HomeMy WebLinkAboutFIRE ALARM REPORT - 22-00729 - 7N Apartments - Bldg 3 - Fire AlarmioEAKA[arm"
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
Montrose, Colorado (l9�70) 249-4537
ACCOUNT NUMBER: `7'
q J -0,,i" -
PROPERTY NAME:.
Name: P't-e�
Address: /C --
Owner Contact:
Telephone:
APPROVIl AGENCY
Contact: b�
Telephone:
TYPE TRANSMISSION: ❑ DIGITAL ❑ NONE
SERVICE: '$( Annual ❑ Other:
PANEL MAKE/MODEL: I<►► " l=X-gyp
CKT STYLES: NO. OF CKTS:/ iO Celle c rt •t -
ALARM INITIATING DEVICES AND CKT INFO
Qty of Ckt Style
�5 Manual pull station
t 5 PE Smoke
Duct detectors
Heat detectors
Waterflow switches
Supervisory switches
Other:
ALARM NOTIFICATION DEVICES & CKT INFO
Qty of Ckt Style
Bells
--` -- Horn/Strobes
L <3 Strobes
—�- _ Other:�PA
Lr J S
SIGNALING CKTS
Qty of: Style:
SYSTEM POWER SUPPLIES
Primary. Voltage: / 14,' fps: 24�?
Overcurrent protection Type: (�
AC disconnect location: buses
Secondary: Sealed Lead -Acid battery
7 AH
Calculated backup:_ Hours
PRIOR TO ANY TESTING
Notifications are made:
Yes No
Monitoring Entity
❑
Building Occupants
❑
Local Dispatcher
- ]� ❑
Other:
❑ ❑
PAC 142
SYSTEM TESTS AND INSPECTIONS
Type:
Visual
Functional
Control panel
og'
Q�'
Lamps/LEDs
-'
8 -
Primary Power
g�
g
Fuses
❑
❑
Ground Fault Indication
0'
0 -
Disconnect Switches
Er
�-
Trouble Signals
2r,
.�
SECONDARY POWER
Type:
Battery condition
Load Voltage
Visual Functional
Before: After:
REMOTE ANNUNCIATORS
1)7pe: Visual Functional
NOTIFICATION APPLIANCES
Type:
Visual
Functional
Audible
al
-'
Visual
LI -1
-Er
ON/OFF PREMISE MONITORING
YES
NO
Alarm/Restoral Signal
, d
❑
Trouble/Restoral Signal
-ir
❑
Supervisory/Restoral Signal
-2'
❑
TESTING COMPLETE
Notifications are made:
Yes
No
Monitoring Entity
❑
Building Occupants
g"
❑
Local Dispatcher
Rr
❑
Other:
❑
❑
The following did not operate properly: 61 k�7-
System Restored to normal operations
Date: O�'j Z-��> Time: /3cc)
This testing was performed in accordance with
applicable NFPA standards
Inspector Name: LC &� ' fC�
Signature:
Date: Z1�
Owner Rep Name:
Signature:
FIRE ALARM SYSTEM RECORD OF
COMPLETION (NFPA 72 Fig 4.5.2.1)
Protected Premise:-JaG Mien 4 P12x N4- 11-3
AHJ: 'burl
Installer: Peak AJWn 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:
t. Tyle of System or Service
NFPA 72, Chapter 6 —Local
X=_Nr'PA 72, Chapter 8 — Remote Station
Telephone No. of organization receiving
Alarms/Supervisory/Troubles:
Peak Alarm Company —1 (800) 444-7231
N FPA 72, Chapter 8 — CentraI Station
Prime Contractor:
Central Station Location:
Means of transmission of signals from protected premise
to central station: _ ---------PACT None
2. Record of System Installation
This system has been installed IAW NFPA standards as
shoj'n @Glow, was inspected by v- on
Z` includes the vic s shown 5 and 6,
and has been in service since 1,1,201
NI -PA 72, Chapters 12 3 4 5 6 7 8 9 10 11
NFPA 70, National Electric Code, Article 760
—�Maaffacturers Instructions
Signed: '` 2D
Date:
Organization: Peak Al pang--'—
3. record of System Operation
Documentation IAW Inspection Testing Form, Figure
10-6.2.3, of NFPA 72 is attached 7e
A]I operationafeatures of this syste w re tested by
' Date W Z J 3 and were
found to be operati g properly IAW the requirements of:
NPPA 72, Chapters 12 3 4 5 6 7 8 9 10 11
: C NFPA 70, National Electric Code
Manufacturers Instructions
Signed: �- 2- Date: �o �� G
Organization: Peak Ala any
1. Signaling Line Circuits
Quantity and class of SLC connected to system (see
NFPA 72, Tab e 6.6.1):
Quantity: , Style: Class:
5. Alarm I nitiatk Devices and Circuits
Quantity and class of initiating device circuits
(see NFPA 72, Table 6.5):
QtY: 'Style:_Class: 3
MANUAL
MPS: Non Coded—J _Addressable
AUTOMATIC
Coverage Complete Partial
(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:__
(b)Other:
7.Annunciators
Number: Type:
Location(s):
8. Alarm Notification Appliances and Circuits
Quantity and class of notification appliance circuits
connected to system (see NFPA 72, Table 6.7
QTZ':T-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:I 10 Current rating 2J
Overcurrent Protectio Typ?: Circuit Bre er
i
Location:irorg We6� �; e
(b) Secondary (standby) Calculated capacity to drive
system, in hours: y2 Battery AH rating:_
10. Comments
Frequency of tests and inspections, if other than IAW the
referenced NFPA standards:
System Deviations from the referenced NFPA standard(s)
are: /Jr9
Signed: _
you\S Z ZTitle:
Upon completion of the system(s) satisfactory test(s)
witnessed (if required by the AHJ):
dSigned: . 1e4_:_
Title: � ",v.r / Date: 7 /