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HomeMy WebLinkAboutFIRE ALARM TEST-INSPECTION - 16-00052 - 250 W 1st N - 12 Plex - Bear Building 1 - East101 AW Alk Sun so k%P LMFASMM larm PROTECTING YOUR HOME AND BUSINESS SINCE 19W Boise, Idaho (208) 323-1199 Idaho Falls, Idaho (208) 524.4282 Salt Lake City, Utah (88011,) 486-7231 ACCOUNT NUMBER: k5 — 09 (z Z PROPERTY -NAME: Name: t n Address W • 1'5� Owner Cone ?� Telephone: APPROVINGAGELVC k6,, t Contact: lLt Telephone: TYPE TRANSMISSION: 4 DIGITAL ❑ NONE SERVICE: 'i Annual ❑ Other: A3 PANEL PANEL MAKE/MODEL: S,len ' r.1 CKT STYLES: AlNO, OF CKT :- ALARM INITIATING DEVICES AND CKT INFO Qty of Ckt Style _! _?L_ Manual pull station _ 2- PE Smoke Duct detectors I 7- Heat detectors 21_ Waterflow switches Supervisory switches Other: ALARM NOTIFICATION DEVICES & CKT INFO Qty of Ckt Style Bells Horn/Strobes Strobes-n- �_ Other: 4uf/�.� iron SIGNALING LINE CKTS Qty of: f Style: SYSTEM POWER SUPPLIES Primary: Voltage: Ila Am s: 2'11;� Overcurrent protection Type: AC disconnect location: j f;qe-h7 Secondary: Sealed Lead -Acid battery I L AH Calculated backup: Z l Hours PRIOR TO ANY TESTING Notifications are made: Yes No Monitoring Entity -a- ❑ Building Occupants .I- ❑ Local Dispatcher W ❑ Other: ❑ ❑ PAC 142 SYSTEM TESTS AND Type: Control panel Lamps/LEDs Primary Power Fuses Ground Fault Indication Disconnect Switches Trouble Signals SECONDARY POWER Type: Battery condition Load Voltage Visual Functional Before: After: REMOTE ANNUNCIATORS Type: Visual Functional ❑ ❑ NOTIFICATION APPLIANCES Type: 'Cr Functional EF- ❑ ❑ -0" 8' la' .0' LK 1 - Visual Functional Alarm/Restoral Signal 13 ❑ T- Before: After: REMOTE ANNUNCIATORS Type: Visual Functional ❑ ❑ NOTIFICATION APPLIANCES Type: Visual Functional Audible @ $ Visual 0' Q- ON/OFF PREMISE MONITORING YES NO Alarm/Restoral Signal 13 ❑ Trouble/Restoral Signal a ❑ Supervisory/Restoral Signal B' ❑ TESTING COMPLETE Notifications are made: Yes No Monitoring Entity e- ❑ Building Occupants ❑- ❑ Local Dispatcher lr ❑ Other: ❑ ❑ The following did not operate properly: Al I7 System Restorqd to normal operations Date: P% 3/ Time: Oeo This testing was performed in accordance with applicable NFPA standards Inspector Name: l.-qQ Signature: �"- Date: 31 1 11 b Owner Rep Name: Signature: FIRE ALARM SYSTEM RECORD OF COMPLETION (NFPA 72. Fie 4.5.2.1) Installer: Peak AlararComgany Service Org.: Peak Alarm Company Location of Dwgs: Peak Alarm Office Location of owners manual: On-site Location of Test Reports: On-site Contract for Tests and Inspections dated: 1. Type of System or Service NFPA 72, Chapter 6 - Local _,UNFPA 72, Chapter 8 - Remote Station Telephone No. of organization receiving Alarms/Supervisory/Troubles: Peak Alarm Company -1 (800) 444-7231 NFPA 72, Chapter 8 - Central Station Prime Contractor: Central Station Location: Means of transmission of signals from protected premise to central station: _-_�-_DACT None 2. Record of System Installation This system has been installed IAW NFPA standards as sho elow, was inspected by lw94ty a-4 a-- on 30 t `,e includes the devices sh� 5 and 6, and has been in service since At 30 11 ) . ---,<-NFPA 72, Chapters 12 4 5 6 7 8 9 10 11 NFPA 70, National Electric Code, Article 760 Mannufacturers Instructions Signed: Date: 8 30 i>• Organization: Peak Alarmedirmany 3. Record of System Ooeration Documentation IAW Inspection Testing Form, Figure 10.6.2.3, of NFPA 72 is attached qm5 All opperation features of this syst ere tested by i -- Date aI 1 io and were found to be operating properly IAW the requirements of: e72, Chapters 12 3 4 5 6 7 8 9 10 11 NFPA 70, National Electric Code Manufacturers Instructions Signed: 9.. - Date: �t ) Organization: Peak Alarm mgany 4. Signaling Line Circuits Quantity and class of SLC connected to system (see NFPA 72, Table 6.6.1): Quantity:---(_Style:�Class: 5. Alarm Initiatina Devices and Circuits Quantity and class of initiating device circuits (see NFPA 2, Table 6.5): Qty:— I :Class: MANUAL MPS: Non Coded Addressable_ AUTOMATIC Coverage Complete Partial (a) Smoke Detectors: Photo Addressable "t_- (b) Duct Detectors: Photo Addressable_ C Heat Detectors: FT_RR_FT/RR Addressable (d) Sprinkler Waterflow, indicators: Noncoded Addressable / (e) The alarm verification feature is disabled or enabled , changed from seconds to _seconds. (f) Other (list): 6. Sunervisory Signal Initiating Devices and Circuits (a)Sprinkler valve tamper switches:_ (b)Other: . nnuciat rs Number:ype: Location(s): 8. Alarm Notification Aooliances and Circuits Quantity and class of notification appliance circuits connected to s stem (see NFPA 72, Table 6.7) QTY:Style cF Class_ 9 Types and quantity of notification appliances installed: (a) Bells With visible_ (b) Speakers With visible_ (c) Horns With visible (d) Chimes With visible_ (e) Other With visible_ (f) Visible appliances without audible:_ 9. System Power Sunolies (a) Fire Alarm Control Panel Nominal Voltage:j0 Current rating Overcurrent Protection: Type: Circuit Breaker Tri Location: s:2. %_d-- Ar ",e-( b ✓ FA Lim (b) Secondary (standby) Calculated chpacity to drive system, in hours: >2�k Battery AH rating: IZ. 10. Comments Frequency of tests and inspections, if other than IAW the referenced NFPA standards: ZM f%x- System Deviations from the referenced NFPA standard(s) are: 4,hor Upon completion of the stems) satisfactory test(s) witnessfdfArequired bA to AHJ): Signed: Title: