FA_18-0924_4506_KTN_whse.pdf

USDA Forest Service - Tongass Ketchikan Warehouse

No.

04506 www.gocanvas.com BC655585-4215-4919-929A-BA0F3644E01B

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

Fire Alarm Inspection Report Status

Status

Date 09/24/2018

Time 11:28

Owner /Client / Contracting Agency

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

City Sitka State

AK

Zip 99835

Representative

LOGAN WILD

Telephone

Fax None Email None

Property Name (User)

Name Ketchikan Warehouse Address 1 3001 Tongass Ave Address 2

City Ketchikan State

AK

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

No.

04506 www.gocanvas.com BC655585-4215-4919-929A-BA0F3644E01B

Zip 99901

Monitoring Entity

Contact / Agency

LJ ALARM

Telephone 907-789-7940

Monitoring Account Ref. No.

Approving Agency

Contact

USDA

Telephone

Service

Service Annually

Other (Specify)

Prior To Any Testing Notifications Are

Made To Other (Specify) Yes/No Who Time

Monitoring Entity Yes LJ ALARM 11:30

Type Transmission

Type Transmission Digital

Other (Specify)

Control Panel

Control Panel Manufacturer

SIMPLEX

Control Panel Model

Control Panel Location

ELECTRICAL RM

Is Panel in "normal" conditions upon arrival?

Yes Circuit Styles

SLC

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 Date of install

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.

04506 www.gocanvas.com BC655585-4215-4919-929A-BA0F3644E01B

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

10 10 10 0 CLASS B

Smoke 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 10 10 10 0 CLASS B Strobes 2 2 2 0 CLASS B Decibel Levels

Location Description Ambient Level Alarm Level

ENTIRE BUILDING 55 101

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

AHU Shutdown 1 1 1 0

Initiating Device Circuit

Quantity

Style(s)

CLASS B

Signaling Line Circuits

Quantity and style of signaling line circuits connected to Style(s) 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.

04506 www.gocanvas.com BC655585-4215-4919-929A-BA0F3644E01B system (see 2007 NFPA 72, Table 6.6.1) Quantity

CLASS B

System Primary Power Supply

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

IN ELECTRICAL RM NEXT TO FACP

Nominal Voltage 120/208

Amps Overcurrent Protection Type

BREAKER

Overcurrent Protection Amps

Disconnecting Means Location

LM2 44

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 Unknown :

BATTERY ID

02174-HK

POWER

SONICS

12/7 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 120 20 BREAKER 20 LM2 44

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:

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 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.

04506 www.gocanvas.com BC655585-4215-4919-929A-BA0F3644E01B

Type Visual Functional Comments Interface Equipment Lamps/LEDS Fuses Primary Power Supply Trouble Signals Disconnect Switches Ground-Fault Monitoring

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 IN MAINT LEAD ART

OFFICE

Notification Appliances Notification Appliances Visual Functional Comments

Visible 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 and exit way

Pass

Smokes Above panel and in arts office

Pass

Emergency Communications Equipment Type Visual Functional Comments

Call-in Signal

Central Station Monitoring Type of Signal Yes/No Time Comments

Alarm Signal Yes 11:39 Alarm Restoration Yes 11:40 Trouble Signal Yes 11:41 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.

04506 www.gocanvas.com BC655585-4215-4919-929A-BA0F3644E01B

Type of Signal Yes/No Time Comments Trouble Signal Restoration Yes 11:42 Notifications That Testing is Complete Notification Given

To Other (Specify) Yes/No Who Time

Monitoring Agency Yes LJ ALARM 11:40

Deficiencies and Issues

The following did not operate correctly

EVERYTHING OPERATED AND PERFORMED PER NFPA

72 STANDARDS

System restored to normal operation

Date 09/24/2018 Time 11:40 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.

04506 www.gocanvas.com BC655585-4215-4919-929A-BA0F3644E01B

Pictures

Photo 1

Photo 1 Description Panel conductor integrity

Photo 2

Photo 2 Description Battery info

Photo 3

Photo 3 Description Power supply

Photo 4

Photo 4 Description Pull stations tested

Photo 5

Photo 5 Description Remote annunciator

Photo 6

Photo 6 Description Horn strobes on site

Photo 7 Photo 8 Photo 9 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.

04506 www.gocanvas.com BC655585-4215-4919-929A-BA0F3644E01B

Photo 7 Description Strobes tested on site

Photo 8 Description Ambient Db

Photo 9 Description Alarm Db

Photo 10 Photo 11

Photo 10 Description Average alarm Db

Photo 11 Description Panel tagged and in the proper state upon completion 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.

04506 www.gocanvas.com BC655585-4215-4919-929A-BA0F3644E01B

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 09/24/2018 Time 11:42

Inspector Signature

Inspector Signature

Owner or Representative Information

Name of Owner or Representative

LOGAN WILD

Date 09/24/2018

Time 11:42

Owner or Representative Signature

Owner or Representative Signature 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.

04506 www.gocanvas.com BC655585-4215-4919-929A-BA0F3644E01B 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