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Home My WebLink AboutF2020-0180 - MiscContractor's Material and Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an ovner's representative. All defects shall be connoted 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 authorities, owners, and contractor. It is understood the owners representafive'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 Sabo Residence Date 6/20/2023 Property address 1220 W. Bay Ave., Newport Beach, CA.92661 Accepted by approving authorities (names) Newport Beach Fire Department Plans address 100 Civic Center Dr., Newport Beach, CA 92660 Installation conforms to accepted plans Yes ❑ r^io Equipment used is approved ❑✓ Yes ❑ No If no, explain deviations Has person in charge of fire equipment been instructed as Yes ❑ No to location of control valves and care and maintenance of this new equipment? If no, explain Instructions Have copies of the following been left on the premises? 0 Yes ❑ No 1. System components instructions 0 Yes ❑ No 2. Care and maintenance instructions ❑✓ Yes ❑ No 3. NPPA 25 ED Yes ❑ No Location of system Supplies buildings Yearef Oriffce Temperature Make Model manufacture size Quantity rating Senju Sprinkler SS8464 2021 7/16" 122 205 Sprinklers Viking VK949 2021 7/16" 15 200 Viking VK496 2021 7/16" 6 200 Globe I.C. 2021 1/2" 8 200 Reliable RFS42 2021 12125" 4 165 Pipe and Type of pipe cave Type of fittings cpvc fittings Maximum time to operate Alarm Alarm device through test connection valve or flow Type Maka Model Minutes Seconds indicator Electric Flow Switch System Sensor WFDFS 0 60 Dry valve Q. Q. D. Make Model Serial no_ Make Model Serial no. None Dry pipe Time to trip Time water Alarm operating through test Water Aar Trip point reached operated test cannectionf pressure pressure air pressure test outletT properly Minutes Seconds psi psi psi Minutes Seconds Yes No Without Q.ab. With O.O.D. If no, explain f Measured from the time inspector's test connection is opened Operation ❑ Pneumatic ❑ Electric ❑Hydraulic Piping supervised ❑ Yes ❑ No Detecting media supervised ❑ Yes ❑ No Does valve operate from the manual trip, remote, or both ❑ Yes ❑ No control stations? Deluge and preaction Is there an accessible facility in each circuit If no, explain valves for testing? ❑ Yes ❑ No Does each circuit operate Does each circuit operate Maximum time to Make Model supervision loss alarm? valve release? operate release Yes No Yes No Minutes Seconds Location Make and Setting Static pressure Residual pressure Flow rate Pressure,, and floor model (flowing) reducing valve test none Inlet i (psi) Outlet (psi) Inlet (psi) Outlet (psi) Flow (gpm) Hydrostatic, Hydrostatic tests shall be made at not less than 20D psi (113.6 bar) for 2 hours or 50 psi (3.4 bar) above static pressure in excess of 150 psi (10.2 bar) for 2 hours. Differential dry -pipe valve clappers shall be left open during the test to prevent damage. All aboveground piping leakage shall be stopped_ Test description Pneumatic: Establish 40 psi (2.7 bar) air pressure and measure drop, which shall not exceed 1?h psi (0.1 bar) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed "i! psi (0.1 bar) in 24 hours. All piping hydrostatically tested at 200 psi (_ bar) for 24 hours If no, state mason Dry piping pneumatically tested ❑ Yes ❑ No Equipment operates properly ❑✓ Yes ❑ 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 far testing systems or stopping leaks? 0 Yes o No A U A 9 Drain Reading of gauge located tar water Residual pressure with valve in test Tests test supply test connection: psi ( bar) connection open wide: psi ( bar) Underground mains and lead-in connections to system risers flushed before connection made to sprinkler piping verified by a copy of the "Contractor's Material and Test Certificate for Underground Piping." ❑ Yes 0 No Other Explain Flushed by installer of underground sprinkler piping ❑ Yes 0 No Domestic water line was flushed clear. If powder -driven fasteners are used in concrete, Q Yes ❑ No If no, explain has representative sample testing been satisfactorily n/a completed? Blank testing Number used Locations ��ermoved gaskets n/a t^lelding piping ❑ Yes ❑✓ No If yes .. _ Do you certify as the sprinkler contractor that welding procedures comply ❑ Yes ❑ No with the requirements of at least AWS 82.1? Do you certify that the welding was performed by welders qualified in ❑ Yes ❑ No Welding compliance with the requirements of at least AVIS B2.1? Do you certify that the welding was carried out in compliance with a documented quality control procedure to ensure that all discs are retrieved, that openings in piping are smooth, that slag and other welding residue are removed, and that ❑ Yes ❑ Na the internal diameters of piping are not penetrated? Cutouts Do you cerffy that you have a control feature to ensure that ❑ Yes ❑ No (discs) all cutouts (discs) are retrieved? Hydraulic data nameplate Nameplate provided 0✓ Yes ❑ No If no; explain Date left in service with all control valves open Remarks 6/20/2023 Name of sprinkler contractor Residential Fire Systems Inc. Tests witnessed by Signatures For property owner (signed) Title Date For sprinkler contractor (signed) Title Date Additional explanations and notes .11 ejiu Sprinkler Sell Fire Protection Corporation 8850 Research Dr. Irvine, CA 92618 Tel: 949-333-1281, Fax: 949-333-1681 Packing Slip Date Invoice # 5/24/2022 i7G4_01 Bill To Ship To Residential Fire Systems Inc Residential Fire Systems Inc 8085 E Crystal Dr. 9085 E Crystal Dr. Anaheim. CA ill Anaheim, CA 92807 USA Phone# 714-418-6656(Ty) P.O. No, Rep Account # Ship Via Ship Date Terms SS00513_3CC2 MNI 91-A10291 Hand Delivery 5/24/2022 Net duc in GO days Item Cade Description Shipped O'ly Backordered 10000-001-0002 Set Up Charge rot Custom CP —T. 911000-004-06 12 Corer Plate. 3-1/4" 162F, Point Provided 05/l3/2022 Tan Flat � 70 it Finish. Pendent for RC Sales Tax • �Q� 1,1J[t � G---- - — ;,1 _'.ICIENTIA.I_ FIEF_'3','STE7,n�. Remm ks TAG TI IIS ORDER WITH SABO ON 711E BOX, HAND DELIVER WITH STOCK ORDER. Tam, and Coaduums Al! sales ut products horn Senju Fire Protection Corporation ore subject to its Terms and Condilinus, mailable nt senjusprinker.conv ones. and that the huger 11C1,110"lcdget and agree thin the huger has read [lie Ferns and Conditions and agrees to he hound by them. IVAIMNG: „na.Pn,tmii,.. Ihrel. a„u._ Pasu.,n.nm''.,g, Senju Sprinkler Senju Fire Protection Corporation 8850 Research Dr, Irvine, CA 92618 Tel: 949-333-1281, Fax: 949-333-1681 IW Residential Fire Systems Inc 8085 E Crystal Dr. Anaheim, CA 92807 USA Phone# 714-418-6656(Ty) Ship To Residential Fire Systems Inc 8085 E Crystal Dr. Anaheim, CA 92807 USA Packing Slip Date Invoice # 3/6l2023 8(i56-01 P.O. No. Rep Account # Ship Via Ship Date Terms SS022323CC MM 91-A10291 Hand Delivery 3/6/2023 Net due in GO days Item Code Description Shipped Q'ty Backordered 10000-001.0002 Set Up Charge for Custom CP 90000-004-0612 Cover Plate, 3-1/4" 162F, Paint Provided Vista Paint Sabo Blue g Cloth, Pendent for RC 0 PLEASE TAG THIS ORDER WITH "SABO" ON ALL BOX3S PRIOR TO SHIPPING. Sales Tax RECEIVED MAR 0 6 2023 BY: k fi�AVll61 RESIDENTIAL FIRE SYSTEMS Remarks TAG-SABO Terms and Conditions: All sales of products from Senju Fire Protection Corporation are subject to its Terms and Conditions, available at senjusprinkeccom/terms, and that the buyer acknowledges and agree that the buyer has read the Terms and Conditions and agrees to be bound by them. WARNING: Canecr and Repmductivc Harm. wnw.P65Waromgs.ca.eov,