RFQQ 2631 Attach D Answers UWMC MTLK Part10.pdf

EC.02.03.05.2

1st fir. Ceiling 01EA828 B open TS 1st Fir. Sectional Valve N/A by EA146

1st fir. Ceiling 01EC829 B open TS 1st Fir. Sectional Valve N/A by EC103

1st fir. EC1 stair 01EC827 OS&Y open TS 1EA, 1EC, except EA165 01EA719

Ml EC1 stair M1EC01 OS&Y open TS EC Stair riser feed N/A

North of EC010 M1EC830 OS&Y open TS Domestic water feed

M1EC831,

M1EC02

North of EC010 M1EC831 OS&Y open TS Domestic water feed

M1EC831,

M1EC02

North of EC010 M1EC832 B open TS M1EC, M1EA Mech. None

North of EC010 M1EC835 B open TS PRV High pressure valve M1EC833

North of EC010 M1EC833 B open TS PRV Low pressure valve M1EC835

North of EC010 M1EC834 B open TS PRV Low pressure valve M1EC836

North of EC0J0 M1EC836 B open TS PRV High pressure valve M1EC834

North of EC010 M1EC839 B Closed TS PRV Test header valve N/Acontrol valve

North of EC010 M1EC06 B open TS High Press. for Pacific N/A Sectional tower valve

EA exhaust

M1EA01 B TS

High Press. Supply for N/A Fed from tunnel up 20ft open

EA1 stair Montlake Fire

EA exhaust High Press. Supply for tunnel up 20ft M1EA02 B open TS N/A steel ladder

ECPRV

1st fir. S.E. of EA165 Carousel &

EE Stair in 01EA840 B open TS Cascade Cart

None

EA100D closet

Mech. rm.

03EB914 OS&Y TS EB346 N/A

EB346

open

Mech. rm.

02EB916 OS&Y TS ER vehicle entrance N/ A Dry system

EB246

open

8th fir. EB1 08EB909 OS&Y TS 8th fir. 08EB909 stair open

7th fir. EB1

07EB910 OS&Y TS 7EA, 7EC, 7EB 07EA713

stair open

6th fir. EB1

06EB911 OS&Y TS 6EA,6EB,6EC 06EA714

stair open

Page 2 of 14 Sprinkler Valves Monthly -July 2024 Author: Manager FOMS Date: 24.6.11 v.S

5th fir. EBl stair

4th fir. EBl stair

3rd fir. EBl stair

3rd fir. EB2 stair

Ml EA

Ml NE00l

TMS: 447294

SE of Ml EE0l0A

SE of Ml

EE010A

M1SE0102

General Control valves

Dry /Pre-action Valves

0SEB912

04EB913

03EB01

03EB02

M1EA03

M1NE02

MlNE0l

M1EE527

M1EE01

M1SE01

Yes Yes Yes Yes Yes Yes

Yes

Inspector: JC Tobar Inventory: 47

TMS:

NOTES:

OS&Y

OS&Y

OS&Y

OS&Y

B

B

B

B

OS&Y

B

No No No No No No

No open TS SEA,SEB,SEC 0SEA715 open TS 4EA,4EB,4EC 04EA716 open TS EBl Stair riser feed N/A open TS EB2 Stair riser feed N/A open TS EA0S0 Air intake N/ A Dry system

TS

NE00lA, NE001B, MlNE0l Pre-open NE001B1, NE00lC, action NE00lA, NE00lB, M1NE02 Pre-open TS NE001B1, NE00lC, action

NE189

TS

EE Mech. Rm. SE

None open Basement open TS EE1 stair Riser Feed None open TS Pacific & Muilenburg 01EE526, Low Press. Main 01EEE24

Gauges are in good condition and maintaining normal air or water pressure In the correct (open or closed) position (13.3.2.2) Sealed, locked, or supervised (13.3.2.1) Accessible (13.2.3) Free from damage or leaks (13.3.2.2) Proper signage (4.1.8, 13.3.2.2) Exterior-free of damage, trim valves are in correct (open or closed) position, and intermediate chamber is not leaking (13.4.4.1.4)

Completion Date: _______ _

Sprinkler Valves Monthly -July 2024 Author: Manager FOMS Date: 24.6.11 v.5

Inspection, Testing, & Maintenance of Water Based Fire Protection Systems

· University of Washington Medical Center

1959 NE Pacific St, Seattle, WA 98.105

(206)598-4911

This form covers a Monthly inspection period per NFPA 25 Tower/location: MONTLAKE TOWER (SA)

General: Wet/Dry/Pre-action system inspection shall be inspected to verify the valves are in the normal open or closed position, Sealed, Locked or Supervised, Accessible, Free from leaks and provided with applicable

Identification.

Valve Location Valve Valve Normal Secured

Feeds Associated Date

Number type positon by Valves inspected

SA9101 Mech.

08EA732,

Rm 09SA301 B open TS SA9100 Dry system 08SA303, 08SA302

8th fir. SAl Stair 08SA302 B open TS SA9100 Dry system 08EA732

09SA301,

8th fir. SAl Stair 08SA303 B open TS SA9100 Dry system 08EA732, 08SA302

8th fir. SAl Stair 08SA304 PRV open TS SSA 08EA733

7th fir. SAl Stair 07SA306 PRV open TS 7SA 07EA735

6th fir. SAl Stair 06SA308 PRV open TS GSA 06EA737

5th fir. SAl Stair 0SSA310 PRV open TS SSA 0SEA739

4th fir. SAl Stair 04SA312 PRV open TS 4SA 04EA741

3rd fir. SAl Stair 03SA314 B open TS 3SA

03SA315,

03EA744

3rd fir. SAl Stair 03SA315 B open TS 3SA

03EA744,

03SA314

3rd fir. SA3106 03SA316 B open TS SA3104 pre action 03SA317

3rd fir. SA3106 03SA317 B open TS SA3104 pre action 03SA316

3rd fir. SA3106 03SA318 B open TS SA3100F pre action 03SA388

3rd fir. SA3106 03SA388 B open TS SA3100F pre action 03SA318

3rd fir. SAl Stair 03SA382 B open TS SA3103 pre action 03SA383

3rd fir. SA3106 03SA383 B open TS SA3103 pre action 03SA382

2nd fir. SAl Stair 02SA320 PRV open TS 2SA 02EA746

Page 4 of 14 Sprinkler Valves Monthly -July 2024 Author: Manager FOMS Date: 24.6.11 v.S

MRI Rm. 1, 2 & 3

02SA381,

2nd fir. SA2101 02SA321 B open TS 02SS622, SA2210A,SA2210B

02EE524

MRI Rm. 1, 2 & 3

02SA321,

2nd fir. SA2101 02SA381 B open TS

SA2210A,SA2210B

02SS622,

02EE524

1st fir. SA1 Stair 01SA322 B TS 1SA

01EA749,

open

01SA323

1st fir. SA1 Stair 01SA323 B TS 1SA

01EA749,

open

01SA322

NE Columbia St. 01SA001 PIV open TS Fire sprinkler supply N/A

8th fir. EA1 Stair 08EA712 B open TS Muilenburg SEA 08EB909

8th fir. EA1 Stair 08EA731 B open TS SSA fir. 08EA730

8th fir. EA1 Stair 08EA730 B open TS SSA fir. 08EA731

8th fir. EA1 Stair 08EA732 B open TS SA9100 08SA302

8th fir. EA1 Stair 08EA733 B open TS SSA 08SA304

7th fir. EA1 Stair 07EA734 B open TS Muilenburg 7EA 07EA713

7th fir. EA1 Stair 07EA713 B open TS Muilenburg 7EA

07EB910,

07EA734

7th fir. EA1 Stair 07EA735 PRV open TS 7SA 07SA306

6th fir. EA1 Stair 0GEA714 B open TS Muilenburg GEA 0GEA736

6th fir. EA1 Stair 0GEA73G B open TS Muilenburg GEA 0GEA714

6th fir. EA1 Stair 0GEA737 PRV open TS GSA 06SA308

5th fir. EA1 Stair 0SEA715 B open TS Muilenburg SEA 0SEA738, 5th fir. EA1 Stair 0SEA738 B open TS Muilenburg SEA 0SEA715

5th fir. EA1 Stair 0SEA739 PRV open TS SSA 0SSA310

4th fir. EA1 Stair 04EA716 B open TS Muilenburg 4EA 04EA740

4th fir. EA1 Stair 04EA740 B open TS Muilenburg 4EA 04EA716

4th fir. EA1 Stair 04EA741 PRV open TS 4SA 04SA312

Page 5 of 14 Sprinkler Valves Monthly -July 2024 Author: Manager FOMS Date: 24.6.11 v.S

3rd fir. EAl Stair 03EA717 B open TS Muilenburg 3EA 03EA742

3rd fir. EAl Stair 03EA742 B open TS Muilenburg 3EA 03EA717

3rd fir. EAl Stair 03EA743 B TS 3SA

03SA315,

open

03EA744

3rd fir. EAl Stair 03EA744 B open TS 3SA

03SA315,

03EA743

2nd fir. EAl Stair 02EA745 B open TS Muilenburg 2EA 02EA718

2nd fir. EAl Stair 02EA718 B open TS Muilenburg 2EA 02EA745

2nd fir. EAl Stair 02EA746 PRV open TS 2SA 02SA320

1st fir. EAl Stair 01EA719 B open TS Muilenburg lEA 01EA747

1st fir. EAl Stair 01EA747 B open TS Muilenburg lEA 01EA719

01SA323,

1st fir. EAl Stair 01EA748 B open TS lSA 01SA322, 01EA749

01SA323,

1st fir. EAl Stair 01EA749 B open TS lSA 01SA322, 01EA748

Ml SA11 Stair M1SA202 B open TS MlSA M1SA201

Ml SA11 Stair M1SA201 B open TS MlSA M1SA202

MlSA SA2 Stair M1SA324 B TS MlSA

M1SA202,

open

M1SA325

MlSA SA2 Stair M1SA325 B TS MlSA

M1SA202,

open

M1SA324

Ml SA000R 01SA326 B TS SAl & 2 Standpipe N/A

Hallway open

Ml SA000R M1SA327 B close TS Pump Test Header N/A

Hallway

Ml SA0004 M1SA01 OS&Y open TS Fire Pump N/A

Ml SA0004 M1SA02 B open TS 611 Main Discharge N/A

Ml SA0004 M1SA03 B closed TS Flow Meter N/A

Ml SA0004 M1SA04 B closed TS Flow Meter N/A

Ml SA0004 M1SA28 OS&Y open TS Tank N/A

M1SSA0004 M1SA24 B open TS Electric Clay valve M1SA25

M1SSA0004 M1SA25 B open TS Electric Clay valve M1SA24

Ml SA0004 M1SA26 B open TS Mechanical Clay valve M1SA27

Page 6 of 14 Sprinkler Valves Monthly -July 2024 Author: Manager FOMS Date: 24.6.11 v.5

Ml SA0004 M1SA27 B

Ml SA0004 M1SA31 B

Ml SA0004 M1SA32 B

M1SA33 B

Ml SA0004 M1SA34 B

Ml SA0004 M1SA23 B

Ml SA0004 M1SA21 B

Ml SA0004 M1SA22 B

Ml SA0004 M1SA101 B

Ml SA0004 M1SA102 B

Ml SA0004 M1SA20 OS&Y

Ceiling Outside

M1SA41 B

Ml SA0004

Up. Lev. across

M1SA42 B

from Ml SA0004

General Yes No

Control valves Yes No

Yes No

Yes No

Yes No

Yes No

Dry/Pre-action Valves Yes No

Inventory: 77 Inspector: Kamal Chetty

TMS:

NOTES:

open TS Mechanical Clay valve M1SA26 open TS Domestic supply M1SA32 open TS Domestic supply M1SA31 open TS Jockey pump M1SA34 open TS Jockey pump M1SA33 closed TS Manual Tank fill N/A open TS RPBA M1SA22 open TS RPBA M1SA21 open TS Dry system PRV M1SA102 open TS Dry System SA loading

M1SA101

dock open Locked Sensing rod & Float N/A open TS Level 1,2,3,4,5,7 & 8

N/A Hose Cabinets open TS Ml Hose Cabinets N/A

Gauges are in good condition and maintaining normal air or water pressure (13.2.7.1)

In the correct (open or closed) position (13.3.2.2)

Sealed, locked, or supervised (13.3.2.1)

Accessible (13.2.3)

Free from damage or leaks (13.3.2.2)

Proper signage (4.1.8, 13.3.2.2)

Exterior-free of damage, trim valves are in correct (open or closed) position, and intermediate chamber is not leaking (13.4.4.1.4)

Sprinkler Valves Monthly-July 2024 Author: Manager FOMS Date: 24.6.11 v.5

Inspection, Testing, & Maintenance of Water Based Fire Protection Systems University of Washington Medical Center

1959 NE Pacific St, Seattle, WA 98195

(206)598-4911

This form covers a Monthly inspection period per NFPA 25 Tower/location: Pacific Tower

General: Wet/Dry/Pre-action system inspection shall be inspected to verify the valves are in the normal open or closed position, Sealed, Locked or Supervised, Accessible, Free from leaks and provided with applicable Identification.

Valve Location Valve Valve Normal Secured

Feeds Associated

Date Inspected Number type positon by Valves

AA-100 Cage 0lA0l OS&Y open TS Ml N/A

C- 103 by stores 0lCOl OS&Y open TS Ml N/A

Crawl Space MlAA M1AA02 OS&Y open TS Supply for M1BB385, N/A

M1BB386

Ml CC016 M1CC02 OS&Y open TS High press. 10-18 & low

None press. Ml-9

West Side of 881 M1BB05 OS&Y TS M1BB385, M1BB386 N/ A OS& Y Feed

Stair -1 level open

Unit 1 Mech. rm., part of

S.E of Ml 88011 M1BB06 OS&Y open TS unit 2 mech. rm. and RR N/A wing

N.E of Ml 88011 M1BB07 B open TS High pressure BB tower 1st- N/ A HP control

9th fir .. valve for PRV's

High pressure control valve N/A Normally

S.E of Ml 88011 M1BB08 B open TS for Valve's M1BB386, Closed Valve

M1BB385

S.E of Ml 88011 M1BB09 OS&Y open TS High pressure control valve

N/A OS&Y Feed for BB tower

S.E of Ml 88011 M1BB10 OS&Y open TS BB stairs 10th-18th fir.

N/ A HP control valve for PRV's

N.E of Ml BB011 M1BB392 B open TS PRV testing Iso. valve BB 1

N/A 9th flr.

N.E of Ml 88011 M1BB399 B open TS PRV testing lso. Valve BB 10

N/A 18th fir.

West Side of 881

M1BB385 OS&Y TS

Minus 1 cc, NN010, & None

Stair -1 level open adjoining MlSW

West Side of 881

M1BB386 OS&Y TS

Minus 1 Part of MlRR & SW None

Stair -1 level open plenum

South of 88011 M1BB387 OS&Y open TS BB011 None

N.E of Ml 88011 M1BB388 B open TS Low pressure BB tower 1st-

N/A LP valve 9th fir ..

N.E of Ml 88011 M1BB389 B open TS Low pressure BB tower 1st-

N/A LP valve 9th fir.

N.E of Ml 88011 M1BB390 B open TS High pressure BB tower 1st- N/ A HP control

9th fir. valve for PRV's

N.E of Ml 88011 M1BB391 B open TS High pressure BB tower 1st- N/A HP control

9th fir. valve for PRV's

S.E of Ml BB011 M1BB395 B open TS BB stairs 10th-18th fir. N/A HP valve

Page 8 of 14 Sprinkler Valves Monthly -July 2024 Author: Manager FOMS Date: 24.6.11 v.5

S.E of Ml 88011 M188396 8 open TS BB stairs 10th-18th fir. N/A HP valve

S.E of Ml 88011 M188397 8 open TS BB stairs 10th-18th fir. N/A LP valve

N.W. corner of M1SW01 OS&Y TS RR riser closet N/A

SW010

open

N.W. corner of M1SW235 OS&Y TS Ml RR N/A

SW0lO open

S.E of Ml SW010 M1SW629 OS&Y open TS Part of SW010 None

S.WofSW010 M1SW397 OS&Y open TS S. air Intake plenum N/ A Dry System

N.W. corner of

SW010 Above Unit M1SW399 OS&Y open TS Part of SW010 None

2MCC

9th fir. 881 Stair 0988350 OS&Y open TS 9CC None

8th fir. 881 Stair 0888351 OS&Y open TS 888,CC808,CC810 0888354

7th 881 Stair 0788358 8 open TS 7CC, 7EE 07EE514

6th fir. 881 Stair 0688360 8 TS 6CC,6EE,6SS

06EE516,

open

06SS614

05EE518,

5th fir. 881 Stairs 0588367 OS&Y open TS sec, SEE, SSS,SNN 05SS615, 05NN416

4CC, 4EE, 4NN, 4SS except

04NN417,

4th fir. 881 Stair 0488369 OS&Y open TS 04EE520, CC412 &C420

04SS616

4th fir. CC412 04CC320 ·OS&Y TS Sectional Valve N/A ceiling open

3rd fir. 882 stair 0388374 OS&Y open TS 388, 3AA 0388376

3rd fir. 881 stair 0388375 OS&Y open TS 3NN 03NN418

3rd fir. 881 stair 0388376 OS&Y open TS 388, 3AA 03B8374

3rd fir. 881 stair 0388377 OS&Y open TS 3SS,3SW,3SE 03SS619

2nd fir. 881 stair 028B378 OS&Y open TS South part of 2NN, N. of

02NN421

CC200S hall, CC200R, 88206

2nd fir. 881 stair 0288379 8 open TS

288, 2AA, NW211C,

028B381

NW211A

2nd fir. Ceil. by 0288380 8 open TS Sectional valve for 288 N/A

NW211A

2nd fir. B82 stair 0288381 8 open TS South part of 2NN, Part of

028B378

2CC& B8208

1st fir. 882 stair 0188382 8 open TS 188 01B8384

TMS: 447294 018B384 8 open TS 1B8 018B882

Ml B81 stair M18B04 OS&Y TS 8B1 Stair riser for 1088-

N/ A system riser open 1888 Fir.

Ml 881 stair M18803 OS&Y TS 881 & 2 Stair riser for Ml-

N/ A system riser open 98B Fir.

1st fir. 882 stair 018B02 OS&Y open TS 882 stair Minus level-9th fir. N/ A system riser

Ml 881 stair M18801 OS&Y TS BB Stair's riser for Ml-988

N/ A system riser open Fir.

8th fir. EE1 stairs 08EE512 OS&Y open TS sec, BEE, 8NN, 8SS

08NN411,

08SS612

Page 9 of 14 Sprinkler Valves Monthly -July 2024 Author: Manager FOMS Date: 24.6.11 v.S

7th fir. EE1 stairs 07EE514 OS&V open TS 7CC, 7EE 07B8358

6th fir. EE1 stairs 06EE516 OS&Y open TS 6CC,6EE,6SS

06SS614,

06B8360

0SSS615,

5th fir. EE1 stairs 0SEE518 OS&Y open TS sec, SEE, SSS,SNN 058B367, OSNN416

5th fir. EE ceiling 0SEE519 OS&V open TS Sectional Valve N/A near EE502

4CC, 4EE, 4NN, 4SS except

04SS616,

4th fir. EE1 stairs 04EE520 OS&V open TS 04NN417, CC412 &C420

048B368

3rd fir. EE1 stairs 03EE522 OS&Y open TS 3CC, 3EE, 3NE None

2nd fir. EE1 stairs 02EE523 OS&V open TS 2NE, NN200Z, NN200X hall

None & adjoining rooms

2nd fir. EE1 stairs 02EE524 OS&Y open TS 2EE, 2SE, 2SW, 2SS part of

02SS622

2cc

1st fir. EE1 stairs 01EE526 OS&Y open TS 1EE, 1NE, 1SE, & NE Mech.

01SS625

Rm.

9th fir. NN Roof 09NN410 B open TS NN900 Mech. Rm. None

8th fir. NN1 stair 08NN411 OS&Y open TS sec, SEE, 8NN, 8SS

08EE512,

08SS612

8th fir. NN ceil.

08NN412 B TS Sectional Valve N/A near desk open

7th fir. NN1 stair 07NN413 OS&V open TS 7NN, 7SS 07SS613

06EE516,

6th fir. NN1 stair 06NN415 OS&Y open TS GCC, GEE, 6SS, GNN 06SS614, 06B8360

0SEE518,

5th fir. NN1 stair 0SNN416 OS&Y open TS SNN,SEE,SSS,SBB 05SS615, 05B8367

4CC, 4EE, 4NN, 4SS except

04EE520,

4th fir. NN1 stair 04NN417 OS&Y open TS 04SS616, CC412 & C420

04B8368

3rd fir. NN1 stair 03NN418 OS&Y open TS 3NN 0388375

3rd fir. NN1 stair 03NN419 OS&Y open TS 3NN

2nd fl. Celling across from 2NN PET entrance near 02NN420 B open TS Sectional valve N/A double doors to hybrid OR

2nd fir. Near SS262 02SS623 B open TS Sectional valve N/A

2nd fir. NN1 stair 02NN421 OS&V open TS South part of 2NN, N. of

028B378 CC200S hall, CC200R, B8206

1st fir. NN1 stair 01NN01 OS&V open TS NN1 stair riser None

NN Mech. Rm M1NN02 OS&V open TS NN1 & NN2nd fir None

NN Mech. Rm M1NN423 OS&Y open TS NN0S0 Mech. Rm. None

Ml NW2 Stair M1NW114 OS&Y open TS Minus 1 NW None

1st fir. NW135 01NW01 OS&Y open TS NW2 stair riser, NN141, none NW267 Pre-action

Page 10 of 14 Sprinkler Valves Monthly -July 2024 Author: Manager FOMS Date: 24.6.11 v.S

2nd Fir. Ceiling in

02NW111 OS&Y

NW231

open TS 2NW None

1st fir. NW2 Stair 01NW112 OS&Y open TS lNW None

NN141 01NN113 OS&Y open TS NN141 & Corridor None

NN1418 0lNWllS 8 open TS NW267 N/ A Pre-action

NN1418 01NW116 B open TS NW267 N/ A Pre-action

9th fir. Roof SS950 09SS611 8 open TS SS950 Mech. Rm. None

8th fir. SSl stair 08SS612 OS&Y open TS sec, 8EE, 8NN, 8SS

08NN411,

08EE512

7th fir. SSl stair 07SS613 OS&Y open TS 7NN, 7SS 07NN413

6th fir. SSl stair 06SS614 OS&Y open TS 6CC, 6EE, 6SS 0688360, 06EE516

0588367, 5th fir. SSl stair 05SS615 OS&Y open TS sec, SEE, SSS,SNN 0SEE518, 0SNN416

4CC, 4EE, 4NN, 4SS except

04NN417,

4th fir. SS1 stair 04SS616 8 open TS 04EE520, CC412 &C420

0488368 4th fir. SS ceiling

04SS617 OS&Y open TS Sectional Valve N/A near fish tank

3rd fir. SS1 stair 03SS618 OS&Y open TS 3SE, 3SS, 3SW 0388377

3rd fir. SS1 stair 03SS619 OS&Y open TS 3SE,3SS,3SW 0388377

2nd fir. SS1 stair 02SS622 OS&Y open TS 2EE, 2SE, 2SW, 2SS part of

02EE524

2cc

Next to closet

01SW628 OS&Y TS

Exhaust Duct from kitchen None

SW137

open hood

1st fir. SS1 stair 01SS625 8 open TS lEE, lNE, 1SE, & NE Mech.

Rm.

01EE526

1st fir. SS1 stair 01SS626 OS&Y open TS 1SW Cafeteria, kitchen

None hood exhaust system

1st fir. SS1 stair 01SW631 OS&Y open TS FCC East None

Ml SS1 stair M1SS01 OS&Y open TS SSl stair riser

01SS625,

03SS619

Page 11 of 14 Sprinkler Valves Monthly -July 2024 Author: Manager FOMS Date: 24.6.11 v.5

General

Control valves

Dry /Pre-action Valves

Inventory: 95 Inspector: Dan Parisot

TMS:

NOTES:

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

No

No

No

No

No

No

Gauges are in good condition and maintaining normal air or water pressure (13.2.7.1)

In the correct (open or closed) position (13.3.2.2)

Sealed, locked, or supervised (13.3.2.1)

Accessible (13.2.3)

Free from damage or leaks (13.3.2.2)

Proper signage (4.1.8, 13.3.2.2)

Exterior-free of damage, trim valves are in correct (open or closed) position, and intermediate chamber is not leaking (13.4.4.1.4)

Sprinkler Valves Monthly -July 2024 Author: Manager FOMS Date: 24.6.11 v.S

Inspection, Testing, & Maintenance of Water Based Fire Protection Systems University of Washington Medical Center

1959 NE Pacific St, Seattle, WA 98195

(206)598-4911

This form covers a Monthly inspection period per 2011 NFPA 2513.2.7 Tower/location:

Surgery Pavilion

General: Wet/Dry/Pre-action system inspection shall be inspected to verify the valves are in the normal open or closed position, Sealed, Locked or Supervised, Accessible, Free from leaks and provided with applicable Identification.

Valve Location Valve Number Valve type Normal Secured

Serves Date Inspected positon by

NE Columbia Rd. SPFV0l PIV open TS Surgery Pavilion

SP1005 SPFVl OS&Y open TS DCVA feed for all valves

SP1005 SPFV2 OS&Y open TS DCVA feed for all valves

SP1005 SPFV3 B open TS Electrical Vault, level 1 Parking

SP1005 SPFV4 B open TS 811 Feed for all standpipes

SP1005 SPFV5 B open TS Level 1 parking

SP1005 SPFVG B open TS Level 2 Parking

SP1005 SPFV7 B . open TS Level 3 parking

Ceiling at 1st Fir. Stair 1 SPFV8 B open TS Stair 1 Riser

1st Fir. Stair 1 SPFV9 B open TS 1st Fir.

1st Fir. Stair 4 SPFV10 B open TS Stair 4 Riser

Ceiling at SP1305 SPFV11 B open TS Stair 3 Riser

2nd Fir. Stair 1 SPFV12 B open TS L1011

2nd Fir. Stair 1 SPFV13 B open TS L1012,L2000

2nd Fir. Stair 1 SPFV14 B open TS Link Bridge 2nd fir but NOT

L2000

2nd Fir. Stair 1 SPFV15 B open TS 2nd fir.

3rd Fir. Stair 1 SPFV16 B open TS Link bridge 3rd fir. NOT L3000 or L30000 stair

3rd Fir. Stair 1 SPFV17 B open TS 3rd Fir., L3000 & L3000 Stair

Penthouse Stair 1 SPFV18 B open TS Roof FDC

Penthouse Stair 4 SPFV19 B open TS SP Penthouse

Pl Stair 5 SPFV20 B open TS Stair 5 Riser

Pl Stair 1 SPFV21 B open TS Parking level 1 elevator lobby

Page 13 of 14 Sprinkler Valves Monthly -July 2024 Author: Manager FOMS Date: 24.6.11 v.5

P2 Stair 1 SPFV22

P3 Stair 1 SPFV23

SPl00S SPFV25

SPl00S SPFV27

Stair 1 Penthouse SPFV26

General

Yes

Control valves

Yes

Yes

Yes

Yes

Yes

Dry/Pre-action Valves

Yes

Inventory: 26 Inspector: Tom Imel

TMS:

NOTES:

Page 14of 14

B open TS Parking level 2 elevator lobby

B open TS Parking level 3 elevator lobby

B open TS Pharmacy Rm. 1004

B open TS IT Server Rm. SP1003

B open TS Stair 1 penthouse & elevator equipment rm.

No Gauges are in good condition and maintaining normal air or water pressure (13.2.7.1)

No In the correct (open or closed) position {13.3.2.2)

No Sealed, locked, or supervised (13.3.2.1)

No Accessible (13.2.3)

No Free from damage or leaks (13.3.2.2)

No Proper signage (4.1.8, 13.3.2.2)

No Exterior-free of damage, trim valves are In correct (open or closed) position, and intermediate chamber is not leaking (13.4.4.1.4)

Sprinkler Valves Monthly -July 2024 Author: Manager FOMS Date: 24.6.11 v.5

UWMC Fire Sprinkler !nspe_ction & Testing Task List

• I , _ ••

JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY j AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER ·

QUARTERLY

SUPERVISORY

Dry and Pre-action

PRE-ACTIONS THAT DO

NOT HAVE CLEAN AGENT

SEMI-ANNUAL WATER

FLOWS & TAMPERS

ANNUAL FIRE PUMP TEST M

ANNUAL PRV EXERCISE

ANNUAL MAIN DRAIN

TEST

SYR. TEST: FDC, GAUGES,

AND STANDPIPE ETC.

M - Montlake Tower C - Cascade Tower SP - Surgery Pavilion · P - Pacific Tower

ALL

M&P

M&P

M&P

M&P

ALL

SP

SP

S·P

All

M&P

M&P

M&P

Performed in 202 6f

All

SP

SP & C

UWMC Fire Sprinkler hTspection & Testing Task List

1. Quarterly Supervisory Test: Test supervisory signal devices, High and Low air supervisory signals on dry and pre action systems

2. Semi-Annual Water Flows and Tamper devices: Test vain-type and pressure-type water flow devices and valve tamper switches include dry system, but can be a dry/partial trip.

3. Annual Pre-action Test: Test with ETG Fire to conduct the clean agent in conjunction with the Pre-action sprinkler system. (Testing would start at 5am to limit impact)

4. Semi-Annual Water Tank: Test high and low water tank alarm level.

5. 3yr Dry system full trip: Full trip test to be conducted at the end of line. (60 Seconds to inspectors test Due in 2018)

6. Annual fire pump Test: Test fire pump at a full flow condition this will be performed on a Sat. early morning 6am to limit impact.

7. Annual PRV exercise test: Open and close PRV valve record inlet and out let pressures.(Test Cap will be provided to record pressures and limit water)

8. Annual Main Drain test: Record static and Residual pressure cross reference system demand requirements.

9. 5yr.Test: UWMC will require testing of the 5yr. interval testing requirements per NFPA 25 i.e. gauges, FDC, Standpipes. This will require specific scheduling to limit impact.

► Scheduled Test shall be performed as early as 6am Tue. - Thur. with Tony V. Fire alarm shop lead ► Work Cell (206)598-2918 or Fire alarm shop# (206)598·8231

► Hugo S. Office# (206)598·9760 or Personal Cell (206)249·3900

► Fire alarm shop will assist in escorting and testing until the service technician is familiar with the facility.

Testing documentation and Keys will be provided by UWMC. Repairs maybe be needed, UWMC will provide a pipe machine and misc. parts, there are limitations on material, but UWMC will order material for scheduled repairs

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