HomeMy WebLinkAboutFAI20-0005 CF FA 12-12-2022 (Annual) Page 3 Form for Inspection, Testing and Maintenance of �11, 4*
Security Systems
Fire Alarms and Signaling Systems A VYANET OPERATING GROUP, INC.COMPANY
Location Code: 045-821-1994
Contact: TRISH STILWELL Company: Eagle Security Systems
Contact Address: 880 HAZEL ST Address: 3268 Esplanade Ste A
GRIDLEY,CA 95948
Chico,CA 95973
Phone: 530-846-7800 Company Phone: 530-345-6395
Email: HAZEL@CHIPHOUSING.ORG Inspector Carlos Palomera
Property Evaluated: HAZEL HOTEL(Business) 156551 NICET I
880 HAZEL ST Date of Work: 12/12/2022
GRIDLEY,CA 95948
Frequency: Annual
Description: Fire Alarm(SILENT KNIGHT 5820XL)
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
Eagle Security Systems
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 4.System Information
of the rest of the fire protection system of which the fire alarms and 4.1 Control Unit:
signaling systems are a part.More frequent inspection,testing,and Manufacturer: Silent knight
maintenance may be necessary depending on the conditions of the
occupancy and the water supply. Model number: 5820x1
Notes: 4.2 Software and Firmware Revision number: 9.09
1. All questions are to be answered Yes,No,or Not Applicable.All 4.3 System Power:
"No"answers are to be explained in the Comments for this form. 4.3.1 Primary(Main)Power:
2. Refer to NFPA-72 for specific inspection frequency requirements Nominal voltage: 120
for the different components.
NFPA 72 Edition: ❑2013 Z 2016❑2019 Amps: 20
The work covered on this form is(select Location: Elevator Lobby
one): Annual Overcurrent protection type: Breaker
Date of Work 12/12/2022 Amps: 20
All responses refer to the current work(inspection, testing and Disconnecting means location: #11
maintenance)performed on this date. 4.3.2 Secondary Power:
1.Property Information Type: Battery
Owner: Location: Panel
TRISH STILWELL Battery type(if applicable): ❑Lead-acid❑Nickel-
Owner's Phone Number: cadmium
530-846-7800 ❑Primary(dry cell)
❑✓Sealed lead-acid
Owner's Address: Calculated capacity of batteries to drive the system:
880 HAZEL ST.GRIDLEY.CA.95948
Property Being Evaluated: In standby mode(hours):
In alarm mode(minutes):
HAZEL HOTEL(Business) 5.Notifications Made Prior To Testing
Property Address:
880 HAZEL ST.GRIDLEY.CA.95948 Contact I T
Assembly Description:
Fire Alarm(SILENT KNIGHT 5820XL1 Monitoring VYANET 12:00
2.Owner's Section organization:
A.Are the fire alarms and signaling systems ❑✓Yes❑No Building TRISH 12:00
in service? management:
B.Have fire alarms and signaling systems ✓J Yes❑No I Building occupants: I RESIDENTS 12:00
remained in service since the last inspection?
C.Was the system(of which the fire alarm Authority Having BUTTE COUNTY 12:00
and signaling systems are a part)free of ✓J Yes❑No Jurisdiction: FIRE
actuation of devices or alarms since the last Other,if required:
inspection?
D.The required record documents are
available and include the current revisions of
all fire alarm software and the revisions of ✓J Yes❑No
software of any systems with which the fire
alarm software interfaces?
3.Monitoring Information
Monitoring organization: Vv anet
Address:
Phone: 541-241-1800
Fax:
Email:
Account number: 202-1994
Phone line 1: 530-846-6013
Phone line 2: 530-846-6014
Means of transmission: Pots
Entity to which alarms are retransmitted:
Phone:
NFPA 72 v1.1-2019 Page 2 of 4
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6.Testing Results 6.6 Supervising Station Monitoring
6.1 Control Unit and Related Equipment lscription I Yes/No I i
ascription Visual Functional Results Alarm signal ,/Yes❑No U Pass❑Fail
Inspection Test ❑N/A
Alarm LJ Pass❑Fail
Control unit ❑d Yes❑No ❑d Yes❑No J Pass❑Fail restoration J Yes❑No ❑N/A
N/A
Lamps/LEDs/L LJ Pass❑Fail Trouble signal J Yes❑No U Pass❑Fail
CDs J Yes❑No J Yes❑No ]N/A ❑N/A
Trouble LJ Pass❑Fail
Fuses ]✓Yes❑No J Yes❑No J Pass❑Fail restoration J Yes_I No ❑N/A
N/A
Trouble signals LJ Pass❑Fail Supervisory J Yes]No U Pass❑Fail
LJ Yes_I No IJ Yes❑No ] Li signal ❑N/A
Disconnect LJ Pass❑Fail Supervisory J Yes]No ❑✓Pass❑Fail
switches LJ Yes_J No LJ Yes❑No ]N/A restoration ❑N/A
6.7 Public Emergency Alarm Reporting System
Ground-fault ❑✓Pass❑Fail
LJ Yes_J No J Yes❑No
monitoring ]N/A Description [ Yes/No I I Time(seconds) Results
Supervision J Pass❑Fail Alarm signal ❑Pass❑Fail
J Yes]No J Yes❑No ]N/A ❑Yes❑No
_✓I N/A
Local ❑✓Pass❑Fail Alarm ❑Pass❑Fail
annunciator J Yes_J No J Yes❑No __I N/A CI Yes❑No
restoration _✓I N/A
Remote ❑✓Pass❑Fail Trouble signal ❑Pass❑Fail
annunciators J Yes❑No 0 Yes❑No _J N/A ❑Yes❑No
❑✓N/A
Remote power ❑✓Pass❑Fail Trouble ❑Pass❑Fail
❑✓Yes❑No ❑/Yes❑No ❑Yes❑No
panels _J N/A restoration ❑✓N/A
❑Pass❑Fail Supervisory ❑Pass❑Fail
Other: ❑Yes❑No ❑Yes❑No _I N/A signal ry ❑Yes❑No NAN/A
g
6.2 Secondary Power
Supervisory ]Yes❑No LJ Pass❑Fail
Description Visual Functional Results restoration ❑✓N/A
Inspection Test 1 7.Notifications That Testing Is Complete
Battery ❑✓Yes❑No J Yes❑No J Pass❑Fail Contact ime
11-7
condition _J N/A
Load volts e ❑✓Pass❑Fail organization:
Monitoring VYANET 15:00
g ❑✓Yes❑No ❑/Yes❑No _ILi
Building TRISH 15:00
Discharge test ❑✓Yes❑No ❑/Yes❑No J Pass❑Fail management:
]N/A
Charger test ❑✓Pass❑Fail Building occupants: STAFF 15:00
❑✓Yes❑No ❑/Yes❑No ]N/A Authority Having BUTTE COUNTY
Jurisdiction: FIRE 15:00
Remote panel ❑�/Yes❑No J Yes❑No J Pass❑Fail
batteries ❑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: 12/13/2022
6.4 Notification Appliances Time: 15:00
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 10.Inspector's Information
Inspected By Carlos Palomera
Inspector License: 156551 NICET I
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 72,2016 edition,Chapter 14.
NFPA 72 v1.1-2019 Page 3 of 4
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A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395
Signature of Inspector
Date 12/12/2022
11.Owner or Owner's Representative
Owner or Owner's Representative Name
Owner or Owner's Representative Signature Na Signature Available
Date 12/12/2022
NFPA 72 v1.1-2019 Page 4 of 4