Report ATRIOT NE MINNEHAHA ST
FIRE PROTECTION
VANCOUVER, (360) 6 9 40 98661
TEL (360) 699 -4403
FAX (360) 699 -4485
ttP O -- (901/C
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LETTER OF TRANSMITTAL
To: City of Tigard Date: 7/13/2006
13125 SW Hall Blvd
Tigard, OR 97223 Job No. 33 - 2498
Project: Costco Wholesale
Attn: Fire Marshal Subject: Inspection
We are sending:
PRINTS ORIGINALS _ SPECIFICATIONS _ DISKS CALCULATIONS
Copies Date DESCRIPTION
1 Inspection Report for the above referenced project
Comments:
Please call with any questions.
Respectfully,
(
By: Catie Crimmins Cc:
TACOMA,WA OFFICE www.patriotfire.com SPOKANE, WA OFFICE
TEL (509) 926 -2290 PATRIFP099CF TEL (509) 926 -3428
FAX (509) 922 -6150 FAX (509) 926 -3708
corm tor Annual Inspection, Testing, and.Maintenance of Fire Sprinkler Systems
�y f �,��� `� City / County
0 R io Name of Facil
/ j ,1_C�1
K ".‘ , - I Facility Address "F-<< - , T FIRE PROTECTIO Date.
Note • All questions are to be answered Yes, No or Not Applicable. All 'No' answers are to be explaihed in Pa III Comments Section.
E
Part I - . °2
Owner's Section (To be answered by owner or occupant rf possible) i - -- - _ __
A. Has the occupancy classification and hazard of contents remained the same since the last inspection/ /� -`
S -
Has the system remained in service without modification since the last inspection/ /
C Was the system free of activation of devices or alarms since the last inspection/ �—
S
0 When was the system piping last checked for stoppage, corrosion, or foreign materials/
E When was the dry system last checked for proper pitch? A
Owner or Occupant's Representative (print name)
-isi Iiii •-•- A. - —
i t ___________________
Signat
Part II - Inspector's Section .
t. General
A Is the building occupied/ Yes
•
No N;A
E. Are all fire systems in seance/
•
Are dry valves adequately protected from freezing/
D
. Dc at exterior openings appear to be protected against freezing/
F
Is there a minimum of 18 inches clearance between the top of the storage and sprinkler deflectors'% p�
Does the budding appear to be properly heated (40'f or greater) in areas protected by wet system' ___r____ V
Control Vai/ves (Refer to Control Valve Maintena Ta ble, Item 9) - —
Are all sprnkler control valves in the appropriate open or closed position/
Ara all aor--ol valves in the
open position; locked, sealed, or equipped with a tamper switch/
!C Are all control valves accessible/
Are the ,so■ation valves on backflow assemblies in the open position/ -- - __
'H Are cackflow assemblies being tested annually/ —le"
v Control Va/te Maintenance Numbs Type Open secured '��
i City Connection Control Valves
e:..) e Closed
ISigns Condrti�n
System Ccn :roi Valves 5 d
Sections, Control Valves _; _ __ , �_
Other Control Valves A
4. Water Supplies
A. Was Ovate' flow test of main drain made at the sprinkler riser/
B Gauges in good condition and showing normal pressures/ -- _
5. Water Flow Test Results During this Inspection - - ---
Teo' Pipe Locat:cn Test Pipe Size Static Pressure Before
a it, L� _ Residual p ressure Static Pressure After
ent Connecti �—
6 . Fire Departm
A Are fire department connections in satisfactory condition, couplings free, caps in place, and
check valves tight?
ca - ��1
7. Dry Systems
A Is the dry valve in service') A !
B Are the air pressure and priming water level in accordance with the manufacturer's instructions?
C. Has the operation of the air or nitrogen supply been tested?
Is it in service? X _5___ D. Were low points drained during this inspection? Number of drains?
G. Did the heating equipment in the dry -pipe valve room operate at the time of Inspection'
8. Dry Pipe Operating Trip Test
System #1 System #2 System #3 System #4 System #5
Valve Type /1- f' A4
DOD Type it/()t
Air Pressure y
Water Pressure l0
Air PSI @ Trip /11
Trip Time @ Valve --
Water to Insp Test 343
9, Special Systc-ms ee Attachment rf an -. 'A' is • = ed 'Yes' for Deluge & Preaction systems)
A. Are the deluge, p e- action, • o , - -ther v- es, • - reeze systems installed at this location
B. Are h elves d/. - d os: .tations in se • - Hose source.
C. Temp at e of ti" eeze . olut % n Location of Antifreeze loop:
Anti r ze I erves what po ' ion o • ' • ng
10. Alarms Yes No N/A
A. Did the water motor gong test satisfactory' l
B. Did the electric alarm test satisfactory? ?°
`C Did the supervisory alarm service test satisfactory?
18. Sprinklers
A Are all sprinklers free from corrosion, loading, or obstruction to spray discharge?
B Are sprinklers less than 50 years old? f
C. Is stock of spare sprinklers available? P
ID. Does the exterior conditions of the sprinkler system appear to be satisfactory') ___r
E. Are sprinklers of proper temperature rating for their locations?
Part Ill - Comments Section
1. Explain Any 'No' Answers And Comments:
b' H -. a _ • LA t
3 p s i
- 1 AL L I I ' ■ v K 'c - t�
2. Adjustments Or Corrections Made During This Inspection
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3. Although These Comments Are Not The Result ) Result Of An Engineering Review, The Following Desirable Improvements Are Recommended:
� �` �1 4 Aye r
Part IV - Inspector's Infor Lion
Inspector � o // Company: Patriot Fire Protection, Inc.
Address: 4708 NE Minnehaha Street
Signature: �" _ `I' Vancouver, WA 98661
_
Phone. (360) 699- 4403/(503) 222 -6001