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HomeMy WebLinkAboutFAI16-0002 CF FS 2022 Wet Pipe California Code of Regulations-Title 19 Quarterly and 1 of 2 . Fire Sprinkler System Inspection,Testing,and Maintenance Annual Report Property Information 4of CA�4�1h Contractor or Licensed Owner Information tti'cC'If y��°�' Building Name C r GD i7,,�l ` i C..4.•ty•l. y (1� !7" Name Wilgus Fire Control, Inc. lit Address t a5� ..,�L�Z qt•, �"t� Address 4544 Mountain Lakes Blvd. k1?AE f,e CitySt 2ip96003 ��._ Redding CA __ _ City e H 0 License 4 462979 Phone 530-241-2465 Contact Person III SFM Job it _ _ L/2 7/'/ ® CSLB Misc. . ,_._ ,$ISer intermits!' Mnil1 Pioin Test(Annual Rlser ' • Riser Mein Drain Initial Static Residual Final Static p,F.NIA Location No, Diameter Diameter Pressure Pressure _ Pressure This building has more than 5 risers. See additional AES 2.9 form attached Number of AES 2.9 forms attached C— - . _ .._ Qtiprterly In§PlIgipins I L.Inspection F=Test M=Maintenance P=Pess F=Fart N/A=NatApplrcalik; Item ❑oscriptian i PA 25•CA edi. Quo_ _•-- Date_. I IRliltQ --- 12 1_3- Roe.. ,Q 1.1 I Control Valves—ldentificat€on Sign 13.3.1 1.2 I Control Valves--Inspection 13.3.2 1.3 I Waterflow Alarm Devices 5.2.5P 1.4 L Supervisory Devices 5.2.5 1,5 I Gauges(Wet Pipe Systems) 5.2.4.1 fl 1.5 I Enter Water Supply Pressure Below Riser Check 5.2.4.1 psi psi psi ri 1.7 I Enter Water Supply Pressure Above Riser Check 5 2.4.1 psi Psi Psi SO psi 1.8 1 Pressure Readings Acceptable 5.2.4.1 1 9 I Hydraulic Design Information Sign 5.2.6 'For Hydraulically Designed Systems) General Information Sign 1.10 I Opt Required for System prior to 2007 Edition of NFPA 13) 5.2.8 --_ 4 1.11 I Heat Tape 5.2.7 6//i2 1.12 I Spare Sprinklers 5.2.1.4 WW. 1.13 t Fire Department Connections 13.7 1.14 I Alarm Valves—Exterior Inspection 13.4.1 / 1.15 I Pressure Reducing Valves 13.5.1.1 Afie 1.16 t Backllow Prevenlers 13.5.1 /A 1.17 I Small Hose Connections-Hose Valve' 5.1 IS, 13.5.2 // 13,5.5,1 _ /V 1.18 I PRV—Fire Sprinkler Systems 13 5.1.1 OA `Small hose connections are hose valves and optional hose supplied by the fire sprinkler system. They do not include Class I,II,or Ili standpipe systems. FOral AES 2.1 Sep€..t,2013 Wet Pipe California Code of Regulations -Title 19 Quarterly and 2 of 3 Fire Sprinkler System Inspection,Testing, and Maintenance Annual Report n Property Information AF,�E 04t,,Oo Contractor or Licensed Owner Information Building Name C af- k s o t1L t'?ems �� n Name __ 1 Wilgus Fire Control. Inc. Address 1 L�j t (� 6 5 r- ula,._ v ` f Job# City e rj'` c-© vt'`�RE M ANNUAL INSPECTION, TESTING,AND MAINTENANCE include ALL Quarterly Inspections _ :-: r:3I I =Inspection T =Test M=Maintenance P=Pnss F=Fair N/A=Nat Applicabin Item Description NFPA 25 CA ed, Dale Colllents Only P,F,NIA Reference 1.19 I Sprinklers 5.2.1 1.20 I Buildings(Freeze Protection) 4.1.1.1 Owner's Responsibility 1.21 I Plpe and Fittings 5.2.2 -- --- -- - J: -1.22 I Hangers 5.2.3 /12.40 1.23 I Seismic Braces 5.2.3 Field Service Test Required If REQUIRED, Enter'F'until 21 T (Send Report to Fire Code Official) 5"3'1 results are returned from Labrg i Recalled Sprinklers Title 19 2.2 T If not present=Pass, If present=Fait 904.1(c) 2.3 T W , p ater Flow Alarm Devices 5.3.3 sec 90 sec.maximum - (Enter Time) 13,2.6 `' 2.4 T Main Drain Test 13.2.5 (Enter Date on Page t of this Form) 13.3.3.4 2.5 T Control Valve-Position 13.3.3.2 .±.f._ 2.6 T Control Valve-Operation 13.3.3.1 2.7 T Supervisory Devices 13.3.3.5 2.8 T Backflow Preventer Assemblies 13.6.2 flr> 2.9 T Small Hose Connections' 13.5.2,3 P`iV- WPM VHose Valves-Partial Floe'Test 13.6.3.3 2.10 T PRV-Fire Sprinkler Systems 13.5.1.3 _ PlA 3.1 M Control Valves 13.3.4 ^ 3.2 M Small Hose Connections' 13.5.6.3 _�� Obstruction Investigation required —Yes __�__ 3 M (If'Yes",see Deficiencies and Comments Section 14.3 Ro for Resulls.) — 3.4 M System Returned to Service 4.5.3 — es Jo 'Small hose connections are hose valves and optional hose supplied by the fire sprinkler system. They do not include Class I. II, or Ill standpipe systems. D=Deficienc C=Comment Indicate .e g ? r f C Jaso for/r ' a.'ea .( 143_ t• 'rl .:. Q '.=ILP1'. 1_. Form AES 2 I Sept 3,2013 AO Wet Pipe California Cade of Regmlations-Title 19 Quarterly and 3 of ,3 Fire Sprinkler System Inspection, Testing, and Maintenance Annual Report Property Information f CA(r 11 p ttY :o' 1�at Contractor or Licensed Owner Information Building Name 11C� , Z:v r�— � zr. }�'{ Name Wilgus Fire Control, Inc. Address �' Ili -ci 7( (/�— yr. . 4b ,c �;" .lots it City (& D=Deficient C=Comment indicate t .e) 1t�m Date ; Rls tr Deficiencies and Comments(cont.� iff4.010 clif maim rtc s th teal woe tepgired or ypptig ,.., R yr tt HI — Check Hera it attdioonal Deficiencies and Comments are listed on Form AES 9. Number attached See Correction Form AES 10 for corrected deficiencies- Number attached —� l hereby certify that the Are protection equipment listed above has been fully inspected,tested,and main tamed on this dale by tine 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. Check box if Annual Inspection, Testing&Maintenance Items are Completed in the Indicated Quarter Quarter 1s1 [j Annual grid. - ❑'Annual • 3rd - ❑ .Annual 4th - ❑ Annual Date ( — -71 —,2 Z Print Name W• rhd'.o 77 Signature Form RES 2.1 S.a.r _t is r< *,f' - - '47-4 • _ F - r s • yyt k Y - = - Sit- _ ) - . - 1-1 -.1 -Y' •"---_.. 4r - . r 1 t • Fes_ -_ ice ^'t ti t S . • { r_J • N. *<-: 1 o- $_ - • • :. ' _t to ...a } e •f` 'tom a -` e_ J k _ - _ i 4 Y=-",- I ::=1,4A.fir.•" }3= - - -' . - •;1 .� t T - V.. - - - - ` - G