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HomeMy WebLinkAboutINSP FIRE PROTECTION SYSTEM 12/23/20116,77 y 25 -78 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Cover Sheet NFPA 25 as amended by CCR. Title 19 Property Information: l r y ',' Name; (.!/ ! Qccu ancy /Use! i r/ oF cA< Address: 9Yc?!-,> Construction Type: U\ City:( •rn,p 4 No. Stories: ZIP: 9.31 5 Year Constructed: Contact: /V!1 chcMe– C n 5zC62( - Telephone:--- i 1 =7_ Contractor Information: C6r?7W7 e– i ,, I / Name: AAA QLLQJ1-:Lj Se"iCf Address: rJ 4300 S. UV1(Oh e State: CA Telephone: C"o V35-55M CA License# 2i/ ae(- /3 - 70 U ! Performed by: L jj"./ ,/ r? i Print) Note: Contractor information may be L Number of System Risers Copy sent to: Owner Date – a3 – f wff'ireAHJ Date Id-,R3-11 Contractor Date 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 d Reaulations Title 19 6904.1(a) F s included with this report NFPA 25 Chapter Number of Forms N/A FAIL* PASS 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 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: M = Maintenance Name: 9,iC d< Type of yst p: et Pie IF cA 0 6 Address: ,.Dd 5'TOC, r. E3 Dry Pipe Preaction i C 4 v Item Deluge 11' /RE MPP City: NFPA 25 Reference Fail Main Drain Test Results: Abbreviation Key: I = Inspection Initial Static Pressure: (psi) T = Test M = Maintenance Residual Pressure: 14 (psi) A -O = After Operation MI = Per Manufacturer's Instructions Restored Static Pressure: S ) (psi) Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.1 I Daily Preaction /Deluge Valves — Enclosure 12.4.3.1Weeklytemperature 1.2 I 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 7/ 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 Sprinklers 5.2.1 1.9 1 Quarterly Spare Sprinklers 5.2.1.3 1.10 1 Quarterly Fire Department Connections 12.7.1 1.11 1 Quarterly Alarm Valves — Exterior Inspection 12.4.1.1 1.12 1 Quarterly Preaction /Deluge Valves — Exterior Inspection 12.4.3.1.6 1.13 I Quarterly Pressure Reducing Valves 12.5.1.1 1.14 I Quarterly Dry Pipe Valves — Exterior Inspection 12.4.4.1.4 1.15 I Quarterly Backflow Preventers 12.6.1 1.16 I Annually Pipe and Fittings 5.2.2 1.17 I Annually Buildings 5.2.5 State Fire Marshal AES 2 June 17, 2008 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: System Riser ID: NFPA 25 Reference Property Information: N/A CAn / ,,/ Name: /t //iG1 w`'/l /'IP114ra % Address: C1[i Type o ystem: M Wet Pipe E3 Dry Pipe jF 7 P 1 Preaction Deluge ZZL'c E `M vyt City: f Ce,r.PlP 1d Annually Seismic Braces 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 I 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 12.4.3.1.8 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 State Fire Marshal AES 2 June 17, 2008 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: NFPA 25 Reference Property Information: N/A Pass Name: / c/ed G/ ">` ' ,r T Z C Type o ystem: Z Wet Pipe of c4 ittp' Address: Dry PipeOPo / i Preaction 2.10 T Deluge Dry Pipe Valve — Priming Water City: c,Ar 2[j213 Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 2.9 T Annually Preaction Valve — Full Flow Trip Test 12.4.3.2.2 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 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 ,rune 17, zuud 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: -91 yYt.(/?1,ok l iC.EiY% Type o ystem: Wet Pipe Hof A ttt, g3oy OAddress: - Dry Pipe Preaction Cot 61'z Deluge City: r A L IZ-E MP S Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: Si C9Od ©rKI' cc ,' 1o4 e Continuation Page(s) _ (Indicate the number of continuation pages) r PASS FAIL Signature Date State Fire Marshal AES 2 June 17, 2008