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Home My WebLink AboutFire System Inspection 9.16.14 " SUMMIT FIRE PROTECTION 575 MinnehahaAve.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 i bI5n Use separate sheet for each building inspection "d REPORT OF INSPECTIONfi. � ;. . MINNESOTA LICENSE NO.C0075/IOWA LICENSE`NO.FP-036 JOB NUMBER INSPECTION NAME de e _ 1BUILDING/LOCATION ; 1 t= -- STREET 13+ .ir .iMIZtINSPECTOR CITY&STATE s`IVAIefe. ,JAW, •. .t . Ake 410°, DATE 9> }+',t + Owner's Section(to be answered by" Owner or Occupant) - A. Explain any occupancy hazard changes since the previous inspection: - 1 B. Describe fire protection modifications made since last inspection: dt"ew, C. Describe any fires since last inspection: .r D. When was the system piping;last checked for stoppage,corrosion., • ign �material? l � f E. When was the„dry-piping system last checked for proper pitch? . F Are dry valves adeq atel • '•t te4.from freezing? ,' 1/,,e3 ' _ Signature .1.:.: .T' 1. ... .. 'title x �a a•` • ,• Date _ Inspector's Section(All responses reference current inspection) NA=NOT APPLICABLE 1. General a.Is the building occupied?,4Yes ❑No - b.Are allsystems'in service?Ares❑No e C.Is there a minimum of 18 in.(457 mm)clearance between the top of the storage and the sprinkler deflecrors? Yes U No d.Does the hand hose or,standpipe on the sprinkler systems)appear to be satisfactory? ❑Yes U NNA 2. Control Valles(See Item 15.) a.Are all sprinkler system control valves and all other valves in the appropriate open or closed po ition?,,&Xes ❑No b.Are all control valves in the open position locked,sealed or nipped with a tamper switch?..AYes U 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 U No„let �A c.Are fire department connections in satisfactory condition,couplings free,caps in place,and check valves tight?,Yes U No U NA Are they accessible and visible?,E.ilSes U No U NA 4. Wet Systems a.Have antifreeze system solutio s tested? Mies ❑No p'NA b.What temp is antifreeze? c.In areas protected by wet system(s),does the building appear to be properly heated in all areas?%Yes U No U NA 5. Dry System(See Items 11 to 13) a.Are dry valve(s) ❑ in service? Yes U No�'NA b.Are the air pressures and priming water levels in accordance with the manufa rer's instructions? ❑Yes ❑Nc NA c.Has the operation of the air or nitrogen supplies been tested? ❑Yes O No.kf NAe� in service? ❑Yes❑NcyO"NA d.Were low points drained during this inspection?DYes ❑"No,,�NA How many? /I[ a,Did quick-opening devices operate satisfactorily? ❑Yes U No,da f.Did the dry valve(s)trip properly during the trip pressure test? ❑Yes ❑NENA; g.Did the heating equipment in the dry-pipe valve room(s)operate at time of inspection? ❑Yes U No-„STA 6. Special Systems(See Item 14.) a.Did the deluge or pre-action valves operate properly during testing?• ❑Yes ❑No IBUIVNA b.Did the heat-responsive devices operate properly during testing? ❑Yes ❑No[4A c.Did supervisory devices operate during testing? ❑Yes❑:No,jif NA d,Did flow for kitchen hood system shut off gas or electric?' ❑Yes U No 1'A 7. Alarms a.Did water motor(s)and gong(s)test satisfacjnrily? CUYes ❑No„Ii7`NA b.Did electric alarm(s)test satisfactorily? es 0 N U NA c.Did supervisory alarm service test satisfacto y?<Yes ❑No O NA it.Did tamper switches test satisfactorily?'s U No U NA 8. Sprinklers a.Are all sprinklers free from corrosion,paint,loading or obstruction to spray discharge? .1 'es U 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 ❑ klers require sample testing};: "Yes LI No U NA z i d.Is stock of spare sprinklers available? es ❑'`No - e.Does the exterior condition of sprinkler system appear to be satis tory?„fifes U No f.Are sprinklers of proper temperature g for their Iocations?.4es❑No g.Is location free of recalled heads? es U No Signature- fit . Date: 7 11141// SUMMIT FIRE PROTECTION 575 Minnehaha Ave.W. • St.Pani,MN •55103 • 651-251-1880 3026 40th Ave.NW a 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 Entgrprise Circle • Duluth,MN 55811 • 218-740-4412 4353 NW Urbandale Dr. • Urbandale,IA 50322 • 515-867-2424 t.. SHEET 2 0. 2 Uses rates et for each system in5eIIC?4 titian Type of System Inspection Nanle I' " * How Many? Inspection Work Order i 1 What Size? F1ow�S or Alarm Check with Pressure Switch 9. Date dry-pipe valve trip tested(control valve partially open) I (see Trip Test Table which follows) „SIO. Date dry-pipe valve trip tested(control valve fully open) If I (see Trip Test Table which follows) - 11. Date quick-opening device tested (see Trip Test Table which follows) DRY VALVE TRIP TEST TABLE Q.o.D. • MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. d DRY PIPE Time to Trip Water pressure Air Pressure Trip Point Time Water Reached Alarm Caperated OPERATING 11tru Teat Pipe Air Prossure 'Dist Outlet Psvperly TEST blies Sec I PSI PSI titin See. Yes No without [ 0.0.0. ilLaitilk 't With Q.O.D. 12. Date deluge or preaction valve tested (see Trip Test Table which follows) TRIP TEST TABLE Operation 0 Pneumatic 0 Electric 0 Hydraulic Piping Supervised ❑Y: 1 1 Detecting Media Supervised ❑Yes 0 No DELUGE& I.:4.,.or remote control stations? ❑Yes 0 No P"REACTION Does calve operate from the , w VALVES jsdtete sin accessible facility in-• circuit for testing? ❑Yes ❑No Method of Testing Circuits: MAKS MODEL Does Bach Circuit Operate Does Each Circuit MaaiimurnT ie to Supervision Loss Alarm? Operate Valve Release? Operate Releme? ID Yes []No 0Yes ONo El Yes CJ No 13. See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE CONTROL VALVES NUMBER_ SIZE&TYPE OPEN SECURED jCLrOSED SIGNS... ESPT:AW. ABN9R14IAL COND:rTIONS ""L'ky Connection Control Valve r . / > � /w's.+ .".. �' •dip Control Valve ter" 1 ? , j Pump Control Valves Additional Pump Control Valves Test Header Sectional Control Valves SystemControl Valves `4 , ' 9 t, 1) ''r1 < Other Control Valves Kitchen Control Valves Water Flow Test at Sprinkler Water Supply Source: ` Well Tank Pomp — DAT TEST PIPE `/1 STATIC PREstms- RE 11"14L(FtAwi / ICAJN SD7 OF TEST PIPE P pig DIFFEBEaITIAL / ill; .,.,,,1:01 /90.00 Last Water Flow Test ,rj f ,,/ A "e This Water Flow Test l 1 ,09. 14. Explain any"No"answers and°comments: N. lei› 4:, 04,14, Print Name e+ SignatureAl.. ' Date