Report (62) NFPA-72 Fire Alarm System Record of Completion
Date: 4/15/2019
City of Tigard Information: Permit No. FPS2019-00005
Name of protected property: COMPASS ONCOLOGY TENANT IMPROVEMENT @ TIGARD CORPORATE CENTER BUILDING A
Address of protected property: 12123 SW 69TH AVENUE TIGARD, OR
Representative of protected property(name/phone):
Authority having jurisdiction: City of Tigard, Building Services
Address/telephone number: 13125 SW Hall Blvd. Tigard, OR 97223 (503)639-4171
1. Type(s)of System or Service
NFPA 72, Chapter 3--Local
If alarm is transmitted to locations(s)off premises, list where received:
NFPA 72, Chapter 3--Emergency Voice/Alarm Service
Quantity of voice/alarm channels: Single: Multiple:
Quantity of speakers installed: Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system:
NFPA 72, Chapter 5--Auxiliary
IndicatetYP a of connection:
Local energy Shunt Parallel telephone
Location of telephone number for receipt of signals:
NFPA 72,
Alarm:
Supervisory:
NFPA 72, Chapter 5--Proprietary
If alarms are retransmitted to public fire service communications centers or others, indicate location and
telephone numbers of the organization receiving alarm:
Indicate how alarm is retransmitted:
NFPA 72, Chapter 5--Remote Station
Prime contractor:
Central station location:
Means of transmission of signals from the protected premises to the central station:
McCulloh Multiplex One-way radio
X Digital alarm communicator Two-way radio Others
Means of transmission of alarms to the public fire service communications center:
(a)
(b)
System location:
Organization name/phone Representative name/Phone
Installer Capitol Electric Co. Inc. Shane Tercek 503 255-9488
Supplier Capitol Electric Co. Inc. Shane Tercek 503 255-9488
Service organization Capitol Electric Co. Inc. Shane Tercek 503 255-9488
Location of record(as-built)drawings: Document box
Location of owners manuals:
Location of test reports:
A contract, dated ,for test and inspection in accordance with NFPA standard(s)
No(s). , dated
is in effect.
2. Record of System Installation Building A Only
(Fill out after installations 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 Albert Jamito on 04/15/19 , included the devices shown below, and has been in service
since 04/15/19 .
x NFPA 72 (2010), Chapters 10 12 14 17 18 21 23 (underline all that apply)
x NFPA 70 (2011), National Electrical Code,Article 760
x Manufacturer's instructions
Other(specify):
Signed: Albert Jamito Date: 4/15/2019
Organization: Capitol Electric Company, Inc.
3. Record of System Operation Building A Only
All operational features and functions of this system were tested by Albert Jamito on 04/15/19
and found to be operating properly in accordance with the requirements of:
x NFPA 72(2010), Chapters 10 12 14 17 18 21 23 (underline all that apply)
x NFPA 70(2011), National Electrical Code,Article 760
x Manufacturer's instructions
Other(specify):
Signed: Albert Jamito Date: 4/15/2019
Organization: Capitol Electric Company, Inc.
4. Alarm-Initiating Devices and Circuits Building A Only
Quantity and class of initiating device circuits(see NFPA 72, Table 3-5) Quantity: Style: Class:
MANUAL
(a) 1 Manual stations 1 Noncoded, activating Transmitters Coded
(b) Combination manual fire alarm and guard's tour coded stations.
AUTOMATIC
Coverage: Complete: Partial:
(a) 5 Smoke detectors Ion 5 Photo
(b) 0 Duct detectors Ion Photo
(c) 0 Heat detectors FT RR FT/RR RC
(d) Sprinkler waterflow switches: Transmitters Noncoded, activating
(e) Other(list):
5. Supervisory Signal-Initiating Devices and Circuits Building A Only
HVAC
(a) 4 Duct detectors Ion 4 Photo
SPRINKLER SYSTEM
(a) Non coded valve supervisory switch at sprinkler riser
(b) Non coded valve supervisory switch at sprinkler vault
(c) Non coded supervisory air pressure switch at sprinkler riser
(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
(I) Control panel trouble
(m) Transfer switches
(n) Engine running
Other supervisory functions(s)(specify):
6. Alarm Notification Appliances and Circuits Building A Only
Quantity and class(see NFPA 72, Table 3-7)of notification appliance circuits connected to the system:
Types and quantities of notification appliances installed: Quantity: 133 Style Y Class: B
(a) Bells Inch
(b) Speakers
(c) Horns
(d) Chimes
(e) Other:
(f) 133 Visual signals Type: ADA SYNCHRONIZED
28 with audible 105 w/o audible
(g) Local annunciator
7. Signaling Line Circuits Building A Only
Quantity and class (see NFPA 72, Table 3-6)of signaling line circuits connected to system:
Quantity: Style: Class:
8. System Power Supplies (Fire Alarm Control Panel NAC 1.0)
(a) Primary(main): FACP Nominal voltage: 120 VAC Current rating: 2.5 Amps
Overcurrent protection: Type: Circuit Breaker Current rating: 20 Amps
Location: FLOOR 1 RECEPTION
(b) Secondary(standby):
X Storage battery: Amp-hour rating: 12 Ah @ 24 VDC
Calculated capacity to drive system, in hours: 5.791 Ah 24 60
System Power Supplies (Notification Power Supply NAC 2.1)
(a)Primary(main): NAC 2.1 Nominal voltage: 120 VAC Current rating: 2.5 Amps
Overcurrent protection: Type: Circuit Breaker Current rating: 20 Amps
Location: FLOOR 2 ELECTRIC ROOM
(b) Secondary(standby):
X Storage battery: Amp-hour rating: 7 Ah @ 24 VDC
Calculated capacity to drive system, in hours: 2.711 Ah 24 60
System Power Supplies (Notification Panel NAC 2.2)
(a)Primary(main): NAC 2.2 Nominal voltage: 120 VAC Current rating: 2.5 Amps
Overcurrent protection: Type: Circuit Breaker Current rating: 20 Amps
Location: FLOOR 2 ELECTRIC ROOM
(b) Secondary(standby):
X Storage battery: Amp-hour rating: 7 Ah @ 24 VDC
Calculated capacity to drive system, in hours: 2.739 Ah 24 60
(c) Emergency or standby system used as backup to primary power supply, instead of using a secondary power supply:
Emergency system described in NFPA 70,Article 700
Legally required standby system 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
9. System Software
(a) Operating system software revision level(s): N/A
(b) Application software revision level(s):
(c) Revision completed by: N/A
(name) (firm)
10. Comments:
Shane Tercek Capitol Electric Co., FLS Supervisor
(signed)for central station or alarm service company or installation contractor/supplier (title)
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standard(s):
This record of completion applies to Building A Only
Devices installed conform to NFPA standards.
System deviations from the referenced NFPA standard(s)are: NONE
Shane Tercek Capitol Electric Co. FLS Supervisor
(signed)for central station or alarm service company or installation contractor/supplier (title)
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)
• • .