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25-78 INSPECTION, TESTING, AND MAINTENANCE OF WATER—BASED FIRE PRO"I'ECTION SYSTEMS
Inspection, Testing, and Maintenance Cover Sheet
NFPA 25 as amended by CCR, Title 19
Property Information:
t ��
Name: �- �c-�,��Occupancy /Use: ,Y,`c c,
Address:)Q
--e,�- c eve_ Construction Type_r� �u���,-'�/o
City: No. Stories:
ZIP: Year Constructed:
Contact:
Telephone:
Contractor Information:
Name: Wilgus Fire Control, Inc.
Address: 1703 Sonoma St
Number of System Risers
Copy sent to:
❑ Owner Date
City: Redding ❑Fire AHJ Date
State: California ❑Contractor Date
Telephone: (530)241-2465
CA License# 462979 C-16 C-10 C-7
Job #
Performed by:
(Print)
Note: Contractor information may be pre-printed
NOTES:
1) For specific inspection, testing, and
maintenance requirements and information,
see NFPA 25, 2002 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 4904.1(a)
Forms included with this report
NFPA 25
Chapter
Number of Forms
NIA
FAIL*
PASS
Automatic Sprinkler System
5
L Standpipe and Hose Systems
6
Cl Private Water Supply System
7
I-1 Fire Pump
8
U Water Storage Tank
9
CJ Water Spray System
10
CJ Foam Water Sprinkler System
11
*See "Deficiencies and Comments" section at end of each respective form.
State Fire Marshal AES 1 March 21, 2006
ANNEX B
25-79
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 1 of 4
Date of Inspection, Testing, Maintenance:
System Riser ID:
Initial Static Pressure: (psi)
Property Information.-
l�"
M =Maintenance
Name:0
(, arc, s � ►LG
Type6f System:
Wet Pipe
1
Address:
D Dry Pipe
co
V Mv1 1
❑ Preaction
Frequency
Description
❑ Deluges.
E MPS
CitY .
Pass
1.1
Main Drain Test Results:
Abbreviation Key:
=Inspection
Initial Static Pressure: (psi)
T =Test
l�"
M =Maintenance
Residual Pressure: S (psi)
A -O =After Operation
S�
MI =Per Manufacturer's Instructions
Restored Static Pressure: (psi)
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
1.1
I
Daily
Preaction/Deluge Valves —Enclosure
12.4.3.1
/
Weekly
temperature
1.2
I
Daily
Dry Pipe Valves —Enclosure
12.4.4.1.1
/
Weekly
temperature
1.3
I
Quarterly
Gauges (Dry, Preaction, Deluge
5.2.4.2
/
Systems)
5.2.4.3
1.4
I
Quarterly
Control Valves
12.3.2.1
1.5
I
Quarterly
Alarm Devices
5.2.6
1.6
I
Quarterly
Gauges (Wet Pipe Systems)
5.2.4.1
j
1.7
I
Quarterly
Hydraulic nameplate
5.2.7
j
1.8
I
Quarterly
Pipe and Fittings
5.2.2
/
1.9
I
Quarterly
Sprinklers
5.2.1
1.10
I
Quarterly
Spare Sprinklers
5.2.1.3
1.11
I
Quarterly
Fire Department Connections
12.7.1
1.12
I
Quarterly
Alarm Valves —Exterior Inspection
12.4.1.1
1.13
I
Quarter)
Quarterly
Preaction/Deluge Valves —Exterior
12.4.3.1.6
Inspection
1.14
I
Quarterly
Pressure Reducing Valves
12.5.1.1
1.15
I
Quarterly
Dry Pipe Valves —Exterior Inspection
12.4.4.1.4
j
Z 1
1.16
I
Quarterly
Backflow Preventers
12.6.11.17
j
Annually
Buildings
5.2.5
State Fire Marshal AES 2 March 21, 2006
la
25-80 INSPECTION, "I_ESTING, AND MAIN'FENANCE OF WATER-E3ASED FIRE I.1RO_I,ECl'ION SYS] -EMS
Item
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 2 of 4
Date of Inspection, Testing, Maintenance. -22 ' 1
System Riser ID -
Fail
Property Information:
Pass
A4
F�,�
Name: �.--- �- °"
��,� r Y , S (�
J-
Type f System:
Wet Pipe
co r ?
33 Lv�n0--
Alr� ve.
�"'El
0 Dry PipeAddress.
Preaction
ven
Annually
Hangers
El Deluge
City: row i �� e
1.19
1
Item
Activity
Frequency
Description
NFPA 25
Fail
NIA
Pass
Reference
1.18
1
Annually
Hangers
5.2.3
1.19
1
Annually
Seismic Braces
5.2.3
1.20
1
5 Years
Hangers (Accessible concealed spaces)
5.2.3.3
f
1.21
1
5 Years
Seismic Braces (Accessible concealed
5.2.3.3
spaces)
1.22
1
5 Years
Pipe and Fittings (Accessible concealed
5.2.2.3
spaces)
1.23
1
5 Years
Sprinklers (Accessible concealed spaces)
5.2.1.1.4
1.24
1
5 Years
Alarm Valves — Interior Inspection
12.4.1.2
1.25
1
5 Years
Alarm Valves - Strainers, filters, orifices
12.4.1.2
1.26
1
5 Years
Check Valves — Interior Inspection
12.4.2.1
1.27
I
5 Years
Preaction/Deluge Valves — Interior
4
12317
Inspection
....
/
1.28
1
5 Years
Preaction/Deluge Valves - Strainers,
12.4.3.1.8
'
filters, orifices
f;
1.29
1
5 Years
Dry Pipe Valves — Interior Inspection
12.4.4.1.5
1.30
1
5 Years
Dry Pipe Valves - Strainers, filters, orifices
12.4.4.1.6
2.1
T
Annually
Alarm Devices (90 Sec)
5.3.3
12.2.7
,!
/
12.2.6
2.2
T
Annually
Main Drain Test (Enter data on Page 1)
12.2.6.1
12.3.3.4
2.3
T
Annually
Antifreeze Test
5.3.4
2.4
T
Annually
Control Valve - Position
12.3.3.1
2.5
T
Annually
Control Valve — Operation
12.3.3.1
2.6
T
Annually
Supervisory
12.3.3.5
2.7
T
Annually
Preaction Valve — Priming Water
12.4.3.2.1
2.8
T
Annually
Preaction Valve — Low Air Pressure Alarm
12.4.3.2.10
'
2.9
T
Annually
Preaction Valve — Full Flow Trip Test
12.4.3.2.2
State Fire Marshal AES 2 March 21, 2006
ANNEX B
25-81
Item
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 3 of 4
-2 ,Z� I
Date of Inspection, Testing, Maintenance. �.._ �
System Riser ID:
Fail
Property Information:
Pass
Type f System:oT:
Wiz,
CA41,�
Name: ���
A � �J�t,�-r; C?� F Ue-
Wet Pipe
r o�
�
Address:
EJ Dry Pipe
❑ Preaction
`
Annually
Dry Pipe Valve - Low Air Pressure
Alarm
❑ Deluge...
2.12
RE M�'
City: )-ovi I �-
Dry Pipe Valve - Quick -Opening
Device
12.4.4.2.4
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
NIA
Pass
2.10
T
Annually
Dry Pipe Valve - Priming Water
12.4.4.2.1
2.11
T
Annually
Dry Pipe Valve - Low Air Pressure
Alarm
12.4.4.2.6
2.12
T
Annually
Dry Pipe Valve - Quick -Opening
Device
12.4.4.2.4
2.13
T
Annually
Dry Pipe Valve - Trip Test
12.4.4.2.2
2.14
T
Annually
Backflow Preventer Assemblies
12.6.2
2.15
T
3 Years
Dry Pipe Valve - Full Flow Trip Test
12.4.4.2.2.2
2.16
T
5 Years
Gauges
5.3.2'
2.17
T
5 Years
Pressure Reducing Valve
12.5.1.2
2.18
T
5 Years
Fire Department Connection Backflush
12.7.4
2.19
T
5 Years
Sprinklers - Extra High Temperature
5.3.1.1.1.3
2.20
T
5 Years
Sprinklers - Corrosive environment or
corrosive water
5.3.1.1.2
%
2.21
T
10 Years
Sprinklers - Dry
5.3.1.1.1.5
2.22
T
20 Years
Sprinklers - Fast Response
5.3.1.1.1.2
j
2.23
T
50 Years
Sprinklers
5.3.1.1.1
2.24
T
75 Years
Sprinklers 75 years in service
5.3.1.1.1.4
-�
2.25
T
Sprinklers manufactured prior to 1920
- Replace
5.3.1.1.1.1
3.1
M
Annually
Control Valves
12.3.4
/
3.2
M
Annually
Preaction/Deluge Valves
12.4.3.3.2
3.3
M
Annually
Dry Pipe Valves/Quick-Opening
Devices
12.4.4.3.2
3.4
M
Annually
Dry Pipe Valve - Low Point Drains
12.4.4.3.3
3.5
M
5 Years
Obstruction Investigation
Chapter 13
State Fire Marshal AES 2 March 21, 2006
25-82 INSI'EC'I'ION, '1'E S'l-ING, AND MAIN"I'ENANCE OF WATER-BASED FIRE PROTEC"I]ON SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System
NEPA 25, Chapter 5 as amended by CCR, Title 19
Page 4 of 4
Date o Inspection, f Testin Maintenance: Z '2-x---11
System Riser ID:
Property Information:
Type f System:
Cad%.
u � C. 5 �,
Name. �- S �} - CA
Wet Pie
�oF
A,, o
�1
Address. C&A e.� �-c.r fir,./
El Dry Pipe
1 Preaction
;
0 Deluges-.
r
E MP
City: (Dc-ov;e,
Item
Deficiencies and Comments:
Deficiencies and Comments Item number must correspond to the Item number
of the Activity listed above:
WC( �0 r e, o
D See Continuation Page(s) (Indicate the number of Continuation pages)
El PASS �,-
P"' FAIL
Si' nature Date
State Fire Marshal AES 2 March 21, 2006
Inspection, "resting and Maintenance of Fire Alarm Systems
Wilgus Fire Control,Inc.
Date of'.Ser•vice ,7 ,
-�` �� �- �° � �
T hire ,
��`i _:I_;ttit
FIRE ALARM DIVISION
1703 Sonoma St.
Redding, Ca 96001
�'j
Initial Inspection
❑
Service DateAnrival�Jrlsl)c�ction
Single Stage
El
rwo Stage
1 1:1
Oflsite Monitoring?
❑ yes ❑no
(530)241-2465 (800)776-3046
Ca. License #462979 C-16, C-10 U L # 524718
Manul•acturcr:. 1 � IN
Modc•I #
Building Name:
D� i S
s
Contact Person:
r AIi`•
Phone:
F.x
Address: f. ► ; ,
Owner: `1 ,
Phunc:
City: ,� -.3 r, Postal Code:
Cenh11I Station: ;�
Phone:
"Yes"- Acceptable "No" - Unacceptable (Explain No answers in comments)
Yes
No
Summar
❑
Q
[�
`❑
❑�`
El
❑
-❑
~❑ Reconnect signal ower?
"T"he Fire alarm system is now fully functional without deficiencies.
Advise fire department the testing is completed?
The Fire alarm system has deficiencies noted on the Pages attached.
Ensure that the alarms stem is functional`?
The l=ire Alarm System is tested in accordance with NF13A 72
Se pence of -Operation confirmed and tested.
Comments
I state that the information on this lorm is correct at the time and dace ol• my inspection, and that all equipment was tested in conformance with applicable codes and the
N-lanulaclurerS requirements and at this time was lett in operational condition upon completion ofthis inspection except as noted in comments.
"Technicians After -test Checklist
�❑ Reconnect time limit cutouts?
Reconnect ancillary functions?
--❑ Reconnect ancillary functions (off site connections)?
~❑ Reconnect signal ower?
Date
Advise fire department the testing is completed?
°
Ensure that the alarms stem is functional`?
Comments
I state that the information on this lorm is correct at the time and dace ol• my inspection, and that all equipment was tested in conformance with applicable codes and the
N-lanulaclurerS requirements and at this time was lett in operational condition upon completion ofthis inspection except as noted in comments.
hl
Technician Signature
Date
rime
I O\,vner or Authorized Agent
I of=f
Inspection, Testing and Maintenance of Fire Alarm Systems
Date --7 Building Name CA -
Yes
- Testecl correctly "X" No, - Did not test correctly (Explain NO answers in commen(s) "NA" Not applicable
Control Unit Tests
Annuncialor Inspection & 'Pests
Power oil visual indicator?
Power on indicator''?
C OI11r11O11 VISlla) ti Slgilall?
/ lndlVldllall alarm and SllpCCVISOrV Zoll II1dICatIO11'?
`, C Otmilon audible tl•0llb1C Slgnal?
f " IlldlVldWil alarm and supervlsOI'V 70110 Indication labels'
r I*f0LIh1C till MI) S11Cnc:C sw11C11?
COn1il1ull trouble Signal?
h/lillll PoWCI' 1upplV 1i11111re trOUNC Si.411,11?
i VISLKII llldlcallor lest - Lamp test',
f (il•011ll(l 1111111 tested 011 1)OSltIVC alld I1CgatlVe tr0ub1C Signal
i 1111)ll1 wll'lllg I'r0111 C01111'01 111111 IS SIIpCI-VISCd?
/�✓_.�' Alert signal Operation?
:' Alarm signal Silence visual) indicator'?
Alarm signal operation?
Switches ii)r ancillary Iunctiun operate ars intended'?
A1.110111,i11e 11•allSfel• 11-o ll Alert Signal to Alarm sinal?
�.
'� .'� Other ancillary I�l1i1C110n VISlla) Indicators'?
Acknowledge s\,1'Itcll operation?
Manual activation of'alarm signal and indication?
-' Alarm signal silence inhibit?
;Power Supply Inspection
" Alarm signal silc•Ilce Operation'?
1 -used with Illfgs marked ratting ofthe system?
-' Alarm signal silence visual indication?
% Adequate to meet the requirements ot•the system'?
r Alarm signal when silenced autoillatically reinstate on
Remote Trouble Unit Tests and Inspection
subsequent alarm'?
/11A Input wiring lr'om control Unit is supervised'?
Alarm signal silence; automatic cut-out tinter'?
Visual trouble signal?
f." input circuit alarm and supervisory operation inclu(ling
i' Audible trouble signal?
visual indicator'?
Audible trouble signal silence'?
Input circuit trouble operation'?
Battery "Pests and Inspection
: - Output circuit alarm operation?
- "" 13,Itei-y type
_� (Xltpllt circuit trouble operation?
Battery Voltalgc :
-VlSllal indicator test (kirllp test)'?
AC' I)uwer un g Vdc
Coded Signal sequence OperatC nut less than the r(.•(luired
AC power on 3 Vdc:
number oftimcs and the correct alarm signal thereafter.
�$= Coded signal sequences are not interrupted by
Subsequent ,hints?
.� Irlput circuit to 0114)(!1 circuit Operation including
ancilliary dcvicc, liar correct Matrix operation
Reset operation:'
Malin power t0 emergency power' Supply trallSfCr?
Data CO111III Lill Wal 1011S link (DCL) supervision & operation
Jif Control unit interconnection to monitoring station?
Control Unit Inspection
Input circuit designations, correctly identified in relation
to connected field devices
Output circuit designations correctly identified in relation
to connected field devices.
Designations im common control Iilnctions & indicators
Cabinet, plugin components and modules securely in place
Plugin cables SCcurely in place r
Record daltc.•, revision and version olTiritlware &, software
Date: RcV: Ver:
C icanliness?
I`LISCS in accordanee with lVIFC�S specilicalion
Control Unit lock
Ternllnatloll points From wiring to field devices secure
Battery Amp i lours:
4
AC' Flower on _ �c� Ah
AC power on Ah
inspected for physical damage?
'terminal cleaned and lubricated'?
77- 1Ferminals clamped tightly?
---Correct Electrolyte level'?
� r Specific gravity within mfg specifications'?
Electrolyte leaks'?
A"dequately ventilated?
Within Manufacturer's rated lil-e date code?
Disconnection causes trouble, signal.
Generator Power Supply
Provides power to AC circuit serving the fire allarnl'?
.-
L -: condition at the em gen shall result ill an audible
cunlrllon trouble signal and a visual indication at the
required a 111111111Clator?
2 u f' 4
ka
Inspection, Testing and (Maintenance of Fire Alarm Systems
Uate --- �' ..) i t3uiIdin Nam��
"4" Yes - "Tested correctly "A" No - Did not test correctly (Explain NO answers in comments) "NA" Not applicatfle
Sequential Display Inspection and Testing
Field Devices
Il1dlVldual alarm, supervisory and tr011ble Inputs are
Field Devices continued
Clearly Indicated and separately designated'?
F`ach device is tree otdamage, foreign substance
Individual alarm and SLJpCI'VISOI'V Illpllt desigilat1011
Nater Flow Detection devices
labels are properly identified'?
mechanically supp0rted Independent Of w1ring?
/ A-larm input overrides Supervisory and trouble input'?
tested by appropriate water flow means
9
Each device tested while connected to control lllllt'?
f
b) time delay recorded
17irst alarm is clearly identified each time it is displayed
Ma1111al Kill Stali011S tested?
r_Alarm and Supervisory input Call be retrieved until svStelll
Supervisory Devices
is reset:'
TWO Stage pullstalions tested and Functions confirmed?
I'rinter'festirl gAll
Sllut-ottvalves tested and result in trouhle signal?
,.-V4, Operation as intended'?
Heat detectors tested
lone of•each alarin initiating device: is correctly pf•intcd'?
Low pressure supervisory device inspected and tested?
Rated Voltage is present'?
Smoke detectors
Low water supervisor test'?
Pii-inle't's loc'aled in Pmpl'ielary Control Centers
Inspected for cleanliness'?
[`.vents and ackilowledgemellts are automatically printed?
LOW temperature Supervisor device tested
Tillie. Gild date Is recorded by the printer'?
Sensitivity tested'?
1,ach event Is recorded its thev Occur'?
Fa power loss (eg tire pump and air compressor) tested'?
System records StatUS CharlgCS With loss Of dala'?
`Tested for Operation'
Napes' advances 1111t(1I11atlCallV SLICII that pl'lllt record Is
Other Fixed Type Extinguishing Systems
,11,141
Remote indicator units inspected and tested'?
/
Verity operation ot,tlle Output contacts initiates the
—T—
Status change confirmation inspection and tested?
specified function ill the 1'A COMI'01 LI1111.
Air DUCt smoke detectors tested'?
Supervisory Devices Otim- Type's
Beam type smoke detectors tor• aCluatlOil & sellSltl\ ity.
Inspected and tested as per 111anLltclC.11lrel fe(11.11ref1ll.nts'
Plaine', detectors Inspected and tested?
Signal Appliances
Co)mbinatiOn detectors Inspected and tested?
Shall be Inspected and tested fOr operability
AL11O1MItlC deteCte)l-S - other types Il1Sl)eCted c te'ste'd
Proper Installallon and lightness, tampering & Obsil'1IC11011')
a) alarm initiation
Intelligibility ol'voice messages'?
b) detector Is orlented so as to delect hazard'?
f_
Audibility ofalerl, alarm and voice rllessages/
C) senslvity tested?
V1Sllal Slgllal appliance Inspected all(] tested'?
COmbination devices tested'?
Sequential Display Inspection and Testing
Voice Com if) unicatloil Inspection/Tests
Il1dlVldual alarm, supervisory and tr011ble Inputs are
A4 Power 011 indicat0r'?
Clearly Indicated and separately designated'?
COm111011 VISual tl•oLihle signal?
Individual alarm and SLJpCI'VISOI'V Illpllt desigilat1011
Comn10I1 audible trOuble SlgilaP
labels are properly identified'?
"Trouble signal silence switch'?
/ A-larm input overrides Supervisory and trouble input'?
All call voice paging including visual indicator'?
'r------------- 1,$11pervisol•y input overrides trouble input'?
Output circuits for selective voice paging and visual.
;Display call be 111a11ually advanced'?
Output circuits for selective voice paging tr0uble/V1Sl1al
17irst alarm is clearly identified each time it is displayed
Microphone including press to talk switch?
r_Alarm and Supervisory input Call be retrieved until svStelll
Operation of� VC systems does interfere with initial
is reset:'
inhibit tinge of alert and alarm signal.
I'rinter'festirl gAll
call voice paging Operates on emergency power')
,.-V4, Operation as intended'?
Upon failure Ofone amplifier, system 111.11( llatically
lone of•each alarin initiating device: is correctly pf•intcd'?
transfers to backup amplifier•.
Rated Voltage is present'?
CirCLIl1s for emergency telephone call ill Operatl0n
IIICILIding audible and visual indication
Pii-inle't's loc'aled in Pmpl'ielary Control Centers
CirCurlS 10I' Clllergency telephone for Operation, IllCllldillg
[`.vents and ackilowledgemellts are automatically printed?
two way voice c011lill ullicatloll?
Tillie. Gild date Is recorded by the printer'?
Circuits for emergency tCICph011es tr011ble and VISual OpS.
1,ach event Is recorded its thev Occur'?
I_.mugency telephone verbal Co IllIllLillICa110n')
System records StatUS CharlgCS With loss Of dala'?
I"-me:rgency telephone Operable or 111-Llsc (011e.' at handsel.
Napes' advances 1111t(1I11atlCallV SLICII that pl'lllt record Is
F.ine'.rgeney telephone call -In lamp?
\1i's lble'?
F'mergency telephone call -IIs aLidibic signal')
Printer ()peralCS Milder loss of maul I)OWer sllp1)1y?
All teleph011e "/_One select switches IndlvldllallV ICSlC(P
Printer Is monitored for `oto", paper" and "papff OLlt"'?
Individual telephone zone select Indicators?
Operating Instruction clearly Visible'?
Lockable release mechanism Is intact'?
Ancillary Device "Nesting
Circuit
Circuit
Circuit
ol'4
ia
&a
Inspection, Testing and Maintenance of Fire Alarm Systems
Date --2- Building Name ���1 �. •�
Device Testing — Legend and Notes
Device
Descri )trod TN' )e Model No.
Nl
Manual full station
I -IT
Heat detector, non restorable Note y
RHT
I -lent detector, Restorable Note y
S
Smoke detector Note 1, 2 & 9
RI
Remote indicator- unit
DS
Duct smoke detector Note 1, 3 & y
PS
Photo electric smoke detector -
SI" D
Supporting field device monitor -
FS
Sprinkler flow switch Note 4
SS
Sprinkler supervisory device Note 5
LA — Low air
PS — Pressure switch
LM
Fault isolation module
B
Bell
1-1
1-101-11
V
Visual signal a) )Mance
I -IS
.1-corn/Strobe
SP
Cone type speaker
HSP
Morn type speaker
AD
Ancillary device Note 8
ET
Emergency Telephone
---
Other supervisory devices Notes 6 & 7
---
Other type of detector
Note 1. Smoke detector sensitivity measurement and cleaning date should be recorded in the remarks column.
Note 2. Status change, Including time delay, should be recorded in the remarks column.
Note 3. Duct smoke detector pressure dif'f'erential should be confirmed and recorded in the remarks column.
Note 4. Time delay setting ol' water flow switch should be recorded in the remarks column.
Note 5. Sprinkler supervisory switches cause trouble condition to be annunciated but not an Alarm condition.
Note 6. Upper and lower pressure setting of supervisory devices should be recorded in the remarks column.
Note 7. Low- temperature setting should be recorded in the remarks column.
Note 8. Identify the specific ancillary devices in the remarks column.
Note 9. Identify date fire detector was changed.
Caution: The tests reported on this form do not include the actul-il operational test of ancillary devices.
4 of' 4
0
Inspection, Testing and Maintenance of Fire Alarm Systems
Individual Device Record
Date: Annual Inspection T pn 0 e
Building Name: 1 Address: ,!2 COL-xh� �. Q
A. Corrcedy installed. D. Annuncintor indicsttion confirmed.
B. Requires ,Service, Repairs, missing, or cleaning; E. Circuit number or address
C. Alarm operation confirmed F. Supervision and g;romid fault detection
C. Smoke detector sensitivity testing
1Jp%- - Aveprimlilp i,-Y"I N!n - I I "int--,Ilin iri Iv -.I It2wu ill%1 .hr -Sc...,".... ... -.....--.._-a.. % 6C 1,1 ♦ 11 !k1 A a. 1 .
of
Device
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a 19, Im, m
m
m M�
Mii1�1lMAI M
SMAI
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WA
=WAWA===
MMMMMD no,=
Note: Confirmation of wiring; supervision to each individ al device is only required during an initial
itispectim and test or verification, and is not required at the annual test.
Inspection, Testing and Maintenance of Fire Alarm Systems
Individual Device Record
Date: _ i-'�-\� A��nual Ins pection Pa a �1- of
Buildi» Name: !A , Address: 33 LoU4\n .�--
A. Correctly installed. 1). Annunciator indication confirmed.
13, Requires Service. Repairs, missing, or cleaning E. Circuit number or address
C. Alarm operation confirmed F. Supervision and ground fault detection
G. Smoke detector sensitivity testing
"�" Yt-s - Arct-intiMv, "X" Nr► — I InnerPnnihly- WvnInin NO in enmmNntrl "NA" Nnt nnnfivnhir-
Note: Confirmation of wiring supervision to each individual device is only required during an milial
inspection and test or verification, and is not required at the annual test.
�dl�"
- "Im
M -M
\kM -111
UP 6�',C
M� MIN
f RA I
�w
Note: Confirmation of wiring supervision to each individual device is only required during an milial
inspection and test or verification, and is not required at the annual test.
Inspection, "Westing and Maintenance of hire Alarm Systems
Individual Device Record
Daae: Annual Ins pection Pae 3 of -
Building Name: �n Address: r,\_t.-�Ccrvu -
A. Correctly installed. 1). Annunciator indication confirmed.
B. Requires Service, Repairs, ntissillg, or cleaning; I:. Circuit number or address
C. Alarm operation confirmed F. Supervision and ground fault detection
G. Stroke detector sensitivity testis
"4" Yes - Accentahle "X" Nn — I lnaccentahle (Explain NO answers in comments) "NA" Not annlivahle
Note: Confirmation of wiring supervision to each individual device is only required during an initial
inspection and test or verification, and is not required at the annual test.
Location
PI
01
�Fl�VI�yLl
Rlm!'lE��
Sum===mum=
Note: Confirmation of wiring supervision to each individual device is only required during an initial
inspection and test or verification, and is not required at the annual test.
Inspection, Testing and Maintenance of Fire Alarm Systems
Individual Device Record
Date: AlltlUal Inspection
1'a g a of
Building Name: 7 Address: 7,3 Ce L.,,A .-
A. Correctly installed. 1). Annunciator indication confirmed.
It. Requires Service, Repairs, missing, or cleaning, E. Circuit number or address
C. Alarm operation confirmed E. Supervision and ground fault detection
G. Smoke detector sensitivity testing,
411144- X/ne _ Ao-oa ►t. -thin 44,X91 ivn — 1111•_lot•ont-1111P WVnin111 NO sine Vorc 111 "NA" Nnt-11nnIit'4ihIvA
Device
Location
A B C/ D E F
C
Remarks
J
\kv
7.0
UJ
`.�
a oS
z v 5
27
5t4
2(>s
Conv� V�- rlll�
YQ of
tr"
ZOyv� 5
10
,lOk
t,3/
M1
Note: Coid"irmation of wiring supervision to each individual device is only required during an initial
inspection and test or verification, and is riot required at the annual test.
L
25-78 INSPECTION. TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Forms included with this report
Inspection, Testing, and Maintenance Cover Sheet
Number of Forms
NFPA 25 as amended by CCR, Title 19
Property Information:
0 Standpipe and Hose Systems
Name:
�� CUA �a.
Occupancy /Use: -
l
_ �
,c..
C� i
0 Fire Pump
8
;
Address:
122 C00
Construction T e:
Yp
�
10
0 Foam Water Sprinkler System
11
City:
OT 4 0*1
No. Stories: 2_,
��`' .,`•--5�', : ��
ZIP:
59 LLS
Year Constructed:
Contact:
t,... g►
Telephone:
(S J!Z,) 53:9 - 7tfo7
Contractor Information:
3_ Number of System Risers
Name:
Wilgus Fire Control, Inc.
Copy sent to:
Address:
1703 Sonoma St
❑ Owner Date
City:
Redding
❑ Fire AHJ Date
State:
California
❑ Contractor Date
Telephone:
(530)241-2465
NOTES:
1) For specific inspection, testing, and
CA License#
462979 C-16 C-10 C-7
maintenance requirements and information,
see NFPA 25, 2002 Edition as amended by
Job #
California Code of Regulations, Title 19, §901
Performed by: 0aKCA ��t,,�o,,,-
to §906.
(Print)
2) Inspection Items may be performed by the
Owner in accordance with California Code of
Note: Contractor information may be pre-printed
Regulations Title 19 904.1 a
Forms included with this report
NFPA 25
Chapter
Number of Forms
Automatic Sprinkler System
5
0 Standpipe and Hose Systems
6
0 Private Water Supply System
7
0 Fire Pump
8
0 Water Storage Tank
g
D Water Spray System
10
0 Foam Water Sprinkler System
11
NIA FAIL* PASS
*See "Deficiencies and Comments" section at end of each respective form.
State Fire Marshal AES 1 March 21, 2006
AN Nt=.X a
25-79
Inspection, Testing,. and Maintenance Fire Sprinkler System Page 1 of 4
NFPA 25, Chapter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance: 5 Ll 11,
System Riser ID:
Property Information:
cad.
Name: 1IiAm'l
��j
Type of System:
o
C?"Wet Pipe
0Dry Pipe 5;� ��-� -�, �
r
Address: � � �
�--
• �:.
0 Preaction
D Deluge
ARE M��
City:
/'
Main Drain Test Results:
Abbreviation Key:
S�
=Inspection
Initial Static Pressure: (psi)
T=Test
f'�
a
M =Maintenance
v
Residual Pressure: (psi)
A -O =After Operation
/'
MI =Per Manufacturer's Instructions
Restored Static Pressure: l7 0 (psi)
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
1.1
I
Daily
Preaction/Deluge Valves —Enclosure
12.4.3.1
Weekly
temperature
1.2
I
Daily
Dry Pipe Valves —Enclosure
12.4.4.1.1
/
Weekly
temperature
1.3
I
Quarterly
Gauges (Dry, Preaction, Deluge
5.2.4.2
/
Systems)
5.2.4.3
1.4
I
Quarterly
Control Valves
12.3.2.1
�-
1.5
I
Quarterly
Alarm Devices
5.2.6
1.6
I
Quarterly
Gauges (Wet Pipe Systems)
5.2.4.1
1.7
I
Quarterly
Hydraulic nameplate
5.2.7
/
1.8
I
Quarterly
Pipe and Fittings
5.2.2
1.9
I
Quarterly
Sprinklers
5.2.1
1.10
I
Quarterly
Spare Sprinklers
5.2.1.3
1.11
I
Quarterly
Fire Department Connections
12.7.1
1.12
I
Quarterly
Alarm Valves —Exterior Inspection
12.4.1.1
1.13
I
Quarterly
Preaction/Deluge Valves —Exterior
12.4.3.1.6
Ins ection
1.14
I
Quarterly
Pressure Reducing Valves
12.5.1.1
1.15
I
Quarterly
Dry Pipe Valves —Exterior Inspection
12.4.4.1.4
1.16
I
Quarterly
Backflow Preventers
12.6.1
/
1.17
I
Annually
Buildings
5.2.5
State Fire Marshal AES 2 March 21, 2006
25-80 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4
NEPA 25, Chapter 5 as amended by CCR, Title 19
Date of , Ins ectionTesting, Maintenance:
p 9
System Riser ID:
Property Information:
TypeSystem.
Name: �k4 `..-
/6f
Wet Pipe
❑ Dry Pipe
Address:
❑Preaction
1
❑ Deluge
Hangers
!RE
M
City:
1.19
y
Annually
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
1.18
1
Annually
Hangers
5.2.3
1.19
1
Annually
Seismic Braces
5.2.3
1.20
1
5 Years
Hangers (Accessible concealed spaces)
5.2.3.3
1.21
I
5 Years
Seismic Braces (Accessible concealed
spaces)
5.2.3.3
/
1.22
1
5 Years
Pipe and Fittings (Accessible concealed
spaces)
5.2.2.3
'
1.23
1
5 Years
Sprinklers (Accessible concealed spaces)
5.2.1.1.4
,--"
1.24
1
5 Years
Alarm Valves — Interior Inspection
12.4.1.2
1.25
1
5 Years
Alarm Valves - Strainers, filters, orifices
12.4.1.2
1.26
1
5 Years
Check Valves — Interior Inspection
12.4.2.1
1.27
1
5 Years
Preaction/Deluge Valves — Interior
Inspection
12.4.3.1.7
1.28
I
5 Years
Preaction/Deluge Valves - Strainers,
filters, orifices
12.4.3.1.871
1.29
1
5 Years
Dry Pipe Valves — Interior Inspection
12.4.4.1.5
/
1.30
1
5 Years
Dry Pipe Valves - Strainers, filters, orifices
12.4.4.1.6
2.1
T
Annually
Alarm Devices (90 Sec)
5. 33.
12.2.7
' '
2.2
T
Annually
Main Drain Test (Enter data on Page 1)
12.2.6
12.2.6.1
12.3.3.4
,
2.3
T
Annually
Antifreeze Test
5.3.4
2.4
T
Annually
Control Valve - Position
12.3.3.1
2.5
T
Annually
Control Valve — Operation
12.3.3.1
2.6
T
Annually
Supervisory
12.3.3.5
2.7
T
Annually
Preaction Valve — Priming Water
12.4.3.2.1
2.8
T
Annually
Preaction Valve — Low Air Pressure Alarm
12.4.3.2.10
2.9
T
Annually
Preaction Valve — Full Flow Trip Test
12.4.3.2.2
State Fire Marshal AES 2 March 21, 2006
ba
ANNEX B
25-81
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 3 of 4
Date of Inspection, Testing, Maintenance:
p � g�
System Riser ID: I
NFPA 25
Reference
Property Information:
Name: pv'P
Type of System.
Pass
Address.0
11� Wet Pipe
0 Dry Pipe
Annually
Dry Pipe Valve — Priming Water
Pr eaction
r
Mal a
0 Deluge
�a.1�..
City: '
Annually
Dry Pipe Valve — Low Air Pressure
Alarm
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
NIA
Pass
2.10
T
Annually
Dry Pipe Valve — Priming Water
12.4.4.2.1
2.11
T
Annually
Dry Pipe Valve — Low Air Pressure
Alarm
12.4.4.2.6
2.12
T
Annually
Dry Pipe Valve — Quick -Opening
Device
12.4.4.2.4
2.13
T
Annually
Dry Pipe Valve — Trip Test
12.4.4.2.2
2.14
T
Annually
Backflow Preventer Assemblies
12.6.2
2.15
T
3 Years
Dry Pipe Valve — Full Flow Trip Test
12.4.4.2.2.2
2.16
T
5 Years
Gauges
5.3.2
X/
2.17
T
5 Years
Pressure Reducing Valve
12.5.1.2
2.18
T
5 Years
Fire Department Connection Backflush
12.7.4
2.19
T
5 Years
Sprinklers — Extra High Temperature
5.3.1.1.1.3
2.20
T
5 Years
Sprinklers — Corrosive environment or
corrosive water
5.3.1.1.2
2.21
T
10 Years
Sprinklers - Dry
5.3.1.1.1.5
�J
2.22
T
20 Years
Sprinklers - Fast Response
5.3.1.1.1.2
2.23
T
50 Years
Sprinklers
5.3.1.1.1
2.24
T
75 Years
Sprinklers 75 years in service
5.3.1.1.1.4
2.25
T
Sprinklers manufactured prior to 1920
— Replace
5.3.1.1.1.1
'
3.1
M
Annually
Control Valves
12.3.4
i
3.2
M
Annually
Preaction/Deluge Valves
12.4.3.3.2
3.3
M
Annually
Dry Pipe Valves/Quick-Opening
Devices
12.4.4.3.2
3.4
M
Annually
Dry Pipe Valve — Low Point Drains
12.4.4.3.3
3.5
M
5 Years
Obstruction Investigation
Chapter 13
State Fire Marshal AES 2 March 21, 2006
ia
ma
25-82 INSPECTION. 'TESTING, AND MAINTENANCE OI. WATER-BASED FIRE PROTECTION SYSTEMS
Item
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 4 of 4
Date of Inspection, Testing, Maintenance:
System Riser ID:
Property Information:
Name:
j ...1-
`t— a
Type f System:
., �oF .AC�1
�. f-" `,,gyp 4�
Address: -
o
Wet Pipe
El Dry Pipe
�;� , .y
,`,�== ` A
)
�•
0 P reacton i
`'
F1 Deluge
�� '' _.... •�4
RE"ate
City:
Item
Deficiencies and Comments:
Deficiencies and Comments Item number must correspond to the Item number
of the Activity listed above:
% /11OC'z'L1(1
1
r _
D See Continuation Page(s) (Indicate -the number of continuation pages)
'Fz�SS
El FAIL
S ig nature /Date
State Fire Marshal AES 2 March 21, 2006
Mia
ANNEX Q
25-79
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 1 of 4
Date of Inspection, Testing, Maintenance:_ S^ ,
System Riser ID:
Property Information:
Name: SUC4L I
Type System:
Wet Pie
A�
�o. ott
%��-; ✓ ';�
co
Address:
❑ Dry Pipe
❑ Preaction
MI =Per Manufacturer's Instructions
. `.
Ljc a �•Amp I riil�7��
❑ Deluge
M
City: clovi
Frequency
Description
NFPA 25
Reference
Fail
N/A
Main Drain Test Results:
Abbreviation Key:
I =Inspection
Initial Static Pressure: ;6 (psi)
T =Test
Residual Pressure: �� (psi)
M =Maintenance
A -O =After Operation
MI =Per Manufacturer's Instructions
Restored Static Pressure: � _ (psi)
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
1.1
I
Daily
Preaction/Deluge Valves —Enclosure
12.4.3.1
/
Weekly
temperature
1.2
Daily
Dry Pipe Valves —Enclosure
12.4.4.1.1
Weekly
temperature
1.3
I
Quarterly
Gauges (Dry, Preaction, Deluge
5.2.4.2
/
Systems)
5.2.4.3
1.4
I
Quarterly
Control Valves
12.3.2.1
1.5
I
Quarterly
Alarm Devices
5.2.6
1.6
I
Quarterly
Gauges (Wet Pipe Systems)
5.2.4.1
1.7
I
Quarterly
Hydraulic nameplate
5.2.7
1.8
f
Quarterly
Pipe and Fittings
5.2.2
1.9
I
Quarterly
Sprinklers
5.2.1
1.10
I
Quarterly
Spare Sprinklers
5.2.1.3
1.11
I
Quarterly
Fire Department Connections
12.7.1
�
1.12
I
Quarterly
Alarm Valves —Exterior Inspection
12.4.1.1
1.13
1
Quarter)
Quarterly
Preaction/Deluge Valves —Exterior
12.4.3.1.6
%
Inspection
�
1.14
I
Quarterly
Pressure Reducing Valves
12.5.1.1
�
1.15
I
Quarterly
Dry Pipe Valves —Exterior Inspection
12.4.4.1.4
1.16
I
Quarterly
Backflow Preventers
12.6.1
1.17
I
Annually
Buildings
5.2.5
State Fire Marshal AES 2 March 21, 2006
A
25-80 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4
NFPA 25, Chapter 5 as amended by CCR, Title 19
�'
Frequency
Date of Inspection, Testing, Maintenance:
System Riser ID:
Property Information:
,�-
Name:
Type f System: _� o� cA�����j
Wet Pi0
pe
Address.�-.,Var\vv,L
D Dry Pipe
r 1 ,
i n `- r
Preaction
•
is f
0 Deluge
City:
5.2.3
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
NIA
Pass
1.18
1
Annually
Hangers
5.2.3
/
1.19
1
Annually
Seismic Braces
5.2.3
1.20
1
5 Years
Hangers (Accessible concealed spaces)
5.2.3.3
1.21
1
5 Years
Seismic Braces (Accessible concealed
spaces)
5.2.3.3
1.22
1
5 Years
Pipe and Fittings (Accessible concealed
s aces
5.2.2.3
-�
1.23
1
5 Years
Sprinklers (Accessible concealed spaces)
5.2.1.1.4
1.24
1
5 Years
Alarm Valves - Interior Inspection
12.4.1.2
1.25
1
5 Years
Alarm Valves - Strainers, filters, orifices
12.4.1.2
1.26
1
5 Years
Check Valves - Interior Inspection
12.4.2.1
1.27
I
5 Years
Preaction/Deluge Valves - Interior
Inspection
12.4.3.1.7
1.28
I
5 Years
Preaction/Deluge Valves - Strainers,
filters, orifices
12.4.3.1.8
?
1.29
1
5 Years
Dry Pipe Valves - Interior Inspection
12.4.4.1.5
'
1.30
1
5 Years
Dry Pipe Valves - Strainers, filters, orifices
12.4.4.1.6
2.1
T
Annually
Alarm Devices (90 Sec)
5.3.3
12.2.7
2.2
T
Annually
Main Drain Test (Enter data on Page 1)
12.2.6
12.2.6.1
12.3.3.4
2.3
T
Annually
Antifreeze Test
5.3.4
?�
l
2.4
T
Annually
Control Valve - Position
12.3.3.1
�_ l
2.5
T
Annually
Control Valve - Operation
12.3.3.1
2.6
T
Annually
Supervisory
12.3.3.5
2.7
T
Annually
Preaction Valve - Priming Water
12.4.3.2.1
2.8
T
Annually
Preaction Valve - Low Air Pressure Alarm
12.4.3.2.10
-%
2.9
T
Annually
Preaction Valve Full Flow Trip Test
12.4.3.2.2
State Fire Marshal AES 2 March 21, 2006
A
ANNEX B
25-81
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 3 of 4
Date of Inspection, Testing, Maintenance:
System Riser ID:
S Y
NFPA 25
Reference
Property Information:--`''-��t�
-�
Type f System:
Pass
Name-
Wet Pipe
0 Dry Pipe
�;�4;�-� �•�.� ��
, - 1v
Address: �
0 Preaction,
�.
•. •,
�''" 1 S G�'
0 Deluge
` t�E Mp►
T
Annually
Dry Pipe Valve — Low Air Pressure
City. 0C cly , )i
Item
Activit
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
2.10
T
Annually
Dry Pipe Valve — Priming Water
12.4.4.2.1
2.11
T
Annually
Dry Pipe Valve — Low Air Pressure
12.4.4.2.6
Alarm
2.12
T
Annually
Dry Pipe Valve — Quick -Opening
12.4.4.2.4
Device
2.13
T
Annually
Dry Pipe Valve — Trip Test
12.4.4.2.2
2.14
T
Annually
Backflow Preventer Assemblies
12.6.2
,
2.15
T
3 Years
Dry Pipe Valve — Full Flow Trip Test
12.4.4.2.2.2
2.16
T
5 Years
Gauges
5.3.2
2.17
T
5 Years
Pressure Reducing Valve
12.5.1.2
2.18
T
5 Years
Fire Department Connection Backflush
12.7.4
2.19
T
5 Years
Sprinklers — Extra High Temperature
5.3.1.1.1.3
2.20
T
5 Years
Sprinklers — Corrosive environment or
5.3.1.1.2
i
corrosive water
2.21
T
10 Years
Sprinklers - Dry
5.3.1.1.1.5
2.22
T
20 Years
Sprinklers - Fast Response
5.3.1.1.1.2
2.23
T
50 Years
Sprinklers
5.3.1.1.1
2.24
T
75 Years
Sprinklers 75 years in service
5.3.1.1.1.4
2.25
T
Sprinklers manufactured prior to 1920
5.3.1.1.1.1
— Replace
3.1
M
Annually
Control Valves
12.3.4
3.2
M `
Annually
Preaction/Deluge Valves
12.4.3.3.2
3.3
M
Annually
Dry Pipe Valves/Quick-Opening
12.4.4.3.2
Devices
3.4
M
Annually
Dry Pipe Valve — Low Point Drains
12.4.4.3.3
i
'
3.5
M
5 Years
Obstruction Investigation
Chapter 13
State Fire Marshal AES 2 March 21, 2006
%a
Ma
25-82 INSPECTION, TESTING. AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 4 of 4
Date of Inspection, Testing, Maintenance:
System Riser ID:
Property Information:�t�-^
.,._._
Name: c.� �- M4-N� v� c
Type f System:
'A-�oF...
,
Wet Pipe
❑ Dry Pipe
Address:
Preaction�-
t Csov\A-Ir' ' -
ECX411'
❑ Deluge
%ARE M a�
City: �-
Item
Deficiencies and Comments:
Deficiencies and Comments Item number must correspond to the Item number
of the Activity listed above:
❑ ,See Continuation Page(s) (Indicate -the number of -continuation pages)
V'PASS
❑ FAIL �, .� .� `"`� - .� 6
Si naturel `
Gate
State Fire Marshal AES 2 March 21, 2006
ka
ANNEX B
ia
25-79
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 1 of 4
Date of Inspection, Testing, Maintenance: Iq
System Riser ID:
Property Information:-�-�
Name: �- � �
Type of System:
(�'VVet Pipe
o�
r 0
.* �.: �;;
� ,.� Y
Address:�-
❑ Dry Pipe
❑ Preaction
,y
y_ - r
�DI
tC
❑ Deluge
ARE M�
Item
Activit Y
City: CI el
Description
NFPA 25
Reference
Main Drain Test Results:
Abbreviation Key:
I =Inspection
(psi) Initial Static Pressure: si
T = Test
j,.
M = Maintenance
Residual Pressure: (psi)
A-0 = After Operation
MI =Per Manufacturer's Instructions
Restored Static Pressure: (psi)
Item
Activit Y
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
1.1
1
Daily
Preaction/Deluge Valves — Enclosure
12.4.3.1
Weekly
temperature
1.2
I
Daily
Dry Pipe Valves — Enclosure
12.4.4.1.1
Weeklytemperature
'
1.3
1
Quarter)Gauges
y
(Dry, Preaction, Deluge
5.2.4.2
Systems)
5.2.4.3
1.4
1
Quarterly
Control Valves
12.3.2.1
1.5
1
Quarterly
Alarm Devices
5.2.6
1.6
1
Quarterly
Gauges (Wet Pipe Systems)
5.2.4.1
1.7
1
Quarterly
Hydraulic nameplate
5.2.7
1.8
1
Quarterly
Pipe and Fittings
5.2.2
1.9
1
Quarterly
Sprinklers
5.2.1
1.10
1
Quarterly
Spare Sprinklers
5.2.1.3
/
1.11
1
Quarterly
Fire Department Connections
12.7.1
1.12
1
Quarterly
Alarm Valves — Exterior Inspection
12.4.1.1
1.13
1
Quarterly
y
Preaction/Deluge Valves — Exterior
1
2.4.3.1.6
Ins ection
1.14
1
Quarterly
Pressure Reducing Valves
12.5.1.1
1.15
1
Quarterly
Dry Pipe Valves — Exterior Inspection
12.4.4.1.4
1.16
1
Quarterly
Backflow Preventers
12.6.1
1.17
1
Annually
Buildings
5.2.5
State Fire Marshal AES 2 March 21, 2006
ga
0
25-80 INSPECTION, "I'ESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4
NEPA 25, Chapter 5 as amended by CCR, Title 19
Date of , Ins ectionTesting, Maintenance:
9
System Riser ID -
Property Information:
Property
Q..i ora
Type f System
N a m e.- n� �..'
Address: -TO o
Wet Pipe
0 Dry Pipe
Pass
D Preaction, 1
1
0 Deluge
City.
5.2.3
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
1.18
1
Annually
Hangers
5.2.3
Z.
1.19
1
Annually
Seismic Braces
5.2.3
1.20
1
5 Years
Hangers (Accessible concealed spaces)
5.2.3.3
1.21
I
5 Years
Seismic Braces (Accessible concealed
5.2.3.3
spaces
.�
1.22
1
5 Years
Pipe and Fittings (Accessible concealed
5.2.2.3
spaces)
1.23
1
5 Years
Sprinklers (Accessible concealed spaces)
5.2.1.1.4
i
1.24
1
5 Years
Alarm Valves — Interior Inspection
12.4.1.2
1.25
1
5 Years
Alarm Valves - Strainers, filters, orifices
12.4.1.2
1.26
1
5 Years
Check Valves — Interior Inspection
12.4.2.1
1.27
I
5 Years
Preaction/Deluge Valves — Interior
12.4.3.1.7
Inspection
1.28
1
5 Years
Preaction/Deluge Valves - Strainers,
12.4.3.1.8
filters, orifices
/
1.29
1
5 Years
Dry Pipe Valves— Interior Inspection
12.4.4.1.5
1.30
1
5 Years
Dry Pipe Valves - Strainers, filters, orifices
12.4.4.1.6
2.1
T
Annually
Alarm Devices (90 Sec)
5.3.3
12.2.7
/
12.2.6
2.2
T
Annually
Main Drain Test (Enter data on Page 1)
12.2.6.1
'
12.3.3.4
2.3
T
Annually
Antifreeze Test
5.3.4
2.4
T
Annually
Control Valve - Position
12.3.3.1
2.5
T
Annually
Control Valve — Operation
12.3.3.1
i
2.6
T
Annually
Supervisory
12.3.3.5
f
2.7
T
Annually
Preaction Valve — Priming Water
12.4.3.2.1
iJ
2.8
T
Annually
Preaction Valve — Low Air Pressure Alarm
12.4.3.2.10
J
2.9
T
Annually
Preaction Valve — Full Flow Trip Test
12.4.3.2.2
State Fire Marshal AES 2 March 21, 2006
ANNEX B
25-81
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 3 of 4
Frequency
Description
NFPA 25
Reference
Fail
Date of Inspection, Testing, Maintenance.
Pass
S stem Riser ID:
Y
T
Property Information:--��i
Dry Pipe Valve — Priming Water
12.4.4.2.1
L
Name.
Type of System:
T
a
Dry Pipe Valve — Low Air Pressure
Alarm
Wet Pipe
Address: 13
0 Dry Pipe
0 Preaction
5;
i
Q,5
Dry Pipe Valve — Quick -Opening
Device
0 Deluge
�
j
2.13
T
Cit OVI
Y:
Dry Pipe Valve — Trip Test
12.4.4.2.2
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
NIA
Pass
2.10
T
Annually
Dry Pipe Valve — Priming Water
12.4.4.2.1
2.11
T
Annually
Dry Pipe Valve — Low Air Pressure
Alarm
12.4.4.2.6
2.12
T
Annually
Dry Pipe Valve — Quick -Opening
Device
12.4.4.2.4
�
j
2.13
T
Annually
Dry Pipe Valve — Trip Test
12.4.4.2.2
2.14
T
Annually
Backflow Preventer Assemblies
12.6.2
2.15
T
3 Years
Dry Pipe Valve — Full Flow Trip Test
12.4.4.2.2.2
�f
2.16
T
5 Years
Gauges
5.3.2
�-
2.17
T
5 Years
Pressure Reducing Valve
12.5.1.2
2.18
T
5 Years
Fire Department Connection Backflush
12.7.4
2.19
T
5 Years
Sprinklers — Extra High Temperature
5.3.1.1.1.3
2.20
T
5 Years
Sprinklers — Corrosive environment or
corrosive water
5.3.1.1.2
,-
2.21
T
10 Years
Sprinklers - Dry
5.3.1.1.1.5
2.22
T
20 Years
Sprinklers - Fast Response
5.3.1.1.1.2
-�
2.23
T
50 Years
Sprinklers
5.3.1.1.1
2.24
T
75 Years
Sprinklers 75 years in service
5.3.1.1.1.4
2.25
T
Sprinklers manufactured prior to 1920
— Replace
5.3.1.1.1.1
3.1
M
Annually
Control Valves
12.3.4
O
3.2
M
Annually
Preaction/Deluge Valves
12.4.3.3.2
r
3.3
M
Annually
Dry Pipe Valves/Quick-Opening
Devices
12.4.4.3.2
�=
3.4
M
Annually
Dry Pipe Valve — Low Point Drains
12.4.4.3.3
,-
3.5
M
5 Years
Obstruction Investigation
Chapter 13
State Fi Marshal AES 2
March 21, 2006
n
25-32' INSPf CTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PRO,rECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 4 of 4
Date of Inspection, Testing, Maintenance.
p � 9�
System Riser I D: >
Y
Property Information:
Name.
Type f-ystem :
�v _... �Ci,� �Z
��; .o
Wet Pipe
0 Dry Pipe
Address:C
Preaction
1
0 Deluge
citv
Item
Deficiencies and Comments:
Deficiencies and Comments Item number must correspond to the Item number
of the Activity listed above:
CJ See Continuation Page(s) (Indicate=the number of continuation pages)
E2' PASS ._--:--
0 FAIL
Signature bate
State Fire Marshal AES 2 March 21, 2006
ba
ka
Inspection, `Vesting and Maintenance of Fire Alarm Systems
Wilgus Fire Control, Inc.
I)lltl' of �er��ice I �
"I'imc
7 ' S C)
❑'
❑
-❑
❑
❑
.-❑
I_,ast Service Date
Reconnect ancillary functions (off site connections)?
flnnuallnsl��ction
lnitiallnshcction
j Sec uence of Operation confirmed and tested.
FIRE ALARM DIVISION
❑-
1:1
17 03 S u no nla S t.
Single Stage
Two Stage
0111'site IIN'tonitorint"?
131110(530)241-2465
Redding, Ca 96001
El"
El❑yes
(800)776-3046
�Vl
Model H
Ca. License #462979 C-16, C-10 U L # S24718-•,Q,�'t
Contact Person:
45- A
Pholle:
N .1
Building Name:
AdeJress:
Owner
G ,v �A -C - �
i a
I hone.
Fax:
I-1oS(aI Code:
Ccnt,al Station:
Cj 49
C ov rkl.c- i J (
- - - . , ." . • A } - -- -- :.. — ,.... — .1 .. t o i
.. Y es"-
Yes
ACC e
No
)taure 114 - vni,«� �«1 U„� �.,. ,.N.....%1 ....., • -- -- --- ---------
Summary
The Fire alarm system Is now fully functional without deficiencies.
❑'
❑
-❑
❑
❑
.-❑
'Yhe l' Ire alai -III systel'n has deficiencies noted on the ages attached.
Reconnect ancillary functions (off site connections)?
The Fire Alarm System is tested in accordance with NFPA 72
Reconnect signal ower?
j Sec uence of Operation confirmed and tested.
Comments
I state that the information Oil this I01*111 is C011'ec:t at the time and place ()1, 111%, inspection, and that all lglill)lllcllt was tested in Conli)rnlance with applicable codes and the
Nlanul:IMINI—s reguirenlents and at this tinlr was left In operational condition upon Completion ()fthis irlspec:tion except as noted Ill Colllllle.tlts.
Technician Signature
2- L-( r 11 1 k So C)
Dat Time Owner or Authorized Agent
I of4
Technicians Atter-test Checklist
-❑--
Reconnect time limit cutouts?
..❑- Reconnect ancillar flrilCtlollS?
--❑-
Reconnect ancillary functions (off site connections)?
—�;
Reconnect signal ower?
Ej
Advise fire department the testing is completed?
.0, Ensure that the alarms stem is functional?
Comments
I state that the information Oil this I01*111 is C011'ec:t at the time and place ()1, 111%, inspection, and that all lglill)lllcllt was tested in Conli)rnlance with applicable codes and the
Nlanul:IMINI—s reguirenlents and at this tinlr was left In operational condition upon Completion ()fthis irlspec:tion except as noted Ill Colllllle.tlts.
Technician Signature
2- L-( r 11 1 k So C)
Dat Time Owner or Authorized Agent
I of4
Inspection, Testing and Maintenance of Fire Alarm Systems
Dare
Building Name
Yes - "I'estecl correctly "\" No - Uicl not test correctly
(Explain NO answers in comnients) "NA" Not applicable
C mi(r•ul Unit Tests
Annunciator Inspection & 'Pes(s
�-
I'uwCr on visual 1ndlcalur'?
Power on indicator'?
Common visual trouble signal'?
II1dividllal alarm and SupCI-Visory rune indication'?
Comillun aUd1bIC U'ollble Signal'?
1ndlVidl.lal alarm and supervisory zone Indication labels')
�=
I I.011ble Signal silence Switch'?
l Common trouble signal')
Main PUweI' SLIpl)ly falllll'C trouble Signal'?
VlSllal Iildlcatol' test - Lamp test'?
ClrOUlld fault tested oil positive alld ilegatlVC trouble signal
lllpllt wiring fl'olll control Milli Is supervised'?
0 JN
Alert signal Ope.'1'alloll')
Alarm signal silence VlSua) Indicator'?
Alarm signal operation'?
SWIICheS for al1clllary r1111ctlon Operatc as Intended"
f�
AUtoIllallC trMlSlCr fl'olll Alert signal lU Alarm signal'?
;' Other ancillary IUtICti011 VISual indicators')
f
Ackiiowiedgc switch operation'?
l Manual activation ole alarill Signal and Indication'?
A
Alarm Signal Silence llllllbll'?
Power Supply inspection
AlliI1
a'llng of tile SVSILii'?l
1-
Alarm sign, -Il SIICIICe VlSllal Indication'?
Adequate to meet the regUlrements orthe system'?
Alarm slgllal when silenced al.Ilo111atlCally reinstate oil
Remote Trouble Unit Tests and Inspection
sllhsegllelll alal'lll'?
Input wiring rrom control unit is Supervised'?
Alarill Signal silence alltl)IllallC Cllt-oUt tllllCl''?
7 Visual trouble signal.
lllplll Circuit alili'lll alld SllpCrVIsoI-y opel-W1011 111CI11d1112
Audible trouble signal')
Visual Indicator'.''
Audible trouble Signal silence'?
11111lIl Circuit t1'0ublc operation'?
I3:;rtter•y Tests and Inspection
Output Circuit alai'lll OpCI'atiOn'?
Battery type
Output Circuit ll'oliblc Operation'?
Battet'y Voltage'.
,.-
VlSual Indicator test (lamp lest)'?
AC power oil ��_ Vdc
->l
Coded signal SCquerlcC operate not less than the required
AC power oil Vdc
number of times and the correct alarm signal thereafter.
Coded Signal sequences are not interrupted by
subsc.que,nl alarms.?
Input circuit to output circuit Operation Ii1cludllll?
ancilliary device, roe correct matrix operation
r' Reset operation'?
Main powct• to Cnlel-gency powCI- Supply transler'?
Datil CUil1IllLill1Cat1UIlS link ([ACL) Sllpervisioll &, operal1011
Cunlrul unit illterconllCCtioll to monitoring Station'?
i
Control Unit Inspection
Input circuit dCSiglilltiOns, correctly i(fentified in rClatiun
to connected field devices
Output Circuit designations correctly i(ICnlificd in I.Clatiun
to cunnectcd fiCld devices.
Designations Ior coninion control functions & indicators
Cabinet, plugin components and nludulCS SCcurely in place
PiLlgin cables securely in place:
Record date, revision and version of Firmware & Software
Date: �_-- Rev: Vcr:
Cleanliness''
uSCS in accordanc;C with MFGS SpeciliC<Ition
r
Control Unit luck
Tel—lllillatiml points (i-0111 W11•ing to field deVICCS SCCLIrC
Battery An1p i OLII-S:
AC power on
AC power om
Inspected for physical damage'?
r� T Terminal cleaned and lubricated'?
Terminals clamped lightly'?
,, Correct Electrolyte level'?
r Specific gravity within mfg Specifications'?
�Jr Electrolyte leaks'?
Adequately ventilated'?
Wlthlll Illallllfacturer's rated life dale code'!
Disconnection causes trouble signal"
All
All
Generator Power Supply
r Provides power to AC circuit SCi wing the I ire alarm'?
Trouble condition at till: elll gcn Shall result in an audible
common trouble signal and a visual indication at the
required annunciator'?
2 of -4
inspection, Testing an(i maintenance of Fire Aharm Systems
Date z- Bijikling Name k
'• Y" 1'es - I'estecl Correctly "\" No -Did not test correctly (Explain NO answers in comments) "NA" Not applicable
Sequential Display Inspection and 'Testing
Individual alarm, supervisory and trouble inputs are
clearly indicated and separately designated?
Individual alarm and Supervisory input designation
labels are properly identified?
Alarm input overrides Supervisory and trouble input'?
Supervisory input overrides trouble input'?
[display can be manuUrlly advanced?
First alarm is clearly identified each time it is displayed
Alarin al-ld supervisory input call be rc:tr•ieved Ulltil SVstCII1
is reset'?
Printer• Testing
Operat loll its II11CIldCd'I
Zone of•cac:h alarm initiating device is correctly printed"
Rated voltage is present'?
Printers located in Vrolwietary Control Centers
1_:\'tlll� and ackilo%vledgcnlcntS are a111011la1icillly pI'llltCd'?
Time and date is recorded by the printer'?
Each event is recorded as they occur'?
System records Status changes With loss ofdata'?
Paper advances automatically such that print record is
visible'?
Printer operates under loss of main power supply'?
Printer is monitored for "low paper" and "paper out"'?
Voice Com Inuniea(ion Inspection/Tests
Power on indicator'?
Common visual trouble signal'?
Common audible trouble signal'?
Trouble signal silence switch'?
All call voice paging Including VISuaI indicator?
Output circuits for selective voice paging and Visual.
Output circuits fur selective voice paging trouble/visual
Microphone including press to talk switch?
Operation of• VC systems does interfere with initial
inhibit time ole alert and alarm signal.
All call Voice paging operates on emergency power'?
Upon failure ol'onC arlll lifie'r•, system automatically
transfers to backup anlplilier.
Circuits for emergency telephone call in operation
including audible and visual indication
Circuits fur emergency telephone fur operation, including
two way Voice communication?
Circuits for emergency telephones trouble and visual ops.
Enlergency telephone verbal Corn III Lill ication?
Emergency telephone operable or in -use tone at handset.
Emergency telephone call-in lamp'?
Emergency telephone call-in audible signal?
All telephone zone; select switches individually tested'?
Individual telephone: zone select indicators'?
Operating instruction clearly visible'?
Lockable release mechanism is intact'?
Ancillary Device Testing
Circuit ---
Ci I -C LI I t
ircuitCII'CLIIt
oC4
Field DC%,iCCS
Yield Devices contintled
f
I.ac.h dCVle'C IS iree of dalllagC, 101-elgll Substimcc �'
�Vall'I' Flow Detection devices
MCc11a111calIV Sllpp0l'1Cd Independent of Wll'lllg?
a) tested by appropriate Water How Illeails
Each device tested while connected to control unit'?
/
b) tittle delay recorded
p�l!
Manual Pull stations tested?
Supervisory Devices
/
TWO Stage pullStatIOnS tested aild functions coil flrmcd'?
Sh111-OfTValVes tested and result in trouble signal'?
l
I teat detectors tested
j
Low pressure supervisory device inspected and tested'?
Smoke detectors
Low water supervisor test'?
Inspected for cleanliness'?
Low temperature supervisor device tested
Sensitivity tested'?
k-,
Each power loss (cg fire pump aild air compressor) tested'?
Tested for Operation?
Other Fixed 'Type Extinguishing, Systems
Relllotc Indicator units Inspected and tested'?
�� %��. _
Verily operation 01'01C Output contactS initiates tile
n f� Status change coilfIrination Inspection and tested'?
Speclflcd function at the 17A control unit.
Air Duct smoke detectors tested'?
Supervisory Devices Other Types
Beam type smoke detectors fur actuation LIC, sensitivity'?
t,,1 1A
Inspected and tested as per manufacturer requirements''
Flame detectors inspected and tested?
?
Signal Appliances
tj
-
Combination detectors inspected and tested'?
Shall be inspected and tested 16r operability
7
AutUm -1110 detCC101'S — other typCS Inspected & tested
""
Proper Installation and tightness, tampering & obstrl101011?
11) alarm initiation
014
Intelligibility ol• voice messages'?
b) detector is oriented so as to detect hazard'?
;k) A
Audibility of•alert, alarm and voice messages/
c) sensivity tested'?
Visual Signal appliance inspected and tested'?
V
Combination devices tested'?
Sequential Display Inspection and 'Testing
Individual alarm, supervisory and trouble inputs are
clearly indicated and separately designated?
Individual alarm and Supervisory input designation
labels are properly identified?
Alarm input overrides Supervisory and trouble input'?
Supervisory input overrides trouble input'?
[display can be manuUrlly advanced?
First alarm is clearly identified each time it is displayed
Alarin al-ld supervisory input call be rc:tr•ieved Ulltil SVstCII1
is reset'?
Printer• Testing
Operat loll its II11CIldCd'I
Zone of•cac:h alarm initiating device is correctly printed"
Rated voltage is present'?
Printers located in Vrolwietary Control Centers
1_:\'tlll� and ackilo%vledgcnlcntS are a111011la1icillly pI'llltCd'?
Time and date is recorded by the printer'?
Each event is recorded as they occur'?
System records Status changes With loss ofdata'?
Paper advances automatically such that print record is
visible'?
Printer operates under loss of main power supply'?
Printer is monitored for "low paper" and "paper out"'?
Voice Com Inuniea(ion Inspection/Tests
Power on indicator'?
Common visual trouble signal'?
Common audible trouble signal'?
Trouble signal silence switch'?
All call voice paging Including VISuaI indicator?
Output circuits for selective voice paging and Visual.
Output circuits fur selective voice paging trouble/visual
Microphone including press to talk switch?
Operation of• VC systems does interfere with initial
inhibit time ole alert and alarm signal.
All call Voice paging operates on emergency power'?
Upon failure ol'onC arlll lifie'r•, system automatically
transfers to backup anlplilier.
Circuits for emergency telephone call in operation
including audible and visual indication
Circuits fur emergency telephone fur operation, including
two way Voice communication?
Circuits for emergency telephones trouble and visual ops.
Enlergency telephone verbal Corn III Lill ication?
Emergency telephone operable or in -use tone at handset.
Emergency telephone call-in lamp'?
Emergency telephone call-in audible signal?
All telephone zone; select switches individually tested'?
Individual telephone: zone select indicators'?
Operating instruction clearly visible'?
Lockable release mechanism is intact'?
Ancillary Device Testing
Circuit ---
Ci I -C LI I t
ircuitCII'CLIIt
oC4
Inspection, 'Festhig and Mahitenance of Fire Alarm Systems
Date 5
! ? �{
,s BuildingName
Device Testing — Legend and Notes
Device
Description Tye Model No.
M
Manual Pull station
ITF
Fleat detector, iron restorable Note 9
RITZ,
Heat detector, Restorable Note
S
Smoke detector Note 1, 2 9
RI
Remote indicator unit
DS
Duct smoke detector Note I, 3 & 9
PS
Photo electric smoke detector
SFD
Supporting field device monitor
I4S
Sprinkler flow switch Note 4
SS
Sprinkler supervisory device Note 5
LA -- Low air
PS — Pressure switch
ENVI
Fault isolation nodule
B
Bell
H
Horn
V
Visual signal appliance
HS
.Horn/Strobe
SP
Cone type speaker
HSP
Horn type speaker
AD
Ancillary device Note 8
ET
Emergency Telephone
---
Other supervisory devices Notes 6 & 7
---
Other type of detector
Note I. Smoke detector sensitivity measurement and cleaning (late should be recorded in the remarks column.
Note 2. Status change, including time delay, should be recorded ill the r•enmarks colul»n.
Note 3. Duct smoke detector pressure differential should be confirmed and recorded in the remarks column.
Note 4. Time delay setting of water flow switch should be recorded in the remarks column.
Note 5. Sprinkler supervisory switches cause trouble condition to be annunciated but not an alarm condition.
Note 6. Upper and lower pressure setting of supervisory devices should be recorded in the remarks column.
Note 7. Low temperature setting should be recorded in the remarks column.
Note 8. Identify the specific ancillary devices in the reinarks column.
Note 9. Identify date fire detector was changed.
Catrtiow The tests reported on this form do riot include the actual operational test of ancillary devices.
4 oC4
Fire Panel Upload Wamest Report For 636 Pt
:ustomer Name: Butte County Jail West Facility
Addr.
Contact Number:
1
ALARM: SMOKE(PHOTO)
Charlie Ext Elect Rm
Z001
08:12A 032411
1DO01
2
ALARM: SMOKE(PHOTO)
BC Pod Emer Exit
Z001
08:14A 032411
1D002
3
ALARM: SMOKE(PHOTO)
C Sprinkler Cntrl RM
Z001
08:16A 032411
1D003
4
ACTIVE TAMPER
Charlie Sprinkler
Z099
08:16A 032411
1M003
5
° ACTIVE TAMPER
Charlie Sprinkler
Z099
08:17A 032411
1M003
6
` ACTIVE TAMPER
Fire Hose
Z099
08:18A 032411
1M005
7
ACTIVE TAMPER
Fire Hose
Z099
08:19A 032411
1M005
8
ALARM: SMOKE(PHOTO)
C Sprinkler Cntrl RM
Z001
08:19A 032411
1D003
9
° ACTIVE TAMPER
Fire Hose
Z099
08:20A 032411
1M005
10
ACTIVE SUPERVSRY AR
Charlie Water Gong
Z099
08:21A 032411
1M001
11
ACTIVE SUPERVSRY AR
Charlie Water Gong
Z099
08:22A 032411
1M001
12
. ACTIVE SUPERVSRY AR
Charlie Water Gong
Z099
08:25A 032411
1M001
13
ALARM: SMOKE(PHOTO)
D Sprinkler Cntrl RM
Z001
08:32A 032411
2DO04
14
° ACTIVE TAMPER
Delta Sprinkler
Z099
08:33A 032411
2M003
15
ACTIVE TAMPER
Delta Sprinkler
Z099
08:33A 032411
2M003
16
ACTIVE SUPERVSRY AR
Delta Water Gong
Z099
08:34A 032411
2M001
17
. ACTIVE SUPERVSRY AR
Delta Water Gong
Z099
08:35A 032411
2M001
18
ALARM: SMOKE(PHOTO)
HI Emerg Exit Hallwy
2001
08:38A 032411
2DO03
19
ALARM: SMOKE(PHOTO)
H) Emerg Exit Hallwy
2001
08:39A 032411
2D003
20
ALARM: SMOKE(PHOTO)
D Ext Elect RM
Z001
08:40A 032411
2DO05
21
ALARM: SMOKE(PHOTO)
D Ext Elect RM
Z001
08:42A 032411
2DO05
22
ALARM: SMOKE(PHOTO)
500 Corridor
Z001
08:43A 032411
2DO29
23
ALARM: SMOKE(PHOTO)
Visit Elev Mech Rm
Z001
08:43A 032411
2DO30
24
ALARM: SMOKE(PHOTO)
CLIC Office
Z001
08:43A 032411
2D007
25
- ALARM: SMOKE(PHOTO)
500 Corridor
Z001
08:44A 032411
20028
26
ALARM: SMOKE(PHOTO)
D Sally Port
Z001
08:44A 032411
2D008
27
ALARM: SMOKE(PHOTO)
Visit Elev Mech Rm
Z001
08:44A 032411
2DO30
28
ALARM: SMOKE(PHOTO)
D Multipurpose RM
Z001
08:45A 032411
2DO09
29
ALARM: SMOKE(PHOTO)
D Sally Port
Z001
08:45A 032411
2D008
30
ALARM: SMOKE(PHOTO)
D Staff RR
Z001
08:45A 032411
2D010
31
ALARM: SMOKE(PHOTO)
Visit Elev Mech Rm
Z001
08:45A 032411
2D030
32
ALARM: SMOKE(PHOTO)
D Interview Rm 1
Z001
08:46A 032411
2D011
33
ALARM: SMOKE(PHOTO)
500 Corridor
Z001
08:46A 032411
2DO28
34
ALARM: SMOKE(PHOTO)
D Interview Rm 2
Z001
08:47A 032411
2D012
35
ALARM: SMOKE(PHOTO)
D Interview Rm 3
Z001
08:48A 032411
2DO13
36
ALARM: SMOKE(PHOTO)
D Tower RR
Z001
08:48A 032411
2DO24
37
ALARM: SMOKE(PHOTO)
D Interview Rn) 1
Z001
08:48A 032411
2D011
38
ALARM: SMOKE(PHOTO)
D Tower Stairwell
Z001
08:49A 032411
2D025
39
ALARM: SMOKE(PHOTO)
D Tower
Z001
08:49A 032411
2DO26
40
ALARM: PULL STATION
Delta Tower-
Z001
08:53A 032411
2M004
41
ALARM: SMOKE(PHOTO)
D Supply Rm
Z001
08:56A 032411
2D022
42
ALARM: SMOKE(PHOTO)
D Corridor 3
2001
08:56A 032411
2D016
43
ALARM: SMOKE(PHOTO)
D Med Unit
Z001
08:57A 032411
2D014
44
ALARM: SMOKE(PHOTO)
D Med RR
Z001
08:57A 032411
2D015
45
ALARM: SMOKE(PHOTO)
D Med Unit
Z001
08:57A 032411
2DO14
46
ALARM: SMOKE(PHOTO)
D Inmate Visiting
Z001
08:58A 032411
2D018
3/24/2011 Page 1 of 8
/'14�
Customer Name: Butte County Jail West racility
G_ ,act Number:
3/24/2011 Page 2 of 8
47
ALARM: SMOKE(PHOTO)
D Inmate Atty 2
Z001
08:58A 032411
2DO20
48
ALARM: SMOKE(PHOTO)
D Inmate Atty 1
Z001
08:59A 032411
2D019
49
ALARM: SMOKE(PHOTO)
D Int Elect Rm
Z001
09:OOA 032411
2D017
50
ACTIVE PHOTO SUP AR
M Pod Bay 1
Z099
09:02A 032411
2D115
51
ACTIVE PHOTO SUP AR
M Uppr Tier 1
Z099
09:02A 032411
2D053
52
ACTIVE PHOTO SUP AR
M Uppr Tier 2
Z099
09:02A 032411
2D054
53
ACTIVE PHOTO SUP AR
M Pod Bay 2
Z099
09:02A 032411
2D116
54
+ ACTIVE PHOTO SUP AR
M Lwr Tier 1
Z099
09:03A 032411
2D051
55
ACTIVE PHOTO SUP AR
M Pod Bay 3
Z099
09:03A 032411
2D117
56
ACTIVE PHOTO SUP AR
M Lwr Tier 2
Z099
09:03A 032411
2D052
57
ACTIVE PHOTO SUP AR
M Pod Bay 1
Z099
09:03A 032411
2D115
58
ACTIVE PHOTO SUP AR
M Pod Bay 2
Z099
09:04A 032411
2D116
59
ACTIVE PHOTO SUP AR
L Pod Bay 1
Z099
09:04A 032411
2D112
60
ACTIVE PHOTO SUP AR
L Uppr Tier 1
Z099
09:04A 032411
2D059
61
ACTIVE PHOTO SUP AR
L Uppr Tier 2
Z099
09:04A 032411
2D060
62
ACTIVE PHOTO SUP AR
L Pod Bay 2
Z099
09:04A 032411
2D113
63
I ALARM: SMOKE(PHOTO)
L Uppr Util Chase
Z001
09:05A 032411
2D058
64
ACTIVE PHOTO SUP AR
L Pod Bay 3
Z099
09:05A 032411
2D114
65
- ACTIVE PHOTO SUP AR
L Lwr Tier 1
Z099
09:05A 032411
2D055
66
) ALARM: SMOKE(PHOTO)
L Lwr Util Chase
Z001
09:06A 032411
2D057
67
ACTIVE PHOTO SUP AR
L Lwr Tier 2
Z099
09:06A 032411
2D056
68
ACTIVE PHOTO SUP AR
L Pod Bay 1
Z099
09:06A 032411
2D112
69
ACTIVE PHOTO SUP AR
J Uppr Tier 1
Z099
09:07A 032411
2D069
70
ACTIVE PHOTO SUP AR
IPod Bay 1
Z099
09:07A 032411
2D106
71
ACTIVE PHOTO SUP AR
L Pod Bay 1
Z099
09:07A 032411
2D112
72
ACTIVE PHOTO SUP AR
J Uppr Tier 2
Z099
09:07A 032411
2D070
73
ACTIVE PHOTO SUP AR
J Pod Bay 2
2099
09:07A 032411
2D107
74
ACTIVE PHOTO SUP AR
J Pod Bay 3
Z099
09:08A 032411
2D108
75
ACTIVE PHOTO SUP AR
J 1_wr Tier 1
Z099
09:08A 032411
2D067
76
ACTIVE PHOTO SUP AR
J Lwr Tier 2
Z099
09:08A 032411
2D068
77
ACTIVE PHOTO SUP AR
J Pod Bay 1
Z099
09:09A 032411
2D106
78
ACTIVE PHOTO SUP AR
K Uppr Tier 1
Z099
09:09A 032411
2D065
79
ACTIVE PHOTO SUP AR
K Pod Bay 1
Z099
09:09A 032411
2D109
80
ACTIVE PHOTO SUP AR
J Pad Bay 1
Z099
09:09A 032411
2D106
81
ACTIVE PHOTO SUP AR
K Uppr Tier 2
Z099
09:09A 032411
2D066
82
ACTIVE PHOTO SUP AR
K Pod Bay 2
Z099
09:09A 032411
2D110
83
ACTIVE PHOTO SUP AR
M Uppr Tier 2
Z099
09:10A 032411
2D054
84
ALARM: SMOKE(PHOTO)
K Uppr Util Chase
Z001
09:10A 032411
2D064
85
ACTIVE PHOTO SUP AR
K Pod Bay 3
Z099
09:10A 032411
2D111
86
ACTIVE PHOTO SUP AR
K Lwr Tier 1
Z099
09:10A 032411
2D061
87
ALARM: SMOKE(PHOTO)
K Lwr Util Chase
Z001
09:10A 032411
2D063
88
ACTIVE PHOTO SUP AR
K Lwr Tier 2
Z099
09:11A 032411
2D062
89
ACTIVE PHOTO SUP AR
L Uppr Tier 1
Z099
09:12A 032411
2D059
90
ACTIVE PHOTO SUP AR
H Uppr Tier 1
Z099
09:12A 032411
2D075
91
ACTIVE PHOTO SUP AR
H Pod Bay 1
Z099
09:12A 032411
2D103
92
ALARM: SMOKE(PHOTO)
H Uppr Util Chase
Z001
09:12A 032411
2D074
93
ACTIVE PHOTO SUP AR
H Pod Bay 2
Z099
09:12A 032411
2D104
94
ACTIVE PHOTO SUP AR
H Uppr Tier 2
Z099
09:12A 032411
2D076
9S
ACTIVE PHOTO SUP AR
L Uppr Tier 2
Z099
09:13A 032411
2D060
96
ALARM: SMOKE(PHOTO)
K Uppr LIN Chase
Z001
09:13A 032411
2D064
97
ACTIVE PHOTO SUP AR
H Pod Bay 3
Z099
09:13A 032411
2D105
3/24/2011 Page 2 of 8
ustomer Name: Butte County Jail West Facility
Contact Number:
98
ACTIVE PHOTO SUP AR
H Lwr Tier 1
Z099
09:13A 032411
20071
99
ACTIVE PHOTO SUP AR
H Lwr Tier 2
Z099
09:13A 032411
2DO72
100
ACTIVE PHOTO SUP AR
H Pod Bay 1
Z099
09:14A 032411
20103
101
ACTIVE PHOTO SUP AR
G Uppr Tier 1
Z099
09:14A 032411
2DO79
102
ACTIVE PHOTO SUP AR
G Pod Bay 1
Z099
09:14A 032411
2D100
103
ACTIVE PHOTO SUP AR
J Lwr Tier 2
Z099
09:15A 032411
2DO68
104
ACTIVE PHOTO SUP AR
J Lwr Tier 1
Z099
09:15A 032411
2DO67
105
ACTIVE PHOTO SUP AR
G Uppr Tier 2
Z099
09:15A 032411
2DO80
1106
ACTIVE PHOTO SUP AR
H Uppr Tier 2
Z099
09:15A 032411
2DO76
107
ACTIVE PHOTO SUP AR
G Pod Bay 2
Z099
09:15A 032411
2D101
1108
ACTIVE PHOTO SUP AR
L Uppr Tier 2
Z099
09:15A 032411
2DO60
1109
ALARM: SMOK�(PHOTO)
G Lwr Util Chase
Z001
09:15A 032411
2DO73
1110
ACTIVE PHOTO SUP AR
G Pod Bay 3
Z099
09:15A 032411
2D102
1111
ACTIVE PHOTO SUP AR
G Lwr Tier 1
Z099
09:16A 032411
2DO77
1112
ACTIVE PHOTO SUP AR
L Uppr Tier 1
Z099
09:16A 032411
2DO59
1113
ACTIVE PHOTO SUP AR
G Lwr Tier 2
Z099
09:16A 032411
2DO78
114
ACTIVE PHOTO SUP AR
G Pod Bay 1
Z099
09:16A 032411
2D100
115
ACTIVE PHOTO SUP AR
M Lwr Tier 1
Z099
09:16A 032411
2DO51
116
ACTIVE PHOTO SUP AR
G Pod Bay 1
Z099
09:17A 032411
2D100
117
ACTIVE PHOTO SUP AR
G Pod Bay 1
Z099
09:17A 032411
2D100
118
ACTIVE PHOTO SUP AR
L Lwr Tier 2
Z099
09:17A 032411
2DO56
119
ALARM: SMOKE(PHOTO)
C Sally
Z001
09:18A 032411
2DO31
120
ALARM: SMOKE(PHOTO)
C Multipurpose Rm
Z001
09:18A 032411
2DO32
121
ALARM: SMOKE(PHOTO)
C Sally
Z001
09:18A 032411
2DO31
122
ALARM: SMOKE(PHOTO)
C Staff RR
Z001
09:18A 032411
2DO33
123
ALARM: SMOKE(PHOTO)
C Interview Rm 1
Z001
09:18A 032411
2DO50
124
ALARM: SMOKE(PHOTO)
C Interview Rm 2
Z001
09:19A 032411
2DO49
125
ALARM: SMOKE(PHOTO)
C Interview Rm 3
Z001
09:19A 032411
2DO48
126
ACTIVE PHOTO SUP AR
L Uppr Tier 1
Z099
09:19A 032411
2DO59
127
ALARM: SMOKE(PHOTO)
C Supply Rm
Z001
09:20A 032411
20038
128
ALARM: SMOKE(PHOTO)
C Med Unit
Z001
09:20A 032411
2DO43
129
ALARM: SMOKE(PHOTO)
C Med RR
Z001
09:20A 032411
2DO44
130
ACTIVE PHOTO SUP AR
L Uppr Tier 2
Z099
09:20A 032411
2DO60
131
ALARM: SMOKE(PHOTO)
Inmate Visiting
Z001
09:21A 032411
2DO40
132
ALARM: SMOKE(PHOTO)
C Int Elect Rm
Z001
09:21A 032411
2DO39
133
ALARM: SMOKE(PHOTO)
C Inmate Atty 2
Z001
09:21A 032411
2DO42
134
ACTIVE PHOTO SUP AR
3 Uppr Tier 2
Z099
09:21A 032411
2DO70
135
ACTIVE PHOTO SUP AR
L Uppr Tier 2
Z099
09:21A 032411
2DO60
136
° ALARM: WATERFLOW
Delta Sprinkler
Z001
09:22A 032411
2M002
37
® ACTIVE SUPERVSRY AR
Delta Water Gong
Z099
09:22A 032411
2M001
38
ALARM: SMOKE(PHOTO)
C Inmate Atty 1
Z001
09:22A 032411
2DO41
39
ACTIVE PHOTO SUP AR
L Lwr Tier 1
Z099
09:22A 032411
2DO55
40
ACTIVE PHOTO SUP AR
L Lwr Tier 2
Z099
09:22A 032411
2DO56
41
ACTIVE PHOTO SUP AR
L Lwr Tier 2
Z099
09:23A 032411
2DO56
42
ACTIVE PHOTO SUP AR
3 Lwr Tier 1
Z099
09:23A 032411
2DO67
43
ALARM: SMOKE(PHOTO)
Inmate Visiting
Z001
09:24A 032411
2DO40
44
ACTIVE PHOTO SUP AR
A Pod 82
Z099
09:24A 032411
1D050
45
ACTIVE PHOTO SUP AR
A Pod Bay 1
Z099
09:24A 032411
ID125
46
ACTIVE PHOTO SUP AR
A Pod 88
Z099
09:25A 032411
1D056
47
ACTIVE PHOTO SUP AR
A Pod Bay 2
Z099
09:25A 032411
1D126
48
ACTIVE PHOTO SUP AR
A Pod Bay 3
Z099
09:25A 032411
1D127
3/24/2011 Page 3 of 8
Customer Name: Butte County Jail West acility
G .act Number:
3/24/2011 Page 4 of 8
149
ALARM: SMOKE(PHOTO)
Inmate Visiting
2001
09:25A 032411
2DO40
150
ACTIVE PHOTO SUP AR
L Lwr Tier 1
Z099
09:25A 032411
2DO55
151
ACTIVE PHOTO SUP AR
A Pod 84
Z099
09:26A 032411
1D052
152
ACTIVE PHOTO SUP AR
A Pod Bay 1
Z099
09:26A 032411
1 D 125
153
ACTIVE PHOTO SUP AR
L Uppr Tier 2
Z099
09:26A 032411
2DO60
154
ACTIVE PHOTO SUP AR
A Lwr Tier 1
Z099
09:26A 032411
1D045
155
ACTIVE PHOTO SUP AR
A Lwr Tier 2
Z099
09:27A 032411
1D046
156
ACTIVE PHOTO SUP AR
A Pod Bay 2
Z099
09:27A 032411
1D126
157
ACTIVE PHOTO SUP AR
A Pod Bay 3
Z099
09:27A 032411
1D127
158
ACTIVE PHOTO SUP AR
J Lwr Tier 1
Z099
09:27A 032411
2DO67
159
ACTIVE PHOTO SUP AR
L Uppr Tier 2
2099
09:27A 032411
2D060
160
ACTIVE SUPERVSRY AR
Charlie Water Gong
Z099
09:27A 032411
1M001
161
ACTIVE PHOTO SUP AR
M Uppr Tier 2
Z099
09:28A 032411
2DO54
162
ACTIVE PHOTO SUP AR
A Pod 90
Z099
09:28A 032411
1D058
163
ACTIVE PHOTO SUP AR
A Pod 88
Z099
09:28A 032411
1D056
164
ALARM: WATERFLOW
Charlie Sprinkler
Z001
09:28A 032411
1M002
165
ACTIVE PHOTO SUP AR
A Uppr Tier 1
Z099
09:28A 032411
1D047
166
ACTIVE PHOTO SUP AR
A Pod 92
Z099
09:28A 032411
1 D060
167
ACTIVE PHOTO SUP AR
A Pod 94
Z099
09:28A 032411
1 D062
168
ACTIVE PHOTO SUP AR
A Pod 86
Z099
09:29A 032411
1D054
169
ACTIVE PHOTO SUP AR
L Lwr Tier 1
Z099
09:29A 032411
2DO55
170
ACTIVE PHOTO SUP AR
A Pod 96
Z099
09:29A 032411
1D064
171
ACTIVE PHOTO SUP AR
A Pod 87
Z099
09:29A 032411
1 D055
172
ACTIVE PHOTO SUP AR
L Uppr Tier 2
Z099
09:30A 032411
2DO60
173
ACTIVE PHOTO SUP AR
A Pod 83
Z099
09:30A 032411
1 D051
174
ALARM: SMOKE(PHOTO)
C Inmate Atty 2
Z001
09:30A 032411
2DO42
175
ALARM: SMOKE(PHOTO)
Inmate Visiting
Z001
09:30A 032411
2DO40
176
ACTIVE PHOTO SUP AR
L Uppr Tier 2
Z099
09:31A 032411
2DO60
177
ACTIVE PHOTO SUP AR
B Lwr Tier 1
Z099
09:36A 032411
1D025
178
ACTIVE PHOTO SUP AR
B pod 72
Z099
09:36A 032411
1D036
179
ACTIVE PHOTO SUP AR
A Uppr Tier 1
Z099
09:36A 032411
1D047
180
ACTIVE PHOTO SUP AR
B Pod Bay 1
Z099
09:36A 032411
1D128
181
ACTIVE PHOTO SUP AR
B Pod 70
Z099
09:37A 032411
1D034
182
ACTIVE PHOTO SUP AR
B Pod 68
Z099
09:37A 032411
1 D032
183
ACTIVE PHOTO SUP AR
B Lwr Tier 2
Z099
09:37A 032411
1D026
184
ACTIVE PHOTO SUP AR
B pod 66
Z099
09:37A 032411
1D030
185
ACTIVE PHOTO SUP AR
B Pod Bay 2
Z099
09:37A 032411
1D129
186
ACTIVE PHOTO SUP AR
B Pod Bay 3
Z099
09:38A 032411
1D130
187
ACTIVE PHOTO SUP AR
B Pod 80
Z099
09:38A 032411
1D044
188
ACTIVE PHOTO SUP AR
B Pod 71
Z099
09:38A 032411
1D035
189
ACTIVE PHOTO SUP AR
B Pod 70
Z099
09:38A 032411
1D034
190
ACTIVE PHOTO SUP AR
B Uppr Tier 1
Z099
09:39A 032411
1D027
191
ACTIVE PHOTO SUP AR
B Pod 78
Z099
09:39A 032411
1D042
192
ACTIVE PHOTO SUP AR
B Pod 69
Z099
09:39A 032411
1D033
193
ACTIVE PHOTO SUP AR
A Uppr Tier 1
Z099
09:39A 032411
1D047
194
ACTIVE PHOTO SUP AR
L Uppr Tier 2
Z099
09:39A 032411
2DO60
195
ACTIVE PHOTO SUP AR
B Pod 76
Z099
09:40A 032411
1D040
196
ACTIVE PHOTO SUP AR
B Pod 67
Z099
09:40A 032411
1D031
197
ACTIVE PHOTO SUP AR
B Uppr Tier 2
Z099
09:40A 032411
1D028
198
ACTIVE PHOTO SUP AR
B Pod 74
Z099
09:40A 032411
1D038
199
ACTIVE PHOTO SUP AR
M Lwr Tier 1
Z099
09:40A 032411
2D051
3/24/2011 Page 4 of 8
ustomer Name
Ea
Butte County Jail West Facility
Contact Number:
3/24/2011 Page 5 of 8
200
ACTIVE PHOTO SUP AR
B Pod 65
Z099
09:40A 032411
1 D029
1201
ACTIVE PHOTO SUP AR
C Pod Bay 1
Z099
09:43A 032411
1D131
1202
ACTIVE PHOTO SUP AR
C Uppr Tier 1
Z099
09:43A 032411
1D023
203
ACTIVE PHOTO SUP AR
C Pod 58
Z099
09:43A 032411
1 DO14
204
ACTIVE PHOTO SUP AR
C Pod Bay 2
Z099
09:44A 032411
1D132
205
ACTIVE PHOTO SUP AR
C Pod 49
Z099
09:44A 032411
1 DO05
206
ACTIVE PHOTO SUP AR
C Pod 60
Z099
09:44A 032411
1 DO16
207
ACTIVE PHOTO SUP AR
C Pod Bay 3
Z099
09:44A 032411
1 D 133
208
ACTIVE PHOTO SUP AR
C Pod 51
Z099
09:44A 032411
1 D007
209
ACTIVE PHOTO SUP AR
K t_wr Tier 1
Z099
09:44A 032411
2DO61
210
ACTIVE PHOTO SUP AR
C Uppr Tier 2
Z099
09:44A 032411
1 D024
211
ACTIVE PHOTO SUP AR
C Pod 62
Z099
09:44A 032411
1DO18
212
ACTIVE PHOTO SUP AR
C Pod 53
Z099
09:45A 032411
1D009
213
ACTIVE PHOTO SUP AR
C Pod 64
Z099
09:45A 032411
1D020
214
ACTIVE PHOTO SUP AR
C Pod 55
Z099
09:45A 032411
1D011
215
ACTIVE PHOTO SUP AR
J Uppr Tier 1
Z099
09:45A 032411
2DO69
216
ACTIVE PHOTO SUP AR
C Lwr Tier 1
Z099
09:45A 032411
1 D021
217
ACTIVE PHOTO SUP AR
C Pod 50
Z099
09:46A 032411
1 D006
218
ACTIVE PHOTO SUP AR
C Pod 56
Z099
09:46A 032411
1 DO12
219
ACTIVE PHOTO SUP AR
C Pod 52
Z099
09:46A 032411
1 D008
220
ACTIVE PHOTO SUP AR
C Pod Bay 3
Z099
09:46A 032411
1D133
221
ACTIVE PHOTO SUP AR
C Lwr Tier 2
Z099
09:46A 032411
1D022
222
ACTIVE PHOTO SUP AR
C Pod Bay 3
Z099
09:47A 032411
1D133
223
ACTIVE PHOTO SUP AR
C Pod 54
Z099
09:47A 032411
1 DO10
224
ALARM: SMOKE(PHOTO)
G Lwr Util Chase
Z001
09:50A 032411
2DO73
225
ACTIVE PHOTO SUP AR
D Pod 48
Z099
09:50A 032411
1D120
226
ACTIVE PHOTO SUP AR
D Pod Bay 1
Z099
09:50A 032411
1D134
227
ACTIVE PHOTO SUP AR
D Pod 47
Z099
09:50A 032411
1D119
228
ACTIVE PHOTO SUP AR
D Pod 39
Z099
09:50A 032411
1D111
29
ACTIVE PHOTO SUP AR
D Pod Bay 2
Z099
09:51A 032411
1D135
230
ACTIVE PHOTO SUP AR
D Pod 46
Z099
09:S1A 032411
1D118
31
ACTIVE PHOTO SUP AR
D Uppr Tier 1
Z099
09:51A 032411
1D123
32
ACTIVE PHOTO SUP AR
D Pod Bay 1
Z099
09:51A 032411
1D134
33
ACTIVE PHOTO SUP AR
D Pod 45
Z099
09:51A 032411
1D117
34
ACTIVE PHOTO SUP AR
D Pod Bay 3
Z099
09:51A 032411
1D136
35
ACTIVE PHOTO SUP AR
D Pod 37
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Customer Name: Butte County Jail West acility
L .,act Number:
3/24/2011 Page 6 of 8
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3/24/2011
Page 7 of 8
Customer Name: Butte County Jail West r acility
Alos
G_ .act Number:
3/24/2011 Page 8 of 8
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3/24/2011 Page 8 of 8
Page 1 of 1
63
C COUP yoU;G�
Damon, Matt
From: Damon, Matt
Sent: Thursday, February 14, 2008 11:57 AM
To: dmg@griffithandassociates.com
Cc: Damon, Matt
Subject: RE: 1687.2 Sallyport Improvements for Butte County Courthouse
David.
The submitted sketch is adequate for preliminary fire department requirements with two items:
• Maintain 20' Fire Lane along the area marked "Parking Egress'
• Fire Lane markings will be redlined on the submitted plans
Thanks,
Matt Damon
Fn,eCapt:&,
Dgxih-FueIvlazs -Corrin r"
CAL FRE/ Bunte Coo* Fete
176 Nilson Avenue
Orualli-, CA 95966
5305386837eht 166 Office
530-990.5817 Cel
530-538-2105 Fay
From: David Griffith[mailto:dmg@griffithandassociates.com]
Sent: Thursday, February 14, 2008 11:37 AM
To: Damon, Matt
Cc: Vukovich, Michael; 'Hoist, Richard'; 'Franklin, Malcolm'
Subject: 1687.2 Sallyport Improvements for Butte County Courthouse
MEMO . the Conten s of 1Ns memo a dan will be d -ed correct i.Ness wnHe correcfiore are received witNn five days
Matt—nice talking with you today.
Attached is my first preliminary sketch for the expanded Sally port. Note that it extends into the present 20' fire lane with a roof -less chain-link
enclosure. The gates are remotely controlled.
Please let me have your comments regarding the effect of this concept on required fire access
DAVID MARTIN GRIFFITH, AIA
ARCHITECT. PROFESSIONAL ENG
n®Accredited Professional
dmg,4griffithandassociates.com
530.343.4621
HTTP://WWW.GRIFFITHANDASSOCIATES.COM
2/14/2008
EO
C
I'
SALLY PORT IMPROVEMENTS tortne
Butte County Courthouse 1687.2
Oroville Calffornia
CONCEPT SKETCH ONE 01.25.2008
16'
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. e•r`'_= •'1'..i " '. rrrVi�:�r+�:�4` '?4:j'.�.•�. �Fa•�'.l�,f:+r ... _•,: :.jam: Jrlf� tc:•.�r
..
-. c7.
63
2008 Butte County
Fire
Alarm/Sprinkler
Testing
Sheriff Facility (Basement)
Tested:
Fire Sprinkler system
• 1 Flow Switch
• 1 Bell
Flow switch did not activate at all, let alone within 90 seconds.
25-78 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Cover Sheet
NEPA 25 as amended by CCR, Title 19
Property Information:
N/A
FAIL*
Name:
Occupancy /Use: Ce_
5
Address:
Construction Type: (S>Ke, A eIV
❑Standpipe and Hose Systems
6
City: '�l
No. Stories:
� MP
ZIP: 1959 G -
Year Constructed:
7
Contact: c
Telephone:
❑ Fire Pump
8
Contractor Information:,_,
Number of System Risers
Name: Wilgus Fire Control, Inc.
❑ Water Storage Tank
Copy sent to:
Address: 1703 Sonoma St
o Owner Date
City: Redding
❑ Water Spray System
o Fire AHJ Date
State: California
o Contractor Date
Telephone: (530)241-2465
❑Foam Water Sprinkler System
NOTES:
1 j For specific inspection, testing, and
CA License# 462979 C-16 C-10 C-7
maintenance requirements and information,
see NEPA 25, 2002 Edition as amended by
Job #
California Code of Regulations, Title 19, §901
to §90fi.
Performed by:
(Print)
2) Inspection Items may be performed by the
Owner in accordance with California Code of
Note: Contractor information may be pre-printed
R29ulations Title 19 904.1 a
Forms included with this report
ChaA�5
Number of Forms
N/A
FAIL*
PASS
�I Automatic Sprinkler System
5
�
❑Standpipe and Hose Systems
6
❑ Private Water Supply System
7
❑ Fire Pump
8
❑ Water Storage Tank
9
❑ Water Spray System
10
❑Foam Water Sprinkler System
11
*See "Deficiencies and Comments" section at end of each respective form.
State Fire Marshal AES 1 March 21, 2006
ANNEX B
25-79
Main Drain Test Results:
Initial Static Pressure: i
(psi) )
Residual Pressure: (psi)
Restored Static Pressure: S-!� (psi)
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 23, Chapter 5 as amended by CCR, Title 19
Page 1 of 4
Date of Inspection, Testing, Maintenance: 1
System Riser ID:
Description
Property Information:
Fail
NIA
Pass
Name:
1
Type of System:
C9 Wet Wet Ptpe
of CA41,�
�
,�vr
Address:
0 Dry Pipe
�' a
1.2
1
D Preaction
Dry Pipe Valves — Enclosure
temperature
12.4.4.1.1
0 Deluge
�E M a�
City:
!
Quarter) Y
Gauges (Dry, Preaction, Deluge
Systems)
Main Drain Test Results:
Initial Static Pressure: i
(psi) )
Residual Pressure: (psi)
Restored Static Pressure: S-!� (psi)
Abbreviation Key:
I =Inspection
T = Test
M = Maintenance
A -O = After Operation
MI = Per Manufacturer's Instructions
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
NIA
Pass
1.1
1
Daily
Weekly
Preaction/Deluge Valves — Enclosure
temperature
12.4.3.1
1.2
1
Daily
Week!
Dry Pipe Valves — Enclosure
temperature
12.4.4.1.1
X
1.3
!
Quarter) Y
Gauges (Dry, Preaction, Deluge
Systems)
5.2.4.2
5.2.4.3
1.4
I
Quarterly
Control Valves
12.3.2.1
1.5
1
Quarterly
Alarm Devices
5.2.6
1.6
1
Quarterly
Gauges (wet Pipe Systems)
5.2.4.1
1.7
1
Quarterly
Hydraulic nameplate
5.2.7
1.8
!
Quarterly
Pipe and Fittings
5.2.2
1.9
1
Quarterly
Sprinklers
5.2.1
1.10
1
Quarterly
Spare Sprinklers
5.2.1.3
1.11
1
Quarterly
Fire Department Connections
12.7.1
1.12
1
Quarterly
Alarm Valves — Exterior Inspection
12.4.1.1
1.13
1
Quarter) Y
Preaction/Deluge Valves — Exterior
Inspection
12.4.3.1.6
X
1.14
1
Quarterly
Pressure Reducing Valves
12.5.1.1
1.15
1
Quarterly
Dry Pipe Valves — Exterior Inspection
12.4.4.1.4
1.16
1
Quarterly
Backflow Preventers
12.6.1
X
1.17
1
Annually
Buildings
5.2.5
State Fire Marshal AES 2 March 21, 2006
25-80 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4
NEPA 25, Chapter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance: .S 5
� , 9
System Riser ID:
Property Information:
-
Type System:
Name:lxorilg&Wet
of �aA..4i,�
Pipe � z
� � �. �,.. u Ur
� Dry Pipe � 00wAddress:
0 Preaction
1
0 Deluge�,�'
ARE Ma
1'
City.
5.2.3
Item
Activity
Frequency
Description
NEPA 25
Reference
Fail
N/A
Pass
1.18
1
Annually
Hangers
5.2.3
1.19
1
Annually
Seismic Braces
5.2.3
1.20
1
5 Years
Hangers (Accessible concealed spaces)
5.2.3.3
1.21
1
5 Years
Seismic Braces (Accessible concealed
s ces
5.2.3.3
i�
1.22
1
5 Years
Pipe and Fittings (Accessible concealed
spaces)
5.2.2.3
1.23
1
5 Years
Sprinklers (Accessible concealed spaces)
5.2.1.1.4
1.24
1
5 Years
Alarm Valves — Interior Inspection
12.4.1.2
1.25
1
5 Years
Alarm Valves - Strainers, filters, orifices
12.4.1.2
1.26
1
5 Years
Check Valves — Interior Inspection
12.4.2.1
1.27
1
5 Years
Preaction/Deluge Valves — Interior
Ins ction
12.4.3.1.7
1�
1.28
1
5 Years
Preaction/Deluge Valves - Strainers,
filters, orifices
12.4.3.1.8
1.29
1
5 Years
Dry Pipe Valves — Interior Inspection
12.4.4.1.5
1.30
1
5 Years
Dry Pipe Valves - Strainers, filters, orifices
12.4.4.1.6
2.1
T
Annually
Alarm Devices (90 Sec)
5.3.3
12.2.7
2.2
T
Annually
Main Drain Test (Enterdata on Page 1)
12.2.6
12.2.6.1
12.3.3.4
7�
2.3
T
Annually
Antifreeze Test
5.3.4
2.4
T
Annually
Control Valve - Position
12.3.3.1
2.5
T
Annually
Control Valve — Operation
12.3.3.1
2.6
T
Annually
Supervisory
12.3.3.5
2.7
T
Annually
Preacdon Valve — Priming Water
12.4.3.2.1
2.8
T
Annually
Preacfion Valve — Low Air Pressure Alarm
12.4.3.2.10
2.9
T
Annually
Preaction Valve — Full Flow Trip Test
12.4.3.2.2
State Fire Marshal AES 2 March 21, 2006
ANNEX B
25-81
Inspection, Testing, and Maintenance Fire Sprinkler System Page 3 of 4
NFPA 25, Chapter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance:
System Riser ID:
Property Information: ,
�L �' Fa".11, t
Type of System:of oA4i,�
Name:
ti
P -f Wet Pipe
�001
Address: � �
D Dry Pipe`o
0 Preaction 9
T
0 Deluge. ;
ARE NSP►
City: �� a •� ,. 9 9
12.4.4.2.1
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
2.10
T
Annually
Dry Pipe Valve —Priming Water
12.4.4.2.1
2.11
T
Annual) Y
Dry Pipe Valve —Low Air Pressure
Alarm
12.4.4.2.6
2.12
T
Annually
Dry Device Pipe Valve —Quick -Opening
12.4.4.2.4
2.13
T
Annually
Dry Pipe Valve —Trip Test
12.4.42.2
2.14
T
Annually
Backflow Preventer Assemblies
12.6.2
2.15
T
3 Yeats
Dry Pipe Valve —Full Flow Trip Test
12.4.4.2.2.2
�(
2.16
T
5 Years
Gauges
5.3.2
�(
2.17
T
5 Years
Pressure Reducing Valve
12.5.12
�(
2.18
T
5 Years
Fire Department Connection Backflush
12.7.4
2.19
T
5 Years
Sprinklers —Extra High Temperature
5.3.1.1.1.3
2.20
T
5 Years
Sprinklers —Corrosive environment or
corrosive water
5.3.1.1.2
2.21
T
10 Years
Sprinklers -Dry
5.3.1.1.1.5
2.22
T
20 Years
Sprinklers -Fast Response
5.3.1.1.1.2
2.23
T
50 Years
Sprinklers
5.3.1.1.1
2.24
T
75 Years
Sprinklers 75 years in service
5.3.1.1.1.4
X
2.25
T
Sprinklers manufactured prior to 1920
— Replace
5.3.1.1.1.1
3.1
M
Annually
Control Valves
12.3.4
3.2
M
Annually
Preaction/Deluge Valves
12.4.3.3.2
3.3
M
Annually
Dry Pipe D v ces Valves/Quick-Opening
12.4.4.3.2
•y(
3.4
M
Annually
Dry Pipe Valve —Low Point Drains
12.4.4.3.3
�(
3.5
M
5 Years
Obstruction Investigation
Chapter 13
�(
State Fire Marshal AES 2 March 21, 2006
25-82 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System Page 4 of 4
NEPA 25, Chapter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance: '�
System Riser ID:
Property Information:
Type of System: CA4,c,
Name:
Wet Pipe �.v� 09
W1 F010aj oma.
�1 4
awl
0 Dry Pipe �
Address:
0 Preaction
0 Deluge
4E N1a
City:
Item
Deficiencies and Comments:
Deficiencies and Comments Item number must correspond to the Item number
of the Activity listed above:
e. Or C -f 1�0 f 0%%. A C tA n8
-f)
1
W1 F010aj oma.
�1 4
0 See Continuation Page(s) (Indica -t continuation pages)
0 PASS
FAI L ._..
Si nature Date
State Fire Marshal AES 2 March 21, 2006
M
U�SHe �a��y
V
�aL H-CWS�\
2008 Butte County
Fire
Alarm/Sprinkler
Testing
West Facility (New Jail)
Tested:
Fire Sprinkler system
Fire Alarm system
Fire sprinkler system tested fine.
(53
Fire alarm system was un -testable. Control panel in Delta tower
does not work. System is no longer supported by manufacturer,
and must be replaced.
T
5-78 INSPECTION, TESTING= AND MkINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Cover Sheet
NEPA 25 as amended by CCR. Title 19
Property Information:
Wilgus Fire Control, Inc.
Address:
Name:
�v-Ae. ,r V:xlt
� y
Occupancy/Use: _....,.
•,tet •r . ar-�• ; o N
Address:
e„r r
Construction Type:
CIO .,c r 4Az
City:
Or C) Olt �
No. Stories:
.Z
ZIP:
'�. `� "r
Year Constructed:
11:lqs�
Contact:
Le , e%� 44
Telephone:
I Contractor Information:
Name:
Wilgus Fire Control, Inc.
Address:
1703 Sonoma St
City:
Redding
State:
California
Telephone:
(530)241-2465
CA License#
462979 C-16 C-10 C-7
Job #
Performed by:
(Print)
Note: Contractor information may be pre-printed
a - Number of System Risers
Copy sent to:
❑ Owner Date
❑ Fire AHJ Date
❑ Contractor Date
NOTES:
1) For specific inspection, testing, and
maintenance requirements and information,
see NEPA 25, 2002 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
Rea-ulations Title 19 6904.1(a)
Forms included with this report
NEPA 25
Chapter
Number of Forms
NIA
FAIL*
PASS
CA Automafic Sprinkler System
5
❑ Standpipe and Hose Systems
6
0 Private Water Supply System
7
❑ Fire Pump
8
❑ Water Storage Tank
9
❑ Water Spray System
10
❑ Foam Water Sprinkler System
11
*See "Deficiencies and Comments" section at end of each respective form.
State Fire Marshal AES 1 March 21, 2006
ANNEX B
25-79
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 1 of 4
! .
Date of Inspection, Testing, Maintenance: .5 5'� .'
I'll
System Riser lD: �
Property Information:
Name: � �"��"
�. ���•- ',
Type of System:
. _`• �' �►
oa� ,..
Address:
Wet Pie
D Dry Pie
'• '
y �,
Q Preac ion
f
0 Deluge
Activity
Frequency
Description
NFPA 25
Reference
City:
N/A
Pass
Main Drain Test Results:
Abbreviation Key:
I = Inspection
Initial Static Pressure: (psi)
T = Test
M = Maintenance
Residual Pressure: (psi)
A-0 = After Operation
Mi = Per Manufacturer's Instructions
Restored Static Pressure: l(psi)
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
1.1
I
Daily
Preaction/Deluge Valves —Enclosure
12.4.3.1
Weeklytemperature
1.2
1
Daily
Dry Pipe Valves — Enclosure
12.4.4.1.1
Weekly
temperature
15.2.4.3
1.3
1
QuarterlyGauges
(Dry, Preaction, Deluge
5.2.4.2
Systems)
1.4
1
Quarterly
Control Valves
12.3.2.1
1.5
1
Quarterly
Alarm Devices
5.2.6
1.6
1
Quarterly
Gauges (Wet Pipe Systems)
5.2.4.1
1.7
1
Quarterly
Hydraulic nameplate
5.2.7
i
1.8
1
Quarterly
Pipe and Fittings -
5.2.2
1.9
1
Quarterly
Sprinklers
5.2.1
1.10
1
Quarterly
Spare Sprinklers
5.2.1.3
1.11
l
Quarterly
Fire Department Connections
12.7.1
1.12
1
Quarterly
Alarm Valves — Exterior Inspection
12.4.1.1
X
1.13
1
Quarterly
Preaction/Deluge Valves — Exterior
12,4.3.1.6
Inspection
1.14
1
Quarterly
Pressure Reducing Valves
12.5.1.1
1.15
1
Quarterly
Dry Pipe Valves — Exterior Inspection
12.4.4.1.4
1.16
l
Quarterly
Backflow Preventers
12.6.1
1.17
1
Annually
Buildings
5.2.5
State Fire Marshal AES 2 March 21, 2006
25-80 INSPECTION. I TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection; Testing, and Maintenance Fire Sprinkler System Page 2 of 4
NEPA 25, Chapter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance:
System Riser ID:
Description
NFPA 25
Reference
Property Information:
Name.
Or
Type of System:'
Wet Pipe
Pass
1.18
Address: �. Or
❑ Dry Pipe; -
-am:�
❑ Preaction
...
❑ DelugeVa
1.19
C ity:
Annually
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
NIA
Pass
1.18
I
Annually
Hangers
5.2.3
1.19
1
Annually
Seismic Braces
5.2.3
1.20
1
5 Years
Hangers (Accessible concealed spaces)
5.2.3.3
15.2.3.3
1.21
1
5 Years
Seismic Braces (Accessible concealed
s acesX
1.22
1
5 Years
Pipe and Fittings (Accessible concealed
spaces)
5.2.2.3
1.23
1
5 Years
Sprinklers (Accessible concealed spaces)
5.2.1.1.4
1.24
1
5 Years
Alarm Valves — Interior inspection
12.4.1.2
1.25
1
5 Years
Alarm Valves - Strainers, filters, orifices
12.4.1.2
1.26
1
5 Years
Check Valves — Interior Inspection
12.4.2.1
1.27
1
5 Years
Preaction/Deluge Valves — Interior
Insp2ction
12.4.3.1.7
1.28
1
5 Years
Preaction/Deluge Valves - Strainers,
filters orifices
12.4.3.1.8
}�
1.29
1
5 Years
Dry Pipe Valves — Interior Inspection
12.4.4.1.5
1.30
1
5 Years
Dry Pipe Valves - Strainers, filters, orifices
12.4.4.1.6
2.1
T
Annually
Alarm Devices (90 Sec)
5.3.3
12.2.7
2.2
T
Annually
Main Drain Test (Enter data on Page 1)
12.2.6
12.2.6.1
12.3.3.4
2.3
T
Annually
Antifreeze Test
5.3.4
2.4
T
Annually
Control Valve - Position
12.3.3.1
2.5
T
Annually
Control Valve — Operation
12.3.3.1
2.6
T
Annually
Supervisory
12.3.3.5
2.7
T
Annually
Preaction Valve — Priming Water
12.4.3.2.1
2.8
T
Annually
Preaction Valve — Low Air Pressure Alarm
12.4.3.2.10
2.9
T
Annually
Preaction Valve — Full Flow Trip Test
12.4.3.2.2
State Fire Marshal AES 2 March 21, 2006
A
40
25-81
Inspection, Testing, and Maintenance Fire Sprinkler System Page 3 of 4
NFPA 25, Chapter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance: .' d System Riser 1D:
Property Information:
Type of System:
Name.
Wet Pipe
P
Address:, y ❑ Dry Pipe
�r
0 Preaction
0 Deluge
41
r
NE Wi
City: 0c:n •,I�' I I
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
2.10
T
Annually
Dry Pipe Valve — Priming Water
12.4.4.2.1
2.11
T
Annually
Dry Pipe Valve — Low Air Pressure
Alarm
12.4.4.2.6
2.12
T
Annually
Dry Pipe Valve -- Quick -Opening
Device
12.4.4.2.4
2.13
T
Annually
Dry Pipe Valve — Trip Test
12.4.4.2.2
2.14
T
Annually
Backflow Preventer Assemblies
12.6.2
2.15
T
3 Years
Dry Pipe Valve — Full Flow Trip Test
12.4.4.2.2.2
2.16
T
5 Years
Gauges
5.3.2
2.17
T
5 Years
Pressure Reducing Valve
12.5.1.2
2.18
T
5 Years
Fire Department Connection Backflush
12.7.4
2.19
T
5 Years
Sprinklers — Extra High Temperature
5.3.1.1.1.3
2.20
T
5 Years
Sprinklers — Corrosive environment or
corrosive water
5.3.1.1.2
2.21
T
10 Years
Sprinklers - Dry
5.3.1.1.1.5
2.22
T
20 Years
Sprinklers - Fast Response
5.3.1.1.1.2
2.23
T
54 Years
Sprinklers
5.3.1.1.1
2.24
T
75 Years
Sprinklers 75 years in service
5.3.1.1.1.4
2.25
T
Sprinklers manufactured prior to 1920
— Replace
3.1
M
Annually
Control Valves
12.3.4
3.2
M
Annually
Preaction/Deluge Valves
12.4.3.3.2
3.3
M
Annually
Dry Pipe Valves/Quick-Opening
Devices
12.4.4.3.2
3.4
M
Annually
Dry Pipe Valve — Low Point Drains
12.4.4.3.3
3.5
M
5 Years
Obstruction Investigation
Chapter 13
State Fire Marshal AES 2 March 21, 2006
26-82 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTF R
Inspection, Testing, and Maintenance Fire Sprinkler System Page 4 of 4
NEPA 25, Chapter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance: 5 jo
System Riser 1D:
Property Information:,.
w -�
Name: Fa 1'.
Type of System: ,' CA 1-
..;
-C-4
51 Vliet Pipe
Address:
0 Dry Pi� '`
pe 1
0 Preaction
0 Deluge -:•.�
City.0�.
�Q a �•
i
Item
Deficiencies and Comments:
Deficiencies and Comments Item number must correspond to the Item number
of the Activity listed above:
C, 1�c GY� _-..
0 See Continuation Page(s) (Indic to the number of continuation pages)
i, PASS •� ,�
0 FAI L/0S
Signature bate
State Fire Marshal AES 2 March 21, 2006
ANNEX B
25-79
Inspection, Testing, and Maintenance Fire Sprinkler System Page 1 of 4
NFPA 25, Chapter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance: S/1'5/09
System Riser ID:
Property Information:
w ���
Type of System: ca4�,�
Name: e. •� �'
�Of
19 Wet Pipe
Address: Or
❑ Dry Pipe
Pass
❑ Preac#ion
I
❑ Deluge�.,
E Mp
City: r'XD�Jke-
12.4.3.1
Main Drain Test Results:
Initial Static Pressure: SQ(psi)
Residual Pressure: �1 (psi)
_
Restored Static Pressure: �fS (psi)
Abbreviation Key:
I =Inspection
T = Test
M = Maintenance
A -O = After Operation
MI =Per Manufacturer's Instructions
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
1.1
I
Daily
Weekly
Preaction/Deluge Valves — Enclosure
temperature
12.4.3.1
1.2
1
Daily
Weeklytemperature
Dry Pipe Valves — Enclosure
12.4.4.1.1
X
1.3
1
Quarterly
Gauges (Dry, Preaction, Deluge
Systems)
5.2.4.2
5.2.4.3
1.4
1
Quarterly
Control Valves
12.3.2.1
1.5
1
Quarterly
Alarm Devices
5.2.6
1.6
1
Quarterly
Gauges (Wet Pipe Systems)
5.2.4.1
1.7
1
Quarterly
Hydraulic nameplate
5.2.7
1.8
1
Quarterly
Pipe and Fittings
5.2.2
1.9
1
Quarterly
Sprinklers
5.2.1
1.10
l
Quarterly
Spare Sprinklers
5.2.1.3
1.11
1
Quarterly
Fire Department Connections
12.7.1
1.12
1
Quarterly
Alarm Valves — Exterior Inspection
12.4.1.1
1.13
1
Quarterly
Preaction/Deluge Valves — Exterior
Inspection
12.4.3.1.6
1.14
1
Quarterly
Pressure Reducing Valves
12.5.1.1
�(
1.15
1
Quarterly
Dry Pipe Valves — Exterior Inspection
12.4.4.1.4
1.16
1
Quarterly
Backflow Preventers
12.6.1
1.17
1
Annually
Buildings
5.2.5
State Fire Marshal AES 2 March 21, 2006
25-80 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System
NEPA 25, Chapter 5 as amended by CCR, Title 19
Page 2 of 4
Date of Inspection, Testing, Maintenance: 5/15
System Riser ID:
NFPA 25
Reference
Property Information:
-
Type of System:
cA���
.
Name: �` �. �, 74;,tk.fj*�- i;
C6 Wet Pie
�OF
Address:
❑Dry Pipe
❑Preaction
4' a
g...,
1
❑ Deluge
ARE M P►�
City. C)�ra v .
State Fire Marshal AES 2 March 21, 2006
Activity
Frequency
Description
NFPA 25
Reference
Fail
NIA
Pass
1.18
1
Annually
Hangers
5.2.3
1.19
1
Annually
Seismic Braces
5.2.3
j(
1.20
1
5 Years
Hangers (Accessible concealed spaces)
5.2.3.3
1.21
1
5 Years
Seismic Braces (Accessible concealed
spaces)
5.2.3.3
X
1.22
1
5 Years
Pipe and Fittings (Accessible concealed
spaces)
5.2.2.3
1.23
1
5 Years
Sprinklers (Accessible concealed spaces)
5.2.1.1.4
1.24
1
5 Years
Alarm Valves — Interior Inspection
12.4.1.2
1.25
1
5 Years
Alarm Valves - Strainers, filters, orifices
12.4.1.2
1.26
1
5 Years
Check Valves — Interior Inspection
12.4.2.1
1.27
1
5 Years
Preaction/Deluge Valves — Interior
Inspection
12.4.3.1.7
1.28
1
5 Years
Preacbon/Deluge Valves - Strainers,
filters orifices
12.4.3.1.8
1.29
1
5 Years
Dry Pipe Valves — Interior Inspection
12.4.4.1.5
1.30
1
5 Years
Dry Pipe Valves - Strainers, filters, orifices
12.4.4.1.6
2.1
T
Annually
Alarm Devices (90 Sec)
5.3.3
12.2.7
X
2.2
T
Annually
Main Drain Test (Enter data on Page 1)
12.2.6
12.2.6.1
12.3.3.4
2.3
T
Annually
Antifreeze Test
5.3.4
2.4
T
Annually
Control Valve - Position
12.3.3.1
2.5
T
Annually
Control Valve — Operation
12.3.3.1
2.6
T
Annually
Supervisory
12.3.3.5
2.7
T
Annually
Preaction Valve — Priming Water
12.4.3.2.1
2.8
T
Annually
Preaction Valve — Low Air Pressure Alarm
12.4.3.2.10
2.9
T
Annually:I
Preaction Valve — Full Flow Trip Test
12.4.3.2.2
State Fire Marshal AES 2 March 21, 2006
p
ANNEX B
25-R 1
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 3 of 4
Date of Inspection, Testing, Maintenance: S S k 53
System Riser ID:6�
Property Information:
Fail
N/A
Name. . . C. �� �e f0L4t-jk4
Type of System:
P§ Wet Pipe
�oF �A���
Address: �.�
❑ Dry Pipe
❑ Preaction
V
❑ Deluge
E M
City: '< < �
T
Annually
ItemActivity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
2.10
T
Annually
Dry Pipe Valve — Priming Water
12.4.4.2.1
2.11
T
Annually
Dry Pipe Valve — Low Air Pressure
Alarm
12.4.4.2.6
2.12
T
Annually
Dry Pipe Valve — Quick -Opening
Device
12.4.4.2.4
2.13
T
Annually
Dry Pipe Valve — Trip Test
12.4.4.2.2
2.14
T
Annually
Backflow Preventer Assemblies
12.6.2
2.15
T
3 Years
Dry Pipe Valve — Full Flow Trip Test
12.4.4.2.2.2
2.16
T
5 Years
Gauges
5.3.2
2.17
T
5 Years
Pressure Reducing Valve
12.5.1.2
2.18
T
5 Years
Fire Department Connection Backflush
12.7.4
X
2.19
T
5 Years
Sprinklers — Extra High Temperature
5.3.1.1.1.3
2.20
T
5 Years
Sprinklers — Corrosive environment or
corrosive water
5.3.1.1.2
2.21
T
10 Years
Sprinklers - Dry
5.3.1.1.1.5
2.22
T
20 Years
Sprinklers - Fast Response
5.3.1.1.1.2
2.23
T
50 Years
Sprinklers
5.3.1.1.1
2.24
T
75 Years
Sprinklers 75 years in service
5.3.1.1.1.4
�(
2.25
T
Sprinklers manufactured prior to 1920
— Replace
5.3.1.1.1.1
3.1
M
Annually
Control Valves
12.3.4
3.2
M
Annually
Preaction/Deluge Valves
12.4.3.3.2
3.3
M
Annually
Dry Pipe Valves/Quick-Opening
Devices
12.4.4.3.2
3.4
M
Annually
Dry Pipe Valve — Low Point Drains
12.4.4.3.3
3.5
M
5 Years
Obstruction Investigation
Chapter 13
State Fire Marshal AES 2
March 21, 2006
25-82 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System Page 4 of 4
NEPA 25, Chapter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance: S11yJ08
System Riser ID:
Property Information:
Name:
Type of System: sof CA���
12� Wet Pie �� o
Address:
D Dry Pipe
0 Preaction
0. Deluge
MP
City:
Item
Deficiencies and Comments:
Deficiencies and Comments Item number must correspond to the Item number
of the Activi listed above:
0 See Continuation Page(s) (Indicate - n ber of continuation pages)
PASS
0 FAIL 0
Si nature t 6ate
State Fire Marshal AES 2 March 21, 2006
2008 Butte County
Fire
Alarm/Sprinkler
Testing
Old Jail
Tested:
G�
Fire Sprinkler system
• Tested fine. However,, water exiting inspector's port was very
dirty/rusty. Flow was not obstructed though. Obstruction
investigation will be warranted at next 5 year inspection
scheduled to happen in 2010
Fire Alarm system
• 2 Pull Stations
• 4 Horn/Strobes
• 77 Smoke Detectors
• 15 Heat Detectors
• 18 HVAC Dampers
• 1 Waterflow
• 1 Monitoring device
Kitchen loop is showing an open or shorted circuit, devices are not
responding in that area.
Some. heat detectors are non -testable and should be replaced, or a
sampling sent to UL for testing.
Some smoke detectors currently in use are not listed -for use with
this panel and should be replaced.
I
Inspection, Testing and Maintenance of Fire Alarm Systems
ATL
Wilgus Fire Control,Inc.
Date of Se via
q
Time
n. 5-00
Annual Inspection
IR
Initial Inspection
1 0
Last S ice Date
0
FIRE ALARM DIVISION
1703 Sonoma St
Redding, Ca 96001
Single Stage
RI
Two Stage
1 11
o ite Monioring?
[] yes [5no
(530)241-2465 (800)776-3046
Ca. License #462979 C-16 C-10 UL # S24291�-n
Manufacturer:
Model #
LOT4 00
Bulding Name:
r� ��
Contact Person: Le
i2 • k 9
Phone:
Fax:
Adress•
A..,4 ,
.�1.,L
Owner:
Phone:
Fax:
C Postal Code:_
�C� c q5 8
Central Station:
ems• r C�A4 A
Phone:
Phone:
;Yes"- Accentable "No" - UnacceDtable (E%Dlain No answers in comments)
es No
SUMMREJ
[�
❑
❑
❑
Reconnect ancillm functions off site connections)?
The Fire alarms stem is now fullfunctional without deficiencies.
Reconnect signal ower?
Advise fire de artment the testing is completed?
The Fire alarms stem has deficiencies noted on the pages attached.
Ensure that the alarm system is functional?
The Fire Alarm S stem is tested in accordance with NF'PA 72
Time
Sequence_ of Operation confirmed and tested.
Technicians After -test Checklist
7M— Reconnect time limit cutouts?
Reconnect ancillary functions?
Reconnect ancillm functions off site connections)?
Reconnect signal ower?
Advise fire de artment the testing is completed?
Ensure that the alarm system is functional?
Comments
I tate that the information on this form is correct at the time and place of my inspection, and that all equipment was tested in conformance with applicable codes and the
anufacturers requir . nts and at twas left in operational condition upon completion of this inspection except as noted in comments.
^
r /
ISOD
'technician Signature
7-
Dae
Time
Owner or Authorized Agent
1 of 4
Inspection, Testing and Maintenance of Fire Alarm Systems
FD'ate 1 141 og Building Name r.
u ol
Yes - Tested correctly "X" No - Did not test correctly (Explain N4 answers in comments) "NA" Not applicable
Control Unit Tests Annunciator Inspection & Tests
Power on visual indicator? f Power on indicator?
Common visual trouble signal?
Common audible trouble signal?
Trouble signal silence switch?
Main Power supply failure trouble signal?
Ground fault tested on positive and negative trouble signal
q Alert signal operation?
Alarm signal operation?
VN Automatic transfer from Alert signal to Alarm signal?
Acknowledge switch operation?
T Alarm signal silence inhibit?
Alarm signal silence operation?
j Alarm signal silence visual indication?
Alarm signal when silenced automatically reinstate on
subsequent alarm?
olk Alarm signal silence automatic cut-out timer?
Input circuit alarm and supervisory operation including
visual indicator?
Input circuit trouble operation?
Output circuit alarm operation?
Output circuit trouble operation?
Visual indicator test (lamp test)?
---f-A-- Coded signal sequence operate not less than the required
number of times and the correct alarm signal thereafter.
01A Coded signal sequences are not interrupted by
subsequent alarms?
e/
Input circuit to output circuit operation including
P tP P g
ncilliary device, for correct matrix operation
Reset operation?
Main power to emergency power supply transfer?
Data communications link (DCL) supervision & operation
Control unit interconnection to monitoring station?
Control Unit Inspection
fInput circuit designations, correctly identified in relation
P bm , Y
to connected field devices
Output circuit designations correctly identified in relation
/ to connected field devices.
J
Designations for common control functions & indicators
Cabinet, plugin components and modules securely in place
Plugin cables securely in place
Record date, revision and version of Firmware & software
Date: Rev: Ver:
Cleanliness?
Fuses in accordance with MFGs specification
Control Unit lock
Termination points from wiring to field devices secure
Individual alarm and supervisory zone indication?
Individual alarm and supervisory zone indication labels?
Common trouble signal?
Visual indicator test - Lamp test?
Input wiring from control unit is supervised?
Alarm signal silence visual indicator?
44L. Switches for ancillary function operate as intended?
Other ancillary function visual indicators?
Manual activation of alarm signal and indication?
Power Supply Inspection
Fused with mfgs marked rating of the system?
Adequate to meet the requirements of the system?
R*aio Trouble Unit Tests and Inspection
Input ' ' from control unit is supervised?
Visual trou ignal?
Audible trouble si ?
Audible trouble signal site
Battery Tests and Inspection
Battery type
Battery Voltage
AC power on r Vdc
AC power on 116s/ Vdc
Battery Amp Hours:
AC power on f 53 Ah
AC power on leg Ah
Inspected for physical damage?
Terminal cleaned and lubricated?
Terminals clamped tightly?
-01A Correct Electrolyte level?
I
-=� Specific gravity within mfg specifications?
Electrolyte leaks?
Adequately ventilated?
Within manufacturer's rated life date code?
Disconnection causes trouble signal?
erator Power Supply
Provi ower to AC circuit serving the fire alarm?
Trouble co 'tion at the em gen shall result in an audible
common trouble al and a visual indication at the
required annunciate.
2 of 4
Inspection, Testing and Maintenance of Fire Alarm Systems
Date BuildingName - 0h
Yes -Tested correctly "X" No -Did not test correctly (Explain NO answers in comments) "NA" Not applicable
Field Devices Field Devices continued
Each device is free of damage, foreign substance & Water Flow Detection devices
mechanically supported independent of wiring? a) tested by appropriate water flow means
Each device tested while connected to control unit? b) time delay recorded
Manual Pull stations tested? Supervisory Devices
Two stage pullstations tested and functions confirmed? E% Shut-off valves tested and result in trouble signal?
Heat detectors tested —- Low pressure supervisory device inspected and tested?
Smoke detectors Low water supervisor test?
Inspected for cleanliness? Low temperature supervisor device tested
Sensitivity tested? N Each power loss (eg fire pump and air compressor) tested?
Tested for Operation? Other Fixed Type Extinguishing Systems
Remote indicator units inspected and tested? Verify operation of the output contacts initiates the
Status change confirmation inspection and tested? specified function at the FA control unit.
Air Duct smoke detectors tested? Supervisory Devices Other Types
Beam type smoke detectors for actuation & sensitivity? Inspected and tested as per manufacturer requirements?
Flame detectors inspected and tested? Signal Appliances
Combination detectors inspected and tested? Shall be inspected and tested for operability
• Automatic detectors — other types inspected & tested Proper installation and tightness, tampering & obstruction?
a) alarm initiation 11 1h Intelligibility of voice messages?
b) detector is oriented so as to detect hazard? f Audibility of alert, alarm and voice messages/
c) sensivity tested?Visual signal appliance inspected and tested?
-
Combination devices tested?
Sequential Display Inspection and Testing Noice Communication Inspection/Tests
Individual alarm, supervisory and trouble inputs are jr weir on indicator?
clearly indicated and separately designated? C on visual trouble signal?
Individual alarm and supervisory input designation Co on audible trouble signal?
labels are properly identified? Tro le signal silence switch?
Alarm input overrides supervisory and trouble input? All c 1 voice paging including visual indicator?
Supervisory input overrides trouble input? Outpu circuits for selective voice paging and visual.
Display can be manually advanced? Output 'rcuits for selective voice paging trouble/visual
First alarm is clearly identified each time it is displayed Microph a including press to talk switch?
Alarm and supervisory input can be retrieved until system Operation f VC systems does interfere with initial
is reset? inhibit time f alert and alarm signal.
Printer Testing All call voic aging operates on emergency power?
eration as intended? Upon failureone amplifier, system automatically
------
Zone alarm initiatingtransfers to bac up amplifier.
0
device is correctly printed?
Rated voltage is t? Circuits for eme ency telephone call in operation
including audible d visual indication
ftjkters located in Proprietary Control Centers Circuits for emerge cy telephone for operation, including
Evenb4wd acknowledgements are automatically printed? two way voice corn nication?
Time and da recorded by the printer? Circuits for emergenc telephones trouble and visual ops.
_ Each event is recor as they occur? Emergency telephone v rbal communication?
System records status ch with loss of data? Emergency telephone op able or in -use tone at handset.
Paper advances automatically su that print record is Emergency telephone call- lamp?
visible? Emergency telephone call-in udible signal?
Printer operates under loss of main power su ? All telephone zone select switc es individually tested?
Printer is monitored for "low paper" and "paper ou ' Individual telephone zone select dicators?
Operating instruction clearly visib ?
Lockable release mechanism is intac .
Ancillary Device Testing
Circuit
Circuit
Circuit
3 of 4
Inspection, Testing and Maintenance of Fire Alarm Systems
FD -a Building Name
Device Testing — Legend and Notes
Device
Descri tion Type Model No.
CM)
Manual Pull station
HT
Heat detector, non restorable(Note 9
CtIQT
Heat detector, Restorable(Note 9 r, . •
S
Smoke detector(Note 1 2 & 9
RI
Remote indicator unit
DS
Duct smoke detector(Note 1, 3 & 9
Photo electric smoke detector 4
SFD
-Supporting field device monitor
FS
S rinkler flow switch(Note 4
SS
Sprinkler supervisory device(Note 5
LA — Low air
PS -- Pressure switch
EM
Fault isolation module
B
Bell
H
Horn
V
Visual signal aliance
HS
.Horn/Strobe
SP
Cone type speaker
HSP
Horn e speaker
AD
Ancillag device(Note 8
ET
Emergency Tele hone
---
Other supervisory devices otes 6 &
---
Other type of detector
Note 1. Smoke detector sensitivity measurement and cleaning date should be recorded in the remarks column.
Note 2. Status change, including time delay, should be recorded in the remarks column.
Note 3. Duct smoke detector pressure differential should be confirmed and recorded in the remarks column.
Note 4. Time delay setting of water flow switch should be recorded in the remarks column.
Note 5. Sprinkler supervisory switches cause trouble condition to be annunciated but not an alarm condition.
Note 6. Upper and lower pressure setting of supervisory devices should be recorded in the remarks column.
Note 7. Low temperature setting should be recorded in the remarks column.
Note 8. Identify the specific ancillary devices in the remarks column.
Note 9. Identify date fire detector was changed.
Caution: The tests reported on this form do not include the actual operational test of ancillary devices.
4of4
Inspection, Testing and Maintenance of Fire Alarm Systems
Individual Device Record
Date: 511 t4l 07, Annual Inspection Pae 1, of
Building Name: Address:
A. Correctly installed. D. Annunciator indication confirmed.
B. Requires Service, Repairs, missing, or cleaning (iCircuit number or address
C. Alarm operation confirmed F. Supervision and ground fault detection
G. Smoke detector sensitivity testing
We _ Arrpntahlp KX» Nn — I1nnerpntahip lRynlain N(1 aneware in onmrnaintel KN A» Nn* annlipahla
Note: Confirmation of wiring supervision to each individual device is only required during an initial
inspection and test or verification, and is not required at the annual test.
�o�0000
rA
MY ffAr M M
NM)m
F�L7-
M M VA M
#0 t.:::: � i M
Note: Confirmation of wiring supervision to each individual device is only required during an initial
inspection and test or verification, and is not required at the annual test.
Inspection, Testing and Maintenance of Fire Alarm Systems
Individual Device Record
Date: S lql Oz Lj Annual Inspection I Pae of
BuiidinLy Name: & s, -AL.. nt .'q- I Address: f; 9 %d.4k.v rra'..J _.r iv -
A. Correctly installed. D. Annunciator indication confirmed.
& Requires Service, Repairs, missing, or cleaning E. Circuit number or address
C. Alarm operation confirmed F. Supervision and ground fault detection
G. Smoke detector sensitivity testis
"4" Vpc . Arrpntahlp "Y" Na — Unarepntahlp (Eyninin NO ancwera in rnmmentel 66NA" Nat Annlirshle
Note: Confirmation of wiring supervision to each individual device is only required during an initial
inspection and test or verification, and is not required at the annual test.
oor�0000
UP
US"
will,
Rm
mr���
lip
I M 170 Aff
Ban
H��
�
U&M
pro
Note: Confirmation of wiring supervision to each individual device is only required during an initial
inspection and test or verification, and is not required at the annual test.
Inspection, Testing and Maintenance of Fire Alarm Systems
Individual Device Record
Date:04
Building
09
Name:
Annual Inspection
Address:
Pae of
Wt or
A. Correctly installed. D. Annunciator indication confirmed.
& Requires Service, Repairs, missing, or cleaning E. Circuit number or address
C. Alarm operation confirmed F. Supervision and ground fault detection
G. Smoke detector sensitivity testing
Yes - Acceiptable "X" No — Unacce table 1xplain NO answers in comments
"NA" Not a1pplicable
Device
Location
A B C D E F
1
G
Remarks
KZ4
t t c
`d
T- oom cawrag
g
I w 675'!''
✓ ?�v
Pj S
r 3 cry �%G••-
11 RAN 015EW
1P
S •1 i
9zo
800t mks -M xe-Auc
I
PIP
It
K
jPS
S t -- Fere,&t
At
PS
S l - Ccs:�vG
�. 1/0�17Q�'-
3
491 Go�H.$��►G
Mt
<
e.#5
PS
t�
0 �
S
Sr
06" New
s
u
✓ ��s
s
�a
VAptAr,9ca0
«
V
2
�
'� 4
P�
K
Note: Confirmation of wiring supervision to each individual device is only required during an initial
inspection and test or verification, and is not required at the annual test.
01
Inspection, Testing and Maintenance of Fire Alarm Systems
Individual Device Record
Date:
Annual Inspection Pae of
BuiIdin Name:
r
( Address:
A. Correctly installed. D. Annunciator indication confirmed.
B. Requires Service, Repairs, missing, or cleaning E. Circuit number or address
C. Alarm operation confirmed F. Supervision and ground fault detection
G. Smoke detector sensitivity testing
Yes - Acceptable "X" No — Unacce tableg lain NO answers in comments "NA" Not applicable
Device Location
A rB C D E I F G
Remarks
IF fp�
&ot
ZO
Pto
#7
M�q
Note: Confirmation of wiring supervision to each individual device is only required during an initial
inspection and test or verification, and is not required at the annual test.
25-78 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Cover Sheet
NEPA 25 as amended by CCR. Title 19
Property Information:
Name: A. MA
Address:-
City:
ddress:_City: _..�
ZIP: 9519L K
Contact: Lest.A -
Telephone:
I Contractor Information:
Name:
Wilgus Fire Control, Inc.
Address:
1703 Sonoma St
City:
Redding
State:
California
Telephone:
(530)241-2465
CA License#
462979 C-16 C-10 C-7
Job #
Occupancy /Use:
Construction Type:
No. Stories: t
Year Constructed:
Performed by: L�Aycv-_ Av--.006k
Y
(Print)
Note: Contractor information may be pre-printed
., I Number of System Risers
Copy sent to:
o Owner Date
o Fire AHJ Date
o Contractor Date
NOTES:
1 ) For specific inspection, testing, and
maintenance requirements and information,
see NEPA 25, 2002 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
Rea-uiations Title 19 -4904.1(a)
Forms included with this report
NEPA 25
Chapter
Number of Forms
NIA
FAIL*
PASS
V1. Automatic Sprinkler System
5
o Standpipe and Hose Systems
6
0 Private Water Supply System
7
• Fire Pump
8
• Water Storage Tank
9
0 Water Spray System
10
0 Foam Water Sprinkler System
11
'See "Deficiencies and Comments" section at end of each respective form.
State Fire Marshal AES 1 March 21, 2006
ANNEX B
25-79
Inspection, Testing, and Maintenance Fire Sprinkler System Page 1 of 4
NFPA 25, Cha ter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance:
System Riser ID: 1
Property Information:
Type System: Cql�,�
Name: t
of SOF
R Wet Pipe
-
Address:
❑ Dry Pipe
Pass
❑ Preaction►
1
❑ Deluge
a�
City:
12.4.3.1
Main Drain Test Results:
Initial Static Pressure: S ( psi )
Residual Pressure: 5 (psi)
Restored Static Pressure: SS' (psi)
Abbreviation Key:
I = Inspection
T = Test
M = Maintenance
A-0 = After Operation
MI = Per Manufacturer's Instructions
Item
Activity
Frequency
Description
IP::reaction/Deluge
NFPA 25
Reference
Fail
NIA
Pass
1.1
1
Daily
Weeklytemperature
Valves — Enclosure
12.4.3.1
1�
1.2
1
Daily
Weekly
Dry Pipe Valves — Enclosure
temperature
12.4.4.1.1
1.3
1
Quarterly
Gauges (Dry, Preaction, Deluge
Systems)
5.2.4.2
5.2.4.3
1.4
1
Quarterly
Control Valves
12.3.2.1
1.5
1
Quarterly
Alarm Devices
5.2.6
1.6
1
Quarterly
Gauges (Wet Pipe Systems)
5.2.4.1
1.7
1
Quarterly
Hydraulic nameplate
5.2.7
1.8
1
Quarterly
Pipe and Fittings
5.2.2
1.9
1
Quarterly
Sprinklers
5.2.1
1.10
1
Quarterly
Spare Sprinklers
5.2.1.3
1.11
1
Quarterly
Fire Department Connections
12.7.1
X
1.12
1
Quarterly
Alarm Valves — Exterior Inspection
12.4.1.1
X
1.13
1
Quarterly
Preaction/Deluge Valves — Exterior
Inspection
12.4.3.1.6
1.14
1
Quarterly
Pressure Reducing -Valves
12.5.1.1
1.15
1
Quarterly
Dry Pipe Valves — Exterior Inspection
12.4.4.1.4
1.16
1
Quarterly
Backflow Preventers
12.6.1
1.17
1
Annually
Buildings
5.2.5
State Fire Marshal AES 2 March 21, 2006
25-80 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4
NEPA 25, Chapter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance: 5/1q
System Riser ID:
Property Information:
NFPA 25
Reference
6_0VAU olk
Type of System: moo.._.-.-a4�,c
Name:CoAe_ a
Wet Pipe
� �. z
-
Address:
0 Dry Pipe c
r
0 Preaction
0 Deluge,,_
�E N� P►�
City:
1.19
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
1.18
1
Annually
Hangers
5.2.3
1.19
1
Annually
Seismic Braces
5.2.3
1.20
1
5 Years
Hangers (Accessible concealed spaces)
5.2.3.3
1.21
1
5 Years
Seismic Braces (Accessible concealed
spaces)
5.2.3.3
1.22
1
5 Years
Pipe and Fittings (Accessible concealed
5.2.2.3
X
1.23
1
5 Years
-spaces)
Sprinklers (Accessible concealed spaces)
5.2.1.1.4
1.24
1
5 Years
Alarm Valves— Interior Inspection
12.4.1.2
1.25
1
5 Years
Alarm Valves - Strainers, filters, orifices
12.4.1.2
1.26
1
5 Years
Check Valves — Interior Inspection
12.4.2.1
1.27
1
5 Years
Preaction/Deluge Valves — Interior
Insp2cUon
12.4.3.1.7
1.28
1
5 Years
Preaction/Deluge Valves - Strainers,
filters, orifices
12.4.3.1.8
1.29
1
5 Years
Dry Pipe Valves — Interior Inspection
12.4.4.1.5
1.30
1
5 Years
Dry Pipe Valves - Strainers, filters, orifices
12.4.4.1.6
2.1
T
Annually
Alarm Devices (90 Sec)
5.3.3
12.2.7
2.2
T
Annually
Main Drain Test (Er#erdata on Page 1)
12.2.6
12.2.6.1
12.3.3.4
2.3
T
Annually
Antifreeze Test
5.3.4
2.4
T
Annually
Control Valve - Position
12.3.3.1
2.5
T
Annually
Control Valve — Operation
12.3.3.1
2.6
T
Annually
Supervisory
12.3.3.5
2.7
T
Annually
Preaction Valve — Priming Water
12.4.3.2.1
2.8
T
Annually
Preaction Valve — Low Air Pressure Alarm
12.4.3.2.10
2.9
T
Annually
Preaction Valve — Full Flow Trip Test
12.4.3.2.2
State Fire Marshal AES 2 March 21, 2006
ANNEX B
25-81
Inspection, Testing, and Maintenance Fire Sprinkler System Page 3 of 4
NFPA 25, Cha ter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance:
System Riser ID:
Property Information:
NFPA 25
Reference
Name: V�XA- ... ��•
Type of System: tioF cA<<�
Wet Pipe ���
�.
Address:
0 Dry Pipe
T
0 Preaction
Dry Pipe Valve — Priming Water
0 Deluge.
E M P►�
City:
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
2.10
T
Annually
Dry Pipe Valve — Priming Water
12.4.4.2.1
2.11
T
Annually
Dry Pipe Valve — Low Air Pressure
Alarm
12.4.4.2.6
2.12
T
Annually
Dry Pipe Valve — Quick -Opening
Device
12.4.4.2.4
2.13
T
Annually
Dry Pipe Valve — Trip Test
12.4.4.2.2
2.14
T
Annually
Backflow Preventer Assemblies
12.6.2
2.15
T
3 Years
Dry Pipe Valve — Full Flow Trip Test
12.4.4.2.2.2
2.16
T
5 Years
Gauges
5.3.2
2.17
T
5 Years
Pressure Reducing Valve
12.5.1.2
2.18
T
5 Years
Fire Department Connection Backflush
12.7.4
2.19
T
5 Years
Sprinklers — Extra High Temperature
5.3.1.1.1.3
2.20
T
5 Years
Sprinklers — Corrosive environment or
corrosive water
5.3.1.1.2
X
2.21
T
10 Years
Sprinklers - Dry
5.3.1.1.1.5
2.22
T
20 Years
Sprinklers - Fast Response
5.3.1.1.1.2
X
2.23
T
50 Years
Sprinklers
5.3.1.1.1
2.24
T
75 Years
Sprinklers 75 years in service
5.3.1.1.1.4
X
2.25
T
Sprinklers manufactured prior to 1920
— Re ace
5.3.1.1.1.1
?�
3.1
M
Annually
Control Valves
12.3.4
3.2
M
Annually
Preaction/Deluge Valves
12.4.3.3.2
3.3
M
Annually
Dry Pipe Valves/Quick-Opening
Devices
12.4.4.3.2
3.4
M
Annually
Dry Pipe Valve — Low Point Drains
12.4.4.3.3
3.5
M
5 Years
Obstruction Investigation
Chapter 13
State Fire Marshal AES 2 March 21, 2006
25-82 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System Page 4 of 4
NEPA 25, Chapter 5 as amended by CCR, Title 19
Date of Inspection, Testing, Maintenance: 5
System Riser ID:
Property Information:
Type ca���
Name: Lg
of System: tioF
Wet Pipe
❑Dry Pipe
Address:
�
❑ Preaction
❑ Deluge�.,�
�E Ma
City:
Item
Deficiencies and Comments:
Deficiencies and Comments Item number must correspond to the Item number
of the Activity listed above:
_ew
•' 1 2rNI %A -
❑ See Continuation Page(s) (Indicate the 7,,�ber continuation pages)
PASSy='�
❑FAIL O
"rignifture Date
State Fire Marshal AES 2 March 21, 2006
Butte County Fire Department
:�E• cC�, f F
D
i
lif
Caorna Department of and Fire Protection
Fire Prevention Bureau
176 Nelson Avenue, Oroville, CA 95965
�R� ' > 530-538-7888/530-538-2105(fax)
Fire Safety Inspection
Business Address:S-5 L'o'w t�
Business Name:
FAL/G/7�
Owner/Manager: �"4 y G d
Bus: O
Other:
Other Contact:
Bus:
Other:
Building Owner:
Bus:
Other:
Address:
Fire alarms stem defective
Occ. Class: �-
1 01106y;j :14 1101 Ll IM wiel11:ay Alaq1141wd:»vj=F_144all I:I =1go] gK61 710
1.
Fire extinguishers: required, service due
10.
Exit(s): obstructed, inadequate
2.
Extension cords: Excessive use, defective
11.
Exit sign(s): required, illumination, photo luminescent
3.
Excessive rubbish, trash, debris
12.
Exit sign lights: obstructed, defective
4.
Fire alarms stem defective
13.
Exit lighting: required, defective
5.
Sprinkler system: service required, defective
14.
Heating system: defective appliance, flue combustibles
6.
Kitchen hood ext. system: service due
15.
Wiring: exposed, damaged connectors, etc.
7.
Fire walls, ceilings, fire doors, draft stops
16.
Address posted and visible from road
8.
Smoke detectors: required, defective
17.
Other
9.
Fire drill log checked Yes ❑ No ❑
18.
Other type of inspection — State below
(DETAILED EXPLANATION AND CORRECTIONS: CORRECTED:
v
Date: Discuss,11211d with: Sign
I � � (Print) �C�(,(� C �G-Y��G�S
Inspecting Officer:
Battalion 1 2 3 4 5 7 Station: �I'-� B
y order of the Fire Chief: You are hereby notified to correct all vi s immediately or show cause why you should not be
r quired to do so. A re -inspection will be conducted on .Willful failure to comply with this notice is a
isdemeanor. Violations that are not corrected immediately and/or remain after the re -inspection may be processed as a criminal
o ense. Thank you for your assistance and cooperation in minimizing the fire and life loss in our community. (H & S sec. 13112)
White Copy — Station File Yellow Copy — Re-inspect/business Pink Copy — Business 0 Check when sent to prevention