At the heart of ensuring the safety and compliance of power piping and welded refrigeration piping systems lies the meticulous process of registration, a crucial step underscored by the submission of the SBD-5204-E form. This document serves as a central piece in the registration procedure for installations across Wisconsin, delineating critical details about the piping systems being installed, whether they are newly constructed, replacements, or modifications. The form meticulously captures information ranging from the type of system, pipe sizes, and total length of welded pipe to the purpose of the system, encompassing power piping as well as refrigeration systems designed according to recognized standards like ASHRAE-15 2007 and ANSI/IIAR-2 2008. It extends beyond mere technical specifications to include essential contact information for both the installer and the system owner, the certified inspector's endorsement, and the adherence to national standards such as ANSI/ASME B 31.1 and B 31.5. The document further details the system's maximum and minimum design pressures and temperatures, test pressures, and the testing methods used. Concluding with the installer's certification that the installation and testing were conducted in compliance with Wisconsin Administrative Codes Chapter SPS 341/345, as applicable, the SBD-5204-E form embodies a comprehensive record-keeping tool. It not only facilitates regulatory compliance but also ensures that installations are carried out with the highest standards of safety and efficiency. This process underscores the importance of thorough documentation, from installation design to the final testing phases, culminating in a well-coordinated effort to maintain a register of compliant and safe piping systems in the state of Wisconsin.
| Question | Answer |
|---|---|
| Form Name | Form Sbd 5204 E |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | sbd5204, wisconsin power piping, wisconsin piping registration search, sbd 5204 forms |
POWER PIPING / WELDED REFRIGERATION
PIPING INSTALLATION REGISTRATION
Personal information you provide may be used for secondary purposes [Privacy Law s.15.04 (1) (m)].
Division of Industry Services
P O Box 7302
Madison WI
Check type of system being installed:
Power Piping
Welded Refrigeration Piping
System Description: Include pipe sizes, total length of pipe welded and purpose of system (example: main steam, refrigerant etc.)
New Replacement Modification (Refrigeration system design to) -
JOB #
User or Owner's Name |
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Installing Contractor’s Name |
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Street Address |
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Street Address |
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City, State, Zip Code |
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City, State, Zip Code |
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Telephone # |
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Telephone # |
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Installation Designed By |
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Certified Inspector Signature |
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Employed By |
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In Accordance With Natl. Std.# |
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Date Inspected |
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ANSI / ASME B 31.1 |
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ANSI / ASME B 31.5 |
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Maximum Design Pressure and Temperature of Piping System . . . . . . ___________________________________________
Minimum Design Metal Temperature of Piping System ………………….___________________________________________
Test Pressure Applied……. . Refrigeration: High Side _______ Low Side _______ Steam Piping: __________
Test Type: |
Hydrostatic |
Pneumatic |
Other ________________ |
Date Tested . . . . . . _______________ |
I certify this system was installed and tested in accordance with Wisconsin Administrative Codes Chapter SPS 341/345 as applicable
Date Installation Completed |
Installer’s Signature and Title |
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FOR DSPS USE ONLY
Date Installation Registered
Installer must prepare this document and maintain on job site until completion of fabrication.
Upon completion distribute as follows: "Form can be downloaded from the Web Site" dsps.wi.gov
Send original copy to Division of Industry Services (address above) - Send one to Owner - Retain one for your File