HomeMy WebLinkAboutSPIN _ SPORT CLUB_ Fire Alarm-DMP-XR 150_ 1-17-2023 (Annual) Form for Inspection, Testing and Maintenance of �1, * Security Systems
Fire Alarms and Signaling Systems A VYANET OPERATING GROUP, INC.COMPANY
Location Code: 045-174-5320
Contact: ERICA SANNAR Company: Eagle Security Systems
Contact Address: 1788 HIGHWAY 99 Address: 3268 Esplanade Ste A
GRIDLEY,CA 95948-2210
Chico,CA 95973
Phone: 5307886043 Company Phone: 530-345-6395
Email: DRJSANNAR@YAHOO.COM Inspector Nicholas Ray
Property Evaluated: SPIN&SPORT CLUB(Business) 160298 NICET I
1788 HIGHWAY 99 Date of Work: 1/17/2023
GRIDLEY,CA 95948-2210
Frequency: Annual
Description: Fire Alarm(DMP-XR 150)
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
EAGLE 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: DMP
maintenance may be necessary depending on the conditions of the
occupancy and the water supply. Model number: XR150
Notes: 4.2 Software and Firmware Revision number: 212
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 2016❑2019 Amps: 20
The work covered on this form is(select Location: OFFICE
one): Annual Overcurrent protection type: TRANSFORMER
Date of Work 1/17/2023 Amps: 20
All responses refer to the current work(inspection, testing and Disconnecting means location: BELOW PANEL
maintenance)performed on this date. 4.3.2 Secondary Power:
1.Property Information Type: BATTERY
Owner: Location: a FACU
ERICA SANNAR Battery type(if applicable): ❑Lead-acid❑Nickel-
Owner's Phone Number: cadmium
5307886043 ❑Primary(dry cell)
❑✓Sealed lead-acid
Owner's Address: Calculated capacity of batteries to drive the system:
1788 HIGHWAY 99.GRIDLEY.CA.95948-2210
Property Being Evaluated: In standby mode(hours): 24.0
SIn alarm mode(minutes): 5.0
SPIN&SPORT CLUB(Business)
5.Notifications Made Prior To Testing
Property Address:
1788 HIGHWAY 99.GRIDLEY.CA.95948-2210
Assembly Description:
Fire Alarm(DMP-XR 150) Monitoring Vyanet Operating 1340
2.Owner's Section organization: Group
A.Are the fire alarms and signaling systems ❑✓Yes❑No Building Joshua 1340
in service? management:
B.Have fire alarms and signaling systems ✓J Yes❑No I Building occupants: I Joshua 1340
remained in service since the last inspection?
C.Was the system(of which the fire alarm Authority Having Gridley FD 1340
and signaling systems are a part)free of ✓J Yes❑No Jurisdiction:
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: VYANET
OPERATING GROUP,
INC
Address: 410 SW COLUMBIA
STREET;STE 120,
BEND OR 97702
Phone: 541-241-1800
Fax:
Email:
Account number: 174-5320
Phone line 1:
Phone line 2:
Means of transmission: CELLULAR
COMMUNICATOR
Entity to which alarms are retransmitted:
Phone:
NFPA 72 v1.1-2019 Page 2 of 4
Eagle Security Systems
ta) =' E AG IdE 3268 Esplanade Ste A
'r-' Security Systems Chico,CA 95973
A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395
6.Testing Results 6.6 Supervising Station Monitoring
6.1 Control Unit and Related Equipment Lscriptio Yes/No I i
Alarm signal ❑Pass❑Fail
escription Visual Functional Results ❑Yes❑No ❑✓N/A
Inspection Test
Alarm ❑Pass❑Fail
Control unit ❑d yes❑No ❑d Yes❑No LJ Pass❑Fail restoration ❑Yes❑No ❑✓N/A
N/A
Lamps/LEDs/L IA Pass❑Fail Trouble signal ❑yes❑No ❑Pass❑Fail
CDsp 0Yes❑No 0Yes❑No ]N/A NA
Trouble ❑Pass❑Fail
Fuses ❑Pass❑Fail ❑Yes_L No
ID Yes NA No III Yes ID No NA N/A restoration NA N/A
Trouble signals LJ Pas❑sFail Supervisory ❑Yes_L No ❑Pass❑Fail
LJ Yes__I No LJ Yes❑No a Li signal NA N/A
Disconnect ❑Pass❑Fail/A
Supervisory ❑Yes_L No ❑Pass❑Fail
switches ❑Yes IA No ❑Yes LJ No NA N/A restoration NA N/A
6.7 Public Emergency Alarm Reporting System
Ground-fault ❑Pass❑Fail
❑Yes J No ❑Yes LJ No
monitoring ]]N/A Description [ Yes/No I I Time(seconds) Results
Supervision 0 Pass❑Fail Alarm signal ❑Pass❑Fail
LJ Yes_INo kJ Yes❑No _L N/A ❑Yes❑No
_✓I N/A
Local ❑Pass❑Fail Alarm El Pass El Fail
annunciator ❑Yes�I No ❑Yes LJ No J N/A El Yes❑No
restoration _✓I N/A
Remote ❑✓Pass❑Fail Trouble signal ❑Pass❑Fail
annunciators ❑✓Yes❑No ❑/Yes❑No __I N/A ❑Yes❑No
❑✓N/A
Remote power ❑Pass❑Fail Trouble ❑Pass❑Fail
❑Yes❑✓No ❑Yes❑�/No ❑Yes❑No
panels _✓I N/A restoration ❑✓N/A
❑Pass❑Fail Supervisory ❑Pass❑Fail
Other: ❑Yes❑No ❑Yes❑No _I N/A signal ry ❑Yes❑No NA N/A
g
6.2 Secondary Power
Supervisory ❑Yes❑No ❑Pass❑Fail
Description Visual Functional Results restoration ❑✓N/A
Inspection Test 1 7.Notifications That Testing Is Complete
Battery ❑✓Yes❑No ❑O Yes❑No J Pass❑Fail ntact
condition _L N/A
Monitoring Vyanet Operating 1431
Load voltage ❑✓Yes❑No ❑/Yes❑No ❑✓Pass❑Fail organization: Group
_J N/A
Building Joshua 1431
Discharge test El Yes❑No ❑/Yes❑No ❑✓Pass❑Fail management:
_J N/A
Charger test ❑✓Pass❑Fail Building occupants: Joshua 1431
❑✓Yes❑No ❑/Yes❑No ]N/A Authority Having
Jurisdiction: Gridley FD 1431
Remote panel ❑Pass❑Fail
batteries El Yes NA No ❑Yes❑�No ]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: 1/17/2023
6.4 Notification Appliances Time: 1431
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 Nicholas Ray
Inspector License: 160298 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 1/17/2023
11.Owner or Owner's Representative
Owner or Owner's Representative Name
Owner or Owner's Representative Signature No Signature Available
Date 1/17/2023
NFPA 72 v1.1-2019 Page 4 of 4