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Report fi � 2 07,gs() 390375 NATIONAL FIRE ALARM CODE STANLEY , INSPECTION AND TESTING FORM Security Solutions NFP Stanley Integrated Security Solutions Date: S 5 est Group# 390375 Time: Q SERVICE ORGANIZATION PROPERTY NAME [OCCUPANT] Name: Stanley Integrated Security Solutions Name: Pactrust TTC 082 Address: 381C ZE Rc•d Milwaukie,Or 97267 Address: 12909 SW 68th Parkway Representative: Allan Goger Owner Contact: License No.: Electrical Contractor:37-1054CLE Telephone: Telephone: 503-387-2900 CCB#161567 MONITORING ENTITY APPROVING AGENCY Contact: Protection-Net Center[PNC,STANLEY] Contact: Telephone: 800-325-9115 Telephone: Monitoring Account Ref.No.: 1117962189 TYPE TRANSMISSION SERVICE Digital ❑Weekly ❑Radio Frequency ❑Monthly ❑Cellular ❑Bi-Monthly[60 days] ❑Reverse Polarity ❑McCulloh ❑Multiplex El Quarterly Other[Specify]: ❑Semiannue!!y ❑Annually ❑Other[Specify] CONTROL UNIT Manufacturer: Silent Knight Model No.: SK5808 Circuit Class: B Number of Circuits: Software Revision: Last Date System had any service performed: Last Date that any Software or Configuration was revised: ALARM INITIATING DEVICES AND CIRCUIT INFORMATION Quantity of Quantity of Devices Installed Circuit Class Devices Tested 1 B 1 Manual Fire Alarm Boxes Ion Detectors 29 B Photo Detectors 12 B Duct Detectors _ Heat Detectors 4 B 4 Waterflow Switches 4 B 4 Supervisory Switches Other[Specify] Alarm verification feature is: ❑enabled ❑disabled Snot implemented NFPA 72 [p.1 of 4] 390375 ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION Quantity of Quantity of Devices Installed Circuit Class Devices Tested Horn/Strobe combination units Horns Strobes Chimes Bells Speakers Other[Specify] Number of alarm notification appliance circuits: Are circuits monitored for integrity? DYes No SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUIT INFORMATION Quantity of Quantity of Devices Installed Circuit Class Devices Tested N/A Building Temperature N/A Site Water Temperature N/A Site Water Level N/A Fire Pump Power N/A Fire Pump Running N/A Fire Pump in Auto position N/A Fire Pump or Pump Controller Trouble N/A Generator In Auto position N/A Generator or Controller Trouble N/A Generator Engine Run N/A Transfer Switch Actuation Other: SIGNALING LINE CIRCUITS Signaling line circuits connected to system (see NFPA 72, Table 6.6.1] Quantity 2 Class Digital Telco SYSTEM POWER SUPPLIES [a]Primary[Main]: Nominal Voltage: 120 VAC Amps 0.20 Overcurrent Protection,Type: BREAKER Amps 20 Location[of Primary Supply Panelboard] Electric room 1st floor ,' Disconnecting Means Location: Panel L1 CB#8 4 [b]Secondary Power[Standby]: 12VDC, NOMINAL Storage Battery: Amp-Hr.Rating 7.5 Calculated capacity [in Amp/hours]to operate system 24 hours Standby Current: ❑Engine-driven generator dedicated to Fire Alarm System Location of fuel storage: BATTERY TYPE: ESealed Lead-Acid ❑Lead-Acid Wet Cell ❑Nickel-Cadmium ❑Dry Cell ❑Other[Specify]: [c] Emergency or Standby system used as a backup to Primary power supply,instead of using a Secondary power supply: Emergency system described in NFPA 70,Article 700 Legally required standby described in NFPA 70,Article 701 Optional standby system described in NFPA 70,Article 702, which also meets the performance requirements of Article 700 or 701. NFPA 72 [p.2 of 4] • M r 390375 PRIOR TO ANY TESTING NOTIFICATIONS ARE MADE Yes No Who: When: Monitoring Entity p ❑ PNC,STANLEY[through IVR interface] Building Occupants p ❑ Building Management ❑ ❑ Other[Specify] ❑ ❑ AHJ Notified of any Impairments ❑ ❑ SYSTEM TESTS AND INSPECTIONS TYPE Visual Functional Comments Control Unit p p Interface Equipment ❑ ❑ Lamps/LED's ❑ ❑ Fuses ❑ ❑ Primary Power Supply Q p Trouble Signals Q p Disconnect Switches ❑ ❑ Ground-fault Monitoring ❑ ❑ SECONDARY POWER Visual Functional Comments Battery Condition 0 Load Voltage ❑ Discharge Test ❑ ❑ Charger Test ❑ Specific Gravity [wet cells only] ❑ TRANSIENT VOLTAGE SUPPRESSORS REMOTE ANNUNCIATORS Q p NOTIFICATION APPLIANCES Audible ❑ ❑ Visible ❑ ❑ Speakers ❑ ❑ Voice Clarity ❑ INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS Visual Functional Measured Location and S/N Device Type Check Test Factory Setting Setting Pass Fail W/F 0 2 E ❑ Valves p p LI ❑ MPS Q ❑ Smoke Det LI ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Comments: NFPA 72 [p.3 of 4] • A 390375 EMERGENCY COMMUNICATIONS EQUIPMENT Visual Functional Comments Phone Set ❑ ❑ Phone Jacks 0 0 Off-hook Indicator ❑ ❑ Amplifier[s] ❑ ❑ Tone Generator[s] ❑ ❑ Call-in Signal ❑ ❑ System Performance ❑ ❑ COMBINATION SYSTEMS Device Simulated Visual Operation Operation Fire Extinguisher Monitoring Device/System ❑ ❑ ❑ Carbon Monoxide Detector/System ❑ ❑ ❑ [Specify] N/A ❑ 0 ❑ INTERFACE EQUIPMENT [Specify] N/A ❑ ❑ ❑ [Specify] ❑ ❑ ❑ [Specify] ❑ ❑ ❑ SPECIAL HAZARD SYSTEMS [Specify] N/A ❑ ❑ ❑ [Specify] ❑ ❑ ❑ [Specify] ❑ ❑ ❑ Special Procedures: Comments: SUPERVISING STATION MONITORING Yes No Time Comments Alarm Signal El ❑ Alarm Restoration El ❑ Trouble Signal 0 ❑ Supervisory Signal 0 ❑ Supervisory Signal Restore 0 ❑ NOTIFICATIONS: TESTING IS COMPLETE Yes No Who When Building Management 0 ❑ Monitoring Agency El ❑ PNC,Stanley[thru IVR interface] Building Occupants ❑ ❑ Other[Specify] ❑ ❑ The following did not operate correctly: s System restored to normal operation: Date;�,7 f c 4 L Time: it) ;Or- THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFP ST NDARDS. Name ofIns,-ct. • e.;�,■.er I • Date: Time: Signature: _ ? 1 7 �� \ I\._ _ Name of Own- •presentative: Date: Time: Signature: ug2007 Edition NF © 2007 National Fire Protection Association NFPA 72 [p.4 of 4]