FA_18-0926_4530_TNB_office.pdf

USDA Forest Service - Tongass Thorne Bay Office

No.

04530 www.gocanvas.com B4DCAFC9-6AD4-4468-89A8-06FCD44E7426

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

Fire Alarm Inspection Report Status

Status

Date 09/26/2018

Time 11:55

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 Thorne Bay Office Address 1 1312 Federal Way Address 2

City Thorne Bay State

AK

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

No.

04530 www.gocanvas.com B4DCAFC9-6AD4-4468-89A8-06FCD44E7426

Zip 99919

Monitoring Entity

Contact / Agency

LJ ALARM

Monitoring Account Ref. No.

Approving Agency

Contact

USDA

Service

Service Annually

Other (Specify)

Prior To Any Testing Notifications Are

Made To Other (Specify) Yes/No Who Time

Monitoring Entity Yes LJ ALARM 11:06

Type Transmission

Type Transmission Digital

Other (Specify)

Control Panel

Control Panel Manufacturer

EST

Control Panel Model

EST1

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

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.

04530 www.gocanvas.com B4DCAFC9-6AD4-4468-89A8-06FCD44E7426

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

5 5 5 0 CLASS B

Smoke Detectors 7 7 7 0 CLASS B Heat Detectors 1 1 1 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

Horns 1 1 1 0 CLASS B Strobes 4 4 4 0 CLASS B Horn/Strobes 7 7 7 0 CLASS B Decibel Levels

Location Description Ambient Level Alarm Level Entire office 47 89

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 3 3 3 0

Initiating Device Circuit

Quantity

Style(s)

CLASS B

Signaling Line Circuits 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.

04530 www.gocanvas.com B4DCAFC9-6AD4-4468-89A8-06FCD44E7426

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) Boiler rm Nominal Voltage 120/208

Amps Overcurrent Protection Type

BREAKER

Overcurrent Protection Amps

Disconnecting Means Location Panel A 29

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 panel 2013 DUE

FOR

REPLACEMENT

12/7 Sealed Lead- Acid

N/A N/A N/A

Dialer In panel 5/13 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 Same Same 120 20 BREAKER 20 Same

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:

Legally required standby described in NFPA 70, Article 701 Optional standby system described in NFPA 70, Article 702, which also 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.

04530 www.gocanvas.com B4DCAFC9-6AD4-4468-89A8-06FCD44E7426

None Emergency system described in NFPA 70, Article 700 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

Secondary Power Type Visual Functional Comments

Battery Condition DUE FOR REPLACEMENT Load Voltage Discharge Test Charger Test

Transient Suppressors

Transient Suppressors Visual

Comments

Notification Appliances Notification Appliances Visual Functional Comments

Audible 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

Smokes Ceilings located through out first floor front of elevator and elevator machine room

Pass

Heat Boiler rm Pass Due for test or replacement and only tested via shorted circuit for integrity 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.

04530 www.gocanvas.com B4DCAFC9-6AD4-4468-89A8-06FCD44E7426

Device Type

Loc. & S/N Visual Check

Functional Test

Factory Setting

Measured Setting

Pass/Fail Comments

Pulls Entry and exit Pass Emergency Communications Equipment

Type Visual Functional Comments Call-in Signal

Central Station Monitoring Type of Signal Yes/No Time Comments

Alarm Signal Yes 12:17 Alarm Restoration Yes 12:18 Notifications That Testing is Complete Notification Given

To Other (Specify) Yes/No Who Time

Monitoring Agency Yes LJ ALARM 12:30

Deficiencies and Issues

The following did not operate correctly

** HEAT DETECTOR DUE FOR TEST OR REPLACEMENT

** BATTERIES DUE FOR TEST OR REPLACEMENT

** UNCLEAR LAST TIME SMOKES HAVE BEEN

SENSITIVITY TESTED RECOMMEND PERFORMING THIS

ON NEXT ANNUAL INSPEXTION

System restored to normal operation

Date 09/26/2018 Time 13:17 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.

04530 www.gocanvas.com B4DCAFC9-6AD4-4468-89A8-06FCD44E7426

Pictures

Photo 1

Photo 1 Description Conductor integrity

Photo 2

Photo 2 Description Dialer conductor integrity and info

Photo 3

Photo 3 Description Panel info

Photo 4

Photo 4 Description Panel info

Photo 5

Photo 5 Description Pull stations on site

Photo 6

Photo 6 Description Horn tested 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.

04530 www.gocanvas.com B4DCAFC9-6AD4-4468-89A8-06FCD44E7426

Photo 7 Description Smokes tested on site

Photo 8 Description Horn strobes on site

Photo 9 Description Elevator recall tested

Photo 10 Photo 11 Photo 12

Photo 10 Description Heat due for test or replacement

Photo 11 Description Power supply

Photo 12 Description Heat circuit integrity

Photo 13 Photo 14 Photo 15 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.

04530 www.gocanvas.com B4DCAFC9-6AD4-4468-89A8-06FCD44E7426

Photo 13 Description Ambient Db

Photo 14 Description Alarm Db

Photo 15 Description Panel tagged and in the proper state

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 09/26/2018 Time 12:23

Inspector 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.

04530 www.gocanvas.com B4DCAFC9-6AD4-4468-89A8-06FCD44E7426

Inspector Signature

Owner or Representative Information

Name of Owner or Representative

LOGAN WILD

Date 09/26/2018

Time 13:23

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