FIRE_ALARM_ANNUAL_INSPECTION_REPORT_11.pdf

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Attached to
Fire Extinguisher, Suppression and Alarm Inspection and Testing Federal contract opportunity
Solicitation number
36C26025Q0750
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20

About this file

This document is a Fire Alarm System Inspection Report for the VA Domiciliary and Transitional Housing located at 944 E 12th Ave in Anchorage, Alaska, conducted on 08/14/2024 by Yukon Fire Protection Services. The inspection covered a residential occupancy system with an ESL 1503 fire alarm panel using AES Radio communication, monitored by Guardian Security. The system testing involved notifications to the monitoring organization, building management, building occupants, and the Authority Having Jurisdiction (AHJ).

The inspection report details the system's components, including 1 bell, 1 horn, 9 horn/strobe notification appliances, and initiating devices such as 1 pull station, 9 smoke detectors, 1 heat detector, and 1 flow/pressure switch. The primary power supply is a 120V dedicated circuit in the boiler room, with a standby battery installed in 01/24. All system monitoring functions were confirmed as received, including alarm signals, trouble signals, and supervisory signals. The system was restored to normal operation at 1:00 PM, with no deficiencies noted in the report.

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FIRE ALARM SYSTEM INSPECTION REPORT

LOCATION NAME

VA DOMICILIARY AND TRANSITIONAL HOUSING

LOCATION ADDRESS

944 E 12th Ave, ANCHORAGE, AK

OCCUPANCY CLASSIFICATION - NOTE: OCCUPANCY CLASS DETERMINED BY BEST

JUDGEMENT OF INSPECTOR. THIS INSPECTION'S PURPOSE IS TO DETERMINE

FUNCTIONALITY OF THE SYSTEM(S) AS INSTALLED, NOT TO DETERMINE COMPLIANCE

WITH OCCUPANCY SPECIFIC CODE REQUIREMENTS

RESIDENTIAL (R-1, R-2, R-3, R-4)

DATE

08/14/2024

SYSTEM STATUS

STATUS 4

INSPECTOR

Bert Davis 22-0001 IB

CLIENT NAME

SANFORD FEDERAL

CLIENT REPRESENTATIVE NAME

Keith

CLIENT PHONE #

907-268-8804

CLIENT EMAIL ADDRESS

keith.laflamme@va.gov

SYSTEM DETAILS

PRIMARY PANEL INFORMATION

MANUFACTURER MODEL FIRMWARE REV. COMMUNICATION PATH COMMUNICATOR MAKE/MODEL

ESL 1503 RADIO AES Radio

MONITORING INFORMATION

CENTRAL STATION CALL OUT NUMBER(S) ACCOUNT # PASSWORD

Guardian Security 610-707

CIRCUITS IN USE

AUXILIARY INITIATING NOTIFICATION SIGNALING LINE

IN USE 2 3 1

TOTAL 2 3 2

SYSTEM TESTING

NOTIFICATIONS MADE PRIOR TO TESTING AND WHEN COMPLETE

CONTACT NOTIFIED

MONITORING ORGANIZATION Guardian Security PRIOR

COMPLETE

BUILDING MANAGEMENT Keith PRIOR

COMPLETE

BUILDING OCCUPANTS Verbal PRIOR

COMPLETE

AHJ AFD PRIOR

COMPLETE

OTHER, IF REQUIRED

CONTROL PANEL FUNCTION

YUKON FIRE PROTECTION SERVICES, INC. 5451 LAONA DR, ANCHORAGE AK 99518 MAIN: (907) 563-3608 FAX: (907) 562-2754 Page 1 of 3

TYPE DESCRIPTION LAMPS FUSES BUTTONS SUPERVISION NOTES

MAIN FACP Boiler Room PASS PASS PASS PASS

PRIMARY POWER SUPPLY

BREAKER LOCATION A/C VOLTAGE DEDICATED CIRCUIT?

Boiler Room 120 YES

STANDBY POWER SUPPLY

BATTERY

(AH)

CHARGING

(V)

STANDBY

(V)

LOAD

(V) OR REMAINING AH

(L)

REMAINING AH

(R)

INSTALL DATE

(MMYY)

7 27 27 OR 01/24

NOTIFICATION APPLIANCES

TYPE TOTAL TESTED FAILED NOTES

BELL 1 1

HORN 1 1

HORN/STROBE 9 9

INITIATING DEVICES

TYPE TOTAL TESTED FAILED NOTES

PULL STATION 1 1

SMOKE DETECTOR 9 9

HEAT DETECTOR 1 1

FLOW/PRESSURE SWITCH 1 1

YEAR LAST SMOKE DETECTOR SENSITIVITY TEST PERFORMED (IF APPLICABLE)

UNKNOWN

SUPERVISING STATION MONITORING

RECEIVED COMMENTS

ALARM SIGNAL YES

ALARM RESTORATION YES

TROUBLE SIGNAL YES

TROUBLE RESTORATION YES

SUPERVISORY SIGNAL YES

SUPERVISORY RESTORATION YES

TIME SYSTEM RESTORED TO NORMAL OPERATION

1:00PM

DEFICIENCIES

COMMENTS

CLIENT SIGNATURE INSPECTOR SIGNATURE

YUKON FIRE PROTECTION SERVICES, INC. 5451 LAONA DR, ANCHORAGE AK 99518 MAIN: (907) 563-3608 FAX: (907) 562-2754 Page 2 of 3

YUKON FIRE PROTECTION SERVICES, INC. 5451 LAONA DR, ANCHORAGE AK 99518 MAIN: (907) 563-3608 FAX: (907) 562-2754 Page 3 of 3

File details come from the government source that posted it. Updated .