HomeMy WebLinkAbout11405 N Pennsylvania (Penwood) Ann Spk 5-29-2020Rev. 3.9.3
Date:
Time In:9:00 AM Time Out:10:00 AM
Inspector:
Inspector:SO#
Time:Time:Time:Time: 9:10 AM
Operator:Operator:Operator:Operator:
A.Has there been any modifications to the system since last inspection?
B.Have there been any occupant/hazard changes since last inspection?
C.Was there an actuation of a device or alarm since last inspection?
D.Is building completely sprinkled?
E.Are all systems in service?
F.Has piping been checked for stoppage?
G.Do low points exist?
*All answers in this section are based on the customer's knowledge of the system*All answers in this section are based on the customer's knowledge of the system*All answers in this section are based on the customer's knowledge of the system*All answers in this section are based on the customer's knowledge of the system
Comments for A-G:
1)1)1)1)GeneralGeneralGeneralGeneral
A. Is there proper clearance between sprinklers and storage -- 18in?
B.In area protected by wet system does building appear to be properly heated?
C.If required, is hydraulic nameplate in place?
Plans or prints not available, unable to determine if sign is required.
D.Is building occupied?
E.Are there proper signs on all valves and switches?
2)2)2)2)
A.Are all control valves and other valves in the open position and in good condition?
B.Are all control valves locked sealed or supervised?
C.Were all OS&Y valves lubricated?
3)3)3)3)Tanks, Pumps, Fire Department Connections Tanks, Pumps, Fire Department Connections Tanks, Pumps, Fire Department Connections Tanks, Pumps, Fire Department Connections
A.Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and
required test performed if needed?
B.Are fire department connections in good condition, couplings free and caps in place?
C.Are fire department connections accessible and visible?
4)4)4)4)Antifreeze Systems Antifreeze Systems Antifreeze Systems Antifreeze Systems
A.Are cold weather valves in proper position?
B.This system does not have an antifreeze loop.°F
D Roach Carmel, IN 46032
Inspection & Test ReportInspection & Test ReportInspection & Test ReportInspection & Test Report
Inspection Type:Inspection Type:Inspection Type:Inspection Type: Wet/Dry Sprinkler
Frequency:Frequency:Frequency:Frequency: Annual
May 29, 2020 Penwood I
11405 Pennsylvania St.
G Manning SO3654818
System on TestSystem on TestSystem on TestSystem on Test Monitoring Company:Monitoring Company:Monitoring Company:Monitoring Company: Nelson Alarm
Penwood I
Michelle Panel Code:Panel Code:Panel Code:Panel Code:
Owner / OccupantOwner / OccupantOwner / OccupantOwner / Occupant
FACP installed since last inspection
Inspector's Section (All responses reference current inspections)Inspector's Section (All responses reference current inspections)Inspector's Section (All responses reference current inspections)Inspector's Section (All responses reference current inspections)
Control ValvesControl ValvesControl ValvesControl Valves
Does Not ApplyDoes Not ApplyDoes Not ApplyDoes Not Apply
Yes No
NoYes
Yes No
NoYes
Yes No
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Yes NoN/A
Yes NoN/A
Yes NoN/A
Yes NoN/A
Yes NoN/A
Yes NoN/A
Yes No
N/A
Pass Fail
NoYesN/A
Some areas were unable to be inspected at this time.
Sprinkler Test Inspection Report Page 1 of 5
5)5)5)5)Dry Systems Dry Systems Dry Systems Dry Systems
A.Are the air pressure and priming water levels normal?
B.Has the air or nitrogen supply system been checked for proper operation?
C.Were the low points drained?
D.Did quick-opening devices operate satisfactory?
E.Is dry valve in a properly heated area?
6)6)6)6)AlarmsAlarmsAlarmsAlarms
A.Did water motor gong and/or electric bell test satisfactorily?
B.Did electric alarm send signals to the fire alarm panel?
C.Did supervisory devices work ?
D.Were alarm, trouble, and supervisory signals verified with central station?
7)7)7)7)Sprinklers/Piping/GaugesSprinklers/Piping/GaugesSprinklers/Piping/GaugesSprinklers/Piping/Gauges
A.Do sprinklers appear to be free from corrosion, loading, or obstruction?
B.If standard sprinklers are over 50 years are they being tested?
C.If quick response sprinkler are over 20 years are they being tested?
D.Is stock of spare sprinklers and wrench available?
E.Does the exterior condition of the sprinkler system appear to be in good condition?
F.Are gauges in good condition and reading proper pressure?
Manufacturers date or date last tested 2017
8)8)8)8)Stand Pipe / Hose Systems Stand Pipe / Hose Systems Stand Pipe / Hose Systems Stand Pipe / Hose Systems
A.Type:Wet No.Combined No.Dry No.
Water Supply:
B.Are stand pipe and hose systems in good condition?
9)9)9)9)Special Systems / Test Special Systems / Test Special Systems / Test Special Systems / Test Type:Type:Type:Type:
A.If occupancy has special systems, have they been tested as required?
B.Are they in good condition and were tests satisfactory?
C.If testing was required, see attached form or system tags?
Time to Alarm Signs
90
Drain Size Static PSI Residual PSI Static PSI
2"105 75 100
Although these comments are not the result of an engineering review, the following improvements are Although these comments are not the result of an engineering review, the following improvements are Although these comments are not the result of an engineering review, the following improvements are Although these comments are not the result of an engineering review, the following improvements are
recommended:recommended:recommended:recommended:
Time:Time:Time:Time: 9:50 AM
Operator:Operator:Operator:Operator:
Does Not ApplyDoes Not ApplyDoes Not ApplyDoes Not Apply
Does Not ApplyDoes Not ApplyDoes Not ApplyDoes Not Apply
Does Not ApplyDoes Not ApplyDoes Not ApplyDoes Not Apply
Inspector's testInspector's testInspector's testInspector's test Smooth Bore
Location Alarm Report Orifice Results Comparable
Riser Room Yes N/A
Main DrainMain DrainMain DrainMain Drain
Location Result Comparable Signs
Riser Room Yes No
System Back In ServiceSystem Back In ServiceSystem Back In ServiceSystem Back In Service Monitoring Company:Monitoring Company:Monitoring Company:Monitoring Company: Nelson Alarm
Explain any "No" answers:Explain any "No" answers:Explain any "No" answers:Explain any "No" answers:
No wrench and only two heads inside sprinkler box.
Missing (2) escutheon rings located inside suite 103.
Adjustments or corrections made during this inspections:Adjustments or corrections made during this inspections:Adjustments or corrections made during this inspections:Adjustments or corrections made during this inspections: No corrections made at this time.No corrections made at this time.No corrections made at this time.No corrections made at this time.
Recommend 5 year pipe inspection be performed. Needs Hydraulic nameplate added.
Penwood I
Michelle Panel Code:Panel Code:Panel Code:Panel Code:
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
NoYesN/A
NoYesN/A
NoYesN/A
N/A
N/A
N/A
Multiple Inspector's Test
Multiple Risers
Some sprinklers are unable to be visually inspected at this time.
NoYesN/A
NoYesN/A
NoYesN/A
Sprinkler Test Inspection Report Page 2 of 5
Date:
Time In:9:00 AM Time Out:10:00 AM
Inspector:
Inspector:Acct#Acct#Acct#Acct#01JOR9512 SO #SO #SO #SO #
QuantityQuantityQuantityQuantity CircuitCircuitCircuitCircuit QuantityQuantityQuantityQuantity CircuitCircuitCircuitCircuit
1 B
2 B
1
QuantityQuantityQuantityQuantity CircuitCircuitCircuitCircuit QuantityQuantityQuantityQuantity CircuitCircuitCircuitCircuit
QuantityQuantityQuantityQuantity CircuitCircuitCircuitCircuit QuantityQuantityQuantityQuantity CircuitCircuitCircuitCircuit
Amps Breaker #
If FACP batteries failed, were they replaced? Qty --> _____
Size
Visual
Condition Batt. #1 Batt. #2 Charger Test
* See NAC inspection report for power supply battery readings
2719 N Arlington Ave Indianapolis IN
Inspection & Test ReportInspection & Test ReportInspection & Test ReportInspection & Test Report
Inspection Type:Inspection Type:Inspection Type:Inspection Type:Fire Alarm
Frequency:Frequency:Frequency:Frequency:
May 29, 2020 Penwood IPenwood IPenwood IPenwood I
Operator:Michelle Panel Code:
11405 Pennsylvania St.11405 Pennsylvania St.11405 Pennsylvania St.11405 Pennsylvania St.
D Roach Carmel, IN 46032Carmel, IN 46032Carmel, IN 46032Carmel, IN 46032
G Manning
Monitoring Company: Nelson Alarm Time Placed On Test: 9:10 AM
Number of Circuits:Last Service Date:
Type Transmission:Digital Panel Make:Honeywell
Manual Pull Stations Waterflow Switches
Circuit Class:Panel Model:Vista32FB
Ion Smoke Detectors Supervisory Switches
Photo Smoke Detectors Beam Detectors
Software Revision:Last Software Rev. :
Alarm Initiating DevicesAlarm Initiating DevicesAlarm Initiating DevicesAlarm Initiating Devices
DeviceDeviceDeviceDevice DeviceDeviceDeviceDevice
Alarm Indicating Devices - Does Not ApplyAlarm Indicating Devices - Does Not ApplyAlarm Indicating Devices - Does Not ApplyAlarm Indicating Devices - Does Not Apply
DeviceDeviceDeviceDevice
Duct Detectors Other
Heat Detectors No. Of Alarm Initiating Circuits
Key Switch Are Circuits Supervised?
DeviceDeviceDeviceDevice DeviceDeviceDeviceDevice
Supervisory Signal initiating Devices - Does Not ApplySupervisory Signal initiating Devices - Does Not ApplySupervisory Signal initiating Devices - Does Not ApplySupervisory Signal initiating Devices - Does Not Apply
Signaling Line CircuitsSignaling Line CircuitsSignaling Line CircuitsSignaling Line Circuits System Power SuppliesSystem Power SuppliesSystem Power SuppliesSystem Power Supplies
No. of Alarm Initiating Circuits Primary Normal Volts Over Current Type Panel Location
Battery Type Load Voltage
Load Amps
FACP Battery TestFACP Battery TestFACP Battery TestFACP Battery Test
Calc. Capacity in Hrs Test Results
Penwood I
Yes No
Yes No
Pass
Fail
N/A
N/A
N/A Yes No
Fire Alarm Inspection Report Page 3 of 5
VisualVisualVisualVisual FunctionFunctionFunctionFunction
Type:
Qty:
*See detection inspection report
VisualVisualVisualVisual FunctionFunctionFunctionFunction
Qty:
Operator:
Received
Notified
Technician Comments:
Rev. 3.9.3
Interface Equipment
Lamps / LED
Fuses
System Test and InspectionsSystem Test and InspectionsSystem Test and InspectionsSystem Test and Inspections
DeviceDeviceDeviceDevice CommentsCommentsCommentsComments
Control Panel (FACP)
Ground Fault Monitoring
Transient Suppressors
Remote Annunciators
Primary Power Supply
Trouble Signals
Disconnect Switches
N/AN/AN/AN/A
DeviceDeviceDeviceDevice CommentsCommentsCommentsComments
Audible
Visual
Door Holders
Were heat detectors tested with heat?If no, date on fix temperature devices:
Heat detector loop resistance reading:
Phone Jack
Phone Set
Speakers
9:50 AM
Signal Sent Comments Verified By:Michelle
Fireman Phone
Was dBA Meter Utilized?Average Ambient:
Voice Intelligibility -
Average Alarm:
Alarm Signal
Alarm Restore
Trouble Signal
On / Off Premises MonitoringOn / Off Premises MonitoringOn / Off Premises MonitoringOn / Off Premises Monitoring Michelle Time Verified
Building Management John Jordan
Monitoring Agency Nelson Alarm
Supervisory Signal
Supervisory Restore
Notified Testing CompleteNotified Testing CompleteNotified Testing CompleteNotified Testing Complete
Comments
Penwood I
Building Occupants
AHJ
FACP, (1)SD and (1)PS added since last inspection
N/A
Fire Alarm Inspection Report Page 4 of 5
Page Qty:Page Qty:Page Qty:Page Qty:1111
3333
Zone or Zone or Zone or Zone or
AddressAddressAddressAddress MakeMakeMakeMake ModelModelModelModel Sensitivity Sensitivity Sensitivity Sensitivity
Alarm PointAlarm PointAlarm PointAlarm Point Pass / FailPass / FailPass / FailPass / Fail
004 BFV Pass
004 BFV Pass
003 ITV Pass
317-542-1800
2719 N Arlington Ave Indianapolis IN
Tamper Switch
Riser Room Water Flow
Fireline Discharge
Fireline Suction
Device LocationDevice LocationDevice LocationDevice Location TypeTypeTypeType CommentsCommentsCommentsCommentsSensitivity RangeSensitivity RangeSensitivity RangeSensitivity Range
Tamper Switch
May 29, 2020
SO# 0
Penwood I
11405 Pennsylvania St.
Total devices inspectedTotal devices inspectedTotal devices inspectedTotal devices inspected
Carmel, IN 46032
All devices passed during this inspectionAll devices passed during this inspectionAll devices passed during this inspectionAll devices passed during this inspection
DETECTION INSPECTION REPORTDETECTION INSPECTION REPORTDETECTION INSPECTION REPORTDETECTION INSPECTION REPORT
Sensitivity and Detection Inspection Report Page 5