FIRE_ALARM_ANNUAL_INSPECTION_REPORT_8.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 932 E 12th Ave in Anchorage, AK, conducted on 08/14/2024 by Yukon Fire Protection Services. The inspection report details the comprehensive evaluation of the fire alarm system, including primary panel information (ESL 1500 model with AES Radio communication), monitoring details (Guardian Security as the central station), and system testing results. The report shows all system components were tested, including 1 bell, 1 horn, 9 horn/strobe units, 1 pull station, 9 smoke detectors, 1 heat detector, and 1 flow/pressure switch, with all devices passing inspection.

The system is classified as Status 4 for a residential occupancy (R-1, R-2, R-3, R-4), with primary power supplied by a 120V dedicated circuit in the boiler room and a standby battery installed in January 2024. The inspection verified that all supervisory station monitoring functions, including alarm signals, trouble signals, and supervisory signals, were received successfully. The system was restored to normal operation at 2:00 PM, and no deficiencies were noted in the report. The client representative, Keith from Sanford Federal, and the inspector Bert Davis (certification 22-0001 IB) were involved in the inspection process.

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FIRE ALARM SYSTEM INSPECTION REPORT

LOCATION NAME

VA DOMICILIARY AND TRANSITIONAL HOUSING

LOCATION ADDRESS

932 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 1500 RADIO AES Radio

MONITORING INFORMATION

CENTRAL STATION CALL OUT NUMBER(S) ACCOUNT # PASSWORD

Guardian Security 610-708

CIRCUITS IN USE

AUXILIARY INITIATING NOTIFICATION SIGNALING LINE

IN USE 2 3 1

TOTAL 2 5 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

2:00PM

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

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