HomeMy WebLinkAboutB21-3425 024-260-097 CF FA 2023 (2597) 1821 -S112S
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SYSTEM RECORD OF COMPLETION
Form Completion Date:06/02/2023 Supplemental Pages Attached:
1. PROPERTY INFORMATION
Name of property:SUNRISE VILLAGE
Address: 1470 HWY 99
Description of'property:APARMENTS
Name of property representative:
Address:
Phone: Fax: E-mail:
2. INSTALLATION,SERVICE,TESTING,AND MONITORING INFORMATION
Installation contractor: Hue&Cry Security,Inc. •
Address: 1751 Bruce Street,Anderson Ca 96007
Phone: 800-762-3196 Fax:530-365-8273 E-mail: ROC@hueandcry.com
Service organization: Hue&Cry Security,_Inc.
Address: 1751 Bruce Street,Anderson Ca 96007
Phone: 800-762-3196 Fax:530-365-8273 ROC@hueandcrycom
Testing organization: Hue&Cry Security,Inc.
Address: 1751 Bruce Street,Anderson Ca 96007
Phone: 8002762-3196 Fax:530-365-8273 E-mail: ROC@hueandcry,corn
Effective date for test and inspection contract:
Monitoring organization: Hue&Cry Security,Inc.
Address: 1751 Bruce Street,Anderson Ca 96007
Phone: 800-762-3196 Fax: 530-365-8273 ROC@hueandcry com
Account number; Phone line 1: Phone line 2'
Means of transmission:
Entity to which alarms are retransmitted: Phone:
3. DOCUMENTATION Document Box
On-site location of the required record documents and site-specific software:
4. DESCRIPTION OF SYSTEM OR SERVICE
This is a: 0 New system El Modification to existing system Permit number:
NFPA 72 edition: 2016
4.1 Control Unit
Manufacturer:SILENT KNIGHT Model number:_a K6808
4.2 Software and Firmware
Firmware revision number:
4.3 Alarm Verification 0 This system does not incorporate alarm verification.
Number of devices subject to alarm verification: Alarm verification set for seconds
NFPA 72(p.1 of 3)
C2Oislf6Nuefitoion No other
ProtectioneproductAsiosn or transmission
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dfforiindividtiat use written otheerrlthliasilisfor ofon p resale, For
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SYSTEM RECORD OF COMPLETION (continued)
5. SYSTEM POWER 3,U1 Y ( " ► '
5.1 Control Unit
5.1.1 Primary Power
Input voltage of control panel:120V Control panel amps:1
Overeurrent protection: Type:TRANDFORMER Amps:20
Branch circuit disconnecting means location:HOUSE PANEL Number: 16
5.1.2 Secondary Power
Type of secondary power:SEALED LEAD ACID BATTERIES
Location,if remote from the plant:AT FACU
Calculated capacity of secondary power to drive the system:
In standby mode(hours):24 In alarm mode(minutes):5
5.2 Control Unit
O This system does not have power extender panels
❑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 (B 12
Device Power B 2
Initiating Device B 2
Notification Appliance I I IB 12
Other(specify):
7. REMOTE ANNUNCIATORS
Type I Location
8. INITIATING DEVICES
Addressable or Alarm or Sensing
Type Quantity Conventional Supervisory Technology
Manual Pull Stations 10 ADDRESSABLE ALARM SWITCH
Smoke Detectors 23 ADDRESSABLE ALARM PHOTOELECTRIC
Duct Smoke Detectors
Heat Detectors 4 ADDRESSABLE ALARM RATE OF RISE
Gas Detectors
Waterflow Switches 4 ADDRESSABLE ALARM SWITCH
Tamper Switches 14 'ADDRESSABLE SUPERVISORY SWITCH
NFPA 72(p.2 of 3)
2016 National Fire Protection Association.This form may he copied for individual use other than for resale.It may not be copied for commercial sale
or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized
NFPA use,contact licensing@nfpa.org.
SYSTEM RECORD OF COMPLETION (continued) ,.
9. NOTIFICATION APPLIANCES Ji `' I7 rye.
Type I Quantity I Description
•
Audible 171 ILOW FREQUENCY SOUNDER
Visible 19 ISTOBES
Combination Audible and Visible 130 (HORN STROBES
10. SYSTEM CONTROL FUNCTIONS
Type Quantity
Hold-Open Door Releasing Device, I
HVAC Shutdown
Fire/Smoke Dampers
Door Unlocking
Elevator Recall 1
Elevator Shunt Trip 1
11. INTERCONNECTED SYSTEMS
El This system does not have interconnected systems.
❑ Interconnected systems are listed on supplementary sheet
12. CERTIFICATION AND APPROVALS
12.1 System Installation Contractor
This system as specified herein has been installed according to all NFPA standards cited herein.
Signed: Printed name:JUSTIN PETERSEN Date:07/11/2023
Organization: Title:TECHNICIAN Phone:
12.2 System Operational Test
This system as specified herein has tested according to all NFPA standards cited herein.
Signed: Printed name:JUSTIN PETERSEN Date:07/11/2023
Organization:_—____ Title: TECHNICIAN Phone:____.....___..................__
12.3 Acceptance Test
Date and time of acceptance test „.,......,.,
Installing contractor representative:.._._
Testing contractor representative:
Property representative: n }•-,
AID.representative: ' (/� l4
NFPA 72(p.3 of 3)
I'
2016 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale
n or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized
NFPA use,contact licensing@nfpa.org.
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