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Home My WebLink AboutF2017-0428 - MiscS�tiD1l' FIRE SPRINKLERS & FIRE ALARMS - C16 -805026 June 20, 2019 UPTOWN NEWPORT SOUTH BUILDING 4201 JAMBOREE RD. NEWPORT BEACH, CA 92660 Page 1 of 1 u097-0979 ool Samboree :�' This letter is to confirm that all fire sprinkler heads installed have been verified to be the proper model & temperature rating at Uptown Newport south building. Please see below for fire sprinkler head model & temperature required & approved for this project. Garage: • TY313 -175° F • TY5137 -175° F • TY3331-1750 F Residential: • TY2234 -155° F • TY2234 -175° F • TY323 - 155° F • TY313 -175° F QGf2Z�n l�,Rw., Shawn Price / General Manager Business Development Sundance Fire Protection Inc. 1060 N BATAVIA I ORANGE, CA 982671(714)639-3170 New Construction Flow Test Combination/Fire Pumps. Wet/Dry Standpipes Automatic Sprinklers Fire DoorslFire Alarms L.A.F.D.I24-003 Fire Escapcs/Drop Ladders State #0349 AAAA Test Company 19516 Blythe Street Reseda, CA 91335 (818)886-5508 Fax(818)886-5586 Date: 4-22-19 r Sundance Fire Protection 1060 N. Batavia St. Ste. D L Orange Ca. 92867 J JOB ADDRESS: 4201 Jamboree Rd. Newport Beach On Monday 4-22-19 a new construction 1000 GPM flush and flow test was conducted at the above address. System consists of one - 4 way FDC that services the Auto/ Sprinkler System and 5 Standpipes. Flow required is 1000 GPM with 100 PSI residual. Flow achieved was 1000 GPM with 105 PSI residual. PASSED THE FLOW TEST. PAID ON SITE CK# 1717 THANK YOU Amount of Invoice and Terms: -------- 850_00 _ --30 DAYS Please return rile copy with payment Thank you STANDPIPE FLOW AND FLUSH TEST (ACCEPTANCE TEST) AAAA Test Company Date. 4-22-19 Inspection Tlme 0600 19516 Blythe Street Reseda, Ca 91335 Bus.# (818) 886-5508 Fax # (818)886-5586 3uilding Description System Description Nitnessed By:. standpipe Test Results =DC _OCATION: JOB ADDRESS 4201 Jamboree Rd. Newport Beach Floors Stairs Elevator Aprox size Rooms Year Built 5 4 4 OK 4 2019 Qty, of Repairs Riser Size Roof Outlets - Roof Drains -FDC Inlets Combined' N/A 4" 4 OK 4 Yes Truck Pressure Roof Static GPM ' Residual PSI Pitot Pass/Rall 175 145 1000 105 31,8&8 Passed ONJAMBOREE /ALVE _OCATION In Stairwells and roof JOTATIONS: Flow test of 1000 GPM with 105 PSI residual Stair # 1,2 and no number center 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. All defects shall be corrected and system (eft 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 ownees 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: PROPERTY ADDRESS: l7 t , /V l: C� ACCEPTED BY APPROVING AUTHORITY('S) NAMES: N 7 /22 IJ ' AHJ ADDRESS e INSTALLATION CONFORMS TOO ACCEPTED PLANS 25 YES ❑ NO PLANS EQUIPMENT USED IS APPROVED I$ YES ❑ NO IF NO, EXPLAIN DEVIATIONS: HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL YES ❑ NO VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN: INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: 1. SYSTEM COMPONENTS INSTRUCTIONS ® YES ❑ NO 2. CARE AND MAINTENANCE INSTRUCTIONS ® YES ❑ NO 3. NFPA26 ® YES ❑ NO LOCATION SUPPLIES OF SYSTEM BUILDING: ' Al MAKE MODEL YEAROF MANUFACTURE K FACTOR SIN QUANTITY TEMPERATURE RATING , SPRINKLERS PIPE AND TYPE OF PIPE: _ G PVG � FITTINGS TYPE OF FITTINGS: _e, P G 4�T`cr ALARM VALVE ALARM DEVICE MAXIMUM TIME TO OPERATE THRU TEST CONNECTION OR FLOW TYPE MAKE MODEL MIN. SEC. INDICATOR oD 7,,, r DRYVALVE O.O.D.. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO, TIME TO TRIP THRU TEST WATER PRESSURE AIR PRESSURE TRIP POINT AIR TIME WATER REACHED ALARM OPERATED CONNECTION' PRESSURE TESTOUTLET' PROPERLY DRY PIPE MIN. SEC. PSI PSI PSI MIN, SEC. YES NO OPERATING Without TEST O.O.D. ❑ ❑ Wth O.O.D. ❑ ❑ IF NO, EXPLAIN: (OVER) (BACK) OPERATION: ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC PIPING SUPERVISED: ❑ YES ❑ NO I DETECTING MEDIA SUPERVISED: ❑ YES ❑ NO DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS: ❑ YES ❑ NO DELUGE & 18 THERE AN ACCESSIBLE FACILITY IN ❑ YES IF NO, PREACTION EACH CIRCUIT FOR TESTING: ❑ NO EXPLAIN: VALVES DOES EACH CIRCUIT OPERATE DOES EACH CIRCUITOPERATE MAXIMUM TIME TO MAKE MODEL SUPERVISION LOSS ALARM? A VALVE RELEASE? OPERATE RELEASE YES NO YES NO MIN. SEC. ❑ ❑ ❑ ❑ Hydrostatic tests shall be meds at not lase than 200 psi (13.6 bars) for two hours or 50 psi (3.4 hers) above stage pressure in excess of HYDROSTATIC: 160psl(10.2bms)forhvohours. Differential dry -pipe valve clappers shell be left open during test to prevent damage. All aboveground TEST piping leakage shall be stopped. DESCRIPTION PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop which shell not exceed 1-1/2 psi (0.1 bare) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop which shell not exceed 1.1/2 psi (0.1 hers) In 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT PSI FOR 2.00 XX jIF NO, DRY PIPING PNEUMATICALLY TESTED: [I YES NO / STATEN'1h EQUIPMENT OPERATES PROPERLY: C, YES ❑ NO REASON: 00 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 ($ YES ❑ NO TESTING SYSTEMS OR STOPPING LEAKS? TESTS DRAIN READING OF GAGE LOCATED NEAR WATER SUPPLY TEST RESIDUAL PRESSURE WITH VALVE IN TEST TEST CONNECTION: PSI CONNECTION OPEN WIDE PSI UNDERGROUND MAIN AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING: VERIFIED BY COPY OF THE U FORM NO. 856 2 YES ❑ NO FLUSHED BY INSTALLER OF UNDER- OTHER a YES ❑ NO EXPLAIN GROUND SPRINKLER PIPING BLANK NUMBER NUMBER REMOVED TESTING USED LOCATIONS: GASKETS WELDED PIPING: IN YES ❑ NO IFYES: fxpo'S� )P ye gra D(' Q('XT (WELDING DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT PROCEDURES OMPLY WITH THE REQUIREMENTS YES [3 NO OF AT LEAST AWS B2.1 ? WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE R YES ❑ NO REQUIREMENTS OF AT LEAST AWS 82.1 ? 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 ®,YES ❑ NO 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 ENSURE THAT ALL CUTOUTS(DISCS) ARE RETRIEVED? ®YES [I NO HYDRAULIC DATA NAME PLATE PROVIDED: K YES ❑ NO IF NO, I NAMEPLATE EXPLAIN: REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: NAME OF SPRINKLER CONTRACTOR:jo,r TESTS WITNESSED BY ' -FOR- ROS RTY OWNER (SIGNED) TITLE` ' �N� TE 9>>•�'�� .�.� �-� Q}dPt,53'7L.1Z=TIde�, �" FOR SPRINKLER CO ACTOR (SIGNED) SIGNATURES FOR LOCAL FIRE MARSHAL (SIGNED) TITLE DATE FOR RESPONSIBLE MANAGING EMPLOYEE (SIGNED) TITLE DATE ADDITIONAL EXPLANATION AND NOTES REMARKS (BACK)