FANG BLDG 121 ANN FA 7-2019.pdf

SimplexGrinnell BE SAFE

INSPECTION AND TESTING FORM

SR Number: 44909832 DATE: July 1, 2019

Task Number: TIME: 8:00AM

SERVICE ORGANIZATION PROPERTY NAME (USER)

Name: SimplexGrinnell Name: Fresno Air National Guard Bldg 121

Address: 2788 N. Larkin Ave. Address: 5323 E McKinley Ave

City, St., Zip: Fresno, CA, 93272 City, St., Zip: Fresno, CA, 93727

Representative: Jesus Salgado Owner Contact: Mike Scott

License No.: 986047 Telephone: 559-454-5137

Telephone: 559-348-0614 Occupied as: Master Chief

MONITORING ENTITY APPROVING AGENCY

Contact: In House Fire Department Contact: N/A

Telephone: 559-454-5145 Telephone: N/A

Monitoring Account Ref. No.: N/A

TYPE TRANSMISSION SERVICE

McCulloh Weekly

Multiplex Monthly

X Digital Quarterly

Reverse Polarity Semiannually

RF X Annually

Other (Specify) Other (Specify)

System Type: ( ) Local; ( ) Auxiliary; (X)Remote Station; ( ) Proprietary; ( ) Emergency Voice / Alarm

Control Unit Manufacturer: Notifier Model No.: NDS3030

Circuit Style: Class B

Number of Circuits: NA

Software Rev.: NA

Last Date System Had Any Service Performed: October 5, 2017

Last Date That Any Software or Configuration Was Revised: Unknown

ALARM-INITIATING DEVICES AND CIRCUIT INFORMATION

Quantity of Devices Installed

Circuit Style

Devices Tested

6 B 6 Manual Fire Alarm Boxes (PSSA)

0 0 Ion Detectors (ISD)

0 0 Photo Detectors (PSD)

3 B 3 Duct Detectors (DSD)

78 B 78 Heat Detectors (HD)

0 0 Water Flow Switches (WF)

0 0 (Specify)

0 0 (Specify)

Alarm verification feature is Disabled X Enabled .

Rev. D

ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION

Appliances Installed

Appliances Tested

0 0 Bells

10 D 10 Horns with strobes

0 0 Chimes

3 D 3 Strobes

5 D 5 Speakers

Number of alarm notification appliance circuits: 3

Are circuits monitored for integrity? X Yes No

SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUIT INFORMATION

Devices Installed

Devices Tested

0 0 Valve Position Tamper Switch (TS)

0 0 Outside Stem and Yoke (OSY)

0 0 Post Indicator Valve (PIV)

1 B 1 High / Low Pressure Switch (HLPS)

0 0 Building Temperature

0 0 Site Water Temp

0 0 Site Water Level

0 0 Fire Pump Power

0 0 Fire Pump Running

0 0 Fire Pump Auto Position

0 0 Fire Pump or Fire Controller Trouble

0 0 Fire Pump Low Fuel

0 0 Other: Switch Transfer

0 0 Other: Generator Engine Running

SIGNALING LINE CIRCUIT

Quantity and style of signaling line circuits connected to system (see NFPA, Table 6.6.1):

Quantity Style(s)

SYSTEM POWER SUPPLIES

(a) Primary (Main): Nominal Voltage 120VAC Amps 2.5

Overcurrent Protection: Type Circuit Breaker Amps 20

Location (of Primary Supply Panel): PANEL A

Disconnecting Means Location: Circuit 28

(b) Secondary (Standby):

Back Up Batteries Storage Battery: Amp-Hr Rating Two 12V 18Ah

Calculated capacity is 36 Amp-Hrs to operate system for 24 Hours.

Engine-driven generator dedicated to fire alarm system: N/A

Location of fuel storage: N/A

TYPE BATTERY

Dry Cell Lead-Acid

Nickel-Cadmium Other (Specify):

X Sealed Lead-Acid

(c) Emergency or standby system used as a backup to primary power supply, instead of using a secondary power supply:

NA Emergency system described in NFPA 70, Article 700

NA Legally required standby described in NFPA 70, Article 701

NA Optional standby system described in NFPA 70, Article 702, which also meets the performance requirements of Article 700 or 701

PRIOR TO ANY TESTING

NOTIFICATIONS ARE MADE Yes No Who Time

Monitoring Entity X In House/FD 8:00AM

Building Occupants X Staff 8:00AM

Building Management X Chief Mike Scott 8:00AM

Other (Specify)

AHJ Notified of Any Impairments

SYSTEM TESTS AND INSPECTIONS

TYPE Visual Functional Comments

Control Unit X X Pass

Interface Equipment X X Pass Lamps / LEDs X X Pass Fuses X X Pass Primary Power Supply X X Pass Trouble Signals X X Pass Disconnect Switches X X Pass Ground Fault Monitoring X X Pass

SECONDARY POWER

TYPE Visual Functional Comments

Battery Condition X Bad Installed in 2014

Load Voltage X Fail-19.68VDC

Discharge test X Pass-25.66VDC

Charger test X Pass-27.21VDC

TRANSIENT SUPPRESSORS NA

REMOTE ANNUNCIATOR NA

NOTIFICATION APPLIANCES

Audible X X Pass

Visible X X Pass

Speakers N/A

Voice Clarity N/A

INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS

Location & Serial Number Device Type

Visual Check

Functional Test

Factory Setting

Measured Setting Pass Fail

See attached detailed report.

Date of Last Sensitivity Test: Unknown

EMERGENCY COMMUNICATION EQUIPMENT Visual Functional Comments

Phone Set NA

Phone Jacks NA

Off-Hook Indicators NA

Amplifier(s) NA

Tone Generator(s) NA

Call-in Signal NA

System Performance NA

SPECIAL HAZARD SYSTEMS

Number Installed

Number Tested Comments

Kitchen Range Hood System NA

CO2 Extinguishing System NA

(Specify) NA

CONTROL FUNCTIONS / INTERFACE

EQUIPMENT

Number Installed

Number Tested

Elevator Recall NA

Fan Shutdown NA

Door Holders NA

Smoke Control System NA

Door Release (Security Maglocks) NA

(Specify) NA

Special Procedures:

Comments: This building has a pre action system.

SUPERVISING STATION MONITORING Yes No Time Comments

Alarm Signal X

Alarm Restoration X

Trouble Signal X

Trouble Signal Restoration X

Supervisory Signal X

Supervisory Restoration X

NOTIFICATIONS THAT TESTING IS COMPLETE Yes No Time Comments

Building Management X Chief Mike Scott

Monitoring Agency X In House/FD

Building Occupants X Staff

Other (Specify)

The following did not operate correctly: Two 12V 18Ah batteries need to be replaced on the Notifier fire alarm

Panel. Both batteries failed the load voltage test. One 12V 7Ah battery needs to be replaced on the Monaco

Dialer located next to the fire alarm panel. Battery failed the load voltage test.

System restored to normal operation: Date: July 1, 2019 Time:

THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS.

Name of Inspector: Jesus Salgado Date: July 1, 2019 Time:

Signature:

Name of Owner or Rep.: Date: Time:

Signature:

PROPERTY NAME: Fresno Air National Guard Building 121 DATE: July 1, 2019

ADDRESS: 5323 E McKinley Ave Fresno, CA, 93727 TIME:

INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS (SUPPLEMENTAL SHEET)

Type VIS. FUNC. Address Pass Fail

FRONT ENTRY PSSA X X X

MAIN ENTRY HD X X X

MAIN ENTRY HALL HD X X X

MAIN ENTRY HALL HD X X X

ROOM 125 HD X X X

SE EXIT PSSA X X X

HALL HD X X X

HALL HD X X X

HALL HD X X X

HALL HD X X X

HALL HD X X X

HALL HD X X X

HALL HD X X X

HALL HD X X X

HALL HD X X X

ROOM 136 HD X X X

ROOM 135 HD X X X

ROOM 137 HD X X X

ROOM 134 HD X X X

ROOM 138 HD X X X

ROOM 128 HD X X X

ROOM 128 HD X X X

ROOM 128 HD X X X

ROOM 128 HD X X X

ROOM 128 HD X X X

ROOM 128 HD X X X

ROOM 140 HD X X X

MEN RESTROOM HD X X X

MEN RESTROOM HD X X X

MEN RESTROOM HD X X X

OFFICE BY FRONT ENTRY HD X X X

BREAK ROOM HD X X X

BREAK ROOM HD X X X

KITCHEN HD X X X

NORTH EXIT PSSA X X X

ROOM 118 HD X X X

WOMEN RESTROOM HD X X X

WOMEN RESTROOM HD X X X

ROOM 123 HD X X X

ROOM 109 HD X X X

ROOM 110 HD X X X

ROOM 111 HD X X X

SHOP WEST END PSSA X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

PROPERTY NAME: Fresno Air National Guard Building 117 DATE: July 1, 2019

ADDRESS: 5323 E McKinley Ave Fresno, CA, 93727 TIME:

INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS (SUPPLEMENTAL SHEET)

Type VIS. FUNC. Address Pass Fail

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

SHOP HD X X X

FRONT OF 121 HD X X X

ROOM 114 HD X X X

ROOM 115 HD X X X

SHOP CENTER PSSA X X X

SHOP NORTH EXIT PSSA X X X

ROOM 104 HD X X X

ROOM 104 HD X X X

ROOM 103 HD X X X

ROOM 103 HD X X X

ROOM 103 HD X X X

ROOM 103 HD X X X

ROOM 101 HD X X X

BOILER DD X X X

MECHANICAL DD X X X

MECHANICAL DD X X X

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