2389 Mayport Rd Fire Sprinkler Inspection Report (2)C. Are all fire protection systems in service?
No
Monthly Quarterly Annual Third Year Fifth Year
613 N.W. MERCANTILE PLACE
PORT ST. LUCIE, FL 34986
772-878-3350 • FAX: 772-878-5967
3226 CHERRY PALM DRIVE
TAMPA, FL 33619
81 3-630-0303 • FAX: 81 3 -630-0312
11326 DISTRIBUTION AVENUE WEST
JACKSONVILLE, FLORIDA 32256-2745
904-268-3030 - FAX: 904-268-0724
4683 LAREDO AVENUE
FORT MYERS, FLORIDA 33905
239-433-3030 - FAX: 239-433-3263
4370 MOTORSPORT DRIVE
CONCORD, NORTH CAROLINA 28027
704-782-3032 - FAX: 704-795-6838
222 CAPITOL CT.
OCOEE, FL 34761-3033
407-656-3030 - 407-656-8026
3121 NW 16TH TERRACE
POMPANO BEACH, FLORIDA 33064
954-917-3030 - FAX: 954-917-9424
NFPA-25 Inspection, Testing and Maintenance of Wet Pipe Fire Sprinkler Systems
Information on this form covers the minimum requirements of NFPA 25-2008 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 water supply.
All responses refer to the current work (inspection, testing and maintenance) performed on this date.
This work is (check one):
Part I - Owner's Section
4. Annual Inspection Items (in addition to above items)A. Is the building occupied?
A. Proper number and type of spare sprinklers?B. Has the occupancy classification and hazard of contents remained the same
since the last inspection?
E. Was the system free of actuation of devices or alarms since the last
inspection?
G. AlI deficiencies reported at last inspection corrected?
H. I know the location and understand the operation of all control valves.
Owner or representative (print name)SignaturePart II - Inspector's Section
A. Inspections
1. Daily and Weekly Items
A. Control valves supervised with seals in correct (open or closed)
position?
B. Backflow Preventers:
1. Valves in correct (open or closed) position?
Yes
D. Has the system remained in service without modification since the last inspection?
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
Yes No N/A
Yes No N/A
Yes No N/A
Yes No N/A
Yes No N/A
2. Sealed, locked or supervised & accessible?
3. Relief port on RPZ device not discharging?
C. For freezer systems, is the gauge near the compressor reading the
same as the gauge near the dry-pipe valve?
2. Monthly Inspection Items (in addition to above items)
A. Control valves with locks or electrical supervision in correct (open or
closed) position?Yes No N/A
B. Sprinkler wrench with spare sprinklers?Yes No N/A
C. Gauges on wet-pipe system in good condition and showing normal
water supply pressure?Yes No N/A
D. Alarm Valves:
Gauges show normal supply water pressure, free from physical
damage, valves in correct (open or closed) position and no leakage
from retarding chamber or drains?Yes No N/A
3. Quarterly Inspection Items (in addition to above items)
A. Pressure Reducing Valve: In open position, not leaking, maintaining
downstream pressure per design criteria, and in good condition with
handwheels not broken?
B. Hydraulic nameplate (calculated systems) securely attached to riser
and legible?Yes No
C. Fire Department Connection:
Visible, accessible, couplings and swivels not damaged and rotate
smoothly, plugs or caps in place and undamaged, gaskets in place and
in good condition, identification sign(s) in place, check valve is not
leaking, clapper is in place and operating properly and automatic drain
valve in place and operating properly?Yes No N/A
(If plugs or caps are not in place, inspect interior for obstructions.)
D. Alarm devices free from physical damage?Yes No N/A
Yes No N/AB. Visible sprinklers:
1. Free of corrosion and physical damage?Yes No N/A
2. Free of obstructions to spray patterns?Yes No N/A
3. Free of foreign materials including paint?Yes No N/A
4. Liquid in all glass bulb sprinklers?Yes No N/A
C. Visible pipe:
1. In good condition/no external corrosion?Yes No N/A
2. No mechanical damage and no leaks?
Yes No N/A3. Properly aligned and no external loads?
D. Visible pipe hangers and seismic braces not damaged or loose?Yes No N/A
E. Hose, hose couplings and nozzles on sprinkler system passed
inspection in accordance with NFPA 1962?
G. Has an internal inspection of the pipe been performed by removing
the flushing connection and one sprinkler near the end of a branch
line within the last 5 years?
(If the answer was "No", conduct an internal inspection.)
5. Fifth Year Inspection Items (in addition to above items)
A. Alarm valves and their associate strainers, filters and restriction
orifices passed internal inspection?
B. Check valves internally inspected and all parts operate properly, move
freely and are in good condition?
B.Testing
The following tests are to be performed at the noted intervals. Report any failures on Part III of this form.
1. Quarterly Tests
A. Mechanical water flow alarm devices passed tests by opening the
inspector's test connection or bypass connection with alarms actuating
and flow observed?Yes No N/A
B. Post indicating valves opened until spring or torsion is felt in the rod,
then closed back one-quarter turn?Yes No N/A
C. Main drain test for system downstream of backflow or pressure reducing valve:
2. Was flow observed?Yes No N/A
3. Are results comparable to previous test?Yes No N/A
2. Semiannual Test (in addition to previous items)
A. Valve supervisory switches indicate movement?Yes No N/AB. Electrical waterflow alarm devices passed tests by opening the
inspector's test connection or bypass connection with alarms actuating
and flow observed?Yes No N/A
3. Annual Test (in addition to previous items)
A. Main drain test:
3. Are results comparable to previous test?
2. Was flow observed?Yes No N/A
Yes No N/A
B. Are all sprinklers date 1920 or later?
C. Fast response sprinklers 20 or more years old replaced or successfully
sample tested within last 10 years?
Owner:
Owner's Address:
Property Being Evaluated:
Property Address:
Date of Work:
SITE#:CALL#:
Owner's Phone Number:
1. Record Static Pressure psi and Residual Pressure psi
1. Record Static Pressure psi and Residual
Pressure
psi
Unable to determine.Yes No
NIC Yes No N/A
NIC Yes No N/A
Date
See comments - on page 2
See comments - on page 2
NoYes N/AJ. I would like to have a copy of NFPA#25 @ an extra charge of $50.00.NoYes
NoNICYes N/A
NoNICYes N/A
NoNICYes
F. Weekly logs of inspections required by NFPA#25 on file? Yes No
NoYes
Not installed
Design criteria is not available
K. Owner or rep. requests WAFS to release information from
NoYes inspections to the underwriters of my insurance company.
Owner or Owner rep. not on site.
BEST WESTERN MAYPORT INN & SUITES
2389 MAYPORT ROAD ATLANTIC BEACH, FL. 32233
BEST WESTERN MAYPORT INN & SUITES
2389 MAYPORT ROAD ATLANTIC BEACH, FL. 32233
Mar 16, 2022
608714
904)435-3500
40 30
Mar 16, 2022Thomas Huss
Wet Pipe Report page 2
D. Standard response sprinklers 50 or more years old replaced or
successfully sample tested within last 10 years?
E. Standard response sprinklers 75 or more years old replaced or
Part III - Comments (any "No" answers, test failures or other problems found with the sprinkler
system must be explained here. All items that need repaired or replaced are the owners
responsibility and are not included in the price of inspection.
Part IV - Observations: Not a part of the NFPA-25 inspection, the following items may need to
be reviewed by a fire protection engineer.
Part IV - Inspector's Information
I state that the information on this form is correct at the time and place of my inspection and that all
successfully sample tested within last 5 years?
F. Dry-type sprinkler replaced or successfully sample tested
within last 10 years?
G. Specific gravity of antifreeze correct?Yes No N/A
H. All control valves operated through full range and returned to normal
Yes No N/Aposition?
I. Backflow devices passed backflow test?
J. Backflow devices passed full flow test?
K. Pressure reducing valves passed partial
flow test?4. Test to be done every third year:
Hose (more than 5 years old) connected to the system has been service tested in accordance with
NFPA 1962. Water discharged and water flow alarms operated?
5. Test to be done every 5th year
A. Sprinklers rated aboveHigh temperature tested?
B. Gauges checked by calibrated gauge or replaced?Yes No
C. Pressure reducing valves passed full flow test?
C. Maintenance
1. Regular Maintenance Items
A. If sprinklers have been replaced, were they proper replacements?
B. Used hose was cleaned, drained and dried before being placed back in
service? Hose exposed to hazardous materials was disposed of or
decontaminated in an approved manner?
C. Systems normally filled with fresh water were drained and
refilled twice if raw water got into the system?
D. If any of the following were discovered, was an obstruction investigation
conducted?
Explain reason(s) and obstruction investigation finding in Part III
1. Defective intake screen on pump with suction from open sources.
2. Obstructive material discharged during water flow tests.
3. Foreign materials found in dry-pipe valves, check valves or pumps.
4. Foreign material in water during drain test or plugging of inspector's test connection.
5. Plugging of pipe or sprinklers found during activation or alteration.
6. Failure to flush yard piping or surrounding public mains following new installation or repairs.
7. Record of broken mains in the vicinity.
8. Abnormally frequent false-tripping of dry-pipe valves.
9. System is returned to service after an extended period out of service (greater than one year).
10. There is reason to believe the system contains sodium silicate or its derivatives or highly
corrosive vluxes in copper pipe systems.
E. If conditions were found that required flushing, was flushing of system
conducted?
2. Annual Maintenance Items (in addition to previous items)
A. Operating stem of all OS&Y valves lubricated completely closed, and
reopened?Yes No N/A
B. Sprinklers and spray nozzles protecting commercial cooking equipment
and ventilating systems replaced except for bulb-type which show no
signs of grease buildup?Yes No N/A
3. Regular Maintenance Items
A. Alarm panel clear?Yes No N/A
B. System left in service?Yes No N/A
equipment tested at this time was left in operational condition upon completion of this inspection except
as noted in Part III above.
Date:
Signature of Inspector:
License or Certification Number (if applicable):
C. Is system impaired? (Impairment program put into place per NFPA-25 and
Wayne Automatic Fire Sprinklers protocols)Yes No
NIC Yes No N/A
NIC Yes No N/A
Provisions not provided.
Provisions not provided.
Yes NoNIC
Yes NoNIC
NoNICYes N/A
NoNICYes N/A
NoNICYes N/A
NoNICYes N/A
NoNICYes N/A
Cannot be determined.
NoYes
Cannot be determined.
NoYes
NoNICYes N/A
NoNICYes N/A
No
Cannot be determined.
Yes N/A
Print Name:
The scope of work preformed does not include a review of fire sprinkler or fire alarm system design.
Color of tag placed on system:
RedGreen
CALL#:
Which systems are Red Tagged
If red & green are used:
Mar 16, 2022
FPI-17000027
T AILSTOCK
608714