Sprinkler_Inspection_Report_06_02_21_0001.pdf

Office of Aviation Services

No.

05135 www.gocanvas.com 7EE134AB-A84F-4B48-8D90-51B5AE99071A

5887 E. Blue Lupine Dr.

Palmer, AK 99645

907-373-1760 www.taylorfire.com

Sprinkler Inspection Report Status

Status

Owner / Client / Contracting Entity

Date

06/02/2021 Name

Office of Aviation Services Address 1

4405 Lear Court Address 2

City

Anchorage State

AK

Zip

99502

Representative

Telephone

Fax

Email

Property

Name

Office of Aviation Services Address 1

4405 Lear Court Address 2

City

Anchorage State

Contact

Telephone http://www.gocanvas.com/?utm_source=canvas_pdf&utm_medium=pdf_link&utm_campaign=canvas_pdf_link

No.

05135 www.gocanvas.com 7EE134AB-A84F-4B48-8D90-51B5AE99071A

AK

Zip

99502

Inspection Period

Inspection Date

06/02/2021 Frequency

Annual

Description of Work / Items Inspected

Fire sprinkler system

Owners Section

Is the building occupied?

Yes Has the occupancy classification and hazard of the contents remained the same since the last inspection?

Yes Are the fire protection systems in service?

Yes Has the system remained in service without modification since the last inspection?

Yes Was the system free of actuations of devices or alarms since the last inspection?

N/A

SPRINKLER & PIPING INFORMATION

Proper number and type of spare sprinklers?

Yes Visible sprinklers free of corrosion?

Yes Visible sprinklers free of obstructions to spray pattern?

Yes Visible sprinklers free of foreign material including paint?

Yes Visible sprinklers free of physical damage?

Yes Visible pipe in good condition?

Yes Visible pipe free of mechanical damage and not leaking?

Yes Visible pipe has no external corrosion?

Yes Visible pipe properly aligned?

Yes Visible pipe has no external loads?

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05135 www.gocanvas.com 7EE134AB-A84F-4B48-8D90-51B5AE99071A

Yes Visible pipe hangers and seismic braces not damaged or loose?

Yes Adequate heat in areas with wet piping?

Yes Hydraulic nameplate, if provided, securely attached to riser and legible?

Yes Alarm devices free from physical damage?

Yes If sprinklers have been replaced, were they proper replacements?

N/A Gauges on systems in good condition and showing normal air and water pressure?

Yes Are all sprinklers in service dated 1920 or later?

Yes Fast Response sprinklers in service for less than 20 years? If "no" test sample now and every 10 years.

Yes Standard sprinklers less than 50 years old?

Yes If "no" (over 50 years) has sample been tested within 10 years? If "no" test sample now and every 10 years.

N/A Are dry heads less than 10 years old?

N/A If "no" (over 10 years) has sample been tested? If no test sample now.

N/A

VALVES

VALVE

Control Valve: Number of Valves:

Type: Easily Accessible?

Signs? Valve on system in correct (open or closed) position?

Valve operated through full range and returned to normal position?

Backflow 2 Os&y Yes Yes Yes Yes VALVE (cont'd)

Control Valve: Secured? If "yes" (secured), How? Valve supervision operational?

Operating stem of all OS&Y valves lubricated, completely closed and reopened?

Backflow Yes Supervised Yes Yes

FIRE DEPARTMENT CONNECTION

Fire department connections visible and accessible?

Yes Fire department connection couplings and swivels not damaged and rotate smoothly?

Yes Fire department connection plugs or caps in place and undamaged?

Yes Fire department connection gaskets in place and in good condition?

Yes http://www.gocanvas.com/?utm_source=canvas_pdf&utm_medium=pdf_link&utm_campaign=canvas_pdf_link http://www.gocanvas.com/?utm_source=canvas_pdf&utm_medium=pdf_link&utm_campaign=canvas_pdf_link

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05135 www.gocanvas.com 7EE134AB-A84F-4B48-8D90-51B5AE99071A

Fire department connections identification sign(s) in place?

Yes Fire department connections check valve is not leaking?

Yes Fire department connections automatic drain valve in place and operating properly?

Yes (Note: If plugs or caps are not in place, inspect the interior for obstructions and verify that the valve clapper is operational over its full range.)

SYSTEM TESTING

WET SYSTEM - Main Drain Test System -

Make / Model Drain Size (inch) Static Pressure

(PSI)

Flow (PSI). Residual pressure (PSI).

Was flow observed?

Are results comparable to previous year?

8” shotgun riser 2 82 70 80 Yes Yes

WET SYSTEM

System - Make / Model

Waterflow alarm devices passed tests?

Inspectors test connection opened? (wet pipe when not in freezing weather)

By-pass connection opened? (wet pipe systems in freezing weather, dry pipe, preaction, or deluge)

Alarms actuated and flow observed?

Valve supervisory switches indicated movement?

Sprinklers and spray nozzles protecting commercial cooking equipment and ventilating systems replaced except for built-type which show no signs of grease buildup?

Control valves (except OS&Y and gear operated indicating butterfly valves) opened until spring or torsion is felt in the rod, then closed back one-quarter turn?

8” shotgun riser

Yes Yes N/A Yes Yes N/A N/A

AIR MAINTENANCE DEVICE

Automatic air maintenance devices on dry pipe and preaction systems passed test?

BACKFLOW

Backflow devices passed backflow test?

Yes Backflow devices passed full flow test?

All sprinkler pressure regulating control valves passed full flow test?

ANTIFREEZE SYSTEM

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05135 www.gocanvas.com 7EE134AB-A84F-4B48-8D90-51B5AE99071A

5TH YEAR TESTING / INSPECTIONS

Tests to be done every fifth year.

Is system due for 5 Year internal pipe inspection?

No Extra high, very extra high and ultra high temperature sprinklers tested?

N/A Gauges checked against calibrated gauge or replaced?

N/A Alarm valves and their associated strainers, filters and restriction orifices passed internal inspection?

N/A Check valves internally inspected and all parts operate properly, move freely and are in good condition?

N/A Strainers, filters, restricted orifices and diaphragm chamber on dry pipe, preaction and deluge valves passed internal inspection?

N/A

Maintenance

Annual Maintenance Items Operating stem of all OS&Y valves lubricated completely closed and reopened?

Yes Interior of dry pipe, preaction and deluge valves cleaned?

N/A Low points drained in dry pipe, preaction and deluge systems prior to the onset of freezing weather?

N/A Sprinklers and spray nozzles protecting commercial cooking equipment and ventilating systems replaced except for bult-type which show no signs of grease buildup?

N/A

COMMENTS

Any "NO" answers, test failures or other problems found with the sprinkler system must be explained here)

1) several escutcheons missing- client states he will install. 2) entry has no coverage- Taylor Fire will send a quote to add a sprinkler head. 3) internal pipe inspection was performed in 2020.

Notes and Recommendations

Notes and Recommendations

See comments Plan of Corrective Action:

Contact Taylor Fire Protection 907-373-1760 Corrective Action Taken and Date:

No.

05135 www.gocanvas.com 7EE134AB-A84F-4B48-8D90-51B5AE99071A

Pictures

Photo 1

Photo 1 Descritpion

System left in service Photo 4

Photo 4 Description

Fdc Photo 22 Photo 22 Description

Photo 25 Photo 25 Description

Photo 2

Photo 2 Description

Backflow left in service and spare heads Photo 23 Photo 23 Description

Photo 26 Photo 26 Description

Photo 29 Photo 29 Description

Photo 3

Photo 3 Description

Backflow test Photo 21 Photo 21 Description

Photo 24 Photo 24 Description

Photo 27 Photo 27 Description

Photo 30 Photo 30 Description

No.

05135 www.gocanvas.com 7EE134AB-A84F-4B48-8D90-51B5AE99071A

Photo 28 Photo 28 Description

Notifications That Testing is Complete Notified Other (Specify) Yes/No Who Time

Building Management Yes Brian 09:38

Issues

System restored to normal operation

Date

06/02/2021 Time

09:38

Owner or Representative Signature

Date

06/02/2021

Owner or Representative Signature

Inspector Information

I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at this time was left in operational condition upon completion of the inspection except as noted in Part III above.

All testing was completed in accordance with (standard/edition)

NFPA standards Name of Inspector

Scott Hinson

License Number

13-040 Date

06/02/2021 Time

09:38

Inspector Signature

Inspector Signature http://www.gocanvas.com/?utm_source=canvas_pdf&utm_medium=pdf_link&utm_campaign=canvas_pdf_link http://www.gocanvas.com/?utm_source=canvas_pdf&utm_medium=pdf_link&utm_campaign=canvas_pdf_link