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HomeMy WebLinkAboutLetter-Ahern Fire Protection ~~~i6. ~,; cc"':cc :/,\.- cc. Ahern Fire Protection A division of J. F. Ahern Co. 201 Morris Court, P.O. Box 1316. Fond du Lac, WI 54936.1316 TEL (920) 921-9020 . FAX (920) 921-8666 . www.ahernfire.com Wisconsin' Illinois' Missouri' Nebraska' Iowa' Minnesota RECEIVE JAN 1 9 2006 DEPARTMENT OF COMMUNITY DEVELOPMENT January 17,2006 Building Inspector -- Brian Noe City of Oshkosh 215 Church Avenue, -- PO Box 1130 Oshkos~ WI 54901 T -920/236-5051 F-920/236-1130 RE: FIRE PROTECTION SYSTEM INSTALLATION MIDWEST GENERAL CONTRACTORS 2990 UNIVERSAL DmVE -~ OSHKOSH, WISCONSIN 54901 AHERN FIRE PROTECTION WORK ORDER No. 991971 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 A division ofJ. F. Ahem Co. c,/--7 6o~.~'C ("" .' I.' {:W/;/ '\ c I JefIR. Batterman Service Superintendent JRB/ksj LFIREOI-I7-06.DOC An Equal Opportunity Employer 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 contra~or. 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 Midwest General Contractors AFP W.O. #: 991971 I DATE: December 9, 2005 PROPERTY ADDRESS 2990 Universal Street Oshkosh,VVl54901 ACCEPTED BY APPROVING AUTHORITIES (NAMES) , 1. Oshkosh Fire Department (Battalion Chief -- Stu Schrottky) 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 ~YES DNO EQUIPMENT USED IS APPROVED ;.erYES DNO IF NO, EXPLAIN DEVIATIONS i HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATrON I,Zl 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: Item No.'s 2 & 3 win 1. SYSTEM COMPONENTS INSTRUCTION ~:ES DNO be foowarded by AFP 2, CARE AND MAINTENANCE INSTRUCTIONS YES DNO at closeout time. 3. NFPA 25 YES DNO LOCATION OF SUPPLIES BUILDINGS SYSTEM Entire MAKE MODEL YEAR OF K- QUANTITY TEMPERATURE MANUFACTURE FACTOR RATING Vlkina Microfast QR VK350 Upright 3(4" Bronze 2005 8.0 87 200 Dea. Vlkina Microfast QR VK305 HSW 1/Z' White 2005 5.6 9 - 155 Ceo. SPRINKLERS PIPE AND TYPE OF PIPE LiQhtwall Non-Threadable: Thinwall Threadable; Black FITTINGS TYPE OF FITTINGS Grooved: Threaded: Welded Outlets: Mechanical Tees FLOW ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST CONNECTION TYPE MAKE MODEL MIN. SEC. Water Flow Detector System Sensor WFD !-j .J- N/A EXPLAIN ANY ALARM PROBLEMS: ALARM DEVICES -C-. LOW AIR ALARM DEVICE AlARM OPERATED TYPE T MAKE I MODEL PRESSURE PROPERLY N/A [ I SETTING PSL I YES NO I EXPLAIN ANY ALARM PROBLEMS: CENTRAL MONITORING SIGNALS RECEIVED ALARM SERVICE LOCATION(S) TYPE OR PRESSURE NAME OF REMOTE WATERFLOW LOW-AIR SERVICE DETECTOR SWITCH SUPERVISORY OTHER FLOW SUPERVISING LOCA TION(S): STATION (ON-SITE) REMOTE REMOTE NAME OF SERVICE: /J/ MONITORING / ALARM SERVICE' ~ SIGNALING (OFF-SITE) . 1r ft/f2l1 PHONE: OTHER: LOCA TION(S): 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 CONNECTlON',2 PRESSURE PRESSURE OUTLET ',2 PROPERLY 01/ MIN. SEC. PSI PSI PSI MIN. SEC. YES NO OPERA ING WITHOUT TE T Q.O.O. WITH .Q.O.O. I IF NO, EXPLAIN: OPERATION: o PNEUMATIC o ELECTRIC o HYDRAULIC - PIPING SUPERVISED DYES ONO DETECTING MEDIA SUPERVISED DYES ONO DOES VALVE OPERATE FROM THE MANUAL TRIP, REMOTE. OR BOTH CONTROL STATIONS DYES ONO IS THERE AN ACCESSIBLE FACILITY IN EACH IF NO, EXPLAIN OEwJ CIRCUIT FOR TESTING PREACT ON DYES ONO VALl ... 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 PRESStJRE FLOOR (FLOWING) . INLET OUTLET INLET OUTLET FLOW REDuq,NG . (PSI) (PSI) (PSI) . (PSI) (GPM) VALVE ~ST . Ahem Fire Protection '.MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED. 2 NFPA 13 ONLY REQUIRES THE 6O-SECONO LIMITATION IN SPECIFIC SECTIONS. 2 TEST . DESCRIPTION TESTS BLANK TESTING GASKETS WELDING CUTOUTS DISCS HYDRAULIC DATA NAMEPLATE REMARKS SIGNATURES Ahern Fire Protection ta\ic 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 of 1 2-bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All un piping leakage shall be stopped. . PNEUMATIC: Establish 4O-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 atnonnaJ .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 A PSIL-Bar) for _ HRS. IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED 0 ES -EtNO EQUIPMENT OPERATES PROPERLY -ErYES 0 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 0 NO DRAIN READING OF GAUGE LOCATE;P...~R WATER RESIDUAL PRESSURE WITH VALVE IN TEST TEST SUPPLY TEST CONNECTION:~ PSI ( . Bar) CONNECTION OPEN WIDE: .5:5:. PSI LBar) UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER OTHER EXPLAIN FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFI ED BY COPY OF THE CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR UNDERGROUND PIPING. pES 0 NO FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING rES 0 NO IF POWDER-DRIVEN FASTENERS ARE USED IN CONCRETE, HAS IF NO, EXPLAIN REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? ! O~OOO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPL YWITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS IDES QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? LOCATIONS VI S 0 NO IF YES... 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 THATTHE 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 ~Y6S 0 NO 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 FOR PROPERTY OWNER (SIGNED) TITLE FOR SP~.J.N~'C~~~) _ TITLE ~~~~ rtP/t~/I'v AQrnTI0zr~NiN~~;; f ~J -yzb O!UU;;P6I Ille" Ij~~ Ml~.~ ile.~ 3 NUMBER REMOVED YES ONO ONO ISl YES ONO YES 0 NO IF NO, EXPLAIN DATE 1./70'5 DATE ./- 9-&6 .- .. >< \Visconsin Department of Commerce Requlated Obiect Number: !-I.U. !::Sox t;:SU:l Madison, WI 53707-7302 Fax: (608) 267-9723 TTY: (608) 264-8777 htlptlvmN.commerce.state.wi.us htlp11vmN.wisconsin.gov Personal information you provide may be used for secondary purposes [Privacy Law, s.1504 (1 )(m)). Please print clearly in ballpoint pen. Additional information on back page. AFP #991971 Street Address 100 North Westhaven Drive, Suite B Double Check/DC Detector Performance Test OWNER INFORMATION Owner Name Midwest General Contractors, Inc. city Oshkosh, WI 54904 FACILITY INFORMATION Facility Name Midwest General Contractors City Oshkosh, WI 54901 Assembly Location Basement State Zip Code Owner's Contact Person Gerry Frechette Telephone Number (920/426-2008) Zip Code Street Address 2990 Universal Street County Winnebago Size 3" Assembly Type Model 350 o DC Detector Manufacturer Wilkins DC INITIAL TEST 1 ST check ~Iosed tight CfLeaked Static FINAL TEST o Closed tight Static 2nd check 'i... ~Iosed tight rJ I v ~~JQ_m__mmm_~~~;ked I r PSID PSID o Closed tight Static PSID DETECTOR BYPASS ASSEMBLY INITIAL TEST 1 ST check 2nd check o Closed tight 0 Closed tight o Leaked 0 Leaked Static PSID Static PSID DETECTOR BYPASS ASSEMBLY FINAL TEST o Closed tight 0 Closed tight Static PSID Static PSID ASSEMBLIES IN FIRE PROTECTION SYSTEMS Forward Flow Test Designed flow rate 262.36 GPM Indicatina Control Valves o No. one control valve open 0 No. two control valve open Part (s) Replaced/Comments /--- /74 rt 16.f/7"/'''- Note: Include hose stream demand where applicable Actual flow rate 5' ~; GPM Valve supervision: 0 Tamper switch 0 Locked 5V"C?/fr1 I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CONDUCTED BY ME PERSONALLY. Tester Name (print) 1C' ~ RegistratiOnNo.~7Pp~ Time of Day //70 Tester Signature \ Phone No)? ~d ? 6tJ 67:[::5 Date t!- -(.,-tJ,b " OWNER INFORMATION The backflow preventer is a mechanical device designed to protect the potable water supply system from being contaminated. There is a physical connection to equipment or water of either unknown or questionable quality, thereby requiring the installation ofthe backflow preventer. In order to ensure that this device is working as designed, it must be periodically tested. A test shall be conducted on each backflow preventer prior to it being put into service, after any repairs, and a minimum of once a year thereafter. It is the responsibility of the owner to make sure the device is tested. The test shall be performed by a department registered Cross Connection Control Device tester. OWNER'S CONTACT PERSON: The owner's contact person is the name of the person responsible for the backflow preventer maintenance and records. (Note: Please provide full name.) OLD VALVE REPLACEMENT INFORMATION If this test is for a replacement valve, please include all information for the replacement valve on this form. The manufacturer, model no., serial no., size, and the assembly type of the "old" valve must included on the comment line of this"form. J DOUBLE CHECK VALVES AND DOUBLE DETECTOR CHECK VALVES INSTALLED IN FIRE ,-. PROTECTION SYSTEMS ; , -,." . --;r A copy of this completed test must be attached to or located near the double check valve or double detector check valve. MINIMUM REQUIREMENTS FOR PASSING TEST DC and DC Detector . The first check must close tight, and have a minimum static 1 PSID. . The second check must close tight, and have a minimum static 1 PSID. Do not send a copy of this report to the Department of Commerce, Safety and Buildings Division. Copies of this report shall be distributed to the following: Owner and tester as indicated on the. bottom of each page.