HomeMy WebLinkAboutFire Protection System Installation
J. F. AHERN CO.
MECHANICAL & FIRE
PROTECTION CONTRACTORS
201 Morris Court, P.O. Box 1316
Fond du Lac, WI 54936-1316
(920) 921-9020 p · (920) 921-8666 f
www.jfahern.com
RECEIVED
December 27, 2006
Building Inspector -- Brian Noe
City of Oshkosh
215 Church Avenue -- PO Box 1130
Oshkosh, WI 54901
T -920/236-5051
F-920/236-1130
JAN 0 2 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
RE: FIRE PROTECTION SYSTEM INSTALLATION
HUNTERS RIDGE BUILDING 7
3160 WHITE TAIL LANE
OSHKOSH, WISCONSIN 54904
AHERN FIRE PROTECTION WORK ORDER No. 993882
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.
Sincerely,
AHERN FIRE PROTECTION
A division of J. F. Ahern Co.
~~!l1$~
Mark L. Jozefowski, Superintendent
MLJ/ksj
LCITY12-27-06.DOC
Building the Midwest Since 1880
An Equal Opportunity Employer
f'" - ,
,::;';
. ',,'
,".'J
i:~~cOnSi" DOu6~~~:~~~~;~~~ector ~~~~*t;o:;:iO~
Department of Commerc~ Fax: (608)267-9723 '
! TTY: (608) 264-8777
: ,~~.' Regulated Object Number: " _,~ ~ ~ ~~ ~ ,~' . ,http://www.commerce.state,wLus
:' Personal information yOU provide may be used for secondary purposes [Privacy Law, s.1504 (1)(m)]'d . ' http://www.wisconsin.gov'
OWNER INFORMATION Please print clearly in ballpoint pen., Additional information on h;~ck page. Vy(
Owner Name Street Addres
Initial Test
1 'st-check
;t3Closed tigh('
D LeakeQ i
Static' \ \,
PSID
PSID
"-"-~' -~ ~ - - ~'--- - - - -'- -~ -. - ~ - -- -~-
. -. .' .' , - . .' ,,", ...
Final Test
D Closed tight
Static
PSID
, D Closed tighf 2'nd check
Static
,~-}': " <" ~:.
'".\t~'~~':
DETECTOR BYPASS ASSEMBLY INITIAL TEST
1'st check 2'nd check
D, Closed tight D,' Closed tight'
D Leaked DLeaked
Static P$IP " ,Static PSID
~ ~ - -- - - - .,..., - - - - - - -1"&"- -, .,..., _ - .,..., -;; - - .,...,
DETECTOR B"{PASS AS$I:M6L Y FINAL TEST '
D CloSE:ld tight 0 Closed tight
Static PSID srnlic PSID
"i,)"H~~~;;{r,.~$;~:~i":
;,.'::j!~~;":_:;'"
,J
t
ASSEMBLIES IN FIRE PROTECTION SYSTEMS
Note: Include hose, ,stream dema,rJ,dn' where applicable
Forward Flow Test 5 'Y..) I ' ' " (., ()
__ __ ~E:l:igfe~fl~w~t~_ _ __ _ ~~ _ _ _ _ _ _ _ _ '_, _ _ _ ~c~a~flo~ ~t~_ _ ~_ _G~M_ _ _ _
, li
'l
I H~REBY CERTIF~ THr\<STRESWL~RE TRtE ~ND~ TEST~AS C.ONDUCT~mt2rRS~NALLY. 2;'~: ? S-A
TesterNa,me(pnntL~~2 ~e ""'.' Reil'startlOnNo'q<'dci~O_,oJS-nzfofD,a,Y I <~l-~,',. "
Tester Signature ~__ ' ' " ' Phone No., ' ' Date
SBD-I0754 N. 12/02 Distributed to the following: Owner and tester rptB1ank_ WIDoubleCheck_DC_Detector
"':;h;;t~k~#~~i4i~;l~~"
D Tamper Switch ~~cked
AHERN FIRE PROTECTION
Contractor'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 witnessed by an owner's representative. All defects shall be
corrected and system left in service before ,contractor's personnel finally leave the job.
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the
owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving
authoritv's reauirements or local ordinances. "
PROPERTY NAME Hunters Ridge Condominiums AFP W.O. #: 993882 I DATE: October 23, 2006
PROPERTY ADDRESS 3160 White Tail Lane Oshkosh, WI 54904
ACCEPTED BY APPROVING AUTHORITIES (NAMES)
1. City of Oshkosh (Building Inspector -- Brian Noe) .'
2. Oshkosh Fire Department (Battalion Chief -- Stu Schrottky)
3.
4.
ADDRESS j .' J 'I
Plans 1. 215 Church Avenue -;. PO Box 1130 '-- Oshkosh,WI 54901
2. 101 Court Street -- Oshkosh, WI 54901
3.
4.
INSTALLATION CONFORMS TO ACCEPTED PLANS ~~S ONO
EQUIPMENT USED IS APPROVED ES ONO
IF NO, EXPLAIN DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION ~ES ONO
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:
Item No.'s 2 & 3 will 1. SYSTEM COMPONENTS INSTRUCTION DYES mO
be forwarded by AFP 2. CARE AND MAINTENANCE INSTRUCTIONS DYES " 0
at closeout time,
3. NFPA 25 o YES ~O
LOCATION OF SUPPLIES BUILDINGS
SYSTEM BuildinQ #7
MAKE MODEL YEAR OF K- QUANTITY TEMPERATURE
MANUFACTURE FACTOR RATING
Central LFII TY2234 Pendent 1/2" White 2006 4.9 54 155 Dec.
SPRINKLERS
PIPE AND TYPE OF PIPE CPVC
FITTINGS TYPE OF FITTINGS CPVC
FLOW ALARM DEVICE MAXIMUM TIME TO OPERATE
, THROUGH TEST CONNEGTION
TYPE MAKE MODEL MIN. SEC.
Water Flow Detector System Sensor WFD , ~~ y
N/A
EXPLAIN ANY ALARM PROBLEMS:
ALARM
DEVICES LOW AIR ALARM DEVICE ALARM OPERATED
TYPE MAKE MODEL PRESSURE PROPERLY
SETTING PSI
N/A I " YES I NO
I
EXPLAIN ANY ALARM PROBLEMS:
CENTRAL MONITORING SIGNALS RECEIVED
ALARM SERVICE LOCA TION(S)
TYPE OR PRESSURE
NAME OF REMOTE WATERFLOW SWITCH LOW-AIR OTHER
SERVICE DETECTOR FLOW SUPERVISORY
SUPERVISING LOCA TION(S):
STATION
(ON-SITE)
REMOTE REMOTE NAME OF SERVICE:
MONITORING
ALARM SERVICE
SIGNALING (OFF-SITE)
PHONE:
OTHEI1: ',,,- LOCATION(S): S ~ cJ~
6 ~~Sl E- t...2) e S ~
~e~ c~ ~ ~ 'i \ c-\} V\ ') ~
EXPLAIN ANY ALARM SIGNALING PROBLEMS:
DRY VALVE Q.O,D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
TIME TO TRIP WATER TRIP POINT AIR TIME WATER ALARM
THROUGH TEST AIR PRESSURE REACHED TEST OPERATED
CONNECTION'" PRESSURE PRESSURE OUTLET 1,2 PROPERLY
DRY PIPE MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
OPERATING WITHOUT
TEST Q.O.D.
WITH
Q.O.D.
IF NO, EXPLAIN:
OPERATION: o PNEUMATIC o ELECTRIC o HYDRAULIC
PIPING SUPERVISED DYES DNO 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 NO YES NO MIN. SEC.
'.
LOCATION & MAKE & MODEL SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE
FLOOR (FLOWING)
PRESSURE INLET OUTLET INLET OUTLET FLOW
REDUCING (PSI) (PSI) (PSI) (PSI) (GPM)
VALVE TEST
Ahern Fire Protection
1 MEASURED FROM TiME iNSPECTORS TEST CONNECTION is OPENED.
· NFPA 13 ONLY REQUIRES THE 60-SECONO LIMITATION IN SPECIFIC SECTiONS.
2
TEST
DESCRIPTION
TESTS
BLANK
TESTING
GASKETS
WELDING
CUTOUTS
(DISCS)
HYDRAULIC
DATA
NAMEPLATE
REMARKS
SIGNATURES
Ahern Fire Protection
HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 bars) above static pressure in
excess of 150 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All
aboveground piping leakage shall be stopped.
PNEUMATIC: Establish 40-psi (2.7 bars) air pressure and measure drop, which shall not exceed 1-1/2 psi (0.1 bars) in 24 hours. Test
pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1-1/2 psi (0.1 bars) in 24 hours.
ALL PIPING HYDROSTATICALLY TESTED AT 20 (. PSI L-Bar) for ~ HRS. IF NO, STATE REASON
DRY PIPING PNEUMATICALLY TESTED DYES D NO
EQUIPMENT OPERATES PROPERLY ES D NO
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
FO TESTING SYSTEMS OR STOPPING LEAKS?
YES D NO
DRAIN READING OF GAUGE LOCATE9 N..;AR 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.
VERIFIED BY COPY OF THE CONTRACTOR'S MATERIAL AND TEST
CERTIFICATE FOR UNDERGROUND PIPING. D YE~O
FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING DYES D NO
IF POWDER-DRIVEN FASTENERS ARE USED IN CONCRETE, HAS IF NO, EXPLAIN
REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED?
DYES D NO
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 DYES
QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWSB2.1?
NUMBER USED
o
LOCATIONS
WELDED PIPING
IF YES...
'NO
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?
DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL
CUTOUTS (DISCS) ARE RETRIEVED?
NAME PLATE PROVIDED
.kStYES D NO
TOR (jl~NED)
{~
TITL~;.
3
NUMBER REMOVED
DYES
DNO
DNO
DYES
DNO
ES D NO
IF NO, EXPLAIN
J :( .- 2 )'- crt(,.
z;t'-
DATE
~, -2 1-f:!9G