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HomeMy WebLinkAbout2742 STATE ST; 200; FPC2021-0020; PermitPERMIT REPORT (bty of Carlsbad Print Date: 05/12/2021 Permit No: FPC2021-0020 Job Address: 2742 STATE ST, # 200, CARLSBAD, CA 92008-1628 Status: Closed - Finaled Permit Type: FIRE-Construction Commercial Work Class: Parcel #: 2031811900 Track 1*: Valuation: $556,213.09 Lot #: Occupancy Group: Project #: #of Dwelling Units: Plan #: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check U: Plan Check U: Fixed Extinguishing Syste Applied: 02/04/2021 Issued: Finaled Close Out: 05/12/2021 Inspector: Final Inspection: Project Title: Description: WB GAMES - PRE-ACTION FIRE DETECTION FPContractor: iii ENTERPRISES INC DANTE GOMEZ 115 MARKET PL ESCONDIDO, CA 92029-1353-SAN DIEGO (760) 466-2707 FEE AMOUNT FIRE Pre-Action System with Alarm $553.00 Total Fees: $553.00 Total Payments To Date: $553.00 Balance Due: $0.00 Fire Department Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 1 760-602-4665 1760-602-8561 f I www.carlsbadca.gov vriorvi EmcfERIPREE8 FIRE ALARM - SECURITY - LOW VOLTAGE SYSTEMS 0. WBG SAN DIEGO TENANT IMPROVEMENT 2742-2752 STATE ST. CARLSBAD, CA 92008 PRE-ACTION FIRE DETECTION PRODUCT SUBMITTAL RP-2001 (E) Deluge - Preaction Control Panel General The RP-2001 is a six-zone FACP for single and dual hazard deluge and preaction applications. The RP-2001 provides reli- able fire detection, signaling and protection for commercial, industrial and institutional buildings requiring water-based releasing. The RP-2001 is compatible with System Sensor's i3 detectors which are conventional smoke detectors that can transmit a maintenance trouble signal to the FACP indicating the need for cleaning and a supervisory 'freeze' signal when the ambient temperature falls below the detector rating of approximately 45°F (7.22°C). In addition, the control panel is compatible with conventional input devices such as two-wire smoke detectors, four-wire smoke detectors, pull stations, waterflow devices, tamper switches and other normally-open contact devices. Refer to the Notifier Device Compatibility Document for a complete listing of compatible devices. Four outputs are programmable as NACs (Notification Appli- ance Circuits) or releasing circuits. Three programmable Form-C relays (factory programmed for Alarm, Trouble and Supervisory) and 24 VDC special application resettable and non-resettable power outputs are also included on the main circuit board. The RP-2001 supervises all wiring, AC voltage, battery charger and battery level. Activation of a compatible smoke detector or any normally- open fire alarm initiating device will activate audible and visual signaling devices, illuminate an indicator, display alarm infor- mation on the panel's LCD, sound the piezo sounder at the FACP, activate the FACP alarm relay and operate an optional module used to notify a remote station or initiate an auxiliary control function. The RP-2001E offers the same features as the RP-2001 but allows connection to 240 VAC. Unless otherwise specified, the information in this data sheet applies to both the 120 VAC and 240 VAC versions of the panels. Features DN-60239:C3 NOTIFIER® by Honeywell Built-in Programmer. ANN-BUS for connection to optional devices (up to 8 total of any of the following): - N-ANN-80 Remote LCD Anrjnciator - N-ANN-I/O LED Driver - N-ANN-S/PG Printer Module - N-ANN-RLY Relay Module - N-ANN-LED Annunciator Module 80-character LCD display (backlit). Real-time clock'calendar with daylight savings time control. History log with 256 event storage. Piezo sounder for alarm, troubie and supervisory. 24 volt DC operation. Low AC voltage sense. Outputs Programmable for: - Releasing circuits or NACS NACs programmable for: - Silence Inhibit - Auto-Silence - Strobe Synchronization - Selective Silence (horn-stroDe mute) - Temporal or Steady Signal - Silenceable or Non-silenceEble - Release Stage Sounder Disable/Enable control per input zone and output zone. Extensive transient protection. Automatic battery charger with charger supervision. Optional Dress Panel DP-51050 (red). Optional Trim Ring TR-CE (red) for semi-flush mounting the cabinet. Optional N-CAC-5X Class A Converter Module for Outputs and lDCs. Optional 4XTM Municipal Box Transmitter Module. DN-30239:c3 .3/6/2017 - Page 1 of 4 .4 Listed to UL Standard 864, 9th edition. FM Approved. Designed for sprinkler standards NFPA 13, 15 and 16. Dual hazard operation. Adjustable waterfiow discharge timer and two soak timers. Cross-zone (double-interlock) capability. Six programmable Style B (Class B) IDCs (Initiating Device Circuit). System Sensor i3 series detectors compatible. Four programmable Style V (Class B) output circuits - (spe- cial application power). Strobe Synchronization: - System Sensor - Wheelock - Gentex - Faraday - Amseco Three programmable Form-C relays. 7.0 amps total 24 VDC output current. Resettable and non-resettable output power. r ig Optional Digital Alarm Communicators (411, 4I1UD, 411 UDAC). Optional ANN-SEC card for a secondary ANN-BUS. PROGRAMMING AND SOFTWARE: Custom English labels (per point) may be manually entered or selected from an internal library file. Three programmable Form-C relay outputs. Pre-programmed and custom application templates. Continuous fire protection during online programming at the front panel. Program Check automatically catches common errors not linked to any zone or input point. USER INTERFACE: Integral 80-character LCD display with backlighting. Real-time clock/calendar with automatic daylight savings adjustments. ANN-Bus for connection to remote annunciators. Audible or silent walk test capabilities. Piezo sounder for alarm, trouble, and supervisory. Controls and Indicators LED INDICATORS FIRE ALARM (red) SUPERVISORY (yellow) TROUBLE (yellow) AC POWER (green) ALARM SILENCED (yellow) DISCHARGE (red) RP-2001: 120 VAC, 60 Hz, 3.66 amps. RP-2001 E: 240 VAC, 50/60 Hz, 2.085 amps. Wire size: minimum #14 AWG (2.0 mm2) with 600V insula- tion. Supervised, nonpower-limited. Battery (sealed lead acid only) - J12: Maximum Charging Circuit - Normal Flat Charge: 27.6 VDC @ 1.4 amp. Supervised, nonpower-limited. Maximum Charger Capacity: 26 Amp Hour battery (two 18 Amp Hour batteries can be housed in the FACP cabinet. Larger batteries require separate battery box such as the BB-26 or NFS-LBBR). Minimum Battery Size: 7 Amp Hour. Initiating Device Circuits - TB4 and TB6 Alarm Zones 1 - 5 on TB4. Alarm Zone 6 on TB6. Supervised and power-limited circuitry. Style B (Class B) wiring with Style D (Class A) option. Normal Operating Voltage: Nominal 20 VDC. Alarm Current: 15 mA minimum. Short Circuit Current: 40 mA max. Maximum Loop Resistance: 100 Ohms. End-of-Line Resistor: 4.7K Ohms, 1/2 watt (PN 71252). Standby Current: 4 mA. Refer to the Notifier Device Compatibility Document for listed compatible devices. Notification Appliance and Releasing Circuit(s) - TB5 and TB7 Four Output Circuits. Style Y (Class B) or Style Z (Class A) with optional con- verter module. Special Application power. Supervised and power-limited circuitry. Normal Operating Voltage: Nominal 24 VDC. Maximum Signaling Current: 7.0 amps (3.0 amps special application, 300 mA regulated maximum per NAC). End-of-Line Resistor: 4.7K Ohms, 1/2 watt (PN 71252). Max. Wiring Voltage Drop: 2 VDC. Refer to the Notifier Device Compatibility Document for com- patible listed devices. Form-C Relays - Programmable - TB8 Relay 1 (factory default programmed as Alarm Relay). Relay 2 (factory default programmed as fail-safe Trouble Relay). Relay 3 (factory default programmed as Supervisory Relay). Relay Contact Ratings: - 2 amps @ 30 VDC (resistive) —0.5 amps @ 30 VAC (resistive) Auxiliary Trouble Input - J6 The Auxiliary Trouble Input is an open collector circuit which can be used to monitor external devices for trouble conditions. It can be connected to the trouble bus of a peripheral, such as a power supply, which is compatible with open collector cir- cuits. Special Application Resettable Power - TB9 Operating Voltage: Nominal 24 VDC. Maximum Available Current: 500 mA - appropriate for powering 4-wire smoke detectors (see note 1). Power-limited Circuitry. Refer to the Notifier Device Compatibility Document for com- patible listed devices. NOTE: Total current for resettable power, nonresettable power and Output Circuits must not exceed 7.0 amps. Special Application Resettable or Nonresettable Power - TB9 Operating Voltage: Nominal 24 VDC. Maximum Available Current: 500 mA (see note 1). Power-limited Circuitry. Jumper selectable by JP31 for resettable or nonresettable power. Refer to the Notifier Device Compatibility Document for com- patible listed devices. CONTROL BUTTONS ACKNOWLEDGE A • ALARM SILENCE SYSTEM RESET (lamp test) DRILL ACPower — TBI Page 2 of 4— DN-60239:c3 . 3/6/2017 Product Line Information LfEime RP-2001: Six-zone, 24 volt Deluge-Preactlon Control ane cludes backbox power supply, technical manual and a) & post operating instruction sheet) for single and dual) zard deluge and preaction applications.) RP-2001 E: Same as above but allows connection to 240 VAC. NOTE: For ULC-!isted model, see DN-60442. N-CAC-5X: Class A Converter Module can be used to convert the Style B (Class B) Initiating Device Circuits to Style D (Class A) and Style V (Class B) Output Circuits to Style Z (Class A). NOTE: Two Class A Converter modules are required to convert all four Output Circuits and six Initiating Device Circuits. 4XTM: Transmitter Module provides a supervised output for local energy municipal box transmitter and alarm and trouble reverse polarity. It includes a disable switch and disable trou- ble LED. N-ANN-80(-W): LCD Annunciator is a remote LCD annuncia- tor that mimics the information displayed on the FACP LCD display. Recommended wire type is unshielded. (Basic model is black; order -W version for white; see DN-7 114.) N-ANN-LED: Annunciator Module provides three LEDs for each zone: Alarm, Trouble and Supervisory. Ships with red or black enclosure (see DN-60242). N-ANN-RLED: Provides alarm (red) indicators for up to 30 input zones or addressable points. (See DN-60242). N-ANN-RLY: Relay Module, which can be mounted inside or outside the cabinet, provides 10 programmable Form-C relays. (See DN-7107.) N-ANN-SIPG: Serial/Parallel Printer Gateway module pro- vides a connection for a serial or parallel printer. (See ON- 7 103.) N-ANN-I/O: LED Driver Module provides connections to a user supplied graphic annunciator. (See DN-7105.) ANN-SEC: The ANN-SEC module provides a secondary ANN-BUS port for more wiring flexibility. (See #53944.) DP-51050: Dress panel (red) is available as an option. The dress panel restricts access to the system wiring while allow- ing access to the membrane switch panel. TR-CE: Trim-ring (red) is available as an option. The trim-ring allows semi-flushing mounting of the cabinet. BB-26: Battery box, holds up to two 26 Amp Hour batteries and CHG-75. NFS-LBBR: Battery box, houses two 55 Amp Hour batteries, red. BAT Series Batteries: Refer to DN-6933. PRN-6: UL-listed compatible event printer. Dot-matrix, tractor- fed paper, 120 VAC. PRN-7: UL-listed compatible event printer. Dot-matrix, tractor- fed paper, 120 VAC. PRT-PK CABLE: Programming cable. Used to update the FACPs Flash firmware. (Also requires an RS485 to R5232 converter). DN-60239:c3 • 3/6/2017 - Page 3 of 4 SYSTEM SPECIFICATIONS System Capacity Annunciators .8 Electrical Specifications RP-2001 (FLPS-7 Power Supply): 120 VAC, 60 Hz, 3.66 amps. useful life of the system's standby batteries and the electronic components may be adversely affected by extreme tempera- ture ranges and humidity. Therefore, it is recommended that this system and its peripherals be installed in an environment with a normal room temperature of 15 - 27°C/60 - 80°F. NFPA Standards RP-2001E (FLPS-7 Power Supply): 240 VAC, 50/60 Hz, The RP-2001(E) complies with the following NFPA 72 Fire 2.085 amps. Alarm Systems requirements: Wire size: minimum 14 AWG (2.0 mm') with 600 V insula- - NFPA 13 Installation of Sprinkler Systems tion, supervised, nonpower-limited. - NFPA 15 Water Spray Fixed Systems - NFPA 16 Deluge Foam-Water Sprinkler and Foam-Water Cabinet Specifications Spray Systems Door: 19.26" (48.92 cm.) high x 16.82" (42.73 cm.) wide x - NFPA 72 National Fire Alarm Code for Local Fire Alarm 0.72" (1.82 cm.) deep. Backbox: 19.00" (48.26 cm.) high X Systems and Remote Station Fire Alarm Systems 16.65" (42.29 cm.) wide x 5.25" (13.34 cm.) deep. Trim Ring (requires an optional Remote Station Output Module) (TR- CE): 22.00" (55.88 cm.) high x 19.65" (49.91 cm.) wide. Agency Listings and Approvals The listings and approvals below apply to the basic RP- 2001(E) and RP-2001(E)E fire alarm control panels. In some cases, certain modules may not be listed by certain approval agencies, or listing may be in process. Consult factory for lat- est listing status. UL: S635 FM approved CSFM: 7165-0028:0245 MEA: 333-07-F This system meets NFPA requirements for operation at 0 - • NOTE: For ULC-listed model, see DN-60442. 49°C/32 - 120°F and at a relative humidity 93% ± 2% RH (noncondensing) at 32°C ± 2°C (90°F ± 3°F). However, the Shipping Specifications Weight: 20.7 lbs. (9.4 kg) Dimensions: - Height 20.00" (50.80cm) —Width 22.50(57.15cm) - Depth 8.50(21.59cm) Temperature and Humidity Ranges NOTIFIER® and System Sensor® are registered trademarks of Honeywell International Inc. ©2017 by Honeywell International Inc. All rights reserved. Unauthorized use of this document is strictly prohibited. ISO 9001 This document is not intended to be used for installation purposes. We try to keep our product information up-to-date and accurate. E 1 U U We cannot cover all specific applications or anticipate all requirements. BIlNElN 8 MNF81IRINS QUALITY SYSTEMS All specifications are subject to change without notice. Assembled in the USA For more information, contact Notifier. Phone: (203) 484-7161, FAX: (203) 484-7118. www.notifier.com Page 4o14— DN-60239:C3 3/6/2017 CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL 0 FIRE ENGINEERING - BUILDING MATERIALS LISTING PROGRAM LISTING SERVICE LISTING No. 7165-0028:0245 Page 1 of 1 CATEGORY: 7165 -- FIRE ALARM CONTROL UNIT (COMMERCIAL) LISTEE: NotifterOne Fire-Lite Place, Northford, CT 06472-1653 Contact: Megan Sisson (203) 484-6544 Fax (203) 484-7309 Email: megan.sissonhoneywell.com DESIGN: Models RP-2001, RP-2001E, RP-2002, and RP-2002E conventional fire alarm control units. Each unit employs six programmable input circuits, four programmable output circuits, and three relay contact outputs for alarm, trouble, and supervisory signals. These units do not contain an integral digital alarm communicator transmitter (DACT). The "E" suffix represents 240 V ac 50 Hz rated units. Models RP-2001 and RP-2001 E are intended for water release, deluge, and pre-action control. Models RP-2002 and RP-2002E are intended for agent release control. FLPS-7 Power Supply module 4XTM Transmitter module N-CAC-5X Converter module N-ANN-80 LCD Annunciator N-ANN-I / 0 LED Driver module N-ANN-LED Annunciator module N-ANN-RLY Relay module N-ANN-S / PG Serial/Parallel printer module DP-51050 Dress panel 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, product designation, electrical rating and UL label. APPROVAL: Listed as fire alarm control units for use as a pre action, deluge and agent releasing panel. Units also provide fire detection, signaling and protection features. Refer to manufacturer's Installation Manuals for details.This control unit meets the requirements of UL-864, 9th Edition Standards. XLF: 7165-0075:0216 08-30-07 mt 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 listees data sheet, installation instructions and/or other Date Issued: July 01, 2020 Listing Expires June 30, 2021 Authorized By: DAVID CASTILLO,, ME., F.P.E. Fire Engineering Division I SYSTEM $ SENSOR Photoelectric Smoke Detectors System Sensor j3° series smoke detectors represer significant advancement in conventional detection. The i3 family is rounded oh three principles: installation ease, intelligence, and-instant inspection. ".1 ld Features Plug-in detector line, mounting base included Large wire entry port In-line terminals with SEMS screws Mounts to octagonal and single-gang back boxes, 4-square back boxes, or direct to ceiling Stop-Drop 'N Lock attachment to base - Removable detector cover and chamber Built-in remote maintenance signaling Drift compensation and smoothing algorithms Simplified sensitivity measurement Wide-angle, dual-color LED indication Loop testing via EZ Walk feature Builtin test switch Agency Listings . LISTED <~ c(E11us 5911 3011446 7272-1553152 290-01-8 2093 3180932 Installation ease.The P line redefines installation ease with its plug-in design. This allows an installer to pre-wire bases (included with heads). The large wire entry port and in-line terminals provide ample room for neatly routing the wiring inside the base. The base accommodates a variety of back box mounting methods as well as direct mounting with drywall anchors. To complete the installation, P heads plug into the base with a simple Stop-Drop 'N Lock action. Intelligence. P detectors offer a number of intelligent features to.simplify testing and maintenance. Drift compensation and smoothing algorithms are standard with the il line to minimize nuisance alarms. 2-wire P detectors can generate a remote LED- indicated maintenance signal when connected to the 2W-MOD2 loop test/maintenance module or a panel equipped with the P protocol. The SENS-RDR, a wireless device, displays the sensitivityof P detectors in terms of percent-per-foot obscuration. Instant inspection. The i3 series provides wide-angle red and green LED indicators for instant inspection of the detector's condition: normal standby, out-of-sensitivity, alarm, or freeze trouble. When connected to the 2W-MOD2 loop test/maintenance module or a panel with the i3 protocol, the EZ Walk loop test feature is available on 2-wire i3 detectors.This feature verifies the initiating loop wiring by-providing LED status indication at each detector. Cj) Smoke Detector Specifications Smoke detector shall be a System Sensor i3 Series model number listed to Underwriters Laboratories UL 268 for Fire Protection Signaling Systems.The detector shall be a photoelectric type (Model 2W-B, 4W-B) or a combination photoelectric/thermal (Model 2WT-B, 4WT-B) with thermal sensor rated at 135°F (57.2°C).1-he detector shall include a mounting base for mounting to 31/2-inch and 4-inch octagonal, single-gang, and 4-inch square back boxes with a plaster ring, or direct mount to the ceiling using drywall anchors. Wiring connections shall be made by means of SEMS screws.The detector shall allow pre-wiring of the base and the head shall be a plug-in type. The detector shall have a nominal sensitivity of 2.5 percent-per-foot nominal as measured in the UL smoke box. The detector shall be capable of automatically adjusting its sensitivity by means of drift compensation and smoothing algorithms. The detector shall provide dual- color LED indication that blinks to indicate power up, normal standby, out of sensitivity, alarm, and freeze trouble (Model 2WT-B, 4WT-B) conditions. When used in conjunction with the 2W-MOD2 module, 2-wire models shall include a maintenance signal to indicate the need for maintenance at the alarm control panel and shall provide a loop testing capability to verify the circuit without testing each detector individually. Electrical Specifications Operating Voltage Nominal: 12/24V non-polarized Minimum: 85V Maximum: 35V Maximum Ripple Voltage 30% peak to peak of applied voltage Standby Current 2-wire: 50 pA maximum average; 4-wire: 50 pA maximum average Maximum Alarm Current 2-wire: 130 mA limited by control panel; 4-wire: 20 mA @12 V, 23 mA @24 V Peak Standby Current 2-wire: 100 pA; 4-wire: n/a Alarm Contact Ratings 2-wire: n/a; 4-wire: 0.5 A @30 V AC/DC Physical Specifications Dimensions (including base) 5.3 inches (127 mm) diameter; 2.0 inches (51 mm) height Weight 6.3 oz (178 g) Operating Temperature Range 2W-B and 4W-B: 32°F to 120°F (0°C to 49°C); 2WT-B and 4WT-B: 32°F to 100°F (0°C to 37.8°C) Operating Humidity Range 0 to 95% RH non-condensing Thermal Sensor 135°F (57.2°C) fixed Freeze Trouble 2WT-8 and 4WT-B only: 41°F (5°C) Sensitivity 2.5%/ft nominal Input Terminals 14 to 22 AWG Mounting LED Modes LED Mode Green LED 31/2-inch octagonal back box 4-inch octagonal back box Single-gang back box 4-inch square back box with a plaster ring Direct mount to ceiling Red LED Power-Up Sequence for LED Indication Condition Duration Power up Blink every 10 seconds Blink every 10 seconds Initial LED status indication 80 seconds Normal (standby) Blink every 5 seconds off Out of sensitivity off Blink every 5 seconds Freeze trouble off Blink every 10 seconds Alarm off Solid Ordering Information LModel Thermal V4lnit. Alarm Current 2WT-B Yes 2-wire 130 mA max. limited by control panel 4W-B No 4-wire 20 mA @ 12 V, 23 mA @ 24 V 4WV-B Yes 4-wire 20 mA @ 12 V, 23 mA @ 24V Accessories 2W-MOD2 2-wire loop test / maintenance module RT SENS-RDR Sensitivity reader A77-AB2 Removal / replacement tool Retrofit adapter bracket, 6.6 inch (16.76 cm) diameter a5n}97EIL,1 ¼$ SENSOR'Phone: 3825 Ohio Avenue. St. Charles, IL 60174 800-SENSOR2 Fax: 630-377-6495 02 gsysemsens~ °°°°° CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION ME OFFICE OF THE STATE FIRE MARSHAL F—TALLIA FIRE ENGINEERING - BUILDING MATERIALS LISTING PROGRAM LISTING SERVICE LISTING No. 7272-1653:0152 Page 1 of 1 CATEGORY: 7272 -- SMOKE DETECTOR-SYSTEM TYPE-PHOTOELECTRIC LISTEE: System Sensor, Unincorporated Div of Honeywell Int'l Inc. 3825 Ohio Ave, St. Charles, IL 60174 Contact: Megan Sisson (203) 484-6544 Fax (203) 484-7309 Email: megan.sissonhoneywell.com DESIGN: Models 2W-B, 2WT-B, 4W-B, and 4WT-13 photoelectric type smoke detectors. Models 2W-B and 2WT-B are 2-wire and models 4W-13 and 4Wr-B are 4-wire detectors. Models 2Wr-B and 4WT-B employ a thermistor type heat sensor (135°F). The heat sensor is supplemental to the detector and is not intended for use as a required heat detector. Refer to listee's printed data sheet for additional detailed product description and operational considerations. *The above models comply with UL 268, Seventh Edition. RATING: 8.5-35VDC INSTALLATION: In accordance with listee's printed installation instructions, applicable codes and ordinances, and in a manner acceptable to the authority having jurisdiction. For vertical wall or ceiling mount. MARKING: Listee's name, model number, electrical rating and UL label. APPROVAL: Listed as photoelectric smoke detectors for use with separately listed compatible fire alarm control units. Suitable for installation in open areas with air velocity range from 0-1000 ft/mm. NOTE: Formerly 7272-1209:210 *Revision 09-21-20 VWtN 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, 2020 Listing Expires June 30, 2021 Authorized By: DAVID CASTILLO,, M.E., F.P.E. Fire Engineering Division 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: Supplemental Pages Attached: n/a 1. PROPERTY INFORMATION Name of property: WBG San Diego - Preaction system Address: 2742-2752 State Street, Carlsbad, CA 92008 Description of property: Retail/Office Name of property representative: Address: Phone: Fax: E-mail: INSTALLATION, SERVICE, TESTING, AND MONITORING INFORMATION Installation contractor: JJJ ENTERPRISES Address: 115 MARKET PL, ESCONDIDO, CA 92029 Phone: 760-747-3050 Fax: 760-747-7561 E-mail: INFO@JJJENT.COM Service organization: SAME AS ABOVE Address: Phone: Fax: E-mail: Testing organization: SAME AS ABOVE Address: Phone: Fax: E-mail: Effective date for test and inspection contract: n/a Monitoring organization: GMS Address: 1127 LOMA AVE. LONG BEACH, CA 90804 Phone: 888-467-1119 Fax: E-mail: Account number: J71035 Phone line]: Phone line 2: Means of transmission: Cell Entity to which alarms are retransmitted: Phone: DOCUMENTATION On-site location of the required record documents and site-specific software: NEXT TO FACP DESCRIPTION OF SYSTEM OR SERVICE This is a: Z New system 0 Modification to existing system Permit number: FPC-2021-0020 NFPA 72 edition: 2019 4.1 Control Unit Manufacturer: NOTIFIER Model number: RP1001 4.2 Software and Firmware Firmware revision number: N/A 4.3 Alarm Verification 0 This system does not incorporate alarm verification. Number of devices subject to alarm verification: N/A Alarm verification set for seconds (p.1 of 3) SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: I20VAC Overcurrent protection: Type: CIRCUIT BREAKER Branch circuit disconnecting means location: HOUSE PANEL 5.1.2 Secondary Power Type of secondary power: BATTERIES Location, if remote from the plant: Calculated capacity of secondary power to drive the system: In standby mode (hours): 24 HOURS Control panel amps: AMPS Amps: 20 Number: In alarm mode (minutes): 5 MINUTES 5.2 Control Unit D This system does not have power extender panels 0 Power extender panels are listed on supplementary sheet A 6. CIRCUITS AND PATHWAYS Pathway Type Dual Media Pathway Separate Pathway Class Survivability Level Signaling Line N/A N/A B I Device Power N/A N/A B Initiating Device N/A N/A B 1 Notification Appliance N/A N/A B 1 Other (specify): N/A N/A N/A N/A REMOTE ANNUNCIATORS Location ANN-80 KEYPAD (EXISTING) I MAIN ENTRY OF BOTH BUILDING INITIATING DEVICES Type Quantity Addressable or Conventional Alarm or Supervisory Sensing Technology Manual Pull Stations 0 N/A N/A Smoke Detectors I CONVENTIONAL ALARM PHOTOELECTRIC Duct Smoke Detectors 0 N/A N/A Heat Detectors 0 N/A N/A Gas Detectors 0 N/A N/A Waterfiow Switches 1 CONVENTIONAL ALARM DRY CONTACT Tamper Switches 1 CONVENTIONAL SUPV DRY CONTACT (p.2 of 3) SYSTEM RECORD OF COMPLETION (continued) NOTIFICATION APPLIANCES Type Quantity Description Audible 0 N/A Visible 0 N/A Combination Audible and Visible 0 N/A SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices N/A HVAC Shutdown 8 Fire/Smoke Dampers N/A Door Unlocking N/A Elevator Recall EXISTING Elevator Shunt Trip EXISTING INTERCONNECTED SYSTEMS D This system does not have interconnected systems. Q Interconnected systems are listed on supplementary sheet CERTIFICATION AND APPROVALS 12.1 System Installation ontracto This systenepp ci as b installed according to all NFPA standards cited herein. Signed:Printed name: VINNIE BRUZZI JJ Organii ' %E Title: FORMAN 12.2 System Operational Test This system as specified herein has tested according to all NFPA standards cited herein. Signed: SAME AS ABOVE Printed name: Date: Phone: 760-747-3050 Date: Organization: Title: Phone: 123 Acceptance Test Date and time of acceptance test: Installing contractor representative: Jim McKinley Testing contractor rep Property representati AHJ representative: (p. 3of3) I INTERCONNECTED SYSTEMS SUPPLEMENTARY RECORD OF COMPLETION This form is a supplement to the System Record of Completion. It includes a list of types and locations of systems that are interconnected to the main system. 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. Form Completion Date: Number of Supplemental Pages Attached 1. PROPERTY INFORMATION Name of property: WBG San Diego - Preactiort system Address: 2742-2752 State Street, Carlsbad, CA 92008 2. INTERCONNECTED SYSTEMS See Main System Record of Completion for additional information, certifications, and approvals. 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 1)