The URL can be used to link to this page

Home My WebLink AboutCONTRACTORS MATERIAL AND TEST CERTIFICATE - 96-00008 - Madison County - East Main Square - RemodelContractor's Material and Test- Certificate for Above round Pipin PROCEDURE Upon completion of work, fnspeGtian and tests shall 6e made by the contractor's representative and witnessed by the owner's representative. All defects spa!l be corrected and system deft 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. Itis 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 E 3 5 t M31I1 Square DATE 7/8/96 PpOPERiYADDRESexburg, Idaho ACCEPTED BY APPROVING AUTHORITIES (NAMES) City Firms Marshal A°°Ess Rexburg, Idaho INSTALLATION CONFORMS TO ACCEPTED PLANS YDS ❑ NO EQUIPMENT USED IS APPROVED YES ❑ NO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIAEEQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF k] YES [l N CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLDWiNG BEEN LEFT ON THE PREMISES: YES ❑ NQ 1. SYSTEM COMPONENTS INSTRUCTIONS YDS I,� NO 2. CARE AND MAINTENANCE INSTRUCTIONS YES Q N4 3. NEPA 25 ❑YES NA C NQ LOCATION F SYSTEM SPRINKLERS PIPE AND FITTINGS ALARM VALVE R FLOW INDICATOR DRY PIPE OPERATING TEST DELUGE PREACTION .LES SUPPLIES BUILDINGS East Mein Square Remodel YEAR OF ' ORIFICE MODEL MANUFACTURE SIZE QUANTI-FY TEMPERATURE RATING C? TYPE OF PIPE Domestic TYPE OF FiTTfNGS Screwed and V1Ct3L1l1C MAXIMUM TIME TO OPERATE - ALARM DEVICE THROUGH TEST CONNECTION TYPE MAKE MODEL MIN - SEC. ex1St1T1g NA WITHOUT O.O.DL WITH ... IF NO, EXPLAIN OPERATION PIPE SUPERVISED DRY VALVE MOTEL TIME TRIP THROUGH TEST CONNECTIOW IN. I SEC.. SERIAL MAKE 'SATE PRESSURE PSI L PNEUMATIC ❑Yes 0 No AIR PRESSURE PSI El ELECTRIC TRIP POINT ASR PRESSURE PSI . , , MODEL Tf M E WATER REACHED TEST OUTLET MIN, S E+. D HYDRAULIC DETECTING MEDIA SUPERVISED � DOES VALVE OPERATE FROM THE MANUAL TRIP AND / OR REMOTE CONTROL STATIONS IS THERE AN ACCESSIBLE FACILITY 1N EACH CIRCUIT IF NO, EXPLAIN FOR TESTING .�. -- YE5['j NO DOES EACH CIRCUIT OPERATE � MAKS MODEL SLJPFRViRrnnj I ncq Al eQftA F I ' N WEASU ED FROM TIME INS PECTOR'S TEST CONNE T7 1 S OPENED. DOES EACH CIRCUIT OPERATE VALVE RELEASE YES I NO I F] YES El vEs SERIAL NO, ALARM OPERATED PROPERLY YES I NO nnaxiMuM TIME To OPERATE RELEASE MIN. I SEC. L TION E RESIDUAL PRESSURE PRESSURES. ' SETTING STATIC PRESSURE (FLOWING) FLOW RATE INLET (PSI)rtL S� INLET PSI UTLETPLTP VALVE TEST - I- HYDROSTATIC* H rt shall made t not I than 200 psi 1..x.6 bars) for two 'Fours r psi (. bars)0 Static abov pressure in excess of 150 psi (10.2- bars) for two hours. Differential dry-pipe vaive clappers shall be left openprovent TEST damage. All aboveground piping leakage shall be stopped.. DESCRIPrTIONPNEUMATIC: Establish 4 psi 7 bars) air pressure and measure drop, which shall not exceed 1-1/2 psi .1 bars) in 24 hours. i Test pressure tanks at normal wafer tevel and air pressure and measure it pressure drop, which shall not exceed 1-1psi (01. bars) i .4 hours, 1 : � a } PSIFOR FIRS. IF STATE REASON - ALL PIPING HYDROSTATICALLY TESTED T , DRY PIPING PNEUMATICALLY TESTED 'SES N EQUIPMENT OPERATES PROPERLY YES NO CSO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES E F SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERENOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? [2E N TESTS DRAIN READING OF GAUGE LOCATED NEAR .R WATER RESIDUAL PRESSURE WITH VALVEJN TEST TEST PL' TEST I`�I.IETIN. CONNECTIONOPEN SIDE PSI _ UNDERGROUND MAINS AND LEAD IN CONNECTIONSTO SYSTEM EMBERS FLUSHED BEFORE CONNECTION MADE T SPRINKLER PIPING. existing VERIFIED BY COPYOF THE U FORM NO. 85B System ONO OTHER EXPLAIN FLUSHED BY INSTALLER P UNDERGROUND SPRINKLER PIPING YES No existing,tem IF POWDER DRI' EN FASTENERS ARE USED IN CONCRETE, HAS REPRESENTATIVE IF NO, EXPLAIN SAMPLE TESTING BEEN SATISFACTORILY COMPLETED?`SES No NA BLANK TESTING NUMBER USED LOCATIONS UMBER REMOVED GASKETS none na none WELDED PIPING El YES R NO F IF YES. DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING . PR. ED RES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D 1 . w LEVEL AR- 0 YEs El NO ' ELD-] NO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN NA COM P LI ANCE WITH TH E R EQU I R EM E NTS OF AT LEAST AWS D 10.9. LEVE L R- YES N LTiF TAT-TRE S EL iN WAS ARM � T II COM PLIA WITH- DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE 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? YES N i CUTOUTS DO YOU CE RTI E' THAT YO U RAVE A CONTROL F EATURE TO E NS URE THAT ALL (DISCS) 'TUT DISCS ARE RETRIEVED E [ HYDRAULIC DATA NAMEPLATE PROVIDED YES NO IF NO, EXPLAIN '.T mods to-- xi in .NAIE�L►' _ CM REMARKS DATE LEFT 1N SERVICE WITH, ALL CONTROL VALVESOPEN: NAME PRM LER CONTRACTOR 3-D "ire Protections Inc TESTS ITN ESS E D R FOR P ERTrNE TITLE LITE SIGNATURES .- I l DATE PR I N LER NT ACTOR(SI TITLE r _ ITI N. L EXPLANA ONS AND NOTES 1 1 1 . _ • • ' i.: tri+ __