Systems . a. Are cold weather valves (0.5. & Y.) in the appropriate open or closed position? JX:res 0 No 0 Nj A b. Have antifreeze system solutions been tested? 0 Yes 0 No ~Nj A c. Were the antifreeze test results satisfactory? 0 Yes 0 No ~ Nj A d. In areas protected by wet system(s), does the buildinR appear to be properly heated in all areas, including blind attics and perimeter areas where accessible? /fYes 0 No 0 Nj A Do all exterior openings appear to be protected against freezing?~Yes 0 No 0 Nj A 6 Dry System (See Items 11 to 13) a. Aredryvalves(s)inservice?)(Yes DNo DNjA ~' b. Are the air pressures and priminR water levels in accordance Wl~ the manufacture's instructions? Yes 0 No 0 Nj A c. Hastheoperationoftheairornitrogensuppliesbeentest~J. es DNo DNjA Aretheyinservi ? DYes DNo DNjA d. Were all know low points drained during this ins~on? ~ Ye 0 No 0 Nj A e. Did quick-opening devices operate satisfactorily? AYes 0 No 0 Nj A f, Did the dry valve(s) trip properly during the trip pressure test? \.(yes D No D Nj A g, Did the heating equipment in the dry-pipe valve room(s) opera~t time of inspection? ~Yes 0 No 0 Nj A 7 Special Systems (See Item 14) a. Did the deluge or pre-action valves operate properly during testing? 0 Yes 0 No')(Nj A b. Did the heat-responsive devices operate properlx 1urin~ testing? 0 Yes 0 No 'Yfi! A c. Did supervisory devices operate durinR testing? AYes 0 No 0 Nj A 8 Alarms a. Did water motor(s) and gong(s) test satisfactorily? 0 Yes 0 No ~ Nj A b. Did electric alarm(s) test satisfactory? \fYes 0 No 0 Nj A (\ c. Did supervisory alarm service test sa~lactory?~ Yes 0 No 0 Nj A 9 Sprinklers a. Do visible sprinklers appear to be free from corrosion, loadinR or obstruction to spray discharRe? V Yes 0 No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testinR) 0 Yes )(No ^ c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers r~uire sample testinR) 0 Y es ~. No 0 N j A d. Is stock of spare sprinklers available? )(Yes D No e. Does the exterior condition of sprinklJr ~ystem appear to be satisfactory? i(../y es 0 N.o f. Do visible sprinklers appear to be of proper teJ!l.perature ;;ating for their lo!itions?!,!s 0 No 10 lWlain~ "No" ~wers I)d c.~ o--~>~.'; IY ") ... . " .' ;;0 _ "' . ~ ! ~ V\ -- ~.M:I"Gi AUTOMATIC SPRINKLER CO. Setting The Standard... St. Paul, Minnesota :':'11/ (651) 558-3300 . (800) 229-6263 Fax: (651) 558-3310 SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple systems . Inspection Report No. "2-\ \ '\ je.:, 11 Date dry-pipe valve trip tested (control valve partially open) 12 Date dry-pipe valve trip tested (contro,l valve ~llY open) 13 Date quick-opening device tested (A7) q C/.Y DRY VALVE / I MAKE MODEL k~ I DRY PIPE OPERATING TEST Time to Trip Thru Test Pipe MIN, SEe. (See Trip Test Table which follows) (See Trip Test Table which follows) ( ee Trip Test Table which follows) SERIAL NO. PSI PSI PSI Time Water Reached Test Outlet MIN. SEe. Alarm Operated Properly YES NO Water Pressure Air Pressure Trip Point Air Pressure n \. 1'\ r t:.........1' r,-Ji.. Without Q.o.IJ With Q.O.D 8' '/ DELUGE & PREACTION V ALVES Operation o PNEUMATIC o ELECTRIC o HYDRAUliC Piping Supervised DYES D NO IDetecting Media Supervised DYES D NO Does valve operate from the manual trip and/ or remote control stations D YES o NO Is there an accessible facility in each circuit for testing DYES D NO IMethod ofTesting Circuits Does each circuit operate Does each circuit Maximum time to MAKE MODEL supervision loss alarm operate valve release operate release YES I NO YES T NO YES I NO I I I (See Trip Test Table which follows) TRIP TEST TABLE 14 Date deluge or preaction valve tested 15 See Control Valve Maintenance Table Explain Abnormal Control Valves Number Tvpe Open Secured Closed Signs Condition City Control Valves Bypass Valves Tank Control Valves Pump Control Valves Sectional Control Valves 7_ 11.:, )( -oj .... System Control Valves aJp-'2.- II II ')G \i X' Other Control Valves ()",.. r~l D<1.Ji K ~ )< Kitchen Control Valves \ CONTROL VALVE MAINTENANCE TABLE 16 Water Flow Test at Sprinkler Riser Water Su I Source: Last Water Flow Test This Water Flow Test Test Pipe Location Size of Test Pi e Static Pressure Pum Residual (Flow) Pressure Ci Tank 17 inspection: ~ ~ 18 19 e improvements are recommen e Date: Signature: (Rev. 2/8/06)