HomeMy WebLinkAbout5800 ARMADA DR; ; AS140153; PermitCity of Carlsbad
Sprinkler Permit
Permit No: AS140153
Job Address: 5800 ARMADA DR
Permit Type: SPRINK
Parcel No: 2111000600
Lot #: 0
Reference No.:
Status: ISSUED
Applied 6/25/2014
Approved: 7/1/2014
Issued: 7/1/2014
PC #: Inspector:
Project Title: HOMESTREET BANK TI OF EXISTING 3RD FLOOR OFFICE
Applicant:
PACIFIC FIRE SYSTEMS, INC.
13142 NELSON LANE
POWAY, CA
858-722-9865
Owner:
LOT 15 CARLSBAD RANCH L L C
5800 ARMADA DR #102
CARLSBAD CA
Fees ($) Add'I Fees ($) Total ($) Balance ($)
268 0 268 0
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR A BOVEGROUND PIPING
PROCEDURE
Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. AU defects shall be
corrected and system left In service before contractor's personnel finally leave the job.
A certificate shag 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.
HOMESTREET BANK
PROPERTY
5800 ARMADA DR.. SUITE 350, CARLSBAD, CA 92008
PLANS
ACCEPTED BY APPROVING AUTHORITY(S) NAMES
Carlsbad Fire Department
ADDRESS
1635 Faraday Ave.. Carlsbad, CA 92008
INSTALLATION CONFORMS TO ACCEPTED PLANS
EQUIPMENT USED IS APPROVED
IF NO, EXPLAIN DEVIATIONS
YES 0 NO
YES 0 NO
INSTRUCTIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION
OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT?
IF NO, EXPLAIN Building maintenance is in charge of building operations not the individual tennants.
[:]YES NO
HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES:
SYSTEM COMPONENTS INSTRUCTIONS
CARE AND MAINTENANCE INSTRUCTIONS
NFPA25
0 YES 0 NO
DYES 0 NO DYEs 0 NO
LOCATION
OF SYSTEM
SUPPLIES BUILDING:
Fire riser is located in an exterior closet on the North side of the building.
- MAKE MODEL
YEAR OF
MANUFACTURE
KFACTOR
QUANTITY
TEMPERATURE
RATING
SPRINKLERS
PIPE AND
FITtiNGS
Type of Pipe: Schd. 40
Type of Fittings: Cast iron 125# and
ALARM VALVE
OR FLOW
INDICATOR
ALARM DEVICE MAXIMUM TIME TO OPERATE
THRU TEST CONNECTION
TYPE MAKE MIN.
T
MODEL _SEC.
•
DRY PIPE
OPERATING
TEST
DRY VALVE O.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
TIME TO TRIP
THRU TEST
CONNECTION
WATER PRESSURE AIR PRESSURE
TRIP POINT
AIR
PRESSURE
TIME WATER
REACHED
TEST OUTLET
ALARM
OPERATED
PROPERLY
MIN. I SEC. PSI PSI PSI MIN. SEC. YES NO
Without
Q.O.D. 0 0
With
O.O.D. 0 0
IF NO, EXPLAIN:
*MEASURED FROM TIME INSPECTOR'S TEST CONNECTION OPENED. (OVER)
t Cr
OPERATION
0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC.
PIPING SUPERVISED 0 YES 0 NO DETECTING MEDIA SUPERVISED 0 YES 0 NO
DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS 0 YES 0 NO
DELUGE &
PREACTION
IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING
DYES 0 NO
IF NO, EXPLAIN
VALVES
DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT OPERATE MAXIMUM TIME TO
MAKE MODEL SUPERVISION LOSS ALARM? VALVE RELEASE? OPERATE RELEASE
YES NO YES NO MIN. SEC.
0
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 pressure in excess of 150 psi
TEST (102 bare) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall be stopped.
DESCRIPTION PNEUMATIC: Establish 40 par (2.7 bars) air pressure and measure drop which shall not exceed 1-112 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 1-112 psi (0.1 bars) in 24 hours.
ALL PIPING HYDROSTATICALLY TESTED AT PSI FOR - - HRS. IF NO, STATE REASON:
DRY PIPING PNEUMATICALLY TESTED DYES 0 NO
EQUIPMENT OPERATES PROPERLY DYES 0 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?
TESTS DYES 0 N
DRAIN READING OF GAGE LOCATED NEAR WATER SUPPLY TEST RESIDUAL PRESSURE WITH VALVE IN TEST
TEST CONNECTION: PSI I CONNECTION OPEN WIDE PSI
UNDERGROUND MAIN AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING
OTHER EXPLAIN
VERIFIED BY COPY OF THE U FORM NO. 859 0 YES D NO
FLUSHED BY INSTALLER OF UNDER-
GROUND SPRINKLER PIPING D YES 0 NO
BLANK NUMBER USED LOCATIONS: NUMBER REMOVED
TESTING 0
GASKETS
WELDED PIPING 0 YES 0 NO
IF YES...
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY
WITH THE REQUIREMENTS OF AT LEAST AWS 010.9, LEVEL AR-3? DYES 0 NO
DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN
WELDING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS DI0.9, LEVEL AR-3? DYES 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? DYES 0 NO
CUTOUTS
(DISCS)
DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL
CUTOUTS (DISCS) ARE RETRIEVED? $'ES D NO
HYDRAULIC NAME PLATE PROVIDED IF NO, EXPLAIN:
DATA
NAMEPLATE DYES 0 NO
DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: 7h 2, 2/+'
REMARKS 'I
NAME OF SPRINKLER CONTRACTOR:
TESTS WITNESSED BY
FOR PROPERTY OWNER (SIGNED) TITLE DATE
SIGNATURES I I FO 9R (SIGNED) TITLE DATE
FOR LOCAL FIRE MARSHAL (SIGNED)
I
TITLE DATE
FOR RESPONSIBLE MANAGING EMPLOYEE (SIGNED) TITLE DATE
ADDITIONAL EXPLANATION AND NOTE
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