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HomeMy WebLinkAboutFAI17-0010 Fire Annual Inspection Archiveria 25-78 INSPECTION, TESTING, AND MAINTENANCE OF WATER—BASED FIRE PRO"I'ECTION SYSTEMS Inspection, Testing, and Maintenance Cover Sheet NFPA 25 as amended by CCR, Title 19 Property Information: t �� Name: �- �c-�,��Occupancy /Use: ,Y,`c c, Address:)Q --e,�- c eve_ Construction Type_r� �u���,-'�/o City: No. Stories: ZIP: Year Constructed: Contact: Telephone: Contractor Information: Name: Wilgus Fire Control, Inc. Address: 1703 Sonoma St Number of System Risers Copy sent to: ❑ Owner Date City: Redding ❑Fire AHJ Date State: California ❑Contractor Date Telephone: (530)241-2465 CA License# 462979 C-16 C-10 C-7 Job # Performed by: (Print) Note: Contractor information may be pre-printed NOTES: 1) For specific inspection, testing, and maintenance requirements and information, see NFPA 25, 2002 Edition as amended by California Code of Regulations, Title 19, §901 to §906. 2) Inspection Items may be performed by the Owner in accordance with California Code of Regulations Title 19 4904.1(a) Forms included with this report NFPA 25 Chapter Number of Forms NIA FAIL* PASS Automatic Sprinkler System 5 L Standpipe and Hose Systems 6 Cl Private Water Supply System 7 I-1 Fire Pump 8 U Water Storage Tank 9 CJ Water Spray System 10 CJ Foam Water Sprinkler System 11 *See "Deficiencies and Comments" section at end of each respective form. State Fire Marshal AES 1 March 21, 2006 ANNEX B 25-79 Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 1 of 4 Date of Inspection, Testing, Maintenance: System Riser ID: Initial Static Pressure: (psi) Property Information.- l�" M =Maintenance Name:0 (, arc, s � ►LG Type6f System: Wet Pipe 1 Address: D Dry Pipe co V Mv1 1 ❑ Preaction Frequency Description ❑ Deluges. E MPS CitY . Pass 1.1 Main Drain Test Results: Abbreviation Key: =Inspection Initial Static Pressure: (psi) T =Test l�" M =Maintenance Residual Pressure: S (psi) A -O =After Operation S� MI =Per Manufacturer's Instructions Restored Static Pressure: (psi) Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.1 I Daily Preaction/Deluge Valves —Enclosure 12.4.3.1 / Weekly temperature 1.2 I Daily Dry Pipe Valves —Enclosure 12.4.4.1.1 / Weekly temperature 1.3 I Quarterly Gauges (Dry, Preaction, Deluge 5.2.4.2 / Systems) 5.2.4.3 1.4 I Quarterly Control Valves 12.3.2.1 1.5 I Quarterly Alarm Devices 5.2.6 1.6 I Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 j 1.7 I Quarterly Hydraulic nameplate 5.2.7 j 1.8 I Quarterly Pipe and Fittings 5.2.2 / 1.9 I Quarterly Sprinklers 5.2.1 1.10 I Quarterly Spare Sprinklers 5.2.1.3 1.11 I Quarterly Fire Department Connections 12.7.1 1.12 I Quarterly Alarm Valves —Exterior Inspection 12.4.1.1 1.13 I Quarter) Quarterly Preaction/Deluge Valves —Exterior 12.4.3.1.6 Inspection 1.14 I Quarterly Pressure Reducing Valves 12.5.1.1 1.15 I Quarterly Dry Pipe Valves —Exterior Inspection 12.4.4.1.4 j Z 1 1.16 I Quarterly Backflow Preventers 12.6.11.17 j Annually Buildings 5.2.5 State Fire Marshal AES 2 March 21, 2006 la 25-80 INSPECTION, "I_ESTING, AND MAIN'FENANCE OF WATER-E3ASED FIRE I.1RO_I,ECl'ION SYS] -EMS Item Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 2 of 4 Date of Inspection, Testing, Maintenance. -22 ' 1 System Riser ID - Fail Property Information: Pass A4 F�,� Name: �.--- �- °" ��,� r Y , S (� J- Type f System: Wet Pipe co r ? 33 Lv�n0-- Alr� ve. �"'El 0 Dry PipeAddress. Preaction ven Annually Hangers El Deluge City: row i �� e 1.19 1 Item Activity Frequency Description NFPA 25 Fail NIA Pass Reference 1.18 1 Annually Hangers 5.2.3 1.19 1 Annually Seismic Braces 5.2.3 1.20 1 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 f 1.21 1 5 Years Seismic Braces (Accessible concealed 5.2.3.3 spaces) 1.22 1 5 Years Pipe and Fittings (Accessible concealed 5.2.2.3 spaces) 1.23 1 5 Years Sprinklers (Accessible concealed spaces) 5.2.1.1.4 1.24 1 5 Years Alarm Valves — Interior Inspection 12.4.1.2 1.25 1 5 Years Alarm Valves - Strainers, filters, orifices 12.4.1.2 1.26 1 5 Years Check Valves — Interior Inspection 12.4.2.1 1.27 I 5 Years Preaction/Deluge Valves — Interior 4 12317 Inspection .... / 1.28 1 5 Years Preaction/Deluge Valves - Strainers, 12.4.3.1.8 ' filters, orifices f; 1.29 1 5 Years Dry Pipe Valves — Interior Inspection 12.4.4.1.5 1.30 1 5 Years Dry Pipe Valves - Strainers, filters, orifices 12.4.4.1.6 2.1 T Annually Alarm Devices (90 Sec) 5.3.3 12.2.7 ,! / 12.2.6 2.2 T Annually Main Drain Test (Enter data on Page 1) 12.2.6.1 12.3.3.4 2.3 T Annually Antifreeze Test 5.3.4 2.4 T Annually Control Valve - Position 12.3.3.1 2.5 T Annually Control Valve — Operation 12.3.3.1 2.6 T Annually Supervisory 12.3.3.5 2.7 T Annually Preaction Valve — Priming Water 12.4.3.2.1 2.8 T Annually Preaction Valve — Low Air Pressure Alarm 12.4.3.2.10 ' 2.9 T Annually Preaction Valve — Full Flow Trip Test 12.4.3.2.2 State Fire Marshal AES 2 March 21, 2006 ANNEX B 25-81 Item Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 3 of 4 -2 ,Z� I Date of Inspection, Testing, Maintenance. �.._ � System Riser ID: Fail Property Information: Pass Type f System:oT: Wiz, CA41,� Name: ��� A � �J�t,�-r; C?� F Ue- Wet Pipe r o� � Address: EJ Dry Pipe ❑ Preaction ` Annually Dry Pipe Valve - Low Air Pressure Alarm ❑ Deluge... 2.12 RE M�' City: )-ovi I �- Dry Pipe Valve - Quick -Opening Device 12.4.4.2.4 Item Activity Frequency Description NFPA 25 Reference Fail NIA Pass 2.10 T Annually Dry Pipe Valve - Priming Water 12.4.4.2.1 2.11 T Annually Dry Pipe Valve - Low Air Pressure Alarm 12.4.4.2.6 2.12 T Annually Dry Pipe Valve - Quick -Opening Device 12.4.4.2.4 2.13 T Annually Dry Pipe Valve - Trip Test 12.4.4.2.2 2.14 T Annually Backflow Preventer Assemblies 12.6.2 2.15 T 3 Years Dry Pipe Valve - Full Flow Trip Test 12.4.4.2.2.2 2.16 T 5 Years Gauges 5.3.2' 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 2.19 T 5 Years Sprinklers - Extra High Temperature 5.3.1.1.1.3 2.20 T 5 Years Sprinklers - Corrosive environment or corrosive water 5.3.1.1.2 % 2.21 T 10 Years Sprinklers - Dry 5.3.1.1.1.5 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 j 2.23 T 50 Years Sprinklers 5.3.1.1.1 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 -� 2.25 T Sprinklers manufactured prior to 1920 - Replace 5.3.1.1.1.1 3.1 M Annually Control Valves 12.3.4 / 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 3.3 M Annually Dry Pipe Valves/Quick-Opening Devices 12.4.4.3.2 3.4 M Annually Dry Pipe Valve - Low Point Drains 12.4.4.3.3 3.5 M 5 Years Obstruction Investigation Chapter 13 State Fire Marshal AES 2 March 21, 2006 25-82 INSI'EC'I'ION, '1'E S'l-ING, AND MAIN"I'ENANCE OF WATER-BASED FIRE PROTEC"I]ON SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System NEPA 25, Chapter 5 as amended by CCR, Title 19 Page 4 of 4 Date o Inspection, f Testin Maintenance: Z '2-x---11 System Riser ID: Property Information: Type f System: Cad%. u � C. 5 �, Name. �- S �} - CA Wet Pie �oF A,, o �1 Address. C&A e.� �-c.r fir,./ El Dry Pipe 1 Preaction ; 0 Deluges-. r E MP City: (Dc-ov;e, Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: WC( �0 r e, o D See Continuation Page(s) (Indicate the number of Continuation pages) El PASS �,- P"' FAIL Si' nature Date State Fire Marshal AES 2 March 21, 2006 Inspection, "resting and Maintenance of Fire Alarm Systems Wilgus Fire Control,Inc. Date of'.Ser•vice ,7 , -�` �� �- �° � � T hire , ��`i _:I_;ttit FIRE ALARM DIVISION 1703 Sonoma St. Redding, Ca 96001 �'j Initial Inspection ❑ Service DateAnrival�Jrlsl)c�ction Single Stage El rwo Stage 1 1:1 Oflsite Monitoring? ❑ yes ❑no (530)241-2465 (800)776-3046 Ca. License #462979 C-16, C-10 U L # 524718 Manul•acturcr:. 1 � IN Modc•I # Building Name: D� i S s Contact Person: r AIi`• Phone: F.x Address: f. ► ; , Owner: `1 , Phunc: City: ,� -.3 r, Postal Code: Cenh11I Station: ;� Phone: "Yes"- Acceptable "No" - Unacceptable (Explain No answers in comments) Yes No Summar ❑ Q [� `❑ ❑�` El ❑ -❑ ~❑ Reconnect signal ower? "T"he Fire alarm system is now fully functional without deficiencies. Advise fire department the testing is completed? The Fire alarm system has deficiencies noted on the Pages attached. Ensure that the alarms stem is functional`? The l=ire Alarm System is tested in accordance with NF13A 72 Se pence of -Operation confirmed and tested. Comments I state that the information on this lorm is correct at the time and dace ol• my inspection, and that all equipment was tested in conformance with applicable codes and the N-lanulaclurerS requirements and at this time was lett in operational condition upon completion ofthis inspection except as noted in comments. "Technicians After -test Checklist �❑ Reconnect time limit cutouts? Reconnect ancillary functions? --❑ Reconnect ancillary functions (off site connections)? ~❑ Reconnect signal ower? Date Advise fire department the testing is completed? ° Ensure that the alarms stem is functional`? Comments I state that the information on this lorm is correct at the time and dace ol• my inspection, and that all equipment was tested in conformance with applicable codes and the N-lanulaclurerS requirements and at this time was lett in operational condition upon completion ofthis inspection except as noted in comments. hl Technician Signature Date rime I O\,vner or Authorized Agent I of=f Inspection, Testing and Maintenance of Fire Alarm Systems Date --7 Building Name CA - Yes - Testecl correctly "X" No, - Did not test correctly (Explain NO answers in commen(s) "NA" Not applicable Control Unit Tests Annuncialor Inspection & 'Pests Power oil visual indicator? Power on indicator''? C OI11r11O11 VISlla) ti Slgilall? / lndlVldllall alarm and SllpCCVISOrV Zoll II1dICatIO11'? `, C Otmilon audible tl•0llb1C Slgnal? f " IlldlVldWil alarm and supervlsOI'V 70110 Indication labels' r I*f0LIh1C till MI) S11Cnc:C sw11C11? COn1il1ull trouble Signal? h/lillll PoWCI' 1upplV 1i11111re trOUNC Si.411,11? i VISLKII llldlcallor lest - Lamp test', f (il•011ll(l 1111111 tested 011 1)OSltIVC alld I1CgatlVe tr0ub1C Signal i 1111)ll1 wll'lllg I'r0111 C01111'01 111111 IS SIIpCI-VISCd? /�✓_.�' Alert signal Operation? :' Alarm signal Silence visual) indicator'? Alarm signal operation? Switches ii)r ancillary Iunctiun operate ars intended'? A1.110111,i11e 11•allSfel• 11-o ll Alert Signal to Alarm sinal? �. '� .'� Other ancillary I�l1i1C110n VISlla) Indicators'? Acknowledge s\,1'Itcll operation? Manual activation of'alarm signal and indication? -' Alarm signal silence inhibit? ;Power Supply Inspection " Alarm signal silc•Ilce Operation'? 1 -used with Illfgs marked ratting ofthe system? -' Alarm signal silence visual indication? % Adequate to meet the requirements ot•the system'? r Alarm signal when silenced autoillatically reinstate on Remote Trouble Unit Tests and Inspection subsequent alarm'? /11A Input wiring lr'om control Unit is supervised'? Alarm signal silence; automatic cut-out tinter'? Visual trouble signal? f." input circuit alarm and supervisory operation inclu(ling i' Audible trouble signal? visual indicator'? Audible trouble signal silence'? Input circuit trouble operation'? Battery "Pests and Inspection : - Output circuit alarm operation? - "" 13,Itei-y type _� (Xltpllt circuit trouble operation? Battery Voltalgc : -VlSllal indicator test (kirllp test)'? AC' I)uwer un g Vdc Coded Signal sequence OperatC nut less than the r(.•(luired AC power on 3 Vdc: number oftimcs and the correct alarm signal thereafter. �$= Coded signal sequences are not interrupted by Subsequent ,hints? .� Irlput circuit to 0114)(!1 circuit Operation including ancilliary dcvicc, liar correct Matrix operation Reset operation:' Malin power t0 emergency power' Supply trallSfCr? Data CO111III Lill Wal 1011S link (DCL) supervision & operation Jif Control unit interconnection to monitoring station? Control Unit Inspection Input circuit designations, correctly identified in relation to connected field devices Output circuit designations correctly identified in relation to connected field devices. Designations im common control Iilnctions & indicators Cabinet, plugin components and modules securely in place Plugin cables SCcurely in place r Record daltc.•, revision and version olTiritlware &, software Date: RcV: Ver: C icanliness? I`LISCS in accordanee with lVIFC�S specilicalion Control Unit lock Ternllnatloll points From wiring to field devices secure Battery Amp i lours: 4 AC' Flower on _ �c� Ah AC power on Ah inspected for physical damage? 'terminal cleaned and lubricated'? 77- 1Ferminals clamped tightly? ---Correct Electrolyte level'? � r Specific gravity within mfg specifications'? Electrolyte leaks'? A"dequately ventilated? Within Manufacturer's rated lil-e date code? Disconnection causes trouble, signal. Generator Power Supply Provides power to AC circuit serving the fire allarnl'? .- L -: condition at the em gen shall result ill an audible cunlrllon trouble signal and a visual indication at the required a 111111111Clator? 2 u f' 4 ka Inspection, Testing and (Maintenance of Fire Alarm Systems Uate --- �' ..) i t3uiIdin Nam�� "4" Yes - "Tested correctly "A" No - Did not test correctly (Explain NO answers in comments) "NA" Not applicatfle Sequential Display Inspection and Testing Field Devices Il1dlVldual alarm, supervisory and tr011ble Inputs are Field Devices continued Clearly Indicated and separately designated'? F`ach device is tree otdamage, foreign substance Individual alarm and SLJpCI'VISOI'V Illpllt desigilat1011 Nater Flow Detection devices labels are properly identified'? mechanically supp0rted Independent Of w1ring? / A-larm input overrides Supervisory and trouble input'? tested by appropriate water flow means 9 Each device tested while connected to control lllllt'? f b) time delay recorded 17irst alarm is clearly identified each time it is displayed Ma1111al Kill Stali011S tested? r_Alarm and Supervisory input Call be retrieved until svStelll Supervisory Devices is reset:' TWO Stage pullstalions tested and Functions confirmed? I'rinter'festirl gAll Sllut-ottvalves tested and result in trouhle signal? ,.-V4, Operation as intended'? Heat detectors tested lone of•each alarin initiating device: is correctly pf•intcd'? Low pressure supervisory device inspected and tested? Rated Voltage is present'? Smoke detectors Low water supervisor test'? Pii-inle't's loc'aled in Pmpl'ielary Control Centers Inspected for cleanliness'? [`.vents and ackilowledgemellts are automatically printed? LOW temperature Supervisor device tested Tillie. Gild date Is recorded by the printer'? Sensitivity tested'? 1,ach event Is recorded its thev Occur'? Fa power loss (eg tire pump and air compressor) tested'? System records StatUS CharlgCS With loss Of dala'? `Tested for Operation' Napes' advances 1111t(1I11atlCallV SLICII that pl'lllt record Is Other Fixed Type Extinguishing Systems ,11,141 Remote indicator units inspected and tested'? / Verity operation ot,tlle Output contacts initiates the —T— Status change confirmation inspection and tested? specified function ill the 1'A COMI'01 LI1111. Air DUCt smoke detectors tested'? Supervisory Devices Otim- Type's Beam type smoke detectors tor• aCluatlOil & sellSltl\ ity. Inspected and tested as per 111anLltclC.11lrel fe(11.11ref1ll.nts' Plaine', detectors Inspected and tested? Signal Appliances Co)mbinatiOn detectors Inspected and tested? Shall be Inspected and tested fOr operability AL11O1MItlC deteCte)l-S - other types Il1Sl)eCted c te'ste'd Proper Installallon and lightness, tampering & Obsil'1IC11011') a) alarm initiation Intelligibility ol'voice messages'? b) detector Is orlented so as to delect hazard'? f_ Audibility ofalerl, alarm and voice rllessages/ C) senslvity tested? V1Sllal Slgllal appliance Inspected all(] tested'? COmbination devices tested'? Sequential Display Inspection and Testing Voice Com if) unicatloil Inspection/Tests Il1dlVldual alarm, supervisory and tr011ble Inputs are A4 Power 011 indicat0r'? Clearly Indicated and separately designated'? COm111011 VISual tl•oLihle signal? Individual alarm and SLJpCI'VISOI'V Illpllt desigilat1011 Comn10I1 audible trOuble SlgilaP labels are properly identified'? "Trouble signal silence switch'? / A-larm input overrides Supervisory and trouble input'? All call voice paging including visual indicator'? 'r------------- 1,$11pervisol•y input overrides trouble input'? Output circuits for selective voice paging and visual. ;Display call be 111a11ually advanced'? Output circuits for selective voice paging tr0uble/V1Sl1al 17irst alarm is clearly identified each time it is displayed Microphone including press to talk switch? r_Alarm and Supervisory input Call be retrieved until svStelll Operation of� VC systems does interfere with initial is reset:' inhibit tinge of alert and alarm signal. I'rinter'festirl gAll call voice paging Operates on emergency power') ,.-V4, Operation as intended'? Upon failure Ofone amplifier, system 111.11( llatically lone of•each alarin initiating device: is correctly pf•intcd'? transfers to backup amplifier•. Rated Voltage is present'? CirCLIl1s for emergency telephone call ill Operatl0n IIICILIding audible and visual indication Pii-inle't's loc'aled in Pmpl'ielary Control Centers CirCurlS 10I' Clllergency telephone for Operation, IllCllldillg [`.vents and ackilowledgemellts are automatically printed? two way voice c011lill ullicatloll? Tillie. Gild date Is recorded by the printer'? Circuits for emergency tCICph011es tr011ble and VISual OpS. 1,ach event Is recorded its thev Occur'? I_.mugency telephone verbal Co IllIllLillICa110n') System records StatUS CharlgCS With loss Of dala'? I"-me:rgency telephone Operable or 111-Llsc (011e.' at handsel. Napes' advances 1111t(1I11atlCallV SLICII that pl'lllt record Is F.ine'.rgeney telephone call -In lamp? \1i's lble'? F'mergency telephone call -IIs aLidibic signal') Printer ()peralCS Milder loss of maul I)OWer sllp1)1y? All teleph011e "/_One select switches IndlvldllallV ICSlC(P Printer Is monitored for `oto", paper" and "papff OLlt"'? Individual telephone zone select Indicators? Operating Instruction clearly Visible'? Lockable release mechanism Is intact'? Ancillary Device "Nesting Circuit Circuit Circuit ol'4 ia &a Inspection, Testing and Maintenance of Fire Alarm Systems Date --2- Building Name ���1 �. •� Device Testing — Legend and Notes Device Descri )trod TN' )e Model No. Nl Manual full station I -IT Heat detector, non restorable Note y RHT I -lent detector, Restorable Note y S Smoke detector Note 1, 2 & 9 RI Remote indicator- unit DS Duct smoke detector Note 1, 3 & y PS Photo electric smoke detector - SI" D Supporting field device monitor - FS Sprinkler flow switch Note 4 SS Sprinkler supervisory device Note 5 LA — Low air PS — Pressure switch LM Fault isolation module B Bell 1-1 1-101-11 V Visual signal a) )Mance I -IS .1-corn/Strobe SP Cone type speaker HSP Morn type speaker AD Ancillary device Note 8 ET Emergency Telephone --- Other supervisory devices Notes 6 & 7 --- Other type of detector Note 1. Smoke detector sensitivity measurement and cleaning date should be recorded in the remarks column. Note 2. Status change, Including time delay, should be recorded in the remarks column. Note 3. Duct smoke detector pressure dif'f'erential should be confirmed and recorded in the remarks column. Note 4. Time delay setting ol' water flow switch should be recorded in the remarks column. Note 5. Sprinkler supervisory switches cause trouble condition to be annunciated but not an Alarm condition. Note 6. Upper and lower pressure setting of supervisory devices should be recorded in the remarks column. Note 7. Low- temperature setting should be recorded in the remarks column. Note 8. Identify the specific ancillary devices in the remarks column. Note 9. Identify date fire detector was changed. Caution: The tests reported on this form do not include the actul-il operational test of ancillary devices. 4 of' 4 0 Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Date: Annual Inspection T pn 0 e Building Name: 1 Address: ,!2 COL-xh� �. Q A. Corrcedy installed. D. Annuncintor indicsttion confirmed. B. Requires ,Service, Repairs, missing, or cleaning; E. Circuit number or address C. Alarm operation confirmed F. Supervision and g;romid fault detection C. Smoke detector sensitivity testing 1Jp%- - Aveprimlilp i,-Y"I N!n - I I "int--,Ilin iri Iv -.I It2wu ill%1 .hr -Sc...,".... ... -.....--.._-a.. % 6C 1,1 ♦ 11 !k1 A a. 1 . of Device WAMMMMM a 19, Im, m m m M� Mii1�1lMAI M SMAI l3�WIM FA, "A 01 - WA =WAWA=== MMMMMD no,= Note: Confirmation of wiring; supervision to each individ al device is only required during an initial itispectim and test or verification, and is not required at the annual test. Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Date: _ i-'�-\� A��nual Ins pection Pa a �1- of Buildi» Name: !A , Address: 33 LoU4\n .�-- A. Correctly installed. 1). Annunciator indication confirmed. 13, Requires Service. Repairs, missing, or cleaning E. Circuit number or address C. Alarm operation confirmed F. Supervision and ground fault detection G. Smoke detector sensitivity testing "�" Yt-s - Arct-intiMv, "X" Nr► — I InnerPnnihly- WvnInin NO in enmmNntrl "NA" Nnt nnnfivnhir- Note: Confirmation of wiring supervision to each individual device is only required during an milial inspection and test or verification, and is not required at the annual test. �dl�" - "Im M -M \kM -111 UP 6�',C M� MIN f RA I �w Note: Confirmation of wiring supervision to each individual device is only required during an milial inspection and test or verification, and is not required at the annual test. Inspection, "Westing and Maintenance of hire Alarm Systems Individual Device Record Daae: Annual Ins pection Pae 3 of - Building Name: �n Address: r,\_t.-�Ccrvu - A. Correctly installed. 1). Annunciator indication confirmed. B. Requires Service, Repairs, ntissillg, or cleaning; I:. Circuit number or address C. Alarm operation confirmed F. Supervision and ground fault detection G. Stroke detector sensitivity testis "4" Yes - Accentahle "X" Nn — I lnaccentahle (Explain NO answers in comments) "NA" Not annlivahle Note: Confirmation of wiring supervision to each individual device is only required during an initial inspection and test or verification, and is not required at the annual test. Location PI 01 �Fl�VI�yLl Rlm!'lE�� Sum===mum= Note: Confirmation of wiring supervision to each individual device is only required during an initial inspection and test or verification, and is not required at the annual test. Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Date: AlltlUal Inspection 1'a g a of Building Name: 7 Address: 7,3 Ce L.,,A .- A. Correctly installed. 1). Annunciator indication confirmed. It. Requires Service, Repairs, missing, or cleaning, E. Circuit number or address C. Alarm operation confirmed E. Supervision and ground fault detection G. Smoke detector sensitivity testing, 411144- X/ne _ Ao-oa ►t. -thin 44,X91 ivn — 1111•_lot•ont-1111P WVnin111 NO sine Vorc 111 "NA" Nnt-11nnIit'4ihIvA Device Location A B C/ D E F C Remarks J \kv 7.0 UJ `.� a oS z v 5 27 5t4 2(>s Conv� V�- rlll� YQ of tr" ZOyv� 5 10 ,lOk t,3/ M1 Note: Coid"irmation of wiring supervision to each individual device is only required during an initial inspection and test or verification, and is riot required at the annual test. L 25-78 INSPECTION. TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Forms included with this report Inspection, Testing, and Maintenance Cover Sheet Number of Forms NFPA 25 as amended by CCR, Title 19 Property Information: 0 Standpipe and Hose Systems Name: �� CUA �a. Occupancy /Use: - l _ � ,c.. C� i 0 Fire Pump 8 ; Address: 122 C00 Construction T e: Yp � 10 0 Foam Water Sprinkler System 11 City: OT 4 0*1 No. Stories: 2_, ��`' .,`•--5�', : �� ZIP: 59 LLS Year Constructed: Contact: t,... g► Telephone: (S J!Z,) 53:9 - 7tfo7 Contractor Information: 3_ Number of System Risers Name: Wilgus Fire Control, Inc. Copy sent to: Address: 1703 Sonoma St ❑ Owner Date City: Redding ❑ Fire AHJ Date State: California ❑ Contractor Date Telephone: (530)241-2465 NOTES: 1) For specific inspection, testing, and CA License# 462979 C-16 C-10 C-7 maintenance requirements and information, see NFPA 25, 2002 Edition as amended by Job # California Code of Regulations, Title 19, §901 Performed by: 0aKCA ��t,,�o,,,- to §906. (Print) 2) Inspection Items may be performed by the Owner in accordance with California Code of Note: Contractor information may be pre-printed Regulations Title 19 904.1 a Forms included with this report NFPA 25 Chapter Number of Forms Automatic Sprinkler System 5 0 Standpipe and Hose Systems 6 0 Private Water Supply System 7 0 Fire Pump 8 0 Water Storage Tank g D Water Spray System 10 0 Foam Water Sprinkler System 11 NIA FAIL* PASS *See "Deficiencies and Comments" section at end of each respective form. State Fire Marshal AES 1 March 21, 2006 AN Nt=.X a 25-79 Inspection, Testing,. and Maintenance Fire Sprinkler System Page 1 of 4 NFPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: 5 Ll 11, System Riser ID: Property Information: cad. Name: 1IiAm'l ��j Type of System: o C?"Wet Pipe 0Dry Pipe 5;� ��-� -�, � r Address: � � � �-- • �:. 0 Preaction D Deluge ARE M�� City: /' Main Drain Test Results: Abbreviation Key: S� =Inspection Initial Static Pressure: (psi) T=Test f'� a M =Maintenance v Residual Pressure: (psi) A -O =After Operation /' MI =Per Manufacturer's Instructions Restored Static Pressure: l7 0 (psi) Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.1 I Daily Preaction/Deluge Valves —Enclosure 12.4.3.1 Weekly temperature 1.2 I Daily Dry Pipe Valves —Enclosure 12.4.4.1.1 / Weekly temperature 1.3 I Quarterly Gauges (Dry, Preaction, Deluge 5.2.4.2 / Systems) 5.2.4.3 1.4 I Quarterly Control Valves 12.3.2.1 �- 1.5 I Quarterly Alarm Devices 5.2.6 1.6 I Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 1.7 I Quarterly Hydraulic nameplate 5.2.7 / 1.8 I Quarterly Pipe and Fittings 5.2.2 1.9 I Quarterly Sprinklers 5.2.1 1.10 I Quarterly Spare Sprinklers 5.2.1.3 1.11 I Quarterly Fire Department Connections 12.7.1 1.12 I Quarterly Alarm Valves —Exterior Inspection 12.4.1.1 1.13 I Quarterly Preaction/Deluge Valves —Exterior 12.4.3.1.6 Ins ection 1.14 I Quarterly Pressure Reducing Valves 12.5.1.1 1.15 I Quarterly Dry Pipe Valves —Exterior Inspection 12.4.4.1.4 1.16 I Quarterly Backflow Preventers 12.6.1 / 1.17 I Annually Buildings 5.2.5 State Fire Marshal AES 2 March 21, 2006 25-80 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4 NEPA 25, Chapter 5 as amended by CCR, Title 19 Date of , Ins ectionTesting, Maintenance: p 9 System Riser ID: Property Information: TypeSystem. Name: �k4 `..- /6f Wet Pipe ❑ Dry Pipe Address: ❑Preaction 1 ❑ Deluge Hangers !RE M City: 1.19 y Annually Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.18 1 Annually Hangers 5.2.3 1.19 1 Annually Seismic Braces 5.2.3 1.20 1 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 1.21 I 5 Years Seismic Braces (Accessible concealed spaces) 5.2.3.3 / 1.22 1 5 Years Pipe and Fittings (Accessible concealed spaces) 5.2.2.3 ' 1.23 1 5 Years Sprinklers (Accessible concealed spaces) 5.2.1.1.4 ,--" 1.24 1 5 Years Alarm Valves — Interior Inspection 12.4.1.2 1.25 1 5 Years Alarm Valves - Strainers, filters, orifices 12.4.1.2 1.26 1 5 Years Check Valves — Interior Inspection 12.4.2.1 1.27 1 5 Years Preaction/Deluge Valves — Interior Inspection 12.4.3.1.7 1.28 I 5 Years Preaction/Deluge Valves - Strainers, filters, orifices 12.4.3.1.871 1.29 1 5 Years Dry Pipe Valves — Interior Inspection 12.4.4.1.5 / 1.30 1 5 Years Dry Pipe Valves - Strainers, filters, orifices 12.4.4.1.6 2.1 T Annually Alarm Devices (90 Sec) 5. 33. 12.2.7 ' ' 2.2 T Annually Main Drain Test (Enter data on Page 1) 12.2.6 12.2.6.1 12.3.3.4 , 2.3 T Annually Antifreeze Test 5.3.4 2.4 T Annually Control Valve - Position 12.3.3.1 2.5 T Annually Control Valve — Operation 12.3.3.1 2.6 T Annually Supervisory 12.3.3.5 2.7 T Annually Preaction Valve — Priming Water 12.4.3.2.1 2.8 T Annually Preaction Valve — Low Air Pressure Alarm 12.4.3.2.10 2.9 T Annually Preaction Valve — Full Flow Trip Test 12.4.3.2.2 State Fire Marshal AES 2 March 21, 2006 ba ANNEX B 25-81 Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 3 of 4 Date of Inspection, Testing, Maintenance: p � g� System Riser ID: I NFPA 25 Reference Property Information: Name: pv'P Type of System. Pass Address.0 11� Wet Pipe 0 Dry Pipe Annually Dry Pipe Valve — Priming Water Pr eaction r Mal a 0 Deluge �a.1�.. City: ' Annually Dry Pipe Valve — Low Air Pressure Alarm Item Activity Frequency Description NFPA 25 Reference Fail NIA Pass 2.10 T Annually Dry Pipe Valve — Priming Water 12.4.4.2.1 2.11 T Annually Dry Pipe Valve — Low Air Pressure Alarm 12.4.4.2.6 2.12 T Annually Dry Pipe Valve — Quick -Opening Device 12.4.4.2.4 2.13 T Annually Dry Pipe Valve — Trip Test 12.4.4.2.2 2.14 T Annually Backflow Preventer Assemblies 12.6.2 2.15 T 3 Years Dry Pipe Valve — Full Flow Trip Test 12.4.4.2.2.2 2.16 T 5 Years Gauges 5.3.2 X/ 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 2.19 T 5 Years Sprinklers — Extra High Temperature 5.3.1.1.1.3 2.20 T 5 Years Sprinklers — Corrosive environment or corrosive water 5.3.1.1.2 2.21 T 10 Years Sprinklers - Dry 5.3.1.1.1.5 �J 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 2.23 T 50 Years Sprinklers 5.3.1.1.1 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 2.25 T Sprinklers manufactured prior to 1920 — Replace 5.3.1.1.1.1 ' 3.1 M Annually Control Valves 12.3.4 i 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 3.3 M Annually Dry Pipe Valves/Quick-Opening Devices 12.4.4.3.2 3.4 M Annually Dry Pipe Valve — Low Point Drains 12.4.4.3.3 3.5 M 5 Years Obstruction Investigation Chapter 13 State Fire Marshal AES 2 March 21, 2006 ia ma 25-82 INSPECTION. 'TESTING, AND MAINTENANCE OI. WATER-BASED FIRE PROTECTION SYSTEMS Item Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 4 of 4 Date of Inspection, Testing, Maintenance: System Riser ID: Property Information: Name: j ...1- `t— a Type f System: ., �oF .AC�1 �. f-" `,,gyp 4� Address: - o Wet Pipe El Dry Pipe �;� , .y ,`,�== ` A ) �• 0 P reacton i `' F1 Deluge �� '' _.... •�4 RE"ate City: Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: % /11OC'z'L1(1 1 r _ D See Continuation Page(s) (Indicate -the number of continuation pages) 'Fz�SS El FAIL S ig nature /Date State Fire Marshal AES 2 March 21, 2006 Mia ANNEX Q 25-79 Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 1 of 4 Date of Inspection, Testing, Maintenance:_ S^ , System Riser ID: Property Information: Name: SUC4L I Type System: Wet Pie A� �o. ott %��-; ✓ ';� co Address: ❑ Dry Pipe ❑ Preaction MI =Per Manufacturer's Instructions . `. Ljc a �•Amp I riil�7�� ❑ Deluge M City: clovi Frequency Description NFPA 25 Reference Fail N/A Main Drain Test Results: Abbreviation Key: I =Inspection Initial Static Pressure: ;6 (psi) T =Test Residual Pressure: �� (psi) M =Maintenance A -O =After Operation MI =Per Manufacturer's Instructions Restored Static Pressure: � _ (psi) Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.1 I Daily Preaction/Deluge Valves —Enclosure 12.4.3.1 / Weekly temperature 1.2 Daily Dry Pipe Valves —Enclosure 12.4.4.1.1 Weekly temperature 1.3 I Quarterly Gauges (Dry, Preaction, Deluge 5.2.4.2 / Systems) 5.2.4.3 1.4 I Quarterly Control Valves 12.3.2.1 1.5 I Quarterly Alarm Devices 5.2.6 1.6 I Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 1.7 I Quarterly Hydraulic nameplate 5.2.7 1.8 f Quarterly Pipe and Fittings 5.2.2 1.9 I Quarterly Sprinklers 5.2.1 1.10 I Quarterly Spare Sprinklers 5.2.1.3 1.11 I Quarterly Fire Department Connections 12.7.1 � 1.12 I Quarterly Alarm Valves —Exterior Inspection 12.4.1.1 1.13 1 Quarter) Quarterly Preaction/Deluge Valves —Exterior 12.4.3.1.6 % Inspection � 1.14 I Quarterly Pressure Reducing Valves 12.5.1.1 � 1.15 I Quarterly Dry Pipe Valves —Exterior Inspection 12.4.4.1.4 1.16 I Quarterly Backflow Preventers 12.6.1 1.17 I Annually Buildings 5.2.5 State Fire Marshal AES 2 March 21, 2006 A 25-80 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4 NFPA 25, Chapter 5 as amended by CCR, Title 19 �' Frequency Date of Inspection, Testing, Maintenance: System Riser ID: Property Information: ,�- Name: Type f System: _� o� cA�����j Wet Pi0 pe Address.�-.,Var\vv,L D Dry Pipe r 1 , i n `- r Preaction • is f 0 Deluge City: 5.2.3 Item Activity Frequency Description NFPA 25 Reference Fail NIA Pass 1.18 1 Annually Hangers 5.2.3 / 1.19 1 Annually Seismic Braces 5.2.3 1.20 1 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 1.21 1 5 Years Seismic Braces (Accessible concealed spaces) 5.2.3.3 1.22 1 5 Years Pipe and Fittings (Accessible concealed s aces 5.2.2.3 -� 1.23 1 5 Years Sprinklers (Accessible concealed spaces) 5.2.1.1.4 1.24 1 5 Years Alarm Valves - Interior Inspection 12.4.1.2 1.25 1 5 Years Alarm Valves - Strainers, filters, orifices 12.4.1.2 1.26 1 5 Years Check Valves - Interior Inspection 12.4.2.1 1.27 I 5 Years Preaction/Deluge Valves - Interior Inspection 12.4.3.1.7 1.28 I 5 Years Preaction/Deluge Valves - Strainers, filters, orifices 12.4.3.1.8 ? 1.29 1 5 Years Dry Pipe Valves - Interior Inspection 12.4.4.1.5 ' 1.30 1 5 Years Dry Pipe Valves - Strainers, filters, orifices 12.4.4.1.6 2.1 T Annually Alarm Devices (90 Sec) 5.3.3 12.2.7 2.2 T Annually Main Drain Test (Enter data on Page 1) 12.2.6 12.2.6.1 12.3.3.4 2.3 T Annually Antifreeze Test 5.3.4 ?� l 2.4 T Annually Control Valve - Position 12.3.3.1 �_ l 2.5 T Annually Control Valve - Operation 12.3.3.1 2.6 T Annually Supervisory 12.3.3.5 2.7 T Annually Preaction Valve - Priming Water 12.4.3.2.1 2.8 T Annually Preaction Valve - Low Air Pressure Alarm 12.4.3.2.10 -% 2.9 T Annually Preaction Valve Full Flow Trip Test 12.4.3.2.2 State Fire Marshal AES 2 March 21, 2006 A ANNEX B 25-81 Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 3 of 4 Date of Inspection, Testing, Maintenance: System Riser ID: S Y NFPA 25 Reference Property Information:--`''-��t� -� Type f System: Pass Name- Wet Pipe 0 Dry Pipe �;�4;�-� �•�.� �� , - 1v Address: � 0 Preaction, �. •. •, �''" 1 S G�' 0 Deluge ` t�E Mp► T Annually Dry Pipe Valve — Low Air Pressure City. 0C cly , )i Item Activit Activity Frequency Description NFPA 25 Reference Fail N/A Pass 2.10 T Annually Dry Pipe Valve — Priming Water 12.4.4.2.1 2.11 T Annually Dry Pipe Valve — Low Air Pressure 12.4.4.2.6 Alarm 2.12 T Annually Dry Pipe Valve — Quick -Opening 12.4.4.2.4 Device 2.13 T Annually Dry Pipe Valve — Trip Test 12.4.4.2.2 2.14 T Annually Backflow Preventer Assemblies 12.6.2 , 2.15 T 3 Years Dry Pipe Valve — Full Flow Trip Test 12.4.4.2.2.2 2.16 T 5 Years Gauges 5.3.2 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 2.19 T 5 Years Sprinklers — Extra High Temperature 5.3.1.1.1.3 2.20 T 5 Years Sprinklers — Corrosive environment or 5.3.1.1.2 i corrosive water 2.21 T 10 Years Sprinklers - Dry 5.3.1.1.1.5 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 2.23 T 50 Years Sprinklers 5.3.1.1.1 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 2.25 T Sprinklers manufactured prior to 1920 5.3.1.1.1.1 — Replace 3.1 M Annually Control Valves 12.3.4 3.2 M ` Annually Preaction/Deluge Valves 12.4.3.3.2 3.3 M Annually Dry Pipe Valves/Quick-Opening 12.4.4.3.2 Devices 3.4 M Annually Dry Pipe Valve — Low Point Drains 12.4.4.3.3 i ' 3.5 M 5 Years Obstruction Investigation Chapter 13 State Fire Marshal AES 2 March 21, 2006 %a Ma 25-82 INSPECTION, TESTING. AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 4 of 4 Date of Inspection, Testing, Maintenance: System Riser ID: Property Information:�t�-^ .,._._ Name: c.� �- M4-N� v� c Type f System: 'A-�oF... , Wet Pipe ❑ Dry Pipe Address: Preaction�- t Csov\A-Ir' ' - ECX411' ❑ Deluge %ARE M a� City: �- Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: ❑ ,See Continuation Page(s) (Indicate -the number of -continuation pages) V'PASS ❑ FAIL �, .� .� `"`� - .� 6 Si naturel ` Gate State Fire Marshal AES 2 March 21, 2006 ka ANNEX B ia 25-79 Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 1 of 4 Date of Inspection, Testing, Maintenance: Iq System Riser ID: Property Information:-�-� Name: �- � � Type of System: (�'VVet Pipe o� r 0 .* �.: �;; � ,.� Y Address:�- ❑ Dry Pipe ❑ Preaction ,y y_ - r �DI tC ❑ Deluge ARE M� Item Activit Y City: CI el Description NFPA 25 Reference Main Drain Test Results: Abbreviation Key: I =Inspection (psi) Initial Static Pressure: si T = Test j,. M = Maintenance Residual Pressure: (psi) A-0 = After Operation MI =Per Manufacturer's Instructions Restored Static Pressure: (psi) Item Activit Y Frequency Description NFPA 25 Reference Fail N/A Pass 1.1 1 Daily Preaction/Deluge Valves — Enclosure 12.4.3.1 Weekly temperature 1.2 I Daily Dry Pipe Valves — Enclosure 12.4.4.1.1 Weeklytemperature ' 1.3 1 Quarter)Gauges y (Dry, Preaction, Deluge 5.2.4.2 Systems) 5.2.4.3 1.4 1 Quarterly Control Valves 12.3.2.1 1.5 1 Quarterly Alarm Devices 5.2.6 1.6 1 Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 1.7 1 Quarterly Hydraulic nameplate 5.2.7 1.8 1 Quarterly Pipe and Fittings 5.2.2 1.9 1 Quarterly Sprinklers 5.2.1 1.10 1 Quarterly Spare Sprinklers 5.2.1.3 / 1.11 1 Quarterly Fire Department Connections 12.7.1 1.12 1 Quarterly Alarm Valves — Exterior Inspection 12.4.1.1 1.13 1 Quarterly y Preaction/Deluge Valves — Exterior 1 2.4.3.1.6 Ins ection 1.14 1 Quarterly Pressure Reducing Valves 12.5.1.1 1.15 1 Quarterly Dry Pipe Valves — Exterior Inspection 12.4.4.1.4 1.16 1 Quarterly Backflow Preventers 12.6.1 1.17 1 Annually Buildings 5.2.5 State Fire Marshal AES 2 March 21, 2006 ga 0 25-80 INSPECTION, "I'ESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4 NEPA 25, Chapter 5 as amended by CCR, Title 19 Date of , Ins ectionTesting, Maintenance: 9 System Riser ID - Property Information: Property Q..i ora Type f System N a m e.- n� �..' Address: -TO o Wet Pipe 0 Dry Pipe Pass D Preaction, 1 1 0 Deluge City. 5.2.3 Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.18 1 Annually Hangers 5.2.3 Z. 1.19 1 Annually Seismic Braces 5.2.3 1.20 1 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 1.21 I 5 Years Seismic Braces (Accessible concealed 5.2.3.3 spaces .� 1.22 1 5 Years Pipe and Fittings (Accessible concealed 5.2.2.3 spaces) 1.23 1 5 Years Sprinklers (Accessible concealed spaces) 5.2.1.1.4 i 1.24 1 5 Years Alarm Valves — Interior Inspection 12.4.1.2 1.25 1 5 Years Alarm Valves - Strainers, filters, orifices 12.4.1.2 1.26 1 5 Years Check Valves — Interior Inspection 12.4.2.1 1.27 I 5 Years Preaction/Deluge Valves — Interior 12.4.3.1.7 Inspection 1.28 1 5 Years Preaction/Deluge Valves - Strainers, 12.4.3.1.8 filters, orifices / 1.29 1 5 Years Dry Pipe Valves— Interior Inspection 12.4.4.1.5 1.30 1 5 Years Dry Pipe Valves - Strainers, filters, orifices 12.4.4.1.6 2.1 T Annually Alarm Devices (90 Sec) 5.3.3 12.2.7 / 12.2.6 2.2 T Annually Main Drain Test (Enter data on Page 1) 12.2.6.1 ' 12.3.3.4 2.3 T Annually Antifreeze Test 5.3.4 2.4 T Annually Control Valve - Position 12.3.3.1 2.5 T Annually Control Valve — Operation 12.3.3.1 i 2.6 T Annually Supervisory 12.3.3.5 f 2.7 T Annually Preaction Valve — Priming Water 12.4.3.2.1 iJ 2.8 T Annually Preaction Valve — Low Air Pressure Alarm 12.4.3.2.10 J 2.9 T Annually Preaction Valve — Full Flow Trip Test 12.4.3.2.2 State Fire Marshal AES 2 March 21, 2006 ANNEX B 25-81 Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 3 of 4 Frequency Description NFPA 25 Reference Fail Date of Inspection, Testing, Maintenance. Pass S stem Riser ID: Y T Property Information:--��i Dry Pipe Valve — Priming Water 12.4.4.2.1 L Name. Type of System: T a Dry Pipe Valve — Low Air Pressure Alarm Wet Pipe Address: 13 0 Dry Pipe 0 Preaction 5; i Q,5 Dry Pipe Valve — Quick -Opening Device 0 Deluge � j 2.13 T Cit OVI Y: Dry Pipe Valve — Trip Test 12.4.4.2.2 Item Activity Frequency Description NFPA 25 Reference Fail NIA Pass 2.10 T Annually Dry Pipe Valve — Priming Water 12.4.4.2.1 2.11 T Annually Dry Pipe Valve — Low Air Pressure Alarm 12.4.4.2.6 2.12 T Annually Dry Pipe Valve — Quick -Opening Device 12.4.4.2.4 � j 2.13 T Annually Dry Pipe Valve — Trip Test 12.4.4.2.2 2.14 T Annually Backflow Preventer Assemblies 12.6.2 2.15 T 3 Years Dry Pipe Valve — Full Flow Trip Test 12.4.4.2.2.2 �f 2.16 T 5 Years Gauges 5.3.2 �- 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 2.19 T 5 Years Sprinklers — Extra High Temperature 5.3.1.1.1.3 2.20 T 5 Years Sprinklers — Corrosive environment or corrosive water 5.3.1.1.2 ,- 2.21 T 10 Years Sprinklers - Dry 5.3.1.1.1.5 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 -� 2.23 T 50 Years Sprinklers 5.3.1.1.1 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 2.25 T Sprinklers manufactured prior to 1920 — Replace 5.3.1.1.1.1 3.1 M Annually Control Valves 12.3.4 O 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 r 3.3 M Annually Dry Pipe Valves/Quick-Opening Devices 12.4.4.3.2 �= 3.4 M Annually Dry Pipe Valve — Low Point Drains 12.4.4.3.3 ,- 3.5 M 5 Years Obstruction Investigation Chapter 13 State Fi Marshal AES 2 March 21, 2006 n 25-32' INSPf CTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PRO,rECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 4 of 4 Date of Inspection, Testing, Maintenance. p � 9� System Riser I D: > Y Property Information: Name. Type f-ystem : �v _... �Ci,� �Z ��; .o Wet Pipe 0 Dry Pipe Address:C Preaction 1 0 Deluge citv Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: CJ See Continuation Page(s) (Indicate=the number of continuation pages) E2' PASS ._--:-- 0 FAIL Signature bate State Fire Marshal AES 2 March 21, 2006 ba ka Inspection, `Vesting and Maintenance of Fire Alarm Systems Wilgus Fire Control, Inc. I)lltl' of �er��ice I � "I'imc 7 ' S C) ❑' ❑ -❑ ❑ ❑ .-❑ I_,ast Service Date Reconnect ancillary functions (off site connections)? flnnuallnsl��ction lnitiallnshcction j Sec uence of Operation confirmed and tested. FIRE ALARM DIVISION ❑- 1:1 17 03 S u no nla S t. Single Stage Two Stage 0111'site IIN'tonitorint"? 131110(530)241-2465 Redding, Ca 96001 El" El❑yes (800)776-3046 �Vl Model H Ca. License #462979 C-16, C-10 U L # S24718-•,Q,�'t Contact Person: 45- A Pholle: N .1 Building Name: AdeJress: Owner G ,v �A -C - � i a I hone. Fax: I-1oS(aI Code: Ccnt,al Station: Cj 49 C ov rkl.c- i J ( - - - . , ." . • A } - -- -- :.. — ,.... — .1 .. t o i .. Y es"- Yes ACC e No )taure 114 - vni,«� �«1 U„� �.,. ,.N.....%1 ....., • -- -- --- --------- Summary The Fire alarm system Is now fully functional without deficiencies. ❑' ❑ -❑ ❑ ❑ .-❑ 'Yhe l' Ire alai -III systel'n has deficiencies noted on the ages attached. Reconnect ancillary functions (off site connections)? The Fire Alarm System is tested in accordance with NFPA 72 Reconnect signal ower? j Sec uence of Operation confirmed and tested. Comments I state that the information Oil this I01*111 is C011'ec:t at the time and place ()1, 111%, inspection, and that all lglill)lllcllt was tested in Conli)rnlance with applicable codes and the Nlanul:IMINI—s reguirenlents and at this tinlr was left In operational condition upon Completion ()fthis irlspec:tion except as noted Ill Colllllle.tlts. Technician Signature 2- L-( r 11 1 k So C) Dat Time Owner or Authorized Agent I of4 Technicians Atter-test Checklist -❑-- Reconnect time limit cutouts? ..❑- Reconnect ancillar flrilCtlollS? --❑- Reconnect ancillary functions (off site connections)? —�; Reconnect signal ower? Ej Advise fire department the testing is completed? .0, Ensure that the alarms stem is functional? Comments I state that the information Oil this I01*111 is C011'ec:t at the time and place ()1, 111%, inspection, and that all lglill)lllcllt was tested in Conli)rnlance with applicable codes and the Nlanul:IMINI—s reguirenlents and at this tinlr was left In operational condition upon Completion ()fthis irlspec:tion except as noted Ill Colllllle.tlts. Technician Signature 2- L-( r 11 1 k So C) Dat Time Owner or Authorized Agent I of4 Inspection, Testing and Maintenance of Fire Alarm Systems Dare Building Name Yes - "I'estecl correctly "\" No - Uicl not test correctly (Explain NO answers in comnients) "NA" Not applicable C mi(r•ul Unit Tests Annunciator Inspection & 'Pes(s �- I'uwCr on visual 1ndlcalur'? Power on indicator'? Common visual trouble signal'? II1dividllal alarm and SupCI-Visory rune indication'? Comillun aUd1bIC U'ollble Signal'? 1ndlVidl.lal alarm and supervisory zone Indication labels') �= I I.011ble Signal silence Switch'? l Common trouble signal') Main PUweI' SLIpl)ly falllll'C trouble Signal'? VlSllal Iildlcatol' test - Lamp test'? ClrOUlld fault tested oil positive alld ilegatlVC trouble signal lllpllt wiring fl'olll control Milli Is supervised'? 0 JN Alert signal Ope.'1'alloll') Alarm signal silence VlSua) Indicator'? Alarm signal operation'? SWIICheS for al1clllary r1111ctlon Operatc as Intended" f� AUtoIllallC trMlSlCr fl'olll Alert signal lU Alarm signal'? ;' Other ancillary IUtICti011 VISual indicators') f Ackiiowiedgc switch operation'? l Manual activation ole alarill Signal and Indication'? A Alarm Signal Silence llllllbll'? Power Supply inspection AlliI1 a'llng of tile SVSILii'?l 1- Alarm sign, -Il SIICIICe VlSllal Indication'? Adequate to meet the regUlrements orthe system'? Alarm slgllal when silenced al.Ilo111atlCally reinstate oil Remote Trouble Unit Tests and Inspection sllhsegllelll alal'lll'? Input wiring rrom control unit is Supervised'? Alarill Signal silence alltl)IllallC Cllt-oUt tllllCl''? 7 Visual trouble signal. lllplll Circuit alili'lll alld SllpCrVIsoI-y opel-W1011 111CI11d1112 Audible trouble signal') Visual Indicator'.'' Audible trouble Signal silence'? 11111lIl Circuit t1'0ublc operation'? I3:;rtter•y Tests and Inspection Output Circuit alai'lll OpCI'atiOn'? Battery type Output Circuit ll'oliblc Operation'? Battet'y Voltage'. ,.- VlSual Indicator test (lamp lest)'? AC power oil ��_ Vdc ->l Coded signal SCquerlcC operate not less than the required AC power oil Vdc number of times and the correct alarm signal thereafter. Coded Signal sequences are not interrupted by subsc.que,nl alarms.? Input circuit to output circuit Operation Ii1cludllll? ancilliary device, roe correct matrix operation r' Reset operation'? Main powct• to Cnlel-gency powCI- Supply transler'? Datil CUil1IllLill1Cat1UIlS link ([ACL) Sllpervisioll &, operal1011 Cunlrul unit illterconllCCtioll to monitoring Station'? i Control Unit Inspection Input circuit dCSiglilltiOns, correctly i(fentified in rClatiun to connected field devices Output Circuit designations correctly i(ICnlificd in I.Clatiun to cunnectcd fiCld devices. Designations Ior coninion control functions & indicators Cabinet, plugin components and nludulCS SCcurely in place PiLlgin cables securely in place: Record date, revision and version of Firmware & Software Date: �_-- Rev: Vcr: Cleanliness'' uSCS in accordanc;C with MFGS SpeciliC<Ition r Control Unit luck Tel—lllillatiml points (i-0111 W11•ing to field deVICCS SCCLIrC Battery An1p i OLII-S: AC power on AC power om Inspected for physical damage'? r� T Terminal cleaned and lubricated'? Terminals clamped lightly'? ,, Correct Electrolyte level'? r Specific gravity within mfg Specifications'? �Jr Electrolyte leaks'? Adequately ventilated'? Wlthlll Illallllfacturer's rated life dale code'! Disconnection causes trouble signal" All All Generator Power Supply r Provides power to AC circuit SCi wing the I ire alarm'? Trouble condition at till: elll gcn Shall result in an audible common trouble signal and a visual indication at the required annunciator'? 2 of -4 inspection, Testing an(i maintenance of Fire Aharm Systems Date z- Bijikling Name k '• Y" 1'es - I'estecl Correctly "\" No -Did not test correctly (Explain NO answers in comments) "NA" Not applicable Sequential Display Inspection and 'Testing Individual alarm, supervisory and trouble inputs are clearly indicated and separately designated? Individual alarm and Supervisory input designation labels are properly identified? Alarm input overrides Supervisory and trouble input'? Supervisory input overrides trouble input'? [display can be manuUrlly advanced? First alarm is clearly identified each time it is displayed Alarin al-ld supervisory input call be rc:tr•ieved Ulltil SVstCII1 is reset'? Printer• Testing Operat loll its II11CIldCd'I Zone of•cac:h alarm initiating device is correctly printed" Rated voltage is present'? Printers located in Vrolwietary Control Centers 1_:\'tlll� and ackilo%vledgcnlcntS are a111011la1icillly pI'llltCd'? Time and date is recorded by the printer'? Each event is recorded as they occur'? System records Status changes With loss ofdata'? Paper advances automatically such that print record is visible'? Printer operates under loss of main power supply'? Printer is monitored for "low paper" and "paper out"'? Voice Com Inuniea(ion Inspection/Tests Power on indicator'? Common visual trouble signal'? Common audible trouble signal'? Trouble signal silence switch'? All call voice paging Including VISuaI indicator? Output circuits for selective voice paging and Visual. Output circuits fur selective voice paging trouble/visual Microphone including press to talk switch? Operation of• VC systems does interfere with initial inhibit time ole alert and alarm signal. All call Voice paging operates on emergency power'? Upon failure ol'onC arlll lifie'r•, system automatically transfers to backup anlplilier. Circuits for emergency telephone call in operation including audible and visual indication Circuits fur emergency telephone fur operation, including two way Voice communication? Circuits for emergency telephones trouble and visual ops. Enlergency telephone verbal Corn III Lill ication? Emergency telephone operable or in -use tone at handset. Emergency telephone call-in lamp'? Emergency telephone call-in audible signal? All telephone zone; select switches individually tested'? Individual telephone: zone select indicators'? Operating instruction clearly visible'? Lockable release mechanism is intact'? Ancillary Device Testing Circuit --- Ci I -C LI I t ircuitCII'CLIIt oC4 Field DC%,iCCS Yield Devices contintled f I.ac.h dCVle'C IS iree of dalllagC, 101-elgll Substimcc �' �Vall'I' Flow Detection devices MCc11a111calIV Sllpp0l'1Cd Independent of Wll'lllg? a) tested by appropriate Water How Illeails Each device tested while connected to control unit'? / b) tittle delay recorded p�l! Manual Pull stations tested? Supervisory Devices / TWO Stage pullStatIOnS tested aild functions coil flrmcd'? Sh111-OfTValVes tested and result in trouble signal'? l I teat detectors tested j Low pressure supervisory device inspected and tested'? Smoke detectors Low water supervisor test'? Inspected for cleanliness'? Low temperature supervisor device tested Sensitivity tested'? k-, Each power loss (cg fire pump aild air compressor) tested'? Tested for Operation? Other Fixed 'Type Extinguishing, Systems Relllotc Indicator units Inspected and tested'? �� %��. _ Verily operation 01'01C Output contactS initiates tile n f� Status change coilfIrination Inspection and tested'? Speclflcd function at the 17A control unit. Air Duct smoke detectors tested'? Supervisory Devices Other Types Beam type smoke detectors fur actuation LIC, sensitivity'? t,,1 1A Inspected and tested as per manufacturer requirements'' Flame detectors inspected and tested? ? Signal Appliances tj - Combination detectors inspected and tested'? Shall be inspected and tested 16r operability 7 AutUm -1110 detCC101'S — other typCS Inspected & tested "" Proper Installation and tightness, tampering & obstrl101011? 11) alarm initiation 014 Intelligibility ol• voice messages'? b) detector is oriented so as to detect hazard'? ;k) A Audibility of•alert, alarm and voice messages/ c) sensivity tested'? Visual Signal appliance inspected and tested'? V Combination devices tested'? Sequential Display Inspection and 'Testing Individual alarm, supervisory and trouble inputs are clearly indicated and separately designated? Individual alarm and Supervisory input designation labels are properly identified? Alarm input overrides Supervisory and trouble input'? Supervisory input overrides trouble input'? [display can be manuUrlly advanced? First alarm is clearly identified each time it is displayed Alarin al-ld supervisory input call be rc:tr•ieved Ulltil SVstCII1 is reset'? Printer• Testing Operat loll its II11CIldCd'I Zone of•cac:h alarm initiating device is correctly printed" Rated voltage is present'? Printers located in Vrolwietary Control Centers 1_:\'tlll� and ackilo%vledgcnlcntS are a111011la1icillly pI'llltCd'? Time and date is recorded by the printer'? Each event is recorded as they occur'? System records Status changes With loss ofdata'? Paper advances automatically such that print record is visible'? Printer operates under loss of main power supply'? Printer is monitored for "low paper" and "paper out"'? Voice Com Inuniea(ion Inspection/Tests Power on indicator'? Common visual trouble signal'? Common audible trouble signal'? Trouble signal silence switch'? All call voice paging Including VISuaI indicator? Output circuits for selective voice paging and Visual. Output circuits fur selective voice paging trouble/visual Microphone including press to talk switch? Operation of• VC systems does interfere with initial inhibit time ole alert and alarm signal. All call Voice paging operates on emergency power'? Upon failure ol'onC arlll lifie'r•, system automatically transfers to backup anlplilier. Circuits for emergency telephone call in operation including audible and visual indication Circuits fur emergency telephone fur operation, including two way Voice communication? Circuits for emergency telephones trouble and visual ops. Enlergency telephone verbal Corn III Lill ication? Emergency telephone operable or in -use tone at handset. Emergency telephone call-in lamp'? Emergency telephone call-in audible signal? All telephone zone; select switches individually tested'? Individual telephone: zone select indicators'? Operating instruction clearly visible'? Lockable release mechanism is intact'? Ancillary Device Testing Circuit --- Ci I -C LI I t ircuitCII'CLIIt oC4 Inspection, 'Festhig and Mahitenance of Fire Alarm Systems Date 5 ! ? �{ ,s BuildingName Device Testing — Legend and Notes Device Description Tye Model No. M Manual Pull station ITF Fleat detector, iron restorable Note 9 RITZ, Heat detector, Restorable Note S Smoke detector Note 1, 2 9 RI Remote indicator unit DS Duct smoke detector Note I, 3 & 9 PS Photo electric smoke detector SFD Supporting field device monitor I4S Sprinkler flow switch Note 4 SS Sprinkler supervisory device Note 5 LA -- Low air PS — Pressure switch ENVI Fault isolation nodule B Bell H Horn V Visual signal appliance HS .Horn/Strobe SP Cone type speaker HSP Horn type speaker AD Ancillary device Note 8 ET Emergency Telephone --- Other supervisory devices Notes 6 & 7 --- Other type of detector Note I. Smoke detector sensitivity measurement and cleaning (late should be recorded in the remarks column. Note 2. Status change, including time delay, should be recorded ill the r•enmarks colul»n. Note 3. Duct smoke detector pressure differential should be confirmed and recorded in the remarks column. Note 4. Time delay setting of water flow switch should be recorded in the remarks column. Note 5. Sprinkler supervisory switches cause trouble condition to be annunciated but not an alarm condition. Note 6. Upper and lower pressure setting of supervisory devices should be recorded in the remarks column. Note 7. Low temperature setting should be recorded in the remarks column. Note 8. Identify the specific ancillary devices in the reinarks column. Note 9. Identify date fire detector was changed. Catrtiow The tests reported on this form do riot include the actual operational test of ancillary devices. 4 oC4 Fire Panel Upload Wamest Report For 636 Pt :ustomer Name: Butte County Jail West Facility Addr. Contact Number: 1 ALARM: SMOKE(PHOTO) Charlie Ext Elect Rm Z001 08:12A 032411 1DO01 2 ALARM: SMOKE(PHOTO) BC Pod Emer Exit Z001 08:14A 032411 1D002 3 ALARM: SMOKE(PHOTO) C Sprinkler Cntrl RM Z001 08:16A 032411 1D003 4 ACTIVE TAMPER Charlie Sprinkler Z099 08:16A 032411 1M003 5 ° ACTIVE TAMPER Charlie Sprinkler Z099 08:17A 032411 1M003 6 ` ACTIVE TAMPER Fire Hose Z099 08:18A 032411 1M005 7 ACTIVE TAMPER Fire Hose Z099 08:19A 032411 1M005 8 ALARM: SMOKE(PHOTO) C Sprinkler Cntrl RM Z001 08:19A 032411 1D003 9 ° ACTIVE TAMPER Fire Hose Z099 08:20A 032411 1M005 10 ACTIVE SUPERVSRY AR Charlie Water Gong Z099 08:21A 032411 1M001 11 ACTIVE SUPERVSRY AR Charlie Water Gong Z099 08:22A 032411 1M001 12 . ACTIVE SUPERVSRY AR Charlie Water Gong Z099 08:25A 032411 1M001 13 ALARM: SMOKE(PHOTO) D Sprinkler Cntrl RM Z001 08:32A 032411 2DO04 14 ° ACTIVE TAMPER Delta Sprinkler Z099 08:33A 032411 2M003 15 ACTIVE TAMPER Delta Sprinkler Z099 08:33A 032411 2M003 16 ACTIVE SUPERVSRY AR Delta Water Gong Z099 08:34A 032411 2M001 17 . ACTIVE SUPERVSRY AR Delta Water Gong Z099 08:35A 032411 2M001 18 ALARM: SMOKE(PHOTO) HI Emerg Exit Hallwy 2001 08:38A 032411 2DO03 19 ALARM: SMOKE(PHOTO) H) Emerg Exit Hallwy 2001 08:39A 032411 2D003 20 ALARM: SMOKE(PHOTO) D Ext Elect RM Z001 08:40A 032411 2DO05 21 ALARM: SMOKE(PHOTO) D Ext Elect RM Z001 08:42A 032411 2DO05 22 ALARM: SMOKE(PHOTO) 500 Corridor Z001 08:43A 032411 2DO29 23 ALARM: SMOKE(PHOTO) Visit Elev Mech Rm Z001 08:43A 032411 2DO30 24 ALARM: SMOKE(PHOTO) CLIC Office Z001 08:43A 032411 2D007 25 - ALARM: SMOKE(PHOTO) 500 Corridor Z001 08:44A 032411 20028 26 ALARM: SMOKE(PHOTO) D Sally Port Z001 08:44A 032411 2D008 27 ALARM: SMOKE(PHOTO) Visit Elev Mech Rm Z001 08:44A 032411 2DO30 28 ALARM: SMOKE(PHOTO) D Multipurpose RM Z001 08:45A 032411 2DO09 29 ALARM: SMOKE(PHOTO) D Sally Port Z001 08:45A 032411 2D008 30 ALARM: SMOKE(PHOTO) D Staff RR Z001 08:45A 032411 2D010 31 ALARM: SMOKE(PHOTO) Visit Elev Mech Rm Z001 08:45A 032411 2D030 32 ALARM: SMOKE(PHOTO) D Interview Rm 1 Z001 08:46A 032411 2D011 33 ALARM: SMOKE(PHOTO) 500 Corridor Z001 08:46A 032411 2DO28 34 ALARM: SMOKE(PHOTO) D Interview Rm 2 Z001 08:47A 032411 2D012 35 ALARM: SMOKE(PHOTO) D Interview Rm 3 Z001 08:48A 032411 2DO13 36 ALARM: SMOKE(PHOTO) D Tower RR Z001 08:48A 032411 2DO24 37 ALARM: SMOKE(PHOTO) D Interview Rn) 1 Z001 08:48A 032411 2D011 38 ALARM: SMOKE(PHOTO) D Tower Stairwell Z001 08:49A 032411 2D025 39 ALARM: SMOKE(PHOTO) D Tower Z001 08:49A 032411 2DO26 40 ALARM: PULL STATION Delta Tower- Z001 08:53A 032411 2M004 41 ALARM: SMOKE(PHOTO) D Supply Rm Z001 08:56A 032411 2D022 42 ALARM: SMOKE(PHOTO) D Corridor 3 2001 08:56A 032411 2D016 43 ALARM: SMOKE(PHOTO) D Med Unit Z001 08:57A 032411 2D014 44 ALARM: SMOKE(PHOTO) D Med RR Z001 08:57A 032411 2D015 45 ALARM: SMOKE(PHOTO) D Med Unit Z001 08:57A 032411 2DO14 46 ALARM: SMOKE(PHOTO) D Inmate Visiting Z001 08:58A 032411 2D018 3/24/2011 Page 1 of 8 /'14� Customer Name: Butte County Jail West racility G_ ,act Number: 3/24/2011 Page 2 of 8 47 ALARM: SMOKE(PHOTO) D Inmate Atty 2 Z001 08:58A 032411 2DO20 48 ALARM: SMOKE(PHOTO) D Inmate Atty 1 Z001 08:59A 032411 2D019 49 ALARM: SMOKE(PHOTO) D Int Elect Rm Z001 09:OOA 032411 2D017 50 ACTIVE PHOTO SUP AR M Pod Bay 1 Z099 09:02A 032411 2D115 51 ACTIVE PHOTO SUP AR M Uppr Tier 1 Z099 09:02A 032411 2D053 52 ACTIVE PHOTO SUP AR M Uppr Tier 2 Z099 09:02A 032411 2D054 53 ACTIVE PHOTO SUP AR M Pod Bay 2 Z099 09:02A 032411 2D116 54 + ACTIVE PHOTO SUP AR M Lwr Tier 1 Z099 09:03A 032411 2D051 55 ACTIVE PHOTO SUP AR M Pod Bay 3 Z099 09:03A 032411 2D117 56 ACTIVE PHOTO SUP AR M Lwr Tier 2 Z099 09:03A 032411 2D052 57 ACTIVE PHOTO SUP AR M Pod Bay 1 Z099 09:03A 032411 2D115 58 ACTIVE PHOTO SUP AR M Pod Bay 2 Z099 09:04A 032411 2D116 59 ACTIVE PHOTO SUP AR L Pod Bay 1 Z099 09:04A 032411 2D112 60 ACTIVE PHOTO SUP AR L Uppr Tier 1 Z099 09:04A 032411 2D059 61 ACTIVE PHOTO SUP AR L Uppr Tier 2 Z099 09:04A 032411 2D060 62 ACTIVE PHOTO SUP AR L Pod Bay 2 Z099 09:04A 032411 2D113 63 I ALARM: SMOKE(PHOTO) L Uppr Util Chase Z001 09:05A 032411 2D058 64 ACTIVE PHOTO SUP AR L Pod Bay 3 Z099 09:05A 032411 2D114 65 - ACTIVE PHOTO SUP AR L Lwr Tier 1 Z099 09:05A 032411 2D055 66 ) ALARM: SMOKE(PHOTO) L Lwr Util Chase Z001 09:06A 032411 2D057 67 ACTIVE PHOTO SUP AR L Lwr Tier 2 Z099 09:06A 032411 2D056 68 ACTIVE PHOTO SUP AR L Pod Bay 1 Z099 09:06A 032411 2D112 69 ACTIVE PHOTO SUP AR J Uppr Tier 1 Z099 09:07A 032411 2D069 70 ACTIVE PHOTO SUP AR IPod Bay 1 Z099 09:07A 032411 2D106 71 ACTIVE PHOTO SUP AR L Pod Bay 1 Z099 09:07A 032411 2D112 72 ACTIVE PHOTO SUP AR J Uppr Tier 2 Z099 09:07A 032411 2D070 73 ACTIVE PHOTO SUP AR J Pod Bay 2 2099 09:07A 032411 2D107 74 ACTIVE PHOTO SUP AR J Pod Bay 3 Z099 09:08A 032411 2D108 75 ACTIVE PHOTO SUP AR J 1_wr Tier 1 Z099 09:08A 032411 2D067 76 ACTIVE PHOTO SUP AR J Lwr Tier 2 Z099 09:08A 032411 2D068 77 ACTIVE PHOTO SUP AR J Pod Bay 1 Z099 09:09A 032411 2D106 78 ACTIVE PHOTO SUP AR K Uppr Tier 1 Z099 09:09A 032411 2D065 79 ACTIVE PHOTO SUP AR K Pod Bay 1 Z099 09:09A 032411 2D109 80 ACTIVE PHOTO SUP AR J Pad Bay 1 Z099 09:09A 032411 2D106 81 ACTIVE PHOTO SUP AR K Uppr Tier 2 Z099 09:09A 032411 2D066 82 ACTIVE PHOTO SUP AR K Pod Bay 2 Z099 09:09A 032411 2D110 83 ACTIVE PHOTO SUP AR M Uppr Tier 2 Z099 09:10A 032411 2D054 84 ALARM: SMOKE(PHOTO) K Uppr Util Chase Z001 09:10A 032411 2D064 85 ACTIVE PHOTO SUP AR K Pod Bay 3 Z099 09:10A 032411 2D111 86 ACTIVE PHOTO SUP AR K Lwr Tier 1 Z099 09:10A 032411 2D061 87 ALARM: SMOKE(PHOTO) K Lwr Util Chase Z001 09:10A 032411 2D063 88 ACTIVE PHOTO SUP AR K Lwr Tier 2 Z099 09:11A 032411 2D062 89 ACTIVE PHOTO SUP AR L Uppr Tier 1 Z099 09:12A 032411 2D059 90 ACTIVE PHOTO SUP AR H Uppr Tier 1 Z099 09:12A 032411 2D075 91 ACTIVE PHOTO SUP AR H Pod Bay 1 Z099 09:12A 032411 2D103 92 ALARM: SMOKE(PHOTO) H Uppr Util Chase Z001 09:12A 032411 2D074 93 ACTIVE PHOTO SUP AR H Pod Bay 2 Z099 09:12A 032411 2D104 94 ACTIVE PHOTO SUP AR H Uppr Tier 2 Z099 09:12A 032411 2D076 9S ACTIVE PHOTO SUP AR L Uppr Tier 2 Z099 09:13A 032411 2D060 96 ALARM: SMOKE(PHOTO) K Uppr LIN Chase Z001 09:13A 032411 2D064 97 ACTIVE PHOTO SUP AR H Pod Bay 3 Z099 09:13A 032411 2D105 3/24/2011 Page 2 of 8 ustomer Name: Butte County Jail West Facility Contact Number: 98 ACTIVE PHOTO SUP AR H Lwr Tier 1 Z099 09:13A 032411 20071 99 ACTIVE PHOTO SUP AR H Lwr Tier 2 Z099 09:13A 032411 2DO72 100 ACTIVE PHOTO SUP AR H Pod Bay 1 Z099 09:14A 032411 20103 101 ACTIVE PHOTO SUP AR G Uppr Tier 1 Z099 09:14A 032411 2DO79 102 ACTIVE PHOTO SUP AR G Pod Bay 1 Z099 09:14A 032411 2D100 103 ACTIVE PHOTO SUP AR J Lwr Tier 2 Z099 09:15A 032411 2DO68 104 ACTIVE PHOTO SUP AR J Lwr Tier 1 Z099 09:15A 032411 2DO67 105 ACTIVE PHOTO SUP AR G Uppr Tier 2 Z099 09:15A 032411 2DO80 1106 ACTIVE PHOTO SUP AR H Uppr Tier 2 Z099 09:15A 032411 2DO76 107 ACTIVE PHOTO SUP AR G Pod Bay 2 Z099 09:15A 032411 2D101 1108 ACTIVE PHOTO SUP AR L Uppr Tier 2 Z099 09:15A 032411 2DO60 1109 ALARM: SMOK�(PHOTO) G Lwr Util Chase Z001 09:15A 032411 2DO73 1110 ACTIVE PHOTO SUP AR G Pod Bay 3 Z099 09:15A 032411 2D102 1111 ACTIVE PHOTO SUP AR G Lwr Tier 1 Z099 09:16A 032411 2DO77 1112 ACTIVE PHOTO SUP AR L Uppr Tier 1 Z099 09:16A 032411 2DO59 1113 ACTIVE PHOTO SUP AR G Lwr Tier 2 Z099 09:16A 032411 2DO78 114 ACTIVE PHOTO SUP AR G Pod Bay 1 Z099 09:16A 032411 2D100 115 ACTIVE PHOTO SUP AR M Lwr Tier 1 Z099 09:16A 032411 2DO51 116 ACTIVE PHOTO SUP AR G Pod Bay 1 Z099 09:17A 032411 2D100 117 ACTIVE PHOTO SUP AR G Pod Bay 1 Z099 09:17A 032411 2D100 118 ACTIVE PHOTO SUP AR L Lwr Tier 2 Z099 09:17A 032411 2DO56 119 ALARM: SMOKE(PHOTO) C Sally Z001 09:18A 032411 2DO31 120 ALARM: SMOKE(PHOTO) C Multipurpose Rm Z001 09:18A 032411 2DO32 121 ALARM: SMOKE(PHOTO) C Sally Z001 09:18A 032411 2DO31 122 ALARM: SMOKE(PHOTO) C Staff RR Z001 09:18A 032411 2DO33 123 ALARM: SMOKE(PHOTO) C Interview Rm 1 Z001 09:18A 032411 2DO50 124 ALARM: SMOKE(PHOTO) C Interview Rm 2 Z001 09:19A 032411 2DO49 125 ALARM: SMOKE(PHOTO) C Interview Rm 3 Z001 09:19A 032411 2DO48 126 ACTIVE PHOTO SUP AR L Uppr Tier 1 Z099 09:19A 032411 2DO59 127 ALARM: SMOKE(PHOTO) C Supply Rm Z001 09:20A 032411 20038 128 ALARM: SMOKE(PHOTO) C Med Unit Z001 09:20A 032411 2DO43 129 ALARM: SMOKE(PHOTO) C Med RR Z001 09:20A 032411 2DO44 130 ACTIVE PHOTO SUP AR L Uppr Tier 2 Z099 09:20A 032411 2DO60 131 ALARM: SMOKE(PHOTO) Inmate Visiting Z001 09:21A 032411 2DO40 132 ALARM: SMOKE(PHOTO) C Int Elect Rm Z001 09:21A 032411 2DO39 133 ALARM: SMOKE(PHOTO) C Inmate Atty 2 Z001 09:21A 032411 2DO42 134 ACTIVE PHOTO SUP AR 3 Uppr Tier 2 Z099 09:21A 032411 2DO70 135 ACTIVE PHOTO SUP AR L Uppr Tier 2 Z099 09:21A 032411 2DO60 136 ° ALARM: WATERFLOW Delta Sprinkler Z001 09:22A 032411 2M002 37 ® ACTIVE SUPERVSRY AR Delta Water Gong Z099 09:22A 032411 2M001 38 ALARM: SMOKE(PHOTO) C Inmate Atty 1 Z001 09:22A 032411 2DO41 39 ACTIVE PHOTO SUP AR L Lwr Tier 1 Z099 09:22A 032411 2DO55 40 ACTIVE PHOTO SUP AR L Lwr Tier 2 Z099 09:22A 032411 2DO56 41 ACTIVE PHOTO SUP AR L Lwr Tier 2 Z099 09:23A 032411 2DO56 42 ACTIVE PHOTO SUP AR 3 Lwr Tier 1 Z099 09:23A 032411 2DO67 43 ALARM: SMOKE(PHOTO) Inmate Visiting Z001 09:24A 032411 2DO40 44 ACTIVE PHOTO SUP AR A Pod 82 Z099 09:24A 032411 1D050 45 ACTIVE PHOTO SUP AR A Pod Bay 1 Z099 09:24A 032411 ID125 46 ACTIVE PHOTO SUP AR A Pod 88 Z099 09:25A 032411 1D056 47 ACTIVE PHOTO SUP AR A Pod Bay 2 Z099 09:25A 032411 1D126 48 ACTIVE PHOTO SUP AR A Pod Bay 3 Z099 09:25A 032411 1D127 3/24/2011 Page 3 of 8 Customer Name: Butte County Jail West acility G .act Number: 3/24/2011 Page 4 of 8 149 ALARM: SMOKE(PHOTO) Inmate Visiting 2001 09:25A 032411 2DO40 150 ACTIVE PHOTO SUP AR L Lwr Tier 1 Z099 09:25A 032411 2DO55 151 ACTIVE PHOTO SUP AR A Pod 84 Z099 09:26A 032411 1D052 152 ACTIVE PHOTO SUP AR A Pod Bay 1 Z099 09:26A 032411 1 D 125 153 ACTIVE PHOTO SUP AR L Uppr Tier 2 Z099 09:26A 032411 2DO60 154 ACTIVE PHOTO SUP AR A Lwr Tier 1 Z099 09:26A 032411 1D045 155 ACTIVE PHOTO SUP AR A Lwr Tier 2 Z099 09:27A 032411 1D046 156 ACTIVE PHOTO SUP AR A Pod Bay 2 Z099 09:27A 032411 1D126 157 ACTIVE PHOTO SUP AR A Pod Bay 3 Z099 09:27A 032411 1D127 158 ACTIVE PHOTO SUP AR J Lwr Tier 1 Z099 09:27A 032411 2DO67 159 ACTIVE PHOTO SUP AR L Uppr Tier 2 2099 09:27A 032411 2D060 160 ACTIVE SUPERVSRY AR Charlie Water Gong Z099 09:27A 032411 1M001 161 ACTIVE PHOTO SUP AR M Uppr Tier 2 Z099 09:28A 032411 2DO54 162 ACTIVE PHOTO SUP AR A Pod 90 Z099 09:28A 032411 1D058 163 ACTIVE PHOTO SUP AR A Pod 88 Z099 09:28A 032411 1D056 164 ALARM: WATERFLOW Charlie Sprinkler Z001 09:28A 032411 1M002 165 ACTIVE PHOTO SUP AR A Uppr Tier 1 Z099 09:28A 032411 1D047 166 ACTIVE PHOTO SUP AR A Pod 92 Z099 09:28A 032411 1 D060 167 ACTIVE PHOTO SUP AR A Pod 94 Z099 09:28A 032411 1 D062 168 ACTIVE PHOTO SUP AR A Pod 86 Z099 09:29A 032411 1D054 169 ACTIVE PHOTO SUP AR L Lwr Tier 1 Z099 09:29A 032411 2DO55 170 ACTIVE PHOTO SUP AR A Pod 96 Z099 09:29A 032411 1D064 171 ACTIVE PHOTO SUP AR A Pod 87 Z099 09:29A 032411 1 D055 172 ACTIVE PHOTO SUP AR L Uppr Tier 2 Z099 09:30A 032411 2DO60 173 ACTIVE PHOTO SUP AR A Pod 83 Z099 09:30A 032411 1 D051 174 ALARM: SMOKE(PHOTO) C Inmate Atty 2 Z001 09:30A 032411 2DO42 175 ALARM: SMOKE(PHOTO) Inmate Visiting Z001 09:30A 032411 2DO40 176 ACTIVE PHOTO SUP AR L Uppr Tier 2 Z099 09:31A 032411 2DO60 177 ACTIVE PHOTO SUP AR B Lwr Tier 1 Z099 09:36A 032411 1D025 178 ACTIVE PHOTO SUP AR B pod 72 Z099 09:36A 032411 1D036 179 ACTIVE PHOTO SUP AR A Uppr Tier 1 Z099 09:36A 032411 1D047 180 ACTIVE PHOTO SUP AR B Pod Bay 1 Z099 09:36A 032411 1D128 181 ACTIVE PHOTO SUP AR B Pod 70 Z099 09:37A 032411 1D034 182 ACTIVE PHOTO SUP AR B Pod 68 Z099 09:37A 032411 1 D032 183 ACTIVE PHOTO SUP AR B Lwr Tier 2 Z099 09:37A 032411 1D026 184 ACTIVE PHOTO SUP AR B pod 66 Z099 09:37A 032411 1D030 185 ACTIVE PHOTO SUP AR B Pod Bay 2 Z099 09:37A 032411 1D129 186 ACTIVE PHOTO SUP AR B Pod Bay 3 Z099 09:38A 032411 1D130 187 ACTIVE PHOTO SUP AR B Pod 80 Z099 09:38A 032411 1D044 188 ACTIVE PHOTO SUP AR B Pod 71 Z099 09:38A 032411 1D035 189 ACTIVE PHOTO SUP AR B Pod 70 Z099 09:38A 032411 1D034 190 ACTIVE PHOTO SUP AR B Uppr Tier 1 Z099 09:39A 032411 1D027 191 ACTIVE PHOTO SUP AR B Pod 78 Z099 09:39A 032411 1D042 192 ACTIVE PHOTO SUP AR B Pod 69 Z099 09:39A 032411 1D033 193 ACTIVE PHOTO SUP AR A Uppr Tier 1 Z099 09:39A 032411 1D047 194 ACTIVE PHOTO SUP AR L Uppr Tier 2 Z099 09:39A 032411 2DO60 195 ACTIVE PHOTO SUP AR B Pod 76 Z099 09:40A 032411 1D040 196 ACTIVE PHOTO SUP AR B Pod 67 Z099 09:40A 032411 1D031 197 ACTIVE PHOTO SUP AR B Uppr Tier 2 Z099 09:40A 032411 1D028 198 ACTIVE PHOTO SUP AR B Pod 74 Z099 09:40A 032411 1D038 199 ACTIVE PHOTO SUP AR M Lwr Tier 1 Z099 09:40A 032411 2D051 3/24/2011 Page 4 of 8 ustomer Name Ea Butte County Jail West Facility Contact Number: 3/24/2011 Page 5 of 8 200 ACTIVE PHOTO SUP AR B Pod 65 Z099 09:40A 032411 1 D029 1201 ACTIVE PHOTO SUP AR C Pod Bay 1 Z099 09:43A 032411 1D131 1202 ACTIVE PHOTO SUP AR C Uppr Tier 1 Z099 09:43A 032411 1D023 203 ACTIVE PHOTO SUP AR C Pod 58 Z099 09:43A 032411 1 DO14 204 ACTIVE PHOTO SUP AR C Pod Bay 2 Z099 09:44A 032411 1D132 205 ACTIVE PHOTO SUP AR C Pod 49 Z099 09:44A 032411 1 DO05 206 ACTIVE PHOTO SUP AR C Pod 60 Z099 09:44A 032411 1 DO16 207 ACTIVE PHOTO SUP AR C Pod Bay 3 Z099 09:44A 032411 1 D 133 208 ACTIVE PHOTO SUP AR C Pod 51 Z099 09:44A 032411 1 D007 209 ACTIVE PHOTO SUP AR K t_wr Tier 1 Z099 09:44A 032411 2DO61 210 ACTIVE PHOTO SUP AR C Uppr Tier 2 Z099 09:44A 032411 1 D024 211 ACTIVE PHOTO SUP AR C Pod 62 Z099 09:44A 032411 1DO18 212 ACTIVE PHOTO SUP AR C Pod 53 Z099 09:45A 032411 1D009 213 ACTIVE PHOTO SUP AR C Pod 64 Z099 09:45A 032411 1D020 214 ACTIVE PHOTO SUP AR C Pod 55 Z099 09:45A 032411 1D011 215 ACTIVE PHOTO SUP AR J Uppr Tier 1 Z099 09:45A 032411 2DO69 216 ACTIVE PHOTO SUP AR C Lwr Tier 1 Z099 09:45A 032411 1 D021 217 ACTIVE PHOTO SUP AR C Pod 50 Z099 09:46A 032411 1 D006 218 ACTIVE PHOTO SUP AR C Pod 56 Z099 09:46A 032411 1 DO12 219 ACTIVE PHOTO SUP AR C Pod 52 Z099 09:46A 032411 1 D008 220 ACTIVE PHOTO SUP AR C Pod Bay 3 Z099 09:46A 032411 1D133 221 ACTIVE PHOTO SUP AR C Lwr Tier 2 Z099 09:46A 032411 1D022 222 ACTIVE PHOTO SUP AR C Pod Bay 3 Z099 09:47A 032411 1D133 223 ACTIVE PHOTO SUP AR C Pod 54 Z099 09:47A 032411 1 DO10 224 ALARM: SMOKE(PHOTO) G Lwr Util Chase Z001 09:50A 032411 2DO73 225 ACTIVE PHOTO SUP AR D Pod 48 Z099 09:50A 032411 1D120 226 ACTIVE PHOTO SUP AR D Pod Bay 1 Z099 09:50A 032411 1D134 227 ACTIVE PHOTO SUP AR D Pod 47 Z099 09:50A 032411 1D119 228 ACTIVE PHOTO SUP AR D Pod 39 Z099 09:50A 032411 1D111 29 ACTIVE PHOTO SUP AR D Pod Bay 2 Z099 09:51A 032411 1D135 230 ACTIVE PHOTO SUP AR D Pod 46 Z099 09:S1A 032411 1D118 31 ACTIVE PHOTO SUP AR D Uppr Tier 1 Z099 09:51A 032411 1D123 32 ACTIVE PHOTO SUP AR D Pod Bay 1 Z099 09:51A 032411 1D134 33 ACTIVE PHOTO SUP AR D Pod 45 Z099 09:51A 032411 1D117 34 ACTIVE PHOTO SUP AR D Pod Bay 3 Z099 09:51A 032411 1D136 35 ACTIVE PHOTO SUP AR D Pod 37 Z099 09:51A 032411 1D109 36 ACTIVE PHOTO SUP AR D Pod 44 Z099 09:51A 032411 1D116 37 ACTIVE PHOTO SUP AR D Pod 43 Z099 09:52A 032411 ID115 38 ACTIVE PHOTO SUP AR D Pod 35 Z099 09:52A 032411 1D107 39 ACTIVE PHOTO SUP AR D Uppr Tier 2 Z099 09:52A 032411 1D124 40 ACTIVE PHOTO SUP AR D Pod 42 Z099 09:52A 032411 1D114 41 ACTIVE PHOTO SUP AR D Pod 41 Z099 09:52A 032411 1D113 42 ACTIVE PHOTO SUP AR D Pod 34 Z099 09:52A 032411 1D106 43 ACTIVE PHOTO SUP AR D Pod 33 Z099 09:52A 032411 1D105 44 ACTIVE PHOTO SUP AR D Lwr Tier 2 Z099 09:53A 032411 1D122 45 ACTIVE PHOTO SUP AR D Pod 36 Z099 09:53A 032411 1D108 46 ACTIVE PHOTO SUP AR D Pod 44 Z099 09:53A 032411 1D116 47 ACTIVE PHOTO SUP AR D Pod 38 Z099 09:54A 032411 1D110 48 ACTIVE PHOTO SUP AR D Lwr Tier 1 Z099 09:54A 032411 1 D 121 49 ACTIVE PHOTO SUP AR M Lwr Tier 1 Z099 09:54A 032411 2DO51 50 ACTIVE PHOTO SUP AR K Uppr Tier 1 Z099 09:54A 032411 2DO65 3/24/2011 Page 5 of 8 Customer Name: Butte County Jail West acility L .,act Number: 3/24/2011 Page 6 of 8 251 ACTIVE PHOTO SUP AR C Lwr Tier 1 Z099 09:54A 032411 1D021 252 ACTIVE PHOTO SUP AR D Pod 40 Z099 09:54A 032411 1D112 253 ACTIVE PHOTO SUP AR C Uppr Tier 1 Z099 09:54A 032411 1D023 254 ACTIVE PHOTO SUP AR K Uppr Tier 1 Z099 09:56A 032411 2D065 255 ACTIVE PHOTO SUP AR C Uppr Tier 2 Z099 09:57A 032411 1D024 256 ACTIVE PHOTO SUP AR C Uppr Tier 1 Z099 09:57A 032411 1D023 257 ACTIVE PHOTO SUP AR K Uppr Tier 1 Z099 09:58A 032411 2D065 258 ACTIVE PHOTO SUP AR D Uppr Tier 1 Z099 09:59A 032411 1D123 259 ACTIVE PHOTO SUP AR C Lwr Tier 1 Z099 09:59A 032411 1D021 260 ACTIVE PHOTO SUP AR C Uppr Tier 1 Z099 09:59A 032411 1 D023 261 ACTIVE PHOTO SUP AR C Uppr Tier 2 Z099 09:59A 032411 1D024 262 ACTIVE PHOTO SUP AR E Uppr Tier 1 Z099 10:00A 032411 1D103 263 ACTIVE PHOTO SUP AR E Pod Bay 1 Z099 10:00A 032411 1D137 264 ACTIVE PHOTO SUP AR E Pod 25 Z099 10:00A 032411 1D093 265 ACTIVE PHOTO SUP AR E Pod 26 Z099 10:OOA 032411 1D094 266 ACTIVE PHOTO SUP AR E Pod Bay 2 Z099 10:00A 032411 ID138 267 ACTIVE PHOTO SUP AR C Uppr Tier 2 Z099 10:OOA 032411 1D024 268 ACTIVE PHOTO SUP AR E Pod 17 Z099 10:00A 032411 1D085 269 ACTIVE PHOTO SUP AR E Pod 27 Z099 10:01A 032411 1D095 270 ACTIVE PHOTO SUP AR EPod 28 Z099 10:01A 032411 1D096 271 ACTIVE PHOTO SUP AR E Pod Bay 3 2099 10:O1A 032411 1D139 272 ACTIVE PHOTO SUP AR E Pod 19 Z099 10:O1A 032411 1D087 273 ACTIVE PHOTO SUP AR E Uppr Tier 2 Z099 10:O1A 032411 1D104 274 ACTIVE PHOTO SUP AR E Pod 30 Z099 10:O1A 032411 1D098 275 ACTIVE PHOTO SUP AR E Pod Bay 1 Z099 10:01A 032411 1D137 276 ACTIVE PHOTO SUP AR C Lwr Tier 1 Z099 10:02A 032411 1D021 277 ACTIVE PHOTO SUP AR E Pod 21 Z099 10:02A 032411 1D089 278 ACTIVE PHOTO SUP AR E Pod 29 Z099 10:02A 032411 1D097 279 ACTIVE PHOTO SUP AR E Pod 24 Z099 10:02A 032411 1D092 280 ACTIVE PHOTO SUP AR E Pod 31 Z099 10:02A 032411 1D099 281 ACTIVE PHOTO SUP AR E Pod 32 Z099 10:02A 032411 1D100 282 ACTIVE PHOTO SUP AR E Lwr Tier 2 Z099 10:02A 032411 1D102 283 ACTIVE PHOTO SUP AR C Uppr Tier 2 Z099 10:02A 032411 1D024 284 ACTIVE PHOTO SUP AR E Pod 23 Z099 10:02A 032411 1D091 285 ACTIVE PHOTO SUP AR E Pod Bay 3 Z099 10:02A 032411 1D139 286 ACTIVE PHOTO SUP AR E Pod Bay 3 Z099 10:03A 032411 1D139 287 ACTIVE PHOTO SUP AR E Pod 20 Z099 10:03A 032411 1D088 288 ACTIVE PHOTO SUP AR E Pod 30 Z099 10:03A 032411 1 D098 289 ACTIVE PHOTO SUP AR E Lwr Tier 1 Z099 10:03A 032411 1D101 290 ACTIVE PHOTO SUP AR E Pod 22 Z099 10:03A 032411 1 D090 291 ACTIVE PHOTO SUP AR E Pod 30 Z099 10:03A 032411 I D098 292 ACTIVE PHOTO SUP AR E Pod 18 Z099 10:03A 032411 1D086 293 ACTIVE PHOTO SUP AR E Pod 29 Z099 10:03A 032411 1D097 294 ACTIVE PHOTO SUP AR J Uppr Tier 1 Z099 10:03A 032411 2D069 295 ACTIVE PHOTO SUP AR C Uppr Tier 1 Z099 10:03A 032411 1D023 296 ACTIVE PHOTO SUP AR C Lwr Tier 1 Z099 10:07A 032411 1 D021 297 ACTIVE PHOTO SUP AR D Lwr Tier 2 Z099 10:07A 032411 1D122 298 ACTIVE PHOTO SUP AR F Pod 16 Z099 10:08A 032411 ID080 299 ACTIVE PHOTO SUP AR F Pod Bay 1 Z099 10:08A 032411 1D140 300 ACTIVE PHOTO SUP AR F Pod 15 Z099 10:08A 032411 1D079 301 ACTIVE PHOTO SUP AR F Pod 7 Z099 10:08A 032411 1D071 3/24/2011 Page 6 of 8 _ r ' ustomer Name: Butte County Jail West Facility Contact Number: 1 0 302 ACTIVE PHOTO SUP AR F Uppr Tier 1 Z099 10:08A 032411 1D083 303 ACTIVE PHOTO SUP AR F Pod Bay 2 Z099 10:08A 032411 1D141 304 ACTIVE PHOTO SUP AR F Pod 14 Z099 10:08A 032411 1 D078 305 ACTIVE PHOTO SUP AR F Pod 5 Z099 10:08A 032411 1 D069 1306 ACTIVE PHOTO SUP AR F Pod 13 Z099 10:08A 032411 1D077 1307 ACTIVE PHOTO SUP AR F Pod 12 Z099 10:09A 032411 ID076 1308 ACTIVE PHOTO SUP AR F Uppr Tier 2 Z099 10:09A 032411 1 D084 1309 ACTIVE PHOTO SUP AR F Pod Bay 3 Z099 10:09A 032411 ID142 310 ACTIVE PHOTO SUP AR F Pod 3 Z099 10:09A 032411 1D067 311 ACTIVE PHOTO SUP AR F Pod 1.1 Z099 10:09A 032411 1D075 312 ACTIVE PHOTO SUP AR F Pod 10 2099 10:09A 032411 1 D074 1313 ACTIVE PHOTO SUP AR F Pod 9 Z099 10:09A 032411 1D073 1314 ACTIVE PHOTO SUP AR F Pod 2 Z099 10:10A 032411 1 D066 1315 ACTIVE PHOTO SUP AR F Pod 1 Z099 10:10A 032411 1 D065 316 ACTIVE PHOTO SUP AR F Pod 4 Z099 10:10A 032411 1D068 317 ACTIVE PHOTO SUP AR F Lwr Tier 2 Z099 10:10A 032411 1 D082 318 ACTIVE PHOTO SUP AR F Pod 8 Z099 10:10A 032411 1D072 1319 ACTIVE PHOTO SUP AR F Lwr Tier 1 Z099 10:10A 032411 1D081 320 ACTIVE PHOTO SUP AR D Lwr Tier 2 Z099 10:11A 032411 1D122 321 ACTIVE PHOTO SUP AR F Pod Bay 2 Z099 10:11A 032411 1D141 322 ACTIVE PHOTO SUP AR C Lwr Tier 1 Z099 10:11A 032411 1 D021 1323 ACTIVE PHOTO SUP AR F Pod 6 Z099 10:11A 032411 1D070 324 ACTIVE PHOTO SUP AR A Lwr Tier 2 Z099 10:11A 032411 1 D046 325 ALARM: SMOKE(PHOTO) C Tower RR Z001 10:13A 032411 2DO34 326 ALARM: SMOKE(PHOTO) C Tower Z001 10:13A 032411 2DO35 1327 ALARM: SMOKE(PHOTO) C Tower Z001 10:13A 032411 2DO36 1328 ALARM: SMOKE(PHOTO) C Tower Stairwell Z001 10:13A 032411 2DO37 1329 ALARM: PULL STATION Charlie Tower 2001 10:14A 032411 2M006 1330 ACTIVE PHOTO SUP AR D Lwr Tier 2 Z099 10:14A 032411 1D122 331 ACTIVE PHOTO SUP AR A Lwr Tier 2 Z099 10:14A 032411 1D046 332 ACTIVE PHOTO SUP AR D Lwr Tier 2 Z099 10:15A 032411 1D122 333 ACTIVE PHOTO SUP AR C Lwr Tier 1 Z099 10:15A 032411 1 D021 1334 ACTIVE PHOTO SUP AR C Uppr Tier 1 Z099 10:15A 032411 1D023 1335 ACTIVE PHOTO SUP AR D Uppr Tier 1 Z099 10:16A 032411 1D123 1336 ACTIVE PHOTO SUP AR D Uppr Tier 2 Z099 10:16A 032411 1D124 337 ACTIVE PHOTO SUP AR D Uppr Tier 1 Z099 10:16A 032411 1D123 338 ACTIVE PHOTO SUP AR D Lwr Tier 2 Z099 10:16A 032411 1D122 339 ALARM: SMOKE(PHOTO) Transport Office 2001 10:17A 032411 2DO06 340 ACTIVE PHOTO SUP AR A Lwr Tier 2 Z099 10:18A 032411 1 D046 341 ACTIVE PHOTO SUP AR D Lwr Tier 2 Z099 10:18A 032411 1D122 342 ALARM: SMOKE(PHOTO) C Tower Z001 10:19A 03 24 11 2DO36 343 ACTIVE PHOTO SUP AR A Lwr Tier 2 Z099 10:19A 032411 1D046 344 ACTIVE PHOTO SUP AR F Lwr Tier 1 Z099 10:20A 032411 1D081 345 ACTIVE PHOTO SUP AR D Lwr Tier 2 Z099 10:21A 032411 1D122 346 ALARM: SMOKE(PHOTO) Elevator Lobby 1st F 2001 10:21A 032411 2DO81 347 ACTIVE PHOTO SUP AR A Lwr Tier 2 Z099 10:21A 032411 1D046 348 ALARM: SMOKE(PHOTO) Elevator Lobby 2nd F 2001 10:22A 032411 2DO82 349 ALARM: SMOKE(PHOTO) Visiting Entryway 2001 10:22A 032411 2DO83 350 ACTIVE PHOTO SUP AR D Lwr Tier 2 Z099 10:22A 032411 1D122 351 ACTIVE PHOTO SUP AR F Uppr Tier 1 Z099 10:22A 032411 1DO83 3S2 ALARM: SMOKE(PHOTO) Visiting Lobby Z001 10:22A 032411 2DO86 3/24/2011 Page 7 of 8 Customer Name: Butte County Jail West r acility Alos G_ .act Number: 3/24/2011 Page 8 of 8 353 ALARM: SMOKE(PHOTO) Visiting Lobby Z001 10:22A 032411 2DO85 354 ALARM: SMOKE(PHOTO) Visiting Lobby Z001 10:22A 032411 2DO86 355 ALARM: SMOKE(PHOTO) Elevator Lobby 2nd F Z001 10:22A 032411 2DO82 356 ALARM: SMOKE(PHOTO) Visiting Interview Z001 10:23A 032411 2DO84 357 ALARM: SMOKE(PHOTO) Visiting Lobby Z001 10:23A 032411 2DO87 358 ALARM: SMOKE(PHOTO) Visiting Lobby Z001 10:23A 032411 2D088 359 ALARM: HEAT DETECT Vsiting Mens RR Z001 10:24A 032411 2DO90 360 ALARM: SMOKE(PHOTO) Visiting Lobby Z001 10:24A 032411 2DO88 361 ALARM: SMOKE(PHOTO) Visiting Janitorial Z001 10:24A 032411 2DO89 362 ALARM: HEAT DETECT Visiting Womens RR Z001 10:24A 032411 2DO99 363 ACTIVE PHOTO SUP AR A Lwr Tier 2 Z099 10:25A 032411 1D046 364 ALARM: SMOKE(PHOTO) Delta Visit Hallway Z001 10:25A 032411 2DO91 365 ALARM: HEAT DETECT Visiting Staff RR Z001 10:25A 032411 2DO02 366 ALARM: SMOKE(PHOTO) Delta Visit Hallway Z001 10:26A 032411 2DO92 367 ALARM: SMOKE(PHOTO) Delta Atty 1 Z001 10:26A 032411 2DO93 368 ALARM: SMOKE(PHOTO) Delta Atty 2 Z001 10:26A 032411 2DO94 369 ALARM: SMOKE(PHOTO) Charlie Atty 1 Z001 10:27A 032411 2DO97 370 ALARM: SMOKE(PHOTO) Charlie Visit Hallwy Z001 10:27A 032411 2DO96 371 ALARM: SMOKE(PHOTO) Charlie Visit Hallwy Z001 10:27A 032411 2DO95 372 ALARM: SMOKE(PHOTO) Charlie Atty 2 Z_001 10:27A 032411 2DO98 373 ALARM: SMOKE(PHOTO) Charlie Visit Hallwy 2001 10:28A 032411 2DO95 374 ALARM: SMOKE(PHOTO) Charlie Visit Hallwy Z001 10:29A 032411 2DO95 375 ACTIVE PHOTO SUP AR A Lwr Tier 2 Z099 10:33A 032411 1D046 376 TROUBL IN SYSTEM AC FAULT 10:34A 032411 377 ALARM: SMOKE(PHOTO) Charlie Atty 1 Z001 10:36A 032411 2DO97 378 ACTIVE PHOTO SUP AR A Lwr Tier 2 Z099 10:37A 032411 1D046 379 ACTIVE PHOTO SUP AR A Lwr Tier 2 Z099 10:40A 032411 1 D046 380 ALARM: SMOKE(PHOTO) Charlie Atty 1 Z001 10:43A 032411 2DO97 3/24/2011 Page 8 of 8 Page 1 of 1 63 C COUP yoU;G� Damon, Matt From: Damon, Matt Sent: Thursday, February 14, 2008 11:57 AM To: dmg@griffithandassociates.com Cc: Damon, Matt Subject: RE: 1687.2 Sallyport Improvements for Butte County Courthouse David. The submitted sketch is adequate for preliminary fire department requirements with two items: • Maintain 20' Fire Lane along the area marked "Parking Egress' • Fire Lane markings will be redlined on the submitted plans Thanks, Matt Damon Fn,eCapt:&, Dgxih-FueIvlazs -Corrin r" CAL FRE/ Bunte Coo* Fete 176 Nilson Avenue Orualli-, CA 95966 5305386837eht 166 Office 530-990.5817 Cel 530-538-2105 Fay From: David Griffith[mailto:dmg@griffithandassociates.com] Sent: Thursday, February 14, 2008 11:37 AM To: Damon, Matt Cc: Vukovich, Michael; 'Hoist, Richard'; 'Franklin, Malcolm' Subject: 1687.2 Sallyport Improvements for Butte County Courthouse MEMO . the Conten s of 1Ns memo a dan will be d -ed correct i.Ness wnHe correcfiore are received witNn five days Matt—nice talking with you today. Attached is my first preliminary sketch for the expanded Sally port. Note that it extends into the present 20' fire lane with a roof -less chain-link enclosure. The gates are remotely controlled. Please let me have your comments regarding the effect of this concept on required fire access DAVID MARTIN GRIFFITH, AIA ARCHITECT. PROFESSIONAL ENG n®Accredited Professional dmg,4griffithandassociates.com 530.343.4621 HTTP://WWW.GRIFFITHANDASSOCIATES.COM 2/14/2008 EO C I' SALLY PORT IMPROVEMENTS tortne Butte County Courthouse 1687.2 Oroville Calffornia CONCEPT SKETCH ONE 01.25.2008 16' SCALE=1:16 PENS=10 23 2007 screened transparency.tbi Bei' -•t •:1 .,.. _ r.. .. _. .. - .x.::1'.1. - _� iI_".*• �� �'�r ry - g •!_"�' 7(i•yY.M `oma r. .`-1 IXrly`:Fi.�ivF+_T',r'}::iTJ'.'�.�11��.-• -r�'7� .-::�t�s°I tt;\'::.. �,-t-cs6.:2s-.•>!''fi-::',.�+r>,`" �: -„x _ 5 .\�• Coma. •h`S s• .•� .. ,�, 5 �a • •r :'1�l^T -f.'i -Ni1�l %�1K>C1 H•l t'..��.•sM:Yi'�y .��i•�•4 �.L�:•S•1 Sa-�-�:J.ti .�{:1 �i•'i', �'-v w rr)a.••s�, r ? i I' LL , � y:.�r •J ••�` --`wa! � rL4• - ± i. ) ' � 11 � _ .. . , -s-•. ... • •„ . ..-. ,._ -ter �` s . �; { !: •�JI•�Jra✓i. :+:--r;.�r ..: r-„ •:.�•k•�l )�^� :L�..����.l.l":il �'',.a •�"-•:�i. •'.•.�s:a� i� AA ._ 4.{ N . c i,? i ! ` C-=1{73 S .�c ;� �, - r'•}'� • �, � ,,.1 ,:ar 1 . � , y. ;.:yr,�+.•,�..>., ::. �t-•Fr:�� .541-: ,s `!.� +JC.••.i � ����,_ 1 - 17 it IF ^•> •.Rl� -3^. 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A � 2 �t aii. rrtw�.`�A;-fi�}41 �".i1 .•Kr`:�•'}!f.'nt+;; .4- ,..nrw-:3i,a;� - 1 a'..•:a.,.., _ � ,-._ '- •e '4 • r: . e•r`'_= •'1'..i " '. rrrVi�:�r+�:�4` '?4:j'.�.•�. �Fa•�'.l�,f:+r ... _•,: :.jam: Jrlf� tc:•.�r .. -. c7. 63 2008 Butte County Fire Alarm/Sprinkler Testing Sheriff Facility (Basement) Tested: Fire Sprinkler system • 1 Flow Switch • 1 Bell Flow switch did not activate at all, let alone within 90 seconds. 25-78 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Cover Sheet NEPA 25 as amended by CCR, Title 19 Property Information: N/A FAIL* Name: Occupancy /Use: Ce_ 5 Address: Construction Type: (S>Ke, A eIV ❑Standpipe and Hose Systems 6 City: '�l No. Stories: � MP ZIP: 1959 G - Year Constructed: 7 Contact: c Telephone: ❑ Fire Pump 8 Contractor Information:,_, Number of System Risers Name: Wilgus Fire Control, Inc. ❑ Water Storage Tank Copy sent to: Address: 1703 Sonoma St o Owner Date City: Redding ❑ Water Spray System o Fire AHJ Date State: California o Contractor Date Telephone: (530)241-2465 ❑Foam Water Sprinkler System NOTES: 1 j For specific inspection, testing, and CA License# 462979 C-16 C-10 C-7 maintenance requirements and information, see NEPA 25, 2002 Edition as amended by Job # California Code of Regulations, Title 19, §901 to §90fi. Performed by: (Print) 2) Inspection Items may be performed by the Owner in accordance with California Code of Note: Contractor information may be pre-printed R29ulations Title 19 904.1 a Forms included with this report ChaA�5 Number of Forms N/A FAIL* PASS �I Automatic Sprinkler System 5 � ❑Standpipe and Hose Systems 6 ❑ Private Water Supply System 7 ❑ Fire Pump 8 ❑ Water Storage Tank 9 ❑ Water Spray System 10 ❑Foam Water Sprinkler System 11 *See "Deficiencies and Comments" section at end of each respective form. State Fire Marshal AES 1 March 21, 2006 ANNEX B 25-79 Main Drain Test Results: Initial Static Pressure: i (psi) ) Residual Pressure: (psi) Restored Static Pressure: S-!� (psi) Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 23, Chapter 5 as amended by CCR, Title 19 Page 1 of 4 Date of Inspection, Testing, Maintenance: 1 System Riser ID: Description Property Information: Fail NIA Pass Name: 1 Type of System: C9 Wet Wet Ptpe of CA41,� � ,�vr Address: 0 Dry Pipe �' a 1.2 1 D Preaction Dry Pipe Valves — Enclosure temperature 12.4.4.1.1 0 Deluge �E M a� City: ! Quarter) Y Gauges (Dry, Preaction, Deluge Systems) Main Drain Test Results: Initial Static Pressure: i (psi) ) Residual Pressure: (psi) Restored Static Pressure: S-!� (psi) Abbreviation Key: I =Inspection T = Test M = Maintenance A -O = After Operation MI = Per Manufacturer's Instructions Item Activity Frequency Description NFPA 25 Reference Fail NIA Pass 1.1 1 Daily Weekly Preaction/Deluge Valves — Enclosure temperature 12.4.3.1 1.2 1 Daily Week! Dry Pipe Valves — Enclosure temperature 12.4.4.1.1 X 1.3 ! Quarter) Y Gauges (Dry, Preaction, Deluge Systems) 5.2.4.2 5.2.4.3 1.4 I Quarterly Control Valves 12.3.2.1 1.5 1 Quarterly Alarm Devices 5.2.6 1.6 1 Quarterly Gauges (wet Pipe Systems) 5.2.4.1 1.7 1 Quarterly Hydraulic nameplate 5.2.7 1.8 ! Quarterly Pipe and Fittings 5.2.2 1.9 1 Quarterly Sprinklers 5.2.1 1.10 1 Quarterly Spare Sprinklers 5.2.1.3 1.11 1 Quarterly Fire Department Connections 12.7.1 1.12 1 Quarterly Alarm Valves — Exterior Inspection 12.4.1.1 1.13 1 Quarter) Y Preaction/Deluge Valves — Exterior Inspection 12.4.3.1.6 X 1.14 1 Quarterly Pressure Reducing Valves 12.5.1.1 1.15 1 Quarterly Dry Pipe Valves — Exterior Inspection 12.4.4.1.4 1.16 1 Quarterly Backflow Preventers 12.6.1 X 1.17 1 Annually Buildings 5.2.5 State Fire Marshal AES 2 March 21, 2006 25-80 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4 NEPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: .S 5 � , 9 System Riser ID: Property Information: - Type System: Name:lxorilg&Wet of �aA..4i,� Pipe � z � � �. �,.. u Ur � Dry Pipe � 00wAddress: 0 Preaction 1 0 Deluge�,�' ARE Ma 1' City. 5.2.3 Item Activity Frequency Description NEPA 25 Reference Fail N/A Pass 1.18 1 Annually Hangers 5.2.3 1.19 1 Annually Seismic Braces 5.2.3 1.20 1 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 1.21 1 5 Years Seismic Braces (Accessible concealed s ces 5.2.3.3 i� 1.22 1 5 Years Pipe and Fittings (Accessible concealed spaces) 5.2.2.3 1.23 1 5 Years Sprinklers (Accessible concealed spaces) 5.2.1.1.4 1.24 1 5 Years Alarm Valves — Interior Inspection 12.4.1.2 1.25 1 5 Years Alarm Valves - Strainers, filters, orifices 12.4.1.2 1.26 1 5 Years Check Valves — Interior Inspection 12.4.2.1 1.27 1 5 Years Preaction/Deluge Valves — Interior Ins ction 12.4.3.1.7 1� 1.28 1 5 Years Preaction/Deluge Valves - Strainers, filters, orifices 12.4.3.1.8 1.29 1 5 Years Dry Pipe Valves — Interior Inspection 12.4.4.1.5 1.30 1 5 Years Dry Pipe Valves - Strainers, filters, orifices 12.4.4.1.6 2.1 T Annually Alarm Devices (90 Sec) 5.3.3 12.2.7 2.2 T Annually Main Drain Test (Enterdata on Page 1) 12.2.6 12.2.6.1 12.3.3.4 7� 2.3 T Annually Antifreeze Test 5.3.4 2.4 T Annually Control Valve - Position 12.3.3.1 2.5 T Annually Control Valve — Operation 12.3.3.1 2.6 T Annually Supervisory 12.3.3.5 2.7 T Annually Preacdon Valve — Priming Water 12.4.3.2.1 2.8 T Annually Preacfion Valve — Low Air Pressure Alarm 12.4.3.2.10 2.9 T Annually Preaction Valve — Full Flow Trip Test 12.4.3.2.2 State Fire Marshal AES 2 March 21, 2006 ANNEX B 25-81 Inspection, Testing, and Maintenance Fire Sprinkler System Page 3 of 4 NFPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: System Riser ID: Property Information: , �L �' Fa".11, t Type of System:of oA4i,� Name: ti P -f Wet Pipe �001 Address: � � D Dry Pipe`o 0 Preaction 9 T 0 Deluge. ; ARE NSP► City: �� a •� ,. 9 9 12.4.4.2.1 Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 2.10 T Annually Dry Pipe Valve —Priming Water 12.4.4.2.1 2.11 T Annual) Y Dry Pipe Valve —Low Air Pressure Alarm 12.4.4.2.6 2.12 T Annually Dry Device Pipe Valve —Quick -Opening 12.4.4.2.4 2.13 T Annually Dry Pipe Valve —Trip Test 12.4.42.2 2.14 T Annually Backflow Preventer Assemblies 12.6.2 2.15 T 3 Yeats Dry Pipe Valve —Full Flow Trip Test 12.4.4.2.2.2 �( 2.16 T 5 Years Gauges 5.3.2 �( 2.17 T 5 Years Pressure Reducing Valve 12.5.12 �( 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 2.19 T 5 Years Sprinklers —Extra High Temperature 5.3.1.1.1.3 2.20 T 5 Years Sprinklers —Corrosive environment or corrosive water 5.3.1.1.2 2.21 T 10 Years Sprinklers -Dry 5.3.1.1.1.5 2.22 T 20 Years Sprinklers -Fast Response 5.3.1.1.1.2 2.23 T 50 Years Sprinklers 5.3.1.1.1 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 X 2.25 T Sprinklers manufactured prior to 1920 — Replace 5.3.1.1.1.1 3.1 M Annually Control Valves 12.3.4 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 3.3 M Annually Dry Pipe D v ces Valves/Quick-Opening 12.4.4.3.2 •y( 3.4 M Annually Dry Pipe Valve —Low Point Drains 12.4.4.3.3 �( 3.5 M 5 Years Obstruction Investigation Chapter 13 �( State Fire Marshal AES 2 March 21, 2006 25-82 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System Page 4 of 4 NEPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: '� System Riser ID: Property Information: Type of System: CA4,c, Name: Wet Pipe �.v� 09 W1 F010aj oma. �1 4 awl 0 Dry Pipe � Address: 0 Preaction 0 Deluge 4E N1a City: Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: e. Or C -f 1�0 f 0%%. A C tA n8 -f) 1 W1 F010aj oma. �1 4 0 See Continuation Page(s) (Indica -t continuation pages) 0 PASS FAI L ._.. Si nature Date State Fire Marshal AES 2 March 21, 2006 M U�SHe �a��y V �aL H-CWS�\ 2008 Butte County Fire Alarm/Sprinkler Testing West Facility (New Jail) Tested: Fire Sprinkler system Fire Alarm system Fire sprinkler system tested fine. (53 Fire alarm system was un -testable. Control panel in Delta tower does not work. System is no longer supported by manufacturer, and must be replaced. T 5-78 INSPECTION, TESTING= AND MkINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Cover Sheet NEPA 25 as amended by CCR. Title 19 Property Information: Wilgus Fire Control, Inc. Address: Name: �v-Ae. ,r V:xlt � y Occupancy/Use: _....,. •,tet •r . ar-�• ; o N Address: e„r r Construction Type: CIO .,c r 4Az City: Or C) Olt � No. Stories: .Z ZIP: '�. `� "r Year Constructed: 11:lqs� Contact: Le , e%� 44 Telephone: I Contractor Information: Name: Wilgus Fire Control, Inc. Address: 1703 Sonoma St City: Redding State: California Telephone: (530)241-2465 CA License# 462979 C-16 C-10 C-7 Job # Performed by: (Print) Note: Contractor information may be pre-printed a - Number of System Risers Copy sent to: ❑ Owner Date ❑ Fire AHJ Date ❑ Contractor Date NOTES: 1) For specific inspection, testing, and maintenance requirements and information, see NEPA 25, 2002 Edition as amended by California Code of Regulations, Title 19, §901 to §906. 2) Inspection Items may be performed by the Owner in accordance with California Code of Rea-ulations Title 19 6904.1(a) Forms included with this report NEPA 25 Chapter Number of Forms NIA FAIL* PASS CA Automafic Sprinkler System 5 ❑ Standpipe and Hose Systems 6 0 Private Water Supply System 7 ❑ Fire Pump 8 ❑ Water Storage Tank 9 ❑ Water Spray System 10 ❑ Foam Water Sprinkler System 11 *See "Deficiencies and Comments" section at end of each respective form. State Fire Marshal AES 1 March 21, 2006 ANNEX B 25-79 Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 1 of 4 ! . Date of Inspection, Testing, Maintenance: .5 5'� .' I'll System Riser lD: � Property Information: Name: � �"��" �. ���•- ', Type of System: . _`• �' �► oa� ,.. Address: Wet Pie D Dry Pie '• ' y �, Q Preac ion f 0 Deluge Activity Frequency Description NFPA 25 Reference City: N/A Pass Main Drain Test Results: Abbreviation Key: I = Inspection Initial Static Pressure: (psi) T = Test M = Maintenance Residual Pressure: (psi) A-0 = After Operation Mi = Per Manufacturer's Instructions Restored Static Pressure: l(psi) Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.1 I Daily Preaction/Deluge Valves —Enclosure 12.4.3.1 Weeklytemperature 1.2 1 Daily Dry Pipe Valves — Enclosure 12.4.4.1.1 Weekly temperature 15.2.4.3 1.3 1 QuarterlyGauges (Dry, Preaction, Deluge 5.2.4.2 Systems) 1.4 1 Quarterly Control Valves 12.3.2.1 1.5 1 Quarterly Alarm Devices 5.2.6 1.6 1 Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 1.7 1 Quarterly Hydraulic nameplate 5.2.7 i 1.8 1 Quarterly Pipe and Fittings - 5.2.2 1.9 1 Quarterly Sprinklers 5.2.1 1.10 1 Quarterly Spare Sprinklers 5.2.1.3 1.11 l Quarterly Fire Department Connections 12.7.1 1.12 1 Quarterly Alarm Valves — Exterior Inspection 12.4.1.1 X 1.13 1 Quarterly Preaction/Deluge Valves — Exterior 12,4.3.1.6 Inspection 1.14 1 Quarterly Pressure Reducing Valves 12.5.1.1 1.15 1 Quarterly Dry Pipe Valves — Exterior Inspection 12.4.4.1.4 1.16 l Quarterly Backflow Preventers 12.6.1 1.17 1 Annually Buildings 5.2.5 State Fire Marshal AES 2 March 21, 2006 25-80 INSPECTION. I TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection; Testing, and Maintenance Fire Sprinkler System Page 2 of 4 NEPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: System Riser ID: Description NFPA 25 Reference Property Information: Name. Or Type of System:' Wet Pipe Pass 1.18 Address: �. Or ❑ Dry Pipe; - -am:� ❑ Preaction ... ❑ DelugeVa 1.19 C ity: Annually Item Activity Frequency Description NFPA 25 Reference Fail NIA Pass 1.18 I Annually Hangers 5.2.3 1.19 1 Annually Seismic Braces 5.2.3 1.20 1 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 15.2.3.3 1.21 1 5 Years Seismic Braces (Accessible concealed s acesX 1.22 1 5 Years Pipe and Fittings (Accessible concealed spaces) 5.2.2.3 1.23 1 5 Years Sprinklers (Accessible concealed spaces) 5.2.1.1.4 1.24 1 5 Years Alarm Valves — Interior inspection 12.4.1.2 1.25 1 5 Years Alarm Valves - Strainers, filters, orifices 12.4.1.2 1.26 1 5 Years Check Valves — Interior Inspection 12.4.2.1 1.27 1 5 Years Preaction/Deluge Valves — Interior Insp2ction 12.4.3.1.7 1.28 1 5 Years Preaction/Deluge Valves - Strainers, filters orifices 12.4.3.1.8 }� 1.29 1 5 Years Dry Pipe Valves — Interior Inspection 12.4.4.1.5 1.30 1 5 Years Dry Pipe Valves - Strainers, filters, orifices 12.4.4.1.6 2.1 T Annually Alarm Devices (90 Sec) 5.3.3 12.2.7 2.2 T Annually Main Drain Test (Enter data on Page 1) 12.2.6 12.2.6.1 12.3.3.4 2.3 T Annually Antifreeze Test 5.3.4 2.4 T Annually Control Valve - Position 12.3.3.1 2.5 T Annually Control Valve — Operation 12.3.3.1 2.6 T Annually Supervisory 12.3.3.5 2.7 T Annually Preaction Valve — Priming Water 12.4.3.2.1 2.8 T Annually Preaction Valve — Low Air Pressure Alarm 12.4.3.2.10 2.9 T Annually Preaction Valve — Full Flow Trip Test 12.4.3.2.2 State Fire Marshal AES 2 March 21, 2006 A 40 25-81 Inspection, Testing, and Maintenance Fire Sprinkler System Page 3 of 4 NFPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: .' d System Riser 1D: Property Information: Type of System: Name. Wet Pipe P Address:, y ❑ Dry Pipe �r 0 Preaction 0 Deluge 41 r NE Wi City: 0c:n •,I�' I I Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 2.10 T Annually Dry Pipe Valve — Priming Water 12.4.4.2.1 2.11 T Annually Dry Pipe Valve — Low Air Pressure Alarm 12.4.4.2.6 2.12 T Annually Dry Pipe Valve -- Quick -Opening Device 12.4.4.2.4 2.13 T Annually Dry Pipe Valve — Trip Test 12.4.4.2.2 2.14 T Annually Backflow Preventer Assemblies 12.6.2 2.15 T 3 Years Dry Pipe Valve — Full Flow Trip Test 12.4.4.2.2.2 2.16 T 5 Years Gauges 5.3.2 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 2.19 T 5 Years Sprinklers — Extra High Temperature 5.3.1.1.1.3 2.20 T 5 Years Sprinklers — Corrosive environment or corrosive water 5.3.1.1.2 2.21 T 10 Years Sprinklers - Dry 5.3.1.1.1.5 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 2.23 T 54 Years Sprinklers 5.3.1.1.1 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 2.25 T Sprinklers manufactured prior to 1920 — Replace 3.1 M Annually Control Valves 12.3.4 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 3.3 M Annually Dry Pipe Valves/Quick-Opening Devices 12.4.4.3.2 3.4 M Annually Dry Pipe Valve — Low Point Drains 12.4.4.3.3 3.5 M 5 Years Obstruction Investigation Chapter 13 State Fire Marshal AES 2 March 21, 2006 26-82 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTF R Inspection, Testing, and Maintenance Fire Sprinkler System Page 4 of 4 NEPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: 5 jo System Riser 1D: Property Information:,. w -� Name: Fa 1'. Type of System: ,' CA 1- ..; -C-4 51 Vliet Pipe Address: 0 Dry Pi� '` pe 1 0 Preaction 0 Deluge -:•.� City.0�. �Q a �• i Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: C, 1�c GY� _-.. 0 See Continuation Page(s) (Indic to the number of continuation pages) i, PASS •� ,� 0 FAI L/0S Signature bate State Fire Marshal AES 2 March 21, 2006 ANNEX B 25-79 Inspection, Testing, and Maintenance Fire Sprinkler System Page 1 of 4 NFPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: S/1'5/09 System Riser ID: Property Information: w ��� Type of System: ca4�,� Name: e. •� �' �Of 19 Wet Pipe Address: Or ❑ Dry Pipe Pass ❑ Preac#ion I ❑ Deluge�., E Mp City: r'XD�Jke- 12.4.3.1 Main Drain Test Results: Initial Static Pressure: SQ(psi) Residual Pressure: �1 (psi) _ Restored Static Pressure: �fS (psi) Abbreviation Key: I =Inspection T = Test M = Maintenance A -O = After Operation MI =Per Manufacturer's Instructions Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.1 I Daily Weekly Preaction/Deluge Valves — Enclosure temperature 12.4.3.1 1.2 1 Daily Weeklytemperature Dry Pipe Valves — Enclosure 12.4.4.1.1 X 1.3 1 Quarterly Gauges (Dry, Preaction, Deluge Systems) 5.2.4.2 5.2.4.3 1.4 1 Quarterly Control Valves 12.3.2.1 1.5 1 Quarterly Alarm Devices 5.2.6 1.6 1 Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 1.7 1 Quarterly Hydraulic nameplate 5.2.7 1.8 1 Quarterly Pipe and Fittings 5.2.2 1.9 1 Quarterly Sprinklers 5.2.1 1.10 l Quarterly Spare Sprinklers 5.2.1.3 1.11 1 Quarterly Fire Department Connections 12.7.1 1.12 1 Quarterly Alarm Valves — Exterior Inspection 12.4.1.1 1.13 1 Quarterly Preaction/Deluge Valves — Exterior Inspection 12.4.3.1.6 1.14 1 Quarterly Pressure Reducing Valves 12.5.1.1 �( 1.15 1 Quarterly Dry Pipe Valves — Exterior Inspection 12.4.4.1.4 1.16 1 Quarterly Backflow Preventers 12.6.1 1.17 1 Annually Buildings 5.2.5 State Fire Marshal AES 2 March 21, 2006 25-80 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System NEPA 25, Chapter 5 as amended by CCR, Title 19 Page 2 of 4 Date of Inspection, Testing, Maintenance: 5/15 System Riser ID: NFPA 25 Reference Property Information: - Type of System: cA��� . Name: �` �. �, 74;,tk.fj*�- i; C6 Wet Pie �OF Address: ❑Dry Pipe ❑Preaction 4' a g..., 1 ❑ Deluge ARE M P►� City. C)�ra v . State Fire Marshal AES 2 March 21, 2006 Activity Frequency Description NFPA 25 Reference Fail NIA Pass 1.18 1 Annually Hangers 5.2.3 1.19 1 Annually Seismic Braces 5.2.3 j( 1.20 1 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 1.21 1 5 Years Seismic Braces (Accessible concealed spaces) 5.2.3.3 X 1.22 1 5 Years Pipe and Fittings (Accessible concealed spaces) 5.2.2.3 1.23 1 5 Years Sprinklers (Accessible concealed spaces) 5.2.1.1.4 1.24 1 5 Years Alarm Valves — Interior Inspection 12.4.1.2 1.25 1 5 Years Alarm Valves - Strainers, filters, orifices 12.4.1.2 1.26 1 5 Years Check Valves — Interior Inspection 12.4.2.1 1.27 1 5 Years Preaction/Deluge Valves — Interior Inspection 12.4.3.1.7 1.28 1 5 Years Preacbon/Deluge Valves - Strainers, filters orifices 12.4.3.1.8 1.29 1 5 Years Dry Pipe Valves — Interior Inspection 12.4.4.1.5 1.30 1 5 Years Dry Pipe Valves - Strainers, filters, orifices 12.4.4.1.6 2.1 T Annually Alarm Devices (90 Sec) 5.3.3 12.2.7 X 2.2 T Annually Main Drain Test (Enter data on Page 1) 12.2.6 12.2.6.1 12.3.3.4 2.3 T Annually Antifreeze Test 5.3.4 2.4 T Annually Control Valve - Position 12.3.3.1 2.5 T Annually Control Valve — Operation 12.3.3.1 2.6 T Annually Supervisory 12.3.3.5 2.7 T Annually Preaction Valve — Priming Water 12.4.3.2.1 2.8 T Annually Preaction Valve — Low Air Pressure Alarm 12.4.3.2.10 2.9 T Annually:I Preaction Valve — Full Flow Trip Test 12.4.3.2.2 State Fire Marshal AES 2 March 21, 2006 p ANNEX B 25-R 1 Inspection, Testing, and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as amended by CCR, Title 19 Page 3 of 4 Date of Inspection, Testing, Maintenance: S S k 53 System Riser ID:6� Property Information: Fail N/A Name. . . C. �� �e f0L4t-jk4 Type of System: P§ Wet Pipe �oF �A��� Address: �.� ❑ Dry Pipe ❑ Preaction V ❑ Deluge E M City: '< < � T Annually ItemActivity Frequency Description NFPA 25 Reference Fail N/A Pass 2.10 T Annually Dry Pipe Valve — Priming Water 12.4.4.2.1 2.11 T Annually Dry Pipe Valve — Low Air Pressure Alarm 12.4.4.2.6 2.12 T Annually Dry Pipe Valve — Quick -Opening Device 12.4.4.2.4 2.13 T Annually Dry Pipe Valve — Trip Test 12.4.4.2.2 2.14 T Annually Backflow Preventer Assemblies 12.6.2 2.15 T 3 Years Dry Pipe Valve — Full Flow Trip Test 12.4.4.2.2.2 2.16 T 5 Years Gauges 5.3.2 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 X 2.19 T 5 Years Sprinklers — Extra High Temperature 5.3.1.1.1.3 2.20 T 5 Years Sprinklers — Corrosive environment or corrosive water 5.3.1.1.2 2.21 T 10 Years Sprinklers - Dry 5.3.1.1.1.5 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 2.23 T 50 Years Sprinklers 5.3.1.1.1 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 �( 2.25 T Sprinklers manufactured prior to 1920 — Replace 5.3.1.1.1.1 3.1 M Annually Control Valves 12.3.4 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 3.3 M Annually Dry Pipe Valves/Quick-Opening Devices 12.4.4.3.2 3.4 M Annually Dry Pipe Valve — Low Point Drains 12.4.4.3.3 3.5 M 5 Years Obstruction Investigation Chapter 13 State Fire Marshal AES 2 March 21, 2006 25-82 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System Page 4 of 4 NEPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: S11yJ08 System Riser ID: Property Information: Name: Type of System: sof CA��� 12� Wet Pie �� o Address: D Dry Pipe 0 Preaction 0. Deluge MP City: Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activi listed above: 0 See Continuation Page(s) (Indicate - n ber of continuation pages) PASS 0 FAIL 0 Si nature t 6ate State Fire Marshal AES 2 March 21, 2006 2008 Butte County Fire Alarm/Sprinkler Testing Old Jail Tested: G� Fire Sprinkler system • Tested fine. However,, water exiting inspector's port was very dirty/rusty. Flow was not obstructed though. Obstruction investigation will be warranted at next 5 year inspection scheduled to happen in 2010 Fire Alarm system • 2 Pull Stations • 4 Horn/Strobes • 77 Smoke Detectors • 15 Heat Detectors • 18 HVAC Dampers • 1 Waterflow • 1 Monitoring device Kitchen loop is showing an open or shorted circuit, devices are not responding in that area. Some. heat detectors are non -testable and should be replaced, or a sampling sent to UL for testing. Some smoke detectors currently in use are not listed -for use with this panel and should be replaced. I Inspection, Testing and Maintenance of Fire Alarm Systems ATL Wilgus Fire Control,Inc. Date of Se via q Time n. 5-00 Annual Inspection IR Initial Inspection 1 0 Last S ice Date 0 FIRE ALARM DIVISION 1703 Sonoma St Redding, Ca 96001 Single Stage RI Two Stage 1 11 o ite Monioring? [] yes [5no (530)241-2465 (800)776-3046 Ca. License #462979 C-16 C-10 UL # S24291�-n Manufacturer: Model # LOT4 00 Bulding Name: r� �� Contact Person: Le i2 • k 9 Phone: Fax: Adress• A..,4 , .�1.,L Owner: Phone: Fax: C Postal Code:_ �C� c q5 8 Central Station: ems• r C�A4 A Phone: Phone: ;Yes"- Accentable "No" - UnacceDtable (E%Dlain No answers in comments) es No SUMMREJ [� ❑ ❑ ❑ Reconnect ancillm functions off site connections)? The Fire alarms stem is now fullfunctional without deficiencies. Reconnect signal ower? Advise fire de artment the testing is completed? The Fire alarms stem has deficiencies noted on the pages attached. Ensure that the alarm system is functional? The Fire Alarm S stem is tested in accordance with NF'PA 72 Time Sequence_ of Operation confirmed and tested. Technicians After -test Checklist 7M— Reconnect time limit cutouts? Reconnect ancillary functions? Reconnect ancillm functions off site connections)? Reconnect signal ower? Advise fire de artment the testing is completed? Ensure that the alarm system is functional? Comments I tate that the information on this form is correct at the time and place of my inspection, and that all equipment was tested in conformance with applicable codes and the anufacturers requir . nts and at twas left in operational condition upon completion of this inspection except as noted in comments. ^ r / ISOD 'technician Signature 7- Dae Time Owner or Authorized Agent 1 of 4 Inspection, Testing and Maintenance of Fire Alarm Systems FD'ate 1 141 og Building Name r. u ol Yes - Tested correctly "X" No - Did not test correctly (Explain N4 answers in comments) "NA" Not applicable Control Unit Tests Annunciator Inspection & Tests Power on visual indicator? f Power on indicator? Common visual trouble signal? Common audible trouble signal? Trouble signal silence switch? Main Power supply failure trouble signal? Ground fault tested on positive and negative trouble signal q Alert signal operation? Alarm signal operation? VN Automatic transfer from Alert signal to Alarm signal? Acknowledge switch operation? T Alarm signal silence inhibit? Alarm signal silence operation? j Alarm signal silence visual indication? Alarm signal when silenced automatically reinstate on subsequent alarm? olk Alarm signal silence automatic cut-out timer? Input circuit alarm and supervisory operation including visual indicator? Input circuit trouble operation? Output circuit alarm operation? Output circuit trouble operation? Visual indicator test (lamp test)? ---f-A-- Coded signal sequence operate not less than the required number of times and the correct alarm signal thereafter. 01A Coded signal sequences are not interrupted by subsequent alarms? e/ Input circuit to output circuit operation including P tP P g ncilliary device, for correct matrix operation Reset operation? Main power to emergency power supply transfer? Data communications link (DCL) supervision & operation Control unit interconnection to monitoring station? Control Unit Inspection fInput circuit designations, correctly identified in relation P bm , Y to connected field devices Output circuit designations correctly identified in relation / to connected field devices. J Designations for common control functions & indicators Cabinet, plugin components and modules securely in place Plugin cables securely in place Record date, revision and version of Firmware & software Date: Rev: Ver: Cleanliness? Fuses in accordance with MFGs specification Control Unit lock Termination points from wiring to field devices secure Individual alarm and supervisory zone indication? Individual alarm and supervisory zone indication labels? Common trouble signal? Visual indicator test - Lamp test? Input wiring from control unit is supervised? Alarm signal silence visual indicator? 44L. Switches for ancillary function operate as intended? Other ancillary function visual indicators? Manual activation of alarm signal and indication? Power Supply Inspection Fused with mfgs marked rating of the system? Adequate to meet the requirements of the system? R*aio Trouble Unit Tests and Inspection Input ' ' from control unit is supervised? Visual trou ignal? Audible trouble si ? Audible trouble signal site Battery Tests and Inspection Battery type Battery Voltage AC power on r Vdc AC power on 116s/ Vdc Battery Amp Hours: AC power on f 53 Ah AC power on leg Ah Inspected for physical damage? Terminal cleaned and lubricated? Terminals clamped tightly? -01A Correct Electrolyte level? I -=� Specific gravity within mfg specifications? Electrolyte leaks? Adequately ventilated? Within manufacturer's rated life date code? Disconnection causes trouble signal? erator Power Supply Provi ower to AC circuit serving the fire alarm? Trouble co 'tion at the em gen shall result in an audible common trouble al and a visual indication at the required annunciate. 2 of 4 Inspection, Testing and Maintenance of Fire Alarm Systems Date BuildingName - 0h Yes -Tested correctly "X" No -Did not test correctly (Explain NO answers in comments) "NA" Not applicable Field Devices Field Devices continued Each device is free of damage, foreign substance & Water Flow Detection devices mechanically supported independent of wiring? a) tested by appropriate water flow means Each device tested while connected to control unit? b) time delay recorded Manual Pull stations tested? Supervisory Devices Two stage pullstations tested and functions confirmed? E% Shut-off valves tested and result in trouble signal? Heat detectors tested —- Low pressure supervisory device inspected and tested? Smoke detectors Low water supervisor test? Inspected for cleanliness? Low temperature supervisor device tested Sensitivity tested? N Each power loss (eg fire pump and air compressor) tested? Tested for Operation? Other Fixed Type Extinguishing Systems Remote indicator units inspected and tested? Verify operation of the output contacts initiates the Status change confirmation inspection and tested? specified function at the FA control unit. Air Duct smoke detectors tested? Supervisory Devices Other Types Beam type smoke detectors for actuation & sensitivity? Inspected and tested as per manufacturer requirements? Flame detectors inspected and tested? Signal Appliances Combination detectors inspected and tested? Shall be inspected and tested for operability • Automatic detectors — other types inspected & tested Proper installation and tightness, tampering & obstruction? a) alarm initiation 11 1h Intelligibility of voice messages? b) detector is oriented so as to detect hazard? f Audibility of alert, alarm and voice messages/ c) sensivity tested?Visual signal appliance inspected and tested? - Combination devices tested? Sequential Display Inspection and Testing Noice Communication Inspection/Tests Individual alarm, supervisory and trouble inputs are jr weir on indicator? clearly indicated and separately designated? C on visual trouble signal? Individual alarm and supervisory input designation Co on audible trouble signal? labels are properly identified? Tro le signal silence switch? Alarm input overrides supervisory and trouble input? All c 1 voice paging including visual indicator? Supervisory input overrides trouble input? Outpu circuits for selective voice paging and visual. Display can be manually advanced? Output 'rcuits for selective voice paging trouble/visual First alarm is clearly identified each time it is displayed Microph a including press to talk switch? Alarm and supervisory input can be retrieved until system Operation f VC systems does interfere with initial is reset? inhibit time f alert and alarm signal. Printer Testing All call voic aging operates on emergency power? eration as intended? Upon failureone amplifier, system automatically ------ Zone alarm initiatingtransfers to bac up amplifier. 0 device is correctly printed? Rated voltage is t? Circuits for eme ency telephone call in operation including audible d visual indication ftjkters located in Proprietary Control Centers Circuits for emerge cy telephone for operation, including Evenb4wd acknowledgements are automatically printed? two way voice corn nication? Time and da recorded by the printer? Circuits for emergenc telephones trouble and visual ops. _ Each event is recor as they occur? Emergency telephone v rbal communication? System records status ch with loss of data? Emergency telephone op able or in -use tone at handset. Paper advances automatically su that print record is Emergency telephone call- lamp? visible? Emergency telephone call-in udible signal? Printer operates under loss of main power su ? All telephone zone select switc es individually tested? Printer is monitored for "low paper" and "paper ou ' Individual telephone zone select dicators? Operating instruction clearly visib ? Lockable release mechanism is intac . Ancillary Device Testing Circuit Circuit Circuit 3 of 4 Inspection, Testing and Maintenance of Fire Alarm Systems FD -a Building Name Device Testing — Legend and Notes Device Descri tion Type Model No. CM) Manual Pull station HT Heat detector, non restorable(Note 9 CtIQT Heat detector, Restorable(Note 9 r, . • S Smoke detector(Note 1 2 & 9 RI Remote indicator unit DS Duct smoke detector(Note 1, 3 & 9 Photo electric smoke detector 4 SFD -Supporting field device monitor FS S rinkler flow switch(Note 4 SS Sprinkler supervisory device(Note 5 LA — Low air PS -- Pressure switch EM Fault isolation module B Bell H Horn V Visual signal aliance HS .Horn/Strobe SP Cone type speaker HSP Horn e speaker AD Ancillag device(Note 8 ET Emergency Tele hone --- Other supervisory devices otes 6 & --- Other type of detector Note 1. Smoke detector sensitivity measurement and cleaning date should be recorded in the remarks column. Note 2. Status change, including time delay, should be recorded in the remarks column. Note 3. Duct smoke detector pressure differential should be confirmed and recorded in the remarks column. Note 4. Time delay setting of water flow switch should be recorded in the remarks column. Note 5. Sprinkler supervisory switches cause trouble condition to be annunciated but not an alarm condition. Note 6. Upper and lower pressure setting of supervisory devices should be recorded in the remarks column. Note 7. Low temperature setting should be recorded in the remarks column. Note 8. Identify the specific ancillary devices in the remarks column. Note 9. Identify date fire detector was changed. Caution: The tests reported on this form do not include the actual operational test of ancillary devices. 4of4 Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Date: 511 t4l 07, Annual Inspection Pae 1, of Building Name: Address: A. Correctly installed. D. Annunciator indication confirmed. B. Requires Service, Repairs, missing, or cleaning (iCircuit number or address C. Alarm operation confirmed F. Supervision and ground fault detection G. Smoke detector sensitivity testing We _ Arrpntahlp KX» Nn — I1nnerpntahip lRynlain N(1 aneware in onmrnaintel KN A» Nn* annlipahla Note: Confirmation of wiring supervision to each individual device is only required during an initial inspection and test or verification, and is not required at the annual test. �o�0000 rA MY ffAr M M NM)m F�L7- M M VA M #0 t.:::: � i M Note: Confirmation of wiring supervision to each individual device is only required during an initial inspection and test or verification, and is not required at the annual test. Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Date: S lql Oz Lj Annual Inspection I Pae of BuiidinLy Name: & s, -AL.. nt .'q- I Address: f; 9 %d.4k.v rra'..J _.r iv - A. Correctly installed. D. Annunciator indication confirmed. & Requires Service, Repairs, missing, or cleaning E. Circuit number or address C. Alarm operation confirmed F. Supervision and ground fault detection G. Smoke detector sensitivity testis "4" Vpc . Arrpntahlp "Y" Na — Unarepntahlp (Eyninin NO ancwera in rnmmentel 66NA" Nat Annlirshle Note: Confirmation of wiring supervision to each individual device is only required during an initial inspection and test or verification, and is not required at the annual test. oor�0000 UP US" will, Rm mr��� lip I M 170 Aff Ban H�� � U&M pro Note: Confirmation of wiring supervision to each individual device is only required during an initial inspection and test or verification, and is not required at the annual test. Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Date:04 Building 09 Name: Annual Inspection Address: Pae of Wt or A. Correctly installed. D. Annunciator indication confirmed. & Requires Service, Repairs, missing, or cleaning E. Circuit number or address C. Alarm operation confirmed F. Supervision and ground fault detection G. Smoke detector sensitivity testing Yes - Acceiptable "X" No — Unacce table 1xplain NO answers in comments "NA" Not a1pplicable Device Location A B C D E F 1 G Remarks KZ4 t t c `d T- oom cawrag g I w 675'!'' ✓ ?�v Pj S r 3 cry �%G••- 11 RAN 015EW 1P S •1 i 9zo 800t mks -M xe-Auc I PIP It K jPS S t -- Fere,&t At PS S l - Ccs:�vG �. 1/0�17Q�'- 3 491 Go�H.$��►G Mt < e.#5 PS t� 0 � S Sr 06" New s u ✓ ��s s �a VAptAr,9ca0 « V 2 � '� 4 P� K Note: Confirmation of wiring supervision to each individual device is only required during an initial inspection and test or verification, and is not required at the annual test. 01 Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Date: Annual Inspection Pae of BuiIdin Name: r ( Address: A. Correctly installed. D. Annunciator indication confirmed. B. Requires Service, Repairs, missing, or cleaning E. Circuit number or address C. Alarm operation confirmed F. Supervision and ground fault detection G. Smoke detector sensitivity testing Yes - Acceptable "X" No — Unacce tableg lain NO answers in comments "NA" Not applicable Device Location A rB C D E I F G Remarks IF fp� &ot ZO Pto #7 M�q Note: Confirmation of wiring supervision to each individual device is only required during an initial inspection and test or verification, and is not required at the annual test. 25-78 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Cover Sheet NEPA 25 as amended by CCR. Title 19 Property Information: Name: A. MA Address:- City: ddress:_City: _..� ZIP: 9519L K Contact: Lest.A - Telephone: I Contractor Information: Name: Wilgus Fire Control, Inc. Address: 1703 Sonoma St City: Redding State: California Telephone: (530)241-2465 CA License# 462979 C-16 C-10 C-7 Job # Occupancy /Use: Construction Type: No. Stories: t Year Constructed: Performed by: L�Aycv-_ Av--.006k Y (Print) Note: Contractor information may be pre-printed ., I Number of System Risers Copy sent to: o Owner Date o Fire AHJ Date o Contractor Date NOTES: 1 ) For specific inspection, testing, and maintenance requirements and information, see NEPA 25, 2002 Edition as amended by California Code of Regulations, Title 19, §901 to §906. 2) Inspection Items may be performed by the Owner in accordance with California Code of Rea-uiations Title 19 -4904.1(a) Forms included with this report NEPA 25 Chapter Number of Forms NIA FAIL* PASS V1. Automatic Sprinkler System 5 o Standpipe and Hose Systems 6 0 Private Water Supply System 7 • Fire Pump 8 • Water Storage Tank 9 0 Water Spray System 10 0 Foam Water Sprinkler System 11 'See "Deficiencies and Comments" section at end of each respective form. State Fire Marshal AES 1 March 21, 2006 ANNEX B 25-79 Inspection, Testing, and Maintenance Fire Sprinkler System Page 1 of 4 NFPA 25, Cha ter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: System Riser ID: 1 Property Information: Type System: Cql�,� Name: t of SOF R Wet Pipe - Address: ❑ Dry Pipe Pass ❑ Preaction► 1 ❑ Deluge a� City: 12.4.3.1 Main Drain Test Results: Initial Static Pressure: S ( psi ) Residual Pressure: 5 (psi) Restored Static Pressure: SS' (psi) Abbreviation Key: I = Inspection T = Test M = Maintenance A-0 = After Operation MI = Per Manufacturer's Instructions Item Activity Frequency Description IP::reaction/Deluge NFPA 25 Reference Fail NIA Pass 1.1 1 Daily Weeklytemperature Valves — Enclosure 12.4.3.1 1� 1.2 1 Daily Weekly Dry Pipe Valves — Enclosure temperature 12.4.4.1.1 1.3 1 Quarterly Gauges (Dry, Preaction, Deluge Systems) 5.2.4.2 5.2.4.3 1.4 1 Quarterly Control Valves 12.3.2.1 1.5 1 Quarterly Alarm Devices 5.2.6 1.6 1 Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 1.7 1 Quarterly Hydraulic nameplate 5.2.7 1.8 1 Quarterly Pipe and Fittings 5.2.2 1.9 1 Quarterly Sprinklers 5.2.1 1.10 1 Quarterly Spare Sprinklers 5.2.1.3 1.11 1 Quarterly Fire Department Connections 12.7.1 X 1.12 1 Quarterly Alarm Valves — Exterior Inspection 12.4.1.1 X 1.13 1 Quarterly Preaction/Deluge Valves — Exterior Inspection 12.4.3.1.6 1.14 1 Quarterly Pressure Reducing -Valves 12.5.1.1 1.15 1 Quarterly Dry Pipe Valves — Exterior Inspection 12.4.4.1.4 1.16 1 Quarterly Backflow Preventers 12.6.1 1.17 1 Annually Buildings 5.2.5 State Fire Marshal AES 2 March 21, 2006 25-80 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4 NEPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: 5/1q System Riser ID: Property Information: NFPA 25 Reference 6_0VAU olk Type of System: moo.._.-.-a4�,c Name:CoAe_ a Wet Pipe � �. z - Address: 0 Dry Pipe c r 0 Preaction 0 Deluge,,_ �E N� P►� City: 1.19 Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.18 1 Annually Hangers 5.2.3 1.19 1 Annually Seismic Braces 5.2.3 1.20 1 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 1.21 1 5 Years Seismic Braces (Accessible concealed spaces) 5.2.3.3 1.22 1 5 Years Pipe and Fittings (Accessible concealed 5.2.2.3 X 1.23 1 5 Years -spaces) Sprinklers (Accessible concealed spaces) 5.2.1.1.4 1.24 1 5 Years Alarm Valves— Interior Inspection 12.4.1.2 1.25 1 5 Years Alarm Valves - Strainers, filters, orifices 12.4.1.2 1.26 1 5 Years Check Valves — Interior Inspection 12.4.2.1 1.27 1 5 Years Preaction/Deluge Valves — Interior Insp2cUon 12.4.3.1.7 1.28 1 5 Years Preaction/Deluge Valves - Strainers, filters, orifices 12.4.3.1.8 1.29 1 5 Years Dry Pipe Valves — Interior Inspection 12.4.4.1.5 1.30 1 5 Years Dry Pipe Valves - Strainers, filters, orifices 12.4.4.1.6 2.1 T Annually Alarm Devices (90 Sec) 5.3.3 12.2.7 2.2 T Annually Main Drain Test (Er#erdata on Page 1) 12.2.6 12.2.6.1 12.3.3.4 2.3 T Annually Antifreeze Test 5.3.4 2.4 T Annually Control Valve - Position 12.3.3.1 2.5 T Annually Control Valve — Operation 12.3.3.1 2.6 T Annually Supervisory 12.3.3.5 2.7 T Annually Preaction Valve — Priming Water 12.4.3.2.1 2.8 T Annually Preaction Valve — Low Air Pressure Alarm 12.4.3.2.10 2.9 T Annually Preaction Valve — Full Flow Trip Test 12.4.3.2.2 State Fire Marshal AES 2 March 21, 2006 ANNEX B 25-81 Inspection, Testing, and Maintenance Fire Sprinkler System Page 3 of 4 NFPA 25, Cha ter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: System Riser ID: Property Information: NFPA 25 Reference Name: V�XA- ... ��• Type of System: tioF cA<<� Wet Pipe ��� �. Address: 0 Dry Pipe T 0 Preaction Dry Pipe Valve — Priming Water 0 Deluge. E M P►� City: Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 2.10 T Annually Dry Pipe Valve — Priming Water 12.4.4.2.1 2.11 T Annually Dry Pipe Valve — Low Air Pressure Alarm 12.4.4.2.6 2.12 T Annually Dry Pipe Valve — Quick -Opening Device 12.4.4.2.4 2.13 T Annually Dry Pipe Valve — Trip Test 12.4.4.2.2 2.14 T Annually Backflow Preventer Assemblies 12.6.2 2.15 T 3 Years Dry Pipe Valve — Full Flow Trip Test 12.4.4.2.2.2 2.16 T 5 Years Gauges 5.3.2 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 2.19 T 5 Years Sprinklers — Extra High Temperature 5.3.1.1.1.3 2.20 T 5 Years Sprinklers — Corrosive environment or corrosive water 5.3.1.1.2 X 2.21 T 10 Years Sprinklers - Dry 5.3.1.1.1.5 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 X 2.23 T 50 Years Sprinklers 5.3.1.1.1 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 X 2.25 T Sprinklers manufactured prior to 1920 — Re ace 5.3.1.1.1.1 ?� 3.1 M Annually Control Valves 12.3.4 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 3.3 M Annually Dry Pipe Valves/Quick-Opening Devices 12.4.4.3.2 3.4 M Annually Dry Pipe Valve — Low Point Drains 12.4.4.3.3 3.5 M 5 Years Obstruction Investigation Chapter 13 State Fire Marshal AES 2 March 21, 2006 25-82 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System Page 4 of 4 NEPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: 5 System Riser ID: Property Information: Type ca��� Name: Lg of System: tioF Wet Pipe ❑Dry Pipe Address: � ❑ Preaction ❑ Deluge�.,� �E Ma City: Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: _ew •' 1 2rNI %A - ❑ See Continuation Page(s) (Indicate the 7,,�ber continuation pages) PASSy='� ❑FAIL O "rignifture Date State Fire Marshal AES 2 March 21, 2006 Butte County Fire Department :�E• cC�, f F D i lif Caorna Department of and Fire Protection Fire Prevention Bureau 176 Nelson Avenue, Oroville, CA 95965 �R� ' > 530-538-7888/530-538-2105(fax) Fire Safety Inspection Business Address:S-5 L'o'w t� Business Name: FAL/G/7� Owner/Manager: �"4 y G d Bus: O Other: Other Contact: Bus: Other: Building Owner: Bus: Other: Address: Fire alarms stem defective Occ. Class: �- 1 01106y;j :14 1101 Ll IM wiel11:ay Alaq1141wd:»vj=F_144all I:I =1go] gK61 710 1. Fire extinguishers: required, service due 10. Exit(s): obstructed, inadequate 2. Extension cords: Excessive use, defective 11. Exit sign(s): required, illumination, photo luminescent 3. Excessive rubbish, trash, debris 12. Exit sign lights: obstructed, defective 4. Fire alarms stem defective 13. Exit lighting: required, defective 5. Sprinkler system: service required, defective 14. Heating system: defective appliance, flue combustibles 6. Kitchen hood ext. system: service due 15. Wiring: exposed, damaged connectors, etc. 7. Fire walls, ceilings, fire doors, draft stops 16. Address posted and visible from road 8. Smoke detectors: required, defective 17. Other 9. Fire drill log checked Yes ❑ No ❑ 18. Other type of inspection — State below (DETAILED EXPLANATION AND CORRECTIONS: CORRECTED: v Date: Discuss,11211d with: Sign I � � (Print) �C�(,(� C �G-Y��G�S Inspecting Officer: Battalion 1 2 3 4 5 7 Station: �I'-� B y order of the Fire Chief: You are hereby notified to correct all vi s immediately or show cause why you should not be r quired to do so. A re -inspection will be conducted on .Willful failure to comply with this notice is a isdemeanor. Violations that are not corrected immediately and/or remain after the re -inspection may be processed as a criminal o ense. Thank you for your assistance and cooperation in minimizing the fire and life loss in our community. (H & S sec. 13112) White Copy — Station File Yellow Copy — Re-inspect/business Pink Copy — Business 0 Check when sent to prevention