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Home My WebLink AboutFAI23-0003 025-200-127 SPIN _ SPORT CLUB_ Fire Alarm-DMP-XR 150_ 1-17-2024 (Annual) Form for Inspection, Testing and Maintenance of �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: 1/17/2024 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 Eagle Security Systems,3268 Esplanade Ste A,Chico,CA,95973 Phone:530-345-6395 Page 1 of 4 Eagle Security Systems 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 1/17/2024 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 PIN&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 09:20 2.Owner's Section organization: A.Are the fire alarms and signaling systems ❑✓Yes❑No Building STAFF 09:20 in service? management: B.Have fire alarms and signaling systems ✓J Yes❑No Building occupants: 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 Yes✓J ❑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: INSPECTIONS@VYA NET.COM 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 0 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 ime condition 0 Yes❑No ❑O Yes❑No ]N/A Load volts e ❑✓Pass❑Fail organization: Monitoring VYANET 10:00 g ❑✓Yes❑No ❑/Yes❑No _JEl Building STAFF 10:00 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: 1/17/2024 6.4 Notification Appliances Time: 10:00 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 1 ��"' 0Secu�� Eagle3268Esplana Securityd Systems �� =� EAGLE e SteA ' rity Systems Chico,CA 95973 A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395 Signature of Inspector - -1 .-,-- Date 1/17/2024 11.Owner or Owner's Representative Owner or Owner's Representative Name Owner or Owner's Representative Signature No Signature Available Date 1/17/2024 NFPA 72 v1.1-2019 Page 4 of 4