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Report (34) f rSZ,.c> t3 - (5o t 66 Fire Alarm System S. '-‘-A-‘) \V� Record of Completion Name of property protected: WESTSIDE CHRISTIAN SCHOOL Address: 8200 SW PFAFFLE STREET TIGARD OREGON 97223 Representative of protected property(name/phone): Authority having jurisdiction: TIGARD OREGON Address/telephone number: Organization name/phone Representative name/phone Installer: OREGON ELECTRIC RT KIND 503-969-3283 Supplier: Johnson Controls RON BELL 503-209-2951 Service Organization: Location of record(as-built)drawings: MAINTAINCE Location of operation and maintenance manuals: MAINTAINCE Location of test reports: A contract for test and inspection in accordance with NFPA standard(s) Contract No(s): Effective date: Expiration date: System Software (a) Operating system(executive software revision level(s): VERSION 18 (b) Site-specific software revision date: 11-12-13 (c) Revision completed by: RON BELL JOHNSON CONTROLS (name) (firm) 1.Type(s)of System or Service XX NFPA 72,Chapter 6—Local If alarm is transmitted to location(s)off premises, list where received: FIRST RESPONSE NFPA 72,Chapter 8—Central Station Prime contractor: CENTRAL STATION Central station location: ESTACADA OREGON Means of transmission of signals from the protected premises to the central station: Digital alarm communicator Two-way radio XX Others Means of transmission of alarms to the public fire service communications center: (a) PUBLIC TELEPHONE (b) System location: MAIN ELECTRICAL ROOM 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 NFPA standards as shown below,was inspected by Ron Bell on 11-12-13 , includes the devices shown in 5 and 6,and has been in service since X NFPA 72,Chapters 1 2 3 4 5 6 7 8 9 10 11 (circle all that apply) X NFPA 70,National Electrical Code,Article 760 X Manufacturer's instructions Other(specify): Signed: fir' -r•L... Q Q Q Date: 11-12-13 Organization: Johnson Controls Fire Alarm System Record of Completion(based on NFPA 72-2002) NFPA 72,1 of 3 westside new completion-nfpa72 11-12-13.doc 11/15/2013 9:02:00 PM R.L.Suckow`s Reprinted with permission from NFPA 72-2002,National Fire Alarm Code®, Copyright©2002,National Fire Protection Association,Quincy,MA,02269 • 3. Record of System Operation Documentation in accordance with Inspection Testing Form,Figure 10.6.2.3, is attached WALK TEST PRINTOUT All operational features and functions of this system were tested by RON BELL date 11-12-13 And found to be operating properly in accordance with the requirements of: X NFPA 72,Chapters 1 2 3 4 5 6 7 8 9 10 11 (circle all that apply) X NFPA 70,National Electrical Code,Article 760 X Manufacturer's instructions Other(specify): Signed: L" Q Date: 11-12-13 Organization: Johnson Controls 4.Signaling Line Circuits Quantity and class of signaling line circuits connected to system(see NFPA 72,Table 6.6.1): Quantity: 1 Style: 4 Class: B 5.Alarm-Initiating Devices and Circuits Quantity and class of initiating device circuits(see NFPA 72,Table 6.5): Quantity: Style: Class: MANUAL (a) Manual stations: Non-coded Transmitters Coded Addressable 1 (b) Combination manual fire alarm and guard's tour coded stations AUTOMATIC Coverage: Complete Partial Selective XX Nonrequired (a)Smoke detectors Ion Photo 1 Addressable 1 (b)Duct detectors Ion Photo 6 Addressable 6 (c)Heat detectors FT RR FT/RR RC Addressable (d)Sprinkler waterflow indicators: Transmitters Noncoded Coded Addressable 1 (e)The alarm verification feature is disabled XX or enabled ,changed from seconds to seconds. (f)Other(list): 6.Supervisory Signal-Initiating Devices and Circuits(use blanks to indicate quantity of devices) SPRINKLER SYSTEM Check if provided (a) 1 Valve supervisory switches (b) Building temperature points (c) Site water temperature points (d) Site water supply level points 7.Annunciator(s) Number: 1 Type: LCD Location: MAIN ENTRANCE HALL BY OFFICE 8.Alarm Notification Appliances and Circuits NFPA 72, Chapter 6—Emergency Voice/Alarm Service Quantity of voice/alarm channels: Single: Multiple: Quantity of speakers installed: Quantity of speaker zones: Types and quantities of notification appliance circuits connected to system(see NFPA 72,Table 6.7): Quantity: 12 Style: Y Class: B (a)Bells With Visible (b)Speakers With Visible (c)Horns 50 With Visible 50 (d)Chimes With Visible (e)Others With Visible (f)Visible appliances without audible 15 Fire Alarm System Record of Completion(based on NFPA 72-2002) NFPA 72,2 of 3 westside new completion-nfpa72 11-12-13.doc 11/15/2013 9:02:00 PM R.L.Suckow Reprinted with permission from NFPA 72-2002,National Fire Alarm Code®, Copyright 0 2002,National Fire Protection Association,Quincy,MA,02289 9.System Power Supplies (a) Fire Alarm Control Panel: Nominal voltage: 24VDC Current rating: 5 Overcurrent protection: Type: Current rating: Location BREAKER LOCATED IN PANEL BESIDE MAIN FIRE PANEL (b) Secondary(standby: Storage battery: MAIN PANEL Amp-hour rating: 18ah Storage battery: Amp-hour rating: Storage battery: Amp-hour rating: Calculated capacity to drive system,in hours: 24+ 10.Comments Frequency of routine tests and inspections,if other than in accordance with the referenced NFPA standard(s): UNKNOWN System deviations from the referenced NFPA standard(s)are: NONE Q� 2_ 3Q 9 Q LEAD SYSTEM SPECIALIST 11-12-13 (signed)for installation contractor/supplier (title) (date) LEAD SYSTEM SPECIALIST 11-12-13 (signed)for alarm service company (title) (date) (signed)central station (title) (date) Upon completion of the system(s)satisfactory test(s)witnessed(if required by the authority having jurisdiction): (signed)representative of the authority having jurisdiction (title) (date) Fire Alarm System Record of Completion(based on NFPA 72-2002) NFPA 72,3 of 3 westside new completion-nfpa72 11-12-13.doc 11/15/2013 9:02:00 PM R.L.Suckow Reprinted with permission from NEPA 72-2002,National Fire Alarm Code®, Copyright©2002,National Fire Protection Association,Quincy,MA,02269