HomeMy WebLinkAboutB24-1262 040-310-087 OAK RIDGE CABINETS, Fire Alarm-ADEMCO 128FB, 4-27-2023 (Annual) Form for Inspection, Testing and Maintenance of �1, * Security Systems
Fire Alarms and Signaling Systems A VYANET OPERATING GROUP, INC.COMPANY
Location Code: 045-715-5390
Contact: SHAWN MACNEILL Company: Eagle Security Systems
Contact Address: 11128 MIDWAY Address: 3268 Esplanade Ste A
CHICO,CA 95928-8240
Chico,CA 95973
Phone: 530-893-8774 Company Phone: 530-345-6395
Email: SHAWN@OAKRIDGECABINETS.COM Inspector Carlos Palomera
Property Evaluated: OAK RIDGE CABINETS(Business) 156551 NICET II
11128 MIDWAY-A Date of Work: 4/27/2023
CHICO,CA 95928-8240
Frequency: Annual
Description: Fire Alarm(ADEMCO 128FB)
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
E AGLE 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: Honeywell
maintenance may be necessary depending on the conditions of the
occupancy and the water supply. Model number: Vista 128FB
Notes: 4.2 Software and Firmware Revision number: N/a
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 Z 2016❑2019 Amps: 20
The work covered on this form is(select Location: N/a
one): Annual Overcurrent protection type: Breaker
Date of Work 4/27/2023 Amps: 20
All responses refer to the current work(inspection, testing and Disconnecting means location: N/a
maintenance)performed on this date. 4.3.2 Secondary Power:
1.Property Information Type: Battery
Owner: Location: Panel
SHAWN MACNEILL Battery type(if applicable): ❑Lead-acid❑Nickel-
Owner's Phone Number: cadmium
530-893-8774 ❑Primary(dry cell)
❑✓Sealed lead-acid
Owner's Address: Calculated capacity of batteries to drive the system:
11128 MIDWAY.CHICO.CA.95928-8240
Property Being Evaluated: In standby mode(hours):
In alarm mode(minutes):
OAK RIDGE CABINETS(Business) 5.Notifications Made Prior To Testing
Property Address:
11128 MIDWAY-A.CHICO.CA.95928-8240 Contact
Assembly Description:
Fire Alarm(ADEMCO 128FB) Monitoring VYANET 08:45
2.Owner's Section organization:
A.Are the fire alarms and signaling systems ❑✓Yes❑No Building STAFF 08:45
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 CAL FIRE 08:45
and signaling systems are a part)free of A 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
Address:
Phone: 530-345-6395
Fax:
Email:
Account number: 174-5390
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
01�����"'� Eagle3268 Securityld Systems
��� =� E A L E Espanae 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 LJ Pass❑Fail Trouble signal 0 Yes❑No LJ Pass❑Fail
CDs 0Yes❑No 0Yes El No ]N/A ❑N/A
Trouble LJ Pass❑Fail
Fuses 0 Yes❑No 0 Yes❑No LJ Pass❑Fail restoration LJ Yes_J No
❑N/A
N/A
Trouble signals LJ s❑PasFail Supervisory LJ Yes_J No LJ Pass❑Fail
LJ Yes_J No kJ Yes❑No ] Li signal ❑N/A
Disconnect LJ Pass❑Fail Supervisory LJ Yes_J No ❑✓Pass III Fail
switches LJ Yes_J No kJ Yes❑No ]N/A restoration ❑N/A
6.7 Public Emergency Alarm Reporting System
Ground-fault ❑✓Pass❑Fail
LJ Yes_J No kJ Yes❑No
monitoring ]N/A Description [ Yes/No I I Time(seconds) Results
Supervision 0 Pass❑Fail Alarm signal III Pass❑Fail
LJ Yes_JNo LJ Yes❑No ]N/A ❑Yes❑No
_✓I N/A
Local ❑✓Pass❑Fail Alarm III Pass❑Fail
annunciator LJ Yes_JNo LJ Yes❑No _J N/A CI Yes❑No
restoration _✓I N/A
Remote ❑✓Pass❑Fail Trouble signal III Pass❑Fail
annunciators ❑✓Yes❑No ❑/Yes❑No _J N/A ❑Yes❑No
❑✓N/A
Remote power ❑✓Pass❑Fail Trouble ❑Pass❑Fail
❑✓Yes❑No ❑/Yes❑No ❑Yes❑No
panels _J N/A restoration 0 N/A
III Pass III Fail Supervisory ❑Pass❑Fail
Other: CI 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 J Pass❑Fail Contact ime
condition 0 Yes❑No ❑O Yes❑No ]N/A
Load volts e ❑✓Pass❑Fail organization:
Monitoring VYANET 11:00
g ❑✓Yes❑No ❑/Yes❑No _JLi
Building STAFF 11:00
Discharge test ❑✓Yes❑No ❑1/Yes❑No ❑✓Pass❑Fail management:
_J N/A
Charger test ❑✓Pass❑Fail Building occupants: NA NA
❑✓Yes❑No ❑/Yes El No ]N/A Authority Having
Jurisdiction: CAL FIRE 11:00
Remote panel 0 Yes❑No ❑�Yes❑No LJ 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: 4/27/2023
6.4 Notification Appliances Time: 11:00
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�����"'� Eagle3268Esplana Securityd Systems
��� =� EAGLE e SteA
'
0Security Systems Chico,CA 95973
A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395
Signature of Inspector V�----------
Date 4/27/2023
11.Owner or Owner's Representative
Owner or Owner's Representative Name
Owner or Owner's Representative Signature No Signature Available
Date 4/27/2023
NFPA 72 v1.1-2019 Page 4 of 4