2006, 02-02 Bldg B: Material & Test Report Aboveground Piping FROM PATRIOT FIRE PROTECTION, INC. (THU? APR 20 2006 14 :04/ST. 14:'00/No. 6834436680 P 22
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PATRIoT
RE PROTECTION C,
CONTRACTORS MATERIAL&TEST REPORT FOR ABOVEGROUND PIPING
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PI3OCEDWiE
Upon aomplstlon of work,ln$p4Ct-on and teats shell be made by the contractor's ruprssertutive and witnessed by an owner's representative.Al defsda
shall be Qorreoted and system left In service before contractor's personnel finally leave the job.
A oertIllcate shall be filled out and algnad by both representatives. Copies shall be prepared for approving auttrorities,owners,and contractor.Ale under.
stood the owMr'•rspresentsdtvt'a signature In no way prejudices any claim against contractor for faulty malarial,poor workmanship,or failure to Comply
with approving authority's rfquireniente or local ordinances.
PROPERTY NAME /, ] ' • -- DATE
l(/ T 1.4. S ,,,7- -4(....).
IMPERTY ADO AO OM —7 — � z t
rev : • ;' - •-• AUT •- n'
-ADDRESS
IN•TALIJATION •NF•'T T• ACCEPTED PLANS /J'' MI •
PLANS EQUIPMENT USED IS APPROVED Fr—S D NO
IF NO,£<PLAIN DEVIATIONS
HAS PERSON IN•&'Tic E • R OIJIPMENT BEEN INST- 6 AS TO • •TION YE5 h!
OP COWAN.VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT?
IF NO,EXPLAIN
HAVE OF THE •LLOW1 U EN LIFT •N THE '-, M .r-: w Y .• •
INSTRUCTIONS 1. SYSTEM COMPONENTS INSTRUCTIONS OYES in NO
2 CARE AND MAINTENANCE INSTRUCTIONS, DYE=S LINO
3. NFPA 19A, _ __ - - _ - _�_ OYES ONO Ut
LOCATION SYSTEM * j [ GV y SERVES: :0 4 VP,
OF KOMI 'Ti. •` •.n r - 7-y=r- 'a;•1
MAKE MODEL MANUFACTURE SIZE QU x• RATING
;Min!s—r WA 111W;' .e ill■SrI•I ri,_l/sue
SPRINKLERS lfrill■1��r'�— r a AIIIMjjitlJ'.'>IM�� '=1. a
. .Pi PE AND TYPE OF PIPE ° lie. •..1 - • ..
FITTINGS TYPE OF FITTINGS •/s : f -.T • :.'. ... -
., a
ALARM ALARM DEVICE MAXIMUM TIME TO OPERATE
VALVE _ THBOW HTESTCONNECTION
on FLOW TYPE MAX •t L 'MIN SEC.
INDICATOR _ 4_5 Err: ie Tit 5-•c
DRY VALV: • •
MA$ MODEL I SERUI.NO.- MAKE MODEL— SERIAL N
IM • - - * - 7 L&I%M
DRY PIPE THRU TEST WATER AIR TRIP POINT REACHED OPERATED
OPERATING CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET PROPERLY
TEST MIN. SEC. Put- PSI PSI ' MIN. dm. YES r NO
WIThlOuT
D.
WITH
O.A.D.
LAl
'MEASURED FTIME INSPECTORS TEST CONNECTION IS OPENED
S5A . (OVER)
FROM PATRIOT FIRE PROTECTION, INC. (THU) APR 20 2006 14 .04/ST. 14 :00/No. 6834436680 P 23
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OPERATION
[PNEUMATIC ❑ELECTRIC ❑HYDRAULIC _
DELUGE it
PIPING SUPERVISED •YES ENO DEr'' TINT MEDIASUPEAIASED_ •YES i NO
DELUGE iQN `•o''VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CANT`.L 'TATI.N$ •YES ■NO
VALVES IS THERE AN ACCESSIB FACILITY IN EACH CIRCUIT FOR TESTING IF NO,EXPLAIN
OYES NO
DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUTATIME T•
MAKE MODEL SUPERVISION LOSS ALARM OPERATE VALVE RELEASE OPERATE RELEASE
■w ., r �i ,. IIM .-
TEST HYDROSTATIC:Hydrostatic testa shall b mad'et not leas than 200 pal 413.8 berr)for two hove or 5D pal(3.4 hare)above elatIO phrase('In exam of 1S4pal
DHSCmPTLQNI 410.2 bars)idr fv n hews.DIIf4rsn110I dryiplpo v■1va Clapper;11,911 be loft open durin2 test i*prrrant damage.All above ground piping leak■pa ehsTl ha slopped.
PNEUMATIC:'Establish 40 psi(2.7 tra+s)atr p tries ur+a and measure drop which shell rig'axc'ad 1.54 pal(T).1 bare)In 21 hours,Teat prase ur'tankaalnormal Water
level and air peaelur'■nd maanure elf pressure drop which'hell dot*RCeed i t1,peI ID,1 bard)In 24 hods,
c riR f1[ 'r r.' .-L 'real . 3� _,r .rv; 1 4r '111°4..•.37 fZ 1a�. a FAY PIPING PNEUMATICALLY-mate) ■YES NO
! J EQIAPMENIT OPERATES PROPERLY •YES NO
DD YOU CE : •HE SPRINKLER SYSTEM CONT-• TOR THAT ADDITIVES AND CORROSIVE CHEM ',SODIUM
$1UCATE OR DERIVATIVES OF SODIUM SILICATE,WANE,OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TEST-
ING SYSTEMS OR STOPPING LEAKS? OYES •NO
TESTS l T.4 s ., 1•�'C .' eft .' • N T.. _. T DUAL,--F Z:1-1 ■� - T• VEIN`[EST
I ` SUPPLY TEST we NNECTION: CONNECTION OPEN WIDE 4.30 PSI
T"'7 1-='.c ROUND MAI A N a 3•a IN CONNECTIONS TO SYSTEM RI HS FLUSHED BEFORIZ CaIN E-CTKON MADE TO
--•NKLER P1P1NG.
•RIFIED BY COPY OF THE U FORM NO.858 OYES E:7 NO OTHER EXPLAIN
' ED BY INSTALLER OF UNDER
t •• ND SPRINKLER PIPING OYES NO
BLANK (11 NUMSE USED • TI• s NUMBER REMOVED
GASKETS
'CO PIPING ■YE; ■N.
IFY . .
'9• . .1a' r E SPRINKLER CONTRACTOR THA WELUIN t P•• EDURES COMPLY
THE REQUIREMENTS OF AT LEAST AWS D10,A,LEVEL AR-3 OYES ONO
DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN
WELDING COMPUANCE WITH THE REQUIREMENTS OF AT LEAST AWE D10.8,LEVEL AFI-3 ❑YES ❑NO
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A
DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE
RETRIEVED,THAT OPENINGS IN PIPING ARE SMOOTH,THAT SLAG AND 0TH1 1
3 +NG RESIDUE ARE REMOVED,AND THAT THE INTERNAL DIAMETERS OF
t ARE NOT PENETRATED OYES El NO
CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL
e _ UTOUTS 'ISCS ARE RETRIEVED? OYES NO
• `11 a• 'AlIJ REQUIRE A FUNCTIONAL.FLOW TEST OF RESIDENTU1-SPRINKLERS? YES NO
FLOIEST RE FUNCTIONAL.FLOW TEST RESULTS SATISFACTORY? YES ❑NO
•+-r • • NAME PLATE PROVIDED IF NO,EXPLAIN
DATA NAMEPLATE ❑YES ❑NO
REMARKS DATE LEFT IN : - WITH ALL CONTROL VALVES O PEN:
. • , .t - i Tc 1 % CONTRACTOR LICENSE x
.- - ( PATRIPPO99CF
T5 WITNESSED BY
SIGNATURES 's s. •-.- : • qr ED) E et •
ja ` r�yc- • A.ri. i sb kr —d •
•••: IA R .: / TITLE DATE
DTI' IFY THAT THE INFORMATION IEREIN IS TRUE AND THAT THIS SPR4NK - •YSTEM W IN'TALI,.EO IN ACCORD-
E E WITH ROW 15+16()AND TH: 'ULES ADOPTED BY THE WASHINGTON ADMINISTWATNE CODE AS ADMINISTEIIED BY
CERTIFICATION E STATE FIRE MARSHAL..
NAM OF C.IEFMFIG.TE OF COMPETETk:r HOLDER CPR NT OR rYREJ
BKYie.TURE OF CANTIF1OATE OF 04101PETENCY HOtQ€I ..
ERTIFICATE REGISTRATION# DATE
ADDITICA Al EXpS.14r+A1't0►v ArND AKITES
CIA HACK
FROM PATRIOT FIRE PROTECTION, INC. (THU) APR 20 2006 14 :0 /ST. 14 :00/No. 6834436680 P 4
pATRIQT •
FIRE PROTECTION
CONTRACTORS MATERIAL & TEST REPORT FOR UNDERGROUND PIPING
Fk arm,,...r, ..,- ,____,.,:. :<k«,,..o-.. .. ...�.�xR-.4rnY,�:. ..., r . . .. .. � ^ r• r.,.POCEDURE
Upon completion ul work,Inspection and testa shall be made try I he contractor's representative end wllneesed by en owner's ropreanlatfva,All detects Ebel!ba corrected rod epetem tell
In eerdce before Conlradoes personnel finally leave the}o b.
A certificate shstl be fitted out end signed by both roprosenletluea.Copley shall be prepared Ier+ppraring authorities,owners,end contraoter.II la uhdaratood the owner's repreayntativa'e
signature In no way proludlOte any claim against contra Oar for faulty material,poor workmahahlp,or!allure to comply with approving authority's requirements or 10c al Ixd Agnes 8,
PROPERTY NAME �j �
dps��#' 1r<f li7 �flt' DATE , _+ j
P •PERTY ADDRESS F�kid Ail 'l firip /� .t l •_ J '.l i I I(1 (D
• •' T-a BY APP-.. NG AUTH S RJTI -: (NAME) •
ADDRESS
PLANS
INSTALLATION CONFORMS TO CCEPTED PLANS • c I NO
L UPMENT USED IS APPROVED •YES • NO
IF NO EXPLAIN DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN IN TFD L YES NO
OF CONTROL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT'?
IF NO,EXPLAIN
INSTRUCTIONS
`I +T+-1E4 •F THE AP•ROI:IR/ATE INSTRUCTIONS AND - AND MAINTENANCE CHARTS M T. : 11 N.
BEEN LEFT ON PREMISES? .
IF NO,EXPLAIN '
'LOCATION r PPLIES BUILD1 Gs + ' '-
V TYPE:AND -- TYPE JOINT c v
. PIPE CONF'QR s o 1, 'Ai rdt.1•.;r /�V YES N
FITTINGS CONFORM TO '``• - .e• `a 7,,, OYES D NO
UNDEROROLJND IF NO.EXPLAIN ` ,'' • ,, ' • :.
PIPES rf1'`' .
AND
JOINTS NEEDING ANCHORAGE CLAMPED,Si' PED;OR BLOCKED,IN L-IY€S LINO
JOINTS ACCORDANCE WITH. 'i'•: STANDARD
IF NO EXPLAIN .
'1 ::- .:
t ^� FLUSHING Flow the required rate unR11 water Is clear re tndly+{4d by no collection of foreign material In burlap begs at owlets such as hydrants and blow-
off., atttowena!leas than NOOPM for 4-Inchpip.,Baa4P?,tIaee.Inch-pipe,lS&O(RPM for B-Inehplpe,244 GPMlol1Glnchplpe,and35200PM10r12-Inch
6-10-0-3 plpe.When supply cannot produo+stipulated flow rates,obtain niaxlmum-Ivellable, .
HYDROSTATIC Hydrostatic teat shall be made at not less than 200 pal Tor two hours or 5o pal above static manure In cooed Of 100 pyl to Iwo hours.
TEST
DESCRIPTION LEAKAGE Now pipe laidwllhrubbergaeketed lairds shall,if the workmanship Is satisfactory,he re little ornotaeka¢eSt the lolnte.7heamountofreakeg++l
Ih•}dints shall nol exceed 2 cite.per hour per i44 JOtnla#rreepeetive of pipe dbMloter,The Ivake4e esll be distributed Over all Iolnt#.It auott laakego oCRUre el a
raw'Pints the Installation shell be conetd-ered unsatisfactory and nevaepry repairs made.The amount Of allowable leakaga epaciIiad atO..may be leery seed '
by 1 II,oz per In,veine Went ter per hour for Nett motel!sated valve IeoIctlnq the tat Stollen.If dry barrel hydrants are tested with the main why W411,e0 the
hydrants are under pressure,an additlonel 6 on per minute leakage Is permitted for each hydrant.
rtcsk
NEW UNDERGROUND PIPING FLUSHED ACCORDING TO STANDARD YES NO
SY(COMPANY) - •
A/a, - IF NO,EXPLAIN
•W FLU HI FLO W'-•o1TAJNED -1U WHA - le •P NI
FLUSHING ' nPUBUC WATER 0TANK OR RESERVOIR ❑ FIRE PUMP ❑HYDRANT BUTT egOPEN PIPE
TESTS !
LEAD-INS FLUSHED ACCORDIN TO STANDARD •YES •NO
BY(COMPANY)
IF NO,EXPLAIN
HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OF PENING �—
[]PUBLIC WATER ❑TANK OR RESERVOIR ❑FIRE PUMP I]Y CONN,TO FLANGE~&SPIGOT Ca OPEN PIPr.
•
vas& ((WPM
FROM PATRIOT FIRE PROTECTION, INC. (THU} APR 20 2006 14 :0 /ST. 14 :00/No, 6834436680 P 5
ALL NEW UNDERGROUND PIPING HYDRA TATICALLY TESTED AT JOINT VECP D
HYDROSTATIC D PSI FOR Q HOURS OYES 0 N
TEST
T•TAL AMOUNT •F LEAKAGE MEASURED
LEAKAGE - ,._GALS. _ ,HOURS
TEST ALLOWAELE LFJIKAQE ��
. GALS. HOURS 1
•1 T .1 - r a Till. •I. Tr -II •• -7 = I •-I HYDRAtTa
WATER •NTROL VALVES LEFT WIDE OPE •YES N0
0
CONTJIOL IF NO,STATE REASON
VALVES
FI ❑EP R
TMENT CONNECTIONS AND HYDRANTS INTEC ..—
. WITH THOSE OF FIRE DEPARTMENT ANSWERING ALARM DYES O NO
.'T TE LEFT I -ERVICE • • •
REMARKS
NAME OF INSTALLING CONTRACTOR I CONTRACTOR LICENSE E
_ PATRIFPO09CF
TESTS WITNESSED BY
$IONATURES FOR PROPERTY •T^ER('It NED) TITLE • DATE •
•�� i�� q'I�'t gi i. •1
x±11' IM01. tra'. - : i -s
••`47,T•-.%'�,"�r •i, , ^ / DATE
1.4,;l. `it 40 - is . . . 11r _Ate_ • •-
I ' IFY THAT T E I •"'MA ION HEREIN IS TRUE AND " ' T I 4 LER SYSTEM WAS INSTALLED I TW •RD-
ANCE WITH RCW•18.160 AND THE RULES ADOPTED BY THEW• '..NGTON ADMINI•TRATNE CODE AS ADMINISTERED BY
CERTIFICATION THE STATE FIRE MARSHAL.
114 F • •, ' • H OM.DER?wM'CR'WEI
6IGNATu E QF C Ainnait OF COMPETENCY NOLDGA
CERTIFICATE REGISTRATI• ' M - DATE I^(1--0 Co
mi��Tr/1'TAM t
+.04RnF�ILQPIJINAPiONAhi�IVQe1I 1L::T!'
158 iACK
+{ +S•r „a