HomeMy WebLinkAboutFAI19-0024 CF Sprinkler Test 2020 ,Fic) J it) —00 ZV
Corrective Action California Code of Regulations—Title 19 1 of 1
and Repairs Performed Inspection,Testing,and Maintenance
Property Information 0*_CAI/F Contractor or Licensed Owner Information
WASHINGTON COURT .41 A 1 7, '�
Building Name a -Nit— ,.. Name Hue&Cry,Inc.
APARTMENTS t'171 ?
;.
Address 1001 WASHINGTON STREET +/..."-'•� $ Address 3524 Breakwater Avenue
'FIT...* City Hayward St. CA Zip 94545
City GRIDLEY License# 980857 Phone 5303650071
Contact Person Scott Busch ❑SFM N/A Job# Building:395667
Phone 1530846-2600 ®CSLB 980857 Misc. N/A
Item AES Date Date Deficiencies and Comments
Form# Found Corrected Indicate all equipment,devices and parts that were repaired or replaced
2.6 Aes2 01/10/2020 04/23/2020 Replaced 8"OSY valve and new 8"bolt kit x2
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I hereby certify that the fire protection equipment listed above has been corrected in accordance
with CCR Title 19 Sections 901 to 906 and that the e•ui.ment is full o.erable.
Buildin -395667
04/28/2020 f ` 1 U
''' 04/28/2020
Form AES 10 Sept.3,2013
Wet Pipe California Code of Regulations—Title 19 Quarterly and 1 of 3
Fire Sprinkler System Inspection,Testing,and Maintenance Annual Report
Property Information "3.CA..f® Contractor or Licensed Owner Information
WASHINGTON COURT L'f' 4 I 1".' t.`
Building Name ` -. Name Hue&Cry,Inc.
APARTMENTS 01 f ,�i�1 r"
Address 1001 WASHINGTON STREET ' ,` ate.. Address 1751 Bruce Drive
City Anderson St. California Zip 96007
City GRIDLEY License# N/A Phone 1-800-762-3196
Contact Scott Busch ❑SFM N/A Job# Building:395667
Person
0 CSLB N/A Misc. N/A
Riser Information Main Drain Test(Annual)
A Building A Riser room 1.5" 1" 53 45 55 P
B I Building B Riser room I 1.5" I 1" I 50 I 40 I 50 I P
C I Building C Riser room I 1.5 I 1" I 52 I 40 I 52 I P
D I Building D Riser room I 1.5 I 1 I 50 I 45 I 52 I P
E I Building E Riser Room I 1.5" I 1" I 50 I 40 I 50 I P
®This building has more than 5 risers.See additional AES 2.9 form attached. Number of AES 2.9 forms attached 1
Quarterly Inspections
=Inspection T=Test M=Maintenance P=Pass F=Fail N/A=Not applicable
1.1 I Control Valves—Identification Sign 13.3.1 P N/A N/A N/A
1.2 I Control Valves—Inspection 13.3.2 F N/A N/A N/A
1.3 I Waterflow Alarm Devices 5.2.5 P N/A N/A N/A
1.4 I Supervisory Devices 5.2.5 P N/A N/A N/A
1.5 I Gauges(Wet Pipe Systems) 5.2.4.1 F N/A N/A N/A
1.6 I Enter Water Supply Pressure Below Riser Check 5.2.4.1 N/A psi N/A psi N/A psi N/A psi
A-53
B-50
C-50
D-50
1.7 I Enter Water Supply Pressure Above Riser Check 5.2.4.1 psi N/A psi N/A psi N/A psi
E-50
F-50
G-50
H-55
1.8 I I Pressure Readings Acceptable 5.2.4.1 P N/A N/A N/A
1 9 I I Hydraulic Design Information Sign I 5.2.6 P N/A N/A N/A
(For hydraulically Designed Systems)
1.10 I I General Information Sign I 5,2.8 N/A N/A N/A N/A
(Not Required for System prior to 2007 Edition of NFPA 13)
1.11 I I Heat Tape 5.2.7 N/A N/A N/A N/A
1.12 I I Spare Sprinklers 5.2.1.4 P N/A N/A N/A
Form AES 2.1 Sept.3,2013
1.13 I Fire Department Connections 13.7 P N/A N/A N/A
1.14 I Alarm Valves—Exterior Inspection 13.4.1 P N/A N/A N/A
1.15 I Pressure Reducing Valves 13.5.1.1 N/A N/A N/A N/A
1.16 I Backflow Preventers 13.6.1 N/A N/A N/A N/A
1.17 I Small Hose Connections—Hose Valve` 5.1.6, 13.5.2 ( P N/A N/A N/A
13.5.5.1
1.18 I PRV—Fire Sprinkler Systems 13.5.1.1 N/A N/A N/A N/A
*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.
Form AES 2.1 Sept.3,2013
Wet Pipe California Code of Regulations—Title 19 Quarterly and 2 of 3
Fire Sprinkler System Inspection,Testing,and Maintenance Annual Report
Property Information 0cAt0,, Contractor or Licensed Owner Information
WASHINGTON COURT t/.mo _i i l It
Building Name « I is Name Hue&C Inc.
APARTMENTS M'+�t P�1. �'
Address 1001 WASHINGTON STREET ,,,f, �'$ I Job# Building:395667
City GRIDLEY
ANNUAL INSPECTION,TESTING,AND MAINTENANCE
Include ALL Quarterly Inspections
=Ins•ection T=Test M=Maintenance P=Pass F=Fail N/A=Not a..licable
1.19 I Sprinklers 5.2.1 01/10/2020 N/A P
1.20 I Buildings(Freeze Protection) 4.1.1.1 01/10/2020 Owner's Responsibility N/A
1.21 I I I Pipe and Fittings 5.2.2 01/10/2020 N/A I P
1.22 I Hangers 5.2.3 01/10/2020 N/A I P
1.23 I Seismic Braces 5.2.3 01/10/2020 N/A I P
2.1 T Field Service Test Required 5.3.1 101/10/2020 If REQUIRED,Enter"F"until results are I N/A
(Send Report to Fire Code Official) returned from Lab.
2.2 T Recalled Sprinklers Title 19 101/10/2020 I N/A I N/A
If not present=Pass; If present=Fail 904.1(c)
A-50
B-42
C-52
D-37
2.3 T Water Flow Alarm Devices 5.3.3 01/10/2020 sec. P
90 sec.maximum—(Enter Time) 13.2.6
E-31
F-38
G-45
H-10
2.4 I T Main Drain Test 13.2.5 01/10/2020 N/A P
(Enter Data on Page 1 of this Form) 13.3.3.4
2.5 I T Control Valve—Position 13.3.3.2 01/10/2020 N/A P
2.6 I T Control Valve—Operation 13.3.3.1 01/10/2020 OS&Y seized up F
2.7 I T Supervisory Devices 13.3.3.5 01/10/2020 N/A P
2.8 T Backflow Preventer Assemblies 13.6.2 01/10/2020 N/A N/A
2.9 T Small Hose Connections* 13.5.2.3 01/10/2020 I N/A p
W/PRV Hose Valves—Partial Flow Test 13.5.3.3
2.10 T PRV—Fire Sprinkler Systems 13.5.1.3 01/10/2020 N/A N/A
3.1 M Control Valves 13.3.4 01/10/2020 N/A I p
3.2 M Small Hose Connections' 13.5.6.3 101/10/2020 N/A P
Obstruction Investigation required
El
3.3 M (If"Yes",see Deficiencies and Comments Section 14.3 01/10/2020 Yes N/A N/A
for Results.) li No
3.4 IMI System Returned to Service 4.5.3 01/10/2020 I a No N/A I N/A
*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.
•
Form AES 2.1
Sept.3,2013
D=Deficlenc C=Comment Indicate .e
Item Date Riser D C Deficiencies and Comments
indicate all equipment devices and parts that were repaired or replaced
1.5 of/1ono2o A,B,C,D,E,F,G,H ® ❑ All guages have exceeded 5 years
2.6 01/10/2020 Main control for I A I 1
complex ❑ OS&Y for near building D is seized
1.19 01/10/2020 A,C,G I ❑ I ® I Total of 6 units that could not be walked through for visuals
I I I
I I I I
Form AES 2.1 Sept.3,2013
Wet Pipe California Code of Regulations—Title 19 Quarterly and 3 of 3
Fire Sprinkler System Inspection,Testing,and Maintenance Annual Report
Property Information ,, cAt fa Contractor or Licensed Owner Information
WASHINGTON COURT rl ,
Building Name s- ice: Name Hue&Cry,Inc.
APARTMENTS k '� 1
Address 1001 WASHINGTON STREET ♦t I Job# Building:395667
*..in
I City GRIDLEY I
D=Deficienc C=Comment Indicate •e
Item Date Riser D C Deficiencies and Comments(cons)
h dicate all epu pment.devices and pa is tf at were repaired or replaced
D 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.
Check box if Annual Inspection,Testing&Maintenance Items are Completed in the Indicated Quarter
Date 01/10/2020 N/A N/A N/A
Print Name I Kyle Culmer I N/A I N/A I N/A
Signature
Form AES 2.1 Sept.3,2013