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Home My WebLink About2006-inspetion of fire/security system *[�CO Fire & Simp/exGrinne// � ,�VSPECTION REPORT Security INSPECTION CONTRACT : : NO -- ,: . � ___. No. REPORT OF INSPECTION BUREAU FILE _ _ CONFER�WtTH NO. r per NFPA 13 & 25 -- ` ,r SET 1 OF 2 : : REPORT TO �� -' ' " ` BUILDING OR LOCATlON INSPECTED /� : STREET � INSPECTOR ` CITY&STATE ,_ : '. , ZIP SG OFFICE PHONE NO. '' ATT. DATE �' 1.GENERAL Yes N.A.$ No` A. (To be answered by the Owner or Owner's representative) a. Have there been any changes in the occupancy classification,machinery or operations since the last inspection? b. Have there been any changes or repairs to the fire protection systems since the last inspection? c. If a fire has occurred since the{ast inspection,have all damaged sprinkler system componenfs been replaced? d. Has the piping in all dry systems been checked for proper{>itch within ihe past five years? Date last checked (checking is recommended at least every 5 years) e. Has the piping in all systems been checked for obstructive materials? Date last checked (checking is recommended at least every 5 years) f. Have all fire pumps been tested to their full capacity through the use of hose streams or flow meters within the past 12 months? g. Are gravity,surface or pressure tanks protected from freezing? h. Are any of the sprinklers 50 years old or older? (testing and/or replacement is recommended for such sprinklers) - i. Are any extra high temperature solder sprinklers regularly exposed to temperatures near 300°F? B. (To be answered by the inspector) a. Have the sprinkler systems been extended to all visible areas of the building? b. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? � �% c. Are the building areas protected by a wet system, heated, including its blind attics and perimeter areas,where accessible? d. Are all visible exterior o enin s rotected a ainst the entrance of cold air? 2.CONTROL VALVES a. Are all sprinkler system main control valves and all other valves in the appropriate open or closed position? ' b. Are all control valves sealed or supervised in the open position? Control No. Easily Valve Secured? � Supervision of Type Accessible Signs Open If yes,how? (Sealed�) Operational Valves Valves (Locked.) Yes No Yes No Yes No Yes No (Supvd.?) Yes No CITY CONNECTION TANK ✓ j , , PUMP SEC710fdA ''=� : , - v' � SYSTEM � 1 c.-'" -A6AF-�Ah�-IfyE . .� _ v 3.WATER SUPPLIES Pressure.f�s�Pump&Tank ✓' a. Water supply source? City Gravity Tank Pressure Fire Pump&City Watertlow Test Results Made During This Inspection Pressure Fire Pump&Pond Test Size Static Static Test Size Static Static Pipe Test Pressure Flow Pressure Pipe Test Pressure Flow Pressure Located Pipe Before Pressure After Location Pipe Before Pressure After r r 4.TANKS,PUMPS,FIRE DEPT.CONNECTIONS Yes N.A.$ No` a. Do fire pumps,gravity,surface or pressure tanks appear to be in good external condition7 �' b. Are gravity,surface and pressure tanks at the proper pressure and/or water levels? `✓' c. Are fire dept.connections in satisfactory condition,couplings free,caps or plugs in place and check valves tight? d. Are fire dept.connections visible and accessible? 5.WET SYSTEMS � a. No.of systems r Make&Model b. Are cold weather valves in the appropriate open or closed position? t" If closed, has piping been drained? c. Has the owner or owner's representative been advised that cold weather valves are not recommended by NFPA? R�^' d. Have all the antifreeze systems been tested? e. Date antifreeze systems were tested f. The antifreeze tests jndicate protection to: system 1 —� 2 3 4 5 temperature g. Did alarm valves,waterflow alarm indicators and retards test satisfactorily? $Not Applicable . SG4550-R1-1 �zios> INSURANCE BUREAU COPY 'Explain(No)Answers on Back of' .;; � �ycr� Fire $r � Simp/exGrinne// ., Security INSPECTION CONTRACT NO. !_ ,. INSPECTION REPORT REPORT OF INSPECTION BUREAU FILE _ __ No. __ -__ P�R NFPA 13 & 25 Na . SET20F2 6. DRY SYSTEMS Yes N.A.$ No' a. No.of systems —Make&Model Date last trip tested b. Is the air pressure and primin3 water levels normal? c. Did the air compressor opera e satisfactorily? �: d. Were all low points drained during this inspection7 4 e. Did all quick opening devices operate satisfactorily? f. Did all the dry valves operate satisfactorily during this inspection? g. Do dry valves appear to be piotected from freezing7 h. Is the dry valve house heated? 7.SPECIAL SYSTEMS a. No.of systems Make&Model Type b. Were valves tested as required? c. Did all heat responsive systems operate satisfactorily? d. Did the supervisory features operate during testing? Heat Responsive Devices: Type Type of test , Valve No. 1 ......2......3......4......5......6...... Valve No. 1......2......3......4......5......6...... Valve No. 1......2......3......4......5......6...... Valve No. 1......2......3......4......5......6...... ; i Valve No. 1......2......3......4......5......6...... Valve No. 1......2......3......4......5......6...... ; Valve No. 1......2......3......4......5......6...... Valve No. 1 ......2......3......4......5......6...... ; Auxiliary equipment: No. Type Location � Test results Y,. 8.ALARMS Yes N.A.$ No' = a. Did the water motors and gong operate during testing? � b. Did the electric alarms operate during testing? c. Did the supervisory alarms operate during testing? � 9.SPRINKLERS–PIPING ._� t a. Do sprinklers generally appear to be in gopd external condition? ' ��'' b. Do sprinklers generally appear to be free of cotre�ion, paint,or loading and visible obstructions? " - c. Are extra sprinklers available on the premises? d. Does the exterior condition of pipir�q,cUair�v�lves,check valves, hangers,pressure gauges,open sprinklers and strainers appear to be satisfactory? 7 e. Does the hand hose on the sprinkler system appear to be in satisfactory condition? 10.EXPLANATION OF"NO"ANSWERS(Por Sections 1 B thru 9): � � � 11.THE INSPECTOR SUGGESTS THE FOLLOWING NECESSARY IMPROVEMENTS,HOWEVER,THESE SUGGESTIONS ARE NOT THE RESULT OF AN ENGINEERING SURVEY: . ��--. - . �.. � 12.ADJUSTMENTS OR CORRECTIONS MADE: i 73.LIST CHANGES IN THE OCCUPANCY HAZARD OR FIRE PROTECTION EQUIPMENT,AS ADVISED BY THE OWNER IN SECTION 1A: " 14.INSPECTION AND SUGGESTED IMPROVEMENTS WERE DISCUSSED WITH THE UNDERSIGNED OWNER OR OWNER'S REPRESENTATIVE? Signature of owner or owner's representative - Date DUPLICATE TO: STREET CITY&STATE ZIP ATT. $Not Applicable '� SG4550R2-2(04-05) 'Explain(No)Answers on Back of Shee' iNSURAf�CE BUREAU COP.Y �..