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HomeMy WebLinkAbout2011-05-26 Summit Fire Protection Report of Inspection (13321-13331) SUMMIT tE PROTECTION 575 MI NNEHAHAAVE. W • ST. PAUL, MN 55103 • (651) 251 -1880 3026 40TH AVE. NW • ROCHESTER, MN 55901 • (507) 280 -0622 ,. 418 1tEA [�)` AK DR., WAI TE PARK, MN 56387 0;2(320) 257 -6390 760 LIBERTY WAY, NORTH LIBERTY, IA 52317 • (319) 665 -4330 ! 4208 ENTERPRISE CIRCLE • DULUTH, MN 55811 (218) 740 -4412 rk SHEET 1 OF 2 - Use separate sheet for each building inspection REPORT OF INSPECTION MINNESOTA LICENSE NO. C0075 JOB NUMBER 9 /7S ty INSPECTION NAME£ 3 iteerts 4r 0A,& //?SJ3UILDING/LOCA' '1ON tr 7,40 tear" S TREET Qt /33,a/ — /3 3 3W INSPECTOR CITY &STATE ORLC PAW 1/1/ 6 r r•f DATE ,.5 /f 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 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 I. General .. a. Is the building occupied?TOYes ❑ No a.. 0P42i40/t.4 b. Are all systems in service ? 'Yes ❑ No c. Is there a minimum of 18 in. (457 mm) clearance between the top of t4ktorage and the sprinkler deflectors? OYe d. Does all electrical heat tape appear to be satisfactory? ❑Yes O No A e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes 0 NdTA 2. Control Valves (See Item 15.) a. Are all sprinidor system oaetU01 valves and all other valves in the- b.7 Aht. . • a al 1 a .- 3. Tanks, Pumps, Fire Department Connections a. When was fire piunp last tested for performance? b. Are fire pumps, gravity tanks, reservoirs and pressure in good condition and properly maintained? ❑Yes O No VIZA c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? l 4bs 0 No ❑ NA Are they accessible and visible? litres ❑ No ❑ NA 4. Wet Systems a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? ❑Yes 0 No ANA b. Have antifreeze system solutio9s been tested? ❑Yes ❑ No JONA c. What temp is antifreeze? l/t d. In areas protected by wet system(s), does the building ar be properly heated in all areas, including blind attics and perimeter areas where accessible? �s ❑ No ❑ NA L _/ 5. Dry System (See Items 11 to 13) a. Are dry valve(s) in service? ❑Yes ❑ No 0 NA b. Are the air pressures • 1 d . riming water levels in accordance with the manufacturer's instructions? ❑Yes 0 No 0 N c. Has the operation . j the . - o 'trogen supplies been tested? ❑Yes 0 No 0 NA Are they in service? °Yes 0 No 0 NA d. Were low points a 1 - • •III 1 's inspection? ❑Yes ❑ No 0 NA How many? e. Did quick -ope i ' 1 . a s a' . to satisfactorily? OYes ❑ No ❑ NA f. Did the dry valve(s) tnp • , • y during the trip pressure test? ❑Yes 0 No ❑ NA g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection ? ❑Yes 0 No 0 NA 6. Special Systems (See Item 4.) a. Did the deluge or p - • ; .n valves operate properly during testing? ❑Yes ❑ No O NA b. Did the heat -respo 've a '+ operate properly during testing? ❑Yes ❑ No ONA. c. Did supervisory s : R. • T during testing? ❑Yes ❑ No 0 NA d. Did flow for kitchen h.e s s .11 shut off gas or electric? ❑Yes O No 0 NA 7. Alarms a. Did water motor(s) and gong(s) test satisfactorily? ❑Yes 0 No OA b. Did electric alarm(s) test satisfactorily? es 0 No 0 NA c. Did supervisory alarm service test satisfactorily ?.t1Yes 0 No 0 NA Sul p' • bj6'r d. Did tamper switches test satisfactorily? 'links 0 No ❑ NA 8. Sprinklers a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? es No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) {yes ❑ ONo c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) *Pies 0 No d. Is stock of spare sprinklers available? es 0 No e. Does the exterior condition of sprinkle system appear to be satisfactory? Wes 0 No f. Are sprinklers of proper temperature . 'ng for their locations? Wes 0 No g. Are any sprinkler heads on a ■ Yes tTo 4' Date: u 1 Si{u - } SUMMIT F PROTECTION _ - 575 Minnehaha ve. W. • St. Paul, MN 55103 • 651- 251 -1880 3026 40th Ave. NW • Rochester, MN 55901 • 507- 280-0622 418 Oval Oak . • Waite Park, MN 56387 • 320 - 2574390 760 Liberty Way • North Liberty, IA 52317 • 319 - 665- 4330 4208 Enterprise Circle • Duluth, MN 55811 • 218- 740 -4412 LEFT 2 OF 2 - Use separate sheeg5 each system inspections Type of System t i " W $ • Inspection Name _i,/bPP� r/ ie L,# How Many ? Inspection Work Order What Size? u ma, t ow Switc i • Alarm Check with Pressure Switch 7 / V-� 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) (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 ' Water Pressure Air sure Trip Point Time Water Reached Alarm Operated OPERATING Thru Test Pipe Air Pressure Test Outlet Properly TEST Min: - - Sec. - PSI ,. I PSI Min. Sec. Yes - No Without Q.O.D. With Q.O.D. 12 . Date deluge or preactiton valve tested (see Trip Test Table which follows) A )44er TRIP TEST TABLE Operation ;,: ❑ Pneumatic ❑ Electric ❑ Hydraulic Piping Supervised 0 Yes ❑ No �.....� Detecting Media Supervised ❑ Yes ❑ No DELUGE & Does valve operate from the manual trip and/or remote co . • stations? ❑ Yes ❑ No PREACTION VALVES Is there an accessible facility in each circuit for testing? ❑ Yes No Method of Testing Circuits: MAKE ��ODEL Does C Operate Do F t ? Maximum Tune to - r _ _� � :; Circuit Yes- ❑ No ❑ Yes ❑ No —.- ❑ Yes ❑ . a ' 13. See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE CONTROL VALVES NUMBER SIZE & TYPE OPEN r SECURED CLOSED SIGNS EXPLAIN ABNORMAL CONDITIONS City Connection Control Valve r v b 5 r 6 Amt / -- -- 1 Jockey Control Valve L I Pump Control Valves 1 I Additional Pump Control Valves Test Header i Sectional Control Valves System Control Valves 1 ti' er Y i! / ifs. �-- Other Control Valves — ��:•••/��''' Kitchen Control Valves Water Flow Test at Sprinkler Riser Vater Supply Source: d Wen Tank Pump DATE TEST PIPE L SIZE OF TEST PIPE "' SrAT PRFSStIRE DIFFERENTIAL Last Water Flow Test 4 _, .. /,� i _ JSo( 2 7 This W a t e r F l o w T e s t 5 . / / if 3 14. Explain any "No" answers and comments: J 1 e) GAS //f5 ' cJ7AJ /g a / 1 nENamer.L +: Signature ���/ i� 4 ,,-,,,,,,if _. / ' 5 Date 4