HomeMy WebLinkAboutFire Alarm System Inspection - Inspection - 266 WAVERLY ROAD 12/23/2019 IMPACT FIRE SERVICES, LLc
26 HAM PS H I I E DRIVE
5
HU DSON NH 03051
, 603.293.7531
IMPACT F , 603.589.2051
IR1f1J.G ETF I ICE P FTETI o N,c M
FIDE ALARM SYSTEM INSPECTION ATE ELECTRICIAN .
Inspected to the state adopted version of NFPA ��� � I - "� 'I'I I�I�
7'
WORK ORDER �1761 279 DATE:12/2 #20'9 08:00a EST c SToi E ID:
BILL To: SHIP To:
NORTH TH ANDOVER PUBLIC SCHOOLS TH MSON ELEMENTARY SCHOOL.
ATTN:ACCOUNTS PAYABLE,566 MAIN STREET 266 1 AVE LY ROAD
NORTH AND OVER MA 01848 NORTHANDOVER MA 01845
Phone: 978 688-9 18 Contact:G EG ROBERTS
TS
Email: Phone: 78 99 -8873
ANNUAL ❑ SEMI ANNUAL QUARTERLY SENSITIVITY
ARRIVAL I fAL TIME: : o r, DEPARTURE E TIME:11:00am
PASS FAIL
A. PANEL CON F I G U RAT10N:Firellte M S960OU DLS
DETECTION CLASS: CLASS A: ❑ CLASS B:
SIGNAL CIRCUIT CLASS: CLASS A: Ej I CLASS B: FN� A. � ❑
PANEL LOCATION:Electric Room in Maintenance
BATTERIES:ES: VOLTAGE No LOAD:
12V 12Ah(Installed 8/13/19
B. QUANTITY: VOLTAGE LOAD: B.
2 100%
C. ANNUNCIATOR TYPE:N/A � C.
REMOTE TE PANEL TYPE:Evac Panel(2) 12v lab batteries( 0% ❑
TYPE:D. ❑ ❑
.
TYPE;
El EJ
TYPE: El El
E. PANEL GROUND, TERM: TO: READ: E* ❑+ ❑
TYPE OF REMOTE ❑ MASTER BO ## 9 RADIO MASTER BOX#1
F' MM NICATI N DIGITALCOMMUNI AT R: THEE : � F. ❑ ❑
OFF LINE TIME: DEPORTS T :North Andover FD G, 7. rr� 11.0 a rn EloN LINE TIME: REPORTS ITS TO:
SINGLE
O
PULLS ROFR FIXED SMOKES DUCT STATION C. .
DETECTORS SM E DETECTORS
TEST FAIL TEST FAIL TEST FAIL TEST FAIL. TEST FAIL TEST FAIL TEST FAIL
TY 0 9 0 1 0
............-------
MINI Outside
STROBE MINI HORN Horn/Strobe a Speaker/strobe Visual my Audible only Beacon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
TY 43 9 9 1 0
Page 1 of
IMPACT FIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
HUDS N NH 03051
IM AC . 0 .2 . 51
F.603.589.2051
FIRWWW.GETFIREPROTECTION.COM
FIDE ALARM SYSTEM INSPECTION MASTED ELECTRICIAN#:
Inspected to the state adopted version of NFPA 72 MA-2 2 ; NH- 13117 l
WORK ORDER : 1 152 ATE: 12/2 /2 19 08-00am EST CUSTOMER
H. Explanation Failed Devices:
None
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
w Adjustments or corrections made:
None
K. Inspection and suggested improvements were discussed with the undersigned Owner or
Owner's Representative.tative. A Yes ❑ N
12123/19 THIS IS NOT AN INVOICE
CUSTOMER'S SIG.N..ATURE DATE TY PART#._ DESCRIPTION 'RICE AMOUNT
/. ...............
JS'' ' P 1
i
1212 /1
T DATE
Michael h, os dsby
TECIMCILAN PRINTED NAME LICENSE##
FIBILLING ADDRESS CONFIRMED
Page 2 of
IMPACT FIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
HUbSQN NH 03051
IMPACT
O :603.293.7531
F 603.589.2051
ADDITIONAL SERVICE V"NHU•GETFIREPROTECTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH- 13117 M
Page 3 of 3
WORK ORDER#: 17695270 ATE' 1 2/23/201 5 08:00am EST CUSTOMER ID:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAII,
TYPE
Heat ROR MECHANICAL ROOM 1 D037 0 El
Heat ROR MECHANICAL ROOM '[D040 z
Heat ROR MECHANICAL ROOM 1C}038 �✓
Heat ROR KITCHEN 1 D036 RI El
Heat ROR KITCHEN 1 D034 Q
Heat ROR KITCHEN 1D035 Q
Duet FAN-1 RETURN 1D047 ✓�
Duct AHU-1 1 D046 z El
Duct AMU-2 1 D049 �✓
Duct FAN-2 RETURN 1D048 QLi
C.O. MECH ROOM 108 1M058 RI El
Duct AHtJ-4 1 D043 RI El
Duct AHU-4 9 D045 Z El
Duct AHU-3 '[b050 El
Duet AHU-3 1 D042 R1 El
Duct AHU-4 1 D044 Q EJ
El -
DH Whole school 21 RI
El El
El El
El El
El El
El El
El 11
11 El
El : El
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATA
CUSTOMER'S PRIIV`t'Eb NAME