Bldg 38 2024 Fire Sprinkler Hydrant Inspections.pdf

Report of Inspection / Test General Questions

W.O/JOB NUMBERS

W.O.#: 36S79724 P0015

JOB#: CFP24-

LICENSE NUMBERS

State License #: FSI0095 UA #: 1461658

CHICAGO SPRINKLER INVENTORY

# of Wet Systems in the Building: 1 # of Dry Systems in the Building: 0

# of Wet Systems Tested on Report: 1 # of Dry Systems Tested on Report: 0

SYSTEM STATUS

1. Is the system in service? Yes Is the building occupied? Yes

2. Attach a copy of your owner information from with all questions answered and signed by the owner/representative. Required by the Chicago Fire Department in order to submit the report.

N/A Are all fire protection systems in service? Yes

Has the occupancy classification, hazard of contents, and/or storage method remained the same since the last inspection?

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?

Yes

BACKFLOW

3. Are the isolation backflow valves in the open position and secured or supervised?

Yes Is relief port on RPZ device not discharging? N/A

CONTROL VALVES

4. Are the control valves with electrical supervision in correct (open or closed) position?

Yes Are the control valves supervised with seals locked or is supervision in place?

N/A

5. Are the control valves secured or supervised? supervised 6. Are the control valves accesible? Yes

Are the control valves supervised with seals accessible? N/A 7. Are the control valves free from damage or leaks? Yes

Are the control valves supervised with seals free from leaks?

N/A Are the control valves supervised with seals have appropriate wrenches?

N/A

8. Do the control valves have proper signage displayed? Yes 9. All control valves operated through full range of motion and returned to normal position (where a fire pump test header valve is present - disregard as it will be tested during the annual fire pump test)

Yes

Report of Inspection / Test Annual Fire Sprinkler Inspection

2024-10-04 Property Building #38 S 1st Ave Hines IL 60141 Print Date: 2024-10-04

Conducted by: Jeff Franco

Chicago Fire Protection 10355 S Kedzie Ave Chicago IL 60655 7733663477 margaret@chicagofireprotect.com

Copyright 2024 Inspect Point

Are the control valves supervised with seals properly identified?

N/A 10. Were the control valves outside Stem & Yoke valve stems lubricated?

Yes

Are the control valves with locks in correct (open or closed) position?

N/A 10.1. Post Indicator Valves (PIVs) are provided with correct wrenches?

N/A

Are the control valves with locks locked or is supervision in place?

N/A Are the control valves with locks accessible? N/A

Are the control valves with electrical supervision locked or is supervision in place?

Yes Are the control valves with electrical supervision accessible?

Yes

Are the control valves with locks free from any leaks? N/A Are the control valves with locks have the appropriate wrenches?

N/A

Are the control valves with electrical supervision free from any leaks?

Yes Are the control valves with electrical supervision have the appropriate wrenches?

N/A

Are the control valves with locks properly identified? N/A Are the control valves with electrical supervision properly identified?

Yes

Water Flow (sec.) 35

ALARM DEVICES/RISER CHECK

11. Are the water flow alarm devices are free of damage? Yes 12. Do the water flow alarm devices operate correctly when the inspector's test valve is opened and flow observed?

Yes

13. Do the supervisory switches functions properly? Yes 14. Are there records that substantiate that the check valves have been internally inspected and verified to have been working correctly in the past (5) years?

No

15. Outside 10 inch bell(s) present and operates correctly No 16. Inside 6" bell present and operates correctly No

Are alarms and supervisory devices not damaged? Yes

INSPECTOR'S TEST PIPE (ITV)

17. Was the most remote inspector's test pipe (ITV) operated and flow witnessed in a single-story structure?

Note: Buildings under city pressure only, no fire pump

Yes 17.1 Was the test and drain operated and flow witnessed on each floor level of a multi-level structure?

N/A

FIRE DEPARTMENT CONNECTIONS

Are the FDC caps and plugs in place and undamaged? Yes 18. Are the fire department connection(s) visible and accessible?

Yes

18.1. Check valve is not leaking Yes Is the FDC check valve free of leaks? Yes

Is the clapper and automatic drain valve in place and properly operating?

Yes 18.2. Visible piping supplying the fire department connection is undamaged

Yes

18.3. Piping from fire department connection to fire

department connection check valve has been hydrostatically tested at 150 psi (10 bar) for at least 2 hours

No Is the FDC identification sign(s) in place? Yes

Has the interior of the FDC been inspected for obstructions?

Yes 19. Do the fire department connection(s) swivels operate correctly?

Yes

Report of Inspection / Test Annual Fire Sprinkler Inspection

2024-10-04 Property Building #38 S 1st Ave Hines IL 60141 Print Date: 2024-10-04

Conducted by: Jeff Franco

Chicago Fire Protection 10355 S Kedzie Ave Chicago IL 60655 7733663477 margaret@chicagofireprotect.com

20. Are the fire department connection(s) plugs or tamper covers in place?

Yes 21. Are the fire department connection(s) gaskets in place and not damaged?

Yes

Is the FDC easily accessible? Yes 22. Is the fire department connection ball drip valve functional?

Yes

23. In buildings that are not fully sprinklered (e.g. - garage only) are system Identification signs adjacent to the FDC in place and accurate?

N/A 24. In high-rise buildings with multiple zones, are zone identification signs adjacent to the FDC in place and accurate?

N/A

25. Is the fire department connection interior visibly clear of obstructions?

Yes 26. Do the fire department connection flapper(s) operates correctly?

Yes

SPRINKLERS (VISIBLE)

27. Are fire sprinklers free of damage or leaks? Yes 28. Sprinklers and concealed cover plates (if present) are free of corrosion, foreign material, or paint

Yes

29. Are fire sprinklers installed in proper orientation? Yes 30. Do all sprinklers have fluid in glass bulbs, if applicable? Yes

31. Loading - sprinklers are free of accumulated dust or grease

Yes 32. Minimum clearance maintained between sprinklers and storage

Yes

33. Sprinklers tested or replaced due to age - per appropriate testing schedule

N/A 34. Spare sprinkler heads - Proper number and type, including installation wrench

Yes

35. The inspector/tester did not find any recalled devices during the visual inspection

Yes Are visible sprinklers in the proper position: upright, pendent, sidewall?

Yes

Are visible sprinklers free of corrosion and physical damage?

Yes Is there proper clearance below the sprinklers? Yes

Is there liquid in all visible glass bulb sprinklers? Yes Fast response sprinklers 20 or more years old replaced or successfully sample tested within last 10 years?

N/A

Standard response sprinklers 50 or more years old replaced or successfully sample tested within last 10 years?

N/A Dry-type sprinklers replaced or successfully sample tested within last 10 years?

N/A

Have sprinklers subject to harsh environments been replaced or successfully sample tested in the last 5 years?

N/A Are there spare sprinklers and a sprinkler wrench? Yes

HANGERS/SEISMIC BRACING

36. Are visible hangers/seismic bracing in good condition and not damaged or loose?

Yes

DRY SPRINKLER SYSTEMS

37. Did dry pipe test pass NFPA 25 requirements? N/A 38. Were the dry pipe system low points drained in accordance with NFPA 25 and the system restored to service?

N/A

PIPES AND FITTINGS (VISIBLE)

37. Are all visible pipes and fittings in good condition with no external corrosion?

Yes 38. Are the visible pipes and valves free of mechanical damage or leaks?

Yes

Report of Inspection / Test Annual Fire Sprinkler Inspection

2024-10-04 Property Building #38 S 1st Ave Hines IL 60141 Print Date: 2024-10-04

Conducted by: Jeff Franco

Chicago Fire Protection 10355 S Kedzie Ave Chicago IL 60655 7733663477 margaret@chicagofireprotect.com

39. Is visible piping in correct alignment? Yes 40. Are the visible pipes free of external loads? Yes

41. Is all wet piping protected from freezing temperatures? Yes 42. Was an assessment of the internal condition of piping was conducted (every 5 years)?

No

42.1. Was an obstruction investigation conducted if

warranted by internal assessment inspection?

N/A Are visible hangers/seismic bracing in good condition and not damaged or loose?

Yes

MAIN DRAIN TEST

43. Are the main drain test results within 10% from the previous annual test? (document static and residual pressure on the submitted test report)?

Yes 43.1a. Main drain test - if the sole purpose is through a backflow preventer or pressure reducing valve. Static PSI

43.1b. Maind drain test - if the sole purpose is through a backflow preventer or pressure reducing valve. Residual

PSI ____

GAUGES

44. Are all gauges in good operating condition? Yes 45. Gauges - normal water pressure maintained ____PSI? 65

46. Are all gauges tested or replaced every 5 years? Yes Are all check valves externally inspected, operating properly, and are in good condition?

Yes

Are the gauges on system showing normal water supply pressure?

Yes Are Pressure reducing valves in good condition including no handwheels broken?

N/A

Have the mechanical waterflow alarm devices passed tests by opening inspector's test connection/bypass connection with alarms actuating and flow observed?

Yes Do valve supervisory switches indicate movement? Yes

The electrical waterflow alarm devices passed test by opening inspector's test connection/bypass connection with alarms actuating and flow observed?

Yes Are the gauges on system operable and in good working condition?

Yes

Are Pressure reducing valves (sprinkler system) in open position and not leaking?

N/A Are Pressure reducing valves (sprinkler system) with downstream pressure per the design?

N/A

All control valves operated through full range and returned to normal position?

Yes

UNCOMMON WET PIPE SYSTEM TYPES

47. Are there any Non-Freezing System (not to exceed 20 sprinklers)

N/A 47.1. Has the antifreeze solution been tested? N/A

48. Are there any Foam System(s)? (If any of the following systems are present - please provide a full inspection and submit a separate test report to the appropriate equipment profile)

N/A 49. Are there any dry pipe sprinkler systems? N/A

50. Are there any pre-action systems, individual report per system?

N/A 51. Are there any Deluge System(s)? N/A

Report of Inspection / Test Annual Fire Sprinkler Inspection

2024-10-04 Property Building #38 S 1st Ave Hines IL 60141 Print Date: 2024-10-04

Conducted by: Jeff Franco

Chicago Fire Protection 10355 S Kedzie Ave Chicago IL 60655 7733663477 margaret@chicagofireprotect.com

INSPECTION/TESTING CONCLUSION

52. Is the system free of impairments? Yes 53. Notifications have been made to the monitoring entity, building management, and AHJ as necessary?

Yes

54. Has the system been restored to normal operation? Yes

5 YEAR

Are all check valve parts operating properly and are in good condition?

N/A Have strainers, filters, restricted orifices and diaphragm chambers on valves and trim passed internal inspection?

N/A

Have gauges been checked by a calibrated gauge or replaced?

N/A Have alarm valves and associated strainers, filters, and restricted orifices pass an internal inspection?

N/A

Deficiency Notes

List any deficiency repairs to be done: N/A

Signature

55. Signature of Technician N/A 56. Signature of building representative N/A

57. Attach signatures (Optional) N/A

WATERFLOWS

Did all water flows operate correctly? Yes

ALARMS

Is the alarm valve free from physical damage? N/A Is the trim in correct (open or closed) position? N/A

Is there no leakage in the retarding chamber or drains? Yes

Report of Inspection / Test Annual Fire Sprinkler Inspection

2024-10-04 Property Building #38 S 1st Ave Hines IL 60141 Print Date: 2024-10-04

Conducted by: Jeff Franco

Chicago Fire Protection 10355 S Kedzie Ave Chicago IL 60655 7733663477 margaret@chicagofireprotect.com

MAIN DRAIN FLOW TESTS

System Initial Static Residual Static Flow Observed? Did waterflow alarm operate?

Riser #1 65 60 65 Yes Yes

INSPECTORS TEST CONNECTION

System Location Description Time to

Alarm (seconds)

Reported? Smooth Orifice

Easily Accessible

Signs? Pass?

Riser #1 South West wall Test & Drain 35 Yes Yes Yes Yes Yes

VALVES

System Description Location Valve Type Size Secured Open

Easily Accessible Signs Exercised

Stems Lubricated

# of Turn s

Backflow Valve 1

North Wall OS&Y 4 " Monitored Yes Yes Yes Yes Yes

Backflow Valve 2

North Wall OS&Y 4 " Monitored Yes Yes Yes Yes Yes

FDC North wall approximately 15' off ground

Fdc Check Valve

4 " Not Applicable N/A Yes N/A N/A N/A

DRAIN VALVES

System Description Location Drain Aux Drain Drained Water Flow Observed

Riser #1 Main drain At valve Ball Valve N/A Yes

Report of Inspection / Test Annual Fire Sprinkler Inspection

2024-10-04 Property Building #38 S 1st Ave Hines IL 60141 Print Date: 2024-10-04

Conducted by: Jeff Franco

Chicago Fire Protection 10355 S Kedzie Ave Chicago IL 60655 7733663477 margaret@chicagofireprotect.com

Deficiencies - General Questions

Deficiency #1

14. Are there records that substantiate that the check valves have been internally inspected and verified to have been working correctly in the past (5) years?: No Status: Non Critical

Notes: 5 year inspection is scheduled

Deficiency #2

15. Outside 10 inch bell(s) present and operates correctly: No

Notes: There is no outside bell but there is a horn/strobe

Deficiency #3

18.3. Piping from fire department connection to fire department connection check valve has been hydrostatically tested at 150 psi (10 bar) for at least 2 hours: No Status: Non Critical

Notes: 5 year inspection is scheduled

Deficiency #4

16. Inside 6" bell present and operates correctly: No

Notes: There is no inside bell but there is a horn/strobe at riser

Deficiency #5

42. Was an assessment of the internal condition of piping was conducted (every 5 years)?: No Status: Non Critical

Notes: 5 year inspection is scheduled

Deficiencies - General Wet System Questions

None

Deficiencies - Riser #1

None

Deficiencies - Inspectors Test Connection

None

Deficiencies - Valves

None

Deficiencies - Drain Valves

Report of Inspection / Test Annual Fire Sprinkler Inspection

2024-10-04 Property Building #38 S 1st Ave Hines IL 60141 Print Date: 2024-10-04

Conducted by: Jeff Franco

Chicago Fire Protection 10355 S Kedzie Ave Chicago IL 60655 7733663477 margaret@chicagofireprotect.com

None

Report of Inspection / Test Annual Fire Sprinkler Inspection

2024-10-04 Property Building #38 S 1st Ave Hines IL 60141 Print Date: 2024-10-04

Conducted by: Jeff Franco

Chicago Fire Protection 10355 S Kedzie Ave Chicago IL 60655 7733663477 margaret@chicagofireprotect.com

Inspector Signature

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

Inspector Name Signature Date Completed

Jeff Franco 2024-10-04

Client Signature

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

Client Name Signature Date Completed

Paul Coppola 2024-10-04

Report of Inspection / Test Annual Fire Sprinkler Inspection

2024-10-04 Property Building #38 S 1st Ave Hines IL 60141 Print Date: 2024-10-04

Conducted by: Jeff Franco

Chicago Fire Protection 10355 S Kedzie Ave Chicago IL 60655 7733663477 margaret@chicagofireprotect.com