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Home My WebLink AboutSprinkler Inspection 12.11.13 AGREEMENT & REPORT OF INSPECTION 301 York Avenue VI KING Viking Automatic Sprinkler Co. St. Paul, MN 55130 AUTOMATIC SPNNKLER CO. 651- 558 -3300 —1- 800 - 229 -6263 Minnesota License No C005 FAX: 651- 558 -3310 Date 12 -11 -13 Monthly ❑ Work Order Number 247170 Quarterly ❑ Inspector KEVIN Semi - Annual ❑ STRANDBERG Annual Five Year ❑ Site Information Customer Information Building Name PHILLIPS & TEMRO Name SAME Address 5380 COTTONWOOD LANE SE Address PRIOR LAKE MN 55372 Site Contact CHERYL EDWARDS Customer Contact Telephone 952- 226 -8104 Telephone Customer hires Viking Automatic Sprinkler Company to conduct an inspection of the fire suppression system at the above location or building and to prepare a written report of that inspection for the agreed upon fee. As a part of this agreement, customer agrees to Terms And Conditions found on Report of Inspection and will complete the Owner's Section of this document. Viking Automatic Sprinkler Company will not be held liable for incorrect or unknown answers provided in the Owner's Section. ilii� t• Ito o �wW i� "� ( -: r"� � r D r ,. PRIOR TO TESTING NOTIFICATIONS YES PHONE NUMBER CONTACT NOTES BUILDING MANAGEMENT MONITORING ENTITY rgi 2" MONITORING ENTITY ❑ AHJ ❑ NOTES: OWNER'S SECTION To be answered by Owner, Occu . . t or Customer 1. Is the buildin • occu s ied? Yes ❑ No 2. Are all s stems in service? // Yes ❑ No 3. Was the s stem s free of actuation of devices or alarms since the last ins ► ection? ® Yes ❑ No 4. Ex • lain an occu ► anc hazard chan • es since the . revious ins ' ection: NONE 5. Describe any fire protection modifications made since the last inspection: REPAIRED INSPECTORS TEST PIPING. 6. Describe any fires since the last inspection: NONE 7. When was the system last checked for stoppage, corrosion, or foreign material? UNKNOWN 8. When was the dry- piping system last checked for proper pitch? N/A 9. Are Dry valves adequately protected from freezing? N/A 10. Does the system contain Yes ❑ If yes, how many? General Location(s): an low I oints? No Invoice Type: ❑ Electronic ❑ Paper Email Address for Invoice: Name: CHERYL EDWARDS Title: Date: 12 -11 -13 1 1/ 1 1/ 3 0 1 x •a..... � Owner's Signature • .• • • • REV 11 -11 -11 Report of Inspection Job Number: 247170 N 6 Job Name: PHILLIPS & TEMRO `SMINKLER CO. System Description: 1 WET, 1 BOOTH 301 York Avenue Inspector: KEVIN STRANDBERG St. Paul, MN 55130 Date: 12 - - 651 -558 -3300 1. General Yes No Na a. Is the buildin_ occu • ied? 1111111nng b. Are all systems in service? ® ❑ ❑ c. Does there appear to be a minimum of 18 inches (457 mm) clearance between the top of storage and the rang sprinkler deflectors? d. Does the hand hose on the sprinkler system(s) appear to be satisfactory? ❑ ❑ 11 2. Control Valves see item 14 h .. D. wapaity ,e v. •1 'al J. - .1 • f !j �7= S�ti7� �xY��Z�b�fL� }� �� ❑ ❑ b. Are control valves in the open position locked, sealed or equipped with a tamper switch? ® ❑ ❑ 3. Water Su • lies see item 15 a. Was a waterflow test of the main drain made at the s • rinkler riser(s ? ® ❑ ❑ 4. Tanks, Pum • s, Fire De • artment Connections ti a. Are fire •um•s, a avi tanks, reservoirs and pressure tanks in _ood condition and pro •erl maintained? ❑ ME/1 b. Are fire department connections in satisfactory condition, couplings free, caps in place and check valves /5 ❑ ❑ tight? c. Are they accessible and visible? ® 0 ❑ 5. Wet S stems a. Are cold weather valves (OS &Y) in the a • • ro • riate o • en or closed • osition? MOM 11 b. Have anti -freeze solutions been tested? in ❑ c. Antifreeze test result: Type of solution: ❑ Glycerin ❑ Propylene Glycol d. In areas protected by the wet system(s), does the building appear to be properly heated in all areas, ® ❑ ❑ including blind attics and perimeter areas where accessible? e. Do all exterior openings appear to be protected against freezing? .1 ❑ ❑ 6. D S stem see items 10 thru 12 a. Are d valve s in service? ❑ MMII b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions? ❑ i■] /1 c. Has the operation of the air or nitrogen supplies been tested? ❑ ❑ ■ Are they in service? ❑ 1!I d. Were all known low points drained during this inspection? ❑ MI e. Did quick opening devices operate satisfactorily? ❑ ❑ El f Did the dry valve(s) trip properly during the trip pressure test? ❑ ❑ g. Did the heating equipment in the dry pipe valve room(s) operate at the time of the inspection? ❑ ❑ 7. S • ecial S stems see item 13 •. Di' t • 1• U.S•71:II;IWA1ZEL Y.3! rg 1�! ' • •i ir...210 ❑ ❑ El b. Did the heat responsive devices operate properly during testing? ❑ ❑ c. Did the supervisory devices operate properly during testing? ❑ NAM 8. Alarms a. Did water motor s and Ion:. s test satisfacto . ❑ in 11 b. Did electric alarm(s) test satisfactory? 11 L70 9. S • rinklers r a. Do visible s •rinklers a• •ear to be free from corrosion, loadin_ or obstruction to s •ra dischar_e? m11011 ❑ b. Do sprinklers appear to be less than 50 years old? (Older sprinklers require sample testing) 11 ❑ ❑ quick response sprinklers appear years (Older sprinklers require Do uick res onse and residential s rinklers a ear to be less than 20 ears old? Older s rinklers re uire 0 El sample testing) d. Do dry sprinklers appear to be less than 10 years old? (Older sprinklers require sample testing) ® ❑ 07 e. Is stock of spare sprinklers available? f Does the exterior condition of sprinkler system appear to be satisfactory? ® ❑ ❑ F g. Do visible sprinklers appear to be of proper temperature rating for their location? ® ❑ L7 Insp. Form 11 -8 -12 Report of Inspection vl iitl N Job Number: 247170 AuroMAncsppwnERCO. Job Name: PHILLIPS & TEMRO System Description 1 WET, 1 BOOTH Inspector: KEVIN STRANDBERG Date: 12 -11 -13 10. Date dry pipe valve tested (control valve partially open) N/A (see trip test table which follows) 11. Date dry pipe valve tested (control valve fully open) N/A (see trip test table which follows) 12. Date quick opening device tested N/A (see trip test table which follows) DRY VALVE TRIP TEST TABLE Q.O.D. MAKE MODEL SERIAL MAKE MODEL SERIAL NO. NO. Time to trip through test Water Air Pressure Trip Point Air Time Water Reached Alarm Operated DRY PIPE pipe Pressure Pressure Test Outlet Pro erly OPERATING Minutes Seconds PSI PSI PSI Minutes Seconds Yes No TEST Without ❑ ❑ Q.O.D. With Q.O.D. ❑ 0 13. Date deluge or preaction valve tested 1 N/A 1 (see trip test table which follows) TRIP TEST TABLE Operation PNUEMATIC ❑ ELECTRIC El HYDRAULIC ❑ Piping supervised Yes ❑ No ❑ Detecting media supervised Yes ❑ No ❑ Does valve operate from the manual trip / or remote control station Yes ❑ No ❑ DELUGE & Is there an accessible facility in Yes ❑ No ❑ Method of testing circuits PRE- each circuit for testing ACTION MAKE MODEL Does each circuit operate Does each circuit operate valve Maximum time to operate release TEST supervision loss alarm release Yes No Yes No Yes No ❑ ❑ ❑ ❑ ❑ ❑ 14. See Control Valve Maintenance Table Control Valves Number Type Open Secured Closed Signs Explain Abnormal Condition City Valves 1 OS &Y Y® N Y® NO Y❑ NO YO N Bypass Valves Select Valve Y ❑ N ❑ Y ❑ N ❑ Y ❑ N ❑ Y ❑ N ❑ Tank Valves Select Valve Y ❑ N ❑ Y ❑ N ❑ Y ❑ N ❑ Y ❑ N ❑ Pump Valves Select Valve Y ❑ N ❑ Y ❑ N ❑ Y ❑ N ❑ Y ❑ N ❑ Sectional Valves Select Valve Y ❑ N ❑ Y ❑ N ❑ Y ❑ N ❑ Y ❑ N ❑ System Valves 1 BFV Y ® N❑ YO N❑ Y❑ NO YO N❑ Other Valves 1 BFV Y ® N ❑ Y ® N ❑ Y ❑ N ® Y ® N ❑ PAINT BOOTH CONTROL VALVE. Kitchen Valves Select Valve Y ❑ N ❑ Y ❑ N ❑ Y ❑ N ❑ Y ❑ N ❑ 15. Water Flow Test at Sprinkler Riser Source:City ® Tank ❑ Pump ❑ Date Test Pipe Location Size of Test Pipe Static Pressure Residual (Flow) Pressure Last Flow Test 2012 RISER 2" 79 74 This Flow Test 12 -11 -13 RISER 2" 79 66 16. Explain any "No" answers and comments: 17. Adjustments or corrections made during this inspection: 18. Although the comments are not the result of an engineering review, please see the attached Non - Inspection Related Deficiencies form for additional items found during the course of the inspection. (Only attached if applicable) 12/11/2013 Inspector's Signature Insp. Form 11 -8 -12 TERMS AND CONDITIONS The Report of Inspection, together with these Terms and Conditions, constitute the entire agreement ( "Agreement ") of the parties. 1. This Agreement is for work performed on this Inspection only. If Customer wants Viking Automatic Sprinkler Company ( "Company ") to make any additional repairs, alterations or replacements as a result of the work performed, the Company will do so for additional compensation to be agreed upon in writing by the parties. 2. The Company does not know and does not represent whether the current fire protection system on the property of Customer ( "Property") was originally designed and installed in such a way that the system will perform as originally intended or is suitable and sufficient for its intended purpose given the way in which the Property has been or will be used. In other words, the Property has been or may be used in ways such that the configuration of partition walls, the location of and types of materials (including the presence of hazardous materials) and other conditions of the Property's use are such that the fire protection system is inadequate, insufficient or unsuitable for the Property. THIS AGREEMENT IS NOT A GUARANTEE OR WARRANTY THAT THE SYSTEM WILL IN ALL CASES (A) PROVIDE THE LEVEL OF PROTECTION FOR WHICH IT WAS ORIGINALLY INTENDED, (B) IS FREE OF ALL DEFECTS AND DEFICIENCIES, (C) AND IS IN COMPLIANCE WITH ALL APPLICABLE CODES. Customer agrees that it has not retained Company to make these assessments unless otherwise specifically indicated. 3. The Company will be permitted, at all reasonable times, to enter the Property to conduct the work as outlined in this Agreement. 4. TO THE FULLEST EXTENT PERMITTED BY LAW, CUSTOMER AGREES TO DEFEND, INDEMNIFY AND HOLD HARMLESS COMPANY AND ITS AFFILIATES, AGENTS AND EMPLOYEES FROM AND AGAINST ANY AND ALL CLAIMS, DAMAGES, LOSSES, INJURIES OR LIABILITIES, OF ANY KIND, RESULTING FROM OR IN ANY MANNER RELATED TO OR CONNECTED WITH THE WORK PERFORMED BY THE COMPANY UNDER THIS AGREEMENT (WHETHER ARISING DURING OR FOLLOWING THE PERFORMANCE OF THE WORK), AND ALL ACTIVITIES RELATED THERETO, OR OCCURRING OR RESULTING FROM THE USE BY THE COMPANY OR ITS AGENTS OR EMPLOYEES OF MATERIALS, EQUIPMENT, INSTRUMENTALITIES OR OTHER PROPERTY, WHETHER THE SAME BE OWNED BY THE CUSTOMER, THE COMPANY OR THIRD PARTIES, EXCEPT FOR AND TO THE EXTENT OF CLAIMS AND LIABILITIES ARISING SOLEY OUT OF THE COMPANY'S NEGLIGENT ACTS OR OMISSIONS BUT SUBJECT TO THE LIMITATION IN PARAGRAPH 5. a. BELOW. CUSTOMER SHALL INDEMNIFY COMPANY FOR COMPANY'S LEGAL FEES, COSTS AND DISBURSEMENTS PAID OR INCURRED TO ENFORCE THE PROVISIONS OF THIS PARAGRAPH. CUSTOMER FURTHER AGREES TO OBTAIN MAINTAIN AND PAY FOR SUCH INSURANCE COVERAGE AND ENDORSEMENTS, INCLUDING COMPLETED OPERATIONS COVERAGE, AS WILL INSURE THE PROVISIONS OF THIS PARAGRAPH AND, UPON REQUEST, SHALL PROVIDE COMPANY WITH EVIDENCE THEREOF. 5. IF THE ABOVE INDEMNIFICATION IS UNENFORCEABLE IN THE STATE IN WHICH THE WORK IS PERFORMED, THEN THE FOLLOWING LIMITED LIABILITY LANGUAGE APPLIES: a. CUSTOMER AGREES THAT THE LIABILITY OF COMPANY, IT'S OFFICERS, DIRECTORS, EMPLOYEES, PARENT COMPANY, SUBSIDIARIES, AFFILIATES, CONSULTANTS, SUBCONTRACTORS AND VENDORS TO CUSTOMERS AND OR OTHER OCCUPANTS OR VISITORS OF THE PROPERTY, ARISING OUT OF THE COMPANY'S NEGLIGENT ACTS OR OMISSIONS, SHALL BE LIMITED TO THE LESSER OF $5,000 OR THE AMOUNT OF THE CONTRACT/PRICE OF WORK PERFORMED BY THE COMPANY. THIS LIMITATION OF LIABILITY SHALL APPLY TO ALL JUDGMENTS, CLAIMS, LIABILITY, COSTS, EXPENSES, LEGAL FEES AND ALL DAMAGES OR LOSSES OF ANY NATURE, SUSTAINED BY CUSTOMER, CONTRACTOR OR SUBCONTRACTOR, OR ANY OTHER PARTY CLAIMING BY OR THROUGH THEM. THIS LIMITATION DOES NOT APPLY TO CLAIMS OF INTENTIONAL, WILLFUL OR WANTON ACTS. 6. IT IS UNDERSTOOD AND AGREED BY THE CUSTOMER THAT THE COMPANY IS NOT AN INSURER AND THAT INSURANCE COVERAGE SHALL BE OBTAINED BY THE CUSTOMER AND THAT THE AMOUNTS PAYABLE TO THE COMPANY HEREUNDER ARE BASED UPON THE VALUE OF THE SERVICES TO BE RENDERED AND ARE UNRELATED TO THE VALUE OF THE CUSTOMER'S PROPERTY AND THE PROPERTY OF OTHERS LOCATED ON THE PREMISES. CUSTOMER AGREES TO LOOK EXCLUSIVELY TO THE CUSTOMER'S INSURANCE TO RECOVER FOR INJURY OR DAMAGE IN THE EVENT OF ANY LOSS OR INJURY AND THE CUSTOMER RELEASES AND WAIVES ALL RIGHT OF RECOVERY AGAINST COMPANY ARISING BY WAY OF SUBROGATION. 7. While the Company will make every reasonable effort to prevent the discharge of water into or onto areas of landscaping, decorative pavement, etc., it is the Customer's responsibility to provide sufficient and readily accessible means to accept the full flow of water that may be required by tests as determined by the type of inspection. 8. This Agreement may not be assigned by Customer without the written consent of the Company. 9. Neither party shall be liable to the other for indirect, incidental, consequential or punitive damages arising out of the work. 10. If payment for work provided in this Agreement is not received by the Company within 30 days from Customer's receipt of an invoice for the work, Customer shall pay interest at the rate of 3% per annum on all past due sums, together with all costs of collection, including attorney's fees. 11. This Agreement constitutes the entire agreement of the parties. If any provision hereof shall be invalid, the remaining provisions shall survive and be enforceable against the parties. The law of the state where the work is performed will govem. This Agreement supersedes all prior agre ements. This Agreement may be modified only by a written instrument signed by both parties. T &C 3 -3 -11