HomeMy WebLinkAboutFAI23-0003 025-200-127 SPIN _ SPORT CLUB_ Fire Alarm-DMP-XR 150_ 9-23-2025 (Semi-Annual) Form for Inspection, Testing and Maintenance of �1, * Security Systems
Fire Alarms and Signaling Systems A VYANET OPERATING GROUP, INC.COMPANY
Location Code: 045-174-5320
Contact: ERICA SANNAR Company: Eagle Security Systems
Contact Address: 1788 HIGHWAY 99 Address: 3268 Esplanade Ste A
GRIDLEY,CA 95948-2210
Chico,CA 95973
Phone: 530-788-6043 Company Phone: 530-345-6395
Email: DRJSANNAR@YAHOO.COM Inspector: JOSE ANTONIO SANCHEZ LUNA
Property Evaluated: SPIN&SPORT CLUB(Business) NICET 1 165142
1788 HIGHWAY 99 Date of Work: 9/23/2025
GRIDLEY,CA 95948-2210
Frequency: Semi-Annual
Description: Fire Alarm(DMP-XR 150)
Deficiency Summary
Please refer to the Deficiency Summary located on applicable Fire Alarm Supplementary Forms for additional deficiency details.
General Comments
There are no general comments for this submission
Eagle Security Systems,3268 Esplanade Ste A,Chico,CA,95973 Phone:530-345-6395 Page 1 of 4
Eagle Security Systems
3268 Esplanade Ste A
Security Systems Chico,CA 95973
A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395
Form for Inspection, Testing and Maintenance of
Fire Alarms and Signaling Systems
Separate forms are available for inspection,testing,and maintenance 4.System Information
of the rest of the fire protection system of which the fire alarms and 4.1 Control Unit:
signaling systems are a part.More frequent inspection,testing,and Manufacturer: DMP
maintenance may be necessary depending on the conditions of the
occupancy and the water supply. Model number: XR150
Notes: 4.2 Software and Firmware Revision number: 212
1. All questions are to be answered Yes,No,or Not Applicable.All 4.3 System Power:
"No"answers are to be explained in the Comments for this form. 4.3.1 Primary(Main)Power:
2. Refer to NFPA-72 for specific inspection frequency requirements Nominal voltage: 120
for the different components.
1.Property Information Amps: 20
Owner: Location: OFFICE
ERICA SANNAR Overcurrent protection type: TRANSFORMER
Owner's Phone Number: Amps: 20
530-788-6043 Disconnecting means location: BELOW PANEL
Owner's Address: 4.3.2 Secondary Power:
1788 HIGHWAY 99.GRIDLEY.CA.95948-2210 Type: BATTERY
Property Being Evaluated: Location: FACU
SPIN&SPORT CLUB(Business) Battery type(if applicable): ❑Lead-acid❑Nickel-
cadmiumPro e Address:
Property ❑Primary(dry cell)
1788 HIGHWAY 99.GRIDLEY.CA.95948-2210 ❑✓Sealed lead-acid
Assembly Description: Calculated capacity of batteries to drive the system:
Fire Alarm(DMP-XR 1501 In standby mode(hours): 24.0
2.Owner's Section In alarm mode(minutes): 5.0
A.Are the fire alarms and signaling systems ]Yes El No 5.Notifications Made Prior To Testing
in service?
B.Have fire alarms and signaling systems ❑✓Yes❑No
remained in service since the last inspection?
C.Was the system(of which the fire alarm Monitoring Vyanet 8:56
and signaling systems are a part)free of organization:
actuation of devices or alarms since the last ]Yes El No
Building Staff 8:56
inspection? management:
D.The required record documents are
available and include the current revisions of I Building occupants: I Staff 8:56
all fire alarm software and the revisions of Yes❑No Authority Having
software of any systems with which the fire Jurisdiction: N/a N/a
alarm software interfaces?
3.Monitoring Information Other,if required:
Monitoring organization: VYANET
OPERATING GROUP,
INC
Address: 410 SW COLUMBIA
STREET;STE 120,
BEND OR 97702
Phone: 541-241-1800
Fax:
Email: INSPECTIONS@VYA
NET.COM
Account number: 174-5320
Phone line 1:
Phone line 2:
Means of transmission: CELLULAR
COMMUNICATOR
Entity to which alarms are retransmitted:
Phone:
NFPA 72 v1.1-2019 Page 2 of 4
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6.Testing Results 6.6 Supervising Station Monitoring
6.1 Control Unit and Related Equipment lscriptio Yes/No I i 7
Alarm signal ❑Pass❑Fail
escription Visual Functional Results ❑Yes❑No ❑✓N/A
Inspection Test
Alarm ❑Pass❑Fail
Control unit ❑d Yes❑No ❑d Yes❑No J Pass❑Fail restoration ❑Yes❑No ❑✓N/A
N/A
Lamps/LEDs/L IA Pass❑Fail Trouble signal ❑Yes❑No ❑Pass❑Fail
CDsp ❑✓Yes❑No ❑�Yes❑No ]N/A NA N/A
Trouble ❑Pass❑Fail
Fuses ❑✓Yes❑No ❑�Yes ID No L✓J Pass❑Fail restoration ❑Yes_I No NA N/A
N/A
Trouble signals L✓Jas❑PsFail Supervisory ❑Yes❑No ❑Pass❑Fail
Ile Yes_I No L_l Yes❑No a Li signal NA N/A
Disconnect ❑Pass❑Fail Supervisory ❑Yes❑No ❑Pass❑Fail
switches ❑Yes J No ❑Yes[ No NA N/A restoration NA N/A
6.7 Public Emergency Alarm Reporting System
Ground-fault ❑Pass❑Fail
❑Yes J No ❑Yes LJ No
monitoring ]]N/A Description [ Yes/No I I Time(seconds) Results
Supervision 0 Pass❑Fail Alarm signal ❑Pass❑Fail
L✓JYes❑No L�Yes❑No _I N/A ❑Yes❑No
_✓I N/A
Local ❑Pass❑Fail Alarm ❑Pass❑Fail
annunciator ❑Yes�I No ❑Yes LJ No J N/A ❑Yes❑No
restoration _✓I N/A
Remote ❑✓Pass❑Fail Trouble signal ❑Pass❑Fail
annunciators ❑✓Yes❑No ❑/Yes❑No _I N/A ❑Yes❑No
❑✓N/A
Remote power ❑Pass❑Fail Trouble ❑Pass❑Fail
❑Yes❑✓No ❑Yes❑�/No ❑Yes❑No
panels _✓I N/A restoration ❑✓N/A
❑Pass❑Fail Supervisory ❑Pass❑Fail
Other: ❑Yes❑No ❑Yes❑No _I N/A signal ry ❑Yes❑No NA'N/A
g
6.2 Secondary Power
Supervisory ❑Yes❑No ❑Pass❑Fail
Description Visual Functional Results restoration ❑✓N/A
Inspection Test 1 7.Notifications That Testing Is Complete
Battery ❑✓Yes❑No ❑O Yes❑No NA PPass❑Fail Contact
condition ❑N/A
Monitoring
Load voltage ❑✓Yes❑No ❑/Yes❑No ❑✓Pass❑Fail organization: Vyanet 9:15
❑N/A
Building Staff 9:15
Discharge test ❑✓Yes❑No ❑/Yes❑No ❑✓Pass❑Fail management:
❑N/A
Charger test ❑✓Pass❑Fail Building occupants: Staff 9:15
❑✓Yes❑No ❑/Yes❑No ]N/A Authority Having
Jurisdiction: N/a N/a
Remote panel ❑Pass❑Fail
batteries ❑Yes NA No CI Yes❑�No ]N/A Other,if required:
6.3 Alarm and Supervisory Alarm Initiating Device 8.System Restored To Normal Operation
Complete supplementary device test form for all initiating devices. Date: 9/23/2025
6.4 Notification Appliances Time: 9:15
Complete supplementary appliance test form for all notification 9.Comments
appliances. Any "No"answers, test failures or other problems found with the fire
6.5 Interface Equipment alarm system must be explained using the comment specific for each
Complete supplementary interface component test form for all question.Additional comments can be added here.
interface components. Please see the summary section at the top of the form for the
Circuit Interface/Signaling Line Circuit Interface/Fire Alarm comments.
Control Interface 10.Inspector's Information
Inspected By JOSE ANTONIO
SANCHEZ LUNA
Inspector License: NICET 1 165142
I state that the information on this form is correct at the time and place
of my inspection,and that all equipment tested at this time was left in
operating condition upon completion of this inspection except as noted
in the Comments.This system as specified herein has been inspected
and tested according to NFPA 72,2019 edition,Chapter 14.
NFPA 72 v1.1-2019 Page 3 of 4
1�����"'� Eagle3268Esplana Securityd Systems
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'
0Security Systems Chico,CA 95973
A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395
Signature of Inspector
Date 9/23/2025
11.Owner or Owner's Representative
Owner or Owner's Representative Name
Owner or Owner's Representative Signature Na Signature Available
Date 9/23/2025
NFPA 72 v1.1-2019 Page 4 of 4