HomeMy WebLinkAboutFire Alarm System Inspection - Inspection - 266 WAVERLY ROAD 7/22/2020 IMPACT FIRE SERVICES,LL
0 HAII PSH I RE DRIVE
HUDS N NH 03051
0 .
3. 3t71
IMPACT
F:601589.2051
FIRE V"".GETFIREPROTECTION.COM
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN
Inspected to the state adopted version ofl FPA 72 A- 0423Ax NH- 1 117 M
WORKORDER ;1907 70 DATE:071 / �1 0 :4 EDT C JS" ` ME :
BILL TO: SHIP TO:
NORTH AND OVER PUBL1C SCHOOLS THOMSON ELEMENTARY TARY SCHOOL
ATTN:ACCOUNTS PAYABLE,566 MAIN STREET 266 IIAVERLY ROAD
NORTH AND OVER MA 01845 NORT# A D 1 ER MA 01845
Phone: 978)688-9516 Contact:DREG ROBERTS
Email: Phone: 7 994-6673
El ANNUAL ❑ SEMIANNUAL QUARTERLY ❑ SENSITIVITY
ARRIVAL TIME612:30PM DEPARTURE TIME'1:40P
PASS FAIL
A. PANEL CONFIGURATION:FIRE-LITE MS920OULDS
DETECTION CLASS: CLASS A: El CLASS B: X
SIGNAL CIRCUIT CLASS: CLASS A. El CLASS B: FO-1 A. ❑
PANEL, LOCATION:REAR ELECTRIC ROOM
BATTERIES: VOLTAGE NO LOAD:
�i2AH MFG 1 � NIA
B.
B.
QUANTITY: VOLTAGE LEAD:
N/A
C. ANNUNCIATOR TYPE:NIA C.
REMOTE TE PANEL TYPE:N/A ❑ E]
TYPE:ILIA ❑ ❑
D` TYPE:NIA
TYPE:N/A EJ El
E. PANEL GROUND: NIA TERM: N/A T :N/A READ:N/A E.
F. TYPE OF REMOTE ❑ MASTER BDX# X RADIO MASTER BOAC#1
F.
COMMUNICATION DIGITAL COMMUNICATOR: El I� ❑`� ❑
G. OFF LINE TIME:1 :30PMI1: 0P REPORTS T :NORTH AlDVER G.
O.N LINE TIME, REPORTS T .FD
DUCT SINGLE C.O.
PULLS R F R FIXED SMOKES DETECTORS STATION DETECTORS
SMOKE
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
CITY 1 _ - _ .. -
MINI MINI HORN Horn/Strobe Speakerlstrobe Visual Only Audible Only Outside
STROBE Beaon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
TY - - - .. _ _ _ ., .. .. , r ..
......
Page 1 of 3
IMPACT FIRE SERVICES, LRL
26 HA iPSH I RE DRIVE
IM ACT HUDSON NH 03051
: 603.293.7531
F : 603.589.2051
FIR } R
FIRE ALARM SYSTEM INSPECTION! MASTER ELECTRICIAN#:
Inspected to the state adopted version of 1 FPA 7
WORK ORDER : 1907 70 DATE: 07/22/2 20 12-.45pm EDT ST MER ID:
H. Explanation aiie l Devices:
/A
1, 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.
/A
J. Adjustments r corrections made:
N/A
K, Inspection and suggested improvements were discussed with the undersigned Owner or
Owner's Representative.resentative. Yes W No
�+ 7-22-20 THIS IS l'OT A INVOICE
CUSTOMER'S 1 SIG RE ,A T T �ART# ESCRI I I I I PRICE AMOUNT
CUSTOMER'S PRINTED NA 'I
0*4 1� &-4- 7- 2�-20
TECHNICIAN,%GNATURE DATE
Tom Rys, Ross Gdsby FA 10383-D
TECHNICIAN PRINTED NAME LICENSE
BILLING ADDRESS CONFIRMED
Page 2 of
IMPACT FIRE SERVICES,LLC
26 WAMPSHIRE DRIVE
HUDSON NH 03051
I M PA C '� 0 ,603.293.7531
F :603.589.2051
ADDITIONAL SERVICE WWGE7FIREPROTECTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH-13117 M
Page 3 of 3
WORK ORDER#: ,��075470 DATE: 07/22/2020 12:45pm EDT
CUSTOMER ID.
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
PULL MECHANICAL,ROOM 108 1M041 Q
PULL ELECTRIC ROOM 109 1 M012 n✓
PULL KITCHEN 1M011 1MQ11 ❑✓ El
PULL CAFETERIA 1 M010 Rl El
PULL 2ND FLOOR EXIT 1M005 21 :
PULL 1ST FLOOR HALL 1M008 QLi
PULL STAIR 1ST FLOOR 1M006 RI El
PULE FRONT 1 MOOS �✓ Li
PULL GYM 1M003 Q
PULL GYM 1 M004 Q✓
PULL 2ND FLOOR STAIR 1 1 M001 Q✓
PULL BY ROOM 208 1 M002 Q✓
PULL ART 150 '[M007 Z El
El El
El : El
El El
El El
El Ei
El El
El El
El El
El El
El 0
El El
El El
El El
F-1 BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATA
CUSTOMER'S PRINTED NAME