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Plans JjLLPd5OOL/LilP 1 I'759 Sep E den PL- FIRE ALARM SYSTEM RECORD OF COMPLETION Protected Property: Shred it T.I. *This is a Tenant Improvement and covers the alterations in this suite only.* Address: 11950 SW Garden Place #7 Representative of protected property (name /phone): .Vesta. 503 - 675 -8700 Authority Having Jurisdiction: Tigard Building Department / TVF &R FMO 1. Type of System or Service • NFPA 72 1999 Edition, Chapter 5 Central Station • Prime Contractor: Building System installed by Stoner Group Fire Protection Services for Tenant Improvement • Central Station Location: Beaverton Or Means of transmission of signals from the protected premises to the central station: DACT (Digital Alarm Communicator Transmitter) • Means of transmission of alarms to the public fire service communications center: Central station operators process signals in accordance with NFPA 72 and applicable UL standards. Operators inform the dispatch agency serving the protected premise via telephone. • System Location: Telephone Panel (South end of building). • Installation & Service Contractor: Stoner Group / Monitored by ADT • Location of record (as- built) drawings: Fire Control Room • Location of owner's manuals: Fire Control Room • Location of test reports: Fire Control Room 2. Record of System Installation This system was installed in accordance with NFPA 72 Chapters 1 -5, 7 & 8 and NFPA 70, National Electrical Code, Article 760. The manufacturer's installation instructions were followed during installation. A Fire Protection Services representative completely tested the additions on 06/10/05, it includes the devices shown below, and has been in service since 06/10/05. 3. Record of System Operation Fire Protection Services tested all operational features and functions of these additions on 2/14/03. The system was found to be operating properly in accordance with the requirements of NFPA 72 Chapters 1 -5, 7 & 8 and NFPA 7, National Electrical Code, Article 760. The system also operated in accordance with the equipment manufacturer's instructions. 4. Alarm- Initiating Devices and Circuits Quantity and class of initiating device circuits (see NFPA 72, Table 3 -5) Quantity Style: Class Quantity: Style: Class MANUAL Quantity Manual Pull Stations AUTOMATIC Coverage: Complete: Partial: X (a) Smoke Detectors Ion 6 Photo (b) Duct Detectors Ion Photo (c) Heat Detectors FT 6 RR FT /RR RC (d) 1 Quantity Sprinkler System Waterflow Switches (e) Other (list): 5. Supervisory Signal- Initiating Devices and Circuits SPRINKLER SYSTEM 1 Quantity Valve Supervisory Switches Other Supervisory Function(s) (specify): 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: 2 Style: Y Class B (a) Bells 6 Inch (b) Speakers (c) Horns Page 2 of 3 (d) Chimes (e) Other: Silent Knight 5395 Distributed Power Module (f) 2 Visual signals Type: Strobe 2 with Audible 2 w/o Audible (g) Local Annunciator 7. Signaling Line Circuits Quantity and class (see NFPA 72, Table 3 -6) of signaling line circuits connected to system: Not Applicable. Quantity : _0 Style: Class 8. System Power Supplies (a) Primary (main): Utility AC Nominal voltage: 120V Current Rating 20A Overcurrent Protection: Type: Circuit Breaker Current Rating 20A Location: Outside Electrical Panel outside Telephone Room (South end of building). (b) Secondary (standby): X Storage Battery (sealed lead acid): Amp -hour Rating: 7aH Calculated capacity to drive system, in hours: X 24 60 9. System Software (a) Operating system software revision level(s): 2.1 (b) Application software revision level(s): 2.1 (c) Revision completed by: Not necessary for this addition. 10. Comments: Owner 10/27/05 (signed) for installation and service contractor (title) (date) Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction): (signed) representative of the authority having jurisdiction (title) (date) Page 3 of 3