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Home My WebLink AboutFAI15-0097 Sprinkler Lodge 2022 J ohnson #114k Controls ANNUAL WET & DRY FIRE SPRINKLER INSPECTION REPORT IIMIP Feather Falls Lodge 4 Alverda Dr. Oroville, CA, 95966 March 24, 2022 Adif - ./47''' . . _„-i\ 1. el .. - • Lt. it, s ........._ 10 91 P ' red 5 'l l i � ! . ., • • ..- . . ..i. �, ,:._ _ Johnson Controls 3140 Gold Camp Dr. Suite 90 Rancho Cordova Ca. 95670 916-283-0300 / Arc Johns on contro l s 3140 Gold Camp Dr. Suite 90 Rancho Cordova Ca. 95670 — (916)283-0300 —fax(916)920-2241 Technician#1 James Crawford Technician#2 Nick Prusack Cell Phone# 916-291-8702 Cell Phone# Customer Information: Date: March 24, 2022 Customer Name: Feather Falls Lodge Property Address: 4 Alverda Dr. Address: 4 Alverda Dr. City, State, Zip Oroville, CA, 95966 City, State, Zip Oroville, CA, 95966 Bldg Info or#: Contact Information: Monitoring Info: (Before Testing Notify) Name: Mark Grover Name: Local Only Phone#: 530-533-4047 Account# Email: mark.arover(afeatherfallscasino.com Phone#: Email: scott.nash(afeatherfalscasino.com Time of Test: Service Request# 51225028 Operator: Notes: To take down the FACP Disable the following points: Audio/Visuals: 1 M033, 1M081 , 1 M082 , 1 M083, 1 M084 , 1 M088, 1 M089, 1 M090 , 1M091 , 1 M092 , 1 M093, 1 M094, 1M099 Door Holders: 1 M085 , 1 M086 , 1 M087 Elevators: Primary: 1M098 / Secondary: 1M097 / Shunt: 1M095 FM 200 System: Alarm: 1M031 / Trouble: 1M032 FACP is through the lobby and down the hall to the left by the Storage Room in the Main Electrical Room. OS&Y's and the PIV are in the parking lot across from the Wet Riser. Inspection,Testing,and Maintenance Cover Sheet NFPA25 as amended by CCR,Title 19 Property Information: Business Name: Feather Falls Lodge Occupancy/Use: Hotel _ , Address: 4 Alverda Dr. Construction Type: Wood/Stucco t of s'4�tia'�� air a , City, State,Zip: Oroville, CA, 95966 No. Stories: 3 ,f�;�'f 1 • Contact Name: Mark Grover Year Constructed: N/A a Contact Phone: 530-533-4047 5 Year Certification: December-17 1t • -Oa Contact Email: scott.nash(afeatherfalscasino.com Service Request#: 51225028 tiAN, E MP=` Inspection Date: 3/24/2022 (Contractor Information: Number of System Risers:2 Name: Johnson Controls Copy sent to: Address: 3140 Gold Camp Dr. Suite 90 0 Owner Date: 03/24/22 City: Rancho Cordova ❑ Fire AHJ Date: 03/24/22 State: California 0 Contractor Date: 03/24/22 Telephone: (916)283-0300 CA License#: 986047 NOTES: Performed by: James Crawford 1)For specific inspection,testing,and maintenance requirements& Performed by: Nick Prusack information,see NFPA 25,2011 edition as amended by California Code of Regulations,Title 19,§901 to§906. 2) Inspection items may be performed by the owner in accordance with California Code of Regulations,Title 19,§904.1(a) 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 Forms N/A Fail Pass O Automatic Sprinkler System 5 6 X • Standpipe and Hose System 6 • Private Water Supply System 7 • Fire Pump 8 • Water Storage Tank 9 • Water Spray System 10 • Foam Water Sprinkler System 11 • Water Mist System 12 • Concerns that are Not Deficiencies (i.e. Non-Sprinklered Areas) ❑ Yes 0 No *See"Deficiencies and Comments"section at end of each respective form. Wet&DryPipe California Code of Regulations-Title 19 Annual Report Fire Sprinkler System Inspection,Testing,and Maintenance Property Information of,4ci ontractor or Licensed Owner Informatio Name: Feather Falls Lodge �' ��'rx 1 Name: Johnson Controls Address: 4 Alverda Dr. i i Address: 3140 Gold Camp Dr. Suite 90 City,State,Zip: Oroville, CA, 95966 c • —44� City,State: Rancho Cordova,Califorina ARE MN Contact Name: Mark Grover Phone#: (916)283-0300 Telephone: 530-533-4047 'License#986047 SR#: 51225028 Email: scott.nash anfeatherfalscasino.com I ❑ SFM Misc: E CSLB Riser Information .1=iN ME. Main Drain Test(Annual) ni is ma Riser Main Drain Static Residual Static Riser No. Location/Description Waterflow Diameter Diameter Pressure Pressure Pressure 1 Exterior Closet Right Corner 59 sec 3" 1-1/4" 130psi 103psi 108psi 2 I Dry In Closet By Sky Bridge I Trip @ 8psi I 3" 1-1/4" 135psi Low Air @ 17psi I I I 32 Air Quarterly Inspection NFPA 25 CA ed. Item Description Reference Pass N/A Fail 1.1 I Control Valves—Identification Sign 13.3.1 X 1.2 I Control Valves—Inspection 13.3.2 X 1.3 I Waterflow Alarm Devices 5.2.5 X 1.4 I Supervisory Devices 5.2.5 X 1.5 I Gauges(Wet Pipe Systems) 5.2.4.1 X 1.6 I Enter Water Supply Pressure Below Riser Check 5.2.4.1 see above 1.7 I Enter Water Supply Pressure Above Riser Check 5.2.4.1 see above 1.8 I Pressure Readings Acceptable 5.2.4.1 X Hydraulic Design Information Sign(For Hydraulically 1.9 I Designed Systems) 5.2.6 X General Information Sign(Not Required for System prior 1.1 I to 2007 Edition of NFPA 13) 5.2.8 X 1.11 I Heat Tape 5.2.7 X 1.12 I Spare Sprinklers 5.2.1.4 X 1.13 I Fire Department Connections 13.7 X 1.14 I Alarm Valves—Exterior Inspection 13.4.1 X 1.15 I Pressure Reducing Valves 13.5.1.1 X 1.16 I Backflow Preventers 13.6.1 X 1.17 I Small Hose Connections-Hose Valve* 5.1.6, 13.5.2, 13.5.5.1 X 1.18 I PRV—Fire Sprinkler Systems 13.5.1.1 X *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. Wet&Dry Pipe California Code of Regulations-Title 19 Annual Report Fire Sprinkler System Inspection,Testing,and Maintenance Property Information __ �.�, Contractor or Licensed Owner Information IName: Feather Falls Lodge `2��ca[i'�a , 'Name: Johnson Controls (Address: I 4 Alverda Dr. i co{fq/° (Address: 13140 Gold Camp Dr. Suite 90 (City,State,Zip: I Oroville, CA, 95966 ,3i /- (City: I Rancho Cordova (Contact Name: I Mark Grover Fig --- � (State I California 'Telephone: I 530-533-4047 IZipcode: I 95670 Email: scott.nash(atfeatherfalscasino.com License#986047 SR#: 51225028 ANNUAL INSPECTION,TESTING,AND MAINTENANC I=Inspection T=Test M=Maintenance P=Pass F=Fail N/A=Not Applicable NFPA 25 CA ed. Item MINIDescription Reference Date Pass N/A Fail 1.19 I Buildings(Freeze Protection) 4.1.1.1 3/24/2022 X 1.20. I Sprinklers 5.2.1 3/24/2022 X 1.21 I Sprinklers-Accessible Concealed Space 5.2.1.1.6 3/24/2022 X 1.22 I Pipe and Fittings 5.2.2 3/24/2022 X 1.23 I Pipe and Fittings-Accessible Concealed Space 5.2.2.3 3/24/2022 X 1.24 I Hangers 5.2.3 3/24/2022 X 1.25 I Hangers-Accessible Concealed Space 5.2.3.3 3/24/2022 X 1.26 I Seismic Braces 5.2.3 3/24/2022 X 1.27 I Seismic Braces-Accessible Concealed Space 5.2.3.3 3/24/2022 X 1.28 Unsprinklered Areas CFC 901.4 3/24/2022 X 2.1 T Field Service Test Required (Send Report to Fire 5.3.1 3/24/2022 Code Official) X 2 2 T Recalled Sprinklers If not present= Pass; If present= Title 19 904.1(c) 3/24/2022 X Fail 2.3 T Water Flow Alarm Devices. 90 sec. maximum- (Data 5.3.3, 13.2.E 3/24/2022 X on Page 1 of this form) 2.4 T Main Drain Test(Data on Page 1 of this form) 13.2.5, 13.3.3.4 3/24/2022 X 2.5 T Control Valve- Position 13.3.3.2 3/24/2022 X 2.6 T Control Valve—Operation 13.3.3.1 3/24/2022 X 2.7 T Supervisory Devices 13.3.3.5 3/24/2022 X 2.8 T Backflow Preventer Assemblies 13.6.2 3/24/2022 X 2 9 T Small Hose Connections w/PRV Hose Valves— 13.5.2.3 3/24/2022 X Partial Flow Test 13.5.3.3 2.10. T PRV—Fire Sprinkler Systems 13.5.1.3 3/24/2022 X 2.11 T Pressure Gauges-Calibration 5.3.2 3/24/2022 X 2.12 T Small Hose Connections* 13.5.6.2.2 3/24/2022 I X 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. Wet&Dry Pipe California Code of Regulations-Title 19 Annual Report Fire Sprinkler system Inspection,Testing, and Maintenance Property Information Contractor or Licensed Owner Information of CAL./ IDry Feather Falls Lodge Afr '�a Name: (Johnson Controls (Address: 14 Alverda Dr. oaf q Address: 13140 Gold Camp Dr. Suite 90 'City,State,Zip: lOroville, CA, 95966 " f� City: (Rancho Cordova -74NIContact Name: (Mark Grover E State (California Telephone: 1530-533-4047 Zipcode: 195670 Email: scott.nash(@,featherfalscasino.com License#986047 SR#: 51225028 Item Date Deficienc - - • omments ••icate all equipment,devices and parts that were repaired or replaced There is one out of date air gauge on the dry system that needs to be replaced. Dry D The wet system headbox needs a Tyco concealed&Semi-recessed head wrench Wet D added to it. n Check here if additional Deficiencies and Comments are listed on Form AES 9. Number Attached: 1-1See 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. Customer: Inspector: Mark/Qrover JamCr uwfa-erdi