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CHECKLIST (RESMEN'TI,AL) �O 1. wabw-m, ater propecs¢a _....._ _.. _. -. _ ❑ 2 Fire sprinkler system installed par the approved plans ❑ 3. All construction covers removed from sprinkler heads V"� ❑ 4. Cover plaits aro NOT to be installed, but shall be available on the jobsite ❑ 5. All tape and paint removed from sprinkler heads ❑ 6. Finish trim installed around sprinkler heads ❑ 7. proper signage pasted at all required locations ❑ O\� 8. Flow test conducted and bell tested 9. location of inspector's testing valve in approved location L ❑ SYSTEMS: 10. Clearances around sprinkler heads and riser -no obstructions ❑ 11. Operating pressurs gauge installed at riser showing proper water pressure [Cy1 ❑ 12. Back flow preventer installed ❑ 13. System installed per manufacturers spedfications ❑ FIRE SPRINKLER NFPA 130 SYSTEM FINAL APPROVED: PERMIT#. O('S'tJ BY: L a v r D DATE: Pons\ Fire SWnk[w NRA 15D Sya - FINALCheck1WRMMNnAL04/12/2n5 C:ostr(-!,-7yOA/ CITY OF NEWPORT BEACH CONI N_UNITY DEVELOPWITNT DEPARTMENT BUMDING D1VMGN IDD Civic Center Drive I P.O. Box 17581 Newport Beach, CA 92658-6915 www.newpor beadm.gov 1(948) 644-3200 YES NO t. Riser Construction and Location Aooroval — — a. Drain valve ❑ b. Bactdlow device (single chat*) ❑ c Bel activation device ❑ d. Inspector's test valve El e. Riser abed per approved plans 2. Pressure Test a. System tested at operating pressure for 2 (ours I1r-�i ❑ b. Pressure gauge installed ❑ ❑ 3. Sprinkler Heads shall not be Installed in the fiffnas prior to the fittinos being cemented in place (temporary test alums) a. Installation and spacing of temporary test plugs ❑ ❑ 4. Pipino a. Material installed per plan ❑ ❑ b. Hangers per codestpnevent upward movement IF ❑ c. All CPUC piping shall be installed by persons who have been ❑ ❑ certified by the manufacturer for installation of CPVC piping d. Piping protected from damage ❑ ❑ 5. Bell a. Wiring installed per code ❑ b. Boxes Installed at proper locations ❑ NOTE: CPVC plasto pipe in the garage shall not be exposed. Sprinklers that are RL as "Quick Response' or `Residentie must be used. CORRECTIONS AND NOTES: LFRIREPRINKLER NFPA 13D SYSTEM ROUGH INSPECTION APPROVED: PERMIT PD DATE: Fnrmc\Foe SPrmE(er rvFPA S3O s�strm-Rou¢h mmeainn a�cfae o[Mnms