SPKL



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Automatic Fire Sprinkler Systems

Gwinnett Co. Office of the Fire Marshal

Plan Review Worksheet



| |

|Reviewer |      |Review Date |      |

|Business Name |      |File Number |      |

|Address |      |City |      |

|Building Number |      |Suite Number |      |Square Feet |      |

|Fire Protection Company |      |Phone Number |      |

|Contact Person |      |Fax. Number |      |

|Email Address |      | | |

| |

|All Information Shall Be Included On Plans. Fill Out Top And Bottom. Include Any Additional Conditions Or Comments On Attached Sheet:_ |

| Plan Review: | System Requirements: |

|Y |N |N/A | |Y |N |N/A | |

| | | |Floor Plans and Pipe Layout | | | |Existing System |

| | | |Spkl. Worksheet Complete | | | |Valves |

| | | |Site Plan | | | |Water Flow Alarm |

| | | |Component Cut Sheets | | | |Water Flow Test Connections |

| | | |Hydraulic Calculations | | | |System Drainage |

| | | |Cert. of Competency Stamp | | | |Pressure Gauge Below Check Valve |

| | | |Cert. of Comp. Stamp Signed | | | |Pressure Gauge Above Check Valve |

| | | |Pipe Schedule | | | |Dry Pipe Valve |

| | | |24 Hour -Pressure |-     | | | |

| | | |Type Of |-      |

| | | |System | |

| Fire Department Connection: | | | |Hydraulic Design Data Plate On Riser |

| | | |Location | | | |Stock Of Spare Sprinklers In Cabinet |

| | | |FDC On Building | | | |Hangers |

| | | |FDC In Underground | | | | |

| | | |Automatic Drip Valve | | | |Sprinkler Spacing Limitations: |

| | | |Hose Connection | | | |Using Extended Coverage Heads |

| | | |Signs | | | |Sprinkler Spacing Limitations |

| | | |No Shut Off Valves | | | |Distance From Walls |

| | | |Check Valve | | | |Concealed Spaces |

| | | |FDC Signage | | | |Vertical Shafts |

| | | |FDC On System Side Of Fire Pump | | | |Electrical Rooms |

|Water Supplies: |Special Applications: |

| | | |Adequate Water Supply | | | |Spaces Under Ground Floor |

|Static Pressure |      | | | |Exterior Docks And Platforms |

|Residual Pressure |      | | | |Exterior Roofs Or Canopies |

|Flow Test |      | | | |Rack Storage |

|Flow at 20 PSI |      | | | |In Rack Sprinklers |

|Underground Pipe Size |      | | | |Pre-Action System |

|Fire Pump GPM |      | | | |Post Indicator Valve Present (PIV) |

|Fire Pump PSI |      | | | |Occupancy Type Identified On Plans |

| | | |Fire Hydrant Within 150 Ft. Of FDC |Design Densities |      |

| | | | |S. F. Of Remote Area |      |

|System Design: |K Factor’s |      |

| | | |Occupancy Classification |Temperature Ratings |      |

| | | |Hose Stream Allowance |Occupancy Type |      |

| | | |Area/ Density |

| | | |Room Design Method |

| | | |Sprinkler Discharge Factor |

| | | |Temperature Rating |

| | | |Design Listing |

| | | |Protection Area Limitations |

| | | |Maximum Protection Area/ Sprinkler |

|Provide a description for scope of work or any additional information: |      |

|This worksheet shall be used in conjunction with the National Fire Protection Association (NFPA 13) (2002 Edition) International Fire Code (2006 Edition) and |

|referenced standards. Conditions not specifically covered by this worksheet shall comply with nationally recognized standards or guidelines as approved by the |

|Gwinnett County Fire Marshal. 2/07 TLM |

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