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HomeMy WebLinkAboutFAI20-0005 CF FA 12-12-2022 (Annual) Page 2 Fire Alarm Supplementary Form ��f, ,; Security 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,Expires:3/1/2025 880 HAZEL ST Date of Work: 12/12/2022 GRIDLEY,CA 95948 Frequency: Annual Description: Fire Alarm Supplement(NOTIFICATION APPLIANCES) Deficiency Summary There are no reported deficiencies for this submission 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 3 1� Eagle Security Systems ��� =� E AG L E 3268 Esplanade Ste A ,,> Security Systems Chico,CA 95973 A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395 Fire Alarm Supplementary Form The work covered on this form is(select one): Annual Date of Work 12/12/2022 Account Information i Facility Name: Property Type: Location Code: HAZEL HOTEL Business 045-821-1994 Service Address: 880 HAZEL ST,GRIDLEY,CA,95948 Owner: Owner's Phone: TRISH STILWELL 530-846-7800 Owner's Address: 880 HAZEL ST,GRIDLEY,CA,95948 Legend PS-Pull Station 1 SD-Smoke Detector DD-Duct Detector MM-Monitor Module(Ansul,temp,CO,etc) CM-Control Module I WF-Waterflow ITS-Tamper Switch I HD-Heat Detector I SC-Signal/Sounder Control Other I SPKR-Speakers I STROBE-Strobes I HORN-Horns/Horn-Strobes I BATT-Batteries Type Total Tested Not Passed Failed Type Total Tested Not Passed Failed Tested Tested Bell 1 1 0 1 0 HORN 27 27 0 27 0 STROBE 13 13 10 13 10 1 1 1 1 1 1 Type Address Location Notes Frequency Last Tested Test Results Comments HORN 1 1 -Apt 1 Annual 12/13/2022 Pass HORN 2 1 -Apt 1 Annual 12/13/2022 Pass HORN 3 1 -Apt 3 Annual 12/13/2022 Pass HORN 4 1 -Apt 3 Annual 12/13/2022 Pass HORN 5 1 -Apt 4 Annual 12/13/2022 Pass HORN 6 1 -Apt 4 Annual 12/13/2022 Pass HORN 7 1 -Apt 5 Annual 12/13/2022 Pass HORN 8 1 -Apt 5 Annual 12/13/2022 Pass HORN 9 1 -Apt 2 Annual 12/13/2022 Pass HORN 10 1 -Apt 6 Annual 12/13/2022 Pass HORN 11 1 -Apt 6 Annual 12/13/2022 Pass HORN 12 1 -Apt 7 Annual 12/13/2022 Pass HORN 13 1 -Apt 7 Annual 12/13/2022 Pass ©2014 FormLink Systems,Inc., Fire Alarm Supplement vl.1 Page 2 of 3 -- � �"'� Eagle Security Systems ����� =� EAGLE 3268 Esplanade Ste A - Security Systems Chico,CA 95973 A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395 - Ell Address Location Notes M Frequency Last Tested Test Results Comments HORN 14 1 -Apt 7 Annual 12/13/2022 Pass HORN 15 1 -Apt 8 Annual 12/13/2022 Pass HORN 16 1 -Apt 9 Annual 12/13/2022 Pass HORN 17 1 -Apt 9 Annual 12/13/2022 Pass HORN 18 1 -Apt 13 Annual 12/13/2022 Pass HORN 19 1 -Apt 13 Annual 12/13/2022 Pass HORN 20 1 -Apt 12 Annual 12/13/2022 Pass HORN 21 1-Apt 11 Annual 12/13/2022 Pass HORN 22 1 -Apt 11 Annual 12/13/2022 Pass HORN 23 1 -Apt 10 Annual 12/13/2022 Pass HORN 24 1 -Apt 10 Annual 12/13/2022 Pass STROBE 25 1 -Men's RR Annual 12/13/2022 Pass STROBE 26 1 -Women's RR Annual 12/13/2022 Pass HORN 27 1 -Restroom Hallway Annual 12/13/2022 Pass STROBE 28 1 -Restroom Hall Annual 12/13/2022 Pass HORN 29 1 -C2 Restroom Annual 12/13/2022 Pass HORN 30 1 -FACU Annual 12/13/2022 Pass Bell 31 1 -Exterior Annual 12/13/2022 Pass Comments Any deficiencies or other problems found with the devices must be explained using the comment specific for each device.Additional comments can be added here. Please see the summary section at the ton of the form for the comments. Inspector's Information Inspected By Carlos Palomera 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. Signature of Inspector ` Date �f 12/12/2022 ©2014 FormLink Systems,Inc., Fire Alarm Supplement v1.1 Page 3 of 3