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HomeMy WebLinkAboutLetter (fire protection system) - 08/23/2004 Ahern Fire Protection A division of J. E Ahem Co. RE 201 Morris Court, P.O. Box 1316 Fond du Lac, WI 54936 -1316 TEL (920) 921 -9020 FAX (920) 921 -8666 www.ahemfire.com Wisconsin Illinois •Missouri Nebraska Iowa AUG 2 4 2004 DEPARTMENT OF C ©MMi1NlTy DEVELOPMENT August 23, 2004 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 MEDALIST LASER FAB 2341.1' BRADLEY STREET OSHKOSH, WISCONSIN 54902 AHERN FIRE PROTECTION CONTRACT No. 490237 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 divis of J. F. Ahem Co. s." 640 $4C—In Jeff R. Batterman Service Superintendent JRB/ksj INS FIRE- TC- FYI.DOC 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 owners representative. Al defects shall be corrected and system left in service before contractors personnel finally leave the job. A certificate shal be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owners representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authorItys requirements or focal ordinances. PROPERTY NAME Medallist Laser Fab AFP Contract 490237 I DATE: July 13, 2004 PROPERTY ADDRESS 2840 Bradly Street Oshkosh, WI 54902 ACCEPTED BY APPROVING AUTHORITIES (NAMES) 1. City of Oshkosh (Building Inspector Brian Noe) 2. Oshkosh Fire Department (Battalion Chief Greg Piper) 3. 4. ADDRESS 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 ES NO EQUIPMENT USED IS APPROVED YES NO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION L1 YES NO 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 a 3 w7 1. SYSTEM COMPONENTS INSTRUCTION S NO be fonvarded by AFP at c tim 2. CARE AND MAINTENANCE INSTRUCTIONS YES NO 3. NFPA 25 YES NO LOCATION OF SUPPLIES BUILDINGS SYSTEM 2004 Addition YEAR OF K- TEMPERATURE MAKE MODEL MANUFACTURE FACTOR QUANTITY Vldng Microfast M OR VK302 Pendent 1/2* Chrome 2004 5.6 37 155 Deg. SPRINKLERS PIPE AND TYPE OF PIPE Liahtwall Non- Threadable: Thinwall Threadable: Black FITTINGS TYPE OF FITTINGS Flanged: Grooved: Threaded: Welded Outlets: Mechanical Tees FLOW ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST CONNECTION TYPE MAKE MODEL MIN. SEC. Existing N/A EXPLAIN ANY ALARM PROBLEMS: ALARM DEVICES LOW AIR ALARM DEVICE ALARM OPERATED TYPE MAKE MODEL PRESSURE PROPERLY WA SETTING PSI YES I NO EXPLAIN ANY ALARM PROBLEMS: Ahern Fire Protection CENTRAL MONITORING SIGNALS RECEIVED ALARM SERVICE LOCATION(S) OR TYPE OR PRESSURE NAME OF REMOTE WATERFLOW SWITCH LOW -AIR OTHER SERVICE DETECTOR FLOW SUPERVISORY SUPERVISING LOCATION(S): STATION (ON -SITE) REMOTE REMOTE NAME OF SERVICE: MONITORING ALARM SIGNALING SERVICE (OFF -SITE) PHONE: OTHER: LOCATION(S): EXPLAIN ANY ALARM SIGNALING PROBLEMS: DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. TIME TO TRIP TIME WATER ALARM WATER TRIP POINT AIR THROUGH TEST AIR PRESSURE REACHED TEST OPERATED CONNECTION72 PRESSURE PRESSURE OUTLET 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: PNEUMATIC ELECTRIC HYDRAULIC PIPING SUPERVISED YES NO I DETECTING MEDIA SUPERVISED YES NO DOES VALVE OPERATE FROM THE MANUAL TRIP, REMOTE, OR BOTH CONTROL STATIONS YES NO IS THERE AN ACCESSIBLE FACILITY IN EACH IF NO, EXPLAIN DELUGE CIRCUIT FOR TESTING PREACTION YES NO 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 PRESSURE FLOOR (FLOWING) REDUCING INLET OUTLET INLET OUTLET FLOW VALVE TEST (PSI) (PSI) (PSI) (PSI) (GPM) MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED. 2 NFPA 13 ONLY REQUIRES THE 60- SECOND LIMITATION IN SPECIFIC SECTIONS. 2 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 (102 bars) for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent damage. All TEST aboveground piping leakage shall be stopped. DESCRIPTION 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 ure air pressure drop, shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED A y PSI Bar) for HRS. IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED ES O EQUIPMENT OPERATES PROPERLYES 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 FOR TESTING SYSTEMS OR STOPPING LEAKS? PrYES NO DRAIN I READING OF GAUGE LOCATEIVOR WAT,EK RESIDUAL PRESSURE WITH VALVE IN TEST TEST SUPPLY TEST CONNECTION: •SI J 7 Bar) CONNECTION OPEN WIDE: PSI (_Bar) TESTS 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. YES NO FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING YES NO IF POWDER- DRIVEN FASTENERS ARE USED IN CONCRETE, HAS IF NO, EXPLAIN REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED YES NO BLANK NUMBER USED LOCATIONS NUMBER REMOVED TESTING GASKETS WELDED PIPING f ErYES NO IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING LS NO PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS 'YES NO WELDING QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A S NO 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? CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL ,YES NO (DISCS) CUTOUTS (DISCS) ARE RETRIEVED? HYDRAULIC NAME PLAT OVIDED IF NO, EXPLAIN DATA ZJ YES NO NAMEPLATE REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: NAME OF SPRINKLE CONTRACTOR AHERN FIRE PROTE ON, 201 MORRIS COURT FOND DU LAC, WI 54935 TESTS WITNESSED BY SIGNATURES FO 0 4 RT IGNED) T D TE /ai/o 'TRACTOR (SIGNED) TITLE r DATE ADDITIONAL e NATION D NO SL 'c-e 0 23, tl 3 r— Safety and Buildings Division Nfisconsin Double Check/DC Detector P.O. o W °53707 -7302 Department of Commerce Performance Test Fax (608) 267 -9723 TTY: (608) 264-8777 Regulated Oblect Number: httpl/www.commerce.state.wi.us http l/www.wisconsin.gov Personal information you provide may be used for secondary purposes [Privacy Law, s.1504 (1)(m)]. OWNER INFORMATION Please print clearly in ballpoint pen. Additional i ormation on back page. AFP #490237 Own ame Street Addres C' State Zip ode Owner's Contact Person Telephone Number a� Facility Name Street Address Medallist Laser Fab 2840 Bradly Street City Zip Code County Oshkosh, WI 54902 Winnebago Assembly Location Riser Room Manufacturer Model Serial e 7 Wilkins 350 t f 5 5 Size 6" Assembly` ype 4 DC DC Detector INITIAL TEST ST check 1 che n d heck th e d tight Closed tight Leaked Leaked Static PSID Static PSID FINAL TEST Closed tight Closed tight Static PSID Static PSID DETECTOR BYPASS ASSEMBLY INITIAL TEST 1 sT chec 2 check Closed tight Closed tight Leaked Leaked Static PSID Static PSID DETECTOR BYPASS ASSEMBLY FINAL TEST D Closed tight Closed tight Static PSID Static PSID ASSEMBLIES IN FIRE PROTECTION SYSTEMS Note: Include hose stream demand where applicable Forward Flow Test 1 Designed flow rate 121.94 GPM Actual flow rate 50 GPM In `catin Control Valves No. one control valve open eklo. two control valve open Valve supervision: Xtamper switch Locked Part (s) Replaced/Comments I HEREBY CERTIFY THE TEST RESU .TS ARE TR E AND T E TEST WAS CONDUCTED BY ME PERSONALLY. Tester Name (print) k registration No0 of Day Y yI T7 Tester Sign- r re Aed Phone No9cX e60 &fDate r y ;I. SBD -10754 N.12/02 Distributed to tfien fallowing: Owner and tester