Loading...
HomeMy WebLinkAbout965 PALOMAR AIRPORT RD; ; FA130097; Permit12/27/24,12:37 PM FA130097 Permit Data City of Carlsbad Fire Alarm Permit Permit No: FA130097 965 PALOMAR Job Address: Status: ISSUED AIRPORT RD Permit Type: FALARM Applied 12/26/2013 Parcel No: 2110403400 Approved: 12/26/2013 Lot #: 0 Reference Np.: Issued: 12/26/2013 PC #: Inspector: Project Title: STARBUCKS TI 1586 SF: PROVIDEADDRESSABLE MONITOR MODULES FOR DUCT DETECTOR MONITORING AS SHOWN ON PLANS. PROVIDED BY OTHERS: AC POWER, BOXES, DUCT DETECTORS, AND HAVAC SHUT-DOWN. OCCUPANCY TYPE: B Applicant: JJJ ENTERPRISES 533 S VINEWOOD ST ESCONDIDO CA 760-747-3050 Owner: M E R I PALOMAR PLACE L L C C/O MISSION EQUITIES REAL ESTATE 12838 STEBICK CT SAN DIEGO CA Fees ($) Add'I Fees ($) Total ($) Balance ($) 286 0 286 0 about:blank 1/1 Monitor Modules DN-6999:C NMM.1 00(A), NMM-1 OOP(A), NOTIFIER® NZM..1 00(A). and NDM.1 00(A) for FireWarden Series Panels by Honeywell General Four different monitor modules are available for Notifier's Fire- Warden Series intelligent control panels for a variety of appli- cations. Monitor modules supervise a circuit of dry-contact input devices, such as conventional heat detectors and pull stations, or monitor and power a circuit of two-wire smoke detectors (NZM-100(A)). NMM-100(A) is a standard-sized module (typically mounts to a 4" [10.16 cm] square box) that supervises either a Style D (Class A) or Style B (Class B) circuit of dry-contact input devices. NMM-100P(A) is a miniature monitor module a mere 1.3 (3.302 cm) H x 2.75" (6.985 cm) W x 0.5 (1.270 cm) D that supervises a Style B (Class B) circuit of dry-contact input devices. Its compact design allows the NMM-100P(A) to be mounted in a single-gang box behind the device it monitors. NZM-100(A) is a standard-sized module that monitors and supervises compatible two-wire, 24 volt, smoke detectors on a Style D (Class A) or Style B (Class B) circuit. NDM-100(A) is a standard-sized dual monitor module that monitors and supervises two independent two-wire Style B (Class B) dry-contact initiating device circuits (lDCs) at two separate, consecutive addresses in intelligent, two-wire systems. NMM.100(A) Monitor Module Built-in type identification automatically identifies this device as a monitor module to the control panel. Powered directly by two-wire SLC loop. No additional power required. High noise (EMF/RFI) immunity. SEMS screws with clamping plates for ease of wiring. Direct Decade entry of address: 01 - 99 on FireWarden- 100-2, 01 —50 on FireWarden-50. LED flashes during normal operation and latches on steady to indicate alarm. The NMM-100(A) Monitor Module is intended for use in intelli- gent, two-wire systems, where the individual address of each module is selected using the built-in rotary switches. It pro- vides either a two-wire or four-wire fault-tolerant Initiating Device Circuit (IDC) for normally-open-contact fire alarm and supervisory devices. The module has a panel-controlled LED indicator. NMM-100(A) APPLICATIONS Use to monitor a zone of four-wire smoke detectors, manual fire alarm pull stations, waterflow devices, or other normally- open dry-contact alarm activation devices. May also be used to monitor normally-open supervisory devices with special supervisory indication at the control panel. Monitored circuit may be wired as an NFPA Style B (Class B) or Style D (Class A) Initiating Device Circuit. A 47K ohm End-of-Line Resistor (provided) terminates the Style B circuit. No resistor is required for supervision of the Style D circuit. fit 777 cy• r251i NMM-100(A) (Type H) NMM-100(A) OPERATION Each NMM-100(A) uses one of the available module addresses on an SLC loop, It responds to regular polls from the control panel and reports its type and the status (open/nor- mal/short) of its Initiating Device Circuit (IDC). A flashing LED indicates that the module is in communication with the control panel. The LED latches steady on alarm (subject to current limitations on the loop). NMM-100(A) SPECIFICATIONS Nominal operating voltage: 15 to 32 VDC. Maximum current draw: 5.0 mA (LED on). Average operating current: 350 pA (LED flashing), 1 com- munication every 5 seconds, 47k EOL. Maximum IDC wiring resistance: 40 ohms. EOL resistance: 47K ohms. Temperature range: 32°F to 120°F (0°C to 49°C). Humidity range: 10% to 93% noncondensing. Dimensions: 4.5" (11.43 cm) high x 4" (10.16 cm) wide x 1.25 (3.175 cm) deep. Mounts to a 4" (10.16 cm) square x 2.125" (5.398 cm) deep box. DN-6999:C • 10/06/2010— Page 1 of 4 FA130097 NMM-IOOP(A) Mini Monitor Module Built-in type identification automatically identifies this device as a monitor module to the panel. Powered directly by two-wire SLC loop. No additional power required. High noise (EMF/RFI) immunity. Tinned, stripped leads for ease of wiring. Direct Decade entry of address: 01 - 99 on FireWarden- 100-2, 01 —50 on FireWarden-50. 1415 0 1 ADDRESS 0 1 I 1 - 2 2 3 10 5 11 [_LOOPJ 8 76 9-76 TENS ONES I-.- 01 LU 0I O - - LUL • Ui In: The NMM-100P(A) Mini Monitor Module can be installed in a single-gang junction directly behind the monitored unit. Its small size and light weight allow it to be installed without rigid mounting. The NMM-100P(A) is intended for use in intelligent, two-wire systems where the individual address of each module is selected using rotary switches. It provides a two-wire initiat- ing device circuit for normally-open-contact fire alarm and security devices. NMM-100P(A) NMM-100P(A) APPLICATIONS Use to monitor a single device or a zone of four-wire smoke detectors, manual fire alarm pull stations, waterflow devices, or other normally-open dry-contact devices. May also be used to monitor normally-open supervisory devices with special super- visory indication at the control panel. Monitored circuit/device is wired as an NFPA Style B (Class B) Initiating Device Circuit. A 47K ohm End-of-Line Resistor (provided) terminates the cir- cuit. NMM-100P(A) OPERATION Each NMM-100P(A) uses one of the available module addresses on an SLC loop, It responds to regular polls from the control panel and reports its type and the status (open/nor- mal/short) of its Initiating Device Circuit (IDC). NMM-100P(A) SPECIFICATIONS Nominal operating voltage: 15 to 32 VDC. Average operating current: 350 pA, 1 communication every 5 seconds, 47k EOL; 600 pA Max. (Communicating, IDC Shorted). Maximum IDC wiring resistance: 40 ohms. Maximum IDC Voltage: 11 Volts. Maximum IDC Current: 400 pA. EOL resistance: 47K ohms. Temperature range: 32°F to 120°F (0°C to 490C). Humidity range: 10% to 93% noncondensing. Dimensions: 1.3" (3.302 cm) high x 2.75' (6.985 cm) wide x 0.65° (1.651 cm) deep. Wire length: 6° (15.24 cm) minimum. NZM.1 00(A) Interface Module Supports compatible two-wire smoke detectors. Supervises IDC wiring and connection of external power source. High noise (EMF/RFI) immunity. SEMS screws with clamping plates for ease of wiring. Direct Decade entry of address:, 01 - 99 on FireWarden- 100-2, 01 - 50 on FireWarden-50. LED flashes during normal operation. LED latches steady to indicate alarm on command from control panel. The NZM-100(A) Interface Module is intended for use in intelli- gent, addressable systems, where the individual address of each module is selected using built-in rotary switches. This module allows intelligent panels to interface and monitor two- wire conventional smoke detectors. It transmits the status (nor- mal, open, or alarm) of one full zone of conventional detectors back to the control panel. All two-wire detectors being moni- tored must be UL compatible with the module. NZM-100(A) APPLICATIONS Use the NZM-100(A) to monitor a zone of two-wire smoke detectors. The monitored circuit may be wired as an NFPA Style B (Class B) or Style D (Class A) Initiating Device Circuit. A 3.9 K ohm End-of-Line Resistor (provided) terminates the end of the Style B or D (class B or A) circuit (maximum IDC loop resistance is 25 ohms). Install ELR across terminals 8 and 9 for Style D application. NZM-100(A) OPERATION Each NZM-100(A) uses one of the available module addresses on an SLC loop. It responds to regular polls from the control panel and reports its type and the status (open/nor- mal/short) of its Initiating Device Circuit (IDC). A flashing LED indicates that the module is in communication with the control panel. The LED latches steady on alarm (subject to current limitations on the loop). NZM-100(A) SPECIFICATIONS Nominal operating voltage: 15 to 32 VDC. Maximum current draw: 5.1 mA (LED on). Maximum IDC wiring resistance: 25 ohms. Average operating current: 300 pA, 1 communication and 1 LED flash every 5 seconds, 3.9k eol. EOL resistance: 3.9K ohms. External supply voltage (between Terminals T3 and T4): DC voltage: 24 volts power limited. Ripple voltage: 0,1 Vrms maximum. Current: 90 mA per module maximum. Temperature range: 32°F to 120°F (0°C to 49°C). Humidity range: 10% to 93% noncondensing. Dimensions: 4.5" (11.43 cm) high x 4° (10.16 cm) wide x 1.25° (3.175 cm) deep. Mounts to a 4" (10.16 cm) square x 2.125" (5.398 cm) deep box. Page 2 of 4— DN-6999:C • 10/06/2010 NDM.100(A) Dual Monitor Module The NDM-100(A) Dual Monitor Module is intended for use in intelligent, two-wire systems. It provides two independent two- wire initiating device circuits (lDCs) at two separate, consecutive addresses. It is capable of monitoring normally open contact fire alarm and supervisory devices. The module has a single panel- controlled LED. NOTE: The NDM-100(A) provides two Style B (Class B) IDC cir- cuits ONLY. Style 0 (Class A) IOC circuits are NOT supported in any application. NDM-100(A) SPECIFICATIONS Normal operating voltage range: 15 to 32 VDC. Maximum current draw: 6.4 mA (LED on). Average operating current: 750 pA (LED flashing). Maximum IDC wiring resistance: 1,500 ohms. Maximum IDC Voltage: 11 Volts. Maximum IDC Current: 240 pA EOL resistance: 47K ohms. Maximum SLC Wiring resistance: 40 Ohms. Temperature range: 320 to 120°F (00 to 49°C). Humidity range: 10% to 93% (non-condensing). Dimensions: 4.5" (11.43 cm) high x 4" (10.16 cm) wide x 2.125' (5.398 cm) deep. NDM-100(A) AUTOMATIC ADDRESSING The NDM-100(A) automatically assigns itself to two address- able points, starting with the original address. For example, if the NDM-100(A) is set to address "26", then it will automati- cally assign itself to addresses "26" and '27". NOTE: "Ones" addresses on the NDM-100(A) are 0, 2, 4, 6, or 8 only. Terminals 6 and 7 use the first address, and terminals 8 and 9 use the second address. MEA: 72-01-E Vol. 2 (NMM-100, NMM-100P, NZM-100); 227-03-E Vol. 3 (NDM-100) Product Line Information NOTE: "A" suffix indicates ULC-listed model. NMM-100(A): Monitor module. NMM-1 OOP(A): Monitor module, miniature. NZM-100(A): Monitor module, two-wire detectors. NDM-100(A): Monitor module, dual, two independent Class B circuits. SMB500: Optional surface-mount backbox. NOTE: See installation instructions and refer to the SLC Wiring Manual, PN 52304. CAUTION: Avoid duplicating addresses on the system. Installation NMM-100(A), NZM-100(A), and NDM-100(A) modules mount directly to a standard 4' (10.16 cm) square, 2.125" (5.398 cm) deep, electrical box. They may also be mounted to the SMBSOO surface-mount box. Mounting hardware and installa- tion instructions are provided with each module. All wiring must conform to applicable local codes, ordinances, and regu- lations. These modules are intended for power-limited wiring only. The NMM-100P(A) module is intended to be wired and mounted without rigid connections inside a standard electrical box. All wiring must conform to applicable local codes, ordi- nances, and regulations. Agency Listings and Approvals In some cases, certain modules may not be listed by certain approval agencies, or listing may be in process. Consult fac- tory for latest listing status. UL: S635 ULC: S635 FM Approved CSFM: 7300-0028:0230 (NMM-100, NMM-100P, NZM- 100); 7300-0028:0237 (NDM-100) DN-6999:C • 10/06/2010 - Page 3 of 4 Notifier® and FireWarden® are registered trademarks and FireWatch is a trademark of Honeywell International Inc. ©2010 by Honeywell International Inc. All rights reserved. Unauthorized use of this document is strictly prohibited. I SO 9001 This document is not intended to be used for installation purposes. We try to keep our product information up-to-date and accurate. We cannot cover all specific applications or anticipate all requirements. MCINEERIO 9Muc1UI All specifications are subject to change without notice. QUALITY SYSTEMS Made in the U.S. A. For more information, contact Notifier. Phone: (203) 484-7161, FAX: (203) 484-7118. www.notifier.com Page 4 of 4— DN-6999:C • 10/06/2010 CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL FIRE ENGINEERING - BUILDING MATERIALS LISTING PROGRAM LISTING SERVICE LISTING No. 7300-0028:0230 Page 1 of 1 CATEGORY: 7300 -- FIRE ALARM CONTROL UNIT ACCESSORIES/MISC. DEVICES LISTEE: NotifierOne Fire-Lite Place, Northford, CT 06472-1653 Contact: Vladimir Kireyev (203) 484-6277 Fax (203) 484-7309 Email: vIadimir.kireyevhoneyweIl.com DESIGN: Models NMM-100P, NMM-100, and NZM-100 monitor modules; Models NC-100R and NC-100 control modules; and *NzM..looe six zone interface signaling device module. Refer to listee's data sheet for additional detailed product description and operational considerations. RATING: 15-32 VDC 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 control unit accessories for use with listee's separately listed electrically compatible fire alarm control units. Refer to listee's Installation Instruction Manual for details. XLF: 7300-0075:0185 08-23-11 rev. mt ' This listing is based upon technical data submitted by the applicant. CSFM Fire Engineering the test results and/or other data but does not make an independent verification of any claims. staff has reviewed This listing is not v' an endorsement or recommendation of operational requirements or installation criteria. the, item listed. This listing should not be used to verify correct 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 019 ur-2 IIII,, 2~) FIRE ALARM AND EMERGENCY COMMUNICATION SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time of system acceptance and approval. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert N/A in all unused lines. Attach additional sheets, data, or calculations as necessary to provide a complete record. 1. PROPERTY INFORMATION Name of property: STARBUCKS COFFEE Address: 965 PALOMAR AIRPORT ROAD SUITE 106 CARLSBAD, CA. 92011 Description of property: COFFEE SHOP Occupancy type: B Name of property representative: Address: Phone: Fax: E-mail: Authority having jurisdiction over this property: CARLSBAD FIRE DEPT. Phone: Fax: E-mail: INSTALLATION, SERVICE, AND TESTING CONTRACTOR INFORMATION Installation contractor for this equipment: JJJ ISES Address: 533 S. VINEWOOD, ESCONDIDO, CA 92029 License or certification number: 582169 Phone: 760-747-3050 Fax: 760-747-7561 E-mail: INFO@JJJENT.COM 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 Z Fire alarm system (nonvoice) El Fire alarm with in-building fire emergency voice alarm communication system (EVACS) D Mass notification system (MTh4S) El Combination system, with the following components: El Fire alarm 0 EVACS 0 MNS 0 Two-way, in-building, emergency communication system 0 Other (specify): . . . . .. . NFPA 72, Fig. 10.18.2.1.1 (p.1 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. 3. DESCRIPTION OF SYSTEM OR SERVICE (continued) NFPA 72 edition: 2010 Additional description of system(s): 3.1 Control Unit Manufacturer: NOTIFIER Model number: 3.2 Mass Notification System This system does not incorporate an MNS 3.2.1 System Type: LI In-building MNS—combination LI In-building MNS—stand-alone 0 Wide-area MNS LI Distributed recipient MNS 0 Other (specify): 3.2.2 System Features: O Combination fire alarm/MNS 0 MNS autonomous control unit LI Wide-area MNS to regional national alerting interface LI Local operating console (LOC) LI Direct recipient MNS (DRAINS) LI Wide-area MNS to DRAINS interface LI Wide-area MNS to high-power speaker array (HPSA) interface LI In-building MNS to wide-area MNS interface LI Other (specify): 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 This system does not have alterable site-specific software. Operating system (executive) software revision level: Site-specific software revision date: Revision completed by: LI A copy of the site-specific software is stored on site. Location: -. - - 3.5 Off-Premises Signal Transmission LI This system does not have off-premises transmission. Name of organization receiving alarm signals with phone numbers: Alarm: GENERAL MONITORING SERVICES Phone: 888-467-1119 Supervisory: SAME Phone: Trouble: SAME Phone: Entity to which alarms are retransmitted: CARLSBAD FIRE DEPT Phone: Method of retransmission: TELEPHONE CALL If Chapter 26, specify the means of transmission from the protected premises to the supervising station: If Chapter 27, specify the type of auxiliary alarm system: 0 Local energy LI Shunt Wired 0 Wireless NFPA 72, Fig. 1018.2.1.1 (p.2 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. 4. CIRCUITS AND PATHWAYS 4.1 Signaling Line Pathways 4.1.1 Pathways Class Designations and Survivability Pathways class: B Survivability level: 1 Quantity: (See NFPA 72, Sections 12.3 and 12.4) 4.1.2 Pathways Utilizing Two or More Media Quantity: Description: 4.1.3 Device Power Pathways No separate power pathways from the signaling line pathway o Power pathways are separate but of the same pathway classification as the signaling line pathway O Power pathways are separate and different classification from the signaling line pathway 4.1.4 Isolation Modules Quantity: 4.2 Alarm Initiating Device Pathways 4.2.1 Pathways Class Designations and Survivability Pathways class: Survivability level: Quantity: 0 (See NFPA 72, Sections 12.3 and 12.4) 4.2.2 Pathways Utilizing Two or More Media Quantity: Description: 4.2.3 Device Power Pathways No separate power pathways from the initiating device pathway 0 Power pathways are separate but of the same pathway classification as the initiating device pathway 0 Power pathways are separate and different classification from the initiating device pathway 4.3 Non-Voice Audible System Pathways 4.3.1 Pathways Class Designations and Survivability Pathways class: B Survivability level: 1 - Quantity: (See NFPA 72, Sections 12.3 and 12.4) 4.3.2 Pathways Utilizing Two or More Media Quantity: Description: 4.3.3 Appliance Power Pathways No separate power pathways from the notification appliance pathway O Power pathways are separate but of the same pathway classification as the notification appliance pathway 0 Power pathways are separate and different classification from the notification appliance pathway (VERA 72, Fig. 10.18,2.1.1 (p. 3 o 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. 5. ALARM INITIATING DEVICES 5.1 Manual Initiating Devices 5.1.1 Manual Fire Alarm Boxes Type and number of devices: Addressable: Other (specify): 5.1.2 Other Alarm Boxes Description: Type and number of devices: Addressable: Other (specify): 5.2 Automatic Initiating Devices Z This system does not have manual fire alarm boxes. Conventional: Coded: Transmitter: - This system does not have other alarm boxes. Conventional: Coded: Transmitter: 5.2.1 Smoke Detectors Z This system does not have smoke detectors. Type and number of devices: Addressable: Conventional: Other (specify): Type of coverage: LI Complete area LI Partial area 0 Nonrequired partial area Other (specify): Type of smoke detector sensing technology: LI Ionization LI Photoelectric LI Multicriteria 0 Aspirating LI Beam Other (specify): .. 5.2.2 Duct Smoke Detectors LI This system does not have alarm-causing duct smoke detectors. Type and number of devices: Addressable: 2 Conventional: Other(specify): Type of coverage: AHLYS Type of smoke detector sensing technology: LI Ionization Z Photoelectric 0 Aspirating LI Beam 5.2.3 Radiant Energy (Flame) Detectors 0 This system does not have radiant energy detectors. Type and number of devices: Addressable: Conventional: Other (specify): . . Type of coverage: 5.2.4 Gas Detectors Z This system does not have gas detectors. Type of detector(s): ,...... Number of devices: Addressable: Conventional: Type of coverage: . .. . 5.2.5 Heat Detectors Z This system does not have heat detectors. Type and number of devices: Addressable: Conventional: Type of coverage: LI Complete area 0 Partial area LI Nonrequired partial area 0 Linear LI Spot Type of heat detector sensing technology: LI Fixed temperature LI Rate-of-rise LI Rate compensated A/EPA 72, Fig. 10182.1.1 (p.4 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. ALARM INITIATING DEVICES (continued) 5.2.6 Addressable Monitoring Modules 0 This system does not have monitoring modules. Number of devices: 5.2.7 Waterfiow Alarm Devices Z This system does not have waterfiow alarm devices. Type and number of devices: Addressable: Conventional: Coded: Transmitter: 5.2.8 Alarm Verification Z This system does not incorporate alarm verification. Number of devices subject to alarm verification: Alarm verification set for - seconds 5.2.9 Presignal Z This system does not incorporate pre-signal. Number of devices subject to presignal: * Describe presignal functions: - 5.2.10 Positive Alarm Sequence (PAS) This system does not incorporate PAS. Describe PAS: 5.2.11 Other Initiating Devices This system does not have other initiating devices. Describe: SUPERVISORY SIGNAL-INITIATING DEVICES 6.1 Sprinkler System Supervisory Devices This system does not have sprinkler supervisory devices. Type and number of devices: Addressable: Conventional: Coded: Transmitter: Other (specify): 6.2 Fire Pump Description and Supervisory Devices Z This system does not have a fire pump. Type fire pump: 0 Electric pump 0 Engine Type and number of devices: Addressable: Conventional: Coded: Transmitter: Other (specify): 6.2.1 Fire Pump Functions Supervised 0 Power 0 Running 0 Phase reversal D Selector switch not in auto 0 Engine or control panel trouble 0 Low fuel Other (specify): 6.3 Duct Smoke Detectors (DSDs) This system does not have DSDs causing supervisory signals. Type and number of devices: Addressable: 2 Conventional: Other (specify): -.... Type of coverage: AHUS - . - Type of smoke detector sensing technology: 0 Ionization Z Photoelectric 0 Aspirating 0 Beam 6.4 Other Supervisory Devices This system does not have other supervisory devices. Describe: NEPA 72, Fig. 10.18,2.1.1 (p. 5 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 sate or distribution. MONITORED SYSTEMS 7.1 Engine-Driven Generator 0 This system does not have a generator. 7.1.1 Generator Functions Supervised El Engine or control panel trouble 0 Generator running 0 Selector switch not in auto 0 Low fuel 0 Other (specify): 7.2 Special Hazard Suppression Systems Z This system does not monitor special hazard systems. Description of special hazard system(s): 7.3 Other Monitoring Systems This system does not monitor other systems. Description of special hazard system(s): ANNUNCIATORS This system does not have annunciators. 8.1 Location and Description of Annunciators Location 1: Location 2: Location 3: ALARM NOTIFICATION APPLIANCES 9.1 In-Building Fire Emergency Voice Alarm Communication System 0 This system does not have an EVACS. Number of single voice alarm channels: -. - Number of multiple voice alarm channels: - Number of speakers: Number of speaker circuits: Location of amplification and sound-processing equipment: Location of paging microphone stations: Location 1: Location 2: Location 3: 9.2 Nonvoice Notification Appliances Z This system does not have nonvoice notification appliances. Horns: With visible: Bells: With visible: Chimes: With visible: Visible only: Other (describe): 9.3 Notification Appliance Power Extender Panels 0 This system does not have power extender panels. Quantity: Locations: NFPA 72, Fig. 10.18,2.1.1 (p.6 of 12) Copyright t5 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. MASS NOTIFICATION CONTROLS, APPLIANCES, AND CIRCUITS Z This system does not have an MNS 10.1 MNS Local Operating Consoles Location 1: Location 2: Location 3: 10.2 High-Power Speaker Arrays Number of HPSA speaker initiation zones: Location 1: Location 2: Location 3: 10.3 Mass Notification Devices Combination fire alarm/MNS visible appliances: MNS-only visible appliances: Textual signs: Other (describe): Supervision class: 10.3.1 Special Hazard Notification This system does not have special suppression predischarge notification. 0 MNS systems DO NOT override notification appliances required to provide special suppression predischarge notification. 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: Number of warden stations installed: Number of telephone handsets stored on site: Type of telephone system installed: 0 Electrically powered 0 Sound powered 11.2 Two-Way Radio Communications Enhancement System 0 This system does not have a two-way radio communications enhancement system. Percentage of area covered by two-way radio service: Critical areas: - % General building areas: -- -- % Amplification component locations: Inbound signal strength: -- dBm Outbound signal strength: dBm Donor antenna isolation is: dB above the signal booster gain Radio frequencies covered: Radio system monitor panel location: NFPA 72, Fig. 1018.21.1 (p. 7 o 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 of distribution. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS (continued) 11.3 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: Location of central control point: Days and hours when central control point is attended: Location of alternate control point: Days and hours when alternate control point is attended: 11.4 Elevator Emergency Communications Systems Z This system does not have an elevator emergency communications system. Number of elevators with stations: Location of central control point: Days and hours when central control point is attended: Location of alternate control point: - Days and hours when alternate control point is attended: 11.5 Other Two-Way Communication Systems Describe: CONTROL FUNCTIONS This system activates the following control fuctions: Li Hold-open door releasing devices Li Smoke management Z HVAC shutdown Li F/S dampers Li Door unlocking Li Elevator recall Li Fuel source shutdown Li Extinguishing agent release Li Elevator shunt trip Li Mass notification system override of fire alarm notification appliances Other (specify): 12.1 Addressable Control Modules This system does not have control modules. Number of devices: Other (specify): SYSTEM POWER 13.1 Control Unit 13.1.1 Primary Power Input voltage of control panel: 120VAC Overcurrent protection: Type: BUILT-IN Location (of primary supply panel board): . OUTSIDE Disconnecting means location: MARKED CIRCUIT BREAKER 13.1.2 Engine-Driven Generator Location of generator: Control panel amps: 20 Amps: Z This system does not have a generator. Location of fuel storage: Type of fuel: NFPA 72, Fig. 10182.1.1 (p.8 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. 13. SYSTEM POWER (continued) 13.1.3 Uninterruptible Power System Z This system does not have a UPS. Equipment powered by a UPS system: Location of UPS system: Calculated capacity of UPS batteries to drive the system components connected to it: In standby mode (hours): In alarm mode (minutes): 13.1.4 Batteries Location: FACP CABINET Type: GEL-CELL Nominal voltage: 24VDC Amp/hour rating: 12 Calculated capacity of batteries to drive the system: In standby mode (hours): 24 - In alarm mode (minutes): 5 Batteries are marked with date of manufacture M Battery calculations are attached 13.2 In-Building Fire Emergency Voice Alarm Communication System or Mass Notification System Z This system does not have an EVACS or MNS system. 13.2.1 Primary Power Input voltage of EVACS or MNS panel: EVACS or MNS panel amps: Overcurrent protection: Type: Amps: Location (of primary supply panel board): Disconnecting means location: 13.2.2 Engine-Driven Generator Z This system does not have a generator. Location of generator: ........ Location of fuel storage: Type of fuel: 13.2.3 Uninterruptible Power System This system does not have a UPS. Equipment powered by a UPS system: . Location of UPS system: Calculated capacity of UPS batteries to drive the system components connected to it: In standby mode (hours): In alarm mode (minutes): 13.2.4 Batteries Location: Type: Nominal voltage: Amp/hour rating: Calculated capacity of batteries to drive the system: In standby mode (hours): In alarm mode (minutes): U Batteries are marked with date of manufacture 0 Battery calculations are attached NFPA 72, Fig. 10.18.2.1.1 (p. 9 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. SYSTEM POWER (continued) 13.3 Notification Appliance Power Extender Panels Z This system does not have power extender panels. 13.3.1 Primary Power Input voltage of power extender panel(s): Overcurrent protection: Type: Location (of primary supply panel board): Disconnecting means location: Power extender panel amps: Amps: 13.3.2 Engine-Driven Generator 0 This system does not have a generator. Location of generator: Location of fuel storage: Type of fuel: -- 13.3.3 Uninterruptible Power System This system does not have a UPS. Equipment powered by a UPS system: Location of UPS system: Calculated capacity of UPS batteries to drive the system components connected to it: In standby mode (hours): In alarm mode (minutes): 13.3.4 Batteries Location: Type: Nominal voltage: Calculated capacity of batteries to drive the system: In standby mode (hours): In alarm mode (minutes): D Batteries are marked with date of manufacture E Battery calculations are attached RECORD OF SYSTEM INSTALLATION Amp/hour rating: 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: EJ New system Z Modification to an existing system Permit number: - The system has been installed in accordance with the following requirements: (Note any or all that apply.) Z NFPA 72, Edition: 2010 Z NFPA 70, National Electrical Code, Article 760, Edition: 2008 Z Manufacturer's published instructions Other (specify): System deviations from referenced NFPA standards: NONE Signed: AWI CUVQ~, Printed name: Marcus Claudius Date: 12/27/2013 Organization: JJJ Enterprises Title: Engineering Manager Phone: 760-747-3050 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. RECORD OF SYSTEM OPERATIONAL ACCEPTANCE TEST E New system All operational features 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 and functions 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: Z NFPA 72, Edition: 2010 NFPA 70, National Electrical Code, Article 760, Edition: 2008 Manufacturer's published instructions Other (specify): O Individual device testing documentation [Inspection and Testing Form (Figure 14.6.2.4) is attached] Signed: Printed name: Date: Organization: Title: Phone: 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: Printed name: Marcus Claudius Date: 12/27/2013 Organization: JJJ Enterprises Title: Engineering Manager Phone: 760-747-3050 1. 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: 16.3 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 © 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. 16. CERTIFICATIONS AND APPROVALS (continued) 16.4 Property or Owner Representative: I accept this system as having been installed and tested to its specifications and all NFPA standards cited herein. Signed: Printed name: (2..itSZ..LA Date: A3 Organization: J,t(i'L LdU,i&Title: Phone: C7C0)c'07 h1 gs 16.5 Authority Having Jurisdiction: P1 t167ZA OT Ir"r 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 standards cited herein. Signed: Printed name: Date: Organization:Title: Phone: NFPA 72, Fig. 10.18.2.1.1 (p. 12 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.