FA_18-0918_4463_HNH_office.pdf

USDA Forest Service - Tongass Hoonah Office

No.

04463 www.gocanvas.com CE22D8F0-5A58-49DD-AEF3-EAA9DA0EC87B

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

Fire Alarm Inspection Report Status

Status

Date 09/18/2018

Time 08:00

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 Hoonah Office Address 1 430 Airport Road Address 2

City Hoonah State

AK

Contact

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

No.

04463 www.gocanvas.com CE22D8F0-5A58-49DD-AEF3-EAA9DA0EC87B

Zip 99829

Monitoring Entity

Contact / Agency None

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

Building Occupants Yes On site personnel 08:01

Type Transmission

Type Transmission Other

Other (Specify) None

Control Panel

Control Panel Manufacturer

SIMPLEX

Control Panel Model

Control Panel Location

FRONT ENTRY

Is Panel in "normal" conditions upon arrival?

Yes Circuit Styles

IDC

Number of Circuits

Software Rev.

N/A Last Date System Had Any Service Performed

PREVIOUS ANNUAL INSPECTION

Last Date that Any Software or Configuration Was Revised None

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No.

04463 www.gocanvas.com CE22D8F0-5A58-49DD-AEF3-EAA9DA0EC87B

Printer Model

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

3 3 3 0 CLASS B

Smoke Detectors 16 16 16 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 2 2 2 0 CLASS B Decibel Levels

Location Description Ambient Level Alarm Level Entire building 55-58 105

Alarm Notification Circuits

No. of alarm notification appliance circuits

Are circuits monitored for integrity?

Yes

Initiating Device Circuit

Quantity

Style(s)

CLASS B

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

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No.

04463 www.gocanvas.com CE22D8F0-5A58-49DD-AEF3-EAA9DA0EC87B

System Primary Power Supply

(a) Primary (Main) Location (of Primary Supply Panelboard)

IN COPY RM

Nominal Voltage 120/208

Amps Overcurrent Protection Type

BREAKER

Overcurrent Protection Amps

Disconnecting Means Location

UPS 25

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 FRONT

ENTRY

1/14 7/12 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

Same as above 120 20 BREAKER 20 Ups 25

Generator System

Engine-driven generator dedicated to fire alarm system.

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:

None

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 Type Visual Functional Comments

Control Unit Interface Equipment Lamps/LEDS Fuses Primary Power Supply Trouble Signals Disconnect Switches Ground-Fault Monitoring 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

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04463 www.gocanvas.com CE22D8F0-5A58-49DD-AEF3-EAA9DA0EC87B

Secondary Power Type Visual Functional Comments

Battery Condition Load Voltage Discharge Test Charger Test

Transient Suppressors

Transient Suppressors Visual

Comments

Notification Appliances Notification Appliances Visual Functional Comments

Audible/Visual Combination

Initiating & Supervisory Device Tests & Inspection Device

Type Loc. & S/N Visual

Check Functional

Test Factory Setting

Measured Setting

Pass/Fail Comments

Pulls Entry exit points

Pass

Smokes Ceilings located through out

Pass

Notifications That Testing is Complete Notification Given

To Other (Specify) Yes/No Who Time

Building Management Yes CHRIS 11:53

Deficiencies and Issues

The following did not operate correctly

EVERYTHING OPERATED AND PERFORMED PER NFPA

72 STANDARDS

System restored to normal operation

Date 09/18/2018 Time 11:53 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.

04463 www.gocanvas.com CE22D8F0-5A58-49DD-AEF3-EAA9DA0EC87B

Pictures

Photo 1

Photo 1 Description Power supply

Photo 2

Photo 2 Description Alarm Db reading

Photo 3

Photo 3 Description Smokes

Photo 4

Photo 4 Description Pulls

Photo 5

Photo 5 Description Tested on battery backup

Photo 6

Photo 6 Description Panel conductors

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No.

04463 www.gocanvas.com CE22D8F0-5A58-49DD-AEF3-EAA9DA0EC87B

Photo 7 Description Battery info

Photo 8 Description Panel info

Photo 9 Description Panel info

Notes and Recommendations

Notes and Recommendations None 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 09/18/2018 Time 11:55

Inspector Signature

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No.

04463 www.gocanvas.com CE22D8F0-5A58-49DD-AEF3-EAA9DA0EC87B

Owner or Representative Information

Name of Owner or Representative

CHRIS

Date 09/18/2018

Time 11:55

Owner or Representative Signature

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