HomeMy WebLinkAboutFIRE ALARM REPORT - 23-00065 - 7N Apartments - Bldg 1 - Fire AlarmM ��F
AI(Alarm
PROTECTING YOUR HOME AND BUSINESS SINCE 1969'
Boise, Idaho (208) 323-1199
Idaho Falls, Idaho (208) 524-4282
Salt Lake City, Utah (801) 486-7231
ACCOUNT NUMBER: 4q — S-3��
PROPERTY�AME:
Name:
Address:
Owner Contact:
Telephone:
APPROVIN AGENCY
Contact:
Telephone:
TYPE TRANSMISSION: K DIGITAL ❑ NONE
SERVICE: A Annual ❑ Other:
M
PANEL AKE/MOPEL: �2 tX c
j 6-�
CKT STYLES:-7-7NO. OF CKTS:
ALARM INITIATING DEVICES AND CKT INFO
Qty of Ckt Style
Manual pull station
PE Smoke
Duct detectors
Heat detectors
% J Waterflow switches
Supervisory switches
~— Other:
ALARM NOTIFICATION DEVICES & CKT INFO
Qty of Ckt Style
Bells
Horn/Strobes
�— Strobes
Other: Lr
SIGNALING L E CKTS
Qty of: Style:
9<�e_r'O 'S
SYSTEM POWER SUPPLIES
Primary: Voltage:0 Amps:
Overcurrent protection Tye L
AC disconnect location: fz " .I
Secondary: Sealed Lead -Acid battery
AH f
Calculated backup: %Z'`I Hours
PRIOR TO ANY TESTING
Notifications are made:
Yes
No
Monitoring Entity
21'
❑
Building Occupants
LY
❑
Local Dispatcher
Qr/
❑
Other:
❑
❑
PAC 142
SYSTEM TESTS AND INSPECTIONS
Type:
Visual
Functional
Control panel
Functional
Audible
Lamps/LEDs
,,�f
(�
Primary Power
Ja'
®—
Fuses
❑
❑
Ground Fault Indication
12-1-
U_
Disconnect Switches
9'
Trouble Signals
-c
'!
SECONDARY POWER
Type: Visual Functional
Battery condition $
Load Voltage D'
Before: After:
REMOTE ANNUNCIATORS
Type � Visual Functional
❑ ❑
❑ ❑
NOTIFICATION APPLIANCES
Type:
Visual
Functional
Audible
z
,,�f
Visual
42115,
❑
ON/OFF PREMISE MONITORING
YES
NO
Alarm/Restoral Signal
❑
Trouble/Restoral Signal
❑
Supervisory/Restoral Signal
'!
❑
TESTING COMPLETE
Notifications are made:
Yes
No
Monitoring Entity
.Er
❑
Building Occupants
8'
❑
Local Dispatcher
S'
❑
Other:
❑
❑
The following did not operate properly: 141
System Restored.to normal operations
Date:_ i 3 Time: %�
This testing was performed in accordance with
applicable NFPA standards
Inspector Name: ✓� V,
Signature: l
Date:
Owner Rep Name:
Signature:
FIRE ALARM SYSTEM RECORD OF
COMPLETION (NFPA 72 Fig 4.5.2.11
Protected Premise; , ; r )
Address:
AHJ:
Installer: Peak Ala Company
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:
L Type of System or Service
N FPA 72, Chapter 6 – Local
_1--1"NFPA 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 st dards as
shown below, was inspected by eg– ti on
includes the devic s shown in 5 and 6,
and h� in service since 23
NFPA 72, Chapters 12 3 4 5 6 7 8 9 10 11
NFPA 70, National Electric Code, Article 760
Manufacturers Instructions
Signed: _Date:
Organization: Peak Al&f Company 41*L
I Reco
rd of System Operation
Documentation IAW Inspection Testing Form, Figure
10.6.2.3, of NFPA 72 is attached_' _
All operational features of this system were tested by
42L-3 Date 2 3 and were
fomld to be operatin properly IAW the requirements of:
NFPA 72, Chapters 1234567891011
––NFPA 70, National Electric Code
� ivlanufacturers Instructions
Signed:–( �-
Date: -% 1 2
organ izat o� n: Peak Ain om an
=i. Signaling Line Circuits
Quantity and class of SLC connected to system (see
NFPA 72)Tabl 6.6.1):
Quantity:Style: Class:
5._Aiarm InitiatinKDevices and Circuits
Quantity and class of initiating device circuits
(see NFPA 'fable 6.5)-
(
.5):
Qty Style:4—Class: I
MANUAL
MPS: Non Coded_ —Addressable
AUTOMATIC
Coverage Complete Partial X
(a) Smoke Detectors: Photo::Z::Addressable
(b) Duct Detectors: Photo Addressable
0 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. Supervisory Signal Initiating Devices and Circuits
(a)Sprinkler valve tamper switches: Z
(b)Other•
7.Annuncia ors
Number:
Location(s :
8. Alarm Notification Appliances and Circuits
Quantity and class of notification appliance circuits
connected tem (see NITA 72, Table 6.7)
QTS`' Style Class
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 Supplies
(a) Fire Alarm Control Panel
Nominal Voltage:_ 1 1 U Current rating 04::'
Overcurrent protection. Type: ircuit Breaker Tri
Location: � P� c 92
(b) Secondary (standby) Calculated capacity to drive
system, in hours: >?:-q Battery AH rating: ZA-4
10. Comments
Frequency of tests and inspections, if other than IAW the
referenced NFPA standards:��-2_
System Deviations from the referenced NFPA standard(s)
are:.
Signed: �, }
Title: ,_(n ? ' Date: ` / 3 Z
Upon completion of the system(s) satisfactory test(s)
witnessed (if required b the AHJ):
Signed:£
Title: