HomeMy WebLinkAboutStandpipe Water Flow Test Report Form$
��r�dpi�� and M�s� Sy�tems
�eneral Information
Date: �-17-1Q Inspector: Steve Martin System: Standpipe
Location: on Roof
General
System designation �Nater Flow Test on Roof
su�taing Solaris 141 East Meadow Drive Vail, CO
L.ocatian of control valve S��II' #3 &4
Type of syseem ��3ass T ❑Class II
❑ Class III
Length of hose provided ❑None ❑ 50 ft(15 m) ❑ 75 ft(23 m) � 100 ft(30 m)
Type of hose �Rubber lined ❑ Unlined
(If unlined hose is pres�ntly installed,it may remain in use. However,when it requires replacement only lines hose should be used
in aeeordance with NFPA 14.)
Are shutoff nozzles prc��ided? �Yes ❑1�Io
{Tf"no"nozzles should be replaced with shutoff type in accordance with NFPA 14.}
rlre pressure regulating devices provided? �Yes ❑No
Type of regulating aev;ce TycO PRV at Underground SUpply
Valves
Now are valves supervised? ❑ Seated ❑ Locked �Tamper s�viteh
�re valves identified with signs? �Yes ❑No
Water Supply (See Chapters 7 and 9 of NFPA 25)
When was last water supply test made? N/A
Are reservoirs,tan[cs,or pressure tanks in good eondition? ❑Yes �No
Pumps (See Chapter 8 of NFPA 25)
Is fire pump ❑ Diesel � Electric ❑Gasoline ❑None?
Is pump in goc�d conditian? �Yes ❑No
When was pump last tested? 1-19-10
Fire Department Connections
�oca��o„ Vail Fire Dept
.�re identification signs provided? �Yes ❑No
Nates
Fteport c�r� Water Flc�w Test performed an Roof to prave iG0 PSI @ 1000 GPM. {ref. attached sheet for
actuaf results.
_ _
;` NFPA Water-Based Fire Protection Systems Forms 1 of 1
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� CONTRACTQR'S MATERIA� & TEST CERTIFICATE FOR/'''\B4VEGRUUND PIPING
AdditionaJ copies of this farm are Loss Prevention Publications-Training Resource Center
avaiJabJe to insureds from: Factory Mutual Engineenng and Research,t 151 Bosto�-- Providence Turnpike,PO Box 9102,Norvrood,MA 02062
PROCEDURE:
Upon completion of work,inspection and tests shall be made by the contractor s representative and witnessed by an owner s representative.All
de#ects shal!be corrscted and system left in service before contractors personnel finally leave the job.
A certificate shall be filled out and signed by both representatives.Capies shall be prepared for approving authorities,owner's and contractor.
It is understood the ownet's representatives signature in no way prejudioes any claim against the contractor for faulty material,poor workmanship,
or failure ta compty with approving authority's requirements or Iocal ordinances.
PROPERTY NAME DATE
SOLARIS PROJECT 3/1712010
PROPERTY ADDRESS
141 EAST MEADOW DRIVE VAIL, CO
ACCEPTED BY APPROVING AUTHORITY{St NAMES
VAi� FIRE DEPT
ADDRESS
PLANS ��STA�LATION CdNFORMS TO ACCEPTED P�ANS nf
u YES ❑ NO
EQUIPMENT USED IS APPROVED{IF NO,STATE DEVIATIONS BE�ON� H YES ❑ NO
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL JQ YES ❑ NO
VALVES AND THE CRRE RND RARIfdTENANCE OF THIS NEW
IF NO.EXP�AIN:
tNSTRUCTIONS _
HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE ANO MAINTENANCE CHARTS BEEN [� YES ❑ NO
LEFT ON PREMISES?
IF NO.EXPLAIN:
IOCATION OF SUPPUES BUI�DINGS
SYSTEM Fire Standpipe Fiow Test
MAKE MODEL YEAR OF ORIFlCE SIZE QUANTITY TEMPERATURE RATING
MANUFACTURE
0
SPRINKLERS o
0
0
0
PIPE CONFORMS TO N.F.P.A.#13 STANDAR� H YES ❑ �yp
PtPE AND FlTTINGS FITt INGS CONF4RM To N•F.P.A.#13 �PAh1t7A;RD ,�7( YES [J NO
iF r�a,ExPt_n�N
A�ARM DEVICE MAXIAAUM TIME TO OPERATE THROUGH TEST PfPE
ALARM VaLVE dR Trr�� Ma�cE t�oo� M�r�. sEC.
F�°w ir�°icATOR ALARM VA�VE VIKING F-1
DRY VALVE (�,p,p,
MAKE MODEL SERtAL NUMBER MAKE MQDEL SERIA�HURABER
TIME TO TRIP THRU AIR TRiP PL}tNT AIR Time Water q�srm Operated
TEST PIPE �ATER Pt2ESSU62E PRESSUf2E PRE3SURE ��gched Test Pmperly
DRY PIFE aut�et
OPERATING TEST ���. sEC. as� Ps� �s� �ttr�. S�c. nnlN. s�c.
WITHOUT
C1.4.6
WiTti
Cl,O.D.
IF Nt�,EXP�AiN�
�
OPERATION ❑ PNEUMATIC ❑ ELECTRiC Q HYDRAULIC
PIPWG SUPERVISED ❑ YES ❑ NO DETECTING MEDfA 5UPERYISED? � YES ❑ NO
DOES THE VALVE OPERATE FROM THE MANUAL TRiP ANDIOR REMOTE CONTROL? ❑ YES ❑ NO
f5 THERE AN ACCESSiBLE FACILITY iN EACH GIRCUfT FOR TESTWG? ❑ YES ❑ NO
DELUGE& iF N6.EXPLAIN:
PREACTION YALVES
Does eash circuit oparate superoision Does each circuit operate vafve Maximum time to operate
MAKE MODEL �oss afarm7 r�Isasas? reiease
YES NO YES NO MiN. SEC.
HYpROSTATiQ Hydrostatic tesis shaii be made at noi less than 200 psi(13.6 bars}for two hours ar 50 psi{3.4 bars}above static pressure in
excess of 150 psi(10.3 bars}for iwo hours.D"rfFerentiai dry-pipe vaive clappers shaii be left open during test to prevent damage.Aif
TEST DESCRIPTION aboveground piping leakage shafi be stopped.
PNEUPAATiC:Estabiish d0 psi(2.7 bars}air pressure and measure drop which shalf noS exceed 1-tl2 psi{0.1 bars)in 24 hours.Test pressure
Sanks aS normal water fevei and air pressure and measure air pressure drop wMch shaii not exceed 1-1I2 psi(0,t bars}in 24 hours.
ALL PIPING PNEUMRTICALIY TESTE�AT `2t�{� PSI FOft `Z Hrs. iF N4,STATE REftSON
DRY PiPING PNEUMATICALLY TESTED? ❑ YES ❑ NO
EQUIPMENT OPERATES PROPERLY? � YES ❑ NO
READING OF GAGE LOCATED NEAR WATER SUPPLY TEST PIPE: RESipUAL PRESSURE WITH VALVE IN TEST PIPE:
TESTS
ORRiN TEST PSI 4PEN W@E PSI
Underground mains and fead-in connections to system risers shall be fiushed before connection made to sprinkier piping.
VERIFIED BY COPY OF THE FORM1A NUMBER 85B? ❑ YES ❑ NO OTHER EXPLAIN
FLUSHED BY INSTALLER OF UNDERGROUND
SPRINKl.ER PiPiNG? ❑YES ❑ NO
NUMBER USED LOCATIONS NUMBER REMOVED
B�ANK
TESTING GASKETS �ONE
WELpED PIPiNG? Q YES ❑ NO
IF YES...
DQ YOU CERTIFY AS THE SPRWKLER CONTRACTOR THAT WELDING PROCE�URES COMPLY WITH
THE REQUIREMENTS OF AT LEAST AWS D10.9,LEVEL AR3? Q YES ❑ NO
WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS pUALiFiED IN COMPLIANCE
WITH THE REQUIREMENTS OF AT LEAST AWS D10.9.LEVEL AR3? �YES ❑ NO
DO YOU CERTIFY THAT WELDING WAS CARRfED OUT W COMPLfANCE WiTH A DOCUMENTED QUALITY
CONTRQI PR{7CFflt IRF TO INSt)RF THAT AI I h1.4CS RRF RFTRIFVF('I THAT QPFNINGS IN PIPING
ARE SMOOTN.THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED.AND THAT INTERNAL
DIAMET'ERS OF PIPING ARE NOT PENEiRATED?
�YES ❑ NO
NAMEPLATE PROVIDED?
HYDRAULIC DATA IF NO.EXPLAfM 0�ES ❑ NO
NAMEPLATE
DATE LEFT IN SERViCE WITN ALL CONTROL VALVES OPEN:
REMARKS
NAME OF iNSTALLiNG CONTRACTCYR
Frontier Fire Pratection, Inc.
TESTS WITNESSED BY
SfGP1ATURES FOR PROPERTY dWNER tSign�d} TiTLE DATE
d
FOR i GONTR CT4R(Signed�� ' 7' �E DATE
C' .�
�F �`
� � ,�"���� �` ' �,.. � ' �= �"`� �-°'� �`�
ADDtTIONR�EXPLANATI6N ANO NOTES: �--� �, �,_,,,� ,.� �°-
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