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HomeMy WebLinkAboutB16-2780 CALFIRE FIRE ALARM INSPECTIONDESIGN 61(o - 7Zb OV1-Uc -03`d ALARM ac FOOTIffl2FfflE • INSTALLATION • INSPECTION • REPAIR Redding Office: 3092 Crossroads Dr. Ste. 1, Redding, CA 96003 • Phone: (530) 223-2492 Greater Bay Area Office: 2280 Bates Ave. Suite A Concord, CA 94520 • (925) 209-6164 Chico Office: 170 Erma Ct, Chico, CA 95928 • Phone: (530) 826-3013 / Fax: (530) 893-3013 Rocklin Office: 4000 Alvis Ct., Rocklin, CA 95677 • Phone: (916) 663-3582 / Fax: (916) 663-3583 C.L. C16 #783132 & C10 #998129 FIRE ALARM SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time of system acceptance and approval. 1. Protected Property Information Name of property: Lundberg Family Farms (Warehouse 7) Address: 5311 Midway, Richvale, CA. Description of property: Commercial Occupancy type: Name of property representative: Brian Roach Address: Phone: Fax: E-mail: Authority having jurisdiction over this property: Butte County Fire Department Phone: 530-538-7111 Fax: E-mail: 2. Fire Alarm System Installation, Service, and Testing Information Installation contractor for this equipment: Foothill Fire Alarm & Security Address: 170 Erma Court. Chico, CA. 95928 Phone: 530-826-3013 Fax: 530-893-3013 E-mail: alarms@ffprotection.com Service organization for this equipment: Foothill Fire Alarm & Security Address: 170 Erma Court. Chico, CA. 95928 Phone: 530-826-3013 Fax: 530-893-3013 E-mail: alarms@ffprotection.com Location of as -built drawings: Document Box Location of Historical Test Reports: Document Box Location of system operation and maintenance manuals: Document Box A contract for test and inspection in accordance with NFPA standards is in effect as of Contracted testing company: Foothill Fire Alarm & Security Address: 170 Erma Court. Chico, CA. 95928 Phone: 530-826-3013 Contract expires: Fax: 530-893-3013 E-mail: alarms@ffprotection.com Contract number: Frequency of routine inspections: Semi- annual NFPA 72, Fig. 4.5.2.1 (p. 1 of 6) Copyright © 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. DESIGN °Morrinue L�l%L�RI[a��� • INSTALLATION • INSPECTION • REPAIR Redding Office: 3092 Crossroads Dr. Ste. 1, Redding, CA 96003 • Phone: (530) 223-2492 Greater Bay Area Office: 2280 Bates Ave. Suite A Concord, CA 94520 • (925) 209-6164 Chico Office: 170 Erma Ct, Chico, CA 95928 • Phone: (530) 826-3013 / Fax: (530) 893-3013 Rocklin Office: 4000 Alvis Ct., Rocklin, CA 95677 • Phone: (916) 663-3582 / Fax: (916) 663-3583 C.L. C16 #783132 & C10 #998129 3. Type of Fire Alarm System or Service NFPA 72®, Chapter Reference of System Type: Name of organization receiving alarm signals with phone numbers (if applicable): Alarm: Butte County Fire Phone: 530-538-7322 Supervisory: Brian Roach Phone: 530-538-3480 Trouble: Brian Roach Phone: 530-538-3480 Entity to which alarms are retransmitted: Phone: Method of retransmission of alarms to that organization or location: Rapid Response If Chapter 8, note the means of transmission from the protected premises to the central station: ® Digital alarm communicator 0 Cellular 0 Multiplex 0 2 -way radio 0 1 -way radio 0 N/A 3.1 System Software Operating system (executive) software revision level: 4.0 Site-specific software revision date: 4.0 Revision completed by: 4. Signaling Line Circuits Characteristics of signaling line circuits connected to this system (see NFPA 72 ®, Table 66.1): Quantity: 1 Style: B Class: B 5. Alarm -Initiating Devices and Circuits Characteristics of initiating device circuits connected to this system (see NFPA 72®, Table 6.5): Quantity: Style: 5.1 Manual Initiating Devices 5.1.1 Manual Pull Stations Number of manual pull stations: 1 Class: Type of devices: ►2 Addressable 0 Conventional 0 Coded 0 Transmitter 0 N/A NFPA 72, Fig. 4.5.2.1 (p. 2 of 6) 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. DESIGN • INSTALLATION • INSPECTION • REPAIR Redding Office: 3092 Crossroads Dr. Ste. 1, Redding, CA 96003 • Phone: (530) 223-2492 Greater Bay Area Office: 2280 Bates Ave. Suite A Concord, CA 94520 • (925) 209-6164 Chico Office: 170 Erma Ct, Chico, CA 95928 • Phone: (530) 826-3013 / Fax: (530) 893-3013 Rocklin Office: 4000 Alvis Ct., Rocklin, CA 95677 • Phone: (916) 663-3582 / Fax: (916) 663-3583 C.L. C16 #783132 & C10 #998129 5.2 Automatic Initiating Devices 5.2.1 Area Smoke Detectors Number of smoke detectors: Type of coverage: 0 Complete area ® Partial area 0 Nonrequired partial area 0 N/A Type of devices: ® Addressable 0 Conventional 0 Coded 0 Transmitter 0 N/A Type of smoke detector sensing technology: 0 Ionization 0 Photoelectric 5.2.2 Duct Smoke Detectors Number of duct smoke detectors: Type of coverage: Type of devices: ❑ Addressable ❑ Conventional ❑ Coded 0 Transmitter ❑ N/A Type of smoke detector sensing technology: ❑ Ionization ❑ Photoelectric 5.2.3 Heat Detectors Number of heat detectors: 0 Type of coverage: ❑ Complete area ❑ Partial area ❑ Nonrequired partial area ❑ N/A Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 5.2.4 Sprinkler Waterflow Detectors Number of waterflow detectors: 2 Type of devices: ® Addressable ® Conventional ❑ Coded ❑ Transmitter ❑ N/A 6. Supervisory Signal -Initiating Devices and Circuits 6.1 Sprinkler System Number of valve supervisory switches: 2 Type of devices: ® Addressable ® Conventional 0 Coded 0 Transmitter 0 N/A 6.2 Fire Pump Type of fire pump: ® Electric 0 Diesel Type of fire pump supervisory devices: ® Addressable ® Conventional 0 Coded 0 Transmitter 0 N/A Fire Pump Functions Supervised ® Fire pump power ® Fire pump running ® Fire pump phase reversal 0 Selector switch not in auto ❑ Engine or control panel trouble 0 Low fuel Other: 6.3 Engine -Driven Generator Type of generator supervisory devices: 0 Addressable ❑ Conventional ❑ Coded 0 Transmitter 0 N/A ❑ Engine or control panel trouble 0 Generator running 0 Selector switch not in auto 0 Low fuel Other: NFPA 72, Fig. 4.5.2.1 (p. 3 of 6) Copyright a 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. I16OTHILLFIItEB ALARM lic� DESIGN • INSTALLATION • INSPECTION • REPAIR Redding Office: 3092 Crossroads Dr. Ste. 1, Redding, CA 96003 • Phone: (530) 223-2492 Greater Bay Area Office: 2280 Bates Ave. Suite A Concord, CA 94520 • (925) 209-6164 Chico Office: 170 Erma Ct, Chico, CA 95928 • Phone: (530) 826-3013 / Fax: (530) 893-3013 Rocklin Office: 4000 Alvis Ct., Rocklin, CA 95677 • Phone: (916) 663-3582 / Fax: (916) 663-3583 C.L. C16 #783132 & C10 #998129 7. Annunciators 7.1 Annunciator 1 ® Local 0 Remote Type: o Addressable 0 Directory 0 Graphic 0 N/A Location: 7.2 Annunciator 2 0 Local 0 Remote Type: 0 Addressable 0 Directory 0 Graphic 0 N/A Location: 7.3 Annunciator 3 0 Local 0 Remote Type: ❑ Addressable 0 Directory 0 Graphic 0 N/A Location: 8. Alarm Notification Devices and Circuits 8.1 Emergency Voice Alarm Service Number of single voice alarm channels: 1 Number of multiple voice alarm channels: Number of speakers: 0 Number of speaker zones: 0 8.2 Telephone Jacks Number of telephone jacks installed: 2 Number of telephone handsets stored on site: Type of telephone system installed: ® Electrically powered 0 Sound powered 0 N/A 8.3 Nonvoice Audible System Characteristics of notification device circuits connected to this system (see NFPA 72®, Table 6.5): Quantity: Style: Class: 8.4 Types and Quantities of Nonvoice Notification Appliances Installed Bells: With visual device: Horns: 1 With visual device: Chimes: With visual device: Bells: With visual device: Visual devices without audible devices: Other (describe): 9. Emergency Control Functions Activated 0 Hold -open door releasing devices 0 Smoke management or smoke control 0 Door unlocking 0 Elevator recall 0 Other NFPA 72, Fig. 4.5.2.1 (p. 4 of 6) Copyright © 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. DESIGN • INSTALLATION • INSPECTION • REPAIR Redding Office: 3092 Crossroads Dr. Ste. 1, Redding, CA 96003 • Phone: (530) 223-2492 Greater Bay Area Office: 2280 Bates Ave. Suite A Concord, CA 94520 • (925) 209-6164 Chico Office: 170 Erma Ct, Chico, CA 95928 • Phone: (530) 826-3013 / Fax: (530) 893-3013 Rocklin Office: 4000 Alvis Ct., Rocklin, CA 95677 • Phone: (916) 663-3582 / Fax: (916) 663-3583 C.L. C16 #783132 & C10 #998129 10. System Power Supply 10.1 Primary Power Nominal voltage: 120 vac Overcurrent protection: Type: Circuit Breaker Location (of primary supply panelboard): Disconnecting means location: 10.2 Secondary Power Location: FACP Type: Batteries Amps: 3 Amps: 20 Nominal voltage: 12 Current rating: 21 amps Number of standby batteries: 2 Amp hour rating: 7 Location of emergency generator: Location of fuel storage: Calculated capacity of secondary power to drive the system In standby mode: 24 hours In alarm mode: 5 min 11. Record of System Installation Fill out after all installation is complete and wiring has been checked for opens, shorts, ground faults, and improper branching, but before conducting operational acceptance tests. The system has been installed in accordance with the following NFPA standards: (Note any or all that apply.) NFPA 72® ® NFPA 70®, Article 760 ® Manufacturer's published instructions 0 Other (please specify): System deviations from referenced NFPA standards: Signed: Printed name: Shane DeValera Organization: Foothill Fire Alarm & Security Title: Field Supervisor Date: 5/18/2017 Phone: 530-826-3013 NFPA 72, Fig. 4.5.2.1 (p. 5 of 6) Copyright © 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. c Z- -- 1/d --v 3 g DESIGN • INSTALLATION • INSPECTION • REPAIR Redding Office: 3092 Crossroads Dr. Ste. 1, Redding, CA 96003 • Phone: (530) 223-2492 Greater Bay Area Office: 2280 Bates Ave. Suite A Concord, CA 94520 • (925) 209-6164 Chico Office: 170 Erma Ct, Chico, CA 95928 • Phone: (530) 826-3013 / Fax: (530) 893-3013 Rocklin Office: 4000 Alvis Ct., Rocklin, CA 95677 • Phone: (916) 663-3582 / Fax: (916) 663-3583 C.L. C16 #783132 & C10 #998129 12. Certifications and Approvals 12.1 System Installation Contractor This system as speified herein has been installed and tested according to all NFPA standards cited herein. Signed: Printed name: Shane DeValera Date: 5/18/2017 Organization: Foothill Fire Alarm & Security Title: Field Supervisor Phone: 530-826-3013 12.2 System Service Contractor This systemciffed herein has been installed and tested according to all NFPA standards cited herein. 9, Signed: Printed name: Shane DeValera Date: 5/18/2017 Organization: Foothill Fire Alarm & Security Title: Field Supervisor Phone: 530-826-3013 12.3 Central Station This systemIps ecified herein will be monitored according to all NFPA standards cited herein. Signed: �Printed name: Shane DeValera Date: 5/18/2017 Organization: Foothill Fire Alarm & Security Title: Field Supervisor Phone: 530-826-3013 12.4 Property Re ntative I accept this s m having been installed and tested to its specificationsicand all NFPA standards cited herein. Signed: Printed name: t iE)rNI 11(v1/4O5 Date: 5/18/2017 Organization. ) f'0 Title: 1 \`1/,*%•t' V Phone: S-'2.) 334 - S C�1 12.5 Authority Having Jurisdiction I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance with its approved plans and specifications, its approved sequence of operations, and with all NFPA standards cited herein. Signed: 1 Printed name:AP Date: 5/18/2017 Organization: (de a Title: � Phone: £ i, — 376 - tC7 NFPA 72, Fig. 4.5.2.1 (p. 6 of 6) Copyright © 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.