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Home My WebLink AboutFAI15-0097 Sprinkler Dry Pipe 2020 Inspection, Testing, and Maintenance Cover Sheet NFPA25 as amended by CCR, Title 19 Property Information: Name: Feather Falls Casino&Lodge Occupancy/Use: _ Address: 3 Alverda Dr Construction Type: 5,4�.OF CALjfi Ali "7 e1 rti7� -Aio Oroville 3 r City: No. Stories: S a ZIP: 95966 Year Constructed: 1 \ v/-4 Contact: Damon Pound y, # mix...-- Telephone: (530)533-3885 Contractor Information: Number of System Risers Name: Foothill Fire Protection, Inc. Copy sent to: Address: 170 Erma Ct EOwner Date: 12/28/20 City: Chico ❑Fire AHJ Date: State: CA ❑Contractor Date: (530)826-3013 NOTES: Telephone: 1) For specific inspection,testing,and maintenance 783132 requirements and information,see NFPA 25,2011 CA License#: edition as amended by California Code of Regulations, Title 19, §901 to§906. Job#: 2022831 2)Inspection items may be performed by the owner in Performed b Stephen Rampenthal accordance with California Code of Regulations,Title 19, Y: §904.1(a) Check box for each system inspected and enter the number of forms used for inspection. Check boxes (Fail or Pass)to indicate status of inspected system at end of inspection. Forms Included with Fail* Pass HIIIILDIIIII ❑./ Automatic Sprinkler System 5 4 E ❑ Standpipe and Hose System 6 0 E ❑ 1 ❑ ❑ Private Water Supply System 7 0 E ❑ ❑ ❑ Fire Pump 8 0 E ❑ ❑ E Water Storage Tank 9 0 E ❑ ❑ ❑ Water Spray System 10 0 E ❑ ❑ Foam Water Sprinkler System 11 0 ❑ Water Mist System 12 0 E ❑Concerns that are Not Deficiencies(i.e. Non-Sprinklered Areas) E Yes 1 0 No *See "Deficiencies and Comments" section at end of each respective form. AES 1 September 3,2013 Dry Pipe California Code of Regulations -Title 19 Quarterly and 1 of 3 Fire Sprinkler System Inspection, Testing, and Maintenance Annual Report tiF CAS`�� Property Information gf,<<cx— Ni Si Contractor or Licensed Owner Information u)J 'Building Name Feather Falls Casino&Lodge 1 [ }a% 'Name Foothill Fire Protection, Inc. 'Address 3 Alverda Dr c'1 —s- � 'Address 170 Erma Ct ctiF� „ R=` ICity Chico St. CA Zip 95928 'City Oroville 'License# 783132 'Phone 530-826-3013 'Contact Person Damon Pound I ❑ SFM 'Job# 20292831 Phone (530)533-3885 I o CSLB C-16 'Misc. Riser Information Main Drain Test(Annual) Riser Location Riser Main Drain Initial Static Residual Final Static p F,N/A No. Diameter Diameter Pressure Pressure Pressure 1 I Interior 2nd Floor server room I 4 I 2 I 110 I 90 I 110 I P I I I I I I I I I I I I I I I I I I I I I I I I I I I I ❑ This building has more than 5 risers. See additional AES 2.9 form attached. Number of AES 2.9 forms attached: AL Quarterly Inspections I = Inspection T=Test M=Maintenance P=Pass F=Fail N/A =Not Applicable NFPA 25 CA ed. Date Date II Date I Date Item - 1111.rDescription Reference I 12/28/20 I 1.1 I 'Control Valves—Identification Sign 13.3.1 I I [P 1.2 I 'Control Valves—Inspection 13.3.2 I I I I P 1.3 I Iwaterflow Alarm Devices 5.2.5 I I I P 1.4 I 'Supervisory Devices 5.2.5 I I I I P 5.2.4.2, 5.2.4.3 1.5 I Gauges(Dry Pipe Systems) 5.2.4.4 IP Pass=Normal Pressures 13.4.4.1.2 5.2.4.2, 5.2.4.3 1.6 I Air Pressure 5.2.4.4 psi psi psi 36 psi 13.4.4.2.5.1 5.2.4.2 1.7 I Water Supply Pressure 13.4.4.2.5.1 psiI psiI psi' 112 psi Hydraulic Design Information Sign I I I 1.8 5.2.6 I (For Hydraulically Designed Systems) P 1.9 I General Information Sign 5.2.8 I I I N/A (Not Required for System Prior to 2007 Edition of NFPA 13) 1.10 I Heat Tape 5.2.7 I I I N/A 1.11 I Spare Sprinklers 5.2.1.4 I I I P 1.12 I Fire Department Connections 13.7 I I I P 1.13 I Dry Pipe Valves—Exterior Inspection 13.4.4.1.4 P 1.14 I Pressure Reducing Valves 13.5.1 IP 1.15 Backflow Preventers 13.6.1 I I 'N/A 1.16 PRV—Fire Sprinkler Systems 13.5.1 I I I N/A Form AES 2.3 Sept.3,2013 Dry Pipe California Code of Regulations -Title 19 Quarterly and 2 of 3 Fire Sprinkler System Inspection, Testing, and Maintenance Annual Report Property Information :,�.tjr p i Contractor or Licensed Owner Information /,'�` 1.1 'Building Name Feather Falls Casino&Lodge 4�[ I � � �a% Name Foothill Fire Protection, Inc. 'Address 3 Alverda Dr 'c3, _s �f 'Job# 20292831 a 'City Oroville %. M�==` I ANNUAL INSPECTION, TESTING, AND MAINTENANCE 4=i Include ALL Quarterly Inspections I = Inspection T =Test M=Maintenance P=Pass F=Fail N/A =Not Applicable Item Description NFPA 25 CA ed. Date Comments Only I P,F,N/A Reference 1.17 I Buildings(Freeze Protection) 4.1.1.1 12/28/20 Owner's Responsibility I N/A 1.18 I Sprinklers 5.2.1 12/28/20 I F 1.19 I Pipe and Fittings 5.2.2 12/28/20 I P 1.20 I Hangers 5.2.3 12/28/20 I P 1.21 I Seismic Braces 5.2.3 12/28/20 P 1.22 I Small Hose Connections* 13.5.6.2.2 12/28/20 N/A 2.1 T Field Service Test Required 5.3.1 12/28/20 If REQUIRED, Enter'F' until I N/A (Send Report to Fire Code Official) results are returned from Lab 2 2 T Recalled Sprinklers Title 19 12/28/20 'P If not present=Pass; If present=Fail 904.1(c) 2.3 T Water Flow Alarm Devices 5.3.3 12/28/20 2 sec. IP 90 sec. maximum - (Enter Time) 13.2.6 2.4 T Main Drain Test 13.2.5 12/28/20 P (Enter Data on Page 1 of this Form) 13.3.3.4 2.5 T Priming Water Level Test 13.4.4.2.1 12/28/20 P Dry Pipe Valve Trip Test 13.4.4.2.2 2.6 T 13.4.4.2.2.3 12/28/20 P (Partial Trip Test is Acceptable) 13.4.4.1.5 2.7 T Valve Trip Time 13.4.4.2.5.2 12/28/20 32 sec. P 2.8 T Trip Air Pressure 13.4.4.2.5.1 12/28/20 29 psi P 2.9 T Quick-Opening Device Test 13.4.4.2.4 12/28/20 P 2.10 T Low Air Pressure Alarm Test 13.4.4.2.6 12/28/20 P 2.11 T Low Temperature Alarm Test 13.4.4.2.7 12/28/20 N/A 2.12 T Automatic Air Pressure Maintenance Device Test 13.4.4.2.8 12/28/20 P 2.13 T Control Valve—Operation 13.3.3 12/28/20 P 2.14 T Valve Supervisory Devices 13.3.3.5 12/28/20 P 2.15 T Backflow Preventer Assemblies 13.6.2 12/28/20 N/A 2.16 T PRV—Partial Flow 13.5.1.3 12/28/20 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 2.3 Sept.3,2013 Dry Pipe California Code of Regulations -Title 19 Quarterly and 3 of 3 Fire Sprinkler System Inspection, Testing, and Maintenance Annual Report Property Information �. Contractor or Licensed Owner Information f14/ tir P2_�1 'Building Name Feather Falls Casino& Lodge 3 t Name Foothill Fire Protection, Inc. 'Address 3 Alverda Dr 'i _ .vas Job# 20292831 'City Oroville NN,R7RE MP= LIM ANNUAL INSPECTION, TESTING, AND MAINTENANCE 111 Include ALL Quarterly Inspections - I = Inspection T =Test M= Maintenance P=Pass F=Fail N/A =Not Applicable Item Description NFPA 25 CA ed. Date Comments Only P,F,N/A Reference 3.1 M Control Valves 13.3.4 12/28/20 P 3.2 M 'Maintenance I 13.4.4.3 112/28/20 I I P 3.3 M 'Dry Pipe Valve Interior Cleaned 13.4.4.3.1 112/28/20 I I P 3.4 M ILow Points in System Drained 13.4.4.3.2 112/28/20 I I N/A 3.5 I M 'Backflow Preventer I 13.6.3 ' 12/28/20 I I N/A Obstruction Investigation Required Yes 3.6 M (If"Yes" see Deficiencies and Comments Section 14.3 12/28/20 No N/A for Results.) — 3.7 M 'System Returned to Service 15.7 112/28/20 IR Nos I P D=Deficiency C=Comment (Indicate type) lir Deficiencies and Comments Indicate all equipment,devices and parts that were repaired or replaced FAILED ITEMS THAT SHALL BE CORRECTED FOR PASSING REPORT: 1.18 12/28/20 1 x Exterior overhang has multiple loaded sprinklers. ❑Check here if additional Deficiencies and Comments are listed on Form AES9. Number attached: IIISee 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 Quarter 1st ❑ Annual 2nd ❑ Annual 3rd ❑Annual 4th 0 Annual Date I 12/28/20 Print Name I I I I Stephen Rampenthal Signature I I I c5 e- Form AES 2.3 Sept.3,2013