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Home My WebLink AboutSKM_C45820021314330 (2)j zl _' �a / / SHAM AUGH & SON L.P. CONTRACfORS•ENGINEERS•SERVICE An �i.IMGOR Company .� .. ��r �r� �� - `' � ♦ . �:J Dalrnat�an n:��•......�: .. . ..�.+�:.•�::�� .�. , � � ORTHSTAR FIRE PROTECTION OF TEXAS A DIVISION OF SHAMBAUGH 6 SON, L.P Sprinkler Inspection Certificate Fo� DSV Bldg- Pedcor - 61155 736 Hanover Way Carmel, IN 46032 Tested to NFPA 25 Standaxds This Inspection was performed in accordance with applicable NFPA Standards. The subsequent pages of this report provide perf'ormance measurements, listed ranges of acceptable results, and complete documentation of the inspection. Whenever discrepancies exist between acceptable perforrnance standards and actual test results, notes and/or recommended solutions have been proposed or provided for immediate review and approval. Inspection Date Feb 10, 2020 Building: DSV Bldg- Pedcor - 61155 Contact: Mike Polston Title: Manager Company: Dalmatian Fire Contact: Josh Cooley Title: Inspector 11 �.'�i . •�� SHAM9AUGH & SON, LV. ��n mxm.cras•[xcuv�a•uwxc YII�I WHI Y♦pm��Wl ��l Executive Summary Generated by: BuildingReports.com Building Information Building: DSV Bldg- Pedcor - 61155 Address: 736 Hanover Way Address: City/State/Zip: Carmel, IN 46032 Country: United States of America Inspection Performed By Company: Dalmatian Fire Address: 5670 West 73rd Street Address: City/State/Zip: Indianapolis, IN 46278 Country: United States of America ;tem Control Unit Contact: Mike Polston Phone: 317-690-0325 Fax: Mobile: Email: mpolston@pedcor.net Inspector: Josh Cooley Phone: 317-989-0961 Fax: Mobile: Email: jcooley@daimatianfire.net System Type System Location Wet Pipe I Inspection Summary Category: Valve Totals Certification ' Company: Dalmatian Fire Inspector: Josh Cooley Protected Area �,� ORTHSTRRFIREG : iON�:TEfG15 A Grv��iax or SxA�eAucx d SON. L.Y. Devices 3 � Totalltems I Serviced Passed FailedlOther Qty a/, . Qty ��o . Qty o�o . Qty % � 3 I 100.00% � 3 100.00% I 3 100.00% I 0 I 0% i � 3 100% � 3 100.00% 3 � 100.00% 0 0% Building: DSV Bldg- Pedcor - 61155 Contact: Mike Polston Dalmatian Fire Page 1 of 6 02/10/2020 . � �;�, �: � �.. l. SHAMBAU6H & SON, L.P. xm�eran. exew�as • uwxe Aa�p�f0�fiyel ��, Inspection & Testing Generated by: BuildingReports.com � �i� � N-row o- e s A Div�fiox..,�.'.. '_. �. .... ov Sx�xa�uox E Sox, L.V. Building: DSV Bldg- Pedcor - 61155 The Inspection & Testing section lists all of the items inspected in your building. Items are grouped by Passed or Failed/Other. Items are listed by Category. Each item includes the services performed, and the time & date at which testing occurred. � Device Type I Location Service Time , Date Passed Wet Pipe Backflow Prevention Backflow Prevention Backflow Prevention Water pump room Water pump room Water pump room Annual Annual Annual i 9:18:16 AM 02/10/2020 9:26:03 AM 02/10/2020 9:27:35 AM 02/10/2020 Dalmatian Fire Page 2 of 6 02/10/2020 .;-� �� 'A ..� . �� BAUGH�O�ONu� �� eA mxm�eraes.ur.vrcEu. �a 01! �.�a�oo�a.r,v i±� Wet Pipe Fire S'prinkler Systems Generated by: BuildingReports.com � AMb'ExAb R Orv�siov or Sx��e�ucx 8 Sox, l.P. � Building: DSV 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. Components Backflow Prevention IManufacturer Model # Size Type �Service Type IWilkins 350XL 2" Reduced Pressure Irrigation � � ScanlD Water Purveyor I Location Meter Account # 40503399 carmel Water pump room 022737 Initial Test � Install Date 02/10/2020 Serial Number A320666 Check Valve 1 Check Valve 2 Relief Valve 7.8 8.0 2.8 Held At ,Repairs or Notes Tested 10-17-19 Pressure Vacuum Breaker 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 � Closed Tight 4 Closed Tight Backflow Prevention Manufacturer IModel # �Size Type Wilkins 975XL 2" Reduced Pressure ScanlD ' Water Purveyor � Location 40503397 carmel Water pump room Initial Test Check Valve 1 Check Valve 2 9.0 8.9 Held At Repairs or Notes Tested 10-17-19 Final Test Check Valve 1 � Check Valve 2 Held At I Condition of Control Valve 1 Closed Tight Backflow Prevention Manufacturer �Model# �Size Type Service Type Potable Meter Account # 60566054 Ilnstall Date � 02/10/2020 ISerial Number � W252455 Relief Valve I Pressure Vacuum Breaker 3.9 _ Relief Valve __; Pressure Vacuum Breaker Condition of Control Valve 2 Closed Tight Service Type Install Date Dalmatian Fire Page 3 of 6 02/10/2020 I�I� _.� sxnn�er ucH a wµ �o. m�cn•rxc.mn.swcE N`BIla7�h�rrr Wilkins ScanlD 40503398 Initial Test Check Valve 1 �9.0 Held At A wt�� 975XL 2" Reduced Pressure Water Purveyor Location carmel Water pump room Check Valve 2 8.9 Repairs or Notes Tested 10-17-19 Final Test Check Valve 1 Check Valve 2 � Held At Condition of Control Valve 1 Closed Tight ♦ � 1� a.. _ .... .... .. ... _ . . _. _-.7_. e o�vi�iox or sx•v.nucx a sox.�l.V. Potable 02/10/2020 I 1Meter Account # I Serial Number � 43408952 W2387356 I Relief Valve 3.9 Pressure Vacuum Breaker I Relief Valve Pressure Vacuum Breaker I _ _ ICondition of Control Valve 2 � Closed Tight , Dalmatian Fire Page 4 of 6 02/10/2020 Il ...a.�'L.:/ �� .''� . - di SHAMBAUGH 450N, LP. �9�9�I911 eomMcras•ww¢as�swx[t w��li QII . oRn�SranFiRepp wrioare:v.s V�� 4 orvisioe or sx.pa�uen 6 sox, L.v- Inventory & War�anty Report Generated by: BuildingReport�eom Building: DSV Bldg- Pedcor - 61155 The Inventory & Warranty Report lists each of the devices and items that are included in your Inspection Report. A complete inventory caunt 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 I Category % of Inventory I Quantity Backflow Prevention Valve 100.00% 3 i Device Type � Qty I Model # Type I Description � Install Dat� New (under 90 days) � Wet Pipe Backflow Prevention Backflow Prevention 1 350XL Reduced Pressure 2 975XL Reduced Pressure 02/10/2020 02/10/2020 Dalmatian Fire Page 5 of 6 02/10/2020 III��... `.1 �,: .1 SHAM80.UG�8� N. L.P. .suHa .Y`��Q�rl :. �J�"�q„ �� w114YIPII -OR TRqFIREPPG7E OhOrTEX�S � A Div�tiox o� Sx�ue�ucx 8 90•. L.P. Notes � Recommendations Generated by: BuildingReports.com Building: DSV Bldg- Pedcor - 61155 The Notes c� Recommendations Report details additional inspection notes made by the Inspectors during the course of the building inspection. Notes are grouped by SystemlD. Note Device Type 1 Location _ Comment ScanlD i Wet Pipe 1 Backflow Prevention Water pump room Passed 40503397 Tested 10-17-19 2 Backflow Prevention Water pump room Passed 40503398 Tested 10-17-19 � 3 Backflow Prevention Water pump room Passed 40503399 � Tested 10-17-19 � Dalmatian Fire Page 6 of 6 02/10/2020 Mike Polston From: Sent: To: Cc: Subject: Thank you, Josh Cooley <jcooley@dalmatianfire.net> Monday, February 10, 2020 10:00 AM Mike Polston Cschmidt@dalmatianfire.net Fw: We have received your response for City of Carmel Backflow Test Form rvrcEr �4sso2 l�osh Cooley j Seroic,e Inspections & Sal�s � Dalrriatian �ire � �� '� ��70 Vlle�t 7�rd St, I�dianap�a�is, IN 4527E � �17.2'�4.3889 CeE1317.9�84_�1481 ��a� �rww.dalma�anfire.net _--- Forwarded 6y Josh Cooley/DalmatianlEMCORGROUP on 02N0/2020 10:00 AM -- From: Cartnel Backflow <BackFlow@carmel.in.gov> To: jcooley@dalmatianfire.net Date: 02/10/2020 09:56 AM Subject: We have received your response for City of Carmel Backflow Test Form BE ADVISED - This email originated outside EMCOR. Testers Email jcooley@dalmatianfire.net Select Tester From List SCHMIDT, CHAD_BF09-3884 Gauge Information Phone Number Calibration Date Select Company or Self Company Name Testing For Phone Number 08151855 (317) 299-3889 09-04-2019 Company Dalmatian Fire (317) 299-3889 i Address Select Service Use MANAGER NAME or COMMERCIAL CUSTOMER NAME Type a question DEVICE LOCATION ADDRESS Existing, New or Replacing Device Device Serial Number Manufacturer of device Device Size Model Number Of Device Type of protection Type Of Service Type a question Hazard Code Passed or Failed DC Date Time Street Address: 5670 West 73rd St City: Indianapolis State / Province: in Postal / Zip Code: 46278 Commercial DSV Bldg 43408952 Street name: Hanover Place House number: 736 City: Carmel State:IN Postal code: 46032 Country: United States Existing W2387356 Wilkins 2 975x1 Containment Domestic Water Pump Room RP PASS �[heck Valve #i Held At What PISD Closed Tight Leaked Check Valve q2 Held At What PISD Closed Tight Leaked DC 0 2 DC Date Time RP Date Time :T: Passed or Failed Tagged Date Time f,�1:3 DC � Check Valve #i Held At What PISD �f Closed Tight Leaked Check Val�e #2 Held At What PISD Closed Tight Leaked Check Valve #i Held At What PISD Closed Tight Leaked Check Valve ri2 Held At What PISD Closed Tight Leaked Pressure Differential Relief Valve Opened At What PISD Did NOT Open Check Valve #i Held At What PSID Closed Tight Leaked Check Valve #2 Held At What PSID Closed Tight leaked Pressure Differential Relief Valve Opened At What PSID Did NOTOpen PASS YES 09/17/2019 9:20 AM PVB Opened At What PSID Did NOTOpen Did OPEN Check Valve Held At What PSID RP RP � 9.0 x � 8.9 x 3.9 3 Date Time PVB Date f Opened At What PSID Did NOT Open Did OPEN Check Valve Held At What PSID � PVB Time AIR GAP ONLY Final Test Results Measured vertical inches above overflow rim Supply size diameter Date Time Testers Full Name: Date Time Air Gap Chad Schmidt 02/10/2020 9:50 AM This message is for the named person's use only. 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