HomeMy WebLinkAbout196270 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 361188 Page 1 of 1
ONE CIVIC SQUARE BROWN SPRINKLER CORP
�a CARMEL, INDIANA 46032 5250 COMMERCE CIRCLE CHECK AMOUNT: $394.00
INDPLS IN 46237
CHECK NUMBER: 196270
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 111N7000 394.00 BUILDING REPAIRS MA
Brown Sprinkler Corporation Invoice
5250 Commerce Circle Date Invoice
Indianapolis, IN 46237
Phone: 317- 889 -4225 3!30/2011 11 IN7000
Fax: 317- 889 -9895
Bill To Work Performed At:
Carmel Water Department Same
3400 West 131 st Street
Westfield, M 46074
P.Q. Number Terms Attention
Net 15
Description Amount
Annual inspection of fire protection service; work PIV, tube, test flow on wet system, test tampers, test 394.00
two fire backflow preventers and one domestic backflow, test DPV, clean and reset, test tamper, drain
low point, reset at panel.
Sales Tax 0.00
CAUTION: It is the responsibility of the owner to maintain the sprinkler system and to keep
the system from freezing by maintaining low point drains and heat wherever wetpipe
sprinklers are installed in the building.
Thank you for your business. W Accept Corporate Purchasing Cards Only:
American Express- Mastercard -Visa Total $394.00
REPORT OF INSPECTION Brown Sprinkler Corp.
Eire Protection System
INSPECTION REPORT INSPECTION CONTRACT
No. 5250 Commerce Circle NO
CONFERRED WITH Indianapolis, IN 46237 BUREAU FILE
317- 889 -4225 Fax: 317 -889 -9895 NO.
SET 1 OF 2
REPORT TO Carmel Water Department BUILDING OR LOCATION Same
STREET 3400 N 131S Street
CITY STATE Westfield, IN ZIP 46074 INSPECTOR J D HaIP�y
ATT. Jeff Stewart DATE 3 -16 -11
1. GENERAL Yes N.A-1 Noo
a. Is the building occupied?
b. Is occupancy same as previous inspection? El
t. Are all systems in service? EJ
d. Are all fire protection- systems same as last inspection?
e. Is hazard completely sprinklered?
f. Are all new additions and building changes properly protected? El IR I El
g_ Is all stock or storage properly below sprinkler piping? El h. Was property free of fires since fast inspection? (Explain any fire on Page 2) 0 El 11 i. In areas protected .by wet system, does the building appear to be properly heated in all areas, including 0
blind attics, perimeter areas and are all exterior openings protected against entrance of cold air?
2. CONTROL VALVES (See Section 16)
a. Are all sprinkler 'system main control valves open?
b Are all -other valves in proper position
c. Are all control valves in good condition and sealed or supervised?
3. WATER SUPPLIES (See Section 17)
a. Was a water flow test [Wade and results satisfactory?
4. TANKS, PUMPS, FIRE DEPT. CONNECTIONS
a. Are fire pumps, gravity tanks, reservoir and pressure tanks in good condition and properly maintained?
b. Are fire dept. connections in satisfactory condition, couplings fate, caps in place and check valves tight?
5- WET SYSTEMS (See Section 13) 11
a. Are cold weather valves open or closed as necessary?
b. Have anti- freeze systems been tested and left in satisfactory condition?
c. Are alarm valves, water flow indicators and retards in satisfactory condition? 1
6. DRY SYSTEMS (See Section 14)
a. Is dry valve in service and in good condition?
b. Is air pressure and priming water level normal? I I
c., Is air compressor in good condition?
d. Were low points drained during fall and winter inspections?
e. Are Quick Opening Devices in. service?
f. Has piping been checked for stoppage within,. past 10 years"
g. Has piping ,been checked for proper pitch within past 5 years?
h: Have dry, valves beta trip tested satisfactorily as required? 11 0
is Are.dry valves adequately protected from freezing?
j. Valve house and heater condition' satisfactory? I
7. SPECIAL SYSTEMS (See Section 18)
a. Were valves tested as required?
b. Were all heat responsive systems tested and results satisfactory?
c. Were supervisory features tested and results satisfactory?
8. ALARMS
a. Water motor and gong test satisfactory?
b. Electric alarm test satisfactory?
c. Supervisory .alarm service teat satisfactory?
.9. SPRINKLERS PIPING
a. Are all sprinklers in good condition, not obstructed, and free of corrosion or loading?
b. Are all sprinklers less than 50 years old?
c. Are extra sprinkler readily available?
d. Is condition of piping, drain valves, check valves, hanger, pressure gauges, open sprinkler, strainers
satisfactory?
e. Are all sprinklers of proper temperature rating?
f. Are portable fire extinguishers in good condition?
g. Is hand hose on sprinkler systems satisfactory?
0 Explain "No" answer on Page 2 :Not Applicable
REPORT OF INSPECTION Brown Sprinkler Corp.
INSPECTION REPORT Fire Protection System INSPECTION CONTRACT
No. Camtael Water. No
5250 Commerce Circle
Indianapolis, IN 46237 BUREAU FILE
317- 889 -4225 Fax. 317-889-9895 NO.....
SET 2 OF 2
10. Date Dry System Piping last checked for stoppage. When installed
It. Date Dry System Piping last checked for proper pitch. When installed
12. Date Dry Pipe Valve last trip tested 3-16 -11
13. Wet Systems: No? 1 Make and Model? 4" VSR -F 40 Seconds, manual
]I. Dry Systems: No? 1 Make and Model? T' Tyr_n OPV -9
15. Special Systems: No? Type N/A
Make and Model? Condition?
CONTROL VALVES Open Secured Closed Signs
16. No? Type? Yesl NolYesl No Yesl Nol Yes No Condition
City Connection Controt Valor Fiv D9 U P9 U 0 Li El I o0
Tank Control Valves
Pump Control Valves
Sectional Control Valves El El El El I- El El
System Control Valve: 4' osyl Good
1 7 WATER FLOW TEST
Water Pressure? CITY PSI TANK PSI FIRE PUMP PSI
Water Flow Tcst? (If none made, Why
Size Pressure Flow Pressure Size Pressure Flow Pressure
Test Pipe Located Test Pipe Before Pressure After Test Pipe Located Test Pipe Before Pressure After
Kiser e 5 45 60
Kiser ury 45 go
18. Heat Responsive Devices: Type? Type of test?
Valve No A._..... B........ C... .....D........E.......T........ Valve No A B- C D E .F
ValveNo A.. B.- C I).- .E F- Valve No..- A.- B C D.. .E F........
Valve No A B C.. ......D.._._.E- .......F........ Valve No_ A_ R C_.... D........E F.
ValveNo A..... B.- C .D....... E.._._.F Valve No ._A B C........D... E....._ F
Auxiliary equipment: No? Type? Location? Test Results?
19. Explanation of any "No" answers.
NIA
I
2Rl changes in building occupancy or fire protection equipment.
26Adjustmcnts or corrections made.
22. Desirable improvements.
Fill cup line on drain line needs 1 114" screw check valve
Explain "No" answers on Page 1 in ltem fi 19
BROWN SPRINKLER CORPORATION
5250 COMMERCE CIRCLE
INDIANAPOLIS, IN 46237
DRY PIPE VALVE TRIP TEST REPORT
REPORT TO Carmel Water Dept. INSPECTION NO.
STREET 3400 W 131 St St. CITY Westfield STATE IN CONTRACT NO.
DATE OF TRIP TEST 3 -16 -11 TECHNICIAN J D Haley
NOTE: BEFORE ANY DRY PIPE VALVE IS TRIP TESTED, THE WATER SUPPLY LINE TO IT SHOULD BE THOROUGHLY FLUSHED. THE TWO INCH
DRAIN BELOW THE VALVE SHOULD BE OPENED WIDE AND WATER AT FULL PRESSURE SHOULD BE DISCHARGED LONG ENOUGH TO
CLEAR THE PIPE OF ANY ACCUMULATION OF SCALE OR FOREIGN MATERIAL. IF THERE IS A HYDRANT ON THE SUPPLY LINE, THIS
HYDRANT SHOULD BE FLUSHED BEFORE THE TWO INCH DRAIN IS OPENED. THE DRIP VALVE ON THE DRY PIPE VALVE SHOULD BE
CHECKED BEFORE TRIPPING THE DRY PIPE VALVE, TO SEE THAT IT IS IN OPERATING CONDITION.
DRY PIPE VALVES SYSTEM NO. SYSTEM NOA SYSTEM NO.( SYSTEM NO.(
VALVE SERIAL NUMBER
MANUFACTURER (NAME) TYCO
VALVE MODEL DPV -1
VALVE SIZE 3 INCH INCH INCH INCH
CONTROLLING (LOCATION) Canopy
SPRINKLERS (NUMBER) 100 (APPROX.) (APPROX.) (APPROX (APPROX.)
DATE LAST. TRIP TESTED? 3-3-10
DATE LAST OPERATED? 3 -3 -10
PRESSURE AIR 40 '.LBS. LBS LBS LBS
BEFORE TEST WATER 65 LBS LBS LBS LBS
SIZE AND LOCATION OF TEST VALVE 1 West WalI
WAS GATE VALVE BELOW DRY VALVE OPEN
WIDEAT TEST? (IF NOT, HOW MANY TURNS? Yes
AIR PRESSURE 12 LBS LBS LBS LBS
WATER TRIPPED AT WATER PRESSURE 65 LBS LBS LBS LBS
TIME O MIN 14SEC MIN SEC MW SEC MIN SEC
IF SYSTEM FLOODED, LIST TIME WATER
REACHED TEST OPENING Q MIN 39 SEC MIN SEC MIN SEC MIN SEC
PERFORMANCE
INTERIOR OF BODY Good
MOVING PARTS Good
VALVE CONDITION RUBBER FACING Good
SEATS Good
RESET? Yes
'DID ALARMS OPERATE AT TRIP TEST? Yes
ALL LOW POINT DRAINS BLOWN OUT? Yes
WATER CONTROL VALVE LEFT:
OPEN AND SEALED Yes
ALARM CONTROL VALVE LEFT
OPEN AND SEALED? Yes
QUICK OPENING DEVICES SYSTEM NO.( SYSTEM NO. SYSTEM NO..( SYSTEM NO-(
DEVICE SERIAL NUMBER
MANUFACTURER (NAME)
TYPE AND MODEL
AIR PRESSURE IN UPPER CHAMBER LBS LBS LBS LBS'
QUICK OPENING DEVICE TRIPPED AT SEC LBS SEC LBS SEC LBS SEC LBS
PERFORMANCE
QUICK OPENING DEVICE LEFT IN SERVICE
AND CONTROL OPEN AND SEALED
REMARKS
CONFERRED WITH: DATE 3 -16 -11
EAC FLOW PREVE TOR DEVICE TEST MAINTENANCE ACE REPOR T FORM
Service Location Contracted Service Provider Information
Property Name Carmel Street Department Firm Namel Brown Sprinkler Corporation
Service Address 3400 W 131st Street Address 5250 Commerce Circle
City, State, Zip Westfield, IN 46074 City,State,ZIP Indianapolis, IN 46237
ConacYPhone Jeff Stewart 317 733 -2001 Contact Eric Scott
Business Typel Type Phone no. 317- 889 -4225
Device Information Fax no.1 317- 889 -9895
Manufacturer# Watts
Model 2000B Type of Service Contained Compliant
Serial 30673 Primary Domestic Service Non-Compliant
Device Size 314" Fire Service and/or B -Lass Refused
location on property Riser room existing building Commercial Irrigation Service
Residential Irrigation Service
Test Information DIFFERENTIAL PRESSURE RELIEF
CHECK VALVE N0.1 CHECK VALVE N0.2 VALVE PRESSURE VACUUM BREAKER
Test Appt. No.
Annuall,y closed tight closed tight opened at psid air inlet opened at psid
Semi Annual Tet Initial leaked leaked did not open did not open
Test p sid L 1 psid p C.V. psid leaked
Device Type
cleaned cleaned cleaned cleaned
RP Replaced: Replaced: Replaced: Replaced:
RPDA rubber parts kit rubber parts kit rubber parts kit rubber parts kit
DC c.v. assembly c.v. assembly c.v. assembly c.v. assembly
DCDA disc disc disc(s) air inlet disc
PVB spring spring spring air inlet spring
AVB Repairs guide guide hinge pin diaphragm
hinge pin hinge pin seat(s) float
seat seat diaphragm(s) module
diaphragm module module check spring
module o- ring(s) o- ring(s) check disc
o- ring(s) 7 o- ring(s)
Other: Other: Other: Other:
Repaired 1printri ame license certification no.
By Isignature I Idate repaired
Note: All repairs and /or replacements are to be made within ten (10) days.
Final ps id psid I.. Q opened at psid air inlet psi
Test sed tight closed tight reduced pressure C.V. psid
Initial Test Final Test Customer acknowled es, accepts, confirms this test report
Print Name J D Haley Print Name
Signature r Si nature
Date f 6 /1 I Date
IN certification no. PO4 -2559
Rev. 1 /2008
SACKFL.VMi PREVErlt O t EWC� ,E TEST MAtil'.V F ENf° NOE REPORT FORMA
Service Location Contracted Service Provider Information
Property Name Carmel Street Department Firm Name I Brown Sprinkler Corporation
Service Address 3400 W 131st Street Address 5250 Commerce Circle
City, State, Zip Westfield, IN 46074 Cit ,State,ZIP Indianapolis, IN 46237
Conact/Phone Jeff Stewart 317- 733 -2001 Contact Eric Scott
Business 7 pe Phone no. 317 -889 -4225
Device Information Fax no. 317- 889 -9895
Manufacturer Ames
Model 3000SS Type of Service Contained Compliant
Serial 1260860403 Primary Domestic Service Non -compliant
Device Size 4° Fire Service and /or By-pass Refused
location on property Riser room existing building Commercial Irrigation Service
Residential Irrigation Service
Test Information DIFFERENTIAL PRESSURE RELIEF
CHECK VALVE N0.1 CHECK VALVE N0.2 VALVE PRESSURE VACUUM BREAKER
Test Appt. No.
Annual closed tight closed tight opened at psid air inlet opened at psid
Semi Annual Initial leaked leaked did not open did not open
Test psid 1 2, d psid Il C.V. psid I Ileak ed
Device Type cleaned cleaned cleaned cleaned
RP Replaced: Replaced: Replaced: Replaced:
RPDA rubber parts kit rubber parts kit rubber parts kit rubber parts kit
DC c.v. assembly c.v. assembly c.v. assembly c.v. assembly
DCDA disc disc disc(s) air inlet disc
PVB spring spring spring air inlet spring
AVB Repairs guide E] guide hinge pin diaphragm E]
hinge pin hinge pin seat(s) float
seat seat diaphragm(s) module
diaphragm module module check spring
module o- rings) o- ring(s) check disc
o- ring(s) F1 o- rings)
Other: Other: Other: Other.
Repaired print name license I certification no.
By signature Idate repaired
*'Note: All repairs and /or replacements are to be made within ten (10) days.
Final psid 2. C' psid f opened at psid air inlet psi
Test closed tight I Iclosed tight IX Ireduced pressure I IC,V. psid
Initial Test Final Test Customer acknowledges, accepts, 8 confirms this test report
Print Name J D Haley Print Name
Signatult. Signature
Date 3 �1 6 Date
IN certification no. PO4 -2559
Rev.112008
E CK.FLO t PREVENTOR DEVICE TEST MANTENANCE REPORIF FORM
Service Location Contracted Service Provider Information
Property Name Carmel Street Department Firm Name Brown Sprinkler Corporation
Service Address 3400 W 131st Street Address 5250 Commerce Circle
City, State, Zip Westfield, IN 46074 Cit ,State,ZlP Indianapolis, IN 46237
ConacYPhone Jeff Stewart 317 733 -2001 Contact Eric Scott
Business Type Phone no. 317- 889 -4225
Device Information Fax no. 3- 889 -9895
Manufacturer Watts
Model 009M2 Type of Service Contained Compliant.
Serial 208263 Primary Domestic Service NUr:- C.ompIiant
Device Size 2" Fire Service and /or By-pass Refused
location on property Riser room existing building Commercial Irrigation Service
Residential Irrigation Service
Test Information DIFFERENTIAL PRESSURE RELIEF
CHECK VALVE N0.1 CHECK VALVE NQ2 VALVE PRESSURE VACUUM BREAKER
Test Appt. No.
Annual E] Initial closed ti ht closed tight opened at psid z, air inlet opened at psid
Semi Annual Test leaked leaked did not open did not open Ll
psid p psid p C.V. psid leaked
Device Type
cleaned cleaned cleaned cleaned
RP Replaced: Replaced: Replaced: Replaced:
RPDA rubber parts kit rubber parts kit rubber parts kit rubber parts kit
DC c.v. assembly c.v. assembly c.v. assembly c.v. assembly
DCDA disc disc disc(s) air inlet disc
PVB spring spring spring air inlet spring
AVB Repairs guide guide hinge pin diaphragm
hinge pin hinge pin seat(s) float
seat seat diaphragm(s) module
diaphragm module module check spring
module o- rings) o- ring(s) check disc
o- ring(s) o- ring(s)
Other: Other: Other: Other:
Repaired 1print name Ilicense I certification no.
BY Isignature I Idate repaired
Note: All repairs and /or replacements are to be made within ten (14) days.
Final psid p p sid .O opened at psid Z. air inlet psid
Test closed ti ht closed ti ht reduced pressure C.V. sid
Initial Test Final Test Customer acknovAed es, accepts, 8. confirms this test report
Print Name J D Hale Print Name
Signature Si nature
Date Date
IN certification no. PO4 -2559
Rev. 1/2008
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER CRy Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Brown Sprinkler Corporation Purchase Order No.
5250 Commerce Circle
Indpls, IN 46237 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/30/11 111N7000 Annual inspection of sprinkler system 394.00
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brown Spri n k ler Corpo
IN SUM OF
5250 Commerce Circle
Indpls, IN 46237
394.00
ON ACCOUNT OF APPROPRIATION FOR
Police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 111N7000 501 394.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Aril 5, 2011
Si nature
Chie of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund