Report FPS Zo to- 00c,
11lN1)AMENl'r11.S OF FIRE ALARM SYS' 12 -31
•
FIRE ALARM SYSTEM
RECORD OF COMPLETION
Name of protected proper UNIVERSITY OF PHOENIX
Address: 13221 SW 6RTI 1 P W AY 'l7CiARD OR
Representative of protected property (name/phone): —
Authority having jurisdiction:
Address/telephone numher: --- ...... organization (Mittel phone Hepreoentalive name /phone
Installer _." Safe Technology Group 360. 699 -2130
Supplier
Sate icch logy Group 360 -699 -213()
Service organization Safcf ' lnology Group 360 - 699.2130 -
1.ocatiurl of record (us built) drawings: FACT)
FACP
Location of operation and maintenance znAnuala:
Location of test reports:
Central Station
A contract for test and inspection in accordance with NFPA stundurd(s)
f ;nntract Nuts): Effective date: , -._.. Expiration date: ._
System Snftwarti
(a) Operating system (executive) aoltware revision level(s): —
(b) Site - specific software revision date: --
(e) Revision completed hy: . _ - - -
(name) (firm)
1,Type(S) of System or Service
_.. NFPA 72, Chapter 6 — Local
If alarm is transmitted to luculion(s) off premises, list where received;
N1'Pit 72, Chapter 8 — Reninte Station
Telephone numbers of the organivition receiving alarm:
Alarm; —
Supervisory; _ --
'1'rauble: - -... -- ._....,_....
Iralar•ms nre retransmitted to public lire service comrnunications centers or others, indicate location and telephone
numbers of the organization receiving alarm;
Indicate how alarm is retransmitted: - -_ -. -- -
NFPA 72, Chapter H — Proprietary
Telephone numbers of the organization receiving ulutrn:
Alarm:
Supervisory:
Trouble: __,.... ....
If alarms ure retransmitted to public fire service communications centers or others, indicate location and telephone
rrutnhera of the organization receiving
Indicate how alarm is retransmitted: ... __....------- ._._.... .-
7C NFPA 72, Chapter A — Central Station
I'r'inle contractor: --- _ —,... .. - _ .._.. -- ..
Central statinn location: _.,
(NFPA 72, 1 of 4)
FIGURE 4.5.4.1 Record of Completion-
2002 Edition
72 -32 NA'FION Ai. FIRE ALARM CODE
Means of transmission of signals from the protected premises to the central station:
_ McCulloh _„ Multiples —_.. One -way radio
. X Digital alarm communicator _.. Two -way radio ___.. Others
Moans of transmission of alarms to the public fire Hervice communications center:
(a)—
System location: _, ...._. .... _.. ..
_.. . Nh'NA 72, Chapter 9 — Auxiliary
Indicate type of connection: i,ncal energy _- . Shunt _• Parallel telephone
Location of telephone number for receipt of signals:
2. Record of System Installation
(Fill out alter' inntallatiun is complete and wiring is checked for opens, shorts. ground faults, and improper brunching,
but prim' to conducting operational acceptance tests.)
'Phis system has been installed in accordance. with the N1'PA standards as shown below, was inspected by
DONALD GAl N
an 7 -15.10 — , includes the devices shown
in 5 and 6, and has been in service since 7.15.1 O
_ K NFPA 72, Chapters 1 2 3 'k k ¢( 7 ps # 10 11 (circle all that apply)
_ K
NFPA 70, National Eleclrioo.l Code, Article 760
K Mantitfacturer's indt.ructions
_.. Other (specify): -._...
Signed:
UONAI,D GATTEN Date: 7.15 - 10
_.. .. ._. - -
Organization: Safe Technology Group
3 - Record of System Operation
Documentation in accordance with Inspection Testing Forest, Figure 10,6,2.3 is attached
Al) operational features and functions of this system were tested by DON GA 1"11',N _ date 1 - -I0
and found to be nperating properly in accordance with the requirementts of:
PC NI'TA 72, Chapters 1 2 3 '1 5 6 7 8 9 1d) 11 (circle all that apply)
_K NFPA 70, National E(<o(ritxr.l Code, Article 760
K Manurial u instructions
_ Other (specify):. ..
Signed: DONAi.D GA'('1'IiN Date: 7
Safe Technology Croup
Organization: _......' . _
4. Signaling Line Circuits
()Windt) and class of signaling line circuits connected to system (see NFI'A 72, Thle 6.6,1):
Quantity: .. Style: Class:
(NFPA 72, 2 of 4)
FIGURE 4.5.2.1 C.'untin
2002 Edition
Ft N FAMEN IAI.S )F' FIRE AIARM SYSTEMS 7 2 -93
5. Alarm - initiating Devices and Circuits
Quantity and class of initiating device circuits (sec NPPA 72, !able 6.6):
Quantity:. Style: _,. Class: -- - -.
MANUA I ,
(a) Manual stations Noncoded ..__._..__ Trnnamitters.... ____ Coded .. Addrestixhle_
(h) Combination manual fire alarm and guurd's tour coded stations .
AUTOMATIC
Coverage: Complete _, _ ._ Partial
Selective Nnnrequired .,
(a) Smoke detectors . _ lots _.. Photo _. Addressable
(b) Duct detectors _ ion .,. _ Photo _ ..._ Addressable
(c) Heat. detectors FT __..... _ RR _. _ FT/RR -_ RC _ Addressable
(d) Sprinkler waterflow indicators: Transmitters_. Noncoded_ . — Coded ..__ Addressable _
lel The alarm verification feature is disabled or enabled , changed from seconds to seconds,
(11 Other (list):
5. Supervisory Signal - Initiating Devices and Circuits (use blanks to Indicate quantity of devices)
GUARD'S TOUR
(u) _Coded stations
Noncoded stations
(c) _... Compulsory guard's tour system comprised of _ ... —_. transmitter stations and intermediate stations
Note: Combination devices are recorded under 5(h), Manual, and 6(a), Guard's Tour.
SPRINKLlil' SYSTEM
Check if' provided
(a), Valve xupervisury switches
(h) Building temperature points
)c)_ Site writer temperature points
(d)_ Site writer supply level points
Electric tire pump:
(a) Fire pump power
(f) __ _._Fire pump running
(g) ._. — Phase reversal
Engine - driven lire pump:
Ih ) Selector in auto position
(i) Engine or control panel trouble
Hire pump runni
ENGINE DRIVEN GENERATOR:
(a) Selector in auto position
(b) Control panel trouble
(c)...... ... Transfer switches
(d) _.Engine running
Other supervisory function(e) (specify)'
(NFPA72.$
FIGURE 4.5.2.1 Continued
2002 Edition
•'
•
72 -34 NATiONAI. FIRE ALARM (.:(- >ni
7. Annunciator(s)
Number: _ TYPH: _ _,. Location: _ -
8. Alarm Notification Appliances and Circuits
NFPA 72, Chapter 6 — Emergency Voice /Abuts Service
Quantity of vuice /alarm channels: ..- Single: -., Multiple: —
Quantity of speakers installed: .. Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system: _
Quuntity and the class of notification appliance circuits connected to system (see NFPA 72, Tohle 6.7):
Quantity: Style: ... Class: - -- ......
Types and quantities of notification appliances installed:
(al Bella With Visible
(b) Speakers - ..__ With Visible
(c) ilorns ____ -_ With Visible .- 3
(d) Chimes _. With Visible _
(e) Other: With Visible -.
(f) Visible appliances without audible: 3
9. System Power Supplies
(a) Fire Alarm Control Panel: Nominal voltage: — ±2QVAC Curri nt rating:
(.)vercurrent protection: Type: ... Bt'cakct' _ --.• Current rating: 20A
Location: - - --
(b) Secondary (standby):
Storage buttery: — _Z. Amp -hour rating:
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 pritnary 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 NITA standard(sl:
System deviations from the referenced NFPA standard(s) are:
DONALD GA'1 "I1 N TFCi- M1C1AN 7 -15 -10
(signed) for inst contractor /supplier (title) (date)
(signed) tor alarm service company (title) (date)
(signed) for central station (title) (date)
Upon completion of the systemO1:410 ♦fact,ory tust(s) witnessed (if required by the authority having, jurisdiction):
(signed) representative of the authority having jurisdiction (title) (date)
(NFPA 72. 4of4)
FIGURE 4.5.2.1 Continued
2002 edition