HomeMy WebLinkAboutFAI19-0017 CF Sprinkler Test 2020 Fni 11 --(jci 7 OZ co c)2-6
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:
NameCO #0114/17
: ifie 0 / Occupancy/Use: ---
CA,440*%ts
47. 4.11#
Address: 4-Ns— -z//411—gi, Construction Type:
tro..:041 11"
4
City: f3uI e k`e, No.Stories: 2-
ZIP: Clcq/b Year Constructed: 2-09 k‘,74E
Contact:
Telephone: 353 i 40.47
Contractor Information: 3 Number of System Risers
Name: Dia-61494 m r;e0 Copy sent to:
Address: 2,q00 -f1-/'eI7( ,26 Owner Date
City: (-e3(14 /Fire AHJ Date 3—3--ZO
State: CA- Contractor Date 3-3-ZO
Telephone: 5.-361-024l/-31/c6 NOTES:
4 1) For specific inspection, testing,and
1
CA License# 6.3 10q maintenance requirements and information,
see NFPA 25,2002 Edition as amended by
Job# 7 0 b California Code of Regulations,Title 19, §901
to§906.
Performed by: p/Olt_m Cue II
(Print) 2) Inspection Items may be performed by the
Owner in accordance with California Code of
Note: Contractor information may be pre-printed Regulations Title 19§904.1(a)
NFPA 25
Forms included with this report Number of Forms N/A FAIL* PASS
Chapter
Automatic Sprinkler System 5
0 Standpipe and Hose Systems 6
0 Private Water Supply System 7
Fire Pump 8
E Water Storage Tank 9
El Water Spray System 10
E 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,Chapters as amended by CCR,Title 19
Date of Inspection,Testing, Maintenance: 3-Z `Z 0 System Riser ID: /.Z
Property Information:
7.0 Type of System: ;woF oA4i�\
Name: ��jj P h Q Wet Pipe ;/Q" ,1 '7, 1140,
�7, Zt11 k- / )6 /Dry Pipe ;�' �k�-- a,
Address: ❑ Preaction t,3 / \ # ,,moi
0 Deluge +C \ �'
City: 6 /1/^y 1'I'>?"/r--
Main Drain Test Results: Abbreviation Key:
I= Inspection
Initial Static Pressure: ®5"-- (psi) T=Test
M= Maintenance
Residual Pressure: g (psi) A-0 =After Operation
MI = Per Manufacturer's Instructions
Restored Static Pressure: /0 (psi)
Item Activity Frequency Description NEPA 25 Fail N/A Pass
Reference
1.1 I Daily Preaction/Deluge Valves-.Enclosure 12.4.3.1.
7
Weekly temperature
1 2 I Daily Dry Pipe Valves—Enclosure 2,4.4.1.1
Weekly temperature
Gauges(Dry, Preaction, Deluge 5.2.4.2 r f
1.3 I Quarterly Systems) 5.2.4.3
1.4 I Quarterly Control Valves 12.3.2.1
. P -
1.5 I Quarterly Alarm Devices 5.2.6
1.6 I Quarterly _Gauges(Wet Pipe_Systems) 5.2.4.1 )¢'
1.7 I Quarterly Hydraulic nameplate 5.2.7 t�
1.8 I Quarterly Pipe and Fittings 5.2.2ro
1.9 I Quarterly Sprinklers 5.2.1
1.10 I Quarterly Spare Sprinklers 5.2.1.3 f
1.11 I Quarterly Fire Department Connections 12.7.1 P
1
1.12 I Quarterly Alarm Valves—Exterior Inspection 12.4.1.1 p
Preaction/Deluge Valves-Exterior
1.13 I Quarterly Inspection 12.4.3.1.60
1.14 I Quarterly Pressure Reducing Valves 12.5.1.1 V
1.15 I Quarterly Dry Pipe Valves—Exterior Inspection 12.4.4.1.4 f
1.16 I Quarterly Backflow Preventers 12.6.1 f
1.17 I Annually Buildings 5.2.5 P
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 atended`by CCR,Title 19
Date of Inspection, Testing, Maintenance: System Riser ID:
Property Information: —---..,
y ' Type 9f System: Z9F c_4V�Its
Name: / N"<� t� l D Ad Wet Pipe ;IX ee' -, �9�++
Dry Pipe ;go 6.---Nie-
7:7-777)\e--" n�i
Address: ❑ Preaction i,01 'a ;�
❑ Deluge ., `u
City:
Item Activity Frequency Description NFPA 25 Fail N/A Pass
Reference
1.18 I Annually Hangers 5.2.3
I 1.19 I Annually Seismic Braces 5.2.3 t/
1.20 I 5 Years Hangers(Accessible concealed spaces) 5.2.3.3 / '
Seismic Braces(Accessible concealed ✓
1.21 I 5 Years ) 5.2.3.3
1.22 I5 Years Pipe and Fittings(A concealed 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 12.4.3.1.7
_ Inspection
Preaction/Deluge Valves-Strainers,
1.28 I 5 Years 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
1 2.1 T Annually Alarm Devices(90 Sec) 5.3.3
12.2.7
12.2.6 /
2.2 T Annually Main Drain Test(Enter data on Page 1) 12.2.6.1 i.
12.3.3.4
2.3 T Annually Antifreeze Test 5.3.4 _
2.4 T Annually Control Valve Position 12.3.3.1
2.5 T Annually Control Valve 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
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 i
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
r
Date of Inspection, Testing, Maintenance 22:Z D System Riser ID: /i2/
Property Information: _
0 latzo Type Qf System: ���i 'eo''�
Name: �� A.Wet Pipe ;�-7 �' : I ,
Address: g Dry Pipe ;ft !-- y,;
❑ Preaction ,,tg, .` �'�7
yi
❑ Deluge i` `v'
City:
Item Activity Frequency Description NFPA 25 Fail N/A Pass
_ - Reference /
2.10 T Annually Dry Pipe Valve—Priming Water 12.4.4.2.1 1/`
2.11 T AnnuallyDry Pipe Valve Low Air Pressure
Alarm 12.4.4.2.6 i/-
2.12 T AnnuallyDry Pipe Valve—Quick-Opening s
Device 12.4.4.2.4 t/
2.13 T Annually Dry Pipe.Valve—Trip Test 12.4.4.2.2 /7-
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 f
2.16 T 5 Years Gauges 5.3.2
2.17 T 5 Years Pressure Reducing Valve 12.5.1.2
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 5.3.1.1.2
corrosive water
2.21 T 10 Years Sprinklers Dry 5.3.1.1.1.5
2.22 T 20 Years Sprinklers-Fast Response 5.3.1.1.1.2
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 t/
3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 J
3.3 M AnnuallyDry Pipe Valves/Quick-Opening
Devices 12.4.4.3.21/
3.4 M Annually Dry Pipe Valve—Low Point Drains 12.4.4.3.3 V
3.5 M 5 Years Obstruction Investigation Chapter 13
7
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 Page 4 of 4
NFPA 25,Chapter 5 as amended by CCR,Title 19
Date of Inspection,Testing, Maintenance: 3__Z Zc System Riser ID:1)2
/3
Property Information: i __..���
Name:
� ��✓� �� Type of System: -Of�t�'Co`'�
7et Pipe ;� ,.�;��, -31A
DryDry Pipe , a
Address: Preaction 'rft� ''k'�y 1 �,
0 Deluge I, 1;01t;
City:
Deficiencies and Comments:
Item Deficiencies and Comments Item number must correspond to the Item number
of the Activity listed above:
I
❑ See Continuation Page(s) (Indicate e number of contin - ion pages)
PASS
❑ FAIL ---Z-ze7
1 Signature Date '
State Fire Marshal AES 2 March 21,2006