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HomeMy WebLinkAbout2010-10-20 Summit Fire Protection Report of Inspection SUMMIT: FIRE PROTECTION 7, MR.INEHAHA AVE. W • ST. PAUL, MN 55103.• -(651) 251 -1880 3026.40TH AV - J • -• = SF.' O(507 :1:1-0622 418 REAT�OAK DR., WAITE PARK, MN 56387 • (320) 257 -6390 760 LIBERTY WAY, NOR LIB ' 52317 • (319) .65 -4330 4208 ENTE1 RISE CIRCLE • DULUTH, MN 55811 • (218) 740 -4412 30 - 9 Z r -' ,1.1 SHEET 1 OF 2 - Use separate sheet for each building inspection REPORT OF INSPECTION ' is-1 , - _,I.. , , EIGHTS MINNESOTA LICENSE NO. C0075 JOB NUMB WT''r r P m #: ry t ! /f;OCAT •3NS�'IZ9�Ai1GIE ', 1N 1 M Y & 'STATE O t e , 1 61", . 1 DATE i ts . j<"� Owner's Section (to be answered by Owner or Occupant) r l� 441° A. Explain any occupancy hazard changes since the previous inspection: _,VLF. -) �� ✓g'k� B. Describe fire protection modifications made since last inspection: /U-EJ /14,ut ,17.-141/.44. C. Describe any fires since last inspection: x &) D n w the system .4) last checked for stoppage, corrosio' of foreign ma ial . . F. a dry valy adequately p from freezing ?' Title Y Date . ignature 4,, , ! . 6� „/' . , . r s Section (All responses reference current inspection) NA =NOT APPLICABLE 1. eneral .. Is the building occupied ?Yes O No b. Are all systems in service? /Ares 0 No c. Is there a minimum of 18 in. (457 mm) clearance between the top of qv storage and the sprinkler deflectors ?Yes 0 No d. Does all electrical heat tape appear to be satisfactory? ❑Yes O No NA e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? OYes 0 No11gNA 2. Control Valves (See Item 15.) a. Are -all sprinkler system control valves and all valves in the appropriate o s:�' ' closed.' ti n? No *es 0 No b, Me all control valves in the open position locked, sealed egwpped wit 1"`Y , 3. Tanks, Pumps, Fire Department a. When was fire pump last tested for performance? l " b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? "OYes 0 NA c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight Y s 0 No ❑ NA Are they accessible and visible ?s ❑ No O NA 4. Wet Systems a. Are cold weather valves t . • Y.) in the appropriate open or closed position? ❑Yes 0 No 0 NA b. Have antifreeze sys : i, •/ + , , • ' - -n tested? OYes 0 No ❑ NA c. What temp is ected s an ■� g appear properly including pe rte protected (s), does the buildin a to be rl heated in all areas, includin blind attics and riineter areas where accessible? 0 es u o ❑ NA 5. Dry System (See Items 11 to 13 a. Are dry valve(s) in service? ' 11. s 0 No O NA b. Are the air pressures and p .. g water levels in accordance with the gianufacturer's instructions? es • No 0 NA ,.,.. ) . :� cI iii Yes ❑ N A 'p It i& ' ` >.---. e,. - ,».k.- --: ,=r... °: • d: Weie°la"v✓'�oi"iitd� t�dtil � e. Did quick - opening devices operate satisfactorily? (Wes O No) r A f. Did the dry valve(s) trip properly during the trip pressure test ?, S 0 No 0 NA g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection ? 'Wes O No ❑ NA 6. Special Systems (See Item 14.) 4"1 i&the deluge or pre -action v • es . , rate properly during testing? OYes 0 No O NA b. Did the heat - responsive devi .. o• W: tee, .perly during testing? OYes ❑ No DNA c. Did supervisory devices ope . _= d I : in . 1g? ❑Yes 0 No O NA d. Did flow for kitchen hood sy - ' •; • , gas or electric? OYes ❑ No 0 NA 7. Alarms a. Did water motor(s) and gong(s) test satisfactorily? OYes ❑ No cPNA b. Did electric.alarm(s) test satisfactorily? Yes 0 No 0 NA _ C. Did supervisory alarm service test satisfactorily? Oyes P 'No : 0 NA S i Sy s 7 , 2 , g,_ `"- C oL S' d. Did tamper switches test satisfactorily? ❑YesNo 0 NA 13. Sprinklers , prinklers OYes 1i© a Are all' sprinklers free from corrosion or obstruction to spray discharge? S `lies 0No b. Are sprinklers less than 50 years old? $ • sprinklers require sample testing) sample testin � ❑ No c. Are quick response :.,, d residential sprinklers less than 20 years old? (Older sprinklers require same gam' d. Is stock of spare . i • ers available? es 0 No ,, _ es O No e. Does the exte ' • con 'don of sprinkler system appear to be satisfactory f. Are sprinkler • of pro • r - mperature rating for their locations? Mlles 0 No g. Are any sp:•.. erhe..:• •na all •.t? ❑Yes yoNo / '),� l 4 a . Date: f 0 � O' >— Ii Signature: .:.1.► 4 l.. le ,x. `=i a:. :*'tin, ., - - -,. -,, - - - SUMMIT FIRE PROTECTION 575 Mi eha ih ve. W. • St. Paul, MN 55103 • 651- 251 -1880 ' 3026 40th Ave. NW • Rochester, MN 55901 • 507- 280 -0622 418 Gi't -(14 • 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 } '1 _ , _ SHEET 2 OF 2 - Use eparate sheet or eac system j inspe c tion Type of System Inspection Name / 4 h pl4/ 1 t S C i2 iffelS How Many? Inspetion Work Order > � 11 What Size? - F Flow Switch or Marm Cheek 4 Date dry pipe" valve trip tested (control valve partially open) / 0 - •J /‘• (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 l Fl (see Trip Test Table which follows) DRY VALVE TRIP TEST TABLE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. 4 Ai/ DRY PIPE Time to Trip Trip Point Time Water Reached Alarm Operated Water Pressure Air Pressure OPERATING Thru Test Pipe Air Pressure Test Outlet Properly /Win. Sec. - PSI - PSI PSI Min. Sec. Yes Without — _ •10 ' ��p Q.O.D. a. s d 12. Date deluge or preaton valve tested (see Trip Test Table which follows) RIP TEST TABLE - ; Operation - ❑ Pneumatic ❑ Electric ❑ H r. ;c Piping Supervised ❑ Yes ❑ No Detecting Media Supervised ❑ Yes ❑ No :; Din.' & Does valve operate from the manual trip and/or remote control ons? ❑ Yes \ No 4 - _ .P REACTION VALVES Is there an accessible facility in each circuit for 7 Yes ❑ No Meth . , of Testing Circuits: MAKE MODEL : Does Eac • • • t Operate Does Eacl/Circuit Maximum Time to Su . on Loss Alarm? , Operate Valve Release? Operate Release? ❑ Yes ❑ No Dyes • ] No • ❑ Yes , 0No r , - 13. See Control Valve Maintenance Table f � ' CONTROL VALVE MAINTENANCE TABLE CONTROL VALVES : NUMBER SIZE & TYPE OPEN SECURED CLOSED SIGNS EXPLAIN ABNORMAL CONDITIONS City Connection Control Valve Jockey CkeiteAlt•'t+iaPCls" Pump Control Valves Additional Pump Control Valves SeCHfrifat Lt Nttl61 V81Veff ...r.,-:,,, m c , wsx a... , " u O n a<a4 ,.= _ « .._ System cpiliorol Valves / y l / other tronut l viatves {/ Kitchen Control Valves Water Flow Test at Sp Water Supply Source: City Well Tank Pump DATE TEST PIPE LOCATION SIZE SIZE OF TEST PIPR - f STATIC RESIDUAL (FLOW) DJFFERENTIAL Last Water Flow Test ! r— CS j P. r� � I Yr4i� � This Water Flow .Test . / Q —�0 f D j / 1/ & 8 p " o" answers and coinme '?) _ _ _ , i , i #/ _ __ . _ , C . _ f 14. " Explain H N } lc + r t :?ar &:•'r5 C .'.& a 11 . 5 i -44. 1,4 t, 5 ,+ __ G47 vALJE 7- rneso2 y r ' .,e r �;.. ',fl2di 5 ,,, wyA 6, S y s .mss 'VC> htAu , c c 4(i# Print Name Signa r �I / ^' � ..f Date /6-.10-49 n as _ SUMMIT FIRE PROTECTION - WORK ORDER DAYWORK# 328721 DATE DUE 12/22/2010 DATE TAKEN JOB SUPT Karla PHONE # 651 -439 -2446 BY MORIS GENERAL CONTRACTOR SAME OFFICE# PROJECT MANAGER PHONE JOB SITE INFO: ' Building Information Hope Adoption & Family Services BLDG. OWNER: ALM CO: ENGINEER: ALM. PH: 5850 Omaha Ave. ENG. PH: ACCT. #: Oak Park Heights, MN 55082 1 SECURITY PH: PN #: BLDG. NOTES: PERMIT N MAT ORDERD Y CALL TO SCH: YES / NO PLAN N TRUCK STOCK N CEILING REQ: Y / N / EXT. REQUEST TECI- N LOCK BOX N WALLS REQ: Y / N / EXT. PO # N DECK HGT. N LIGHTS REQ: Y / N / EXT. LIFT N T &M NTE CONTRACT AMT. $550.00 HEAD COUNT 12 # DAY'S 1/2 # FITTERS 1 DESCRIPTION OF WORK: Replace (12) painted upright sprinkler heads in basement. 6)i/141-e--/R-Ci /evn / /Z`i /// IF WORK DONE DIFFERENT F M , LIST BELOW. =77 DO WE DO ANNUAL INSPECTION? YES NO