HomeMy WebLinkAboutFAI19-0036 CF FA Durham Mission Hills 3.1.22 ALARM AND DETECTION REPORT Page 1 of 4
VOLTAGE' SPEcIAusTs
530-624-4514
C101C16 License#880862 www.VoltageSpecialists.com Inspection # 1-123
ALARM & DETECTION EQUIPMENT TEST REPORT
Type of Inspection:ANNUAL Date: 3/1/22
Customer DURHAM USD
Site: MISSION HILLS SCHOOL
Street: 9455 PUTNEY DRIVE Contact: Eric
City/State: DURHAM, CA Phone#: 530-519-4604
Fax#:
1. Before Test Notify Proper Authorities: Name Phone #
A. Owner or Owner's Rep Eric 530-519-4604
B. Fire Department Cal Fire 530 891-2788
C. Central Station NA
D. Central Station Acct# NA
2. Control Panel Status Yes No Note #
A. Is the system monitored by Central Station? I X
On Test Time: 3:00 Return to Service Time: 5:00
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: 9/2020
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: 26.55 Battery Voltage without AC Power: 26.49
K. List any trouble conditions on panel before test: Note#
Note#
Comments: Note#
Note#
3. FACP Manufacturer: SILENT KNIGHT Model# 5820XL System Type: ADDRESSAB
Location of Annunciators: NA
Location of Primary Power Source:BEHIND PORT Panel# Breaker
Comments: Note#
Note#
FCPS: Manufacturer: Silent Knight Model# 5495 Panel/Breaker# Location:P-5
Battery Voltage with A/C Power: 27.36 w/o A/C Power 27.24 Date: 1-3-19
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:3/1/22
Date:3/1/22
Owners Rep Sign: Inspector Sign:
ALARM AND DETECTION REPORT Page 2 of 4
Property Site: MISSION HILLS SCHOOL
Operational
#Tested
This
Equipment Total# Report Yes N/A Note#
4. Remote Annunciators
5. Zones
6. Manual Stations (Pull)
Hardwire
Addressable 6 6 X
7. Detectors
Photoelectric 8 8 X
Ionization
Heats/Fixed or R of R 8 8 X
Flame
Duct(See#15)
8. Horn/Strobe 7 7 X
Strobe Only 3 3 X
Bell
Speakers
Horn 4 4 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.
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:Cal Fire
20. Indicate %of equipment tested this report 25% 50% 75% VJI00%
21. Indicate %of equipment tested YTD 25% 50% 75% 100%
Comments for any"no"answers or explanations (Note#):
3/1/22C/' >
Owners Rep Sign: Date: Inspector Sign:
ALARM AND DETECTION REPORT Page 3 of 4
Property Site: MISSION HILLS SCHOOL
DEVICE zone or SLC DEVICE
#
TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL
HT GIRLS RR X 33 10
PS ROOM 1 X 33 3
PS Paradise Rm 1 X 33 20
PS Paradise Rm 2 X 33 21
PS Paradise Rm 3 X 33 22
PS Paradise Rm 4 X 33 23
PS Paradise Rm 5 X 33 24
PSD ROOM 1 X 33 1
PSD ROOM 1 X 33 4
PSD ROOM 2 X 33 6
PSD ROOM 2 X 33 7
PSD HANDICAP RR X 33 9
PSD Girls RR X 33 10
PSD BOYS RR X 33 11
PSD Paradise Rm 1 X 33 27
RR ROOM 1 AC X 33 2
RR ROOM 1 AC X 33 2
RR ROOM 2 AC X 33 5
RR ROOM 2 AC X 33 5
RR BOYS RR AC X 33 8
RR GIRLS RR AC X 33 8
RR HANDICAP RR AC X 33 8
RR RR PLUMBING CHASE X 33 8
4S
Owners Rep Sign: Date: 3/1/22 Inspector Sign:
p J
ALARM AND DETECTION REPORT MISSION HILLS SCHOOL Page 4 of 4
Zone or DEVICE
DEVICE SAC #
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—Signal Station Smoke Detector B—Bell AV—Audible Visual Ply—Post Indicator Valve
Cur-Elevator Curtains FRD-Fire Rolldown Door SDC Smoke Detector&Door Holder Combo
CO-Carbon Monoxide Detector - - -
NOTE # COMMENT
3/1/22 C)S
Owners Rep Sign: Date: Inspector Sign: