FANG BLDG 155 ANN FA 7-2019.pdf

SimplexGrinnell BE SAFE

INSPECTION AND TESTING FORM

SR Number: 44909832 DATE: July 3, 2019

Task Number: TIME: 1:30PM

SERVICE ORGANIZATION PROPERTY NAME (USER)

Name: SimplexGrinnell Name: Fresno Air National Guard Bldg 155

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

City, St., Zip: Fresno, CA, 93727 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: ( X) Local; ( ) Auxiliary; ( ) Remote Station; ( ) Proprietary; ( ) Emergency Voice / Alarm

Control Unit Manufacturer: MONICO Model No.: M-2

Circuit Style: B

Number of Circuits: 2

Software Rev.: NA

Last Date System Had Any Service Performed: NA

Last Date That Any Software or Configuration Was Revised: NA

ALARM-INITIATING DEVICES AND CIRCUIT INFORMATION

Quantity of Devices Installed

Circuit Style

Devices Tested

7 B 7 Manual Fire Alarm Boxes (PSSA)

0 0 Ion Detectors (ISD)

12 B 12 Photo Detectors (PSD)

3 B 3 Duct Detectors (DSD)

0 0 Heat Detectors (HD)

1 B 1 Water Flow Switches (WF)

0 0 (Specify)

0 0 (Specify)

Alarm verification feature is disabled Enabled X .

Rev. D

ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION

Appliances Installed

Appliances Tested

3 B 3 Bells

6 B 6 Horns with strobes

0 0 Chimes

6 B 6 Strobes

0 0 Speakers

Number of alarm notification appliance circuits: 4

Are circuits monitored for integrity? X Yes No

SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUIT INFORMATION

Devices Installed

Devices Tested

1 B 1 Valve Position Tamper Switch (TS)

1 B 1 Outside Stem and Yoke (OSY)

0 0 Post Indicator Valve (PIV)

0 0 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): Mechanical Room

Disconnecting Means Location: Electrical room LP2-20

(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: NA

Location of fuel storage: NA

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:

Emergency system described in NFPA 70, Article 700

Legally required standby described in NFPA 70, Article 701

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 Fire Department 1:30PM Building Occupants X Staff 1:30PM Building Management X Mike Scott 1:30PM 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 Condition

Load Voltage X Fail-20.21VDC

Discharge test X Pass-24.89VDC

Charger test X Pass-27.61VDC

TRANSIENT SUPPRESSORS N/A

REMOTE ANNUNCIATOR X X N/A

NOTIFICATION APPLIANCES

Audible X X Fail

Visible X X Pass

Speakers N/A

Voice Clarity NA

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 Comments

Elevator Recall NA

Fan Shutdown NA

Door Holders NA

Smoke Control System NA

Door Release (Security Maglocks) NA

(Specify) NA

Special Procedures:

Comments:

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 Mike Scott

Monitoring Agency X Fire Department

Building Occupants X Staff

Other (Specify) X

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

Both failed the load voltage test and have been in service since 2014.

Fire alarm booster panel needs two 12V 7Ah batteries replaced. Both failed the load voltage test and have

Been in service since 2014. Panel is locate next to the main fire alarm panel.

Five horn/strobes failed to alarm Edwards G1RF-HDVM Red. Only the strobe lights worked on those devices.

Four of the horn/strobes are located inside the gym and the other one is located inside the mechanical

Room where the fire alarm panel is at.

System restored to normal operation: Date: July 3, 2019 Time:

THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS.

Name of Inspector: July 3, 2019 Date: July 3, 2019 Time:

Signature:

Name of Owner or Rep.: Date: Time:

Signature:

PROPERTY NAME: Fresno Air National Guard Building 155 DATE: July 3, 2019

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

INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS (SUPPLEMENTAL SHEET)

Location & Serial Number Device Type VIS. FUNC. ZONE Pass Fail

MECHANICAL ROOM TAMPER STS X X ZN 1 X

MECHANICAL ROOM PSSA X X ZN 1 X

MECHANICAL ROOM PSSA X X ZN 1 X

BY KITCHEN PSSA X X ZN 3 X

BY LOCKER ROOM PSSA X X ZN 3 X

ROOM #7 PSSA X X ZN 3 X

COMM EQUIPMENT ROOM PSSA X X ZN 3 X

EXERCISE ROOM PSSA X X ZN 3 X

BEDROOM #1 H/PSD X X ZN 1 X

BEDROOM #2 H/PSD X X ZN 1 X

BEDROOM #3 H/PSD X X ZN 1 X

BEDROOM #4 H/PSD X X ZN 1 X

BEDROOM #5 H/PSD X X ZN 1 X

BEDROOM #6 H/PSD X X ZN 1 X

BEDROOM #7 H/PSD X X ZN 2 X

BEDROOM #8 H/PSD X X ZN 2 X

BEDROOM #9 H/PSD X X ZN 2 X

BEDROOM #10 H/PSD X X ZN 2 X

BEDROOM #11 H/PSD X X ZN 2 X

BEDROOM #12 H/PSD X X ZN 2 X

MECHANICAL ROOM PSD X X ZN 1 X

MECHANICAL ROOM WF X X