HomeMy WebLinkAboutFire Sprinkler Report 2/27/2008
/' ./ SUMMIT FIRE PROTECTION
/~H~HAAVE. W 0 ST. PAUL, MN~5103 0 (651) 2~%i~80 3026 40TH AVE. NW 0 ROCHESTER, MN 559010(507) 280-0622
,-o'fSGREAT OAK DR., WAITE PARK, MN 563870 (320) 257-63~Or' 760 LffiERTYWAY, NORTH LffiERTY, IA52317 0 (319) 665-4330
4208 ENTERPRISE CIRCLE 0 DULUTH, MN 55811 0 (218) 740-4412
SHEET I OF 2 - Use separate sheet for each building inspection
REPOR~ OF INSPECTION
MINNESOTA LICENSE NO. COO75
INSPECTION NAME f,. / I c
STREET I ! 10 -1 -- '-I ~ '7S L::- r],v n 1 0,1
CITY & STATE '? r \ v ( L. <i k t ,;L.'1l')
JOB NUMBER 7/ 'j- 0 ~L
,BUILDINGILOCATION . _ . 1
J\) r::.. INSPECTOR :J ,;) h,-. , r J r:,(l: ,i
-)1 3 74 DATE A ).. 7-. 0 <i)
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Owner's Section (to be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection:
B. Describe fire protection modifications made since last inspection:
C. Describe any fires since last inspection:
D. When was the system piping last checked for stoppage, corrision of foreign material?
E. When was the dry-piping system last checked for proper pitch?
F. Are dry valves adequately protected from freezing?
Signature Title
Date
Inspector's Section (AU responses reference current inspection) NA =NOT APPLICABLE
1. General .
a. Is the building occupied?:.tJ)'es D No
b. Are all systems in service?Q!lYes D No .
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? lZiYes D No
d. Does all electrical heat tape appear to be satisfactory? DYes D No }J NA ..,,'......._---- .,
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfacto"y RYifs D ~o.PjNA
2. Control Valves (See Item IS.) ~.. .
a. Are all sprinkler system control valves and all other valves in the appropriate open or closed ppsition? JiYes D No
b. Are all control, valves in the open posi~ionJ!2:k~,.sealed or equipped with a ~ switch? ..QYes D No
3. Tanks, Pumps, FIre Department ConnectIons ; i J .
a. When was fire pump last tested for performance? -_.- . .
b; Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? DYes 0 No 0 NA
c. Are fire department connection~ jn satisfactory condition, couplings free, caps in place, and check valves tight? ;'aYes D No D NA
Are they accessible and visible? e1Yes D No D NA
4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? DYes D No ti NA
b. Have antifreeze system solutions been tested? DYes D No aNA
c. What temp is antifreeze?
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 Il to 13)
a. Are dry valve(s) in service? DYes D No D NA (
b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions? aYes P No D NA
c. Has the operation of the air or nitrogen supplies been tested? 1!3Yes D No D NA Aj:~ they in service? aYes D No D NA
d. Were low points drained during this inspection?'KlYes D No D NA How many?' =l + ...:. \1 L.<\ ')
e. Did quick-opening devices operate satisfactorily? DYes D No)t) NA ~I
f. Did the dry valve(s) trip properly during the trip pressure test? 13Yes D No DNA
g. Did the heating equipment in the dry-pipe value room(s) operate at time of inspection ? ~Yes D No DNA
6. Special Systems (See Item 14.) ,/
a. Did the deluge or pre-action valves operl}k(properly during testing? DYes D No DNA
b. Did the heat-responsive devices operl).k(properly during testing? DYes D No DNA
c. Did supervisory devices operate dQrlllg testing? DYes D No D NA
d. Did flow for kitchen hood systep{Shut off gas or electric? DYes D No D NA
7. Alarms .
a. Did water motor(s) and gong(s) test satiiifactorily? DYes D No ~ NA
b. Did electric alarm(s) test satisfactory? UYes D No D NA
c. Did supervisory alarm service test satisfactory? ..aYes D No DNA
d. Did tamper swithces test satisfactory? l:iIYes D No D NA
8. Sprinklers
a. Are all sprinklers free from cOITosion,loading or obstruction to spray discharge? 13Yes D No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) ...egYes DNo
c. Are quick response and residential sprinIgers less than 20 years old? (Older sprinklers require sample testing) QYes D No
d. Is stock of spare sprinklers available? 13Yes 0 NOI
e. Does the exterior condition of sprinkler system appear to be satisfactory? l:]Yes D No
f. Are sprinklers of proper temperature rating for their locations? !aYes D No
g. Are any sprinkle,: heads on a recall list? DYes O'No
_"'"_....".~ i').'" ~-------------
Signature:
Date:
'1 .
// 'St.JMMt::rFIRE P~OTECTION
~H1lliAAVE. W. ST. PAUL, MN 551'03. (651) 2!H~t~8C)' ,r 6026 40TIiAVE. NW. ROCHESTER, MN5590l · (507) 280-0622
A GREAT OAK DR., WAITE PARK, MN 56387. (320) 257~6390 \ ._" 760 LffiERTYWAY, NORTH LIBERTY, 1A52317. (319) 665-4330
<i208 ENTERPRISE CIRCLE. DULUTH, MN 55811. (218) 740"44J:J:"
SHEET 2 OF 2 . Use separate sheet for eacbsystem inspection Type of System \1/::.1- Uo'!'
Josh: Name and Numberl 1 { How Many? f I I
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11. . Da,teqUlck;.opemng deY1cetested (S!!~ Tnp Test r~ble whidJ loUO~) "'"'. ',:";,/""\'>'
PAy VALVE ,'TRIP'TEST TABLE 0.0.0. ',;4:''{-:'',
MAKE SERIAL NO. MAKE MODEL SERIAL NO.
.;). 0 ,=) l..
DRY PIPE
OPERATING
TEST
Time to Trip
Thru Test Pipe
MIN. SEC.
Air
pressure
PSI
j.CiC
I
Water
Pressure
Without
Q,O,D.
With
a.O.D.
I
/ I
Trip Point
Air Pressure
PSI
~A
Time Water Reached
Test Outlet
MIN. SEC,
Alarm Operated
Properly
YES NO
PSI
12. Date deluge or preaction valve tested
DELUGE &
PREACTION
VALVES
(See Trip Test Table which follows)
TRIP T TABLE
o PNEUMATIC
DYES
DYES
DYES
o NO
o NO
Method of testing-circuits
MAKE
MODEL
13. See Control Va!ve:Maintenance Table.
Control Valve Maintenance Table
Number
explain
Abnormal
CQndltion
Control Valve5
City Connection Control
Valve
Tank Control Valves
Pump Control Valves
Sectional Control Valves
Sl'stem Control Valves
$""':'::;"" '.
Other Control Valves
: Kitchen Control Valve
16:Warei'.l'low Test at Sprinkler Riser
Water Supply Source:
Type
Secured
J
f
r~) .r' !
City
Tank
Pump
Date Test Pipe Size of Static Residual Differential
Location Test Pipe Pressure (Flow)
Pressure.
Last Water Flow Test l j /~y~, } 't', , :"1 ) / :-J ;i'O';; Y.;:7I ,.,
;"'/
This Water Flow Test r.:!,,'.~LJ. ()Z) \< K,,'I,.'\. ,..- "" / lh / Jt"'> b
, f"./'
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14. Explain any ':.No" answers and comments:
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Signature:
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Date: ..