HomeMy WebLinkAboutFire Alarm System Inspection - Inspection - 33 JOHNSON STREET 12/18/2019 E IMPACT FIRE SERVICES, LL
26 HAI LPSHIRE DRIVE
H DSON NH 03051
o . 893. 93. 531
IMPA T F . 893. 9. 1
FIRI 1f11 .GETF IRE PROTECT I ON.COM
FIDE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN `
Inspected to the stake adopted version of NFPA 72 MA- 3A; NH- 1311 M
WORK ORDER : 17615232 DATE:1 /18# 19 8:3 am EST CUSTOMER ID:
ILL TO: SHIM' TO.
TOWN OF NORTH ANDOVER-DIVISION of PUBLIC WORKS NORTH ANDOVER YOUTH CENTER
ATTN:STEVE FOSTER FACILITIES DIRECTOR,384 OSGOOD STREET 33 JOHNSON STREET
NORTH ANDOVER MA 01845 NORTH ANDOVER MA 01845
Phone: 978)688-9516 Col to :STEPHEN FOSTER
Email: SFoster@northandoverma.gov Phone: 78 305-5850
ANNUAL SEMIANNUAL QUARTERLY SENSITIVITY
ARRIVAL TI M E:8:30AM DEPARTURE 10:30am
PASS FAIL
A. PANEL CONFIGURATION:Simplex 4010
DETECTION CLASS: CLASS A: 0 CLASS B;
SIGNAL CIRCUIT CLASS: CLASS A: CLASS B: A. El ❑
PANEL LOCATION:Front Entrance
BATTERIES; - � � � VOLTAGE ! LEAD;
121- 8AH Installed 11
B. QUANTITY: VOLTAGE LOAD: B.
8 %
C. ANNUNCIATOR TYKE:Simplex LED C.
REMOTE PANEL TYPE:S!m plex 4009 Power Suppler(2) 1 v 7ah batteries(2 ) 100%
TYPE:N/A D. El El TYPE:NIA
TYPE:N/A ❑ ❑
E. PANEL GROUND: 1A TERM: NIA To:N/A READ:N/A E.F. ❑ ❑
TYPE of REMOTE ❑ MASTER BOX## X RADIO MASTER BOX#235
COMMUNICATIONDIGITALCOMMUNICATOR- OTHER: F� ❑ ❑
❑ ❑
OFF LINE TIME: REPORTS All# REPORTS TO:N.Andover Fire
G. ❑ ❑
ON LINE TTIME: REPORTS TO:
G.
SINGLE
O
PULLS R of R FIXED SMOKES DUST STATION C. .
DETECTORS SMOKE DETECTORS
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL JEST FAIL
CITY 18 0 2 0
MINI outside
STROBE MINI HORN Horn/Strobe Speakerlstrobe Visual Only Audible Only Beacon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
..........CITY '18 0
Page 1 of
IMPACT FIRE SERVICES, LL
26 HAMPSHII E DRIVE
IMPACT HUDSON NH 03051
V 0-603.293.7
531
F a 603.589.2051
FIRWWW.GETFIREPROTECTION.COM
FIFE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN
Inspected to the state adopted version of NFPA 72 MA-29 2 A; N - 13117
WORK ORDER : 17615232 DATE: 12/1 /2019 08-.30am EST CUSTOMER I :
H. Explanation of FailedDevices:
N/A
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.
J. Adjustments or corrections rude:
/A
K. Inspection and suggested 'improvements were discussed with the undersigned owner or
Owner's Representative, FE-1 Yes No
12/18/2019 THIS IS NOT AN INVOICE
R'S SIG A.T DATE QTY PAR' # DESCRIPTION PRICE r OUNT
CDST R; PRINT
//jz�/ 2/1 /2 19
F 7//
T#rr/U1ADn1GTfATU. DATE
Michael Rich,Jason De Feudis
T CIM LAN PRINTED NAME LICENSE##
BILLING ADDRESS CONFIRMED
Page 2 of 4
IMPACT SIRE SERVICES,LLC
26 HAMPSHIRE DRIVE
HUDSON NH 03051
IM- PACT o :603.293.7531
F:6€13.589.2051
ADDITIONAL SERVICE WWW.GETFIREPROTECTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH- 13117 M
Page 3 of 4
WORK ORDER#: CUSTOMER ID:
17615232 �A�E' 12/18/2019 08:30am EST
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Smoke 1st Floor Hall O1S Kitchen M1-22 Q ❑
Smoke 1st Floor By Pay Phone M1-20 ✓� ❑
Smoke 1sf Floor O/S Weight Rm M1-19 RiD
Smoke 1st Floor Weight Rm M1-97 ✓Q ❑
Smoke 1st Floor Stair 2 M9-18 RI D
Smoke 1st Floor Stair 1 M'f-26 ❑✓ ❑
Smoke 1st Floor Telephone Closet M1-23 Q El
Smoke 1st Floor Electric Closet M1-24 �✓ ❑
Smoke 2nd Floor Top of Stair 1 M1-4 ❑✓ ❑
Smoke 2nd Floor Hall By Office M1-39 ✓Q ❑
Smoke 2nd Floor Computer Rm M't-40 �✓
Smoke 2nd Floor Lounge Area M1-10 z El
Smoke 2nd Floor Top of Stair 2 M1-15 Q El
Smoke 2nd Floor Aerobics/conference Rm M1-94 ❑✓ ❑
Smoke 2nd Floor Lounge Area By Stair M1-12 ❑✓ ❑
Smoke 2nd door Mall By Oifice`s MIA 1 Z El
Smoke 1st Floor Above Facp M1-45 RI El _
Smoke 1st Floor OIS Restrooms M1-21 RI El
Smoke Duct Gym M1-9 By Facp �✓ El
Smoke Duct 2nd Floor Office Area M1-8 By Facp Z El
Pull 1st Floor Main Entrance M't-27 ❑� ❑
Pull 1st Floor Stair 1 Exit M1-28 z D
Pull 1st Floor Rear Exit M1-16 Q ❑
Pull Gym Exit M1-3 Q Li
Pull Gym Exit M1-2 z El
Pull Gym Exit M1-1 ❑✓ El
72/18/2099 Fm-] BILLING ADDRESS CONFIRMED 12/18/2019
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES,LLC
26 HAMPSHiRE DRIVE
HUaSON NH 03051
IMPACT O :603.293.7531
F :603.589.2051
ADDITIONAL. SERVICE WWWGETFIREPROTECTION.coM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-2Q423A; NH-'i3117M
Page 4 of 4
WORK ORDER#: 17615232 DATE' CUSTOMER ID;
12/18/2019 08:3�am EST
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Puff 2nd Floor By Elevator M1-6 0 El
Pull 2nd door Lounge By Stair M1-13 Q El
El El
El El
------------------------
El EJ
El : ET
.............................
El El
El El :
Ei, El
El 0 -
El El
El El
El El
El El
El El
El El
El LJ
El El
El LJ
El El
El El
El EJ
El El
El El
El El
92/18f2019 ❑ BILLING ADDRESS CONFIRMED 12/18/2019
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME