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HomeMy WebLinkAboutB17-2940 Overhead Sprinkler Hydro Test 2018 Facility 25-78 INSPECTION,TESTING,AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Cover Sheet NFPA 25 as amended b CCR, Title 19 Property Information: Name: /f3) �t� f f1 ... rr Occupancy/Use: i��oF CANNi�N Address: - f�� ,r 4 �v Construction Type: ,f •,'N:i City: �w ç�'',��' ;v i ram__________ -__ —-�_ No. Stories: ii�� ✓fit, v.t % ZIP: � _�3 Year Constructed: .� 5_11 �h' tU[P?�_ I,ti Contact: Telephone: 5 30 25'73 - Fe(y Contractor Information: J, Number of System Risers Name: I. 1— �cw►©hf 11'1 �tI^ Copy sent to: Address: ZH20 �uf f tfe a VOwner Date „Z L.: J`Z? City: .0 o Fire AHJ .Date Stater ❑ Contractor Date Telephone: DCW—p9 :2y16 NOTES: CA License# q j log 1) For specific inspection, testing, and ------ maintenance requirements and information, Job# see NFPA 25, 2002 Edition as armed by California Code of Regulations, Title 19, §901 Performed by: to §906. (Print) 2) Inspection Items may be performed by the Owner in accordance with California Code of Note: Contractor information may be pre-printed R- •ulations Title 19 §904.1(a) Forms included with this report NFPA 25 Chapter Number of Forms N/A FAIL* PASS S Automatic Sprinkler System 5 ❑ Standpipe and Hose Systems 6 ❑ Private Water Supply System 7 ❑ Fire Pump 8 E Water Storage Tank 9 ❑ Water Spray System 10 ❑ Foam Water Sprinkler System 11 *See `Deficiencies and Comments"section at end of each respective form. State Fire Marshal AES 1 March 21, 2006 B17-2940 040-200-006 ANNEX B 25-79 Inspection,Testing,and Maintenance Fire Sprinkler System Pae 1 of 4 NFPA 25, Chapter 5 as amended by CCR,Title 19 g Date of Inspection, Testing, Maintenance: 3-02,7 - I' System Riser ID: l Property Information: Name: (tieli pct�e, t1.,,,-t 40,,,n . f Type of System: 'O+F - Ab c1j C�"Wet Pipe "Alr- �9 Address: 9t)-9.9 W1 atacc ❑ Dry Pipe �'t `i.�`11.44;-- g . h,i. 0 Preaction Iva. 7/ils% 0 Deluge f+N1/' City: Jvr Lig„, cc,. q6---lgs Main Drain Test Results: Abbreviation Key: Initial Static Pressure: 1 = Inspection 6 5- (psi) T=Test M=Maintenance Residual Pressure: 6.-e2 (psi) A-0 =After Operation Restored Static Pressure: 0Ml= Per Manufacturer's Instructions (psi) Item Activity Frequency Description NFPA 25 Fail N/A Pass Dail g Reference 1.1 I y Preactian/DelU a Valves— Enclosure 12.4.3.1 /` Weekly temperature 1.2 I Daily Dry Pipe Valves—Enclosure Weekly temperature 12.4.4.1.1 / 1.3 I Quarterly Gauges(Dry, Preaction, Deluge 5.2.4.2 Systems) 5.2.4.3 1.4 I Quarterly Control Valves 12.3.2.1 1.5 I Quarterly Alarm Devices 5.2.6 1.6 I Quarterly Gauges(Wet Pipe Systems) 5.2.4.1 1.7 I Quarterly Hydraulic nameplate 5.2.7 _s- 1.8 s`1•$ I Quarterly Pipe and Fittings 5.2.2 1.9 I Quarterly Sprinklers 5.2.1 / 1.10 I Quarterly Spare Sprinklers 5.2.1.3 /. 1.11 I Quarterly Fire Department Connections 12.7.1 1.12 I Quarterly Alarm Valves—Exterior Inspection 12.4.1.1 1.13 I Quarterly Preaction/Deluge Valves—Exterior Inspection 12.4.3.1:6 / 1.14 I Quarterly Pressure Reducing Valves 12.5.1.1 I / 1.15 Quarterly Dry Pipe Valves—Exterior Inspection 12.4.4.1.4 I � 1.16 Quarterly Backflow Preventers 12.6.1 1.17 I Annually Buildings 5.2.5 ----- State State Fire Marshal AES 2 March 21, 2006 25-80 INSPECTION,TESTING,AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection,Testing,and Maintenance Fire Sprinkler System NFPA 25, Chat ter 5 as amended b CCR,Title 19 Page 2 of 4 Date of Inspection, Testing, Maintenance: _S__—__22_1_--13- System Riser ID: 1 Property Information: Name: - ,,�1., Type of System: hof cA4),4't !7 Wet Pipe .f/Zr ew = 0 44 Address: ❑ Dry Pipe s .�N�-. 1ST, ❑ Preaction i c / ," 0 Deluge `ri9c� 'v1\ ."' City: /•l,n Item Activity Frequency Description NFPA 25 1.18 I Reference Fail N/A Pass Annually Hangers 5.2.3 1.19 I Annually Seismic Braces 1.20 5.2.3 v 5 Years (Accessible Hangers A 9 coessible concealed spaces) 5.2.3.3 1.21 I 5 Years Seismic Braces(Accessible concealed s.-ces 5.2.3.3 Pipe and Fittings(Accessible concealed 1.22 I 5 Years s•-ces 5.2.2.3 /. 1.23 I 5 Years Sprinklers (Accessible concealed spaces) 5.2.1.1.4 1.24 I 5 Years Alarm Valves-Interior inspection / 1.25 I 12.4.1.2 lal 5 Years Alarm Valves-Strainers,fitters,orifices 12.4.1.2 11111 1.26 I 5 Years Check Valves—Interior Inspection 12.4.2.1 11011 1.27 I 5 Years Preaction/Deluge Valves—Interior Inspection 12.4.3.1.7 all 1.28 I 5 Years Preaction/Deluge Valves-Strainers, filters,orifices 12.4.3.1.8 / - 1.29 I 5 Years Dry Pipe Valves—Interior Inspection 12.4.4.1.5 1.30 I 5 Years Dry Pipe Valves � - -Strainer;,filters,orifices 12.4.4.1.6 2.1 T Annually / - Devices(90 Sec) 5.3.3 Alarm Dev 12.2.7 =MI 12.2.6 2.2 T Annually Main Drain Test(Enter data on Page 1) 12.2.6.1 2.3 T Annual) 12.3.3.411111 Y Antifreeze Test 5.3.4 MI 2.4 T Annually Control Valve Position 2.5 T 12.3.3.1 eel Annually Control Valve-Operation 2.6 T 12.3.3.1 Ell Annually Supervisory 2.7 T 12.3.3.5 lail Annually Preaction Valve—Priming Wer 2.8 T 12.4.3.2.1 / all Annually Preaction Valve Low Air Pressure Alarm 12.4.3.2.10 2.9 T Annually - Preaction Valve—Full Flow Trip Test 12.4.3.2.2 all State Fire Marshal AES 2 March 21, 2006 ANNEX B 25-81 Inspection, Testing,and Maintenance Fire Sprinkler System Pae 3 of 4 NFPA 25,Chapter 5 as amended b CCR,Title 19 9 Date of Inspection, Testing, Maintenance: .�-02 I X System Riser ID: t Property Information: Name: C fG / cr�u����, Type of System: rpP cA4 ,► JZ1Wet Pipe ;,4er� �r : ��''� Address: 5 c.1? ,, My►ici t./4, ❑ Preaction liS t/P\5 1❑ Dry Pipe r" '--...V--' rd/1 ❑ Deluge Ii1p�0 "" City: - ve-bum �'.�. 9Sc1 Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 2.10 T Annually Dry Pipe Valve—PrimingWater 12.4.4.2.1 / 2.11 T Annually Dry Pipe Valve—Low Air Pressure Alarm 12.4.4.2.6 2.12 T Annually Dry Pipe Valve—Quick-Opening Device 12.4.4.2.4 / 2.13 T Annually Dry Pipe Valve—Trip Test 12.4.4.2.2 2.14 T Annually Backflow Preventer Assemblies 12.6.2 / 2.15 T 3 Years Dry Pipe Valve—Full Flow Trip Test 12.4.4.2.2.2 2.16 T 5 Years Gauges 5.3.2 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 ...--- 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 I 2.19 T 5 Years Sprinklers—Extra High Temperature 5.3.1.1.1.3 2.20 T 5 Years Sprinklers Corrosive environment or / corrosive water 5.3.1.1.2 2.21 T 10 Years Sprinklers-Dry 5.3.1.1.1.5 ' 2.22 T 20 Years Sprinklers-Fast Response 5.3.1.1.1.2 V. 2.23 T 50 Years Sprinklers 5.3.1.1.1 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 2.25 T Sprinklers manufactured prior to 1920 —Reaace 5.3.1.1.1.1 3.1 M Annually Control Valves 12.3.4 / I 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 Dry Pipe Valves/Quick-Opening 3.3 M Annually Devices 12.4.4.3.2 ./ 3.4 M Annually Dry Pipe Valve—Low Point Drains 12.4.4.3.3 / 3.5 M 5 Years Obstruction Investigation Chapter 13 State Fire Marshal AES 2 March 21, 2006 25-82 INSPECTION,TESTING,AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection,Testing,and Maintenance Fire Sprinkler System Page 4 of 4 NFPA 25,Chapter 5 as amended by CCR,Title 19 Date of Inspection, Testing, Maintenance: 3 .-a2 J- /y System Riser ID: I Property Information: Name: G(1�= F� rx, �s Type of System: of CAS,, le Wet Pipe ;+�'t {s' ; -4*, C9'', c�,t Geo ❑ Dry Pipe �° r_.Cito, Address: C! 1% cVGcy / ❑ Preaction t•' ftY 0 Deluge i -41.‘ ,fit City 7 ?^ .1,vl C ��h'� _ Deficiencies and Comments: Item Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: ❑ See Continuation Page(s) (Indicate the number of continuation pages) ,FABS ❑ FAIL :1 .. . .•natur Date State Fire Marshal AES 2 March 21, 2006