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HomeMy WebLinkAboutBuilding 3 - Above Ground Plumbing Cert (1)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 the property owner or their authorized agent. 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 authority's requirements or local ordinances. Property name Catherine Commons Building #3 Date 05/10/2024 Property address 210 College Ave., Ithaca, NY 14850 Accepted by approving authorities (names) Ithaca Fire Address 310 West Green Street, Ithaca, NY 14850 Plans - Installation conforms to accepted plans 0 Yes J No Equipment used is approved 0 Yes J No If no, explain deviations Has person in charge of fire equipment been instructed as Yes ❑ No to location of control valves and care and maintenance of this new equipment? If no, explain Instructions Have copies of the following been left on the premises? 16 Yes ❑ No 1. System components instructions ❑Yes ❑No 2. Care and maintenance instructions ❑ Yes ❑ No 3. NFPA25 ❑Yes No Location of system Supplies buildings Year of Orifice Temperature Make Model manufacture size Quantity rating Reliable (Upright) FIFR56 2023 1/2" 273 200 Sprinklers (Reliable (Sidewall) _F1Res 2023 J 1/2" 802 175 Rebable(Pendent) FlFR56_ 2023 1/2" 291 200 6efiahle.(Pendent) F1Res 2023 1/2" 946 175 (Reliable (Sidewall) F1FR56 2023 1/2" 28 200 Pipe and Type of pipe Schedule 40 & Schedule 10 fittings Type of fittings Ductile & Cast Iron Alarm valve or flow Type indicator Vane Vane Alarm device 4ftftr Make Model tter VSR- 2 VSR -6 Make Mggq1 Reliable FX Time to trip through test Water Dry pipe connectiona-b pressure operating test mr.mles Seconds psi Without' 0 5 165 Q.O.D. Wflh 0% If no, explain Maximum time to operate through test connection Minutes I Seconds 0 32 0 32 Q.O. D. Model Serial no. Time water Alarm Air Trip point reached operated pressure air pressure test outlets,b —RNE�f psi psi Minutes Seconds Yes No 45 12 0 12 V " Measured from time inspector's lest connection is opened. b NFPA 13 only requires the 60-second Ilmitafton in specific sections. ® 2015 National Fire Protection Association NFPA 13 (p. 1 of 3) 2016 Edition Operation ❑Pneumatic ❑Electric ❑Hydraulics Piping supervised ❑Yes ❑No I Detecting media supervised JYes ❑No Does valve operate from the manual trip, remote, or both control stations? ❑ Yes ❑ No Deluge and Is there an accessible facility in each circuit for testing? If no, explain preaction ❑ Yes ❑ No valves Does each circuit operate r p I Does each circuit operate Maximum time to Make Model supervision loss alarm? valve release? operate release ' Yes NYes No Minuteseconds � Y Pressure- Location Make and Residual pressure reducing and floor model Setting Static pressure (flowing) Flow rate valve test Inlet (psi) Outlet (psi) Inlet (psi) Outlet (psi). Flow (gpm) Backflow device Indicate means used for forward flow test of backflow device: Fire Pump forward flow test When means to test device was opened, was system flow demand created? 16 Yes ❑ No ❑ N/A Hydrostatic: Hydrostatic tests shall be made at not less than 200 psi (13.8 bar) for 2 hours or 50 psi (3.4 bar) above static pressure in excess of 150 psi (10.3 bar) for 2 hours. Differential dry pipe valve clappers shall be left Test open during the test to prevent damage. All aboveground piping leakage shall be stopped. description Pneumatic, Establish 40 psi (2.7 bar) air pressure and measure drop, which shall not exceed 11/2 psi (0.1 bar) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 11/2 psi (0.1 bar) in 24 hours. All piping hydrostatically tested at 235 psi ( bar) for 2 hours If no, state reason Dry piping pneumatically tested ❑ Yes ❑ No Equipment operates properly Ij we Do you certify as the sprinkler contractor that additives and corrosive chemicals, sodium silicate or derivatives of sodium silicate, brine, or other corrosive chemicals were not used for testing systems or stopping leaks? OYes ❑No Tests Drain Pleading of gauge R=tee near water Residual prosWre with valve In test test supply test connection: 175 psi ( bar) connection open wide: 175 psi ( bar) Underground mains and lead-in connections to system risers flushed before connection made to sprinkler piping Verified by copy of the Contractor's Material and Test Yes ❑ No Other Explain Certificate for Underground Piping. Flushed by installer of underground sprinkler piping 0 Yes ❑ No If powder -driven fasteners are used in concrete, ❑ Yes O No If no, explain has representative sample testing been satisfactorily completed? Blank testing Number used O I Locations I Number removed 0 gaskets Welding piping lid Yes ❑ No If yes Do you certify as the sprinkler contractor that welding procedures used complied with 0 Yes ❑ No the minimum requirements of AWS B2.1, ASME Section IX Welding and Brazing Qualifications, or other applicable qualification standard as required by the AHJ? Do you certify that all welding was performed by welders or welding operators 0 Yes ❑ No Welding qualified in accordance with the minimum requirements of AWS B2.1, ASME Section IX Welding and Brazing Qualifications, or other applicable qualification standard as required by the AHJ? Do you certify that the welding was conducted in compliance with a documented 0Yes ❑ No quality control procedure to ensure that (1) all discs are retrieved; (2) that openings in piping are smooth, that slag and other welding residue are removed; (3) the internal diameters of piping are not penetrated; (4) completed welds are free from cracks, incomplete fusion, surface porosity greater than Vis in. (1.6 mm) diameter, undercut deeper than the lesser of 25% of the wall thickness or 1A2 in. (0.8 mm); and (5) completed circumferential bull weld reinforcement does not exceed 3/a' in. (2.4 mm)? NFPA 13 (p. 2 of 3) © 2015 National Fire Protection Association 2016 Edition Cutouts Do you certify that you have a control feature to ensure that (discs) all cutouts (discs) are retrieved? Hydraulic Nameplate provided If no, explain data nameplate Yes ❑ No Sprinkler contractor removed all caps and straps? 0 Yes ❑ No Date left in service with all control valves open Remarks Name of sprinkler contractor petcosky Fire Protection, Inc. Tests witnessed by Signatures The property owner or their authorized aggnt (signed) '7 Fit Oink contractor (slgfle ae'r, Additional explanalio s a no Additional 1 J�+ HUG title AV 0Yes ❑No Date Date ® 2015 National Fire Protection Association NFPA 13 (p. 3 of 3) 2016 Edition Catherine Commons Building 3 Pressure Reducing Valve Set Points Size Pressure (PSI) Floor Location (in) Min. Max. LL Stair 2.5" 155 175 OF Mech Rm 4" 155 175 2 Stair 2.5" 155 175 3 Stair 2.5" 155 175 4 Stair 2.5" 155 175 5 Stair 2.5" 155 175 6 Stair 2.5" 155 175 7 Stair 2.511 155 175 8 Stair 2.5" 155 175 0