HomeMy WebLinkAboutSprinkler InspectionNovember 10, .2009
EDS Builders
404A Saint Croix'Trail North
IJakeland, MN 55043
Blk River.Offce
9950 East I~iwsy 10
R1k~River, MN' S5330~
Telephone: 713~4~1-2290
Fay ~763114i.-5010'
Re:. Jail~Cell~s
Columbia Heights Public Safety Center
825 41 ~` Avenue NE
Columbia Heights, .MN ~5~5421
~To whom it may concern;
St. C1oud~ Office
600 25m Ave. 5., Suite 204
.St Clous1,14IN 56301
Telephone: 320-229-2990
Far. 32A-229-2970
Duluth
Telephone; 218=727-39Q6
Fax: 763-441=5010
The ,fire sprinkler work in the jail cells: at the'Columbi~a Heights Public Safety Center. has. been completed.as .of
'the date on~this lettiei, and has.been~installed according~to~.the•projec't specifications.
Sincerely,
.,
Paul Szafiansla
Project Manager
.. ...
Soler /~E.r>~iratiug / Design.%' Iiutalla~ion~ / Irrr~pectronr / 24 Hoia-Emergenay~ Se~ce ¢'3'~I~epalr~ ~~
&~~~~t~ ~mtoyer
'r.- •
:.~
Coaita~ac~o~'~s~ 1Vl~ateral &. Test Cea~a~ficate: fQ.r Abovegr•.o~nnd ~pn~g:
•PeocEDURE
'Upon oor-ipletlon of work, Inspeclfon~and testa shah be made:by the contractor's represenfatlve anii~wlfnesaed by. an owners representetlve. All defects sheu
be' correched end syabam~ IeR'in senrks before corilractiors penwnrrel firrallyleaVe the job.
~A oertl6Cetia afreN~ tie.fAled out and "eigned~.by twtlr represeritatlves. Copies shall be pn3Pered for approving authoritlea, owners, end .oonbaiotor: R:is
underabood the owners represerpatNe's signature kt noway preJuOces eny delm alnstcontreotiorfcr .
~ ~ dully ~~~• P~ ~ worlormnship, or-failure to
comply w6h e~provigg authorR~s requkeme.Ma or local crdlria[tces:
PROPERTY NAME: :Columbii Nelglr<s Putigc.Safeta/ Carltisr QATE: .+ ~ .+ .(~
PROPERTY ADDRESS: 826.41' Aw NE Columtile ~Hsiglrb, MN :66427
ACCEPTED BY APPROVING AUTHORITIES: Stills of ItiN
ADDRESS: St Paul, MN
PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS ~ ®YES ^NO
EQUIPMENT USED IS APPROVED ®YES ONO
IF NO, EXPWN DEVIATIONS
HAS PERSON IN CHARGE OF"FIRE EQUIPMENT BEEN INSTRUCTED AS ®YES ONO
TO LOCATION 4F CQNTROL VALVES AND CARE AND MAINTENANCE
OFTHIS NEW EQUPMENT.?
'IF NO, EXPWN -
'INS7'Rl`JCTK)NS HAVE:COPIES OF~THE'FOLLOWWG BEEN LEFT ON THE PREMISES: ®YE5 ENO
~ . SYST..EM COMPONENTS INSTRUCTIONS ~S ENO
' 2. CARE AND MAINTENANCE INSTRUCTIONS ®YES ENO
. 3. NFPA.2a - .~rES ~pt~io
~oc~-Tii~N ErNIr.~8u6ding
YEAR OF. 71:NIPERATURE
MAKE MODEL MANUFACTURE SIZE QTY. RATING
R.elleibb G4A .2009 6:6:K 210 '966
SPRINKLERS. Releble F1 FIi -upright. 2008 •6:OK '740 1'65
Ralletile J7'12' •200ti 1~1:2K ~• ~1li6
Tyco .SW-20' 2008 T7:2K 19 155
PIPE AND ,Type of Pipe 1.' 81:34: = XL 13S 'and 18rgeF •= Sch.:l0.tllscli
FITI.INGS~ Typeof Flltlrps .CI ~threedad groovad~and welded
' MA)OMUM. T61AE TO OPERATE
~-A~ aEVICE THROUGH TEST CONNECTION
ALARM VALVE OR
FLOW INDICATOR TYPE MAKE MODEL MIN SEC
Flow Irtdicato~ PotEer • ~VSR-F 4"
DRY VALVE Q.O.D.
MAKE MODEL ~ SERIAL NO. .MAKE MODEL SERIAL'NO.
NIA
DRY PIPE THE TO TRIP THE WATER ALARM
OPERATING TEST
THROUGH~TEST
WATER
~A6i
TRIP POINT
REACHED .
OPERATED
NIA CONNNECTION" PRESSURE PRESSURE AIR PRESSURE TEST OUTLET` PROPERLY
. MIN SEC' PSI PSI 'PSI MJN. SEC. YE5 NO
W/O
Q:O.D.
WITH
• Q:O.D.
IF NO, .EXPL'AIN
LOCATION MAKE & SETTING ~ STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE
& FLOOR MODEL FLOWING
PRESSURE
'REDUCING
VALVE~T
T~ • INLET (P.Sn Ql1TI:ET~(PSI). INLET (PSI) .OUTLET~(PS~~ FLOW (GPM)
ES
WA
~Coa~tractor's Materiel & Test: Cert~fficate for Aboveg~ounii Piping
~~~
Upon completion of work, inspection and tests shall be reade•by the coritractors~ ~ •and w(trressed by an owners representetlvB. AU defects shall
bs:oomai,9ad~and~system felt In sarvioe bsAors~contractors personnel ilnalyieevs .
A oertllicate shall be filled •out and'slgrrpd by both represantatlves: •prepered~ttir approving ariflrofitles; owners, and conlracEor. It:ls
understood ths:owners repreeerrtetlve'a~signatura M rro ~ preJud delm against corrhactor for faulty materiel, poor vrorlarrarrehip,. or tttiluris ip
ccmpy~ wflh approving authoAyds regrtlremerrls ar local orrYrrerrces.
PROPERTY NAME: DA
PROPERTY ADDRESS:
ACCEPTED BY APPR01AN0 AUTHORfIIES:
ADDRESS: .
PIANS INSTALLATION CONFORMS TOACCEPTED .DYES DNO~
EQUIPMENT USED IS APPROVF_D DYES DNO
IF NO, EXPLAIN DEVIATIONS
HAS PERSON IN•CHAR(iEOF FIRE:EQUI ~ N INSTRUCTEDAS DYES DNO
Tn LOCATION~OF CONTROL VALVES•AND CARE NANCE~
OF THIS NEW EQUIPMENT?
IF NO, EXPLAIN '
INSTRUCTIONS ~ FIAVE~COPIES`OF~THE FOLLOWING BEEN E PREMISES: DYES DNO
'I . :SYSTEM COMPONENTS.IN ~ .DYES ~DNO
2, CARE AND MAINTENANCE I ~ .DYES DNO
' 3. NFPA 26 DYES DNO
LOCATION
YEAR~OF TEMPERATURE
MAKE MODEL MANUFACTURE SIZE QTY: RATING
RaNatile. F7 2009 5.8~K 12 ~166~
~SPRMKLERS Reptile F1FR-upright 2008 .6C8K 8 166
Rellebls XL•- skiewaA .2006 6.t>IC 4 186'
RellablB, XL - pendent .2008 ~ B:BK~ 8: 186
~PIPEAND
FITTINGS
~ MAXNAUM TIAAE TO OPERATE
ALARM ~
E THROUGH TEST CONNECTION
ALARM~VALVE.OR
FLOW,INDK:ATOR TYPE MODEL MM SEC
DRY VALVE Q.O.D.
'MAKE. MODEL SE. NO. MAKE MODEL SERIAL NO.
.N/A
DRY' PIPE TBAE TO TRIP TgdE VVA7~ ALARM
OPERATING TEST THROUGH 7E3T` WATER ~ AIR TRIP POINT REACHED .OPERATED
'WA CONNNECTiON• PRESS PRESSURE AIR PRESSURE TEST OUTLET' PROPERLY
MIN SEC PSI .PSI PSI MIN SEC YES 'NO
W/O
Q.O:D.
WITH
Q:O:D.
IF NO; ~EXPLAIN~
LOCATION AAAKE & SETTiNG~ :ST PRESSURE RFS.IDUAL PRESSURE FLOW RATE
8 FLAOR MODEL FLOWING
PRESSURE
REDUCING NLET.(PS~ OUTLET'(P.Sn 1NLET (P3~ OUTIFT (?s9. ~ Fl OW (GPAI~
VALVE TEST ~ .
NIA
...}
`::
...~:.
• :~ ..
Contractor's 1Vlate~~i~a1 & 'I'est~ ~ .~rtific~ate: for Albovegroumd .~pn~>t~g
PROCEDURE
upon completlon of work, ~Irepedlon and tests slieil be made by~tfie coritrac2ors ~ and witriesse'd by an owner's represerilaCve. All defects shall
tie aorrec6ad~and ayateni•left In servks t~etore aontrector's~pefeoiiiiel ~CrialyIeave~Cre:
A cerUlkstte~•stlall be ruled out and,agned'by both represeplapves. Coplas shell be ~. red for approving euQiorMles;'owners, and: oaitractor It N
understood Cie owrrera iepreserrlatlve's slgneture ~[n noway praJudk~s. any'da .~ oontiactar for fauRy material. poor workrr~ariahip, or failure to
oompy wCh approvkrg ~authbiltys ~requMemerrts or~krcal ordtnarrc~.
.PROPERTY NAME: DA •~
PROPERTY~ADDRESS:
ACCEPTED BY APPROVING AUTHORfTI
ADDRESS:
PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS ^YES ^NO
EQUIPMENT USED IS APPROVED ^YES ^NO
IF NO, EXPLAIN :DEVWT(ON$ ~ -
HAS PERSON IN CHARGE OF FIRE EQUIPMENT_ ~~.INSTRUCTED AS ~^YES ^NO
TO LOCATION OF~CONTROL VALVES AND D MAINTENANCE
OF THIS NEw~EQUIPMENT4 •
IF NO; EXPLAIN
INSTRUCTIONS HAVE~COPIES..OF~THE FOLLOWING~BEEN ~ 'ON THE PREMISES: ^YES ^NO
~ . SYSTEM COMPONENTS INSTRU.. ^YF,$ .^NO
$, CARE~AND MAINTENANCE INSTRUCTIO .^YES ^NO
S'. NFPA ze ^YES ~^NO
LOCATION ~ .
YEAR~OF 'TEMPERATURE
MAIDr AAO.I)EL MANUFACTUfiE 3t7E QTY. RATING
Tyco SW 24° 2008 ~11.2K 2 200
'SPRINKLERS Relleble. FiFR~-EC 2009 e.OK. 4 155
PIPE.AND
FITTINGS
ALARM ~ ~ ~ MAXIMUM TIME TO OPERATE •
THROUGH~TEST CONNECTION
ALARM VALV.,E OR
FLOW INDICATOR
TYPE
MAKE ~ MODEL
MIN
SEC
DRY VALVE Q:O.D.
MAKE •MODEL S ~ L NO. MAKE MODEL SERIAL NO.
WA
DRY PIPE
OPERATING TEST
WA THE TO TRIP
THROUGH TEST
CONNNECTION'
WATER
PRESSURE
. R TRIP POINT
P SURE AIR PRESSURE TIME WATER
REACHED
TEST OUTLET` ALARM
OPERATED
PROPERLY
'MIN SEC PSI P PSI MIN SEC YES NO
wro
Q.O.D.
WITH
Q.O.D.
IF NO,.EXPLAIN
LOCATION
& FLOOR MAKE 8
MODEL :SETTING SR'AT1C PR ~ RE RESIDUAL PRESSURE
FLOWING FLOW RATE
PRESSURE
REDUCING
INLET ( ..
OUTLET (PS~~
INLET (PSG
OUTLET (PS~~
FLOW (GPMj.
VALVE TEST
NfA~
~'•~l
OPERATION: ^PNEUMATIC ^ELECTRIC ^HYDRAULIC
PIPING SUPERVISED ^YES ^NO DETACHING~MEDUA SUPERVISED '^YES ^NO
DOES VALVE OPERATE FROM THE MANUALTRIP AND/OR.REMOTE ~^YES ^NO
CONTROL.STA710NS
DELUGE~& 1871iERE:AN ACCESSIBLE.FACILITYIN EACH~GNZCUIT IF~NO, EXPLAIN
PREACTION FOR TESTING
VALVES ^YES ^NO
WA
DOES EACH C.IRGUFI' OPERATE DOES EACH CIRCUIT .MAXNAUM71ME TO
YES NO YES NO' MIN SEC
HYDROSTATIC: Flydtwtatlc'teet:shall bs msde at•not Ism than 200 pel.(13.8 bars) for lwo liorre d 50 pN.(3.~ tiara) abwi eletlc praawrs
In's>a~es d 150 pN (t0:2 bsra) for lwo.hous. DlRararMlN dry-pips valve clappsre shall be Is(t open tlreYq tmt lo'Pravhnt damps. All
T99T Abovsprourd:plphrp laakaps atreN bs etoppsQ.
DESCRIPTION ; Ealeblielr 40 pef (2,7 ben) air prsswri arid
msanrs drajf, iihleh itreN~rrot aaoesd t~U2 pN (O.t :bare) ln'24lroura Test
• .
pisiwes feria at eomrel water hvsl'and alr preeues arrd_meaerua afr prseeies drop, vNYtli.ahall not;ersxed 1-U2 pN (0.1 6era)'Yr 2M1 hen.
ALL PIPING HYDROSTATICALLY TESTED AT PSI FOR 2 .HRS IF NO, STATE REASON
DRY PIPWG PNEUMATK:ALLYTESTED ^YES ®NO
EQUIPMENT OPERATES:PRQPERLY ®YES ^NO WET SYSTEM
DO YOU CERTiFY.AB THE SPRINKLER~CONTRACTOR TFiP-TADDIT'NES AND CORR08NE.CHEMICALS, SODIUM
• SILICATE OR~DERNA7IVES OF SODIUM $ILK:I-TE, BRINE, OR OTHER CORROSNE•CHEMK.ALS WERE'NOT~USED FOR
TESTING 8Y$TEMS OR:STOPPING LEAKS7~ .
YE3 NO
TESTS DRiUN READING OF~GAGE.LOCATTD N WATER
Ti9T SUPPLY TEST CONNECTION PSI RESIDUAL PRESSURE WITH, VE IN TEST CONNECTION
CONNE
N
CTION. OPE
WIDE PSI
UNDERGROUND MAWS.AND LEAD W CONNEC770N$ TO'SVb"rEAA RISERS FLUSHED.BEFORE CONNECTION MADE TO
SPRINKLER PIPING.
1%ERIFIED BY~COPY OF THE U FORM~NO.86B ®YEB~ ^NO OTHER EXPLAIN
FLUSHED BY INSTALLER OF UNDERGROUND
..
3PRINKLER~PIPING.
. ®YES ^NO
IF'POWbER~ DRNEN~~FASTENERS~ARE USED IN' DYES' ®NO IF NO, ~EXPLAW NOT USED
CONCRETE; .HAS REPRESENTATNE SAMPLE
TE811NG BEEN SATiSFACTORILY~COMPLEiED7 '
.BLANK. TESTING NUMBER~USED LOCATIONS NUMBER:REMOVED
OASKET$~ 0
WELDED PIPING ®YES ^NO '
D'O YOU CERTIFY~AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES
'COMPLY WITH THE REQUIREMENT'S OF AT LEAST AWS D10;9, LEVEL AR.S7 ®YES ^NO
WELDWG ~DO~YOU CERTIFY THAT THE WELDING WAS.PERFORMED BY~WELDER8 QUALIFlED IN
COMPLWNCE W(TW THE REQUIREMENTS.OF AT LEASTAWS D10:9,'LEVEL~AR~ ®YES ^NO
DO YOU.CERTIFY THAT~WELpING WAS CARRIED OUT~IN.COMPLIANCE Wfl'H A DOCUMENTED
QUALITY.CONTROL PROCEDURE TO INSURE THAT ALL DISC ARE RETRIEVED
THAT
,
OPENINGS.MI PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDINGRESIDUE ARE
REMOVED, AND THAT 711E INTERNAL DIAAAEI'ERS OF PIPING ARE NOT PENETRATED? ®1fES~ ^NO
CUTOUTS DO~YOU CERTIF1f THAT YOU •HAVE A CONTROL FEATURE liD. ENSURE THAT AL4
CUTOUTS~(DISCS) ARE RETRIEVED? ®YES ^NO
HYDRAULIC NAMEPLATE PROVIDED IF~NO, EXPLAMI
DATA ®YES ^NO '
NAMEPLATE
REMARKS DATS LEFT IN SERVKE~WITH ALL CONTROL~VALVES OPEN:
NAME OF SPRINKLER CONTRACTOR: BROTHERS .FIRE PROTECTION
TEST~WRNESSSED BY
SIGNATURES FOR PR ~ ERTY:OWNER (SIGNED) TITLE DATE.
~ ~
FO . INKLER CON71iA. .( ~ •:) 'TITLE DATE
ADDI770NAL
LANA710N ND~ N ES ~ ~ •
.
C. /
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