HomeMy WebLinkAboutFAI23-0002 040-310-093 CF FA TRUROOTS LLC (317-C011)_ Fire Alarm-BOSCH D9412GV2_ 10-25-2024 (Quarterly) Form for Inspection, Testing and Maintenance of �1, * Security Systems
Fire Alarms and Signaling Systems A VYANET OPERATING GROUP, INC.COMPANY
Location Code: 045-317-0011
Contact: DANIEL SILVEIRA Company: Eagle Security Systems
Contact Address: 29 SPEEDWAY AVE Address: 3268 Esplanade Ste A
CHICO,CA 95928
Chico,CA 95973
Phone: Company Phone: 530-345-6395
Email: Daniel.Silveira@jmsmucker.com Inspector: JOSE ANTONIO SANCHEZ LUNA
Property Evaluated: TRUROOTS LLC(317-0011)(Business) NICET 1 165142
29 SPEEDWAY AVE Date of Work: 10/25/2024
CHICO,CA 95928
Frequency: Quarterly
Description: Fire Alarm(BOSCH D9412GV2)
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
EAGLE 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: BOSCH
maintenance may be necessary depending on the conditions of the
occupancy and the water supply. Model number: D9412GV2
Notes: 4.2 Software and Firmware Revision number: 7.08
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: WEST WALL/
DANIEL SILVEIRA UPSTAIRS
BREAKROOM
Owner's Phone Number:
Overcurrent protection type: THERMAL
Owner's Address: Amps: 20
29 SPEEDWAY AVE.CHICO.CA.95928 Disconnecting means location: PANEL L/BREAKER
Property Being Evaluated: #7
TRUROOTS LLC(317-00111(Business) 4.3.2 Secondary Power:
Property Address: Type: BATTERY
29 SPEEDWAY AVE.CHICO,CA,95928 Location: @FACU
Assembly Description: Battery type(if applicable): ❑Lead-acid❑Nickel-
Fire Alarm(BOSCH D9412GV21 cadmium
2.Owner's Section ❑Primary(dry cell)
A.Are the fire alarms and signaling systems L✓J Sealed lead acid
in service? ❑✓Yes❑No Calculated capacity of batteries to drive the system:
B.Have fire alarms and signaling systems In standby mode(hours):
remained in service since the last inspection? J Yes❑No In alarm mode(minutes):
C.Was the system(of which the fire alarm 5.Notifications Made Prior To Testing
and signaling systems are a part)free of ❑✓Yes❑No
actuation of devices or alarms since the last Contact Time
inspection?
D.The required record documents are Monitoring Vyanet 8:10
available and include the current revisions of organization:
all fire alarm software and the revisions of ❑✓Yes❑No Building
software of any systems with which the fire management: Staff 8:10
alarm software interfaces?
3.Monitoring Information Building occupants: Staff 8:10
Monitoring organization: VYANET Authority Having
OPERATING GROUP Jurisdiction: N/a N/a
Address: 410 SW COLUMBIA
STREET;SUITE#120 Other,if required:
BEND.OR 97702
Phone: 541-241-1800
Fax:
Email:
Account number: 317/318-CO11
Phone line 1:
Phone line 2:
Means of transmission: Radio
Entity to which alarms are retransmitted:
Phone:
NFPA 72 v1.1-2019 Page 2 of 4
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6.Testing Results 6.6 Supervising Station Monitoring
6.1 Control Unit and Related Equipment lscriptio Yes/No I i 7
Alarm signal ❑Pass❑Fail
escription Visual Functional Results ❑Yes❑No ❑✓N/A
Inspection Test
Alarm ❑Pass❑Fail
Control unit ❑d Yes❑No ❑d Yes❑No J Pass❑Fail restoration ❑Yes❑No ❑✓N/A
N/A
Lamps/LEDs/L IA Pass❑Fail Trouble signal ❑Yes❑No ❑Pass❑Fail
CDsp ❑✓Yes❑No ❑�Yes❑No ]N/A NA N/A
Trouble ❑Pass❑Fail
Fuses ❑✓Yes❑No ❑�Yes ID No L✓J Pass❑Fail restoration ❑Yes_I No NA N/A
N/A
Trouble signals L✓Jas❑PsFail Supervisory ❑Yes J No ❑Pass❑Fail
Ile Yes_I No L_l Yes❑No a Li signal NA N/A
Disconnect ❑Pass❑Fail Supervisory ❑Yes J No ❑Pass❑Fail
switches ❑Yes J No ❑Yes[ No NA N/A restoration NA N/A
6.7 Public Emergency Alarm Reporting System
Ground-fault ❑Pass❑Fail
❑Yes J No ❑Yes LJ No
monitoring ]]N/A Description [ Yes/No I I Time(seconds) Results
Supervision 0 Pass❑Fail Alarm signal ❑Pass❑Fail
LJ Yes_INo L�Yes❑No J N/A ❑Yes❑No
_✓I N/A
Local ❑Pass❑Fail Alarm ❑Pass❑Fail
annunciator ❑Yes�I No ❑Yes LJ No J N/A ❑Yes❑No
restoration _✓I N/A
Remote ❑✓Pass❑Fail Trouble signal ❑Pass❑Fail
annunciators ❑✓Yes❑No ❑/Yes❑No _I N/A ❑Yes❑No
❑✓N/A
Remote power ❑Pass❑Fail Trouble ❑Pass❑Fail
❑Yes❑✓No ❑Yes❑�/No ❑Yes❑No
panels _✓I N/A restoration ❑✓N/A
❑Pass❑Fail Supervisory ❑Pass❑Fail
Other: ❑Yes❑No ❑Yes❑No _I 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
Batte �7 Pass❑Fail
condi on ❑✓Yes❑No ❑O Yes❑No J N/A Contact
Monitoring
Load voltage ❑✓Yes❑No ❑/Yes❑No ❑✓Pass❑Fail organization: Vyanet 8:40
▪N/A
Building Staff 8:40
Discharge test ❑✓Yes❑No ❑/Yes❑No ❑✓Pass❑Fail management:
▪N/A
Charger test ❑✓Pass❑Fail Building occupants: Staff 8:40
❑✓Yes❑No ❑/Yes❑No ]N/A Authority Having
Jurisdiction: N/a N/a
Remote panel ❑Pass❑Fail
batteries ❑Yes NA No CI Yes❑�No ]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: 10/25/2024
6.4 Notification Appliances Time: 8:40
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 JOSE ANTONIO
SANCHEZ LUNA
Inspector License: NICET 1 165142
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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A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395
Signature of Inspector
Date 10/25/2024
11.Owner or Owner's Representative
Owner or Owner's Representative Name
Owner or Owner's Representative Signature No Signature Available
Date 10/25/2024
NFPA 72 v1.1-2019 Page 4 of 4