The URL can be used to link to this page

Home My WebLink AboutFAI15-0050 041-130-044 Bldg # 4 SAS 5yr Spk 04.16.20 Inspection, Testing, and Maintenance Cover Sheet NFPA25 as amended by CCR, Title 19 Property Information: Name: Butte College Bldg #4 SAS Occupancy/Use: _ Address: 3536 Butte Campus Drive Construction Type: 1�tiaF CA�jfi �iI City: Oroville No. Stories: (/ elir17411.0, a i ZIP: 95965 Year Constructed: 140, _ 1-4 Contact: Mark Allen y,�7�q no Telephone: (530)893-7590 Contractor Information: Number of System Risers Name: Voltage Specialists Copy sent to: Address: PO Box 828 IIIOwner Date: City: Oroville ❑Fire AHJ Date: State: California ❑Contractor Date: (530)624-4514 NOTES: Telephone: 1) For specific inspection,testing,and maintenance 880862 requirements and information, see NFPA 25, 2011 CA License#: Edition as amended by California Code of Regulations, Title 19, §901 to§906. Job#: 2)Inspection items may be performed by the owner in Performed by: 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 Fail* Pass 1E1 ❑./ Automatic Sprinkler System 5 0 HilliElliiiii ❑ ✓❑ ❑ Standpipe and Hose System 6 0 ❑ ❑ 1 ❑ ❑ Private Water Supply System 7 0 ❑ ❑ ❑ ❑ Fire Pump 8 0 ❑ ❑ ❑ E Water Storage Tank 9 0 ❑ ❑ ❑ ❑ Water Spray System 10 0 ❑ ❑ ❑ Foam Water Sprinkler System 11 0 ❑ Water Mist System 12 0 ❑ Concerns that are not deficiencies(i.e. Non-Sprinklered Areas) ❑ Yes ❑ No *See "Deficiencies and Comments" section at end of each respective form. AES 1 September 3,2013 Wet Pipe California Code of Regulations -Title 19 5-Year 1 of 3 Fire Sprinkler System Inspection, Testing, and Maintenance Report flF c444,1 Property Information ,r,�� 7fiQ4i Contractor or Licensed Owner Information Building Name ;co a Name Voltage Specialists Butte College Bldg#4 SAS Address PO Box 828 Address 3536 Butte Campus Drive � : E MP-- CityOroville St. CA Zip95965 p (License# 880862 (Phone 530-362-2609 City Oroville I 0 SFM IJob# Contact Person Mark Allen I 0 CSLB 'Misc. I Riser Location Riser Main Drain Initial Static Residual Final Static P,F, N/A No. Diameter Diameter Pressure Pressure Pressure 1 Stairwell 2nd floor 4" 2" 70 55 70 P 2 I Stairwell 3rd floor I 4" 2" I 50 I 45 I 50 I P 3 I Stairwell 3rd floor I 4" 2" I 60 I 45 I 59 I P I I 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: 5-Year INSPECTION, TESTING AND MAINTENANCE I •" - • .I- if-I• .I I - I •" ••I - - 0 I/. I -I•I - -II 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 04/16/20 P 1.2 I Control Valves—Inspection 13.3.2 04/16/20 P 1.3 I Waterflow Alarm Devices 5.2.5 04/16/20 P 1.4 I Supervisory Devices 5.2.5 04/16/20 P 1.5 I Gauges (Wet Pipe Systems) 5.2.4.1 04/16/20 P 1.6 I Hydraulic Design Information Sign 5.2.6 04/16/20 P (For hydraulically designed systems) 1.7 I Enter Water Supply Pressure Below Riser Check 5.2.4.1 psi NA 1.8 I Enter Water Supply Pressure Above Riser Check 5.2.4.1 psi NA 1.9 I Pressure Readings Acceptable 5.2.4.1 04/16/20 P 1.10 I General Information Sign 5.2.8 NA (not required for system prior to 2007 Edition NFPA 13) 1.11 I Heat Tape 5.2.7 NA 1.12 I Spare Sprinklers 5.2.1.4 04/16/20 P 1.13 I Fire Department Connections 13.7 04/16/20 P 1.14 I Alarm Valves—Exterior Inspection 13.4.1 04/16/20 P 1.15 I Pressure Reducing Valves 13.5.1.1 NA 1.16 I Backflow Preventers 13.6.1 04/16/20 P Form AES 2.2 Sept.3,2013 Wet Pipe California Code of Regulations -Title 19 5 Year 2 of 3 Fire Sprinkler System Inspection, Testing, and Maintenance Report Property Information ``,,, Contractor or Licensed Owner Information pfc A1.4 it (Building Name Butte College Bldg#4 SAS I `o )r.i Name Voltage Specialists p +'�+- f1 Job# 'Address 3536 Butte Campus Drive I \ ,� 'City I tip' E Mp,�'s ANNUAL INSPECTION, TESTING, AND MAINTENANCE Include ALL Quarterly Inspections(See AES 2.1) I =Inspection T =Test M=Maintenance P=Pass F=Fail N/A=Not Applicable Item Description NFPA 25 CA ed. Date Comments Only P,F,N/A Reference 1.17 I Small Hose Connections-Hose Valve 5.1.6, 13.5.2 N/A 13.5.5.1 1.18 I PRV—Fire Sprinkler Systems 13.5.1.1 N/A 1.19 I Buildings (Freeze Protection) 4.1.1.1 04/16/20 Owner's Responsibility P 1.20 I Sprinklers 5.2.1 04/16/20 P 1.21 I Sprinklers-Accessible Concealed Space 5.2.1.1.6 04/16/20 P 1.22 I Pipe and Fittings 5.2.2 04/16/20 P 1.23 I Pipe and Fittings-Accessible Concealed Space 5.2.2.3 04/16/20 P 1.24 I Hangers 5.2.3 04/16/20 P 1.25 I Hangers-Accessible Concealed Space 5.2.3.3 04/16/20 P 1.26 I Seismic Braces 5.2.3 04/16/20 P 1.27 I Seismic Braces-Accessible Concealed Space 5.2.3.3 04/16/20 P 1.28 I Unsprinklered Areas CFC 901.4 04/16/20 Yes Q No 2.1 T Field Service Test Required 5.3.1 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 04/16/20 P If not present=Pass; If present=Fail 904.1(c) 2.3 T Water Flow Alarm Devices 5.3.3 04/16/20 26 sec. P 90 secs max. Enter time 13.2.6 2.4 T Main Drain Test 13.2.5 04/16/20 P (Enter data on Page 1 of this form) 13.3.3.4 2.5 T Control Valve-Position 13.3.3.2 04/16/20 P 2.6 T Control Valve—Operation 13.3.3.1 04/16/20 P 2.7 T Supervisory Devices 13.3.3.5 04/16/20 P 2.8 T Backflow Preventer Assemblies 13.6.2 04/16/20 P 2 9 T Small Hose Connections* 13.5.2.3 N/A w/PRV Hose Valves—Partial Flow Test 13.5.3.3 2.10 T PRV—Fire Sprinkler Systems 13.5.1.3 N/A 2.11 T Pressure Gauges-Calibration 5.3.2 04/16/20 P 2.12 T Small Hose Connections* 13.5.6.2.2 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. Form AES 2.2 Sept.3,2013 Wet Pipe California Code of Regulations -Title 19 Year Fire Sprinkler System Inspection, Testing, and Maintenance epo 3 of 3 Property Information ....--of CaC,,�h Contractor or Licensed Owner Information r 'Building Name Butte College Bldg#4 SAS "0 41%. y Name Voltage Specialists (Address 3536 Butte Campus Drive 1+M`.y'.�.3 ',�,,,,h�ij, Job# (City i1\f/RE Ml,: -- ANNUAL INSPECTION, TESTING, AND MAINTENANCE include ALL Quarterly Inspections(See AES 2.1) I =Inspection T =Test M=Maintenance P=Pass F=Fail N/A=Not Applicable illItem I I Description I N References Date Comments Only I P,F,N/A 3.1 I M 'Check Valves- Internal inspection I 13.4.2 I ' I N/A 3.2 I M 'Control Valves I 13.3.4 I 04/16/20 I I P 3.3 I M IFDC-Backflush I 14.3.2.4 I 04/16/20 I IP 3.4 I M 'Internal Pipe Inspection-See Deficiencies and I 14.2 I I Yes 1N/A Comments Section for Results. No 3.5 I M I Obstruction Investigation Required. If"Yes", see I 14.3 I I 1N/A Deficiencies and Comments Section for Results 3.6 I M 'System Returned to Service I 4.5.3 I 04/16/20 I III Nos I P D=Deficiency C=Comment (Indicate type) Item I Date I Riser I D I C I Deficiencies and Comments Indicate all equipment,devices and parts that were repaired or replaced ❑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. Print Name I Randy Rader Signature I Ma Date 04/16/20 Form AES 2.2 Sept.3,2013