HomeMy WebLinkAboutFire Inspection Report - 8/27/10 SUMMIT FIRE PROTECTION
.iAHAAVE. W• ST. PAUL, MN 55103 •(651) 251-1880 3026 40TH AVE. NW • ROCHESTER, MN 55901 •(50'7) 280-0622
_�T OAK DR., WAITE PARK, MN 56387 •(320) 257-6390 760 LIBERTY WAY, NORTH LIBERTY, IA 52317 •(319) 665-4330
.NTERPRISE CIRCLE • DULUTH, MN 55811 •(218) 740-4412
SHEET I OF 2- Use sepazate sheet for each building inspection �pORT OF INSPECTION �
MINNESOTA LICENSE NO. C0075 JOB NUMBER � G�3
INSPECTION NAME " a �` � � BUILDING/LOCATION <
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STREET ` � � � , P * �' �i - �.�' ! INSPECTOR �� ' � �)r.�t ::� �.
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CITY & STATE � P i3 � �'< # �' `` °"` '� `, �' °"; DATE ?�` -� ,•�. �C�
Owner's Section (to be answered by Owner or Occupant)
A. Explatn any occupancy hazard changes since the previous inspection: ,� �� t� -�
B. Describe fire protection modifications made since last inspection: �J n r�� -�
C. Describe any fires since last inspection: ��y� ., ri
D. When was the system piping last checked for stoppage, corrosion of forei n mate al? `�
E. When was the dry-piping system last checked for proper pitch? ��J,� /'=�
F. Are dry valves adequ�tely protected from freezing? �jE�/i'�
Signature Title Date
Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied? t�'es ❑ No
b. Are all systems in service? ,�Yes ❑ No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of th storage and the sprinkler deflectors? �I'es ❑ No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No .�
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes ❑ No �1A
2. Control Valves (See Item I5.)
a. Are all sprinkler system control valves and all other valves in the appropriate open or ciosed po tion2 �,Yes ❑ No
b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? [�'es O No
3. Tanks, Pumps, Fire Department Connections
a. When was fire pump last tested for performance?
b. Are fire pumps, gravity tanks, reservoirs and pressure tank in good condition and properly maintained? ❑Yes ❑ No [�TA
c. Are fire department connectio i satisfactory condition, couplings free, caps in place, and check valves tight? ,�es ❑ No ❑ NA
Are they accessible and visible? I�Yes ❑ No ❑ NA
4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? ❑Yes U No J�NA
b. Have antifreeze system solutions be tested? ❑Yes D No �,�TA
c. What temp is antifreeze?
d. In areas protecte�y wet system(s , does the building appeaz to be properly heated in all areas, including blind attics and perimeter areas
where accessible? es ❑ No ❑ NA
5. Dry System (See Items Il to 13)
a. Are dry valve(s) in service? ❑Yes ❑ No ❑ NA
b. Are the air pressures and priming water leve 'n accordance with the manufacturer's instructions? ❑Yes ❑ No 0 NA
c. Has the operation of the i or ni og su been tested? ❑Yes ❑ No ❑ NA Are they in service? ❑Yes 0 No ❑ NA
d. Were low points drai d'n ' nsp .❑Yes ❑ No 0 NA How many?
e. Did quick-opening d� ic era sati acto ly? ❑Yes ❑ No ❑ NA
f. Did the dry valve(s) 'p pe duri the trip pressure test? ❑Yes ❑ No 0 NA
g. Did the heating eq pment in e dry- ipe valve room(s) operate at time of inspection ?❑Yes ❑ No ❑ NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre-action valves operate pr erly during testing? ❑Yes ❑ No ❑ NA
b. Did the heat-responsive devi op a pr during testing? ❑Yes ❑ No ONA
c. Did supervisory devices op�ri g te .❑Yes 0 No ❑ NA
d. Did flow for kitchen hood m ut o gas or electric? ❑Yes 0 No ❑ NA
7. Alanns
a. Did water motar(s) and gong(s) test satisfa torily? ❑Yes ❑ No `�NA
b. Did electric alarm(s) test satisfactorily? f�,'es ❑ N ❑ NA
c. Did supervisory alarm service test satisfact rily? �es ❑ No p NA
d. Did tamper switches test satisfactorily? �'es ❑ No O NA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading ar obstruction to spray discharge? �Yes ❑ No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) ,�'es ❑No
c. Are quick response and residential spri ers less than 20 years old? (Oider sprinklers require sample testing) �I'es ❑ No
d. Is stock of spare sprinklers available? �'es ❑ No
e. Does the exterior condition of sprinkler system appear to be satisf ctory? �es ❑ No
f. Are sprinklers of proper temperature rating for thei locations? I�s 0 No
g. Are any sprinkler heads o a recall l�st? ❑Yes o
,�_ � �S'. :� �-�fa
Signature: Date:
SUMMIT FIRE PROTECTION
�AHA AVE. W• ST. PAUL, MN 55103 •(651) 251-1880 3026 40TH AVE. NW • ROCHESTER, MN 55901 •(507) 280-0622
.f OAK DR., WAITE PARK, MN 56387 •(320) 257-6390 760 LIBERTY WAY, NORTH LIBERTY, IA 52317 •(319) 665-4330
1JTERPRISE CIRCLE • DULUTH, MN 55811 •(218) 740-4412
SHEET 2 OF Z- Use separate sheet for eachsystem inspection Type of System
� I spection Name and Numb�r How Many?
t' ' ��_1���'���_ Wh 'ze? � �
'�' ow Switc
,� ��`` Alarm Check with Pressare Switch
9. Date dry-pipe valve trip tested (control vaive partiatly open) ' � (See Trip Tesf Table which follows)
ld• Date clry-pipe valve trip tested (control valve fully open) � fSee Trip Test Table trohich followsJ
11. bate quick-opening device tested (See T�p Test Table which follot�vs)
oqv vaw� TRIP TEST TABLE Q.o.�.
MAKE MODEI S£AtAI. NO. MAKE MODEL SERIAL NO.
DRY PfPE Time to Trip WaTer Air Trip Point Time Water Reached Alarm Operated
OPERATING Thru Test Pipe Pressure pressure Air Pressure Test OuBet Properly
TES7 MIN, SEC. PSI PS! PSI MIN. SEC. YES NO
witnout
Q.O.D.
With
Q.O.D.
12. Date deluge or preaction vaive tested (See Trip Test TabJe which follows)
TRIP TE5T TABLE
Operatio� � PNEUMATIC ❑ ELECTRIC C7 HYDRAULIC
Piping SupervisaC q YES ❑ NO Oetecting media supervised p YES [7 NO
RELUGE & Dces vaive operate from the manua! fip and/or �ernoie coMrof stations ❑ YES C7 NO
PREACTION ts there an accessibte facitiry in each circuit for tesHng Method of tes6ng-circuits
VALVES C) YES ❑ NO -
Does each arcuit o�erate Does each circuit Maximum time to
MAKE MODEL su rvision loss alami rate vaive release o rate release
YES NO YES NO YES NO
13. See Control Valve Maintenance Tabie.
ControC Valve Mauttenance Tabie
� Explain
Abnormat
Gontro) Vaives Number Type Open Secured Ciosed Signs Condition
}�� City Connectian Coniroi � .,
Vaive -� � �' �
Tank Controi Vaives
� Pump Conhot Vatves
Sectional Contro! Valves S` '"` P �` C — �'�'
System Controi Vatves �,/` � � --- `�
� Qther �ontrot Valves � � � � � � �r � , � �
- Kitchen Gonttol V81ve " .: ;-� , <- . , .
15. Water Flow Test at Sprinkler Riser
Water Supply Source: Cit Tank Pump
Date Test Pipe Size of Static Residaal Differential
Location Test Pipe Pressure (Flow)
ressu e
' Last Water Flow Test
,��
� .:,� '
This Water Flow Test ;�,f ; C� �
14. Exptain any "No" answers and comments °# � r �3 , .
�,:F
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Signature: ' � � Date: �',-�� �L�