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HomeMy WebLinkAboutB17-1495 CALFIRE FIRE ALARM INSPECTION$(/-11-115- 640 -1?/0-o63 (/-► 15 - Onto -l`» -o63 SYSTEM RECORD OF COMPLETION Form Completion Date: 08- -17 Supplemental Pages Attached: 0 1. PROPERTY INFORMATION Name of property Brinson Recreation Center Address• 9447 Midway, Durham, CA 95938 Description of property Public Recreation Facility Name of property representative Brian Wilson Address. 9447 Midway, Durham, CA 95938 Phone. (530) 345-1921 Fax• (530) 345-0243 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 Service organization Voltage Specialists E-mail• lowvolt@sbcglobal.net Address• 5031 Foster rd Paradise, Calif. 95969 Phone: 530 624-4514 Fax: 530 872-3586 Testing organization Voltage Specialists E-mail iowvoit@sbcglobal.net Address• 5031 Foster rd Paradise, Calif. 95969 Phone: 530 624-4514 Fax: 530 872-3586 E-mail• lowvolt@sbcglobal.net 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 1-503-630-6630 Account number Phone Phone line 1: (530)345-9804 Phone line 2• (530) 345-9803 Means of transmission. POTS Entity to which alarms are retransmitted: Butte County Fire Station 45 Phone (530) 891-2788 3. DOCUMENTATION On-site location of the required record documents and site-specific software. At FACP 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: ® New system 0 Modification to existing system Permit number NFPA 72 edition. 2016 4.1 Control Unit Manufacturer: Silent Knight 4.2 Software and Firmware Firmware revision number. 15.0 4.3 Alarm Verification Model number. 5820XL ® 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) © 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 NFP use, contact licensing@nfpa.org. 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control Overcurrent protection: Branch circuit disconnecting 5.1.2 Secondary Power Type of secondary power: Location, if remote from Calculated capacity of secondary In standby mode (hours): 5.2 Control Unit El This system does not ❑ Power extender panels 6. CIRCUITS AND PATHWAYS SYSTEM RECORD OF COMPLETION (continued) panel: 120 VAC Control panel amps: Amps: 20 6 Type: Circuit Breaker means Sealed Lead location: Electrical Room Panel Number: 37 Acid Battery the plant: power to drive the system: 24 In alarm mode (minutes): A 5 have power extender panels are listed on supplementary sheet Pathway Type Dual Media Pathway Separate Pathway Class Survivability Level Signaling Line X B 0 Device Power NA Initiating Device NA Notification Appliance X B 0 Other (specify): 7. REMOTE ANNUNCIATORS Type Location 8. INITIATING DEVICES Type Quantity Addressable or Conventional Alarm or Supervisory Sensing Technology Manual Pull Stations 3 Addressable Alarm Contact Closure Smoke Detectors 9 Addressable Alarm Photo -electric ger moke Detectors 2 Addressable Alarm Photo -electric Heat Detectors 4 Addressable Alarm Thermistor Gas Detectors NA Waterflow Switches NA Tamper Switches NA 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 10 or distribution. No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized NFP use, contact licensing@nfpa.org. SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type Quantity Description Audible 2 Horn Visible 1 LED Combination Audible and Visible 6 Horn/LED 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold -Open Door Releasing Devices NA HVAC Shutdown NA Fire/Smoke Dampers NA Door Unlocking NA Elevator Recall NA Elevator Shunt Trip NA 11. INTERCONNECTED SYSTEMS © This system does not have interconnected systems. 0 Interconnected systems are listed on supplementary 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system as specified herein has been installed according 1 s Signed:_ Ds. A1=,111=sm� Printed sheet Date: 08-17-17 to all NFPA standards cited herein. name: Jim Lang _ Organization: Voltage Specialists Title: Technical 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: Jim Lan g �•-_� _ a Printed name: Jim Lang Date: 8-17-17 Organization: Voltage Specialists Title: Technical Supervisor Phone: (530) 966-0828 12.3 Acceptance Test n Date and time of acceptance test: 03 --2)-/—/ 7 0 •' 00 Installing contractor representative• Testing contractor representative. 4 al/ '. �� Property representative: _ .— ����+- digie AHJ representative: ,i - % _ NFPA 72 (p. 3 of 3) 1 © 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 NFor 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.