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Report (42)
• nr7Sz 11-/- ©a°Z NFPA 72 (2010 Edition) Record of Completion Name of Protected Property: LoanStar Home Loans Date 2-21-2014 Address: 9020 SW Washington Square Rd.Suite 250 Tigard Oregon 97223 Owner's Representative(name/phone): Authority Having Jurisdiction: City Of Beaverton 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: DACT The Prime Contractor: CENTRAL STATION MONITORING Proprietary Station Location: ESTACADA OR.503-630-2896 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: RISER ROOM Location of Owners Manuals: RISER 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 Ron Thom 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): 1 02/21/14 3. Record of System Operation All operational features and functions of this system were tested by on 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): Organization:FIRE PROTECTION SERVICES INC. 4. Alarm-Initiating Devices and Circuits(use blanks to indicate quantity of devices) MANUAL Manual Stations Noncoded,Activating Transmitters _3_Coded AUTOMATIC Coverage:Complete: _ Partial: _XXXXX (a) Smoke Detectors Ion _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 2 02/21/14 1 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) _72 Horns (d) Chimes (e) Other: (f) 7 Visual Signals Type: _7_with audible 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: 2 Style: CLASS B 8. System Power Supplies (a) Primary(Main): Nominal Voltage: 120V Current Rating: Overcurrent Protection:Type: Current Rating: Location: RISER 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): 10.0 (b) Application Software Revision Level(s): 10.0 Revision Completed BRAD GORDON FIRE PROTECTION SERVICES INC. S---: (tee) ( ) / 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 U. ompletio I . I.e syst-1 (s)satisfactory test(s)witnessed by the authority havin.:urisdic 'on: 2 Z Iirl ed)re =p.tative o the Authority Having Jurisdiction (title) date) 3 02/21/14