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Home My WebLink AboutF2023-0157 - MiscContractor'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 �Ip/�i�(�. �% G� ✓1(1�i. .:.C) /i ( Cf_ 1' s JJ Data Property address Accepted by approving authorities (names) JJ Q I /L �(I�ca r Y'IYs1 �I/V •`r �p..c`l Address 100 `/� II✓tC �'n� _ Plans Installation conforms to accepted plansYes ❑ 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 R1 Yes ❑ No charts been left on premises? It no, explain Location Supplies buildings Pipe types and class C137 e 1"5 of Type joint ri/ Pipe conforms to lrlr ' standard es ❑ No Underground Fittings conform to standard Yes ❑ No pipes and joints If no, explain Joints needed anchorage clamped, strapped, or blocked in Yes ❑ No accordance with astandard If no, explain Flushing 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 grim (3331 Umin) for 6-in. pipe, 1560 gpm (5905 Umin) for 8-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 If 3.8 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 spa ified above can be increased by 1 fluid ounce per Inch valve diameter per hr. (30 mU25 mm/hr) for each metal seated alve isolating the test section. If dry barrel hydrants are tested with the main valve open so the hydrants are under p sure, an additional 5 ounces per minute (150 mUmin) leakage is permitted for each hydrant - New underground piping flushed according to - Yes ❑ No standard by (company) If no, exp ain How shing flowwas obtained Through what type openi Flushing tests Public water ❑ Tank or reservoir ❑ Fire pump Hydrant butt r Open pipe Lead-ins flushed according to standard by (company) ❑ Yes ❑ No If no, explain How flushing flow was obtained Through what type opening ❑ Public water ❑ Tank or reservoir ❑ Fire pump ❑ Y connection to flange ❑ Open pipe and spigot Reprinted with permission from NFPA 13, Installation of Sprinkler Systems, Copyright®2002, National Fire Protection Association, Quincy, MA 02269.This reprinted material Is not the complete and official postion 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 Str6at, Suite 300, Dallas, Texas 75293 All new piping hydrostatically tested at J is covered Hydrostatic test !l1underground for �' hours Ves 0 No psi Total amount of leakage measured Leak2ge ---0— gallons hours test Allowable leakage gallons hours ' Number installed Type and make All operate satisfac[ ' Hydrants --V Water control valves left wide open Yes .0 No Control If no, state reason - valves Hose threads of fire department connections and hydrants interchangeable with Ves 0 No those of fire department answering alarm Date left in service Remarks Name of insta ' con ctor Tests witnessed by Signatures For property owner (signed) Title Date For installing contract sign Title Date Additional explanation and not Contractor's Material and Test Certificate for Underground Piping