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1582 MARBRISA CR; ; FA150081; Permit
City of Carlsbad Fire Alarm Permit Permit No: FA150081 Job Address: 1582 MARBRISA CR Permit Type: FALARM Parcel No: Lot #: 0 Status: ISSUED Applied 12/23/2015 Approved: 12/23/2015 Reference No.: Issued: 12/23/2015 PC #: Inspector: Project Title: HILTONMARBRISA RESORT VILLA60 Fire Alarm system for Villa 60 Applicant: Owner: Fees ($) Add'l Fees ($) Total ($) Balance ($) 156 0 156 0 cô I J )J SYSTEM RECORD OF COMPLETION This form is to be completed by the system installation contractor at the time of system acceptance-q apjgwil..— 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. Form Completion Date: 6/1/2016 Supplemental Pages Attached: 0 1. PROPERTY INFORMATION Name of property: Marbrisa Villa 60 Address: 1582 Marbrisa Circle, Carlsbad, CA 92008 — Description of property: 4 Story Time Share Villa Name of property representative: Grand Pacific Resorts Address: 5900 Pasteure Ct. Phone: (760) 814-7030 Fax: (858) 657-0914 E-mail: Marbrisa.com INSTALLATION, SERVICE, TESTING, AND MONITORING INFORMATION Installation contractor: Bergelectric Address: 650 Opper Street Escondido CA 92029 Phone: 760-746-1003 Fax: N/A E-mail: Berge lectric.com Service organization: Bergelectric Address: 650 Opper Street Escondido CA 92029 Phone: 760-746-1003 Fax: N/A E-mail: Bergelectric.com Testing organization: Low Voltage Inigrated Systems Address: 10100 Willow Creek Road San Diego, CA. 92131 Phone: 858-880-2049 Fax: 855-834-8460 E-mail: SDLVIS.com Effective date for test and inspection contract: N/A Monitoring organization: Low Voltage Intigrated Systems Address: 980 Park Center Drive, Suite J Vista, CA, 92081 Phone: (760) 727-4020 Fax: E-mail: Account number: FLV72564 Phone line I: Phone line 2: Means of transmission: Sole Path Fire / Cellular Entity to which alarms are retransmitted: Central Station Phone: 1-888-949-6292 DOCUMENTATION On-site location of the required record documents and site-specific software: Main Fire Control Room I Li Electric Room DESCRIPTION OF SYSTEM OR SERVICE This is a: D New system Z Modification to existing system Permit number: Permit # FA1 50081 NFPA 72 edition: 2013 4.1 Control Unit Manufacturer: Edwards Systems Technology / EST Model number: 10-64 4.2 Software and Firmware Firmware revision number: 4.01 4.3 Alarm Verification 0 This system does not incorporate alarm verification. Number of devices subject to alarm verification: 0 Alarm verification set for N/A seconds Copyright © 2012 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. (p. 1of 3) SYSTEM RECORD OF COMPLETION (continued) SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 120 vac Overcurrent protection: Type: Breaker Branch circuit disconnecting means location: Main Fire Control Rm. Control panel amps: Amps: 20 Number: 20 5.1.2 Secondary Power Type of secondary power: Sealed Lead Acid Batteries / Backup Generator Location, if remote from the plant: N/A Calculated capacity of secondary power to drive the system: In standby mode (hours): 24 In alarm mode (minutes): 5 5.2 Control Unit This system does not have power extender panels El Power extender panels are listed on supplementary sheet A CIRCUITS AND PATHWAYS Pathway Type Dual Media Pathway Separate Pathway Class Survivability Level Signaling Line 1 Device Power Initiating Device 53 Notification Appliance 68 Other (specify): REMOTE ANNUNCIATORS Type Location N/A INITIATING DEVICES Type Quantity Addressable or Conventional Alarm or Supervisory Sensing Technology Manual Pull Stations 8 Smoke Detectors 2 Duct Smoke Detectors 4 Heat Detectors 19 Gas Detectors Waterfiow Switches 9 Tamper Switches - 11 Copyright © 2012 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. (p.2 of 3) SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type Quantity Description Audible 43 Horn Visible 2 Strobe Combination Audible and Visible 22 Horn /Strobe 10 SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices HVAC Shutdown 3 Fire/Smoke Dampers 9 Door Unlocking Elevator Recall 2 Elevator Shunt Trip 1 INTERCONNECTED SYSTEMS This system does not have interconnected systems. Interconnected systems are listed on supplementary sheet CERTIFICATION AND APPROVALS 12.1 System Installation Contractor has been installed according to all NFPA standards cited herein. This name: Daniel Hall Signed Organization: .-lectric Title: Installation Foreman 12.2 System Operational Test This system as specified herein has tested according to all NFPA standards cited herein. Signed: Printed name: Daniel Hall Organization: Bergelectric Title: Installation Foreman 12.3 Acceptance Test Date and time of acceptance test: 6/1/2016 Installing contractor representative: Daniel Hall / Bergelectric Testing contractor representative: Daniel Hall / Bergelectric Property representative: Houston Arnold Date: 6/1/2016 Phone: 619-921-4524 Date: 5/27/2016 Phone: 619-921-4524 AHJ representative: Copyright © 2012 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. (p. 3 of 3)