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HomeMy WebLinkAboutBuilding 3 - Above ground Plumbing Cert (2)CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR ABOVEGROUND PIPING Standpipe System NFPA 14 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 the system left in service before the 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 that the owner's representative's signature in no way prejudices any claim against the contractor for faulty material, poor workmanship, or fallure to comply with the approving authority's requirements or local ordinances. Property name Katherine Commons - Building 3A & 3B 1f Date 105/15/2024 Property address Building 3A - 210 College Ave., Ithaca, NY 14850, Building 3B - 202 College AI ve., Ithaca, NY 14850 Accepted by approving authorities (names) Ithaca Fire Address P 10 West Green Street, Ithaca, NY 14850 Plans Installation conforms to accepted plans? OYes O No Equipment used is approved or listed? B yes 0 NIV If no, explain deviations. I t CI Automatic dry 0 Automatic wet ❑ Semiautomatic dry Type of ❑ Manual dry System p Manual wet p Combination slandpipelsprinklor If other, explain r .11 t Water Supply Data Used for Design and As Shown on Plans Water Supply Source Capacity, Gallons If Public Waterworks System: Fire pump data Patterson Pump Company Type: ® Electric ❑ Diesel ❑ Other (explain) Model _5X4M 750 GPM (&,, 100 PSI 75 HP Rated, gpm t°w' I Rated, psis" l Shutoff, psrf" 1 0 Public waterworks system (gal) ❑ Storage Lanl(= (gal) ❑ Gravity tank= (gal) C3 Open reservoir= (gal) ❑ Other (explain) Static, psi �110- Residual, psi. 190 _ Flow, 9Rm. I130.6 _ Have Copies 0 System components instructions ❑✓ Care and maintenance of system ❑p NFPA 25 of the Following Been Left on 0 Copy of accepted plans ©Hydraulic data/calculations the Premises? Main waterflow shutoff location Supplies Building(s) Number of standpipe risers Do all standpipe risers have base of riser shutoff valves? OYes ❑ No Valve ❑ Locked open 11 Sealed and lagged OTamperpr❑ot switch 0 Other Supervision If other, explain. I Perl9dule 11) & 40 Pipe and TYRe of pip* ��� & cast Iron Fittings Type of fitting Hose Hose threads have been verfied for compliance with local fire department ❑✓ is [:]No Threads Backflow ❑ Double checkassembly Siza 181.Make and model (Ames C200 Preventor ❑ Reduced -pressure device © 2015 National Fire Protection Association FIGURE 11.1.3 (a) Sample Contractor's Material and Test Certificate for Abovegrotmd Piping. NFPA 14 (p. 1 of 3) CONTROL VALVE DEVICE Type Size Make (Butterfly 11411 1lVictaulic 11705 Butterfly 116 if I lVictaulic 11705 Butterfly I 1411 1 lVictaulic 11705 (Butterfly 116 1lVictaulic 11705 . Time to trip through remote hose valve Time water reached remote hose valve outlet © Min . � Sec Min 0 Sec Water pressure Trip point air pressure I Alarm operated properly? 0 Yes ❑ No If no, explain. I Time water reached remote hose valve outlet _ _l Min 0 Sec Hydraulic activation Yes Electric activation OYes Pneumatic activation '*s Make and model of activation device Each activation device tested? ❑ yhs No If no, explain Each activation device operated properly? Yes ❑ No if no, explain I Locatlon 8 Floor jSee List I 1 _1 Model i— Air pressure I psi PRESSURE -REGULATING DEVICE Nonflowing (psi) Flowing (psi) Model Inlet Outlet Inlet OutletT-71 I II I� I 11 I Li Il I I ll _ � 11 11 11 L I I I I ^ All hose valves on system operated properly? [2] Yes ❑ No If no, explain ® 2015 National Fire Protection Association NFPA 14 (p. 2 of 3) FIGURE 11.1.3(a) Continued Hydrostatic: Hydrostatic tests shall be made at not less than 200 psi (13,6 bar) for 2 hours or 50 psi (3.4 bar) above static pressure in excess of 150 psi (10.2 bar) for 2 hours. Differential dry pipe valve clappers shall be left open during test to Test prevent damage. All aboveground piping leakage shall be stopped. Description Pneumatic: Establish 40 psi (21 bar) air pressure and measure drop, which shall not exceedl'/z 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/a psi (0 1 bar) in 24 hours. Hydrostatic Test —Pressure at top of stand I e (s) STP9Pressure (psi) ( bar) STP#Q STP# Pressure � (psi) (� bar) STP# STP# � Pressure (psi) (Z 1. bar) STP# 0 All piping hydrostatically tested at 0 psi (L.J bar) for 0 hrs Dry piping pneumatically tested? ❑ Yes ❑ No Fcltlil mtant operates properly? ❑ Yes ❑ No Pressure (psi) (= bar) Pressure (psi) bar) Pressure (psi) (� bar) It no, state reason. Do you certify as the standpipe contractor that additives and corrosive chemicals, Tests sodium silicate, or derivatives of sodium silicate, brine, or other corrosive chemicals were not used for testing systems or stopping leaks? ❑ Yes ❑ No Drain Reading of gauge local near water ❑ Residual pressure with valve In test test supply test connection - I psi (— bar) I connection open wider" L psi (ZI bar) Underground mains and lead-in connections to system risers flushed before connection made to standpipe pipino. Verified by copy of the underground test form? 0 Yes ❑ No ❑ Other (explain) I Flushed by installer of underground standpipe piping? ❑✓ Yes ❑ No Flow water from the hydraulically most remote slarh*pe outtef(s). Flow Test Record: Static pressure;, ps, (❑ bar) Residual pressure: Pitot pressure:. psi (JIM bar) Total flow;._ gpm (,a Llmin) SlankTesting Number used f Locations,!.. . Welded piping 0 Yes ❑ No If yes . . psi (,n bar) Nozzle diameter:>r___1 in. JZJ cm) l I Number rr.mo-ln,cl I Do you certify as the standpipe contractor that welding procedures comply with the requirements of at least AWS D10.9, Level AR-3? Welding Do you certify that the welding was performed by welders qualified in compliance with the requirements of at least AWS D10.9, Level AR-3? 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? Cutouts (Discs) Hydraulic Data Nameplate Remarks Name of Sprinkler/ Standpipe Contractor System Operating Test Witnessed by Additional Explanation and Notes Do you certify that you have a control feature to ensure that all cutouts (discs) are retrieved? Nameplate provided? ✓❑ Yes ❑ No ❑ If no, explain. Date left in service with all control valves open: I _ Name of contractor !' etcosky Fire Protection Inc Address S21 Commerce Rd Vestal NY, 13850 State license number (if cl)pllcable)Pew York /] .4 J Property owner Sprinkler/standpipe :ortlrcir..tor Approving authonlies © Yes ❑ No 0 )bs ❑ No ❑✓ Yes ❑ No ❑✓ %s ❑ No Title Date, Title f'��� k Date 77-_0/7 Y Title I Date 4 ® 2015 National Fire Protection Association MC111TOR 11 1 °;rat !`nit/ius�uA NFPA 14 (p. 3 of 3) 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 2.5" ,. 155 175 8 Stair 2.5" 155 175 M