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HomeMy WebLinkAboutFAI15-0083 CALFIRE OVERHEAD SPRINKLER HYDRO TEST 2014 (2)25-78 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Cover Sheet NFPA 25 as amended by CCR, Title 19 Property Information: Name: Cj G© L9f�nt''Y casino t�/ 7e/ ,j . /t) 4.1 Occupancy/Use: Gym of C1144,p',� Address: r )) 4107,0 o I p Vcguy Construction Type: ,ST re I ? .0 gZ}el 'r `o ---*Si!.-- ;1 City: 6/6 U t 'll. No. Stories: e* e�, -41 ZIP: !c/Vv Year Constructed: 08 /� Contact: C..7Gt r' Telephone: /—g0© — 3314— ”000 Contractor Information: Number of System Risers Name: Oidi2f01/ /'/ ri %L Copy sent to: Address: 16/O0 Cec, e or a'bwner Date G-/ /O"'H / City:j4 / yt Got AHJ Dat e I/" /0* --1g State: C A ,a�Fire 7 ontractor Date II— /9 -1y 6 Telephone: 5'30-iZf 31- NOTES: CA License# 7 63 l /� (047 1) for specific inspection, testing, and maintenance requirements and information, see NFPA 25, 2002 Edition as amended by Job # 3 California Code of Regulations, Title 19, §901 / / Performed by:/%� r% to §906. (Print) Note: Contractor information may be pre-printed 2) Inspection Items may be performed by the Owner in accordance with California Code of Regulations Title 19 §904.1(a) Forms included with this report NFPA 25 Chapter Number of Forms N/A FAIL* PASS r If Automatic Sprinkler System 5 ❑ Standpipe and Hose Systems 6 ❑ Private Water Supply System 7 ❑ Fire Pump 8 O Water Storage Tank 9 ❑ Water Spray System 10 ❑ Foam Water Sprinkler System 11 *See "Deficiencies and Comments" section at end of each respective form. State Fire Marshal AES 1 March 21, 2006 ANNEX B 25-79 Inspection, Testing, and Maintenance Fire Sprinkler System Page 1 of 4 NFPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: 4-io-jy System Riser ID: I_ - — --..�., %4Q cay� �h Type f System: 7Wet Pipe Property Information: 1 Name: y- C?b�� �[riU/'l fN� ifs/ ��e T'li 9I *1, �� a 0 \ ++,C's / Address: j,�%©%� S c11)6 ■ Dry Pipe , D Preaction 'i Deluge v City: £Io v / 'llc_ Pass 1.1 Main Drain Test Results: Initial Static Pressure: Residual Pressure: Restored Static Pressure: / g2. (psi) Abbreviation Key: 1 = Inspection T = Test M = Maintenance A-0 = After Operation MI = Per Manufacturer's Instructions i 0° (psi) / 2- (psi) Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.1 I Daily Weekly Preaction/Deluge Valves - Enclosure temperature 12.4.3.1 i/ --f 1.2 I Daily Weekly Dry Pipe Valves - Enclosure temperature 12.4.4.1.1 1.3 I Quarterly Gauges (Dry, Preaction, Deluge Systems) 5.2.4.2 5.2.4.3 v 1.4 1 Quarterly Control Valves 12.3.2.1 1.5 1 Quarterly Alarm Devices 5.2.6 'i/ 1.6 I Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 -CZ 1.7 1 Quarterly Hydraulic nameplate 5.2.7 1.8 I Quarterly Pipe and Fittings 5.2.2 V 1.9 1 Quarterly Sprinklers 5.2.1 1 1.10 1 Quarterly Spare Sprinklers 5.2.1.3 t/ 1.11 1 Quarterly Fire Department Connections 12.7.1 1.12 1 Quarterly Alarm Valves - Exterior Inspection 12.4.1.1 V 1.13 I Quarterly Preaction/Deluge Valves - Exterior Inspection 12.4.3.1.6 V 1.14 1 Quarterly Pressure Reducing Valves 12.5.1.1 1.15 I Quarterly Dry Pipe Valves - Exterior Inspection 12.4.4.1.4 1- 1.16 1 Quarterly Backflow Preventers 12.6.1 -L/ 1.17 I Annually Buildings 5.2.5 V State Fire Marshal AES 2 March 21, 2006 25-80 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4 NFPA 25, Chapter 5 as amended by CCR, Title 19 Date of Property Name: Address: City: Inspection, Testing, Maintenance: Information: /� V0/ G©v� ii -10—`g System Riser Type of System: Wet El Dry Preaction 0 Deluge ID: i f /� L�llrS/%%(� Pipe Pipe �0 �� ...�� cAt� op �4 `s I>, /3'':C4--..'; - p. 9 t . `u-% /,' (/ J� p(:)r-'.--s ` v Q / Q 1h l l lc Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.18 I Annually Hangers 5.2.3 V 1.19 I Annually Seismic Braces 5.2.3 V. 1.20 I 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 V 1.21 I 5 Years Seismic Braces (Accessible concealed spaces) 5.2.3.3 1.22 I 5 Years Pipe and Fittings (Accessible concealed spaces 5.2.2.3 /� L/ 1.23 I 5 Years Sprinklers (Accessible concealed spaces) 5.2.1.1.4 1. 1.24 I 5 Years Alarm Valves — Interior Inspection 12.4.1.2 l/ 1.25 I 5 Years Alarm Valves - Strainers, filters, orifices 12.4.1.2 Ir 1.26 1 5 Years Check Valves — Interior Inspection 12.4.2.1 t/- 1.27 I 5 Years Preaction/Deluge Valves — Interior Inspection 12.4.3.1.7 (/ / 1 1.28 I 5 Years Preaction/Deluge Valves - Strainers, filters, orifices 12.4.3.1.8 „ �// 1.29 I 5 Years Dry Pipe Valves — Interior Inspection 12.4.4.1.5 1.30 I 5 Years Dry Pipe Valves - Strainers, filters, orifices 12.4.4.1.6 17 2.1 T Annually Alarm Devices (90 Sec) 33 5 e 12.2 7 ` v 2.2 T Annually Main Drain Test (Enter data on Page 1) 12.2.6 12.2.6.1 12.3.3.4 , V 2.3 TXAnnually Antifreeze Test 5.3.4 2.4 T Annually Control Valve- Position 12.3.3.1 t/ 2.5 T Annually Control Valve ' Operation 12.3.3.1 t/ 2.6 T Annually Supervisory 12.3.3.5 t� 2.7 T Annually Preaction Valve — Priming Water 12.4.3.2.1 V 2.8 T Annually Preaction Valve — Low Air Pressure Alarm 12.4.3.2.10 V i 2.9 T Annually Preaction Valve — Full Flow Trip Test 12.4.3.2.2 State Fire Marshal AES 2 March 21, 2006 ANNEX B 25-81 Inspection, Testing, and Maintenance Fire Sprinkler System Page 3 of 4 NFPA 25, Chapter 5 asamendedby CCR, Title 19 V - Date of Inspection, Testing, Maintenance: lO�l1( System Riser ID: i Property Information: / Name: G p id ��%J/M( CCAS//1V __-- -�.,� Type of System: , tioi �A4,� �,, �' Wet Pipe es' ; �� Address: ©�Tv �il!% ,�4 ❑ Dry Pipe ❑ Preaction r t 7, \ a s�j ❑ Deluge S City:C%I"D v/ f/ Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 2.10 T Annually Dry Pipe Valve — Priming Water 12.4.4.2.1 /, 1./ 2.11 T Annually Dry Pipe Valve — Low Air Pressure Alarm 12.4.4.2.6 2.12 T Annually Device Dry Pipe Valve — Quick Opening 12.4.4.2.4 2.13 T Annually Dry Pipe Valve — Trip Test 12.4.4.2.2 l/ 2.14 T Annually Backflow Preventer Assemblies 12.6.2 2.15 T 3 Years Dry Pipe Valve — Full Flow Trip Test 12.4.4.2.2.2 'V 2.16 T 5 Years Gauges 5.3.2 V 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 v 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 2.19 T 5 Years Sprinklers — Extra High Temperature 5.3.1.1.1.3 (./- 2.20 T 5 Years Sprinklers — Corrosive environment or corrosive water 5.3.1.1.2 t� 2.21 T 10 Years Sprinklers - Dry 5.3.1.1.1.5 1 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 L --;2.23 T 50 Years Sprinklers 5.3.1.1.1 ,. v 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 1 2.25 T Sprinklers manufactured prior to 1920 — Replace 5.3.1.1.1.1 v 3.1 M Annually Control Valves 12.3.4 v 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 3.3 M Annually Dry Pipe Valves/Quick-Opening Devices 12.4.4.3.2 1/ / 3.4 M Annually Dry Pipe Valve — Low Point Drains 12.4.4.3.3 3.5 M 5 Years Obstruction Investigation Chapter 13 1/ State Fire Marshal AES 2 March 21, 2006 25-82 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Item Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 4 of 4 Date of Inspection, Property Information: Name: Address: City: Testing, Maintenance:-fr16--1L' System Riser ID: / Gold C©(%!/I Tl/�y ������ Type of System:o� Ili Wet Pipe LO Dry Pipe ❑ Preaction El Deluge ., G;a,{, ;Aq ,r ; - '0 0 _, ani f r , 'r. i {3. \ y ,e -41 % .__W_4 6(e t h `1/ce, Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: E S.9.0.- fid' PASS i: FAIL Continuation Page(s) (Indicate th= number of conti 'ation pages) 4-/./0-71 271 A . %�% Signature Date ' State Fire Marshal AES 2 March 21, 2006 FAI15-0083 068-160-076