HomeMy WebLinkAbout2012-05-23 Report of Inspection - Summit Fire Protection I
SUMMIT FIRErPIOTECTION
575 MINNEHAHAAVE. W • ST. PAUL, MN 55103 • (651) 251 -1880 ' 3026 40TH AVE. NW • ROCHESTER, MN 55901 • (507) 280 -0622
418 GREAT OAK DR., WAI'TE PARK, MN 56387 • (320) 257 -6390 760 LIBERTY WAY, NORTH LIBERTY, IA 52317 • (319) 665 -4330
4208 ENTERPRISE CIRCLE • DULUTH, MN 55811 • (218) 740 - 4412.
SHEET 1 OF 2 - Use separate sheet for each building inspection
REPORT Q INSCON $ MINNESOTA LICENSE NO. C0075 JOB NUMBER
fi
INSPECTION NAME '7'C BUILDING/LOCATION -slo e
ST' i s', r -; .. i .4 , ...._ INSPECTOR . Z r ,
. z
cr'rr & STATE el ,5.e j4 t!r , dent, .5".i arm.. DATE .0"=- . -- ,
Owner's Section (to be answered by Owner or Occupant) 1
A. Explain any occupancy hazard changes since the previous inspection: ',
i .
t
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?
i Signature - Title Date
Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied? ' s ❑ No
b. Are all systems in service? es 0 No
c. Is there a minimum of 18 in. (457 mnt) clearance between the top of the storage and the sprinkler deflectors ? ..Yes 0 No
d. Does the hand hose or standpipe on the sprinkler stem(s) appear to be satisfactory? OYes ❑ No NINA
2. Control Valves (See Item 15.) ` , `
a. Are al'- sprinkler system control valves and all other valves in the appropriate open or closed position ? 0 No
b. Are all control valves in the open position locked,, sealed or equipped with a tamper switch ?`'i Yes 0 No ; )
3, Tanks, Pumps, Fire Department Connections
a. When was fire pump last tested for performance ? -'
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? OYes No INA 1
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? Yes 0 No 0 NA
Are they accessible and visible? 'es 0 No 0 NA
t 4. Wet Systems
t a. Have antifreeze system solutions been tested? OYes ❑ No tit "NA
b. What temp is antifreeze?
c. In areas protected by wet system(s_), does the building appear to be properly heated in all areas, including blind attics and perimeter areas
where accessible? ❑Yes ❑ No 3 NA
5. Dry System (See Items 11 to I
a. Are dry valve(s) in service? A. Yes 0 No 0 NA
b. Are the air pressures and priming water levels in accordance the manufacturer's instructions?lYes ❑ No ❑ NA
c. Has the operation of the air or nitrogen" supplieskign tested? UYes ❑ No ❑ NA Are they in service? *Yes 0 No . 0 NA
. , -+s . a .. ¢ - d r a i n e d d u r i n g 4 s • , va. a s , . #-e S CI NO ❑ A How many?
.wt, -.e.. • f� �t •ri. . _o. .4. .'.... . Y• a t i +y LiY . No A i i �r� -! - ,", ,' I i t; u: ?".-
-` _ _
f. Did the dry valve(s) trip properly during the trip, Cessure st? es 01 o)A' ' ' `
g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection ? ❑Yes 0 No ANA
6. Special Systems (See Item 14.)
a. Did the deluge or pre - action valves operate properly during testing? OYes 0 N2 AiliNA
b. Did the heat - responsive devices operate properly during testing? :Yes 0 Nop1NA
c. Did supervisory devices operate during testing? ❑Yes ❑ No pr NA
d. Did flow for kitchen hood system shut off gas or electric? ❑Yes 0 No %NA
7. Alarms
a. Did water motor(s) and gong(s) test satin. astorily? ❑Yes ❑ No 12rNA
h. Did electric alarms) test satisfactorily? es 0 NA
k ,_ c. Did supervisory alarm service test satisfact rily? Altres 0 No 0 NA 4.
d. Did tamper switches test satisfactorily? W. es 0 N 0 NA.
& 3p�rs
a. Are all spliftklerriTePir0111.COITOSi011, loadmg.or obstruction to spray discharge? es a No
' b Are sprtnkiers aess i 50 yews oltV (`Older sprinklers require sample testing) es QN o , , i
a cc Are; quick response and residential less than'24 years old? ( Older -: sprinklers require saattp testing): � es t No 0 NA
4 Is stock stocitsof spare sptinklers availUble? Mes G71 ...
e. DoeS tfie condition of sprinkler system: appear to be - tory?,10.Yes 0 No
f Are sprinlders of proper`tempe atur�ing for their locations ? - Yes 0 No
g. Is location free of recalled heads? es ❑ No
Signature: /°`- .•.Ar.�+C Date: O "T�
SUMMIT FIRW* ECTION
'5 Minnehaha Ave. W. •: St. Paul, t 55103 • 651- 251 -1880 302640th Ave. NW • Rochester, MN 55901: • 507-280-0622
4-18 Great Oak Dr. • Waite Pad MN 56387 • 320-257 -6390 760 Liberty Way • North Liberty, IA 52317 • 319-6654330
408 Epirise Circle • lam, MN 55811 • 218- 740.4412 3219 99th St. • i:ltbandale IA 50322 • 515 -867 -2424 `
; ''v: 2 Ul? 2 - ilse ey separate. sheet for each system inspection k f System
o n Name l �` fil'�r� 'any?
+ ; . + Work Order J�? W hat Size? . //
PbywSw 1i AlaimC1teck. Switch
9. Date; lty r valve t# ( l. va1ve�rtrally open> `, -' .. r ! ( w3tich followvs)
1 D* -plpe valve triptested (contrel.valve fa11Y open) , . (ace 7 st Table which follows)
0 -
u..
11. Date quick ntegilevice tested (See. Toil Test 7kble which follows) _
' DRY VALVE TRIP TEST TABLE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
Alm •7 -ti,,....,
..--1.1
DRY PIPE Tulle to Trip Point Alarm Operated
OPERATING ir 1i Outlet G Tbru Test Pipe e Pressure Air p r e ssure
TEST r,g sec. PS PSI Pi! arm.. , see. Yee No
without a eleisvos ,$)(
II Date deluge or preaction valve tested (see Trip Test Table which follows)
TRIP TEST TABLE
Operation ❑ Pneumatic ❑ Electric Hydraulic
Piping Supervised ❑ Yes 0 No Detecting Media Supervised ❑ Yes ❑ No
D & ELUGE
Does valve operate from :the manual trip and/or remote stations? ❑Yes ❑ No
. ?REACTION
VALVES Is.them an accessible facility in each circuit for - testing? ❑ Yes ❑ No Method of TestffigtStcuits:
,. , MAKE MODEL Does Each Circuit Operate - Each Cnnatit Mauro p o - ; - — ,
Supervision IASS Marin? Valve Release?
? •
F ❑ Yes 0 No Q DNO pWi'es QNo
13. See Control valve Maintenance '1 CONTROL VALVE AIAMTENANCE TABLE .
I
CONTROL VALVES NUBBIER SIZE & TYPE OPEN ' SECURED :: CLOSED SIGNS EX)'LAiN ABNORMAL CONDITIONS .
` Connection Control Valve
Jockey Control Value t'
tuip Control Valves •
,
Additional Pump Controf Valves
a
Test Header
. Sy t em f bTv .-- -`
Other Control Valves
Kitchen Contnoi Valves
. Flow Test at Sprinkler Riser _ . .. �,
Water Supply Source: City Weil Tank Pump
, DATE TEST PIPE LOCATION SIZE OF TEST = PIPE i, .� :� + }- simA (FLOW) °
, 11P I ,
Water Flow Test S- ocr`. c ` , / +re... 4 w.� ' 3 4 .
x @V r Flow `flat fJ , � -- "."'c. ,. + s * _ . ,, .
14. Pltieitt• ( -�15 ! $11r3 t7 $te: c Y 3 4 i ' 7 1 9
'. F :-.!,.•'.:`,''';',.- - -
Priest Name 3 Signature . qtr - pate .. ar?.- r