Report Ste; ..5
Northwest fire Su ssion;lnc. -)
FIRE ALARM/SUPPRESSION SYSTEM RECORD OF COMPLETION
I Protected Premise: Owner's Rep &Phone:
Tigard Apartments Building 5
13145 Sw Hawks Beard St.
Tigard, Or. Permit# FPS2017-00070
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 ❑
❑ ❑ Other S2ecify)
Type of Communication: DAC with Cell L 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 AH Providing: 24 Hours Of Backup
3. System Software
Panel Firmware Rev#:
Application Software: PS-Tools
Rev Completed By: Name Company
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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:
Responsible Journeyman: License#:
Signature: Date:
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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#: 4751LEA
Signature: f ^Date:
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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: 14e-v Representing:
Nt4r—s
Signature: Date:
1/Z-T— a k 67. 717
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
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