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Home My WebLink AboutB17-2828 CALFIRE OVERHEAD SPRINKLER HYDRO TEST (2)SYSTEMS ACCEPTANCE 13-245 Contractor's Material and Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by the properly owner or their authorized agent. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. Property name PAC \ O N A C 1 S Date 1_ 3,._ i g Property address 1 5 i3 Hwy. 9°r 61zt lie C A q5--ei 4$ Accepted by approving authorities (names) C^ L c t R. E 1� Address I. A f e) S O v ew u b I" A o got,' lie cA 95965 Plans Installation conforms to accepted plans Yes C3 No Equipment used is approved Di Yes [DNo If no, explain deviations Has person in charge of fire equipment been instructed as 12Yes ❑ No to location of control valves and care and maintenance of this new equipment? 1f no, explain Instructions Have copies of the following been left on the premises? CaYes ❑ No 1. System components instructions raitYes ❑No 2. Care and maintenance instructions 'Yes Li No 3. NFPA25 §kYes CINo Location of system Supplies buildings m C 4, O N A J f' Make Model Year of manufacture Orifice size Quantity Temperature rating 'Tyco 55) Ty rt z e i 7 lz. 5 6 200 Sprinklers TY(Q S5 P TY fit 7-017 flz_ign, 1 55 TYCo Zo17 3/Z- zc.D __cS-1 Pipe and Type of pipe 44.0 Th, -ail A egPir f 10 u fittings Type of fittings Ct.. C' f ie. 6 l(tC e oe a Alarm Alarm device Maximum time to operate through test connection valve or flow Type Make Model Minutes Seconds indicator 14f #T P4 Flo "I pt `It PQ 1i,5 f- f ( 0 Dry valve Q. O. D. Make Model Serial no. Make Model no. Ix pipe Time to trip through test connectiona.b Water pressure Air pressu = • ✓• nt air pressure Time water reached test outfeta,b Alarm operated Property operating test Minutes Seconds psi _Psi psi 'Minutes Seconds Yes No Without Q.O.D. With Q.Q.D. ® 2.12 . • nal Fire If • • a plain Protection Association NFPA 13 (p. 1 of 3) a Measured from time inspector's test connection is opened. b NFPA 13 only requires the 60 -second limitation in specific sections. FIGURE 25.1 Contractor's Material and Test Certificate for Aboveground Piping. 2013 Edition 13-246 INSTALLATION OF SPRINKLER SYSTEMS FIGURE 25.1 Continued 2013 Edition Operation ❑Pneumatic ❑Electric ❑Hydraulics __....•,----." Piping supervised jYes jNo Detecting media supervised ■ yes ■ No NDoes valve operate from the manual trip, remote, or both con .- ions? Yes ID No Delu a//a�rnd preaction Is there an accessible facility in each circuit ❑ Yes valves Does each circuit operate pp , oPilidillillel .1__ supervision loss alarm? Does each circuit operate valve release? operate release I Yes No Yes No Minutes Seconds Pressure Location Make and Residu - reducing and .. Flow rate valve st (psi) Outlet (psi) Inlet (psi) Outlet (psi) Flow (gpm) N/A Backflow device Indicate means used for forward flow test of backflow device: forward flow test When means to test device was opened, was system flow demand created? ❑ Yes Uli No Li N/A ydrostatic: rostatic tests shall be made at not less ti . ,iirglINP 3.6 bar) for 2 hours or 50 psi (3.4 bar) Test description is pressure in excess of 150 psi (10.2 bar) f.i 2 •. Iifferential dry pipe valve clappers shall be lett open during the test to prevent damage. All abovegroun• piping leakage shall be stopped. Pneumatic: Establish 40 psi (2.7 bar) air pressure an. .. -- . - . -xcee• • . :ar) in 24 hours. Test . - . a norma wa er evel and air pressure and measure air pressure drop, which shall not . - 2 psi (0.1 bar) in 24 hours. All hydrostatically tested at- (— bar) for hours If no, state reason piping psi - Dry piping pneumatically tested LJ Yes a -No Equipment operates properly aYes D No Do you certify as the sprinkler contractor that additives ana corrosive chemicals, sodium silicate or derivatives of sodium silicate, brine, or other corrosive chemicals were not used for testing systems or stopping leaks'? 26es LINO Tests Drain test 1 Reading of gauge located near water I Residual pressure with valy9.in test supply test connection: �Z psi ( bar) I connection open wide' Q- `-psi ( bar) Underground sprinkler Verified by Certificate Flushed by mains and lead-in connections to system risers flushed before connection piping copy of the Contractor's Material and Test ZrYes CA No for Underground Piping. �- installer of underground sprinkler piping LaYes I No made to Other Explain If powder -driven fasteners are used in concrete, 1:11 Yes �M has representative sample testing been satisfactorily completed? If no, explain w ,Q I - Blank testing gaskets Number used a, -�- Locations i Number removed Welding piping fai'es ❑ No If yes ... Welding ® 2012 National Fire Do you certify as the sprinkler contractor that welding procedures used complied with Yes ❑ No the minimum requirements of AWS 82.1, ASME Section IX Welding and Brazing Qualifications, or other applicable qualification standard as required by the AHJ? Do you certify that all welding was performed by welders or welding operators yYes j No qualified in accordance with the minimum requirements of AWS 82.1, ASME Section IX Welding and Brazing Qualifications, or other applicable qualification standard as required by the AHJ? Do you certify that the welding was conducted in compliance with a documented qr Yes ID No quality control procedure to ensure that (1) all discs are retrieved; (2) that openings in piping are smooth, that slag and other welding residue are removed; (3) the internal diameters of piping are not penetrated; (4) completed welds are free from cracks, incomplete fusion, surface porosity greater than 1/48 in. diameter, undercut deeper than the lesser of 25% of the wall thickness or 1h2 in.; and (5) completed circumferential butt weld reinforcement does not exceed Y32 in.? Protection Association NFPA 13 (p. 2 of 3) FIGURE 25.1 Continued 2013 Edition SYSTEMS ACCEPTANCE 13-247 Cutouts (discs) Do you certify that you have a control feature to ensure that all cutouts (discs) are retrieved? ls3 res Q No Hydraulic data nameplate Nameplate provided �r r[ Yes d No If no, explain Sprinkler contractor removed all caps and straps? Yes ❑ No Remarks Date left in service with all control valves open t p 3- 15 Signatures Name ofsprinkler contractor Ci 5 co }=rite s pe+>"KJe tzi ' PiC.. Tests witnessed by The property owner or their authorized agent (signed) Title Date For spri. contractor (signed) Ct' T e .V Date -3 --t NFPA 13 (p. 3 of 3) p Additional explanati. and . •tes ® 2012 National Fire Protection Association FIGURE 25.1 Continued 2013 Edition