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HomeMy WebLinkAbout1250 CARLSBAD VILLAGE DR; ; FA150073; PermitCity of Carlsbad Fire Alarm Permit Permit No: FA150073 1250 CARLSBAD Job Address: VILLAGE DR Permit Type: FALARM Parcel No: 1561804600 Lot #: U Reference No.: Status: ISSUED Applied 11/24/2015 Approved: 12/17/2015 Issued: 12/17/2015 PC #: Inspector: Project Title: GEORGINA COLE LIBRARY MODIFY EXISTING FIRE ALARM SYSTEM: PROVIDE NEW DEVICES, RELOCATE AND EMO EXISTING DEVICES AS SHOWN ON PLANS. EXISTING SYSTEM IS HORN/STROBE NOTIFICATION. Applicant: Owner: SIMPLEX GRINNELL CITY OF CARLSBAD 3568 RUFFIN ROAD SOUTH SAN DIEGO CA PUBLIC AGENCY 858-583-0426 Fees ($) Add'l Fees ($) Total ($) Balance ($) 0 0 0 0 Address: 3568 Ruffin Rd South, San Diego, CA 92123 Phone: 858 633 9100 Fax: 858 633 9101 E-mail: Simplexgrinnell.com Service organization: SimplexGrinnell Address: 3568 Ruffin Rd South, San Diego, CA 92123 Phone: 858 633 9100 Fax: 858 633 9101 E-mail: Simplexgrinnell.com Testing organization: SimplexGrinnell Address: 3568 Ruffin Rd South, San Diego, CA 92123 Phone: 858 633 9100 .._ -Fax: —858 633 9101 ::z —.. E-mail: Simplexgrinnell.com ......... Effective date for test and inspection contract: . Monitoring organization: Central Station I Address: -flu SYSTEM RECORD OF COMPLETION This form is 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 Form Completion Date: 02-12-16 Supplemental Pages Attached: 0 PROPERTY INFORMATION Name of property: Carlsbad Cole Library Address: 1250 Carlsbad Village Dr Carlsbad CA 92008 Description of property: Name of property representative: Address: Phone: Fax: E-mail: INSTALLATION, SERVICE, TESTING, AND MONITORING INFORMATION Installation contractor: SimplexGrinnell Phone: 800 634 3915 Fax: E-mail: Account number: Phone line 1: Means of transmission: SDACT Entity to which alarms are retransmitted: DOCUMENTATION On-site location of the required record documents and site-specific software: DESCRIPTION OF SYSTEM. OR SERVICE Phone line 2: Phone: This is a: U New system N Modification to existing system Permit number: NFPA 72 edition: 2013 4.1 Control Unit Manufacturer: Simplex Model number: 4010 4.2 Software and Firmware Firmware revision number: Rev 4.01.06 4.3 Alarm Verification This system does not incorporate alarm verification. Number of devices subject to alarm verification: Alarm verification set for 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.1 of 3) SYSTEM RECORD OF COMPLETION (continued) S. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power - Input voltage of control panel: 120VAC Overcurrent protection: T. Branch circuit disconnecting means location: 5.1.2 Secondary Power Type of secondary power: Bat.erias Location, if remote from the plan:: Calculated capacity of secondary power to drive the system: In standby mode (hours): 24 5.2 Control Unit o This system does not have pow--r extender panels [J Power extender panels are listed cn supplementary sheet A 6. CIRCUITS AND PATHWAYS Control panel amps: 20 Amps: Number: In alarm mode (minutes): 5 Pathway Type Dual Media Pathway Separate Pathway Class SurvivatIity Level Signaling Line 4 B Device Power Initiating Device 1 B - Notification Appliance 4 B Other (specify): REMOTE ANNUNCIATORS Type Location LCD Sortinc Room INITIATING DEVICES Type Addressable or Quantity Conventional Alarm or Supervisory Sensing Tecinology Manual Pull Stations 10 A:dressable Alarm Smoke Detectors 64 it Aodressable Alarm Duct Smoke Detectors 4 Addressable Superv. sory Heat Detectors Addressable Alarm Gas Detectors Waterfiow Switches 1 A:ressable Alarm Tamper Switches 1 AcrJressable Supry Copyright @2012 National Fire Protection Asscciatioi This forn may be copied for individual use, other thar.1of resale. Itmay not be cooied for commercial sale-or distribution. (p. 2 of 12.3 Acceptance Test Date and time of acce Installing contractor r Testing contractor rep Property representati Al-{J representative: SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type Quantity Description Audible Visible 20 Combination Audible and Visible 12 SYSTEMCONTROLFUNCTIONS Type Quantity Hold-Open Door Releasing Devices HVAC Shutdown 4 Fire/Smoke Dampers Door Unlocking Elevator Recall 1 Elevator Shunt Trip INTERCONNECTED SYSTEMS This system does not have interconnected systems. F-1 Interconnected systems are listed on supplementary sheet CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system as rs=stalled according to all NFPA standards cited herein. Signed: Printed name: Omar Garcia II Date: Organization: Sim IexGrinneII Title: Foreman/Tech Phone: 12.2 System Operational Test according Printed name: to all NFPA standards cited herein. Signed: P!nj This system as Omar Garcia II Date: Organization: SimplexGrinnell Title: Foreman/Tech Phone: 02-12-16 02-12-16 1n .)n .)nnn 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)