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B24-1262 040-310-087 CF FA (2)
Copyright 2018 National Fire Protection Association(NFPA®).Licensed,by agreement,for individual use and download on 07/18/2018 to Columbus City Of.No other reproduction or transmission in any form permitted without written permission of NFPA®.For inquiries or to report unauthorized use.contact licensing@nfpa.org.This NFCSS All Access subscription expires on September 29,2018. DOCUMENTATION 72-39 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: Oak Ridge Cabinets Address: 11128 Midway #A, Chico, CA 95928 Description of property: Wood Workina Name of property representative: Shawn Address: 11128 Midway #A. Chico. CA 95928 Phone: Fax:_____._— E-mail: 2. INSTALLATION,SERVICE,TESTING,AND MONITORING INFORMATION Installation contractor: Eagle Security Systems Address:2700 Hegan I n #112 Chinn, ('A ASQ9R Phone:530-345-6395 Fax. E-mail:Chico_svc@_vV_ anet.com Service organizatior•Eaale Security Systems Address: 2700 Hegan Ln #112, Chien, CA, P592R Phone:530-345-6395 Fax E-mail:Chico_svc@vyanet.com Testing organization: Fagle Security St/ctpmc Address: 2700 Hegan Ln #112, Chien I:'.A A.5Q7R Phone:530-345-6395 Fax E-mail•InsDectionsavyanet.com Effective date for test and inspection contract. Monitoring organization:Vyanpt ('npr.ntinri (.rrll in Address:410 SW Columbia Si Si lite 120, Rend, OR, 977n2 phone:541-941-1Jn0 Fax• E-mail:,Chico_svc@vyanet.com Account number:174-5390 Phone line I. Phone line 2: Means of transmission- Cellular Entity to which alarms arc retransmitted: Phone: 3. DOCUMENTATION On-site location of the required record documents and site-specific software: Document Rox 4. DESCRIPTION OF SYSTEM 9R SERVICE This is a: >New system VModification to existing system Permit number: B24-1262 NFPA 72 edition: 2n22 4.1 Control Unit Manufacturer:HD.nE_ywpll Model number: Vista 12AFRP _ 4.2 Software and Firmware Firmware revision number• / 4.3 Alarm Verification V This system does not incorporate alarm verification. Number of devices subject to alarm verification: Alarm verification set for seconds ®2015 National Fire Protection Association NFPA 72(p.1 of 3) FIGURE 7.8.2(a) System Record of Completion.(SIG-FUN) 2016 Edition i.iF 2 LI- z- Copyright 2018 National Fire Protection Association(NFPA®).Licensed,by agreement,for individual use and download on 07f1812018 to Columbus City Of.No other reproduction or transmission in any form permitted without written permission of NFPA®.For inquiries or to report unaulhonzed use,contact ticensinglAnfpa.org.This NFCSS All Access subscription expires on September 29,2018. 72-40 NATIONAL FIRE ALARM AND SIGNALING CODE SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 120 Control panel amps: Overcurrent protection: Type: Amps: Branch circuit disconnecting means location: Number: 5.1.2 Secondary Power Type of secondary power:Battery Location,if remote from the plant: Calculated capacity of secondary power to drive the system: In standby mode(hours):,24 In alarm mode(minutes): 5 Control Unit This system does not have power extender panels J Power extender panels are listed on supplementary sheet A 6. CIRCUITS AND PATHWAYS Dual Media Separate Survivability Pathway Type Pathway Pathway Class Level Signaling Line I I I B Device Power I I I B Initiating Device I I I B Notification Appliance I I B Other(specify): 7. REMOTE ANNUNCIATORS Type Location 6160CR Panel 8. INITIATING DEVICES Addressable or Alarm or Sensing Type Quantity Conventional Supervisory Technology Manual Pull Stations 1 Conventional Alarm Smoke Detectors 1 Conventional Alarm_ Photo Duct Smoke Detectors Heat Detectors 29 Conventional Alarm Fixed/ROR Gas Detectors Waterflow Switches 1 Conventional Alarm Tamper Switches 2 Conventional Supervisory ll 2015 National Fire Protection Association NFPA 72(p.2 of 3) FIGURE 7.8.2(a) Continued 17.] 2016 Edition Copyright 2018 National Fire Protection Association(NFPA®).Licensed,by agreement,for individual use and download on 07/1812018 to Columbus City Of.No other reproduction or transmission in any form permitted without written permission of NFPA®.For inquires or to report unauthorized use,contact licensinganfpa.org.This NFCSS All Access subscription expires on September 29,2018. DOCUMENTATION 72-41 SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type I Quantity I Description Audible 1 Visible Combination Audible and Visible 7 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices HVAC Shutdown Fire/Smoke Dampers Door Unlocking Elevator Recall Elevator Shunt Trip 11. INTERCONNECTED SYSTEMS This system does not have interconnected systems. ❑ Interconnected systems are listed on supplementary sheet 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This systemA as specified herein has been installed according to all NFPA standards cited herein. Signed: '` 'ea_ Printed name: Nick Ray Date:6.27.2024 Organization:Fag le Wecurity Systems Title:Operation Manager Phone:530-515-0326 12.2 System Operational Test This system as specified herein has tested according to all NFPA standards cited herein. Signed: /t"ienG-4/ Printed name: Nick Ray Date: 6.27.2024 Organization: Fagle/ecurity Systems Title:Operation Manaaer Phone: 53n-515-0326I 12.3 Acceptance Test /� /� Date and time of acceptance test: z,, Z 1y d ,U •5 O n � Installing contractor representative: 'iff Testing contractor representative: . 7�'.' Property representative: AHJ representative: ©2015 National Fire Protection Association NFPA 72(p.3 o13) FIGURE 7.8.2(a) Continued 2016 Edition rl