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HomeMy WebLinkAbout2010-06-08 Summit Fire Protection Report of Inspection & Work Order SUMMIT FIRE PROTECTION WORK ORDER JAN - v . 010 DAYWORK# 328237 DATE DUE this week CITY O DAT hN' 12/3/2009 JOB SUPT Karla Keller PHONE# 651-439-2446 BY MORIS GENERAL CONTRACTOR Hope Adoption & Family Service OFFICE# 5850 Omaha Ave. Oak Park Heights, MN 55082 PROJECT MANAGER Karla PHONE 651-439-2446 JOB SITE INFO: Building Information Hope Adoption BLDG.OWNER: ALM CO: ENGINEER: UNITED PROP - ALM. PH: 5850 Omaha Ave. ENG.PH: 952-921-2160 ACCT. #: Oak Park Heights, MN 55082 SECURITY PH: PN #: BLDG. NOTES: 24 HR NOTICE PERMIT No MAT ORDERD Yes CALL TO SCH: YES / NO PLAN No TRUCK STOCK No CEILING REQ: Y / N / EXT. REQUEST TECF Moris LOCK BOX No WALLS REQ: Y / N / EXT. PO# No DECK HGT. N/A LIGHTS REQ: Y / N / EXT. LIFT No CONTRACT AMT. $130.00 HEAD COUNT 6 #DAY'S 0 #FITTERS 0 DESCRIPTION OF WORK: Get material to job site. Moris will drop off /2/74 9 980,4•1 WORK DONE AS ABO f YES / ;140 LISTED TRUCK STOCK YES / NO / NO MATERIAL IF WORK DONE DIFFERENT '' •ki • ' : + LIST BELOW. HOURS FLOW SWCH ALARMS IN MATRL ON DATE SERVICE MAN NORMAL SERVICE SITE? REG OT DT SAFETY SURVEY? YES / NO DO WE DO ANNUAL INSPECTION? YES NO SUMMIT FIRE PROTECTION — 575 MINNEHAHAAVE.W•ST.PAUL,1\ J 5 1 0 3•(651)251-1880 3026 40TH AVE._ - •ROCH ,MN 55901 •(507)280-0622 p 418 GREAT OAK DR.,WAITE PARK,MN 56387•(320)257-6390 760 LIBERTY WAY,NORTH,LIBE TY,IA 52317•(319)665-4330 4208 ENTERPRISE CIRCLE•DULUTH,MN 55811 •(218)740-4412 A 10 SHEET 1 OF 2-Use separate sheet for each building inspection J' O REPORT OF INSPECTION MINNESOTA LICENSE NO.C0075 CITY()FMB Nialfa ITS 31 El Atii PM� INSPECTION NAME s 7//I ¢f2 tv�fi. r ? STREET / '� A & INSPECTOR-J�,c `r // CITY&STATE i'' 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: / 6-145/1/ ---- cD. When was the system piping last checked for stoppage,corrosion of foreign material? E. en was the dry-piping system last checked for proper pitch? F. A dry valves adequately protected from freezing? Sig Lure Title `" . Date / Insp tor's Sec' n(All responses reference current inspection) NA=NOT APPLICABLE 1. Ge ral a.Is building ccupied? i'es ❑No b.Are systen'ts service? [Mks 0 No ,�' c.Is there 'nlmu of 18 in.(457 mm)clearance between the top of the storage and the sprinkler deflectors? ,C`r6F'Ies ❑No d.Does all electrical at tape appear to be satisfactory? UYes ❑No eiNA VP e.Does the hand hose o standpipe on the sprinkler system(s)appear to be satisfactory? UYes ❑No Kd 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? t 'es ❑No b.Are all control valves in the open position locked,sealed or equipped with a tamper switc0,219es❑No 3. Tanks,Pumps,Fire Department Connections '1 a.When was fire pump last tested for performance? Nf b.Are fire pumps,gravity tanks,reservoirs and pressure tanks in good condition and properly maintained? UYes 0 No A c.Are fire department connections in satisfactory condition,couplings free,caps in place,and check valves tight?,tight?Aires 0 No ❑NA Are they accessible and visibleyitXes❑No ❑NA 4. Wet Systems a.Are cold weather alves O. &Y.)in the appropriate open or closed position? UYes ❑No-')NA b.Have antifreeze ste ol, in ,,--n tested? UYes ❑No,/5)NA c.What temp is re ze. �dJ d.In areas protec b e Tem(s),does the buildin;; ij be properly heated in all areas,including blind attics and perimeter areas where accessible/ ❑NofWNA 5. Dry System(See Items 11 to 13) a.Are dry valve(s)in servicees ❑No ❑NA b.Are the air pressures and p ng water levels in accordance wit4 the manufacturer's instructions? I3es ❑No❑NA c.Has the operation of the air or nitrogen supplies been tested?AMes 0 No ❑NA Are they in service?- {es 0 No ❑NA d.Were low points drained during this inspection?UYes ❑No I NA How many? — e.Did quick-opening devices operate satisfactorily? UYes ❑No LTA f.Did the dry valve(s)trip properly during the trip pressure test? Wes ❑No❑NA g.Did the heating equipment in the dry-pipe valve room(s)operate at time of inspection? ! "es ❑No ❑NA 6. Special Systems(See Item 14.) / a.Did the deluge or pre-action valv- o p.-rate properly during testing? UYes ❑No ❑NA b.Did the heat-responsive dev I-s it- "• properly during testing? UYes ❑No ONA c.Did supervisory devices o• r.to , ., -. . g? UYes❑No ❑NA d.Did flow for kitchen hood.ys - /• 's ff gas or electric? ❑Yes 0 No ❑NA 7. Alarms a.Did water motor(s)and gong(s)test satisfactorily? UYes ❑No IIINA b.Did electric alarm(s)test satisfactorily? APTes 0 No ❑NA c.Did supervisory alarm service test satisfactorily? Wes ❑No ❑NA S SYs� s De CId.Did tamper switches test satisfactorily? s No❑NA 8. Sprinklers a.Are all sprinklers free from corrosion,loading or obstruction to spray discharge? IitYes ❑No b.Are sprinklers less than 50 years old?(Older sprinklers require sample testing) Wes UNo c.Are quick response and residential sprinklers jest th" 20 years old?(Older sprinklers require sample testing))s ❑No d.Is stock of spare sprinklers available?XPre ,No e.Does the exterior c - on of sprinkler syste ppear to be satisfactory?.lames❑No f.Are sprinkler proper t mperature rating for their locations? ClYes 0 No g.Are any s inkier heads on a recall list?❑Yes,ILPNo Signature: ---‘ Z'7r'7 Date: // -2-C7 --cUMMIT - ' - :PROTECTION 575 Minnehaha Ave.W. • St.Paul,MN 55103 • _I-251-1880 ', ,:,,,,.• 3026 40tli�ve. ' .Cochester,MN 55901 • 507-280-0622 4T8 Great Oak Dr. • Waite Park,MN 56387 • 320-257-6390 760 Liberty Way North Liberty,IA 52317 • 319-665-4330 4208 Enterprise Circle • Duluth,MN 55811 • 218-740-4412 ` SHEET 2 OF 2-Use separate sheet for each system inspection CITY Type of System / r� 4 OF OAK PAR -1E(pHTS . Inspection Name OPE L'•f-) r At Aftim many. Inspection Work Order /3/F "'a . Flow Switch or Alarm Check with Pressure Switch 9. Date dry-pipe valve trip tested(control valve partially open) /i_ :2"- 'a95 (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 Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. DRY PIPE Time to Trip ! f Water Pressure Air Pressure Tripp Point Time Water Reached Alarm Operated OPERATING Thru Test Pipe Air Pressure Test Outlet Properly TEST Min. Sec. PSI PSI PSI Min. Sec. Yes No without - 4 --7 , _ Q.O.D. — _ , - Q.O.D. /1 12. Date deluge or preaction valve tested 007 t�l- (see Trip Test Table which follows) TRIP TEST TABLE Operation ❑Pneumatic ❑Electric ❑Hydraulic Piping Supervised ❑Yes ❑No ` Detecting Media Supervised ❑Yes ❑No DELUGE& Does valve operate from the manual trip and/or remote control stations? s ❑No PREACTION VALVES Is there an accessible facility in each circuit for testi — --QTes""❑No Me d of Testing Circuits: MAKE MODEL Does Each ircuit Operate Does Each Circuit Maximum Time to Supervisio Loss Alarm? Operate Valve Release? Operate Release? s ❑No ❑Yes ❑No ❑Yes ❑No 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 Valve Jockey Control Valve Pump Control Valves Additional Pump Control Valves Test Header, Sectional Control Valves System Control Valves Other Control Valves Kitchen Control Valves Water Flow Test 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 c 'm , g I/ eZ /.,..... This Water Flow Test j/- 7 e 14. Explain any"No"answers and comments: )1 ' .- p Print Name f r s �f /!,'/� Signaturg.-o� Date