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Home My WebLink AboutF2021-0457 - MiscFZcD2\ — pH 75 Contractor's Material and Test Certificate for Underground 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 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 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 Clearwater Harbor Point °ate 08/28/23 Property address 101 Bayview Place Newport Beach, CA 92660 Accepted by approving authorities(names) Newport Beach Fire Department Address 100 Civic Center Drive, Newport Beach, CA 92660 Plans Installation conforms to accepted plans Yes No Equipment used is approved [ Yes No If no, state deviations Has person in charge of fire equipment been instructed as to location of (] Yes No control valves and care and maintenance of this new equipment? If no, explain Instructions Have copies of appropriate instructions and care and maintenance Yes No charts been left on premises? If no, explain Location Supplies buildings 101 Bayview Place Pipe types and class C-900 DR-14 Type joint ASTM DR139 Pipe conforms to AWWA standard 0 No Underground Fittings conform to ASTMA A536 standard Yes No pipes and joints If no, explain Joints needed anchorage clamped, strapped, or blocked in Yes 0 No accordance with standard If no, explain City of Newport Beach PWD STD-510-L-A Flushine, Flow the required rate until water is clear as indicated by no collection of foreign material in burlap bags at outlets such as hydrants and blow -offs. Flush at flows not less than 390 gpm (1476 Umin) for 4-in. pipe, 880 gpm (3331 Umin) for 6-In. pipe, 1560 gpm (5905 Umin) for B-in. pipe, 2440 gpm (9235 Umin) for 10-in. pipe, and 3520 gpm (13,323 Umin) for 12-in. pipe. When supply cannot produce stipulated flow rates, obtain maximum available. Hydrostatic: Hydrostatic tests shall be made at not less than 200 psi (13.8 bar) for 2 hours or 50 psi (3.4 bar) above Test static pressure in excess of 150 psi (10.3 bar) for 2 hours. description Leakage: New pipe laid with rubber gasketed joints shall, if the workmanship is satisfactory, have little or no leakage at the joints. The amount of leakage at the joints shall not exceed 2 quarts per hour (1.89 Uhr) per 100 joints irrespective of pipe diameter. The leakage shall be distributed over all joints. If such leakage occurs at a few joints, the installation shall be considered unsatisfactory and necessary repairs made. The amount of allowable leakage specified above can be increased by 1 fluid ounce per inch valve diameter per hr. (30 mU25 mm/hr) for each metal seated valve isolating the test section. If dry barrel hydrants are tested with the main valve open so the hydrants are under pressure, an additional 5 ounces per minute (150 mUmin) leakage is permitted for each hydrant. New prtdprground piping flushed according to NBFD Yes M No OO�T standard by (company) DELTA PIPELINE If no, explain Flushing How flus ' g flow was obtained ublic water 0 Tank or reservoir 0 Fire pump Through what type openin 0 Hydrant butt Open pipe tests Lead-ins flushed according to IRWD standard by (company) DELTA jZ Yes 0 No If no, explain PIPELINE How fl ing flow was obtained Through what type opening ublic water (] Tank or reservoir (] Fire pump (] Y connection to flange pen pipe and spigot Reprinted with permission from NFPA 13, Installation of Sprinkler Systems, Copyright 02002, National Fire Protection Association, Quincy, MA 02269. This reprinted material is not the complete and official portion of the National Fire Protection Association, on the referenced subject which Is represented only by the standard in its entirety. American Fire Sprinkler Association AFSA Form #AF064 9696 Skillman Street, Suite 300, Dallas, Texas 75243 F Zoz� - DI-1 75 All new underground piping hydrostatically tested at Joints covered Hydrostatic test 220 psi for 4 hours Yes No Total amount of leakage measured Leakage gallons hours `No leakage test Allowable leakage gallons hours Number installed Type and make All operate satisfactorily Hydrants O 0 Yes 0 No Water control valves left wide open Yes .Lj No Control If no, state reason valves Hose threads of fire department connections and hydrants Interchangeable with 2r Yes No those of fire department answering alarm Date left in service Remarks Name of installing contractor Delta Pipeline, Inc. City of Newport Beach - Bldg Department Signatures Tests witnessed by For property owner (signed) Title Date For installn wntractor (signed) Title Date nary (� eurata Assistant Superintendent 08/28/23 Additional explanation and notes Contractor's Material and Test Certificate for Underground Piping