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1594 MARBRISA CIR; ; FA140141; Permit
1/2/25, 7:31 AM FA140141 Permit Data City of Carlsbad Fire Alarm Permit Permit No: FA140141 Job Address: 1594 MARBRISACR Status: ISSUED Permit Type: FALARM Applied 10/16/2014 Parcel No: 2111311100 Approved: 10/21/2014 Lot #: 0 Reference No.: Issued: 10/21/2014 PC #: Inspector: Project Title: MARBRISA SALES & LAUNDRY TI TIE INTO EXISTIN GFIRE ALARM SYSTEM FOR MARBRISA RESORT SALES OFFICE, LAUNDRY ROOM. INCLUDE THE FOLLOWING: ADDRESSABLE DUCT SMOKE DETECTORS, TEST STATIONS, AND CONTROL RELAYS. Applicant: BERG ELECTRIC 650 OPPER ST ESCONDIDO CA 760-746-1003 Owner: GRAND PACIFIC CARLSBAD L P 5900 PASTEUR CT #200 CARLSBAD CA Fees ($) Add'I Fees ($) Total ($) Balance ($) L 289 0 289 0 about:blank 1/1 fLi COpY Bergelectric Corp. ors & Engineers FA14 ;0141 - Bergelectric Corp. Contractors & Engineers Marbrisa Resort / Sales Bldg. 1594 Marbrisa Circle Carlsbad, CA 92008 APPLICANT: BERGELECTRIC CORP. 650 OPPER STREET ESCONDIDO, CA 92029 (760) 670 -2215 CONTACT: Wilson Toro FIRE ALARM SUBMITTAL FOR REVIEW AND APPROVAL MARKING 650 Opper Street • Escondido, CA 92029 • Tel (760) 746-1003 • Fax (760) 746-4619 • C10485046 Bergelectric Corp. & Engineers TABLE OF CONTENTS FIRE ALARM SUBMITTAL I ITEM TABNO. Existing FACP EST- QS 1 Siga-SD W/REMOTE TEST SWITCHES 2 Siga-CR 3 650 Opper Street • Escondido, CA 92029 9 Tel (760) 746-1003 • Fax (760) 746-4619 • C10-#85046 Bergelectric Corp. tractors & Engineers Existing FACP EST- QS1 650 Opper Street • Escondido, CA 92029 • Tel (760) 746-1003 9 Fax (760) 746-4619 • C10-#85046 CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL FIRE ENGINEERING - BUILDING MATERIALS LISTING PROGRAM LISTING SERVICE LISTING No. 7165-1657:0207 Page 1 of 2 CATEGORY: 7165-- FIRE ALARM CONTROL UNIT (COMMERCIAL) LISTEE: EDWARDS, A Division of UTC Fire & Security Americas Corporation, lnc.8985 Town Center Parkway, Bradenton, FL 34202 Contact: Jewell Micochero (941) 739-4358 Fax (941) 308-8123 Email: rhonda.micochero@fs.utc.com DESIGN: Models QSC, - and -QS4 fire alarm control units, followed by -1 or -2 followed by -BR, -SP, -FR, -PG or no suffix. Local, local with shunt, auxiliary, remote station, releasing service or central station. Power limited. Non-coded, coded, shunt, reverse polarity, DACT, manual, automatic waterfiow, and sprinkler supervisory service. System Components: QSC, QS1, QS4 Control Units 7200001-01, -02; 7200004-01, -02 Enclosures 7200005-01, -02 Enclosures PS6 Power supply ZB16-4 Class B zone card ZA8-2 Class A zone card DLD Dialer (DACT) card ZR8 Relay card NT-A Class A, RS485 communications card QS232, 232 Port for download or printer functions SL30 LED/Switch card with switch 1-30 SL-30-1 LED/Switch card with switch 31-60 SLIC Signature expansion loop card. QS-1-VR, -R, QS-2-VR, -R Vandal resistant doors SL30L LED Cards 30 Zones SL20L5S LED/Switch Cards 25 Zones RATING: 120/220 VAC 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 fire alarm control units for use with separately listed compatible initiating and indicating devices. Units can also generate the temporal code pattern fire alarm signal as required per NFPA 72, 2002 Edition. Refer to listee's Installation Instruction Manual for details. This control unit meets the requirements of UL-864, *9th Edition Standard. NOTE: 1. For Fire Alarm Verification Feature (delay of fire alarm signal), the maximum 7-29-10 ma 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, 2014 Listing Expires June 30, 2015 Authorized By: JAMES PARSEGIAN, Program Coordinator Fire Engineering Division Listing No. 7165-1657:0207 Page 2 of 2 Retard/Reset/Restart period shall not exceed 30 seconds. 2. Formerly 7165-1591:207 and 7165-1388:237 7-29-10 ma 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, 2014 Listing Expires June 30, 2015 Authorized By: JAMES PARSEGIAN, Program Coordinator Fire Engineering Division Bergelectric Corp. Contractors & Engineers Siga-SD 650 Opper Street • Escondido, CA 92029 • Tel (760) 746-1003 • Fax (760) 746-4619 • C1O-#85046 Communications Intelligent Duct Smoke Detector I SIGA-SD W'_ e Safety & EST Caaiog D Intelligent Initiating MEA 32421es7 0223 S853 Overview The Edwards SuperDuct Signature Series smoke detector is the most advanced and most reliable device in its class. Designed for easy installation and superb reliability, SuperDuct represents the perfect balance of practical design and advanced technology. SuperDuct detectors feature a unique design that speeds instal- lation and simplifies maintenance. Removable dust filters, confor- maRy coated circuit boards, and optional water-resistant gaskets keep contaminants away from components, ensuring years of trouble-free service. When cleaning is required, the assemblies come apart easily and snap back together in seconds. A Signature Series photoelectric sensor is incorporated into the design of each SIGA-SD duct smoke detector. This sensor inherits the power and benefits of this exceptional line of intelligent devices. Signature Series sensors gather analog information from their smoke sensing elements and convert it into digital signals. The sensor measures and analyses these signals and compares the information to historical readings and time patterns to make an alarm decision. Digital filters remove signal patterns that are not typical of fires, which virtually eliminates unwanted alarms. WARNING: Duct detectors have specific limitations. Duct detectors are not a substitute for an open area smoke detector. Duct detectors are not a substitute for early warning detection or a replacement for a buildings regular fire detection system. Smoke detectors are not designed to detect toxic gases which can build up to hazardous levels in some fires. These devices will not operate without electrical power. As tires frequently cause power interruptions, Edwards suggests you discuss further safeguards with your local fire protection specialist Standard Features Less than 2" deep for easy installation and applications where space is tight -4°F to 158°F (-20°C to 730Ci operating range with 100 ft/min. to 4,000 ft/min air velocity rating assures reliability under harsh environmental conditions Status LEDs remain visible through clear assembly cover Cover monitor switch for added security Standard sampling tube spacing for easy drop-in migration from other detectors Sampling tube can be installed with or without the cover in place and can be rotated in 45-degree increments to ensure proper alignment with duct aillow 15.2 to 19.95 Vdc operat:on Magnet-activated test sw'tch One Form C auxiliary alarm relay for controlling ancillary equip- ment (e.g., HVAC controls) No special tools required for easy access to field connections Signature Series intelligence Environmental compensation with differential sensing for reli- able, stable, and drift-free sensitivity Wide 0.79% to 2.46% obscuration/ft. smoke sensitivity Identification of dirty or defective detectors Page lof4 EATA SHEET 85001 -0584 Not to b used for installation purposes. Issue 6 Application SuperDuct detectors are ideally suited to duct smoke detection applications where early indication of combustion is required within the confined space of ventilation ductwork. Its primary purpose provide early warning of an impending fire and to prevent )ke from circulating throughout the building. It is typically used to detect smoke in the supply side of the HVAC system but can provide supervision of the return side as well. ------------------------ I Protected premises r Ramole Alarm relay output LJDuctsmokeLi Ii <Return = detector air HVAC i unit_h ~de c). Supply I! Alarm relay Remote test station -------------------- SuperDuct detectors continually sample air flow in the HVAC duct and initiate an alarm condition whenever smoke is detected. An alarm is activated when the quantity (percent obscuration) of combustion products in that air sample exceeds the detector's sensitivity setting. Signature Series Intelligence Like all Signature detectors, the SlGA-SD features electronic lressing and issues a dirty sensor warning when it reaches its set limit. The dirty sensor warning indicates the sensor is op- erating within its specified limits but is in need of servicing. When the detector's ability to compensate for environmental changes has reached its limit, the duct smoke detector signals a trouble condition. The SlGA-SD also uses differential sensing to prevent gradual environmental changes from triggering unwanted alarms. A rapid change in environmental conditions, such as smoke from a fire, causes the detector to signal an alarm state, but dust and debris accumulated over time does not change alarm sensitivity. Each Signature Series SuperDuct detector contains a microproc- essor that performs comprehensive self-diagnostics and stores the results in nonvolatile memory. Stored results include details such as hours of operation, last maintenance date, and number of alarms and troubles. This information can be retrieved and reviewed when desired. Detector Configuration The detector assembly cover provides easy access to the smoke sensor, its wiring connections, sample and exhaust tubes, and the smoke chamber itself. Air enters the detector's sensing chamber through a sampling tube (ordered separately) that extends into the duct and is directed back into the ventilation system through an exhaust tube (in- cluded). The difference in air pressure between the two tubes pulls sampled air through the sensing chamber. When a sufficient ount of smoke is detected in the sensing chamber, the detector ates an alarm. Page 2of4 The sampling tube may be installed from either the duct side of the assembly or from inside the sensor compartment, as preferred by the installer. (The exhaust tube must be installed from the duct side.) Sampling tubes may be rotated in 45-degree increments so that air-holes can be aligned to allow the unit to be mounted at virtually any angle relative to the air flow. In installations where the duct smoke detector's controls and indica- tors are hidden from view, a remote test station or an LED indicator can be connected to the detector to provide these functions. Remote Test Stations Labor-saving Remote Test/Reset stations provide r. alarm testing from the convenience of a remote location. Tests can be performed quickly and safely without having to climb to the roof. Magnetically- operated and key-operated one-gang models are available. Signature SuperDuct detectors are also compatible with SlGA-LED remote alarm LED. Air velocity in the duct as low as 100 ft/mm. maintains adequate air flow into the sensor smoke chamber through air holes in the air sampling tube and discharges through the exhaust tube. Su- perDuct air sampling tubes must be installed with the inlet holes facing the airstream. Sampling tubes may be rotated in 45-degree increments so that air-holes can be aligned to allow the unit to be mounted in virtually any angle relative to the airflow. SuperDuct sensors are engineered to operate optimally under the harsh environmental conditions frequently found in HVAC duc- twork. Nonetheless, before installing the detector, test the duct air velocity, temperature, and humidity to verify that it is within the operating range of the SuperDuct detector. Consult the SuperDuct installation sheet for details. Dimensions 1.38 in 54 (3.51 (l3.72,,) DATA SHEET 85001-0584 Not to be used for installation purposes. Issue 6 t #10 sheet metal screw (2X) floG, Housing Detector air tube conduit holes Assembly High-humidity environments Sampling tube Detector socket Use the SD-PH Protective Housing when installing SuperDuct ft detectors in high-humidity environments. The SD-PH is a weather- socket E 2 xhaust tube ized housing that prevents condensation on the device by insulat- ing the detectors and providing circulated air from the monitored HVAC duct. The SD-PH also adds a layer of protection against physical damage to the unit. Exhaust tube Thin gaske t Thick gasket Coupling Sampling tube F (ordered separately) Plug Motintina Alrft Ic MW The SD-PH is easy to install and service. The hinged and transpar- ent cover provides ready access to the detector, while keeping its status indicators visible at all times. Note: The SD-PH Protective Housing is weatherized against out- door air, but it is not intended for direct outdoor exposure. Auxiliary equipment H [1] No more than one remote test station or LED indicator can be connected to the detector at the same time. Wiring 17 16 15 is unsupervised. Maximum wire [j j resistance is 10 ohms per wire. SlGA-LED(1J AJarin P 9 or ® 'H ;~I I SD-TRK I or Test I SD-TRM (11 Data ln aD (~) J Data In 0 0 0 0j = 1L.. Power indicator Alarm indicator Page 3 of 4 Data Out (-) Data Out (+) DATA SHEET 85001-0584 Not to be used for installation purposes. Issue 6 Specifications, detector Dimensions 8.70 x 5.45 x 1.90 inches (221 x138x48mm) Wire size 14 to 22 AWG Detection Photoelectric method flight scattering principle) Air velocity 100 to 4,000 ft/min and rating meets the required minimum air pressure differential Air pressure 0.005 to 1.00 inches of differential water 0.79 to 2.46 %/ft Sensitivity 0.79 Alarm test 5 seconds response time LED indicators Alarm (red), Power (green) Unsupervised and power- limited Common Quantity: 1 alarm relay Type: Form C Ratings: 2.0 A at 30 Vdc (resistive) Operating 15.2 to 19.95 Vdc voltage Operating Standby: 45 pA Alarm: 45 current pA Inrush: 1 mA Standalone alarm: 18 mA Temperature (UL): -4 to 158 OF (-29 to 70°C). Operating Temperature tJLC): -4 to environment 120 OF (-29 to 49 °C) Relative humidity: 10 to 93%, noncondensing Agency listings UL ULC, CSFM, FM, MEA Specifications, test stations Remote Test/Reset Stations prode alarm test, trouble indication, and reset capability from a remote loca- tion. They include a one-gang plate, momentary SPST switch, red alarm LED, and terminal block. Magnetically- operated models (iBM) or key-operated models (TRl< Compatible North American 1-gang box electrical Standard 4-in square box, boxes 1-1/2 inches deep, with 1-gang cover LED indicators Alarm (red) LED type Clear lens Wire size 14 to 22 AWG Resistance per 10 Ohms, max. wire Current requirements See controller specifications LED circuit Voltage: 3 Vdc, max. ratings Current: 30 mA, max. Switch ratings Voltage: 125 Vdc, max. (SD-TRK) Current: 4 A, max. Switch ratings Voltage: 200 Vdc, max. (SD-TRM) Current: 0.5 A, max. Compatible SuperDuct conventional detectors two-wire and Signature duct smoke detectors Operating -4°F to 158°F (-20°C to environment 70°C) HumidiLy. 93% RH, noncondensing Storage temperature -4 to 140°F (-20 to 60°C) Agency listings UL, ULC, MEA, CSFM wwm '' tiios - Contact us... Email: edwards.fire@fs.utc.com Web: www.est4re.com EST Is an EDWARDS brand. 1016 Corporate Park Drive Mebane, NC 27302 In Canada, contact Chubb Edwards... Email: inqulries@chubbedwards.com Web: www.chubbedwards.com © 2013 UTC Fire & Security Americas Corporation, Inc. All rights reserved. Specifications subject to change without notice. Edwards Is part of UTC Climate, Controls & Security, a unit of United Technologies Corporation. Page 4 of 4 Ordering Information Catalog Number Description Ship Wt., lb. (kg) -. SlGA-SD Intelligent SuperDuct Detector 2.4(1.1) Acèesories SD-18 8-inch sampling tube 0.5(0.2) SD-T18 18-inch sampling tube 1.5 (0.7) SD-T24 24-inch sampling tube 2.7(l.2) SD-T36 36-inch sampling tube 3.0 (1.4) SD-T42 42-inch sampling tube 3.5 (1.6) SD-T60 60-inch sampling tube 5.8(2.6) SD-178 78-inch sampling tube 7.5(3.4) SD-Ti 20 120-inch sampling tube 11.5 (5.2) SD-PH Protective housing for high humidity environments 5.5(2.5) SIGA-LED Remote alarm LED 1.0(0.5) SD-TIRM Remote test station, magnetic 1.0(0.5) SD-VTK Air velocity test kit (stoppers only etc) 1.0(0.5) SD-GSK Cover gasket kit 0.5 (0.2) SD-MAO Test magnet kit 0.5(0.2) SlGA-SDPCB Replacement PCB/Signature sensor kit 1.0(0.5) DATA SHEET 85001-0584 Not to be used for installation purposes. Issue 6 CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL FIRE ENGINEERING - BUILDING MATERIALS LISTING PROGRAM LISTING SERVICE LISTING No. 3242-1657:0223 Page 1 of 1 CATEGORY: 3242 -- DUCT SMOKE DETECTOR, PHOTO. (W/ OR W/O BASE) LISTEE: EDWARDS, A Division of UTC Fire & Security Americas Corporation, inc.8985 Town Center Parkway, Bradenton, FL 34202 Contact: Jewell Micochero (941) 739-4358 Fax (941) 308-8123 Email: rhonda.micochero@fs.utc.com DESIGN: Models ESD-SJ, ESD-ST, TSD-SJ, TSD-ST, TSD-SJG, TSD-SJCO2, TSD-STCO2, lGA-SD, I SD-2W, ESD-2W, E-PDD, and FX-PDD photoelectric type duct smoke detectors. The duct detector consists of a thermoplastic enclosure, recognized component printed wiring board, a listed duct detector subassembly, and an inlet coupling tube and an exhaust tube along with gaskets. Refer to listee's data sheet for additional detailed product description and operational considerations. RATING: 15.2-19.95 VDC 16-30 VDC: SD-2W, ESD-2W INSTALLATION: In accordance with listee's printed installation instructions and 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 type, duct smoke detectors for use with separately listed compatible fire alarm control units in conjunction with Models ESD-CJ, -CT or TSD-CJ, -CT series duct smoke detector controller (CSFM Listing No. 3240-1657:225). Models SIGA-SD, E-PDD, FX-PDD, SD-2W or ESD-2W does not require a listed duct smoke detector controller. Suitable for use in ducts where air velocity is between 100 and 4000 ft/mm. *Models ESD-SJ, ESD-ST, TSD-SJ, TSD-SJG, TSD-SJCO2, SIGA-SD, SD-2W and ESD-2W are suitable for use in ambient temperatures of -4°F to 158°F. Refer to listee's Installation Instruction Manual for details. NOTE: 1. CO2 sensing features were not examined. 2. Formerly 3242-1591:223 *Corrected 3-22-13 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, 2014 Listing Expires June 30, 2015 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. 7300-1657:0226 Page 1 of 1 CATEGORY: 7300 -- FIRE ALARM CONTROL UNIT ACCESSORIES/MISC. DEVICES LISTEE: EDWARDS, A Division of UTC Fire & Security Americas Corporation, Inc.8985 Town Center Parkway, Bradenton, FL 34202 Contact: Jewell Micochero (941) 739-4358 Fax (941) 308-8123 Email: rhonda.micochero@fs.utc.com DESIGN: ModeIsISD-TRK,ISD-TRM, SD-TRK4 and SD-TRM4 remote test/retest station. Refer to listee's data sheet for additional detailed product description and operational considerations. INSTALLATION: In accordance with listee's printed installation instructions, applicable codes & ordinances and in manner acceptable to the authority having jurisdiction. MARKING: Listee's name or Telaire, model number, electrical rating, and UL label. APPROVAL: Listed as remote test/retest station for use with listee's separately listed duct smoke detector controller subassemblies (CSFM Listing No. 3240-1657:225). Models SD-TRK4 and SD-TRM4 are for use with Models ESD-CJ, -CT or TSD-CJ, -CT series: Models Models SD-TRK and SD-TRM are for use only with Models SlGA-SD, *ESD..2W and *SD2W For indoor use only. Refer to listee's Installation Instruction Manual for details. NOTE: Formerly 7300-1591:226 7-29-10 ma 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, 2014 Listing Expires June 30, 2015 Authorized By: JAMES PARSEGIAN, Program Coordinator Fire Engineering Division Bergelectric Corp. t ractors & Engineers Siga-CR 650 Opper Street • Escondido, CA 92029 • Tel (760) 746-1003 • Fax (760) 746-4619 • C1O-#85046 cA- r Life Safety & Communications EST Catalog b, Intelligent Input/Output Control Relay Modules [SIGA-C SIGA-MCR, SIGA- CRR, SIGA-MCRR Overview The Control Relay Module and the Polarity Reversal Relay Module are part of the Signature Series system. They are intelligent analog addressable devices available in either plug-in (UIO) versions, or standard 1-gang mount versions. The SIGA-CR/MCR Control Relay Module provides a Form "C" dry relay contact to control external appliances such as door clos- ers, fans, dampers etc. This device does not provide supervision of the state of the relay contact. Instead, the on-board micro- processor ensures that the relay is in the proper ON/OFF state. Upon command from the loop controller, the SIGA-CR/MCR relay activates the normally open or normally-closed contact. The SIGA-CRRIMCRR Polarity Reversal Relay Module provides a Form "C" dry relay contact to power and activate a series of SIGA-AB4G Audible Sounder Bases. Upon command from the Signature loop controller, the SIGA-CRR reverses the polarity of its 24 Vdc output, thus activating all Sounder Bases on the data loop. Standard-mount versions (SIGA-CR and SIGA-CRR) are installed to standard North American 1-gang electrical boxes, making them ideal for locations where only one module is re- quired. Separate I/O and data loop connections are made to each module. Plug-in UIO versions (SIGA-MCR and SIGA-MCRR) are part of the UIO family of plug-in Signature Series modules. They func- tion identically to the standard mount versions, but take advantage of the modular flexibility and easy installation that characterizes all UIO modules. Two- and six-module UIO motherboards are available. All wiring connections are made to terminal blocks on the motherboard. UlO assemblies may be mounted in Edwards enclosures. II 1 00 ___ hell SIGA-MCR MEA S3424 Standard Features Provides one no/nc contact (SIGA-CR/MCR) Form "C" dry relay contact can be used to control external ap- pliances such as door closers, fans, dampers etc. Allows group operation of sounder bases The SIGA-CRR/MCRR reverses the polarity of its 24 Vdc out- put, thus activating all Sounder Bases on the data loop. Plug-in (UIO) or standard 1-gang mount UlO versions allow quick installation where multiple modules are required. The 1-gang mount version is ideal for remote locations that require a single module. Automatic device mapping Signature modules transmit information to the loop controller regarding their circuit locations with respect to other Signature devices on the wire loop. Electronic addressing Programmable addresses are downloaded from the loop con- troller, a PC, or the SIGA-PRO Signature Program/Service Tool; there are no switches or dials to set. Intelligent device with microprocessor All decisions are made at the module to allow lower com- munication speed with substantially improved control panel response time and less sensitivity to line noise and loop wiring properties; twisted or shielded wire is not required. Ground fault detection by address Detects ground faults right down to the device level. Page lof6 DATA SHEET 85001-0239 Not to be used for installation purposes. Issue 7.5 Installation SIGA-CR and SIGA-CRR: modules mount to North American 21/2 inch (64 mm) deep 1-gang boxes and 1½ inch (38 mm) deep 4 inch square boxes with 1-gang covers and SIGA-MP mounting es. The terminals are suited for #12 to #18 AWG (2.5 mm2 to 5 mm2) wire size. Compatible electrical box Wall plate, white (1-gang) Application The operation of Signature Series control relays is determined by their sub-type code or "Personality Code." Personality Code 8: CONTROL RELAY (SIGA-CR/MCR) - Dry Contact Output. This setting configures the module to provide one Form "C" DRY RELAY CONTACT to control Door Closers, Fans, Dampers, etc. Contact rating is 2.0 amp @ 24 Vdc; 0.5 amp @ 120 Vac (or 0.25A @ 220 Vac for non-UL applications). Personality Code 8 is assigned at the factory. No user configura- tion is required. Personality Code 8: POLARITY REVERSAL RELAY MODULE (SIGA-CRR/MCRR). This setting configures the module to re- verse the polarity of its 24 Vdc output. Contact rating is 2.0 amp @ 24 Vdc (pilot duty). Personality Code 8 is assigned at the factory. No user configuration is required. Compatibility The Signature Series modules are compatible only with EST's Signature Loop Controller. LED viewing ports • \ I SIGA-MCR and SIGA-MCRR: mount the UIO motherboard inside a suitable Edwards enclosure with screws and wash- ers provided. Plug the module into any available position on the motherboard and secure the module to the motherboard with the Ave screws. Wiring connections are made to the terminals on motherboard (see wiring diagram). UIO motherboard terminals re suited for #12 to #18 AWG (2.5 mm2 to 0.75 mm2) wire size. UlO Motherboard 6-32 screws elf 0Pl. ~(UIO) H #6 Fiat washers —Cabinet or electrical enclosure Warnings & Cautions This module will not operate without electrical power. As fires fre- quently cause power interruption, we suggest you discuss further safeguards with your local fire protection specialist. Testing & Maintenance The module's automatic self-diagnosis identifies when it is defec- tive and causes a trouble message. The user-friendly maintenance program shows the current state of each module and other per- tinent messages. Single modules may be turned off (deactivated) temporarily, from the control panel. Availability of maintenance features is dependent on the fire alarm system used. Scheduled maintenance (Regular or Selected) for proper system operation should be planned to meet the requirements of the Authority Hav- ing Jurisdiction (AHJ). Refer to current NFPA 72 and ULC CAN/ ULC 536 standards. Electronic Addressing - The loop controller electronically ad- dresses each module, saving valuable time during system com- missioning. Setting complicated switches or dials is not required. Each module has its own unique serial number stored in its on- board memory. The loop controller identifies each device on the loop and assigns a "soft" address to each serial number. If desired, the modules can be addressed using the SIGA-PRO Signature Program/Service Tool. Edwards recommends that this module be installed according to latest recognized edition of national and local fire alarm codes. Page 2 of 6 DATA SHEET 85001-0239 Not to be used for installation purposes. Issue 7.5 Typical Wiring Modules will accept #18 AWG (0.75mm2), #16 (1 .omm2), #14 AWG (1.50mm2) and #12 AWG (2.5mm2) wire sizes. Note: Sizes #16 AWG (1.0mm2) and #18 AWG (0.75mm2) are preferred for ease of installation. See Signature Loop Controller catalog sheet for detailed wiring requirement specifications. Normally- Normally- Open Common Closed Lj I TB2 876 . S S Red LED Green LED (Alarm/Active) 1 -111. 3 (Normal) 42 TB1 TGDGD I DATA IN (+) TJ 0 DATA OUT (+) 1 DATA IN (-) .DATAOUT(-) From Signature Controller To Next Device or Previous Device SIGA-CR Control Relay Normally Open Common Normally Closed t - t 1234 Data ln47______ Jj + Data Out_ Green LED (Normal) Red LED (Active) Notes 4\ Refer to Signature Loop Controller Installation Sheet for wiring specifications. NFPA 72 requires that the SIGA-CRISIGA-MCR be installed in the same room as the device it is controlling. This requirement may not apply in all markets. Check with your local AHJ for details. The SIGA-Ul06R and the SlGA-LJ102R do not come with TB14. The SIGA-U106 does not come with TB8 through TB1 3. A Supervised and power-limited. If the source is nonpower-limited, maintain a space of 1/4 inch from power-limited wiring or use FPL, FPLP. FPLR, or an equivalent in accordance with the National Electrical Cede. 7) Maximum #12 AWG (2.5mm2) wire. Mm. #18 0.75mm2). TB7 No connections required for MCR. Other modules may require connections. No connections required for MCR. Other modules may require connections. SIGA-MCR Control Relay Page 3of6 DATA SHEET 85001-0239 Not to be used for installation purposes. Issue 7.5 Typical Wiring Modules will accept #18 AWG (0.75mm2), #16 (1 .omm2), #14 AWG (1.50mm2) and #12 AWG (2.50mm2) wire sizes. Note: Sizes #16 AWG (1 .omm2) and #18 AWG (0.75mm2) are preferred for ease of installation. See Signature Loop Controller catalog sh.et for detailed wiring requirement specifications. Listed 24 VDC Nominal Power Supply Signature Controller SIGA-CRR Schematic Po'mr In P— Out PdOrty Itesesos - When Activated 86 5 U- AB4G Audible Base lAII A Optional CR for disabling/disconnecting sounder base SIGA-MCRR Schematic Power to Power Out Polarity — + c.e1 when activated. oh AB4G AB4G Audible Base Audible Bose EOL Relay rk62,1 'II :11 1 I SIGA-CRR I SIGA-MCRR nio EOL Relay o Audible 0 required for Owes supevWon r~n Notes Refer to the Signature controller installation sheet for wiring. One Pair of Wires (24 Vdc power). One Pair of Wires (Signature Data). Single Wire (24 Vdc power). The SIGA-U106R and the SIGA-U102R do not come with TB14. The SIGA-U106 does not come with T138 through TB13. Supervised and power-limited. 8 If the source is nonpower-limited, maintain a space of 1/4 inch from power-limited wiring or use FPL FPLR FPLR, or an equivalent in accordance with the National Electrical Code. 9 Mtedmum #12 AWG (2.5mm2) wire; Minimum #18 AWG (0.75 mm2). 10 End-of-Line Relay must monitor and report power supply trouble to control panel. 11 Class B Data wiring may be 'T-tapped." Green LED (Normal) Red LED (Active) FAI Optional MCRR 'oJ or MCR for disabling/disconnecting No connections required for Mi an audible base. I modules may require connections. signature Data Data Out • Circuit ULJULC Listed or 24 Vdc power supply 1234 II Data Out 1 I Signature Data Circuit + Data In For normal operation For General Fire Alarm Operation 87 S • CT' MCRR UtOlR( series motherboard LEI No connections required for T814 Irecuireconnections. MCRR. Other modules may Green LED (Normal) Red LED (Active) No connections required for MCRR. Other modules may reauire connections. Page 4 of 6 DATA SHEET 85001-0239 Not to be used for installation purposes. Issue 7.5 Specifications Catalog Number SIGA-CR SIGA-MCR SIGA-CRR SIGA-MCRR Description Control Relay Polarity Reversal Relay Type Code Personality Code 8 (Factory Set) Personality Code 8 (Factory Set) Address Requirements Uses 1 Module Address Operating Current Standby = 75 pA Activated = 75 pA Operating Voltage 15.2 to 19.95 Vdc (19 Vdc nominal) Relay Type and Rating Form C, 2 Amps @ 24 Vdc (pilot duty), 0.5 Amps @ 120 Vac and 0.25 Amps @ 220 Vac (220 Vac is non-UL) Not rated for capacitive loads. Mounting North American 21h inch (64 mm) deep 1 -gang boxes and 1½ inch (38 mm) deep 4 inch square boxes with 1-gang covers and SIGA- MP mounting plates Plugs into U102R, U106R or U106 Motherboards North American 21h inch (64 mm) deep 1 -gang boxes and 11/2 inch (38 mm) deep 4 inch square boxes with 1-gang covers and SIGA- MP mounting plates Plugs into UI02R, UI06R or U106 Motherboards Construction & Finish High Impact Engineering Polymer Storage and Operating Environment Operating Temperature: 32°F to 120°F (0°C to 49°C) Storage Temperature: -4°F to 140°F (-20°C to 60°C) Humidity: 0 to 93% RH LED Operation On-board Green LED - Flashes when polled On-board Red LED - Rashes when in alarm/active Compatibility Use With: Signature Loop Controller Agency Ustings UL, ULC, CSFM, MEA Ordering Information Catalog Number - Description Ship Weight - lbs (kg) SIGA-CR Control Relay Module (Standard Mount) 0.4 (0.15) SIGA-MCR Control Relay Module (UIO Mount) 0.18(0.08) SIGA-CRR Polarity Reversal Relay Module (Standard Mount) 0.4 (0.15) SlGA-MCRR Polarity Reversal Relay Module (UlO Mount) 0.18 (0.08) Related Equipment 27193-11 Surface Mount Box - Red, 1-gang 1(0.6) 27193-16 Surface Mount Box - White, 1-gang 1(0.6) SIGA-Ul02R Universal Input-Output Module Board w/Riser Inputs - Two Module Positions 0.32 (0.15) SIGA-UI06R Universal Input-Output Module Board w/Riser Inputs - Six Module Positions 0.62 (0.28) SIGA-Ul06 Universal Input-Output Module Board - Six Module Positions 0.56 (0.25) SIGA-AB4G Audible (Sounder) Detector Base 0.3 (0.15) Accessories MFC-A Multifunction Fire Cabinet - Red, supports Signature Module Mounting Plates 7.0 (3.1) SlGA-MB4 Transponder Mounting Bracket (allows for mounting two 1-gang modules in a 2-gang box) 0.4 (0.15) SIGA-MP1 Signature Module Mounting Plate, 1 footprint 1.5 (0.70) SIGA-MP2 Signature Module Mounting Plate, 1/2 footprint 0.5 (0.23) SIGA-MP2L Signature Module Mounting Plate, 1/2 extended footprint 1.02 (0.46) Page 5 of 6 DATA SHEET 85001-0239 Not to be used for installation purposes. Issue 7.5 Signature Series Overview \F DWARDS The Signature Series intelligent analog-addressable system from Edwards is an entire family of multi-sensor detectors and mounting bases, multiple-function input and output modules, network and non-network control panels, and user-friendly maintenance and Contact us... service tools. Analog information from equipment connected to Signature devices is Email: edwards.fire@fs.utc.com gathered and converted into digital signals. An onboard microprocessor in each Signature Web: www.est-fire.com device measures and analyzes the signal and decides whether or not to input an alarm. EST is an EDWARDS brand. The microprocessor in each Signature device provides four additional benefits - Self-di- agnostics and History Log, Automatic Device Mapping, Stand-alone Operation and Fast, 1016 Corporate Park Drive Mebane, NC 27302 Stable Communication. In Canada, contact Chubb Edwards... Self-diagnostics and History Log - Each Signature Series device constantly runs self- Email: inquines@chubbedwards.com checks to provide important maintenance information. The results of the self-check are Web: www.chubbedwards.com automatically updated and permanently stored in its non-volatile memory. This information © 2013 UTC Fire & Security Americas is accessible for review any time at the control panel, PC, or using the SIGA-PRO Signa- Corporation, Inc. All rights reserved. ture Program/Service Tool. The information stored in device memory includes: Specifications subject to change without notice. Edwards is part of uic • Device serial number, address, and type Climate, Controls & Security, a unit of United Technologies Corporation. • Time and date of last alarm Most recent trouble code logged by the detector - 32 possible trouble codes may be used to diagnose faults. Automatic Device Mapping —The Signature Data Controller (SDC) learns where each device's serial number address is installed relative to other devices on the circuit. The SDC keeps a map of all Signature Series devices connected to it. The Signature Series Data Entry Program also uses the mapping feature. With interactive menus and graphic support, the wired circuits between each device can be examined. Layout or "as-built" drawing information showing branch wiring (F-taps), device types and their address are stored on disk for printing hard copy. This takes the mystery out of the installation. The preparation of as-built drawings is fast and efficient. Device mapping allows the Signature Data Controller to discover: Unexpected additional device addresses Missing device addresses Changes to the wiring in the circuit. Most Signature modules use a personality code selected by the installer to determine their actual function. Personality codes are downloaded from the SDC during system configu- ration and are indicated during device mapping. Standalone Operation - A decentralized alarm decision by the device is guaranteed. Onboard intelligence permits the device to operate in standalone (degrade) mode. If Sig- nature loop controller CPU communications fail for more than four seconds, all devices on that circuit go into standalone mode. The circuit acts like a conventional alarm receiving circuit. Each Signature device on the circuit continues to collect and analyze information from its slave devices. When connected to a panel utilizing standalone operation, modules with their "personality" set as alarm devices (IDC) will alarm should their slave alarm-initiat- ing device activate. Page 6 of 6 DATA SHEET 85001-0239 Not to be used for installation purposes. Issue 7.5 CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION ..;. OFFICE OF THE STATE FIRE MARSHAL _____ FIRE ENGINEERING - BUILDING MATERIALS LISTING PROGRAM - LISTING SERVICE LISTING No. 7300-1657:0121 Page 1 of 1 CATEGORY: 7300 -- FIRE ALARM CONTROL UNIT ACCESSORIES/MISC. DEVICES LISTEE: EDWARDS, A Division of UTC Fire & Security Americas Corporation, Inc.8985 Town Center Parkway, Bradenton, FL 34202 Contact: Jewell Micochero (941) 739-4358 Fax (941) 308-8123 Email: rhonda.micochero@fs.utc.com DESIGN: Models SIGA-CC1, SIGA-CC2, SIGA-CTI, *slGACT1 HT, SIGA-CT2, ISIGA-CRI SlGA-CRR, SIGA-UM, SIGA-MM1, SIGA-WTM, SIGA-IM, SIGA-MDM, SIGA-MAB, SIGA-MCT2, SIGA-MCC1, SIGA-MCC2, SIGA-MCR and SIGA-MCRR remote transponders. Models SIGA-AA30 and SIGA-AA50 audio amplifiers. Models SIGA-APS and SIGA-APS-220 power supplies. Models SIGA-MB4, SIGA-MP1, SIGA-MP2 and SIGA-MP2L mounting plates. Models SIGA-UIO2R, SIGA-U106 and SIGA-U106R motherboards. Model CS-SIGA-CCI P releasing module. Models SIGA-CCI S and SIGA-MCC1 S Auto-Sync Output Modules. Models MFC-A and MFC-AD Enclosures. Model SIGA-CR2 Control Relay Module. *Model SIGA-CTIHT; Signature Series High Temperature Single Input Module. Refer to listee's data sheet for additional detailed product description and operational consideration. RATING: 15.2 - 19.95 VDC INSTALLATION: In accordance with listee's printed installation instructions, applicable codes & 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 separately listed compatible fire alarm control units. Refer to listee's Installation Instruction Manual for details. NOTE: Formerly 7300-1591:121 and 7300-1388:178 03-10-11 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, 2014 Listing Expires June 30, 2015 Authorized By: JAMES PARSEGIAN, Program Coordinator Fire Engineering Division FIRE ALARM AND EMERGENCY COMMUNICATION SYSTEM RECORD OF COMPLETION To be completed by the systen nilâ11ahon contractor at the time of system acceptance and approval. Itshallbe permitted t6 mRd/5' 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. PROPERTY INFORMATION Name of property: Hilton Marbrisa Resort "Sales Office Address: 1594 Marbrisa Circle Carlsbad CA. 92008 Description of property: Office Occupancy type: A-3, B Name of property representative: Address: Phone: Fax: E-mail: Authority having jurisdiction over this property: Phone: Fax: E-mail: INSTALLATION, SERVICE, AND TESTING CONTRACTOR INFORMATION Installation contractor for this equipment: Bergelectric Corp. Address: 650 Opper Street, Escondido, CA. 92029 License or certification number: CIO-85046 Phone: (760) 746-1003 Fax: E-mail: 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) D Fire alarm with in-building fire emergency voice alarm communication system (EVACS) E] 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 o Other (specify): 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: Edwards 3.2 Mass Notification System 3.2.1 System Type: O In-building MNS---combination El In-building MNS—stand-alone Other (specify): 3.2.2 System Features: Model number: QSI This system does not incorporate an MNS 0 Wide-area MNS 0 Distributed recipient MNS E] Combination fire alarm/MNS 0 MNS autonomous control unit 0 Wide-area MNS to regional national alerting interface Local operating console (LOC) 0 Direct recipient MNS (DRMNS) 0 Wide-area MNS to DRMNS interface Wide-area MNS to high-power speaker array (HPSA) interface 0 In-building MNS to wide-area MNS interface 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: Panel Room 3.4 System Software 0 This system does not have alterable site-specific software. Operating system (executive) software revision level: Site-specific software revision date: Revision completed by: A copy of the site-specific software is stored on site. Location: Panel Room 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: NMC Phone: 800-662-1711 Supervisory: NMC Phone: 800-662-1711 Trouble: NMC Phone: 800-662-1711 Entity to which alarms are retransmitted: Phone: Method of retransmission: Digital Alarm Communicator 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 0 Shunt 0 Wired 0 Wireless NFPA 72, Fig. 10.18.2.1.1 (p.2of12) 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: I Quantity: 1 (See NFPA 72, Sections 12.3 and 12.4) 4.1.2 Pathways Utilizing Two or More Media Quantity: N/A Description: 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: B Survivability level: I Quantity: (See NFPA 72, Sections 12.3 and 12.4) 4.2.2 Pathways Utilizing Two or More Media Quantity: N/A Description: 4.23 Device Power Pathways 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 4.3 Non-Voice Audible System Pathways 4.3.1 Pathways Class Designations and Survivability Pathways class: B Survivability level: 1 Quantity: 8 (See NFPA 72, Sections 12.3 and 12.4) 4.3.2 Pathways Utilizing Two or More Media Quantity: N/A Description: 4.33 Device Power Pathways No separate power pathways from the notification appliance pathway El Power pathways are separate but of the same pathway classification as the notification appliance pathway El Power pathways are separate and different classification from the notification appliance pathway NFPA 72, Fig. 10.182.1.1 (p. 3 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. S. 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: 17 Conventional: Coded: Transmitter: Other (specify): 5.1.2 Other Alarm Boxes This system does not have other alarm boxes. Description: Type and number of devices: Addressable: Conventional: Coded: Transmitter: Other (specify): 5.2 Automatic Initiating Devices 5.2.1 Smoke Detectors 0 This system does not have smoke detectors. Type and number of devices: Addressable: 7 Conventional: Other (specify): Type of coverage: 0 Complete area Z Partial area [J Nonrequired partial area Other (specify): Type of smoke detector sensing technology: 0 Ionization 0 Photoelectric 0 Multicriteria 0 Aspirating 0 Beam Other (specify): 5.2.2 Duct Smoke Detectors This system does not have alarm-causing duct smoke detectors. Type and number of devices: Addressable: Conventional: - Other (specify): Type of coverage: Type of smoke detector sensing technology: 0 Ionization 0 Photoelectric 0 Aspirating 0 Beam 5.2.3 Radiant Energy (Flame) Detectors Z 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 This system does not have gas detectors. Type of detector(s): Number of devices: Addressable: Conventional: Type of coverage: 5.2.5 Heat Detectors 0 This system does not have heat detectors. Type and number of devices: Addressable: 7 Conventional: 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 U Rate-of-rise 0 Rate compensated !VFPA 72, Fig. 10.18.2.1.1 (p.4of12) Copyright 02009 National Fire Protection Association. This focm may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 5. ALARM INITIATING DEVICES (continued) 5.2.6 Addressable Monitoring Modules Number of devices: 1 5.2.7 Waterfiow Alarm Devices Type and number of devices: Addressable: 1 5.2.8 Alarm Verification Number of devices subject to alarm verification: 5.2.9 Presignal Number of devices subject to presignal: Describe presignal functions: 5.2.10 Positive Alarm Sequence (PAS) Describe PAS: 5.2.11 Other Initiating Devices Describe: 0 This system does not have monitoring modules. 0 This system does not have waterflow alarm devices. Conventional: Coded: Transmitter: This system does not incorporate alarm verification. Alarm verification set for: seconds This system does not incorporate pre-signal. 0 This system does not incorporate PAS. ED This system does not have other initiating devices. 6. 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: 2 Conventional: Coded: Transmitter: Other (specify): 6.2 Fire Pump Description and Supervisory Devices D 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 E] Power 0 Running 0 Phase reversal 0 Selector switch not in auto 0 Engine or control panel trouble 0 Low fuel Other (specify): 6.3 Duct Smoke Detectors (DSDs) 0 This system does not have DSDs causing supervisory signals. Type and number of devices: Addressable: 12 - Conventional: - Other (specify): - Type of coverage: Type of smoke detector sensing technology: 0 Ionization D Photoelectric 0 Aspirating 0 Beam 6.4 Other Supervisory Devices 0 This system does not have other supervisory devices. Describe: NFPA 72, Fig. 10.18.2.1.1 (p. 5 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. MONITORED SYSTEMS 7.1 Engine-Driven Generator 7.1.1 Generator Functions Supervised o Engine or control panel trouble 0 Generator running C1 Other (specify): 7.2 Special Hazard Suppression Systems Description of special hazard system(s): 7.3 Other Monitoring Systems Description of special hazard system(s): ANNUNCIATORS 8.1 Location and Description of Annunciators Location 1: Resort check in desk Location 2: Location 3: This system does not have a generator. 0 Selector switch not in auto 0 Low fuel This system does not monitor special hazard systems. This system does not monitor other systems. 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: 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 I: Location 2: Location 3: 9.2 Nonvoice Notification Appliances 0 This system does not have nonvoice notification appliances. Horns: 58 With visible: 41 Bells: 1 With visible: Chimes: With visible: Visible only: 28 Other (describe): 9.3 Notification Appliance Power Extender Panels 0 This system does not have power extender panels. Quantity: 2 Locations: FACP/DATA Room NFPA 72, Fig. 10.18.2.1.1 (p.6of12) 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. MASS NOTIFICATION CONTROLS, APPLIANCES, AND CIRCUITS 0 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: N/A 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: V V 10.3.1 Special Hazard Notification O This system does not have special suppression predischarge notification. o MNS systems DO NOT override notification appliances required to provide special suppression predischarge notification. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS 11.1 Telephone System 0 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. 10V18V2.1.1 (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: 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 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: El Hold-open door releasing devices 0 Smoke management Z 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): 12.1 Addressable Control Modules 0 This system does not have control modules. Number of devices: 2 Other (specify): Level 2 Elevator Smoke Door Activation SYSTEM POWER 13.1 Control Unit 13.1.1 Primary Power Input voltage of control panel: 120 VAC Control panel amps: Overcurrent protection: Type: Breaker - Amps: 20 Location (of primary supply panel board): - Disconnecting means location: FACP/Data Room - 13.1.2 Engine-Driven Generator This system does not have a generator. Location of generator: - Location of fuel storage: Type of fuel: NFPA 72, Fig. 10.18.2.1.1 (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 N 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 Type: Sealed Nominal voltage: 12 Amp/hour rating: 12ah Lead Acid 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 0 Battery calculations are attached 13.2 In-Building Fire Emergency Voice Alarm Communication System or Mass Notification System N 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 N This system does not have a generator. Location of generator: Location of fuel storage: Type of fuel: 13.2.3 Uninterruptible Power System N 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: Calculated capacity of batteries to drive the system: In standby mode (hours): 0 Batteries are marked with date of manufacture Nominal voltage: - Amp/hour rating: In alarm mode (minutes): 0 Battery calculations are attached NFPA 72, Fig. 10.18.2.1.1 (p.9of12) 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. SYSTEM POWER (continued) 133 Notification Appliance Power Extender Panels 0 This system does not have power extender panels. 133.1 Primary Power Input voltage of power extender panel(s): 120vac Power extender panel amps: Overcurrent protection: Type: Breaker Amps: 20 Location (of primary supply panel board): FACP/DATA Room Basement Level Disconnecting means location: Panel DATA Breaker # 133.2 Engine-Driven Generator R This system does not have a generator. Location of generator: Location of fuel storage: Type of fuel: 13.33 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): 133.4 Batteries Location: FACP Type: Sealed Nominal voltage: 12 Amp/hour rating: 7 Lead Acid 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 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 conflicting operational acceptance tests. This is a: 10 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: 2010 Manufacturer's published instructions Other (specify): System deviations from referenced NFPA standards: Printed name: -c9 Date: Z /9 Or ~ization: 1(4LC7?ZZ<. Title: Phone: 4111—'#- NFPA 72, Fig, 10.18.2.1.1 (p. 10 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. 15. RECORD OF SYSTEM OPERATIONAL ACCEPTANCE TEST New system All operational features andfunctions 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 ED NFPA 70, National Electrical Code, Article 760, Edition: 2010 El Manufacturer's published instructions Other (specify): 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: Date: - I Organization: I7i 1?Z. Title: a;TcjJ Phone: j- 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 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. 16. CERTIFICATIONS AND APPROVALS (continued) 16.4 Property or Owner Representative: This system, as specified herein, will be monitored according to all NFPA standards cited herein. Signed: Printed name: Date: S IWIPI Ti tle: itle: 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 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.