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2006, 04-20 Bldg G: Fire Alarm Record of Completion • FIRE ALARM SYSTEM RECORD OF COMPLETION Name of protected property: / leer". - , / C, 4 6 4,f l'7 Address: . I o r. f LG Representative of protected property(name/phone): �.. K''.�..s. • Authority having jurisdiction: r r ..ir Addressltelephone number: ./.3/9 &art` Organization mune/phone Representative name/phone / Installer JP"/,PF',5Ar, bS !.tits¢./S`O9--g Y .s/ro 0us&V,///S79 Supplier F' �,� Service organization 5 # f e 0' - p/ '0 _ •i • � lfJ Location of record(as-built)drawings: el.t/- Location of operation and maintenance manuals: dat/ S.-"tee • Location of test reports:_®.t/ S'i A contract for test and inspection in accordance with NITA standards) Contract No(s):_ Effective date: Expiration date: System Software (a)Operating system(executive)ooftwaxe revisio (b)Site-specific software revision date: 5/7/9/9� (e)Revision completed by: 1"' aJ i/ /mil/ — /°�; ca f f Yefvt.$ fillet— (name) (firm 1.Type(s)of System or Service • )_NFPA72,Chapter 6—Local If alarm is trap..1 •_, to l0cation(s off premises,list where received:rev- • ' NFPA72,.Chapter8—Remote Station Telephone numbers of the organization receiving alarm: • Alarm: Supervisory: Trouble: _ If alarms am retransmitted to public fire service communications centers or others,indicate location and telephone , numbers of the organization receiving alarm: • Indicate how alarm is retransmitted: • NFPA 72,Chapter 8-Proprietary Telephone numbers of the organization receiving-alarm: • Mann: Supervisory: Trouble: If alarms axe retransmitted to public fire service communications centers orothers,indicate location and telephone • numbers of the organization receiving alarm:_ Indicate how alarm is retransmitted: NFPA72,Chapter 8--Central Station Prime contractor. • Central station location: (NFPA 72,1 of 4) Copyright NFPA • • • 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 transmission of alarms to the public fire service communications center. . • . (a) d/,G - ,�o,�� _sysle� . . • • System location: e ,t7e41149 4 . • NFPA72,Chapter9—Auxiliary ' Indicate type of connoction: _ Local energy , Shunt Parallel telephone . . • Location of telephone number for receipt of signals: - _ . • -' 2.Record of System Installation. . - . -• • - (Fill out after installation is complete and wiring•is checked 6r opens,shorts,ground faults,and Impmpar branching,. • but prior to conduct igoperational aaceptanoe tests) ' . . 'This system has been installed in accordance with the NFPA stances ail shown below,was inspected by • F?iPE 5 ftee,i. tti e on //9O�d a/ r - ,Includes the devises shown . .in 5•and 6,and has•beenIn service since y//9��1�. . . • • . . .•. • NFPA 72,Chapters 2• s 4 5 () 7 73-9 io :1 (circle all that apply) - - . x NFPA 70,-N atter:al Electrical Code,Article 760 - • X Manufacturer's instructions .' • - Other(s,_..p,: • • Signed: Liu/./!�.:_.__. . • Date: Z-©9!P • . 'Organization / .. • .'tial.cf" /z4 . • 3.Record oti'System Operation - _ . • Documentation in accordance with Inspection ingl'nn,Figure10.6,2.3,isattached / All operational faatures and'functions of this system were tested by `S G1. ' date • Y/i� 1-f'6 . and found to be operating properly in accordance with the requirements of:- • - - :; N1PA 72,-Chapters 1 2 8 4 5 0 7 8 0 10 (Circle all that apply) . -. >e NFPA 70,Natio nal Electrical Code,Article 760 ' • • Manufacturer's instructions - . • • • • ..____Other(speci ): • y. f Signed: � � 1: ' Date: . • . Organization: T4/ie. t / ',V r •✓..4 • . ° • - - . 4.Signaling Line Circuits •: • • • • • .Quantity and class signaling line circuits connected to system(secNFPA72,•lhble 6.6 I): - - ' •-Quantity: a Style: / Class: 3 . • . . . • • (NEPA72,2o{4) •• Copyright NFPA '5.Alarm-initiating Devices end Circuits. • • . Quantity and lass of initiating device el tcuits(see NAPA 72,Thbke 6.5): • Quantity: Style:- - Clam: • • - ' MANUAL • ' • i • (a)Manual stations' Noncodod Transmitters. Coded Addressable •• - (b)Combination manual fire alarm and guard's tour coded stations • AUTOMATIC • • Coverage: Complete Partial X - . Selective - Nonmquiied • • (a)Smoke detectors • Ion . Photo Addressable • (b)Duct detectors '• Ion Photo Addressable • • (c)Heat detectors _ ET• RR FriRR RC Addressable,. 0 _.- (d)SprinklerwaterQow indicators: Transmitters Noncoded . Coded ' Addressable_ 6 -- . • (e)The alarm verification feature is disabled X or enabled ,changed from 'seconds to seconds. • • (f)Other(list): • • 6. Supervisory Signal-Initiating Devices and Circuits(use blanks to indicate quantity of devices) TAWS TOUR • ( Coded stations • a '(b) Noncoded stations - • (c) = Compulsory guard's tour system•comprised of • . transmitter stations and intermediate stations ' • Note:Ceinbination devices are recorded under fi(b),Manual,and fi(a),Guard's Tout , • SPRINI{hER SYSTEM• . Check if provided • . (a) Valve supervisory switches • - (b) Building temperature points - - . : (c) • Site water temperature points . (d) '' S i t e water'supply level points ' • Electric fire pump: • . - • • (e) lore p power .• - • . (f) Fire pump.running • • •• • . (g) • Phase reversal - Engine-driven fire pump: • ' (h) Selector in auto position t ' (r) Engine•or control panel trouble : (0 'Fire pump running - • . . ENGINE-DRIVEN GENERATOR: • — (a) Selector in auto position ' ' - (b) Control panel trouble • ' • ' (c) Transfer switches ' • (d)_ Engine running - Other s ,:- r r upervi ry�funct�'on(s)(s(specify?: //Y�1'1/' /`: U �GJ! R�.a_-:: � iCl� v.1.3ta jCa ke_ Gr=`!3 $ • (NFPA 7i',3 of 4). - Copyright NFPA . . • • • 7.Annunciator(s) A r,7 - Nurnher: ! Typo: /IC/ Location: J� � (�lr��1t hiticiey • 8.Alarm Notification Appliances and Circuits NITA 72,Chapter 6 e Emergency Voice/Alarm Service Quantity of voice/alarm channels: Single:. Multiple:.. • Quantity of speakers installed: Quantity of speaker Bones: Quantity of telephones or telephone jacks included in system: Quantity and the class of notification appliance circuits connected to system(seeNhPA72,Table 6.7): Quantity: 02 Style: r Class:, - Types and quantities of notification appliances installed: (a)Bolls With Visrble - (b)Speakers_} With Visible (c) Horns 1,18 WithVisrble_. .. - (d)Chimes With Visible • • . '(e) Other: WithVisrblo . (Q Visible appliances without auddale: 9.System Rower Supplies . (a)Fire Alarm Control Panel: Nominal voltage: APO 1f4'L Current rating: f /S--A"Lro p Overt protection: Type: (14Ke/146 Siez i Current rating: f p Location: f R/Sci APS 's' it. . Ci (b) Secondary(standby): Sr+erk dere. C.IgSt. Storage battery: ' Amp-hour rating: 7 4f Calculated capacity to drive system,in hours: a y Engine-driven generator dedicated to faro alann system: Location of fuel storage: (c) Emergency system used as backup to primary power supply: . Emergency system described in NFPA 70,Article 700: 10_Comments Frequency of routine testa and inspections,if other than in accordance with the referenced NRPA standard(s): • System deviations from the referenced NITA standard(s)are: (signe�� all,ion co -:r .•o (tie) (date) ,ice1 / ( gned • alarm.en4.-coy p. (title) (dale) L.: a (signed)for central-Callen / (title) (date) • Upon completion of the system(s)satisfactory test(s)witnessed(if required by the authority having jurisdiction): TotiAiLeA,_04)representative of tile authority haying jurisdictions ((title) (date) (NEP472,4of4) . Copyright NFPA V FROM PATRIOT FIRE PROTECTION, INC. (THU) APR 20 2006 14 :05/ST. 14 00/No. 6834436680 P 26 i. FIRE PROTECTION --ul CONTRACTORS MATERIAL..& TEST REPORT FOR ABOVEGROUND PIPING PROCEDURE ....- R,ar; ..�•• rse 2sz=-...—..�. �- -... :c�Int « ............a.,•a = Upon oartipi•8on of work,Inspection and taste•hall be made by the contractor's repreaentativ and witnessed by an owner's representative,NI defects small be oorreoted and'whim lett In service before contractor's personnel finally leave the sob. A ourtiticale shill hiflfled out and signed by both representatives. Copies shall be prepared for approving authorities,owners,and contractor. It is under. stood the owner's r•prewmtativ's signature In no way prejudices any Claim against contractor for faulty malarial,poor workmanship,or failure to comply with approving aUthotdty't"soul renlents or loos/ordinances. PROPERTY NAME I # ' DATE �._ ',t PROPERTY ADDRESS ' GK/ O f 7 - : v f�.r , t r , , 60- . .. ., Wed J. :• 1-p`• AU .1-1 Irlr i • JP Jr .T.- 'T;• INSTALLATION CON kAITTo ACCEPTED PLANS - - --- - PLANS EI:}UIPMENT USED IS A?PROVED WRIT IF NO,EXPLAIN DEVIATIONS HAS PERSON IN C -s E *F Fl- EQUIPMENT BEEN INSTRUCTED AS TO 4• •TI•N •YES •N. OF CONTROL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO,EXPLAIN HAVt:COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES; Y N iNSTAUCTrpNsl I. SYSTEM COMPONENTS INSTF#UCTTONS erne NA DYES ONO 2. C AND MAINTENANCE INSTRUCTIONS 3. NFPA 13A �L f OYES ONO (34,41 O anvil;ATION SYSTEM a I �d � SERVES: .saJ 1 1 . 3" : a G si- •' •-, �' Ar-d•r 1.1 MAKE MODEL ►,• QUANTITY RATINCI ArMfirilliMINTallillie7M1111111M7. 1 13-1,- $PRINKlERS __►7 r_ r� w'E�.:3` -yi. PIPE ANO TYPE OF PIPE - V L • FITTINGS TYPE OF FITTINOS ., . 4'. . f _ . .,,. _ JFITTINGS — ALARM ALARM DEVIGE MAXIMUM TIME TO OPERATE VALVE THROUGH TEST CONNECTION OR FLOW TYPE - MODEL MIN CEO, INDICATOR a Odd : f r- .- DRY VAL ..ea ' MAKE MODEL.'. SERIAL NO. MAKE MODEL - sER4AL NO. • IM • • ► rr.- d- •1I/1-1r DRY PIPE THRU TEST WATER AIR TRIP POINT REACHED OPERATED OPERATING CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET PROPERLY TEST MIN. SEC, PSI —FM P FAIN• E , YES NO WITHOUT 0,0.0 _. _ • Q.O.D, s LAIN 'r MEASURED FROM TIME IN PEGTQ TE T CONNECTION IS OPENED 133A (OVER) FROM PATRIOT FIRE PROTECTION, INC. (THU) APR 20 2006 14 :05/5T. 14 :00/No. 6834436680 P 27 •PERATION CI PNEUMATIC ❑ELECTRIC Q HYDRAULIC DELUGE A RIM c •UPEFMSED III YE' • NO DETECTING MEDIA 'UPERVISED •YES ■NO PREACTION DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATION YE S S VA IS HE(E AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTIN IF .E.X�A1N OYES ONO I iE' H dIR U!7 P-E,RATE DOES EACH CIRCUIT MAXIMUM TIME TO MAKE MODEL SUPERVISION LOSS ALARM OPERATE VALVE RELEASE OPERATE RELEASE 111 '• r r • TEST HYDROSTATIC:Hydrastatic testa shall be made at not less than 200 pal(13.8 bare)Tor Irra hours or 88 pit(3,4 Sara)above 11.110 plea au( In'keeps 01 150 pv1 , DESCRIPTION (10.2 basal b r 110 hours,(Tiffaronilal dry-pl2a valve clappers shad b'left open during test 10 preyent damage.All above ground plping leakage sh111 b'stopped, PHEUMATIC:Eatsblietl 40 pal(2.7 bare)alr pleasure and meaeuro drop which shall nor exceed t-'h pal(0,1 basal In 21 nouns.Teel pressure lank•al normal water �T level and alr prearure and measure alr premiere drop which'hall 001•xawd 1Y pat(0.1 Nue)In 24 hours. • vv ..y•a4 • VIA • a A -a •'- •;T. .• *WA,••f,1. /,/'•';) X 14 'e• PIPING PNEUMATICALLY TESTED U YES • • .• 'MEAT OPERATES PROPERLY U YES ■ • r,�t;0� YOU FY E THE PMNKLER •YSTEM CONTRACT•` THATADDITNESAND +tiRR*- INICALS, '•+NUM TE OIL DERIVATIVES OF SODIUM€JLICATE,BRINE,OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TEST- N13 SYSTEMS OR STOPPING LEAKS? DYES NO V TESTS ( - Terre or erYt •' • • - WA r ir•1 r:L i•1•Tr_`H T 1' (N T LL:]'• SUPPLY TEST •NNECTION. CONNECTION OPEN WIDE PSI s'd`'e ROUND MAINS AND LEAD IN CONNECTIONS TO SYSTE - FLUSHED S •'I' •NNECTI+N MADE TO • IaER PIPINc3. RIRED BY COPY OF THE U ROM.;NO.1155 OYES ❑NO OTHER EXPLAIN =e BY INSTALLER OF UNDER- ROUND SPRINKLER PIPING DYES 0 NO BLANK ' NG UMB - SED LOCATIONS N 1BEFI REMOVED 2IN1KE1TE r/ 1 ►ED PIPING ■YE' ■N• IF YES.. . •• YOU CEAEIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY THE REQUIREMENTS OF AT LEAST AWS DI 0.9,LEVEL AR,3 D YE S ONO •• YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN WELDING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D1o.B,LEVEL AR3 DYES 0NO 00 YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A a•• MENTED OUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE EYED,THAT OPENINGS IN PIPING ARE SMOOTH,THAT SLAG AND OTHER 4 •NCI RESIDUE ARE REMOVED,AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED DYES ❑NO CUTOUTS bb T O CERTIFY THAT YOU HAVE A CONTROL FEATURE TO N'URE THAT ALL OUTS SCS ARE REfFIEVEC YES ®NO 'N r•T a• ;AI-Li REQUIRE A FUNCTIONAL FLOW TEST OF RESIDENTIAL SPRINKLERS? YE13 NO PLO TEST FUNCTIONAL FLOW TEST RESULTS SATISFACTORY? OYES []NO HYDRA l'a. PIATE PROVIDED 1F NO, 57' DATA NAMEPLATE Q: ES El O REMARKS DA E ' IN • E WITH ALL CONTROL VALVES OPEN__ NAME OF SPRINKLER CONTRA el) , . I- —/ • CONTRACTOR LICENSE a (a h7 Ire /b RATFIIFPO OF TESTS WITNESSED BY Jet- ..,•.. STN ' I • I • - SIGNATURES QA O, T --•r a .-s DATE .7-- I THAT E IN yT MATION HEREIN IS •UE AND -T THIS SPRINKLER SY TEM AS 1NST IN ACC(3 WITH ROW 1a-1eo AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS ADMINISTERED BY CERTIFICATION E STATE FIRE MARSHAL NAM t]F CE+TTIFICATE OF OCtdEETI<P Y hot.DF-A TAINT PH TYPE) annicrune OF CF f1F1CATE OF CCMF'4TF]1CY HOi.tefi CERTIFICATE REGISTRATION# DATE • Aounct1AL WV-WON nHO N - - OdA UACO( FROM PATRIOT FIRE PROTECTION, INC. (THU) APR 20 2006 14 :03/ST. 14 :00/No. 6834436680 P 18 PPRO(!PÔW CONTRACTORtS MATERIAL& TEST REPORT FOR UNDERGROUND PIPING P C pIU Upon ootnpletIon o1 WO 1(.Inepeatlon and gaps ra shall be nods by the aontracror'a reproaantatiye and witnessed Iry in uwner'e repraeantativa.AO detects shall ha corrected and system loll In aervloe before contractar'e personnel lInally leave the Cob. R ce mks la ahtll be fllladout and afgned by both repraeentativee.Coplee shall b■prepared rot approvIng autholiliea,owners,and cenlreotor,It le underataod theowner'e Hprelan1ative's etonatu•In no way preludloaa any claim against contractor for faulty material,poorworemenehlp,or lallute to tom ply wIlh approving authority's regvlrcmente or Ir neIc dCnanCee. PROPERTY NAME , / DATE lik," a. .1111.11:Wieinill■ 410 PROP RTY .r T;T, t Al oat 1'4T D BY AP'--i c AUTKORFI•IE5 PLANE I - TI•N 'T. sae 1 : T•ACCEPTED PLAN YES d ECIUIPMMIT USED IS APPROVED OYES NO IF NO EXPLAJN DEVIATIONS P N IN 411Wc E ►F FIRE E• IPME a _ N INSTRUCTED AS TD LOCATION VES NO OF CONTROL VALVE AND CARE AND MAINTENANCE OF THIS NEW EOUIPMENTT IF NO,EXPLAIN INSTRUCTIONS HAVE COPIES•F THE APPROPRIATE INSTRUCTI.N'AND•TT- AND MAN I E HARTS 1 t U N BEEN LEFT ON PREMISES? IP NO,®r(PLAIN • • LOCATION • BUILD1NIt • ! •,— P PE TYPES AND CLASS , . rf • J•INT e../961 • gra •'M. • • AR 4 '}+raO •YE8 N. FITTING CONFORM TO f . .,, AND OYES ❑NO UNDERGROUND• IF NO,ExpLea ,• ' • AND JOINTS JOINTS NEEDING ANCHORAGE CLAMPED PED,•OR 431;0 k p IN YES NQ ACCORDANCE WITr1 BTANDARp IF NO EXPLAIN t.. • - FLUSHING Flow tar raqulrad rate until'Water la clear-A' lear eb I c tpd',by,n04C1� .?�n�j►fofelQn Matetlal In burlap bags at outlets such as hydranCe and blow• • offs,Plueh it flows not lees than 390 GPM Ior 4.lnch pipe,ea �'t4'rsariahpipa GPM far&Indh pipe,2140 4PAt for 10-Inch pipe,and 3520t3PMt for 12-Inch ,may r pipe,When Supply cannot produce stipulated low melee,vbtalrj'A1enrfi.rntlfanibre. l7- HY!:•:TATIC hlydroatetle teat ahall be made sI not We thah 200 pal for two hours or SCI pal'bore steno pressure In eseeea 01 150 pal for two hours, DESCRIPTION LEAKAGE Maw pips tare with rubble galketed palate chill,If the warkmanetrip to eetINaetory,nova tilde or no leakage at the Joints.The amount of Ieakaoa at the JOtnie shall not exoegd 2 qty.pet hour per 100lolnte Irrypeollve of pipe dfe mar am.The leakage shell be dlatilbuted over all faints.If avah leaked occurs III few points the Inelellaiton chill be oonstderoo unsatlltaotory and necessary renege made,The amount of aitowabls lsakrgs epeollted abava maybe Increased by 1 fl.on per In.value diameter par hour for each metal seated valve Win Ono the tent aeollon,If dry barrel hydrants are leafed with the mtln vaha open,en the hydranta are under prosure,In eddItIOnal Son par minufa leakage In permitted for each hydrant. `r-V'S� NEW UNDERGROUND PIPING FLUSHED ACCORDING TO STANDARD IN YES ■NO IF (COMPANY)O EXPLIN /// IF NO,EXPLAIN FLU Ht FLOW W. a A. •i' a ••T,1 • „• , .., • ••S IN FLUSHING IN PUt9LJC WAY8R ❑TANK OR RESERVOIR 0 FIRE PUMP Cl HYDRANT SUIT APPEN PIPE TESTS LEAD-INS FLUSHED ACCORDING TO . STANDARD 111 Y • I>•NO BY{COMPANY) IF NO, EXPLAIN HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING ®PUBLIC WATER 0 TANK OR RESERVOIR ❑FIRE PUMP ❑Y CONN.TO FLANGE&SPIGOT ❑ OPEN PIPE 859 (OVER) FROM PATRIOT FIRE PROTECTION, INC. (THU) APR 20 2006 14 :03/ST. 14 :00/No. 6834436680 P 19 ALL I NEW UNDERGROUND PIPING HYDROSTATICALLY TE'T D ATE K r^^y JOINT. «'• RED HYDROSTATIC X&0 PSI POR a, HOUEts DYES DNO TEST ••AL AMOUNT OF LEAKAGE MEASURED LEAKAGE GALS. HOURS TEST . • ABLE LEAK As GALS, HOURS —FI1fOFiANYS NUREIZA(N$rALZED "`r TYPE AND MAKE " - ALL I' ILY ❑YES D NO WATER CONTF4DL VALVES LEFT WIDE OPEN LIVES L No CONTROL IF NO STATE REASON VALVES •: THREADS{ F�FlRE CEPARTME NNE T N AND HYDRANTS ENTER NGEABLE WITH THOSE OF FINE DEPARTMENT ANSWSR1NG ALARM DYES •NO IT. I 1 a ;,TO RCMAFIKS MTTrI��•T, NBTALligjc CONTRACT OR CONTRACTOR LICENSE d '..� r ' . PATRIFP099CF SIGNATURES Fir_ .r•- TESTS WI" 'SED BY RTY OWNER(SIGNED) TIT - DATE i•, g s>tr r r er•". .T• ,. ��'f;,r'�.0*'r a1 •'•. TIT DAT 40 iff/z..... ~ �>E j I ` :-•i-.THAT THE INFO- q'f,0.N HEREIN I -•UE AND THAT THIS SP',NKLER 'YSTEM WAS INSTALLED N ACCORD. ANCE WITH ROW 18&460 AND E RULEES.ADOPTE0 E3Y THE WAS ` TON ADMINIS ' THE CODE AS ADMINISTERED BY CERTIFICATION THE STATE FIRE MARSHAL f m ► • r.'1 mum i �' a M•�r+/ y iic~(Pima to TrPp •,...T O CR IFICA E OF OOMMENO FIOLDI I CERTIFICATE REGISTRATION "' `\. . DATE I—IZ.-v • 1 .I- I T. TON mi 9 a: - A 1:,,i i1_m iesa MK • ,;