HomeMy WebLinkAboutFAI23-0003 025-200-127 SPIN _ SPORT CLUB_ Fire Alarm-DMP-XR 150_ 7-19-2023 (Semi-Annual) Form for Inspection, Testing and Maintenance of EAGLE�11, 4*
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 Carlos Palomera
Property Evaluated: SPIN&SPORT CLUB(Business) 156551 NICET II
1788 HIGHWAY 99 Date of Work: 7/19/2023
GRIDLEY,CA 95948-2210
Frequency: Semi-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): Semi-Annual Overcurrent protection type: TRANSFORMER
Date of Work 7/19/2023 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 Contact
Assembly Description:
Fire Alarm(DMP-XR 150) Monitoring VYANET 09:05
2.Owner's Section organization:
A.Are the fire alarms and signaling systems ❑✓Yes❑No Building STAFF 09:05
in service? management:
B.Have fire alarms and signaling systems ✓J Yes❑No I Building occupants: I NA NA
remained in service since the last inspection?
C.Was the system(of which the fire alarm Authority Having NA NA
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 Lscription I Yes/No I i
ascription Visual Functional Results Alarm signal ,/Yes❑No U Pass❑Fail
Inspection Test ❑N/A
Alarm L✓J Pass❑Fail
Control unit ❑d Yes❑No ❑d Yes❑No 0 Pass❑Fail restoration 0 Yes❑No ❑N/A
N/A
Lamps/LEDs/L L✓J Pass❑Fail Trouble signal ❑✓yes❑No L✓J Pass❑Fail
CDs 0Yes❑No 0Yes El No ]N/A ❑N/A
Trouble L✓J Pass❑Fail
Fuses 0 Yes❑No ❑�Yes❑No L✓J Pass❑Fail restoration L✓J Yes_J No
❑N/A
N/A
Trouble signals L✓J Pass❑Fail Supervisory L✓J Yes_J No L✓J Pass❑Fail
L✓J Yes_J No L_l Yes❑No ] Li signal ❑N/A
Disconnect L✓J Pass❑Fail/A
Supervisory L✓J Yes_J No ❑✓Pass CI Fail
switches L✓J Yes_J No L_l Yes❑No ]N/A restoration ❑N/A
6.7 Public Emergency Alarm Reporting System
Ground-fault ❑✓Pass❑Fail
L✓J Yes_J No L_l Yes❑No
monitoring ]N/A Description [ Yes/No I I Time(seconds) Results
Supervision 0 Pass❑Fail Alarm signal ❑Pass CI Fail
LJ Yes_JNo L�Yes❑No ]N/A ❑Yes❑No
_✓I N/A
Local ❑✓Pass❑Fail Alarm CI Pass CI Fail
annunciator L✓J Yes_JNo L�Yes❑No _J N/A El Yes❑No
restoration _✓I N/A
Remote ❑✓Pass CI Fail Trouble signal CI Pass CI Fail
annunciators ❑✓Yes❑No ❑/Yes❑No _J N/A ❑Yes❑No
❑✓N/A
Remote power ❑✓Pass CI Fail Trouble ❑Pass❑Fail
❑✓Yes❑No ❑/Yes❑No ❑Yes❑No
panels _J N/A restoration 0 N/A
CI Pass CI Fail Supervisory ❑Pass❑Fail
Other: ❑Yes❑No ❑Yes El No _J 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 0 Pass❑Fail Contact lT
condition ❑✓Yes❑No ❑O Yes❑No ]N/A
Monitoring VYANET 09:30
Load voltage ❑✓Yes❑No ❑/Yes❑No ❑✓Pass❑Fail organization:
_J N/A
Building STAFF 09:30
Discharge test ❑✓Yes❑No ❑/Yes❑No ❑✓Pass❑Fail management:
_J N/A
Charger test ❑✓Pass CI Fail
Building occupants: NA NA
❑✓Yes❑No ❑/Yes El No ]N/A Authority Having
Jurisdiction: NA NA
Remote panel ❑�/Yes❑No ❑�Yes❑No IA Pass❑Fail
batteries ❑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: 7/19/2023
6.4 Notification Appliances Time: 09:30
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 Carlos Palomera
Inspector License: 156551 NICET II
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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0Security Systems Chico,CA 95973
A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395
Signature of Inspector
Date 7/19/2023
11.Owner or Owner's Representative
Owner or Owner's Representative Name
Owner or Owner's Representative Signature Na Signature Available
Date 7/19/2023
NFPA 72 v1.1-2019 Page 4 of 4