Loading...
Report . • . . eFszo 1.• • -O. 66)/ G• . . . . .. ,. c . • . : • . . . . .. . . . • • . . . . . . . , . • • -. . . . . ,. . . . . . • . . . . • • . • ;:FUNOAMHt1TALSOF.FIREAL iiMSYSt'EMS //2 7 4 7243 . • . FIihE';ALARM;SYSTEM RECCRt 'OF•COMPL•ETION:• • To be completed by the ayatem•lnatellatlon contractor at th timed system acceptance end approval. • • 1.•PROTECTEb•PROPERTYINFORMATION • • /� Name of property 11l L 4-7-- P . ,_efL 5/N S S". C%EIII ,2 • 9-'7 • • Address: • • 2344 • '5i,/ i, . 21 f 776n-re-.0 O� ?- 2-5 • • Description. ro ert :. • S/�E I A P P Y SS'. L�,L,f'' Occupancy.type: • �--• Name of property:representative: J/ . Address: •• I • Phone: •5b3- 56? ` ,c4) Fax 'E•mail: ' Authority having uriediction•ove r thie.property: 7?615r19.1) : • • • Phone: 52)>'6'. 219. L//7/ •Fax:_ � E-mail:' r • 2, FIRE•ALARM•SYSTEM INSTALLATION,SERVICE,AND-TESTi 0-I10t RMATION- • . . Installation contractor for this equipment: 0•te s c dR•;TA Address: 5-41// 3E McLoccoaml 0LuD, po•. 7-7,4D oR 97201 • Phone: ••6d3- 7-5 1— 0303 Fax:' ;S'3; 2•1°-/ o:y. ; Ekv.(eE 1+.$• :t.An S.Cori ' E•mall :►s H Service organization for this equipment: A'/6 ICAet/ • .fiGirg.iT/ Address: .Sy/1 ..re MCCOUGIlt/N BL✓P,1 p0.2rL.A11/40.. 62 9720 Z . Phone:, 6'33.. 31- 0 303 ' Faz:-.• b3''230—• rosy '1.' It•tnail:iaRv'Ge;'C :t45•`q•t'A42M S.Cp>? . • Location of as-built•drawings: •614'•'.S•tTE. . I • Location of historical test reports: am-..SITE. . Location of system operation and maintenance manuals: ON) ' S'17Z_ A contract for.test and inspection in accordanie•with NFPAatenda de lain effect•as of • ' Contracted testing company: .. . • Address: • Phone: _ Fax: Email:•• ------- Contract expires: Contract number: � Frequency of routine inspect;-,.�r • 3. TYPE OF FIRE ALARM SYSTEM•ORISEFIVICi: ' 4 , • NFPA 72 Chapter Reference.of System'l'pe !C9/4 P7�j2,S: o • Name of organization receiving alarni'signals Ith phone numbers(If appticabie): • Ahem: C/15. (CRIr/C0M) • • ' Phone: /1100•-482 — ?�Q0 • // ' • . . . I Ph /i Phone: . Supervisory: / 'Trouble // ' Phone: Entity to which alarms are retransmitted: . • Pl R-e •PEP'',: .Phone;• . Method of retransmission of alarms to that organisation orlocation:_ GEP a•.TE . i I . • . O 2007 National Fire Protection Association . • NFPA 72(p.1 of 6) •FIGURE 4.5.2.1 .Record of Completion. . • .• 2007 Edition clj . i 4• • • •• 72-34 . :NATICNALFI•REALARM:CODB. ' • 3: TYPE OF FIRE ALARM SYSTEM OR SERVICE(oontlnuadl1 • If Chapter 8,note the.moana.of tranemieeion from•the protepted premises to the central station: • X Digital alarm communicator 0 McCulloh 0.Multiplex 0.2-way radio ❑ 1-way radio ❑ N/A . 'If Chapter 9,note the•type of connection 0 'Local energy. 0 Shunt 0 N/A• . 3,1 System Software • Operating system(executive)software revtalan level: . S(te•spactfic software revision date: " 11.1/11 •. Revision completed by: . Q;•SIGNALING LINE CIRCUITS :; .. • . • Characteristics of signaling line circuits connected to this system(se.e NFPA 72,Table 6,6,1) • Quantity: ' 0 .Style: ! b, Claea: ' 13 6.•ALpRM•INITIATING DEVICES AND r,IRCUIT9 . • . ' Characteristics of initiating device circuite coitnocted to this System(see NFPA_72,Table C.6): • Quantity: l-3 Style: Class: s.. 5,1:Manualinitlating Devices ' 5.1.1 Manual.PulI Stations • I Number of manual pull stations: / • Type of devices: ❑ Addressable. Vonventional 0 Coded 0 Transmitter . ❑ N/A, •5.2 Automatic Initiating Devices • ��� � 5,2.1 Area Smoke Detectors• Number of smoke detectors:, 7• • Type of coverage: 0.Complete area XPartial.area • •Q.Nanrequlred partial area 0.N/A Type of devices: • 0 Addressable ;O Conventional 0 Coded. . ❑ Transmitter ❑ N/A . • Type of smoke detector sensing technology: •0 Ionization' XAhotoelactric • • 5.2.2 Duct'Smoke Detectors •4: Number orduct smoke detectors: C,• • Type of coverage: • . .Type of devices: ❑.Addressable ❑ Conventional 0 Coded ❑ Transmitter 0 N/A • . Type of smoke detector sensing technology:. 0 Ionization 0 Photoelectric • • 5.2.9 Heat Detectors Number of heat detectors:. 43 • Type of coverage: . Q Complete area •(Partial area 0 Norirequired:parttal area ❑ N/A Type of devices:. ❑ Addressable Q Conventional. .0 Coded Q Tranarnitter 0 N/A. 5.2.4 Sprinkler Waterflow.Deteotore• Number of water(low detectors: • 0 Type of devices 0 Addressable 0 'Conventfon'al 0 Coded •0 Transmitter ❑ N/A 6,2.5 Alarm Verification • • . ' Nt,rmbe/r of devices subject to•alarm verification: Alarm verification on this system is: ' 0 Enabled �DIsabled 0 Set for. seconds • ... NFPA 72(p.2 at 5) —- --.• . -- m 2007 Nallonal Fire Prolecllon Assoolallon 1 . . FIGURE 4.5.2.1• Continued. • • 2007 EdIllon ._.. • ., I • • . ' • . • • . ' •FUNDAMENTALS OFFIREALARM•SYSCEMS • 72_36 • • •6; SUPERVISORY'SIGNAL•INITIATING DEVICES.AND CIRCUITS. • • .6.f Sprinkler.System • Number of valve supervisory switches: • 0 Type of devices: 0 Addressable : O.Conventional ❑ Coded ❑'Transmitter 0 N/A 6.2 Fire Pump /4/19` • . . • ' .Type.of fire pump:• •❑•Electric '❑ Diesel - • • Type of fire pump supervisory devicesi. ❑ Addressable ❑ Conventional 0.Coded .0 Transmitter ❑ N/A Fire Pump Functions Supervised /V/+ • 0 Fire pump power ❑ Fire pump.running • 0 Fire pump phase reversal ❑ Selector switch not'in auto • ❑ Engine or control panel trouble ❑•:Low fuel • _---. • • Other; . A ' G.3.Engine•Driven Generator ! 6,VJ1 f • • Type ot generator supervisory devices; :❑ Addressable. •0 Conventional. ❑ Coded 0.Transmitter 0 N/A • 0 Engine or control panel trouble': O Generatorrunnitig ❑ Selectar•switch not in auto ❑ Low.fuel Other: . • 7,•ANNUNCIATORS . • ' 7.1 Annunciator 1 )(Local •❑ Remote • Type: 0 Addressable 'DIrectory. 0 Graphic '0 N/A • 'Location: ce��L'" 7.2 Annunciator 2 0 Local 0 Remote . . Type: _❑ Addressable .0 Directory 0 Graphic • 0 N/A . Location:. . 7.3 Annunciator 3 ❑ Local TO-Remote • • • Type: ❑ Addressable 0 Directory . 0'Graphic ❑ N/A Location: 8,..ALARM NOTIFICATION DEVICES AND CIRCUITS • • . 8,1 Emergency Voice Alarm Service . • Number of single voice alarm channels: • Number of multiple voice alarm channels: Number of speakers: . ..t !lumberer speaker zones: 8.2 Telephone'Jaoks . • . • • Number of telephone jacks installed: a-' Number of telephone handsets•stored do site: Type of telephone systarit installed: 0 Electrically powered 0•Sound.powered ❑ N/A • 8.3 Nonvoice Audible System Characteristics of notf cation device circults eonneeted•tp Ma system(see NFPA 72, Table 6.6): Quantity: �j Style: • . 4W. • Class: • • (ID 2007 National Fire Protection Association NFPA 72(p•3 01 5) • • FIGURE 4.5.2.1 Continued • • 2007 Edlllon V)", • • • . • • • 72-3G NATIONAL•CIREA[AAhI CODE • •' • 8. ALARM NOTIFICATION DEVICES AND,CIRCUITS(continued) QZ. > ■ r ' 1 8:4 Types af)d•Quantlties•of.Nonvolce NQflflcatlon Appllancea Installed / Z3�/ 3 Bells:_ 5. • With visual device: 2 Home: With visual device: .2"' Chimes:__ Witlyvisual device: Visual•devices without audible devices: Bells: With visual device: • Other(describe): • 9,•EMERQENCY CONTROL FUNOTIONS'ACTI1/ATED • 'O Hold-open door releasing devices•' ❑ Smoke management or smoke control • Q. Door unlocking ' • ❑ Elevator recall ❑ Other 10. SYSTEM POWER SUPPLY • • 10:1 Primary Power Nominal voltage • .ZO.✓,+!}L. . ._._ . _.. • • Overcuirent.protection. TYPE). G/2GUfj' /LEA Amps _ • Location.(of primary su 1 A pe PP y panelboard): eed.� e Disconnecting means location•. ii // 10.2 Secondary,Po r • - -- Location: Number of standby batteries: 1Pe• Nominal voltage:. Current rating: Location of ernes enc Amp hour rating; g y generator; : .J±!� • Location of fuel storage: i✓/.c}• . Calculate&capacity of secondary ower tb drive the system In standby mode:; 02 �Q�l, .�M/NUrS In.ala'rm mode: • • 11 • . RECORD OF SYSTEM INSTALLATION. . • Fill out after all.installation Is complete and Wiring has.been checked for opens,'shorts,ground faults,and improper branching,but before conducting operational acceptance test's. The system has been installed in accordance wlth•the follawing•NFPA standards:(Note any or all that apply.) )8T NFPA 72. At NFPA 70,Nallondl.Electrical Code,Article 760 S$'Manufacturer's published inetr ictione ❑ Other(please epecil'): ' System devia ns om refs d NFPA standards: . , • Signed: �/ Printed•name: /i4 fri/t — j4/-7-S' Date: �3 Organization: F*C 4/7Y .Title: 7' c.-fi Phone: 53 231-630.3 — __-- 12. RECORD OF-SYSTEM•OPERATION1 All operational features•and flihctions.of this syatem.were.tegted by.or ln.the presence of the signer shown below,on the date shown below;and were found to be operating properly in accordance with the requirements of: NFPA 72 : . 18(NFPA 70,National Electrical Code,Article 780. fit(Manufacturer's published instructions ❑•Other(please specify): • ❑ Document ion n tact with Inspection an&resting F rni.(Figura 10.8:2.8)is attached Signed:// Printed name:•t 1/41 f—z 7"/ Organization:—ffl K/C, ,S6GUQ�T)/ Data:Title: ` Phone: 673.131-03(23 • ©2007 Nallonal Fire Profecllon Assoclallon • NFPA 72(p.4 of 5) • FIGURE 4.5.2.1 Continued • • . nb 2007 Edition . • • • • • ,FUNDAMENTALS OF FIRE ALARM SYSTEMS 72-97 • 13. CERTIFICATIONS AND'APPROVALS.- - - • - • 13,1 System Installation Contractor • This system a= spa fled'herein has been installed and tested according to all NFPA standards cited herein.• Signed: �� ,Printed name:. / �'/ r Date: •Organization: 'AM tie fr4'1 '$Gcf(1iT1/ Title: /Z 4 . Phone: • 'Z3/-d30-3 • 13.2 System Service Contractor !! . This system as spec! ed herein has been installed and tasted hccording.to•all NFPA standards cited herein. • Signed: / `r • Printed name: /e,4 ni//te Date: /- err/ Organization: /9/1704/44 1d .SEC6/gm� Title: • � f� Phone: Sa3" Z31-63 3 13.3 Central Station • 'This syste aft specified re! • '11 be monitored according to all NFPA standards cited herein. Signed: ' " '� P Printed name: �'� ��pli" Date: 1— f� Organization: ht7Tth' /CA4/4/ SEC44'i7/ Title: ri ` Phone: 63"Z3/• 03i3 13.4 Property Representative • _ _.__ ___ _...._ I.accept this system as having been installed and tested to'its specifications and all NFPA standards cited herein. - Signed: • Printed name: Date: Organization: Title: . Phone: 13.5 Authority Having Jurisdiction I have witnessed a satisfactory acceptance test of thin system and find it to be installed and operating properly in accordance with its approved plans and specification's,its approved sequence of operations,and with all NFPA standards cited herein. Signed: , Printed name: Date: . Organization: Title: Phone: • • • • ®2007 National Fire Protection Association ' NFPA 72(p:5 of 5) • f• FIGURE 4.5.2.1 Continued • • • 2007 Edition 7;1 •