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Home My WebLink About010-151-027 CF ArchiveInspection, Testing and N/1-aintenance of Fire Alarm Systems Wilgus Fire Control, Inc. FIRE ALARM DIVISION Date of Service Time f%ttnu�il Inspection l - , . ...,,.. , „�,tt, Initial Itis �e�itc►n I_.ist ti�l�« l a v 1703 Sonoma St. Redding. Ca 96001 (530)241-246. (800)776-3046 Ca. Ucense #462979 C-16, C-10 U L # 524718 .• Sln��le Stade b � Two Stage El )t-fs' iNIonilorin�'.' yes ❑no xIanul'arturer; I I a -. � Contact Person: TO)d � t� Ai Model # ZOO Phone: Fax: Bidldint, Vane: Address: r L otr t)wner; Phone: Fit X: --LA (`itv: Pos(aI Code: ' r, C"ential Station: .... Phone: - 9 "-Voc"- Arvonisdib, "Nn" - 1111grep pfahle (Explain No answers in con-iments) Yes No Stlninlat' El Pn, -J�4-- ❑ Ea'00*' o ttj— Reconnect ancillary functions? The Fire alarm S stenl Is now fully functional w1t11011t deficiencies. Reconnect ancillary functions (orf site connections)? The Fire alarip system has Clef Iclencles noted on the pages attached. Reconnect signal ower'? 1 -he Fire Alarm System is tested in accordance with NEPA 72 Advise fire department the testin is completed? I Sec uence of- O peratlon confirmed and tested. Comments I state that the inlormativn Oil 1111 lurm is correc • t the time and place of'my inspection, and that all equipment was tested in conlornlance with applicable codes and the 'rechnicians After -test Checklist EIVA Reconnect time limit cutouts? ❑ M& Reconnect ancillary functions? ❑ AIA Reconnect ancillary functions (orf site connections)? Reconnect signal ower'? 7Yclinician Si nature Advise fire department the testin is completed? Time Ensure that the alarms steal is functional? Comments I state that the inlormativn Oil 1111 lurm is correc • t the time and place of'my inspection, and that all equipment was tested in conlornlance with applicable codes and the Manufacturers reLlUffemet n 11 s lett in operational condition upon completion oi'this inspection except as noted in comments. 7Yclinician Si nature ate Time Owner ol- Authorized Aoent7 I o f- 4 Inspection, Testing; and Maintenance of Fire Alarm Systems I Da t e t -- 11 -- V \ Building Name (ter V �\ VELA j _ • V -1-f- I&C V\ I Yes -Tested correctly "A" No - Did not test correctly (Explain NO answers in comments) "NA" Not applicable icld Devices Field Devices continued Each device is tier: of (laniage, fol•eign substance & ate flow Detection devices echallically su1:)ported independent ol' wiring'? v .Atli device tested while connected to control unit? a) sled by appropriate water 110� means b tittle delay recorded [��anual full stations tested'? l �o stage pulltitallOIlS tCstCd and functions coillll'n1Cd'? Ileal detectors tested ' -ory Devices ShValves tested illld I"CSt1It til trotlble Slgllal? Lossurc supervisory device Inspected and tested'' Su/chinow"er 'naok�� cl��tertor, I.water supervisor test:' spected for cleanliness'? ' isitivity tested`? Loperature Supe1•Visor device tCSICd I loss (co lire pump and air compressor) tested'' est ( fur )p�atlOn? YVA hole 1n(liC,10l' lltlltS iI1S1)CCted aild tested? Othn a�(d Type C.xtangultihing Systems /A Verily oper-ition 01'111C 011tpllt contacts initiates the �talllti change conflrillatI011 111spCctlol1 and tested'., spccltled function at the FA control unit. /V.A_ /\It- IOuct smoke detectors tested? Bcain type st-noke detectors 161' actuation & sensitivity? Supervisory Devices Other Types /VA Inspected and tested as per nianufacturcr requirements? I,A 11ame detectors inspected and tested? "gnaal Appliances IV Combination detectors inspected and tested'? 'All be inspected and tested Im- operability AIA Automatic de=tectors -- other types inspected & tested Proper installation and tightness, tampering & obstruction? a) alarm initiation AIA b) detector is oriented so as to detect hazard'? c) sensivity tested'? � Intelligibility ol'voice messages'? be - Aility of alert, alarm and voice messages/ lal signal appliance inspected and tested? Combination devices tested`? equcntial Display Inspection and Testing 111di\'Idtlal ala rnl, SUI)Cl'Vlsory allld lrotlble inputs all'l' Voice Communication Inspection/'Pests IVA Power on indic�ltor'? clearly indicated :u1d Separately dCSlgilatC LP �11WIVILILIal alarni and supervisory I111)li1 dl'.Si')IialIOII CM11i11011 visual trc)uhlc signal' Common addible trouble Slgl d'' -' labels are properly identilied'? Alarm Input overrides supervisory and trouble input? Trouble signal silence switcI- All call voice paging includ ng ViS(ial Indicator? 'tlpervisory input oVerrides trouble input'? Output circuits for selectiv voice paging and visual. )isplaly can he manually advance(P 1' I-st alalrn) IS clearly Idenlil"IC(l Cach time It IS displayed (Output circuits for selecti e voice paging trollblCNiSM11 MiCr0pll0nC including pr'ss to talk switch'? Alarm alld StlpCrVIS0rV Illptll Cali he retrieved Until Syst 111 Operation ol' VC systen : does Interfere with Initial is reset? inhibit time of alert an alarm signal. Printer 'testing LVA (Operation as intended') All call voice paging perates on emergency power') Upon Failure of one , niplifier, system ,atom"ltically Zone ol'each alarm initiating device is correctly printed'? transfers to backup mplifier. -a— Rated voltage is present? CirCllitS for emer ncy telephone call in operation including audibl and visual indication Printers located in Proprietai-y Control Centers Circuits for ern rgency telephone Cor operation, including e_ I"vents an( Acknowledgements are automatically printed? two way voic communication? Tinie anc date is recorded by the printer? Circuits Cor e lergency telephones trouble and visual ops. Each e 'ill is recorded as they OCC Lir? l:niergency elephonc verbal conimunicanon'.' Systc 1 records Stattis changes with loss of da(a? l_nlergenc telephone operable OI- III -USC tone at handset. Pal) r allVaiiCCS alllo11MIleally S(ICh that O1'lCll I_CCOrd IS f.[ne1'gC'Il y le1e1111(111e call-in ianlp'? vis' )Ic? I:rilergc; cy telephone call-in audible signal? I' Inter operates under loss c)f' main pMN'cr S(ipply? All tel phone zone select switches individually tested'' I rinter is monitored I61' ` Iokv paper'" and "paper oily", 111d1v dtial telephone %One SCICCt Indicators? (gyp 'atln`; II1SlruCtl(1n clearly VISIbIC? Lockable release inechanism Is intact? Ancillary Device 'Testing CirCuil-Ala � �_-- -- —_ CIrCllit ClrCllit 3 of Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Date: — i t`' ,Io Z Annual Inspection Page of l3uildino Nan►e:�Yrs Address: rl,4,e C- Address: Correctly ins(alled. :%11r1Illicialor indication cvnfil•rlled. B. Requires Service. Repairs. missing;, ur cleaning (circuit number or address C. Alarm operation cunlirnled F. Supervision and ground fault detectiuu G. Smoke detector sensitivio, testing lees - rXccepuable ".`" No — Unacceptable (Lxplain NO ansvvers in comments) "NA" Not applicable Dp ice Location A 13 C 1) L F arks J ML SWt)"u\6 10L 14 A f-- C--- Ik V 5tJ 5rzr-vtr fi.--nc, 01, S V- 4(,4 u Li -0 Ir 71 Note: Confirmation of Nviring supervision to each Individual device is only required during an initial in.ypec'tion and few or verification, and is not required at the annual test. Inspection, Testing and Maintenance of Fire Alarm Systems Date Building Name �rU Device Testing - Legend and Notes 0 Device Description �r'y ie Model No. NI Manual Pull station 1-1T Heat detector, non restorable Note 9 RHI' Heat detector, Restorable Note 9) S Smoke detector Note 1, 2 & 9) RI Remote indicator Unit DS Duct smoke detector Note 1, 3 & 9 F'S Photo electric smoke detector ShD Supporting field device monitor FS Sprinkler flow switch Note 4 SS Sprinkler supervisory device Note 5 LA — Low air PS — Pressure switch EM Fault isolation nodule B Berl I -I F'I U 1' Il Visual signal appliance I -Is .I-1 ornlStrobe SP Cone type speaker I. -ISP Horn type speaker AD Ancillary device Note 8 Emerglencv Telephone --- Other supervisory devices Notes 6 & 7 --- Other type of detector Note 1. Smoke detector sensitivity measurement and cleaning (late should be recorded in the remarks column. Note 2. Status change, including time delay, should be recorded in the remarks column. Note 3. Duct smoke detector pressure differential should be confirmed and recorded in the remarks column. Note 4. Time delay setting of water flow switch should be recorded in the remarks column. Note 5. Sprinkler supervisory switches cause trouble condition to be annunciated but not an alarm contrition. Note 6. Upper and lower pressure setting of supervisory devices should be recorded in the remarks column. Note 7. l.o%%? temperature setting should be recorded in the remarks column. Note 8. Identify the specific ancillary devices in the remarks column. Note 9. Identify (late fire detector was changed. Caution: The tests reported on this form do not include the actual operational test of ancillary crevices. 4 o f' 4 Inspection, Testing and Maintenance of Fire Alarm Systems Dace k — `t V � Building Name ( j�Q,•'�1 Ut b -r- K r n t Yes - Tested correctly "X" No - Did not test con, Control Unit 'Pests —y'ower on visual indicator`? �< z�'onlmorl visual trouble signal'? 0111111011 audible trouble signal? roUbIc signal silence switch? ;1111 POWCr SIlpply failure trouble signal? Ground filult tested oil positive and negative trouble signal alert siznal operation? Alarm slonal operation? �/� 1110111;1111' transicr from Alert Signal to Alarm Slgnal') t\cknowledge switch operatic)11? larm signal silence 111h1bli? larill signal silence operation'? Alarm signal silence visual inllicatio11`? Alarm signal when silenced automatically reinstate on suhseduent alarm'' f arm signal silence automatic cut-out timer? input circuit alarm ;lrld supervisory operation including Mal indicator? Put circuit trouble operation'? )utput circuit alarm operation? 5c-zA utl)ut circuit trouble operation? Visual indicator test (lamp test)? Coded signal sequence operate not less than the required nunlhel- of times ;and the correct alarm signal thereafter. wn C0dCLI signal sequence, are not interrupted by IbScgllent alarms? Z11,11 circuit to output circuit operation including 1'ary device, for correct matrix operation R . ct operation'' Main pmvcr it) emergency power sul:)ply uansler? I-VA9 ,Ita C0111111uMC111101IS link (I)CL) supervision & opCratior► C 0lM`0I unit III ICI'COIlllectloll to monitoring station? ectly (Explain IVU answers in comments Annunciator Inspection & Tests , J Power oil ind' ator? Control Unit Inspection Input circuit designations, correctly identified in relation connected field devices ZIOutput circuit designations correctly Identified In relation cl connected l field devices. esignations fur common control functions & indicators abinet, plugm components and modules securc;ly in place Plugin cables securely in place Record date, revision and version of Fir111ware & software I 'ite: Rcv: Ver: �'leanliness? -uses in accordance with MI (.is speciIkation Control Unit lock ermi11atiorl points ints from wiring to field devices secure f "NA" Not applicable Individual ' firm and supervisory zone Indication'? individu; alarm and supervisory Zone indication lahels'' Conlim 1 trouble signal'' VISIT; illdicator test - I_.aillp test's Inp wiring h-oln control unit is supervised'' A rin sWillal silence visual indicator? .witches for ancillary I'uncti011 operate as intended? Other ancillary i•LlUIC11011 visual indicators? Manual :IctIVclt1On of ,'JIM -111 Slgllal Mid Indication? Power Supply Inspection Fused with nlfgs marked rating of the system? Adequate to meet the requirements ol' the system"! Remote "I•rt ble Unit Tests an Inspection IVA Input wiriA, rom control unit is supervised? Visual tr uble signal? Audibl trolable signal'? Audi e trouble signal silence;'? Battery Tests and Inspection Battery type Battery Voltage : AC power on 3 Vdc AC power ort Vdc Battery Amp I lours: AC power oil J�, /1h AC' power on a _ Ah X1.,fispected li)r physical darrlagc? •erillnlal c'1eancd and luhricated? Terminals clamped tightly? Correct Electrolyte level? �1.1A Specific gravity within mfg specifications? Electrolyte leaks? Adequately ventilated? i 11 rllanlltacturcr's rated life date code? isconnc:ction causes trouble signal? C;cner-rtor• Power Supply �q Provides power to AC circuit serving the lire alarm? NA Trouble condition at the cr11 gen shall result III an audihlc L�tE111111:)fl tl*0Ub1e signal and a visual indication at the requil'ed an11111lcIalor? 2 of4 Inspection, Testing and Maintenance of Fire Alarm SystenIs Individual Device Record Date: `� ' Animal Inspection Page � of tL Buildim, Name: u CAro Address: L&CC- A. s' A. Correctly ins(alled. 1 1). Mmunciator indication confirmed. B. Requires Service, Repairs, missing, or cleaning E. (:ircuit number or address C. Alarm operation confirmed F. Supervision and ground fault detection G. Smoke detector sensitivity testing Vac _ Arrant(Oila "Y" Nn — 1 In-Aeronts0-tip Wvnhiin NO nn%-yt'1'%- in vnmmPntC1 (-'NA" Not annlica hle Note: Confirmation of wiring supervision to each individual device is only required during an initial inspection and test or verification, and is not required at the annual test. W=WA= ==WA ",,, iZI PA ym �W a WE MWA mmmil A -W 01,1�F�ii�ll��l►il��i�� 10mom &K -M MWAM M,=MMLWAMMMmmmmmmmmmmmm Note: Confirmation of wiring supervision to each individual device is only required during an initial inspection and test or verification, and is not required at the annual test. ciutte County Fire Department California Department of Forestry and Fire Protection .x Fire Prevention Bureau � .�,... 176 Nelson Avenue, Oroville, CA 95965 RRE 530-538-7888/530-538-2105(fax) .' Fire Safety Inspection Business Address: sP/11/(f goo, 6 Business Name: Owner/Manager: 16 e(rU C �,,c Bus:� - — Other: Other Contact: Bus: Other: Building Owner: Bus: Other: Address: Occ. Class: 6. Kitchen hood ext. system: service due 15. Wiring: exposed, damaged connectors, etc. 7. Fire walls, ceilings, fire doors, draft stops 16. Address posted and visible from road 8. Smoke detectors: required, defective 17. Other 9. Fire drill log checked Yes ❑ No ❑ 18. Other type of inspection - State below DETAILED EXPLANATION AND CORRECTIONS: CORRECTED: Date: Discussed with: Si C0 Discussed nspecti6g Officer: Battalion 1 2 3 4 5 6 /P Station:Y;r2 K -� ,,540070A"-*' By order of the Fire Chief: - You are hereby notified to correct all violations immediately or show cause why you should not be required to do so. A re -inspection will be conducted on . Willful failure to comply with this notice is a misdemeanor. Violations that are not corrected immediately and/or remain after the re -inspection may be processed as a criminal offense. Thank you for your assistance and cooperation in minimizing the fire and life loss in our community. (H & S sec. 13112) White Copy — Station File Yellow Copy — Re-inspect/business Pink Copy — Business 0 Check when sent to prevention AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING: 1. Fire extinguishers: required, service due 10. Exit(s): obstructed, inadequate 2. Extension cords: Excessive use, defective 11. Exit sign(s): required, illumination, photo luminescent 3. Excessive rubbish, trash, debris 12. Exit sign lights: obstructed, defective 4. Fire alarm s stem defective 13. Exit lighting: required, defective 5. SlDrinkler s stem: service re uired, defective 14. Heatina s stem: defective aDDliance. flue combustibles 6. Kitchen hood ext. system: service due 15. Wiring: exposed, damaged connectors, etc. 7. Fire walls, ceilings, fire doors, draft stops 16. Address posted and visible from road 8. Smoke detectors: required, defective 17. Other 9. Fire drill log checked Yes ❑ No ❑ 18. Other type of inspection - State below DETAILED EXPLANATION AND CORRECTIONS: CORRECTED: Date: Discussed with: Si C0 Discussed nspecti6g Officer: Battalion 1 2 3 4 5 6 /P Station:Y;r2 K -� ,,540070A"-*' By order of the Fire Chief: - You are hereby notified to correct all violations immediately or show cause why you should not be required to do so. A re -inspection will be conducted on . Willful failure to comply with this notice is a misdemeanor. Violations that are not corrected immediately and/or remain after the re -inspection may be processed as a criminal offense. Thank you for your assistance and cooperation in minimizing the fire and life loss in our community. (H & S sec. 13112) White Copy — Station File Yellow Copy — Re-inspect/business Pink Copy — Business 0 Check when sent to prevention