HomeMy WebLinkAboutFAI15-0097 Sprinkler Inspection 5 year dry system 2018 Dry Pipe California Code of Regulations -Title 19 5-Year 1 of 3
Fire Sprinkler System Inspection, Testing, and Maintenance Report
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Property Information �;��OF ; "4-c:��$ Contractor or Licensed Owner Information
Building Name Feather Falls Casino +., _-, a, Nivaame Voltage Specialists
Address 3 Alverda �t}j . , �, Address 5031 Foster Road
1t-iRE MR` City Paradise St. CA Zip 95969
City Oroville License# 880862 Phone 530-362-2609
Contact Person John ❑ SFM Job#
I Phone (415)725-4225 A CSLB Misc.
Riser Information
Riser Location Riser Main Drain Initial Static Residual Final Static P F, N/A
No. Diameter Diameter Pressure Pressure Pressure
2 Server room (Canopy Dry System) 4" 2" 125 95 125 P
❑ This building has more than 5 risers. See additional AES 2.9 form attached Number of AES 2.9 forms attached
5-Year INSPECTION, TESTING AND MAINTENANCE
Includes ALL Quarterly and Annual Inspections, Tests,and Maintenance
I=Inspection T=Test M=Maintenance P=Pass F=Fail N/A=Not Applicable
NFPA 25 CA
Item Description ed. Date Comments Only P, F, N/A
Reference
1.1 I Control Valves—Identification Sign 13.3.1 11/07/18 P
1.2 I Control Valves—Inspection 13.3.2 11/07/18 P
1.3 I Waterflow Alarm Devices 5.2.5 11/07/18 P
1.4 I Supervisory Alarm Devices 5.2.5 11/07/18 P
' 5.2.4.2
1.5 I Gauges (Dry Pipe Systems) 5.2.4.3 11/14/18 P
Pass=Normal Pressures 5.2.4.4
13.4.4.1.2
5.2.4.2
1.6 I Air Pressure 5.4.2.3 5.2.4.4 11/14/18 40 psi P
13.4.4.2.5.1
1.7 I Water Supply Pressure 5'2'4'2 11/07/18 125 psi P
13.4.4.2.5.1
1.8 I Hydraulic Design Information Sign 5.2.6 11/07/18 P
(For hydraulically designed systems)
1.9 I General Information Sign 5.2.8 11/07/18 P
(not required for system prior to 2007 Edition NFPA 13)
1.10 I Heat Tape 5.2.7 P
1.11 I Spare Sprinklers 5.2.1.4 11/07/18 P
1.12 I Fire Department Connections 13.7 11/07/18 P
1.13 I Dry Pipe Valves—Exterior Inspection 13.4.4.1.4 11/07/18
1.14 I Pressure Reducing Valves 13.5.1.1 N/A
1.15 I Backflow Preventers 13.6.1 11/07/18 P
Form AES 2.4 Sept.3,2013
Dry Pipe California Code of Regulations -Title 19 5 Year 2 of 3
Fire Sprinkler System Inspection, Testing, and Maintenance Report
Property Information __.- a`.„ctki, Contractor or Licensed Owner Information
A4, O s,
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Building Name Feather Falls Casino S —.,.14.._.., )a% Name Voltage Specialists
Address 3 Alverda 'i _ �y�i Job#
City Oroville " ..MP
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=Inspection T =Test M =Maintenance I P=Pass F=Fail N/A=Not Applicable
Item Description NFPA 25 CA ed. Date Comments Only P,F,N/A
Reference
1.16 I PRV- Fire Sprinkler Systems 13.5.1 11/07/18 N/A
1.17 I Buildings(Freeze protection) 4.1.1.1 11/07/18 Owner's Responsibility P
1.18 I Sprinklers 5.2.1 11/07/18 P
1.19 I Sprinklers-Concealed Space 5.2.1.1.6 11/07/18 P
1.20 I Pipe and Fittings 5.2.2 11/07/18 P
1.21 I Pipe and Fittings-Concealed Space 5.2.2.3 11/07/18 P
1.22 I Hangers 5.2.3 11/07/18 P
1.23 I Hangers-Concealed Space 5.2.3.3 11/07/18 P
1.24 I Seismic Braces 5.2.3 11/07/18 P
1.25 I Seismic Braces-Concealed Space 5.2.3.3 11/07/18 P
1.26 I Dry Pipe Valves- Interior Inspection 13.4.4.1.5 11/07/18 P
1.27 I Strainer, Filters, Restricted Orifices Inspection 13.4.4.1.6 11/07/18 P
2.1 T Dry Pipe Valve Trip Test- Full Flow 13.4.4.2.2.2 11/07/18 P
2 2 T Field Service Test Required 5.3.1 11/07/18 If REQUIRED, Enter'F'until P
Send Report to Fire Code Official results are returned from Lab
2.3 T Recalled Sprinklers Title 19 11/07/18 P
If not present=Pass; If present=Fail 904.1(c)
2.4 T Water Flow Alarm Devices 5.3.3 11/07/18 34 sec. P
90 secs max. Enter time 13.2.6
2.5 T Main Drain Test 13.2.5 11/07/18 P
(Enter data on Page 1 of this form) 13.3.3.4
2.6 T Priming Water Level Test 13.4.4.2.1 11/07/18 P
2.7 T Valve Trip Time 13.4.4.2.5.2 11/07/18 34 sec P
2.8 T Trip Air Pressure 13.4.4.2.5.1 11/07/18 12 psi P
2.9 T Quick Opening Device Test 13.4.4.2.4 N/A
2.10 T Low Air Pressure Alarm Test 13.4.4.2.6 11/07/18 P
2.11 T Low Temperature Alarm Test 13.4.4.2.7 N/A
2.12 T Automatic Air Pressure Maintenance Device Test 13.4.4.2.8 11/07/18 P
2.13 T Control Valve—Operation 13.3.3.1 11/07/18 P
2.14 T Valve Supervisory Devices 13.3.3.5 11/07/18 P
2.15 T Backflow Preventer Assemblies 13.6.2 N/A
Form AES 2.4 Sept.3,2013
Dry Pipe California Code of Regulations-Title 19 Yea
Fire Sprinkler System Inspection, Testing, and Maintenance Re•ort
Property Information ' o,r cgC/,r�t1 Contractor or Licensed Owner Information
Building Name Feather Falls Casino ( , a Name Voltage Specialists
r1,-.A.!, \:::71..../
Address 3 Alverda 1 , !? Job#
City Oroville 1k‘��RE MP_—
ANNUAL INSPECTION, TESTING, AND MAINTENANCE
Include ALL Quarterly Inspections
I =Inspection T =Test M =Maintenance P=Pass F=Fail N/A=Not Applicable
MI
Item Description NFPA 25 CA ed. Date Comments Only P,F,N/A
Reference
2.16 T PRV—Full Flow Test 13.5.1.2 N/A
2.17 T Pressure Gauges-Calibration 5.3.2 11/07/18 New installed P
3.1 M Air Leakage Test 13.4.4.2.9 11/07/18 P
3.2 M Check Valves- Internal Inspection 13.4.2 11/07/18 P
3.3 M Control Valves 13.3.4 11/07/18 P
3.4 M Maintenance 13.4.4.3 11/07/18 P
3.5 M Dry Pipe Valve Interior Cleaned 13.4.4.3.1 11/07/18 P
3.6 M Auxiliary Drains in System Drained 13.4.4.3.2 11/07/18 P
3.7 M Backflow Preventer 13.6.3 N/A
3.8 M FDC-Backflush 14.3.2.3 11/07/18 P
14.3.2.4
3.9 M Internal Pipe Inspection-See Deficiencies and • Yes
14.2 11/07/18 P
Comments Section for Results. No
3.10 M Obstruction Investigation required. If"Yes", see 14.3 11/07/18 P
Deficiencies and Comments Section for Results
3.11 M System Returned to Service 4.5.3 11/7/18 • Yes P
15.7 No
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
•
I
❑Check here if additional Deficiencies and Comments are listed on Form AES9 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.
Print Name Don Cantrell
Signature ltrillaerae Date 11/07/18
Form AES 2.4 Sept.3,2013