HomeMy WebLinkAboutFire Alarm Inspection Report - Inspection - 420 GREAT POND ROAD 12/27/2019 S IMPACT FIDE SERVICES, LL
28 HAMPSHII E DRIVE
HUDS N NH 03051
a 603.293.7531
IMPA T F .603.589.2051
V"M.GETFIREPROTECTION.COM
FIRE
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN#:
Inspected to the safe adopted version ofNPPA I 1- 23 - NH-13117 M
WORK ORDER# : 17615241 DATE:12/27/201 12:00pm EST CUSTOMER ID:
BILL TO: SHIP TO:
TOWN OF NORTH AND OVER-DIVISION OF PUBLIC WORKS NORTH AND OVER WATER TREATMENT
ATTN:STEVE FOSTER FACILITIES DIRECTOR,384 OSGOOD STREET 420 GREAT PIND ROAD
NORTH ANDOVER MA 01845 NORTHANDOVER MA 01
Phone: 978 88-9 16 Contact:STEPHEN FOSTER
Email: SFoster@northandoverma.gov Phone: 978 3 - 880
ANNUAL ❑ SEMIANNUAL ❑ QUARTERLY LY ❑ SENSITIVITY
ARR IVAL TI M E:11:30am DEPARTURE TIME:1: p
PASS FAIL
A. PANEL CONFIGURATION:FireLite MSIOUD
DETECTION CLASS: CLASS A: El I CLASS B: 9
SIGNAL CIRCUIT CLASS: CLASS A: ❑ I CLASS F : W A. p El
PANEL LOCATION:Office fight of Entrance
BATTERIES: VOLTAGE NO.LOAD:
12V 18Ah(Installed 2017
E. B. Z
QUANTITY: VOLTAGE LOAD:
90%
C. ANNUNCIATOR TYPE:FireLite ANN-80 C. El
REMOTE TE PAN EL TYPE:Booster for Duet det. 12v 7 h 2 Installed 2017 90%)
TYPE: El
D.■ TYPE: El El
TYPE:
E. PANEL GROUND: TERM: TO: DEAD: E. p ❑
TYPE OF REMOTE ❑ MASTER BOX# 9 RADIO MASTER DX#264
F. COMMUNICATION DIGITAL COMMUNICATOR: OTHER: F.
. OFF LINE TIME:11:3 arr� �I:3 REPORTS F TS TO:North Andover ❑
G.
N LINE TIME: REPORTS T :
DI.��T` SINGLE �. .
PULLS R F I FIXED SMOKES DETECTORS S STATION DETECTORS
S
SMOKE
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
TY 9 0 8 0 11 0 7 0
MIN trob eat r trobe Visual Only ambleOnlyoutside
STROBE
MINI HORN Horns � Beacon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
CITY 13 0 1 0 2
Page 1 of 4
IMPACT FIDE SERVICES, LL
20 HAf PSHI E DRIVE
IM AC HSH NH 0301
. 603.293.7 31
E . 603.589.2051
FIR WWW.GETFIREPROTECTION.COM
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN##.
Inspected to the state adopted version of NFPA 72 A-20423A; NH- 13117 M
WORK ORDEFT : 17615241 DATE: 1 /27/2 12-OOPM EST CUSTOMER ID:
H. Explanation f Failed Devices.
Done
I. 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
Kr Inspection and suggested improvements were discussed with the undersigned Owner or
Owner's Representative, FE-1 Yes F1 No
1 271 9 TMS IS NOT AN INVOICE
CUSTOt#ER'S SIGNATURE DATE
' T# DESCRIPTIONP llriTTT
--Aft
OJT R P T NA
12/27/19
T 'TV
radsby
DATE
Michael h,
TECHMCIAN PRINTED NAME LICENSE
---
FIBILLING ADDRESS CONFIRMED
Page 2 of 4
IMPACT FIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
HUbSON NH 03051
IMPA C T O :603.293.7531
F:603.589.2051
ADDITIONAL SERVICE V�Pw•GETFIREPROTECTiON.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A;NH-93117 M
Page 3 of 4
WORK ORDER#: �7815241 DATE: 12/27/2019 12:00pm SST CUSTOMER ID:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Pull FRONT VESTIBULE 30 El
Heat fixed GENERATOR ROOM 3 RI El
Pull WATER TREATMENT AREA BY ROOF EXIT 3 �✓
Heat Fixed OZONE GEN F200M 3 �✓
Heat fixed OZONE GEN ROOM 3 Q
Heat Fixed FLUORIDE ROOM 3 RI 0
Pull MOTOR CONTROL CENTER ROOM 3 Q
Smoke TAP OF STAIRS TO BASEMENT LEST SIDE 3 Q
Smoke BOTTOM OF STORE BASEMENT LEFT SIDE 1 �✓
Pull BOTTOM OF STAIRS TO BASEMENT LEFT SIDE 1 Q
Duct BASEMENT 5 QLj
Pull EXIT BOOR BY ORTHOPHOSPHATE TANKS 1 Lj
Heat Fixed MAIN ELECTRIC ROOM 1 Q✓
Pull STAIRS FROM FRONT LOBBY 1 �✓
Smoke TOP OF STAIRS TO LOBBY 3 �✓
Smoke BOTTOM OF STAIRS 70 LOBBY 1 Z El
Heat Fixed WATER TREATMENT AREA 3 ❑✓
Heat Fixed WATER TREATMENT AREA 3 �✓
Heat Fixed WATER TREATMENT AREA 3 �✓
Heat Fixed WATER TREATMENT AREA 3 RI El
Meat ELECTRIC ROOM 3 RI El
Pull LOWER LIFT STATION ELECTRIC RM 6 Q
Pull LOWER LIFT STATION RAW WATER 6 �✓
Duct LOWER LIFT STATION 6 RI El
.......................
Duct LOWER LIST STATION 6 �✓
Pull LOWER LIFT STATION STORAGE 6 �✓
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES,LLC
26 HAMPSHIRE DRIVE
l�UDSON NH 03fl5'i
IMPACT O :603.293.7531
F :603.589.2051
ADDITIONAL SERVICE "RIWGETFIREPROTEGTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#;
DEVICE INSPECTION REPORT MA-20423A;NH-13117 M
Page 4 of 4
WORK ORDER#: 17615241 DATE` CUSTOMER ID:12/27/2019 12:OOpm EST
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Heat ROR LOWER LIFT STATION ELECTRIC ROOM 6 z El
Heat ROR LOWER LIFT STATION ELECTRIC ROOM 6 RIEl
Meat Fixed LOWER LIFT STATION STORAGE 6 RI El
Heat LOWER LIFT STATION 6 z D
Heat ROR LOWER LIFT STATION RAW WATER 6 z El
Heal Fixed LOWER LIFT STATION RAW WATER S
Heat LOWER LIFT STATION 6 ❑✓
Heat LOWER LIFT STATION 6 ❑✓
Heat LOWER LIFT STATION 6---------------------------------------
Q ❑ ,
Heat LOWER LIFT STATION 6 ❑✓
Smoke LOWER LIFT STATION BOTTOM OF STAIRS 6 n✓
Smoke LOWER LIFT STATION 6 RI El
Smoke .0WEI4 LIFT STATION TOP OF BASEMENT STAIR. 7 Z El
Duct BASEMENT 5 Li
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-RATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME