HomeMy WebLinkAboutFAI20-0005 009-162-014 CF FA HAZEL HOTEL_ Fire Alarm-SILENT KNIGHT 5820XL_ 3-3-2025 (Annual) 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: 045-344-2122
Contact: TRISH STILWELL Company: Eagle Security Systems
Contact Address: 880 HAZEL ST Address: 3268 Esplanade Ste A
GRIDLEY,CA 95948
Chico,CA 95973
Phone: 530-846-7800 Company Phone: 530-345-6395
Email: HAZEL@CHIPHOUSING.ORG Inspector: JOSE ANTONIO SANCHEZ LUNA
Property Evaluated: HAZEL HOTEL(Business) NICET 1 165142
880 HAZEL ST Date of Work: 3/3/2025
GRIDLEY,CA 95948
Frequency: Annual
Description: Fire Alarm(SILENT KNIGHT 5820XL)
Deficiency Summary
Status:Open
Severity:Non-Critical
6.2 Secondary Power
Battery condition-Visual Inspection:No,Functional Test:No
Out of date
Status:Open
Severity:Non-Critical
6.2 Secondary Power
Load voltage-Visual Inspection:No,Functional Test:No
Out of date
Status:Open
Severity:Non-Critical
6.2 Secondary Power
Discharge test-Visual Inspection:No,Functional Test:No
Out of date
Status:Open
Severity:Non-Critical
6.2 Secondary Power
Charger test-Visual Inspection:No,Functional Test:No
Out of date
General Comments
Batteries will need to be replaced due to being out of date
Eagle Security Systems,3268 Esplanade Ste A,Chico,CA,95973 Phone:530-345-6395 Page 1 of 4
Eagle Security Systems
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: Silent knight
maintenance may be necessary depending on the conditions of the
occupancy and the water supply. Model number: 5820x1
Notes: 4.2 Software and Firmware Revision number: 9.09
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: Elevator Lobby
TRISH STILWELL Overcurrent protection type: Breaker
Owner's Phone Number: Amps: 20
530-846-7800 Disconnecting means location: #11
Owner's Address: 4.3.2 Secondary Power:
880 HAZEL ST,GRIDLEY,CA,95948 Type: Battery
Property Being Evaluated: Location: Panel
HAZEL HOTEL(Business) Battery type(if applicable): ❑Lead-acid❑Nickel-
cadmiumPro e Address:
Property ❑Primary(dry cell)
880 HAZEL ST,GRIDLEY,CA,95948 ❑✓Sealed lead-acid
Assembly Description: Calculated capacity of batteries to drive the system:
Fire Alarm(SILENT KNIGHT 5820XL) In standby mode(hours):
2.Owner's Section In alarm mode(minutes):
A.Are the fire alarms and signaling systems ]Yes El No 5.Notifications Made Prior To Testing
in service?
B.Have fire alarms and signaling systems ❑✓Yes❑No Contact Time
remained in service since the last inspection?
C.Was the system(of which the fire alarm Monitoring Vyanet 9:15
and signaling systems are a part)free of organization:
actuation of devices or alarms since the last ]Yes El No
Building Staff 9:15
inspection? management:
D.The required record documents are
available and include the current revisions of Building occupants: Staff 9:15
all fire alarm software and the revisions of Yes❑No Authority Having
software of any systems with which the fire Jurisdiction: N/a N/a
alarm software interfaces?
3.Monitoring Information Other,if required:
Monitoring organization: Vyanet Operating
Group
Address: 2700 Hegan Lane Suite
112 Chico CA,95926
Phone: 541-241-1800
Fax:
Email:
Account number: 344-2122
Phone line 1:
Phone line 2:
Means of transmission: CELL
Entity to which alarms are retransmitted:
Phone:
NFPA 72 v1.1-2019 Page 2 of 4
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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 ❑Pass❑Fail
A N/A
Inspection Test
Alarm ❑Pass❑Fail
Control unit LdJ Yes A No ❑✓Yes❑No LJ Pass❑Fail restoration ❑Yes❑No J N/A
N/A
Lamps/LEDs/L LJ Pass❑Fail Trouble signal ❑Yes J No ❑Pass❑Fail
CDsp ❑✓Yes J No ❑�Yes❑No ❑N/A NA N/A
Trouble ❑Pass❑Fail
Fuses ❑✓Yes❑No ❑�Yes III No LJ Pass❑Fail restoration Li Yes J No J N/A
N/A
Trouble signals LJ Pass Li Fail Supervisory _I Yes J No ❑Pass❑Fail
LJ Yes J No LJ Yes Li No ❑N/A signal NA N/A
Disconnect ❑Pass❑Fail Supervisory Li Yes J No ❑Pass❑Fail
switches Li Yes J No Li Yes LJ No ]✓N/A restoration NA N/A
6.7 Public Emergency Alarm Reporting System
Ground-fault ❑Pass❑Fail
LiYes J No ❑Yes LJ No
monitoring ❑]N/A Description Yes/No Time(seconds) Results 1
Supervision ❑Pass❑Fail Alarm signal ❑Pass❑Fail
LJ Yes J No LJ Yes Li No J N/A ❑Yes J No
_✓I N/A
Local ❑Pass❑Fail Alarm ❑Pass❑Fail
annunciator LJ Yes J No LJ Yes❑No J N/A ❑Yes J No
restoration _✓I N/A
Remote ❑Pass❑Fail Trouble signal ❑Pass❑Fail
annunciators III Yes❑✓No ❑Yes 0 No J N/A ❑Yes J No
❑✓N/A
Remote power ❑Pass❑Fail Trouble ❑Pass❑Fail
❑Yes�✓No ❑Yes❑�/No ❑Yes 11No
panels _✓I N/A restoration J N/A
❑Pass❑Fail Supervisory ❑Pass❑Fail
Other: ❑Yes No ❑Yes❑No ❑N/A signal ry ❑Yes J No NA N/A
g
6.2 Secondary Power
Supervisory ❑Yes J No LI Pass❑Fail
Description Visual Functional Results restoration NA N/A
Inspection Test ‘ 7.Notifications That Testing Is Complete
Battery ❑Yes�✓No ❑Yes❑O No ❑Pass❑✓Fail Contact A Time
condition J N/A
Monitoring Vyanet 11:45
Load voltage ❑Yes NA No ❑Yes❑�/No ❑Pass❑d Fail organization: y
J N/A
Building Staff 11:45
Discharge test ❑Pass❑✓Fail management:❑Yes NA No ❑Yes❑I/No J N/A g
Charger test ❑Pass❑✓Fail Building occupants: Staff 11:45
❑Yes NA No ❑Yes❑�/No ❑N/A Authority Having
Jurisdiction: N/a N/a
Remote panel ❑ ❑Pass❑Fail
batteries YesNANo ❑Yes❑�No J 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: 3/3/2025
6.4 Notification Appliances Time: 11:45
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
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 3/3/2025
11.Owner or Owner's Representative
Owner or Owner's Representative Name
Owner or Owner's Representative Signature No Signature Available
Date 3/3/2025
NFPA 72 v1.1-2019 Page 4 of 4