HomeMy WebLinkAbout072-180-006 CF FES 11-21-23 Bidwell Marina_001 SYSTEM RECORD OF COMPLETION
This form is to be completed by the system installation contractor at the time of system acceptance and approval.
It shall be permitted to modify this form as needed to provide a more complete and/or clear record.
Insert N/A in all unused lines.
Attach additional sheets,data,or calculations as necessary to provide a complete record.
Form Completion Date: Supplemental Pages Attached:
1. PROPERTY INFORMATION
Name of property: PGE KANAKA SUBSTATION-CONTROL BUILDING
Address: 1988 LUMPKIN ROAD,OROVILLE,CA. 95966
Description of property: UTILITY BUILDING
Name of property representative:
Address:
Phone: Fax: E-mail:
2. INSTALLATION,SERVICE, TESTING,AND MONITORING INFORMATION
Installation contractor: COSCO FIRE PROTECTION
Address: 4233 W.SIERRA MADRE AVE.#108,FRESNO.CA. 93722
Phone: 559-275-3795 Fax: 559-275-8006 E-mail: jvencill@coscoflre.com
Service organization: COSCO FIRE PROTECTION
Address: 4233 W.SIERRA MADRE AVE.#108,FRESNO,CA. 93722
Phone: 559-275-3795 Fax: 559-275-8006 E-mail: jvencill@coscoflre.com
Testing organization: COSCO FIRE PROTECTION
Address: 4233 W.SIERRA MADRE AVE.#108,FRESNO,CA. 93722
Phone: 559-275-3795 Fax: 559-275-8006 E-mail: jvencill@Icoscofire.com
Effective date for test and inspection contract: N/A
Monitoring organization:
Address:
Phone: Fax: E-mail:
Account number: Phone line 1: Phone line 2:
Means of transmission: CUSTOMER PROVIDED SCADA
Entity to which alarms are retransmitted: PGE RDC Phone:
3. DOCUMENTATION
On-site location of the required record documents and site-specific software: AT CONTROL PANEL
4. DESCRIPTION OF SYSTEM OR SERVICE
This is a: ®New system ❑Modification to existing system Permit number:
NFPA 72 edition: 2019
4.1 Control Unit
Manufacturer: NOTIFIER Model number: NFS-320
4.2 Software and Firmware
Firmware revision number: 29
4.3 Alarm Verification ®This system does not incorporate alarm verification.
Number of devices subject to alarm verification: Alarm verification set for seconds
Copyright 0 2012 National Fire Protection Association.This form may be copied for Individual use other than for resale,It may not be copied for commerdel sale or distribution.
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SYSTEM RECORD OF COMPLETION (continued)
5. SYSTEM POWER
5.1 Control Unit
5.1.1 Primary Power
Input voltage of control panel: 120 VAC Control panel amps: 5
Overcurrent protection: Type: FUSED Amps: 15
Branch circuit disconnecting means location: 0- i Number: C,jittli 1,} Ve I3
5.1.2 Secondary Power
Type of secondary power: STANDBY BATTERY
Location,if remote from the plant: N/A
Calculated capacity of secondary power to drive the system:
In standby mode(hours): 24 In alarm mode(minutes): 5
5.2 Control Unit
® This system does not have power extender panels
❑ Power extender panels are listed on supplementary sheet A
6. CIRCUITS AND PATHWAYS
Pathway Type Dual Media Pathway I Separate Pathway I Class Survivability Level
Signaling Line N/A N/A J B 1
Device Power N/A I N/A B I 1
Initiating Device N/A N/A I B 1
Notification Appliance N/A I N/A I B 11
Other(specify):
N/A N/A II
7. REMOTE ANNUNCIATORS
Type I Location
N/A •
I
•
8. INITIATING DEVICES
Addressable or
Type Quantity Conventional Alarm or Supervisory Sensing Technology
Manual Pull Stations 2 I ADDRESSABLE ALARM I N/A
Smoke Detectors 2 ADDRESSABLE ALARM I PHOTO
Duct Smoke Detectors N/A I I
Heat Detectors N/A I I
Gas Detectors N/A I I
Waterflow Switches N/A I I
Tamper Switches N/A
Copyright®2012 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.
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SYSTEM RECORD OF COMPLETION (continued)
9. NOTIFICATION APPLIANCES
Type I Quantity I Description
Audible I N/A I
Visible I N/A I
Combination Audible and Visible 13 I TWO INDOOR,ONE OUTDOOR HORN/STROBE
10. SYSTEM CONTROL FUNCTIONS
Type Quantity
Hold-Open Door Releasing Devices N/A
HVAC Shutdown 1
Fire/Smoke Dampers N/A
Door Unlocking N/A
Elevator Recall N/A
Elevator Shunt Trip N/A
11. INTERCONNECTED SYSTEMS
® This system does not have interconnected systems.
D Interconnected systems are listed on supplementary sheet .
12. CERTIFICATION AND APPROVALS
12.1 System Installation Contractor
This system as s ecified herein has been installed according to all NFPA standards cited herein.
Signed: . Printed name: felt Date: ij-Q.2
Organization: Cosco Fire Protection Title: Tie* Phone: 559-275-3795
12.2 System Operational Test
This syst cified herein has tested according to all NFPA standards cited herein.
Signed: Printed name:��X .r t 1 aiC. Date: J•g�2`rx
Organization: Cosco Fire Protection Title: 1�,:,..,i4 Phone: 559-275-3795
12.3 Acceptance Test
Date and time of acceptance test:
Installing contractor representative:
Testing contractor representative:
Property representative: adiftfig 15'gA„`f) 41 5
AHJ representative: (' ►.fit/ 1C l�i-
. D
Copyright C 2012 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.
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