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HomeMy WebLinkAbout2017-03-20 Summit Companies Report of Inspection SUMMIT COMPANIES 575 Minnehaha Ave.W • St.Paul,MN 55103 • 651-251-1880 760 Liberty Way • North Liberty,IA 52317 • 319-665-4330 4208 Enterprise Circle • Duluth,MN 55811 • 218-740-4412 2943 Oak Meadow Dr. • Ottumwa,IA 52501 • 641-682-4749 3026 40714 Ave.NW • Rochester,MN 55901 • 507-280-0622 4353 NW Urbandale Dr. • Urbandale,IA 50322 • 515-867-2424 418 Great Oak Dr. • Waite Park,MN 56387 • 320-257-6390 11 15TH St.S • Fargo,ND 58103 • 701-237-6006 918 Jonathon Dr. • Madison,WI 53713 • 608-276-9553 2609 South 156TH Circle • Omaha,NE 68130 • 402-884-3188 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 INSPECTION NAME - BUILDING/LOCATION STREET INSPECTOR CITY&STATE DATE Owner's Section(to be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: B. Describe fire protection modifications made since last inspection: C. Describe any fires since last inspection: D. When was the system piping last checked for stoppage,corrosion of foreign material? E. When was the dry-piping system last checked for proper pitch? F. Are dry valves adequately protected from freezing`' Signature Title Date Inspector's Section(All responses reference current inspection) NA=NOT APPLICABLE 1. General ' a.Is the building occupied DYes ❑No /TiA/(— b.Are all systems in service? ()Yes❑No c.Is there a minimum of 18 in.(457 mm)clearance between the top of the storage and the sprinkler deflectors?,0Yes ❑No d.Does the hand hose or standpipe on the sprinkler system(s)appear to be satisfactory'' DYes U No IRNA 2. Control Valves(See Item 15.) a.Are all sprinkler system control valves and all other valves in the appropnate open or closed position?.❑Yes 0 Nu b.Arc all control valves in the open position locked,sealed or equipped with a tamper switch?,DYes❑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? DYes❑No ❑NA c.Are fire department connections in satisfactory condition,couplings free,caps in place,and check valves tight?,,2Yes ❑No ❑NA Are they accessible and visible? DYes❑Nu ❑NA 4. Wet Systems a. Have antifreeze system solutions been tested? DYes ❑No.-❑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? DYes ❑No D NA 5. Dry System(See Items 11 to 13) a.Are dry valve(s)in service? DYes ❑No ❑NA b.Are the air pressures and priming water levels in accordance with the manufacturer's instructions? DYes ❑No❑NA c.Has the operation of the air or nitrogen supplies been tested? DYes❑No ❑NA Are they in service? I]Yes❑No 0 NA d.Were low points drained during this inspection?DYes ❑No❑NA How many? "_, e.Did quick-opening devices operate satisfactorily?-0Yes ❑No ❑NA f.Did the dry valve(s)trip properly during the trip pressure test? DYes CI No❑NA g.Did the heating equipment in the dry-pipe valve room(s)operate at time of inspection?.]Yes ❑No ❑NA 6. Special Systems(See Item 14) a.Did the deluge or pre-action valves operate properly during testing? DYes ❑No U NA b.Did the heat-responsive devices operate properly during testing?.❑Yes ❑No LINA c Did supervisory devices operate dunng testing? DYes❑No °0 NA d.Did flow for kitchen hood system shut off gas or electric? DYes❑No 0 NA 7. Alarms a.Did water motor(s)and gong(s)test satisfaoorily? DYes ❑No 0NA b.Did electric alarm(s)test satisfactorily?-DYes 0 No ❑NA c.Did supervisory alarm service test satisfactorily? IYes CI No ❑NA 'r d.Did tamper switches test satisfactorily''. es ❑No❑NA 8. Sprinklers a.Are all sprinklers free from corrosion,paint,loading or obstruction to spray discharge^ ..5"Yes ❑No b.Are sprinklers less than 50 years old?(Older sprinklers require sample testing)"DYes ❑No c.Are quick response and residential sprinklers less than 20 years old?(Older sprinklers require sample testing) DYes ❑No ❑NA d.Is stock of spare sprinklers available".©Yes ❑No e.Does the exterior condition of sprinkler system appear to be satisfactory? DYes❑No f.Are sprinklers of proper temperature rating for their locations;..IYes 0 No g.Is location free of recalled heads? Yes ❑No Signature: _Date: SUMMIT COMPANIES 575 Minnehaha Ave.W • St.Paul,MN 55103 • 651-251-1880 760 Liberty Way • North Liberty,IA 52317 • 319-665-4330 4208 Enterprise Circle • Duluth,MN 55811 • 218-740-4412 2943 Oak Meadow Dr. • Ottumwa,IA 52501 • 641-682-4749 3026 40Th Me.NW • Rochester,MN 55901 • 507-280-0622 4353 NW Urbandale Dr. • Urbandale.IA 50322 • 515-867-2424 418 Great Oak Dr. • Waite Park,MN 56387 • 320-257-6390 11 15Th St.S • Fargo,ND 58103 • 701-237-6006 918 Jonathan Dr. • Madison,WI 53713 • 608-276-9553 2609 South 156Th Circle•Omaha;NE 68130.402-884-3188 SHEET 2 OF 2-Ilse separate sheet for each system inspection Type of System /' Inspection Name Hoc;Many? _{ Inspection Work Order What Size? Flow Switch or Atamweheck 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 v aloe fully open) (see Trip Test Table which follow s) 11. Date quick-opening device tested (see Trip Test Table which follow s) DRY VALVE TRIP TEST TABLE Q.O.D. M-%KF MODEL SERIAL NO. MAKE MODEL SERIAL NO. DRY PIPE Time to Trip Trip Point Time Water Reached harm Operated OPERATING Thru Test Pipe Water Pressure Air Pressure Air Pressure Test Outlet Properly TEST Min. Sec. PSI PSI PSI Min. Sec. Yes No Without Q.O.D. 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 0 Yes 0 No Detecting Media Supervised 0 Yes 0 No DELUGE& Docs valve operate from the manual trip and/or remote control stations? 0 Yes ❑No PREACTION VALVES Is them an accessible facility in each circuit for testing? 0 Yes ❑No Method of Testing Circuits: MAKE MODEL SuDoes Each Circuit Operate i Imes EacValreh Cucuit I Maximum Tune to Supervision Loss A arm` Operate Release t Operate Release ❑Yes 0 N ❑Yes ❑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 Vahe Jockey Control Valve Pump Control Valves Additional Pump Control Valves Test Header Sectional Control Valves System Control Valves 'Other Control Vat,.es Kitchen Control Valves Water Flow lest at Sprinkler Riser Water Supply Source: City Well Tank Pump DATE TEST PIPE LOCATION SIZE OF TEST PIPE STATIC PRESSURE RESIDUAL(FLOW) DIFFERENTIAL PRE TEST POST TEST PRESSURE Last Water Flow Test This Water Flow Test 14. Explain any"No"answers and comments: Print Name Signature Date