The URL can be used to link to this page

Home My WebLink About2002-05-07 Contractors Material & Test Certificate for Above Ground Piping - Northstar Fire Protection oA_ 13-66 INSTALLATION OF SPRINKLER SYSTEMS • 6 (c c )40') ,c h ' L - - �- � CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR A BOVEGROUND PIPING P9OCEDURE Upon completion of work. Inspection and rests shah be mad. by the contractor's nspnesentative and witnessed by an owners representative. MI detects shall be =raced and system I.It in service before con uacmrs personnel linty Oar. the lob. A certificate shall be Illed out and signed by both representatives. Copies shall be prepared la approving authorities, owners. and contractor. h a understood the owners rep res.nwiw's signature in no way pretudroea any Pain against contractor tor faulty material, poor workmanship. or laitya to comply with approving authority's rsoun.nerss or local ordinances. PROPERTY NAME BoG -TGJ &Z-L-5 L 4,140/A1‘- DATE PROPERTY ADDRESS 570 o — _S8 72Y Ss"7 / �/ • ACCEPTED BY APPROVING AUTHORITIES (NAMES) / 1' C . T 0 F O 4* ADDRESS . PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS • *ES 0 NO EOUIPMENT USED IS APPROVED %YES 0 NO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EOUIPMENT BEEN INSTRUCTED AS TO LOCATION %YES O NO . OF CONTROL VALVES ANO CARE ANO MAINTENANCE OF THIS NEW EOUIPMENT7 IF •LAIN - - (A 9 1 ef4' . tle;---" 7t9/s 1 a 17 1 124 4 - 1 ' Z/ t j INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: %YES 0 NO 1. SYSTEM COMPONENTS INSTRUCTIONS AYES 0 NO 2. CARE ANO MAINTENANCE INSTRUCTIONS - Q YES 0 NO 7. NFPA 13A &YES ONO LOCATION SUPPLIES BUILDINGS OF SYSTEM YEAR OF ORIFICE TEMPERATURE ' MAKE MODEL MANUFACTURE SIZE OUANTITY RATING • SPRINKLERS PIPE AND Type of Pipe C VC_ C_C'el /O l'�O • FITTINGS Type of Fittings C T • l Roo Tr1tp�A n MAXIMUM TIME TO OPERATE ALARM ALARM OEVICE THROUGH TEST CONNECTION VALVE TYPE ..�I,Y MODEL MIN. SEC. 'INDICATOR FLOW -I - eARILI �INOtCATOR � / I DRY VALVE 0.0.0. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. TIME TO TRIP TIME WATER ALARM THRU TEST WATER AIR TRIP POINT REACHED OPERATED DRY PIPE CONNECTION' PRESSURE PRESSURE AIR PRESSURE TEST OUTLET' PROPERLY OPERATING MIN. SEC. PSI PSI PSI I MIN. r SEC. YES r NO TEST - Without l 0.0.0. MUI 0.0.0. • IF NO. EXPLAIN • MEASURED FROM TIME ■SPECTOR'S TEST CONNECTION IS OPENED. 8SA (1088) PRINTED IN U.S.A. ( OVER) . Figure 8 -1(a). SYSTEM ACCEPTANCE 13-67 OPERATION 0 PNEUMATIC O ELECTRIC 0 HYDRAULIC PIPING SUPERVISED O YES O NO 1 DETECTING MEDIA SUPERVISED O YES ONO DOES VALVE OPERATE FROM THE MANUAL TRIP ANO/OR REMOTE CONTROL STATIONS O YES O NO DELUGE a. IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO, EXPLAIN PR DICTION 1ALV O YES ONO /) DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO ,� MAKE MOOEL SUPERVISION LOSS ALARM OPERATE VALVE RELEASE OPERATE RELEASE YES NO YES NO MW, SEC. yYt7ROSTATK'• Hydrostatle tests shall be Trade at not less Nan 200 psi (13.6 bars) for two hours or 50 psi (1.4 bus) above stalk pressure In excess at 150 pal (10.2 bars) for two hours. OBbnndal drpppe valve clappers shall be all open during test to prevent dancge. All aboveground piping leakage TEST shall be stopped. DESCRIPTION PNFI IMATif:• Establtah 40 pal (2.7 bars) air pressure and measure drop which shalt not exceed 1.12 psi (0.1 bars) in 24 hours. Test pressure lanla at normal wafer lss nrld air treasure and measure all nnMfure 0 wr'ich shall n..1 sussed ! •12 psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT 20O PSI FOR Z HRS. IF NO, STATE REASON ORY PIPING PNEUMATICALLY TESTED YES a NO EQUIPMENT OPERATES PROPERLY 41_ YES O NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT AOOITIVES ANO CORROSIVE CHEMICALS. SODIUM SILICATE OR OERIVATIVES OF SODIUM SILICATE, BRINE. OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR TESTS STOPPING LEAKS? ItrYES 0 NO DRAIN READING OF GAGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH VALVE IN TEST TEST SUPPLY TEST CONNECTION: PSI CONNECTION OPEN WOE PSI UNOERGROUNO MAINS ANO LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MAOE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO. ass YES O NO OTHER EXPLAIN RUSHED BY INSTALLER OF UNDER - GROUND SPRINKLER PIPING YES O NO BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS WELDED PIPING YES O NO IF YES... 00 YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS 010.9. LEVEL AR-3 lIrLYES O NO WELDING COMPLIANCE • YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9. LEVEL AR -7 ff YES O NO 00 YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE • RETRIEVED. THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG ANC OTHER WELDING RESIDUE ARE REMOVED. ANO THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED 4 YES a NO CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL (DISCS) CUTOUTS (DISCS) ARE RETRIEVED? YES 0 NO HYDRAUUC NAME PLATE PROVIDED IF NO. EXPLAIN DATA NAMEPLATE IfeYES 0 NO DATE LEFT IN SERVICE WITH AU. CONTROL VALVES OPEN: REMARKS 7 0 NAME OF SPRINKLER CONTRACTOR _ / r s � f' / rte , e � /o 1 N TESTS WITNESSED BY ,-V/ SIGNATURES FOR P •Pj O ER EC) r� TITLE DATE AIN s. glir -AMR /// TITLE _ n 3 `F' OAT` 1--C h%`J, t — U 2 AOOITIONAL EX ATION ANO NOT/ Ary\ l 85A BACK Figure 8-1(a) (cont.).