"Fire Sprinkler System Information and Installer Certification" - California

Fire Sprinkler System Information and Installer Certification is a legal document that was released by the California Department of Housing & Community Development - a government authority operating within California.

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Fire Sprinkler System Information and Installer Certification
Attention: Do not remove or cover this label.
This dwelling unit contains a residential fire sprinkler system. The system installer certifies that the system
complies with the requirements of Title 25, California Code of Regulations, sections 4300 through 4324. Do not
change (alter) the fire sprinkler system without approval of the California Department of Housing and Community
Development, Division of Codes and Standards. A homeowner may perform repairs without the Department’s
approval, if all materials and devices installed are of the same type or possess the same characteristics as the
materials and devices replaced — refer to section 4324 of the above noted regulations. Any other person, other than
a homeowner acting as an owner-builder making changes (alterations) or repairs to the system, must hold a valid C-
16 contractor’s license. Future additions of heat sources, such as a wood burning stove or fireplace, may adversely
affect the performance of sprinklers and may activate one or more sprinklers. You may obtain permits and
information about fire sprinkler systems from the California Department of Housing & Community Development,
Division of Codes and Standards.
Signature of System Installer
Date
County
State
Installation, Design Approval, and Inspection Agency Information
Name and Address of System Installer:
Manufactured Home Serial Number(s):
Date System Installed:
Name and Address of Agency Approving Design:
Name and Address of Agency Inspecting Installation:
Sprinkler Information
System Design Basis and Tests
Manufacturer:
Number of Design Sprinklers:
Model:
1 head
2 head
Year of Manufacture:
Design Coverage:
ft. X
ft.
Temperature rating:
degrees F
Flow rate one sprinkler
gpm @
psi
Flow rate two sprinkler
gpm @
psi
K-Factor:
System installer must test this system as
Special Heads:
required by Title 25, California Code of
Regulations, s ection 4320. Homeowner o r
sidewall(s)
installer must hydrostatically test system for two
intermediate temperature
hours at 50 psi minimum; 100 psi maximum.
not applicable
Water Supply Requirements
In order for the fire sprinkler system to operate properly, the following minimum water supply must be available at
the base of the fire sprinkler system riser:
GPM @ not less than
psi for not less than
minutes.
-------------------------------------------------------------
-------------------------------------------------------------
Fire Sprinkler System Information and Installer Certification
Attention: Do not remove or cover this label.
This dwelling unit contains a residential fire sprinkler system. The system installer certifies that the system
complies with the requirements of Title 25, California Code of Regulations, sections 4300 through 4324. Do not
change (alter) the fire sprinkler system without approval of the California Department of Housing and Community
Development, Division of Codes and Standards. A homeowner may perform repairs without the Department’s
approval, if all materials and devices installed are of the same type or possess the same characteristics as the
materials and devices replaced — refer to section 4324 of the above noted regulations. Any other person, other than
a homeowner acting as an owner-builder making changes (alterations) or repairs to the system, must hold a valid C-
16 contractor’s license. Future additions of heat sources, such as a wood burning stove or fireplace, may adversely
affect the performance of sprinklers and may activate one or more sprinklers. You may obtain permits and
information about fire sprinkler systems from the California Department of Housing & Community Development,
Division of Codes and Standards.
Signature of System Installer
Date
County
State
Installation, Design Approval, and Inspection Agency Information
Name and Address of System Installer:
Manufactured Home Serial Number(s):
Date System Installed:
Name and Address of Agency Approving Design:
Name and Address of Agency Inspecting Installation:
Sprinkler Information
System Design Basis and Tests
Manufacturer:
Number of Design Sprinklers:
Model:
1 head
2 head
Year of Manufacture:
Design Coverage:
ft. X
ft.
Temperature rating:
degrees F
Flow rate one sprinkler
gpm @
psi
Flow rate two sprinkler
gpm @
psi
K-Factor:
System installer must test this system as
Special Heads:
required by Title 25, California Code of
Regulations, s ection 4320. Homeowner o r
sidewall(s)
installer must hydrostatically test system for two
intermediate temperature
hours at 50 psi minimum; 100 psi maximum.
not applicable
Water Supply Requirements
In order for the fire sprinkler system to operate properly, the following minimum water supply must be available at
the base of the fire sprinkler system riser:
GPM @ not less than
psi for not less than
minutes.