FA_18-0917_4461_JNU_FSL.PDF

USDA Forest Service - Tongass Juneau Science Lab

No.

04461 www.gocanvas.com 452BF92E-B2E3-4F70-A754-7FF0399753DB

725 W. Wasair Dr. Wasilla, AK 99654 907-373-1760 www.taylorfire.com

Fire Alarm Inspection Report Status

Status

Date 09/17/2018

Time 13:04

Owner /Client / Contracting Agency

Name USDA Forest Service - Tongass Address 1 2108 Halibut Point Rd Address 2

City Sitka State

AK

Zip 99835

Representative

Telephone

Fax None Email None

Property Name (User)

Name Juneau Science Lab Address 1 11175 Auke Lake Way Address 2

City Juneau State

AK

Contact

Telephone http://www.gocanvas.com/?utm_source=canvas_pdf&utm_medium=pdf_link&utm_campaign=canvas_pdf_link

No.

04461 www.gocanvas.com 452BF92E-B2E3-4F70-A754-7FF0399753DB

Zip 99801

Monitoring Entity

Contact / Agency

LJ ALARM

Monitoring Account Ref. No.

Approving Agency

Contact

Service

Service Annually

Other (Specify)

Prior To Any Testing Notifications Are

Made To Other (Specify) Yes/No Who Time

Monitoring Entity Yes LJ ALARM 11:31

Type Transmission

Type Transmission Digital

Other (Specify)

Control Panel

Control Panel Manufacturer

SIMPLEX

Control Panel Model

4100EX

Control Panel Location

DOWNSTAIRS ELECTRICAL ROOM

Is Panel in "normal" conditions upon arrival?

Yes Circuit Styles

SLC

Number of Circuits

Software Rev.

2.2.0 Last Date System Had Any Service Performed

PREVIOUS ANNUAL INSPECTION

Last Date that Any Software or Configuration Was Revised Last annual inspection

Printer http://www.gocanvas.com/?utm_source=canvas_pdf&utm_medium=pdf_link&utm_campaign=canvas_pdf_link http://www.gocanvas.com/?utm_source=canvas_pdf&utm_medium=pdf_link&utm_campaign=canvas_pdf_link

No.

04461 www.gocanvas.com 452BF92E-B2E3-4F70-A754-7FF0399753DB

Printer Model None Location

Did Printer Function Properly

Is Printer Supervised?

Alarm-Initiating Devices and Circuit Information Description If Other

(Specify) Quantity of

Devices Installed

Quantity of Devices Tested

Quantity of Devices Passed

Quantity of Devices

Failed

Circuit Style

Manual Fire Alarm Boxes

6 6 6 0 CLASS B

Smoke Detectors 48 48 48 0 CLASS B Heat Detectors ON SLC 10 10 10 0 CLASS B Heat Detectors SPOT TYPE 3 3 3 0 CLASS B Duct Detectors 2 2 2 0 CLASS B

Alarm Verification

Alarm Verification feature is Disabled

Alarm Notification Appliances & Circuit Info Description If Other

(Specify) Quantity of Appliances

Installed

Quantity of Appliances

Tested

Quantity of Devices Passed

Quantity of Devices

Failed

Circuit Style

Horn/Strobes 43 43 43 0 CLASS B Strobes 4 4 4 0 CLASS B Decibel Levels

Location Description Ambient Level Alarm Level Entire building 55-58 89-100

Alarm Notification Circuits

No. of alarm notification appliance circuits

Are circuits monitored for integrity?

Yes

Control Equipment Description of

Equipment If Other (Specify)

Quantity Installed

Quantity Tested Quantity Passed Quantity Failed

Elevator Recall 2 2 2 0 Other SHUNT TRIP 1 1 1 0 AHU Shutdown 2 2 2 0

Initiating Device Circuit

Quantity

Style(s)

CLASS B

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No.

04461 www.gocanvas.com 452BF92E-B2E3-4F70-A754-7FF0399753DB

Signaling Line Circuits

Quantity and style of signaling line circuits connected to system (see 2007 NFPA 72, Table 6.6.1) Quantity

Style(s)

CLASS B

System Primary Power Supply

(a) Primary (Main) Location (of Primary Supply Panelboard) L1E Nominal Voltage 120/208

Amps Overcurrent Protection Type

BREAKER

Overcurrent Protection Amps

Disconnecting Means Location

Secondary (standby) Power Supply Type Location Battery

Dated:

Storage Battery:

Amp Hour Rating

Battery Type

Other Battery

Type

Calculated capacity in Amp-Hours to operate system for 24 hours.

Calculated capacity in Amp-Hours to operate system for 60 hours.

Control Panel In facp 3/13 12/33 Sealed Lead- Acid

N/A N/A N/A

Secondary (standby) Power Primary Power Supply Location of

Primary Power Supply

(Distribution Panel)

Nominal Voltage of Primary Power

Supply

Amps of Primary Power Supply

Overcurrent Protection Type

Overcurrent Protection Amps

Disconnecting Means Location

Next to facp 120 20 BREAKER 20 Same as above

Generator System

Engine-driven generator dedicated to fire alarm system.

None

Location of fuel storage:

Other Backup

(c) Emergency or standby system used as a backup to primary power supply, instead of using a secondary power supply:

Emergency system described in NFPA 70, Article 700

Legally required standby described in NFPA 70, Article 701 Optional standby system described in NFPA 70, Article 702, which also meets the performance requirements of Article 700 or 701

System Tests And Inspections http://www.gocanvas.com/?utm_source=canvas_pdf&utm_medium=pdf_link&utm_campaign=canvas_pdf_link http://www.gocanvas.com/?utm_source=canvas_pdf&utm_medium=pdf_link&utm_campaign=canvas_pdf_link

No.

04461 www.gocanvas.com 452BF92E-B2E3-4F70-A754-7FF0399753DB

Type Visual Functional Comments Control Unit Interface Equipment Lamps/LEDS Fuses Primary Power Supply Trouble Signals Disconnect Switches

Secondary Power Type Visual Functional Comments

Battery Condition Load Voltage Discharge Test Charger Test

Transient Suppressors

Transient Suppressors Visual

Comments

Remote Annunciators Remote Annunciators Location Visual Functional Comments

Remote Annunciator ENTRY WAY

Notification Appliances Notification Appliances Visual Functional Comments

Audible/Visual Combination Visible

Initiating & Supervisory Device Tests & Inspection Device

Type Loc. & S/N Visual

Check Functional

Test Factory Setting

Measured Setting

Pass/Fail Comments

PULLS Entry exit ways Pass

SMOKES LOCATED ON

CEILINGS

THROUGH

OUT

COMPLEX

Pass

HEATS MECHANICAL

SPACES

Pass

DUCT

DETECTORS

AHU 1 AND 2 Pass

Emergency Communications Equipment Type Visual Functional Comments

Call-in Signal

Interface Equipment & Special Hazard Systems http://www.gocanvas.com/?utm_source=canvas_pdf&utm_medium=pdf_link&utm_campaign=canvas_pdf_link http://www.gocanvas.com/?utm_source=canvas_pdf&utm_medium=pdf_link&utm_campaign=canvas_pdf_link

No.

04461 www.gocanvas.com 452BF92E-B2E3-4F70-A754-7FF0399753DB

(Specify) Visual Device Operation

Simulated Operation

Special Procedures

Comments

EPO SHUTDOWN DID NOT TEST

DUE TO TIED INTO

USDA SERVERS

Central Station Monitoring Type of Signal Yes/No Time Comments

Alarm Signal Yes 11:48 Trouble Signal Yes 18:48 Alarm Restoration Yes 11:49 Trouble Signal Restoration Yes 11:49 Notifications That Testing is Complete Notification Given

To Other (Specify) Yes/No Who Time

Monitoring Agency Yes LJ ALARM 18:49

Deficiencies and Issues

The following did not operate correctly

EVERYTHING OPERATED AND PERFORMED PER NFPA

72 STANDARDS

System restored to normal operation

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No.

04461 www.gocanvas.com 452BF92E-B2E3-4F70-A754-7FF0399753DB

Pictures

Photo 1

Photo 1 Description Pulls tested

Photo 2

Photo 2 Description Annunciator

Photo 3

Photo 3 Description Horn strobes tested

Photo 4

Photo 4 Description Smokes

Photo 5

Photo 5 Description Batteries die for replacement

Photo 6

Photo 6 Description Power in proper state / circuit not labeled in red and or breaker lock

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No.

04461 www.gocanvas.com 452BF92E-B2E3-4F70-A754-7FF0399753DB

Photo 7 Description Location of duct detector

Photo 8 Description Test switch

Photo 9 Description Tested on battery backup

Photo 10 Photo 11 Photo 12

Photo 10 Description Battery trouble

Photo 11 Description Device count

Photo 12 Description Version of system

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No.

04461 www.gocanvas.com 452BF92E-B2E3-4F70-A754-7FF0399753DB

Photo 13 Description Audibles tested

Photo 14 Description Elevator shunt trip tested

Photo 15 Description Heats on site

Notes and Recommendations

Notes and Recommendations

BATTERIES ARE GETTING REPLACED BY RANDY

Plan of Corrective Action:

**CONTACT TAYLOR FIRE @907-373-1760 FOR P.O.C.A

Corrective Action and Date Taken:

**NONE TAKEN AT THIS TIME

Inspector Information

This testing was performed in accordance with (Standard/Edition)

CURRENT NFPA 72 STANDARDS

Name of Inspector

ALEXANDER MARTINEZ

License Number 10-009

Date 09/17/2018 Time 18:52

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No.

04461 www.gocanvas.com 452BF92E-B2E3-4F70-A754-7FF0399753DB

Inspector Signature

Owner or Representative Information

Name of Owner or Representative

RANDY ON SITE MAINT

Date 09/17/2018

Time 18:52

Owner or Representative Signature

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