HomeMy WebLinkAbout2010-07-08 Report of Inspection - Summit Fire Protection �SUNMUT FIRE PR6WECTION
575 MINNEHAHA AVE. W • ST. PAUL, 3 • (651).251 -1880 30264j),fHAVE. NOOCHESTER; MN 55901 • (507) 280 -0622
1 418 GREAT OAK DR., WAITE PARK, MN 56387 • (320) 257 -6390 760 L LN1" . ' E$ Y, IA�2317 • (319) 665 4330
4208 ENTERPRISE CIRCLE • DULUTH, MN 55811 • (218) 740 -4412
SHEET 1 OF 2 - Use separate sheet for each building inspection REPORT OF INSPECT MINNESOTA LICESE NO. C0075 JOB NUMBER e 3 Vj io Q � '�� INSPECTION NAME 11 NPT �; Tll �) yL 9ss g ; NG V T - }y�F
STREET &x7 Ar/
CITY &STATE �!9 �L �A,� (,( �/ (� �{ `' f/yl 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 fgreign material?
E. When was the dry- piping em last checked for proper pitch?
Are dry valve dequate pr tected fkom freezing? V,
�i tur Title � � 7:; e r . . r : �f
- / Date 4 , - 1
;.� � .:.:....
Insp s Section (All responses reference current inspection) NA =NOT APPLICABLE
1. Gener [ g-
F a. Is the buildoccupied? ; ❑ No
b. Are all systems in service? ff'es ❑ No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? )Res ❑ No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No 2FNA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes ❑ No 0�4A
2. Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all other valves in the appropriate o per d position? 2kes El No
b. Are all control valves in the open position locked, sealed or equipped with a switch. es ❑ 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? ❑Yes ❑ No ZMA
c. Are fire department connections i satisfactory condition, couplings free, caps in place, and check valves tight? 3*es El No L1 NA
Are they accessible and visible? connections ❑ No ❑ NA
4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? ❑Yes ❑ No �MA
b. Have antifreeze system solutip been tested? ❑Yes ❑ No C)*I lA
c. What temp is antifreeze?
d. In areas protect wet system(s), does the buildin ppear to b properly heated in all areas, including blind attics and perimeter areas
where accessible? s ❑ No L3 NA
5. Dry System (See I 11 to 13)
a. Are dry valve(s) in service? O%es ❑ No ❑ NA
b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions? XRessg No 13 NA
E3 c. Has the operation of the air or nitrogen supplies been tested? AVes ❑ No NA Are they in service? , es ❑ No L3 NA
d. Were low points drained during this inspection ?�es ❑ No ❑ NA How many ? /
e. Did quick - opening devices operate satisfactorily? ❑Yes ❑ No y�A
f. Did the dry valve(s) trip properly during the trip pressure test? LAMs ❑ No ❑ NA
g. Did the heating equipment in the dry -pipe valve room(s) opera at time of inspection ? fps ❑ No ❑ NA
6. Special Systems (See Item 14 *sate
a. Did the deluge or pre - actioproperly during testing? ❑Yes ❑ No ❑ NA
b. Did the heat - responsive deperly during testing? ❑Yes ❑ No ❑NA
c. Did supervisory devices op ng? ❑Yes 13 No ❑ NA
d. Did flow for kitchen hood as or electric? ❑Yes ❑ No ❑ NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? ❑Yes ❑ No AA
b. Did electric alarm(s) test satisfactorily? &es ❑ No ❑ NA
c. Did supervisory alarm service test satisfactorily? Comes ❑ No ❑ NA X IW*v1 01-r- U 1
d. Did tamper switches test satisfactorily? Ives ❑ No ❑ NA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? aRes ❑ No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) Qffes ❑No
c. Are quick response and residential spn*pklprs less than 20 years old? (Older sprinklers require sample testing j�s ❑ No
d. Is stock of spare spri available? es E3 No
e. Does the exterio onditio of sprinkle system appear to be sabi tort' ?,�es 0 No
f. Are sprinkler f proper to perature rating for their locations? Yes ❑ No
g. Are any s nkler heads ecall 'st? ❑�esio
Signature .sS� G P 11, 4
�' � Date: / � /
UMMff,F R'E I'R ECTI
�15 Minnehaha Ave. W. • St. Paul, MN 55103 • i - 2$1 -1$ 3026"40th Ave. NW %Rochester •
> MN 55902 507 - 280 -0622
#18 Great Oak Dr. • Waite Park, MN 56387 • 320- 257 -6390 760 Liberty Way North Liberty, IA 52317 319- 665 -4330
8 Enterprise Circle • Duluth, MN 55811 • 218 -740 -4412
L E ET 2 OF 2 - Use sep prate sheet for each system inspection Type of System
Ins pe ction Na me {
p fi#AS - 7;4S) 71 R woem How Many?
_
Inspection Work Order What Lm? — Z:;4 F"19L
1 ow Switc Alarm Check with ssure tch _,5:i? `Y1f&14S
9. Date dry-pipe valve trip tested (control valve partially open) y'e� 3 fJ (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 SE AL O. I MAKE I MODEL SERIAL NO.
L7__T� kb?11- 1 1 I
DRY PIPE Time es Trip Water Pressure Air Pressure Trip Point Time Water Reached Alarm Operated
OPERATING Thm Test Pipe Air Pressure Test Outlet Pmoeriv _
TEST M; Sec• PSI PSI PSI Min. Sec. Yes No
O.O.D. �d i 9' < � 50 I /
With
Q.O.D.
12. Date delu orrreaction valve tested I V (see Trip Test Table which follows)
IP
R TEST TABLE
Opemu ❑Pneumatic ❑Electric ❑ ydraulic
Piping Supervised ❑ Yes ❑ No Detecting Media Supervised ❑ Yes ❑ No
DELUGE & Does valve operate from the manual trip and/or re control stations? Yes I
PREACTION ❑ No
VALVES I Is there an accessible facility in each circuit for sting? ❑ Yes ❑ No )servision ethod of Testing Circuits:
MAKE MODEL — Dach Circuit Operate Does Each Circuit Maximum TiID a to
k \ \_ Loss Alarm? Operate Valve Release? Operate Release?
❑ Yes ❑ No ❑ Yes } E] No ❑ Yes ❑ No I
13. See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
f CONTROL VALYES NUMBER" SIZE & TYPE OPEN I SECURED CLOSED SIGNS EXPLAIN ABNORMAL CONDITIONS
City Connection Control Valve
Jockey Control Valve
Pump Control Valves
Additional Pump Control Valves I I I I I I I
Test Header
Sectional Control Valves
System Control Valves I ! I 410 W1 I
Other Control Valves I I '73t I 7c �g
Kitchen Control Valves
Water Flow Test at Sprinkle ' er
Water Supply Source: City Well Tank Pump
DATE I TEST PIPE LOCATION SIZE OF TEST PIPE I PRE TEST P RESSURE POST TEST PRESS DIFFERENTIAL
Last Water Flow Test
This Water Flow Test y a
14. Explain any "No" answers and comments:
Print Name /7
Signatur � �/S G� �� Date