HomeMy WebLinkAboutFire Alarm Inspection Report - Inspection - 12/31/2019 IMPACT FIRE SERVICES, LL
6 HAMPSHIRE DRIVE
,n I"UDSON NH 03061
IMPA T F: 603.293.7531
: 60 .660.2051
FIRE 111M.GETFIREPROTEDTIN. OM
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN#:
Inspected to the state adopted version of NFPA 72 MA-20423A; NH- 13117 M
WORK ORDER#:1761 23 ATE:12/31/20'19 07:00am EST CUSTOMER I EI ID:
BILL T : SHIP T :
NORTH AND OVER PUBLIC SCHOOLS NORTH AND V R MIDDLE SCHOOL
ATTH:ACCOUNTS PAYABLE,566 MAIN STREET 495 MAIN STREET
NORTH A D VER MA 01845 NORTH AND OVER MA 01845
Phone: 076 666- 516 Contact:DREG ROBERTS
Email: Phone: 7 0 4-6673
ANNUAL ❑ SEMIANNUAL Cj QUARTERLY SENSITIVITY
ARRIVAL TIME: am DEPARTURE TITLE= : 5a
PASS FAIL
A. PANEL CONFIGU RAT I N:MIr o FCC-200
DETECTION CLASS: CLASS A: ❑ CLASS B:
SIGNAL CIRCUIT CLASS: CLASS A: ❑ CLASS Bt A. ❑ ❑
PANEL LOCATION:Main Entrance
BATTERIES: VOLTAGE NO LOAD:
12v 33 h 2017 Tested
B. B. ❑ El
QUANTITY: VOLTAGE LOAD,
2 6201
C, ANNUNCIATOR TYPE: C. Li 1-i
REMOTE PANEL TYPE: ❑
TYPE: El ❑ ..........
:.
D. TYPE: D. 0 0 �.
TYPE: ❑ ❑.........................
E. PANEL GROUND: TERM: TO: READ: E. El
TYPE OF REMOTE El MASTER BOX# ❑■ RADIO MASTER BOX 16
F. F. Z
COMMUNICATION El DIGITALCOMMUNICATOR: El OTHER:
G. OFF LINE TIME:7:05 rrr!6:3 r REPORTS TO:North Andover F G* El
N LINE TIME: REPORTS T :
SINGLE
PULLS R F R FIXED SM l ES DUCT ES
C. .
L
DETECTORS SMOKE DETECTORS
TEST FAIL TEST PAIL TEST F I L TEST FAI L TEST FAIL TEST FAIL TEST FAIL
CITY 6 0 24
MINI Outside
STROBE MINI HORN Horn/Strobe Strobe Speak erl :robe Visual l r Audible Only Beacon
TEST FAIL TEST FAIL TEST FAIL TEST" FAIL TEST FAIL TEST" FAIL TEST FAIL
STY
Page 1 of.
IMPACT FIDE SERVICES, LL
"{ 26 HAMPSHI E DRIVE
IM ACT 0 :603.293.7531
F :603.589-2051
FIRWWW.GETFIREPROTECTION.COM
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN#:
Inspected to the state adopted vensio a ofNFPA 72 MA- o 3A; NFL- 13117
WORK ORDER #: 17615234 DATE: 1 131l 19 07-00am EST CUSTOMER ID:
1 . Explanation of Failed Devices:
None
1. The inspector suggests that following necessary improvements. However, these suggestions
are not the result of an engineering survey. These are recommendations based on current code,
None
J. Adjustments or corrections made:
None
K. Inspection and suggested improvements were discussed with the undersigned Owner or
Owner's Representative. RE lies No
12/31/19 THIS IS NOT AN INVOICE
M XE 'S SIGNATURE DATE T ART DESCRIPTION PRICE AMOUNT
CU 'S I T
1 /31/1
'' CI N I(
,06TUIM DATE
Michael Rich,lTriffin Garr
TECIMCL V(PRINTED NAME LICENSE
BILLING ADDRESS CONFIRMED
Page 2 of 4
IMPACT FIRE SERVICES, LLG
26 HAMPSHIRE DRIVE
HUDSON NH 03051
IMPACT O:603.283.7531
F:603.589.2051
ADDITIONAL SERVICE V" WGETFIREPROTECTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A;NH-13117 M
Page 3 of 4
WORK ORDER#: .�7615234 DATE' CUSTOMER 1D:
12/31/2019 07:OOam EST
DEVICE MODAL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Smoke 2nd door House 3 Stairway 2Dp57 ❑✓ ❑
Pull 2nd Floor House 3 Stairway 2M198 z El
Smoke 2nd Floor House 3 Corridor 2D064 Q✓
Smoke 2nd Floor House 3 Corridor 2D063 n✓
Smoke 2nd door House 3 Corridor 2D062 ❑✓
Smoke 2nd Floor House 3 Corridor 2D061 z El
..........................
Smoke 2nd Floor House 3 Corridor 2D060
Smoke 2nd Floor House 3 Corridor 2D059 Q
F'u[I 2nd Floor Mouse 3 Stairway 2M199 ❑✓ El
Smoke 2nd Floor blouse 3 Stairway 2D065 Q✓
Smoke 2nd Floor House 1 Stairway 5D034 ❑�
Pull 2nd Floor House'I Stairway 5M139 ❑� ❑
Smoke 2nd Floor House 1 Corridor 5D032 ❑✓
Smoke 2nd Floor House 1 Corridor 5D031 ✓Q ❑
Smoke 2nd Floor House 1 Corridor 5t]030 Q ❑
Smoke 2nd Floor House'f Corridor 5D029 ❑� ❑
Smoke 2nd Floor House 1 Corridor 5D028 Z EJ
Smoke 2nd door House 1 Corridor 5D(}27 Q El
Pull 2nd Floor House 9 Stairway 5M138 Q✓ EJ
Smoke 2nd door House 1 Stairway 5D036 Q ❑
Smoke 2nd Floor House 2 Stairway 3D064 �✓
Pull 2nd Floor House 2 Stairway 3M167 Z El
Smoke 2nd Floor House 2 Corridor 3[7057 Q El
Smoke 2nd Floor House 2 Corridor 3D058 Q
Smoke 2nd Floor House 2 Corridor 3D059 Q✓ ❑
Smoke 2nd Floor House 2 Corridor 3Da60El El
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
i IMPACT SIRE SERVICES, LLC
26 HAMPSHERE DRIVE
HUbSON NH 03051
-� IMPACT O:803.293.7531
F:803.589.2051
ADDITIONAL SERVICE WWWGETFIREPROTECTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH-13117 M
Page 4 of 4
WORK ORDER#. ,���15234 DATE' CUSTOMER 1D:
12/31/2019 07:Oaam SST
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Smoke 2nd Floor House 2 Corridor 3DO61 Q ❑
Smoke 2nd Floor House 2 Corridor 3D062 ✓�
Pull 2nd Floor House 2 Stairway 3M168 RI EJ
Smoke 2nd Floor House 2 Stairway 3DO66 Z El
El El
El El
El El
El : 0
El EJ
El El
Ei Ei
-------------------
El El
El . El
El : El
El El -!
El El
El El
El El
El El
El El
El El
El El
El ❑
El El
El El
El El
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME