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HomeMy WebLinkAboutFAI15-0094 Fire Annual Inspection 2020 Sprinkler Test Wet Pipe California Code of Regulations -Title 19 5-Year 1 of 3 Fire Sprinkler System Inspection,Testing, and Maintenance Report � OF CA1% Contractor or Licensed Owner Information Property Information i A Building Name 1°' ` -1,4 17'' Name Voltage Specialists Golden Hills School �1 l�1� r�Q�f� Address 5031 Foster Rd Address N!Q=c'�/ City Paradise St. Ca Zip 95969 2400 Via Canela License# 880862 Phone City Oroville 0 SFM Job# Contact Person Q✓ CSLB Misc. Riser Information Main Drain Test(ANNUAL) . r .// • a €. to,,c/ -es ua mi's`tic P NIA 4 "/"///, 7'..2'''' , ' ,.,,-,, j'.;; ,..,- £, orssure Pressure I 1 ROOMS B1-B3 2.5" 1.25" 75 60 75 P 2 ROOMS B4-B6 2.5" 1.25" 75 55 70 P 3 ROOMSA1-A3 2.5" 1.25" 70 60 65 P 4 ROOMS A4-A6 2.5" 1.25" 70 55 70 P CAFE 2.5" 1.25" 55 45 55 P ■•l This building has more than 5 risers. See additional AES 2.9 form attached Number of AES 2.9 forms attached: 1 5-Year INSPECTION,TESTING AND MAINTENANCE Includes ALL Quarterly and Annual Inspections, Tests,and Maintenance items I=Inspection T=Test M=Maintenance P=Pass F=Fail N/A=Not Applicable y re„ ' /ice —rr //i NFPA'2r IP ti • ,,,,, Itm escnption ed. Date %/ , Reference ii /,• /%zOi arr'/. /j r/ its%// ,' --iii,�-% .✓u,/:,rr -4,- %a-/ir, .%/>!O%r 444-✓/%irr/%/r/.,/i uiii-�///,�i/%rr�/O/!!///r/i r 4 r 1.1 I Control Valves—Identification Sign 13.3.1 03/21/16 P 1.2 I Control Valves—Inspection 13.3.2 03/21/16 P 1.3 I Waterflow Alarm Devices 5.2.5 03/21/16 P 1.4 I Supervisory Devices 5.2.5 03/21/16 P 1.5 I Gauges(Wet Pipe Systems) 5.2.4.1 03/21/16 P 1.6 I Hydraulic Design Information Sign 5.2.6 NA (For hydraulically designed systems) 1.7 I Enter Water Supply Pressure Below Riser Check 5.2.4.1 03/21/16 psi P 1.8 I Enter Water Supply Pressure Above Riser Check 5.2.4.1 03/21/16 psi P 1.9 I Pressure Readings Acceptable 5.2.4.1 03/21/16 P 1.10 I General Information Sign 5.2.8 03/21/16 P (not required for system prior to 2007 Edition NFPA 13) 1.11 I Heat Tape 5.2.7 NA 1.12 I Spare Sprinklers 5.2.1.4 03/21/16 P 1.13 I Fire Department Connections 13.7 03/21/16 P 1.14 I Alarm Valves—Exterior Inspection 13.4.1 03/21/16 P 1.15 I Pressure Reducing Valves 13.5.1.1 03/21/16 P 1.16 I Backflow Preventers 13.6.1 03/21/16 P Form AES 2.2 Sept.3,2013 Wet Pipe California Code of Regulations-Title 19 5 Year 2 of 3 Fire Sprinkler System Inspection, Testing, and Maintenance Report Property Information _=FCA �� Contractor or Licensed Owner Information <Goz'"-:`\'c 1,14-/ (i'i -A���s ir14- ir Building Name Golden Hills School #y NA.- Jy. Name Voltage Specialists i''5'\ -' y/-4 Job# Address iki>4,\----4:i City .� EM ' ANNUAL INSPECTION,TESTING, AND MAINTENANCE Include ALL Quarterly Inspections(See AES 2.1) P=Pass F=Fail N/A Not Applicable I =Ins action T =Test M Maintenance jf4 / /� ///%////%;;;v:-?/. ,"4,0,,.' 1.17 I Small Hose Connections- Hose Valve` 5.1.6, 13.5.2 N/A 13.5.5.1 1.18 I PRV—Fire Sprinkler Systems 13.5.1.1 N/A 1.19 I Buildings (Freeze Protection) 4.1.1.1 03/21/16 Owner's Responsibility P 1.20 I Sprinklers 5.2.1 03/21/16 P 1.21 I Sprinklers-Accessible Concealed Space 5.2.1.1.6 03/21/16 P 1.22 I Pipe and Fittings 5.2.2 03/21/16 P 1.23 I Pipe and Fittings-Accessible Concealed Space 5.2.2.3 03/21/16 P 1.24 I Hangers 5.2.3 03/21/16 P 1.25 I Hangers-Accessible Concealed Space 5.2.3.3 03/21/16 P 1.26 I Seismic Braces 5.2.3 03/21/16 P 1.27 I Seismic Braces-Accessible Concealed Space 5.2.3.3 03/21/16 P 1.28 I Unsprinklered Areas CFC 901.4 ©Yes 0 No 2.1 T Field Service Test Required 5.3.1 If REQUIRED, Enter'F'until Na Send Report to Fire Code Official results are returned from Lab 2 2 T Recalled Sprinklers Title 19 Na If not present=Pass; if present=Fail 904.1(c) 2.3 T Water Flow Alarm Devices 5.3.3 sec. Na 90 secs max. Enter time 13.2.6 2.4 T Main Drain Test 13.2.5 03/21/16 P (Enter data on Page 1 of this form) 13.3.3.4 2.5 T Control Valve- Position 13.3.3.2 03/21/16 P 2.6 T Control Valve—Operation 13.3.3.1 03/21/16 P 2.7 T Supervisory Devices 13.3.3.5 03/21/16 P 2.8 T Backflow Preventer Assemblies 13.6.2 03/21/16 P Small Hose Connections' 13.5.2.3 2.9 T Na w/PRV Hose Valves—Partial Flow Test 13.5.3.3 2.10 T PRV—Fire Sprinkler Systems 13.5.1.3 Na 2.11 T Pressure Gauges-Calibration 5.3.2 03/21/16 P 2.12 T Small Hose Connections* 13.5.6.2.2 Na *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. Sept.3,2013 Form AES 2.2 Wet Pipe California Code of Regulations -Title 19 5 Year Fire Sprinkler System Inspection, Testing, and Maintenance Report 3 of 3 Property Information _''p�q``�� Contractor or Licensed Owner Information t Building Name Golden Hills School f �/- � Name Voltage Specialists Address ++` ��f/Q i Job# City ,„'`? �tP�= �°`u /r' / r,o VtINSPECTION,TESTING, AND RIAI 1 Gr ai,< include ALL Quarterly Inspections(See AES 2.1) I =Inspection T =Test M=Maintenance P=Pass F=Fail N/A=NotApplicablee 3.1 M Check Valves-Internal inspection 13.4.2 03/21/16 P 3.2 M Control Valves 13.3.4 03/21/16 P 3.3 M FDC- Backflush 14.3.2.3 03/21/16 P 14.3.2.4 3.4 M Internal Pipe Inspection-See Deficiencies and 14.2 03/21/16 Fi Yes Comments Section for Results. No 3.5 M Obstruction Investigation Required. If"Yes", see 14.3 03/21/16 P Deficiencies and Comments Section for Results 3.6 M System Returned to Service 4.5.3 03/21/16 LI Nos P D=Deficiency C=Comment (Indicate type) n` 8!''. aft5 Vit;&2 We're rePal 4/1/1;." ,i./.uY;wz'.;z //, ❑Check here if additional Deficiencies and Comments are listed on Form AES 9 Number attached: ❑ 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 Signature Date Form AES 2.2 Sept.3,2013