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HomeMy WebLinkAboutB21-3128 CF FA 2023 024-260-093 SYSTEM RECORD OF COMPLETION Form Completion Date:05/26/2023 Supplemental Pages Attached:N/A 1. PROPERTY INFORMATION Name of property: Gridley Plaza Address: 50 East Gridley Road Gridley,CA 95948 Description of property: Commercial Name of property representative: Address: Phone: Fax- E-mail: 2. INSTALLATION,SERVICE,TESTING,AND MONITORING INFORMATION Installation contractor Foothill Fire Protection,Inc. Address: 170 Erma Ct. Phone:530-826-3013 Fe,.530-893-3013 E-mail: alarms@ffprotection corn Service organization-Foothill Fire Protection,Inc. Address. 170 Erma Ct. Phone 530-826-3013 Fax-530-893-3013 E-mail. alarms@ffprotection.com Testing organization: Foothill Fire Protection,Inc_ Address- 170 Erma Ct- phone. 530-826-3013 Fax.530-893-3013 E-mail. alarms@ftprotection.com Effective date for test and inspection contract Monitoring organization: Rapid Response Monitoring Address: 400 W Division St,Syracuse,NY 13204 Phone-"G-558-7767 Fax.NA E-mail. NA Account number.Z571112 Phone line 1: NA Phone line 2:NA Means of transmission:Cell Dialer Entity to which alarms are retransmitted: Phone. 3. DOCUMENTATION Document Box located in Fire Control Room On-site location of the required record documents and site-specific software' 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: IZI New system C]Modification to existing system Permit number. NFPA 72 edition: 2019 4.1 Control Unit Manufacturer: . Model number: 4.2 Software and Firmware Firmware revision number 4.3 Alarm Verification Ca This system does not incorporate alarm verification. Number of devices subject to alarm verification: Alarm verification set for seconds NFPA 72 Ip.1 of 31 0 ©201 R 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@a nfpa-org- SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 120v Control panel amps: 5 Overcurrent protection: Type: Circut Breaker Amps: 20 Branch circuit disconnecting means location: Number:_ 5.1.2 Secondary Power Type of secondary power: Batteries Location,if remote from the plant: Calculated capacity of secondary power to drive the system: In standby mode(hours): 24 In alarm mode(minutes): 5 5.2 Control Unit ®This system does not have power extender panels (l Power extender panels are listed on supplementary sheet A 6. CIRCUITS AND PATHWAYS Dual Media Separate Survivability Pathway Type Pathway Pathway Class I Level Signaling Line I I B I0 Device Power I I I B 10 Initiating Device I I B I a Notification Appliance I I B 10 Other(specify): 7. REMOTE ANNUNCIATORS Type I Location I I • 8. INITIATING DEVICES Addressable or Alarm or Sensing Type Quantity Conventional Supervisory Technology Manual Pull Stations 1 A A SWITCH Smoke Detectors 1 A A PHOTOELECTRIC Duct Smoke Detectors Heat Detectors Gas Detectors Carbon Monoxide Detectors Waterflow Switches 1 C A SWITCH Tamper Switches 1 C S SWITCH NFPA 72(p.2 of 3) ©2018 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale El 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. SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type I Quantity I Description Audible I I Visual I I Combination Audible and Visual I 1 I HORN/STROBE 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices HVAC Shutdown Fire/Smoke Dampers Door Unlocking Elevator Recall Elevator Shunt Trip 11. INTERCONNECTED SYSTEMS p This system does not have interconnected systems. El Interconnected systems are listed on supplementary sheet . 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system as s cified herein has been installed according to all NFPA standards cited herein. , Signed: / Printed name• Jonathan James Date: 05/26/2023 Organization: Foothill Fire Protection,Inc. Title: Division Manager Phone: 530-826-3013 12.2 System Operational Test This system as specified herein has tested according to all NFPA standards cited herein. Signed: Printed name: Jonathan James Date: 05/26/2023 Organization: Foothill Fire Protection.Inc. Title: Division Manager Phone: 530-826-3013 12.3 Acceptance Test Date and time of acceptance test: 05/26/2023 11 00AM Installing contractor representat 4� Testing contractor representativ Property representative: • /] AHJ representative: 7 / !4/ // NFPA 72(p.3 of 3( 0 ©2018 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 unauthonzed use,contact licensing@nfpa.org.