HomeMy WebLinkAboutFie Alarm System Inspection - Inspection - 2 CYPRESS TERRACE 4/19/2019 IMPACT FIFE SERVICES, L.L
26 HAMPSHI E DRIVE
HUDSON NH 03051
IMPAI;T 0 603,293.7531
F:603.589.2051
FIREWWW.GETFIREPROTECTION.COM
FIFE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN #:
Inspected to#tie state adopted version of NFPA 7
WORK ORDER M 16104674 DATE: /19/2 1 09:OOaM EDT CUSTOMER ID:
BILL T -. SHIP T ;
NORTH ANDOVER PUBLIC SCHOOLS F ANKLIN ELEMENTARY SCHOOL-NORTH ANDOVE
ATTN:ACCOUNTS PAYABLE,566 MAIN STREET 2 CYPRESS TERRACE
NORTH A fDOVER MA 01845 NORTH i ANDOVER MA 01845
Phone: 9 8 -9 16 Contact:G EG ROBERTS
TS
Email: Phone: ( 99 - 3
ANNUAL SEMIANNUAL QUARTERLY SENSITIVITY
ARRIVAL TIME:9:30 M DEPARTURE TIME:11:30AM
PASS FAIL,
A. PANEL CONFIGURATION:SILENT KNIGHT IFP-100
DETECTION CLASS: CLASS A: E) CLASS B: N
SIGNAL CIRCUIT CLASS: CLASS A: ❑ CLASS B: X A. El Ej
PANEL LOCATION:MAIN ENTRANCE LOBBY
..
BATTERIES: VOLTAGE N LOAD:
12V . A H 2/2 '16 Test in July
B. B.
QUANTITY: VOLTAGE LOAD:
2 Test In July
C. AN N U N C IATO R TYPE:SAE S MAID EN TRANC E NEXT TO OLD MASTED BOX C,
RE OTE PANEL TYPE:P WEI PATH NA 2 2V AH(l2/2017)TEST IN J U LY
TYPE:NIAEl El
. TYPE:N#A ` ri
TYPE:N/A
__E1
E. PANEL GROUND: NIA TERM: N/A TO:N/A DEAD:N/A B. 21 1
TYPE OF REMOTE C1 MASTER BOX# FNI RADIO MASTER BOAC##261
F. COMMUNICATION ATION DIGITALCOMMUNICATOR' OTHER: F.
OFF LINE TIME: REPORTS TS TO:NORTH TH AND OVER
G. N LINE TIME: '.4 AM-11:1 5AM REPORTS TS TO: FD G.
..............
SINGLE
PILLS ROFR FIXED SIB OKES DUCT STATION C.O.
DETECTORS SMOKE DETECTORS
TEST FAIL TEST FAIL, TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
QTY
MINI Outside
STROBE MINI HORN Nora/Strobe Speaker/strobe Visual Only Audible Only Beacon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
QTY
Page I of
IMPACT PIKE SERVICES, LLC
26 HAMPSHIRE DRIVE
HUDSON NH 03051
603.293.7531
IMPAU Oil,
F - 603.589.2051
WWW.GETFIREPROTECT1014,LOM
I R
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN#:
inspected to the state adopted'version of NFPA 72 MA-20423A; NHi- 13117 M
WORK ORDER#: 16104674 DATE® 04/19/2019 09:00am,EDT CUSTOMER I
H. Explanation of Failed Devicesi:
NONE,
1. The insplecitor suggests that following necessary 'improvements,,, However, these suggeslitions,
are notthe result of an engineering survey. These are recommendations, based on current code.
NONE.
J, Adjustments or corrections made-.,
NOTE:ALL COMMON AREA SMOKE DETECTORS WERE COMPLETED DURING THIS INSPECTION.
K. Inspection and su�ggested Improvements were discussed with the undersigned Owner or
owner's Representative. ■ Yes No
04119/2019 THIS IS NOT AN INVOICE
CUSTOMER'S IGNAT,VRE, DATE QFY PART# DESCRIPTION PRICE AMOUNT
UKtU
CUSTOMER'S PRINTED NAME
04/119/2019
TECHNICIA, RE, DA'r'E
Tom Aaron Ike 10383-D
TECHNICIAN PRINTED NAME LICENSE#
BILLING ADDRESS CONFIRMED,
Paige
IMPACT FIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
HUDSON NH 43051
IMPACT O: 603.293.7531
F: 603.589.2051
WWW.GETFIREC'ROTCCTIOf�.COM
FIRE lNFO/ENSP ADDITIONAL7 0N COMMENTS MASTER ELECTRICIAN#:
DEVRCE INSPECTION REPORT MA-20423A; NI-I- 13117 M
Page 3 of a
WORK ORDER#: 16104674 DATE' 04/19/2019 09:00am CDT CUSTOMER ID.
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
SMOKE OFFICE AREA M3:M013 ✓Q
SMOKE OFFICE AREA M3:M01 3 ✓❑
SMOKE BAST WING CLASSROOMS M3:M009
SMOKE HALL BY KITCHEN M3:M009 Q✓ Li
SMOKE HAI.I. BY CAFE M3:M009 ✓n
SMOKE FALL BY ELECTRIC ROOM M3:M009 �✓ ❑
SMOKE HAL.I.BY STORAGE M3:M009 Rl El
SMOKE HALL O/S LIBRARY M3:M009 Q El
SMOKE HALL O/S ROOM 11 M3:M009 Q
SMOKE HALL O/S ROOM 12 M3:M009 Q✓ El
SMOKE HALL OlS WOMEMS RESTROOM BAST M3:M009 �✓ ❑
SMOKE HALL BY ROOM 14A M3:M409 �✓ ❑
SMOKE HALL BY EAST WING EXIT M3:M009 Q
SMOKE OUTSIDE LC3 M3:M009 ❑�
SMOKE HALL O/S ROOM 16 M3:M009 �✓
SMOKE HALL BY ROOM 17 M3:M009 Q ❑
SMOKE HALL O/S Cl M3:MO09 Q ❑
SMOKE HALL 015 ROOM 19 M3:M409 Z El
SMOKE HALL O/S ROOM 20 M3:M009 �✓ ❑
SMOKE HALL BY ROOM 21 M3:M008 � ❑
SMOKE MALL BY EXIT DOOR 10 M3:M008 Q✓
SMOKE HALL.BY FRONT OFFICE M3:Mfl93 Q
SMOKE HALL O/S ROOM 1 M3:M013 Q
SMOKE HALL O/S ROOM 23 M3:M019 Q ❑
SMOKE HALL BY EXIT 16 M3:M019 Q ❑
SMOKE HALL OIS WOMENS RESTROOM WEST M3:M015 Z El
Fl BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES, LLC
26 HAMPSI-iIRE DRIVE
IMPACT HUDSON NH 03051
O :603.293.7531
F :603.589.2054
ADDITIONAL SERVICE WWWGETFEREPROTECTfON.COM
' FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT
MA-20423A;NH-93117M
Page 4 of 4
WORK ORDER#: 16104674 DATE' 04/1 9/2019 09:00am EDT CUSTOMER ID:
DEVICE MODAL LOCATION ZONE {VOTES/COMMENTS: PASS FAIT.
TYPE
SMOKE WALL.QfS ROOM 3 M3:M015 ✓�
SMOKE HALL O/S ROOM 5 M3:M01 5 Z El
SMOKE HALL ACROSS FROM ROOM 7 M3:M015 Q
SMOKE HALL OIS ROOM 9 M3:M015 Q
SMOKE HALL OIS ROOM 8 M3:M015 �✓ El
SMOKE HALL BY EXIT DOOR 12 WEST M3:M017 ✓❑ El
SMOKE HAIL BY EXIT DOOR 13 WEST M3:M017 ✓❑ El
SMOKE ABOVE FACP M3:M013 21 El
Z El
El El
El El
❑ a
El El
El El
El El .
El El
El El
El El
El El
El El
El 13
El El
a El
El El
El El
El Lj'
---------------------------
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME