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HomeMy WebLinkAboutBaldwin-Chamberss-Bldg-Pedcor---Backflow TestingSiirri � l'� `n � ////. . ��. �::� =� N��.��L� SHAMBAU6H&$ONfLP. � AI _ - mNiMcioqz�[rvclrv[[as�sAvi[[ Dalmatian p��visiox c- Sr�nniaa�v- 8 Sov �.P M � EM%LompdnY � �'�prinlcler insper,tion Certificate aor Baldwin Chamberss Bldg Pedcor - 61155 S Rangeline Road 355 City Center Drive Carmel, IN 46032 Tcstcd to NFPA 25 Standards This /nspectinn wos perfbrmed in acmrdance with opplicable NFPA Stondards- The subsequent poges oJ lhis reymT yrovide yerJm�mance measao�emenls. lisled rangrs oJ acceylable rrsadls, and comylele dncznnentotinn nf the insyectinn- Whenever discreyoncies erist benveen occeytoble yerfnnnonce standards and acn�a! test residts, notes and/or remmmended soli�tions have been proposed or provided fnr irmnediote review ond oyyrovoL /nspection Date Oc125,20/9 Hpi�diOg: Nfl�dwi0 C'hflTbC[66 N�dg PCdCO[-61I$$ Contect Mikc Polsmn RELEASEO FOR CONSTRl1CTI�N Su6ject ta compliance with all regulations of State and Local Codes City of Cannel qsY� �.)�l:ix,rlv,.Jti� onrE: 12/02/19 COTFIfl[ly: I)fl�Tfltifl[I Yi[C Contect Ched Schmidt Titic:inspccwe ////.� : ; :��.. e:;..: �., :�� �almalian Executive Summary Oeummed Ar: HuildiuXfteporn� mov Building Information Building: Baltlwin Chamberss 91tlg Peticor � 61155 Atltlress: S Rangeline Road Address: 355 City Center �nve CNylStaleRip: Carmel,IN J6032 Gountry: Unitetl States of Amenca Inspection Performed By comna�y: oaimara� Fo-e Atltlress: 56]0 Wesl ]3rd Slreel Atltlress: CitylState2ip:Indianapolis,IN G62]8 Couniry: Unitetl States of Amenca System Control Unit SyslemType SystemLocation we�aiPe Tnspection Summary Totalltems Gategory: ay � CNIce 6 2500%0 A2rm 0 20.00Ye vanre e n000ie H� i soo� �mp � s.00no 9Hinkler 1 S00% Totals 20 100 % CeYY1fICHYl011 Company: Dalma�ian Fire Inspectoe Chatl Schmitll I? �CG,i�� V" � SigneQ Nov 1,2019 Con�ac�: Mike Pols�on Phone: 31 ]-690-0325 Faa: Mobile: Email: mpols�on@petlwcne� Inspec�or Chatl SchmiM Phone: 31 ]-66J-0182 Faa: Mobile: EmaiL scmitl�bee21 @gmail com Pro�ec�etl Area Serviced rny % s ,00.00°m 0 10000°: a mo oo°a i i0000� � mo oono 1 10000% 20 100.00 % Passed rnv i s �oo.00io 0 IOOOOh a m000io i ioaoo� � m000no 1 100.00% 20 100.00% � � �1L�a�L� oe���e� zo Failedl0lher rnv i 0 0°io 0 0°: 0 o°a 0 ou 0 ono 0 0% 0 0% Builtling: ealtlwin Chamberss Bltlg Peticor 61155 Con�ac�: Mike Polslon � V� Signed Nov 1, 2019 RELEASEO FOR CONSTRl1CTI�N Su6ject ta compliance with all regulations of State and Local Codes City of Cannel ��n�� ;.��l:ixMlv.a%�_. � onrE: 12/02/19 nnarzow ////.� :;:��.. e:;..:.a � � �1L�a�L� :�� �almalian Inspection & Testing Oenermed Ar: HuildiuXfteporn� mov I Building: Baldwin Chamberss Bldg Pedcor - 61155 ri,�- n,.�v�-���m�, g r�-..�;�,o..�-��m�, r;.,�, �rr ��i,�- n�-���., n,.�v�-����-e n, ����,�� o�,aen,o. n�-���.. �,���- o����,v�-e o�� r�,...,r-e ��� r�„r t�n�r �. n��,a,� �, - r. �� r r� r�e���, �: e�r �� �,,, ;,���r r �r �.�, �,<<�,� r f-�1 �„�a �n� �;,,,� e� a e� ,� d��n ��,��;,�� «��„ra. IDevice Type Location Service Time Date iGSSCI� WetPipe Pressure Swilch Pressure Swilch TamperSwilch Wa�erflow Swilch Drain Drain Gauge Gauge Gauge Fire DepY Gonneclion Air Compressor Spinkler Box Backilow Prevenlion Backflow Preven�ion Backilow Prevenlion ConimlValve Con�mlValve ConimlValve Dry Pipe Valve Posl Indcalor Valve 139 tlry syslem 139 dry syslem autsitle 139 we� sys�em 139 tlry sys�em � 39 we� rys�em 139 dry syslem 139 tlry sys�em 139 wel syslem w�sitle 139 dry syslem 139 1391op 139 BWtom 139 139 tlry system 139 we� sys�em 139 wel sys�em 139 tlry sys�em aulsitle Annual Annual Annual Annual Annual Annual Annual Annual Annual Annual Annual Annual Annual Annual Annual Annual Annual Annual Annual Annual 1121 D5 PM 1121'.50 AM 112825PM 11'.11'.50 PM 1120.16 PM ��'.� 3'.�9 PM 11 �.11�23 PM 1 t18'.10 NM 11'.14'.11 PM 223'OB PM 1122'26 AM 1 L253] MA 11'.04'.32 AM 11 �.OP.03 PM 11'.08'89 AM 11.1545 PM 11'.10'.19 PM 11�.11.31 PM 11'.18:0] PM 1129.35 PM 10252019 10/25/2019 10252019 10I252019 10252019 W/2520�9 10/26/2019 10252019 10/26/2019 10252019 10/26/2019 10/252019 10/25/2019 10252019 10/25/2018 10252019 10/25I2019 10252019 10252019 10252019 RELEASEO FOR CONSTRl1CTI�N Su6ject ta compliance with all regulations of State and Local Codes City of Cannel ��n�� ;.��l:ixMlv.a%�_. � onrE: 12/02/19 nnarzow ////,.� '�� ��L� . , �almalian �.".':m.�.i: � � � ... . ... . ... � . Wet Pipe Fire Sprinkler Systems <;�.,,�.,,,,�.�n. ,�,,;��;,,Ka�.�,,,,,�,.,,,, Building: Baldwin Chamberes Bldg Pedcor-61155 ihi .�r� i/isrs ov � ll tl d�«n md ��ornpo u rs tl or 1 I ��.o�ior /�-irh o N'er Pip S�.�r �ndNrorides de�ails or r r, �-/� myanc r� cod� .y ii rc /mc r�. l/ myanc � r 1,�n OK cLccll .-rLor b cLceked dien �hm' ] rem mninlhnsie2Ho rlorPn�JFrli iruu0�see0 /.�.�.i�onandT i� enion. Air Compressor Localion Mh. Motlel# Phase On psi Off psi Serial No. 139drysyslem GAlre S261R- 1 21 30 CA201901128 LD�- ��SPD Type Description AWoma�ic Tank Pressure Switch Type Descriqion Low Supervisory Pressure Swi1cM1 Na�m Tamper Swi[ch TYPQ DescriPtbn Lever Supervisory W atertlow Switch Type Manuhcturer Vane PotlerElec4ic Ratetl Speetl Horsepower Vol1s Fmps OK ScanlD 1 120 9 E 53JSBJfiS Alarms Manufaclurer Low High ZonelAdrlress OK ScanlD PotlerEleclric �J � E 53]58]6� Po1lerEleclnc 1 E 53�58�62 Manutadurer ZonelAdrlress OK ScanlD PonerElectnc 1 E� 53]58]6] Motlel# Sec 5¢e ZonelAtltlress OK ScanlD VSR 60 6 1 E 53J58J55 Components BackFlow Prevention Manufaclurer Motlel# Siu Type WATTS LF009M2�T 2' Reducetl Pressure SwnID WalerPurveyor Lowtion 53J58J50 139�op InpialTesl CM1eck Valve 1 CM1eck Valve 3 ReliN Valve 10.1 88 2.3 Held At Repairs or NMes RELEASED FOR CONSTRl1CTI0N Su6jecitacompliancewithallregulatlons alve of State and Local Codes City of Cannel qsY� �.)�l:ix,rlv,.Jti� � onrE: 12/02/19 ServiceType In51aIlOale Polable 10I25I2010 MeterAccount# SerialNumber 1544645904 0916J5 Pressure Vacuum Breaker Pressure Vacuum Breaker iniaa�i, ////,. ., ��''. 7 z'�� ��aiL� ., �almaliao .:: �.�.,..:,... —"-- . . ... . ... � . IHeItl Al ContlXion W Control Valve i Contlition W Control Valve Y Backtlow Preven[ion Manufaclurer MadelY Size Tyce ServiceTyce Ins1allDate WATTS LF009M2�T 2" Reduced Pressure Poleble 10/25/2019 SwnID WaterPurveyor Location MeterAccount# SerialNumber 53�58�51 1398o11om 1544550618 091681 InXial Tes1 Check Valve 1 Check Valve 2 ReliN Valve Pressure Vacuum Breaker 9A 9.1 2A HeltlAt RepairsorNMes Final Test Check Valve i Check Valve 2 ReliN Valve Pressure Vacuum Breaker Heltl A1 Contlilion of Conlrol Valve 1 Contlilion of Conlrol Valve ] Backflow Preven[ion Manufadurer Matlelp Size Type ServiceType InslallOale WIIWne 350A 6" Double Check Fire Line 10/25/2019 SwnID WaterPurveyor Location MeterAccount# SerialNumber 53�58�53 139 1151�4� InilialTesl GM1eck Valve 1 GM1eck Valve 2 Relief Valve Pressure Vacuum Breaker HeltlAt RepairsorNMes FinalTest Check Valve 1 GM1eck Valve 2 Relief Valve Pressure Vacuum Breaker Heltl At ContlXion MControl Valve 1 Contlition MControl Valve ] a.o zs Con[rol Valve Type Manuhcturer Model Lxation Size PosNion Stalus OK ScanlD BW�erfly Uclaulic 139tlrysys�em 3" Open Supervisetl E 53]58]63 4scrip4an RELEASED FOR CONSTRl1CTI0N Su6jecitacompliancewithallregulatlons P°snion Staws oK ScanlD ofStateandLocalCodes Open Supervisetl E 53�SB�Sz City of Cannel ��n�� ;.��l:ixMlv,.v\ I � onrE: 12/02/19 �""�°�� ////.� Main Con�ml Control Valve Type Manuhc�urer Model Bu1leAly Wilkins 49 DescriPtion Main Con�ml Ory Pipe Valve ManufaMurer Model# Lwation VkinB F2 �39tlrysyslem Type Status Gmovetl Sealetl Waterpsi AirPressure TripAir so zs � Post Indicator Valve ManufaMurer Model AWWA TYpe Posilion Wall Open Drain Curtent Inspedion Type Location Main �39tlrysyslem TYPQ Lowtion Gombination 139 wet rystem Fire Oep't Connection Location oWsitle Gauge Location � 39 tlry syslem Type MhlMotlel Supply Pressure Viking/ Gauge "^'•"^ ^ "^e DMe RELEASED FOR CONSTRACTION zo,9 Su6jecita compliance with allregulations c psi FiIlType of State and Local Codes City of Cannel ��n�� ;.��l:ixMlv.a%�_. � onrE: 12/02/19 :�� �almalian � � '�1L�a�L� Loca�ion Siu Posilion S�alus OK ScanlO 139welsyslem 6" Open Supervisetl E 53]58]54 Intemal0ate OK Scan10 �025/20�9 E 53]58]58 Position Size Seria10 3" W856521 TripTime TotalTiming ParlialTrip FUIITripOate �sec) Da1e imzsrzois imzsizois LocaGon outsitle Slslus Size OK ScanlO Supervisedandlocke 6" 6 63]68]68 DeV1CLS Srse Supplypsi Staticpsi Residualpsi Sec OK ScanlD �.S' S0 CB E 53]58]6C Size Supplypsi SUticpsi Residualpsi Sec OK SwnID 2' 55 GB 60 E 53]58]5] Type BaIlDrip Rotating Swivels Size OK ScanlD S�orz No 0" E� 53]58]fi9 pipe Service OMe �0/25/20�9 Slaticpsi FiIlType 5¢e OK ScanlD 50 1/4 E' 53�58�60 Srse OK SwnID 1l4 E 53]58]59 iniaa�i, ////..� ,;�� :.,::�:�_._,-., �almaliao Lowtion Service Date 139 wel syslem 10125/201 B Type Mfr/Motlel Staticpsi FiIlType TESTANDRAIN/�0�� 55 Sprinkler Box ply ToolAvailable't Size Manufadurer Location 9 Ves 12unI� 139 RELEASEO FOR CONSTRl1CTI�N Su6ject ta compliance with all regulations of State and Local Codes City of Cannel ��n�� ;.��l:ixMlv.a%�_. � onrE: 12/02/19 � �T�� 5¢e OK SwnID E 53]58]56 OK ScanlD E 53]58]66 nnarzow ////. . �'�'. 7 : ��.��,. e,;..: �., � N�� :�� �almalian Inventory & Warranty Report 4ertera/eAb�': RitllAingRv{�orlxrnm Building: Baldwin Chamberss Bldg Pedcor - 61 I55 rne i,�,�e,�m�� a�r�����,��� xe„�.� �;.n e���n ���ne de,;��e,� �,�d ne,a. m�� �.e;,��d�ded;,� �.,�. i,.,�,e���m,� x��„�n. n �orrYl ���unorl ����m (1 d� �ia ryY� d cart�,or5 is y. . A d/�uns ins� ll d•i�hin �h� las� 90 da1.'. i'irhin rhe /asr �eo..��,dd�-��<<��,���,..�o«<-d�.�����y „�.�n�.<<.�-x.��,�>�-d«x�-a,�-.��. , .�/-.��a�. � oeviceorTVPe calegory Yoflnvemory Quantity BacMbwPrevention Valve 1iW% 3 Conlml Velve Velve 15 W% 9 Wate�lowSwilcM1 Na�m 5.005e 1 Daln DeNce �0-CD°i 2 Gauge oeNce 1iCD% 3 �ryFipeVelve Velve 500% 1 Pressure9wdaM1 Nerm 10.0�% 2 AirCompressor Pump 5.00% 1 SpnnkkrBox Spnnkkr 5.00°e 1 Temycr5witcM1 Nenn 500% 1 POsiInClwbrVdlve Vdlv¢ 50090 1 Fne�BpYGonne4tion IIo6B 5DOSG 1 DeviceType p1y Motlel# Type Description Ins1aIlDale New (under 90 days) Wet Pipe PosllndicalorValve SpnnklerBox Air Campressar Fire �ept Gonnection Pressure Swi�ch Pressure Swi�ch Tamper Swilch WaterAow Swtich orain Drain Gauge Conlrol Valve �ry Pipe Valve Gauge Gauge � AWWA Well 1 1 S261R-LDU116P� Automatic 1 Sbrz 1 P5142 Pressure Swikh 1 PSC0.2 Low 1 PCVS-2 Lever 1 VSR Vane 1 Main 1 1011 Combinalion 1 1011 1 Bu1lerAy 1 F2 Gmavetl 1 AirPressure 1 Supply Pressure RELEASEO FOR CONSTRACTI�N 1e Su6ject ta compliance with all regulations of State and Local Codes City of Cannel ��n�� ;.��l:ixMlv.a%�_. � onrE: 12/02/19 Tank Alarm Supervisory Supervisory Alami Main Conlrol Matn Coniml � 0/25/2019 10/26/2010 10/25/2019 iW252019 10252019 10/25/2019 10/26/2019 10/25/2019 iW252019 10252019 10/25/2019 10/26/2019 10/25/2019 iW252019 10252019 10/25/2019 10/26/2019 10/25/2019 ����aaa�v