HomeMy WebLinkAboutCF FA Sit and Spin 2022 II Form for Inspection, Testing and Maintenance of �1, * Security Systems
Fire Alarms and Signaling Systems A VYANET OPERATING GROUP, INC.COMPANY
Location Code: 045-174-5320
Contact: ERICA SANNAR Company: Eagle Security Systems
Contact Address: 1788 HIGHWAY 99 Address: 3268 Esplanade Ste A
GRIDLEY,CA 95948-2210
Chico,CA 95973
Phone: 5307886043 Company Phone: 530-345-6395
Email: DRJSANNAR@YAHOO.COM Inspector Bryan Gilles
Property Evaluated: SPIN&SPORT CLUB(Business) Date of Work: 1/26/2022
1788 HIGHWAY 99
GRIDLEY,CA 95948-2210 Frequency: Annual
Description: Fire Alarm(DMP-XR 150)
Deficiency Summary
Please refer to the Deficiency Summary located on applicable Fire Alarm Supplementary Forms for additional deficiency details.
General Comments
There are no general comments for this submission
VYANET Operating Group,Inc.,410 SW Columbia,Suite 120,Bend,OR,97702 Phone:541-812-6409 Page 1 of 4
1� Eagle Security Systems
��� =� EAGLE 3268 Esplanade Ste A
-'' Security Systems Chico,CA 95973
A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395
Form for Inspection, Testing and Maintenance of
Fire Alarms and Signaling Systems
Separate forms are available for inspection,testing,and maintenance 3.Monitoring Information
of the rest of the fire protection system of which the fire alarms and Monitoring organization: VYANET
signaling systems are a part.More frequent inspection,testing,and OPERATING GROUP,
maintenance may be necessary depending on the conditions of the INC
occupancy and the water supply. Address: 410 SW COLUMBIA
Notes: STREET;STE 120,
1. All questions are to be answered Yes,No,or Not Applicable.All BEND OR 97702
"No"answers are to be explained in the Comments for this form. Phone: 541-241-1800
2. Refer to NFPA-72 for specific inspection frequency requirements
for the different components. Fax:
The work covered on this form is(select Annual Email:
one): Account number: 174-5320
Date of Work 1/26/2022 Phone line 1:
All responses refer to the current work(inspection, testing and Phone line 2:
maintenance)performed on this date. Means of transmission: CELLULAR
1.Property Information COMMUNICATOR
Owner: Entity to which alarms are retransmitted:
ERICA SANNAR Phone:
Owner's Phone Number: 4.System Information
5307886043 4.1 Control Unit:
Owner's Address: Manufacturer: DMP
1788 HIGHWAY 99.GRIDLEY.CA.95948-2210 Model number: XR150
Property Being Evaluated: 4.2 Software and Firmware Revision number: 212
SPIN&SPORT CLUB(Business) 4.3 System Power:
Property Address: 4.3.1 Primary(Main)Power:
1788 HIGHWAY 99.GRIDLEY.CA.95948-2210 Nominal voltage: 120
Assembly Description: Amps: 20
Fire Alarm(DMP-XR 150) Location: OFFICE
2.Owner's Section Overcurrent protection type: TRANSFORMER
A.Are the fire alarms and signaling systems ✓J Yes❑No Amps: 20
in service? Disconnecting means location: BELOW PANEL
B.Have fire alarms and signaling systems _✓J Yes❑No 4.3.2 Secondary Power:
remained in service since the last inspection? Type: BATTERY
C.Was the system(of which the fire alarm
and signaling systems are a part)free of Location: FACU
actuation of devices or alarms since the last J Yes❑No Battery type(if applicable): ❑Lead-acid❑Nickel-
inspection? cadmium
D.The required record documents are CI Primary(dry cell)
available and include the current revisions of L✓J Sealed lead acid
all fire alarm software and the revisions of _✓J Yes❑No Calculated capacity of batteries to drive the system:
software of any systems with which the fire In standby mode(hours): 24.0
alarm software interfaces? In alarm mode(minutes): 5.0
Owner or Representative ERICA SANNAR 5.Notifications Made Prior To Testing
Signature No Signature Available
Date 1/26/2022 Monitoring
organization: VYANET 0945
Building YES 0945
management:
Building occupants: YES 0945
Authority Having GRIDLEY FIRE 0945
Jurisdiction:
Other,if required:
NFPA 72 v1.0 Page 2 of 4
1 0,,���"'. Eagle3268Esplana Securityd Systems
EA LE SeASecurity Systems
Chico,CA 95973
A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395
6.Testing Results 6.6 Supervising Station Monitoring
6.1 Control Unit and Related Equipment lescription Yes/No 11.111
Alarm signal /yes❑No 1000 -J Pass Li Fail
Description Visual Functional Results ❑�N/A
Inspection Test
Control unit ✓❑Pass❑Fail Alarm ❑Pass❑Fail
Z Yes❑No ZYes❑No restoration ]Yes El No 1000 ❑/N/A
❑N/A
Lamps/LEDs/L �❑Pass❑Fail Trouble signal Yes❑No 1000 -J Pass LJ Fail
CDs Yes El No Yes❑No ❑N/A ElN/A
Trouble ❑Pass LJ Fail
Fuses ZYes❑No NA Yes❑No J Pass LJ Fail restoration Z Yes❑No 1000 ❑/N/A
❑N/A
Trouble signals J Pass LJ Fail Supervisory ZYes❑No 1000 J Pass❑Fail
❑✓Yes❑No Z Yes❑No ❑N/A signal 0 N/A
Disconnect J Pass LJ Fail Supervisory ZYes❑No 1000 J Pass Li Fail
switches Z Yes❑No Z.Yes❑No ❑N/A restoration 0 N/A
6.7 Public Emergency Alarm Reporting System
Ground-fault Zyes❑No Yes❑No J Pass LJ Fail
monitoring ❑N/A Description likes/NOV Time(seconds) Restill
Supervision _✓I Pass LJ Fail Alarm signal
al ❑Pass❑Fail
_✓I Yes❑No �IYes❑No ❑N/A ❑Yes LJNo
IJ N/A
Local ✓❑Pass LJ Fail Alarm Pass❑Fail
annunciator J yes❑No J Yes❑No ❑N/A ❑Yes LJ No
restoration 11_1 N/A
Remote _✓I Pass LJ Fail Trouble signal
al ❑Pass❑Fail
annunciators J yes❑No J Yes❑No ❑N/A ❑Yes LJ No
IJ N/A
Remote power ❑Pass LJ Fail Trouble Pass❑Fail
❑YesJNo ❑Yes_✓I No ❑Yes LJNo
panels ❑d N/A restoration IJ N/A
❑Pass❑Fail Supervisory Pass❑Fail
Other: ❑I Yes❑No ❑Yes❑No ❑N/A signal
al ry ]Yes❑No L�N/A
6.2 Secondary Power
Supervisory ]Yes❑No ❑Pass❑Fail
r Description Visual Functional Results restoration kJ N/A
Inspection Test 7.Notifications That Testing Is Complete
Battery _✓I Pass LJ Fail
condition ]Yes ID No NA Yes❑No ❑N/A Contact e
Monitoring VYANET 1015
Load voltage A Yes LJ No J Yes❑No J Pass❑Fail organization:
❑N/A
Building YES 1015
Discharge test AYes LJ •No J Yes❑No J Pass❑Fail management:
❑N/A
Charger test A Pass❑Fail Building occupants: YES 1015
_✓J Yes LJ No J Yes❑No ❑N/A AuthorityHaving
g GRIDLEY FIRE 1015
Remote panel Pass LJ Fail Jurisdiction:
A
batteries Ayes❑No J Yes❑No ❑N/A Other,if required:
6.3 Alarm and Supervisory Alarm Initiating Device 8.System Restored To Normal Operation
Complete supplementary device test form for all initiating devices. Date: 1/26/2022
6.4 Notification Appliances Time: 1015
Complete supplementary appliance test form for all notification 9.Comments
appliances. Any "No"answers, test failures or other problems found with the fire
6.5 Interface Equipment alarm system must be explained using the comment specific for each
Complete supplementary interface component test form for all question.Additional comments can be added here.
interface components. Please see the summary section at the top of the form for the
Circuit Interface/Signaling Line Circuit Interface/Fire Alarm comments.
Control Interface
NFPA 72 v1.0 Page 3 of 4
Eagle Security Systems
ta) =� E AG L E 3268 Esplanade Ste A
Security Systems Chico,CA 95973
A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395
10.Inspector's Information
Inspected By Brvan Gilles
I state that the information on this form is correct at the time and place
of my inspection,and that all equipment tested at this time was left in
operating condition upon completion of this inspection except as noted
in the Comments.This system as specified herein has been inspected
and tested according to NFPA 72,2013 edition,Chapter 14.
Signature of Inspector
Date 1/26/2022
NFPA 72 v1.0 Page 4 of 4