HomeMy WebLinkAboutB16-2361 047-120-023 CF FS 5 Year Sprinkler Report - Berberian Nut 1-23-2023 (2) Inspection, Testing, and Maintenance Cover Sheet
NFPA25 as amended by CCR, Title 19
Property Information:
Name: Berberian Nut Company Occupancy/Use:
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Address: 6100 Wilson Landing Rd Construction Type: �A.4 C�,hpkl!
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City: Chico No. Stories: 1 od�„ F
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ZIP: 95973 Year Constructed: I/c\ %r,�
Contact: �t+ j4igF MPS'
Jose Gonzalez tit ��
Telephone: (530)588-1554
Contractor Information: Number of System Risers
Name: Foothill Fire Protection, Inc. Copy sent to:
Address: 170 Erma Court ❑✓ Owner Date: 01-23-2023
City: Chico ❑J Fire AHJ Date: 01-23-2023
State: California ❑ Contractor Date:
NOTES:
Telephone:
(530)826-3013 1)For specific inspection,testing,and maintenance
CA License requirements and information,see NFPA 25,2011
#: 783132 edition as amended by California Code of
Job#: Regulations,Title 19,§901 to§906
27097687
Performed 2)Inspection items may be performed by the owner
by: Stephen Rampenthal 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 Chapter Number of Forms NI' Pass
❑✓ Automatic Sprinkler System 5 4 ❑ Q ❑
❑ Standpipe and Hose System 6 0 ❑✓ ❑ ❑
❑ Private Water Supply System 7 0 ❑✓ ❑ ❑
❑ Fire Pump 8 0 Q ❑ ❑
❑ Water Storage Tank 9 0 Q ❑ ❑
n Water Spray System 10 0 ❑✓ ❑ ❑
❑ Foam Water Sprinkler System 11 0 ❑✓ ❑ ❑
❑ Water Mist System 12 0 0 ❑ ❑
Concerns that are Not Deficiencies(i.e. Non-Sprinklered Areas) ❑./ Yes ❑ No
*See"Deficiencies and Comments"section at end of each respective form.
Wet Pipe California Code of Regulations—Title 19 5 Year 2 of 5
Fire Sprinkler System Inspection,Testing and Maintenance Report
Property Information o CAc% Contractor or Licensed Owner Information
a`�i
Building Name: Berberian Nut Company I, fa Name: Foothill Fire Protection, Inc
Address: 6100 Wilson Landing Rd � Address: 170 Erma Court
City: Chico St: CA Zip:95928
City: Chico License#:783132 Phone: (530)826-3013
Contact Person: Jose Gonzalez 0 SFM Job#: 27097687
Phone: (530)588-1554 ❑✓ CSLB C-16 Misc.
Riser Riser Main Drain Initial Residual Final Static
No. Location Diameter Diameter Static Pressure Pressure P,F,N/A
Pressure
1 Exterior Riser Left 3 1.5 65 48 64 P
2 Exterior Riser Left Middle 4 2 67 50 I 68 P
3 Exterior Riser Middle Right 6 2 66 45 I 69 P
4 Exterior Riser Right 6 2 66 53 65 P
❑ This building has more than 5 risers.See additional AES 2.9 form attached. Number of AES 2.9 forms attached:
5-Year INSPECTION,TESTING AND MAINTENANCE
Includes ALL Quarterly and Annual Inspections,Tests,and Maintenance
I=Inspection T=Test M =Maintenance P=Pass F=Fail N/A =Not Applicable
NFPA 25 CA
Item Description ed. Date Comments Only P,F,N/A
Reference
1.1 I Control Valves—Identification Sign 13.3.1 01-23-2023 N/A P
1.2 I Control Valves—Inspection 13.3.2 01-23-2023 N/A P
1.3 I Waterflow Alarm Devices 5.2.5 01-23-2023 N/A P
1.4 I Supervisory Devices 5.2.5 01-23-2023 N/A P
1.5 I Gauges(Wet Pipe Systems) 5.2.4.1 01-23-2023 N/A P
1.6 I Hydraulic Design Information Sign 5.2.6 01-23-2023 N/A P
(For hydraulically designed systems)
1.7 I Enter Water Supply Pressure Below Riser Check 5.2.4.1 01-23-2023 psi N/A
1.8 I Enter Water Supply Pressure Above Riser Check 5.2.4.1 01-23-2023 psi N/A
1.9 I Pressure Readings Acceptable 5.2.4.1 01-23-2023 N/A P
General Information Sign
1.10 I (not required for system prior to 2007 Edition NFPA 5.2.8 01-23-2023 N/A N/A
13)
1.11 I Heat Tape 5.2.7 01-23-2023 N/A N/A
1.12 I Spare Sprinklers 5.2.1.4 01-23-2023 N/A P
1.13 I Fire Department Connections 13.7 01-23-2023 N/A P
1.14 I Alarm Valves—Exterior Inspection 13.4.1 01-23-2023 N/A P
1.15 I Pressure Reducing Valves 13.5.1.1 01-23-2023 N/A P
1.16 I Backflow Preventers 13.6.1 01-23- N/A N/A
2023
Wet Pipe California Code of Regulations -Title 19 5 Year 3 of 5
Fire Sprinkler System Inspection,Testing, and Maintenance Report
Property Information �°xc�li Contractor or Licensed Owner Information
iv a°1
Building Name: Berberian Nut Company , .,k-y v Name:
Address: 6100 Wilson Landing Rd Job#:27097687
City: Chico
ANNUAL INSPECTION,TESTING,AND MAINTENANCE
Include ALL Quarterly Inspections(See Previous Page)
I=Inspection T=Test M=Maintenance P=Pass F=Fail N/A =Not Applicable
Item Description It
NFPA 25 CA Date Comments Only P,F,N/A
ed. Reference
1.17 I Small Hose Connections-Hose Valve* 5.1.6, 13.5.2 01-23-2023 N/A N/A
13.5.5.1
1.18 I PRV—Fire Sprinkler Systems 13.5.1.1 01-23-2023 N/A N/A
1.19 I Buildings(Freeze Protection) 4.1.1.1 01-23-2023 Owner's Responsibility P
1.20 I Sprinklers 5.2.1 01-23-2023 N/A F
1.21 I Sprinklers-Accessible Concealed Space 5.2.1.1.6 01-23-2023 N/A P
1.22 I Pipe and Fittings 5.2.2 01-23-2023 N/A P
1.23 I Pipe and Fittings-Accessible Concealed Space 5.2.2.3 01-23-2023 N/A P
1.24 I Hangers 5.2.3 01-23-2023 N/A F
1.25 I Hangers-Accessible Concealed Space 5.2.3.3 01-23-2023 N/A P
1.26 I Seismic Braces 5.2.3 01-23-2023 N/A P
1.27 I Seismic Braces-Accessible Concealed Space 5.2.3.3 01-23-2023 N/A P
1.28 I Unsprinklered Areas CFC 901.4 01-23-2023 ❑Yes ONo
2.1 T Field Service Test Required 5.3.1 01-23 2023 If REQUIRED,Enter"F"until N/A
Send Report to Fire Code Official results are returned from Lab
2 2 T Recalled Sprinklers Title 19 01-23-2023 N/A N/A
If not present=Pass; If present=Fail 904.1(c)
2.3 T Water Flow Alarm Devices 5.3.3 01-23-2023 90 sec F
90 secs max. Enter time 13.2.6
2.4 T Main Drain Test 13.2.5 01-23-2023 N/A P
(Enter data on Page 1 of this form) 13.3.3.4
2.5 T Control Valve-Position 13.3.3.2 01-23-2023 N/A P
2.6 T Control Valve—Operation 13.3.3.1 01-23-2023 N/A P
2.7 T Supervisory Devices 13.3.3.5 01-23-2023 N/A F
2.8 T Backflow Preventer Assemblies 13.6.2 01-23-2023 N/A N/A
2 9 T Small Hose Connections* 13.5.2.3 01-23-2023 N/A N/A
w/PRV Hose Valves—Partial Flow Test 13.5.3.3
2.10 T PRV—Fire Sprinkler Systems 13.5.1.3 01-23-2023 N/A P
2.11 T Pressure Gauges-Calibration 5.3.2 01-23-2023 N/A P
2.12 T Small Hose Connections* 13.5.6.2.2 01-23-2023 N/A N/A
*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 Pipe California Code of Regulations -Title 19 5 Year 4 of 5
Fire Sprinkler System inspection,Testing,and Maintenance Report
Property Information `off cali, Contractor or Licensed Owner Information
Building Berberian Nut Company ;`� � y r, Name: Foothill Fire Protection,Inc
Name: 'lr_�
I Address: 6100 Wilson Landing Rd tj Qli I Job# 27097687
I City: Chico N,„.`7RE IAp
ANNUAL INSPECTION,TESTING,AND MAINTENANCE _
Include ALL Quarterly Inspections(See Previous Page)
I=Inspection T=Test M=Maintenance P=Pass F=Fail N/A=Not Applicable
Item Description 111! N - -
edFReference Date Comments Only P,F,N/A
3.1 M Check Valves-Internal inspection 13.4.2 01-23-2023 N/A N/A
3.2 M Control Valves 13.3.4 01-23-2023 N/A P
3.3 M FDC-Backflush 14.3.2.3 01-23-2023 N/A F
14.3.2.4
Internal Pipe Inspection
3.4 M If"Yes"-See Deficiencies and Comments Section for 14.2 01-23-2023 yes
Results.
Obstruction Investigation Required.
3.5 M If"Yes"-See Deficiencies and Comments Section for 14.3 01-23-2023 no
Results.
3.6 M System Returned to Service 4.5.3 01-23-2023 yes
D = Deficienc C= Comment Indicate t •e
Deficiencies and Comments
Indicate all equipment,devices and parts that were repaired or replaced
Sprinklers are corroded in the following areas: CH,SR 155 CH-401
(6) Men and women's restroom by break room.
01/23/23 All D
Sprinklers installed in wrong orientation on north east production line,
sprinklers shall be removed due to old machines being removed and no
longer needed.
Damaged hangers in the following areas:
01/23/23 All D (1) Production Warehouse on left side of bay door just to the right of Meal
Machine.
(1) Exterior Overhang on North East side of Production Warehouse.
3 Did not receive signal from water flow alarm device or exterior bell on riser
(Right #3 during testing of inspectors test.
01/23/23 Middle D
Risers#1, 2,and 4 receive signals to fire panel within 90sec, no signal from
exterior bell during testing of inspectors test.
01/23/23 All D Did not receive signal from P.I.V tamper.
01/23/23 All D Unable to flush fdc due to underground check valve,check valve shall be
relocated above ground for proper testing.
Water flow alarm devices are in the following:
01/23/23 All C
Riser#1: 34sec, Riser#2:40sec, Riser#3: N/A, Riser#4: 35sec.
01/23/23 All C No internal pipe inspection done at time of inspection.
❑ Check here if additional Deficiencies and Comments are listed on Form AES 9. Number attached:
❑ See 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.
I Print Name I Stephen Rampenthal
Signature /^Y -
Date 01 23 2023