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Home My WebLink AboutFAI21-0016 078-110-036 CF FA Golden Hills 6.21.21 ALARM AND DETECTION REPORT Page 1 of 8 VOLTAGE' SPEcIAusTs 530-624-4514 C101C16 License#880862 www.VoltageSpecialists.com Inspection # 1-055 ALARM & DETECTION EQUIPMENT TEST REPORT Type of Inspection:ANNUAL Date: 6/21/21 Customer PALERMO USD Site: GOLDEN HILLS SCHOOL Street: 2400 VIA CANELA Contact: Carlos Aguilar City/State: OROVILLE, 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 OROVILLE FIRE 530-538-2444 C. Central Station CENTRAL STATION 1-800-722-0364 D. Central Station Acct# 40-3606 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: 1:00 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.8ah Date Batteries Installed: 5/22/19 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: 26.41 Battery Voltage without AC Power: 26.38 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: MAIN OFFICE Location of Primary Power Source: Panel# Breaker Comments: Note# Note# FCPS: Manufacturer: SILENT KNIGHT Model# 5495 Panel/Breaker# Location:NEXT TO FACT Battery Voltage with A/C Power: 27.33 w/o NC Power 27.29 Date: 5/5/20 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:6/21/21 Owners Rep Sign: Date:6/21/21 Inspector Sign: ALARM AND DETECTION REPORT Page 2 of 8 Property Site: GOLDEN HILLS 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 5 5 X 7. Detectors Photoelectric 59 59 X Ionization Heats/Fixed or R of R 57 57 X Flame Duct(See#15) 8. Horn/Strobe Strobe Only Bell Speakers Horn 9. 10. Automatic Door Release X 11. Water Flow switches 6 6 X Did W/F Ring Outside Bell? X Did W/F Activate Alarm Panel? X 12. Tamper Switches 6 6 X 13. PIV X OS &Y X 14. 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% if 100% Comments for any"no"answers or explanations (Note#): 6/21/21 C/'S Owners Rep Sign: Date: Inspector Sign: ALARM AND DETECTION REPORT Page 3 of 8 Property Site: GOLDEN HILLS SCHOOL DEVICE zone or SLC DEVICE # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL HT RR BLDG GIRLS X 33 1 HT RR BLDG JANITORS X 33 2 HT RR BLDG X 33 33-1 HT RR BLDG X 33 3-2 HT RR BLDG MENS X 33 4 HT BLDG 500 AC X 33 12-1 HT BLDG 500 AC X 33 12-2 HT BLDG 500 AC X 33 12-3 HT ADMIN RR X 33 17 HT ADMIN JANITORS X 33 18 HT ADMIN BLDG AC X 33 28-1 HT ADMIN BLDG AC X 33 28-2 HT ADMIN BLDG AC X 33 28-3 HT ADMIN BLDG AC X 33 28-4 HT ADMIN BLDG AC X 33 28-5 HT ADMIN BLDG AC X 33 28-6 HT ADMIN BLDG AC X 33 28-7 HT BLDG 300 A AC X 33 48-1 HT BLDG 300 A AC X 33 48-2 HT BLDG 300 A AC X 33 48-3 HT BLDG 300 A AC X 33 48-4 HT BLDG 300 A AC X 33 48-5 HT BLDG 300 A AC X 33 48-6 HT BLDG 300 A AC X 33 48-7 HT BLDG 400 B AC X 33 68-1 HT BLDG 400 B AC X 33 68-2 HT BLDG 400 B AC X 33 68-3 HT BLDG 400 B AC X 33 68-4 HT BLDG 400 B AC X 33 68-5 HT BLDG 400 B AC X 33 68-6 HT BLDG 400 B AC X 33 68-7 Owners RepSign:Sign: Date: 6/21/21 Inspector ALARM AND DETECTION REPORT GOLDEN HILLS SCHOOL Page 4 of 8 DEVICE zone or SLC DEVICE # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL HT BLDG 300 GIRLS X 33 51 HT BLDG 400 A AC X 33 58-1 HT BLDG 400 A AC X 33 58-2 HT BLDG 400 A AC X 33 58-3 HT BLDG 400 A AC X 33 58-4 HT BLDG 400 A AC X 33 58-5 HT BLDG 400 A AC X 33 58-6 HT BLDG 400 A AC X 33 58-7 HT BLDG 400 GIRLS X 33 71 HT BLDG 400 JANITORS X 33 79 HT BLDG 300 JANITORS X 33 85 HT BLDG 300 STAFF X 33 86 HT BLDG 500 C3 AC X 33 99-1 HT BLDG 500 C3 AC X 33 99-2 HT BLDG 500 C3 AC X 33 99-3 HT PRINCIPALS CLOSET X 33 35 HT VICE PRINCIPALS CLOSET X 33 36 HT BLDG 500 C3 JANITORS X 33 97 HT BLDG 400 STAFF X 33 92 HT BLDG 300 A AC X 33 38-1 HT BLDG 300 A AC X 33 38-2 HT BLDG 300 A AC X 33 38-3 HT BLDG 300 A AC X 33 38-4 HT BLDG 300 A AC 1 X 33 38-5 HT BLDG 300 A AC X 33 38-6 HT BLDG 300 A AC X 33 38-7 4SOwners Rep Sign: Date: 6/21/21 Inspector Sign: ALARM AND DETECTION REPORT GOLDEN HILLS SCHOOL Page 5 of 8 DEVICE zone or SLC DEVICE # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL PSD ADMIN CONFERENCE X 33 19 PSD ADMIN OFFICE X 33 20 PSD ADMIN OFFICE X 33 22 PSD ADMIN STORAGE X 33 23 PSD ADMIN HEALTH X 33 24 PSD ADMIN SERVER X 33 25 PSD ADMIN STORAGE X 33 26 PSD ADMIN STAFF X 33 27 PSD ADMIN STAFF X 33 29 PSD ADMIN HALL X 33 30 PSD ADMIN ATTENDANCE X 33 32 PSD ADMIN COUNSELOR X 33 33 PSD ADMIN PRINCIPAL X 33 34 PSD ADMIN VICE PRINCIPAL X 33 37 PSD BLDG 300 Al MULTI USE X 33 39 PSD BLDG 300 Al X 33 40 PSD BLDG 300 Al X 33 41 PSD BLDG 300 A2 X 33 42 PSD BLDG 300 A2 X 33 43 PSD BLDG 300 A2 MULTI USE X 33 44 PSD BLDG 300 A3 MULTI USE X 33 47 PSD BLDG 300 A6 MULTI USE X 33 49 PSD BLDG 300 A6 X 33 50 PSD BLDG 300 A6 1 X 33 52 PSD BLDG 300 A5 X 33 53 PSD BLDG 300 A5 X 33 54 PSD BLDG 300 A5 MULTI USE X 33 57 PSD BLDG 300 B1 MULTI USE X 33 59 PSD BLDG 400 B1 X 33 60 PSD BLDG 400 B1 X 33 61 PSD BLDG 400 B2 X 33 62 PSD BLDG 400 B2 X 33 63 PSD BLDG 400 B3 MULTI USE X 33 64 Owners Rep Sign: Date: 6/21/21 Inspector Sign: ALARM AND DETECTION REPORT GOLDEN HILLS SCHOOL Page 6 of 8 DEVICE ZSLC r DEVICE TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL # PSD BLDG 400 B2 MULTI USE X 33 67 PSD BLDG 400 B6 MULTI USE X 33 69 PSD BLDG 400 B6 X 33 70 PSD BLDG 400 B6 X 33 72 PSD BLDG 400 B5 X 33 73 PSD BLDG 400 B5 X 33 74 PSD BLDG 400 B5 MULTI USE X 33 80 PSD BLDG 400 B4 X 33 81 PSD BLDG 400 B4 X 33 82 PSD BLDG 400 B3 X 33 83 PSD BLDG 400 B3 X 33 84 PSD BLDG 300 A3 X 33 87 PSD BLDG 300 A3 X 33 88 PSD BLDG 300 A4 MULTI USE X 33 89 PSD BLDG 300 A4 X 33 90 PSD BLDG 300 A4 X 33 91 PSD BLDG 400 B MULTI USE X 33 93 PSD BLDG 500 C3 X 33 94 PSD BLDG 500 C3 X 33 95 PSD BLDG 500 C3 WORK ROOM X 33 98 PSD BLDG 500 NW X 33 100 PSD BLDG 500 EAST X 33 5 PSD BLDG 500 EAST X 33 6 PSD BLDG 500 EAST 1 X 33 7 PSD BLDG 500 SW X 33 9 PSD BLDG 500 WEST X 33 11 6/21/21 ` ' Owners Rep Sign: Date: Inspector Sign: ALARM AND DETECTION REPORT GOLDEN HILLS SCHOOL Page 7 of 8 DEVICE Zone or DEVICE TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL # PS BLDG 500 WEST X 33 8 PS BLDG 500 SE X 33 10 PS BLDG 500 SW X 33 13 PS BLDG 500 NW X 33 16 PS ADMIN OFFICE X 33 21 WF BLDG 500 X 33 14 WF BLDG 300 A X 33 45 WF BLDG 300 B X 33 55 WF BLDG 400 A X 33 65 WF BLDG 400 B X 33 75 WF ADMIN X 33 78 TS BLDG 500 X 33 15 TS BLDG 300 A X 33 46 TS BLDG 300 B X 33 56 TS BLDG 400 A X 33 66 TS BLDG 400 B X 33 76 TS ADMIN X 33 77 6/21/21 ` Owners Rep Sign: Date: Inspector Sign: ALARM AND DETECTION REPORT GOLDEN HILLS SCHOOL Page 8 of 8 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 6/21/21 C r ) Owners Rep Sign: Date: Inspector Sign: