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HomeMy WebLinkAbout2003-10-29 Fire-Guard Spinkler Service Inspection Report PG. OF PGS. , tit r,u /� • FIRE -GUARD INSPECTION v 7 /........■ CONTRACT NO. INSPECTION t 15 1 I SPRINKLER SERVICE, INC. REPORy' NO. � , `' 2 4 - [ . 205 White Bear Ave. No., Suite c MN LICENSE NO : BUREAU CONFIRMED ? "? cit". St. Paul, Minnesota 55109 C00018 FILE NO. WITH PH: 651-748-9499 • FAX: 651-748-9143 REPORT TO: BLDG. NAME: G 6 r Jo�• • STREET: ADDRESS: P A /<- At i... / Jf C / j i / S CITY, STATE, ZIP: CITY, STATE, ZIP: vsgocd. /, TECHNICIAN: LICENSE NO. `rte / j_ DATE: /G /Z o, r v•3 OWNER'S SECTION (To be answered by owner or occupant) ,� A. Explain any occupancy hazard changes since the previous inspection. #" L' n/ G "C©EQMC B. Describe fire protection modifications made since last inspection. e a✓ . 1) ,r. J AN — 5 Z [lii ` , C. Describe any fires since last inspection. it/; Ca 1 D. When was the system piping last checked for stoppage, corrosion or foreign mpterial? �' V " E. When was the dry - piping system last checked for proper pitch? / F. Are dry valves adequately protected from freezing? yes n.a. no yes n.a. no INSPECTOR'S SECTION (All responses reference current inspection) c. Has the operation of the air or nitrogen supply been tested? 1. GENERAL 'ff.: :1 Is it in service? a. Is the building occupied? d. Were low points drained during this inspection? ° 'S b. Are all systems in service? ! i " e. Did quick- opening devices operate satisfactorily? c. Is there a minimum of 18 in. (457 mm) clearance between the top $ ' f. Did the dry valve trip properly during the trip pressure test? pt of the storage and the sprinkler deflector? 4 ° g. Did the heating equipment in the dry -pipe valve room operate d. In areas protected by wet system, does the building appear to be at the time of inspection? properly heated in all areas, including blind attics and perimeter areas, were accessible? Do all exterior openings appear to be $ 7. SPECIAL SYSTEMS (See item 16 protected against freezing? a. Did the deluge or pre- action valves operate properly during testing ?.. IT e. Does the hand hose on the sprinkler system appear satisfactory? ear A b. Did the heat - responsive devices operate properly during testing? Cr x c. D id the supervisory devices operate during testing? 2. CONTROL VALVES (See item 14) rk a. Are all sprinkler system control valves all all other valves in the Q• t4,, a 8. ALARMS appropriate open or closed position? t a. Did water motor and gong test satisfactorily? b. Are all control valves in the open position and locked, sealed or b. Did electric alarm test satisfactorily? equipped with a tamper switch? c. Did supervisory alarm service test satisfactorily? fe / rG 3. WATER SUPPLIES (See item 15) Pc. �9. SPRINKLERS a. Was a water flow test of main drain made at the sprinkler riser? a A A a. Are all sprinklers free from corrosion, loading or obstruction to spray /y .. discharge? "l 4. TANKS, PUMPS, FIRE DEPARTMENT CONNECTIONS b. Are sprinklers over 50 years old, thus requiring sample testing? a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in I c. Is stock of spare sprinklers available? good condition and properly maintained? d. Does the interior condition of sprinkler system appear to be b. Are fire department connections in satisfactory condition, satisfactory? couplings free, caps in place, and check valves tight? Are they accessible and visible? 10. Date dry -pipe valve trip tested (control valve partially open) n, FijiVi (see trip test which follows) `C 5. WET SYSTEMS (See item 13) i ` a. Are cold weather valves (O.S.BY.) in the appropriate open . Q1 11. Date dry -pipe valve trip tested (control valve fully open) Ot or closed position? (see trip test which follows) b. Have antifreeze systems solutions been tested? t:7 c. Were the antifreeze test results satisfactory? ma 12. Date quick- opening device tested (see ASCOA trip test report) 6. DRY SYSTEMS (See items 10 to 14 and attached report) 0 ( 13. Date deluge or preaction valve tested /e, z 7 €7 a. Is the dry valve in service? b. Are the air pressure and priming water level in accordance DI 14. See Control Valve Maintenance Table. with the manufacturer's instructions? CONTROL MAINTENANCE TABLE Control Valves Number Type Open Secured Closed Signs Explain Abnormal Condition y System Control Valves . A 14' �G N . o 7 ( Li ,--4...... T^ kvi �a t. re 1 ,f v A/I /7 / .[ y G* ,1".., G L k. Other Control Valves r c C b/I e r /'� I S l/t c e-i- / 15. WATER FLOW TEST Test Pipe Size Pressure Flow Pressure Test Pipe Size Pressure Flow Pressure Located Test Pipe Before Pressure After Located Test Pipe Before Pressure After S.C. , 'Li .-. .0P4/ Alva AO 16 16. Type of Equipment Li, t [ Condition: — — Manufacturer: Model: Auxiliary Equipment: No? Type? Location? Test Result? 17. Explain any "No" answers and comments: 18. Adjustments or corrections made during this inspection: 19. Although these comments re not the result of an engineering review, the following desirable improvements are reconr�ynended: H e.. A C A I^ L A.c.. .e✓► d y e d /e a w. M c r 6t p c, a 1L- '3 [ e, u -c A/h e a #v t 40%. GI 14.o - / .v V c'OY I'1k" eAC 7•.a " /]/ ri Ga w .d /r j"w, t i WHITE: CLIENT YELLOW: OFFICE PINK: INSURANCE AUTHORITY V - iZto FIRE -( FIRE-WARD 2, Mite Bear Ave. No., Suite C St. Paul, Minnesota 55109 co v PH: 651 - 748 -9499 • FAX: 651- 748 -9143 ,� J w SPRINKLER SERVICE, INC. r 2 l t v � MN License No. C00018 DRY PIPE VALVE TEST � �R Sti 4 � NAME OF PROPERTY: CF DATE: / O / 4 7 /a3 ADDRESS: r�,d l' �A i-1< ) T c. • ISO FILE NO. DRY PIPE VALES NO. 1 NO. 2 NO.3 SIZE, MAKE, MODEL & YEAR 2. " /Zc_ L, ...ft/e. OF MANUFACTURER CONTROL SPRINKLERS IN /' n0 tJ PRESSURE (LB.) AIR 2 r BEFORE TESTS WATER c—d CONTROL VALVE WIDE OPEN? (IF NOT, HOW MANY TURNS ?) S. /H OPERATED AT: AIR PRESSURE (LB.) TIME (MIN., SEC.) — OPERATION INDICATE: /r,, i ( c c (SATISFACTORY, PARTLY SATISFACTORY, OR FAILED) Air- G e�P�a -t:c� H Law .4iV S //'&/ REASON FOR FAILURE OR . PARTLY SATISFACTORY ° w G y it I, ^"2 U N S y s T c--t-i, VALVE RESET DRY? r 1 LIST REPAIRS MADE ‘ /` / �' CONDITION: a /C. INTERIOR OF BODY WATER FROM TEST PIPE MOVING PARTS SEALS RUBBER FACING ALARMS OPERATED? y/ C / QUICK OPENING DEVICES MAKE, MODEL, YEAR / OPERATION INDICATE: A SATISFACTORY, FAILED OR SHUT OFF ' SIGNATURE AND TITLE OF PERSON MAKING TESTS COMPANY NAME AND ADDRESS WITNESS (OWNER OR LEASEE OF THE PROPERTY) DATE OF EXAMINATION WHITE: CLIENT YELLOW: OFFICE PINK: INSURANCE AUTHORITY v FIRE -GUARD SPRINKLER SERVICE, INC. 2055 WHITE BEAR AVENUE N. SUITE C MAPLEWOOD, MN 55109 651- 748 -9499 (T) 651- 748 -9143 (F) RESULTS OF ANNUAL INSPECTION/SERVICE RECOMMENDED WORK TO MEET CODE Location: Date: Z( /3 s / N s0 C r Ci L s re !/ to (t. ,e r ' L A/ v7 g e, / a o . /t , c- - (1 oVt e e T v e P /;° � ages r 4y C A +/1 ' /3'e f(e , L ix � 4 /1 4.74' 1/ f v ,.., e /, U N o/ ..v a y 1 Cr e c .b 1 T^ � G+ .f / e t 7) Recommended by: ADDITIONAL WORK PERFORMED '! 1 Performed by: it -GUARD FIRE-GUARD cn ;1 IO�) 4 SPRINKLER SERVICE, INC. LICENSE NO. C00018 x 4% 2055 WHITE BEAR AVE. N. SUITE C MN. L 6„ MAPLEWOOD. MN 55109 WI LICENSE NO. SC0000139 PH. 651- 748 -9499 FAX 651 - 748 -9143 fi DATES Q /O /,/ 63 . • Name: '' '' ADOR£SS: o ,ls gyp,, h M . 1ty Lela ipco e PSI: FIRE PUMP RATING: / ' GPM: /� VENTURI; K NOSE MANIFOLD; TEST METHOD: / CHURN: SUCTION; / C ! ` DISCHARGE; J DISCHARGE ORIFICE: R P ,'&z 1 1 • 2 1 2 '3 1 2 3 • PITOT `‘ /e or Iy IL( 32- ' 3Z 37-- •I IT TO • 375 333 333 3 33 GPM AL ? S" c) I t) GPM Iei - • READING r PRESSURE PRESSURE PSI / /`1Z- • /777 • • TEST WITNESSED BY FIRE - GUARD Sprinkler Service, Inc. rganizs io 8y: By: Date: Date: •