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Plans .075 2cyq..., Dni o 7 SYSTEM RECORD OF COMPLETION This form is to be completed by the system installation contractor at the time of system acceptance and approval. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert N/A in all unused lines. Attach additional sheets, data, or calculations as necessary to provide a complete record. Form Completion Date: 719'2r11`i Supplemental Pages Attached: I? 1. PROPERTY INFORMATION Name of property: Gaetcr- (act" T.Z.C]r 7:1-• Address: CUU ,u! Oak- Cf < tk. Description of property: of- cues Name of property representative: 46.., Address: h f Phone: "r0. Fax: r.J+-. E-mail: nk 2. INSTALLATION, SERVICE,TESTING,AND MONITORING INFORMATION Installation contractor: Pot Mar 1 'r (.arpc. Z)jd . Address: 6863 LcJredlev..+ ?1u4. Luce Oswera, OR- 9107 Phone: 5O3-62't-0100 Fax: So7-62-10/10 E-mail: LriezeeJ poiAtervinIfer-,ctdr.` Service organization: Ala Address: p�e. Phone: .-•/e. Fax: E-mail:n/o_ hlcv Testing organization: ,,,,is, Address: $.44N Phone: frkk Fax: at .L E-mail: KICk Effective date for test and inspection contract: Monitoring organization: n/cam Address: hJe\ Phone: .v./at. Fax: v JA E-mail: _ ra. Account number: K'0. Phone line 1: n,l . Phone line 2: yvCt Means of transmission: /ems rf Entity to which alarms are retransmitted: h/c. Phone: PIAA, 3. DOCUMENTATION On-site location of the required record documents and site-specific software: n/cN 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: ❑New system Modification to existing system Permit number: NFPA 72 edition: 2_0(3 4.1 Control Unit Manufacturer: SfI e. Mty t:I Model number: .SS 20 XL 4.2 Software and Firmware Firmware revision number: 4.3 Alarm Verification kr This system does not incorporate alarm verification. Number of devices subject to alarm verification: 04— Alarm verification set for kt f: _ seconds Copyright®2012 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. (p 1 of 3) SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: i/OA Control panel amps: i'`)A. Overcurrent protection: Type: +v-trok Amps: H rct Branch circuit disconnecting means location: e./N" Number: i^Jcl. 5.1.2 Secondary Power Type of secondary power: h/... Location,if remote from the plant: hlot Calculated capacity of secondary power to drive the system: In standby mode(hours): ✓-A. In alarm mode(minutes): dick, 5.2 Control Unit ❑ This system does not have power extender panels ❑ Power extender panels are listed on supplementary sheet A 6. CIRCUITS AND PATHWAYS Pathway Type Dual Media Pathway Separate Pathway Class Survivability Level Signaling Line Device Power Initiating Device Notification Appliance / B Other(specify): 7. REMOTE ANNUNCIATORS "icA Type Location 8. INITIATING DEVICES ''`lam, Addressable or Type Quantity Conventional Alarm or Supervisory Sensing Technology Manual Pull Stations Smoke Detectors Duct Smoke Detectors Heat Detectors Gas Detectors Waterflow Switches Tamper Switches Copynght 0 2012 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. (p. 2 of 3) ti SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type Quantity Description Audible ,x'. Visible / � t4M �rtser S Combination Audible and Visible Scfe,.� Sa6..3c-/ P2 _. 10. SYSTEM CONTROL FUNCTIONS vtrq Type Quantity Hold-Open Door Releasing Devices HVAC Shutdown Fire/Smoke Dampers Door Unlocking Elevator Recall Elevator Shunt Trip 11. INTERCONNECTED SYSTEMS This system does not have interconnected systems. ❑ Interconnected systems are listed on supplementary sheet 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This syste as speecfii ct d herein has been installed according to all NFPA standards cited herein. Signed: C Jrlw�./� t{e�,.�(, Printed name: rei'►'+%a.L, rft.,L , Date: 7/7/04 Organization: PcjrD frloy,rtr Cco,+ ir�Title: 1h,5'rc✓IPr- Phone: S113.6Z O(oc) 12.2 System Operational Test This system as specifie herein h tested according to all NFPA standards cited herein. Signed: Printed name: �rr,�.,..� T�c Date: 78/4 Organization: fre7,41 /V1a,rf;,- ��� .r�td,%Title: /it9JJec Phone: $.41723-C 1,7-0/0C> 12.3 Acceptance Test Date and time of acceptance test: �Ict/l/, $.CV ate.. Installing contractor representative: la tern ,�eac( �•�ic? Mc t11, Testing contractor representative: kJt Lsx Property representative: cl, DDiy, Cc-2 I l AHJ representative: Cbif, w! L J.� cal 77,ora1 Copyright®2012 National Fire Protection Association.This form may be copied for individual use other than for resale It may not be copied for commercial sale or distribution. p 3 of ■ In M 2 O 01 m K L" .o S 0000 1 <ou,,,N J—0'0(O 1M2 M O O M coDaLn., 41116 Ilk IA 14 D ke D OFFICE N C OFFICE OFFICE OFFICE u '\ u II I ❑ I�=3- N ,-, NO CV CV I rn AO CD N N . 0� ±.*" .=_--1 0 I-- WORK SPACE 75 CD • r D > 15 CD ©N--S ---- 14/2C gee r� ��jl . : %%j i1� O 4. RECEPTION/ i ark ;. :7,. La Q CL BREAK STOR. WAITING r Q1 _ CC Q N W cn r� I ~ Q CL Oa . EXISTING O SCHEME C •Lr 3RD FLOOR 5 gq 5 xi_ p L1- of I„,,114.,a„, 1/0 5 Rv./rd Dote Salk SUITE 325 CARTER COUNSELING MAY 1, 2014 1/8" = 1'-0" O.0 REV. / °All 0 05/08/14 CRAM BY — SMB CHECKED BY UGH FH NME FA.dwg WASIK FA- 2 /OC OWES NI 4f: SHEET 2 OF 2 L M SCOPE OF WORK SITE FIRE EQUIPMENT SYMBOL LIST J cc , co SYMBOL DESCRIPTION PART /' ROUGH-IN / NOTE MOUNTING HEIGHT 0 MODIFY EXISTING ADDRESSABLE CENTRAL STATION FlRE ALARM SYSTEM TO - --' 8 00 5 1 I FACP FIRE ALARM CONTROL PANEL EXISTING EXISTING EXISTING w n INCLUDE ADDITIONAL HORN/STROBES, AND STROBES IN TI AREA. Y 0 CA CV HORN STROBE - RED 80` MIN TO LENS BOTTOM AFF a 0 SW OAK STREET SYSTEM SENSOR M-W o o (NAC AND CANDELA NOTED AT DEVICE) P2R SINGLE GANG VERTICAL 96' MAX TO TOP OF LENS AFF No-Y o 0 6' MIN TOP OF LENS TO CEILING r N GENERAL NOTES y� STROBE —RED SYSTEM SENSOR 80' MIN TO LENS BOTTOM AFF Li L h (NAG AND CANDELA NOTED AT DEVICE) SR SINGLE GANG VERTICAL 96' MAX TO TOP OF LENS AFF z 6' MIN TOP OF LENS TO CEILING �g OLI 1. THE FIRE ALARM SYSTEM SHALL BE INSTALLED IN ACCORDANCE WITH NFPA ■ Q 1k 72 AND NFPA 70, ARTICLE 760, POWER LIMITED SYSTEMS. . 2. FIRE ALARM WIRE INSTALLED IN VERTICAL RUNS AND PENETRATING MORE = m THAN ONE FLOOR SHALL BE RISER RATED. Ilk 3. FIRE ALARM WIRE RUN IN DUCTS OR PLENUMS SHALL BE PLENUM RATED. 4. ONLY SYSTEM WIRING CAN BE RUN IN THE SAME CONDUIT. f) i ` Q 5. A SYSTEM GROUND MUST BE PROVIDED FOR EARTH DETECTION AND °' DETECTOR SCHEDULE MODULE SCHEDULE 1 le I LIGHTNING PROTECTION DEVICES. 111111E ,II11111 6. DEDICATED BRANCH CIRCUIT(S) AND CONNECTIONS SHALL BE MECHANICALLY I CO NO CHANGES NO CHANGES PROTECTED. 7. CIRCUIT DISCONNECT MEANS SHALL HAVE A RED MARKING, IDENTIFIED AS 'llllll 1111111 'FIRE ALARM CIRCUIT'. 8. AUDIBLE ALARMS SHALL CONFORM TO SECTION 18.4.3 PUBLIC MODE (NFPA 72). 9. CENTRAL STATION MONITORING SHALL BE DOCUMENTED UPON COMPLETION OF THE PROJECT IN ACCORDANCE WITH SECTION 26.6.3 (NFPA 72). 10. A RECORD OF COMPLETION SHALL BE PROVIDED TO THE FIELD INSPECTOR BATTERY CALCULATIONS AT THE ACCEPTANCE TEST INSPECTION IN ACCORDANCE WITH SECTION 14.6.2.4 (NFPA 72). DOCUMENT ON AS-BUILT DRAWINGS FIRE ALARM RISER DIAGRAM N NO CHANGES r a) CD z c w NOTIFICATION CIRCUIT SCHEDULE W VOLTAGE DROP CALCULATIONS 7 < cn DOCUMENT ON AS-BUILT DRAWINGS i- O U w LJJ Q CC _1 III Q I— FIRE ALARM OPERATIONAL MATRIX cL o I ' I Q CC NO CHANGES U (n Li- 0 0 Co a) „,--),f):((, IA 1(tir4 . DWG REV. / DATE 0 05/08/14 DRAWN BY: SMB CHECKED BY: MGH FILE NAME FA.dwg DRAWING R FA- 1 /OF DINGS IN SET: SHEET 1 OF 2 -i