HomeMy WebLinkAboutFAI15-0030 CF FA 2022 066-010-038 ALARM AND DETECTION REPORT Page 1 of 13 VOLTAGE SPECIALISTS
530-624-4514 #880862
VOITAGE' SPEC1ALISTS
530-624-4514
C14:G16 S.icen.n efl86862 www.Volt.g.lp.e1.11.t..cum Inspection# 1-416
ALARM & DETECTION EQUIPMENT TEST REPORT
Type of Inspection: Annual i.e.Quarterly,Annual Date: 5/19/22
Site Name: Pine Ridge School Customer Name: Paradise Unified School District
Street: 13878 Compton Drive Contact: Randy
City&State: Magalia, CA Phone: 530-521-8453
1. Before Test Notify Proper Authorities: Name Phone#
A. Owner or Owner's Rep Randy 530-521-8453
B. Fire Department Cal-Fire 530-538-7321
C. Central Station Central Station 1-800-722-0364
D. Central Station Acct# 2002-1338
2. Control Panel Status YES NO NOTE#
A. Is the system monitored by Central Station?
On Test Time: 7:30 Return to Service Time. 3:30 El
B. Is the Power Light on? I ✓I
C. Does the Panel indicate Normal conditions? 1 J1 M I—
D. Are all indicating Lamp Bulbs in Operator order? am n
E. Does the Trouble Light operate?
F. Does the Silence Switch Operate? I ✓1 I-1 F
G. Battery A.H. 18 Date Batteries Installed: 4/19/19 I ✓1 Li U
H. Does the Panel have non operational zones? I ✓I I I
I. Does the Panel have Battery Backup? 0 I I 1 I
J. Do the batteries indicate they are Properly Charged? ✓ I I I I
Condition of Batteries: Good
Baf[ery Voltage with AC Power: 26.90 Battery Voltage without AC Power: 26.72
K. List any trouble conditions on panel before test:
Comments:
3. FACP Manufacturer: Silent Knight Model#: 5820 XL Type of System: Addressable
Location of Annunciators:
Location of Primary Power Source: Admin Panel#: Admin Brk#
Comments:
SEE PAGE 1A FOR ADDITIONAL PANEL INFORMATION
Owner/Rep: Phone#: Date:
Printed Name
Inspector: Mat Machado Phone#: 530-362-2609 Date: 5/19/22
Date: 5/19/22 ' )
Owners Rep Sign: Inspector Sign:
Panel Report Page 1A to Fire Alarm Report VOLTAGE SPECIALISTS
530-624-4514 #880862
VOhTAGE' iPECIALIsTs
530-624-4514
C10/C16 License#880862 www.VoltageSpeclalists.com
Type of Inspection: Annual i.e.Quarterly,Annual Date: 5/19/22
Property Name: Pine Ridge School Customer Name: Paradise USD
Street: 13878 Compton Drive Contact: Randy
City &State: Magalia, CA Phone: 530-521-8453
FCPS: FCPS #1 Manufacturer: Model#: Panel/Breaker#: Location:
Battery Voltage with A/C Power: without A/C Power Date:
FCPS:FCPS #2 Manufacturer: Silent Knight Model#: 5495 Panel/Breaker#: B1/2 Location: B1 OS 11 Janitor
Battery Voltage with A/C Power: 27.33 without NC Power 27.27 Date: 2-20-19
FCPS:FCPS #3 Manufacturer: Silent Knight Model#: 5495 Panel/Breaker#: A/25 Location: Cafeteria
Battery Voltage with A/C Power: 27.33 without A/C Power 27.28 Date: 5-25-18
FCPS:FCPS #4 Manufacturer: Silent Knight Model#: 5495 PaneVBreaker#: 24/8 Location: Rm 24
Battery Voltage with A/C Power: 27.38 without A/C Power 27.29 Date: 3-22-19
FCPS:FCPS #5 Manufacturer: Silent Knight Model#: 5495 Panel/Breaker#: I-2/12 Location: Ridge view office
Battery Voltage with A/C Power: 27.25 without A/C Power 27.22 Date: 5-21-20
FCPS:FCPS #6 Manufacturer: Model#: Panel/Breaker#: Location:
Battery Voltage with A/C Power: without A/C Power Date:
FCPS:FCPS#7 Manufacturer: Model#: Panel/Breaker#: Location:
Battery Voltage with A/C Power: without A/C Power Date:
FCPS:FCPS #8 Manufacturer: Model#: Panel/Breaker#: Location:
Battery Voltage with A/C Power: without A/C Power Date:
FCPS:FCPS #9 Manufacturer: Model#: PaneVBreaker#: Location:
Battery Voltage with A/C Power: without A/C Power _ Date:
C)SOwners Rep Sign: Date: 5/19/22 Inspector Sign:
ALARM AND DETECTION REPORT Page2 of 13 VOLTAGE SPECIALISTS
530-624-4514 #880862
Property Site: Pine Ridae School
Operational
#Tested
This
Equipment Total# Report Yes N/A Note#
4. Remote Annunciators
5. Zones
6. Manual Stations(Pull)
Hardware
Addressable 10 10 X
7. Detectors
Photoelectric 136 136 X
Ionization
Heats/Fixed or R of R 124 124 X
Flame
Duct(See#151 3 3 X
8. Horn/Strobe 62 62 X
Strobe Only 41 41 X
Bell
Speakers
Horn 48 48 X
Beam Detectors 3 3 X
9.
10 Automatic Door Release 1 1 X
11. Water Flow switches
Did W/F Ring Outside Bell?
Did W/F Activate Alarm Panel?
12. Tamper Switches
13. PIV
OS&Y
14.
15. Did test of Duct Detectors shut down air handling units? I X
16. Did the Monitoring Center(Fire Dept, Central Station, Lease Line)receive signal? I X
17. Is system reset for normal conditions? I X
18. Is system restored to operational service? I X
19. Have Proper Authorities(see#1)been notified system is back in service? I X
List Proper Authorities Central Station
20. Indicate%of equipment tested this report 25 50 75 X 100
21. Indicate%of equipment tested YTD 25 50 75 X 100
Comments for any"no"answers or explanations(Note#):
C)SOwners Rep Sign Date: 5/19/22 Inspector Sign:
ALARM AND DETECTION REPORT Page 3 of_13 VOLTAGE SPECIALISTS
530-624-4514 #880862
Property Site: Pine Ridge School
DEVICE ZSLC r DEVICE
#
TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL
PSD Rm 27 I X 1 S60
PSD Rm 28 I X 1 S61
PSD I Rm 28 1 X 1 S64
11
i
1
PSD Rm 29 X 1 S73
PSD 1 Rm 29 X 1 S76
PSD 1 Rm 30 X 1 S77
PSD Rm 30 X 1 S80
PSD North Port Girls RR X 1 S81
PSD North Port Boys RR X 1 S82
PSD Rm 23 X 1 S85
PSD 1 Rm 23 X 1 S88
PSD 1 Rm 22 X 1 S89
PSD 1 Rm 22 X 1 S92
PSD Counseling Office RR X 2 S1
PSD Counseling N Office X 2 S2
PSD Counseling NE Office X 2 S3
PSD 1 Counseling Conf Office X 2 S5
PSD 1 Counseling Break Rm X 2 S6
PSD 1 Counseling Toilet X 2 S7
PSD Counseling W Office X 2 S8
PSD Counseling SW Office X 2 S11
PSD Counseling Lobby X 2 S12
PSD 1 Counseling Reception X 2 S13
PSD 1 Rm 46 IT X 2 S151
PSD Rm 46 X 1 2 S16 1
PSD Rm 46 RR 1 X 1 2 S18 1
PSD 40 Wings Girls RR 1 X 1 2 S191
PSD 1 40 Wings Janitorial 1 X 1 2 S20
PSD 1 40 Wings Boys RR 1 X 1 2 S21
4cOwners Rep Sign: Date: 5/19/22 Inspector Sign:
ALARM AND DETECTION REPORT Page 4 of 13 VOLTAGE SPECIALISTS
530-624-4514 #880862
Property Site: Pine Ridae School
t
DEVICE ZONE OR SLC
TYPE DEVICE LOCATION PASS FAIL NOTE# I CHANNEL DEVICE#
PSD Rm 47 X 2 S35
PSD Rm 45 X 2 S36
PSD Rm 43 X 2 S39
PSD Rm 41 X 2 S40
PSD Rm 44 X 2 S42
PSD Rm 42 X 2 S45
PSD Rm 40 X 2 S46
PSD Library Electrical X 2 S50
PSD Library Girls RR X 2 S51
PSD Library IMC Rm X 2 S52
PSD Library Girls RR X 2 S53
PSD Library Janitor RR X 2 S54
PSD Library ADA Rm X 2 S55
PSD Library Storage X 2 S56
PSD Library Lobby X 2 S57
PSD Library Public Meeting Rm X 2 S58
PSD Library S. X 2 S59
PSD Library S. X 2 S60
PSD Library Middle X 2 S61
PSD Library N. X 2 S62
PSD Library N. X 2 S63
PSD Library N. X 2 S64
PSD Library N. X 2 S65
PSD Library Middle X 2 S66
PSD Library S. X 2 S67
PSD Library S. X 2 S68
PSD Gyms Girls RR X 2 S75
PSD Gym Boys Locker X 2 S76
PSD f Gym Boys PE Office X 2 S77
PSD Gym Boys Locker Vest X 2 S78
PSD Gym Boys RR X 2 S79
Owners4S
Rep Sin: Date: 5/19/22
Inspector Sign-
P
ALARM AND DETECTION REPORT Page 5 of 13 VOLTAGE SPECIALISTS
530-624-4514 #880862
Property Site: Pine Ridge School
DEVICE ZONE OR SLC
TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL DEVICE#
PSD Gym Vestibule X 2 S80
PSD Gym Girls Locker Rm X 2 S81
PSD Gym Girls Locker Vestibule X 2 S82
PSD Gym Girls PE Office X 2 S83
PSD Rm 11-13 Janitorial X 33 S1
PSD Rm 11-13 Girls RR X 33 S2
PSD Rm 11 X 33 S4
PSD I Rm 12 X 33 S8
PSD Rm 14 X 33 S11
PSD Rm 11-13 Boys RR X 33 S12
PSD Rm 13 X 33 S14
PSD Rm 8-10 Janitorial X 33 S18
PSD Rm 8-10 Girls RR X 33 S19
PSD Rm 8 X 33 S21
PSD Rm 9 X 33 S25
PSD Rm 14 X 33 S28
PSD Rm 8-10 Boys RR X 33 S29
PSD Rm 10 X 33 S31
PSD Rm 5-7 Janitorial X 33 S35
PSD Rm 5-7 Girls RR X 33 S36
PSD Rm 5 X 33 S38
PSD Rm 6 X 33 S42
PSD Rm 5-7 Boys RR X 33 S46
PSD Rm 7 X 33 S48
PSD Rm 1-4 Janitorial X 33 S52
PSD Rm 1-4 Girls RR X 33 S53
PSD Rm 2 1 X 33 S55
PSD Rm 1 I X 33 S58
PSD Rm 1 RR I X 33 S64
PSD Rm 3 I X 33 S65
PSD Rm 1-4 Boys RR 1 X 33 S69
4
Date: 5/19/22 )
Owners Rep Sign. Inspector Sign:
ALARM AND DETECTION REPORT Page 6 of 13 VOLTAGE SPECIALISTS
• 530-624-4514 #880862
Property Site: Pine Ridge School
DEVICE ZONE OR SLC
TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL DEVICE#
PSD Rm 4 X 33 S71
PSD Rm 16 X 33 S77
PSD Rm 17 X 33 S78
PSD Rm 17 X 33 S81
PSD Rm 18 X 33 S82
PSD Rm 18 X 33 S85
PSD Rm 19 X 33 S86
PSD Rm 19 X 33 S89
PSD Rm 15 X 33 S95
PSD Rm 15 X 33 S98
PSD Rm 16 X 33 S99
PSD Kitchen Mezz X 1 S30
PSD Admin Clerical Area X 1 S1
PSD Admin Waiting X 1 S2
PSD Nurses Office X 1 S3
PSD Admin Conference X 1 S4
PSD Principal's Office X 1 S5
PSD Admin Counselors Office X 1 S6
PSD Admin Work Area X 1 S7
PSD Admin Mens RR X 1 S8
PSD Admin Womens RR X 1 S9
PSD Admin RR Hall X 1 S10
PSD Admin Lounge X 1 S11
PSD MP Mech Rm X 1 S17
PSD MP Stage X 1 S18
PSD MP Stage Storage X 1 S19
PSD MP Girls RR X i 1 S21
PSD MP Boys RR X 1 1 S22
PSD Kitchen Dry Storage X I 1 S23
PSD Kitchen RR X I 1 S24
PSD MP Chair Storage X I 1 S27
C-/Owners Rep Sign. Date: 5/19/22 Inspector Sign:
ALARM AND DETECTION REPORT Page 7 of 13 VOLTAGE SPECIALISTS
530-624-4514 #880862
Property Site: Pine Ridge School
DEVICE ZONE OR SLC
TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL DEVICE#
PSD MP Janitorial 1 X 1 S28
PSD Rm 32 Storage I X 1 S36
PSD Rm 32 RR I X 1 S37
PSD Rm 32 ' X 1 S38
PSD Rm 32 1 X 1 S41
PSD Rm 24 X 1 S42
PSD Rm 24 X 1 S45
PSD Rm 25 X 1 S46
PSD Rm 25 X 1 S49
PSD Rm 26 X 1 S50
PSD Rm 26 X 1 S53
PSD Rm 31 X 1 S54
PSD Rm 31 X 1 S56
PSD Rm 27 X 1 S57
HT Admin W. Attic X 1 S12
HT Admin Clerical Attic X 1 S13
HT Admin Clerical Attic X 1 S14
HT Admin E. Attic X 1 S15
HT Kitchen by Freezer X 1 S25
HT Kitchen X 1 S26
HT MP Water Heater Rm X 1 S29
HT Kitchen S. Attic X 1 S31
HT Kitchen Mezz Attic X 1 S32
HT Kitchen N Attic X 1 S33
HT Kitchen Mezz Attic X 1 S34
HT Rm 32 Attic X 1 S39
HT Rm 32 Attic X 1 S40
Date: 5/19/22 CX
Owners Rep Sign: Inspector Sign
ALARM AND DETECTION REPORT Page 8 of 13 VOLTAGE SPECIALISTS
530-624-4514 #880862
Property Site: Pine Ridge School
DEVICE I ZONE OR SLC
TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL DEVICE#
HT Rm 24 Attic X 1 S43
HT Rm 24 Attic X 1 S44
HT Rm 25 Attic X 1 S47
HT Rm 25 Attic X 1 S48
HT Rm 26 Attic X 1 S51
HT Rm 26 Attic X 1 S52
HT Rm 31 Attic X 3 1 S55
HT Rm 27 Attic X 1 S58
HT Rm 27 Attic X 1 S59
HT Rm 28 Attic X 1 S62
HT Rm 28 Attic X 1 S63
HT Rm 21 Attic X 1 S66
HT Rm 21 Attic X 1 S67
HT Rm 20 Attic X 1 S70
HT Rm 20 Attic X 1 S71
HT Rm 29 Attic X 1 S74
HT Rm 29 Attic X 1 S75
HT Rm 30 Attic X 1 S78
HT Rm 30 Attic X 1 S79
HT N. Port RR Chase X 1 S83
HT Rm 23 Attic X 1 S86
HT Rm 23 Attic X 1 S87
HT Rm 22 Attic X 1 S90
HT Rm 22 Attic X 1 S91
HT Counseling E Attic X 2 S4
HT Counseling W Attic X 2 S9
HT Counseling CTR Attic X 2 S10
HT Rm 46 furnace closet X 2 S17
HT 1 Rm 46 RR Attic X 2 S22
HT I Rm 47 Attic X 2 S23
HT I Rm 47 Attic X 2 S24
4s
Date: 5/19/22
Owners Rep Sign: Inspector Sign-
ALARM AND DETECTION REPORT Page 9 of 13 VOLTAGE SPECIALISTS
530-624-4514 #880862
Property Site: Pine Ridge School
DEVICE ZONE OR SLC
TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL DEVICE#
HT Rm 46 RR Attic X 2 S25
HT Rm 44 Attic X 2 S26
HT Rm 45 Attic X 2 S27
HT Rm 43 Attic X 2 S28
HT Rm 42 Attic X 2 S29
HT Rm 40 Attic X 2 S30
HT Rm 41 Attic X J 2 S31
HT Rm 41 Attic X I 2 S32
HT Rm 40 Attic X I 2 S33
HT Rm 47 Furnace Closet X 2 S34
HT Rm 45 Furnace Closet X 2 S37
HT Rm 43 Furnace Closet X 2 S38
HT Rm 41 Furnace Closet X 1I 2 S41
HT Rm 44 Furnace Closet X 2 S43
HT Rm 42 Furnace Closet X 2 S44
HT Rm 40 Furnace Closet X 2 S47
HT Library Girls RR Attic X 2 S69
HT Library SW Attic X 2 S70
HT Library NE Attic X 2 S71
HT Library Boys RR Attic X 2 S72
HT Gym Boys Locker Attic X 2 S84
HT Gym RR Attic X 2 S85
HT Gym Vestibule Attic X 2 S86
HT Gym Girls Locker Attic X 2 S87
HT Rm 11 Furnace Closet X 33 S3
HT Rm 11 Solar Attic X 33 S5
HT Rm 11 Attic X 33 S6
HT Rm 11 Attic X 33 S7
HT Rm 11-13 RR Attic X 33 S9
HT Rm 11-13 RR Attic X 33 S10
HT Rm 13 Furnace Closet X 33 S13
4
Date: 5/19/22 )
Owners Rep Sign: Inspector Sign:
ALARM AND DETECTION REPORT Page 10 of 13 VOLTAGE SPECIALISTS
530-624-4514 #880862
Property Site: Pine Ririae Schnnl
DEVICE ZONE OR SLC
TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL DEVICE#
HT Rm 13 Solar Attic X I 33 S15
HT Rm 13 Attic X I 33 S16
HT Rm 13 Attic X f 33 S17
HT Rm 8 Furnace Closet X 33 S20
HT Rm 8 Solar Attic X 33 S22
HT Rm 8 Attic X 33 S23
HT Rm 8 Attic X 33 S24
HT Rm 8-10 RR Attic X 33 S26
HT Rm 8-10 RR Attic X 33 S27
HT Rm 10 Furnace Closet X 33 S30
HT Rm 10 Solar Attic X 33 S32
HT Rm 10 Attic X 33 S33
HT Rm 10 Attic X 33 S34
HT Rm 5 Furnace Closet X 33 S37
HT Rm 5 Solar Attic X 33 S39
HT Rm 5 Attic X 33 S40
HT Rm 5 Attic X 33 S41
HT Rm 5-7 RR Attic X 33 S43
HT Rm 5-7 RR Attic X 33 S44
HT Rm 14 Attic X 33 S45
HT Rm 7 Furnace Closet X 33 S47
HT Rm 7 Solar Attic X 33 S49
HT Rm 7 Attic X 33 S50
HT Rm 7 Attic X 33 S51
HT Rm 2 Furnace Closet X 33 S54
HT Rm 2 Attic X 33 S56
HT Rm 2 Attic X 33 S57
HT Rm 1 Attic X 33 S59
HT Rm 1 Attic X 33 S60
HT Rm 1 Solar Attic X 33 S61
HT Rm 2 Solar Attic X 33 S62
CXOwners Rep Sign: Date: 5/19/22 Inspector Sign.
ALARM AND DETECTION REPORT Page 11 of 13 VOLTAGE SPECIALISTS
530-624-4514 #880862
Property Site: Pine Ridae School
DEVICE ZONE OR SLC
TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL DEVICE#
HT Rm 1 Furnace Closet X 33 S63
HT Rm 1-4 RR Attic X 33 S66
HT Rm 1-4 RR Attic X 33 S67
HT Rm 14 Attic X 33 S68
HT Rm 4 Furnace Closet X 33 S70
HT Rm 4 Solar Attic X 33 S72
HT Rm 4 Attic X 33 S73
HT Rm 4 Attic X 33 S74
HT Rm 16 Attic X 33 S75
HT Rm 16 Attic X 33 S76
HT Rm 17 Attic X 33 S79
HT Rm 17 Attic X 33 S80
HT Rm 18 Attic X 33 S83
HT Rm 18 Attic X 33 S84
HT Rm 19 Attic X 33 S87
HT Rm 19 Attic X 33 S88
HT Rm 15 Attic X 33 S96
HT Rm 15 Attic X 33 S97
BD MP X 1 S20
BD Gym N X 2 S88
II BD Gym S X 2 S89
PDD Gym S AHU X 2 M4
PDD Gym N AHU X 2 M5
PDD I Admin HVAC X + 34 2
°Pc
Owners Rep Sign: Date: 5/19/22 Inspector Si
n
P 9
ALARM AND DETECTION REPORT Page 12 of 13 VOLTAGE SPECIALISTS
530-624-4514 #880862
Property Site: Pine Ridge School
DEVICE ZONE OR SLC
TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL DEVICE#
PS MP Stage Exit X 1 M2
PS Cafe NW Exit X 1 M3
PS Cafe SW Exit X 1 M4
PS Cafe SE Exit X 1 M5
PS Cafe NE Exit X 1 M9
PS Admin @ FACP X 1 M10
PS Gym Vestibule X 2 M1
PS Gym SW Exit X 2 M2
PS Gym SE Exit X 2 M3
PS Gym NW Exit X 2 M6
c)cOwners Rep Sign: Date: 5/19/22 Inspector Sign:
ALARM AND DETECTION REPORT Page 13 of 13 VOLTAGE SPECIALISTS
530-624-4514 #880862
Property Site: Pine Ridae School
DEVICE ZONE OR SLC
TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL DEVICE#
I 1
I I
PSD—Phtstodlectric 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
5SD—Signal Station Smoke Detector B—Bell AV—Audible Visual PIV—Post Indicator Valve
NOTES
f I
Discrepancies Found? n Yes Lv 1 No
See Discrepancy Report? Yes lj No
Date: 5/19/22
Owners Rep Sign: Inspector Sign: