HomeMy WebLinkAbout1017 OAK STREETInspection, 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: -V.0 4D
System Riser ID:
Property Info ation:
Ty e of System: F ca
Name:
op
_
Wet Pipe ,,Q
Address: baL ,-�,
❑ Dry Pipe
I
❑ Preaction
Preaction /Deluge Valves - Enclosure
temperature
❑ Deluge
VMA
City:
l
Main Drain Test Results:
^-7 r �, VJ
Initial Static Pressure: I (psi)
Residual Pressure: � (psi)
Restored Static Pressure: (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
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
\�+
J�
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
Ix
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)
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
Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4
NFPA 25, Chapter 5,-(as :amended: by CCR Title 19
Date of Inspection, Testing, Maintenance:
System Riser ID:
Property Infor ation:
Name:
TyTnet System: �o� < \iA�
Pipe p
L�
7.
O Dry Pipe " 1D
Address: 10
O Preaction
O Deluge 9�EP
City:
Item
Activity
Aid
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
5.2.3.3
s
1.22
1
5 Years
Pipe and Rithngs (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, lifters, 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
12.4.3.1.7
Inspection
1.28
1
5 Years
Preaction/Deluge Valves - Strainers,
12.4.3.1.8
fitters 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, fitters, 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
x
2.8
T
Annually
Preaction Valve - low Air Pressure Alarm
12.4.3.2.10
2.9
T
Annually
Preaction Valve — FuII:Flow Trip Test
12.4.3.2.2
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: KO
System Riser ID:
Property Info ation:
Type of System:
Name:
Address: [DO / c
Wet Pipe
❑ Dry Pipe
Dry Pip
u�•
❑ n
D Deluge �
�` M�
ba 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
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
TI.,
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
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
X
— Re lace
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
3.5
M
5 Years
Obstruction Investigation
Chapter 13
u
Item
Inspection, Testing, and Maintenance Fire Sprinkler System
IUFPA 25, Cha ter 5'.asatnanded by CGR, Title 19
Page 4 of 4
Date of Inspection, Testing, Maintenance: � -) b
System Riser ID:
Property Info ation:
of CAk/,o
Name:
Tye of System:
Wet Pipe
�Q °p2
C
❑ Dry Pipe
Address: �o t
lJ��
❑. Preaction
❑ Deluge
City:
u
Item
Deficiencies .and Comments:
Deficiencies and Comments Item number must correspond to the Item number
of the Activi .-fisted4bove:
d
�J
O See Continuation Page(s) (Indicate .the mbe ro continuation pages)
PASS
❑ FAIL U
Signature Date