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Home My WebLink AboutSPRINKLER INSPECTION 12/9/2008 - "....t. NG AUTOMATIC SPRINKLER CO. Setting:_ The Standard... 1301 L'Orient Street St. Paul, Minnesota 551.17 (651) 558-5500 . (800) 229-6265 Fax: (651) 558-5510 SHEET I of 2 - Use st'pdrate shed for each buildinp, inspected MINNESOTA LICENSE NO. C005 AGREEMENT AND REPOlU OF INSPECTION #INSPECTION <.i -: REPORT TO t L' " ~\......, ~-. BUILDING OR LOCATION " ,1 STREET I INSPECTOR ~.." .I' t<- t' ~.-i. Ii '-1 CITY &ST/lTE I i L -~~ ~ DATE Owner hires Viking Automatic Sprinkler Company to conduct an inspection of the fin' suppression system at the above location or building, and prepare a writte'n report of that inspection for an agreed upon fee. I\s 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 (To be answered by Owner or Occupant) 1\. Explain any occupancy hazard changes since the previous inspection: } i C B. Describe fire prote'ction modifications made since last inspection: : I,. !, ! I ,{ ( C. Describe any fires since last inspection: D. When was the svstem p~pillg last checked for stoppage, corrosion or foreign materia!? I'. When was the d'ry-pip~g system 1<;l5t checked for proper pitch? , ,j.J I'. Are dry valve's adeqU;tely;'prote9t~d from freezing? ,: I , / ,. 'II I V 4 , / ,/j Title'! I. '~.. f'" ',f '.. . ( l.....- NjA = l\'OT APPLICABLE 1.\I'.f /I''f ,'\J /1 I ( /'i i 1..1 I i , i : ; i! ! I , Signa ture Date Inspector's Section (All response~ reference current inspection) 1 Genera 1 a, Is the building occupied?":" Yes II No b. Are all systems in servic~?!l'!'Yes II No c. Does there appear to be a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? }lr<Yes II No d. Does the valve hose on the sprinkler system(s) appear to be satisfactory? u Yes 0 No p<N/ ^ 2 Control Valves (See 1 telll 15) , a. Do sprinkler system control valves appear to be in the appropriate open or closed position?'"~es 1'1 No b. Arc control valves in tre open position locked, scaled or equipped with a tamper switch? '~es c- No 3 Water Supplies (See It(,1/I16) /" a. Was a water flow test of main drain made at the sprinkler riser(s)?-,{:Yes ,'J No 4 Tanks, Pumps, Fire Department Connections a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? I] Yes II No;.J..N/ A b. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves ligha~ Yes 'LJ No LJ N/ A Are they accessible and visible? .~J:.es LJ No LJ N/ A -' , :; Wet Systems a. Are cold weather valves (OS & y,) in the appropriatl' open or c1osl'd position? n Yes b. Have antifreeze system solutions been tesh'li7 : Y(~S II No pN/ A c. Were the antifreeze tesl results satisfactory? n Yes [1 No ::.(l~N/ A d. In areas protected by wet system(s), does the building appear to be properly heated in all areas, including blind allies and perimeter areas where acc<'ssible? ,(Yes 11 No :1 N/ A Do all exterior openings appear to be protected against freezing? JC)'es ,I No 1 I N/ A 6 Dry System (See /tellls 11 to 13) a. Are dry valves (s) in service? Yes Cl No )IN/ A b. Are the air pressures and priming water levels in accordance with the manufacture's instructions? II Yes uNo.>4 N/ A c. lIas Ihe operation of the air or nitrogen supplies been tested? [J Yes [J No)'!(N/ A Are they in service? II Yes II No)(N/ A d. Were all know low points drained during tl1is inspection? 0 Yes 0 No ~~/ A e. Did quick-opening devices operate satisfactorily? LJ Yes u NoJll.-.'N/ A f. Did the dry valve(s) trip properly during the trip pressure test? LJ Yes No.)d' N/ A 1';. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection? [J Yes 11 No .><t~/ A 7 Special Systems (Se<, Itt'm ]4) . a. Did the deluge or pre-action valves operate properly during tl'sting? n Yes No XJ:f/ A b. Did the heat-responsive devices operate properly during testingl II Yes [J No .Ji(,!'J/ A c. Did supervisory devic<~s operate during testing? [] Yes 0 No ;g(,N/ A 8 Alarms a. Did water motor(s) and gong(s) test satisfactorily? LJ Yes 0 No :,..cl; A b, Did electric alarm(s) test satisfactory?)(Yes 0 No n N/ A,., c. Did supervisory alarm service test satisfactory? 11 Yes 11 No /f'1~ / A 9 Sprinklers a. Do visible sprinklers appear to be free from corrosion, loading or obstruction lo spray discharge? .~"i es 0 No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) ;~Yes LJ No .. c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) LJ Yes LJ No l.k,N/ A d. Is stock of spare sprinklers available? ).(Yes 0 No e. Docs the exterior condition of sprink1er system appear to be satisfactory ?gfY es L. No f. Do visible sprinklers appear to be of proper temperature rating for their locations? ,"IQ Yes 0 No 10 Explain any "No" answers and conunents: No )(N/ A Signature: (Rev. liS/Db) "-..-'."-7 Date: - ". ...t.IN~ AUTOMATIC SPRINKLER CO. Setting The StaiOdard... 1301 L'Orient Street St. Paul, Minnesota 55117 (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 4" tJ 1.0 t Inspection Report No.;J147t.,Q 11 Date dry-pipe valve trip tested (control valve partially open) 12 Date dry-pipe valve trip tested (control valve fully open) 13 Date quick-opening device tested DRY VALVE (See Trip Test Table which fiJl/ows) (See Trip Test Table whichf()llmus) (See Trip Test Table which foliOi1's) I-JIA , , MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. Time to Trip \IVatef Air Trip Point Time Water Reached Alarm Oper.lted Thru Tcst Pipe Pressllrl' Pressure Air Pressure Test Outlet Pr()pcrly MIN. SEC PSl PSI PSI MIN. SEC YES NO Without Q.O.U With Q.G.D TRIP TEST TABLE Q.O.D. DRY PIPE OPERATINC TEST 14 Date deluge or preaction valve tested (See Trip Test Table which follows) TRIP TEST TABLE })0 Operation , PNEUMA TIC IJ ELECTRIC L HYDRAULIC Piping Supervised L_: YES " \)0 IDetecting Media Supervised , YES NO Does valve Opt'fate fron1 thl' manual trip J.nd/ or remote control stations 'I YES NO Is there an accessible facilit)., in each circuit for testing u YES NO IMethod of Testing Circuits Does each circuit operate Does each circuit ;-ylaxirnulll time to MAKE MODEL supervisioll loss a1arn1 operate valve release Opl'L1le H'll'i.1SC YES T NO YES I NO YES T NO I I T DELUGE & PREACTION VALVES 15 See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE Explain Abnormal Control Valves Number Type Open Secured Closed Signs Condition Citv Control Valves Bvpass Valves Tank Control Valves Pump Control Valves Sectional Control Valves Svstem Control Valves 1 ~+J ( .;iC --( .- .- -- Other Control Valves Kitchen Control Valves 16 Water Flow Test at Sprinkler Riser Water Su ,Iv Source: Tank Date Test Pipe Location Size of Test Pi ,e Sta tic Pressure / Pum Residual (Flow) Pressure "._,-_.~ ~,,.-'~ Last Water Flow Test This Water Flow Test -, '.... ;......., , . '- 17 Explain any "No" answers and comments: 18 Adjustments or corrections made during this inspection: 19 Although these comments are not the result of an engineering review, the following desirable improvements are recommended: \ Signature: / iL-7 Date: ") j . ~.~.,; ,~""") (1\.,1' 2/K/llb)