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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