Report 6.2 Fire Pump
type o1 fire pump. t_ rdet.iUC U Diesel
Type of fire pump supervisory devices: 0 Addressable 0 Conventional 0 Coded0
Transmitter F'!N/A
Fire
Pump Functions Supervised
t__t Fire pump power 0 Fire pump Panning 0 Fire pump phase SCiCIsal 0 Selector switch
not in auto
❑Engine or control panel trouble 0 Low fuel
Other:
6.3 Engine-Driven Generator
Type of generator su)'I:dSf.'! irLCGs: 0 Addressable
le 0
Conventional 0 Coded 0 Transmitter E N/A
❑Engine or control panel trouble 0 Generator running 0 Selector switch not in auto 0 Low fuel
Other:
7. Annunciators
1.1 Annunciator 1 0 Local 0 Remote
Tom..,._ Addressable I"7 Directoryi31 Graphic SI NIA Location:
1.
7.2 Annunciator L u Local u Remote
Type:LE Addressable ri v-CCtw-y. Lri-Graphic 12 NIA Location:J\ tili:
%.J Annunciator J Li u
`y�j Local �:CCtliotC
Type:j ruul c.sabie 0 Directory 0 Graphic . N/A
Location:VC1LAol:
8. Alarm Notification Devices and Circuits
8.1 Emergency Voice
Alarm Service rvicE
Number of single voice alarm channels: Number_.Litslv�'r tyf multiple voice alarm eivanncis:
Number of speakers:_akers: Nultlnt
lY ber of speaker zones:
8.2 Telephone Jacks
Number of telephone jacks installed: lv tUlli ICI ii tele til/i1C handsets stored..
l,
1' � n site:
Type of telephone system installed: 0 Electrically powered 0 Sound
oLlcpowet=j 0 N/A.
8.3 Nouvoice Audible System
Characteristics.of notification device circuit:'connected to this-s'y'stem(-see Vrin3 :72 ,11101e 6.5):
!l......t:t...
�Llallla l_y. 1 Style: r`1 B
8.4 Types and Quantities of! onvoice Notification Appliances Installed
T__a_11_
P ls: With visual l -0
vtJii(!S
ittv2Cc.• Ti7sl iial.. tI7ltli visual ii.`.vi:e•
Chimes: With 'isual.1. :..G. Dells: Iitl. i 1i_."'
With visual Ul4c:
Visual devices' IU11L audible devices: 9 Other !
t_lcr is�e aert_il�et:
Copyright O 2009 National Fre Protection Association.This form may be copied for wividual use other than for resale.It may not be oopied for commercial sale or distribution.
9. Emergency Control Functions Activated
fl Hold-open door releasing devices0 Smoke management
T_.___._ l
rt.atta`Gll1GLt or smoke control
D ' 1"1 ' '
..:oo ut ocl=ang u Elevator recall Mater
0.System Power Supp
10.1 Primary Power
Nominal voltage.
Amps:
JY.li4af_G<4_irri}Srit41!4.1. Type: A..,J._...
Location(of 1311<44a<y supply !ai<cIL Urn Ul.
V FJ:xJFF,pa a.ttti��aii=.1 S l:latSVri;
10.2 Secondary P-we
Location: In NAC Panel Type: batteries Nominal voltage:
24 Current rating:. 2.4 A
Number of batter] 2
standby t=at4•-.4Jc� Amp hour_..,:�...
1atFF41c, 6.2 ah
Location of emergency generator:
Location ation, r fuela storage:
Calculated capacity of secondary power to drive fue system
in standby'mode: 0.08 A Tr,alarm
ml)d4=. 2.4 A
=1.RecoI�1 t Syste... I. tallati
I. 911 System ICl d: 1I 1-36m:ICiIO1I
Fill out after all installation is complete and wiring has been checked for opens,shorts,ground faults, and improper
branching, but before conducting operational acceptance tests.
The system has been installed in accordancestandards:(Note with the following NFPA SE3SndardJ. any or all that apply.)
'
l )
it?y itj-,Ar0G3u too
0 Manufacturer's published instructions
r�.:Other(please specify):
System deviations from referenced NFPA standards:
Printed name:
a T t;d
Dt=tC.
Organization:ion: Capitol Electricitle:
�`atm Phone:
12. Record of System Operation
All operational features and functions of this system were tested by or in the presence of the signer shown below,on the date
shown below,and were found to be operating properly in accordance with the requirements of:
\;F„ 72 Y'FFr.• 7e,Article too
El Manufacturer's published instructions 0
Other(please specify):
O Documentation10.6.2.3 f>.Fn.t 7®)
� in a::CG"ilc.i:e'',with Inspection and Testing Form(Figure Ut lily"�,•_ 1 is attached
Signed: /� � id
Prntename: David Bartlett
Date: 10/27/2016
Organization: SimplexGrinnell Title: System TechPanI ora: 50.,3_5$3-9000
Copyright 0 2009 Nationai Fire Protection Association.This form may be copied for individual use other than for resals it may rot be copied for commercial sale or distribution.
13.Certifications and Approvals
13.1 System Installation Contractor
This system as specified herein has been installed and tested according to all 1V rPH standards cited herein.
Signed: Printed name: Date:
l�al�.
DrganiLation: Capitol Electric Title:
Phony:
13.2 System Service Contractor
This system as specified herein has been installed and tested aucui ding to all l\:TP A standards cited herein.
Signed: ` Printed name: David Bartlett 1Q/ r
Date: 27,2016
Or anization: SirnplexGrinnell Title: System Tech Phone: 503._683-9000
13.3 Central Station
11115 system as specified herein ui..i._,c monitored according o all NPPtStaridar's cited 1
elenl.
Printed Siallle. 1/:i!C.
Organizatiuii: Title: �
Title: Phone:
13.4 Property representative
I accept this system as having
ivi_b ve"n installed and tested to its s SpCiifiic tie1J and all NITA standards
cited herein..
Signed: I:... name.
LIQ!C.
neneiliatli
- Title.
Phone:
1ti.5 a rr
�� t%uwuiur_
Authority avmg Jurisdiction
I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance
with its
approved plans and specifications,
pecificaaions,its approved sequence orr operations,and.nLuwl:lsrr-A standards cited herein.
.
Signed: Printed
name: Date:
Organization:t aton:iT_)l e:
- 11_lc. P_lvl__.w._�...
CopyrightI2;•G'National Fire Protection Association. .his form may be copied for indMclual use other than for resalett may not be copied for commercial sale or distribution.
if dart_ n,note the means f transmission f101the protected premises
C�to the central station:
oi:
0Digital alarm communicator 0 McCulloh
0 Multiplex 0 2-way radio J .
-«at radio 0'T`
NIA
if Chapter 9,note the
type of connection: D Local
energy 0 Shunt
0 N/A
3.1 System Software
Operating system(executive)software revision level:
Site-specific software revision date: Revision completedby:
4. Signaling Line Circuits
Characteristics Lr;i6tldiF;line_circuits C:itBC.CI L.this system(see NFPA 72't,
Table 6.6.1):
Quantity:
Style:
5. Alarm-vitiating Devices and Circuits
Cr" , r•_.—_—� _r_ i_ - J. i:"•_ `- -
xri,n - a.1t' ? r r_ �LtaructvriStirJ �J nuiuie��act �eCircll11 C:irteCteu to .issystem;; e;v.i� ;s , uule�. j_
g _ �..xd.•a.
5.1 Manual initiating 7y Devices
.t,i Manual Pull Stations Number of
manual pull stations:
Type of devices: rAddressable 0 Conventional
n
Coded 0 Transmitter
^15Fitte 0 N/A
5.2 Automatic initiating Devices
5,2.1 Area Smoke Detectors Numberof smoke detectors:
�IGtecl lJr"i.
Type of coverage: 9 Complete area 0 Partial area 0 WulirCqilLC:partial
area 0 N/A
Type of devices: 0 Adds essabli 0 Conventional 0 Coded G Transmitter 0 N/A
Type
)ie Lt smoke detector sensing technology: 0 ionization 0Photoelectric
G.2.2 Duct Smoke Detectors Number of duet smoke detectors:
Type j e llxf
LV Vct ctgc
'rvpe of d,--vices:
wls_;: rAddressable rj n ull_ vcluuna. Coded IL—_I
Tta".iitter IS?;A
Type of smoke detector sisiiig teclx iu.vby: 11;Ionization 9 Photoelectric
2 3 Ileat ',r...�1-•._of detectors:
-.L.�• ie_ee Detectors ,�uu[r,ct t,r urm uC1CtiO1.
Type of coverage: rComplete area U Partial areaullrqunCspa-o:at area 0 a; 1 •
Typeofdevices: 0Addressable
uJiCsvable 0 Conventional 0 Coded 0 Ti
sisiittei �N/A
5.2.4 Sprinkler u AteZflvvDetectors Number of itterliiv detectors:
Type of devices: 9 Addressable 0 Conventional 9 Coded 9
Transmitter 2'_V%A
5.2.5 Alarm Verification Number of devices subject to alarm verification:
Alarm verification
crdfcutiisoIl this system is: 0 Enabled 0 Disabled 0 Set for
seconds
Y.
Supervisory Signal-Initiating Dsevices and Circuits
6.1 SprinklerNum} r
S,-`,"sie3n Number�i'r 13t valve supervisory switches:
Type of devices: L;Addressable 0 Conventional0'Transmitter
L�Coded v 10 N/A
Copyright O 2C0g National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.