2024-05-08_Dayton-VA----1301_FireScan.pdf

Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate

For

Dayton VA - #1301 4100 W. Third Street Dayton, Ohio 45428

This inspection was performed in accordance with NFPA 101, EDITION 2012, LIFE SAFETY CODE, NFPA 72, EDITION 2010, FIRE ALARM SYSTEMS and/or other regulatory standards applicable to this inspection. This document is also in compliance with EC 02.03.05 EP 28.

This Inspection was performed in accordance with applicable NFPA Standards. The subsequent pages of this report provide performance measurements, listed ranges of acceptable results, and complete documentation of the inspection. Whenever discrepancies exist between acceptable performance standards and actual test results, notes and/or recommended solutions have been proposed or provided for immediate review and approval.

Inspection Completion Date May 8, 2024

Building: Dayton VA - #1301 Company: Integrated Protection Services, Inc.

Contact: Gerry Pennington Contact: Joe Merry

Title: Manager Title: Inspector Fire Alarm Testing Report

Page of 1 18 Executive Summary

Integrated Protection Services, Inc. Download Date: 07/10/2025

Executive Summary Generated by: BuildingReports.com

Building Information Building: Dayton VA - #1301 Contact: Gerry Pennington

Address: 4100 W. Third Street Phone: 937-268-6511

Address: Fax:

City/State/ZIP Code: Dayton, Ohio 45428 Mobile:

Country: United States of America Email:

Inspection Performed By Company: Integrated Protection Services, Inc. Inspector: Joe Merry

Address: 5303 Lester Road Phone: 513-460-6577

Address: Fax:

City/State/ZIP Code: Cincinnati, OH 45213 Mobile:

Country: United States of America Email: jmerry@integratedprotection.com

System Control Unit Manufacturer: EST Inspection Date: 05/08/2024 IDC Style:

Model Number: EST 3 Install Date: 05/01/1995 SLC Style: 4 Software Version: 5.31 Version Date: 04/18/2019 NAC Style: Y Location: 1st North AHU Room Current Protection: Breaker

Central Station Signal Verification Type: Mfg: Model #:

Test Time/Date: Restore Time: Note:

Type of Signal Signal Confirmation Notes Alarm Confirmed Time:

Page of 2 18

Integrated Protection Services, Inc. Download Date: 07/10/2025

Inspection Completion Date: May 8, 2024 Building: Dayton VA - #1301 EC 02.03.05 EP 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72-2010 Table 14.4.5; 17.14.

Devices Tested This Quarter Pass Fail Tested YTD (2024) Total Quantity Duct Detector 1 1 0 1 1

Heat Detector 7 7 0 7 7

Pull Station 7 7 0 7 7

Smoke Detector 9 9 0 9 9

EC 02.03.05 EP 04 Annual test of visual and audible fire alarms, including speakers and door-releasing devices. NFPA 72-2010 Table 14.4.5

Devices Tested This Quarter Pass Fail Tested YTD (2024) Total Quantity Speaker 5 5 0 5 5

Speaker/Strobe 1 1 0 1 1

Strobe 6 6 0 6 6

EC 02.03.05 EP 05 Annual test of fire alarm equipment for notifying off-site fire responders. NFPA 72-2010 Table 14.4.5

Devices Tested This Quarter Pass Fail Tested YTD (2024) Total Quantity Monitoring 1 1 0 1 1

LS 02.01.34 EP 02 Protected master fire alarm control panel Devices Tested This Quarter Pass Fail Tested YTD (2024) Total Quantity Control Panel 1 1 0 1 1

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2012 18/19.3.4 and NFPA 72-2010 Table 14.4.5 (For Ambulatory Health Care see LS 03.01.34 EP 10)

Devices Tested This Quarter Pass Fail Tested YTD (2024) Total Quantity Battery 1 1 0 1 1

Total Device Count: 39

Page of 3 18

Integrated Protection Services, Inc. Download Date: 07/10/2025

Certification

Company: Integrated Protection Services, Inc. Building: Dayton VA - #1301

Inspector: Joe Merry Contact: Gerry Pennington

Page of 4 18 Inspection & Testing

Integrated Protection Services, Inc. Download Date: 07/10/2025

Inspection & Testing Generated by: BuildingReports.com

Building: Dayton VA - #1301 The Inspection & Testing section lists all of the items inspected in your building, which are then categorized by the applicable code reference. The most recent inspection is listed in the far right column and is based on the Finish Date of that inspection. The latest inspection uploaded in each previous quarter appears in the four columns to the left.

Passed=P, Failed=F, Replaced=R

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72-2010 Table 14.4.5; 17.14.

In addition to testing in place to ensure smoke entry into the sensing chamber and an alarm response, duct smoke detectors utilizing sampling tubes shall be tested by verifying the correct pressure differential (within the manufacturer's published ranges) between the inlet and exhaust tubes using a method acceptable to the manufacturer to ensure that the device will properly sample the airstream. (2010 ed.) (NFPA 72 Table 14.4.2.2 (14g.

6)) Devices Tested Q2/24 Pass Q2/24 Fail Q2/24 Tested YTD (2024) Total Quantity Duct Detector 1 1 0 1 1

Device Type Location ScanID Address Q2/23 Q2/24 Duct Detector 1st North AHU Room 04893147 21-02 0012 05/19-P 05/08-P

Device Total: 1 Return to Executive Summary

Page of 5 18

Integrated Protection Services, Inc. Download Date: 07/10/2025

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72-2010 Table 14.4.5; 17.14.

Restorable: Heat test shall be performed with a heat source per the manufacturer's published instructions. Non- Restorable: Heat tests shall not be performed. Functionality shall be tested mechanically and electrically. (2010 ed.)

(NFPA 72 Table 14.4.2.2 (14d)) Devices Tested Q2/24 Pass Q2/24 Fail Q2/24 Tested YTD (2024) Total Quantity Heat Detector 7 7 0 7 7

Device Type Location ScanID Address Q2/23 Q2/24 Heat Detector 1st North Lunch Room 33467728 21-2 5 05/19-P 05/08-P Heat Detector 1st Outer Restroom Janitorial 30966360 21-02 0017 05/19-P 05/08-P Heat Detector Garage Maintenance 15335489 21-02 0003 05/19-P 05/08-P Heat Detector Garage Inside Center Left 04893151 21-02 0008 05/19-P 05/08-P Heat Detector Garage Inside Center Right 04893152 21-02 0009 05/19-P 05/08-P Heat Detector Garage Northwest 04893025 21-02 0002 05/19-P 05/08-P Heat Detector Garage Northwest 04893026 21-02 0001 05/19-P 05/08-P

Device Total: 7 Return to Executive Summary

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Integrated Protection Services, Inc. Download Date: 07/10/2025

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72-2010 Table 14.4.5; 17.14.

Manual fire alarm boxes shall be operated per the manufacturer's published instructions. Key-operated presignal and general alarm manual fire alarm boxes shall both be tested. (2010 ed.) (NFPA 72 Table 14.4.2.2 (14e)) Devices Tested Q2/24 Pass Q2/24 Fail Q2/24 Tested YTD (2024) Total Quantity Pull Station 7 7 0 7 7

Device Type Location ScanID Address Q2/23 Q2/24 Pull Station 1st Main Entrance 04893031 21-02 0127 05/19-P 05/08-P Pull Station 1st North Lobby 04893029 21-02 0128 05/19-P 05/08-P Pull Station 1st Outer Restroom Lobby 4898362875 21-02 0133 05/19-P 05/08-P Pull Station 1st South Exit 04893028 21-02 0132 05/19-P 05/08-P Pull Station Garage Inside Center 04893150 21-02 0130 05/19-P 05/08-P Pull Station Garage Northwest 15335488 21-02 0129 05/19-P 05/08-P Pull Station Garage Northwest 04893024 21-02 0126 05/19-P 05/08-P

Device Total: 7 Return to Executive Summary

Page of 7 18

Integrated Protection Services, Inc. Download Date: 07/10/2025

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72-2010 Table 14.4.5; 17.14.

Smoke detectors/smoke alarms shall be tested in place to ensure smoke entry into the sensing chamber and an alarm response. Sensitivity shall be checked every alternate year. Any of the following tests shall be performed to ensure that each smoke detector is within its listed and marked sensitivity range: 1) Calibrated test method, 2) Manufacturer's calibrated sensitivity test instrument, 3) Listed control equipment arranged for the purpose, 4) Smoke detector/control unit arrangement whereby the detector causes a signal at the control unit when its sensitivity is outside its listed sensitivity range, 5) Other calibrated sensitivity test method approved by the authority having jurisdiction. (2010 ed.) (NFPA 72 Table 14.4.2.2 (14g.1); 14.4.5.3.2) Devices Tested Q2/24 Pass Q2/24 Fail Q2/24 Tested YTD (2024) Total Quantity Smoke Detector 9 9 0 9 9

Device Type Location ScanID Address Q2/23 Q2/24 Smoke Detector 1st North AHU Room 04893032 21-02 0011 05/19-P 05/08-P Smoke Detector 1st North Lobby 04893030 21-02 0006 05/19-P 05/08-P Smoke Detector 1st North Office 39703513 21-02 0007 05/19-P 05/08-P Smoke Detector 1st Outer Family Restroom 30966355 21-02 0014 05/19-P 05/08-P Smoke Detector 1st Outer Men's Restroom 30966352 21-02 0016 05/19-P 05/08-P Smoke Detector 1st Outer Restroom Lobby 30966354 21-02 0015 05/19-P 05/08-P Smoke Detector 1st Outer Women's Restroom 30966358 21-02 0013 05/19-P 05/08-P Smoke Detector Garage Maintenance Office 30966364 21-02 0004 05/19-P 05/08-P Smoke Detector Garage East Electrical 30966363 21-02 0010 05/19-P 05/08-P

Device Total: 9 Return to Executive Summary

Page of 8 18

Integrated Protection Services, Inc. Download Date: 07/10/2025

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door-releasing devices. NFPA 72-2010 Table 14.4.5

Periodic Testing shall comply with the following: Sound pressure levels shall be measured with a sound level meter meeting ANSI S1.4a, Specifications for Sound Level Meters, Type 2 requirements. Sound pressure levels throughout the protected area shall be measured to confirm that they are in compliance with Chapter 18 where building, system, or occupancy changes have occurred. The sound level meter shall be set in accordance with ANSI S3.41, American National Standard Audible Evacuation Signal, using the time-weighted characteristic F (FAST). Audible information shall be verified to be distinguishable and understandable. (2010 ed.) (NFPA 72 Table

14.4.2.2 (15b)) Devices Tested Q2/24 Pass Q2/24 Fail Q2/24 Tested YTD (2024) Total Quantity Speaker 5 5 0 5 5

Device Type Location ScanID Address Q2/23 Q2/24 Speaker 1st Center Corridor 04894547 21 05/19-P 05/08-P Speaker 1st Front Entrance 30966362 21 05/19-P 05/08-P Speaker Garage Maintenance 04894553 21 05/19-P 05/08-P Speaker Garage East Maintenance 30966351 21 05/19-P 05/08-P Speaker Garage Outside 04894552 21 05/19-P 05/08-P

Device Total: 5 Return to Executive Summary

Page of 9 18

Integrated Protection Services, Inc. Download Date: 07/10/2025

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door-releasing devices. NFPA 72-2010 Table 14.4.5

Audibles: Periodic Testing shall comply with the following: Sound pressure levels shall be measured with a sound level meter meeting ANSI S1.4a, Specifications for Sound Level Meters, Type 2 requirements. Sound pressure levels throughout the protected area shall be measured to confirm that they are in compliance with Chapter 18 where building, system, or occupancy changes have occurred. The sound level meter shall be set in accordance with ANSI S3.41, American National Standard Audible Evacuation Signal, using the time-weighted characteristic F (FAST). Audible information shall be verified to be distinguishable and understandable. Visibles: Test shall be performed in accordance with the manufacturer's published instructions. (2010 ed.) (NFPA 72 Table 14.4.2.2 (15b, c)) Devices Tested Q2/24 Pass Q2/24 Fail Q2/24 Tested YTD (2024) Total Quantity Speaker/Strobe 1 1 0 1 1

Device Type Location ScanID Address Q2/23 Q2/24 Speaker/Strobe 1st Outer Restroom Lobby 30966359 21 05/19-P 05/08-P

Page of 10 18

Integrated Protection Services, Inc. Download Date: 07/10/2025

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door-releasing devices. NFPA 72-2010 Table 14.4.5

Test shall be performed in accordance with the manufacturer's published instructions. (2010 ed.) (NFPA 72 Table

14.4.2.2 (15c)) Devices Tested Q2/24 Pass Q2/24 Fail Q2/24 Tested YTD (2024) Total Quantity Strobe 6 6 0 6 6

Device Type Location ScanID Address Q2/23 Q2/24 Strobe 1st Men's Restroom 40563092 21 05/19-P 05/08-P Strobe 1st Women's Restroom 04894551 21 05/19-P 05/08-P Strobe 1st Front Entrance 30966361 21 05/19-P 05/08-P Strobe 1st Outer Family Restroom 30966356 21 05/19-P 05/08-P Strobe 1st Outer Men's Restroom 30966353 21 05/19-P 05/08-P Strobe 1st Outer Women's Restroom 30966357 21 05/19-P 05/08-P

Device Total: 6 Return to Executive Summary

Page of 11 18

Integrated Protection Services, Inc. Download Date: 07/10/2025

EC 02.03.05 EP 05

Annual test of fire alarm equipment for notifying off-site fire responders. NFPA 72-2010 Table 14.4.5

Test shall be performed on all system functions and features in accordance with the equipment manufacturer's published instructions for correct operation in conformance with the applicable sections of Chapter 26. Initiating device shall be actuated. Receipt of the correct initiating device signal at the supervising station within 90 seconds shall be verified. Upon completion of the test, the system shall be restored to its functional operating condition.

(2010 ed.) (NFPA 72 Table 14.4.2.2 (19a)) Devices Tested Q2/24 Pass Q2/24 Fail Q2/24 Tested YTD (2024) Total Quantity Monitoring 1 1 0 1 1

Device Type Location ScanID Address Q2/23 Q2/24 Monitoring 04894546 21 05/19-P 05/08-P

Page of 12 18

Integrated Protection Services, Inc. Download Date: 07/10/2025

LS 02.01.34 EP 02 Protected master fire alarm control panel

At a minimum, control equipment shall be tested to verify correct receipt of alarm, supervisory and trouble signals (inputs), operation of evacuation signals and auxiliary functions (outputs), circuit supervision including detection of open circuits and ground faults, and power supply supervision for detection of loss of ac power and disconnection of secondary batteries. (2010 ed.) (NFPA 72 Table 14.4.2.2 (1.a)) Devices Tested Q2/24 Pass Q2/24 Fail Q2/24 Tested YTD (2024) Total Quantity Control Panel 1 1 0 1 1

Device Type Location ScanID Address Q2/23 Q2/24 Control Panel 1st North AHU Room 04893148 21 05/19-P 05/08-P

Page of 13 18

Integrated Protection Services, Inc. Download Date: 07/10/2025

LS 02.01.34 EP 10

All other Life Safety Code fire alarm requirements related to NFPA 101-2012 18/19.3.4 and NFPA 72-2010 Table 14.4.5 (For Ambulatory Health Care see LS 03.01.34 EP 10)

Annually - With the batteries fully charged and connected to the charger, the voltage across the batteries shall be measured with a voltmeter. Semi-annually, under load, the battery shall perform in accordance with the battery manufacturer's specifications. (2010 ed.) (NFPA 72 Table 14.4.2.2 (6d.1,2)) Devices Tested Q2/24 Pass Q2/24 Fail Q2/24 Tested YTD (2024) Total Quantity Battery 1 1 0 1 1

Device Type Location ScanID Address Q2/23 Q2/24 Battery 1st North AHU Room Total Of 2 04893149 21 05/19-P 05/08-P

Page of 14 18 Service Summary

Integrated Protection Services, Inc. Download Date: 07/10/2025

Service Summary Generated by: BuildingReports.com

Building: Dayton VA - #1301 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity

Passed Battery Tested 1 Control Panel Tested 1 Duct Detector Tested 1 Heat Detector Tested 7 Monitoring Tested 1 Pull Station Tested 7 Smoke Detector Tested 9 Speaker/Strobe Tested 1 Speaker Tested 5 Strobe Tested 6

Total 39 Grand Total 39

Page of 15 18 Auxiliary Functions Testing

Integrated Protection Services, Inc. Download Date: 07/10/2025

Auxiliary Functions Testing Generated by: BuildingReports.com

Building: Dayton VA - #1301 Control Panel: 21 - EST EST 3 The Auxiliary Functions Testing section lists each of the ancillary items, systems, and emergency equipment that are controlled by the system control unit. Items are grouped by Passed or Failed/Other. The items are listed by device type, and a check box is provided to indicate if the test conducted was simulated.

Type Location Comment ScanID Simulated

Passed Duct Detector

AHU Shutdown 1st North AHU Room Passed 04893147 javascript:editViewDevice('04893147');

Page of 16 18 Battery & Power Supply Testing

Integrated Protection Services, Inc. Download Date: 07/10/2025

Battery & Power Supply Testing Generated by: BuildingReports.com

Building: Dayton VA - #1301 Control Panel: 21 - EST EST 3 The Battery & Power Supply Testing section details the readings and measurements of batteries and power supplies used to provide power to the fire alarm and life safety systems. Items are grouped by Passed or Failed/Other.

Type Location Rated Ah

Rated Volts Pre Test

Post Test Min Ah Tested Ah

Battery

Passed Sealed Lead Acid 1st North AHU Room Total Of

26AH 12

Page of 17 18 Inventory & Warranty Report

Integrated Protection Services, Inc. Download Date: 07/10/2025

Inventory & Warranty Report Generated by: BuildingReports.com

Building: Dayton VA - #1301 Control Panel: 21 - EST EST 3 The Inventory & Warranty Report lists each of the devices and items that are included in your Inspection Report. A complete inventory count by device type and category is provided. Items installed within the last 90 days, within the last year, and devices installed for two years or more are grouped together for easy reference.

Device or Type Category % of Inventory Quantity Battery Control 2.56% 1

Control Panel Control 2.56% 1

Duct Detector Initiating 2.56% 1

Heat Detector Initiating 17.95% 7

Monitoring Monitor 2.56% 1

Pull Station Initiating 17.95% 7

Smoke Detector Initiating 23.08% 9

Speaker Indicating 12.82% 5

Speaker/Strobe Indicating 2.56% 1

Strobe Indicating 15.38% 6

Type Qty Model # Description Install Date

In Service - 5 Years to 10 Years Power-Sonic

Battery 1 PS-12260 NB Sealed Lead Acid 05/16/2019

In Service - 10 Years to 15 Years

EST

Heat Detector 1 SIGA-HRS Rate-of-Rise 06/02/2014 Smoke Detector 4 SIGA-PS Photoelectric 06/02/2014 Speaker/Strobe 1 G4F-S7VM 06/02/2014 Strobe 3 202-7AT 06/02/2014

In Service - 25 Years or Older Acadian

Monitoring 1 C218-5561 ZN 24 Alarm 05/01/1995

EST

Control Panel 1 EST 3 05/01/1995 Duct Detector 1 SIGA-DH Photoelectric 05/01/1995 Heat Detector 6 SIGA-HRS Rate-of-Rise 05/01/1995 Pull Station 7 SIGA-278 Dual Action 05/01/1995 Smoke Detector 5 SIGA-PS Photoelectric 05/01/1995 Speaker 5 757-1A-S70 05/01/1995 Strobe 3 202-7AT 05/01/1995

Page of 18 18 Zone Address Report

Integrated Protection Services, Inc. Download Date: 07/10/2025

Zone Address Report Generated by: BuildingReports.com

Building: Dayton VA - #1301 Control Panel: 21 - EST EST 3 The Zone Address Report lists all of the devices and items that have an individual address, or are grouped together under a common zone. The device type, location, and description are included for your reference.

Address Device Type Location Type ScanID Zone/Circuit: 02

0001 Heat Detector Garage Northwest Rate-of-Rise 04893026 0002 Heat Detector Garage Northwest Rate-of-Rise 04893025 0003 Heat Detector Garage Maintenance Rate-of-Rise 15335489 0004 Smoke Detector Garage Maintenance Office Photoelectric 30966364

Zone/Circuit: 2 5 Heat Detector 1st North Lunch Room Rate-of-Rise 33467728

Zone/Circuit: 02 0006 Smoke Detector 1st North Lobby Photoelectric 04893030 0007 Smoke Detector 1st North Office Photoelectric 39703513 0008 Heat Detector Garage Inside Center Left Rate-of-Rise 04893151 0009 Heat Detector Garage Inside Center Right Rate-of-Rise 04893152 0010 Smoke Detector Garage East Electrical Photoelectric 30966363 0011 Smoke Detector 1st North AHU Room Photoelectric 04893032 0012 Duct Detector 1st North AHU Room Photoelectric 04893147 0013 Smoke Detector 1st Outer Women's Restroom Photoelectric 30966358 0014 Smoke Detector 1st Outer Family Restroom Photoelectric 30966355 0015 Smoke Detector 1st Outer Restroom Lobby Photoelectric 30966354 0016 Smoke Detector 1st Outer Men's Restroom Photoelectric 30966352 0017 Heat Detector 1st Outer Restroom Janitorial Rate-of-Rise 30966360 0126 Pull Station Garage Northwest Dual Action 04893024 0127 Pull Station 1st Main Entrance Dual Action 04893031 0128 Pull Station 1st North Lobby Dual Action 04893029 0129 Pull Station Garage Northwest Dual Action 15335488 0130 Pull Station Garage Inside Center Dual Action 04893150 0132 Pull Station 1st South Exit Dual Action 04893028 0133 Pull Station 1st Outer Restroom Lobby Dual Action 4898362875 javascript:editViewDevice('04893026');

javascript:editViewDevice('04893025');

javascript:editViewDevice('15335489');

javascript:editViewDevice('30966364');

javascript:editViewDevice('33467728');

javascript:editViewDevice('04893030');

javascript:editViewDevice('39703513');

javascript:editViewDevice('04893151');

javascript:editViewDevice('04893152');

javascript:editViewDevice('30966363');

javascript:editViewDevice('04893032');

javascript:editViewDevice('04893147');

javascript:editViewDevice('30966358');

javascript:editViewDevice('30966355');

javascript:editViewDevice('30966354');

javascript:editViewDevice('30966352');

javascript:editViewDevice('30966360');

javascript:editViewDevice('04893024');

javascript:editViewDevice('04893031');

javascript:editViewDevice('04893029');

javascript:editViewDevice('15335488');

javascript:editViewDevice('04893150');

javascript:editViewDevice('04893028');

javascript:editViewDevice('4898362875');