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Home My WebLink AboutFAI15-0094 026-152-001 CF FA Palermo 6.23.21 ALARM AND DETECTION REPORT Page 1 of 7 VOLTAGE' SPEcIAusTs 530-624-4514 C101C16 License#880862 www.VoltageSpecialists.com Inspection # 1-126 ALARM & DETECTION EQUIPMENT TEST REPORT Type of Inspection:ANNUAL Date: 6/23/21 Customer PALERMO USD Site: PALERMO SCHOOL Street: 7390 BULLDOG WAY Contact: Carlos Aguilar City/State: PALERMO, CA Phone#: 530-864-8619 Fax#: 1. Before Test Notify Proper Authorities: Name Phone # A. Owner or Owner's Rep Carlos Aguilar 530-864-8619 B. Fire Department CAL FIRE 530-538-6460 C. Central Station CENTRAL STATION 1-800-722-0364 D. Central Station Acct# 40-3726 2. Control Panel Status Yes No Note # A. Is the system monitored by Central Station? X On Test Time: 7:30 Return to Service Time: 12:00 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.18 Date Batteries Installed: 5/10/18 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: 27.24 Battery Voltage without AC Power: 27.10 K. List any trouble conditions on panel before test: Note# Note# Comments: Note# Note# 3. FACP Manufacturer: SILENT KNIGHT Model# 5820 System Type: ADDRESSAB Location of Annunciators: Location of Primary Power Source: Panel# Breaker Comments: Note# Note# FCPS: Manufacturer: SILENT KNIGHT Model# 5895 Panel/Breaker# Location:LIBRARY STOI Battery Voltage with A/C Power: 27.35 w/o NC Power 27.27 Date: 5-11-18 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:6/23/21 Owners Rep Sign: Date: Inspector Inspector Sign: ALARM AND DETECTION REPORT Page 2 of 7 Property Site: PALERMO SCHOOL Operational #Tested This Equipment Total# Report Yes N/A Note# 4. Remote Annunciators 1 1 X 5. Zones 6. Manual Stations (Pull) Hardwire Addressable 64 64 X 7. Detectors Photoelectric 9 9 X Ionization Heats/Fixed or R of R 26 26 X Flame Duct(See#15) 8. Horn/Strobe 22 22 X Strobe Only 28 28 X Bell Speakers Horn 36 36 X 9. 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 14. X 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 18. Is system restored to operational service? X 19. Have Proper Authorities (see#1)been notified system is back in service? X List Proper Authorities:Central Station 20. Indicate %of equipment tested this report 25% 50% 75% ✓100% 21. Indicate %of equipment tested YTD 25% 50% 75% ✓ 100% Comments for any"no"answers or explanations (Note#): 6/23/21 C/'S Owners Rep Sign: Date: Inspector Sign: ALARM AND DETECTION REPORT Page 3 of 7 Property Site: PALERMO SCHOOL DEVICE zone or SLC DEVICE # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL HT ROOM 7A X 33 95 HT ROOM 14 STORAGE X 33 72 HT ROOM 11/12 JANITORS CLOSET X 33 90 HT MAINTENANCE OFFICE X 33 91 HT STORAGE BY ROOM 18 X 33 73 HT STORAGE BY ROOM 23 X 33 76 HT STORAGE BY ROOM 21 X 33 74 HT STORAGE BY ROOM 21 X 33 75 HT GIRLS RESTROOM BY LOCKERS X 33 92 HT BOYS RESTROOM BY LOCKERS X 33 93 HT WEIGHT ROOM CLOSET X 33 96 HT ADMIN CORR JANITORS CLOSET X 33 87 HT KITCHEN X 33 86 HT KITCHEN X 33 85 HT KITCHEN X 33 84 HT UNDER THE STAGE X 33 77 HT UNDER THE STAGE X 33 78 HT STAGE ELEVATOR X 33 82 • HT STAGE ELEVATOR X 33 83 HT STAGE X 33 79 HT STAGE X 33 80 HT STORAGE ABOVE FOPS X 33 88 HT ASSISTANT PRINCIPAL AC X 33 113-1 HT ASSISTANT PRINCIPAL AC X 33 113-2 HT ASSISTANT PRINCIPAL AC X 33 113-3 HT ASSISTANT PRINCIPAL RESTROOM X 33 111 4S Owners Rep Sign: Date: 6/23/21 Inspector Sign: p J ALARM AND DETECTION REPORT PALERMO SCHOOL Page 4 of 7 DEVICE Zone or SLC DEVICE # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL PSD ROOM 30 OFFICE X 33 103 PSD ROOM 30 X 33 104 PSD ROOM 30 X 33 105 PSD ROOM 30 X 33 106 PSD ROOM 30 X 33 107 PSD ASSISTANT PRINCIPAL NORTH OFFICE X 33 108 PSD ASSISTANT PRINCIPAL X 33 109 PSD ASSISTANT PRINCIPAL X 33 110 PSD ASSISTANT PRINCIPAL SOUTH OFFICE X 33 112 PS ROOM 1 X 33 1 PS ROOM 1 X 33 2 PS ROOM 2 X 33 3 PS ROOM 2 X 33 4 PS ROOM 3 X 33 5 PS ROOM 3 X 33 6 PS ROOM 4 X 33 7 PS ROOM 5 X 33 8 PS ROOM 5 X 33 9 PS ROOM 6 X 33 10 PS ROOM 6 X 33 11 PS ROOM 7 X 33 12 PS ROOM 7 X 33 13 PS ROOM 14 X 33 14 PS ROOM 14 X 33 15 PS ROOM 13 X 33 16 PS ROOM 13 X 33 17 PS ROOM 12 X 33 18 PS ROOM 12 X 33 28 4SOwners Rep Sign: Date: 6/23/21 Inspector Sign: ALARM AND DETECTION REPORT PALERMO SCHOOL Page 5 of 7 DEVICE zone or SLC DEVICE # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL PS ROOM 11 X 33 21 PS ROOM 11 X 33 71 PS ROOM 10 X 33 23 PS ROOM 10 X 33 67 PS ROOM 9 X 33 24 PS ROOM 9 X 33 25 PS ROOM 8 X 33 19 PS ROOM 7B X 33 29 PS ROOM 15 X 33 30 PS ROOM 19A X 33 40 PS ROOM 19B X 33 39 PS BOYS LOCKER ROOM X 33 37 PS OFFICE BY MAINTENANCE X 33 49 PS ROOM 16 X 33 31 PS ROOM 16 X 33 32 PS ROOM 17 X 33 33 PS ROOM 17 X 33 34 PS ROOM 18 X 33 35 PS ROOM 18 X 33 36 PS ROOM 23 X 33 46 PS ROOM 23 X 33 45 PS ROOM 22 X 33 44 PS ROOM 22 X 33 43 PS ROOM 21 1 X 33 42 PS ROOM 21 X 33 41 PS GIRLS LOCKER ROOM X 33 22 PS WEIGHT ROOM X 33 47 PS ADMIN CORRIDOR X 33 57 PS ADMIN CORRIDOR X 33 60 PS ATTENDANCE OFFICE X 33 54 PS STAGE ENTRANCE X 33 66 PS STAGE X 33 64 PS LIBRARY X 33 53 Owners Rep Sign: Date: 6/23/21 Inspector Sign: ALARM AND DETECTION REPORT PALERMO SCHOOL Page 6 of 7 DEVICE Zone or DEVICE TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL # PS NURSES OFFICE X 33 52 PS NURSES OFFICE X 33 51 PS ASSISTANT PRINCIPAL X 33 55 PS ASSISTANT PRINCIPAL X 33 56 PS COMPUTER LAB X 33 58 PS ROOM 26 X 33 68 PS ROOM 27 X 33 69 PS ROOM 30 X 33 99 PS ROOM 30 X 33 100 PS ROOM 29 X 33 101 PS ROOM 29 X 33 102 PS BY FACP X 33 50 6/23/21 Owners Rep Sign: Date: Inspector Sign: ALARM AND DETECTION REPORT PALERMO SCHOOL Page 7 of 7 Zone or DEVICE DEVICE SLC # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL 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 CV—Chime Visual DH—Door Holder DHS—Door Holder&Smoke Detector FD—Flame Detector S—Speaker OSY—Outside Stem&Yoke Tamper Valve SSD—SignalStationSmokeDetector B—Bell AV—Audible Visual PIV—Post Indicator Valve Cur-Elevator Curtains FRD-Fire Rolldown Door SDC Smoke Detector&Door Holder Combo CO-Carbon Monoxide Detector - - - NOTE # COMMENT 6/23/21 C r ) Owners Rep Sign: Date: Inspector Sign: