Specifications 7245 FUNDAMENTALS OF FIRE ALARM SYSTEMS A,)p ZC1 7,-0CsZ.
Record of Completion
Name of Protected Property DICKS SPORTING GOODS 0342
Address: 9402 SW WASHINGTON SQUARE ROAD
Rep. Of Protected Prop. (name/phone): STORE MANAGER
Authority Having Jurisdiction: City of TIARA Orel
Number: 13125 SW HALL BLVD TIGARD, Oregon 97223
1. Types) of System Service: OFFICE COPY
NFPA 72, Chapter 3 — Local
If alarm is transmitted to Iocetion(s) off premise, list where received:
ADT SECURITY SERVICES INC 14200 E. EXPOSITION, AURORA, CO 00012
NFPA 72, Chapter 3 — Emergency VoicelAlarm Service
Quantity of speakers installed Quantity of speakar zones -RECEIVED
Quantity of�or in
NFPA 72, Chapter 4 — Auxiliary
Indicate type ofeonnection: JAN 2 4 2008
Local energy, Shunt, + """iel telephone
Location and telephone number for receipt of signals'
CITY OF TIGARD
NEPA72, Chapter 4 — Remote Station BUILDING DIVISION
NFPA 72, Chapter 4 — Proprietary
If alarms are retransmitted to public service communications a nder or others, indicate location and telephone mmrber of the
orgaairation receiving alarm:
Indicate how alarm is retransmitted:
d NFPA 72, 4 — Central Station
- The Prime Contractor.
ADT SECURITY SERVICES, INC
Central Station Location:
ADT SECURITY SERVICES, INC 14200 E. EXPCSMON, AURORA, CO 60012
Means of trssan of signals from the protected promise to the central station:
McCulloh Multiplex Once -Way Radio
Digital Alarm Communicate - - Two-way Radio Others
Means of transmission of alarms to the public fire service communications center
(a) TELCO
(b) TELCO
System Location: Electrical cage by loading dock area on the main floor
Organization Name/Phone ADT-1-888-230.2666 Representative �Name/Phone DUTY
Installer ADT SECURITY SERVICES. INC 513.469 -7110 KEN KRAUS 503-469-7212
Supplier ADT SECURITY SERVICES, INC 503-469-7110 KEN KRAUS 503-469 -7212
Service; Organization ADT SECURITY SERVICES, INC 1-800-429-7124 KEN KRAUS 503-469 -7212
Location of Record (As -Bmlt) Drawings:
ON SITE WIMANAG$IR
Location of Owners Manuals:
ON SITE W/MANAGER
Location of Test Reports:
ADT CNC
A Contract, dated , for test and inspection accordance with NFPA standard(s) No.(s)
72 ,dated , is in effect. (NONE)
•
'72-26 NATIONAL EIRE AIARIVI CODS
2. Certification of System installation
(Fill out after installation is complete and wiring checked for opens, shorts, ground finks, and improper branching, but
prior to gs)
This system has been installed in accordance with the NFPA standards as listed below, was inspected by
oat X , includes the devices listed below and has been in service since ADT sac. ► EIERVMES,W1C
NFPA n, Chapters OO 3 ®®0® (circle all that apply)
N FPA 70, National Electrical Code, Article 760
J
Manufacturer's Insttractions
Other (specify):
Signed Date: 1- 11.2008
Organization: � ' ;' INC
3. C.ertification of System Ohs
All operational features and functions of this system were tested by ADT SECURITY SERVICES, INC. on 1-11-2008 and
Found to be operating properly in accordance with the requirements of
NFPA 72, Chapters 03®000 (circle all that apply)
� 4 N FPA 70, Naziorwl Electrical Code, Article 760
— 1
M anufacturer's Instructions
Other (specify): NONE
Signed: Date 1- 13- 2088
ACT SECURITY __ _,5 lane ... .. ....... ....,.<...
4. Alarm Initiating Devices and Circuits (Use blanks to indicated quantity of devices.)
MANUAL
a) 9 Manual Stations Noncoded, Activating Transmitters Coded
b) Combination Manual Fire Alarm and Guard's Tour Coded Stations
AUTOMATIC
Coverage: Complete: Partial: X
a) 11 Smoke Detectors _ Ian 11 Photo
b) S t) Duct Detectors Ion /O Photo
¢ Heat Detectors _ Fr RR 6 FT/RR. RC
d) 2 Sprinkler Water Flow Switches Noncoded, activating ' Transmitters Coded
o) Other (list)
5. Supervisory Signal Initiating Devices and Circuits (Use blanks to indicated quantity of devices.)
GUARD'S TOUR
a) Coded Stations
b) Noncoded Stations Activating Transmitters
c) Compulsory Guard Tour System. Ccnoprisad of Transmitter Stations Intermediate Stations
and
Node: Combination devices recorded under 4 (b) and 5(a).
SPRIN SYSTEM
a) _ _ Coded Valve Supervisory Signaling Attachments
3_ _ Valve Supervisory Switches Activating — Transmitters
b) Braiding Temperature
c) Site Water Temperature Points
Site Water Supply Level Points
Electric Pump:
e) Pump Running
f) Controller Off (AC Loss)
g) AC Phase Reversal
Engine - Driven Fire Pump:
h) Engine Running k) Engine trouble
i) ._,._ Controller Off 1) Low Fuel
j) Controller Tmuble m) Fuel Spill
Engine – Driven Generator:
n) Selector in Auto Position
o) Control Panel Trouble
p) Transfer Switches
q) Engine Running
72-27 FUNDAMENTAL OF FIRE ALARM SYSTEM
Other Supervisory Function(s) (specify)
6. Alarm Notification Appliances and Circuits
Types and Quantity of alarm indicating appliances installed:
a) 1 Bells Inds (8)
_ Speakers
b) ROM
___
e) Chimes
4) Other:
e) Ng Visual Signals Type HORN/VISUAL
88 with inuele 17 without =Mile
f) I Local itimunciator
7. Signaling Line Circuits:
Quantity and Style (See NFPA 72, Table 3-6.1) of signaling line circuits connected to system:
Quantity. 1 Style B
S. System Power Supplies:
a) Primary (Main) 120vac Nominal Voltage: 120VAC Current 3.2 AMPS
Rating:
Overcurrent Protection: Type DEIXCATED BREAKER Current 20 amp
Rating:
Location: Receiving MS
b) Secondary (Standby)c
Storage Battery: Amp Hour litatinx 2 (12 Al
Calculated capacity to drive system, in holm: 24 60
Engine - driven plumbs* dedicated to fire alarm system:
c) Location of fael storage:
Emergency or Standby System used as backup to primary Pow e Supply, instead of using a Secondary Power Supply"
Emergency System described in NFPA 70, Article 700
Legally Required Standby System dem-Riad in NFPA.70, Miele 71
Optional Standby described in NFPA 70, Article 702, which. aLso meets the performance requirements of Athol' e 700 or
701
9. System Software
a) Operating System Software Revision Level(s): N/A
b) Application Software Revision Level(s): NIA
c) Revision Completed by. NIA
(mow) (fina)
10. Comnumts
(Signed) for Central Station of Alarm Service Company (title) (date)
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standard(s): NONE
System deviations from the referenced NFPA standard(s) are
(Signed) for canal Station ofAlarm Service Oampany (title) (date)
Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction):
X
(Signed) representative of authority having jurisdiction (title) (date)
Figure 1-72.1 Record of Completion (=tinned).