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HomeMy WebLinkAboutSprinkler System Inspection, 3/21/14 - Parrish Office AGREEMENT & REPORT OF INSPECTION 301 York Avenue Viking Automatic Sprinkler Co. St. Paul, MN 55130 v� �� N�.7 Minnesota License No. AUfOMATICSPRINKLERCO. 651-558-3300 —1-800-229-6263 C005 FAX: 651-558-3310 Date 3-21--2014 Monthly ❑ Work Order Number 248667 Quarterly ❑ Ins ectar BOB M Semi-Annual ❑ Annual � Five Year ❑ Site Information Customer Information Building Name ST. MICHAEL PARISH OFFICE Name CHURCH OF ST.MICHAEL Address 16311 DiILUTH AVE SE PRIOR Address 16311 DLTLUTH AVE SE L AKR MN PRIOR LAKE NIN Site Contact LANE FARNQUIST Customer Contact NDY MENDEN Tele hone 952-807-2466 Tele hone 952-447-2491 Customer hires Vikmg Automatic Spnnkler Company to conduct an inspechon of the fire suppress�on system at the above location or building and to prepare a wntten report of that inspect�on for the agreed upon fee As a part of this agreement, customer agrees to Terms And Condrtions found on Report of Inspechon and w�ll complete the Owner's Section of th�s document V�kmg Automat�c Sprmkler Company wtll not be held l�able for mcorrect or unknown answers provided m the O�vner's Sect�on PRIOR TO TESTING NOTIFICATIONS YES PHONE NUMBER CONTACT NOTES BUILDING MANAGEMENT ❑ MONITORING ENTITY � 2 MONITORING ENTITY ❑ AHJ ❑ NOTES: OWNER'S SECTION (To be answered by Owner, Occupant or Customer� 1. Is the buildin occu 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: NONE 6. Describe any fires since the last inspection: NONE 7. When was the system last checked for stoppage, corrosion, or foreign material? LTNKNOWN 8. When was the dry-piping system last checked for proper pitch? NA 9. Are Dry valves adequately protected from freezing? NA 10. Does the system contain Yes ❑ If yes, how many? General Location(s): an low oints? No ❑ Invoice Type: ❑ Electronic � Paper Email Address for Invoice: Name: LANE FARNQUIST Title: MANT. Date: 3-21-2014 3 I 3 1� 3 0 1 1 X v\� ✓� Owner's Si nature = . � � � . a m �• �v ii-ii-ii Report of Inspection Job Number: 248667 �/� �� n/� Job Name: ST.MICHAEL PARISH ,una�ncsa�uN�RCa OFFICE 301 York Avenue S stem Descri tion: 1-2" WET st. Paul,lvtrl 5513o Ins ector: BOB M 651-sss-33oo Date: 3-21-2014 1. General Yes No Na a. Is the buildin occu ied? � � � 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 � ❑ ❑ sprinkler deflectars? d. Does the hand hose on the sprinkler system(s) appear to be satisfactory? ❑ ❑ � 2. Control Valves see item 14 a. Do s rinkler s stem control valves a ear to be in the a ro riate o en or closed osition? � ❑ ❑ 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 a. Are fire um s, ravi tanks, reservoirs and ressure tanks in ood condition and ro erl maintained? ❑ ❑ � b. Are fire department connections in satisfactory condition, couplings free, caps in place and check valves � ❑ ❑ tight? c. Are they accessible and visible? � � � 5. Wet S stems a. Are cold weather valves (OS&Y) in the appropriate open or closed position? ❑ ❑ � b. Have anti-freeze solutions been tested? ❑ � � 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? � ❑ ❑ 6. D S stem see items 10 thru 12 a. Are d valve(s) in service? � � � b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions? ❑ ❑ � c. Has the operation of the air or nitrogen supplies been tested? ❑ ❑ � Are they in service? � � � d. Were all known low points drained during this inspection? ❑ ❑ � e. Did quick opening devices operate satisfactorily? ❑ ❑ � 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 a. Did the delu e or re-action valves o erate ro erl durin testin ? ❑ ❑ � b. Did the heat responsive devices operate properly during testing? ❑ ❑ � c. Did the supervisory devices operate properly during testing? ❑ ❑ � S. Alarms a. Did water motor(s) and on s) test satisfacto ? ❑ ❑ � b. Did electric alarm(s) test satisfactory? � � � 9. S rinklers a. Do visible s rinklers a ear to be free from corrosion, loadin or obstruction to s ra dischar e? � ❑ ❑ b. Do sprinklers appear to be less than 50 years old? (Older sprinklers require sample testing) � ❑ ❑ c. Do quick response and residential sprinklers appear to be less than 20 years old? (Older sprinklers require � ❑ ❑ sample testing) d. Do dry sprinklers appear to be less than 10 years old? (Older sprinklers require sample testing) ❑ ❑ � e. Is stock of spare sprinklers available? � � � f. Does the exterior condition of sprinkler system appear to be satisfactory? � ❑ ❑ g. Do visible sprinklers appear to be of proper temperature rating for their location? � ❑ ❑ Insp. Form 11-8-12 Report of Inspection v� �� N Job Number: 248667 ,wronv�ncsPwr+�RCO. Job Name: ST.MICHAEL PARISH OFFICE S stem Descri tion 1-2" WET Ins ector: BOB M Date: 3-21-2014 10. Date d i e valve tested control valve artiall o en see tri test table which follows 11. Date d i e valve tested controi valve full o en see tri test table which follows 12. Date uick o enin device tested (see tri 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 Tnp Pomt Air Time Water Reached Alarm Operated DRY PIPE i e Pressure Pressure Test Outlet Pro erl OPERATING Minutes Seconds PSI PSI PSI Mmutes Seconds Yes No Without ❑ � TEST o.D. With O D ❑ � 13. Date delu e or reaction valve tested see tri test table which follows TRIP TEST TABLE O eration PNUEMATIC ❑ ELECTRIC ❑ HYDRAULIC ❑ Pipmg supervised Yes ❑ No ❑ Detectmg media supervised Yes ❑ No ❑ Does valve operate from the manual trip / or remote control stat�on Yes ❑ No ❑ DELUGE & Is there an accessible facil�ty in Yes ❑ No ❑ Method of testing circuits PRE- each circutt for testin ACTION MAKE MODEL Does each circuit operate Does each circuit operate valve Ma�umum time to operate release TEST su ervision loss alazm release Yes No Yes No Yes No ❑ ❑ ❑ ❑ ❑ ❑ 14. See Control Valve Maintenance Table Control Valves Number T e O en Secured Closed Si ns Ex lain Abnormal Condition C� Valves 1-4" Yard Post Y� N❑ Y� N❑ Y❑ N� Y� N❑ B ass Valves Select Valve Y❑ N❑ Y❑ N❑ Y❑ N❑ Y❑ N❑ Tank Valves Select Valve Y❑ N❑ Y❑ N❑ Y❑ N❑ Y❑ N❑ Pum Valves Select Valve Y❑ N❑ Y❑ N❑ Y❑ N❑ Y❑ N❑ Sechonal Valves Select Valve Y❑ N❑ Y❑ N❑ Y❑ N❑ Y❑ N❑ S stem Valves 1-2" BFV Y� N❑ Y� N❑ Y❑ N� Y� N❑ Other Valves Select Valve Y❑ N❑ Y❑ N❑ Y❑ N❑ Y❑ N❑ Krtchen Valves Select Valve Y❑ N❑ Y❑ N❑ Y❑ N❑ Y❑ N❑ 15. Water Flow Test at S rinkler Riser Source:Cit � Tank ❑ Pum ❑ Date Test Pi e Locat�on Size of Test Pi e Static Pressure Residual Flow Pressure Last Flow Test 2-18-2013 RISER 1 25" 82 75 This Flow Test 3-21-2014 ffiSER 1 25" 80 75 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) 3/31I201♦ X V � rV � i��'� / � (�''� s i c �< a e r . a m � Inspector's Signature Insp. Form 11-8-12 TERMS AND CONDITIONS The Report of Inspection, together with these Terms and Condrtions, const�tute the entire agreement ("Agreement") of the parties 1. This Agreement is for work performed on tivs Inspection only If Customer wants V�kmg Automatic Sprmkler Company ("Company") to make any additwnal repairs, alterat�ons or replacements as a result of the work performed, the Company will do so for additional compensahon to be agreed upon in wnting by the parties 2 The Company does not know and does not represent whether the current fire protect�on system on the property of Customer ("Property") was originally designed and mstalled m such a way that the system will perform as originally intended or �s suitable and sufficient for its mtended purpose given the way m 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 partrtion walls, the locahon of and types of matenals (mcludmg the presence of hazardous matenals) and other condrtwns of the Property's use are such that the fire protechon system is madequate, insuf&cient or unswtable for the Property. THIS AGREEMENT IS NOT A GUARANT'EE 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 hmes, to enter the Property to conduct the work as outlmed 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, INNRIES OR LIABILITIES, OF ANY HIND, 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, INSTRUNLENTALITIES 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 COMPAIVY'S NEGLIGENT ACTS OR ObIISSIONS BUT SUBJECT TO THE LIMITATION IN PARAGRAPH 5. a. BELO�V. CUSTODIER SHALL INDEMNIFY COb1PANY 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 INDENINIFICATION 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, TT'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 PROPERTS' 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 d�scharge of water mto or onto areas of landscaping, decorative pavement, etc., rt 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, mcidental, consequential or pun�t�ve damages arismg out of the work 10 If payment for work prov�ded m this Agreement is not rece�ved by the Company �nnthm 30 days from Customer's rece�pt of an mvoice for the work, Customer shall pay interest at the rate of 3% per annum on all past due sums, together wrth all costs of collection, mcludmg attorney's fees I 1 This Agreement constitutes the entire agreement of the parties. If any prov�sion hereof shall be invalid, the remammg provisions shall survive and be enforceable agamst the parties The law of the state where the work is performed will govern This Agreement supersedes all prior agreements. This Agreement may be modified only by a written instrument signed by both parties T&C 3-3-11