HomeMy WebLinkAboutFire Alarm Inspection Report - Inspection - 601 MAIN STREET 12/26/2019 IMPACT FIRE SERVICES, LTC
26 HAMPSHIRE DRIVE
HUDS N NH 03051
: 0 .20 t7 31
IMPACT F ,603.589.2051
FIRE VVM.GETFIREPROTECTION.COM
FIRE ALARM SYSTEM INSPECTION MASTER TEF ELECTRICIAN#:
Inspected to the state adopted version of NFPA 72 A-2 23A; NH- 13117 M
ORK ORDER M 17615254 DATE.12/26/2019 03:OOpr EST Cl ST E ID:
ILL TO: SHIP TO:
NORTH AND OVER PUBLIC SCHOOLS KITTREDGE MODULAR ADDITION
ATTN:ACCOUNTS PAYABLE,566 MAIN STREET 601 MAIN STREET
NORTH AND OVER MA 01845 NORTH AND OVER MA 01845
Phone: 970 68- 1 Contact:DREG ROBERTS
Email: Phone: 970 994-6673
H ANNUAL ❑ SEMIANNUAL QUARTERLY ❑ SENSITIVITY
ARRIVAL TIME: : Open DEPARTURE TIME:3:30pm
PISS FAIL.
A. PANEL CONFIGURATION:Silent Knight SK- 200
DETECTION CLASS: CLASS A: ❑ CLASS B:
SIGNAL CIRCUIT CLASS: CLASS : El CLASS B: X A, z El
.....................
PANEL L C T 10 N:DOOR 8 BY PARK ING LOT
BATTERIES. VOLTAGE NO LOAD:
2V 1 A (Installed 1/10
. QUANTITY: VOLTAGE LOAD: B.
130
2 1 O%
C. ANNUNCIATOR TYPE:N/A C,
REMOTE PANEL TYPE:N/A El ❑
TYPE: ❑ El
.
TYPE:
E I El
TYPE: ❑
Ew PANEL GROUND: TERM: TO: READ: E. El
........................
F. TYPE OF REMOTE ❑ MASTER BOX# 9 RADIO MASTER BOAC
COMMUNICATION DIGITAL COMMUNICATOR: OTHER: F.
OFF LINE TIME: : 0 REPORTS T :North Adger FD
pG.
N LINE TIME: REPORTS TO:
SINGLE
O.
PULLS R F R FIXED SMOKES DUCT STATION C.
DETECTORS SIDE DETECTORS
TEo I FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL.
CITY 5 0 - 2 0 6 O------------------
MINI
Outside
STROBE MINI HORN Horn Strobe S eat erl trobe Visual Only Audible Only LBeacon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL. TEST FAIL
(STY - - - 11 0 - - -
Page 1 f 3
IMPACT FIRE SERVICES,ES, LL
26 HA PSHIRE DRIVE
4 HUDSON NH 03051
IMPAC} 0:603.293.7531
F . 603.589.2051
FIRWWW.GETFIREPROTECTION.COM
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN�#.
Inspected to the state adopted version of N PA 7 MA- 23A, NH- 13117 l
WORK " DE" t 17615254 DATE: '� / / 1 : p EST � � IIE" ��;
H. Explanation ofFailed Devices:
Done
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 rude;
Nave
K, Inspection and suggested improvements were discussed with the undersigned Owner or
Owner's Representative.resentative. Yes No
12/2 /19 THIS IS NOT AN INVOICE
CUSTOMER'S SIGNATURE DATE QTY PART DESCRIPTION PRICE AMOUNT
CUS INTE
12/26/19
XI
TECHNICIAIR SIGNXTURE DATE
Michael Rich, Ross Gadsby
TECBMCLkN PRINTED NAME LICENSE#
BILLING ADDRESS CONFIRMED
Page 2 of 3
IMPACT FIRE SERVICES,LLC
-` 26 HAMPSHIRE DRIVE
HUbSON NH 03051
:603.293.7531
F:643.589.2051
ADDITIONAL SERVICE WWWGETFIREPROTECTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH- 13117 M
Page 3 of 3
WORK ORDER#: ,��615254 DATE' CUSTOMER ID:
12/26/2019 03:OOpm EST
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Pull MODULAR ADDITION ENTRY 8 Z EJ
Smoke NEAR ROOM 5A 8 ❑✓ ❑
Smoke INSIDE ROOM 5A 8 Q ❑
Smoke INSIDE 513 8 z El
Smoke INSIDE 5C 8 Z El
Smoke OUTSIDE RESTROOMS 8 ❑✓ ❑
Heat Fixed MENS ROOM VISUAL ❑✓
Heat Fixed WOMENS ROOM VISUAL Q El
Smoke NEW ADDITION PRINCIPALS OFFICE 8 �✓ ❑
Pull OUTSIDE NEW ADDITION PRINCIPALS OFFICE 8 � ❑✓ El
Pull EXIT OUTSIDE GYM 13 Q ❑
Pull Gym 13 �✓
Pull Gym 13 Q ❑
El El
El 11
El El
El
. 11 D
11 D
El 0
El El
El El
El El
El El
I- E] El
I El
... ID
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES, l.l.G
26 HAMPSNIRE DRIVE
HUDSON NH 03051
IMPACT
o :603.293.7531
F :603.589.2051
ADDITIONAL SERVICE V" WGETFiREPRO7EC710N.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH-13117 M
Page of
WORK ORDER#; �7815254 DATE: 12/26I20'f9 03:OOpm EST CUSTOMER ID:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS. PASS FAIT.
TYPE
El : El
El El
El El
El El
El El
El -
El El
El El
El El
El El
0 El
El El
El El
El El
El El
El El
El El
El El
El El
El El
El El
El El
Ei El
.....................
El El
El El
t El Eli
F-1 BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME