HomeMy WebLinkAbout6374 KEENELAND DR; ; AS050058; Permit3/2/22, 9:59 AM AS050058 Permit Data
City of Carlsbad
Sprinkler Permit
Permit No: AS050058
6374 KEENELAND
Job Address: Status: ISSUED
DR
Permit Type: SPRINK Applied 4/8/2005
Parcel No: 2132500100 Approved: 5/10/2005
Lot #: I
Reference No.: Issued: 5/10/2005
PC #: Inspector:
Project Title: MAGNOLIA ESTATES
Applicant: Owner:
BARRATT AMERICAN INC
C/O DON MACKAY
5950 PRIESTLY DR #101
CARLSBAD CA
Fees ($) Add'I Fees ($) Total ($) Balance ($)
220 0 220 0
1/1
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\ORKINC PLANS. DES ICN. INSTALLATION. ACCET'-rANCETESTS. AND MAINTENANCE 13R-9
Contractor's Material and Test Certificate for Aboveground Piping
PROCEDURE
Upon completion of work, inspection and tests shall be made by the contractors representative and witnessed by an owners representative. All defects shall be corrected and system left in service before contractors personnel finally lea
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A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approvi
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contractor. It is understood the owners representatives 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
C.A CL* fs e\ DATE
PROPERTYADDRESS
ACCEPTED BY APPROVING AUTHORITIES (NAMES) I ...
ADDRESS
PLANS
- INSTALLATION CONFORMS TO ACCEPTED PLANS YES NO EQUIPMENT USED IS APPROVED YES NO ,IF NO. EXPLAIN DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS 7 YES NO TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE
OF THIS NEW EQUIPMENT?
IF NO. EXPLAIN
INSTRUCTIONS
I HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES? YES NO SYSTEM COMPONENTS INSTRUCTIONS YES NO 2. CARE AND MAINTENANCE INSTRUCTIONS
' YES NO
C. NFPA25 . YES NO
LOCATION
OF SYSTEM SUPPLIES BUILDINGS
YEAR OF ORIFICE TEMPERATURE MAKE MODEL MANUFACTURE SIZE 1 QUANTITY RATING
SPRINKLERS
PIPE AND Type of Pipe
FITTINGS Tipe Type of Fittings r\ C
MAXIMUM TIME TO OPERATE ALARM
OR FLOW
VALVE ALARM DEVICE THROUGH TEST CONNECTION
TYPE j MAKE MODEL I MIN I SEC f-\ INDICATOR
DRY VALVE O.O.D.
MAKE MODEL SERIAL NO. I MAKE MODEL SERIAL NO.
DRY PIPE
OPERATING
TEST -
TIME TO TRIP
THROUGH TEST
CONNECTION1
WATER
PRESSURE
AIR
PRESSURE
TRIP POINT
AIR PRESSURE
TIME WATER
REACHED
TEST OUTLET'
ALARM
OPERATED
PROPERLY
- MIN SEC PSI PSI PSI MIN SEC YES NO Without
0.0.0.
IF NO. EXPLAIN
'MEASURED FROM TIME INSPECTOR'S TEST CONNECTION IS OPENED.
Figure 2-1.2.1 Contractors material and test certificate for aboveground piping.
996 Edition
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I3R-10 SI'RINRI.ER SYSTEMS IN RESIDEN'TIA1.0CCURANCIES L'PTOAD INCLLDIG FOUR STORIES IN HEIGHT
OPERATION 0 PNEUMATIC 0 ELECTRIC =1 HYDRAULIC
PIPING SUPERVISED 0 YES = NO j DETECTING MEDIA SUPERVISED 0 YES = NO
J
DOES VALVE OPERATE FROM THE MANUAL TRIP. REMOTE, OR BOTH 0 YES 0 NO CONTROL STATIONS
I' /J—\
DELUGE AND
PREACTION
VALVES
IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT IF NO, EXPLAIN FOR TESTING
YES E NO
MAKE MODEL
DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO SUPERVISION LOSS ALARM? OPERATE VALVE RELEASE, OPERATE RELEASE YES NO YES NO MIN I SEC
ps.) isJ LOCATION MAKE & SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE PREURE & FLOOR MODEL
(FLOWING) REDUCING
VALVE TEST INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI)I FLOW (GPM)
HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13,6 b
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above static pressure in excess of 150 psi (102 bars) for 2 hours. Differential dry-pipe valve clappers shall be left
TEST
DESCRIPTION
open during the test to prevent damage. All aboveground piping leakage shall b
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PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop, which sha
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1,6 psi (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure
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not exceed 1112 psi (0.1 bars) in 24 hours.
ALL PIPING HYDROSTATICALLY TESTED AT UPS] (.—'BARS) FOR
1-IRS IF NO. STATE REASON DRY PIPING PNEUMATICALLY TESTED 0 YES ' NO EQUIPMENT OPERATES PROPERLY
YES NO
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES
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SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHE
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WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS?
CR YES 0 NO
TESTS
DRA:N READING OF GAUGE LOCATED NEAR WATER
TEST SUPPLY TEST CONNECTION:
_ PSI (—BARS)'CONNECTION
RESIDUAL PRESSURE WITH VALVE IN TEST
OPEN WIDE: PSI 1_BARS) UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS
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CONNECTION MADE TO SPRINKLER PIPING
VERIFIED BY COPY OF THE U FORM NO. 858 YES NO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDER-
GROUND SPRINKLER PIPING
YES E NO
IF POWDER-DRIVEN FASTENERS ARE USED IN YES jW NO IF NO, EXPLAIN
I
CONCRETE, HAS REPRESENTATIVE SAMPLE
TESTING BEEN SATISFACTORILY COMPLETED?
/A
BLANK TESTING NUMBEP, USED LOCATIONS NUMBER REMOVED GASKETS
WELDED PIPING YES
IF YES.
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING
PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST
YES NO AWS D1O.9, LEVELAR-37
WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS
QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST
7 YES 0 NO AWS 010.9, 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 0 YES 0 NO SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED.
AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED?
CUTOUTS
(DISCS)
DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO 0 YES 0 NO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED?
Figure 2-I.2J Contractor's material and lest certificate for aboveground piping.
WORKING DESIGN, INsTALL_TIox. .ccZITANCE TESTS. AND M.AL\-TENANCE I3R—I I
HYDRAULIC
DATA
NAMEPLATE PROVIDED IF NO. EXPLAIN
DYES NO NAMEPLATE
DATE LEFT IN SERVICE WITH ALL. CONTROL VALVES OPEN
REMARKS
I NAME OF SPRINKLER CONTRACTOR
e C' tzs
SIGNATURES TESTS WITNESSED BY
FOR PROPERTY OWNER (SIGNED) TITLE DATE
FO KLkER cON SIGI T RITLE
4 MY / DATE z/i %\ ADDITIONAL EXPLANATION AND NOTES
F'ipure 2.1.2.1 ,.., ,.... ._. .......r._..._ c.._ -