HomeMy WebLinkAboutBaldwin-Chamberss-Bldg-Pedcor---Backflow TestingSprinkler Inspection Certificate
For
Baldwin Chamberss Bldg Pedcor -
61155
800 South Rangeline Road
Carmel, IN 46032
Tested to NFPA 25 Standards
This Inspection was performed in accordance with applicable NFPA Standards. The subsequent pages
of this report provide performance measurements, listed ranges of acceptable results, and complete
documentation of the inspection. Whenever discrepancies exist between acceptable performance
standards and actual test results, notes and/or recommended solutions have been proposed or provided
for immediate review and approval.
Inspection Date
Oct 25, 2019
Building: Baldwin Chamberss Bldg Pedcor - 61155 Company: Dalmatian Fire
Contact: Mike Polston Contact: Chad Schmidt
Title: Manager Title: inspector
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Executive Summary
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Building Information
Building: Baldwin Chamberss Bldg Pedcor - 61155 Contact: Mike Polston
Address: 800 South Rangeline Road Phone: 317-690-0325
Address: Fax:
City/State/Zip: Carmel, IN 46032 Mobile:
Country: United States of America Email: mpolston@pedcor.net
Inspection Performed By
Company: Dalmatian Fire Inspector: Chad Schmidt
Address: 5670 West 73rd Street Phone: 317-664-0182
Address: Fax:
City/State/Zip: Indianapolis, IN 46278 Mobile:
Country: United States of America Email: scmidtbeer21@gmail.com
System Control Unit
System Type System Location Protected Area Devices
Wet Pipe 20
Inspection Summary
Category:
Total Items Serviced Passed Failed/Other
Qty %Qty %Qty %Qty %
Device 5 25.00%5 100.00%5 100.00%0 0%
Alarm 4 20.00%4 100.00%4 100.00%0 0%
Valve 8 40.00%8 100.00%8 100.00%0 0%
Hose 1 5.00%1 100.00%1 100.00%0 0%
Pump 1 5.00%1 100.00%1 100.00%0 0%
Sprinkler 1 5.00%1 100.00%1 100.00%0 0%
Totals 20 100%20 100.00%20 100.00%0 0%
Certification
Company: Dalmatian Fire Building: Baldwin Chamberss Bldg Pedcor - 61155
Inspector: Chad Schmidt Contact: Mike Polston
Signed: Nov 1, 2019 Signed: Nov 1, 2019
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Inspection & Testing
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Building: Baldwin Chamberss Bldg Pedcor - 61155
The Inspection & Testing section lists all of the items inspected in your building. Items are grouped by Passed or
. Items are listed by Category. Each item includes the services performed, and the time & date at which testing Failed/Other
occurred.
Device Type Location Service Time Date
Passed
Wet Pipe
Pressure Switch 139 dry system Annual 11:21:05 AM 10/25/2019
Pressure Switch 139 dry system Annual 11:21:50 AM 10/25/2019
Tamper Switch outside Annual 11:28:25 AM 10/25/2019
Waterflow Switch 139 wet system Annual 11:11:50 AM 10/25/2019
Drain 139 dry system Annual 11:20:16 AM 10/25/2019
Drain 139 wet system Annual 11:13:19 AM 10/25/2019
Gauge 139 dry system Annual 11:17:23 AM 10/25/2019
Gauge 139 dry system Annual 11:18:14 AM 10/25/2019
Gauge 139 wet system Annual 11:14:11 AM 10/25/2019
Fire Dep't Connection outside Annual 2:23:08 PM 10/25/2019
Air Compressor 139 dry system Annual 11:22:26 AM 10/25/2019
Sprinkler Box 139 Annual 11:25:37 AM 10/25/2019
Backflow Prevention 139 top Annual 11:04:32 AM 10/25/2019
Backflow Prevention 139 Bottom Annual 11:07:03 AM 10/25/2019
Backflow Prevention 139 Annual 11:08:39 AM 10/25/2019
Control Valve 139 dry system Annual 11:15:45 AM 10/25/2019
Control Valve 139 wet system Annual 11:10:19 AM 10/25/2019
Control Valve 139 wet system Annual 11:11:31 AM 10/25/2019
Dry Pipe Valve 139 dry system Annual 11:18:47 AM 10/25/2019
Post Indicator Valve outside Annual 11:29:35 AM 10/25/2019
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Wet Pipe Fire Sprinkler Systems
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Building: Baldwin Chamberss Bldg
Pedcor - 61155
This section lists out all the devices and components that have been associated with a Wet Pipe System and provides details
as to type of component, pressure readings, response time, etc. If a component has an OK checkbox that is checked, then
that component was actually tested. However, for Pass/Fail test results, see the Inspection and Testing section.
Air Compressor
Location Mfr.Model #Phase On psi Off psi Serial No.
139 dry system C-Aire S261R-
LD1-
115PD
1 21 30 CA201901128
Type Description
Rated
Speed Horsepower Volts Amps OK ScanID
Automatic Tank 1 120 9 53758765
Alarms
Pressure Switch
Type Description Manufacturer Low High Zone/Address OK ScanID
Low Supervisory Potter Electric 14 1 53758761
Pressure Switch Alarm Potter Electric 1 53758762
Tamper Switch
Type Description Manufacturer Zone/Address OK ScanID
Lever Supervisory Potter Electric 1 53758767
Waterflow Switch
Type Manufacturer Model #Sec Size Zone/Address OK ScanID
Vane Potter Electric VSR 60 6 1 53758755
Components
Backflow Prevention
Manufacturer Model #Size Type Service Type Install Date
WATTS LF009M2QT 2" Reduced Pressure Potable 10/25/2019
ScanID Water Purveyor Location Meter Account #Serial Number
53758750 139 top 1544645904 091675
Initial Test
Check Valve 1 Check Valve 2 Relief Valve Pressure Vacuum Breaker
10.1 9.8 2.3
Held At Repairs or Notes
Final Test
Check Valve 1 Check Valve 2 Relief Valve Pressure Vacuum Breaker
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Held At Condition of Control Valve 1 Condition of Control Valve 2
Backflow Prevention
Manufacturer Model #Size Type Service Type Install Date
WATTS LF009M2QT 2" Reduced Pressure Potable 10/25/2019
ScanID Water Purveyor Location Meter Account #Serial Number
53758751 139 Bottom 1544550618 091681
Initial Test
Check Valve 1 Check Valve 2 Relief Valve Pressure Vacuum Breaker
9.4 9.1 2.4
Held At Repairs or Notes
Final Test
Check Valve 1 Check Valve 2 Relief Valve Pressure Vacuum Breaker
Held At Condition of Control Valve 1 Condition of Control Valve 2
Backflow Prevention
Manufacturer Model #Size Type Service Type Install Date
Wilkins 350A 6" Double Check Fire Line 10/25/2019
ScanID Water Purveyor Location Meter Account #Serial Number
53758753 139 U51747
Initial Test
Check Valve 1 Check Valve 2 Relief Valve Pressure Vacuum Breaker
Held At Repairs or Notes
Final Test
Check Valve 1 Check Valve 2 Relief Valve Pressure Vacuum Breaker
Held At Condition of Control Valve 1 Condition of Control Valve 2
4.0 2.5
Control Valve
Type Manufacturer Model Location Size Position Status OK ScanID
Butterfly Victaulic 139 dry system 3" Open Supervised 53758763
Description
Main Control
Control Valve
Type Manufacturer Model Location Size Position Status OK ScanID
Butterfly Wilkins 49 139 wet system 6" Open Supervised 53758752
Description
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Main Control
Control Valve
Type Manufacturer Model Location Size Position Status OK ScanID
Butterfly Wilkins 49 139 wet system 6" Open Supervised 53758754
Description
Main Control
Dry Pipe Valve
Manufacturer Model #Location Internal Date OK ScanID
Viking F-2 139 dry system 10/25/2019 53758758
Type Status Position Size Serial #
Grooved Sealed 3" W856521
Water psi Air Pressure Trip Air Trip Time Total Timing
(sec)
Partial Trip
Date Full Trip Date
50 25 7 10/25/2019 10/25/2019
Post Indicator Valve
Manufacturer Model Location
AWWA outside
Type Position Status Size OK ScanID
Wall Open Supervised and locke 6" 53758768
Devices
Drain
Current Inspection
Type Location Size Supply psi Restored
psi Residual psi Sec OK ScanID
Main 139 dry system 1.5" 50 48 53758764
Type Location Size Supply psi Restored
psi Residual psi Sec OK ScanID
Combination 139 wet system 2" 55 48 60 53758757
Fire Dep't Connection
Location Type BallDrip Rotating Swivels Size OK ScanID
outside Storz No 4"
pipe
53758769
Gauge
Location Service Date
139 dry system 10/25/2019
Type Manufacturer Model #Static psi Fill Type Size OK ScanID
Supply Pressure Viking 50 1/4 53758760
Gauge
Location Service Date
139 dry system 10/25/2019
Type Manufacturer Model #Static psi Fill Type Size OK ScanID
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Air Pressure Viking 25 1/4 53758759
Gauge
Location Service Date
139 wet system 10/25/2019
Type Manufacturer Model #Static psi Fill Type Size OK ScanID
TEST AN DRAIN 1011 55 53758756
Sprinkler Box
Qty Tool
Available?SIN List?Size Manufacturer Location OK ScanID
9 Yes 12 unit 139 53758766
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Inventory & Warranty Report
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Building: Baldwin Chamberss Bldg Pedcor - 61155
The Inventory & Warranty Report lists each of the devices and items that are included in your Inspection Report. A
complete inventory count by device type and category is provided. Items installed within the last 90 days, within the last
year, and devices installed for two years or more are grouped together for easy reference.
Device or Type Category % of Inventory Quantity
Backflow Prevention Valve 15.00%3
Control Valve Valve 15.00%3
Waterflow Switch Alarm 5.00%1
Drain Device 10.00%2
Gauge Device 15.00%3
Dry Pipe Valve Valve 5.00%1
Pressure Switch Alarm 10.00%2
Air Compressor Pump 5.00%1
Sprinkler Box Sprinkler 5.00%1
Tamper Switch Alarm 5.00%1
Post Indicator Valve Valve 5.00%1
Fire Dep't Connection Hose 5.00%1
Device Type Qty Model #Type Description Install Date
New (under 90 days)
Wet Pipe
Post Indicator Valve 1 AWWA Wall 10/25/2019
Sprinkler Box 1 10/25/2019
Air Compressor 1 S261R-LD1-115PD Automatic Tank 10/25/2019
Fire Dep't Connection 1 Storz 10/25/2019
Pressure Switch 1 PS10-2 Pressure Switch Alarm 10/25/2019
Pressure Switch 1 PS40-2 Low Supervisory 10/25/2019
Tamper Switch 1 PCVS-2 Lever Supervisory 10/25/2019
Waterflow Switch 1 VSR Vane Alarm 10/25/2019
Drain 1 Main 10/25/2019
Drain 1 1011 Combination 10/25/2019
Gauge 1 1011 10/25/2019
Control Valve 1 Butterfly Main Control 10/25/2019
Dry Pipe Valve 1 F-2 Grooved 10/25/2019
Gauge 1 Air Pressure 10/25/2019
Gauge 1 Supply Pressure 10/25/2019
Backflow Prevention 2 LF009M2QT Reduced Pressure 10/25/2019
Backflow Prevention 1 350A Double Check 10/25/2019
Control Valve 2 49 Butterfly Main Control 10/25/2019