HomeMy WebLinkAboutFAI20-0005 009-162-014 HAZEL HOTEL_ Fire Alarm-SILENT KNIGHT 5820XL_ 3-8-2024 (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: 045-344-2122
Contact: TRISH STILWELL Company: Eagle Security Systems
Contact Address: 880 HAZEL ST Address: 3268 Esplanade Ste A
GRIDLEY,CA 95948
Chico,CA 95973
Phone: 530-846-7800 Company Phone: 530-345-6395
Email: HAZEL@CHIPHOUSING.ORG Inspector Carlos Palomera
Property Evaluated: HAZEL HOTEL(Business) 156551 NICET II
880 HAZEL ST Date of Work: 3/8/2024
GRIDLEY,CA 95948
Frequency: Annual
Description: Fire Alarm(SILENT KNIGHT 5820XL)
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
S AG L E 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: Silent knight
maintenance may be necessary depending on the conditions of the
occupancy and the water supply. Model number: 5820x1
Notes: 4.2 Software and Firmware Revision number: 9.09
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.
1.Property Information Amps: 20
Owner: Location: Elevator Lobby
TRISH STILWELL Overcurrent protection type: Breaker
Owner's Phone Number: Amps: 20
530-846-7800 Disconnecting means location: #11
Owner's Address: 4.3.2 Secondary Power:
880 HAZEL ST.GRIDLEY.CA.95948 Type: Battery
Property Being Evaluated: Location: Panel
HAZEL HOTEL(Business) Battery type(if applicable): ❑Lead-acid❑Nickel-
cadmiumPro e Address:
Property ❑Primary(dry cell)
880 HAZEL ST.GRIDLEY.CA.95948 ❑✓Sealed lead-acid
Assembly Description: Calculated capacity of batteries to drive the system:
Fire Alarm(SILENT KNIGHT 5820XL) In standby mode(hours):
2.Owner's Section In alarm mode(minutes):
A.Are the fire alarms and signaling systems ]Yes❑No 5.Notifications Made Prior To Testing
in service?
B.Have fire alarms and signaling systems ❑✓Yes❑No Contact
remained in service since the last inspection?
C.Was the system(of which the fire alarm Monitoring VYANET 09:00
and signaling systems are a part)free of organization:
actuation of devices or alarms since the last ]Yes❑No
Building STAFF 09:00
inspection? management:
D.The required record documents are
available and include the current revisions of I Building occupants: NA NA
all fire alarm software and the revisions of Yes❑No Authority Having
software of any systems with which the fire Jurisdiction: NA NA
alarm software interfaces?
3.Monitoring Information Other,if required:
Monitoring organization: Vyanet Operating
Group
Address: 2700 Hegan Lane Suite
112 Chico CA.95926
Phone: 541-241-1800
Fax:
Email:
Account number: 344-2122
Phone line 1:
Phone line 2:
Means of transmission: CELL
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 ime
11-7
condition ❑✓Yes❑No ❑O Yes❑No ]N/A
Monitoring VYANET 12:50
Load voltage ❑✓Yes❑No ❑/Yes❑No ❑✓Pass❑Fail organization:
_J N/A
Building STAFF 12:50
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: 3/8/2024
6.4 Notification Appliances Time: 12:50
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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Signature of Inspector
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Date 3/8/2024
11.Owner or Owner's Representative
Owner or Owner's Representative Name
Owner or Owner's Representative Signature Na Signature Available
Date 3/8/2024
NFPA 72 v1.1-2019 Page 4 of 4