HomeMy WebLinkAboutReport of Inspection 2/21/2011 V� K 1 N St, Paul, h1innesota 55130
AU70NAnC SPRINip.En C0. (657 ) 558-3300 •(SOO) 229-6263
Setting The Standard... rax: (65�) 5 5 8 3 31 0
AGREEMENT AND REPORT OF INSPECTION
SHEET 1 of 2- Use ser arate sheet for cach building inspcctrd #INSP6CTION � ���
MINNESOI A LICENSE NO. C005
REPORT TO `�' : BUILDING OR LOCATION
STREET � ; ; , . INSPECTOR �� , �+
CITY & STATE �-, DATE � `�� � . � ? � � �� ) � �
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Customer hires Viking Automatic Sprinkler CompanJ� to conduct an inspectiun of the fire suppression systrm �it lhe above location or building, and
prcpare a written report of that inspcction for an agrecd upon fce. As part of this agreement, customcr agrccs to the terms and conditions on rear of
form and will complete the Owner's Section of this document. Viking Automatic Sprinkler Compan�� ���ill not be held liable for incorrect or unknown
answers providcd in the Owner's Section.
Owner's Section (To be answered by Owner, Occupant or Customer)
A. Explain any occupancy hazard changes since the previous inspection: 1� . r
B. Describe fire protection niodificitions made since last inspection: �
C Describe any fires since last inspection:
D. When was the system yiping last checked for stoppage, corrosion or forei},m material?
E. When was the dry-piping system last checked for proper pitch? r
F. Are dry valves adequately protected from freezing7
G. Does the system contain any low point drains7 ❑ Yes � No ff }'es, please state ho��� many and the general ]ocation of each:
Custoiner'sSignature �=�. , "� " � �;� Title Date
Inspector's Section (All responses reference current inspection) N/A = NOT APPLICABLG
1 Ccncral
a. Is the Uuilding occupied? ❑ Yes c No
b. /1re all systems in service? n Yes � No
c. Docs there appear to bc a minimum of 18 in. (457 mm) dearancc bctween thc top of the storage and thc sprinklcr dcflectors? u Yes u No
d. Does the valve hose on the sprinkler system(s) appear to be satisfactory? ❑ Yes o No e N/A
2 Control Valves (See Item 15)
a. Do sprinkler system control valves appcar to Ue in thc appropriate opcn or closcd position? ❑ Ycs u No
b. Are control valves in the open position locked, sealed or equipped with a tamper switch? ❑ Yes o No
3 Water Supplies (Sce Itent I6)
a. Was a water flow test of main dr2in made at the sprinkler riscr(s)? u Yes u No
4 Tanks, Pumps, Fire Deparhnent Connections
a. Do fire pumps, gravity tanks, reservoirs and pressure tanks appear in good condition and properly maintained? n Yes n No n N/n
b. Are fire deparhnent conneclions in satisf�etory condition, couplings free, caps in place, and check valves tight? u Yes u No u N�A
Are they accessible and visible? JYes ❑ No ❑ N/A
5 Wet Systems
a. Are cold wcather valves (O.S. & Y.) in the appropriate open or closed position? u Yes � No u N/A
b. 1 iave antifreeze system solutions been tested? ❑ Yes ❑ No a N/A
c Were the antifreeze test results satisfactory? � Yes ❑ No n N/ n
d. ln areas protected Uy �vet system(s), does the building appear to be properly heated in all areas, including blind attics and perimeter areas
�vhere accessible? d Yes ❑ No � N/A Do �Il exterior openings appear to Ue protected against freezing? o Yes ❑ No � N/ A
6 Dry System (Sre Iteuis 11 to 13)
a. Are dry valves (s) in scrvice? u Yes u No u N/A
b. Are the �ir presswes and priming water levels in accordance with the manufachire's insh�uctions? ❑ Yes ❑ No o N/A
c Has the operation of the air or nitro�;en supplies Ueen tested? n Yes n No n N//� i\re they in service? r Yes n No n N//�
d. Wcrc all I<no�1�R,�ow points drained during this inspcction? u Ycs � No u N/A
e. Did quick-opening�evices opeiate satisfactoril}'? c Yes � No ❑ N/A
f. Did the dry valve(s) appe�r to h'ip properly durin� the h'ip presstn'e test? n Yes �� No n N�/�
g. Did thc hcating cquipmen't in the dry-pipc val��c room(s) appcar to operate at timc of inspection? � Ycs u No u N/A
7 Special Systems (See Itenr 1�)
a. Did the delu,�,e or pre-action valves operate properly during testing? n Yes n No n N/i�
b. Did the hcat-res��onsivc devices opciatc properly during testing? � Ycs � No o N/A
c Did supervisory de��ices operate dw�ing testing? � Yes ❑ No ❑ N/A
8 �Uarms
a. Did �vater motor(s) and gong(s) test satisfactorily? � Yes � No u N/A
b. Did electric alann(s) test satisfactory? o Yes ❑ No � N/A
c Did supervisory alarm service test satisfactory? n Yes n I�ro n N/i�
9 Sprinklcrs
a. Do visiUle sprinklers appear ro be free h�o�n corrosion, loading or obstruction to spray disdlarge? �,o Yes ❑ No
b. Do visible sprinklers appear to be less thtu150 years old? (Older sprinklers require sample testing) ri.Yes n No
c. Do yuick response and residential sprinklers appear Iess than 20 years old? (Older sprinklers require sample testing) � Yes ❑ No � 11/A
d. Is stock of spare sprinklers available? �i Yes � No '
e. Does the exterior condition of sprinkler systein appeer to be satisFactory? n'Yes n No
f. Do visiblc sprinklcrs appcar to bc of proper tcmperattu•c rating for thcir locations? � Ycs � No
10 E�plain any "No" answers and comments:
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Inspector's Sibmature: .;p,tt Y ':�:.,e ' 4 �( f` X i�'i.�% <.�i � 1)
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v , �, N G 307 York Ave
AUTOMATIC SPRlNKLERCO. St. Paul Minnesota 55130
Setting The Standard... (651) 558-3300 •(800) 229-6Z63
Pax: (651)558-3310
SHEET 2 of 2- Use separate slleet for eadz system inspected System No. or Description if multiple
systeins
Inspection Report �_;{ j e , �� "
No. T
11 Date dry-pipe valve trip tested (control valve partially open) (Sre Trip Test Table znhicli follozus)
12 Date dry-pipe valve h tested (control valve fully open) (See Trip Tesf Tnble zvhich follozus)
13 Date quick-opening device tested (See Trip Test Tn le �uhicli follo�us)
DRY v,ai.vE TRIP TEST TABLE Q.O.D.
h1AKE MODEL SERIAL NO. MAKE h10DEL SERIAL NO.
DRY PIPE I imc to �I'rip W�[cr ,�ir "Crip Point I'imc Wa[cr Rcached Alarm Operatcd
OPERATING TIZru Test Pi}�e Pressare Pressure Air Pressure Test Outlet Nroperly
TEST ��11N. SEC. PSI PSI PSl N11N. SEC YES NO
4Vithout
Q.O.D
W ith
Q.O.D
14 Date deluge or preaction valve tested (See Trip Test Tnhle �ohich folloios)
TRIP TEST TABLE
Operation _ PNEUMATIC = ELECTRIC = HYDRAULIC
Piping Supervised r: YES ^^ NO Detettin� hledia Supervised r; YES ❑ NO
DELUGE & Does valve operate from the manual trip and/or remote contro] stations c YES ❑ NO
PREACTION Is there an accessible facility in each circuit for tes[ing = YGS - NO 1�1ed�od of Testing Circui[s
VALVES IIoes each circuit operate Does ench circuit n�Iaximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES NO YES NO YES NO
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
Cit Contro) Valves �� �� � i � i
B pass Valves
Tank Conh'ol Valves
Pum Control Valves
Sectional Control Valves
S stem Controi Valves � � �" �' ; ��',; -� , �
Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Su 1 Source: Cit �, Tank Pum
Residual
Test Pipe Size of Static (Flow)
Date Location Test Pi e Pressure Pressure
Last Water Flow Test ' -
This Water Flow Test � �.- � � >,r �;
17 Explain any "No" answers and conunents:
18 Adjustments or corrections made during t Zis inspection:
19 A t Zoug 1 t�e comments are not t Ze resu t o an engineering review, p ease see t Ze attac Zee Non-Inspection Re ate De iciencies
forin for additional itei}as Eov��d clurinp he course of the inspection (only attached if applicable).
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Ins ector's Si nahu•e: ��_.� , rl �i� , t , �t..J� (, , ' ; � ,' ��� � � �
P Y � � C i . K�( i }'t' Date: ' (.���}i� �� � � �
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Inspection Porm P2 2-1-10 �