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Home My WebLink About2716 GATEWAY RD; ; AS110088; PermitCity of Carlsbad Sprinkler Permit Permit No: AS1I0088 Job Address: 2716 GATEWAY RD Status: ISSUED Permit Type: SPRINK Applied 6/8/2011 Parcel No: 2132631600 Approved: 6/8/2011 Lot #: 0 Reference No.: Issued: 6/8/2011 PC #: Inspector: Project Title: C 3 CHURCH TI FIRE SPRINKLER PLAN CHECK- INSPECTIONS Applicant: ALL PRO FIRE PROTECTION, INC 30060 SILVER SADDLE CT. 909-244-9836 Owner: C3 CENTER LLC 5838 EDISO PL #100 CARLSBAD CA Fees ($) Add'I Fees ($) Total ($) Balance ($) 130 0 130 130 Contractor's Material and Test Certificate for A. Procedure (Conforms to NFPA 13-1994) Upon completion of work, inspection and tests shall be made by the contractors 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 authori- ties, 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. All "No" answers shall be explained in the Comments portion of this form. Property Name: (3 L H U -'-u Property Address: 27/&' -t Date:______ B. Plans Accepted Approving Authorities (Names): _4 Jq by Address: _ AVc Lfl3 Installation conforms to accepted plans / 'Yes U No Equipment used is approved )Yes U No C. Instructions Has person in charge of fire equipment been instructed as to location of control valves and care and maintenance of this new equipment %es U No Have copies of the following been left on the prei1ises: System components instructions Yes U No Care and maintenance instructions Yes U No NFPA 25 Yes U No D. Location of system -Supplies building: _ IT't_61 t(5 E. Sprinklers Make Model YearMade Orifice Quantity Temperature r"° 313, Z6c\ " Y.. Z 1,ct° -je - 4 6 [0 'i2 r1!O 333 t 2..°1 0 2- -7Y (0 ti 2.00d1 ,V F. Pipe and Fittings Type of Pipe: 1PsO\( Type of Fittings: CA,5r G. Alarm Valve or Flow Indicator Type Make Model Max. Time to Operate Through Insp. Test 1'oflR V5& (00 &J H. Dry-Pipe Valve Make and Model: Serial Number: I. Quick Opening Device (Q.O.D.) Make and Model: Serial Number: J. Dry-Pipe System Operating Test With Q.O.D. Time to trip through test connection*- _ Water pressure psi. Air ~ess psi. Trip point air pressure psi. Time water reached test outlet*: Alarm operated properly UYes UNo K. Dry-Pipe System Operating Test With O.D. Time to trip through test connection*:_ Water pressure psi. Air presj psi. Trip point air pressure psi. Time water reached test outlet*: Alarm operated properly CJ Yes UNo L. Deluge and Preaction Valves Make and Model: Operation: U Pneumatic U Electric ) Hydraulic Piping and detecting media supervised / U Yes U No Does valve operate from manual trip aijdlor remote control stations / U Yes U No Is there an accessible facility in eacl/circuit for testing f U Yes U No Does each circuit operate supervis4in loss alarm U Yes U No Does each circuit operate valve re14se U Yes U No Maximum time to operate release: \ M. Pressure Reducing Valve Location and Floor: Make and Model: tOutlet Setting: Static Pressure: Inlet ps _______ 5. Residual Pressure (Flowing): ml 6.FlowRate: gpm *measured from time inspectors test connection is opened ing N. Test Description 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 (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. Pneumatic: Establish 40 psi (2.7 bars) air pressure and measure drop, which shall not exceed 1.5 psi (0.1 bsin 24 hrs. Test pressure tanks at e d i normal water level and air pi easure air pressure drop, which shall not exceed 1.5 ps!J bQV 24 hrs. 0. Tests 1. All piping hy&ostatically tested at psi for ..2 hours 2. Dry piping pneumatically tested U Yes U No 3. Equipment operates properly es U No 4. 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? Ies U No 5. Drain Test: Static pressure reading of gage located near water supply connection I Z S psi. Residual pressure with valve in test connection open wide //7, psi. 6. Underground mains and lead in connections to risers flushed before connection made to sprinkler piping and verified by copy of form No. 13-U U Yes U No N/4 7. Flushed by installer of underground piping U Yes U No N/A 8. If powder driven fasteners are used in concrete, has representative sample testing been satisfactorily completed? U Yes U No N/A P. Blank Testing Gasket ,, Number used: I Locations: 3, Number removed:________ Q. Welded Piping - If welded piping was used in the system, complete the following: Do you certify as the sprinkler contractor that welding procedures comply with the require- ments of at least AWS D1O.9, Level AR-3 FlIes U No Do you certify that the welding was performed by welders qualified in compliance with the re- quirements of at least AWS D10.9, Level AR-3 'es U No Do you certify that welding was carried out in compliance with a documented quality control procedure to insure that all discs are retrieved, openings in the pipe are smooth, slag and other welding residue are removed, and the internal diameters of piping are not penetrated VYes U No R. Cutouts (Disks) Do you certify that you have a control feature to ensure that all cutouts (disks) are retrieved? ies U No S. Hydraulic Data Nameplate Provided L)o es Ll No T. Date left in service (with all control valves open): ' _2-Ot/ U. Signatures Name of sprinkler contractor: 4Lt /0/20 f1/2C_10Xo7_1/V Tests witnessed by: For property owner (Signed): Title: _ Date: 42g4I For sprinkler contractor (Signed): Title: /7 Date: 7'1/ V. Comments (This section is for additional explanation and notes All "No" answers must be explained here.) U Check here if comments continue on reverse side of this form psi psi, Outlet__._ psi