HomeMy WebLinkAboutFire Sprinkler report 3/14/2006
SUMMIT FIRE PROTECTION
7301 APOLLO COURT "UNO LAKES, MN 55014. (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
SIIEET I OF 2. Use separate sheet for each building inspection
REPORT OF INSPECTION
MINNESOTA LICENSE NO. C0075
INSPECTION NAME ("..!" /:./{('i;"'i.l /fJiI'!(l!l t'i
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CITY & STATE;)~' ill /./'Ikl~ r /%,1/,
Owner's Section (to be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection: 'i:. :~;
JOB NUMBER
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BUILDING/LOCATION ';'A/'~;
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INSPECTOR, . ..
DATE "':4 "'(6
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B. Describe fire protection modifications made since last inspection: A': i,~'
C. Describe any fires since last inspection: It/'.t r'
D. When was the system piping last checked for stoppage, corrision 9f foreign material'l
E. When was the dry-piping system last checked for prope( pitch')..~
E Are dry val yes adequately protected from freezing') ~
Signature)<' .J Title
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Dale
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Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied? ~es D No
b. Are all systems in service~ ~es D No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors') ~es D No
d. Does all electrical heat tape appear to be satisfactory') DYes D No ~ NA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory') DYes D No ~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') ~es D No
b. Are all control valves in the open position locked, sealed or equipped with a tamper switch') 's;[Yes D No
3. Tanks. Pumps, Fire Department Connections
a. When was fire pump last tested for performance') ../. /,1
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained') DYes D No ~NA
c. Are fire department connections in satisfactory condition. couplings free, caps in place, and check valves tight') !8Yes D No D NA
Are they accessible and visible? !:&Yes D No D NA
4. Wet Systems
a Are cold weather valves (O.S. & Y) in the appropriate open or closed position') DYes D No ~ NA
b. Have antifreeze system soluti9IlS been tested') DYes D No I2f NA
c. What temp is antifreeze~ /l.,...,
d. In areas protected ~ wet system(s). does the building appear to be properly heated in all areas. including blind attics and perimeter areas
where accessible? ~Yes D No D NA
5. Dry System (See Items 11 tq 13) ,
a. Are dry valve(s) in servict:') DYes D No D NA
b. Are the air pressures .ind, priming water levels in ,-\ccor~ance with the manufacturer's instruclions') DYes D No D NA
c. Has the operation of the llir or nitrogel} suppliesbeen tested') DYes D No D NA Are they in service? DYes D No D NA
d. Were low points ctrainedduring this inspectionlJ.. DYes D No D NA How many')
c. Did quick-open~ng devices operate,~atisfactofily? DYes D No D NA
r. Did the dry va!ve(s) trip properly, during the trip pressQre test') DYes D No D NA
g. Did the heatirig equipment in the dry-pipe value room(s) operate at time of inspection" DYes D No DNA
6. Special Systems (See Ite'}l 14.) . >
a. Did the deluge or prf.ltction"valves opeJi'dte properly during testing" DYes D No D NA
b. Did the heat-respop'si.\,e d~v'ices onr.tat9 properly during testing') DYes D No DNA
c. Did supervisory~evjces.()peratetfU;;ng testing'l DYes [J No DNA
d. Did flow for klrthenJ100d sys~e'~ shut off gas or electric') DYes [J No D NA
7. Alarms '
a. Did water motor(s) and gong(s) test satisfactorily" DYes [] No [8" NA
n. Did electric alarm(s) test satisfactory') tAYes D No D NA
c. Did supervisory alarm service test satisfactory? gyes [J No D NA
d. Did tamper swithces test satisfactory') ~Yes D No D NA
S. Sprinklers
a. Are all sprinklers free from corrosion. loading or obstruction to spray discharge" i):ies D No
n. Are sprinklers less than 50 years old') (Older sprinklers require sample testing) ~es D No
c. Are quick response and residential sprinklers less than 20 years old'l (Older sprinklers require sample testing) ~es 0 No
d. Is stock of spare sprinklers available') ~Yes D No
e. Does Ihe exterior condition of sprinkler system appear to be satisfactory') MYes D No
f Are sprinklers of proper temperature rating. f.l.Jr their locations'l [3'\'es D No
g. Are any sprinkler heads on a recall list" . DYes (S No
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Signaturc:/ ..>'
Date:
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SUMMIT FIRE PROTECTION
7301 APOLLO COU~I.. UND LAKES, MN 55014. (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
SHEET 2 OF 2 - Use separate sheet for eachsystem inspection
Il}spection Name and Number
!'.)".' /~ f> ... ' ~..... ; /"'.
Type of System
How Many? f
WhatS.iz~? ~ I-
Flow Switch or
AlarirtCh"eck with Pressure Switch
9. Date dry-pipe valve trip tested (control valve partially open) (See Trip Test Table which follows)
10. Date dry-pipe valve trip tested (control valve fully open) (See Trip Test Table which follows)
11, Date quick-opening device tested (See Trip Test Table which follows)
DRY VALVE TRIP TEST TABLE aOD
12, Date
MAKE MODEL SERIAL NO. i MAKE I MODEL SERIAL NO.
I I
DRY PIPE Time to Trip Water Air Trip Pomt Time Water Reached Alarm Ooerated
OPERATING Thru Test Pipe Pressure pressure Air Pressure Test Outlet Prop.erly
TEST MIN SEC. PSI PSI PSI MIN. SEC. YES NO
Without
0.00
With
000
deluge or preaction valve tested (See Trip Test Table which follows)
TRIP TEST TABLE
Operation o PNEUMATIC o ELECTRIC o HYDRAULIC
Piping Supervised DYES o NO I Detecting media supervised DYES o NO
DELUGE & Does valve operate from the manual trip and/or remote control stations DYES o NO
PREACTION Is there an accessible facilIty 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 SUDerVlsion loss alarm oDe rate valve release oDe rate release
YES I NO YES I NO YES I NO
I I I
ontrol Valve Maintenance Table.
Control Valve Mamtenance Table
13. See C
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Connection Control
Valve , :..
Tank Control Valves
-
Pump Control Valves
Sectional Control Valves
System Control Valves ./ ," , .'; /.
Other Control Valves
Kitchen Control Valve --.-l
16. Water Flow Test at Sprinkler Riser
Water Supply Source:
Size of
Test Pipe
Static
Pressure
Differential
Date
City
Test Pipe
Location
Tank
Last Water Flow Test
This Water Flow Test
14. Explain any "No" answers and comments:
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Signature:
Date: