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HomeMy WebLinkAboutFP 2006-00302 Material & Test Certificate For Aboveground Piping e,-4--� L°8 �1� T Contractor's Material and Test Certificate for Aboveground Piping PROCEDURE Upon completion of work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,owners,and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material,poor workmanship,or failure to comply with approving authority's requirements or local ordinances. Property name Date *. CZ 6.1.Y C_Se_ek{.ee '- . 1- ©-� _ 1 Property addre N)A L. Qoe. N, OAT ?mak \-1z,si,t 5 , fr\ 55C 2 Accepted by approving authorities(nam s) Off_ ��S �Ctt 1.1/4 klQ';_`1-h'45 -- - -- Address Plans i 1qltdg __._ON-4. _pfiLk G._LvA. N_ , . 2_e_L_'--) Installation conforms to accepted plans l31 Yes L-] No Equipment used is approved i Yes a No If no,explain deviations Has person in charge of fire equipment been instructed as Yes ! No to location of control valves and care and maintenance of this new equipment? If no,explain? Instructions Have copies of the following been left on the premises? 4Yes LL No 1. System components instructions Yes El No 2. Care and maintenance instructions Yes 11 No 3. NFPA 25 Yes pi No Location of ;Supplies buildings system I Year of � Orifice j Temperature Make Model manufacture I size Quantity rating _ Q�\..cb�L j F i V K - 2C-VQ, t � i S 5"_ZR6" Sprinklers —,---- I , - I Pipe and Type of pipe �L fittings Type of fittings OM - - i Maximum time to operate Alarm Alarm device through test connection valve or - -, ---i--- flow Type Make Model Minutes Seconds indicator � (4ttJtr PesiiieT VSA-SF - Dry valve _- Q.0.D. Make Model Serial no. Make I Model Serial no. ry pi,e 1 Time to trip T Time water � Alarm op.ra g I through test Water Air ! Trip point reached operated t.. 1 connections pressure _ pressure air pressure test outlet1 properly Minutes,Seconds psi psi psi Minutes I Seconds Yes I No Without - - ,_ Q.O.D. ;- — With I + I Q.O.D. I I - --- _L._ - '- If no,explain I 1 Measured from ti�Ime ' ins ectors test connection is opened PN Reprinted with permission from NFPA 13, Installation of Sprinkler Systems,Copyright©1999, National Fire Protection Association,Quincy, MA 02269. This reprinted material is not the complete and official position of the National Fire Protection Association,on the referenced subject which is represented only by the standard in its entirety. American Fire Sprinkler Association 12959 Jupiter Road,Suite 142, Dallas,Texas 75238 AFSA Form#AF063 Operate. Pneumatic _] Electric _. HydrL....s Piping supervised 7 . Yes No Detecting media supervised _] Yes Li No Does valve operate from the manual trip,remote,or both Yes Li No control stations? Dp lea •nd Is there an accessible facility in each circuit ; If no,explain v•ve for testing? [.', Yes J No Does each circuit operate Does each circuit operate Maximum time to Make Model L supervision loss alarm? valve release? operate release Yes No Yes No Minutes i Seconds Location Make and 1 Setting Static pressure Residual pressure 1 Flow rate ssur and floor model I (flowing) cede fes Inlet(psi) 1 Outlet(psi) Inlet(psi) Outlet(psi) Flow(gpm) i- i Hydrostatic; Hydrostatic tests shall be made at not less than 200 psi(13.6 bar)for 2 hours or 50 psi(3.4 bar) above static pressure in excess of 150 psi(10.2 bar)for 2 hours. Differential dry-pipe valve clappers shall be left open during the test to prevent damage.All aboveground piping leakage shall be stopped. Test description Pneumatic: Establish 40 psi(2.7 bar)air pressure and measure drop,which shall not exceed 11/2 psi(0.1 bar) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop,which shall not exceed 1' psi(0.1 bar)in 24 hours. All piping hydrostatically tested at 2 'psi(__ bar)for hours If no,state reason D ,..,... . at uau..,eel^4 ' Yes ! No Equipment operates properly Yes No f Do you certify as the sprinkler contractor that additives and corrosive chemicals,sodium silicate or derivatives of sodium silicate,brine,or other corrosive chemicals were not used for testing systems or stopping leaks? Yes No Drain Reading of gauge located near water Residual pressure with valve in test Tests test supply test connection: ? �psi( bar) connection open wide: � - psi(_bar) Underground mains and lead in connections to system risers flushed before connection made to sprinkler piping Verified by copy of the U Form No.85B X Yes Li No Other Explain flushed by installer of underground sprinkler piping X Yes J No If powder-driven fasteners are used in concrete,has ri Yes 7 No If no,explain representative sample testing be satisfactorily 1 f completed? 1N/ ` Blank testing Number used I Locations Number removed k. ,��)` gaskets O 1cv- ` Welding piping .Jl Yes Li No 'l•�,-1\ - -- If yes... Do you certify as the sprinkler contractor that welding procedures comply X Yes Li No with the requirements of at least AWS B2.1? �,( • 'N-�v Welding Do you certify that the welding was performed by welders qualified in IXl Yes 0 No V compliance with the requirements of at least AWS B2.1? / ` i .... --1. Do you certify that the welding was carried out in compliance with a documented X Yes No L quality control procedure to ensure that all discs are retrieved,that openings in piping are smooth,that slag and other welding residue are removed,and that the internal diameters of piping are not penetrated? Cutouts Do you certify that you have a control feature to ensure that ,Li Yes Li No t /� (discs) all cutouts(discs)are retrieved? 1 �)iA-` - v Hydraulic Nameplate provided If no,explain 22‘- E, -- data nameplate 'Yes i_-] No Date left in service with all control valves open Remarks 0.1 Name of sprinkler contractor `/ CErIQ.C(�l •'-'1'"-A. ..,r-x_\6-\-0(_ (:-- --E-R Tests witnessed by Signatures For property owner(signed) Title Date, For sprin. :vgontractor ed) Title Date p .., . Additional ex and n - t