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HomeMy WebLinkAbout5962 LA PLACE CT; ; FA130063; Permit (2)5/6/24, 4:43 PM FA130063 Permit Data City of Carlsbad Fire Alarm Permit Job Address: 5962 LA PLACE CT Permit Type: FALARM Parcel No: 2120620600 Lot #: 0 Reference No.: Permit No: FA130063 Status: APPROVED Applied 9/11/2013 Approved: 9/19/2013 Issued: 9/19/2013 PC #: Inspector: Project Title: SALIMETRICS TI EXISTING SPRINKLER MONITORING SYSTEM, ADDITIONS TO SYSTEM. Applicant: r.AA t11 I STANDARD ELECTRONICS CAMPUS CARLSBAD L L C C/O NEWPORT NATIONAL CORP 9340 STEVENS RD 1525 FARADAY AVE #100 SANTEE CA CARLSBAD CA 619-596-9950 Fees ($) Add'I Fees ($) Total ($) Balance ($) 286 0 286 0 about:blank 1/1 THERE ARE NO PLANS ASSOCIATED WITH THIS PERMIT (GA Standard ctj Electronics 9340 Stevens Rd. Santee, CA 92071 Ph# 619-596-9950 Fax# 619-596-8850 September 9, 2013 SUBMITTAL SHEET PROJECT: Sallmetrics 5962 Suite 275 5962 La Place Ct., Carlsbad, CA 92008 ARCHITECT: ELEC.ENGR: ELEC.CONTR: EQUIPMENT Fire Alarm System ITEM QTY DESCRIPTION MODEL NO. DATA SHEET Supplementary NAC panel SFM#7315- 1 1 1637:0102 HPF2458 Honeywell 2 2 12 Volt AH Sealed Lead Acid Batteries ES7-12 MK Battery •••7 Addressable Output Supervised Module 2 SFM#7300-1703:0102 AOM-2SF FCI Analog Photoelectronic Sensor SFM#7272-1703:0121 ASD-PL2F FCI 6" Base, Flanged for use with analog sensor 5 1 SFM#7300-1653:0109 B21OLP System Sensor Ceiling Strobe, 12/24v01t,red, multicandela : 6 3 SFM#7125-1653:0186 SCR System Sensor Ceiling Horn/Strobe 12/24volt, red, multicandela SFM#7125-1653:0188 PC211 System Sensor 8 A/R 2 conductor, 16 AWG, Unshielded, Jacketed D162F WCW A/R 2 conductor; 14 AWG, Unshielded, Jacketed 142F WCW CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL FIRE ENGINEERING BUILDING MATERIALS LISTING PROGRAM - LISTING SERVICE LISTING No. 7315-1637:0102 Page 1 of I CATEGORY: 7315 - POWER UNITS LISTEE: HONEYWELL POWER PRODUCTSI2 Clintonville Road, Northford, CT 06472 Contact Vladimir Kireyev (203) 484-6277 Fax (203) 484-7309 Email: Vladimir.kireyev©honeywell.co DESIGN: Models HPF24S6, HPF24S8, PFF8, HPFF8E, HPFFSCM, HPFF8CME, HPFF12, HPFF12E, *HPFFI2CM and *HPFFI2CME power limited power supply/battery chargers used for supervision and expanded power driving capability of up to four Notification Appliance Circuits (FACP Fire Circuits, Signaling Devices) or resettable/non resettable outputs. Model ZNAC-4 Class A converter. Refer to listee's data sheet for additional detailed product description and operational considerations. RATING: 120 VAC, 24VDC INSTALLATION: In accordance with listee's printed installation instructions, applicable codes and ordinances and in a manner acceptable to the authority having jurisdiction. MARKING: Listees name, product designation, electrical rating and UL label. APPROVAL: Listed as power supply/battery chargers for use with separately listed compatible fire alarm control units. XLF: 7315-0075:0206 *Rev. 10-20-10 bh This listing is based upon technical data submitted by the applicant. CSFM Fire Engineering staff has reviewed the test results and/or other data but does not make an independent verification of any claims. This listing is not an endorsement or recommendation of the item listed. This listing should not be used to verify correct operational requirements or installation criteria. Refer to listee's data sheet, installation instructions and/or other Date Issued: July 01, 2013 Listing Expires June 3O,2014 Authorized By: JAMES PARSEGIAN, Program Coordinator Fire Engineering Division CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL FIRE ENGINEERING - BUILDING MATERIALS LISTING PROGRAM LISTING SERVICE LISTING No. 7300-1703:0102 Page 1 of I CATEGORY: 7300 -- FIRE ALARM CONTROL UNIT ACCESSORIES/MISC. DEVICES LISTEE: GAMEWELL-FCII2 Clintonville Road, Northford, CT 06472 Contact: Brian Reynolds (204) 484-6124 Fax (203) 484-7309 Email: brian.reynolds2©honeywell.com DESIGN: Models AMM-4, *AMM..4F AMM-2 and *AMM.2F monitot6jIes and Models AOM, AOM-2, AOM-2R, *AOM..2RF AOM-2S and *AOM..25F control modules. Refer to listee's data sheet for detailed product description and operational considerations. INSTALLATION: In accordance with listee's printed installation instructions, applicable codes and ordinances and in a manner acceptable to the authority having jurisdiction. MARKING: Listee's name, model designation, electrical rating and UL label. APPROVAL: Listed as accessories for use with separately listed compatible control units. System Sensor Model SMB500 surface mount box (CSFM Listing No. 7300-1653:103) may be used as an enclosure for these modules NOTE: FORMERLY: 7300-0694:178 XLF: 7300-1653:0103 12-4-07 This listing is based upon technical data submitted by the applicant. CSFM Fire Engineering staff has reviewed the test results and/or other data but does not make an independent verification of any claims. This listing is not an endorsement or recommendation of the item listed. This listing should not be used to verify correct operational requirements or installation criteria. Refer to listee's data sheet, installation instructions and/or other Date Issued: July 01, 2013 Listing Expires June 30, 2014 Authorized By: JAMES PARSEGIAN, Program Coordinator Fire Engineering Division CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL FIRE ENGINEERING - BUILDING MATERIALS LISTING PROGRAM LISTING SERVICE LISTING No. 7272-1703:0121 Page 1 of I CATEGORY: 7272 - SMOKE DETECTOR-SYSTEM TYPE-PHOTOELECTRIC LISTEE: GAMEWELL-FC112 Clintonville Road, Northford, CT 06472 Contact: Brian Reynolds (204) 484-6124 Fax (203) 484-7309 Email: brian.reynoIdsyweIIiom DESIGN: Models ASDPL2F,bPL2FR*, ASD-FILTREXF, ASD-PTL2F, and MCS-ACCLIMATE2F photoelectric smoke detector. Models ASD-PL2F and MCS-ACCLIMATE2F employ a 135SF supplement integral heat sensor which only assists in a fire situation. This thermal circuitry is NOT approved for use in lieu of a required heat detector. Refer to listee's data sheet for detailed product description and operational considerations. INSTALLATION: In accordance with listee's printed installation instructions, applicable codes and ordinances and in a manner acceptable to the authority having jurisdiction. MARKING: Listee's name, model number, electrical rating, and UL label. APPROVAL: Listed as photoelectric smoke detectors when used in conjunction with listee's separately listed compatible fire alarm control units and bases. All models are suitable for open areas and inside duct installations with air velocities between 0-4000 FPM, Models ASD-PL2F and ASD-PL2FR are also approved for installations inside System Sensor duct detector housing DNR (OSFM Listing No. 3242-1653:209) and DNRW (OSFM Listing No. 32421653:210)*. NOTE: The photoelectric type detectors are generally more effective at detecting slow, smoldering fires which smolder for hours before bursting into flame. Sources of these fires may include cigarettes burning in couches or bedding. The ionization type detectors are generally more effective at detecting fast, flaming fires that consume combustible materials rapidly and spread quickly. Sources of these fires may include paper burning in a .waste container or a grease fire in the kitchen. FORMERLY: 7272-1209:160 and 7272-0694:263 XLF: 7272-1653:0123 *Rev. 01-28-2010 fm This listing is based upon technical data submitted by the applicant. CSFM Fire Engineering staff has reviewed the test results and/or other data but does not make an independent verification of any claims. This listing is not an endorsement or recommendation of the item listed. This listing should not be used to verify correct operational requirements or installation criteria. Refer to listee's data sheet, installation instructions and/or other Date Issued: July 01, 2013 Listing Expires June 30, 2014 Authorized By: JAMES PARSEGIAN, Program Coordinator Fire Engineering Division CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL FIRE ENGINEERING - BUILDING MATERIALS LISTING PROGRAM LISTING SERVICE LISTING No. 7300-1653:0109 Page 1 of I CATEGORY: 7300 -- FIRE ALARM CONTROL UNIT ACCESSORIES/MISC. DEVICES LISTEE: System Sensor, Unincorporated Div of Honeywell Int'l Inc.3825 Ohio Ave, St. Charles, IL 60174 Contact: Trish Linhart (630) 377-6580 Fax (630) 377-7245 Email: trish.linhart@systemsensor.com DESIGN: Models B401, B401 B, B401 R, B4OIBR, B401 BR-750, B401 R-750, B402B, 1340413, B404BT, B406B, 13501, B50IB, 14506587-002, 1350I131-1, 1350I13HT, B40IBH, BIIOLP, BIIORLP, B1IORLP750, 131121-P, 13II41-P, B1I4LPBT, BII6LP and B2IOLP detector bases. Refer to listee's data sheet for detailed product description and operationeeserations. INSTALLATION: In accordance with listee's printed installation instructions, applicable cod?'acdrdinances and in a manner acceptable to the authority having jurisdiction. MARKING: Listee's name, product designation and UL label. APPROVAL: Listed as detector bases for use with separately listed compatible detectors. NOTE: Formerly 7300-1209:128 06-17-05 This listing is based upon technical data submitted by the applicant. CSFM Fire Engineering staff has reviewed the test results and/or other data but does not make an independent verification of any claims. This listing is not an endorsement or recommendation of the item listed. This listing should not be used to verify correct operational requirements or installation criteria. Refer to listee's data sheet, installation instructions and/or other Date Issued: July 01, 2013 Listing Expires June 30, 2014 Authorized By: JAMES PARSEGIAN, Program Coordinator Fire Engineering Division CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL FIRE ENGINEERING - BUILDING MATERIALS LISTING PROGRAM IL R3~2 LISTING SERVICE LISTING No. 7125-1653:0186 Page 1 of I CATEGORY: 7125-- FIRE ALARM DEVICES FOR THE HEARING IMPAIRED LISTEE: System Sensor, Unincorporated Div of Honeywell Int'l Inc.3825 Ohio Ave, St. Charles, IL 60174 Contact: Trish Linhart (630) 377-6580 Fax (630) 377-7245 Email: trish.linhartsystemsensor.com DESIGN: Synchronous type strobe lights, Models SR, SRH, SW, SW-CLR-ALERT, SWH, SCR, SCRH, SCW, SCW-CLR-ALERT and SCWH followed by the suffix -P, -SP, -PG, or none. Intended for indoor use mounted on the wall or the ceiling. Refer to listee's data sheet for additional detailed product description and operational considerations. RATING: 8-17.5 or 16-33 VDC/FWR Candela: 15, 15/75, 30, 75, 95, 110, 115, *135 *150 *177 *185cd INSTALLATION: In accordance with listee's printed installation instructions, applicable codes and ordinances, and in a manner acceptable to the authority having jurisdiction. MARKING: Listee's name, model number, electrical rating and UL label. APPROVAL: Listed as strobe lights suitable for hearing impaired application when used with separately listed compatible fire alarm control units. Suitable for indoor use, wall or ceiling mounted. Refer to listee's Installation Instruction Manual for details. *Rev. 03-11-10 frn This listing is based upon technical data submitted by the applicant. CSFM Fire Engineering staff has reviewed the test results and/or other data but does not make an independent verification of any claims. This listing is not an endorsement or recommendation of the item listed. This listing should not be used to verify correct operational requirements or installation criteria. Refer to listee's data sheet, installation instructions and/or other Date Issued: July 01, 2013 Listing Expires June 30, 2014 Authorized By: JAMES PARSEGIAN, Program Coordinator Fire Engineering Division CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL FIRE ENGINEERING - BUILDING MATERIALS LISTING PROGRAM - LISTING SERVICE LISTING No. 7125-1653:0188 Page 1 of I CATEGORY: 7125— FIRE ALARM DEVICES FOR THE HEARING IMPAIRED LISTEE: System Sensor, Unincorporated Div of Honeywell Intl Inc.3825 Ohio Ave, St. Charles, IL 60174 Contact: Trish Linhart (630) 377-6580 Fax (630) 377-7245 Email: trish.linhart@systemsjor.com DESIGN: Models CHSR and CfiSVhime/Strobes. Models P2RP2RH and P2WH Horn/Strobes two-wire type, rectangular enclosure. Models PC2R, PC2W, PC2RH and PC2WH Horn/Strobes two-wire type, round enclosure Models P4R, 134W, P4RH and P4WH Horn/Strobes four-wire type, rectangular enclosure. Models PC4R, PC4W, PC4RH and PC4WH Horn/Strobes* four-wire type, round enclosure. All models are intended for indoor use only unless other wise indicated. Models may be followed by the suffix UK indicating indoor or outdoor use, or may be followed by suffix "P" for plain housing with no lettering. "K" suffix models are suitable for outdoor applications at temperatures from -40°F to +151°F (-40°C to +66°C) and are rated NEMA4X when used with the System Sensor weather proof back boxes models SA-WBB (Wall), SA-WBBW (Wall), SA-WBBC (Ceiling) and *SA4JBCW (Ceiling). Refer to listee's data sheet for additional detailed product description and operational considerations. RATING: Standard Horn/Strobes and Chime/Strobes 8 - 17.5 or 16-33 VDC/FWR Hi CD Horn/Strobes 16-33 VDC/FWR INSTALLATION: In accordance with listee's printed installation instructions, applicable codes and ordinances, and in a manner acceptable to the authority having jurisdiction. MARKING: Listee's name, model number, electrical rating, and UL label. APPROVAL: Listed as *horn/strobes or chime/strobes suitable for signaling appliances and equipment for the hearing impaired applications when used with separately listed compatible fire alarm control units. Horn/strobes with -K suffix are suitable for indoor or outdoor use, ceiling or wall mount Chime section is suitable for private mode and indoor use only. Horn/Strobes or chime/strobes* can generate the distinctive three-pulse audible Temporal Pattern Fire Alarm Evacuation Signal (for total evacuation) in accordance with NFPA 72, 2010 Edition. Refer to listee's Installation Instruction Manual for details. *Corrected 12-15-11 bh This listing is based upon technical data submitted by the applicant. CSFM Fire Engineering staff has reviewed the test results and/or other data but does not make an independent verification of any claims. This listing is not an endorsement or recommendation of the item listed. This listing should not be used to verify correct operational requirements or installation criteria. Refer to listee's data sheet, installation instructions and/or other Date Issued: July 01, 2013 Listing Expires June 30, 2014 Authorized By: JAMES PARSEGIAN, Program Coordinator Fire Engineering Division FA1Oo(3 FIRE ALARM AND EMERGENCY COMMUNICATION SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time ofsystem acceptance and approval. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert NM in all unused lines. Attach additional sheets, data, or calculations as necessary to provide a complete record. PROPERTY INFORMATION Name of property: Salimeterics Address: 5962 La Place Court, Carlsbad, California 92008 Suite 275 Description of property: Office Space Occupancy type: B- Business Name of property representative: .----------------------------------------------------------------------------------------- Address: Phone: Fax: E-mail: Authority having jurisdiction over this property: - Carksbad Fire Department Phone: 760-602-4665 Fax: 760-602-8561 E-mail: INSTALLATION, SERVICE, AND TESTING CONTRACTOR INFORMATION Installation contractor for this equipment: Standard Electronics - - - Address: 9340 Stevens Rd, Santee, CA 92071 License or certification number: 590876 -- Phone: 619-596-9950 Fax: 619-596-8850 E-mail: office@standardelectronics.us Service organization for this equipment:. ...- Address: License or certification number: Phone: Fax: - - E-mail: - - A contract for test and inspection in accordance with NFPA standards is in effect as of: - -- - - - Contracted testing company: - Address: Phone: Fax: E-mail: Contract expires: - Contract number: Frequency of routine inspections: DESCRIPTION OF SYSTEM OR SERVICE Fire alarm system (nonvoice) Fire alarm with in-building fire emergency voice alarm communication system (EVACS) Mass notification system (MNS) El Combination system, with the following components: 0 Fire alarm 0 EVACS 0 MNS 0 Two-way, in-building, emergency communication system El Other (specify): N/A NFPA 72, Fig. 10.18.2.1.1 (p.1 of 12) Copyright 0 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 3. DESCRIPTION OF SYSTEM OR SERVICE (continued) NFPA 72 edition: 2010 Additional description of system(s): 3.1 Control Unit Manufacturer: FCI Model number: 7100 3.2 Mass Notification System This system does not incorporate an MNS 3.2.1 System Type: D In-building MNS—combination El In-building MNS—stand-alone Other (specify):N/A 3.2.2 System Features: 0 Wide-area MNS 0 Distributed recipient MNS El Combination fire alarm/MNS 0 MNS autonomous control unit 0 Wide-area MNS to regional national alerting interface El Local operating console (LOC) 0 Direct recipient MNS (DRMNS) 0 Wide-area MNS to DRMNS interface El Wide-area MNS to high-power speaker array (HPSA) interface 0 In-building MNS to wide-area MNS interface Other (specify): N/A 3.3 System Documentation An owner's manual, a copy of the manufacturer's instructions, a written sequence of operation, and a copy of the numbered record drawings are stored on site. Location: 3.4 System Software 0 This system does not have alterable site-specific software. Operating system (executive) software revision level: FC17 100 v. 7.01.11 Site-specific software revision date: 10/01/2013 Revision completed by: Scott Hodson- 10 - - - - A copy of the site-specific software is stored on site. Location: 3.5 Off-Premises Signal Transmission 0 This system does not have off-premises transmission. Name of organization receiving alarm signals with phone numbers: Alarm: Phone: Supervisory: Phone: -. __ .... Trouble: Phone: Entity to which alarms are retransmitted: Carlsbad Fire Dept - - - - Phone: 760-602-4665 - Method of retransmission: Telephone If Chapter 26, specify the means of transmission from the protected premises to the supervising station: N/A If Chapter 27, specify the type of auxiliary alarm system: 0 Local energy 0 Shunt 0 Wired 0 Wireless NFPA 72, Fig. 10.18.2.1.1 (p.2 of 12) Copyright 02009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 4. CIRCUITS AND PATHWAYS 4.1 Signaling Line Pathways 4.1.1 Pathways Class Designations and Survivability Pathways class: B Survivability level:. 0 Quantity: (See NFPA 72, Sections 12.3 and 12.4) 4.1.2 Pathways Utilizing Two or More Media Quantity: N/A Description: N/A 4.13 Device Power Pathways No separate power pathways from the signaling line pathway Power pathways are separate but of the same pathway classification as the signaling line pathway Power pathways are separate and different classification from the signaling line pathway 4.1.4 Isolation Modules Quantity: N/A 4.2 Alarm-Initiating Device Pathways 4.2.1 Pathways Class Designations and Survivability Pathways class: N/A -. Survivability level: N/A Quantity: N/A (See NFPA 72, Sections 12.3 and 12.4) 4.2.2 Pathways Utilizing Two or More Media Quantity: N/A Description: N/A . 4.23 Device Power Pathways 12 No separate power pathways from the initiating device pathway Power pathways are separate but of the same pathway classification as the initiating device pathway Power pathways are separate and different classification from the initiating device pathway 43 Non-Voice Audible System Pathways 43.1 Pathways Class Designations and Survivability Pathways class: - B - Survivability level: 0 Quantity: (See NF'PA 72, Sections 12.3 and 12.4) 43.2 Pathways Utilizing Two or More Media Quantity: N/A Description: N/A - - --------------------- 433 Appliance Power Pathways ID No separate power pathways from the notification appliance pathway Power pathways are separate but of the same pathway classification as the. notification appliance pathway Power pathways are separate and different classification from the notification appliance pathway NFPA 72, Fig. 10.18.2.1.1 (p.3 d'12) Copyright 02009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. C 5. ALARM INITIATING DEVICES 5.1 Manual Initiating Devices 5.1.1 Manual Fire Alarm Boxes 0 This system does not have manual fire alarm boxes. Type and number of devices: Addressable: N/A Conventional: N/A Coded: N/A -. Transmitter: N/A Other (specify):N/A -.-.---------.---- -------..---.---. ---------------------------------------------------.........- ................- ........................ 5.1.2 Other Alarm Boxes ED This system does not have other alarm boxes. Description: N/A Type and number of devices: Addressable: N/A Conventional: - N/A - Coded: N/A Transmitter: N/A Other (specify): N/A 5.2 Automatic Initiating Devices 5.2.1 Smoke Detectors 0 This system does not have smoke detectors. Type and number of devices: Addressable: I Conventional: N/A Other (specify): ... ............-....- . ------.................... Type of coverage: 0 Complete area Z Partial area 0 Nonrequired partial area Other(specify): N/A - .................................................................................... Type of smoke detector sensing technology: 0 Ionization SPhotoelectric 0 Multicriteria 0 Aspirating 0 Beam Other (specify): N/A 5.2.2 Duct Smoke Detectors Z This system does not have alarm-causing duct smoke detectors. Type and number of devices: Addressable: N/A Conventional: N/A Other (specify): N/A Type of coverage: N/A Type of smoke detector sensing technology: 0 Ionization 0 Photoelectric 0 Aspirating 0 Beam 5.23 Radiant Energy (Flame) Detectors This system does not have radiant energy detectors. Type and number of devices: Addressable: N/A Conventional: N/A Other (specify): N/A Type of coverage: N/A 5.2.4 Gas Detectors . This system does not have gas detectors. Type of detector(s): .. -............................................................. ...... .... ........... .......... ... ... . .... ...... ... .. ..... ............•. - Number of devices: Addressable: N/A Conventional: N/A Type of coverage: N/A 5.2.5 Heat Detectors 0 This system does not have heat detectors. Type and number of devices: Addressable: N/A Conventional: N/A Type of coverage: 0 Complete area 0 Partial area 0 Nonrequired partial area 0 Linear 0 Spot Type of heat detector sensing technology: 0 Fixed temperature 0 Rate-of-rise 0 Rate compensated NFPA 72, Fig. 10.18.2.1.1 (p.4 of 12) Copyright 02009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. ALARM INITIATING DEVICES (continued) 5.2.6 Addressable Monitoring Modules 0 This system does not have monitoring modules. Number of devices: N/A 5.2.7 Waterfiow Alarm Devices 0 This system does not have waterflow alarm devices. Type and number of devices: Addressable: N/A - Conventional: N/A Coded: .N/A _ Transmitter: N/A 5.2.8 Alarm Verification This system does not incorporate alarm verification. Number of devices subject to alarm verification: N/A Alarm verification set for N/A seconds 5.2.9 Presignal Number of devices subject to presignal: Describe presignal functions: N/A - 5.2.10 Positive Alarm Sequence (PAS) Describe PAS: N/A 5.2.11 Other Initiating Devices Describe: N/A This system does not incorporate pre-signal. N/A ED This system does not incorporate PAS. 10 This system does not have other initiating devices. SUPERVISORY SIGNAL-INITIATING DEVICES 6.1 Sprinkler System Supervisory Devices 0 This system does not have sprinkler supervisory devices. Type and number of devices: Addressable: N/A Conventional: N/A Coded: N/A Transmitter: N/A Other (specify): N/A - 6.2 Fire Pump Description and Supervisory Devices This system does not have a fire pump. Type fire pump: 0 Electric pump 0 Engine Type and number of devices: Addressable: N/A Conventional: N/A Coded: N/A Transmitter: N/A Other (specify): N/A 6.2.1 Fire Pump Functions Supervised o Power 0 Running 0 Phase reversal 0 Selector switch not in auto 0 Engine or control panel trouble 0 Low fuel Other (specify): N/A 6.3 Duct Smoke Detectors (DSDs) This system does not have DSDs causing supervisory signals. Type and number of devices: Addressable: - N/A - Conventional: N/A Other (specify): N/A Type of coverage: N/A - .--.----------.----- -------------- Type of smoke detector sensing technology: 0 Ionization 0 Photoelectric 0 Aspirating 0 Beam 6.4 Other Supervisory Devices This system does not have other supervisory devices. Describe: N/A NFPA 72, Fig. 10.18.2.1.1 (p. 5 of 12) Copyright 02009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. MONITORED SYSTEMS 7.1 Engine-Driven Generator This system does not have a generator. 7.1.1 Generator Functions Supervised 0 Engine or control panel trouble 0 Generator running 0 Selector switch not in auto .0 Low. fuel O Other (specify): N/A 7.2 Special Hazard Suppression Systems Q This system does not monitor special hazard systems. Description of special hazard system(s): N/A 7.3 Other Monitoring Systems This system does not monitor other systems. Description of special hazard system(s): - N/A ANNUNCIATORS 8.1 Location and Description of Annunciators Location 1: Lobby Location 2: N/A Location 3: N/A 0 This system does not have annunciators. ALARM NOTIFICATION APPLIANCES 9.1 In-Building Fire Emergency Voice Alarm Communication System This system does not have an EVACS. Number of single voice alarm channels: N/A Number of multiple voice alarm channels: N/A Number of speakers: N/A Number of speaker circuits: N/A Location of amplification and sound-processing equipment: N/A - -. - - - -- '---.------. Location of paging microphone stations: Location I: N/A Location 2: N/A Location 3: N/A 9.2 Nonvoice Notification Appliances 0 This system does not have nonvoice notification appliances. Horns: N/A With visible: 6 Bells: N/A - With visible: N/A - - Chimes: N/A With visible: N/A Visible only: 1 - Other (describe): N/A - - - 9.3 Notification Appliance Power Extender Panels 0 This system does not have power extender panels. Quantity: I Locations: Suite 275 OF Room NFPA 72, Fig, 10.18.2.1.1 (p.6of12) Copyright 02009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 10. MASS NOTIFICATION CONTROLS, APPLIANCES, AND CIRCUITS 0 This system does not have an MNS. 10.1 MNS Local Operating Consoles Location 1: N/A Location 2: N/A Location 3: N/A 10.2 High-Power Speaker Arrays Number of HP SA speaker initiation zones: N/A Location 1: N/A Location 2: N/A Location 3: N/A 10.3 Mass Notification Devices Combination fire alarm/MNS visible appliances: N/A MNS-only visible appliances: N/A Textual signs: N/A - - - Other (describe): N/A Supervision class: N/A 103.1 Special Hazard Notification This system does not have special suppression predischarge notification. MNS systems DO NOT override notification appliances required to provide special suppression predischarge notification. 11. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS 11.1 Telephone System Z This system does not have a two-way telephone system. Number of telephone jacks installed: N/A - - - Number of warden stations installed: _ N/A - - -. - Number of telephone handsets stored on site: N/A Type of telephone system installed: 0 Electrically powered 0 Sound powered 11.2 Two-Way Radio Communications Enhancement System This system does not have a two-way radio communications enhancement system. Percentage of area covered by two-way radio service: Critical areas: N/A % General building areas: N/A % Amplification component locations: .!- ........... Inbound signal strength: N/A dBm Outbound signal strength: N/A dBm Donor antenna isolation is: N/A dB above the signal booster gain Radio frequencies covered: •N/_•_____- ---- Radio system monitor panel location: N/A NFPA 72, Fig. 10.18.2.1,1 (p.7 of 12) Copyright 0 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS (continued) 113 Area of Refuge (Area of Rescue Assistance) Emergency Communications Systems This system does not have an area of refuge (area of rescue assistance) emergency communications system. Number of stations: N/A Location of central control-point: N/A Days and hours when central control point is attended: N/A Location of alternate control point: N/A Days and hours when alternate control point is attended: N/A 11.4 Elevator Emergency Communications Systems 0 This system does not have an elevator emergency communications system. Number of elevators with stations: N/A Location of central control point: N/A Days and hours when central control point is attended: N/A - Location of alternate control point: N/A Days and hours when alternate control point is attended: N/A 11.5 Other Two-Way-Communication Systems Describe: N/A CONTROL FUNCTIONS This system activates the following control fuctions: 0 Hold-open door releasing devices 0 Smoke management 0 HVAC shutdown 0 F/S dampers o Door unlocking Elevator recall 0 Fuel source shutdown 0 Extinguishing agent release Elevator shunt trip 0 Mass notification system override of fire alarm notification appliances Other (specify): N/A 12.1 Addressable Control Modules - 0 This system does not have control modules. Number of devices: Other (specify): N/A - SYSTEM POWER 13.1 Control Unit 13.1.1 Primary Power Input voltage of control panel: 120v Overcurrent protection: Type: Circuit Breaker - - - Location (of primary supply panel board): Main Electrical Room Disconnecting means location: Panel HPB-3 Circuit 14 Control panel amps: 32A Amps: 20A - - - - - -- - - 13.1.2 Engine-Driven Generator This system does not have a generator. Location of generator: N/A - - - - - -, - - - - - - - - Location of fuel storage: -- N/A Type offuel: N/A NFPA 72, Fig. 10.18.2.1.1 (p.8 of 12) Copyright 0 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 13. SYSTEM POWER (continued) 13.13 Uninterruptible Power System . This system does not have a UPS. Equipment powered by a UPS system: N/A - - ............................. ... .. Location of UPS system: N/A - - Calculated capacity of UPS batteries to drive the system components connected to it: In standby mode (hours): N/A In alarm mode (minutes): N/A 13.1.4 Batteries Location: InFACP Cabinet Type: Lead-Acid Nominal voltage: , - Amp/hour rating: 7AH - Calculated capacity of batteries to drive the system: In standby mode (hours): 24 Hours _____ _____ In alarm mode (minutes): 5 Minutes 0 Batteries are marked with date of manufacture 0 Battery calculations are attached 13.2 In-Building Fire Emergency Voice Alarm Communication System or Mass Notification System 0 This system does not have an EVACS or MNS system. 13.2.1 Primary Power Input voltage of EVACS or MNS panel: N/A - EVACS or MNS panel amps: N/A Overcurrent protection: Type: N/A Amps: N/A Location (of primary supply panel board): N/A . . .. - . Disconnecting means location: N/A 13.2.2 Engine-Driven Generator 0 This system does not have a generator. Location of generator: N/A Location of fuel storage: N/A -. Type offuel: N/A - - -- - 13.23 Uninterruptible Power System 0 This system does not have a UPS. Equipment powered by a UPS system: N/A Location of UPS system: N/A Calculated capacity of UPS batteries to drive the system components connected to it: In standby mode (hours): N/A In alarm mode (minutes): N/A 13.2.4 Batteries Location: N/A Type: N/A Nominal voltage: N/A Amp/hour rating: - N/A Calculated capacity of batteries to drive the system: In standby mode (hours): N/A In alarm mode (minutes): N/A C] Batteries are marked with date of manufacture 0 Battery calculations are attached NFPA 72, Fig. 10.18.2.1.1 (p.9of 12) Copyright 02009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. SYSTEM POWER (continued) 133 Notification Appliance Power Extender Panels 0 This system does not have power extender panels. 13.3.1 Primary Power Input voltage of power extender panel(s): - 120v Power extender panel amps: 3:2A Overcurrent protection: Type: Circuit Breaker - Amps: 20A Location (of primary supply panel board): Suite 275 lDF Room, Next to NAC Panel Disconnecting means location: 13.3.2 Engine-Driven Generator J@ This system does not have a generator. Location of generator: N/A - Location of fuel storage: N/A Type of fuel: N/A 13.3.3 Uninterruptible Power System This system does not have a UPS. Equipment powered by a UPS system: N/A - ................................................................ Location of UPS system: - N/A .. Calculated capacity of UPS batteries to drive the system components connected to it: In standby mode (hours): N/A In alarm mode (minutes): N/A 133.4 Batteries Location: IN NAC Panel Type: Lead-Acid Nominal voltage: 24v Amp/hour rating: 7AH Calculated capacity of batteries to drive the system: In standby mode (hours): 24 Hours In alarm mode (minutes): 5Miutes * Batteries are marked with date of manufacture 0 Battery calculations are attached RECORD OF SYSTEM INSTALLATION Fill out after all installation is complete and wiring has been checked for opens, shorts, ground faults, and improper branching, but before conducting operational acceptance tests. This is a: 0 New system 0 Modification to an existing system Permit number: The system has been installed in accordance with the following requirements: (Note any or all that apply.) NFPA 72, Edition: 2010 NFPA 70, National Electrical Code, Article 760, Edition: 2011 Manufacturer's published instructions Other(specify): . ,...._ . System deviations from referenced NFPA standards: Signed: Printed name: Scott Hodson Date: 10/02/2013 Organization: Standard Electronics Title: Project Manager Phone: 619-247-9433 NFPA 72, Fig. 10.18.2.1.1 (p. 10 of 12) Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 15. RECORD OF SYSTEM OPERATIONAL ACCEPTANCE TEST New system All operationalfeatures and functions of this system were tested by, or in the presence of the signer shown below, on the date shown below, and were found to be operating properly in accordance with the requirements for the following: Modifications to an existing system All newly modified operational features andfunctions of the system were tested by, or in the presence of the signer shown below, on the date shown below, and were found to be operating properly in accordance with the requirements of the following. NFPA 72, Edition: 2010 NFPA 70, National Electrical Code, Article 760, Edition: 2011 Manufacturer's published instructions Other (specify): Individual device testing documentation [Inspection and Testing Form (Figure 14.6.2.4) is attached] Signed: rinted name: Scott Hodson Date: 10/02/2013 Organization: Standard Electronics Title: Project Manager Phone: 619-247-9433 16. CERTIFICATIONS AND APPROVALS 16.1 System Installation Contractor: This system, as specified herein, has been installed and tested according to all NFPA standards cited herein. Signed: ezr ,1241 Printed name: Scott Hodson -. Date: 10/02/2013 Organization: Standard Electronics - Title: Project Manager Phone: 619-247-9433 16.2 System Service Contractor: The undersigned has a service contract for this system in effect as of the date shown below. Signed: Printed name: - - Date: Organization: Title: Phone: 163 Supervising Station: This system, as specified herein, will be monitored according to all NFPA standards cited herein. Signed: - Printed name: Date: ...... Organization: Title: Phone: NFPA 72, Fig. 10.18.2.1,1 (p.11 of 12) Copyright 02009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 16. CERTIFICATIONS AND APPROVALS (continued) 16.4 Property or Owner Representative: 1 accept this system as having been installed and tested to its specifications and all NFPA standards cited herein. Signed: - Printed name: - - Date: Organization: -- - Title: - Phone: 16.5 Authority Having Jurisdiction: I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance with its approved plans and specifications, with its approved sequence of operations, and with all NFPA standar s cited herein. Signed: -...................Printed name: 1EX.I.!.... .•t-, Date: .(5............ Organization: Title: ZV.t.aTk Phone: Zto C.Øl- 4S NFPA 72, Fig. 10.18.2.1.1 (p.12 of 12) Copyright 02009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.