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1021 Atlantic Blvd Unit 985 L.A. Fitness fire sprinkler system test report rwi.vP FORTITUDE FIRE PROTECTION 2430 University Blvd W. * Jacksonville,FL 32217 * 904-733-9008 www.fortitudefire.com Good Afternoon, Please find the enclosed inspection reports for your area. If you have any questions, have received in error or need further information please give me a call or email me at ariel(2 fortitudefire.com. Thank you and have a great day. 424a 6?) Ariel Wright Administrative Assistant rr ' DRTITUDE -� FIRE PROTECTION ---• 2430 University Blvd W. " Jacksonville, FL 32217 * 904-733-9008 www.fortitudefire.com NFPA-25 Inspection, Testing and Maintenance of Wet Pipe Fire Sprinkler Systems Information on this form covers the minimum requirements of NFPA 25 for fire sprinkler systems connected to distribution systems without supplemental tanks or fire pumps. Separate forms are available to inspect, test and maintain fire pumps, water tanks and other fire protection systems. More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and the watersupply. Owner: Owner Phone Number: Job#: Owner's Address: Property Being Evaluated' LA Fitness 264 Property Address: 985 Atlantic Blvd.,Atlantic Beach, FL 32233 Date of Work: 02/19/2021 All responses refer to the current work(inspection,testing and maintenance)performed on this date. This work is(check one): Monthly Quarterly •✓Annual Third Year Fifth Year Part I-Owner's Section 4.Annual Inspection nems(in addition to above items) A.Is the building occupied'? @Yes ONo A.Proper number and type of spare spinkbrs? ()Yes V OVA A 8.Has the occupancy classilcation end hazard of contents remained the same since 8.Visible springers: V the last inspectan? @Yes ONo I.Free of corrosion and physical darrege? OYes @w Os" C.Aro al fire protection system in service? ()Yes ONo 2.Free et obstructions to spay letters? Yes ntJO RA Has the system remained In service without modification Since the last ins ? 3.Free of foreign mtenats including paint? Otos !�V[l: A O. pecbon. ()Yes ON' V v 4.Liquid in al glass bulb spnNos 0ers7 OtA E.Was the system free of actuation of devices or alarm since the last inspection? ()Yes ON° C.Visible ppe. F.Weekly kips of inspections regrired try IFPAM26 on file? 1.In good condtionino external corrosion? @Yes Oran OVA aPs oN0 2.No mechanical da Oyes G An deficiencies reported at last inspection corrected? nage and no leaks? OA H.By signing I know the location and understa - i f entre]valves. (Yes o� 3.Properly atoned and no external bads? �.l Cvmone Mirabel .tri 02/19/2021 D Visible pipe hangers and seismic braces not damaged or lose? Ove, oN' OVA E.Fbse.hose coupings and nozzles on spender system passed V Owner or repesenabve(pin mm.r) Sign i r Dale *vr's 0.1, &f. 111Owneror Owner rep. inspection in accordance with I1FPA 1962? not onsite F.Adequate heat in areas with wet ppr g? *Yes ONu VA Part II-Inspector's Section G.Has an internalirspecaon of the pipe been pertormd by removing �J A Inspections the flushing connection and one sprinkler near the end of a branch 1.Daily and Weekly Items inn within the last 5 years? ye" 0$4' 04A A.Control valves supervised with seals in correct(open or closed) (II the answer was"No".conduct an internal inspection.) position? Year Inspection *Yes oN> OFilth pection nems(in addition to above items) 6 Year Inspection Due: 8.Backflow Preventers• v A Alarm valves and their associate strainers.filters and restdcbon /�.' 1.Valves in correct(open or closed)position? *yes O� OVA orifices passed internal inspection? OMC erns ON' \! A 2.Sealed,locked or supervised 8 accessible? *Yes Olo OVA B.Clack valve internally inspected and al parts operate popery.wove �,r+�.'' 3.Rebel port on RPZ device not discharging? OYes ON> n�nuq freely and are in good condition? ©NC Oves ONn V q C.For freezer system.is the gauge near the compressor reading the `/ �Vf__ B.Testng �:l- sam as the gauge near the dry-pipe valve? Ores Oy (��4lA The following tests are to be performed at the noted intervals Report any failures on Pct III of this form v V 1.Quarterly Tests 2.Monthly Inspection nems(in addition to above nems) A Control valves with ticks or electrical s A.Mechancat water flow alarm devices passed tests by opening the supervision In correct(open or OVA inspectors test connection or bypass connection with alarm actuating closed)pasition7 ()Yes ONo AV and flow observed? OY" OW C>rA B.Spinkler wrench with spare springers? ()Yes ONo OVA B Post indicating valves opened until spring or torsion is tel in the rote �: C.Gauges on wet-pipe system in good condition and showing norm! /V� then closed beck one-quarter turn? Ores Oh, Dv", water supply possum? OYes *No OVA kVA C.Main drain test for system downstream of backflow or pressure reducing vale. V 0 Alarm Valves. 1 Record Static Pressure psi and Residual psi Pressure Gauges show normal supply water pressure.free from physical ❑ Soo comments-on page 2 damage,valves in correct(open or closed)position and no leakage from meaning chamber or drains? ()Yes Oki OVA 2.Was flew observed? *yes (DNn OVA. 3.Quavery Inspection items(n addition to above items) V 3.Aro resins wnperado to peeress test? *Yes O'.i, r'�.yq 1.Semiannual Test(n addition to previous items) �J A Pressure Reducing Valve:In open position.not leaking. maintaining dowrstream pressureAV9NecaleorywatlarsIMicase ssetest? owes illi r1r.�-q p per design criteria.and in good condition with 6.Electrical water flow alarm devices passed tests by opening the �vJ ��.,JJ�- hand wheels not broken? Oyes (:)No OA inspectors test connection or bypass connection with alarm actuating B.HmON'nameplate(calculated system)securely attached to riser and flaw observed? OY'rs V Oy?' �J3.Annual Test(n addition to previous items) and b agibla? o @Yes V OVA A.Main drain test C.Fire Department nn Connection. V Visible,accessible.couplrgs and swivels not damaged and rotate 1.Record Static Pressure54 psi and Residual 48 pp, ❑ Pressure srtoolNy,pm plugs or caps in place and undamaged.gaskets In pato and Seo commons-on page 2 in good condition,identification sign(s)in place,check valve is not leap clapper is in 2.Was flow observed? Oyes Otlo WA rid. place and operating popery and automatic drain valve in place and operating paopery? • es av' VA 3.Are resets comparable to pewous test? *Yes ONn OVA B.Aro al sprinklers date 1920 or tater? Yes ON/A (b plugs or caps are not in place,inspect inierror for obsfucbms.) O V� O D.Alarm devices free from physical damage? Oyes '^r �/'�J,. C.Fast response sprinklers 20 w more years old replaced or successluty ^'. ^ r.� �;, senple tested within last 10 years? °Yes Oto QPA Wet Pipe Report page2 D.Standard response sprinklers 50ormore years old replaced or _ (�l ,A Partlll-Comments(any"No"answers.test failuresorother problems found with the spri older system Q' v v must be explained hero.Also,note here any products noticed on the system That have been the successful/sample tested within last 10 years? subject of a recall ora replacement program E Standard response spnnders 75 or more years old replaced or 5 successfuy sample testedwifhn last 5 years? O'" Q'^ ()*A Painted concealed plate in women's locker room F.Dry-type sprinkler replaced or successfully serrate tested within last 10 years? QYes ONo C"A 22 corroded heads over pool area G.Specific gravity of antifreeze correct? Yes ONo OM'A 2 gauges out of date H.AI control values operated through full range and returned to normal /►,,' position? OYos Oro CyiA I.Backflow devices passed beckflow test? ®Yes v( LNe ■ wA J.Backflow devices passed full tow test? QYessONoO-A udrg K.Pressure redvalues passed partial flow test? QYes 0No �A 4.Test to be done every third year: V Hose(more than 5 years old)connected to the system has been service tested in accordance with NFPA 1982 Water dsctrarged and water flow alarms operated? ONIc OYes ONo V v- A 5.Test to be done every 5th year A Sprinklers rated above high temperature tested? Oyes I aro ®N(A B.Gauges checked by calbrated gauge or replaced? OYos On" C>YA O C Pressure reducing valves passed full flow test? Ne Oven ON, ICD"A A C.Maintenance V 1.Regular Maintenance Items A If spnniders have been replaced,were they proper replacements? Oyes Qc.. A B.Used hose was cleaned,drained and fined before being placed back in service? 0 es No ®we C.Hose exposed to hazardous rmtenals was disposed of or decoriarriated in an approved manner? OYes 040 OsvA D.Systems normally hied with fresh water were drained and refilled twice it raw water got into the system? Ores ON' OriA E It any of the blowing were discovered,was an obstruction investigation conducted? Oyes 04' O N'r. Explain reason(s)and obsaucaon irvesagetlon!Mang in Part 9l t Defective make screen on pump with suction from open sources 2 Obstructive material discharged Wing water flow tests. 3.Foreign catenate found in dry-ppe valves,check valves or pumps. 4.Foreign matenal in water during drain test or plugging of inspector's test connection Valve seal 0007328 5.Plugging of pipe or sptnldere food Bring activation or alteration. 6.Failure to lush yard piping or surroundrg pubic mains following new installation or repairs. 7.Record d broken mains in the vicinity. 8.Abnormally frequent false-tripping of dry-ppe valves. Part N - Recommendations: Not a part of tire NFPA-25 inspec0on. fire Idlorurg items may need to 9.System is returned to service after an extended period out of service(greater than one year). be reviewed by a The protection engineer, 10.There in reason to behave Be system contains sedum silicate or its derivatives or highly corrosive lues in copper pipe systems. F.If condtoon were found that reduced flushing.was IMhing of system /� conducted? Oven (> v�A 5 year past due 2.Annual Maintenance Items(in addition to previous items( A Operating stem of al()SAY values lubricated completely closed,and reopened? ®Yes ONO 0WA B.Sprinklers and spray nozzles protecting commercial cooking egraeni vpn and ventilating systems replaced except for bulb type which show as ////''''1111 signs of grease buildup? QYes O No S NA C.Does there appear to be recaled fire sprinklers istaled at this site? QYes No A 3.Regular Maintenance Items A Alarm panel clear? ®Yes ONO ONwi B.System left in service? ®Yes OW OhoA C.Is system impaired?(Impairment program put into place per NFPA-25 and -------- ---- ---- Fortrtude Fire Protection protocols) Oyes OW Part V-Inspector's Information I state that the inforrabon on this form is correct at the tine and place of rry inspection and that a1 equipment tested al this tae was left in operational condition upon corrple5on of His inspector except as noted in Part III above. Date: 02/19/2021 Printed Name of Inspector: TJ Racer Signature of Inspector: License or Certification Number(if applicable): FP 118-000295 Color of tag placed on system: 1 ?Red noreen rnlfeiiow • t t r �.y f II��1 ._ :'r 10 lie 125 150 175 100 200 . 75 VIIClPIG 225 250 �25 215 S ..- . v nTa. . ,, . .LWI 1 Mt fit -.. h us iso v5 i NM 7'VIK2w .. i 225 ..:...:- ...-.:.:_ ,-..,..., -..:.... __.. .:: 250 \ w n 275 22 V ti