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Home My WebLink AboutFAI15-0097 Sprinkler Inspection Lodge 5-Year 2017 tqco r Situp/ex rune// 5-YEAR FIRE SPRINKLER INSPECTION REPORT Feather Falls Lodge 4 Alverda Dr. Oroville, CA 95966 6-Dec-17 SimplexGrinnell 4650 Beloit Drive Sacramento CA 95838 916-283-0300 tqcn SimplexGrinnell 4650 Beloit Drive, Sacramento CA 95838 - (916) 283-0300 -fax(916) 920-2241 Technician #1 Cecil Taylor Technician#2 Cell Phone# 916-995-3867 Cell Phone# Customer Information: Date: December 6, 2017 Customer Name: Feather Falls Lodge Property Address: 4 Alverda, Dr. Address: 4 Alverda, Dr. City, State, Zip Oroville, Ca. 95966 City, State, Zip Oroville, Ca. 95966 Bldg Info or#: Contact Information: Monitoring Info: (Before Testing Notify) Name: Mark Grover Name: Security Phone 530-534-4047 Box# Email: mark.arover(@featherfallscasino.com Phone Service Request# 40467166 Time of Test - Operator Notes: Dry System Located Hallway to Casino N.W. 3"Victolic FDC on Back Wall Behind Dry Valve ITV&Wet System 3" Outside Riser Room S. with PIV and FDC Inspection,Testing,and Maintenance Cover Sheet NFPA25 as amended by CCR,Title 19 Property Information: Business Name: Feather Falls Lodge Occupancy/Use: Hotel _ .� Address: 4 Alverda, Dr. Construction Type: wood/stucco t of s'4ttia'�� ate' a , City, State,Zip: Oroville, Ca. 95966 No. Stories: 3 ",01 1 • Contact Name: Mark Grover Year Constructed: 2004 i a Contact Phone: 530-534-4047 5 Year Certification: October-12 1t • -Oa Contact Email: mark.arover(@.featherfallscasino.com Service Request#: 40467166 tiAN, E MP=` Inspection Date: 12/6/2017 Contractor Information: Number of System Risers: 1 Name: SimplexGrinnell Copy sent to: Address: 4650 Beloit Drive 0 Owner Date: 12/06/17 City: Sacramento ❑ Fire AHJ Date: 12/06/17 State: California 0 Contractor Date: 12/06/17 Telephone: (916)283-0300 CA License#: 986047 NOTES: Performed by: Cecil Taylor 1)For specific inspection,testing,and maintenance requirements& Performed by: information,see NFPA 25,2011 edition as amended by California Code of Regulations,Title 19,§901 to§906. 2) Inspection items may be performed by the owner in accordance with California Code of Regulations,Title 19,§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 this Report NFPA 25 Chapter Number of Forms N/A Fail Pass ❑ Automatic Sprinkler System 5 5 X ❑ Standpipe and Hose System 6 7 Private Water Supply System 7 ❑ Fire Pump 8 ❑ Water Storage Tank 9 • Water Spray System 10 ❑ Foam Water Sprinkler System 11 • Water Mist System 12 ❑ Concerns that are Not Deficiencies (i.e. Non-Sprinklered Areas) ❑ Yes 0 No *See"Deficiencies and Comments"section at end of each respective form. Wet Pipe California Code of Regulations -Title 19 Quarterly& Fire Sprinkler System Inspection,Testing, and Maintenance Annual Report Property Information ciF Race Contractor or Licensed Owner Information a`(i 'co Name: Feather Falls Lodge ��r �1 Name: SimplexGrinnell a Address: 4 Alverda, Dr. 3\ i Address: 4650 Beloit Drive City,State,Zip: Oroville, Ca. 95966 ,.. ____.— � City, State: Sacramento,California ARE MIX Contact Name: Mark Grover Phone#: (916)283-0300 Telephone: 530-534-4047 'License#986047 SR#: 40467166 Email: mark.grover@featherfallscasino.com I ❑ SFM Misc: E CSLB Riser Information — Ell Main Drain Test(Annual) Final Riser Main Drain Initial Static Residual Static Riser No. Location/Description Diameter Diameter Pressure Pressure Pressure P,F,N/A 1 outside to right of front doors in locked closet south 3" 1-1/2" I I I 140 I I 130 2 I 3"Victolic 768 Dry Valve Hall to Casino N.W. I 3" I 1-1/2" I I I I I I I I I I Quarterly Inspections NFPA 25 CA ed. Date Pass Fail N/A Item Description Reference 1.1 I Control Valves—Identification Sign 13.3.1 12/6/2017 Pass 1.2 I ControlValves—Inspection 13.3.2 12/6/2017 Pass 1.3 I Waterflow Alarm Devices 5.2.5 12/6/2017 Pass 1.4 I Supervisory Devices 5.2.5 12/6/2017 Pass 1.5 I Gauges(Wet Pipe Systems) 5.2.4.1 12/6/2017 Pass 1.6 I Enter Water Supply Pressure Below Riser Check 5.2.4.1 12/6/2017 140 1.7 I Enter Water Supply Pressure Above Riser Check 5.2.4.1 12/6/2017 140 1.8 I Pressure Readings Acceptable 5.2.4.1 12/6/2017 Pass 1.9 I Hydraulic Design Information Sign(For Hydraulically 5.2.6 12/6/2017 I Pass Designed Systems) 1.1 I General Information Sign(Not Required for System prior 5 2 8 12/6/2017 N/A to 2007 Edition of NFPA 13) 1.11 I Heat Tape 5.2.7 12/6/2017 N/A 1.12 I Spare Sprinklers 5.2.1.4 12/6/2017 Pass 1.13 I Fire Department Connections 13.7 12/6/2017 Pass 1.14 I Alarm Valves—Exterior Inspection 13.4.1 12/6/2017 Pass 1.15 I Pressure Reducing Valves 13.5.1.1 12/6/2017 N/A 1.16 I Backflow Preventers 13.6.1 12/6/2017 10"wilkins 375 RPDA 1.17 I Small Hose Connections-Hose Valve* 5.1.6, 13.5.2, 13.5.5.1 12/6/2017 N/A 1.18 I PRV—Fire Sprinkler Systems 13.5.1.1 12/6/2017 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 Ill standpipe systems. Wet Pipe California Code of Regulations -Title 19 5 Year Report Fire Sprinkler System Inspection,Testing, and Maintenance Property Information Contractor or Licensed Owner Information of(Name: I Feather Falls Lodge a`F/cq�4'co Name: ISimplexGrinnell (Address: I 4 Alverda, Dr. cot CAL.,. 'Name: Address: 14650 Beloit Drive 'City,State,Zip: I Oroville, Ca. 95966 "� J� City: (Sacramento Contact Name: Mark Grover E M State (California (Telephone: I 530-534-4047 Zipcode: 195838 Email: mark.grover@featherfallscasino.com License#986047 SR#: 40467166 NNUAL INSPECTION, TESTING,AND MAINTENANCE I=Inspection T=Test M=Maintenance P=Pass F=Fail N/A=Not Applicable Item I Description Date Fail N/A Pass 3.1 M (Check Valves- Internal Inspection 13.3.2 X 3.2 M (Control Valves 13.3.4 X 14.3.2.3 3.3 M IFDC-Backflush 12.3.2.4 X 3 4 M I Internal Pipe Inspection-See Deficiencies and I 14.2 X Comments Section for Results. Obstruction Investigation required (If"Yes", see ' ❑ Yes 3.5 M Deficiencies and Comments Section for Results.) 14.3 ❑ No X CI Yes 3.6 M System Returned to Service 4.5.3 ❑ No *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. r e►c►enc►es an omments Item Date Riser D Indicate all equipment, devices and parts that were repaired or replaced I0 Check here if additional Deficiencies and Comments are listed on Form AES 9. Number Attached: 1 of 3 Wet Pipe California Code of Regulations -Title 19 Quarterly& Fire Sprinkler System Inspection,Testing, and Maintenance Annual Report Property Information _ Contractor or Licensed Owner Information Name: Feather Falls Lodge oy Name: SimplexGrinnell sue- 9' Address: 4 Alverda, Dr. i m f IA` Address: 4650 Beloit Drive City,State,Zip: Oroville, Ca. 95966 City Sacramento Contact Name: Mark Grover State California Telephone: 530-534-4047 Zipcode: 95838 Email: mark.grover@featherfallscasino.com (License#986047 SR#: 40467166 D= Deficiency C= Comment(Indicate type) Item Date C Deficiencies and Comments Indicate all equipment,devices and parts that were repaired or replaced South Stairwell 3rd Floor are 2=HSW 155'&200' 1/2",the 155 needs changed.8 1 X foot ladder. 2 Mech Eng room 3rd flr missing 2 401 chrome 2nd pieces 3 Pool area janitors closet has 2 Painted uprights 1/2"200' 4 Pool storage 1=155'ssu 1/2"QR painted needs replaced Sauna Has 1 conceiled head with cover screwed to the ceiling,Heads and cover 5 needs changed.286 ssp 1/2" 6 Head Box Needs Chrome 155 degree and a 200 degree 1/2"HSW n Check here if additional Deficiencies and Comments are listed on Form AES 9. Number Attached: n 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. Customer: Inspector: Cecil rc ylor