Report Fps a-o/ei-oo / $a
RECEIVED
NFPA 72 (2005 Edition)
DEC 2 2 2014
Record of Completion CITY OF TIGARD
BUILDING DIVISION
Name of Protected Property: Sumner College Date 12-21-2014
Address: 15115 SW Sequoia PKWY suite 200,TIGARD,OREGON 97220
Owner's Representative(name/phone):
Authority Having Jurisdiction: CITY OF TIGARD.
Address/Phone Number:
1. NFPA 72,Chapter 4-3 Proprietary Supervising Station System
If Alarms are transmitted to a public fire service communications center or others,indicate location
and telephone number of the organization receiving alarm:
Indicate how alarm is transmitted:
The Prime Contractor:
Proprietary Station Location:
Means of transmission of signals from the protected premises to the proprietary station:
X Digital Alarm Communicator Other
Organization Name/Phone Representative Name/Phone
Installer: BRAD GORDON 503-590-3732
Alarm Service Company FIRE PROTECTION SERVICES INC.
Location of Record(As-Built)Drawings:
ELECTRICAL ROOM
Location of Owners Manuals:
ELECTRICAL ROOM
Location of Test Reports:
SAME
A contract,dated _,for test and inspection in accordance with NFPA standard(s)
No(s) ,dated / / ,is in effect.
2. Record of System Installation
(Fill out after installation is complete and wiring checked for opens,shorts,ground faults,and
improper branching,but prior to conducting operational acceptance tests.)
This system has been installed in accordance with the NFPA standards as shown below,was inspected
by BRAD GORDON
NFPA 72,Chapters 1 3 4 5 6 7 (circle all that apply)
NFPA 70,National Electrical Code,Article 760
Manufacturer's Instructions
Other(specify):
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3. Record of System Operation
All operational features and functions of this system were tested by and found to be operating properly
in accordance with the requirements of:
X NFPA 72,Chapters 1 3 4 5 6 7 (circle all that apply)
X NFPA 70,National Electrical Code,Article 760
X Manufacturer's Instructions
Other(specify):
Signed:
Organization:FIRE PROTECTION SERVICES INC.
4. Alarm-Initiating Devices and Circuits(use blanks to indicate quantity of devices)
MANUAL
Manual Stations Noncoded,Activating Transmitters Coded
AUTOMATIC
Coverage: Complete: Partial: _XXXX
(a) _8_ Smoke Detectors Ion _8 Photo
(b) Duct Detectors Ion Photo
(c) _ _Heat Detectors FT RR FT/FF RC
(d) Sprinkler Water flow Switches: Transmitters Noncoded,Activating
Coded
(e) Other(list):
5. Supervisory Signal-Initiating Devices and Circuits(use blanks to indicate quantity of devices)
SPRINKLER SYSTEM
(a) Coded Valve Supervisory Signaling Attachments
Valve Supervisory Switches,Activating Transmitters
(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:
(k) Selector in Auto Position
(1) Control Panel Trouble
(m) Transfer Switches
(n) Engine Running
Other Supervisory Functions(s)(specify): N/A
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•
6. Alarm Notification Appliances and Circuits
Quantity of indicating appliance circuits connected to the system:
Types and quantities of alarm indicating appliances installed:
(a) Bells Inch diameter
(b) Speakers
(c) _ Horns
(d) Chimes
(e) Other:
(f) _25_Visual Signals Type:
6_with audible 19 w/o audible
(g) Local Annunciator
7. Signaling Line Circuits
Quantity and Style(see NFPA 72,Table 3-6)of signaling line circuits connected to system:
Quantity: Style:
8. System Power Supplies
(a) Primary(Main): Nominal Voltage: 120V Current Rating:
Overcurrent Protection:Type: Current Rating:
Location: ELECTRICAL ROOM
(b) Secondary(Standby):
_2 Storage Battery: Amp-Hour Rating 12 V 7.0AH
Calculated capacity to drive system,in hours: 5MIN (24) (60)
_ Engine-driven generator dedicated to fire alarm system:
Location of fuel storage:
(c) Emergency or Standby System used as backup to Primary Power Supply,instead of using a
Secondary Power Supply:
X Emergency System described in NFPA 70,Article 700
X Legally Required Standby System described in NFPA 70,Article 701
X_ Optional Standby System described in NFPA 70,Article 702,which also meets the
performance requirements of Article 700 or 701
9. System Software
(a) Operating System Software Revision Level(s): 9.0
(b) Application Software Revision Level(s): 9.0
(c Revision Completed by: BRAD GORDON FIRE PROTECTION SERVICES INC.
(name) (firm)
INSTALLATION SUPERVISOR
(signed) (title)
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: NONE
Upon completion of the system(s)satisfactory test(s)witnessed by the authority having jurisdiction:
(signed)representative of the Authority Having Jurisdiction (title) (date)
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