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Home My WebLink About5781 VAN ALLEN WAY; ; FA090053; Permit4/11/25,1:29 PM FA090053 Permit Data City of Carlsbad Fire Alarm Permit Job Address: 5781 VAN ALLEN WY Permit Type: FALARM Parcel No: 2121304400 Lot #: 0 Reference No.: Permit No: FA090053 Status: ISSUED Applied 12/2/2009 Approved: 12/2/2009 Issued: 12/2/2009 PC #: Inspector: Project Title: LIFE TECHNOLOGIES FIRE ALARM PLAN CHECK & INSPECTIONS Applicant: ADT SECURITY SERVICES, INC. 3830 CALLE FORTUNADA SAN DIEGO, CA (858) 654-3224 Owner: GRIFFIN CAPITAL CARLSBAD POINTE INVESTORS L L C C/O INVITROGEN CORPORATION 1600 FARADAY AVE CARLSBAD CA Fees ($) Add'I Fees ($) I Total ($) Balance ($) 125 0 125 0 about:blank 1/1 M q C)-J St FIRE ALARM RECORD OF COMPLETION FORM wmlw Customer#: 52V 7 Customer Name: Address (CltylSta Job#: Primary System#: System#: Representative of Protected Property (Name/Phone): Authority Having Jurisdiction: Location of As-Built Drawings: Location of Operation and Maintenance Manuals: Location of Inspection & Testing Reports: Location of Control Panel: Primary Telephone Number: f/&2t11 L7 t2 " Telephone Number: Secondary Telephone Number: Does ADT have a contract for testing and inspection in accordance with NFPA standard(s)? 0 Yes No If no, who?: Inspection Start Date: Inspection Frequency: Li Annually 0 Semiannually 0 Quarterly 0 Bimonthly 0 Monthly 0 Weekly System Software Operating system (executive) software revision level(s): Site-specific software revision date: Revision completed by: (Name) (Company) (Date) Type(s) of System or Service NFPA 72, Chapter 8— AbT Central Monitoring Center Means of transmitting signals from the premises to the central station: (Chock all that apply) Digital Alarm Communicator 0 McCulloh 0 Multiplex 0 One-way Radio 0 Two-way Radio 0 Other: Means of transmission of alarms to the public fire service communications center: System locations: o NFPA 72, Chapter 6- Local If alarm is transmitted to location(s) off premises, list where received: NFPA 72, Chapter 8- Remote Station Telephone numbers of the organization receiving alarms 0 NFPA 72, Chapter 8- Proprietary Telephone numbers of the organization receiving alarm: 0 NFPA 72, Chapter 9-Auxiliary Check type of connection: 0 Local Energy 0 Shunt 0 Parallel Telephone Telephone numbers of the organization receiving alarm: If alarms are retransmitted to a public fire service communications center or other, indicate name and telephone numbers of the organization receiving alarm: Indicate how alarm is retransmitted: Record of System Installation (Complete this section after installation is complete and wiring checked for opens,, shorts, ground faults, and improper branching, but prior to conducting operational acceptance tests.) This system has been installed in accordance with the NFPA standards as shown below, was inspected by on includes the devices shown in sections 4 & 5, and has been in service since This system has been installed In accordance with the standards as shown below: NFPA 72, Chapters QJ~5/67 11 (Circle all that apply) 1 1NFPA 70, National Electrical Code, Article 760 0 Manufacturer's Instructions 0 or—Other j Source: Sig nec Organization: 4S*_?'%'Z .7,?z77W(T Repented with permission from NFPA 72 itiut 2002, National Fire Alarm Code,), Copyright 0 2002, National Fire Protection II ii IIIl II 1]I IIII ii IH II tID ilI IllI HII v ii Association, Quiricy, NA 02169. This reprinted material is not the complete and official position of the NFPA on the referenced subjei, which in represented only by the standard in its entirety. 0 1 1 0 Ct 0 5 0 3 0 0 1 0 5 0 8 F5030-01 ADI (s. 1 of 3) FIRE ALARM RECORD OF COMPLETION, continued 3. Record of System Operation Documentation in accordance with Inspection Testing Form, Figure 10.62.3, is attached All operational features and functions of this system were tested by ./f/tJ date And found to be operating properly in accordance With the requirements of: NFPA 72, Chapters 6 29j1 C 11 (Circle all that apply) NFPA 70, National Electrical Code, Article 760 0 Manufacturer's Instructions AHJ or Other Source: Signed Date:__ Organization: j1J76t7zefl7 4. Signaling Line Circuits Quantity and class of signaling line circuits connected to system (see NFPA 72, Table 6,6.1): Quantity Style Class 5. Alarm-Initiating Devices and Circuits Quantity and class of signaling line Circuits connected to syste(see NFPA 72, Table 6.6.1): Quantity _____ Style - Class ,_,,,L3 . Manual. . . 4 old -cL Manual stations Non-coded Coded Transmitters Addressable I Combination manual fire alarm and guard's tour coded stations Automatic Coverage: (Check all that apply) El Complete 0 Partial 0 Selective 0 Non-required Enter quantities and check lithe devices are addressable. Smoke detectors Ion Photo 0 Addressable Duct detectors Ion Photo ' Addressable Heat detectors FT RR FT/RR RC 0 Addressable Sprinkler waterflow indicators: Non-coded - Coded -, Transmitters 0 Addressable The alarm verification feature is Disabled 0 Enabled changed from seconds to seconds. Other (list): 6. Supervisory Signal-initiating Devices and Circuits Guards Tour: 0 (a) Coded stations 0 (b) Non-coded stations 0 (c) Compulsory guard's tour system comprised of . transmitter stations and intermediate stations. Note: Combination devices are recorded under 5(b), Manual, and 6(a), Guard's Tour. (Check if provided.) Sprinkler System: Electric fire Dump: Electric-driven fire oumD: Electric-driven generator: O Valve supervisory switches 0 (e) Fire pump power 0 (h) Selector in auto position 0 (k) Selector in auto position o Building temperature points 0 (1) Fire pump running . El (I) Engine or control panel trouble 0 (1) Control panel trouble O Site water temperature points 0 (g) Phase reversal .0 (j) Fire pump running 0 (m) Transfer switches o Site water supply level points - 0 (n) Engine running I Other supervisory function(s) (specify): Reprinted with permission from NFPA 72W 2002, National Fire Alarm CodetO, copyright 02002 National Fire Protection Association, Ouincy, MA 02160. This reprinted material Is not the complete and official position of the I Hill HII 11111 IIH Hill Hill Hi'l 11111 HIH liii! Hill Ulil lil! HII iFllffiI iil HI NFPA on the referenced subject, which Is represented only by the standard in its entirety. 0 1 1 0 0 0 5 0 3 0 0 1 0 5 0 8 F5030-01 1g. 2 of 3) DT FIRE ALARM RECORD OF COMPLETION, continued Annunciator(s) Quantity: L Type: Location(s): Alarm Notification Appliances and Circuits NFPA 72, Chapter 6— Emergency Voice/Alarm Service Quantity of voice alarm/alarm channels:: _______ Single: Multiple: Quantity of speakers: Quantity of speakers zones: Quantity of telephones or telephone jacks attached to the system: Types and quantities of notification appliances installed: Bells With Visible: Speakers With Visible: Horns 17 - With Visible: /1 9. System Power Supplies Fire Alarm Control Panel: Nominal voltage: Over-current protection: Type: Location: Secondary (standby): Storage battery: Amp-hour rating: Engine-driven generator dedicated to fire alarm system: Location of fuel storage: Emergency system used as backup to primary power supply: - Emergency system described In NFPA 70, Artide 700 10. Comments Chimes With Visible: Other: With Visible: Visible appliances without audible: Current rating Current rating Calculated capacity to drive system, in hours: (24) (60) Frequency of routine tests and Inspections, if Other than in accordance with the referenced NFPA standard(s): System deviations from the referenced NFPA standard(s) are: Customer Comments: /4LL4yOc4 2 c /tto,' wep (ir &' [V 4,Jf'L Customers Name: Customer's Signature: Name Date Installer's Name: Print Name Date Upon completion of the system(s) satisfactory test(s) witnessed (if required by the Authority Having Jurisdiction): AHJ Representative: . AHJ Representative Signature& Print Name Date Title _ Telephone Number: _____________________ Reprtrrte with Fire Protection Association, Quincy, MA 02169. This reprinted material is not the complete and official position of the NFPA on the referenced I IDIII RII III IIII MIII OIII II IIII liii III II IIII I!I IIII II IH !I subject, which is represented only by the standard In its entirety. 0 1 1 0 0 0 5 0 3 0 0 1 0 5 0 8 P5030-01 ADT . p. 3 of 3)