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Home My WebLink About2005-Building (ceiling) .. . ~ Ahern Fire Protection A division of J. F. Ahern Co. 201 Mo"'s Court, P.O. Box 1316. Fond du Lac, WI 54936.1316 TEL(920)921-9020' FAX(920)921-8666' www.ahemfke.com Wisconsin' Illinois - MIsso",1 . Nebcaska' Iowa. Minnesota December 12, 2005 RECEIVED DEe 1 J 2005 DEPARTMENT OF COMMUNITY DEVELOPMENT Building Inspector -- Brian Noe City of Oshkosh 215 Church Avenue -- PO Box 1130 Oshkosh, WI 54901 T -920/236-5051 F-920/236-1130 RE: FIRE PROTECTION SYSTEM INSTALLATION OLD NAVY - PRIME OUTLET MALL 3001 SOUTH WASHBURN OSHKOSH, WISCONSIN 54904 AHERN FIRE PROTECTION WORK ORDER No. 991895 Dear Brian: Enclosed is a copy of the Contractor's Material and Test Certificates covering the above-referenced Fire Protection System Installation for your files. Very truly yours, AHERN FIRE PROTECTION AdiV~.'. ..0.fJ.F.Ahernc~.~ ¿1m ¡j¿~ JeffR. Batterman Service Supërintë¡jdent JRB/ksj LCITYI2.12.05.000 An Equal Opportunity Employer AHERN FIRE PROTECTION Còntractor's Material and Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and wünessed by an owner's representative. All defects shall be corrected and system left in senrice before contractor's pelSOnnal finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, own""" and contractor, II is understood the owner's representative's signalure in no way prejudices any claim against contractor for faully malarial, poor workmanship, or failure to comply wüh approving authoritv'sreauirements or local ontinances. PROPERTY NAME Old Navy - Prime Outlet Mall AFP W.O.#: 991895 I DATE: November 21, 2005 PROPERTY ADDRESS 3001 South Washburn Oshkosh, WI 54904 ACCEPTED BY APPROVING AUTHORITIES (NAMES) 1. Oshkosh Fire Department (Battalion Chief -- Stu Schrotlky) 2. City of Oshkosh (Building Inspector -- Brian Noe) 3. 4. ADDRESS Plans 1. 101 Court Street -- Oshkosh, WI 54901 2. 215 Church Avenue -- PO Box 1130 - Oshkosh, WI 54901 3. 4. INSTALLATION CONFORMS TO ACCEPTED PLANS Ev~S DNO EQUIPMENT USED IS APPROVED ' YES DNO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION .£!YES DNO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? INSTRUCTIONS IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: """No.'s2&3"'0 1. SYSTEM COMPONENTS INSTRUCTION DYES ~O be"""""'odbyAFP 2, CARE AND MAINTENANCE INSTRUCTIONS ~ ~ES -~ atdoseouttime. 3. NFPA 25 YES NO LOCATION OF SUPPLIES BUILDINGS SYSTEM System #1 MAKE MODEL YEAR OF K- QUANTITY TEMPERATURE MANUFACTURE FACTOR RATING Vi~na Micromalic VK100 Uprioht 112" Brass 2005 5.6 194 155 Vi~no Microfast QR VK404 Pendent 112" Brass 2005 5.6 6 165 Deo. SPRINKLERS PIPE AND TYPE OF PIPE Thinwali Threadable' Black FITTINGS TYPE OF FITTINGS Threaded' Welded Outlets. Mechanical Tees FLOW ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST CONNECTION TYPE MAKE I MODEL MIN. SEC. Existing I I I N/A I I I EXPLAIN ANY ALARM PROBLEMS: ALARM DEVICES LOW AIR ALARM DEVICE ALARM OPERATED TYPE MAKE I MODEL PRESSURE PROPERLY NIA I I SETTING PSI I YES NO I EXPLAIN ANY ALARM PROBLEMS: CENTRAL MONITORING SIGNALS RECEIVED ALARM SERVICE LOCATION(S) TYPE OR PRESSURE NAME OF REMOTE WATERFLOW SWITCH LOW-AIR OTHER SERVICE DETECTOR FLOW SUPERVISORY SUPERVISING LOCATION(S): STATION (ON-5ITE) REMOTE REMOTE NAME OF SERVICE: MONITORING ALARM SERVICE SIGNALING (OFF-5ITE) PHONE: OTHER: LOCATION(S): EXPLAIN ANY ALARM SIGNALING PROBLEMS: DRY VALVE Q.O.D. MAKE I MODEL SERIAL NO. MAKE MODEL SERIAL NO. I I I I I TIME TO TRIP WATER TRIP POINT AIR TIME WATER ALARM THROUGH TEST PRESSURE AIR PRESSURE PRESSURE REACHED TEST OPERATED CONNECTION'" OUTlET U PROPERLY DRY PIPE MIN. SEC. PSI PSI PSI MIN. I SEC. YES I NO OPERATING WITHOUT I I I TEST Q.O.O. WITH I I I Q.O.D. IF NO, EXPLAIN: OPERATION: 0 PNEUMATIC 0 ELECTRIC 0 HYDRAUliC PIPING SUPERVISED DYES DNO T DETECTING MEDIA SUPERVISED DYES DNO DOES VALVE OPERATE FROM THE MANUAL TRIP, REMOTE, OR BOTH CONTROL STATIONS DYES DNO IS THERE AN ACCESSIBLE FACILITY IN EACH IF NO, EXPLAIN DELUGE & CiRCUIT FOR TESTING PREACTION DYES DNO VALVES DOES EACH CIRCUIT DOES EACH CIRCUIT MAXIMUM TIME TO OPERATE SUPERVISION OPERATE VALVE RELEASE OPERATE RELEASE MAKE MODEL LOSS ALARM YES I NO YES NO MIN. SEC. I LOCATION & MAKE & MODEL SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE FLOOR IFLOWING) PRESSURE I~p~; I OUTLET INLET I OUTLET FLOW REDUCING IPSI) IPSI) IPSI) IGPM\ VALVE TEST I I Ahem Fire Protection , MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED. 'NFPA 13 ONLY REQUIRES THE 6O-$ECONO LIMITATION IN SPECIFIC SECTIONS. 2 Ahern Fire Protection HYDROSTATIC: Hydrostallcteslsshall be madeal not less than 200 psi (13.6 hars) for two hours or SO psi (3.4 bars) above static pressure In excess of 1SO psi (102 bars) for two hours. D;¡¡erential dry-pipe valve clappers shall be left open during test to prevent damage. All TEST aboveground piping leakage shall be stopped. DESCRIPTION PNEUMATIC: Eslablish 4O-psi (2.7 bars) air pressure and measure drop, which shall not exceed 1-1/2 psi (0.1 hars) in 24 hours. Test pressure tanks aI nonnal water level and a;r pressure and measure air pressure drop, which shall not exceed 1-1/2 psi (0.1 hars) in 24 hours. ALL PIPING HYDROSTA TICALL Y TESTED AT 2.<::á.. PSI L-Bar) for ~ HRS. DRY PIPING PNEUMATICALLY TESTED (J YÈS D NO EQUIPMENT OPERATES PROPERLY DYES DNO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OR SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? ES DNO DRAIN READING OF GAUGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH VALVE IN TEST TEST SUPPLY TEST CONNECTION:- PSI <-Bar) CONNECTION OPEN WIDE: - PSI LBar) UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER OTHER EXPLAIN FLUSHED BEFORE CONNECTION MADE TO SPRINKlER PIPING. TESTS VERIFIED BY COpy OF THE CONTRACTOR'S MATERIAL AND TEST CERTiFICATE FOR UNDERGROUND PIPING. DYES D NO FLUSHED BY INSTALLER OF UNDERGROUND SPRINKlER PIPING DYES D NO IF POWDER-DRIVEN FASTENERS ARE USED IN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? DYESDNO BLANK TESTING GASKETS YES DNO LOCATIONS IF YES... WELDING DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? IF NO, STATE REASON IF NO, EXPLAIN NUMBER REMOVED p1'YES dYES DNO DNO fð'YES DNO SIGNATURES DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: NAME OF SPRINKLER CONTRACTOR AHERN FIRE PROTECTION, 201 MORRIS COURT - FOND DU LAC, WI 54935 TESTS WITNESSED BY TITLE FOR PROPERTY OWNER (SIGNED) ADDITIONAL ~. 3 NO DATE DATE