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Home My WebLink AboutReport of Insp. 6/11/2009 "...t...C3 AUTOMATIC SPRINKLER CO, Setting The Standard... UUl Lunent :->treer St. Paul, IVlinnesota 55117 (651) 558-3300 . (800) 229,6263 Fax: (651) 558-3310 SHEET 1 of 2 - Use separclte sheet for €"ach building inspected MINNESOTA LICENSE NO. COOS - .)'\ ,~, j\J L .... j' \ 1 ( ) L.\ C) '; f ( ) j 0 r,-..\.u . ) j \ \. I'.~,- CoO u. k. ~ AGREEMENT AND REPORT OF INSPECnON #INSPECTION r 2 \ \ \'/ ~, ,.1 '7r~ BUILDING OR LOCATION INSPECTOR DATE REPORT TO STREET "'~ { \'.',., \ Ave CITY & STATE I~\, t\1 , Owner hires Viking Automatic Sprinkler Company to conduct an inspection of the fire suppression system at the above locatio'n or building, and prepare a written report of that inspection for an agreed upon fee. 1\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) A. Explain any occupancy hazard c I '6s s~ the previous inspection: B, Describe fire protection modifications made since last inspection: C. Describe any fires since last inspection: I"{ () AJ;:' D. When was the system piping last checked for stoppage, corrosion or foreign material7 E. When was the dry,piping syst last checked for proper pitch7 '2 G6 F. Are dry valves adequately pr t ted from freezing? ' ,,'.;l . Sip;na '/.. L-~ _ Date Inspector's Section (All responses refere ce current inspection) N/A = NOT APPLICABLE 1 General . / a. Is the building occupied? (Yes [] No (f / b. Are all systems in service? [)(Yes [] No . ' '.' . ' i. ',' .)t Co Does there appear to be a minimum of 18 in. (457 mm) clearance between the top of the storage and\the sprinkrer defledors? \~Yes LJ No' d. Does the valve hose on the sprinkler system(s) appear to be satisfactOly7 Xi'Yes [] No c N/ A '\ . . ; 1 \ . 2 Control Valves (See /telll 15) '^. a. Do sprinkler system conti'ol valves appear to be in the appropriate open or closed positionT"ii Yes [] No"-- b. Are conti'.ol val~.es ~n..tl1.: oPe.Il 295ition 16chd, sealed or equipped with a tamper switch? 'AY~s [] No 3 Wate\' Supphes(See flem16) a. Was a water flow test of main drain made at the sprinkler riser(S)?'f Yes [] No 4 Tanks, Pumps, Fire Department Connections a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? [] Yes [] No~ NI A b. Are fire department cOlmections in satisfactory condition, couplinRs free, caps in place, and check valves tight?, Yes . [] No u N/ A Are they accessible and visible?~ Yes [] No [] NI A 5 Wet Systems a. Are cold weather valves (OS. & Y.) 111 the appropnate open or closed posItion? If Yes [] No [] N/ A b. Have antifreeze system solutions been tested? [] Yes [] No X' NI A c. Were the antifreeze test results satisfactory? [] Yes [] No ~ NI A d. In areas protected by wet system(s), does the bUlldmg appear to be properly heated 111 all areas, I11cluding blind attics and peruneter areas where accessible? l!Yes [] No [] N/ A Do all exterior openings appear to be protected against freezing?)it Yes [] No [] N/ A 6 Dry System (See Items 11 to 13) a. Are dry valves (s) in service?~Yes [] No [] N/ A b. Are the air pressures and priming water levels in accordance with the manufacture's insh'uctions7 f;J Yes 0 No u N/ A of. I;Iasthe qperation of the air or niti'ogen supplies been tested? 'jJ Yes [] No [] NI A Are they in service? ~ Yes [] No [] NI A 'd. Were all know low points drained during tilis inspection? 1<- Yes [] No [] N/ A e. . Did quick-opening devices operate satisfactorily? i'\ Yes [] No [] NI A f. Did tile dry valve(s) ti'ip properly during the trip pressure test?"jtJ, Yes 0 No [] N/ A' R. Did ~ting equipment in the tlry'pipe valve room(s) operat~ at time of inspection? f Yes 0 No [] N/ A 7 Special Sy~el;ls (See Item 14) a. Did the deluge or pre,action valves operate properly during testing? [J Yes [] No ~I A b. Did the heat,re~ponsive devices operate properly during testing? [] Yes [] No 'f. NI A c. Did supervisOlY devices operate during testing? [] Yes [] No ., NI A 8 Alarms a. Did water motor(s) and gong(s) test satisfactorily? 0 Yes 0 No -A N/ A b. Did electric alarm(s) test satisiactory? [] Yes ~No 0 N/ A Co Did supervisory alarm service test satisfactory? ~ Yes [] No [] N/ A 9 Sprinklers a. Do visible sprinklers appear to be free from corrosion, loading or obsti'uction to spray discharge? l4 Yes [] No b, Are sprinklers less than 50 years old? (Older sprinklers require sample testing)')il..Yes [] No Co Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) ~Yes [] No [] N/ A d, Is stock of spare sprinklers available? )(,Yes [] No e. Does the exterior condition of sprinkler system appear to be satisfactory? 'Ii Yes [] No f. Do visible sprinklers appear to be of proper te 1 eratUIe rating f9r tl~e' . locations? I I 10 tPI~l ly"N" answers an con~l~: t-f), p ~ r y\ f;.J Signature: Date: "I ...t I .. C3I AUTOMATIC SPRINKLER CO, Setting The Standa,'d... 1301 L'Orient Street St. Paul, Minnesota 55117 (651) 558-3300 . (SOO) 229,6263 Fax: (651) 558-3310 Inspection Report No., Z ! \ \ ']~:~ System No. or Description if multiple systems iP-'\, ,. 1\,. ,,( {, \ ; ~t SHEET;? 0(2, Use separate sheet for each system inspected 11 12 13 Date dry-pipe valve trip tested (control valve partially open) Date dry-pipe valve trip tested (control valve fully open) Date quick-opening device tested ~ / I /-/1 y>'i I . DRY VALVE 6 (See Trip Test/Tnble iul1icl1.flJlIoll's) I . (See Trip Test Tnb/c wl1icll(cJIIOIus) (See rip Test Tn/Jle il'llicl1 follows) DRY PIPE OPERA TING TEST MAKE MODEL SERIAL NO MAKE MODEL SERIAL NO. , 'i.: ! I ; \ Time to trip . iV a tel' Air Trip Point- lime Water Reached Alarm Oper"led Thru Test Pipe Press 1I re Pressure Air Pressure Test Outlet Properly MIN, SEC PSI PSI PSI MIN. SEC YES NO Without , ,:.r'i Q,OD J ., \ i With ! Q.OD f " ! I ; TRIP TEST TABLE QOD '. 14 Date deluge or preaction valve tested '\ l (See Trip Test Tn/Jle wllicll.fcJlIoiL's) TRIP TEST TABLE : i DELUGE & PREACTION V A L V ES Operation LJ PNEUMA TIC CJ ELECTRIC J HYDRAULIC .I Piping Supervised I] YES ,] NO !Oetccting ivledia Supervised YES , NO Does vcllve operate fro111 the 111<I11U<:11 trip <lnd/or rel110te controlslcltiOIlS ,j \ ES J NO ,----- Is there an cKct's~ible facility in e{Kh circuit for testing LJ YES ] NO lI\.lethl)(J of Testing Circuils Docs t'cKh circuit upcrl\h.:' Dol'S l'<-lch cirCUIt ~1,l\.i1l1Llm lime in i\.1AKE MODEL supcn-jjiOll loss .:d,U111 O}1(Tl1lC \'~1l\ (' n..:.'k'<lSC ()~ll'r,-'!tc 1'1'Il'<l'-',l' YES I NO YES I NO Y.=-1= NO . --- I I__=r-_. ___ 15 See Control V,llve rvIainten,mce Table CONTROL VALVE MAINTENANCE TABLE I I ,---+- Secured Closed Explain Abnormal Condition Control Valves Cit\' Control Valves B\'pass Valv<.:s T,mk Control V "I\'l~s Pump Control V,lh'es Sectional Control Vah'es 5vstem Control V"lves Other Control Valves Kitchen Control V,llves , -(" ~ f -------------.-.- ,j i l , j,' 16 Water Flow Test at Sprinkler Riser Water SU111v Source: Cit\" T ,1l1k LJ Last Water Flow Test This Water Flow Test 17 -Explain anv "No" answe1rs anl COl~1l11ents: Test Pipe Location )..j f r "1 18 Adjustments or corrections made during this inspection: ,N"f'e: 19 Although these comments are not the result of an engineering review, the following desirable improvements are recommended: , \ L ' I ., '~ '. j " j'" 1) ": ")'. " 'p\~\(' ,r":,,!!;? ''1''/;' Y '''';'' " .J,~y if Sign<.lturc: Date: ; ~ n{l'\ 2/:,_/tlh)