Loading...
HomeMy WebLinkAboutFAI15-0072 CF Alarm Test F' i ($=cra ? - cL(0 U60 -06 Z SYSTEM RECORD OF COMPLETION Form Completion Date:8-31-20 Supplemental Pages Attached: 0 1. PROPERTY INFORMATION Name of property: Durham High School(HVAC PROJECT) Address: 9420 Putney dr.Durham Ca.95938 Description of property: K12 education Name of property representative: Eric Address: 9420 Putney dr.Durham Ca.95938 Phone: 530 519-4604 Fax: E-mail: 2. INSTALLATION,SERVICE,TESTING,AND MONITORING INFORMATION Installation contractor: Voltage Specialists Address: 5031 Foster rd Paradise,Calif.95969 Phone: 530 624-4514 Fax• 530 872-3586 E-mail. billbunchvs@gmail.com Service organization:Voltage Specialists Address: 5031 Foster rd Paradise,Calif.95969 Phone: 530 624-4514 Fax: 530 872-3586 E-mail: billbunchvs@gmail.com Testing organizatior• Voltage Specialists Address: 5031 Foster rd Paradise,Calif.95969 Phore• 530 624-4514 Fax• E-mail: billbunchvs@gmail.com Effective date for test and inspection contract: Monitoring organization: CSM inc(Mastertech Security Services)(U.L.app#274780-002)exp.3/15 Address: 303 SW Zobrist.Estacada Oregon 97023 Phone: 1-800-722-0364 Fax: 1-503-630-6630 E-mail. Account number. 18-9477 Phone line 1: 530 895-4688 Phone line 2. 530 895-4306 Means of transmission;DACT Entity to which alarms are retransmitted: CSM central station Phone: 1-800-722-0364 3. DOCUMENTATION On-site location of the required record documents and site-specific software. REV1 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: 0 New system 0 Modification to existing system Permit number: NFPA 72 edition: 2016 4.1 Control Unit Manufacturer: Silent Knight Model number: 6820 4.2 Software and Firmware Firmware revision number 2.20 4.3 Alarm Verification III This system does not incorporate alarm verification. Number of devices subject to alarm verification: Alarm verification set for seconds NFPA 72(p.1 of 3) 40 ©2016 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.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized dNF use,contact licensing@nfpa.org. SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 120 VAC Control panel amps: 6 Overcurrent protection: Type: Circuit Breaker Amps: 20 Branch circuit disconnecting means location: Number: 5.1.2 Secondary Power Type of secondary power: Battery Location,if remote from the plant: in FACP Calculated capacity of secondary power to drive the system: In standby mode(hours): 24 In alarm mode(minutes): 15 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 Dual Media Separate Survivability Pathway Type Pathway Pathway Class Level Signaling Line I I B 0 Device Power I I Initiating Device B 0 Notification Appliance I I B 0 Other(specify): 7. REMOTE ANNUNCIATORS Type I Location LCD annunciator I front office 8. INITIATING DEVICES Addressable or Alarm or Sensing Type Quantity Conventional Supervisory Technology Manual Pull Stations Smoke Detectors Duct Smoke Detectors 6 (conventional-monitor modules supervisory photelectric Heat Detectors Gas Detectors Waterflow Switches Tamper Switches NFPA 72(p.2 of 3) ©2016 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale '►►�1► or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized NFPA use,contact licensing@nfpa.org. SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type I Quantity I Description Audible Visible I Combination Audible and Visible I 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices HVAC Shutdown Fire/Smoke Dampers Door Unlocking 1 Elevator Recall Elevator Shunt Trip • • 11. INTERCONNECTED SYSTEMS 0 This system does not have interconnected systems. El Interconnected systems are listed on supplementary sheet . 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system as specified herein has been installed according to all NFPA standards cited herein. Signed: _ Printed name: Jim Lang Date: 8-31-20 Organization: Voltage Specialists Title: Tech.Supervisor Phone: (530)966-0828 12.2 System Operational Test This system as specified herein has tested according to all NFPA standards cited herein. Signed: Printed name: Jim Lang Date: 8-31-20 Organization:Voltage Specialists Title: Tech.Supervisor Phone: (530)966-0828 12.3 Acceptance Test Date and time of acceptance test: 8-31-20 (0800) Installing contractor representative: E=� "---- ch Jr Testing contractor represen �qve: "�"`B"  �` Property representative: I )S / p AHJ representative: V (✓..Z. ./ Of 2 fS / /� T�-3/- NFPA 72(p.3 of 3) ©2016 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale Ito or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized use,contact licensing@nfpa.org.