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Home My WebLink About1125 CALIFORNIA Avenue25 -79 INSPBCTION, 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: Name: CALIFORNIA SENIOR HOUSING Address: 1125 CALIFORNIA AVE. City: BAKERSFIELD ZIP: 93304 Contact: AMBER Telephone: 324 -5088 Occupancy /Use: RETIREMENT HOUING Construction Type: WOOD No. Stories: 3 Year Constructed: 2005 Contractor Information: Name: CONTROL FIRE PROTECTION CO INC Address: 1347 OGDEN STREET City: BAKERSFIELD State: CA Telephone: 881 -322 -1881 CA License# 534844 Job # Performed by. ISRAEL GALLEGOS (Print) Note: Contractor Information may be 2 Number of System Risers Copy sent to: X Owner Date 1117/2011 X Fire AHJ . Date o Contractor Date 1) For specific Inspection, testing, and maintenance requirements and information, am NFPA 25, 2002 Edition as amended by California Code of Regulations, Title 19, $901 to I908. 2) Inspection Items may be performed by the Owner In accordance with California Code of Regulations Title 19 MCI Forms Included with this report NFPA 25 hapter Number of Forms N/A FAIL* PASS X Automatic Sprinkler System 5 X ❑ Standpipe and Hose Systems 8 ❑ Private Water Supply System 7 ❑ Fire Pump 8 ❑ Water Storage Tank 9 ❑ Water Spray System 10 ❑ Foam Water Sprinkler System 11 I'See `Deficiencles and Comments° section at and of each respective form. State Fire Marshal AES 1 ANNEX B 25-79 Inspection, Testing, and Maintenance Fire NFPA 26 Chapter 5 as amended Sprinider System Page 1 of 4 b CCR, Title 19 Date of Inspection, Testing, Maintenance: 1/1312011 System Riser ID: BUILDING A&B Property Information: T = Test Type of System: SOP C Name: CALIFORNIA SENIOR HOUSING X Wet Pipe �v~ ❑ Dry Pipe °q Address: 1125 CALIFORNIA AVE ❑ Preaction ❑ Deluge Item Activity City: BAKERSFIELD Description Main Drain Test Results: Abbreviation Key: I = Inspection Initial Static Pressure: 55 (psi) T = Test M = Maintenance Residual Pressure: 50 (psi) A-O = After Operation MI = Per Manufacturer's Instructions Restored Static Pressure: 50 (psi) Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.1 1 Daily Preaotion/Deluge Valves — Enclosure 12.4.3.1 Weekly temperature 1.2 1 Daily Dry Pipe Valves — Enclosure 12.4.4.1.1 Weekly temperature 1.3 1 Quarterly Gauges (Dry, Preaction, Deluge 6.2.4.2 systems) 5.2.4.3 1.4 1 Quarterly Control Valves 12.3.2.1 15.2.6 1.5 1 Quarterly Alarm Devices 1.8 j I Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 1.7 1 Quarterly Hydraulic nameplate 6.2.7 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 Preaction/Delugs Valves — Exterior 12.4.3.1.6 Inspection 1.14 1 Quarterly Pressure Reducing Valves 12.6.1.1 1.15 f Quarterly Dry Pipe Valves — Exterior Inspection 12.4.4.1.4 1.18 1 Quarterly Backilow Preventen3 12.6.1 1.17 1 Annually Buildings 5.2.5 State Fire Marshal AES 2 March 21, 2006 -S4O INSPECTION, TESTING, AND MAWMANCE OF WATER - BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire NFPA 25 Chapter 5 as amended Sprinkler System Page 2 of 4 b CCR Title 19 Date of Inspection, Testing, Maintenance: 1/1312011 Property Information: " Name: CALIFORNIA SENIOR HOUSING Address: 1125 CALIFORNIA AVE City: BAKERSFIELD System Riser ID: BUILDING A &B Type of System: SOP Da4,a X Wet-Pipe ❑ Dry Pipe ❑ Preaction ❑ Deluge �e Item Activity Frequency Description NFPA25 Reference Fail WA Pass 1.16 1 Annually Hangers 52.3 1.19 1 Annually Seismic Braces 52.3 1.20 1 5 Years Hangers (Accessible concealed spaces) 52.3.3 X 1.21 1 5 Years Seismic Brame (Accessible concealed 5.2.3.3 X 1.22 1 5 Years Plpe and Fittings (Accessible concealed 522.3 X 1.23 1 5 Years Sprinklers (Accessible concealed spaces) 52.1.1.4 X 1.24 1 5 Years Alarm Valves — Interior Inspection 12.4.12 X 1.25 1 6 Years Alarm Valves - Strainers, filters, offices 12.4.1.2 X 1.26 1 5 Years Check Values — Interior Inepecriion 12.4.2.1 X 1.27 1 5 Years PreebtlorVIDelluos Valves — Interior Inspection 12.4.3.1.7 X 1.26 1 5 Years Sbora offioeseluge Vaves -miners, 12.4.3.1.8 X 129 1 6 Years Dry Pipe Valves— Interior Inspection 12.4.4.1.5 X 1.30 1 5 Years Dry Pipe Valves - $trainers, filters, ortfioes 12.4.4.1.6 X 2.1 T Annually Marm Devices (90 Sec) 5.3.3 12.2.7 2.2 T Annually Main Drain Test (Enter date on Pegs 1) 12.2.6 122.8.1 12.3.3.4 2.3 T Annually Antifreeme Test 5.3.4 2.4 T Annually Control Valle - Position 12.3.3.1 2.5 T Annually CmW Valve — Operation 12.3.3.1 2.6 T Annually Supervisory 12.3.3.5 2.7 T Annually Preaction Valve — PfmingWater 12.4.32.1 2.8 T Annually Preactlon Valve — Low Air Pressure Alarm 12.4.32.10 2.9 T Annudy Preaction Valve — Full Flow Trip Test 12.4.322 State Fire Marshal AES 2 March 21, 2008 ANNEX B 2541 Inspection, Testing, and Maintenance Fire NFPA 25 Chapter 6 as amended Sprinkler System Page 3 of 4 b CCR Title 19 Date of Inspection, Testing, Maintenance: 1/13/2011 Property Information: Name: CALIFORNIA SENIOR HOUSING Address: 1125 CALIFORNIA AVE City: BAKERSFIELD System Riser ID: BUILDING A&B Type of System: mpg Cam X Wet Pipe �~ O Dry Pipe O Deluge BEM 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 Arm Pipe Valve — Low Air Pressure 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 12.4.4.2.22 2.16 T 6 Years Gauges 5.3.2 X 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 X 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 X 2.19 T 6 Years Sprinkler@ — Extra High Temperature 6.3.1.1.1.3 X 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 5.3.1.1.1.2 223 T 60 Years Sprinklers 6.3.1.1.1 2.24 T 76 Years Sprinklers 76 years in service 6.3.1.1.1 A 225 T Sprinklers manufactured prior to 1920 6.3.1.1.1.1 3.1 M Annually Control Valves 12.3.4 32 M Annually Preacdon/Dsluge Valves 12.4.3.32 3.3 ..M Annually DDevPes ValveaQuidaOpening 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 X State Fire Marshal AES 2 March 21, 2006 25-82 INSPECTION, 7MTING, AND MAIRMANCE OF WATBR -BASED FIRE PROTECTION SYSTEMS inspection, Testing, and Maintenance Fire SprinMer System Page 4 of 4 NFPA 25, Chapter 8 as amended b CCR, Title 19 Date of Inspection, Testing, Maintenance: 1/1312011 System Riser ID: BUILDING A&B Property Information: Type of System: F,OP cq� Name: CALIFORNIA SENIOR HOUSING X Wet Pipe Address: 1126 CALIFORNIA AVE ❑ Dry Pipe ❑ Preaction ❑ Deluge City: BAKERSFIELD Item Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: 1.23 2 PAINTED SPRINKLER HEADS ON THE SECOND FLOOR HALLWAY ❑ See Continuation Page(s) (Indicate the number of continuation PASS X FAIL ISRAEL Date 1/1312011 State Fire Marshal AES 2 , March 21, 2006