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
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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