HomeMy WebLinkAboutFire Alarm Inspection Report - Inspection - 111 PHILLIPS BROOKS ROAD 12/26/2019 IMPACT FIRE SERVICES, LLC
26 HA PSHIRE DRIVE
w
} HUDS N NH 03051
o : 603.293.7531
IMPA T F : 603.589.2051
FIRE Vi1I . ETFI REPROTETIN. M
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN :
Inspected to the state adopted vealon otiVFPA 72 MA-29 23A; NH- 13117 M
WORK ORDER :17615167 DATE:1 1 I2 1 2:99pr EST CUSTOMER ID:
BILL TO. SHIP TO:
NORTH ANDOVER PUBLIC SCHOOLS ATKINON ELEMENTARY SCHOOL
ATTN:ACCOUNTS PAYABLE,566 MAIN STREET 111 PHILLIPS BROOK ROAD
NORTH AND OVER MA 01845 NORTH AND OVER MA 01845
Phone: 978)688-9516 Contact:DREG ROBERTS
Email: Phone: 97 99 - 73
ANNUAL ❑ SEMIANNUAL QUARTERLY Ej SENSITIVITY
ARRIVAL TIME:1 ; oar DEPARTURE TIME:1 :o p
PASS FAIL
A. PANEL CONFIGURATION: letlfler
DETECTION CLASS: CLASS A: ❑ CLASS B: 0
SIGNAL CIRCUIT CLASS: CLASS A: ❑ CLASS B: A. ❑
PANEL LOCATION:Entrance rear teacher lounge
BATTERIES: VOLTAGE No LOAD:
* 12v 55ah 2/2 19 Tested
B. B. D
QUANTITY: VOLTAGE LOAD:
/201
C. ANNUNCIATOR NCIAT TYPE:I / C.
DEMOTE PANEL TYPE:N/A ET
TYPE: ❑ ❑
TYPE:
D. .......
El El
TYPE:
E. PANEL GROUND: TERM: To: READ* E. El 1-1
F. TYPE of REMOTE ❑ MASTER BOX# X RADIO MASTER BOAC#136
F. R
] 1:1
COMMUNICATION DIGITAL COMMUNICATOR: OTHER:
G. OFF LINE TIME: o: 9 rrr 12: 9 rr� REPORTS TO: Nor Andover FD G.1 z El
ON LINE TIME: DEPORTS T :
SINGLE
PULLS R CIF R FIXED SI1� O ES DUCT STATION C. r
DETECTORS SMOKE DETECTORS
TEST FAIL TEST' FAIL TEST FAIL. TEST FAIL. TEST FAIL TEST FAIL TEST FAIL
CITY 6 0 3
MINI Outside
STROBE MINI HORN Horn/Strobe Speaker/strobe Visual Only Audible Only Beacon
TEST FAl L TEST FAl L TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAI L
TY
Page 1 of
IMPACT FIRE SERVICES, LL
26 HAMPSHIRE DRIVE
I M PA C T HUDS N NH 03051
: 603.293.7531
F : 603.589.2051
FIRWW 1f. ETFI EPR TECTI N.0 M
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN#:
Inspected to the stafe adopted version of NFPA 72 MA- 94 3A; NH- 13117 M
WORK ORDER : 17615167 DATE: 1 / 1 919 12: 9pm EST � STOMER ID:
H. Explanation of Failed Devices:
None
I. The inspector suggests that following necessary improvements. However, these suggestions
are not the result of an engineering surrey. 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. I# Yes F-1 No
/ /19 THIS IS NOT AN INVOICE
uSTOMER'S S3 GNATUREDATE T PART## DESCRIPTION PRICE AMOUNT
T I T A
12126119
•
I DATE
Michael Rich, Rs a sby
TECBWICLkN PRINTED NAME LICENSE#
BILLING ADDRESS CONFIRMED
Page 2 of
IMPACT FIRE SERVICES, LLG
26 HAMPSHIRE DRIVE
HUDSON N1� 03051
IMPACT 0 : 603.293.7531
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 5
WORK ORDER#: .�7615167 DATE' CUSTOMER ID:
'f2l26/2019 12:OOpm EST
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS. PASS FAIL,
TYPE
Pull PORTABLE CLASSROOM 613 2M008 0 El
Smoke PORTABLE CLASSROOM 813 2D050 Z El
Smoke PORTABLE CLASSROOM 6B 2Da47 Q✓
Smoke PORTABLE CORRIDOR 2D048 Q
Smoke PORTABLE CLASSROOM 6A 2DQ41 �✓
Smoke PORTABLE CLASSROOM 6A 2DQ44 Q
Pull PORTABLE CLASSROOM 6A 2M007 ✓Q
Smoke PORTABLE CORRIDOR 2D040
Smoke PORTABLE MAIN ENTRANCE 2D038 Q El
Pull PORTABLE TO CLASSROOMS 2M006 Q✓
Smoke CORR UNDER STAIR BY CLASSROOM 6 2D036 Q El
Pull MAIN BUILDING 70 PORTABLE 2M005 ❑✓ ❑
Smoke CORRIDOR BY STAIRS 2Q034 RI El
Pull CORR BY CLASSROOM 7 2M004 Q
Smoke COF2F2 BY CLASSROOM 7 2D033 �✓
Smoke CORK BY CLASSROOM 7 2D031 Q
Heat Rift CLASSROOM 7 STORAGE 2D027 Q✓
Smoke CLASSROOM 7 2D026 RIEl
Smoke CLASSROOM 7 2d024 Q
Smoke CLASSROOM 6 2D060 Q El
Smoke CLASSROOM 6 2D058 �✓ El
Smoke CLASSROOM 8 2D023 ❑✓
Smoke CLASSROOM 8 2U029 RI El
----------------------
Smoke CORR BY CLASSROOM 8 2D020 ❑✓
Smoke CLASSROOM 9 2D016 Q✓
Smoke CLASSROOM 9 2D014 RI :
F-1 BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATA TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES,LLC
26 HAMPSHIRE DRIVE
, HUD50N NH 03051
PA C T O :603.293.7531
F :603.589.2051
ADDITIONAL.SERVICE VA"•GETF[REPROTECTION.COM
FIR� INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A;NCI- 13117 M
Page 4 of 5
WORK ORDER#: �76'f5�67 DATE: �2�26/201912:OOpm �ST CUSTOMER ID:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Smoke CLASSROOM 5 1b055 �✓
Smoke CLASSROOM 5 1 D057
Smoke CORR BY CLASSROOM 9 2D018 Z EJ
Smoke CORR BY CLASSROOM 5 2D013 Q El
Smoke SPEECH ROOM 1 b052 Z El
Smoke GUIDANCE ROOM 1D053 �✓
Smoke CORR TO SPEECH AND GUIDANCE 1 b054 �✓
Smoke ELECTRIC CLOSET BY LIBRARY 1 D050 �✓
Smoke LEARNING CENTER 1D048
Smoke CORRIDOR TO LIBRARY 2D091 Q
Smoke LIBRARY 2D007 �✓
Smoke LIBRARY 2D005 Q
Smoke LIBRARY 2[7004 �✓
Smoke LIBRARY OFFICE 2D008 ✓ El
Smoke NURSES ROOM 1 D045 Q✓
Smoke CORRIDOR BY PRiCIPAL 1D046 Q
Smoke LEARNING CENTER 1 D048 Q
Smoke CORRIDOR BY MAIN OFFICE zDaas ❑✓ Li
Smoke STAIRWELL BY MAIN OFFICE 2bO03 Q El
Pull STAIRWELL BY OFFICE 2M003 PI El
Heat ROR CORRIDOR ABOVE CEILING BY MAIN OFFICE 2D010 Q✓
Heat ROR CORRIDOR ABOVE CEILING BY CLASSROOM 6 2D035 Z El
Heat ROR CORRIDOR ABOVE CEILING BY CLASSROOM 8 21]019 �✓
Heat RJR CORRIDOR ABOVE CEILING BY CLASSROOM 9 2D017 �✓
Neat ROR CORR.ABOVE CEILING BY ENTRY TO PORTABLE 2D037 QQ
Heat ROR CORRIDOR PORTABLE CLASSROOM 2D039 ABOVE CEILING Q✓
F-I BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES,LLC
28 HAMPSHIRE DRIVE
r NUbSON NH Q3051
E O:603.293.7539
IMPACT
t F:603.589.2059
FIR ADDITIONAL. SERVICE �WGETFIREPROTECTION.COM
� ADDITIONAL
COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH- 13117 M
Page 5 of 5
WORK ORDER#: 17615167 DATE' 12/26/2099 12:00pm EST CUSTOMER�D:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Heat RJR PORTABLE CLASSROOM 6A 2bQ45 ABOVE CEILING �✓
Smoke MAIN OFFICE 2C}042 Z El
El El
El El
El El
El El
El : El -
El El
El El
El El
El El
El El
EEII 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
F-1 BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME