2006, 02-02 Bldg A - B: Fire Systems West Alarm System F5 w
Fire Systems _lest Inc. --- ----
920 North Lake Road • Spokane, WA 99212 • Phone(509) 534-5180 • Fax(509)534-5221
•
Record of Completion
Al 8/ct . X41'5
Name of Protected Property: / - ?_ �/. i/� .. /:�, , ri-'- 4
Address: — ii_ � ! , /
Rep. Of Protected Prop. (name/phone):
Authority Having Jurisdiction: .'� �f i
Address/Phone Number: s 92 9/7 •c7
I,Types)of System or Service
__ NFPA 72,Chapter 3–Local 1
If alarm is tr. smf .-d . I. ati. s)off premises, list where receive'•
N 'A 72,Chapter 3–Emergency Voice/Alarm Service " {�
Quantity of voice/alarm channels: Single: Multiple:
Quantity of speakers installed: Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system:_ ,
NFPA 72,Chapter 4–Auxiliary
Indicate type of connection:
Local Energy: Shunt: Parallel telephone:
Location and telephone number for receipt of signals:
NFPA 72, Chapter 4–Remote Station
Alarm:
Supervisory:
NFPA 72,Chapter 4--Proprietary
If alarms are retransmitted to public fire service communications center or others, indicate location and telephone
Number of the organization receiving alarm:
Indicate how alarm is retransmitted:
NFPA 72,Chapter 4–Central Station
The prime contractor:
Central Station location:
Means of transmission of signals from the protected premises to the central station:
McCulloh Multiplex One Way Radio
Digital Alarm Communicator . Two Way Radio Others
Means of Iran mission of alarm to the public fire service corn 'unications center:
(a) / r« - Vii.// - s -. i .
(b) 4...
System Location: G .
Organization Name/Phone Representative Name/Phone
Installer / _S" s7 –.S' ‘-._/ - fi-,935�/
Supplier r"J2 3Y c-p-o ' ' N ii
Service Organization , r- Al _ . ,, y -- rce/, ,,./�0 ,�. 41 + //
Location Record As,13� yam/ gs: � ///rr v' Lti/'
Location of Owne Man alt: r
Ca4nSr ,4/Zee � - ,rte
A contract,dated //Ay:4e,, for test and inspection in accordance with NFPA standard(s)No(s), 7,
Dated (,2005 , is in effect:
I
WA CL#FIRESWI 14081 ' ECL#F1RESWI 055LW
.Fire System s _West Inc.
920 North Lake Road • Spokane, WA 99212 • Phone(509)534-5180 • Fax(509)534-5221.
2. Record of System Installation
(Fill out after installation is complete and wiring checked for open,shorts,ground faults,and improper branching,but prior to
conducting operational acceptance test.) � ]
This ystem has been installed in accordance with the NFPA standards as shown below,was inspected by / $ t"- on
g/a/a4 , includes the devices shown below,and has been in service since /„.1_,/9/D
NFPA 72,Chap 3 4 circle all that apply)
?c NFPA 70,Nationa ectrical Code,Article 760
x" Manufacturer's Instructions
Ot,,.r(s -cif
Signed: '� > • %,:' Date: 2
Organization: rs e.‘1 °
3. Record of System Operation
All operational features and functions of this system were tested by f.(� on 0244;4 ,and
found to be operating properly in accordance with the requirements of
NFPA 72,Chap o"' 3 4 • no.-'rcle all that apply)
y` NFPA 70,National Electrical Code,Article 760
1C Manufacturer's Instructions
t 'er •oec'' ):
Signed: f,,� 'J , ,� Date: D�
Organization: .5
4. Alarm Initiatingvices and Circuits(use blanks to indicate quantity of devices)
MANUAL
(a) Manual Stations Noncoded Activating Transmitters Coded
(b) Combination Manual Fire Alarm and Guard's Tour Coded Stations
AUTOMATIC
Coverage: Complete Partial:
(a) Smoke Detectors Ion Photo
(b) Duct Detectors Ion Photo
(c) Heat Detectors FT RR FT/RR RC
(d) Sprinkler Waterflow Switches: Transmitters ,k' Noncoded,Activating Coded
(e) Other(list):
5. Supervisory Signal Initiating Devices and Circuits(use blanks to indicate quantity of devices)
(a). Coded Stations
(b) Noncoded Stations, Activating Transmitters
(c) Compulsory Guard Tour System Comprised of Transmitter Stations and_
Intermediate Stations
NOTE: Combination devices recorded under 4(b)and 5 (a).
SPRINKLER SYSTEM
(a) Coded Valve Supervisory Signaling Attachments
Valve Supervisory Switches,Activating Transmitters
(b) Building Temperature Points
(c) Site Water Temperature Points
(d)-o 7 Site Water Supply Points
•
Electric Fire Pump
(e) Fire Pump Power
(f) Fire Pump Running
(g) Phase Reversal
Engine Driven Fire Pump
(h) Selector in Auto Position
(i) Engine or Control Panel Trouble
0) Fire Pump Running
Engine Driven Generator
(k) Selector in Auto Position
{l) Control Panel Trouble
(m) Transfer Switches
(n) Engine Running
WA CL#FIRESWI 140131 • ECL#FIRESWI 055LW
Fire Systems West, Inc
.
920 North Lake Road • Spokane, WA 99212 • Phone(509)534-5180 • Fax(509) 534-5221
Other Supervisory Function(s)(specify):
6. Alarm Notification Appliances and Circuits Si; <<,, q ���� ll�
Quantity of indicating appliance circuits connected to the system: �/ /7 V
Types and quantity of alarm indicating appliances installed:
(a) Bells Inch
(b) Speakers
(c) Horns
(d) Chimes
(e) Other:
(f) Visual Signals Type:
/' with audible C) w/o audible
(g) Local Annunciator
7. Signaling Line Circuits
Quantity and Style(see NFPA 72,Table 3-6)of signaling line circuits connected to system:
Quantity: / Style:
8. System Power Supplies: /
(a)Primary(Main): Nominal Voltage: / Z-0 Current Rating: v Y"
Overcurrent Pro ectio : Type: ;1 i C rre t Rating: s 'ArAsr/4
Location: i a..-, A
(b)Secondary(Standby): /
XStorage Battery: Amp Hour Rating: 7
Calculated capacity to drive system, in hours: 24 _ 60
Engine driven generator dedicated to fire alarm system:
Location of fuel storage: V - -
<(c)Emergency or Standby System used as backup to Primary Power Supply, instead of using a Secondary Power Supply:
Emergency System described in NFPA 70,Article 700
Legally Required Standby System described in NFPA 70,Article 701
Optional Standby System described in NFPA 70,Article 702,which also meets the performance requirements
of Article 700 or 701 V
9. System Software
(a) Operating System Software Revision Level(s):
(b) Application Software Revision Level(s):
(c) Revision Co II pleted by:
(name) (firm)
10. Commen
(or fe Centra Stati. arm Service Company (title) (date)
Frequency of routine tests • spections, if other than in accordance with the referenced NFPA standard(s):
System deviations from the referenced NFPA standard(s)are:
(signed for Central Station or Alarm Service Company (title) (date)
Upon .. etion of tj/s m atisfactory test(s)wit/n• sed(if required by the authority having juris 'ction 7
Al l -fI d /� I LA --- i1
(sign•d) epresen f't `e the authority aving jurisdiction (title) (dat
WA CL#FIRESWI 140B1 • ECL#FIRESWi 055LW
1_,, (4...-
F re ysLems- _est Inc. _ _.
920 North Lake Road • Spokane, WA 99212 • Phone(509) 534-5180 • Fax(509)534-5221
Record of Completion
Name of Protected Property: / - -4.:_ iii ,� '',,,— rte/ . 6� S £1Gi° d _`/
Address: , i , ` rA_ P / %
Rep. Of Protected Prop. (name/phone):
Authority Having Jurisdiction: sr w -
Address/Phone Number: ' 9'2$/7 A.d
I.Type(s)of System or Service
A NFPA 72,Chapter 3-Local
If alarm is tr. scoff-d • I. ati• s)off premises, list where receive+.•
N 'A 72,Chapter 3-Emergency Voice/Alarm Service
Quantity of voice/alarm channels:_ SingIe: Multiple:
Quantity of speakers installed: Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system:
NFPA 72,Chapter 4--Auxiliary
Indicate type of connection:
Local Energy: Shunt: Parallel telephone:
Location and telephone number for receipt of signals:
NFPA 72,Chapter 4-Remote Station
Alarm: -
Supervisory:
NFPA 72,Chapter 4-Proprietary -
If alarms are retransmitted to public fire service communications center or others, indicate location and telephone
Number of the organization receiving alarm:
Indicate how alarm is retransmitted:
NFPA 72,Chapter 4--Central Station
The prime contractor: 1
Central Station location:
Means of transmission of signals from the protected premises to the central station:
McCulloh Multiplex One Way Radio
Digital Alarm Communicator Two Way Radio Others
-Means of tran mission of alarm to the public fire service corn 1 unications center:
(b)
System Location:_ r 6_
Organization Name/Phone Representative Name/Phone
Installer Supplier _f ,�j" -� 5-^ J2 r4A. /�/r s-7/51-73v/
Service Organization 3Y s7-70
g /r- /' .1 i //
Location of Record(A/ O4 Dra v' gs: �,�.`;� � �
dj�- do/i 4_. 7 ,. ,� 4--)
. Location of Owneys Mar g:
``,,
Location of Tes Rep•rts: /'� _
• A contract, dated //2,5746., for test and inspection in accordance with NFPA standard(s)No(s), 7a
Dated „2oa5 , is in effect.
WA CL#FIRESWI 14081 • ECL#FIR ESWI05SLW
fire Systems West_Inc.
920 North Lake Road • Spokane, WA 99212 • Phone(509)534-5180 • Fax(509)534-5221.
2. Record of System Installation
(Fill out after installation is complete and wiring checked for open, shorts,ground faults,and improper branching,but prior to
conducting operational acceptance test.)
This ystem has been installed in accordance with the NFPA standards as shown below,was inspected by fps on
c7/0106 , includes the devices shown below,and has been in service since ///9406.19
x NFPA 72, Chap '3 4 5 circle all that apply)
NFPA 70,Nation ectrical Code,Article 760
Manufacturer's Instructions
Ot•, r(s p-ci
Signed: L,ftiir.�_�i/is Date: 007 '_
Organization: ,fit t,,J
3. Record of System Operation
All operational features and functions of this system were tested by fri-v) on c244 ,and
found to be operating properly in acc rdance with the requirements of
NFPA 72,Chapt T
3 4 5 b (4circle all that apply)
yc NFPA 70,National Electrical Code,Article 760
)C Manufacturer's Instructions
►e'er •.ec." ):
Signed: 1 = Date: ,e7�
Organization: 5
4. Alarm Initiatingvices and Circuits(use blanks to indicate quantity of devices)
MANUAL
(a) Manual Stations Noncoded Activating Transmitters Coded
(b) Combination Manual Fire Alarm and Guard's Tour Coded Stations
AUTOMATIC
. Coverage: Complete Partial:
(a) Smoke Detectors Ion Photo
(b) Duct Detectors Ion Photo
(c) 07 Heat Detectors FT „„k__RR _FT/RR RC
(d) c9 Sprinkler Waterflow Switches: Transmitters ■ Noncoded,Activating Coded
(e) Other(list):
5. Supervisory Signal Initiating Devices and Circuits(use blanks to indicate quantity of devices)
(a) Coded Stations
(b) Noncoded Stations, Activating Transmitters
(c) Compulsory Guard Tour System Comprised of Transmitter Stations and
Intermediate Stations
NOTE: Combination devices recorded under 4(b)and 5(a).
SPRINKLER SYSTEM
(a) Coded Valve Supervisory Signaling Attachments
Valve Supervisory Switches, Activating Transmitters
(b) Building Temperature Points
(c) Site Water Temperature Points
(d)-47 Site Water Supply Points
Electric Fire Pump
(e) Fire Pump Power
(f) Fire Pump Running
(g) Phase Reversal
Engine Driven Fire Pump
(h) Selector in Auto Position
(i) Engine or Control Panel Trouble
0) Fire Pump Running
Engine Driven Generator
(k) Selector in Auto Position
(I} Control Panel Trouble
(m) Transfer Switches
(n) Engine Running
WA CL PFIRESWI 14081 • ECL#FIRESWI 055LW
Fire Systems West, Inc.
920 North Lake Road • Spokane, WA 99212 • Phone(509)534-5180 • Fax(509)534-5221
Other Supervisory Function(s)(specify):
6. Alarm Quantity n Appliances nappliance and a Circuits y /d n 1/uw�
Quantity of indicating appliance circuits connected to the system:
Types and quantity of alarm indicating appliances installed:
(a) Bells Inch
(b) Speakers
(c) Horns
(d) Chimes
(e) Other:
(f) Visual Signals Type: (njY,. XV
Y with audible O w/o audible
{g) Local Annunciator
7. Signaling Line Circuits
Quantity and Style(see NFPA 72,Table 3-6)of signaling line circuits connected to system:
Quantity: / Style: (/
8. System Power Supplies:
(a)Primary(Main): Nominal Voltage: / Zfl Current Rating: ,207"A
Overcurrent Protectjo Type: 1 r Current Rating: ...14,.e
Location: i i ` !. .1_ . • .a -dr • PpH,. eZ
(b)Secondary(Standby):
Storage Battery: Amp Hour Rating: 7
/XI Calculated capacity to drive system, in hours: 24 60
Engine driven generator dedicated to fire alarm system:
Location of fuel storage: -
(c)Emergency or Standby System used as backup to Primary Power Supply, instead of using a Secondary Power Supply:
Emergency System described in NFPA 70,Article 700
Legally Required Standby System described in NFPA 70,Article 701
Optional Standby System described in NFPA 70,Article 702,which also meets the performance requirements
of Article 700 or 701
9. System Software
(a) Operating System Software Revision Level(s):
(b) Application Software Revision Level(s):
(c) Revision Con pleted by:
(name) (firm)
l0. .Commen
Arr e:2
( 'r f. Centra Stati i i ''warm Service Company (title) (date)
Frequency of routine tests,. spections, if other than in accordance with the referenced NFPA standard(s):
•
System deviations from the referenced NFPA standard(s)are:
(signed for Central Station or Alarm Service Company (title) (date)
Upon); . etion of tys atisfactory test(s)wit sed(if required by the authority having juris•'ction .
/ .14.44 _ 1 -- I
(sign d) epresen/r e • the authority aving jurisdiction (title) (dat•,
WA CL#FIRESWI 14081 • ECL#FIRESWI 055LW