TRI STATE FIRE PROTECTION, LLC SPRINKLER SYSTEM ...
Gilford, Lancaster, Nashua, Hudson & Newington, NH Telephone: (603) 293-7531 Fax: (603) 589-2051 www.getfireprotection.com
TRI STATE FIRE PROTECTION, LLC SPRINKLER SYSTEM INSPECTION
WORK ORDER #: 10893560
BILL TO:
Comm. of Mass. Sprinkler Contractor SC-210059
Remit to: 26 Hampshire Drive Hudson, NH 03051
Page 1 of 4 Inspected to the state adopted version of NFPA 25
DATE: 04/15/2016 08:00am EDT
CUSTOMER ID:
SHIP TO:
BUILD IT CONSTRUCTION
14 CENTRAL PARK DRIVE
73 NEWTON RD, SUITE 22
Phone: Email: CUST. PO#
Contact: Phone: 974-1548
1. GENERAL
b. c. d. e.
a. b. c. d.
03106
NH
HOOKSETT
03865
NH
PLAISTOW
a.
UNITED HEALTHCARE
Inspection:
Annual
Semi-Annual
✔
Quarterly
Other
A. (To be answered by the Owner or Owner’s Representative) Have there been any changes in the occupancy classification, machinery, or operations since the last inspection? Have there been any changes or repairs to the fire protection systems since the last inspection? If a fire has occurred since the last inspection, have all damaged sprinkler system components been replaced? Has an internal inspection been completed on piping in all systems? 09/12 & 09/14 Date last Checked:___________________ Have all fifire pumps been tested to their full capacity through the use of hose streams or flow fl meters within the past 12 months? B. (To be answered by the inspector) Have the sprinkler systems been extended to all visible areas of the building? Notes:__________________________________________________________________ Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? Notes:__________________________________________________________________ Are the building areas protected by a wet system, heated, including blind attics and perimeter areas where accessible? Notes:___________________________________________________________________ Are all visible exterior openings protected against the entrance of cold air? I Notes:___________________________________________________________________
YES
N.A.
NO*
a.
✔
b.
✔
c. e.
✔
✔
f.
✔
a.
✔
b.
✔
c.
✔
d.
✔
2. CONTROL VALVES a. Are all sprinkler 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? c. Is there a valve chart on site? Wet Y N Dry Y N Anti-freeze
Control Valves
# Of Valves
Type
Yes CITY TANK PUMP SECTIONAL SYSTEM
Signs
Easily Accessible No
Valve Open Yes
No
Yes
No
a.
✔
b. c.
✔
Secured? If yes, how (Sealed?) (Locked?) (Supv’d?) Yes No
2
OS&Y
✔
✔
✔
✔
TS/LOCK
3
OS&Y
✔
✔
✔
✔
TS/LOCK
✔
Supervision Operational Yes
No
Gilford, Lancaster, Nashua, Hudson & Newington, NH Telephone: (603) 293-7531 Fax: (603) 589-2051 www.getfireprotection.com
TRI STATE FIRE PROTECTION, LLC SPRINKLER SYSTEM INSPECTION
INVOICE #: 10893560
Comm. of Mass. Sprinkler Contractor SC-210059
Remit to: 26 Hampshire Drive Hudson, NH 03051
Page 2 of 4 Inspected to the state adopted version of NFPA 25
DATE: 4/15/16
CUSTOMER ID:
3. WATER SUPPLIES a
Water Supply Source?
City
80 PSI _____________
Gravity Tank
b
Is the system pipe schedule?
c
Is the system hydraulic calculated?
✔
d
Is a hydraulic calc plate affixed to the riser?
✔
e
Is the required water flow sufficient to meet the demand? Are gravity, surface, or pressure tanks protected from freezing?
Yes
f
2" 2" 2"
95 105 110
75 75 75
No
N/A
Pressure Fire Pump & Tank Section 3 Notes:
74, 75, 76 PSI, respectively
✔
✔
Test Pipe Location
Size Test Pipe
Static Pressure
Residual Pressure
b. c. d. e.
Do fire pumps, gravity, surface or pressure tanks appear Yesto be in good external condition? Are gravity, surface, and pressure tanks at the proper pressure and/or water levels? Are fire dept. connections in satisfactory condition, couplings free, caps or plugs in place and check valves tight? Are fire dept. connections visible and accessible? Have the tanks been tested for 5 year?
YES
b. c. e. f. g. h. i. j.
Do sprinklers generally appear to be in good external condition? Do sprinklers generally appear to be free of corrosion, paint, or loading and visible obstructions? Are there any standard response sprinkler heads 50 years old or older? Have they been tested? Date:________________ Are there any quick response,fast response or residential sprinkler heads 20 years old or older? Have they been tested? Date:________________ Are there any dry sprinkler heads 10 years old or older? Have they been tested? Date:________________ Are any extra high temperature solder sprinklers regularly exposed to temperatures near 300 degrees Fahrenheit? Are extra sprinklers and sprinkler wrench available on the premises? Number and types of spare heads: ________________________________________________________ Does the exposed exterior condition of piping, drain valves, check valves, hangers, pressure gauges, open sprinkler and strainers appear to be satisfactory? Does the hand hose on the sprinkler system appear to be in satisfactory condition?
N.A.
a.
✔
b.
✔
c.
✔
d. e.
✔
5. SPRINKLERS - PIPING a.
Previous Flow Pressure
80 80 80
4. TANKS, PUMPS, FIRE DEPT. CONNECTIONS a.
____________
✔
Waterflow Test Results Made During This Inspection: Test Size Static Residual Previous Pipe Test Pressure Pressure Flow Location Pipe Pressure MD 1 MD 2 MD 3
__________
NO*
✔
YES
N.A.
a.
✔
b.
✔
c.
✔
NO*
✔
e.
✔ ✔
f.
✔ ✔
g.
✔
h.
✔
i. j.
✔
✔
Gilford, Lancaster, Nashua, Hudson & Newington, NH Telephone: (603) 293-7531 Fax: (603) 589-2051 www.getfireprotection.com
TRI STATE FIRE PROTECTION, LLC SPRINKLER SYSTEM INSPECTION Remit to: 26 Hampshire Drive Hudson, NH 03051
Comm. of Mass. Sprinkler Contractor SC-210059
Page 3 of 4 Inspected to the state adopted version of NFPA 25
6. WET SYSTEMS a. b. c. d. e. f. g. h.
YES
N.A.
NO*
4" Globe H3 & 4" Auto 353 3 # of systems _______________ Make and Model ____________________ a. ✔ Are cold weather valves in the appropriate open or close position? b. Has the owner or owner’s rep. been advised that cold weather valves are not ✔ c. recommended by the NFPA? ✔ Is there an antifreeze placard? d. ✔ Have all the antifreeze systems been tested? e. Date antifreeze systems were tested: _____________________________________________ The antifreeze tests indicate protection to: System 1____________ 2 ____________ 3 ____________ 4 ____________ 5 __________ (Degrees Fahrenheit) ✔ Did alarm valves, water flow alarm indicators and retards test satisfactory? h.
YES
N.A.
NO*
7. DRY SYSTEMS a. b. b. c. d. e. f. g. h. i. j. k. l.
0 # of systems _______________ Make and Model ____________________ Has a full trip been done within the last 3 years? Date last full trip tested:______________ Date last partial trip tested:___________ Are the air pressure and priming levels normal? Did the Air Compressor operate satisfactorily? How long did it take to fill the system:__________________________________ Air Compressor oil checked? Were all low points drained during this inspection? # of Low Points: _____________ Did all quick opening devices (accelerator) operate satisfactorily? Make and Model _____________________________________ Accelerator trip pressure_______________________________ Did all dry valves operate satisfactorily during this inspection? Is the Dry Valve House heated? Has an air leakage test been completed today? Did the system pass the air leakage test? Date of last air leakage test:____________________
a. b.
✔
b.
✔
c.
✔
d. e.
✔
✔
f.
✔
h. i. j. k.
✔ ✔
✔ ✔
8. SPECIAL SYSTEMS: PREACTION / DELUGE / FOAM a. b. c. d.
2 Reliable # of systems _______________ Make and Model ____________________ Type: ___________________ Were Valves tested as required? Did all heat responsive systems operate correctly? Did the supervisory features operate during testing?
Heat Responsive Devices Valve No:____ Seconds:_______ Auxiliary Equipment: No:_________
YES N.A. NO* a. b. c. d.
✔ ✔ ✔
Type: Type of test: ______________________ ___________________________ Valve No:_____ Seconds:______ Comment: Comment: Type:________________________________________________________ Location:_____________________________________________________ Test Results:__________________________________________________
YES N.A. NO* 9. ALARMS a. b. c.
Did the water motors and gong operate during testing? Did the electric bell operate during testing? Did the supervisory alarms operate during testing?
a. b. c.
d.
Did the water flow alarms notify the panel.
d.
✔
✔
✔ ✔
Gilford, Lancaster, Nashua, Hudson & Newington, NH Telephone: (603) 293-7531 Fax: (603) 589-2051 www.getfireprotection.com
TRI STATE FIRE PROTECTION, LLC SPRINKLER SYSTEM INSPECTION Comm. of Mass. Sprinkler Contractor SC-210059
Remit to: 26 Hampshire Drive Hudson, NH 03051
Page 4 of 4 Inspected to the state adopted version of NFPA 25
10. Explanation of “NO” answers (For Section 1B through 9) Automatic water motor gong (part 168-104) did not operate and should be assessed for obstructions. Recommend replacing 1.25" check valve that separates the fill cup drains from the main drain. Current check valve isn't holding pressure, causing a flood when we conducted the drain test. Recommend replacing broken main drain angle valve on Zone 4 wet system in order to prevent injury to emergency or service personnel.
11. The inspector suggests that following necessary improvements. However, these suggestions are not the result of an engineering survey.
12. Did the system Pass? Passed
✔
Passed With Deficiencies
Failed – System Inspection
13. Adjustments or corrections made: We were instructed to not test the Pre-action systems.
14. List the changes in the occupancy hazard or fire protection equipment, as advised by the owner in Section 1A:
15. Inspection and suggested improvements were discussed with the undersigned Owner or Owner’s Representative. ✔ Yes No QTY PART DESCRIPTION PRICE AMOUNT 3 Quarterly Wet Sprinkler Inspection
2031
SPRINKLER SERVICE CALL
THIS IS NOT AN INVOICE BILLING ADDRESS CONFIRMED
CUSTOMER’S SIGNATURE - DATE
Zack Castellano
CUSTOMER’S PRINTED NAME
4/15/16 TECHNICIAN’S SIGNATURE - DATE
TRI STATE FIRE PROTECTION, LLC SPRINKLER SYSTEM INSPECTION
WORK ORDER #: 10893560
BILL TO:
Comm. of Mass. Sprinkler Contractor SC-210059
Remit to: 26 Hampshire Drive Hudson, NH 03051
Page 1 of 4 Inspected to the state adopted version of NFPA 25
DATE: 04/15/2016 08:00am EDT
CUSTOMER ID:
SHIP TO:
BUILD IT CONSTRUCTION
14 CENTRAL PARK DRIVE
73 NEWTON RD, SUITE 22
Phone: Email: CUST. PO#
Contact: Phone: 974-1548
1. GENERAL
b. c. d. e.
a. b. c. d.
03106
NH
HOOKSETT
03865
NH
PLAISTOW
a.
UNITED HEALTHCARE
Inspection:
Annual
Semi-Annual
✔
Quarterly
Other
A. (To be answered by the Owner or Owner’s Representative) Have there been any changes in the occupancy classification, machinery, or operations since the last inspection? Have there been any changes or repairs to the fire protection systems since the last inspection? If a fire has occurred since the last inspection, have all damaged sprinkler system components been replaced? Has an internal inspection been completed on piping in all systems? 09/12 & 09/14 Date last Checked:___________________ Have all fifire pumps been tested to their full capacity through the use of hose streams or flow fl meters within the past 12 months? B. (To be answered by the inspector) Have the sprinkler systems been extended to all visible areas of the building? Notes:__________________________________________________________________ Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? Notes:__________________________________________________________________ Are the building areas protected by a wet system, heated, including blind attics and perimeter areas where accessible? Notes:___________________________________________________________________ Are all visible exterior openings protected against the entrance of cold air? I Notes:___________________________________________________________________
YES
N.A.
NO*
a.
✔
b.
✔
c. e.
✔
✔
f.
✔
a.
✔
b.
✔
c.
✔
d.
✔
2. CONTROL VALVES a. Are all sprinkler 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? c. Is there a valve chart on site? Wet Y N Dry Y N Anti-freeze
Control Valves
# Of Valves
Type
Yes CITY TANK PUMP SECTIONAL SYSTEM
Signs
Easily Accessible No
Valve Open Yes
No
Yes
No
a.
✔
b. c.
✔
Secured? If yes, how (Sealed?) (Locked?) (Supv’d?) Yes No
2
OS&Y
✔
✔
✔
✔
TS/LOCK
3
OS&Y
✔
✔
✔
✔
TS/LOCK
✔
Supervision Operational Yes
No
Gilford, Lancaster, Nashua, Hudson & Newington, NH Telephone: (603) 293-7531 Fax: (603) 589-2051 www.getfireprotection.com
TRI STATE FIRE PROTECTION, LLC SPRINKLER SYSTEM INSPECTION
INVOICE #: 10893560
Comm. of Mass. Sprinkler Contractor SC-210059
Remit to: 26 Hampshire Drive Hudson, NH 03051
Page 2 of 4 Inspected to the state adopted version of NFPA 25
DATE: 4/15/16
CUSTOMER ID:
3. WATER SUPPLIES a
Water Supply Source?
City
80 PSI _____________
Gravity Tank
b
Is the system pipe schedule?
c
Is the system hydraulic calculated?
✔
d
Is a hydraulic calc plate affixed to the riser?
✔
e
Is the required water flow sufficient to meet the demand? Are gravity, surface, or pressure tanks protected from freezing?
Yes
f
2" 2" 2"
95 105 110
75 75 75
No
N/A
Pressure Fire Pump & Tank Section 3 Notes:
74, 75, 76 PSI, respectively
✔
✔
Test Pipe Location
Size Test Pipe
Static Pressure
Residual Pressure
b. c. d. e.
Do fire pumps, gravity, surface or pressure tanks appear Yesto be in good external condition? Are gravity, surface, and pressure tanks at the proper pressure and/or water levels? Are fire dept. connections in satisfactory condition, couplings free, caps or plugs in place and check valves tight? Are fire dept. connections visible and accessible? Have the tanks been tested for 5 year?
YES
b. c. e. f. g. h. i. j.
Do sprinklers generally appear to be in good external condition? Do sprinklers generally appear to be free of corrosion, paint, or loading and visible obstructions? Are there any standard response sprinkler heads 50 years old or older? Have they been tested? Date:________________ Are there any quick response,fast response or residential sprinkler heads 20 years old or older? Have they been tested? Date:________________ Are there any dry sprinkler heads 10 years old or older? Have they been tested? Date:________________ Are any extra high temperature solder sprinklers regularly exposed to temperatures near 300 degrees Fahrenheit? Are extra sprinklers and sprinkler wrench available on the premises? Number and types of spare heads: ________________________________________________________ Does the exposed exterior condition of piping, drain valves, check valves, hangers, pressure gauges, open sprinkler and strainers appear to be satisfactory? Does the hand hose on the sprinkler system appear to be in satisfactory condition?
N.A.
a.
✔
b.
✔
c.
✔
d. e.
✔
5. SPRINKLERS - PIPING a.
Previous Flow Pressure
80 80 80
4. TANKS, PUMPS, FIRE DEPT. CONNECTIONS a.
____________
✔
Waterflow Test Results Made During This Inspection: Test Size Static Residual Previous Pipe Test Pressure Pressure Flow Location Pipe Pressure MD 1 MD 2 MD 3
__________
NO*
✔
YES
N.A.
a.
✔
b.
✔
c.
✔
NO*
✔
e.
✔ ✔
f.
✔ ✔
g.
✔
h.
✔
i. j.
✔
✔
Gilford, Lancaster, Nashua, Hudson & Newington, NH Telephone: (603) 293-7531 Fax: (603) 589-2051 www.getfireprotection.com
TRI STATE FIRE PROTECTION, LLC SPRINKLER SYSTEM INSPECTION Remit to: 26 Hampshire Drive Hudson, NH 03051
Comm. of Mass. Sprinkler Contractor SC-210059
Page 3 of 4 Inspected to the state adopted version of NFPA 25
6. WET SYSTEMS a. b. c. d. e. f. g. h.
YES
N.A.
NO*
4" Globe H3 & 4" Auto 353 3 # of systems _______________ Make and Model ____________________ a. ✔ Are cold weather valves in the appropriate open or close position? b. Has the owner or owner’s rep. been advised that cold weather valves are not ✔ c. recommended by the NFPA? ✔ Is there an antifreeze placard? d. ✔ Have all the antifreeze systems been tested? e. Date antifreeze systems were tested: _____________________________________________ The antifreeze tests indicate protection to: System 1____________ 2 ____________ 3 ____________ 4 ____________ 5 __________ (Degrees Fahrenheit) ✔ Did alarm valves, water flow alarm indicators and retards test satisfactory? h.
YES
N.A.
NO*
7. DRY SYSTEMS a. b. b. c. d. e. f. g. h. i. j. k. l.
0 # of systems _______________ Make and Model ____________________ Has a full trip been done within the last 3 years? Date last full trip tested:______________ Date last partial trip tested:___________ Are the air pressure and priming levels normal? Did the Air Compressor operate satisfactorily? How long did it take to fill the system:__________________________________ Air Compressor oil checked? Were all low points drained during this inspection? # of Low Points: _____________ Did all quick opening devices (accelerator) operate satisfactorily? Make and Model _____________________________________ Accelerator trip pressure_______________________________ Did all dry valves operate satisfactorily during this inspection? Is the Dry Valve House heated? Has an air leakage test been completed today? Did the system pass the air leakage test? Date of last air leakage test:____________________
a. b.
✔
b.
✔
c.
✔
d. e.
✔
✔
f.
✔
h. i. j. k.
✔ ✔
✔ ✔
8. SPECIAL SYSTEMS: PREACTION / DELUGE / FOAM a. b. c. d.
2 Reliable # of systems _______________ Make and Model ____________________ Type: ___________________ Were Valves tested as required? Did all heat responsive systems operate correctly? Did the supervisory features operate during testing?
Heat Responsive Devices Valve No:____ Seconds:_______ Auxiliary Equipment: No:_________
YES N.A. NO* a. b. c. d.
✔ ✔ ✔
Type: Type of test: ______________________ ___________________________ Valve No:_____ Seconds:______ Comment: Comment: Type:________________________________________________________ Location:_____________________________________________________ Test Results:__________________________________________________
YES N.A. NO* 9. ALARMS a. b. c.
Did the water motors and gong operate during testing? Did the electric bell operate during testing? Did the supervisory alarms operate during testing?
a. b. c.
d.
Did the water flow alarms notify the panel.
d.
✔
✔
✔ ✔
Gilford, Lancaster, Nashua, Hudson & Newington, NH Telephone: (603) 293-7531 Fax: (603) 589-2051 www.getfireprotection.com
TRI STATE FIRE PROTECTION, LLC SPRINKLER SYSTEM INSPECTION Comm. of Mass. Sprinkler Contractor SC-210059
Remit to: 26 Hampshire Drive Hudson, NH 03051
Page 4 of 4 Inspected to the state adopted version of NFPA 25
10. Explanation of “NO” answers (For Section 1B through 9) Automatic water motor gong (part 168-104) did not operate and should be assessed for obstructions. Recommend replacing 1.25" check valve that separates the fill cup drains from the main drain. Current check valve isn't holding pressure, causing a flood when we conducted the drain test. Recommend replacing broken main drain angle valve on Zone 4 wet system in order to prevent injury to emergency or service personnel.
11. The inspector suggests that following necessary improvements. However, these suggestions are not the result of an engineering survey.
12. Did the system Pass? Passed
✔
Passed With Deficiencies
Failed – System Inspection
13. Adjustments or corrections made: We were instructed to not test the Pre-action systems.
14. List the changes in the occupancy hazard or fire protection equipment, as advised by the owner in Section 1A:
15. Inspection and suggested improvements were discussed with the undersigned Owner or Owner’s Representative. ✔ Yes No QTY PART DESCRIPTION PRICE AMOUNT 3 Quarterly Wet Sprinkler Inspection
2031
SPRINKLER SERVICE CALL
THIS IS NOT AN INVOICE BILLING ADDRESS CONFIRMED
CUSTOMER’S SIGNATURE - DATE
Zack Castellano
CUSTOMER’S PRINTED NAME
4/15/16 TECHNICIAN’S SIGNATURE - DATE
