HomeMy WebLinkAboutFIRE ALARM COMPLETION REPORT - 20-00866 - BYUI Engineering Technology Center (ETC) - RemodelFIRE ALARM AND EMERGENCY COMMUNICATION SYSTEM RECORD OF COMPLETION
To be completed by the system installation contractor at the time ofsystem acceptance and approval.
It shall be permitted to modify this form as needed to provide a more complete and/or clear record.
Insert N/A in all unused lines.
Attach additional sheets, data, or calculations as necessary to provide a complete record.
1. PROPERTY INFORMATION
Name of property: BYU-I Engineering Technology Center
Address: 525 S. Center Sft. Rexburg , Idaho 83460
Description of property: Universtity Shop/ office Building
Occupancy type:
Name of property representative: t
Address:
Phone: Fax: E-mail:
Authority having jurisdiction over this property: Rexburg City
Phone: Fax: E-mail:
2. INSTALLATION, SERVICE, AND TESTING CONTRACTOR INFORMATION
Installation contractor for this equipment: Wheeler Electric
Address: 469 West Idh St. Idaho Falls, ID 83402
License or certification number:
Phone: 208-522-1906 Fax:
E-mail:
Service organization for this equipment: Nelson Fire Systems
Address: 1481 South Major Street SLC, UT 84115
License or certification number: AE332
Phone: 801-468-8300 Fax: 801-468-8305
E-mail: office@nelsonfire.com
A contract for test and inspection in accordance with NFPA standards is in effect as of
Contracted testing company:
Address:
Phone: Fax:
E-mail:
Contract expires: Contract number:
Frequency of routine inspections:
3. DESCRIPTION OF SYSTEM OR SERVICE
❑ Fire alarm system (nonvoice)
® Fire alarm with in -building fire emergency voice alarm communication system (EVACS)
❑ Mass notification system (MINS)
❑ Combination system, with the following components:
❑ Fire alarm ❑ EVACS ❑ MNS ❑ Two-way, in -building, emergency communication system
❑ Other (specify):
NFPA 72, Fig. 10.18.2.1.1 (p. 1 of 12)
Copyright®2009 National Fire Protection Assodetlon. This form maybe copied for indiddual use other than for resets. It may not be copied for commercial sale or distribution.
3. DESCRIPTION OF SYSTEM OR SERVICE (continued)
NFPA 72 edition:
3.1 Control Unit
Manufacturer: GanewellFCl
3.2 Mass Notification System
3.2.1 System Type:
❑ In -building MNS-combination
❑ In -building MNS—stand-alone
❑ Other (specify):
Additional description of systerl
Model number: E3 Sreles
® This system does not incorporate an MNS
❑ Wide -area MNS ❑ Distributed recipient MNS
3.2.2 System Features:
❑ Combination fire alamtMlNS ❑ MNS autonomous control unit ❑ Wide -area MNS to regional national
alerting interface
❑ Local operating console (LOC) ❑ Direct recipient MNS (DRMNS) ❑ Wide -area MNS to DRMNS interface
❑ Wide -area MNS to high -power speaker array (HPSA) interface ❑ In -building MNS to wide -area MNS interlace
❑ Other (specify):
3.3 System Documentation
❑ An owner's manual, a copy of the manufacturer's instructions, a written sequence of operation, and a copy of
the numbered record drawings are stored on site. Location:
3.4 System Software ❑ This system does not have alterable site -specific software.
Operating system (executive) software revision level: 3.51.006
Site -specific software revision date: 3/28/2022
❑ A copy of the site -specific software is stored on site. Location:
3.5 Off -Premises Signal Transmission
Name of organization receiving alarm signals with phone numbers:
Alarm: BYU-1 Dispatch
Supervisory: same
Trouble: same
Entity to which alarms are retransmitted:
Method of retransmission:
Revision completed by: Tadd Timothy
❑ This system does not have off -premises transmission.
Phone: 208-496-3000
Phone: same
Phone: same
Phone: same
If Chapter 26, specify the means of transmission from the protected premises to the supervising station:
IF Chapter 27, specify the type of auxiliary alarm system: ❑ Local energy ❑ Shunt ❑ Wired ❑ Wireless
NFPA 72, Fig. 10.18,2.1.1 (p. 2 of 12)
Copyright C 2009 National Rre Protection Association. This form may be copied for individual use other than for resale. It may iml be copied for commercial sale or distribution.
4. CIRCUITS AND PATHWAYS
4.1 Signaling Line Pathways
4.1.1 Pathways Class Designations and Survivability
Pathways class: b Survivability level: 1 Quantity: 1
(See NFPA 72, Sections 12.3 and 12.4)
4.1.2 Pathways Utilizing Two or More Media
Quantity: Description:
4.13 Device Power Pathways
❑ No separate power pathways from the signaling line pathway
❑ Power pathways are separate but of the same pathway classification as the signaling line pathway
❑ Power pathways are separate and different classification from the signaling line pathway
4JA Isolation Modules
Quantity:
4.2 Alarm Initiating Device Pathways
4.2.1 Pathways Class Designations and Survivability
Pathways class: Survivability level: Quantity:
(See NFPA 72, Sections 12.3 and 12.4)
4.2.2 Pathways Utilizing Two or More Media
Quantity: Description:
4.23 Device Power Pathways
❑ No separate power pathways from the initiating device pathway
❑ Power pathways are separate but of the same pathway classification as the initiating device pathway
❑ Power pathways are separate and different classification from the initiating device pathway
4.3 Non -Voice Audible System Pathways
43.1 Pathways Class Designations and Survivability
Pathways class: B Survivability level: 1 Quantity: 4
(See NFPA 72, Sections 12.3 and 12.4)
4.3.2 Pathways Utilizing Two or More Media
Quantity. Description:
433 Device Power Pathways
❑ No separate power pathways from the notification appliance pathway
❑ Power pathways are separate but of the same pathway classification as the notification appliance pathway
® Power pathways are separate and different classification from the notification appliance pathway
NFPA 72, Fig. 10.18.2.1.1 (p. 3 of 12)
Copyright® 2009 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 distdbullon.
5. ALARM INITIATING DEVICES
5.1 Manual Initiating Devices
5.1.1 Manual Fire Alarm Boxes
Type and number of devices: Addressable:
Other (specify):
5.1.2 Other Alarm Boxes
Description:
Type and number of devices: Addressable:
Other (specify):
5.2 Automatic Initiating Devices
® This system does not have manual fire alarm boxes.
Conventional: Coded: Transmitter.
® This system does not have other alarm boxes.
Conventional: Coded: Transmitter:
5.2.1 Smoke Detectors ❑ This system does not have smoke detectors.
Type and number of devices: Addressable: 1 Conventional:
Other (specify):
Type of coverage: ❑ Complete area ® Partial area ❑ Nonrequired partial area
Other (specify):
Type of smoke detector sensing technology: ❑ Ionization ® Photoelectric ❑ Multicriteria ❑ Aspirating ❑ Beam
Other (specify):
5.2.2 Duct Smoke Detectors ® This system does not have alarm -causing duct smoke detectors.
Type and number of devices: Addressable: Conventional:
Other (specify):
Type of coverage:
Type of smoke detector sensing technology: ❑ Ionization ® Photoelectric ❑ Aspirating ❑ Beam
5.2.3 Radiant Energy (Flame) Detectors
Type and number of devices: Addressable:
Other (specify):
Type of coverage:
5.2A Gas Detectors
Type of detector(s):
Number of devices: Addressable:
Type of coverage:
❑ This system does not have radiant energy detectors.
Conventional:
Conventional:
® This system does not have gas detectors.
5.2.5 Beat Detectors ® This system does not have heat detectors.
Type and number of devices: Addressable: Conventional:
Type of coverage: ® Complete area ❑ Partial area ❑ Nonrequired partial area ❑ Linear ❑ Spot
Type of heat detector sensing technology: ❑ Fixed temperature ❑ Rate -of -rise ❑ Rate compensated
NFPA 72, Fig. 10.18.2.1.1 (p. 4 of 12)
Copyright 02009 National Fire protection Assooiasen. This form may be copied for Individual use other than for resale. It may not be copied for commercial sale or distdbution.
5. ALARM INITIATING DEVICES (continued)
5.2.6 Addressable Monitoring Modules
Number of devices:
5.2.7 Waterflow Alarm Devices
Type and number of devices: Addressable: 1
5.2.8 Alarm Verification
Number of devices subject to alarm verification:
5.2.9 Presignal
Number of devices subject to presignal:
Describe presignal functions:
5.2.10 Positive Alarm Sequence (PAS)
Describe PAS:
5.2.11 Other Initiating Devices
Describe:
❑ This system does not have monitoring modules.
❑ This. system does not have waterflow, alarm devices.
Conventional: Coded: Transmitter:
B. SUPERVISORY SIGNAL -INITIATING DEVICES
® This system does not incorporate alarm verification.
Alarm verification set for: seconds
® This system does not incorporate pre -signal.
® This system does not incorporate PAS.
® This system does not have other initiating devices.
6.1 Sprinkler System Supervisory Devices ❑ This system does not have sprinkler supervisory devices.
Type and number of devices: Addressable: 2 Conventional: Coded: Transmitter.
Other (specify):
6.2 Fire Pump Description and Supervisory Devices ® This system does not have a fire pump.
Type fire pump: ❑ Electric pump ❑ Engine
Type and number of devices: Addressable: Conventional: Coded: Transmitter:
Other (specify):
6.2.1 Fire Pump Functions Supervised
❑ Power ❑ Running ❑ Phase reversal ❑ Selector switch not in auto ❑ Engine or control panel trouble ❑ Low fuel
Other (specify):
6.3 Duct Smoke Detectors (DSDs) [--]Ibis system does not have DSDs causing supervisory signals.
Type and number of devices: Addressable: 1 Conventional:
Other (specify):
Type of coverage:
Type of smoke detector sensing technology: ❑ Ionization ❑ Photoelectric ❑ Aspirating ❑ Beam
6.4 Other Supervisory Devices []'Ibis system does not have other supervisory devices.
Describe:
NFPA 72, Fig. 10.f8.2.1.1 (p. 5 of 12)
Copyright 0 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale er distrbution.
7. MONITORED SYSTEMS
7.1 Engine -Driven Generator
® This system does not have a generator.
7.1.1 Generator Functions Supervised
❑ Engine or control panel trouble ❑ Generator running ❑ Selector switch not in auto ❑ Low fuel
❑ Other (specify):
7.2 Special Hazard Suppression Systems
Description of special hazard system(s):
7.3 Other Monitoring Systems
Description of special hazard system(s):
8. ANNUNCIATORS
8.1 Location and Description of Annunciators
Location 1: West Entrace
Location 2:
Location 3:
9. ALARM NOTIFICATION APPLIANCES
❑ This system does not monitor special hazard systems.
❑ This system does not monitor other systems.
❑ This system does not have annunciators.
9.1 In -Building Fire Emergency Voice Alarm Communication System ❑ This system does not have an EVACS.
Number of single voice alarm channels: 1 Number of multiple voice alarm channels:
Number of speakers: 60 Number of speaker circuits: 2
Location of amplification and sound -processing equipment: West Entrance LOC
Location of paging microphone stations:
Location 1: West Entrance LOC
Location 2:
Location 3:
9.2 Nonvoice Notification Appliances
Horns: With visible:
Chimes: With visible:
Visible only: 10 Other (describe):
9.3 Notification Appliance Power Extender Panels
Quantity: 1
Locations: Mach Room
❑ This system does not have nonvoice notification appliances.
Bells: With visible:
❑ This system does not have power extender panels.
NFPA 72, Fig. 10.18.2.1.1 (p. 6 of 12)
Copyright 0 2009 Nabonel Fire Protection Association. This form may be copied for individual use other then for resale. It may not be copied for commercial sale or distribution.
10. MASS NOTIFICATION CONTROLS, APPLIANCES, AND CIRCUITS ® This system does not have an MNS.
10.1 MNS Local Operating Consoles
Location 1:
Location 2:
Location 3:
10.2 High -Power Speaker Arrays
Number of HPSA speaker initiation zones:
Location 1:
Location 2:
Location 3:
103 Mass Notification Devices
Combination fire alarm/MNS visible appliances: MNS-only visible appliances:
Textual signs: Other (describe):
Supervision class: -
103.1 Special Hazard Notification
❑ This system does not have special suppression predischarge notification.
❑ MNS systems DO NOT override notification appliances required to provide special suppression
predischarge notification.
11. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS
11.1 Telephone System
Number of telephone jacks installed:
Number of telephone handsets stored on site:
Type of telephone system installed: ❑ Electrically powered
® This system does not have a two-way telephone system.
Number of warden stations installed:
❑ Sound powered
11.2 Two -Way Radio Communications Enhancement System
❑ This system does not have a two-way radio communications enhancement system.
Percentage of area covered by two-way radio service: Critical areas: % General building areas:
Amplification component locations:
Inbound signal strength: dBm Outbound signal strength:
Donor antenna isolation is: dB above the signal booster gain
Radio frequencies. covered:
Radio system monitor panel location: -
dBm
NFPA72, Fig. 10.18.2.1.1 (p. 7 of 12)
Copyright 0 2009 National Fire Protection Association. This form may be copied for Individual use other than for resale. It may not be copied for mmmemlel sale or distribution.
11. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS (continued)
11.3 Area of Refuge (Area of Rescue Assistance) Emergency Communications Systems
® This system does not have an area of refuge (area of rescue assistance) emergency communications system.
Number of stations: Location of central control point:
Days and hours when central control point is attended:
Location of alternate control point:
Days and hours when alternate control point is attended:
11A Elevator Emergency Communications Systems
® This system does not have an elevator emergency communications system.
Number of elevators with stations: Location of central control point:
Days and hours when central control point is attended:
Location of alternate control point:
Days and hours when alternate control point is attended:
11.5 Other Two -Way Communication Systems
Describe:
12. CONTROL FUNCTIONS
This system activates the following control fuctions
❑ Hold -open door releasing devices ❑ Smoke management ® HVAC shutdown ❑ F/S dampers
❑ Door unlocking ❑ Elevator recall ❑ Fuel source shutdown ❑ Extinguishing agent release
❑ Elevator shunt trip ❑ Mass notification system override of fire alarm notification appliances _
Other (specify):
12.1 Addressable Control Modules
Number of devices: 1
Other (specify):
13. SYSTEM POWER
13.1 Control Unit
13.1.1 Primary Power
Input voltage of control panel: 120 VAC
Overcurrent protection: Type: Cicult Breaker
Location (of primary supply panel board): Electrical Room
Disconnecting means location: Panel Breaker
13.1.2 Enghte-Driven Generator
Location of generator:
Location of fuel storage:
❑ This system does not have control modules.
Control panel amps: 9
Amps: 20
❑ This system does not have a generator.
Type of fuel:
NFPA 72, Fig. 10.18.2.1.1 (p. 8 of 12)
Copyright 0 2009 Ne00nal Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or dishlbufion.
13. SYSTEM POWER (continuisO
13.1.3 Uninterruptible Power System ❑ This system does not have a UPS.
Equipment powered by a UPS system:
Location of UPS system:
Calculated capacity of UPS batteries to drive the system components connected to it:
in standby mode (hours): In alarm mode (minutes):
13.1.4 Batteries
Location: FACP Type: Sealed Nominal voltage: 24 V Amp/hour rating: 18
Lead Acid
Calculated capacity of batteries to drive the system:
In standby mode (hours): 24 In alarm mode (minutes): 5
® Batteries are marked with date of manufacture ❑ Battery calculations are attached
13.2 In -Building Fire Emergency Voice Alarm Communication System or Mass Notification System
® This system does not have an EVACS or MNS system.
13.2.1 Primary Power
Input voltage of EVACS or MNS panel:
Dvercurrent protection: Type:
Location (of primary supply panel board):
Disconnecting means location:
13.2.2 Engine -Driven Generator
Location of generator:
Location of fuel storage:
EVACS or MNS panel amps:
Amps:
❑ This system does not have a generator.
Type of fuel:
13.2.3 Unintertuptible Power System ® This system does not have a UPS.
Equipment powered by a UPS system:
Location of UPS system:
Calculated capacity of UPS batteries to drive the system components connected to it:
In standby mode (hours): In alarm mode (minutes):
13.2.4 Batteries
Location: Type:
Calculated capacity of batteriesto drive the system:
In standby mode (hours):
❑ Batteries are marked with date of manufacture
Nominal voltage:
In alarm mode (minutes):
❑ Battery calculations are attached
Amp/hour rating:
NFPA 72, Fig. 10.18.2.1.1 (p. 9 of 12)
ropydghl ® 2009 National Fire protection Association. This forth may be copied for IndMduel use other than for resale. It may not be copied for commercial sate or distribution.
13. SYSTEM POWER (continued)
133 Notification Appliance Power Extender Panels
133.1 Primary Power
Input voltage of power extender panel(s): 120 VAC
Overcurrent protection: Type: Circuit Breaker
Location (of primary supply panel board): Electrical Room
Disconnecting means location: Panel Breaker
133.2 Engine -Driven Generator
Location of generator:
Location of fuel storage:
❑ This system does not have power extender panels.
Power extender panel amps: 8
Amps: 20
Type of fuel:
® This system does not have a generator.
133.3 Uninterruptible Power System ® This system does not have a UPS.
Equipment powered by a UPS system:
Location of UPS system:
Calculated capacity of UPS batteries to drive the system components connected to it:
In standby mode (hours): In alarm mode (minutes):
133A Batteries
Location: Inside Extender Type: Sealed Nominal voltage: 24 Amp/hour rating: 8
Panels Lead Acid VDC
Calculated capacity of batteries to drive the system:
In standby mode (hours): 24 In alarm mode (minutes): 5
® Batteries are marked with date of manufacture ❑ Battery calculations are attached
14. RECORD OF SYSTEM INSTALLATION
Fill out after all installation is complete and wiring has been checked far opens, shorts, ground faults, and improper
branching, but before confucting operational acceptance tests.
This is a: ® New system ❑ Modification to an existing system Permit number.
The system has been installed in accordance with the following requirements: (Note any or all that apply.)
® NFPA 72, Edition:
® NFPA 70, National Electrical Code, Article 760, Edition:
® Manufacturer's published instructions
Other (specify):
System deviations from referenced NFPA standards:
Signed: Printed name: Date:
Organization: Wheeler Electric Title: Phone:
NFPA 72, Fig. 10.18.2.1.1 (p. 10 of 12)
Copyright 0 2009 National Fire Promcgon Assoclalim. This form may be copied forindi odual use other than for resale. It may not be copied for commercial We or distnbudon.
15. RECORD OF SYSTEM OPERATIONAL ACCEPTANCE TEST
® New system
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 operatingproperly in accordance with the requirements
for the following:
❑ Modifications to an existing system
All newly modified operational features and functions of the 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 the following:
® NFPA 72, Edition:
® NFPA 70, National Electrical Code, Article 760, Edition:
® Manufacturer's published instructions
Other (specify):
❑ Individual device testing documentation [Inspection and Testing Form (Figure 14.6.2.4) is attached] /
Signed: - /�,.L1'� Printed name: Tadd Timothy Date: �j f �/ 22�- a
Organization: Nelson F' Syst� Title: TechnicianMroject Manager Phone: 801-468-8300
16. CERTIFICATIONS AND APPROVALS
16.1 System Installation Contractor:
This system, as specified herein, has been installed and tested according to all NFPA standards cited herein.
Signed: Printed name:
Organization: Wheeler Electric Title:
16.2 System Service Contractor:
The undersigned has a service contract for this system in effect as of the date shown below.
Signed:
Organization:
Printed time:
Title:
163 Supervising Station:
This system, as specified herein, will be monitored according to all NFPA standards cited herein.
Signed:
Organization:
Printed name:
Title:
Date:
Phone:
Date:
Phone:
Date:
Phone:
NFPA 72, Fig. 10.18.2.1.1 (p. 11 of 12)
Copyright ®2009 National FireProtection Association. This form maybe copied for indiddual use other than for resale. It may not be copied for commercial sale or distribution,
16. CERTIFICATIONS AND APPROVALS (continued)
16.4 Property or Owner Representative:
This system, as specified herein, will be monitored according to all NFPA standards cited herein.
Signed: Printed name: Date:
Organization: Title: Phone:
16.5 Authority Having 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, with its approved sequence of operations, and with all
NFPA standards cited herein.
Signed: Printed name: Date:
Organization: Title: Phone:
NFPA 72, Fig. 10.18.2.1.1 (p. 12 of 12)
Copyright 0 2009 National Fire Protection Association. This form may be copied for Inch ioual use other than for resale. It may not be copied for commercial sale or disbibuton.