HomeMy WebLinkAboutFIRE ALARM FINAL - 22-00796 - Madison Station Apartments - Bldg 2FIRE ALARM AND EMERGENCY COMMUNICATION SYSTEM RECORD OF COMPLETION
To be completed by the system installation contractor at the time ofsystent acceptance and approval.
It shall be permitted to modify this form as needed to provide a more complete andllor clear record
Insert NIA in all amused lines.
Attach additional sheets, data, or calculations as necessary to provide a complete record
1. PROPERTY INFORMATION
Name of property: Madison station building 2
Address: 577 trejo Rexburg Idaho
Description of property: Apartment Building
Occupancytype: GROUP
Name of property representative: Aaron Oconner
Address:
Phone: Fax:
E-mail:
Authority having jurisdiction over this property:
Rexburg FIRE MARSHAL
Phone: Fax:
E-mail:
2. INSTALLATION, SERVICE, AND TESTING CONTRACTOR INFORMATION
Installation contractor tot this equipment: 4Sight Security, L.L.C.
Address: 6944 Big Bend, Idaho Falls, ID 83406
License or certificationmmmber: Contractor.#RCE-37051;ID ELE-SC-021298
Phone: 208403-1434 Fax: E-mail: Trevor(a)4siehtsecuritv.ore
Service organization for this equipment: 4Sight Security, L.L.C.
Address: 6944 Big Bend, Idaho Falls, ID 83406
License or certification number: Contractor: # RCE-37051; ID ELE-SC-021298
Phone: 208-403-1434 Fax: E-mail:
A contract for test and inspection in accordance with NFPA standards is in effect as of
Contracted testing company: 4Sight Security, L.L.C.
Address: 6944 Big Bend, Idaho Falls, ID 83406
Phone: 208-403-1434 Fax: E-mail:
Contract expires: AUTO- Contract number: N/A Frequency of routine inspections: ANNUAL
RENEW
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 (MNS)
Combination system, with the following components:
Fire alarm EVACS MNS Two-way, in -building, emergency communication system
NFPA 72, Fig. 10.18.2.1.1 (p. 1 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 commemial sale or distribution.
other (specify):
3. DESCRIPTION OF SYSTEM OR SERVICE (continued)
NFPA 72 edition: 2017
3.1 Control Unit
Manufacturer: Napco
3.2 Mass Notification System
MNS
3.2.1 System Type:
In -building MNS—combination
In -building MNS—stand-alone
Other (specify): _.
Additional description of system(s):
Model number: Firelink
This system does not incorporate an
Wide -area MNS Distributed recipient MNS
3.2.2 System Features:
Combination fire alarm/MNS 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 interface
Other (specify): -
3.3System 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: FACP
3.4System Software This system does not have alterable site -specific
software.
Operating system (executive) software revision level: _
Site -specific software revision date: Revision completed by: Trevor BLACKBURN
A copy of the site -specific software is stored on site. Location:
3.5Off-Premises Signal Transmission
transmission.
Name of organization receiving alarm signals with phone numbers:
Alarm: AVANT GUARD MONITORING
Supervisory: AVANT GUARD MONITORING
Trouble: AVANT GUARD MONITORING
Entity to which alarms are re -transmitted: Idaho Falls Fire
Method of re- DIGITAL VIA Starlink Radio
transmission:
This system does not have off -premises
Phone: 877-206-9141
Phone: 877-206-9141
Phone: 877-206-9141
Phone:
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 Wheless
NFPA 72, Fig. 10.18:2.1.1 (p. 2 of 12)
Copyright 0 MG9 National Pile Protection Association. r1s form may be copied for individual use other than for resale. It may not 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: N/A Survivability level: _ Quantity:
(See NFPA 72, Sections 12.3 and 12.4)
4.1.2 Pathways Utilizing Two or More Media
Quantity: 0 Description: N/A
4.1.3 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
4.1.4 Isolation Modules
Quantity: 0
4.2AIarm Initiating Device Pathways
4.2.1 Pathways Class Designations and Survivability
Pathways class: C Survivability level: 1 Quantity: 1
(See NFPA 72, Sections 12.3 and 12.4)
4.2.2 Pathways Utilizing Two or More Media
Quantity: 1 Description: ALARM INITIATING AND NAGS RUN TOGETHER
4.2.3 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
4.3.1 Pathways Class Designations and Survivability
Pathways class: B _ Survivability level: 1 Quantity: 8
(See NFPA 72, Sections 12.3 and 12:.4)
43.2 Pathways Utilizing Two or More Media
Quantity: 8 Description: ALARM INITIATING AND NAGS RUN TOGETHER
4.3.3 Appliance 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 02009 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.
5. ALARM INITIATING DEVICES
5.1 Manual Initiating Devices
5.1.1 Manual Fire Alarm Boxes
Type and number of devices: Addressable: 1
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):
-
-
Typeofsmokedetectorsensingtechnology:
Ionization Photoelectric
Multicriteria Aspirating Beam
Other (specify):
5.2.2 Duct Smoke Detectors
X 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
This system does not have radiant energy detectors.
Type and number of devices: Addressable:
_ Conventional:
Other (specify):
Type of coverage:
5.2.4 Gas Detectors
This system does not have gas detectors.
Type of detector(s):
Number of devices: Addressable:
Conventional:
Type of coverage: _..
5.2.5 Heat 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 ® 2009 Natlonal Fire Protection Association. The form may be wiped for indvidual use other than for resale. It may not be copied for commercial sale or distribution.
5. ALARM INITIATING DEVICES (continued)
5.2.6 Addressable Monitoring Modules
Number of devices:
5.2.7 WaterflowAlarm Devices
devices.
This system does not have monitoring modules.
This system does have waterflow alarm
Type and number of devices: Addressable: 1 Conventional: Coded: Transmitter:
6.2.8 Alarm Verification This system does have incorporate
alarm verification.
Number of devices subject to alarm verification: 1 _
51.9 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:
6. SUPERVISORY SIGNAL -INITIATING DEVICES
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): _
fit 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 (DSOs) This system does not have DSDs causing supervisory signals.
Type and number of devices: Addressable: 0 Conventional:
Other (specify):
Type of coverage:
Type of smoke detector sensing technology: Ionization Photoelectric Aspirating Beam
6A Other Supervisory Devices This system does not have other supervisory devices.
Describe: _
NFPA 72, Fig. 10.18.2.1.1 (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 or distdbufion.
7. MONITORED SYSTEMS
7.1 Engine -Driven Generator
This system does not have agenerator.
7.1.1 Generator Functions Supervised
Engine or control panel trouble Generator running Selector switch not in auto Low fuel
Other (specify): - -
72 Special Hazard Suppression Systems This system does not monitor special hazard systems.
Description of special hazard system(s):
73 Other Monitoring Systems This system does not monitor other systems.
Description of special hazard system(s): -
8. ANNUNCIATORS
&I Location and Description of Annunciators
Location 1:
Location 2:
Location 3:
9. ALARM NOTIFICATION APPLIANCES
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: Number of multiple voice alarm channels:
Number of speakers: Number of speaker circuits:
Location of amplification and sound -processing equipment:
Location of paging microphone stations:
Location 1:
Location 2:
Location 3:
92 Nonvoice Notification Appliances
Horns: 36 With visible: 48 Bells:
Chimes: With visible:
Visible only: Other (describe):
93 Notification Appliance Power Extender Panels
Quantity: 1
Locations: Risr room
With visible:
This system does have power extender panels.
NFPA 72, Fig. 10.18.2.1.1 (p. 6 of 12)
Copyright ®2009 National Fire Protection Association This form maybe copied for individual use other than 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 l:
Location 2:
Location 3:
102 High -Power Speaker Arrays
Number of HPSA speaker initiation. zones:
Location 1:
Location 2:
Location 3:
10.3 Mass Notification Devices
Combination fire alarm/MNS visible appliances: MNS-only visible appliances: _.
Textual signs: _ Other (describe):
Supervision class: _
10.3.1 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
112 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: Criticalarem: % 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
NFPA 72, Fig. 10.18.2,1.1 (p. 7 of 12)
Copyright ®2009 National Fire protection Association. This form maybe copied for Individual use other than for resale. It may not becopiecl for commercial sae or distribution.
11. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS (continued)
113 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:
HA 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:
115 Other Two -Way Communication Systems
Describe:
12. CONTROL FUNCTIONS
This system activates the following control functions:
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:
Other (specify):
13. SYSTEM POWER
13.1 Control Unit
This system does not have control modules.
13.1.1 Primary Power
Input voltage of control panel: 120 VAC Control panel amps: 20
Overcurrent protection: Type: BREAKER Amps: 20
Location (of primary supply panel board): Front riser room
Disconnecting means location: ELECTRICAL PANEL, MARKED ON PANELS
13.1.2 Engine -Driven Generator
Location of generator:
Location of fuel storage: _
Type of fuel:
This system does not have agenerator.
NFPA 72, Fig. 10.18.2.1.1 (p. 8 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 or distribution.
13. SYSTEM POWER (continued)
13.1.3 Unintermptible 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: IN PANEL Type: LEAD ACID Nominal voltage: 12 Amp/hour rating: 18
VDC X
2
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:
Overcurrent 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:
Type of fuel:
This system does not have agenerator.
13.2.3 Uninterruptible Power System
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 batteries to drive the system:
In standby mode (hours):
Batteries are marked with date of manufacture
Nominal voltage:
In alarm mode (minutes):
Battery calculations are attached
This system does not have a UPS.
Amp/hour rating:
NFPA 72, Fig. 10-18.2.1.1 (p. 9 of 12)
Copyright 0 2009 National Fire Protector, Association. This form may be copied for individual use other then For resale. It may not be copied for commercial sale or distribution.
13. SYSTEM POWER (continued)
13.3 Notification Appliance Power Extender Panels This system does not have power extender panels.
13.3.1 Primary Power
Input voltage of power extender panels): 120 VAC Power extender panel amps: 6
Ovemurrent protection: Type: BREAKER _ Amps: 20
Location (of primary supply panel board): Fire Front Rlsr ROOM
Disconnecting means location: ELECTRICAL PANEL, MARKED ON FIRE PANELS
13.3.2 Engine -Driven Generator
Location of generator:
Location of fuel storage: _ Type of fuel:
This system does not have a generator.
13.3.3 Uninterruptible Power System
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):
This system does not have a UPS.
13.3.4 Batteries
Location: IN PANEL Type: LEAD ACID Nominal voltage: 12 Amp/hour rating: 18
VDC X
2
Calculated capacity of batteries to drive the system:
In standby mode (hours): 24 _ In alarm mode (minutes): 5
Batteries arc marked with date of manul'actare Battery calculations are attached
14. RECORD OF SYSTEM INSTALLATION
Fill out after all installation is complete and wiring has been checkedfor opens, shorts, groundfaults, and improper
branching, but before conducting 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: 2019
NFPA 70, National Electrical Code, Artit le 760, Edition: 2017
Manufacturer's published instructions
Other (specify): _
System deviations from referenced NFPA standards: NONE
Signed: Printed name: Trevor Blackburn Date:
4Sight Security LLG
Organization: Tithe: JOURNEYMAN TECHNICIAN Phone: 208-881-3510
NFPA 72, Fig. 10.18.2.1.1 (p. 10 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 or distribution.
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 dale shown below, and were found to be operating properly in accordance with the requirements
for the following:
Modifications to an existing system
All newly modified operational features andfunctiotu ofthe system were tested bv, 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: 2017
NFPA 70, National Electrical Code, Attic le 760, Edition: 2017
Manufacturer's published instructions
Other (specify): -
Individual device testing documentation [Inspection and Testing Form (Figure 14.6.2.4) is attached]
Signed: Printed name: .Trevor Blackburn Date:
4Sight Security LLC
Organization: 4Sight
JOURNEYMAN TECHNICIAN phone: 208-881-3510
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: Trevor Blackburn Date:
4Sight Security LLC
Organization: - Title: JOURNEYMAN TECHNICIAN Phone: 208-881-3510
16.2 System Service Contractor:
The undersigned has a service contract for this system in effect as of the date shown below.
Signed:
4Sight Security LLC
Organization:
Printed name: Trevor Blackburn
Title: JOURNEYMAN TECHNICIAN
16.3 Supervising Station:
This system, as specified herein, will be monitored according to all NFPA standards cited herein.
Signed: _ _ _ Printed time: JASON PERRON
4Sight Security LLC
Organization: Title: JOURNEYMAN TECHNICIAN
Date:
Phone: 208-881-3510
Date:
Phone: 208-881-3510
NFPA 72, Fig. 10.18.2.1.1 (p. 11 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 or distribution.
16. CERTIFICATIONS AND APPROVALS (continued)
16.4 Property or Owner Representative:
I accept this system as having been installed and tested to its specifications and all NFPAstandardscited herein.
Ginned- '
Organization:
Signed: C7llU't
Organization: _GY_
Printed name: Alm
Title: 0&4z,4.1
Date: wAlt y
Phone: "24-sir — 7It* -) 3 30
NFPA 72, Fig. 10.18.2.1.1 (p. 12 of 12)
copyright 0 2009 National Fire Protection Association. This ions may be copied for individual use other than for resets. It may not be copied for commercial sale or distribution.