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HomeMy WebLinkAboutFAI15-0083 CALFIRE OVERHEAD SPRINKLER HYDRO TEST 201425-78 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: &OfC CociKt► C b, 1O Name: `3OC # /(I'14 ce_ Occupancy /Use: V IV -- Of CAL.& Nim - 15. 1!17/r%\ "U,• ,�' 00 �', Address: Ld 2'0 OI U e NV y Construction Type: $�T CC / City: 009 i1 f l /lK_ No. Stories: -- ZIP: ,(V 6 Year Constructed: 2 CO` Contact: 5 a /^Y Telephone: 1100 33L/ q /co Contractor Information: R Number of System Risers �i Name: OtA.pt/7iic,( A h' 'C-- Copy sent to: Address: 2'00 ea -/c Dr Owner Date y' /oj City: 69rn 1/?") / /Fire AHJ Date +io —ill State: C4- 7(Contractor Date 1110 Telephone: gZ.4-/—;y7 v NOTES: q63/ , / CA License# 6 (��f 1) For specific inspection, testing, and maintenance requirements and information, see NFPA 25, 2002 Edition as amended by Job # Z. California Code of Regulations, Title 19, §901 ,4 j Performed by: / (jG k //Mar ,, ter to §906. (Print) Note: Contractor information may be pre-printed 2) Inspection Items may 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 f/ Automatic Sprinkler System 5 ❑ Standpipe and Hose Systems 6 ❑ Private Water Supply System 7 ❑ Fire Pump 8 ❑ Water Storage Tank 9 ❑ Water Spray System 10 0 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 5 as amended/by CCR, Title 19 NFPA 25, Chapter1-1-/c9-/ [ (psi) Page 1 of 4 J, Date of Inspection, Testing, Maintenance: 4 -/c9` / `'� System Riser ID: Item 't, 1.0 ! Frequency Type of System: Wet Pipe ❑ Dry Pipe ❑ Preaction 'o'� ;4" ; h or, Property Information: /' �,.�/ I Name: GOO O C�OUri fr / Cai nO - --....„ c ' t'' 7,, ---,,;_y_ .. t ,� 1� l Address: 6 o u i ns5 agcy ■ Deluge Preaction/Deluge Valves - Enclosure temperature City: (7ro vi`lke Main Drain Test Results: Initial Static Pressure: Residual Pressure: Restored Static Pressure: [ (psi) Abbreviation Key: I = Inspection T = Test M = Maintenance A -O = After Operation MI = Per Manufacturer's Instructions *� / c (psi) / 3 5 (psi) Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.1I Daily Weekly Preaction/Deluge Valves - Enclosure temperature 12.4.3.1 1 2 I Daily Weekly Dry Pipe Valves - Enclosure temperature 12.4.4.1.1 1.31 Quarterly Gauges (Dry, Preaction, Deluge Systems) 5.2.4.2 5.2.4.3 / 1.4 1 Quarterly Control Valves 12.3.2.1 f // 1.5 1 Quarterly Alarm Devices 5.2.6 1.6 1 Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 7- 1.7 1 Quarterly Hydraulic nameplate 5.2.7 / 1.8 1 Quarterly Pipe and Fittings 5.2.2 1.9 I Quarterly Sprinklers 5.2.1 / 1.10 1 Quarterly Spare Sprinklers 5.2.1.3 1.11 1 Quarterly Fire Department Connections 12.7.1 / 1.12 I Quarterly Alarm Valves - Exterior Inspection 12.4.1.1 1.13 I Quarter) y Preaction/Deluge Valves - Exterior Inspection 12.4.3.1.6 / 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 / 1.16 1 Quarterly Backflow Preventers 12.6.1 1 1.17 1 Annually Buildings 5.2.5 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 Inspection, Testing, Maintenance: _I –10 –/41 System Riser ID: Property Information:_ . / Name: 6 ad eOon fr — Type of System: .. hof Wet Pipe ;$� (�' jca��y+, ',N.. �r� �++ kJ f�W I '❑ Address: n�h/( Dry Pipe 0 Preaction i-574 �! -�� t ` I D # i ,; .40 0 Deluge + Mr" — 1 City: 6r0 U 1fie_ Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.18 I Annually Hangers 5.2.3 1.19 I Annually Seismic Braces 5.2.3 1.20 I 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 / 1.21 I 5 Years Seismic Braces (Accessible concealed space) 5.2.3.3 / 1.22 I 5 Years Pipe and Fittings (Accessible concealed spaces) 5.2.2.3 1.23 I 5 Years Sprinklers (Accessible concealed spaces) 5.2.1.1.4 / 1.24 I 5 Years Alarm Valves – Interior Inspection 12.4.1.2 1.25 I 5 Years Alarm Valves - Strainers, filters, orifices 12.4.1.2 1.26 I 5 Years Check Valves – Interior Inspection 12.4.2.1 / 1.27 I 5 Years Preaction/Deluge Valves – Interior Inspection 12.4.3.1.7 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 / 2.1 T Annually Alarm Devices (90 Sec) 21 5 _- 5.3.3 12.2.7 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 T Annually Antifreeze Test 5.3.4 l 2.4 T Annually Control Valve - Position 12.3.3.1 2.5 T Annually Control Valvel. Operation 12.3.3.1 �/ (/ 2.6 T Annually Supervisory 12.3.3.5 2.7 T Annually Preaction Valve – Priming Water 12.4.3.2.1 l 2.8 T Annually Preaction Valve – Low Air Pressure Alarm 12.4.3.2.10 / 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 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: 41-1(7-16/ System Riser ID: Property Information: — D Name: f'©,Gt 6904/r7-��! /t ,� Type of System: i � OF ca4�o�,+4 IWetPipe �'y'► Address: C!?C, ���� Gr9u�l ❑Dry Pipe ■ Preaction /��i' At_r-, v$ t, J ,tN .f ❑ Deluge �, R' City: o r'©L2, '1 /e Item Activity Frequency Description NFPA 25 Reference Fail N/A I Pass 2.10 T Annually Dry Pipe Valve — Priming Water 12.4.4.2.1 // 2.11 T AnnuallyDry Pipe Valve — Low Air Pressure Alarm 12.4.4.2.6 2.12 T Annually Dry Pipe Valve — Quick -Opening Device 12.4.4.2.4 2.13 T Annually Dry Pipe Valve — Trip Test 12.4.4.2.2 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 / 2.16 T 5 Years Gauges 5.3.2 l 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 / ' 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 / f 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 / 2.21 T 10 Years Sprinklers - Dry 5.3.1.1.1.5 V. 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 7. 2.23 T 50 Years Sprinklers 5.3.1.1.1 / 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 / 2.25 T Sprinklers manufactured prior to 1920 — Replace 5.3.1.1.1.1 3.1 M Annually Control Valves 12.3.4 / 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 3.3 M AnnuallyDry Pipe Valves/Quick-Opening Devices 12.4.4.3.2 3.4 M Annually Dry Pipe Valve — Low Point Drains 12.4.4.3.3 / 3.5 M 5 Years Obstruction Investigation Chapter 13 / State Fire Marshal AES 2 March 21, 2006 25-82 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapterpt5 as amended by CCR, Title 19 Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: Page 4 of 4 Date of Inspection, Testing, Maintenance: "/ 10 -1 System Riser ID: -7-- -f-C144/;‘ ,� ��� c Property Information: Name: Goa co,,, /-ry ca S I ho Type of System: Wet Pipe ❑Dry Pipe ❑ Preaction ❑ Deluge ;,`�r �' 1'9► °°'`� o°i, �s° i 1y 9 , + `„-,;r�� " D� ,- � 1 r (� 1 Address: 60W /i/I� /e Y. .. - City: ero V 14` /e. Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: ❑ See PASS ❑ FAIL Continuation Page(s) (Indicate t number of conti ation pages) j �` y 7et--Gf Signature Date State Fire Marshal AES 2 March 21, 2006 FAI15-0083 068-160-076