HomeMy WebLinkAboutFAI19-0036 CF Alarm Inspection ALARM AND DETECTION REPORT Page 1 of 4
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530-624-4514
C10/C18 License#880862 www.VoltageSpecialists.com Inspection # 1-123
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ALARM & DETECTION EQUIPMENT TEST REPORT
Type of Inspection:ANNUAL Date: 2-28-20
Customer DURHAM USD
Site: MISSION HILLS SCHOOL
Street: 9455 PUTNEY DRIVE Contact: Eric
City/State: DURHAM, CA Phone #: 530-519-4604
Fax#:
1. Before Test Notify Proper Authorities: Name Phone #
A. Owner or Owner's Rep Eric 530-519-4604
B. Fire Department Cal Fire 530 891-2788
C. Central Station NA
D. Central Station Acct# NA
2. Control Panel Status Yes No Note #
A. Is the system monitored by Central Station? I X I
On Test Time: 3:00 Return to Service Time: 5:00
B. Is the Power Light on? X
C. Does the Panel indicate Normal conditions? X
D. Are all indicating Lamp Bulbs in Operator order? X
E. Does the Trouble Light operate? X
F. Does the Silence Switch Operate? X
G. Battery A.H.12 Date Batteries Installed: 1-3-19
H. Does the Panel have Non-Operational Zones? X
I. Does the Panel have Battery Backup? X
J. Do the batteries indicate they are Properly Charged? X
Condition of Batteries: Good Note#
Battery Voltage with AC Power: 27.95 Battery Voltage without AC Power: 27.58
K. List any trouble conditions on panel before test: Note#
Note#
Comments: Note#
Note#
3. FACP Manufacturer: SILENT KNIGHT Model# 5820XL System Type: ADDRESSAB
Location of Annunciators: NA
Location of Primary Power Source:BEHIND PORT Panel# Breaker
Comments: Note#
Note#
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FCPS: Manufacturer: Silent Kni ht Model# 5495 Panel/Breaker#
g Location:P-5
Battery Voltage with A/C Power: 27.36 w/o A/C Power 27.17 Date: 1-3-19
FCPS: Manufacturer: Model# Panel/Breaker# Location:
Battery Voltage with A/C Power: w/o A/C Power Date:
FCPS: Manufacturer: Model# Panel/Breaker# Location:
Battery Voltage with A/C Power: w/o A/C Power Date:
Owner/Rep: Phone#: Date:
Inspector: Mat Machado Phone#: 530-362-2609 Date:2-28-20
Owners Rep Sign: Date: Inspector Inspector Sign:
ALARM AND DETECTION REPORT Page 2 of 4
Property Site: MISSION HILLS SCHOOL
Operational
#Tested
This
Equipment Total# Report Yes N/A Note#
4. Remote Annunciators
5. Zones
6. Manual Stations (Pull)
Hardwire
Addressable 6 6 X
7. Detectors
Photoelectric 8 8 X
Ionization
Heats/Fixed or R of R 8 8 X
Flame
Duct(See#15) I
8. Horn/Strobe 7 7 X
I Strobe Only 3 I 3 X
Bell I
Speakers
Horn 4 I 4 X
9. I
10. Automatic Door Release X
11. Water Flow switches X
Did W/F Ring Outside Bell? X
Did W/F Activate Alarm Panel? X
12. Tamper Switches X
13. PIV X
OS&Y X
I14.
15. Did test of Duct Detectors shut down air handling units? X
16. Did the Monitoring Center(Fire Dept, Central Station, Lease Line)receive signal? X
17. Is system reset for normal conditions? X
I18. Is system restored to operational service? X
I 19. Have Proper Authorities (see#1)been notified system is back in service? X
List Proper Authorities:Cal Fire
20. Indicate%of equipment tested this report 25% 50% 75% ✓ 00%
21. Indicate%of equipment tested YTD 25% 50% 75% V 100%
Comments for any"no"answers or explanations (Note#):
2-28-20 C6V5W—
Owners Rep Sign: Date: Inspector Sign:
ALARM AND DETECTION REPORT Page 3 of 4
Property Site: MISSION HILLS SCHOOL
Zone or DEVICE SLc DEVICEu
TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL
HT GIRLS RR X 33 10
PS ROOM 1 X 33 3
PS Paradise Rm 1 X 33 20
PS Paradise Rm 2 X 33 21
PS Paradise Rm 3 X 33 22
PS Paradise Rm 4 X 33 23
PS Paradise Rm 5 X 33 24
PSD ROOM 1 X 33 1
PSD ROOM 1 X 33 4
PSD ROOM 2 X 33 6
PSD ROOM 2 X 33 7
PSD HANDICAP RR X 33 9
PSD Girls RR X 33 10
PSD BOYS RR X 33 11
PSD Paradise Rm 1 X 33 27
RR ROOM 1 AC X 33 2
RR ROOM 1 AC X 33 2
RR ROOM 2 AC X 33 5
RR ROOM 2 AC X 33 5
RR BOYS RR AC X 33 8
RR GIRLS RR AC X 33 8
RR HANDICAP RR AC X 33 8
RR RR PLUMBING CHASE X 33 8
Owners Rep Sign: Date: 2-28-20 Inspector Sign: 66
ALARM AND DETECTION REPORT MISSION HILLS SCHOOL Page 4 of 4
Zone or DEVICE
DEVICE SLC
TYPE DEVICE LOCATION PASS FAIL NOTE # CHANNEL
I I
LEGEND
PSD—Photoelectric Smoke Detector BD —Beam Detector H —Horn V—Visual
ISD —Ionization Smoke Detector PS—Pull Station WPH—Weather Proof Horn TS-•Tamper Switch
PDD —Photo Duct Smoke Detector RR—Rate of Rise Heat Detector C—Chime WF --Water Flow Switch
IDD —Ion Duct Smoke Detector HT —Fixed Temp Heat Detector (V —Chime Visual DH—Door Holder
DHS--Door Holder & Smoke Detector Fr) —Flame Detector S---Speaker OSY —Outside Stern &Yoke Tamper Valve
SSD —Signal Station Smoke.Detector R---Rpl I AV--Au dihle Visual PR/—Pnct Inrlirat_or Valve
Cur - Elevator Curtains FRD - Fire Rolldown Door SDC Smoke Detector & Door Holder Combo
CO - Carbon Monoxide Detector - • -
NOTE # I COMMENT
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I -1- -
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2-28-20 66)75149
Owners Rep Sign: Date: Inspector Sign: