FANG BLDG 2602 ANN FA 7-2019.pdf

SimplexGrinnell BE SAFE

INSPECTION AND TESTING FORM

SR Number: 44909832 DATE: July 2, 2019

Task Number: TIME: 11:00AM

SERVICE ORGANIZATION PROPERTY NAME (USER)

Name: SimplexGrinnell Name: Fresno Air National Guard Bldg 2602

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

Control Unit Manufacturer: Monaco Enterprise Model No.: M2 Circuit Style: Class B

Number of Circuits: NA

Software Rev.: NA Last Date System Had Any Service Performed: September 29, 2017

Last Date That Any Software or Configuration Was Revised: 1994

ALARM-INITIATING DEVICES AND CIRCUIT INFORMATION

Quantity of Devices Installed

Circuit Style

Devices Tested

2 B 0 Manual Fire Alarm Boxes (PSSA)

0 0 Ion Detectors (ISD)

0 0 Photo Detectors (PSD)

0 0 Duct Detectors (DSD) 3 B 0 Heat Detectors (HD)

0 0 Water Flow Switches (WF)

0 0 (Specify) 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

0 0 Horns with strobes 0 0 Chimes

0 0 Strobes

1 D 0 Speakers

0 0 (Specify)

Number of alarm notification appliance circuits: 1

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)

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):

Disconnecting Means Location:

(b) Secondary (Standby):

Back Up Batteries Storage Battery: Amp-Hr Rating Two 12V 7Ah batteries

Calculated capacity is 14 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 Fire Department 11:00AM

Building Occupants X Staff 11:00AM Building Management X Mike Scott 11:00AM

Other (Specify)

AHJ Notified of Any Impairments

SYSTEM TESTS AND INSPECTIONS

TYPE Visual Functional Comments

Control Unit N/A Interface Equipment N/A

Lamps / LEDs N/A

Fuses N/A Primary Power Supply N/A

Trouble Signals N/A

Disconnect Switches N/A Ground Fault Monitoring N/A

SECONDARY POWER

TYPE Visual Functional Comments

Battery Condition N/A

Load Voltage N/A Discharge test N/A

Charger test N/A

TRANSIENT SUPPRESSORS N/A

REMOTE ANNUNCIATOR N/A

NOTIFICATION APPLIANCES

Audible N/A Visible N/A

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: N/A

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:

SUPERVISING STATION MONITORING Yes No Time Comments

Alarm Signal Alarm Restoration

Trouble Signal

Trouble Signal Restoration

Supervisory Signal Supervisory Restoration

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)

The following did not operate correctly: Upon arrival fire alarm panel is shut down and out of service.

Did no procced with the inspection.

System restored to normal operation: Date: July 2, 2019 Time:

THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS.

Name of Inspector: Jesus Salgado Date: July 2, 2019 Time:

Signature:

Name of Owner or Rep.: Date: Time:

Signature:

PROPERTY NAME: FRESNO AIR NATIONAL GUARD BUILDING 2602 DATE: July 2, 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. Address Pass Fail

BACK ROOM HD Z1

FRONT ROOM HD Z1

ABOVE FACP HD Z1

FRONT ROOM PSSA Z2

BACK ROOM PSSA Z2