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HomeMy WebLinkAboutFAI15-0104 CF Fire Sprinkler 2018 Fail 4. w SQUYRES Fire Protection ,.. =_ P.O. Box 3176 • Chico, California 95927 • Phone(530)345-1012 • Fax(530)345-1630 Inspection,Testing,and Maintenance Cover Sheet O.. g _ .` NEPAZS as amen<cfed by CCR, 'ttie 1 ,', q,,,i i. 5 -- - �n y''g:.. '. a Y .: ..xis t 2: s .; r s r 4'a r s a a �.` >,. Sx.: -�°� t � �"�a � �.�t �'�' _� �. r O. Oh t E a�.s�b � c �"' at ��'x-. #` F =r y'x�s tVIMER SOI ' � r _ g °ag '�'Sv �i. aO a IO r FMO u s ;Ws t t •'.1 ,� ,., r r�a,�00.y�,r e �a `' �-,MMxY,t ✓*.: '4" r z .;,'�i�r udg ) s J<?o :y �`.gW Y S` ¢�. , •-, y ,,,,:, r,x,3 rti,x �aE<'4. z .� �.. .Z w s. f N 3 y.' a xx 3 ° Y?. T�..,.....'�;i.tea .,.t�,:x x ...�...,� .e5rr. axe ...,.,. ,<,<,.....>,..;tip...<:Fz , .. ...,. ., ''L<,.,...,. .,��,�< ,?a �:R.....c -�"�< x u.., ,.. rx......<:,�� �: "� Name: /224 afi,7 4, Occupancy/Use: Construction Type: t�©� Cg4-1 Addresssy . '',,0 r City: 4‘_. , No. Stories: / -17 a ZIP: f F 7 Year Constructed: q1. y %.s Contact. hP4ii VON.jr . -,. Telephone: '00/�^ ',^� v0 �.s v 3 'C n i' ort r i it,Rk '��a uz '`g iE,�� e ',.fl �' i N ; x E �'�A Ir .Y`t Q ', v'1 v, 5 s,� �'-;a s� i s r eiE.5 .3 :... .,.B .K .. ..,.,x'C.:i ....�..3 :.S i° .... & x,t.,.<. .a..l,. ... . ..,,j ..a...sr,n .n,a. <+..,.T.ra a xi Y.t`.L... ,'r s@Ir ',, ...,n w... a ...� ...,< f .<e..... �. Name: Brandon Squyres Copy sent to: Address: P.O. Box 3176 L.1 Owner Date: City: Chico Li Fire AHJ Date: State: California %_l Contractor Date: (530)345-1012 NOTES: Telephone: 1) For specific inspection, testing, and maintenance requirements and information, see NFPA 25, 2011 275206 CA License#: Edition as amended by California Code of Regulations, Title 19, §901 to§906. Job#: Quarterly t Annual /6Yej �/� 2) Inspection items may be performed by the owner in Performed by: 44 /Y�t of accordance with California Code of Regulations,Title 19, §904.1(x) Celt bu 0100010*** iirt0pects *. sr ter nlik40r c #arms u fcsr n pecti n isemisint Ramismouguopmetbik es ltd or as)to rd at+s stat s of p fe a stem t ernt of xtspectivra,,,. zFc rms;tncluded watt this Report i` thititei; INumtrer of Forms `Ntt1 Faii* Pisa f Automatic Sprinkler System 5es' ❑ Standpipe and Hose System 6 C C C ❑ Private Water Supply System 7 E C — o Fire Pump 8 — C C o Water Storage Tank 9 _ C C ❑ Water Spray System 10 — C C ❑ Foam Water Sprinkler System 11 _ C C ❑ W r Mist System 12 _ C C Concerns that are not deficiencies (i.e. Non-Sprinklered Areas) 0 Yes No "Sed"Defcienci s and:Cornmer tsstr eotiz n t e d of each resile tt e fo ra . .. 4„,,..,. SQUYRES Fire Protection P.O. Box 3176 • Chico, California 95927 • Phone(530)345-1012 • Fax(530)345-1630 Wet Pipe California Code of Regulations-Title 19 5-Year 1of 3 Are Sprinkler System Inspection,Testing, and Maintenance Report � 44 Property Information .,,�+�, cq ^.,off Contractor or Licensed Owner Information er Building Name � ; L. > ' i �pp . Name Brandon Squyres '‘k",1,7).‘4\� ' 'f �'�' Address P,O, Box 3176 Address 2 ' iti �� City Chico St. Ca Zip 95927 License# 275206 Phone 530-345-1012 City / {;4/ 0 SFM Job# Contact Person CSLB C-16 Misc. � � ` '� .1,4!,:. e /c , fir � � la il�. .. .-', , ?i ,,.0 -.k - sa , ' , (.; a .2/ ; //ir /• . ,''5a ti ' RiserRiser. Main Drain Initial Static Residual Final Static LocationP,F,NIA No. Diameter' Diameter Pressure Pressure Pressure if .4‘;‘,1Y.), / e /Ydc' I/ 4 a'- eo vi 60 F/NA P/F/NA P/F/NA P/F/NA P/F/NA j[1 This building has more than 5 risers. See additional AES 2.9 form attached Number of AES 2.9 forms attached: fl+-, 7 /r ./ /- ,n'” .#" s 7y',j.` ��' 'eek//%o4"4'. .x/•,,5 - . " ani r, v�ili h:,k ` :i s a: '0 •:..�ri�x �z,y �... ... � � `' `�:.;„y�ssyty/,„ '.�/s'j�/�r ,U '/�����`��j; %i,�;'��/'/:��% %,T�;�'�,//"y�i"ji // /����/�� �r�u s/��,r� '�`�-- t1 t,5 , , -' :£;.,r u<r .iiiiufissa', s%r�u� r X11/1/.G C/ , °;%-',., ,Qie:/� F,%„%r ////i `%Z/%�? .H/.'�' "Y"'oo ??'1/ s�i`;i.�":. ,a.. 1=Inspection T=Test M=Maintenance P=Pass F=Fail N/A=Not Applicable NFPA 25 CA item Description ed. Date Comments Only P,F,NIA Reference 1.1 I Control Valves—Identification Sign 13.3.1 6_27.../t— P (iN/A 1.2 I Control Valves- Inspection 13.3.2 P F N/A 1.3 I Waterflow Alarm Devices 5.2.5 F N/A 1.4 I Supervisory Devices 5.2.5 F N/A 1.5 I Gauges(Wet Pipe Systems) 5.2.4.1 1:.1 F N/A 1 6 Hydraulic Design Information Sign 5.2.6 P F (For hydraulically designed systems) 1.7 I Enter Water Supply Pressure Below Riser Check 5.2.4.1 i psi P F a/ 1.8 I Enter Water Supply Pressure Above Riser Check 5.2.4.1 iiO psi 0 F N/A 1.9 1 Pressure Readings Acceptable 5.2.4.1 t.J F N/A 1.10 I General Information Sign 5.2.8 P F /, (not required for system prior to 2007 Edition NFPA 13) 1.11 I Heat Tape 5.2.7 P F 0/ 1.12 I Spare Sprinklers 5.2.1.4 �P F N/A 1.13 I Fire Department Connections 13.7 F N/A 1.14 I Alarm Valves-Exterior Inspection 13.4.1 5 F N/A 1.15 I Pressure Reducing Valves 13.5.1.1 P F /A 1.16 I Backflow Preventers 13.6.1 xP IS SQUYRES Fire Protection P.O.Box 3176 • Chico,California 95927 • Phone(530)345-1012 • Fax(530)345-1630 Wet Pipe, California Code of Regulations -Title 19 5 Year 2 of 3 Fire Sprinkler System Inspection,Testing, and Maintenance Report Property Information 'M ��c Contractor or Licensed Owner Information IIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIII 9s,\ Building NameName Brandon Squyres Address , ii• S ,�j�,, !N,F if 1 Job# I�i?_�t/ —‘41E-:M-------' / : s a ,'xylii '; /G rr,;w %,' of r t R ii// y•,,.a6: a a a �,., '- r i ,, // i7 r r&y s . s.,� ,r•s;'01 hyla O ,4 a sy4 i /i �. F /f �� ° Y.I:ix. H. '4 N' /� Y 'L/iG"'"','� '//'�� /����� � /� / Y 6 .rF �. „ „ ( s „ /g � ///,. ,.s to''' /y�z77,)Z . F y 11 ..14 " ? �s:. .�: .,��.:..._.... ;,1 �.,. �. /?3sr.�a`,, � ;..."r/ o'i/r: ,',• �: 7. � . � ��Y yr� �,w�5 'v".r �3.�fu��'a'� ✓? 9 I =Inspection T =Test M=Maintenance P=Pass F=Fail N/A=Not Applicable Item Description NFPA 25 CA ed.I Date Comments'Only P,F,N/A Reference 1.17 I Small Hose Connections-Hose Valve* 5.1.6, 13.5.2 / �/r P F es, 13.5.5.1 lJ 1.18 I PRV—Fire Sprinkler Systems 13.5.1.1 r P F /A y 1,19 I Buildings (Freeze Protection) 4.1.1.1 Owner's Responsibility 4; F N/A 1.20 I Sprinklers 5.2.1 V '',‘,4,4111N/A 1.21 I Sprinklers-Accessible Concealed Space 5.2.1.1.6 '� F N/A 1.22 I Pipe and Fittings 5.2.2 IV F N/A 1.23 I Pipe and Fittings-Accessible Concealed Space 5.2.2.3 J 1I' F N/A 1.24 I Hangers 5.2.3 10 F N/A • 1.25 I Hangers-Accessible Concealed Space 5.2.3.3 '" F N/A • 1.26 I Seismic Braces 5.2.3 I F N/A 1.27 1 Seismic Braces-Accessible Concealed Space 5.2.3.3 it F /A 1.28 I Unsprinklered Areas CFC 901.4 EYes Et No 2.1 T Field Service Test Required If REQUIRED, Enter'F'until Send Report to Fire Code Official 5.3.1 results are returned from Lab P F 2.2 T Recalled Sprinklers Title 19 ID F N/A If not present=Pass; If present=Fail 904.1(c) 2.3 T Water Flow Alarm Devices 5.3.3 90 sees max. Enter time 13.2.6 sec. FF N/A 2.4 T Main Drain Test 13.2.5 PP F N/A (Enter data on Page 1 of this form) 13.3.3.4 2.5 T Control Valve- Position 13.3.3.2 P F N/A 2.6 T Control Valve—Operation 13.3.3.1 F N/A 2.7 T Supervisory Devices 13.3.3.5 PZN/A 2.8 T Backflow Preventer Assemblies 13.6.2 P FT3e 2.9 T Small Hose Connections* 13,5.2.3 P F w/PRV Hose Valves—Partial Flow Test 13.5.3.3 2.10 T PRV—Fire Sprinkler Systems 13.5.1.3 P F 2.11 T Pressure Gauges-Calibration 5.3.2 CDF N/A 2.12 T Small Hose Connections* 13.5.6.2.2 ...i P FRA, *Small hose connections are hose valves and optional hose supplied by the fire sprinkler system. They do not include Class I, II, or III standpipe systems. SQUYRES Fire Protection P.O. Box 3176 • Chico,California 95927 • Phone(530) 345-1012 • Fax(530)345-1630 Wet Pipe, California Code of Regulations*Title 19 .. ', Fire Sprinkler System inspection, Testing, and Maintenance R por t 3 of 3 Property Information Of._ qtr Contractor or Licensed Owner Information 111.1111111111111111111111111111111111111111111111111111111111 , --'\?-;,\ 1111111111111111.11111111111111111111111111111.111111111111111 Building Name / co( 'Qt \nrA Name Brandon Squyres Address 3.\,C 1 .,, Job# :� .,;.� .:�` tt�sa� tt ra F:z.�:^ z��, a � �.ar-,, l�:^t.-"4..r r;�/'i�n/.n�'i m.✓� �,w�/moi%,..//+Y�u aqi rv.H r»:- � c ,";;;v, "�c�\\`\�\\����\�\\\..,�\`��,\�`.x��,2'"'.,�,�\ ��� �' \ \ �iy. - �` C K:° � i.. t �.'� 1 .,i E ✓�•«/�/y// '��/y'. ��\`�\\ .�.. ,. ���/��/.11, �!,k//. /.,/r� �/ ;i//,r,,:✓ , ,r, rih "ii s ..b.: .,,. ..V!.,, ,, >:;�"k 1� y ��3 t,���3��4�,s�\��r." X.'��� // I =Inspection T =Test M=Maintenance P=Pass F=Fail N/A=Not Applicable Item Description ,NFPA 25 CA ed,' 1 p Reference wets' ' Comments Only P,F,NiA 3.1 M Check Valves- Internal inspection 13.4.2 1,7_7_//— P F N/A 3.2 M Control Valves 13.3.4 F N/A 3.3 M FDC Backflush 14.3.2.3 N/A 14.3.2.4 R Internal Pipe Inspection-See Deficiencies and Y F N/A 3.4 M 14.2 0 Comments Section for Results. 3.5 M Obstruction Investigation Required. If"Yes", see 14.3 Deficiencies and Comments Section for Results N/A 3.6 M System Returned to Service 4.5.3 Hs19 F N/A D=Deficiency C=Comment (Indicate type) Item Date Riser D C Deficiencies and Comments indicate all equipment,devices and parts that were repaired or replaced _ /1/ .Z-27-/J- / y4/1ri„�”rp--- /— ,)CC 7 �, x,26_ -- - / t:,,aeC tib .sive IQird. e j*.c/Y 7*-./ /7ff.vT' XF---Zoilre" ,4 rl 74.4f!1> c-'d�/-1"f' egc ' 4 /.::1 r e----- .411c 4,r c✓ eiVe / /14',..1 //r ';L '<+_ le fllr- 1,77;74— �1t l)1;0474' �/' ^ /JP4 S ?1.1 4 - it� 4. re.V10. /1h7' . //1J C// .41 /flr,' dr %.t. -. ; .Ar Li Check here if additional Deficiencies and Comments are listed on Form AES 9 Number attached: €I See Correction Form AES 10 for corrected deficiencies. Number attached: I hereby certify that the fire protection equipment listed above has been fully inspected, tested,and maintained on this date by the company indicated above,in accordance with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable except as noted in the"Deficiencies and Comments"section of this form. Print Name Z A /Ir:" _� Signature _ ,` �_ Date /�-