Report FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -
FIRE ALARM SYSTEM
RECORD OF COMPLETION
Name of protected property:
COMSYS @ LINCOLN 3 SUITE 301
Address: 10220 SW GREENBURG ROAD
Representative of protected property (name /phone): SHORENSTEIN
Authority having jurisdiction: CITY OF TIGARD
Address /telephone number: 13125 SW HALL BLVD. 503 -718 -2424
Organization name /phone Representative name Iphone
Installer SAFE TECHNOLOGY GR( 360- 699 -2130
Supplier SAFE TECHNOLOGY GR( 360 -699 -2130
Service organization FACP
Location of record (as- built) drawings:
Location of operation and maintenance manuals: FACP
Location of test reports: CENTRAL STATION
A contract for test and inspection in accordance with NFPA standards)
Contract No(s): Effective date: Expiration date:
System Software
(a) Operating system (executive) software revision level(sl:
(b) Site - specific software revision date:
(c) Revision completed by:
(name) (firm)
1.Type(s) of System or Service
X NFPA 72, Chapter 6 — Local
If alarm is transmitted to location(s) off premises, list where received:
NFPA 72, Chapter 8 — Remote Station
Telephone numbers of the organization receiving alarm:
Alarm:
Supervisory: , — — -- -- Trouble:
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:
NFPA 72, Chapter 8 — Proprietary
Telephone numbers of the organization receiving alarm:
Alarm: _
Supervisory:
Trouble:
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 8 — Central Station
Prime contractor: SIMPLEX/GRINNELL
Central station location:
(NFPA 72, 1 of 4)
FIGURE 4.5.2.1 Record of Completion.
2002 Edition
72 -32 NATIONAL FIRE ALARM CODE
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:
NFPA 72, Chapter 9 — Auxiliary
Indicate type of connection: Local energy Shunt _ Parallel telephone
Location of telephone number for receipt of signals:
2. Record of System Installation
(Fill out after installation is complete and wiring is checked for opens, shorts, ground faults, and improper branching,
but prior to conducting operational acceptance tests.)
This s has bee installed in accordance with the NFPA standards as shown below, was inspected by
ADAM SWE on 2 -06 -09 , includes the devices shown
in 5 and 6, and has been in service since 2 - 09
K NFPA 72, Chapters 1 2 X 9C k 6C Q 10 11 (circle all that apply)
X NFPA 70, National Electrical Code, Article 760
7C Manufacturer's instructions
Other (specify): _ __. _ __ __
Signed: ADAM SWEET Date: 2-06 -09
Organization: SAFE TECHNOLOGY GROUP
3. Record of System Operation
Documentation in accordance with Inspection Testing Form, Figure 10.6.2.3 is attached
All operational features and functions of this system were tested by ADAM SWEET date 2-06 -09
and found to be operating properly in accordance with the requirements of:
X _NFPA 72, Chapters 1 2 3 4 5 6 7 8 9 AO 11 (circle all that apply)
K NFPA 70, National Electrical Code, Article 760
X Manufacturer's instructions
Other (specify):
Signed: ADAM SWEET Date: 2-06 -09
Organization: SAFE TECHNOLOGY GROUP
4. Signaling Line Circuits
Quantity and class of signaling line circuits connected to system (see NFPA 72, Table 6.6.1):
Quantity: Style: Class:
(NFPA 72, 2 of 4)
FIGURE 4.5.2.1 Continued
2002 Edition
FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -
5. Alarm- Initiating Devices and Circuits
Quantity and class of initiating device circuits (see NFPA 72, Table 6.5):
Quantity: 1 Style: Class: B
MANUAL
(a) Manual stations Noncoded Transmitters _ Coded Addressable
(b) Combination manual fire alarm and guard's tour coded stations _
AUTOMATIC
Coverage: Complete Partial
Selective K Nonrequired
(a) Smoke detectors_ I Ion Photo X Addressable
(b) Duct detectors Ion Photo Addressable
(c) Heat detectors FT RR FT /RR RC Addressable
(d) Sprinkler waterflow indicators: Transmitters Noncoded Coded Addressable
(e) The alarm verification feature is disabled or enabled , changed from seconds to seconds.
(f) Other (list):
6. Supervisory Signal- Initiating Devices and Circuits (use blanks to indicate quantity of devices)
GUARD'S TOUR
(a) Coded stations
(b) __Noncoded stations
(c) Compulsory guard's tour system comprised of transmitter stations and intermediate stations
Note: Combination devices are recorded under 5(b), Manual, and 6(a), Guard's Tour.
SPRINKLER SYSTEM
Check if' provided
(a) Valve supervisory switches
(b) Building temperature points
(c) Site water temperature points
(d) Site water supply level points
Electric fire pump:
(e) Fire pump power
(f) Fire pump running
(g) Phase reversal
Engine- driven fire pump:
(h) Selector in auto position
(i) Engine or control panel trouble
(j) Fire pump running
ENGINE - DRIVEN GENERATOR:
(a) Selector in auto position
(b) Control panel trouble
(c) Transfer switches
(d) Engine running
Other supervisory function(s) (specify):
(NFPA 72, 3 of 4)
FIGURE 4.5.2.1 Continued
2002 Edition
72 -34 NATIONAL FIRE ALARM CODE
7. Annunciator(s)
Number: Type: Location:
8. Alarm Notification Appliances and Circuits
NFPA 72, Chapter 6 — 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:
Quantity and the class of notification appliance circuits connected to system (see NFPA 72, Table 6.7):
Quantity: 3 Style: Class: B
Types and quantities of notification appliances installed:
(a) Bells With Visible
(b) Speakers With Visible
(c) Horns 12 With Visible 12
(d) Chimes With Visible
(e) Other: With Visible
(fl Visible appliances without audible: 10
9. System Power Supplies
(a) Fire Alarm Control Panel: Nominal voltage: 120VAC Current rating: 6A
Overcurrent protection: Type: BREAKER Current rating: 20A
Location: ELECTRIC ROOM
(b) Secondary (standby):
Storage battery: 2 Amp -hour rating: 7A
Calculated capacity to drive system, in hours: 24
Engine -driven generator dedicated to fire alarm system:
Location of fuel storage:
(c) Emergency system used as backup to primary power supply:
Emergency system described in NFPA 70, Article 700:
10. Comments
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standard(s):
System deviations from the referenced NFPA standard(s) are:
ADAM SWEET VICE PRESIDENT 2 -06 -09
(signed) tor installation contractor /supplier (title) (date)
(signed) for alarm service company (title) (date)
(signed) for ce ral station (title) (date)
Upon compl ion of th system(s) satisfactory test(s) witnessed (if required h the authority having jurisdictio T):
/ t ∎ 6 9 '
(signed) esen • -' the aut or1T Unavrn9lQnsdition (title) (date)
(NFPA 72,4of
FIGURE 4.5.2.1 Continued
2002 Edition