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Home My WebLink AboutFire Sprinkler Report - 7/17/12 �Y �� G I L B E R T INS ECTION & T ST REPORT �nspected a MitCh Seybold �n5pect�on oate: 07/17/2012 �nsPection #: 1038 Property rvame: VFW Post #6208 B;ii To: VFW Prior Lake #6208 p,ope�cv Address: 16306 Main Avenue SE ai�� To Address: PO Box 116 Prior Lake, MN 55372 Prior Lake, MN 55372 contact & vhone: 952-447-9220, Ed Speiker Was owner representative contacted prior to lnspection? � Yes Q No Representative's Name: Date Contacted: Rep present during inspection? ❑ Yes ■� No Rep's Name: Were all rooms available for inspection7 [�■ Yes � No Last inspecfion report avallable? � Yes Q No As-built drawings available? � Yes Q No Zone map available? � Yes Q Na Date of Installation: No, of Systems: � No. of Wet: No. of Dry: � No. of Preaction: No. of Other: � Locatlon of Valve Assy: meCh f00111 r � Yes No N/A Other Yes No N/A Other s • Gauges (Dry, Preaction, Deluge) Control Valves Waterflow Devices Pressure Regulating Devices Valve Supervisory Devices . Piping Supervisory Signal Devices (Except Valve) x Hose Connections Supervisory Switches = Cabinet Gauges (Wet System) . Hose Hydraullc Nameplate . Hose Storage Devlce Hanger/Seismic Bracing (Exposed Only) Hose Nozzle Pipe & Fittings (Exposed Only) Sprinklers . Hose Houses Spare Sprinklers Hose Hydrants (Dry Barrel & Wall) F1re Department Connection Monitor Nozzles Control Valves Hydrants (Wet Barrel) Alarm Valves Mainline Strainers Check Valves . Piping (Exposed) Pre-Action/Deluge Piping(Underground) Dry Pipe Valves Valves - OYher ■ Pressure Reducing & Rellef ■ Backflow Prevention Assemblies �. . •• � Yes No Waterflow Devices Water Motor Gong: No. Present: Did the Alarm Sound? �❑ Vane Type: Pressure Switch lype: � Do all waterflow devices operate properly? Q❑ Valves Supervlsory Devlces No. Present: Do all supervlsroy devices operate praperly? �� Supervisory Signal Devices No. Present: Type: Main Drafn Test 5tatic: 83 P51 Resldual: 73 P51 Antifreeze Solution Specific 6ravity at 60° f: Freezing Polnt: °F Adjustment needed? �� Gllbert Mechanicol Contrattors, Inc., 4451 W 76th Street, Edlna, MN 55435 (952) 835-3810 Page 1 of 2 . � . � � . •� ' • .�• ,t,, •• • • NFPA 25 (2002) "An investigation of piping and branch line conditions shall be conducted every 5 years by opening a Flushing connection at the end of one main and by removing a sprinkler toward the end of one branch line for the purpose of investigatlng for the presence of foreign organic and inorganic material:' (Stated in NFPA 25, 2002 Chopter 13.2.1J Yes No Has the owner been informed of the obstruction investigation requirement? � Q Date last obstruction investigation was performed: Has an obstruction investigation been performed? � 0 Is obstruction investigation required with this inspection? Q� If yes, owner's authorization: Inspections to be completed every 3 years ❑ Hose Connection Pressure Reducing Valves ❑ Water Storage Tank ❑ Hose Rack Assembly Pressure Reducing Valves Inspections to be completed every 5 years ❑ Fire Hose �❑ Systems ❑ Standpipe & Hose System Hydrostatic Test �■ Obstruction Inspection (1 Inspecdon/system) ❑ Standpipe & Hose System Flow Tests Q■ Check Valves (Interior) ❑ Water Storage Tanks Level Indicators � Preaction/Deluge Valves (Interior) ❑■ Gauges ■� Dry Pipe Valves (Interior) ❑ Sprinklers - Extra High Tempereture Tests to be compieted every 3 years ❑ Sprinklers • Corrosive Environment Q■ Dry Pipe Valves (Full Flow Trip Test) Tests to be completed every 30 years � Quick-Opening Devices ❑ Sprinklers- Fast Response Tests to 6e completed every3 years ' ❑ Sprinklers in service over 50 years � Pressure Reducing and Relief Valves • 1. DeRnitlons Inspectlon" is a visual examfnatlon of a system or portion thereof to verify that it appears to be undamaged and in opereponal conditlon. "Test" is a procedure used to determine the status af a system as intended by conducting periodic physical checks on water-based Hre protectlon sysiems such as waterilow tests, fire �ump tests, alarm tests, and trip tests of drY pipe, preachon, or deluge valves. These tests follow up on the original acceptance tests at intervals specified by NFPA 25. Maintenance" is work performed to keep fire system equipment operable or to make repairs. "Owner" is the owner of the property or the occupant, management �irm, or managing individual that has received authority from the owner for the inspectlan, tesNng, and mainte- nance of the fire protectlon system. NfPA 25" is the Standard for the InspecHon, TesHng� and Maintenance of Water-Based Fire Protection Systems (2002 editlon) published by the NaHonal Fire Protection Associatlon. "Authority Having Jurisdiction" is an organizadon, otfice, or individual responsible for enforcin� the requfrements of NFPA 25 or for approving procedures. "Deficiency" Is a condition where a system component appears to be damaged , not in operat�ng condiHon, or the applicatlon Is not within its designed limits or applicaHon. "WOrk" is the inspections, tests, and maintenance as required by NFPA 25 and as limited by the scope of the contract. 2. Work Gilbert Mechaniwl Contrectors, Inc. shall inspect and test the flre sprinkler system for the building in accordance with these terms and condiHons. 7he inspectlon and tests shall be perFormed by qualified inspectors meeting any and all requirements of the applicable Authorities Having Jurisdittion. The Owner shall provide access to all areas of building containing system equlpment a�d components requir'ing inspectlon under the scope of this inspectlon. 7he Owner shall provide a safe working environment and to the best of the Owner's knowledge, no unsafe materials or conditions exist. The Owner agrees to provide all MSDS sheets upon Gilbert Mechanical Contractors, Inc. request. 3. Scope (a Gilbert Mechanical Contrectors, Inc, shall inspect and test the fire sprinkler system�s) in accordance with the applicable requirements as contained in the 2002 editlon of NFPA 25. AI� applicable tests and inspecdons will be performed on an annual basis. (b) The following inspecHans and tests are excluded from the scope of thts inspection and test: (i) Ins (I�) 7ests: Periodic (5 Year InspecHons Periodic (5 Year) Testr Fire sprin�lers, pipe, fittings, hanger, and bracing in concealed spaces Sample testlng for aged fire sprinklers such as above suspended ceilings Backflow device performance test(s) except for forward flow test Roadway valves (iii) Maintenance Buried check valves Corrective or preventative actions including repairs adjustments, o� modiflcatlons to System check and alarm valves (internal) corrett def(ciencies unless speciflcally Included in t�ie scope of contract. Building areas for adequate heat 4. Rewrds The Owner shall provide access to original system commissioning documents including maintenance manuals, material test cerHficates, certified flre pump curves and as-built draw- ings. The Owner further agrees to provide any and all copies of inspections and tests performed on the fire sprinkler system post commissioning w{thin the guidelfnes of NFPA 25. If these documents and records are not available, the Owner shall hold Gilbert Mechamcal Contractors, Inc. harmless for all exclusions, omissions, and damage to the system that may result from the lack of information contained within such documenu. The Owner atknowledges that these inspections and tests are not intended to reveat design or installallon deficiencies. The inspectlons and tests are to verify that the system appears to be in operaHng condiHon and system components appear to be undamaged. 5. Correclive AcHon The Owner is solefy responsible for the correctlon action required to correct deficiencies identified by the inspectlons and tests performed under the scope of this i�spection. The Owner further acknowledges that the inspectlon and tesu are Iimited to the conditlon of the system found at the dme of the work and Gilbert Mechanical Contractors, Inc. is not responsible for the condit�on of the system at any time subsequent to the date of the work. In addition, certain comments and recommendations made as a result of the inspections and tests may transcend the scope of NFPA 25. Such observatlons are made without knowl- edge of when the potendal deviaHon occurred and what codes, standards, or jurisdicHOnal amendments or variances were in affect at tlme of said deviation. Such exceptions are only a record of observattons of potentlal deviatlons from current codes and standards and are in no way an implication that any other system components or areas of coverage are in or out of compliance. 6. Price and Payment Terms and Conditlons The Owner shall paV the fees identlHed in this agreement. Payment is due thirty (30) days from the date of the invoice. Inspections may be sub)ect to inflaHonary cost increases. This agreement shall remain in effect for a period of (1) year and shall automatically contlnue fram year to year thereafter unless thirty {30► days prior to the terminatlon of any yearly period, either party gIves written notice to other party of its intent to terminate or renegotlate the terms and conditlons set forth hereln. 7. Liability Release and Indemnitv The Owner hereby releases Gil6ert Mechanical Contractors, Inc. and its affilfates, and their directors, officers, employees and a�ents trom all clalms, IlabiliHes and damages which arise or result directly or Indirectly, from the Owner's negllgence, error or omission and the Owner agrees to defend indemni and hold harmless Gllbert Mechanical Contractors Inc. and its affiliates, and their directors, oNicers, employees and agents, from and agalnst any and all tlaims, losses or damages to perso�s or property resulting indirectly or direct5y from the Owner's conduct or omission. S. limitatlon of Liability The Owner a�rees that Glibert Mechanical Contrectors, Inc's Ilability for any clafms, losses or damages resulHng directly or indirxtly from Gllbert Mechanical Contractors, Inc.'s per- formance of this agreement, fncluding any negligence, error or omission on the part of Gilbert Mechanical Contractors, Inc., shall be (imited to the amount of fees received by Gilbert Mechanical Contractors, Inc. under this agreement. 9. Walvers No waiver of any provisfon of this Agreement shall be effective except pursuant to a written instrument signed by the party waiving compliance, and any such waiver shail be effecHve only in the specific instance and for the specific purpose stated in such writing. 30. Subrogatlon The Owner hereby releases discharges and agrees to hold Gilbert Mechanical Contractors, Inc. and its aHiliates harmless from any and all claims liabflities, damages, losses or expenses arising from or caused by any hazard covered by insurance resultlng from or related to this inspection, whether said claim is made bY Gilbert Mechankal Contractors, Inc., his agent or insurence company or by any other parties clafmSng under or through the Owner. The Owner agrees to indemniiy Gitbert Mechanical Contractors Inc. against, defend and hold Gilbert Mechanical Contractors Inc, harmless from any clalms for subrogahon which may be brought against Gilbert Mechanical Contractors, Inc. by anyjnsurer or insurance company or its agents or assigns, including payment of all damages, expenses, costs and artorneys fees. Gllbert Mechantcal Controctors, Inc., 4451 W 76th Street Edino, MN 55435 (952) 835-3810 Page 2 of 2 ~y m Dry Pipe Valve Trip Test Report � � � � � � � Gilbert Mechanical Contractors, Inc. � 4451 West 76th Street Edina, MN 55435 (952) 835-3810 Inspected By• MitCh Seybold Inspection Date:07/17/1�Inspection #: 1038 Property Name� VFW POSt #6208 eiu ro: VFW Prior Lake #6208 Property address� 16306 Main Avenue SE Bill To Address: PO Box 116 Prior Lake MN 55372 Prior Lake, MN 55372 Contact & Phone #� g52 447-9220 Ed Sg�ik r Was owner representative contacted prior to inspection? � Yes or�No Representative's Name: Date Contacted: Rep present during inspection?�,�Yes or �;Vo* Rep's Name: " If no, see notes on following page . Manufacturer GRINNEL Valve Model Number F3061 Valve Serial Number HG0806#2018 Valve Size 3 Controlling Number Sprinklers (approx.) � Date Last Trip Test 6/11 Date Last Operated 6/11 Air Pressure Before Test 33 Water Pressure Before Test 83 Size & Location of Test Valve 1/2 ITV Was Gate Valve Below Dry Valve NO 4 TURNS Open Wide at Test? (If not, how many turns?) Air Pressure $ PSI PSI PSI PSI Water Trip At; 8 PSI Water Pressure 83 PSI PSI PSI PSI Time 60 PSI PSI PSI PSI If System Flooded, List Time Water Reached Test Openings . Enclosure � YES � NO � YES � NO Q YES � NO �YES Q NO Exterior � YES � NO � YE5 � NO � YES � NO �YES � NO Interior � YES � NO � YES � NO � YES � NO �YES � NO Strainers, Filters, Orifices � YES � NO � YES � NO �YES � NO �YES � NO � Page 1 of 2 Inspection #: 1038 Date: 07/17/12 � ,., Dry Pipe Valve Trip Test Report . Did Alarms Operate at Trip Test? � YES � NO � YES � NO � YES � NO Q1'ES Q NO All Low Point Drains Blown Out? � YES � NO � YES � NO � YES �NO �YES �NO Water Control Valve Left Open & Sealed? � YES � NO � YES � NO � YES � NO �YES � NO Alarm Control Valve Left Open & Sealed? • YES � NO � YES � NO � YES �NO �YES �NO 5 KNOW LOW PTS s .• • Manufacturer Type & Model Device Serial Number Air Pressure in Upper Chamber Quick Opening Devices Tripped At Performance Quick Opening Device Left in Service & Control Valve Open & Sealed Page 2 of 2