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Home My WebLink AboutFire Sprinkler Report 11/3/2005 I~ING 1301 L'ORIENT STREET ST. PAUL, MINNESOTA 55117 (651) 558-3300 . (800)-229-6263 FAX: (651) 558-3310 AUTOMAllC SPRINKLER CO. SHEET 1 OF 2 - Use separate sheet for each building inspection yle REPORT TO A +'- STREET ---J ~ '1 &'0 ,^"C ~1J 1t CITY & STATE PR " f'l I A I(~ AGREEMENT & REPORT OF INSPECTION INSPECTION # 5.J3~g ~""o r-'\'\J BUILDING OR LOCA nON INSPECTOR C & .:::::roO 2v 1 DATE )J-s"'v ~ 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. ~11J 4: A. Explain any occupancy hazard changes since the previous inspection: 'VI C. Describe any fires since last inspection. ~ D. When was the system piping last checked for stoppage, corrosion ~reign material? ,... E. When was the dry-piping system last checked for Pro~ch? F. Are dry v Ives ~?yq~<l.l:,),Y~/~d,f~om fr /~ \ ~ -;. Signature }.',. d/,., ,.h / . c/ Title~____ -; '-"../>7 (<' B. Describe fire protection modifications made since last inspection. " ~,/ Date 1\(,> r(? .s Inspector's Section (All responses reference current inspection) 1. General a. Is the building occupied? ~y U No b, Are all systems in service? r 'YYes I] No c. Does there appear to be a minimum of 18 in. (457 mm) clearance between the top of the storagel?~he sprinkler deflectors? rtHt-es d. Does the valve hose on the sprinkler system(s) appear to be satisfactory? 11 Yes i J No. U~ 2. Control Valves (See Item 15.) a. Do sprinkler system control valves appear to be in the appropriate open or closed position? i4-Y'es I] No b. Are control valves in the open position locked, sealed or equipped with a tamper switch? tnxes I] No ,3. Water Supplies (See Item 16.) , /"" a. Was a water flow test of main drain made at the sprinkler riser(s)? l.9-'Yes 1-1 No 4. Tanks, Pumps, Fire Department Connections a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? I I Yes No ILrNA b. Are fire department conne.c~ions ill s~sfa~~ory condition, couplings free, caps in place, and check valves tight? ~s I I No Are they accessible and VISible? i\j..>fes I_J No iJ NA 5. Wet Systems 1. ~ a. Are cold weather valves (O.S. & Y.) in the appropriate open or tlo~d position? cOJ Yes I] No l'-t"NA b. Have antifreeze system solutions been tested? [] Yes [J No l"11'lA c. Were the antifreeze test results satisfactory? 11 Yes No I~A d. In areas protected ~y wyt system(s), does the building appear to be properly heated in all areas, including blind attics and perimeter areas where accessible? lDXes C] No [1 NA Do all exterior openings appear to be protected against freezing? bxe.~ No I NA 6. Dry System (See Items II to 13.) a. Are dry valve(s) in service? [J Yes [] No [J NA tP b. Are the air pressures and priming water levels in ac cordanc,e with ,t,he manuf,a,c,t",urer's instruction~? [] Yes I! No I] NA . c. Has the operation of the air or nitrogen supplies been tested? U Yes UNo i] NA Are they In servIce? LJ Yes UNo d. Were all known low points drained during this inspection? Yes No [I NA e. Did quick-opening devices operate satisfactorily? LJ Yes [] No [J NA f. Did the dry valve(s) trip properly during the trip pressure test? i I Yes I] No II NA g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection? n Yes [] No n NA ~pecial Systems (See Item 14.) . a. Did the deluge or pre-action valves operate properly during testing? [1 Yes [! No n NA . Did the heat-responsive devices operate properly during testing? [] Yes UNo UNA c. Did supervisory devices operate during testing? DYes [] No I.! NA 8. Alarms I / a. Did water motor(s) and gong(s) test sat,isfac!Orily? Er'Yes [J No DNA b. Did electric alarm(s) test satisfactory? ro.xes gN<y-CJ NA c. Did supervisory alarm service test satisfactory? [U..'f'es UNo UNA 9. Sprinklers a. Do visible sprinklers appear to be free from corrosion, loading or obstruction to, spr~discharge ? ty.fes [! No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) lDXes n No c. Are quick response and residential sPt1nkl):ls less than 20 years old? (Older sprinklers require sample testing) b-fes [1 No N/A d. Is stock of spare sprinklers available? ~es D No . e. Does the exterior condition of sprinkler system appear to be satisfactory ? ~s i;J N.9. f. Do visible sprinklers appear to be of proper temperature rating for their locations? ~s n No 10. Explain any "No" answer and comments: NA =NOT APPLICABLE No INA NA Signature: ~~/~[ ~d?d> Date: 11, 3rt? (' AUTOMAllC SPRINKLER CO. 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 inspection System No. or Description if multiple systems Inspection Rep~~, No. 51 y()v 11. Date dry-pipe valve trip tested (control valve partially open) (See Trip Test Table which follows) 12. Date dry-pipe valve trip tested (control valve fully open) (See Trip Test Table which follows) 13. Date quick-opening device tested (See Trip Test Table which follows) DRY VALVE TRIP TEST TABLE Q.O.D. 14. Date MAKE MODEL SERIAL NO. I MAKE I MODEL SERIAL NO, I I DRY PIPE Time to Trip Water Air Trip Point Time Water Reached Alarm Operated OPERATING Thru Test Pipe Pressure Pressure Air Pressure Test Outlet Properly TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO Without 0,0,0, With 0.0.0. deluge or preaction valve tested (See Trip Test Table which follows) TRIP TEST TABLE Operation o PNEUMATIC 0 ELECTRIC o HYDRAULIC Piping Supervised DYES 0 NO I Detecting media supervised DYES 0 NO DELUGE & Does valve operate from the manual trip and/or remote control stations DYES 0 NO PREACTION Is there an accessible tacility in each circuit for testing Method of testing-circuits VALVES DYES o NO 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 ontrol Valve Maintenance Table. ~ ~. ~- ~ 15. See C Control Valve Mamtenance Table Explain Abnormal Control Valves Number TYJle Open Secured Closed Signs Condition City Control Valves IZ.. ftV /0 ,>, l \....../ 1..../ L/ Bypass Valves Tank Control Valves Pump Control Valves Sectional Control Valves System Control Valves \ tL)< '-, V" V L---./"' Other Control Valves Kitchen Control Valves .. 16. Water Flow Test at Sprinkler Riser Water Su ly Source: Date City Test Pipe Location Tank Size of Test Pipe S tati c Pressure Pump Residual (Flow) Pressure Last Water Flow Test This Water Flow Test Co 17. Explain any "No" answers and comments: ,,'.1 A, -\ \. 18. Adjustments or corrections made during this inspection: \ '. \ -\ ,'-'" - /~ an engineering review, the following desirabl~jmprovements :p-e re90mmend~: .,. l.....JlA..\c\I c:JU- ,.... ,,'llJ ~t)I\U Signature: lr. . A rh,'" '-- l &11 "l~ ..,/'_' Date: l) 3 /0 ~