HomeMy WebLinkAboutFAI23-0002 040-310-093 CF FA TRUROOTS LLC (317-C011)_ Fire Alarm-BOSCH D9412GV2_ 4-4-2025 (Annual) (2) Form for Inspection, Testing and Maintenance of 4;1' I ; Security Systems
Fire Alarms and Signaling Systems A VYANET OPERATING GROUP, INC.COMPANY
Location Code: 045-317-0011
Contact: TRUROOTS LLC Company: Eagle Security Systems
Contact Address: 29 SPEEDWAY AVE Address: 3268 Esplanade Ste A
CHICO,CA 95928
Chico,CA 95973
Phone: 530-899-5000 Company Phone: 530-345-6395
Email: john.alston@truroots.com; Inspector: JOSE ANTONIO SANCHEZ LUNA
MICHAEL.HIPP@TRUROOTS.COM NICET 1 165142
Property Evaluated: TRUROOTS LLC(317-CO11)(Business) Date of Work: 4/4/2025
29 SPEEDWAY AVE
CHICO,CA 95928 Frequency: Annual
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
S AG L E 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/
TRUROOTS LLC UPSTAIRS
BREAKROOM
Owner's Phone Number:
Overcurrent protection type: THERMAL
530-899-5000 Amps: 20
Owner's Address: Disconnecting means location: PANEL L/BREAKER
29 SPEEDWAY AVE,CHICO,CA,95928 #7
Property Being Evaluated: 4.3.2 Secondary Power:
TRUROOTS LLC(317-CO11)(Business) Type: BATTERY
Property Address: Location: @FACU
29 SPEEDWAY AVE,CHICO,CA,95928 Battery type(if applicable): ❑Lead-acid❑Nickel-
Assembly Description: cadmium
Fire Alarm(BOSCH D9412GV2) ❑Primary(dry cell)
2.Owner's Section L✓J Sealed lead acid
A.Are the fire alarms and signaling systems Calculated capacity of batteries to drive the system:
in service? ✓Yes❑No In standby mode(hours):
B.Have fire alarms and signaling systems In alarm mode(minutes):
remained in service since the last inspection? Yes❑No 5.Notifications Made Prior To Testing
C.Was the system(of which the fire alarm
and signaling systems are a part)free of ❑✓Yes❑No Contact Time
actuation of devices or alarms since the last Monitoring inspection? Vyanet 9:31
organization:
D.The required record documents are
available and include the current revisions of Building Staff 9:31
all fire alarm software and the revisions of Yes❑No management:
software of any systems with which the fire
alarm software interfaces? Building occupants: Staff 9:31
3.Monitoring Information Authority Having N/a N/a
Monitoring organization: VYANET Jurisdiction:
OPERATING GROUP
Address: 410 SW COLUMBIA Other,if required:
STREET;SUITE#120
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
1�D,,���"'. Eagle3268E Securityd Systems
�� EA LE SteASecurity Systems
Chico,splanaCA 95973e
A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395
6.Testing Results 6.6 Supervising Station Monitoring
6.1 Control Unit and Related Equipment Description _ Yes/No Time(sec) Results
I.
Description Visual Functional Results Alarm signal ❑Yes❑No J Pass❑Fail
A N/A
Inspection Test
Alarm ❑Pass❑Fail
Control unit LdJ Yes_I No ❑✓Yes❑No 0 Pass❑Fail restoration ❑Yes❑No 0 N/A
0 N/A
Lamps/LEDs/L IA Pass❑Fail Trouble signal ❑Yes J No J Pass❑Fail
CDsp 0 Yes J No 10 Yes❑No ❑N/A 0 N/A
Trouble ❑Pass❑Fail
Fuses ❑✓Yes 0 No ❑�Yes❑No L✓J Pass❑Fail restoration Li Yes J No 0 N/A
0 N/A
Trouble signals L✓J Pass Li Fail Supervisory _I Yes J No ❑Pass❑Fail
L✓J Yes J No Li Yes❑No ❑N/A signal 0 N/A
Disconnect L✓J Pass❑Fail Supervisory H Yes J No ❑Pass❑Fail
switches L✓J Yes J No Li Yes 10 No ❑N/A restoration 0 N/A
6.7 Public Emergency Alarm Reporting System
Ground-fault N/A❑Pass❑Fail
❑Yes 0 No ❑Yes L✓J No
monitoring Z. Description Yes/No Time(seconds) Results 1
Supervision ❑✓Pass❑Fail Alarm signal ❑Pass❑Fail
L✓J Yes J No J Yes H No J N/A ❑Yes 0 No
_✓I N/A
Local ❑Pass❑Fail Alarm ❑Pass❑Fail
annunciator ❑Yes�I No ❑Yes LJ No 0 N/A ❑Yes 0 No
restoration _✓I N/A
Remote ❑✓Pass❑Fail Trouble signal ❑Pass❑Fail
annunciators ❑✓Yes J No ❑/Yes❑No J N/A ❑Yes 0 No
❑✓N/A
Remote power ❑Pass❑Fail Trouble ❑Pass❑Fail
❑Yes�✓No ❑Yes❑�/No ❑Yes 0No
panels _✓I N/A restoration 0 N/A
❑Pass❑Fail Supervisory ❑Pass❑Fail
Other: ❑Yes No ❑Yes❑No ❑N/A signal ry ❑Yes J No 0 N/A
g
6.2 Secondary Power
Supervisory ❑Yes J No J Pass❑Fail
Description Visual Functional Results restoration J✓N/A
Inspection Test 7.Notifications That Testing Is Complete
Battery ❑✓Yes J No ❑O Yes❑No ❑✓Pass❑Fail Contact A Time
condition J N/A
Monitoring Vyanet 10:33
Load voltage 0Yes 0 No ❑1/Yes❑No ❑✓Pass❑Fail organization: y
J N/A
Building Staff 10:33
Discharge test ID Pass❑Fail management:❑✓Yes 0 No ❑1/Yes❑No ❑N/A g
Charger test ID Pass❑Fail Building occupants: Staff 10:33
❑✓Yes No ❑/Yes❑No ❑N/A Authority Having
Jurisdiction: N/a N/a
Remote panel ❑ ❑Pass❑Fail
batteries YesNo ❑Yes 0No 0 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: 4/4/2025
6.4 Notification Appliances Time: 10:33
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 72,2019 edition,Chapter 14.
NFPA 72 v1.1-2019 Page 3 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
Signature of Inspector
Date 4/4/2025
11.Owner or Owner's Representative
Owner or Owner's Representative Name
Owner or Owner's Representative Signature No Signature Available
Date 4/4/2025
NFPA 72 v1.1-2019 Page 4 of 4