FIRE_ALARM_ANNUAL_INSPECTION_REPORT_9.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 3001 C ST in Anchorage, AK, conducted by Yukon Fire Protection Services on 08/14/2024. The inspection covered a comprehensive review of the fire alarm system, including primary panel information (FireLite MS9200UDLS), monitoring details (Guardian Security), and a thorough assessment of system components. The report details testing of 1 bell, 56 horn/strobe, and 28 strobe notification appliances, along with 5 pull stations, 55 smoke detectors, 3 heat detectors, and various other initiating devices.

The inspection revealed one key deficiency: a CO sensor in the boiler is not working and needs replacement. The system was restored to normal operation at 12:00 PM, with all supervising station monitoring signals (alarm, trouble, and supervisory) successfully received and restored. The fire alarm system is classified as Status 2 for a residential occupancy (R-1, R-2, R-3, R-4), and the primary power supply is a dedicated 120V circuit located in Room 1A113, Panel E #25. The client representative is Keith from Sanford Federal, with contact information provided for follow-up.

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FIRE ALARM SYSTEM INSPECTION REPORT

LOCATION NAME

VA DOMICILIARY AND TRANSITIONAL HOUSING

LOCATION ADDRESS

3001 C ST, 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 2

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

FireLite MS9200UDLS DACT On Board

MONITORING INFORMATION

CENTRAL STATION CALL OUT NUMBER(S) ACCOUNT # PASSWORD

Guardian Security 790-057

CIRCUITS IN USE

AUXILIARY INITIATING NOTIFICATION SIGNALING LINE

IN USE 18 9 1

TOTAL 18 9 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 Front Desk PASS PASS PASS PASS ANNUNCIATOR Police Office PASS PASS PASS

PRIMARY POWER SUPPLY

BREAKER LOCATION A/C VOLTAGE DEDICATED CIRCUIT?

Room 1A113, Panel E #25 120 YES

STANDBY POWER SUPPLY

BATTERY

(AH)

CHARGING

(V)

STANDBY

(V)

LOAD

(V) OR REMAINING AH

(L)

REMAINING AH

(R)

INSTALL DATE

(MMYY)

26 27 27 OR 01/24

AUXILIARY & BOOSTER POWER SUPPLIES

LOCATION/DESCRIPTION A/C

BREAKER

BATTERY

(AH)

CHARGING

(V)

STANDBY

(V)

LOAD

(V) OR REMAINING

AH (L)

REMAINING

AH (R)

INSTALL

DATE

(MMYY)

Police Office Room 1A113, Panel E #25

7 27 27 01/24

Room 134 Room 1A113, Panel E #25

7 27 27 01/24

Room 134 Room 1A113, Panel E #25

7 27 27 01/24

Room 134 Room 1A113, Panel E #25

7 27 27 01/24

NOTIFICATION APPLIANCES

TYPE TOTAL TESTED FAILED NOTES

BELL 1 1

HORN/STROBE 56 56

STROBE 28 28

INITIATING DEVICES

TYPE TOTAL TESTED FAILED NOTES

PULL STATION 5 5

SMOKE DETECTOR 55 55

HEAT DETECTOR 3 3

SUPPRESSION SWITCH 1 1 Kitchen Hood

DUCT DETECTOR 4 4

FLOW/PRESSURE SWITCH 1 1

SUPERVISORY SWITCH 2 2 Sprinkler Tampers OTHER 4 4 Remote Test Switch OTHER 15 15 CO Sensors

SPECIALTY INITIATING DEVICES

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

TYPE TOTAL TESTED FAILED MAKE/MODEL NOTES

BEAM DETECTOR 2 2

YEAR LAST SMOKE DETECTOR SENSITIVITY TEST PERFORMED (IF APPLICABLE)

Self Test

AUXILIARY EQUIPMENT

TYPE TOTAL TESTED FAILED NOTES

AHU SHUTDOWN 2 2

DOOR HOLDERS 4 4

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

12:00PM

DEFICIENCIES

CO sensor in boiler not working and needs to be replaced.

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 3 of 3

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