HomeMy WebLinkAboutFire Sprinkler Report 2006
I~ING
AUTOMATIC SPRINKLER CO.
1301 L'ORIENT STREET
ST. PAUL, MINNESOTA 55117
(651) 558-3300 . (800)-229-6263
FAX: (651) 558-3310
SHEET 1 OF 2 - Use separate sheet for each building inspection
AGREEMENT & REPORT OF INSPECTION *7 6 c-"'-7
INSPECTION # ....... (.,.;> C-
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MINNESOTA LICENSE NO. C005
REPORT TO /Uo I ~ ;<
STREET 550 S Co 1+0., IJ.I 0 od
CITY & STATE PI lor LeI \'e
Lt~""~
BUILDING OR LOCA nON
INSPECTOR
DATE
YVl ....,
,
Owner hires Viking Automatic Sprinkler Company to conduct an inspection of the fire suppression system at the above location or
building, and prepare a written report of that inspection for an agreed upon fee. As part of this agreement, owner agrees to terms
and conditions on rear of form and will complete the Owner's Section of this document.
Owner's Section (To be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection: V) t;'J-'j -e
Mc-J.1-'2.
B. Describe fire protection modifications made since last inspection.
C. Describe any fires since last inspection. V1 ~-<2..
D. When was the system piping last checked for stoppage, corrosion or foreign material?--r.::...~.l",.. II"" J 2..0 c.><:..,.
E. When was the dry-piping system last checked for proper pitch? V'I up' < " "'.....-. :">
F. Are dry valves adequately protected from freezing? '~ LA.
Signature I : ;.' i..... <"., , Title Datei: ! " '.
Inspector's Section (All responses reference current inspection)
1. General
a. Is the building occupied? ~Yes I: No
b. Are all systems in service? n(Yes I] No
c. Does there appear to be a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? ~Yes
d. Does the valve hose on the sprinkler system(s) appear to be satisfactory? U Yes LJ No. I)'NA
2. Control Valves (See Item IS.)
a. Do sprinkler system control valves appear to be in the appropriate open or closed position? !X.Yes I I No
b. Are control valves in the open position locked, sealed or equipped with a tamper switch? I>l'Yes I No
3. Water Supplies (See Item 16.)
a. Was a water flow test of main drain made at the sprinkler riser(s)? I)(Yes I I No
4. Tanks, Pumps, Fire Department Connections
a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? Yes I I No '*NA
b. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight?)dYes I No I I NA
Are they accessible and visible? l} Yes n No Il NA
5. Wet Systems
a. Are cold weather valves (O.S. & Y) in the appropriate open or closed position? 1-1 Yes I] No 1;.( NA
b. Have antifreeze system solutions been tested? II Yes I I No I 'j(NA
c. Were the antifreeze test results satisfactory? : I Yes lJ No 1}l:NA
d. In areas protected by wet system(s), does the building appear to be properly heated in all areas, including blind attics and perimeter areas
where accessible? I~Yes ! I No [1 NA Do all exterior openings appear to be protected against freezing? ~Yes I I No I I NA
6. Dry System (See Ilems 11 to 13.)
a. Are dry valve(s) in service? I"llYes D No IJ NA
b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions? tA Yes i] No NA
c. Has the operation of the air or nitrogen supplies been tested? ~Yes I] No [] NA Are they in service? I~Yes I No
d. Were all known low points drained during this inspection? I)rYes UNo UNA
e. Did quick-opening devices operate satisfactorily? I){ Yes i] No DNA
f. Did the dry valve(s) trip properly during the trip pressure test? [~Yes [J No UNA
g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection? !)rYes Il No I NA
7. Special Systems (See Item 14.)
a. Did the deluge or pre-action valves operate properly during testing? [J Yes II No lJ'NA
b. Did the heat-responsive devices operate properly during testing? DYes LI No r(KNA
c. Did supervisory devices operate during testing? D Yes n No I:=KNA
8. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? DYes IJ No riNA
b. Did electric alarm(s) test satisfactory? [liVes D No [J NA
c. Did supervisory alarm service test satisfactory? 9lYes D No DNA
9. Sprinklers
a. Do visible sprinklers appear to be free from corrosion, loading or obstruction to spray discharge ? Q(Yes [ I No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) crYes r] No
c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) rn:Yes
d. Is stock of spare sprinklers available? Q<Yes D No
e. Does the exterior condition of sprinkler system appear to be satisfactory? DhYes n No
f. Do visible sprinklers appear to be of proper temperature rating for their locations? ISl: Yes [J No
10. Explain any "No" answer and comments:
~ ~
j' ---3 \
I
NA =NOT APPLICABLE
No
NA
No
N/A
Signature:
Date:
C.-II-[;f.o
o
"...l. ..GI
AUTOMATIC SPRINKLER CO.
Setting T~e Standard...
1301 L'Orient Street
St. Paul, Minnesota 55117
(651) 558-3300 . (800) 229-6263
Fax: (651) 558-3310
Inspection Report
No. '2 C <.J S 2.. 7
11 Date dty-pipe valve trip tested (control valve partially open)
12 Date dry-pipe valve trip tested (control valve fully open)
13 Date quick-opening device tested
System No. or Description if multiple
systems f4 I '~--I, ;1.
Ii /, ~"LJJ;'T
SHEET 2 of 2 - Use separate sheet for each system inspected
(See Trip Test Table which follows)
(See Trip Test Table which follows)
(See Trip Test Table which follows)
DRY PIPE
OPERATING
TEST
+''2.
DRY VALVE TRIP TEST TABLE O.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
Time to Trip Water Air Trip Point Time Water Reached Alarm Operated
Thru Test Pipe Pressure Pressure Air Pressure Test Outlet Properly
MIN. SEe. PSI PSI PSI MIN. SEe. YES NO
Without
Q.O.D
With
Q.o.D
14 Date deluge or preaction valve tested
(See Trip Test Table which follaws)
TRIP TEST TABLE
,N~
Operation D PNEUMATIC D ELEClRIC D HYDRAULIC
Piping Supervised DYES D NO IDetecting Media Supervised DYES D NO
Does valve operate from the manual trip and/ or remote control stations DYES D NO
Is there an accessible facility in each circuit for testing DYES D NO I Method of Testing Circuits
Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES I NO YES- 1 NO YES I NO
I I I
DELUGE &
PREACTlON
V ALVES
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves I f>,v - -" -
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves J - "'" (' c;>t'''' .- .- --
System Control Valves ( -- '1 ,- f.>, .f.:. - ,- .--
Other Control Valves f y. F$.f- - -" -
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Su I Source:
Tank
Date
Test Pipe
Location
Size of
Test Pi e
Static
Pressure
Pum
Residual
(Flow)
Pressure
Last Water Flow Test
This Water Flow Test
.1\ (;(.;,
'-t'
, <>
'7'-'
17 Explain any "No" answers and comments:
18 Adjusbnents or corrections made during this inspection:
..1 """ : (,/ J l--' r \L
'-' -
\>1 >J'
19 Although these comments are not the result of an engineering review, the following desirable improvements are recommended:
Signature:
)-)A ILr
Date:
6'-ii C-'b
(Rev. 2/8/06)
". ..t.INGi
AUTOMATIC SPRINKLER CO.
Setting The Standard...
1301 L'Orient Street
St. Paul, Minnesota 55117
(651) 558-3300 . (800) 229-6263
Fax: (651) 558-3310
SHEET 2 of 2 - Use separate sheet for each system inspected
/! \ 1 I (
System No. or Description if multiple
systems tI Z ~'C' 2_
[';':2- 4" D",/
Inspection Report
No. Zuc' SZ 7
11 Date dry-pipe valve trip tested (control valve partially open)
12 Date dry-pipe valve trip tested (control valve fully open)
13 Date quick-opening device tested ~, r 1 i - 0 I.c
8' - } j - L (0 (See Trip Test Table which follows)
(See Trip Test Table which follows)
(See Trip Test Table which follows)
DRY PIPE
OPERATING
TEST
DRY VALVE TRIP TEST TABLE O.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
Rei,.., 1"- t:::> - 2.'-'''-' ~ ,1.1'- ~c '<... 1:> 1[('.. h~" !;;ole R,.-:j. 7S'7(,'" [i')
Time to Trip Water Air Trip Point Time Water Reached Alarm Operated
Thru Test Pipe Pressure Press ure Air Pressure Test Outlet Properly
MIN. SEe. PSI PSI PSI MIN. SEe. YES NO
Without
Q.o.D
With '3e ,-
./' ./ -'Q -35 -----# ".-
Q.o.o / ".'
14 Date deluge or preaction valve tested
(See Trip Test Table which follows)
TRIP TEST TABLE
DELUGE &
PRE ACTION
V ALVES
Operation D PNEUMATIC D ELEClRIC D HYDRAULIC
Piping Supervised DYES D NO IDetecting Media Supervised DYES D NO
Does valve operate from the manual trip and/ or remote control stations DYES D NO
Is there an accessible facility in each circuit for testing DYES D NO IMethod of Testing Circuits
Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES I NO YES I NO YES I NO
I I I
,AJ/.A-
15 See Control Valve Maintenance Table
Explain
Abnormal
Control Valves Number Tvpe Open Secured Closed Signs Condition
City Control Valves
Bvvass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves ,- 4" O~f"Y - .-. --
Other Control Valves
Kitchen Control Valves
CONTROL VALVE MAINTENANCE TABLE
16 Water Flow Test at Sprinkler Riser
Water Su I Source:
0-'\
Tank
Date
Test Pipe
Location
Size of
Test Pi e
Static
Pressure
Pum
Residual
(Flow)
Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
~"
7,{..;,'
~
18
justments or corrections ma e uring t 's inspection:
I' r J" . I "1 "
If' f ,-'" (/'{ j( (.-..1 /! i r lv/en... Tr ( (. rfP ---J ~"'<l"'" Ii
(
r;" - / ,.,.,~ JC<;;'
/
19 Although these comments are not the result of an engineering review, the following desirable improvements are recommended:
Signature:
'"
/._)~ L~
,
Date:
'fj-J1-Ub
(Rev. 2/8/06)