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Home My WebLink AboutFAI15-0089 026-154-013 Sierra Ave FA 9.28.23 ALARM AND DETECTION REPORT Page 1 of 10 VOLTAG PECIALisTs 530-624-4514 C101C16 License#880862 www.VoltageSpecialists.com Inspection # 18-516 ALARM & DETECTION EQUIPMENT TEST REPORT Type of Inspection: Annual Fire Alarm Date: 9/28/23 site: Sierra Avenue School Customer: Thermalito Unified School District Street: 1050 Sierra Ave. School Contact: Joyce Dennison City/State: Oroville, CA Phone#: 530-538-2961 Fax#: 1. Before Test Notify Proper Authorities: Name Phone # A. Owner or Owner's Rep Andrew 530-712-0100 B. Fire Department Oroville Fire 530-538-2444 C. Central Station Central Station 1-800-722-0364 D. Central Station Acct# 18-9485 2. Control Panel Status Yes No Note # A. Is the system monitored by Central Station? X On Test Time: 3:00 Return to Service Time: 8:45 B. Is the Power Light on? X C. Does the Panel indicate Normal conditions? X D. Are all indicating Lamp Bulbs in Operator order? X E. Does the Trouble Light operate? X F. Does the Silence Switch Operate? X G. Battery A.H. 18 Date Batteries Installed: 12/2/20 H. Does the Panel have Non-Operational Zones? X I. Does the Panel have Battery Backup? X J. Do the batteries indicate they are Properly Charged? X Condition of Batteries: Good Note# Battery Voltage with AC Power: 27.46 Battery Voltage without AC Power: 27.40 K. List any trouble conditions on panel before test: Note# Note# Comments: Note# Note# 3. FACP Manufacturer: Simplex Model# 4002 System Type: Hard Wire Location of Annunciators: NA Location of Primary Power Source:Electrical Panel# B Breaker 26 Comments: Note# Note# FCPS: Manufacturer: Silent Knight Model# EVS-50W Panel/Breaker# Location:Below FACP B/26 Battery Voltage with A/C Power: 27.25 w/o A/C Power 2717 Date: 10/28/20 FCPS: Manufacturer: Silent Knight Model# EVS-50 Panel/Breaker# Location: Battery Voltage with A/C Power: w/o A/C Power Date: FCPS: Manufacturer: Model# Panel/Breaker# Location: Battery Voltage with A/C Power: w/o A/C Power Date: Owner/Rep: Phone#: Date: Inspector: Wyatt C. Phone#: 530-362-2609 Date:9/28/23 Owners Rep Sign: Date:9/28/23 Inspector Sign: Panel Report Page 1A to Fire Alarm Report VOLTAGE SPECIALISTS 530-624-4514 #880862 VOLTAGE' %PECIALIsTs 530..624.4514 C101C16 License#880862 www.VoltageSpecialists.com Type of Inspection: FA Annual i.e.Quarterly,Annual Date: 9/28/23 Property Name: Sierra Ave. Street: Contact: City & State: Phone: FCPS: FCPS #1 Manufacturer: Silent Knight Model#: 5496 Panel/Breaker#: Location: Below FACP Battery Voltage with A/C Power: 27.25 without A/C Power 27.23 Date: 10/28/20 FCPS: FCPS #2 Manufacturer: Silent KniahtModel#: 5496 Panel/Breaker#: Location: Port 26 Battery Voltage with A/C Power: 27.25 without A/C Power 27.20 Date: 10/27/20 FCPS:FCPS #3 Manufacturer: Model#: Panel/Breaker#: Location: Battery Voltage with A/C Power: without A/C Power Date: FCPS: FCPS #4 Manufacturer: Model#: Panel/Breaker#: Location: Battery Voltage with A/C Power: without A/C Power Date: FCPS: FCPS #5 Manufacturer: Model#: Panel/Breaker#: Location: Battery Voltage with A/C Power: without A/C Power Date: FCPS: FCPS #6 Manufacturer: Model#: Panel/Breaker#: Location: Battery Voltage with A/C Power: without A/C Power Date: FCPS: FCPS #7 Manufacturer: Model#: Panel/Breaker#: Location: Battery Voltage with A/C Power: without A/C Power Date: FCPS: FCPS #8 Manufacturer: Model#: Panel/Breaker#: Location: Battery Voltage with A/C Power: without A/C Power Date: FCPS: FCPS #9 Manufacturer: Model#: Panel/Breaker#: Location: Battery Voltage with A/C Power: without A/C Power Date: • 9/28/23 Owners Rep Sign: Date: Inspector Sign: ALARM AND DETECTION REPORT Page 2 of 10 Property Site: Sierra Avenue School Operational #Tested This Equipment Total# Report Yes N/A Note# 4. Remote Annunciators 5. Zones 22 22 X 6. Manual Stations (Pull) Hardwire 12 12 X Addressable 7. Detectors Photoelectric 57 57 X Ionization Heats/Fixed or R of R 54 54 X Flame Duct(See#15) 8. Horn/Strobe 6 6 X Strobe Only 27 27 X Bell Speakers Horn 27 27 X 9. 10. Automatic Door Release X 11. Water Flow switches 1 1 X Did W/F Ring Outside Bell? X Did W/F Activate Alarm Panel? X 12. Tamper Switches X 13. PIV X OS &Y X 14. 15. Did test of Duct Detectors shut down air handling units? X 16. Did the Monitoring Center(Fire Dept, Central Station, Lease Line) receive signal? X 17. Is system reset for normal conditions? X 18. Is system restored to operational service? X 19. Have Proper Authorities (see#1)been notified system is back in service? X List Proper Authorities:Oroville Police 20. Indicate %of equipment tested this report 25% 50% 75% VJI00% 21. Indicate %of equipment tested YTD 25% 50% 75% 100% Comments for any"no"answers or explanations (Note#): 9/28/23 Owners Rep Sign: Date: Inspector Sign: ALARM AND DETECTION REPORT Page 3 of 10 Property Site: Sierra Avenue School DEVICE zone or SLC DEVICE # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL PSD Admin N.E. Rm X 2 1 PSD Admin Principal X 2 2 PSD Admin File Rm X 2 3 PSD Admin Main Office X 2 4 PSD Admin Main Office Alcove X 2 5 PSD Nurses Office X 2 6 PSD Nurses Rm X 2 7 PSD Admin Copy Rm X 2 9 PSD Admin Break Rm X 2 10 PSD Admin Hall to RR X 2 11 PSD Kindergarten Rm 2 X 23 1 PSD Kindergarten Rm 2 X 23 2 PSD Kindergarten Rm 1 X 23 5 PSD Kindergarten Rm 1 X 23 6 PSD Kindergarten Rm 1 X 23 7 PSD Rm 5 X 15 3 PSD Rm 5 X 15 4 PSD Rm 4 X 13 1 PSD Rm 4 X 13 2 PSD Library X 13 3 PSD Library X 13 4 PSD Rm 10 X 22 1 PSD Rm 10 X 22 2 PSD Rm 11 X 22 3 PSD Rm 11 X 22 4 PSD Rm 12 X 22 PS PSD Rm 12 X 22 6 PSD Rm 13 X 22 7 PSD Rm 13 X 22 8 PSD Rm 14 X 21 4 PSD Rm 14 X 21 5 9/28/23 Sign:Owners RepDate: Inspector Sign: p J ALARM AND DETECTION REPORT Sierra Avenue School Page 4 of 10 DEVICE Zone or DEVICE SLC 44 # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL PSD Rm 15 X 21 6 PSD Rm 15 X 21 7 PSD Rm 9 X 17 1 PSD Rm 9 X 17 2 PSD Rm 8 X 17 3 PSD Rm 8 X 17 4 PSD Rm 7 X 19 1 PSD Rm 7 X 19 2 PSD Rm 6 X 19 3 PSD Rm 6 X 19 4 PSD GYM X 8 1 PSD GYM X 8 2 PSD GYM X 8 3 PSD GYM X 8 4 PSD GYM X 8 5 PSD GYM X 8 6 PSD GYM X 8 7 PSD GYM X 8 8 PSD GYM X 8 9 PSD Stage X 8 10 PSD Stage X 8 11 PSD Stage X 8 12 PSD Gym N.W. Rm X 8 13 PSD Gym S.W. Rm X 8 14 PSD Kitchen S. Exit X 10 5 PSD Kitchen RR X 10 7 9/28/23 Owners Rep Sign: Date: Inspector Sign: ALARM AND DETECTION REPORT Sierra Avenue School Page 5 of 10 DEVICE Zone or SLC DEVICE # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL HT Nurses RR X 2 8 HT Admin Mens RR X 2 12 HT Admin Womens RR X 2 13 HT Admin Storage by Mens RR X 2 14 HT Admin Storage by Womens RR X 2 15 HT Kindergarten Rm 2 RR X 23 3 HT Kindergarten Kitchen X 23 4 HT Kindergarten Rm 1 RR X 23 8 HT Kindergarten Rm 1 Storage X 23 9 HT Boys RR by Rm 5 X 15 1 HT Girls RR byRm5 X 15 2 HT Girls RR by Rm 13 X 21 1 HT Boys RR by Rm 13 X 21 2 HT Custodial Rm by Rm 13 X 21 3 HT Maintenance Shop by RM 8 X 17 5 HT Boys RR by Rm 6 X 19 5 HT Staff RR by Rm 6 X 19 6 HT Custodial by Rm 6 X 19 7 HT Girls RR by Rm 6 X 19 8 HT Gym Storage X 10 1 HT Kitchen X 10 2 HT Kitchen X 10 3 HT Kitchen X 10 4 HT Kitchen RR X 10 6 HT Kitchen Custodial X 10 8 HT Kitchen Office X 10 9 HT Gym Electrical X 10 10 HT Gym AC Rm X 10 11 HT Gym AC Rm X 10 12 HT Custodial by Rm 7 Attic X 18 1 HT Custodial by Rm 7 Attic X 18 2 HT Rm 8 Attic X 18 3 HT Rm 8 Attic X 18 4 Owners Rep Sign: Date: 9/28/23 Inspector Sign: ALARM AND DETECTION REPORT Sierra Avenue School Page of 10 DEVICE Zone or DEVICE TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL # HT Rm 9 Attic X 18 5 HT Rm 9 Attic X 18 6 HT Breezeway between 7 & 8 X 18 7 HT Breezeway between 7 & 8 X 18 8 HT Rm 7 Attic X 20 1 HT Rm 7 Attic X 20 2 HT Rm 6 Attic X 20 3 HT Rm 6 Attic X 20 4 HT Breezeway between 4&5 Attic X 14 1 HT Breezeway between 4&5 Attic X 14 2 HT Rm 4 Attic X 14 3 HT Rm 4 Attic X 14 4 HT Rm 3 Attic X 14 5 HT Rm 3 Attic X 14 6 HT Rm 5 Attic X 16 1 HT Rm 5 Attic X 16 2 HT Rm's 14&15 Breezeway X 21 7 HT Main Office Attic X 3 1 HT Main Office Attic X 3 2 HT Understage X 9 1 HT Understage X 9 2 9/28/23 Owners Rep Sign: Date: Inspector Sign: ALARM AND DETECTION REPORT Sierra Avenue School Page of 10 DEVICE SLC ZONE TYPE DEVICE LOCATION PASS FAIL NOTE# Channel # PS Main Office X 1 1 PS Rm 20 X 5 1 PS Rm 24 X 5 2 PS Rm 25 X 5 3 PS Rm 19 X 6 1 PS Rm 18 X 7 1 PS Rm 17 X 7 2 PS Rm 16 X 7 3 PS Gym E X 4 1 PS Gym N X 4 2 PS Gym S X 4 3 PS Kitchen S Exit X 4 4 WF Stage X 12 1 WF Below Stage X 12 2 9/28/23 Owners Rep Sign: Date: Inspector Sign: ALARM AND DETECTION REPORT Sierra Avenue School Page of 10 Zone or DEVICE DEVICE SLC # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL LEGEND PSD—Photoelectric Smoke Detector BD—Beam Detector H—Horn V—Visual ISD—Ionization Smoke Detector PS—Pull Station WPH—Weather Proof Horn TS—Tamper Switch PDD—Photo Duct Smoke Detector RR—Rate of Rise Heat Detector C—Chime WF—Water Flow Switch IDD—Ion Duct Smoke Detector HT—Fixed Temp Heat Detector CV—Chime Visual DH—Door Holder DHS—Door Holder&Smoke Detector FD—Flame Detector S—Speaker OSY—Outside Stem&Yoke Tamper Valve SSD—Signal Station Smoke Detector B—Bell AV—Audible Visual Ply—Post Indicator Valve Cur-Elevator Curtains FRD-Fire Rolldown Door SDC Smoke Detector&Door Holder Combo CO-Carbon Monoxide Detector - - - NOTE # COMMENT Discrepancies Found? I 1 Yes 1,1 No See Discrepancy Report? n Yes ✓ No 9/28/23 Owners Rep Sign: Date: Inspector Sign: