HomeMy WebLinkAboutSummit Fire Protection Inspection - 2/3/14 SUMMI� FIRE PROTEC�ION
575 Minnehaha Ave. W• St. Paul, MN 55103 • 651-251-1880 ' 3026 40TH Ave. NW • Rochester, MN 55901 • 507-280-0622
418 Great Oak Dr. • Waite Park, MN 56387 • 320-257-6390 760 Liberty Way • North Liberty, IA 52317 • 319-665-4330
4208 Enterprise Circle • Duluth, MN 55811 • 218-740-4412 4353 NW Urbandale Dr. • Urbandale, IA 50322 • 515-867-2424
SHEET 1 OF 2- Use sepazate sheet for each building inspecuon �PORT �F INSPEC�I�N / c / , �
MINNESOTA LICENSE O. 0075 / IOWA LIC NSE NO. FP-036 JOB NUMBER / I J� L� �
INSPECTION NAME �-� t�-- Fl '. �'Z BUILDING/LOCATION ��
STREET �v�..,��'" c9r' � � !PP� � INSPECTOR "+`� -�"Jn�'t-' '
CITY & STATE � ''.'%' � , .IL r '1 '.S � �f �Z--- DATE �" .-� , 1 L�
Owner's 5ection (to be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection:
B. Describe fire protection modifications made since last inspection:
,. ;�;
C. Describe any fires since last inspection:
D. When was the system piping last checked for stoppage, corrosion of forei material? 4
E. When was the dry-piping system last checked for proper pitch? `� �..�� �"
F. Are dry valv adequately prQtttct� d rom freezin� `�
�Signature a ��--�, �---� -' 1�� �'�i —� Title Date
inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE
1: General
a. Is the building occupied? �e ❑ No
b. Are a11 systems in service? �es 0 No
c�Is there a minimum of 18 in. (457 mm) cleazance between the top of the storage and the� s,Prinkler deflectors? �es ❑ No
d. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? fd5�`es ❑ No ❑ NA
2. Control Valves (See Item 15.)
a. Are all sprinkler system control valves arid all other valves in the appropriate open or closed �oJ 6on? �'es 0 No
b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? ; I2l.Yes 0 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 tanks in good condition and properly maintained? ❑Yes ❑ o rd'�TA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check vaives tight? r'es ❑ No ❑ NA
Are they accessible and visible? �es ❑ No ❑ NA
4. Wet Systems
a. Have antifreeze system solutions been tested? ❑Yes ❑ No �A
b. What temp is antifreeze? � ,_,._._.�. .,
c. In areas protected by wet system(s), does the buildi�rg a�p�c�ie properly heated in all azeas? r.TYes ❑ No 0 NA
5. Dry System (See Items ll to 13)
a. Are dry valve(s) in service? C3"�es ❑ No ❑ NA
b. Are the air pressures and priming water levels in accordance witli the manufacturer's instructions? �3�i'es ❑ No ❑ NA
c. Has the operation of the air or nitrogen supplies be�e}� tested? C�Yes 0 No ❑ NA Are�} ey in service? f�Yes 0 No ❑ NA
d. Were low points drained during this inspection? C1'i�es ❑ No 0 NA How many? (
e. Did quick-opening devices operate satisfactorily? ❑Yes ❑ No NA
f. Did the dry valve(s) trip properly during the trip pressure test? �es ❑ No O NA
g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection ?�1'�'; Q.N�o ❑ NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre-action valves rate properly during testing? ❑Yes ❑ No ❑ NA
b. Did the heat-responsive devices erate properly during testing? ❑Yes ❑ No ❑NA
a Did supervisory devices op te during tesung? ❑Yes ❑ No ❑ NA
d. Did flow for kitchen hoo�'system shut off gas or electric? ❑Yes ❑ No ❑ NA
7. Alarms
a. Did water motar(s) and gong(s) test satisfac orily? ❑Yes ❑ No �'�1A
b. Did electric alann(s) test satisfactorily? es ❑ No ❑ NA
c. Did supervisory alarm service test satisfactorily? l�es ❑ No ❑ NA
d. Did tamper switches test satisfactorily? O�'es ❑ No 0 NA
8. Sprinklers
a. Are all sprinklers free from corrosion, paint, loading or obstruction to spray disch�rge? �s ❑ No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) ,�Yes ❑No
c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) ,�.Yes ❑ No ❑ NA
d. Is stock of spare sprinklers available? C�es ❑ No
e. Does the exterior condition of sprinkler system appear to be satisfactory? �es 0 No
f. Are sprinklers of proper temperature r ng for their locations? �'es ❑ No
g. Is location free of recalled heads?�s ❑ No
�
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Signatur,�: ✓ �''�'l/I. `t��! Date: � � ����
SUMMIT FIRE PROTECTION
575 Minnehaha Ave. W. • St. Paul, MN 55103 • 651=251-1880 '� j 3026 40th Ave. NW • Rochester, MN 55901 • 507-280-0622
418 Great Oak Dr. • Waite Park, MN 563$7 • 320-257-6390 760 Liberty Way • North Liberty, IA 52317 • 319-665-4330
4208 Enterprise Circle • Duluth, MN 55811 • 218-740-4412 4353 NW Urbandale Dr. • Urbandale, IA 50322 • 515-867-2424
e of S stem �-�' �
, SH$ET 2 OF 2- Us sep shee�r each s stem,i+�pection �'p, Y '' -` - �
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� �- � li~ � �� ,: ;..�.-�- ,.�. � � ��.. C+� � How Many? 1 �
Inspection Name , l�
. �.�'� � ' � ir "
Inspection Wark Order I� T �� f� What Sj�� �
Flow Switch o w'iili Pressure Switch .�. � �/ Y' � �`
J '__.,�__._�._ — �_L�t��rm'titl�c'�C!-- ---y._ .,.__.:_. _._ -
9. Date d i e valve tri tested control valve artiall o en � j � f� L ! see Tri Test Table which follows) ��--� y�
rY P P � P Y P), ,�--�--! � P
10. Date dry-pipe valve trip tested (control valve fully open) —� /� - (see Trip Test Table which follows)
'� see Tri Test Table which follows)
11. Date quick-opening device tested � p
_._. � _ �._ -.�
� 1 ! _. _ ._..
�,.,s��f� � �, =��� r=" �' `� nxY va�.v�-���' � TRIP TEST TABLE � � Q.o.n , �
MAKE DEL SERIAL NO. MAKE MODEL SERIAL NO.
,k�� � ,� ;; �.,_ +:::��, . , � S � `� ,
DRY PIPE ` Time to Trip Trip Point Time Water Reached Alarm Operated
OPERATING Tl�ru Test Pipe �'ater Pressure Air Pressure pir Pressure Test Outlet ftoparly
T�'.ST. . .. . .Mim �_ . .Sec: . :-� .�. . .. . -PSI.:::� -..,...- � .... PSI �:..., a- _. :�-. . . - 3ec. .. _. . .Yes—,.�. 3 �_ � --.-;.-
� Y . � Without . .. - . .
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12. Date delug or preacuon valve tested (see Trip Test Table which follows)
TRIP TEST TA
Opera6on- ❑ Pneumatic ❑ Electdc ❑ Hydraulic
r
' Piping Supervised ❑ Yes ❑ No Detecting Media Supervised ❑ Yes ❑ No
` DELUGE& Does valve operate from the manual trip and/or remoYe control stations? ;"` � Yes ❑ No
PREACTION
'`i VALVES Is there an accessible facility in each circuit for testing? [��es ❑ No Method of Testing Circuits
M M � �`� Does Each Circuit Opera�e Dces Each Caeuit �. Macimum Time to
. Supervision Loss Alann. Operate Valve Release. Operate Release?
' ❑ Yes ❑ No > ❑ Yes ❑ No ❑ Yes ❑ No
13. See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE
CONTROL VALVES NUMBER SIZE & TXPE OPEN SECURED CLOSED SIGNS EXPLAIN ABNORMAL CONDITIONS
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City Connection Control Valve -�� f ��� ; `�� t��''"%�^'/ {, � l �
oc ey ConVOI Valve I '� t �} �'i� �'�`• ����
Pump Control Valves
Additional Pumg. Control Yalves . � � �
Test Header , _ _ i ` ' '
Sectional Conffol Valves
,, ,
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SystemControlValves`- — �� /� ��1 �t(��}* .> �', 5
Other Conuol Valves .�, .1 � ' ° �` � ,� -� � S f � '"y"' � �
Kitchen Control Valves '
Water Flow Test at Sprinkler Riser �
Water Supply Source: City _ Well Tank �P �:
DATE TEST PIPE.LOCATION SIZE OF TEST PIPE STA IC PRESSURE RESIDUAL (FLOY� {..DgTEgE1VTyAI, F
� ST.��� � � T.TEST - PRESSUR&.
� �, � j
Last Water F1ow Test ' _,;,� � �� ' ;
• This Water F1oiv Test �' t ' � �
_ 6
14. Explam any ° `No" answers and comments:
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