Residential Fire Sprinkler Inspection

Transcription

1 Residential Fire Sprinkler Inspection Hickory, NC Charleston, SC Greensboro, NC Columbia, SC Raleigh, NC Greenville, SC Charlotte, NC Atlanta, GA Tampa, FL Date 7/7/6 Annual Quarterly PO Box 9489 Hickory, NC 8603 FED EF0009 FPC-0004 CFC4900 # of wet systems: 7 Company: Oakland Mill Apartments # Antifreeze: Address: 0 Nelson Dr. # of BFPs Fire 8 Dom NC 809 Inspector: Adam Sims Phone: (704) -46 Contact: Cheryl Pate License #: 363 NERAL INFORMATION (GI) No N/A (SI) - CONTINUED No N/A. Are all dwelling units accessible for visual inspection? 0. Hangers & Seismic bracing OK?. Does the building appear to be fully sprinklered?. Antifreeze Systems tested? 3. Systems in service without modification since the last. Relief valves on system OK? inspection? 3. FDC swivels, gaskets, & caps in place and OK? 4. Spare head box with heads and wrench securely monitored? 4. FDC signs in place? 5. FDC equipped with ball drip? 5. Stock/storage a minimum of 8 below sprinkler head & ceiling tiles in place? 6. Sprinkler system main drain test completed? 6. Gauges condition good & less than 5 years old? ALARM INFORMATION (AI) No N/A Last calibration date: 03. Was the WMG or Electric bell tested & OK? 7. Wet system areas adequately heated?. Central Station flow alarm tested & OK? 8. Inspection of common areas only. 3. Central Station tamper tested & OK? VALVE INFORMATION (VI) No N/A 4. Alarm devices free from physical damage & all electrical connections secure?. Are all main control valves open? 5. Alarm trim, and valves OK & set properly?. Main control valves in good condition and identified? 6. Inspectors test connection(s) opened and flowed? 3. Are control valves secure? (Record pg. ) BFP INFORMATION (BI) No N/A 4. Are all control valves accessible & free from leaks?. Backflow devices pressure tested? 5. 5 year Internal check valve inspections due.. Backflow device forward flow tested? 6. Are all control valves provided with the proper controls? Sprinklers 7. All control valves operated through full range & returned to Make: normal position? Model: Globe gl Valves lubricated, as needed? Year: 03 SPRINKLER & PIPING INFORMATION (SI) No N/A Temp: 55/75. Are all sprinklers unobstructed? Finish: White. Sprinklers & escutcheon plates free of corrosion, tape, paint, & physical damage? QR/SR: Qr 3. Are all sprinklers less than 50 years old? K Factor: 4. Are all QR Sprinklers less than 0 years old? Thread: / 5. Are escutcheon plates OK? Esch: Sem rec 6. Riser in good condition & accessible? GB/Sldr: Gb 7. Hydraulic nameplate in place & OK? Antifreeze Systems(s) 8. System ID securely attached & legible? Location Number of Heads Temperature 9. Pipe in good condition, free of damage & obstructions, and leaks? Main Drain & Alarm Test System No: System Size: Static Pressure (psi): Residual Pressure (psi): Static Pressure (psi): Local Alarm OK (Y / N):, Locked, or Sealed No. of s Accessible (Y / N) Location (F=FDC, R=Riser) N F N F N F N F N F N F N F All Systems left in Service Inspections Tags In Place Inspection Results Discussed with Property Representative 7/7/6 Property Representative: Inspector s Signature: Date: 0

2 Hickory, North Carolina 8603 Hickory, NC Greensboro, NC Raleigh, NC Charlotte, NC Charleston, SC FED Columbia, SC FPC-0004 Greenville, SC Atlanta, GA Tampa, FL DATE: NFPA #7 FIRE ALARM INSPECTION/ENGINEERED SYSTEM INSPECTION REPORT EF0009 CFC /07/06 :00am EDT CUSTOMER: Oakland Mill Apartments ADDRESS: 0 Nelson Dr. CITY/STATE: PHONE: (704) -46 JOB #: NC ZIP: 809 Annual Semi Annual Other Monitoring Company ME: Oakland Mill Apartments PHONE: Building # Alarm Mfg. Model Manual Stations Smoke Detectors Heat Detectors Duct Detectors Waterflow Switches Switches Horn/Strobes Horns Only Strobes Only Door Holders Elevator Recall Battery Type Battery Date Panel Keys Pullstation Keys Clubhouse Vs 5 Na Na Na Na 6 V 8Amp 03 Bldg Vs v 8 amp 03 Bldg Vs v 8amp 03 Bldg 3 Vs v 8 amp 03 Notes or Deficiencies: 6- volt 8amp due for replacement X Date: Technician certifies alarm system was inspected. Deficiencies are noted. (If Applicable) /07/06 :00am EDT X Date: Customer has been informed of any deficiencies and accepts responsibility for verifying alarm signals to monitoring Co. (If Applicable)

3 Hickory, North Carolina 8603 Hickory, NC Greensboro, NC Raleigh, NC Charlotte, NC Charleston, SC FED Columbia, SC FPC-0004 Greenville, SC Atlanta, GA Tampa, FL DATE: NFPA #7 FIRE ALARM INSPECTION/ENGINEERED SYSTEM INSPECTION REPORT EF0009 CFC /07/06 :00am EDT CUSTOMER: Oakland Mill Apartments ADDRESS: 0 Nelson Dr. CITY/STATE: PHONE: (704) -46 JOB #: NC ZIP: 809 Annual Semi Annual Other Monitoring Company ME: Oakland Mill Apartments PHONE: Building # Alarm Mfg. Model Manual Stations Smoke Detectors Heat Detectors Duct Detectors Waterflow Switches Switches Horn/Strobes Horns Only Strobes Only Door Holders Elevator Recall Battery Type Battery Date Panel Keys Pullstation Keys Bldg 4 Vs v 8amp 03 Bldg 5 Vs v 8amp 03 Bldg 6 Vs v 8amp 03 Bldg7 Vs v 8amp 03 Notes or Deficiencies: X Date: Technician certifies alarm system was inspected. Deficiencies are noted. (If Applicable) /07/06 :00am EDT X Date: Customer has been informed of any deficiencies and accepts responsibility for verifying alarm signals to monitoring Co. (If Applicable)

4 PO Box 9489 Hickory, NC 8603 FED EF0009 FPC-0004 CFC4900 Fire Sprinkler/Alarm Inspection Hickory, NC Charleston, SC Greensboro, NC Columbia, SC Raleigh, NC Greenville, SC Charlotte, NC Atlanta, GA Tampa, FL Oakland Mill Apartments Company: 07/07/06 :00am Date Annual Quarterly Monthly No hydraulic nameplates installed at risers 7 total. Comments and Recommendations Roger Miller Inspector s Signature Customer Acknowledgment Print Name & Title

5 070 7th St. Ct. SE Phone: Fax: Address of Property: 0 Nelson Dr. Meter Model & Number: NC 809 Type of Service: DOM IRRIG. F.L. Combo (DOM/F.L.) Type of Assembly: RP DC PVB Size of Assembly: Model: 007mqt Serial Number: Location of Assembly: Bldg riser room Containment (at meter) or Isolation (at branch) Line Pressure: PSI: Check Valve # Relief Valve Check Valve # Pressure Vacuum Breaker.0.8 Shut Off # Held Tight Shut Off # Held Tight Assembly: PASSED FAILED NOTE: All repairs must be completed within (0) ten days. Kit: DIFF DUPL ELEC Manufacturer: TESTER: CERT. Adam NO: TIME/DATE: CALIBRATION 05-cm DATE: 5--06

6 070 7th St. Ct. SE Phone: Fax: Address of Property: 0 Nelson Dr. Meter Model & Number: NC 809 Type of Service: DOM IRRIG. F.L. Combo (DOM/F.L.) Type of Assembly: RP DC PVB Size of Assembly: Model: 007mqt Serial Number: Location of Assembly: Bldg riser room Containment (at meter) or Isolation (at branch) Line Pressure: PSI: Check Valve # Relief Valve Check Valve # Pressure Vacuum Breaker.8.0 Shut Off # Held Tight Shut Off # Held Tight Assembly: PASSED FAILED NOTE: All repairs must be completed within (0) ten days. Kit: DIFF DUPL ELEC Manufacturer: TESTER: CERT. Adam Sims NO: TIME/DATE: CALIBRATION 05-cm DATE: 5--06

7 070 7th St. Ct. SE Phone: Fax: Address of Property: 0 Nelson Dr. Meter Model & Number: NC 809 Type of Service: DOM IRRIG. F.L. Combo (DOM/F.L.) Type of Assembly: RP DC PVB Size of Assembly: Model: Serial Number: Location of Assembly: Bldg 3 riser room Containment (at meter) or Isolation (at branch) Line Pressure: PSI: Check Valve # Relief Valve Check Valve # Pressure Vacuum Breaker.0.0 Shut Off # Held Tight Shut Off # Held Tight Assembly: PASSED FAILED NOTE: All repairs must be completed within (0) ten days. Kit: DIFF DUPL ELEC Manufacturer: TESTER: CERT. Adam Sims NO: TIME/DATE: CALIBRATION 05-cm DATE: 5--06

8 070 7th St. Ct. SE Phone: Fax: Address of Property: 0 Nelson Dr. Meter Model & Number: NC 809 Type of Service: DOM IRRIG. F.L. Combo (DOM/F.L.) Type of Assembly: RP DC PVB Size of Assembly: 8" Model: 909 Serial Number: 673 Location of Assembly: In hotbox beside bldg 0 Containment (at meter) or Isolation (at branch) Line Pressure: 45 PSI: Check Valve # Relief Valve Check Valve # Pressure Vacuum Breaker Shut Off # Held Tight Shut Off # Held Tight Assembly: PASSED FAILED NOTE: All repairs must be completed within (0) ten days. Kit: DIFF DUPL ELEC Manufacturer: TESTER: CERT. Adam Sims NO: TIME/DATE: CALIBRATION 05-cm DATE: 5--06

9 070 7th St. Ct. SE Phone: Fax: Address of Property: 0 Nelson Dr. Meter Model & Number: NC 809 Type of Service: DOM IRRIG. F.L. Combo (DOM/F.L.) Type of Assembly: RP DC PVB Size of Assembly: Manufacturer: Wilkins Model: 375 Serial Number: A9754 Location of Assembly: In hotbox left of bldg 4 Containment (at meter) or Isolation (at branch) Line Pressure: 45 PSI: Check Valve # Relief Valve Check Valve # Pressure Vacuum Breaker Shut Off # Held Tight Shut Off # Held Tight Assembly: PASSED FAILED NOTE: All repairs must be completed within (0) ten days. Kit: DIFF DUPL ELEC Manufacturer: TESTER: CERT. Adam Sims NO: TIME/DATE: CALIBRATION 05-cm DATE: 5--06

10 070 7th St. Ct. SE Phone: Fax: Address of Property: 0 Nelson Dr. Meter Model & Number: NC 809 Type of Service: DOM IRRIG. F.L. Combo (DOM/F.L.) Type of Assembly: RP DC PVB Size of Assembly: Model: 007mqt Serial Number: Location of Assembly: Bldg 4 riser room Containment (at meter) or Isolation (at branch) Line Pressure: PSI: Check Valve # Relief Valve Check Valve # Pressure Vacuum Breaker.0.0 Shut Off # Held Tight Shut Off # Held Tight Assembly: PASSED FAILED NOTE: All repairs must be completed within (0) ten days. Kit: DIFF DUPL ELEC Manufacturer: TESTER: CERT. Adam Sims NO: TIME/DATE: CALIBRATION 05-cm DATE: 5--06

11 070 7th St. Ct. SE Phone: Fax: Address of Property: 0 Nelson Dr. Meter Model & Number: Na NC 809 Type of Service: DOM IRRIG. F.L. Combo (DOM/F.L.) Type of Assembly: RP DC PVB Size of Assembly: Model: 007mqt Serial Number: Location of Assembly: Bldg 5 riser room Containment (at meter) or Isolation (at branch) Line Pressure: PSI: Check Valve # Relief Valve Check Valve # Pressure Vacuum Breaker.8.8 Shut Off # Held Tight Shut Off # Held Tight Assembly: PASSED FAILED NOTE: All repairs must be completed within (0) ten days. Kit: DIFF DUPL ELEC Manufacturer: TESTER: CERT. Adam Sims NO: TIME/DATE: CALIBRATION 05-cm DATE: 5--06