VA Bldg. 12 Preaction 4-28-2025.pdf

Pre-Action/Deluge Fire Sprinkler System Inspection

Report

Location Code: IZJKQQS

Contact: Owner or Manager

Contact Address: 975 KIRMAN AVE

RENO, NV 89502-0993

Phone: 775-384-3958

Email:

Property Evaluated: VA SIERRA NV HEALTH CARE

(Assembly)

975 KIRMAN AVE

RENO, NV 89502-0993

Description: Pre/Del (Preaction Bldg. 12)

Work Order: Sv2504011140@@1

Company: Western States Fire Protection

Address: 1655 Marietta Way, Suite 105

Sparks, NV 89431-6000

Company Phone: 775-359-0396

Company Fax: 775-418-5171

Inspector: Daniel I Pellegrino

C-4525

Date of Work: 4/28/2025

Frequency: Semi-Annual

Tag: NA

Deficiency Summary

There are no reported deficiencies for this submission

General Comments

These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.

Performed semi-annual inspection and tests of Preaction system in accordance with NFPA 25 2023 Edition Table 13.1.1.2 and section 13.4

Air compressor operation verified.

147 psi water

32 psi air

Western States Fire Protection, 1655 Marietta Way, Suite 105, Sparks, NV, 89431-6000 Phone: 775-359-0396 Page 1 of 3

Western States Fire Protection 1655 Marietta Way, Suite 105 Sparks, NV 89431-6000 Phone: 775-359-0396

Pre-Action/Deluge Fire Sprinkler System Inspection

Report

Tag NA Inspection Frequency: Semi-Annual Property Being Evaluated:

VA SIERRA NV HEALTH CARE (Assembly) Owner:

Owner or Manager Owner's Phone Number:

775-384-3958 Property Address:

975 KIRMAN AVE, RENO, NV, 89502-0993

1. General A. (To be filled out by the Owner or Owner's Representative) Has the Owners section been answered on another inspection report that will be submitted with this inspection report? Yes No Owner not Available

Answers to the following questions should be for all fire and life safety systems and not limited to the scope of the present inspection form.

1. Has the occupancy, machinery, or operations remained the same since the last inspection? Yes No

2. Has the system(s) remained in service without modifications or repairs since the last inspection? Yes No

3. If a fire has occurred since the last inspection, have all damaged sprinkler system components been replaced? Yes No N/A

4. Have fire pumps had a curve test completed in the past 12 months? Yes No N/A

5. Are gravity, surface, or pressure tanks protected from freezing? Yes No N/A

6. Are any sprinkler heads or other sprinkler system components exposed to harsh conditions (ie.

Corrosive atmospheres, extreme temperatures, etc.) Yes No N/A

7. Do any systems contain low-point drains, excluding wet systems? (Please note - It's the owner's responsibility to ensure Low Point Drains are emptied of condensation on a regular basis)

Yes No N/A

7a. How many low point drains? NA 7b. What are the general locations of low point drains? NA

8. Does the valve room have adequate heat to maintain a minimum of 40 F? Yes No N/A The above answers are verified as accurate and current by the undersigned Owner or Owner’s Representative for all fire and life safety systems.

Owner Signature

Printed Ricky Robinson Title Date 4/28/2025 B. (To be answered by the inspector)

a. Is System in service upon arrival? Yes No

b. Was the alarm panel free of alarm and trouble signals upon arrival? (If no, please explain in comments) Yes No N/A

c. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? Yes No

2. Control Valves

a. Do Control Valves appear to be free of damage/leaks? Yes No

Control Valves:

No. of Valves:

Type: Additional Info:

Easily Accessible?

Signs? Valve in proper position?

Secured? Supervision Operational?

System 1 BFV Yes No Yes No N/A Yes No Yes No

N/A Yes No N/A

3. Water Supplies

a. Water Supply Source City Private

Pressure Fire Pump & Tank Pressure Fire Pump & City Pressure Fire Pump & Pond

Western States Fire Protection, 1655 Marietta Way, Suite 105, Sparks, NV, 89431-6000 Phone: 775-359-0396 Page 2 of 3

Western States Fire Protection 1655 Marietta Way, Suite 105 Sparks, NV 89431-6000 Phone: 775-359-0396

4. Tanks, Pumps, Fire Dept. Connections

a. Appears that the F.D.C. is in satisfactory condition, couplings free, caps or plugs in place and check valves tight? Yes No N/A

b. Are fire department connections visible, accessible, and identification sign(s) in place? Yes No N/A

c. Has the five years hydrostatic test been performed on piping from the fire department connection to the fire department check valve? Yes No N/A

d. Date: 7/2020

5. Pre-Action and Deluge Systems

a. No. of Pre-Action Systems 1

b. No. of Deluge Systems 0

c. Are the air and priming water pressures adequate? Yes No N/A

d. Does Valve and Trim appear to be free of damage/leaks and in good condition? Yes No N/A

e. Does Valve and Trim appear to be in its appropriate open or closed positions at time of inspection? Yes No N/A

f. Have all control valves been fully operated and returned to normal their position? Yes No N/A

g. Did the supervisory devices operate properly during testing? Yes No N/A

h. Has there been an air leakage test of the system(s) within the last 3 years? Yes No N/A

Appears to be due for an air leakage test Leakage Test Date Unknown

6. Trip Test Not applicable

7. After Tests Not applicable

8. Alarms

a. Did the water motor(s) and gong(s) test satisfactory? Yes No N/A

b. Did the electric alarm(s) test satisfactory? Yes No N/A

c. Did the supervisory alarms operate during testing? Yes No N/A

d. Was the alarm panel clear of alarm and trouble signals upon departure? (If no, please explain in comments) Yes No N/A

9. Releasing Panel Information

Manufacturer Model Device Type Number of Devices How Does Panel Release? Additional Notes

Siemens FHA2056-U1R1 Smoke 22 Solenoid

10. Systems, Sprinklers, and Piping (inspected from the ground level)

a. Is the hydraulic design information sign provided, legible, and attached securely to the sprinkler riser? Yes No N/A

b. Has there been an internal inspection of the piping within the last 5 years? Yes No N/A

c. Date last checked (Checking is recommended at least every 5 years) 7/2020

d. Do all gauges appear to be in good condition and read within normal range? Yes No N/A

e. Are all of the gauges dated within 5 years or compared to a calibrated gauge? Yes No N/A

f. Does the hand hose valve(s) on the sprinkler system appear to be in satisfactory condition? Yes No N/A Not applicable

11. Observations These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.

Please see the summary section at the top of the form for the comments.

12. Adjustments or Corrections Made:

13. List Changes in the Occupancy Hazard or Fire Protection Equipment, as Advised by the Owner in Section 1A

14. Inspector Information:

Test Verification:

Inspected By Daniel I Pellegrino Inspector Signature

Inspector License: C-4525 Date of Work 4/28/2025 Inspection Notes

Western States Fire Protection, 1655 Marietta Way, Suite 105, Sparks, NV, 89431-6000 Phone: 775-359-0396 Page 3 of 3