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Report Northwest .Fre Suppression, Ina. FIRE ALAR M/SUPPRESSION SYSTEM RECORD OF COMPLETION Protected Premise: Owner's Rep &Phone: Tigard Apartments Building3 9 13295 Sw Hawks Beard St Tigard Or. Permit#FPS2017-00068 This system was designed by,and equipment supplied by: Northwest Fire Suppression, Inc., 1800 NW 169th Place Suite C#600 Beaverton,OR 97006 Phone: 503-644-7720 Fax: 503-644-8289 1. Types(s) of System or Service Control Unit Manufacturer: Notifier Other Model Number: NFW-100 ® Fire Alarm ❑ ❑ ❑ Othe S-)ecify) Type of Communication: ® DAC with Cell E N/A ❑ Other(Specify) Monitoring Provided By: Alarm Center Inc. Account Number: Alarm Code Style: Phone Line 1 Number: Phone Line 2 Number: 2. System Power Supplies (a) Fire Alarm Control Panel: Nominal Voltage: 120VAC Current Rating: 20 Amps Breaker Location: (b) Secondary (standby): Sealed Lead Acid Batteries 8 All Providing: 24 Hours Of Backup 3. System Software Panel Firmware Rev#: Application Software: PS-Tools Rev Completed By: Name Company Page 1of3 4. Notification Devices Quantity Device Type 1 Bells Horns Horn/Strobes Strobes Speakers Annunciators Other(Specify) 5.Initiating Devices Quantity Device Type 1 Fire Alarm Pullstations Suppression Manual Release Station Ion Detectors Photo Detectors Duct Detectors Type: Heat Detectors 2 Waterflow Switches/Pressure Switches Abort Switches 2 Tamper Switches 1 Low Air Switches 1 High Air Switches Other(Specify) 6. Record of System Installation This system has been installed in accordance with the National Electric Code, and meets all requirements of Article 760 as a Power Limited Fire Alarm system. After all device installation was complete (except control equipment final terminations), all initiation, signal and control circuit wiring was tested and found to be free of opens, shorts and ground faults. The entire system was installed per the AHJ approved plans, and complete, accurate "as built"notations have been provided to Northwest Fire Suppression, Inc. Installing Contractor: l7 ree_kdr t Responsible Journeyman: E(,; kijL (IA^ License#: 20(10 3 Signature: / Date: 4371-Vzcl J Page 2 of 3 . . 7. Record of System Operation All operational functions and features of this system were tested and found to be working properly in accordance with the approved plans,per NFPA 70,National Electric Code, Article 760,per NFPA 72, Chapters 1, 3, 4, 5, 6 and 7,and per the manufacturer's instructions. I have reviewed the "as built" drawings and find that they are accurate and complete. Certifying Contractor: Northwest Fire Suppression Inc. Responsible Journeyman: Kevin Hood License#: 475 1LEA Signature: ,i Date: _ -. . � , / 6A// 7 8. Acceptance Testing Statements Commissioning Technician: I have tested and witnessed satisfactory performance of all system devices and control functions, and/or have noted any exceptions on this Record of Completion. Name: Representing: NLA;F5 Signature: Date: 673h 7 Local Authority(or Authorities)Having Jurisdiction: This system has been inspected and is accepted for the jurisdiction I represent. Name: Representing: Signature: Date: 9. Comments Page 3 of 3