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HomeMy WebLinkAboutFAI16-0002 CF FS 2022 Wet Pipe California Code of Regulations-Title 19 Quarterly and 1t 3 Fire Sprinkler System Inspection,Testing,and Maintenance Annual Report Property Information r, t- -'��!h Contractor or Licensed Owner Information _ jam,__ r-i/,,c_ ¢x , 'Building Name C 1 f, 4 yr //! s nil �y,k_ y1 P Name Wilgus Fire Control, Inc. 'Address // (� tl f p jy t, ,e 4 7I1t•.,a� / -1 AAddress 4544 Mountain Lakes Blvd. _ kki?AE n Cit st CA Zip96003 titer= y Redding (City ('/PC 0 'License k 462979 (Phone 530-241-2465 'Contact Person I fl SFM 'Job ty _ __ 'j 42- 7/ /`-' 1 m CSLB f Misc. -- - .._..._--IRIa yLfnrrn troll. ::. -MoiltP ioTea%(Annual) . ;` Riser !ocatlon • Riser Main Drain Initial Static Residual Final Static p,F.WA No, Diameter Diameter Pressure Pressure Pressure _ L1 I 2 -I igQ t�,!' I WU -- - I I - I I . I I I I I I This building has more Than 5 risers, See additional AES 2,9 form attached. Number of AES 2.9 forms attached L— __71 Quarterly Inspections .4 . -: I =Inspection T=Test M=Maintenance P=Pass F=Fail N/A=Nat Applicable. Item Da>➢ ri tip 0= . 1.1 I Control Valves-Identification Sign 13.3.1 P 1.2 I 'Control Valves-Inspection 13.3.2 __ 1 3 I IWaterflow Alarm Devices 5.2.5 4___ -- 1.4 I Supervisory Devices 5.2.5 1,5 I Gauges(Wel Pipe Systems) 5.2.4.1 1.5 I 'Enter Water Supply Pressure Below Riser Check 5.2.4.1 psi psi psi /14/44si 1.7 I 'Enter Water Supply Pressure Above Riser Check 5.2.4.1 psi psi Psi SO Ps' 1.8 1 (Pressure Readings Acceptable 5.2.4.1 1.9 { ' uh Hydraulic Design Information Sign - .- ' -.- 5.2.6 (Far Hydrecelly Desioned Systems) 1.10 'G' oenferalReq Inforuired fomar Sytionste Signm p - I rior to 2007 Edition of NFPA 13) 5.2.8 _/ 1.11 I 'Heat Tape 5.2.7 ,V!/ 1.12 I 'Spare Sprinklers 5.2.1.4 —19 1.13 t 'Fire Department Connections 13.7 I� 1.14 I 'Alarm Valves-Exterior Inspection 13.4.1 -�'f 1.15 I 'Pressure Reducing Valves 13.5.1,1 .18A� 1.16 I Backflow Preventers 13.5.1 V 1.17 I Small Hose Connections-Hose Valve' 6.1 b, 13,5.2 A// 13,5.5,1 N 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 Ill standpipe systems. ___ Form AES 2 1 Sept..s,2013 r Wet Pipe California Cod© of Regulations -Title 19 Quarterly and 2 of 3 • ..F Ire.Sprinkler System Inspection,Testing, and Maintenance Annual Report n Property Information AE9�C'4l/,�.p Contractor or Licensed Owner Information kq �i (Building Name [� )G�� k 7�//tIL �, ,�� n Name wit.- Fire Control. Inc. (Address J j[d alb S r A ucc- , ,�',: Job - !City e ph 'c.p ,t M ANNUAL INSPECTION, TESTING,AND MAINTENANCE .-� .. Include ALL Quarterly Inspections ;� ' I =Inspection T =Test M=Maintenance P=Pass F=Fart N/A=Not Applicable Item NFPA 26 CA ed, I I R I I Dale I Comments Only P,F,NIA Reference 1.19 I Sprinklers 5.2.1 I 1 1.20 I Buildings(Freeze Protection) - -- 4.1.1.1 I Owner's Responsibility 1.21 I Pipe and Fittings 1— 5.2.2 - f --._ .T _ _ -- -- 1.22 I 'Hangers I 5.2.3 I 1.23 I (Seismic Braces 5.2.3 I I -F 2.1 T Field Service Test Required 5 3 1 If REQUIRED, Enter'F'until I ti (Seri!Report to Fire Code Official) (results are returned from Lab Z 2 T 'Recalled Sprinklers Title 19 I If not present=Pass; ll present=Fail 904.1(c) 2.3 T (Water t3 Flowsec.maxi Alamrmum Devices 5.3.3 I D sec. • (Enter Time) 13.2.6 `*' 2.4 T (Main Drain Test ' 13.2.5 I (Enter Date on Pape 1 of this Form) 13.3.3.4 _ 2.5 I T IControt Valve-Position 13.3.3.2 2.6 I T 'Control Valve-Operation I 13.3.3.1 2.7 I T Supervisory Devices 13.3.3.5 I I ' 2.8 T Backflow Preventer Assemblies 13.8.2 ( I •-�v` 2.9 T Small Hose Connections' 13.5.2.3 - /4 --w/PRVVHose Valves-PartialFlon Test 13.5.3.3 2.10 I T PRV-Fire Sprinkler Systems I _f/,_13.5.1.3 I I - 3 1 I M Control Valves 13.3.4 I 7 3.2 M Small Hose Connections' 13.5.6.3 I I IVI/r Obstruction Investigation required Yes _ -w_ _3.3 tut (If"Yes'see Deficiencies and Comments Section 14.3 e‘ for Results.) y�- 3.4 I M System Returned to Service ,lo I *Small hose connections are hose valves and optional hose supplied by the fire sprinkler system. They do not include Class I, II,of Ill standpipe systems. ,_ I D=Deficiency C=Comment (indicate ty•e - item patrl Riser C . ot3ttclsfiChTS` nd Comments . -., .-.:.k_.,...,. - . .torrIt.Ie ;1[.;ih, 4ii: la +s on. arts tintivere Ie le. . •1....•4. -'. 1 1 - - 1 I __ I I - - . Form AES 2 I Sept 3.2013 Wet Pipe California Cade of Regulations-Title 19 Quarterly and3 of .s Fire Sprinkler System Inspection, Testing, and Maintenance Annual Report Property Information pfA�"� i,A0 Contractor or Licensed Owner Information _ „ Buildin Name ��� � ' ✓l i��� )5) Marne Wilgus Fire Control, Inc. 'Address j j �[i 7 f A U� vr. �b Job# D=Deficient C=Comment Indicate t •e Item Date Risef t> c Pefklenales and Comments(cont> lrrc(G•ar lWhiliT@r+ ,•Y# ; ;n� !qlf'! : AV;tpa•Ited • • 71 1 �. J I RH f iuI Check here if additional Deficiencies and Comments are listed on Form AES g. Number attached —� See Correction Form AES 10 for corrected deficiencies- Number attached !hereby certify that the fire protection equipment fisted above has been fully inspected,tested,and maintained on this dare by die 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 1st Annual 2i7d ^ ❑'Amtua! • 3rri - ❑:.annual ath - ❑ Annual Date J ( ' — Print Name /� [�c p Signature • Form AES 2.1 SLy+1 's-2013 . ,. :4 . _ r 4t f 3='fit, ` tr. p = . • • E.� s j .. i A I- } F t SS .fir s r ht �+= 5 • • • • . ._ �._ b =x = 4 - • • t w ��' a _ _ate .:, II - y= a 'r ,-`L - • s �i % p.� y " S tr i f s E .."-0,pf: 4 :.4// ,a s` r - S . t' y • ' - '''- —2, 1.*:-.710,#' ,,,.. .:_,_74"6...r...',-...0.'1'.,7'1'I'j-11..P'". .-1'.... .. ,..:' ::-'‘:,.-7,14.:,.„- �a r n i �.� r a+__a rZ *_ _ , t. r." g s. 4 � r • Kt % I Y,n#-