HomeMy WebLinkAbout2011-05-26 Summit Fire Protection Report of Inspection SUM:NUT PROTECTION
575 IvIINNEHAHA AVE. W • ST. PAUL, MN 55103 • (651) 251-1880 3026 40TH AVE. NW • ROCHESTER, MN 55901 • (507) 280-0622
418,0KE IM'1111 AK DR., WAITE PARK, MN 56387 •if,320) 257-6390 760 LIBERTY WAY, NORTHIABERTY, 1A52317 • (319) 665-4330
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4208. ENTERPRISE CIRCLE • DULUTH, MN 55811 • (218) 740-4412
SHEET 1 OF 2 - Use separate sheet for each building inspection
REPORT OF INSPECTION
MINNESOTA LICENSE NO. C0075 JOB NUMBER - 1 1 1S
INSPECTION NAME „ (0 CZ4k ANC& liFfel BUILDING/LOCATION ...SAfs rim dour
STREET 4 23 - 5835- iall*GEK lichJes INSPECTOR'775b heir
CITY & STATE (IL 0141! Iiii6,473 /iLti DATE 6-.74 0 --,11
Owner's Section (to be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection: iftv-if ..,41,07
B. Describe fire protection modifications made since last inspection:
C. Describe any fires since last inspection:
z•,, D. When was the system piping last checked for stoppage, corrosion of foreign material?
E. When was the dry-piping system last checked for proper pitch?
F. Are dry valves adequately protected from freezing?
Signature Title Date
•
Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE
1. General -
a. Is the building occupied? LlYe
b. Are all systems in service? " •• No
e. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? Allires 0 No
d. Does all electrical heat tape appear to be satisfactory? OYes U No FvNA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? OYes 0 No/0NA
2. Control Valves (See Item 15.)
odatga " " ' °' 1 .2e ^ „ val the or closed lion? ' la No
3. Tanks, Pumps, Fire Department Connections
a. When was fire pump last tested for performance?
I l k
b. Are fire pumps, gravity tanks, reservoirs and pressure in good condition and properly maintained? OYes 0 No
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight?)laYes 0 No LI NA
Are they accessible and visibleyoYes 0 No 0 NA
4. Wet Systems
a. Are cold weather valves (0.S. & Y.) in the appropriate open oAosed position? OYes N›,it(NA
b. Have antifreeze system solutions been tested? OYes 0 No A
c. What to is antifreeze? /4/4- 4.4
d. In areas protected by wet system(s), does the buildinbe properly heated in all areas, including blind attics and perimeter areas
where accessibleWres 0 No LI NA
• 5. Dry System (Seeqtems 11 to 13)
a. Are dry valve(s) in service? 13Yes 0 No 0 NA
b. Are the air pressures and priming wa evels in accordance with the manufacturer's instructions? OYes 0 No 0 NA
c. Has the operation of the air or sg-. . lies been tested? LlYes 0 No 0 NA Are they in service? OYes 0 No 0 NA
d. Were low points drained durin: • . on?13Yes LI No 0 NA How many?
e. Did quick-opening devices o' • . r y? OYes 0 No 0 NA
f. Did the dry valve(s) trip pro . 1 I‘ ,W I 17 trip pressure test? UYes 0 NoLl NA
g. Did the heating equipment • the .1 .*. valve room(s) operate at time of inspection ? LlYes 0 No LI NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre-action valv •perate properly during testing? OYes 0 No 0 NA
1 b. Did the heat-responsive devi • I. y during testing? OYes 0 No LINA,
c. Did supervisory devices 0. r•. P.11 g? 13Yes 0 No 0 NA
d. Did flow for kitchen hood sy 1, iu Cr gas or electric? LlYes 0 No 0 NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? t]Yes 0 No jaziNA
b. Did electric alarm(s) test satisfactorily? toYes LI No 0 NA
c. Did supervisory alarm service test satisfactorily? 'Wes 13 No LI NA
d. Did tamper switches test satisfactorily? jit.Yes 0 No 0 NA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? es 0 No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) Yes EINo
c. Are quick response and residential sprinklers less than 20 years old? (Older • els require sample testing) Wes LI No
d. Is stock of spare sprinklers available? litres 0 No
e. Does the exteri • dition of sprinkler system appear to " ? OY
f. Are sprinkl . • ' temperature rating fOr their locations?es 0 No
g. Are any s • •"ii • . • on a recall list? ElYes
"
Si 1 _ /dr a Al Date: • c".26
SUMMIT FYRE PROTE
575 Minnehaha Ave. W. • St. Paul, MN 55103 • 651- 251 -1880 3026 40th Ave. NW • Rochester, MN 55901 • 507- 280 -0622
18 Gwt Oak)r. • Waite Park, MN 56387 • 320 - 257 ;390 _ 760 Liberty Way • North Liberty, IA 52317 • 319- 665 -4330
08 Enterprise Circle • Duluth, MN 55811 • 218 - 740 -4412
$3 HF.FT 2 OF 2 - Use separate sheet fo ch system ins ection Type of System _i_)_...Y.t.igsiNer
Inspection Name 4 � 6C I/11641S How Many? ,
/ Inspection Work Order / < What Size?
Switch. • Alarm Check with Pressure Switch
Sa •Ds
9. Date dry-pipe valve trip tested (control valve partially open) (see Trip Test Table which follows)
10. Date dry-pipe valve trip tested ( control valve fully open) / I) (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 NO. MAKE MODEL SERIAL NO.
DRY PIPE Time to Trip Water Pressure ` Pressure Air p ate TimeWater Reached Alarm Properly O r ted
OPERATING ThruTest Pipe t
TEST Min. Sec. PSI PSI Min. Sec. Yes No s
Without - -
With
Q.O.D.
12.¢ Date deluge or preaction valve tested I j�
/fr (see Trip Test Table which follows)
y TRIP TEST TABLE 4.'
,
Operation - =' ❑ Pneumatic ❑ Electric ❑ Hy c
Piping Supervised ❑ Yes ❑ No Detecting Media Supervised ❑ Yes ❑ No
DELUGE & •
Does valve operate from the manual trip and/or remote control stations. ❑ Yes ❑ No ,
PREACTION
VALVES Is there an accessible facility in each circuit for testing? ❑ Yes ❑ . Method of Testing Circuits:
MAKE MODEL • • Circuit Operate Does Each Ciircxut Maximum Time to
Yes ❑ No ❑ Yes ❑ No ❑ Yes ~ ❑
13. See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE
CONTROL VALVES 1 NUMBER SIZE & TYPE OPEN SECURED CLOSED SIGNS EXPLAIN ABNORMAL CONDITIONS
City Connection Control Valve / 1 p res '` i. 741.5S,
Jockey ControLYalve ` _- s
Pump Control Valves
Additional Pump Control Valves
Test Header
1
" , : Sectional Control Valves / ." System Control Valves 1 y « f A�T -+.
Other Control Valves ric
Kitchen Control Valves ,
Water Flow That at Sp r
Water Supply Source: City Well Tank Pump
;..A-TE/0 TEST PIPE LOCATION SIZE OF TEST PIPE SrATiC' �� RESIDUAL DIFFERENTIAL
bo 6
PRETE a TBSr PR&SS(["7�'E
Last Water Flow Test t .T
This Water Flow Test ry6 _ /
s r e
14. Explain any "No" answers and comments: ) ` /r 11.1 1) /Aar &i , '�Qr - "04/4)40417 ds 4X
u C '�1,./G 77LE. //
/- Si / ,ena . f .D ate 5 ` i�}" -
4
Print Nattte as - - .r . Signature
• SUMMIT FIRE PROTECTION
WORK ORDER
DAYWORK # 363161 DATE DUE 7/15/2011 DATE TAKEN 7/11/2011
• JOB SUPT ` PHONE # BY Chris Graham
GENERAL CONTRACTOR Northmarq OFFICE#
3500 American Blvd W Suite 200
Minneapolis, MN 55431
PROJECT MANAGER John Erickson PHONE 952- 837 -8560
JOB SITE INFO: Building Information
The Shoppes at Oak Park Heights BLDG. OWNER: ALM CO:
ENGINEER: ALM. PH:
5825 Krueger Lane ENG. PH: ACCT. #:
Oak Park Heights, MN SECURITY PH: PN #:
BLDG. NOTES:
PERMIT n MAT ORDERD n CALL TO SCH: YES / NO
PLAN n TRUCK STOCK y CEILING REQ: Y / N / EXT.
REQUEST TECH LOCK BOX WALLS REQ: Y / N / EXT.
PO # DECK HGT. LIGHTS REQ: Y / N / EXT.
LIFT Y -Genie
CONTRACT AMT. HEAD COUNT # DAY'S # FITTERS
DESCRIPTION OF WORK:
Remove tape from (1) sprinkler head above sales floor in Michaels
Lengthen (1) drop in entry way sprinkler head so deflector is below ceiling tile in old Lane Bryant
IF WORK DONE DIFFERENT FROM ABOVE, LIST BELOW.
EL' ;;12: �' DO WE DO ANNUAL INSPECTION? YES NO