Report NFPA -72 Fire Alarm System Record of Completion
Date: 11/6/2008
City of Tigard Information: Permi No. BUP2007 -00484
Name of protected property: DARTMOUTH SQUARE OFFICE BUILDING
Address of protected property: 11945 SW 70TH AVE. TIGARD, OR 97223
Representative of protected property (name /phone):
Authority having jurisdiction: City of Tigard, Building Services
Address /telephone number: 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 -4171
1. Type(s) of System or Service
NFPA 72, Chapter 3 -- Local
If alarm is transmitted to locations(s) off premises, list where received:
NFPA 72, Chapter 3 -- Emergency Voice /Alarm Service
Quantity of voice /alarm channels: Single: Multiple:
Quantity of speakers installed: Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system:
NFPA 72, Chapter 5 -- Auxiliary
Indicate type of connection:
Local energy Shunt Parallel telephone
Location of telephone number for receipt of signals:
NFPA 72,
Alarm:
Supervisory:
NFPA 72, Chapter 5 -- Proprietary
If alarms are retransmitted to public fire service communications centers or others, indicate location and
telephone numbers of the organization receiving alarm:
Indicate how alarm is retransmitted:
X NFPA 72, Chapter 5 -- Remote Station
Prime contractor: WESTERN STATES FIRE PROTECTION 503.657.5155
Central station location: ACCOUNT # 51 -01 -4088
Means of transmission of signals from the protected premises to the central station:
McCulloh Multiplex One -way radio
X Digital alarm communicator Two -way radio Others
Means of transmission of alarms to the public fire service communications center:
(a)
(b)
System location:
'' Organization name /phone Representative name /Phone
Installer Capitol Electric Co. Inc. Dan W. Wilson 503 255 -9488
Supplier Capitol Electric Co. Inc. Dan W. Wilson 503 255 -9488
Service organization Capitol Electric Co. Inc. Dan W. Wilson 503 255 -9488
Location of record (as- built) drawings:
Location of owners manuals:
Location of test reports:
A contract, dated , for test and inspection in accordance with NFPA standard(s)
No(s). , dated , is in effect.
2. Record of System Installation
(Fill out after installations complete and wiring checked for opens, shorts, ground faults, and improper
branching, but prior to conducting operational acceptance tests.)
This system has been installed in accordance with the NfPA standards as shown below, was inspected
by Jeff Morrow on 11/06/08 , included the devices shown below, and has been in service
since 11/06/08
x NFPA 72, Chapters 1 2 3 4 5 6 7 (underline all that apply)
x NFPA 70, National Electrical Code, Article 760
x Manufacturer's instructions
Signed: Jeff Morrow Date: 11/06/08
Organization: Capitol Electric Company, Inc.
3. Record of System Operation
All operational features and functions of this system were tested by Jeff Morrow on 11/06/08
and found to be operating properly in accordance with the requirements of:
x NFPA 72, Chaptei 1 2 3 4 5 6 7 (underline all that apply)
x NFPA 70, National Electrical Code, Article 760
x Manufacturer's instructions
Signed: Jeff Morrow Date: 11/6/2008
Organization: Capitol Electric Company, Inc.
4. Alarm- Initiating Devices and Circuits
Quantity and class of initiating device circuits (see NFPA 72, Table 3 -5) Quantity: Style: Class:
MANUAL
(a) 1 Manual stations 1 Noncoded, activating Transmitters Coded
(b) Combination manual fire alarm and guard's tour coded stations.
AUTOMATIC
Coverage: Complete: Partial:
(a) 4 Smoke detectors Ion 4 Photo
(b) 0 Duct detectors Ion Photo
(c) 1 Heat detectors FT RR 1 FT /RR RC
(d) 1 Sprinkler waterflow switches: Transmitters 1 Noncoded, activating
(e) Other (list):
5. Supervisory Signal- Initiating Devices and Circuits
SPRINKLER SYSTEM
(a) 1 Non coded valve supervisory switch at sprinkler riser
(b) 2 Non coded valve supervisory switch at sprinkler vault
(c) Non coded supervisory air pressure switch at sprinkler riser
(d) Site water supply level points
DUCT SMOKE DETECTORS
(a) 12 Duct detectors Ion 12 Photo
Other supervisory functions(s) (specify): Elevator Shunt Trip Voltage Monitor
6. Alarm Notification Appliances and Circuits
Quantity and class (see NFPA 72, Table 3 -7) of notification appliance circuits connected to the system:
Types and quantities of notification appliances installed: Quantity: 15 Style Y Class: B
(a) Bells Inch
(b) Speakers
(c) Horns
(d) Chimes
(e) Other:
(f) 14 Visual signals Type: ADA SYNCHRONIZED
8 with audible 6 w/o audible
(g) 1 Local annunciator
7. Signaling Line Circuits
Quantity and class (see NFPA 72, Table 3 -6) of signaling line circuits connected to system:
Quantity: 1 Style: 4 Class: B
8. System Power Supplies (FACP)
(a) Primary (main): Nominal voltage: 120 VAC Current rating: 2.5 Amps
Overcurrent protection: Type: Circuit Breaker Current rating: 20 Amps
Location: FLOOR 2 MECHANICAL ROOM
(b) Secondary (standby):
X Storage battery: Amp -hour rating: 12 Ah @ 24 VDC
X Calculated capacity to drive system, in hours: 6.868 Ah 24 60
Engine- driven generator dedicated to fire alarm system:
Location of fuel storage:
9. System Software
(a) Operating system software revision level(s): SKSS V3.15
(b) Application software revision level(s):
(c) Revision completed by: N/A
(name) (firm)
,
O. Comments:
Dan Wilson Capitol Electric Co., FLS Supervisor
(signed) for central station or alarm service company or installation contractor /supplier (title)
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standard(s):
Devices installed conform to NFPA standards.
System deviations from the referenced NFPA standard(s) are: NONE
fr / Dan Wilson Capitol Electric Co., FLS Supervisor
"f• r ce •' al st . •� or alarm service company or installation contractor /supplier (title)
(signed)
Upon comple +n of t - stem(s) satisfactory test(s) witnessed (if required by the t authori . having jurisdiction):
(signed) representative of the authority having jurisdiction le) (date)
;F 2c.A.)1 -0c. LfrY
From: Operator on Duty To: WESTERN STATES FIRE P File: FX011043.FAX
WESTERN STATES FIRE PROTECTION Report Run Date: 11/06/08
13896 FIR STREET SUITE B Report Run Time: 11:10:02
OREGON CITY OR 97045 51 -01 -4088 Cl:
* * * * * * * * * * ** Report Message * * * * * * * * * * ** * * * ** Report Legend * * * **
ATTN:RICK BOLEN Date : Month /Day mm /dd
Day : Day of the Week
Recvd : Received Time
Cmplt : Completed Time
Code : Event Code
Msg : Event Type
DARTMOUTH SQUARE (NO HARDCOPY) Desc : Description
User : User Info
11945 SW 70TH AVENUE
TIGARD OR 97223
Fold Here
All Events Detail
11/06/08 - 11/06/08
DARTMOUTH SQUARE (NO HARDCOPY)
11945 SW 70TH AVENUE
DATE DAY RECVD CMPLT CODE MSG DESCRIPTION (USER INFORMATION)
11/06 Thu 10:30:14
Event Operator: 72A at: on 11/06 Opn /Clo: Closed WS31
* Out -Of- Service: 11/06/08 Until 11/06/08 Strt: 10:30 Until: 15:00
Zone(s):
Comment:
11/06 Thu 10:30 10:30 OUS OUT OF SERVICE
Comment: OUT OF SERVICE PER JEFF MARROW W /ACCT NUMBER TIL 1500 OP72
Passcard Name: DARTMOUTH SQUARE
Completed on: 11/06/08 at: 10:31:12 Operator: 72A
Disposition: Comments /Schedule Entered
10:31 10:31 110X003 >FIR AN UNKNOWN TYPE - UNSPECIFIED AREA
10:35 10:35 110X003 >RST AN UNKNOWN TYPE - UNSPECIFIED AREA
10:35 10:35 110X002>FIR AN UNKNOWN TYPE- UNSPECIFIED AREA
10:36 10:36 110X002 >RST AN UNKNOWN TYPE - UNSPECIFIED AREA
11/06 Thu 10:43:22
Event Operator: 74A at: on 11/06 Opn /Clo: Closed ws24
Comment: JEFF MORROW CLD W /PC TO CHECK SIGNALS. OP74
Passcard Name: DARTMOUTH SQUARE
Completed on: 11/06/08 at: 10:45:26 Operator: 74A
Disposition: Comments /Schedule Entered
11/06 Thu 10:49:38
Event Operator: 92A at: on 11/06 Opn /Clo: Closed WS29
Comment: JEFF MARROW W /PC CLD TO CHECK SIGNALS. OP92
Passcard Name: DARTMOUTH SQUARE
Completed on: 11/06/08 at: 10:52:52 Operator: 92A
From: Operator on Duty To: WESTERN STATES FIRE P File: FX011043.FAX
Disposition: Comments /Schedule
11:01 11:01 113X019 >FIR WATERFLOW- UNSPECIFIED AREA
11:03 11:03 113X019 >RST WATERFLOW- UNSPECIFIED AREA
11/06 Thu 11:04:46
Event Operator: 84A at: on 11/06 Opn /Clo: Closed WS32
Comment: CALL FROM JEFF MORROW W /ACCT # CHECKING SIGNALS FAX HISTOR
Y TO FIRE MARSHALL 503 - 624 -3681 RICK BOLEN /OP84
Passcard Name: DARTMOUTH SQUARE
Completed on: 11/06/08 at: 11:07:36 Operator: 84A
Disposition: Comments /Schedule Entered
End of Report . . .