HomeMy WebLinkAboutFire Sprinkler Test 2014 FIRE SPRINKLER ,
STEM
Gi G I L B E R T INSPECTION & T STYREPORT
Inspected By: Mitch Seybold Inspection Date: 09/02/2014 Inspection#: 1038
Property Name: VFW Post#6208 Bill To: 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: 952-447-9220, Ed Speiker
Was owner representative contacted prior to inspection? ❑Yes Q No .
Representative's Name: Date Contacted:
Rep present during inspection? ❑Yes ❑■ No Rep's Name: —
Were all rooms available for inspection? Q Yes ❑ No Last inspection report available? ❑Yes Q No
As-built drawings available? ❑ Yes 0 No Zone map available? 0 Yes ❑� No
GENERAL SYSTEM INFORMATION
0
Date of Installation: No.of Systems: No.of Wet: No.of Dry: No.of Preaction: No.of Other:
Location of Valve Assy: Under kitchen stairs
INSPECTIONS
Yes No N/A Other Yes No N/A Other
SPRINKLER SYSTEM INSPECTION N/A ■ STANDPIPE&HOSE SYSTEM INSPECTION N/A FA
Gauges(Dry,Preaction,Deluge) x _ _ Control Valves _ _ _ _
Waterflow Devices x _ Pressure Regulating Devices _ — _ —
Valve Supervisory Devices x Piping — _ — —
Supervisory Signal Devices(Except Valve) _ _ 7 _ Hose Connections — — — —
Supervisory Switches _ — x _ Cabinet — — — —
Gauges(Wet System) — _ _ Hose _ _ _
Hydraulic Nameplate x _ _ _ Hose Storage Device _ _ — ,_
Hanger/Seismic Bracing(Exposed Only) x Hose Nozzle
— ,_ _ —
Pipe&Fittings(Exposed Only) x _ _ _ PRIVATE FIRE SERVICE MAIN INSPECTION N/A Fl _ _ _ _ .
Sprinklers _ Hose Houses _ _ _ _
Spare Sprinklers x — - _ Hose Hydrants(Dry Barrel&Wall) — —
Fire Department Connection x _ Monitor Nozzles — _ _ _
Control Valves x ^ Hydrants(Wet Barrel) — _ _
— —
Alarm Valves x Mainline Strainers — — — —
_
Check Valves xPiping(Exposed) — —
Pre-Action/Deluge — 7— _ Piping(Underground) _ _ _ _
Dry Pipe Valves x —
_
Valves-Other — —
Pressure Reducing&Relief _ _
Backflow Prevention Assemblies x
SPRINKLER SYSTEM TESTING '
SUPERVISORY DEVICES
Yes No
Waterflow Devices Water Motor Gong: No.Present: Did the Alarm Sound? Q 0
Vane Type: Pressure Switch Type: 1 Do all waterflow devices operate properly? 0 ❑
Valves Supervisory Devices No.Present: n/a Do all supervisroy devices operate properly? Q lJ
Supervisory Signal Devices No.Present: n/a Type:
ANNUAL TESTS
Main Drain Test Static: 84 PSI Residual: 83 PSI ,
Antifreeze Solution Specific Gravity at 60°F: n/a Freezing Point: °F Adjustment needed? ❑ ❑
•FIRE PUMP INSPECTION&TESTING(See fire pump inspection form) •WATER STORAGE TANK INSPECTION(See attached sheet)
■ WATER SPRAY FIXED SYSTEM INSPECTION(See attached sheet) ■ FOAM WATER SPRINKLER SYSTEM INSPECTION(See attached sheet)
n Control valves left opened and system placed back in service.
NOTES:
Has a few recall heads _
Gilbert Mechanical Contractors,Inc.,4451 W 76th Street,Edina,MN 55435(952)835-3810
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Dry Pipe Valve Trip Test Report
I L B E R T Gilbert Mechanical Contractors, Inc.
4451 West 76th Street
L Edina, MN 55435 (952) 835-3810
Inspected By: Mitch Seybold Inspection Date:9/02/14 Inspection#: 1038
Property Name: VFW Post#6208 Bill To: 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#: 952-447-9220. Ed Speiker
Was owner representative contacted prior to inspection? ®Yes or®No
Representative's Name: Date Contacted:
Rep present during inspection? Yes . oro* Rep's Name:
* If no, see notes on following page
. . _ - III y Y
Manufacturer Gem
Valve Model Number F3061
Valve Serial Number HG-8-6#2018
Valve Size 3��
Controlling Number Sprinklers(approx.) n/a
Date Last Trip Test 7/24/2013
Date Last Operated same
Air Pressure Before Test 31
Water Pressure Before Test 84
Size&Location of Test Valve 1/2 at riser
Was Gate Valve Below Dry Valve t10 3 turns
Wide at Test? (If not, how many turns?)
Air Pressure 31 PSI PSI PSI PSI
Water Trip At: 10 PSI Water Pressure 84 PSI PSI PSI PSI
Time n/a PSI PSI PSI PS'
If System Flooded, List Time Water Reached n/aTest Openings
• k - 11 11 y - it
Enclosure YES 0 NO 0 YES 0 NO (:°)YES 0 NO OYES ONO
Exterior
YES 0 NO (3 YES 0 NO O YES NO Q+rES CD NO
Interior
.® YES 0 NO 0 YES 0 NO 0 YES 0 NO OYES fD NO
Strainers, Filters, Orifices YES 0 NO 0 YES 0 NO OYES 0 NO OYES 4D NO
Notes:
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