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HomeMy WebLinkAboutFAI15-0049 040-180-062 CF FS 8-16-2022 Durham HS SYSTEM RECORD OF COMPLETION Form Completion Date: 10/22/21 Supplemental Pages Attached: 1 1. PROPERTY INFORMATION Name of property: Duram high school Address: 9455 Putney dr Duram ca 95938 Description of property: High school Name of property representative: Duram school Disctrict Address: 9420 Putney dr Duram ca 95938 Phone: 530 895-4675 Fax: E-mail: 2. INSTALLATION,SERVICE,TESTING,AND MONITORING INFORMATION Installation contractor: Voltage Specialists Address: 5031 Foster rd Paradise,Calif.95969 Phone: 530 624-4514 Fax. 530 872-3586 Email: Bilibunchvs@gmail.com service organization.Voltage Specialists Address: 5031 Foster rd Paradise,Calif.95969 Phone: 530 624-4514 Fax. 530 872-3586 E-mail: Billbunchvs@gmail.com Testing organization- Voltage Specialists Address: 5031 Foster rd Paradise,Calif.95969 Phone. 530624-4514 Fax. 530872-3586 Email: Billbunchvs@gmail.com Effective date for test and inspection contract: Monitoring organization: CSM inc(Mastertech Security Services)(U.L_app#274780-002) Address: 303 SW Zobrist.Estacada Oregon 97023 Phone 1-800-722-0364 Fax. 1-503-630-6630 E-mail: dataentry@csmul.com Account number: 18-9477 Phone line 1; 530 822-5027 Phone line 2: 530 822-5077 Means of transmission' DACT Entity to which alarms are retransmitted: Phone- 3. DOCUMENTATION On-site location of the required record documents and site-specific software• At FRCP 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: 0 New system la Modification to existing system Permit number: NFPA 72 edition: 2016 4.1 Control Unit Manufacturer: Silent Knight Model number' 6820XL 4.2 Software and Firmware Firmware revision number 2.1 4.3 Alarm Verification ® This system does not incorporate alarm verification. Number of devices subject to alarm verification: Alarm verification set for seconds NFPA 72(p.1 of 3) nn ©2016 National Fire Protection Association,This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized N1FP use,contact licensing@nfpa.org. SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 120 VAC Control panel amps: 6 Overcurrent protection: Type: Circuit Breaker Amps: 20 Branch circuit disconnecting means location: Mairt Switchgear Number: 1 5.1.2 Secondary Power Type of secondary power: Sealed Lead Acid Battery Location,if remote from the plant: -- _- - Calculated capacity of secondary power to drive the system: In standby mode(hours): 24 In alarm mode(minutes): 15 5.2 Control Unit This system does not have power extender panels 0 Power extender panels are listed on supplementary sheet A 6. CIRCUITS AND PATHWAYS Dual Media Separate Survivability Pathway Type Pathway Pathway Class Level Signaling Line I X B 1 Device Power I I NA a 1 Initiating Device X B 1 Notification Appliance X I B I 1 Other(specify): 7. REMOTE ANNUNCIATORS Type I Location LCD I Main office 8. INITIATING DEVICES Addressable or Alarm or Sensing Type Quantity Conventional Supervisory Technology Manual Pull Stations 0 1 I Smoke Detectors 1 Addressable Alarm Photoelectric Duct Smoke Detectors 1 Addressable I Supervisory I Photoelectric Heat Detectors 3 Addressable I Alarm I Rate of rise BEAM Detectors 0 1 Waterflow Switches 0 1 I Tamper Switches 0 I CO DETECTOR 11 Addressable Ararm rnoroerecrnc NFPA 72(p.2 of 3) ©2o16 National Fire Protection Association.This form may be copied for individual u other than for resale.It may not be copied for commercial sale or distribution.No other reproduction or transmission in any form permitted without se written permission of NFPA.For inquiries or to report unauthorized NM( use.contact licensing@nfpa.org. SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type I Quantity I Description Audible I 0 I outside speaker Visible I 0 I Strobe Combination Audible and Visible I 2 I Speaker/Strobe 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices I NA HVAC Shutdown NA Fire/Smoke Dampers NA Door Unlocking I NA Elevator Recall NA Elevator Shunt Trip I NA 11. INTERCONNECTED SYSTEMS ® This system does not have interconnected systems. 0 Interconnected systems are listed on supplementary sheet . 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system as specified herein has been installed according to all NFPA standards cited herein. Signed: Printed name: Jason Moore Date: 10/22/21 Organization:Voltage Specialists Title: Journeyman Phone: (530)624-9226 12.2 System Operational Test This system as specified herein has tested according to all NFPA standards cited herein. Signed: 9 Printed name: Jason Moore Date: 10/22/21 Organization:Voltage specialists Title: Journeyman Phone: (530)624-9226 12.3 Acceptance Test Date and time of acceptance test: 10/22/21 8:30 am Installing contractor representative: Testing contractor representative: Property representative: AHJ representative: pailb`if NFPA 72(p.3 of 3) ®2016 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized L� use,contact licensing@nfpa,org. NOTIFICATION APPLIANCE POWER PANEL SUPPLEMENTARY RECORD OF COMPLETION Form Completion Date: 10/22/21 Number of Supplemental Pages Attached: 0 1. PROPERTY INFORMATION Name of property: Duram high school Address: 9421 Putney dr Duram ca 95938 2. NOTIFICATION APPLIANCE POWER EXTENDER PANELS Make and Model Location Area Served Power Source EVS-50W Janitors closet I Kitchen/gym/cafe 3B secl cir 36 5895 Janitors closet I Kitchen/gym/cafe 3B sect cir 36 See Main System Record of Completion for additional information,certifications,and approvals. NFPA 72 G 2Q16n National Fire Protection Assocrateon-This form may be pied for individual use other than for resale.It may not be copied for commercial sale or distribution.No other reproduction or transmission in any formco permuted without written permission of NFPA.For inquiries or to report unauthorized NFPt* use.contact licensing@nfpa.org. SYSTEM RECORD OF COMPLETION Form Completion Date: 10/22/21 Supplemental Pages Attached: 1 1. PROPERTY INFORMATION Name of ra rt Durham elementary school P Pe y: Address: 9421 Putney dr Durham ca 95938 - -- Description of property: Elementary s1iool Name of property representative: °Thar"school Dlsctncl Address: 9420 Putney dr Duram ca 95938 Phone: 530 895-4675 Fax: E-mail: 2. INSTALLATION,SERVICE,TESTING,AND MONITORING INFORMATION Installation contractor: Voltage Specialists Address: 5031 Foster rd Paradise,Calif.95969 Phone. 530 624-4514 Fay. 530 872-3586 E-mail: Billbunchvs@gmail.com Service organization:Voltage Specialists Address 5031 Foster rd Paradise,Calif.95969 Phone. 530 624-4514 Fa,. 530 872-3586 E-mail: Billbunchvs@gmail.com Testing organization: Voltage Specialists Address 5031 Foster rd Paradise,Calif.95969 Phone' 530 624-4514 Fay. 530 872-3586 E-mail: Billbunchvs@gmail.com Effective date for test and inspection contract: - Monitoring organization: CSM inc(Mastertech Security Services)(U.L.app#274780-002) Address. 303 SW Zobrist.Estacada Oregon 97023 Phone' 1-800-722-0364 Fay. 1-503-630-6630 E-mad. dataentry@csmul.com Account number: 18-9516 Phone line 1: 530 822-5027 phone line 2: 530 822-5077 Means of transmission: DACT Entity to which alarms are retransmitted: Phone. 3. DOCUMENTATION required record documents and site-specificAt FACP On-site location of the software: 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: ❑ New system El Modification to existing system Permit number: NFPA 72 edition: 2016 4.1 Control Unit Manufacturer: silent Knight Model number 6820XL 4.2 Software and Firmware Firmware revision number 2.1 4.3 Alarm Verification ® This system does not incorporate alarm verification, Number of devices subject to alarm verification: Alarm verification set for seconds NFPA 72(p.1 of 3) VO2016 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized use,contact Iicensing@nfpa.org. SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 120 VAC Control panel amps: 6 Overcurrent protection: Type; Circuit Breaker Amps: 20 Branch circuit disconnecting means location: Main Switchgear Number: 1 5.1.2 Secondary Power Type of secondary power: Sealed Lead Acid Battery Location,if remote from the plant: Calculated capacity of secondary power to drive the system: In standby mode(hours): 24 In alarm mode(minutes): 15 5.2 Control Unit ®This system does not have power extender panels 0 Power extender panels are listed on supplementary sheet A 6. CIRCUITS AND PATHWAYS Dual Media Separate 1 Survivability Pathway Type Pathway Pathway Class Level Signaling Line I X I B 1 Device Power I I NA I B 1 Initiating Device I I X I B 1 Notification Appliance I I X I B I 1 Other(specify): i { 7. REMOTE ANNUNCIATORS [ Type I Location LCD I Main office I 8. INITIATING DEVICES Addressable or Alarm or Sensing Type Quantity Conventional Supervisory Technology Manual Pull Stations 0 Smoke Detectors 1 Addressable Alarm Photoelectric Duct Smoke Detectors 1 Addressable Supervisory [ Photoelectric • Heat Detectors 2 Addressable Alarm I Rate of rise BEAM Detectors 0 Waterflow Switches 0 • I Tamper Switches 0 NFPA 72(p.2 of 3) El ©2016 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distnbulion.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized use,contact Iicensing@nfpa.org. SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type I Quantity I Description Audible I 0 I outside speaker Visible I 0 I Strobe Combination Audible and Visible I 2 I Speaker/Strobe 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices NA HVAC Shutdown NA Fire/Smoke Dampers NA Door Unlocking NA Elevator Recall NA Elevator Shunt Trip NA 11. INTERCONNECTED SYSTEMS III This system does not have interconnected systems. ❑ Interconnected systems are listed on supplementary sheet 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system as specified hereinhe�LL has been installed according to all NFPA standards cited herein. Signed: 7 Printed name: Jason Moore Date: 10/22/21 Organization:Voltage Specialists Title: Journeyman Phone: (530)624-9226 12.2 System Operational Test This system as specified herein�has tested according to all NFPA standards cited herein. Signed: PA' Printed name: Jason Moore Date: 10/22/21 Organization:Voltage specialists Title: Journeyman Phone: (530)624-9226 12.3 Acceptance Test 1 Date and time of acceptance test: 0/22/21 8:30 am Installing contractor representative: allto Testing contractor representative: agr Property representative: AHJ representative: RM W R NFPA 72(p.3 of 3) ®2016 National Fire Protection Association,This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized 0 use,contact licensing@nfpa.org. NOTIFICATION APPLIANCE POWER PANEL SUPPLEMENTARY RECORD OF COMPLETION Form Completion Date: 10/20/21 Number of Supplemental Pages Attached: 0 1. PROPERTY INFORMATION Name of property: Duram elementary kitchen Address: 9421 Putney dr Duram ca 95938 2. NOTIFICATION APPLIANCE POWER EXTENDER PANELS Make and Model Location Area Served Power Source EVS-50W Janitors closet Kitchen Before main switchgear • See Main System Record of Completion for additional information,certifications,and approvals. NFPA 72 tera ©2016 National Fire Protection Association,This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized use,contact licensing@nfpa.org.