HomeMy WebLinkAboutFAI15-0097 Standpipe Inspection 2020 Standpipe and Hose System California Code of Regulations -Title 19 Quarterly and 1 of 3
Inspection, Testing, and Maintenance Annual Report
Property Information ";��----of CaCIfiO�II Contractor or Licensed Owner Information
r 1'
Building Name Feather Falls Casino&Lodge r ( 15, 'Name Foothill Fire protection, Inc.
Address 3 Alverda Dr. +fii Jam' (Address 170 Erma Ct
��.iiiFR (City Chico St. CA Zip 95928
(City Oroville 'License# 783132 'Phone (530)826-3013
Contact Person Damon Pound I ❑ SFM IJob# 20292831
Phone (530)533-3885 I o CSLB C-16 'Misc.
Riser Information I Main Drain Test (Annual) M
Riser Location Riser Main Drain Initial Static Residual Final Static p F,N/A
No. Diameter Diameter Pressure Pressure Pressure
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 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:
inli Quarterly Inspections
1 = Inspection T=Test M=Maintenance P=Pass F=Fail N/A =Not Applicable
Item Description
FPA 25 CA ed. Date I Date 11 Date V Date
Reference I V I 12/29/20
1.1 I I 'Control Valves—Identification Sign 13.3.1 N/A N/A N/A N/A
1.2 I I (Control Valves—Inspection 13.3.2 N/A N/A N/A N/A
1.3 I I IWaterflow Alarm Devices 5.2.5 N/A N/A N/A N/A
1.4 I I 'Supervisory Devices 5.2.5 N/A N/A N/A fl N/A
1.5 I I IGpaaus9. Se I 6.2.1 I N/A N/A N/A N/A
s=Normal Pressures 6.2.21
1.6 I Water Supply Pressure Below 6.2.1 psi psi psi psi
(Dry Pipe or Preaction Valve I 6.2.2 I I
1.7 I Water Supply Pressure Above 6.2.1 psi psi psi psi
Dry Pipe or Preaction Valve 6.2.2
6.2.1
1.8 I Pressure at Top of Standpipe Riser 6.2.2 psi psi psi psi
13.2.7
6.21
1.9 I Air/Nitrogen Pressure 6.22 psi psi psi psi
13.2.7
6.2.1
1.10 I Pressure at Discharge of Fire Pump or Pressure Tank 6.2.2 psi psi psi psi
13.2.7
1.11 I I (Pressure Readings Acceptable I 6.22 II
N/A N/A N/A N/A
13.2.7
1.12 I I 'Standpipe Hose Valves 13.5.6.1 N/A N/A N/A N/A
1.13 I I (Hydraulic Design Information Sign ' 6.2.3 N/A N/A N/A N/A
(For Hydraulically Designed Systems)
1.14 I I 'Heat Tape 5.2.7 N/A N/A N/A N/A
1.15 ' I 'Fire Department Connections ' 13.7 N/A N/A N/A P
1.16 I I 'Pressure Reducing Valves 13.5.1.1 N/A N/A N/A P
Form AES 3 Sept.3,2013
Standpipe and Hose System California Code of Regulations -Title 19 Quarterly and 2 of 3
Inspection, Testing, and Maintenance Annual Report
Property Information ff:,�.jr p i Contractor or Licensed Owner Information
V1 F
'Building Name Feather Falls Casino&Lodge [ 17'0 Name Foothill Fire protection, Inc.
'Address 3 Alverda Dr. '�jN — 0 Job# 20292831
'City Oroville ‘%.;- = s Mlk—
ANNUAL INSPECTION, TESTING,AND MAINTENANCE
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
1.17 Backflow Preventers 13.6.1 12/29/2 N/A
1.18 I 'Buildings(Freeze Protection) 4.1.1.1 112/29/2(1 Owner's Responsibility N/A
1.19 I 'Pipe and Fittings 5.2.2 112/29/201 P
1.20 I 'Hangers 5.2.3 112/29/201 P
1.21 I 'Seismic Braces 5.2.3 112/29/2CI P
1.22 I I (Hose Connections I 6.2.1 112/29/201 P
Table 6.1.2
1.23 I (Cabinet I 6.2.1 I12/29/2(1 N/A
Table 6.1.2
1.24 I (Hose I 6.2.1 I12/29/201 N/A
Table 6.1.2
6.2.1
1.25 I Hose Storage Device Table 6.1.2 I12uI291f2 N/A
NFPA 1962
1.26 I Hose Nozzle 6.2.1 12/29/201 N/A
Table 6.1.2
2.1 T Control Valve—Position 6.2.1 12/29/2(1 P
13.3.3.1
2.2 T Control Valve—Operation 6.2.1 12/29/2CI P
13.3.3.2
2.3 T Supervisory Devices 13.3.3.5 12/29/201 N/A
2.4 T Waterflow Alarm Devices 6.3.3
90 sec. maximum - (Enter Time) 13.2.E 12/29/2 sec. N/A
2.5 T Main Drain Test 13.2.5 12/29/2CI NA
(Enter Data on Page 1 of this Form) 13.3.3.4
2.6 T Hose Rack Hose Valve 13.5.3.3 12/29/2CI N/A
(Partial Flow Test)
2 7 T Pressure Reducing Hose Valve 13.5.2.3 12/29/2CI N/A
(Partial Flow Test)
2.8 T Backflow Preventer Assemblies 13.6.2 12/29/201 N/A
2.9 T Class I & Ill Hose Valve Test 13.5.6.2.1 12/29/201 NA
2.10 T Class II Hose Valve Test 13.5.6.2.2 12/29/201 N/A
3.1 M Control Valves 13.3.4 12/29/201 N/A
3.2 M Hose Valves 13.5.6.3 12/29/201 N/A
Obstruction Investigation Required 3.3 M (If"Yes", See Deficiencies and Comments Section
for Results.) 14.3 12/29/20 0Yes
No N/A
4.5.3
3.4 M 'System Returned to Service 15.7 I12/29/2 '0ID Nos P
Form AES 3 Sept.3,2013
Standpipe and Hose System California Code of Regulations -Title 19 Quarterly and 3 of 3
Inspection, Testing, and Maintenance Annual Report
Property Information ,s17 Contractor or Licensed Owner Information
1�i,4�17A 1z"i
(Building Name Feather Falls Casino&Lodge I 3 Name Foothill Fire protection, Inc.
'Address 3 Alverda Dr. I rtli : 4�'S Job# 20292831
'City Oroville I 1_ t-iiE MP
D=Deficiency C=Comment (Indicate type)
Item Date Riser D C Deficiencies and Comments
Indicate all equipment,devices and parts that were repaired or replaced
_II_I
M
fm --
Li—ID
�1 +
❑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
Quart 1st [ Annual 2nd ❑ Annual 3rd ❑ Annliii 4th ❑ Annual
Date 12/29/20 I
Print Name 'Stephen Rampenthal I 1 I 1
Signature I3.49.1,eft ,9 eddied
Form AES 3 Sept.3,2013