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Home My WebLink About04-F1-2717029-OM00039597-1.28.21-IV-PASS 1:t-F-0/ 269 TECHNOLOGY WAY #5 ROCKLIN, CA 95765 530-637-5322 OFFICE 530-637-5299 FAX INTEGRATED FIRE SYSTEMS, INC. CA LICS #908904 C7. C10, C16 MONITORING • TESTING • INSPECTION Wet Pipe Fire Sprinkler Quarterly & Annual Report Inspection, Testing, and Maintenance Cover Sheet NFPA 25 as amended by CCR,Title 19 Page 1 of 5 Property Information -of CAZ>h Name:North Butte Courthouse (Pride) Inspection Date: 01-21-21 /44 j Address: 1775 Concord Ave. Occupancy/Use: Courthouse ;�yj �..��I. ..' P#. /� �City: Chico Construction Type: Concrete/Metal ; � � ` I Zip: 95928 No. Stories: 2 + Basement Vj� g Contact: Don Lucy Year Constructed: 2013 % F/RE MP- Telephone: 916-474-9524 ❑ Q1 ❑ Q3 ❑ S1 0 Annual Only ❑ Annual/5 Year Contractor Information ❑ 02 ❑ Q4 ❑ S2 ❑ 5 Year Only Name:Integrated Fire Systems, Inc. 4 Number of System Risers Address:269 Technology Way, Suite#5 Copy sent to: City:Rocklin ❑ Owner Date State/Zip:CA 95765 ❑ Fire AHJ Date Telephone:888-987-5322 ❑ Contractor Date CA License#:908904 Notes: 1)For specific inspection,testing,and maintenance requirements and information,see NFPA Account#: I FS3321 25,2011 Edition as amended by California Code of Regulations,Title 19,§901 to§906. Performed by: Jerrold Moffett 2)Inspection items may be performed by the owner in accordance with California Code of Regulations,Title 19,§904.1(a). Note:Contractor Information may be pre printed 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 Fail* N/A Pass Forms ❑ Automatic Sprinkler System 5 1 7 ❑ Standpipe and Hose System 6 ❑ Private Water Supply System 7 ❑ Fire Pump 8 1/ ❑ Water Storage Tank 9 1 ❑ Water Spray System 10 1 ❑ Foam Water Sprinkler System 11 ❑ Water Mist System 12 ❑i Concerns that are not deficiencies(i.e. Non-Sprinklered Areas) Yes No *See"Deficiencies and Comments"section at end of each respective form. AES 1 September 3,2013 IlD 269 TECHNOLOGY WAY #5 ROCKLIN, CA 95765 530-637-5322 OFFICE 530-637-5299 FAx INTEGRATED FIRE SYSTEMS, INC. CA LICS #908904 C7. C10, C16 MONITORING • TESTING • INSPECTION Page 2 of 5 Property Information ---0*C44 , Contractor or Licensed Owner Information v `�T ilk "y' Building Name:North Butte Courthouse(Pride) ,y �.,IL., a. Name:Integrated Fire Systems, Inc. Address: 1775 Concord Ave. ,t!, ��sa Address:269 Technology Way, Suite#5 ;°„,,iso.y City:Rocklin State:CA Zip:95765 City: Chico License#:908904 Phone:888-987-5322 Contact Name: Don Lucy ❑ SFM Account#: IFS3321 Contact Phone Number: 916-474-9524 ✓❑ CSLB Misc.: Riser Information _ Main Drain Test(Annual) Riser Riser Main Drain Initial Static Residual Final Static No. Location/Alarm Sec's Diameter Diameter Pressure Pressure_Pressure Fail N/A Pass 1 Riser closet, 1st flr, SE corner/ 34 sec 4” 2" 110 80 82 1 2 Riser closet, 1st flr, SE corner/ 41 sec 4" 2" 110 85 85 1 3 Riser closet, 1st flr, SE corner/ 32 sec 4" 2" 110 85 80 1 4 Riser closet, 1st flr, SE corner/ 35 sec 4" 2" 110 75 87 ✓ ❑ This building has more than 10 risers.See additional AES 2.9 form attached. Number of AES 2.9 forms attached Quarterly Inspections I = Inspection T = Test M = Maintenance P = Pass F = Fail NA = Not Applicable Item Description NFPA 25 CA Misc. Fail N/A Pass ed.Reference 1.1 I Control Valves-Identification Sign 13.3.1 1 1.2 I Control Valves-Inspection 13.3.2 1 1.3 I Waterflow Alarm Devices 5.2.5 1 1.4 I Supervisory Devices 5.2.5 1 1.5 I Gauges(Wet Pipes Systems) 5.2.4.1 ✓ 1.6 I Enter Water Supply Pressure Below Riser Check 5.2.4.1 NA psi 1 1.7 I Enter Water Supply Pressure Above Riser Check 5.2.4.1 NA psi 1.8 I Pressure Readings Acceptable 5.2.4.1 1 1.9 I Hydraulic Design Information Sign(for hydraulically designed systems) 5.2.6 1 1.10 I General Information Sign 5.2.8 I (not required for system prior to 2007 edition of NFPA 13) 1.11 I Heat Tape 5.2.7 1 1.12 I Spare Sprinklers 5.2.1.4 1 1.13 I Fire Department Connection 13.7 1 1.14 I Alarm Valves-Exterior Inspection 13.4.1 1 1.15 I Pressure Reducing Valves 13.5.1.1 1.16 I Backflow Preventers 13.6.1 1 AES 1 September 3,2013 269 TECHNOLOGY WAY #5 ROCKLIN, CA 95765 530-637-5322 OFFICE 530-637-5299 FAx INTEGRATED FIRE SYSTEMS, INC. CA LICS #908904 C7. C10, C16 MONITORING • TESTING • INSPECTION Page 3 of 5 Property Information Contractor or Licensed Owner Information Building Name:North Butte Courthouse (Pride) sh 7, Name: Integrated Fire Systems, Inc. Address: 1775 Concord Ave. ,NA ;�I�•`4 Q' Account#: I FS3321 City: Chico !!!!!!!!!!!!!!!!!4217 RM?�g2 Quarterly Inspections Continued I = Inspection T = Test M = Maintenance P = Pass F = Fail NA = Not Applicable Item Description NFPA 25 CA Misc. Fail N/A Pass ed.Reference 1.17 I Small Hose Connections-Hose Valve* 5.1.6, 13.5.2, ✓ 13.5.5.1 1.18 I PRV-Fire Sprinkler Systems 13.5.1.1 *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. Annual Inspection,Testing,and Maintenance I = Inspection T = Test M = Maintenance P = Pass F = Fail NA = Not Applicable Item Description NFPA 25 CA Misc. Fail N/A Pass ed.Reference 1.19 I Sprinklers 5.2.1 1.20 I Buildings(Freeze Protection) 4.1.1.1 Owner's Responsibility ✓ 1.21 I Pipe and Fittings 5.2.2 1.22 I Hangers 5.2.3 1.23 I Seismic Braces 5.2.3 1/ If required,Enter'F'until 2.1 T Field Service Test ReC�Ulred(Send Report toFire Code Official) 5.3.1results are returned 2.2 T Recalled Sprinklers(If not present=Pass; If present=Fail) Title 19 1' 904.1(c) 2.3 T Water Flow Alarm Devices(90sec.maximum-enter time) 13.2 6 See page 2 sec 13.2.5 ✓ 2.4 T Main Drain Test(Enter data onPage2onthisform) 13.3.3.4 2.5 T Control Valve-Position 13.3.3.2 2.6 T Control Valve-Operation 13.3.3.1 1/ 2.7 T Supervisory Devices 13.3.3.5 1/ 2.8 T Backflow Preventer Assemblies 13.6.2 13.5.2.3 ✓ 2.9 T Small Hose Connections*(w/PRV Hose Valves-Partial Flow Test) 13.5.3.3 2.10 T PRV-Fire Sprinkler Systems 13.5.1.3 3.1 M Control Valves 13.3.4 3.2 M Small Hose Connections* 13.5.6.3 3.3 M Obstruction Investigation required 14.3 ❑Yes ✓ (If"Yes",see Deficiencies an Com-ments ection for Results) ✓❑No _ 3.4 M System Returned to Service 4.5.3 0 Yes ✓ ❑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. AES 1 September 3,2013 269 TECHNOLOGY WAY #5 ROCKLIN, CA 95765 530-637-5322 OFFICE 530-637-5299 FAx INTEGRATED FIRE SYSTEMS, INC. CA tics #908904 C7. C 10, C 16 MONITORING • TESTING • INSPECTION Page 4 of 5 Property Information 44*c4/2/;,.;,,, Contractor or Licensed Owner Information Q 4?/, �y' Building Name:North Butte Courthouse(Pride) I. > Name:Integrated Fire Systems, Inc. Address: 1775 Concord Ave. 's,N„t;,\•��10 cJ Account#: IFS3321 y�9 d City: Chico ",,,AIREPAP"---- D —D = Deficiency C = Comment (Indicate Type) Item Riser D C Deficiencies and Comments Indicate all equipment,devices,and parts that should be repaired or replaced 1 NA 1 The following areas have a control and a flow switch that are above ceiling: Basement, Holding Area by Elevator, 55 sec Basement, Outside MPOE, 34 sec Basement, Outside Record Storage, 23 sec 1st floor, Outside Telecom Room 1, 53 sec 1st floor, Outside Telecom Room 2, 80 sec 1st floor, Holding Area in Plumbing chase, 3 sec 2nd floor, Outside Telecom Room 3, 3 sec 2nd floor, Outside Telecom Room 4, 4 sec 2nd floor, Holding Area for courtroom 1 &2, 2 sec 2nd floor, Holding Area for courtroom 3&4, 3 sec These were installed with no ITV s and are original All water flows were tested by manually tripping the flow switch All tampers were exercised 2 1 Various rooms have HVAC ducting that may limit spray pattern of sprinklers 3 1 5 yr inspection is due, last inspection was Mar 2015 Check here if additional Deficiencies and Comments are listed on Form AES 9 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. Status: ❑✓ Pass ❑Fail Date: 01-21-21 Print Name: Jerrold Moffett Signature: AES 1 September 3,2013 41Fs269 TECHNOLOGY WAY#5 ROCKLIN, CA 95765 530-637-5322 OFFICE 530-637-5299 Fax INTEGRATED FIRE SYSTEMS, INC. CA Lics #908904 C7. C10, C16 MONITORING • TESTING • INSPECTION Page 5 of 5 Property Information .�oF ^yFo Contractor or Licensed Owner Information Building Name: North Butte Courthouse(Pride) ,� ` •T7' �Z'' Name:Integrated Fire Systems, Inc. t� ..�li 70. 9 Y Address: 1775 Concord Ave. �y ; �� Q` Account it: IFS3321 City: Chico ,F!REMP= D = Deficiency C = Comment (Indicate Type) Item Riser IDIC1 Deficiencies and Comments Indicate all equipment,devices,and parts that should be repaired or replaced ❑Check here if additional Deficiencies and Comments are listed on Form AES 9 Number Attached AES 1 September 3,2013