HomeMy WebLinkAboutFire Sprinkler Test 7.13.15 SUMNIIT FIRE PROTECTION
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 separate sheet for each building inspection REPORT OF INSPECTION
MINNESOTA LICENSE NO.C0075/IOWA LICENSE NO.FP-036 JOB NUMBER /7/.
INSPECTION NAME _ 4••-, iffy41617-1:, Y''BUILDING/LOCATION -` '� .4/J
S
STREET I / ,' A 4:4---MAX-A-1� _,`i INSPECTOR ,e.AY-7. 4"''� <3
CITY&STATEt":"15-0/4 ,4,,f,-,714_.4'' . ;."' DATE 7 /.7//6
t
Owner's Section(to be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection: h1
B. Describe fire protection modifications made since last inspection: ,.L .6i1ai
C. Describe any fires since last inspection: /1/0,147
D. When was the system piping last checked fo stoppage,corrosion of foreig,material? r./2 r
E. When was the thy-o'gij g system last ch• /• for proper pitch? ,
F. Are dry valves a•, e „• "•fr• /freezing? a ,r�
Signature _ Title (� /(r&`" DateIa/f
"�1
Inspector Sectio (All responses reference current inspection) NA=NOT APPLICABLE
1. Genera
a.Is the •int ding occupied?AYps ❑No
b.Are all systems in service?,QYes 0 No
c.Is there a minimum of 18 in.(457 mm)clearance between the top of the storage and the sprinkler deflectors?,EfYes 0 No
d.Does the hand hose or standpipe on the sprinkler system(s)appear to be satisfactory? ❑Yes ❑Nob NA
2. Control Valves(See Item 15.)
a.Are all sprinkler system control valves and all other valves in the appropriate open or closed position? Hires ❑No
b.Are all control valves in the open position locked,sealed or equipped with a tamper switch?,Ies 0 No
3. Tanks,Pumps,Fire Department Connections 41--k-1--'
a.When was fire pump last tested for performance? t
b.Are fire pumps,gravity tanks,reservoirs and pressure tanks in good condition and properly maintained? ❑Yes O No„ErA
c.Are fire department connections in satisfactory condition,couplings free,caps in place,and check valves tight OYes 0 No ❑NA
Are they accessible and visible?,,EYes❑No D NA
4. Wet Systems
a.Have antifreeze system solutiot)s been tested? ❑Yes 0 N9.1 NA
b.What temp is antifreeze? A, . .
c.In areas protected by wet system(s),does the building appear to be properly heated in all areas?=UYes ❑No❑NA
5. Dry System(See Items 11 to 13) ,..--
a.Are dry valve(s)in service? ❑Yes 0 No,CI NA
b.Are the air pressures and priming water levels in accordance with the manufacturer's instructions? ❑Yes ❑No LI NA
c.Has the operation of the air or nitrogen supplies been tested? ❑Yes❑No ,0 NA Arexhhyin service? ❑Yes 0 No LINA
d.Were low points drained during this inspection?❑Yes 0 Nok1NA How many? ft-x.•.
e.Did quick-opening devices operate satisfactorily? ❑Yes ❑No JOIINA
f.Did the dry valve(s)trip properly during the trip pressure test? 0Yes 0 NoJ1 JA
g.Did the heating equipment in the dry-pipe valve room(s)operate at time of inspection? ❑Yes 0 No-,0 NA
6. Special Systems(See Item 14.)
a.Did the deluge or pre-action valves operate properly during testing? ❑Yes 0 No INA
b.Did the heat-responsive devices operate properly during testing?,OYes O No_ lA
c.Did supervisory devices operate during testing? ❑Yes❑No.,0 NA
d.Did flow for kitchen hood system shut off gas or electric? ❑Yes 0 No/0 NA
7. Alarms •
a.Did water motor(s)and gong(s)test satisfactorily? ❑Yes ❑NorONA
b.Did electric alarms)test satisfactorily?2❑Yes❑No ❑NA
c.Did supervisory alarm service test satisfact •y? 'es ❑No D NA
d.Did tamper switches test satisfactorily? !Wes ❑No❑NA
8. Sprinklers
a.Are all sprinklers free from corrosion,paint,loading or obstruction to spray disch e? DYes U No
b.Are sprinklers less than 50 years old?(Older sprinklers require sample testing) es ❑No
c.Are quick response and residential sprinklers less than 20 years old?(Older sprinklers require sample testing CrYes 0 No ❑NA
d.Is stock of spare sprinklers available?,,OYes 0 No
e.Does the exterior condition of sprinkler system appear to be satisfactory?-ClYes❑No
f.Are sprinklers of proper temperature rating for their locations?,DYes 0 No
g.Is location free of recalled heads? L Yes 0 No
/
Signature: 'L ,'e Y-r+x- -'° Date: /.
4(.. ( i ( 1 7- ,044e ft.....,v, S' 4--
SUMMIT FIRE PROTECTION
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 2 OF 2-Use separate sheet or each system insp c n Type of System /G. '
Inspection Name Zji..!At/7,#:5--,4-� kXHow Many? .•- r _
c,..cInspection Work Order f t f What Size? �c�' 1,�° t F , ?°::
1lt
Flow tch or Alarm Check with Pressure Switch
9. Date dry-pipevalve trip tested(control valve partially open) t -1(7:' (see Trip Test Table which follows)
sem'
10. Date dry-pipe valve trip tested(control valve fully open) : `A (see Trip Test Table which follows)
ln7..�
11. Date quick-opening device tested (see Trip Test Table which follows)
P
DRY VALVE if TRIP TEST TABLE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
DRY PIPE Time to Trip Wate Air Pressure Trip Point Time Water Reached Alarm Operated
OPERATING Thus Test Pipe Air Pressure Test Outlet Properly
TEST Min. Sec. /P',s[.� i9 PSI PSI Min. Sec Yes No
Without 1 Y / 7_
Q.O.D.
With
Q.O.D. i
12. Date deluge or preaction valve tested (see Trip Test Table which follows)
TRIP TEST TABLE
Operation 0 Pneumatic ❑
lecke
0 Hydraulic
3 " ?
Piping Supervised D Yes ❑Zd�,� }
Detecting Media Supervised ❑Yes 0 No
DELUGION Does valve operate from the manual trip andlorllemote control stations? ❑Yes 0 No
PREAC
VALVES Is there an accessible facility in each circuit ftfr testing? ❑yes ❑No Method of Testing Circuits:
MAKE MODEL Does Each Circuit Operate Does Each Circuit Maximum Time to
Supervision Loss Alarm? Operate Valve Release? Operate Release?
Dyes 0 No El Yes El No ❑Yes 0 N
13. See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE
CONTROL VALVES NUMBER SIZE&TYPE OPEN SECURED CLOSED SIGNS EXPLAIN ABNORMAL CONDITIONS
City Connection Control Valve
__Jockey Control Valve/Mg,' .--• x6 r✓/ t• f ,,,'14-5,15 p a /7 X P`? J
Pump Control Valves
Additional Pump Control Valves
f"Test Header
Sectional Control Valves
System Control Valves /:#`o C ' .n 41/' zf' -lie
r'/
Other Control Valves
._.K,itehen Control Valves ,77-44r-ii j `2�� r
at SpriakI isdt R
WaterWater Flow SupplyTest Source: City 1 Welt Tank Ptmtp
DATE 1EST PIP LPCATION SIZE OF TEST PIPE STATIC PRESSURE RESIDUAL(FLOW) DIFFERENTIAL
� PRETEST POSTTEST PRESSURE
Last Water Flow Test °- "�r' "; E ' /t i �'f'
tr � d'�-'
This Water Flow Test /3 /1
14. Explain any"No"answers and comments:
ffp�. Cf/ M .. '` gg cam t
..<_.,.r__ ;r;,�� � 3 -,l^. .�:,.�f ! r_ � _ .cam /(/ /,',fil/
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