HomeMy WebLinkAboutTest Report for Above Ground Piping - FIR Inspections - 1/28/2010 FEB-05-2010 FRI 09: 13 AM t P. 002/003
I WASHINGION STATE PATROL
CONTRACTORS' MATERIALS TEST REPORT D�OGROIILIND PIPING U 0 ,F,
PROCEDURE
Upon completion of work, inspection and test shall be made by the contractor's representative and witnessed by an
owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave
the job.
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,
owners, and contractor.
PROPERTY NAME DATE
HARMONY HILL ANNEX 1/28/10
PROPERTY ADDRESS
7362 E SR-106 UNION, WA 98592
ACCEPTED BY APPROVING AUTHORITIES(NAME)
MASON COUNTY FIRE MARSHAL'S OFFICE
ADDRESS
PLANS SHELTON, WA
INSTALLATION CONFORMS TO ACCEPTED PLANS ®YES ❑NO
EQUIPMENT USED IS APPROVED ®YES ❑NO
IF NO,EXPLAIN DEVIATION
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN
INSTRUCTED AS TO LOCATION OF CONTOL VALVE AND
CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? YES ® NO
IF NO,EXPLAIN
INSTRUCTIONS
HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE
PREMISES:
1. SYSTEM COMPONENTS INSTRUCTIONS S YES ❑NO
2. CARE AND MAINTENANCE INSTRUCTIONS [DYES ❑NO
3. NFPA25 ®YES ❑NO
LOCATION SUPPLIES BUILDINGS ANNEX
OF SYSTEM
MAKE MODEL YEAR OF ORIFICE SIZE QUANTITY TEMPERATURE RATING
MANUFACTURE
RASCO RFC49 CONC. 2009 1/2 22 165
RASCO F3QR DRY HSW 2009 1 6 155
SPRINKLERS
TYPE OF PIPE
PIPE AND CPVC, SCH 10, SCH 40
FITTINGS TYPE OF FITTINGS
_ BCI, MI, GROOVED MECHANICAL, COPPER, AND CPVC
ALARM DEVICE MAXIMUM TIME TO OPERATE
THROUGH TEST CONNECTION
TYPE MAKE MODEL MINUTES SECONDS
ALARM VALVE OR FLOW POTTER WSFR-2 0 32
FLOW INDICATOR
3000-450-001 9/02
FEB-05-2010 FRI 09: 14 AM P. 003/009
DRY VALVE QUICK OPENING DEVICE
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
TIME TO TRIP TRIP POINT TIME WATER
THRU TEST WATER AIR PRESSURE AIR REACHED TEST ALARM OPERATED
DRY PIPE
CONNECTION PRESSURE PRESSURE OUTLET PROPERLY
OPERATING TEST MIN SEC PSI PSI PSI MIN SEC YES NO
WITHOUT
Q.O.D.
WITH
Q.O.D.
IF NO,EXPLAIN
OPERATION ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC
PIPING SUPERVISED ❑ YES ❑ NO DETECTING MEDIA SUPERVISED ❑ YES ❑ NO
DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS? ❑ YES ❑ NO
DELUGE 8. IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING? IF NO,EXPLAIN
PREACTION ❑ YES ❑ NO
VALVES DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT OPERATE MAXIMUM TIME TO OPERATE
MAKE MODEL SUPERVISION LOSS ALARM? VALVE RELEASE? RELEASE
YES NO YES NO YES NO
HYDROSTATIC: Hydrostatic levels shall be made at not less that 200 psi(13.6 bars)for two hours of 50 psi(3.4 bars)above static pressure in
excess of 150 psi(10.2 bars)for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All aboveground
TEST piping leakage shall be stopped.
DESCRIPTION
PNEUMATIC: Establish 40 psi(2.7 bars)air pressure and measure drop which shall not exceed 1%psi(0.1 bars)in 24 hours. Test pressure
tanks at normal water level and air pressure and measure air pressure drop which shall not exceed 1%psi 0.1 bars in 24 hours
ALL PIPING HYDROSTATICALLY TESTED AT 200 FOR 2 HRS IF NO,STATE REASON
DRY PIPING PNEUMATICALLY TESTED ❑YES ❑NO
EQUIPMENT OPERATES PROPERLY ❑YES ❑NO
DO YOU CERTIFY AS THE SPRINKLER SYSTEM CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS,SODIUM SILICATE OR
DERIVATIVES OF SODIUM SILICATE,BRINE OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR
STOPPING LEAKS? ®YES ❑NO
DRAIN READING OF GAGE LOCATED NEAR WATER SUPPLY TEST RESIDULE PRESSURE WITH VALVE IN TEST
TESTS TEST CONNECTION: PSI I CONNECTION OPEN WIDE: PSI
UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER
PIPING.
VERIFIED BY COPY OF THE U FORM NO 85B ®YES ❑ NO
FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING ®YES ❑ NO
IF NO,EXPLAIN
BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED
GASKETS 0 1 NA 0
WELDED PIPING ❑YES ®NO IF YES,COMPLETE BELOW
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY
WITH THE REQUIREMENTS OF AT LEAST AWS D10.9,LEVEL AR-3? ®YES ❑NO
DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN
WELDING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9,LEVEL AR-3? ®YES ❑NO
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED
QUALITY CONTROL PROCEDURE TO ENSURE THAT ALL DISCS ARE RETRIEVED,THAT OPENINGS
IN PIPING ARE SMOOTH,THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED,AND THAT
THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? ®YES ❑NO
CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL
DISCS CUTOUTS DISCS ARE RETRIEVED? ®YES ❑NO
FUNCTIONAL DOES AHJ REQUIRE A FUNCTIONAL FLOW TEST OF RESIDENTIAL SPRINKLERS? ❑YES ❑NO
FLOW TEST WERE FUNCTIONAL FLOW TEST RESULTS SATISFACTORY? ❑YES ❑NO
HYDRAULIC IF NO,EXPLAIN
DATA NAMEPLATE NAME PLATE PROVIDED ®YES ❑NO
REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: 1/28/10
NAME OF SPRINKLER CONTRACTOR CONTRACTOR LICENSE# DATE
Fox Fire Prevention, Inc. I FOXFIP1127M8 1/28/10
SIGNATURES TESTS WITNESSED BY
For proving Authori TITLE DATE
FIRE MARSHAL 1/28/10