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HomeMy WebLinkAboutRECORD OF COMPLETION - 21-00398 - Teton River Flats Community Housing - 4 Plex - D7SYSTEM RECORD OF COMPLETION This form it to be completed by the system installation contractor at the time of system acceptance and approval. It shall be permitted to mod 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. Form Completion Date: 6/8/22 Supplemental Pages Attached: 1. PROPERTY INFORMATION Name of property: Teton River Flats Address: 280 E Lorene St., Rexburg, ID 83440 Description of property: Apartment complex Buildings 18 & 19 Name of property representative: Address: Phone: Fax: E-mail: 2. INSTALLATION, SERVICE, TESTING, AND MONITORING INFORMATION Installation contractor: Nephi Electric Address: Phone: Fax: E-mail: Service organization: Fire Services of Idaho Address: 610 Mallard St, Chubbuek, ID 83202 Phone: (208) 232-3640 Fax: E-mail: Testing organization: Fire Services of Idaho Address: 610 Mallard St, Chubbuek, ID 83202 Phone: (208) 232-3640 Fax: E-mail: Effective date for test and inspection contract: Monitoring organization: Avantguard Monitoring Address: 366 Grand Loop, Rexburg, ID 83440 Phone: (866) 383-6694 Fax: E-mail: Account number: 89-7623 Phone line 1: Phone line 2: Means of transmission: Cellular dialer Entity to which alarms are retransmitted: 3. DOCUMENTATION On-site location of the required record documents and site-specific software: 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: ® New system ❑ Modification to existing system Permit number: NFPA 72 edition: 2016 4.1 Control Unit Manufacturer: Notifier 4.2 Software and Firmware Firmware revision number: 1 •03.06 4.3 Alarm Verification Number of devices subject to alarm verification: 5 Phone: Model number: N F V Y -550X ❑ This system does not incorporate alarm verification. Alarm verification set for 5 seconds Copyright © 2012 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 distribution. :x.10;3) SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 120 Overcurrentprotection: Type: Circuit breaker Branch circuit disconnecting means location: Outside, Between buildi 5.1.2 Secondary Power Type of secondary power: 12V 7AH batteries Location, if remote from the plant: Calculated capacity of secondary power to drive the system: In standby mode (hours): 24 5.2 Control Unit ® This system does not have power extender panels ❑ Power extender panels are listed on supplementary sheet A 6. CIRCUITS AND PATHWAYS Control panel amps: Amps: 20 Number: 5 20 In alarm mode (minutes): 5 Pathway Type Dual Media Pathway Separate Pathway Class Survivability Level Signaling Line B Device Power B Initiating Device B Notification Appliance B Other (specify): 2 7. REMOTE ANNUNCIATORS 8. INITIATING DEVICES Type Quantity Addressable or Conventional Alarm or Supervisory Sensing Technology Manual Pull stations 1 Addressable Alarm Switch Smoke Detectors 2 Addressable Alarm Photoelectric Duct Smoke Detectors N/A Heat Detectors N/A Gas Detectors N/A PAddressable Waterflow Switches 2 Alarm Switch Tamper Switches 4 dressable Supervisory Switch Copyright © 2012 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 distribution. C CIT SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type Quantity Description Audible 24 Horn Visible Combination Audible and Visible 2 Horn/Strobe 10. SYSTEM CONTROL FUNCTIONS Hold -Open Door Releasing Devices N/A HVAC Shutdown N/A Fire/Smoke Dampers N/A Door Unlocking N/A Elevator Recall N/A Elevator Shunt Trip N/A 11. INTERCONNECTED SYSTEMS ® This system does not have interconnected systems. ❑ Interconnected systems are listed on supplementary sheet 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system as specifi�,d,herein has been installed according to all NFPA standards cited herein. Signed: !/'„ Printed name: Joe Monsen Organization: Fire services of IdahoTitle: Alarm technician 12.2 System Operational Test This system as sp cifiedAfein has tested according to all NFPA standards cited herein. Signed: MAPrinted name: Joe Monsen Organizati : Ore services of Idaho Title: Alarm technician 12.3 Acceptance Test Date and time of acceptance test: Installing contractor representative: Testing contractor representative: Property representatives AHJ representative: 6/8/22,11:30 PM Date: 6/8/22 Phone: (208) 589-1498 Date: 6/8/22 Phone: (208) 589-1498 Copydght © 2012 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 distribution. �C" J