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Report (64) 4 I' Certificate of Completion Name of Protected Property:Washington Square Mail-TESLA (Permit#FPS2017-00182) Address 9321SW Washington S Tigard,OR 97223 Rep. of Protected Prop. (name/phone):Roger Ott/503-352-8862 Authority Having Jurisdiction:City of Tigard Address: 13125 SW Hall Blvd. Tigard,OR 97223 Phone Number:503.718.2439 1. Type(s) of System or Service: X NFPA 72, Chapter 3-Local If alarm is transmitted to location(s)off premise, 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 4-Auxiliary Indicate type of connection: Local energy, Shunt, Parallel telephone Location and telephone number for receipt of signals: NFPA 72, Chapter 4-Remote Station Alarm: Supervisory: NFPA 72, Chapter 4-Proprietary If alarms are retransmitted to public fire service communications center or others, indicate location and telephone number of the organization receiving alarm: Indicate how alarm is retransmitted: Updated: 10/3/2013 Page 1 4 NFPA 72, Chapter 4-Central Station The Prime Contractor:.ISA Monitoring Central Station Location: Means of transmission of signals from the protected premise 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: 1. 2. System Location: Organization Name/Phone Representative Name/Phone Installer Frahler Electric Dave Mannix 503.936.7192 Supplier Siemens Industry Moses Frangopoulos Service Organization 15201 NW Greenbrier Parkway 503.207.1834 Beaverton,OR 97006 Location of Record (As-Built) Drawings: Washington Sq Facility Department Location of Owners Manuals: Location of Test Reports: A contract, dated 6/1/17-5/31/18 for test and inspection in accordance with NFPA standard(s) No.(s)_ dated is in effect. 2. Certification of System Installation This system haa been installed in accordance with the NFPA standards as listed below,was inspected by ,,117 x ,J�� (L on q/1)/1 Yj , includes the devices listed below and has been in service since NFPA 72, Chapters 4 _ 5 6 7 _ 10 NFPA 70, National Electrical Code,Article 760 x Manufacturer's Instructions Other(specify): Signed: Date:7/18h17 (J"?1/I Organization:Frahler Updated: 10/3/2013 Page 2 i 3. Sym pron AllCertification operational featuresof ste and functionsOeatiof this partial system were tested by Sean Blackstone on vvie and found to be o eratin requirements of: p g properly in accordance with the X NFPA 72, Chapters 4 _ 5 _ 6 _ 7 10 NFPA 70, National Electrical Code,Article 760 Manufacturer's Instructions Other(sp cify): Signed: Date:1/3/18 Organization:siemens 4. Alarm Initiating Devices and Circuits MANUAL a) Manual Stations BG—CHEMICAL Transmitters b) Combination Manual Fire Alarm and Guard's Tour Coded Stations Coded AUTOMATIC Coverage: Complete Partial a) Smoke Detectors: Ion Photo b) 1 Duct Detectors: Ion Photo c) Heat Detectors: FT RR FT/RR d) Sprinkler Water Flow Switches: RC Noncoded,Activating Transmitters e) Other(list): Coded 5. Supervisory Signal Initiating Devices and Circuits GUARD'S TOUR a) Coded Stations b) Noncoded Stations Activating Transmitters c) Compulsory Guard Tour System Comprised of Transmitter Stations and Intermediate Stations Note: Combination devices recorded under 4(b)and 5(a). 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 Updated: 10/3/2013 Page 3 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 i) Fire Pump Running Engine-Driven Generator: k) Selector in Auto Position I) Control Panel Trouble m) Transfer Switches n) Engine Running Other Supervisory Function(s) (specify): 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 Speakers b) Horns c) Chimes d) Other: e) ' Visual Signals Type: 4 with audible 3 f) Local Annunciator w/o audible 7. Signaling Line Circuits: Quantity and Style of signaling line circuits connected to system: Quantity: 2 Style:Class B/Style 4 8. System Power Supplies a) Primary(Main): Nominal Voltage: Current Rating: Overcurrent Protection: Type:ype. Current Rating: b) Secondary(Standby): Storage Battery: Amp-Hour Rating Calculated capacity to drive system, in hours: Engine-driven generator dedicated to fire alarm system: Location of fuel storage: Updated: 10/3/2013 Page 4 44 c) Emergency or Standby System used as backup to Primary Power Supply, instead of using a Secondary Power Supply: 0 Emergency System described in NFPA 70,Article 700 0 Legally Required Standby System described in NFPA 70,Article 701 0 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): b) Application Software Revision Level(s): c) Revision Completed by: (name) (firm) 10. Comments: Project Scope— Alterations to Fire Alarm/rmsystem totosupport TI work for Tesla —:G�'3#'ii�— Senior Service Technician si d)for Alarm Service Co 1lpany 1/3/18 (title) (date) 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 r1-�_ Senior Service Technician (sig d) 1/3/18 or A arm Service Company (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) Updated: 10/3/2013 Page 5