HomeMy WebLinkAbout2111 PALOMAR AIRPORT RD; ; AS140002; Permit12/16/21, 3:55 PM AS140002 Permit Data
City of Carlsbad
Sprinkler Permit
2111 PALOMAR
Job Address:
AIRPORT RD
Permit Type: SPRINK
Parcel No: 2130701400
Lot #: 0
Permit No: AS 140002
Status: ISSUED
Applied 1/7/2014
Approved: 1/9/2014
Reference No.: Issued: 1/9/2014
PC #: Inspector:
Project Title: HANSEN TI—RELOCATE EXISTING RECESSED STANDARD
RESPONSE, STANDARD SPRAY RENDENT AT LOCATION
SHOWN ON PLANS
Applicant:
TOTAL FIRE PROTECTION, INC.
STE. 244
1611-AS. MELROSE DR.
VISTA, CA
760-525-4329
Owner:
REALTY ASSOCIATES FUND VII L P
C/O TA ASSOCIATES REALTY
1301 DOVE ST #860
NEWPORT BEACH CA
Fees ($) lAdd'IFees ($) Total ($)r Balance
f 0 * 268 0
1/1
As ioo
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 owners representative. All defects shall be
corrected and system left in service before contractors 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 Date 1/21/14
Hansen
PROPERTY ADDRESS
2111 PALOMAR AIRPORT ROAD. SUITE 200
PLANS
ACCEPTED BY APPROVING AUTHORITY(S) NAMES
Carlsbad Fire Department
ADDRESS
INSTALLATION CONFORMS TO ACCEPTED PLANS YES
EQUIPMENT USED IS APPROVED D YES
IF NO, EXPLAIN DEVIATIONS
0 NO
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
0 YES 0 NO
HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES:
SYSTEM COMPONENTS INSTRUCTIONS 0 YES
CARE AND MAINTENANCE INSTRUCTIONS 0 YES
NFPA25 OYES
0 NO
0 NO 0 NO
LOCATION
OF SYSTEM
SUPPLIES BUILDING:
MAKE MODEL
YEAR OF
MANUFACTURE
K FACTOR
QUANTITY
TEMPERATURE
RATING
co
SPRINKLERS
PIPE AND
FITTINGS
Type of Pipe: Schd. 40 and Lightwall
Type of Fittings: Cast iron 125# and Grooved
ALARM VALVE
OR FLOW
INDICATOR
ALARM DEVICE
MAXIMUM TIME TO OPERATE
THRU TEST CONNECTION
TYPE MAKE MODEL MIN. SEC.
DRY PIPE
OPERATING
TEST
DRY VALVE Q.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 OUTLE
ALARM
OPERATED
PROPERLY
MIN. SEC. PSI PSI PSI MIN. SEC. I YES NO
Without
Q.O.D. 0 0
With
Q.O.D. 0 0
IF NO, EXPLAIN:
MEASURED FROM TIME INSPECTOR'S TEST CONNECTION OPENED. (OVER)
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
IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO, EXPLAIN
DELUGE &
PREACTION 0 YES 0 NO
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 0 0 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 (10.2 bars) 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 psi (2.7 bars) air pressure and measure drop which shall not exceed 1-1/2 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 1-1/2 psi (0.1 bars) in 24 hours.
ALL PIPING HYDROSTATICALLY TESTED AT 0 PSI FOR 2_ HRS. IF NO, STATE REASON:
DRY PIPING PNEUMATICALLY TESTED 0 YES 0 NO
EQUIPMENT OPERATES PROPERLY []YES 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 ZYES 0 NO
DRAIN READING OF GAGE LOCATED NEAR WATER SUPPLY TEST RESIDUAL PRESSURE WITH VALVE IN TEST
TEST
I
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. 85B 0 YES 0 NO
FLUSHED BY INSTALLER OF UNDER-
GROUND SPRINKLER PIPING []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 DI0.9, 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? 0 YES 0 NO
CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL
(DISCS) CUTOUTS (DISCS) ARE RETRIEVED? YES 0 NO
HYDRAULIC NAME PLATE PROVIDED IF NO, EXPLAIN:
DATA
NAMEPLATE 0 YES 0 NO
DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN:
REMARKS
NAME OF SPRINKLER CONTRACTOR:
TESTS WITNESSED BY
FOR PROPERTY OWNER (SIGNED) TITLE DATE
SIGNATURES I I
F(nSPRINKLE CONT CT SIGNED) TITLE _. DAT i 'A
FOA 110CAL FIRE MARSHAL (SIGNED) TITLE DATE
FOR RESPONSIBLE MANAGING EMPLOYEE (SIGNED) TITLE DATE
ADDITIONAL EXPLANATION AND NOTES (BACK)