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HomeMy WebLinkAboutB22-2233 041-230-009 CF FA 2023 in any form permitted wdlwul written permission of NFPA&.For inquiries or to report unauthorized use contact licensingtgnfpa.org. DOCUMENTATION 72-39 SYSTEM RECORD OF COMPLETION This form is to be completed by the system installation contractor at the time of system acceptance and approval. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert N/A in all unused lines. Attach additional sheets, data, or calculations as necessary to provide a complete record. Form Completion Date: 7✓2612°22 Supplemental Pages Attached: NIA 1. PROPERTY INFORMATION Name of property: PG&E Table Mountain 5C3 Substation Address: 945 Cottonwood Road,Oroville,California 95965 Description of property. Utility Name of property representative: Chase Chaussee Address: 945 Cottonwood Road,Oroville,California 95965 Phone: 1(530)635-4871 Fax: E-mail: 2. INSTALLATION.SERVICE,TESTING,AND MONITORING INFORMATION Installation contractor: Cosco Fire Protection Address: 4320 Anthony Court,Suite 8,Rocklin,CA 95677 916.652.1306 916.652.1307 E-mail: www.coscafire.aom Phone. Fax. Cosco Fire Protection Service organization. Address: 4320 Anthony Court,Suite 8.Rocklin.CA 95677 Phone- 916.652.1306 FP- , 916.652.1307 E-mail: wnw.cosoofire.com Testing organization: Cosco Fire Protection Address: 4320 Anthony Court,Suite 8,Rocklin,CA 95677 Phor 916.652.1306 Fax: 916.652.1307 E-mail: www.c afi oscre-crn o Effective date for test and inspection contract. Monitoring organization: Address- Phone' Fax- E-mail: Account number: Phone line I: Phone line 2- Means of transmission: Entity to which alarms are retransmitted: Phone- 3. DOCUMENTATION On-site location of the required record documents and site-specific soflwarw Document can under FACP 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: J New system 7 Modification to existing system Permit number: NFPA 72 edition: 4.1 Control Unit Manufacturer Notifier Model number: NFS-320 4.2 Software and Firmware Firmware revision number. V29 4.3 Alarm Verification rai This system does not incorporate alarm verification. Number of devices subject to alarm verification: Alarm verification set for seconds 2015 National Fire Protection Association NFPA 72(p.1 at 3) FIGURE 7.8.2(a) System Record of Completion. (SIG-FUN) 2016 Edition 0 in any form permitted without written permission of NFPAn).For inquiries or to report unauthorized use,contact hcenserpitnfpa.orp. 72- 1I l NATIONAL FIRE ALARM AND SIGNALING CADE SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: t 2{1VAC Control panel amps: 3.9 Overcurrent protection: Type: Circuit Breaker Amps: 20A Branch circuit disconnecting means location: Panel NFt Number; Circuit 45 5.1.2 Secondary Power Type of secondary power: sealed Lead Acid Battery Location,if remote from the plant: inside FACP Calculated capacity of secondary power to drive the system: In standby mode(hours): 24 Hours In alarm mode(minutes): 5 5.2 Control Unit j This system does not have power extender panels J 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 I I s Device Power I N/A • Initiating Device 1 I 1 S Notification Appliance I I I B 1 Other(specify): i 7. REMOTE ANNUNCIATORS • Type Location 8. INITIATING DEVICES Addressable or Alarm or Sensing Type Quantity Conventional Supervisory Technology Manual Pull Stations 2 Addressable Alarm switch Smoke Detectors 2 Addressable Alarm photoelectric Duct Smoke Detectors N/A Heat Detectors N/A Gas Detectors N/A Waterflow Switches N/A Tamper Switches N/A ©2015 National Fire Protection Association NFPA 72(p.2 of 3) FIGURE 7.8.2(a) Continued 0 2016 Edition in any form permitted without written permission of NFPAe.For inquiries or to report unauthorized use.contact icensing .org. DOCUMENTATION 72-41 SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type Quantity I Description Audible N/A Visible N/A Combination Audible and Visible 2 lqty ceiling mount red and 1 qty wall mount red weatherproof 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices N/A HVAC Shutdown 1 Fire/Smoke Dampers N/A Door Unlocking N/A Elevator Recall N/A Elevator Shunt Trip N/A 11. INTERCONNECTED SYSTEMS •_l This system does not have interconnected systems. J Interconnected systems are listed on supplementary sheet 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system speci e herein has been installed according to all NFPA standardsds cited herein. Signed. / Printed na/rpe 71-1 1Ze-L, Date:0// Organization See /2 - Title: 7-e.c- Phone: 915.552.1306 12.2 System Operational Test This system as ifie i as tested according to all NFPA stand s cited herein. Signed' /_` .o Printed av1k Date:/5" uJ /O Z Organization: 7'f 4 Title:��+� Phone: 916.662.1306 12.3 Acceptance Test Date and time of acceptance test: Installing contractor representative: Testing contractor representative: Property representative: //�� T1 _ //4AHD representative: ( J • 0 2015 National Fire Protection Association NFPA 72(p.3 of 3) FIGURE 7.8.2(a) Continued 2016 Edition 0