HomeMy WebLinkAbout6155 EL CAMINO REAL; ; FPC2017-0024; PermitC of
PERMIT REPORT Carlsbad
Print Date: 03/02/2022 Permit No: FPC2017-0024
Job Address: 6155 EL CAMINO REAL, CARLSBAD, CA 92009-1602 Status: Closed - Finaled
Permit Type: FIRE-Construction Commercial Work Class: Fire Sprinklers
Parcel #: 2131000100 Track #: Applied: 01/30/2017
Valuation: $46,882.08 Lot #: Issued: 02/08/2017
Occupancy Group: Project #: Finaled Close Out: 02/22/2021
#of Dwelling Units: Plan #:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check #: Inspector:
Plan Check #: Final Inspection:
Project Title:
Description: VIASAT LAB I/SPRINKLER TI <100 HEADS (14 HEADS)
CoApplicant:
WESTERN FIRE PROTECTION INC
13630 DANIELSON ST
POWAY, CA 92064-6830
(858) 513-4949
FEE AMOUNT
FIRE NFPA 13 or 13R System 7 - 100 heads $536.00
Total Fees: $536.00 Total Payments To Date: $536.00 Balance Due: $0.00
Fire Department Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 1 760-602-4665 1 760-602-8561 f I www.carlsbadca.gov
~v 4=PLaot*T - 0o24 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 owner's representative. 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 ADDRESS 6155 Camino Real BLDG 5
ACCEPTED BY APPROVING AUTHORITIES (NAMES)
PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS 0 YES 0 NO EQUIPMENT USED IS APPROVED D YES 0 NO IF NO, EXPLAIN DEVIATIONS
INSTRUCTIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION 0 YES
OF CONTROL VALVES AND CARE AND MAINTENANCE OF THEIS NEW EQUIPMENT?
IF NO, EXPLAIN
0 NO
HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES 0 YES SYSTEM COMPONENTS INSTRUCTIONS 0 YES CARE AND MAINTENANCE INSTRUCTIONS 0 YES NFPA25 DYES
0 NO 0 NO
0 NO 0 NO
LOCATION SUPPLIES BUILDINGS
SPRINKLERS
MAKE MODEL
YEAR OF
MANUFACTURE
ORIFICE
SIZE
-
QUANTITY
TEMPERATURE
RATING
TYCO 323 2017 1/2" 17 155
PIPE AND
FITTINGS
TYPE OF PIPE ASTM Sch 40
TYPE OF FITTINGS ASTM Sch 40
ALARM VALVE ALARM DEVICE
MAXIMUM TIME TO OPERATE
THROUH TEST CONNECTION
OR TYPE MAKE I MODEL MIN SEC FLOW
INDICATOR
MODEL SERIAL NO. MAKE -MODEL SERIAL NO.
DRY PIPE
OPERATING
TIME TO TRIP
THROUGH TEST
CONNECTION
WATER
PRESSURE
AIR TRIP
PRESSURE AIR
POINT
PRESSURE
TIME WATER
REACHED
TEST OUTLET
ALARM
OPERATED
PROPERLY TEST MIN SEC PSI PSI PSI MIN 'SEC YES NO -
WITH
Q.O.D.
W/O
Q.O.D.
IF NO, EXPLAIN
OPERATION LI PNEUMATIC fl ELECTRIC 0 HYDRAULIC
PIPING SUPERVISED LI YES LI NO DETECTING MEDIA SUPERVISED LI YES LI NO
DELUGE &
DOES THE VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE
CONTROL STATIONS [1 YES ElNO
PREACTION
VALVES
IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT IF NO, UPLAIN
FOR TESTING? LI YES [I NO
MAKE
I
MODELI
DOES EACH CIRCUIT OPERATE
SUPERVISION LOSS ALARM
DOES EACH CIRCUIT
OPERATE VALVE RELEASE
MAXIMUM TIME TO
OPERATE RELEASE
YES NO YES NO MIN SEC
tbUPb LOUA I ION MAKE & SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE REDUCING & FLOOR MODEL (FLOWING) VALVE TEST INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI) FLOW (GPM)
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
TEST pressure in excess of 150 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent
DESCRIPTION damage. All aboveground piping leakage shall be stopped.
PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop, which shall not exceed 1/2 psi (0.1 bars) in 24 hours. Test
pressure tanks at normal water level and air pressure and measure air pressure drop which shall not exceed 1 .4 psi in 24 hours.
ALL PIPING HYDROSTATICALLY TESTED AT _FOR 2 HOURS IF NO, STATE REASON
DRY PIPING PNEUMATICALLY TESTED 0 YES ONO
EQUIPMENT OPERATES PROPERLY El YES F1 NO
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? M YES El NO
DRAIN READING OF GAGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH VALVE IN TEST
TESTS TEST SUPPLY TEST CONNECTION 98 PSI CONNECTION OPEN WIDE 87 PSI
UNDERGROUND MAINS AND LEAD-IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE
CONNECTION MADE TO SPRINKLER PIPING.
VERIFIED BY COPY OF THE U FORM NO. 858 0 YES 0 NO OTHER EXPLAIN
FLUSHED BY INSTALLER OF UNDERGROUND
SPRINKER PIPING M YES DNO
IF POWDER DRIVEN FASTENERS ARE USED IN CONCRETE IF NO, EXPLAIN HAS REPRESENTATIVE SAMPLE TESTING BEEN COMPLETED? 0 YES El NO
BLANK TEST NUMBER USED LOCATIONS NUMBER REMOVED
GASKETS
WELDED PIPING M YES 0 NO
IF YES...
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY
WITH THE REQUIREMENTS OF AT LEAST AWS D10.9. LEVEL AR 3? YES 0 NO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE
WELDING NTH THE REQUIREMENTS OF AT LEAST AWS D10.9. LEVEL AR 3? YES 0 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 OTHER WELDING RESIDUE ARE REMOVED, AND THAT
THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? YES El NO CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS)
(DISCS) ARE RETRIEVED? YES 0 NO HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN
DATA EYES ONO
NAMEPLATE
DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN.
REMARKS 3/9/17
NAME OF SPRINKER CONTRACTOR:
Western Fire Protection
SIGNATURES TESTS WITNESSED BY
FOR PROPERTY OWNER (SIGNED) TITLE DATE
FQR TI 'IlS,j4. TLE DATE
ADDITIONAL EXPLANATIONS AND NOTES: