HomeMy WebLinkAboutFire Alarm System Inspection - Inspection - 795 CHICKERING ROAD 12/16/2019 IMPACT FIRE SERVICES, LL
5 HA IPSHIRE DRIVE
HUDS N NH 03051
:603. 93.7531
IMPACT F .603.589.2051
FIR V1N1J'II.GETFI REPRTETIN. t
FIDE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN##:
Inspected to the state adopted version of NFPA 72 11A- 9423A; NH-13117
WORK ORDER' : 170 5 4 DATE:1 11 /2019 08:00am EST CUSTOMER I
BILL TO: SHIP TO:
TOWN N F NORTH AND OVER-DIVISION OF PUBLIC WORKS NORTH AND OVER CENTRAL FIRE STATION R STATION 1
ATTN:STEVE FOSTER FACILITIES DIRECTOR,384 OSGOOD STREET 795 CHICKERING ROAD
NORTH AND OVER NSA 01845 NORTH A 1D VER MA 01845
Phone:97 - 5-0950 x44010 Contact:J -ANN LANEN X 401
Email: jlanen@northandoverma.gov Phone: 97 5-0950
ANNUAL ❑ SEMI ANNUAL QUARTERLY ❑ SENSITIVITY
ARRIVAL TIME: :00am DEPARTURE'T`IME: :4 am
PASS FAIL
F T PANEL CONFIGURATION:Simplex 401 ES
7DETECTION
CLASS: CLASS : ❑■ CLASS B: El
SIGNAL CIRCUIT CLASS: CLASS A: ❑ CLASS B; A. E El
PANEL LOCATION:El otrlo room in S rinl ler room
BATTERIES: VOLTAGE NO LOAD:
1 V 55Ah 019
r B. ❑
QUANTITY: VOLTAGE LOAD: -
100%
C. ANNUNCIATOR TYPE:Si mplex 2 rid FIr Lie ute nants Room C.
REMOTE PANEL TYPE:N/A ❑ ❑
TYPE: El ❑
s
■ TYPE. El El
TYPE: t ❑ ❑
E* PANEL GROUND: TERM: T : READ: E. ❑
F. TYPE OF REMOTE ❑ MASTER BOAC## X RADIO MASTER BOX#33
COMMUNICATION DIGITAL M UNICAT R: THER: E E]
F'
❑ ❑
9:45ar
G. :00arn
OFF LINE TIME: REPORTS TO:North Andover FD
� G. � ❑
ON LINE TIME. REPORTS TO:
SINGLE =
PULLS I OF R FIXED SMOI ES DUST STATION C. .
DETECTORS SMOKEDETECTORS
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
TY 0 �- - - 9 0 2 9 0
MINI I HORN Horn/Sty a ea k r/str be Visual Only Audible Only
Outside
STROBE MINI Beacon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
CITY 27 0 _ 4 9 - .. ..
Page 1 of 4
IMPACT FIRE SERVICES, LL
5 HAMPSHIRE DRIVE
{i
IMPACT H DS N NH 03051
. 603.293.7531
F . 603.589.2051
IRWWW.GETFIREPROTECTION.COM
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN#:
Inspected to the state adopted version of NPPA 72 MA- 4 3A; NH- 13117
WORK ORDER # : 17615240 DATE: / / 19 08:00am EST CUSTOMER ID:
H. Explanation of Failed Devices:
None
I. The inspector suggests that following necessary improvements,ts, However, these suggestions
are not the result of an engineering survey. These are recommendations based on current code,
Norge
J. Adjustments or corrections rude:
Norge
K. Inspection and suggested improvements were discussed with the undersigned Owner or
Owner's Representative. W Yes F] No
1 11 /19 TES IS NOT AN INVOICE
U T SIGNATURE DATE QTY PART# DESCRIPTION PRICE AMOUNT
lot
CUS TE A
12116119
BHMNi I IWATUJ& DATE
Michael Rion, Ross G d by 1 o3 9D
TE HNIC N PAINTED NAME LICENSE
F-1 BILLING ADDRESS CONFIRMED
'age 2 of 4
IMPACT FIRE SERVICES, L.LG
26 HAMPSHIRE DRIVE
HUQSON NH 03051
IMPACT o: 603.293.7531
F: 603.589.2051
FIRE ADDITIONAL SERVICE �W f�GE7FIRPR07ECTIO .COM
INFO/WSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH-13117 M
Page 3 of 4
WORK ORDER#: CUSTOMER ID:
17615240 DATE: 12116/2019 08:00am EST
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Smoke 1ST FLOOR EMERGENCY ELECTRIC ROOM M1-10 Q✓
Smoke 1ST F1.00R CORRIDOR BY BOILER ROAM M1-13 Z El
Smoke 1ST FLOOR CORRIDOR BY TURN OUT M1-11 ❑✓ ❑
Pull 1ST FLOOR CORRIDOR EXIT BY TURNOUT M1-12 �✓
Pull '[ST FLOOR APPARATUS BAY FRONT DOOR M1-34 ❑✓ EJ
Smoke 1ST FLOOR CORRIDOR M1-15 ✓Q EJ
Smoke 1ST FLOOR CORRIDOR BY MENS ROOM M9-16 ✓❑
Smoke 1ST FLOOR CORRIDOR BY ADMlN M1-17 Q✓ Lj
Smoke 157 FLOOR CORRIDOR BY CONFERENCE MI-18 ❑✓
Smoke 1ST FLOOR VESTIBULE MI-121 �✓
Pull 1ST F1.00R VEST IBUI.E M1-21 �✓
Smoke LOBBY BY ELEVATOR MACHINE ROAM M1-24 Q✓
Smoke 1ST FLOOR BOTTOM OF STAIR 1 M1-32 �✓
Smoke 9ST F1.00R STAIR 1 BY APPARATUS BAY M1-923 �✓
I'u11 2ND FLOOR TOP OF STAIR'f M1-36 Z El
Smoke 2ND FLOOR DAY ROOM M1-37 �✓
Smoke 2ND FLOOR FITNESS ROOM M'{-124 ✓❑ ❑
Smoke 2ND FLOOR CORRIDOR BY ROOM '[ M1-41 ✓Q
Smoke 2ND FLOOR CORRIDOR BY LT ROOM M1-50 5?1 El
Smoke 2ND FLOOR CORRIDOR BY STAIR 2 M1-57 ✓Q
Smoke 2ND FLOOR 70P OF STAIR 2 M1-60 Q✓ Li
Pull 2ND FLOOR CORRIDOR BY STAIR 2 M1-59 Q✓
El -
Smoke 2ND FLLO NEAR ROOM 8 M1-86 Z El
C.O. 21ND FLOOR 8Y ROOM 7 M9-56 Replace in May 2021 Z El
Smoke 2ND FLOOR BY ROOM 7 M1-85 Q✓
C.O. 2ND FLOOR BY ROOM fi M1-52 Replace in May 2021 El
F-1 BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES,LLC
26 HAMPSHIRE DRIVE
HUDSON NH 03051
IMPACT O: 603.293.7531
F: 603.589.2051
FIRE ADDITIONAL SERVICE �WGETFIREPROTECTION.COM
INFO/[NSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-2Q423A; NH-'f3117M
Page 4 of 4
WORK ORDER#: ,��61524Q DATE: ,�2/,�6/2p19 08:00am EST CUSTOMER ID.-
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS; PASS FAIL
TYPE
Smoke 2ND FLOOR ROOM 6 M1-84 Q El
Smoke 2ND FLOOR LT ROOM M1-82
Smoke 2ND FLOOR LT ROOM M1-83 RI El
Smoke 2ND FLOOR ROOM 5 M1-81 RI El
C.O. 2ND FLOOR CORRIDOR BY ROOM 4 M1-48 Replace in May 2021 RI El
Duct 2ND FLOOR JANITOR ROOM RTU-2 M1-7 Z El
Smoke 2ND FLOOR ROOM 4 M1-80 RI El
Smoke 2ND FLOOR ROOM 3 M1-79 Z El
C.O. ,2ND FLOOR CORRIDOR BY ROOM 2 M1-44 Replace in May 2021 �✓
Duct 2ND FLOOR DAY ROOM RTU-1 M1-73 �✓
Smoke 2ND FLOOR ROOM 2 M1-78 Z El
Smoke 2ND FLOOR ROOM 1 M1-77 �✓
C.O. 2ND F1.00R CORRIDOR BY ROOM 1 M1-40 Replace in May 2021 �✓
Smoke 1S7 FLOOR MAIN ELECTRIC ROOM M1-9 ✓�
C.O. 2ND FLOOR DINING ROOM M1-39 Replace in May 2021 ✓Q
Smoke 1ST FLOOR CONTROL ROOM M1-23 Q
11 El
E] El
F-1 0
a El
El El
El 0
El Ei
El El
El El
El El
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME