HomeMy WebLinkAboutWet Automatic Sprinkler Test Report - FIR Inspections - 8/29/2014 °i
Fire One, Inc. I L�-'C530)j FIRE0I*099KW
FIRE PROTECTION SERVICE/SALES 107 Washington Blvd. Algona,WA 98001
(206) 575-0311 FAX(253)735-4976 Bremerton (360)478-0428
WET AUTOMATIC SPRINKLER CONFIDENCE TEST REPORT
(One System Per Report)
Certification Given
CONFIDENCE TEST El REPAIRS ❑ I ❑ RED ❑ WHITE ❑ GREEN
Occupant Name North Mason School District: Sand Hill Elementary
Property Address 791 NE Sand Hill Rd., Belfair, WA 98528
Building Owner/Mgmt Co NMSD Phone No. 360-277-2120
Responsible Person Tom IE-Mall
Date of Inspection 8/7/20141 Inspection Type ❑ Annual ❑emi-Annual Duarterly(High Rise)
Testing Technician Tom Phillips
Location of System Office
Design Density 0.00/ft(example .495/2000 sq. ft)
Central Station Monitoring? El YES ❑ NO I Monitoring Company Name jAlarm Center
Control Panel Manufacturer/Model I Mirtone 7800 Acct. No. 1 521-148
PROBLEMS FOUND: (If additional room is needed, please add a separate sheet)
2 water guages are outdated
no tag for 5-year backflush and internal pipe exam
CORRECTIONS MADE Date Made 8/29/2014 Corrected By Richard
If additional room is needed, please add a separate sheet
Performed 5-year backflush and internal pipe exam
replaced outdated gauges
This certifies that this fire and life safety system has been properly inspected for reliability to cover the items listed in this report and is
consistent with Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building
Owner/Manager for corrective action.
Phone#
206-575-0311
Signature of Tester
Testing Agency FIRE ONE INC. 107 WASHINGTON BLVD ALGONA WA 98001
Building Rep.
Signature
e
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required
inspecting and testing of the fire and life safety system.
Flow ; Yes No o test conducted
Static pressure 120 psis Flow pressure 110 _psi_
Number Of sprinkler heads? _ 2 inch drain?. ❑ . .YES, ❑ OTHER
Flow switches su erviso switches and alarm bells tested? ❑ N/A 21 Yes ❑ No
p rY _
Pressure regulating valves tested? ❑` N/A ': ❑ Yes ❑ 'No
_Alarm bell operates? ❑ N/A 0 Yes ❑ No
System inspected-and lubricated? O. NSA Yes ❑ No
Valves are sealed or supervised? 0 Yes ElNo
_
Signs are pr`.ovided`on valves?° O ` Yes. ❑`` No
Pumper connections and clapper valves unobstructed and turn freely? ❑ Yes ❑ No
Wet t e sprinkler heads re laced or�successfuIl .sam' le tested in 'la'st 50
Yp p. p Y p
ears?t YEAR 1988 Yes ❑ No
Y --
Sprinkler coverage is acceptable? Yes ❑ No
Proper number ofspare._sprinkler heads available? 1Z Yes El' , No
System left in service? 0 Yes ❑ No
System gauges.replaced or calibrated,every,5,years? YEAR, A988 ❑ .Yes 21 No.
Sprinkler heads free of corrosion, paint,, obstructions and/or physical damage? 0 Yes ❑ No
Was:debris found.in the:Fire,Department;Connectioh�,(FDC)? Q Yes p. _No_
Was the Fire Department Connection (FDC) back flushed within the last 5 years?
Date Performed unknown ❑ Yes ❑ No
Was an Internal pipe,and valve inspection;..performed every 5.yrs? ❑ CPCP;�❑Unknown' ❑ Yes ❑ No
Was a signal received at the Central Station monitoring company? ❑ N/A l] Yes ❑ No
Sprinkler wrench:available for each;type of sprinkler? ❑. Yes [] No
INSPECTORS COMMENTS
FOR OFFICE USE ONLY
Received Repairs Scheduled Complete Sent