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Home My WebLink AboutFP 2008-00120 Above Ground Piping Material & Test Certificate (07-22-2008) CONTRACTORS MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE: Upon completion or work, inspection and tests shall be made by the contractors representative and witnessed by an owners representative. All defects shall be left in service before contractors personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owners representative's signature in no way prejudices any claim for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME: Nova Scotia Villas I DATE: / `9c O PROPERTY ADDRESS: 5818 Nutmeg Ct N ACCEPTED BY APPROVING AUTHORITIES ( NAMES) • City Of Oak Park Heights PLANS ADDRESS: INSTALLATION CONFORMS TO ACCEPTED PLANS • YES ❑ NO EQUIPMENT USED IS APPROVED • YES ❑ NO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT • YES ❑ NO IF NO, EXPLAIN INSTRUCTIONS • HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: NI YES ❑ NO 1. SYSTEM COMPONENTS INSTRUCTIONS I. YES ❑ NO 2. CARE AND MAINTENANCE INSTRUCTIONS III YES ❑ NO 3. NFPA 25 III YES ❑ NO • LOCATION OF SUPPLIES BUILDINGS • SYSTEM ENTIRE BUILDING ' DESCRIPTION MODEL YEAR ORIFICE SIZE TEMPERATURE QUANTITY Brass Upright FIFR 2008 1/2" 155° 3 White Res Pend FIRES 49 2008 1/2" 155° 10 White Res Sidewall ` ! FIRES 44 2008 1/2" 155° ry 11 SPRINKLERS JJ,L.,Ff j9 �,t /J/t. 4/ ,T" , Z i/�i' j l " 1.....f `0• WELDED PIPING DYNAFLOW, THREADED PIPING XL PIPE & FITTINGS FITTINGS ARE CASE IRON ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST ALARM VALVE CONNECTION OR FLOW TYPE MAKE MODEL CONDS ICATOR FLOW POTTER VSF-R DRY VALVE Q.O.D. MAKE MODEL 'SERIAL 1'40. MAKE ° MODEL SERIAL NO. TIME TO TRIP' MATER AIR TRIP POINT TIME WATERREAEACHED ALARM OPERATED THROUGH TEST CONNECTION " PRESSURE : PRESSURE AIR PRESSURE TEST OUTLET ". PROPERLY MINUTES SECONDS PSI PSI PSI MINUTES SECONDS YES NO .DRY PIPE WITHOUT OPERATING = Q:O.D. TEST WI H Q.O.D. IF NO, EXPLAIN 'MEASURED FROM THE TIME THE INSPECTORS TEST CONNECTION IS OPENED. OPERATION,, ❑ PNEUMATIC D ELECTRIC ❑ HYDRAULIC PIPING SUPERVISED YES p NO : DETECTING MEDIA SUPERVISED p YES n NO S P REATION DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS I YES D NO VALVES IS THERE AN ACCESSIBLE FACILITY IN EACH CURCUIT'FOR TESTING IF NO EXPLAIN D YES :C7 NO MAKE MODEL DOES EACH CURCUIT OPERATE -DOES EACH CIRCUIT MAXIMUM TIME TO OPERATE SUPERVISION LOSS ALARM OPERATE VALVE RELEASE RELEASE YES NO YES NO - MINUTES'; SECONDS HYDROSTATIC: HYDROSTATIC TEST SHALL BE MADE AT NOT LESS THAN 200 PSI (13.6 BAR) FOR TWO HOURS OR 50 PSI (3.4 BAR) ABOVE STATIC PRESSURE IN EXCESS OF 150 PSI (10.2 BAR) FOR TWO HOURS. DIFFERENTIAL DRY -PIPE VALVE CLAPPERS SHALL BE LEFT OPEN DURING TEST TO TEST PREVENT DAMAGE. All ABOVEGROUND PIPING LEAKAGE SHALL BE STOPPED. DESCRIPTION PNEUMATIC: ESTABLISH 40 PSI (2.7BAR) AIR PRESSURE AND MEASURE DROP WHICH SHALL NOT EXCEED 1 -1/2 PSI (0.1 BAR) IN 24 HOURS. TEST PRESSURE TANKS AT NORMAL WATER LEVEL AND AIR PRESSURE AND MEASURE AIR PRESSURE DROP WHICH SHALL NOT EXCEED 1 -1/2 PSI (0.1 BAR) IN 24 HOURS. ALL PIPING HYDROSTATICALLY TESTED AT _city PSI FOR _ HRS. IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED D YES f D NO G I /� '/' EQUIPMENT OPERATES PROPERLY 0 YES P Q NO '�•jl� r / a TESTS • DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OR SODIUM SILICATES, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? (] YES 0 NO DRAIN TEST READING OF GAUGER WATER SUPPLY TEST PIPE: RESIDUAL S ITH VALVE IN TEST PIPE OPEN WIDE STATIC PRESSURE: PSI PSI • UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFOR CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO. 85B D YES 0 NO OTHER EXPLAIN: • FLUSHED BY INSTALLATER OF UNDERGROUND D YES 0 NO • SPRINKLER PIPING • BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS WELDED•PdF iNG YES Q t'7O .IF YES.:...... DO,YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT W ELDING PROCEDURES COMPLY . D YES D M0 WITH THE REQUIREMENTS OF AT LEAST AWS D1D:9,.LEVELAR -3 " WELDING DO! YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERSOUALIFIEI) Q YES [� NO IN- COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9, LEVEL AR -3 DO'YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE W ITH A �J YES Q NO DOCUMENTED "QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THATT44E-INTERNAL DIAMETERS OF PIPING.ARE NOTPENETRATED. CUTOUTS DO YOU CERTIFY THATYOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS YES Q NO (DISKS) (DISKS) ARE RETRIEVED HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN • DATA NAMEPLATES • YES E3 NO REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: NAME OF SPRINKLER CONTRACTOR: SUMMIT FIRE PROTECTION &‘'-'1 9 C1 SIGNATURES TEST WITNESSED BY • • FOR PROPERTY OWNER ( SIGNE)) TITLE, DATE: ? ( f 'SUMMIT. FOR SPRI ER CONTRACT R ( SIGNED) TITLE DATE: