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1530 Sullivan Avenue - Life Safety Syste
FIRE ALARM SYSTEM RECORD OF COMPLETION To be competed by the system installation contractor at the time of system acceptance and approval. 1. PROTECTED PROPERTY INFORMATION Name of property: South Windsor Town Annex EOC Address: 1530 Sullivan Ave. South Windsor CT. Description of property: Emergency Operations Occupancy type: Town Officials Name of property representative: Address: Phone: Fax: E-mail: Authority having jurisdiction over this property: Phone: Fax: E-mail: 2. FIRE ALARM SYSTEM INSTALLATION, SERVICE, AND TESTING INFORMATION Installation contractor for this equipment: Eastern Electric Inc Address: Po Box 2126 Vernon Ct. 06066 Phone: Fax: E-mail: Service organization for this equipment:_ TEC Control Systems Address: 67 Britton ave. Torrington, CT 06790 Phone: 8604891466 Fax: E-mail: Location of as-built drawings: Location of historical test reports: Location of system operation and maintenance manuals: A contract for test and inspection in accordance with NFPA standards is in effect as of Contracted testing company: Address: Phone: Fax: — E-mail: Contract expires: Contract number: Frequency of routine inspections: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE NFPA 72 Chapter Reference of System Type: Protected Premise Name of organization receiving alarm signals with phone numbers(if applicable): Venture Communications Alarm: Phone: Supervisory: Phone: Trouble: Phone: Entity to which alarms are retransmitted: Phone: Method of retransmission of alarms to that organization or location: Reprinted with permission from NFPA 720-2007,National Fire Alarnt Code,Copyright©2007,National Fire Protection Association,Quincy,MA National Fire Alartn Corte®and NFPA 720 are registered trademarks of the National Fire Protection Association,Inc.,Quincy,MA 02169 (1 of 5) + 3 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE (continued) If Chapter 8, note the means of transmission from the protected premises to the central station: ❑✓ Digital alarm communicator ❑McCulloh ❑Multiplex ❑2-way radio ❑1-way radio ❑N/A If Chapter 9, note the type of connection: ❑Local energy ❑Shunt ❑N/A 3.1 System Software Operating System(executive) software revision level: 23 Site-specific software revision date: Revision completed by: 4. SIGNALING LINE CIRCUITS Characteristics of signaling line circuits connected to this system.(see NFPA 72, Table 6.6.1): Quantity: 1 Style: 4 Class: B S. ALARM-INITIATING DEVICES AND CIRCUITS Characteristics of initiating device circuits connected to this system(see NFPA 72, Table 6.5): Quantity: N/A Style: N/A Class: N/A 5.1 Manual Initiating Devices 5.1,1 Manual Pull Stations Number of manual pull stations: 3 Type of devices: ✓❑Addressable ❑Conventional ❑Coded ❑Transmitter ❑N/A 5.2 Automatic Initiating Devices 5.2.1 Area Smoke Detectors ❑Number of smoke detectors: 13 Type of coverage: ❑Complete area ❑Partial area ❑Nonrequired partial area ❑N/A Type of devices: 0 Addressable ❑Conventional ❑Coded ❑Transmitter ❑N/A Type of smoke detector sensing technology: ❑Ionization ❑Photoelectric 5.2.2 Duct Smoke Detectors Dumber of duct smoke detectors: 6 Type of coverage: Type of devices: ❑✓ Addressable ❑Conventional ❑Coded ❑Transmitter ❑N/A Type of smoke detector sensing technology: ❑Ionization ❑✓ Photoelectric 5.2.3 Heat Detectors Number of heat detectors: Type of coverage: ❑Complete area ✓❑Partial area ❑Nonrequired partial area ❑N/A Type of devices: ❑Addressable ❑Conventional ❑Coded ❑Transmitter ❑N/A 5.2.4 Sprinkler Waterflow Detectors Number of waterflow detectors: Type of devices: Z Addressable ❑ Conventional ❑Coded ❑Transmitter ❑N/A 5.2.5 Alarm Verification Number of devices subject to alarm verification: Alarm verification on this system is: ❑Enabled 0 Disabled ❑Set for seconds Reprinted with pernussion from NFPA 720-2007,National Fire Alarm Code, Copyright©2007,National Fire Protection Association,Quincy,MA National Fire Alarm Code,a and NFPA 72®are re,istered trademarks of the National Fire Protection Association,Inc.,Quincy,MA 02169 ` (?of 5) 6. SUPERVISORY SIGNAL - INITIATING DEVICES AND CIRCUITS 6.1 Sprinkler System Number of valve supervisory switches: 4 Type of devices: ✓❑Addressable ❑Conventional ❑Coded ❑Transmitter ❑N/A 6.2 Fire Pump Type of fire pump: ❑Electric ❑Diesel Type of fire pump supervisory devices: ❑Addressable ❑Conventional ❑Coded ❑Transmitter ❑✓ N/A Fire Purnp Functions Supervised ❑Fire pump power ❑Fire pump running ❑Fire pump phase reversal ❑Selector switch not in auto ❑Engine or control panel trouble ❑Low fuel Other: 6.3 Engine-Driven Generator Type of generator supervisory devices: ❑Addressable ❑Conventional 0 Coded ❑Transmitter ❑✓ NIA ❑Engine or control panel trouble ❑ Generator running ❑Selector switch not in auto ❑Low fuel Other: 7. ANNUNCIATORS 7.1 Annunciator 1 F71 Local ❑Remote Type: ❑Addressable ❑Directory ❑✓ Graphic ❑N/A Location: FACP 7.2 Annunciator 2 ❑Local ❑✓ Remote Type: ❑Addressable ❑Directory ❑✓ Graphic ❑ N/A Location: FAC P 7.3 Annunciator 3 ❑Local ❑Remote Type: ❑Addressable ❑Directory ❑Graphic ❑✓ N/A Location: 8. ALARM NOTIFICATION DEVICES AND CIRCUITS 8.1 Emergency Voice Alarm Service Number of single voice alarm channels: Number of multiple voice alarm channels: Number of speakers: Number of speaker zones: 8.2 Telephone Jacks Number of telephone jacks installed: Number of telephone handsets stored on site: Type of telephone system installed: ❑Electrically powered ❑Sound powered ❑✓ N/A 8.3 Nonvoice Audible System Characteristics of notification device circuits connected to this system.(see NFPA 72, Table 6.5): Quantity. 4 Style: Y Class: B Reprinted with permission from NFPA 720-2007,National Fire Alarm Code, Copyright©2007,National Fire Protection Association,Quincy,MA National Fire Alarm Code a and NFPA 7200 are registered trademarks of the National Fire Protection Association,Inc..Quincy,MA 02169 (_3 of 5) 8. ALARM NOTIFICATION DEVICES AND CIRCUITS (continued) 8.4 Types and Quantities of Nonvoice Notification Appliances Installed Bells:_-__._-- With visual device: _---_ Horns: 1 3 With visual device: 13 Climes:___ With visual device: _. Bells: With visual device: Visual devices without audible devices: 23 _ Other(describe): 9. EMERGENCY CONTROL FUNCTIONS ACTIVATED Hold-open door releasing devices ❑Smoke management or smoke control Door unlocking ❑Elevator recall Other 10.SYSTEM POWER SUPPLY 10.1 Primary Power Nominal voltage 1 20Vac __Amps 7 Amps Overcurrent protection: Type Circuit Breaker Amps 20 AmiS Location (of primary supply panelboard): Panel C Disconnecting means location: C13#4 10.2 Secondary Power Location: N/A Type: N/A Nominal voltage: N/A Current rating: N/A Number of standby batteries: 2 Amp hour rating: 26 AH Location of emergency generator: Location of fuel storage: Calculated capacity of secondary power to drive the system In standby mode: 24 H rS In alarm mode: 5 M i nS 11.RECORD OF SYSTEM INSTALLATION Fill out after all installation is complete and wiring has been checked for opens, shorts, ground faults, and iinproper branching, but before conducting operational acceptance tests. The system has been installed in accordance with the following NFPA standards: (Note any or all that apply.) Q✓ NFPA 72 2 NFPA 70,National Electrical Code, Article 760 ✓0 Manufacturer's published instructions Other(please specify):_ System deviations from referenced NFPA standards: _ Signed: Printed name: Marc Loubler Date: 09/16/16 Organization: TEC Control Systems Title: Technician Phone: 8604891456 12.RECORD OF SYSTEM OPERATION All operational features and functions of this system were tested by or in the presence of the signer shown below, on the date shown below, and were found to be operating properly in accordance with the requirements of: F71 NFPA 72 ✓0 NFPA 70,National Electrical Code, Article 760 Q Manufacturer's published instructions 0 Other(please specify): Documentation in accordance with Inspection and Testing Form (Figure 10.6.2.3)is attached Signed:_ Printed name: Marc Loubler Date: 09/16/16 Organization: TEC Control Systems _ Title: Technician phone: 8604891456 Reprinted with permission from NFPA 72 a -2007,National Fire Mann Code,Copyright©2007,National Fire Protection Association,Quincy,MA National Fire Alarm Code@ and NFPA 72@ are registered trademarks of the National Fire Protection Association,Inc.,Quincy,MA 02169 (4 of 5) 13. CERTIFICATIONS AND APPROVALS 13.1 System Installation Contractor This system as specified herein has been installed and tested according to all NFPA standards cited herein. signed:_` Printed name: David Pallanck_ __ Date; 09/16/16 Organization: Eastern Electric Inc _ Title: Electrician --- ___ Phone: 8606842994 13.2 System Service Contractor This system a: pecified herein has been installed and tested according to all NFPA standards cited herein. Signed:___________ _-- ___-- Printed name: Marc Loubier Date: 09/16/16 Organization: TEC Control Systems Title: Technician __ _ Phone:_ 8604891456 13.3 Central Station This system as specified herein will be monitored according to all NFPA standards cited herein. Signed: Printed name:__ Date: Organization: Title: Phone: 13.4 Property Representative I accept this system as having been installed and tested to its specifications and all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.5 Authority Having Jurisdiction I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance with its approved plans and specifications, its approved sequence of operations, and with all NFPA standards cited herein. Signed: __ Printed name: Date: Organization: Title: Phone: Reprinted with permission from NFPA 72®-2007,National Fire Alarm Code, Copyright©2007,National Fire Protection Association,Quincy,MA National Fire Alarm Code®and NFPA 72®R are registered trademarks of the National Fire Protection Association,Inc..Quincy,MA 02169 (5 of 5)