HomeMy WebLinkAboutFire Alarm System Inspection - Inspection - 566 MAIN STREET 12/27/2019 5 IMPACT FIRE SERVICES, LL
26 HAMPSHIRE DRIVE
HUDSON NH 03051
IMPACT . 6 3.293,7 31
F . 603.589.2051
V"". ETFI EPRTECTIN.CM
FIR
FIRE ALARM SYSTEM INSPECTION jMASTER ELECTRICIAN#:
M -2 423A; NH- 13117 M
Inspected to the state edopfed version of NFPA 72
WORK OR R##,17 152 f 7` � T ■ 212 /201 1 :00am EST � �T ID:
BILL To. SHIP To:
FORTH AND OVER PUBLIC SCHOOLS NORTH ANDOVER SCHOOL ADMIN BUILDING
ATTN:ACCOUNTS PAYABLE,566 MAIN STREET 566 MAIN STREET
NORTH ANDVER MA 01845 NORTH AIDVER MA 01845
Phone: 973)994-6673 Contact:DREG ROBERTS
Email: Phone: 97 994- 673
ANNUAL SEMIANNUAL QUARTERLY SENSITIVITY
ARRIVAL TIME:9: AM DEPARTURE TIME:10: 0a
PASS FAIL
A. PANEL CO NFIGU RAT I N:Rr llte MS920OUDLS
DETECTION CLASS: CLASS A: CLASS B:
SIGNAL CIRCUIT CLASS: CLASS A: CLASS B: A. ❑
PANEL LOCATION:FA P/ELECTRIC ROOM IN MAIN HALLWAY
BATTERIES: VOLTAGE NO LOAD:
21 1 A (Installed 2 1 7
B. B. 0 ❑
QUANTITY: VOLTAGE LOAD:
2 9 %
C. ANNUNCIATOR TYPE:Fir Lite ANN-80 C.
REMOTE PANEL TYPE:NIA El 1-1
TYPE: ❑ Li
D. D.
TYPE:
TYPE: ❑ ❑
E. PANEL GROUND: TERM: T : READ: E. ❑
TYPE F REMOTE ❑ MASTER BOA{ RADIO MASTER BOX #23
LG
. TOR: OTHER: F:11�'1I1NlATIi ❑ DIGITAL MMI�NI A �OFF LINE TIME: a r REPORTS T :North Andov r FD �' � El. N LINE TIME: # REPORTS T :
DUCT SINGLE C.O.
PULLS R F R FIXED SMOKES DETECTORS STATION DETEST' RS
SMOKE
TEST FAI L TEST FAIL. TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
CITY2 0 - - - ................ ................... o - - -.
MINI MINI HORN Horn/Strobe eager/strobe Visual Only Audible Only Outside
STROBE Beacon
TEST FAIL TEST FAI L TEST FAIL TEST FAIL TEST FAIL TEST FAI L TEST FAI L
CITY - - - - R 0 �- - '1 0
Page I of 3
IMPACT FIRE SERVICES, LL
f26 HA 1PSHIF E DRIVE
H DS NFL 03051
I M PA C . 603.293.7531
F . 603. 89.2 '1
FIRWWW.GETFIREPROTECTION.COM
FIRE ALARMSYSTEMINSPECTIONMASTED ELECTRICIAN ;
MA-20 2 A; N
Inspected to the state adopter!version of I A 72
- 1311 ` 1
WORK ORDER : 1761 277 DATE: 12/27/2019 10;00ar ESTTCU.STOMERID:
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.
Norge
J. Adjustments or corrections made;
None
K, inspection and suggested improvements ents rere discussed with the undersigned Owner or
Owner's Representative. es N
12/2 /19 TMS IS NOT AN INVOICE
UST M-ER'S SIGNATURE DATET T#V DESCRIPTION PRICE AMOUNT
CUSTO R'S TIED
* 12/ 7/19
7A
XC I A RV DATA
uchaegir. Ros Gadsby
TRCIMCLkN PRINTED NAME LICENSE
EIBILLING ADDRESS CONFIRMED
Page2 of
i IMPACT FIRS SERVICES, LLC
26 HAMPSFiIRE DRIVE
HUDSON NH 03051
IMPACT
o:603.293.7531
F:603.589.2051
FIRE �.GETFIREPROTECTION.COM
ADDITIONAL SERVICE
INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
MA-20423A; NH- 13117 M
DEVICE INSPECTION REPORT Page 3 0f s
WORK ORDER#: .�7615277 DATE' CUSTOMER ID:10:OOam EST
DEVICE MODE. LOCATION ZONE NOTES/COMMENTS: PASS FAIL, WA*
TYPE
anual Sfatioi REAR bQQR 1M030 ❑✓ ❑ ❑
anual Statioi FRONT DOOR 1 M032 Z 0 :0
oke Detects ELECTRIC ROOM 1 D001 �✓ El El
olce Detect( CORRIDOR 1D002 z 1:1 E
oke Detect( NEAR ELEVATOR/ LIFT 1D003 Z El EJ
oke Detect( CONFERENCE ROOM 1 p012 ❑✓ El 01
oke betectc GENERAL OFFICE 9 D010 Z El : El
oke Detects ASST.Sl1F'EFt1NTENDANT 1D011 Q ❑ ❑
oke Detects HALL NEAR CONFERENCE ROOM 1 D094 El E
oke Detects BUSINESS OFFICE 1D006 0 ❑ ❑
oke Deteotc BUSINESS 102 1D007 Z El El
oke Detect( LOBBY/WAITING AREA 1 D008 Q E ❑
oke betectc SPED 120 'f D009 Q ❑ ❑
oke Detect( HALL NEAR SUPPLIES 1 D013 z ❑ ❑
Duct R7U-1 HALL BY RESTROOM 1D004 Q ❑ ❑
Duct RTU-1 HALL BY RESTROOM 1 D005 �✓ El ❑ 1
EJ : El El
El El El
El El El
El El El
El El El
El El El
CI El El
El El 01
El El El
CI 1 El I0
'These devices were not due for testing on this test cycle.All devices are tested annually.
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE 7ECHNICIAMS SIGNATURE-DATE
CUSTOMER'S PRINTED NAME