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HomeMy WebLinkAbout2006-07-20 FireGuard Spinkler AboveGround Piping Reports CONTRACTORS MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE: Upon completion or work,inspection and tests shall be made by the contractors representative and witnessed by an owner's representative. All defects shall be 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 owners representative's signature in no way prejudices any claim for faulty material,poor workmanship,or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME: Fox Hollow Office Condos DATE: 7/042 to PROPERTY ADDRESS: 14937 60th Street N, ACCEPTED BY APPROVING AUTHORITIES(NAMES) City of Oak Park Heights PLANS ADDRESS: INSTALLATION CONFORMS TO ACCEPTED PLANS • YES 0 NO EQUIPMENT USED IS APPROVED II YES 0 NO IF NO,EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT El YES 0 NO IF NO,EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: • YES ❑ NO 1.SYSTEM COMPONENTS INSTRUCTIONS • YES 0 NO 2.CARE AND MAINTENANCE INSTRUCTIONS IN YES 0 NO 3.NFPA 25 II YES 0 NO LOCATION OF SYSTEM DRY SYSTEM-ATTIC DESCRIPTION MODEL YEAR ORIFICE SIZE TEMPERATURE QUANTITY QUICK RESPONSE GLASS BULB F1FR 2006 1/2" 200° 14 i ATTIC I BBI 2006 3/4" 200° 22 ATTIC SD1 2006 1/2" 200° 11 SPRINKLERS ATTIC HIP 2006 1/2" 200° 12 WELDED PIPING DYNAFLOW,THREADED PIPING XL PIPE&FITTINGS FITTINGS ARE CASE IRON ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST ALARM VALVE CONNECTION OR FLOW TYPE MAKE MODEL MINUTES SECONDS INDICATOR PS10 _ . PS40 DRY VALVE Q.O.D. MAKE MODEL _SERIAL NO. ,—MAKE MODEL SERIAL NO. TIME TO TRIP* WATER AIR TRIP POINT TIME WATER REACHED ALARM OPERATED THROUGH TEST CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET* PROPERLY MINUTES SECONDS PSI PSI PSI MINUTES SECONDS YES NO DRY PIPE WITHOUT /�j Q 3 / _ � 0 x OPERATING Q.O.D. / ! / / , TEST WITH Q.O.D. IF NO,EXPLAIN MEASURED FROM THE TIME THE INSPECTOR'S TEST CONNECTION IS OPENED. OPERATION 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC x, PIP IGSUPE 1tIS.p N3 -.--le. NM,,,,,*„,. .,,f ea r E z a ,,-i-s �,, „ : sR i14, S l DEf klGE 't L; „ #PREAT DG`i 3 Vl i V P S F, I OMT HIR...-,, a t a v a a s wa s �a. , s :i� x + . iiAL� -, >k ."x3 �: St�, r ,'�' M ,, -' t;=r ' y ggv`<=''v»rac r 'r, z.' .,., _c ,,, 4 '-''',. - '3',,, ,,4.0 ,91.1-41: ',. . z.0�f- '° Com,t,�w ro-r�,. '3xt' t r ,� €:a.. ¢}? zx =r r tatati €; L ^s � t � � �.. :3 t '' h ` �'sf''� �"" l�rh '4* �..,a�z es=s'�r,;v� iti` �tu�r�`'�5c�"�'s�sar .: a.. - 1fi .c .'' ,�. % "�.,d II s�. '> ,1'4: i �46 = , rte, :•!,,,,-, •!, Vi�s__- %:.'` t ,z r�. T � �� .ryl wig* v`a �- i- 64i 41.7.4 i ` ,• ,..,t`"b I,:4, \ S 'a k n :. '�`�,v �z ash" � � � **1.--;S ei�.'2..abx.,r r.a, �` Z j-a�.'�, S''. t +Ur -4,...s ' ..t '3- d 3 %q x r ax .� t �.t � fi � .h #44.4***** t.$.:a�`�S �I.x 5. a zs .�.e.._ a =a..�a�� d -` z i � ! i -R� a ..rte. Y ""i, d'' 1 , r�'; „ „�n,. ;Fk-c ..�<;`-,. �.a.�_< .x, �. `<. a.d. ,` �~r`� 11 -" �' r '� ��t�.an`'�.r'. �.`�`�. .m S HYDROSTATIC: HYDROSTATIC TEST SHALL BE MADE AT NOT LESS THAN 200 PSI(13.6 BAR)FOR TWO HOURS OR 50 PSI(3.4 BAR)ABOVE STATIC PRESSURE IN EXCESS OF 150 PSI(10.2 BAR)FOR TWO HOURS. DIFFERENTIAL DRY-PIPE VALVE CLAPPERS SHALL BE LEFT OPEN DURING TEST TO TEST PREVENT DAMAGE. All ABOVEGROUND PIPING LEAKAGE SHALL BE STOPPED. DESCRIPTION PNEUMATIC: ESTABLISH 40 PSI(2.78AR)AIR PRESSURE AND MEASURE DROP WHICH SHALL NOT EXCEED 1-1/2 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 1-112 PSI(0.1 BAR) IN 24 HOURS. E Tf S c 4+'.a` '�` - .4 IF NO,STATE REASON DRY PIPING PNEUMATICALLY TESTED i ]YES [J NO EQUIPMENT OPERATES PROPERLY YES t NO TESTS DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS,SODIUM SILICATE OR DERIVATIVES OR SODIUM SILICATES,BRINE,OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? an YES Q NO DRAIN TEST READING OF GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE: IRESIDUAL PRESSURE WITH VALVE IN TEST PIPE OPEN WIDE STATIC PRESSURE: �s PSI I � PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFOR CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO.858 Q YES NO OTHER EXPLAIN: FLUSHED BY INSTALLATER OF UNDERGROUND 0 YES NO SPRINKLER PIPING BLANK TESTING NUMBER USED LOCATIONS (NUMBER REMOVED GASKETS 0 WELDED PIPING •YES NO IF YES........ DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY •YES Q NO WITH THE REQUIREMENTS OF AT LEAST AWS D10.9,LEVEL AR-3 WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED 1111 YES c NO IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9,LEVEL AR3 DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A •YES El NO DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE 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 ALL CUTOUTS YES (]NO (DISKS) (DISKS)ARE RETRIEVED HYDRAULIC NAMEPLATE PROVIDED IIF NO,EXPLAIN DATA NAMEPLATES CaYgS 0 NO REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: 7/20/© La NAME OF SPRINKLER CONTRACTOR: Fire Guard Sprinkler Services SIGNATURES TEST WITNESSED BY FOR PROPERTY OWNER(SIGNED) TITLE DATE: ': °t,,AlA1.1l� r' l°a 611e 1 11°A4 TITLE DATE: f%6-` FOR SPRINKLER CONTRACTOR(SIGNED) r CONTRACTORS MATERIAL&TEST CERTIFICATE FOR BOVEGROUND PIPING PROCEDURE: Upon Completion or work,inspection and tests shall be made by the Contractor's representative and witnessed by an owner's representative. All defects shall be 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 representatives signature in no way prejudices any claim for faulty material,poor workmanship,or failure to comply with approving authority s requirements or local ordinances. PROPERTY NAME: Fox Hollow Office Condos DATE: PROPERTY ADDRESS: 14937 60th Street N, ACCEPTED BY APPROVING AUTHORITIES(NAMES) City of Oak Park Heights PLANS ADDRESS: • YES 0 NO INSTALLATION CONFORMS TO ACCEPTED PLANS EQUIPMENT USED IS APPROVED • YES 0 NO IF NO,EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT YES NO IF NO,EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE EMISES: 3.NFPA 25 • YES 0 NO I.SYSTEM COMPONENTS INSTRUCTIONS • YES 0 NO 2.CARE AND MAINTENANCE INSTRUCTIONS PRI1.1 YES ❑ NO .1 YES 0 NO LOCATION OF SYSTEM WET SYSTEM-NOT ATTIC DESCRIPTION MODEL YEAR ORIFICE SIZE 109 TEMPERATURE QUANTITY QUICK RESPONSE GLASS BULB F1 FR 2006 1/2" 155° SPRINKLERS _ WELDED PIPING DYNAFLOW,THREADED PIPING XL PIPE&FITTINGS FITTINGS ARE CASE IRON ALARM DEVICE MAXIMUM TIME A ALARM VALVE CUNNECTIUNTOOPERTE THROUGH TEST OR FLOW TYPE MAIC MODEL MINUTES SECONDS INDICATOR FLOW POTTER VSF-R i0Ditta w - om =,,,,,,,,f. -.,=.„.„„ rt ,wl '„,,,g-4,,,: - ? i` x �, .rC , � I ax�� svd ..ti ' t vn. .0 Gi ` a J. ,, r.,..,s, = •,r>'.c ' z n'1 [4514:1 -'''..,, 'slsl.; ..,, ,, i� _ alrm , 0, .s¢ w� a a =� .,.. 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Ft� �' as � t4 y ' aa" '"� '` T ' zIt iv Nng . , *- � "�{,r �f:,A, * � £'z , AQ,W3 " ,,,e.,:, . c -4",-- 0x ", y '-` : ra OaLk 5 � �� 41 � ter � aY4 : ,; ��` a rr� .4"S. � � � V Nrx k '' 'ai� Ax &"4v f . 1.: y , Tya „" � #te° " ` 4 z 4 } . -' .q a7` ,� �as . ,- .;,.,. 3 -4f ' f . VI - t� a.,5s ' s}�t . -W '�.. `"441 s.. s' ^�� t ! im ,, `_"t"* r �y, .`` 4,. t'° t ,.,�.€;" `''�'; mot &PREA N DOES VN VE OP RA "F 01 A W * ;s e, ti4 Vat=s < r *" ` S .y -�� '-,.�.y' '� ti �r - s ;, i�, n� :,: e ms's _ _ s'*"`.. _.;. a3" °037. m s . �,Y's s`� s-� `C.: .z � tggbli ���' 4141 'kms'..sM.;L...gs ',.�,�. � .;t, e•'��+, 3�s,,.x„:; 4.,x, y t � ;,t:: ` s u#«' t HYDROSTATIC: HYDROSTATIC TEST SHALL BE MADE AT NOT LESS THAN 200 PSI(13.6 BAR)FOR TWO HOURS OR 50 PSI(3.4 BAR)ABOVE STATIC PRESSURE IN EXCESS OF 150 PSI(10.2 BAR)FOR TWO HOURS. DIFFERENTIAL DRY-PIPE VALVE CLAPPERS SHALL BE LEFT OPEN DURING TEST TO TEST PREVENT DAMAGE. All ABOVEGROUND PIPING LEAKAGE SHALL BE STOPPED. DESCRIPTION PNEUMATIC: ESTABLISH 40 PSI(2.7BAR)AIR PRESSURE AND MEASURE DROP WHICH SHALL NOT EXCEED 1-1/2 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 1-1/2 PSI(0.1 BAR) IN 24 HOURS. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2_HRS. IF NO,STATE REASON EQUIPMENT OPERATES PROPERLY 25-YES C]NO TESTS DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS,SODIUM SILICATE OR DERIVATIVES OR SODIUM SILICATES,BRINE,OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? -YES 0 NO DRAIN TEST READING OF GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE: RESIDUAL PRESSURE� WITH VALVE IN TEST PIPE OPEN WIDE 7S STATIC PRESSURE: IT 5 PSI V PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFOR CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO.8513 El YES El NO OTHER EXPLAIN: FLUSHED BY INSTALLATER OF UNDERGROUND YES El NO SPRINKLER PIPING BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS 0 WELDED PIPING NI YES E NO IF YES........ DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY NI YES 0 NO WITH THE REQUIREMENTS OF AT LEAST AWS D10.9,LEVEL AR-3 WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED MI YES E NO IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9,LEVEL AR-3 DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A MI YES El NO DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE 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 ALL CUTOUTS IN YES El NO (DISKS) (DISKS)ARE RETRIEVED HYDRAULIC NAMEPLATE PROVIDED IF NO,EXPLAIN DATA NAMEPLATES ELI YES E NO REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: 7 7Q -O(a NAME OF SPRINKLER CONTRACTOR: Fire Guard Sprinkler Services SIGNATURES TEST WITNESSED BY FOR PROPERTY OWNER(SIGNED) TITLE DATE: C,�„� c I. a cit,. d � . 104 =r FOR SPRINKLER CON RAC OR(SIGNED) TITLE DATE: