HomeMy WebLinkAboutFire Alarm System Inspection - Inspection - 111 PHILLIPS BROOKS ROAD 4/18/2019 IMPACT FIRE SERVICES, LL.0
26 HAMPSHI E DRIVE
H D S o N NH 03051
impArT 0 :603.293.7531
F: 603.589.2051
FIREWWW.GE1'Fil EPROTECTION.COM
FIDE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN :
#n,spectd to Me state adopted version of NFPA 7
11A- o 23A; NH - 13117
WORK ORDER#:1 1 4 DATE:04 1 /201 07:00am EDT CUSTOMER ID:
BILL T : SHIP T :
NORTH TH ANDOVER PUBLIC SCHOOLS ATKINSON ELEMENTARY SCHOOL
ATTN:ACCOUNTS PAYABLE,566 MAIN STREET 111 PHILL I PS BROOK ROAD
NORTH ANDOVER MA 01845 NORTH ANDOVER MA 01845
Phone:(978)688-9516 Contact:G EG ROBERTS
Email: Phone: 994-6673
ANNUAL SEMIANNUAL QUARTERLY LY SENSITIVITY
AR RIVAL TIME: :1 5AM DEPARTURE E TIME'1 : AM
PASS FAIL
A. PANEL CONFIGURATION:NOTIFIEF NFS- o30
DETECTION CLASS: CLASS A: CLASS B: E)
SIGNAL CIRCUIT CLASS: CLASS A: CLASS B: El A. ID El
PANEL LOCATION:FRONT LOBBY
BATTERIES: VOLTAGE No LOAD:
1 VAH (MFG 20 1 26.91
B.
B.
QUANTITY: VOLTAGE LOAD:
1 0%
C. ANNUNCIATE TYPE.NIA C. -0 El ...
REMOTE PANEL TYPE, 1A
D, TYPE:N/A
TYPE:NIA D.
TYPE:N/A
E. PANEL FOUND: YES TERM: N/A To:NIA DEAD:N/A E.
F, TYPE of REMOTE El MASTER BOX# RADIO MASTER BOX#1
COMMUNICATION El DIGITAL COMMUNICATOR: OTHER: F.
OFF LINE TIME: REPORTS TS T :NORTH ANDOV
G. 0AM-1 : AM ..,. G.
ON LINE TIME: REPORTS TS To:FD
SINGLE
PULLS E of FIXED SMOF ES DUCT STATION C. .
DETECTORS SMOKE E DETECTORS
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
CITY 4 0 4 0 46 0 28
01 - - _
MINI Outside
STROBE MINI HORN Horn/Strobe Speaker/strobe Visual only Audible only
Beacon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAI L TEST FAIL TEST FAI L
T1f _ _ .. _
Page I of
IMPACT FIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
e4w IJA IM T O
�HUDSON NH 03051!C :603.293.7531
IR:15 1 F : 60,3.589.2051
IL; WWW.GETFIREPROTECTION',COM
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN
lospocted to the state adopiled version of NFPA 72 MA-20423A, NH- 13117 M
WORK ORDER #: 1611,04729 DATE: 04/18/2019 07,:010am EDT CUSTOMER ID.-
3
Explanation of Failed Devices,
NONE.
1, The inspector suggests 'that following necessary improvements, However, these suggestions,
are not the result of an engineering survey* 'These are recommendat,ions based on current code,
RECOMMEND SMOKE DETECTORS IN BASEMENT STORAGE,AREA FOR MORE EARLY WARNING DETECTION.
J. Adjustments or corrections made:
NONE.
K Inspection and suggested improvements were discussed with the undersigned Owner, or
Owner's Representative, El Yes W No
04/18/2,019
THIS IS NOT AN INVOICE
WSTOMER'S SIGNATURE, I i
,DATE QTYILART# DESCRIPTION' p' Rig, AMOUNT
UKtU K(.)b,tK I Z5
17
CUSTOMER'S PRI D�NAME
014/18/2019
TECHNICLIWSIGN DATE
Tom,Rys,Aaron Meuse 103831-D
TECHN.IC IANPRINTE NAME LICENSE#
BILLING ADDRESS CONFIRMED
Page 2 of 6
IMPACT FIRE SERVICES,Ll.0
26 HAMPSNIRE DRIVE
HUDSON NM 03451
IMPACT 0:603.293.7531
F�603.589.2051
ADDITIONAL SERVICE W�NW.GETFIFZEPF20TCCTION.COM
F,IRE WFO/fNSPECTiON COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH-13117 M
Page 3 of 6
WORK ORDER#: 16104729 DATE' 04/18/2019 07:00am EDT CUSTOMER ICE;
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
SMOKE 2FL TOP OF STAIRS BY MAIN OFFICE 210 2D073
SMOKE 2FL CORR BY BASH 2D082 Z
11
SMOKE 2FL CORR BY CLASSROOM 20 2D080 Rl
SMOKE 2F1.CORK BY CLASSROOM 19 2b078
SMOKE 2FL CORR BY CLASSROOM 1$ 2D076 ✓�
SMOKE 2FL CORK BY CLASSROOM 16 2Dp59 a
SMOKE 2FL CLASSROOM 15 2D054
SMOKE 2FL CLASSROOM 15 2D053 �✓
SMOKE 2FL CLASSROOM 16 2D058 ✓�
SMOKE 2FL CLASSROOM 96 2D056 Q
SMOKE 2FL TOP 0F STAIRS BY MRS 15/96 2D051 �✓
SMOKE 2FL CLASSROOM 17 2D063 �✓
SMOKE 2FL CLASSROOM 17 2[7061 ✓�
SMOKE 2FL.CLASSROOM 14 2D086 ❑✓
SMOKE 2FL CLASSROOM 14 2D084 ❑✓
SMOKE 2FL CLASSROOM 18 2D064 ✓�
SMOKE 2FL CLASSROOM 18 2CJ066 ✓❑
SMOKE 2F1.CLASSROOM 13 2Dd87 Z
11
SMOKE 2FL CLASSROOM 13 2D089 a
SMOKE 2FL.CLASSROOM 19 2D067
SMOKE 2FL CLASSROOM 19 2D069
SMOKE 2FL CLASSROOM 12 2D090 �✓
SMOKE 2FL CLASSROOM 12 2D092
SMOKE 2FL CLASSROOM 20 2D070
SMOKE 2FL CLASSROOM 20 2D072 �✓
SMOKE 2FL DARNING CENTER 2D093 El
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES,LAC
26 HAMPSHIRE DRIVE
HUDSON NH 03051
IMPACT 0: 603.293.7531
F: 603.589.2051
IRE INFO/INKS7 0 ITIONAL SERVICE WWW.T ON COMMENTS G MATAR �.�OM
IF
ELECTRICIAN #:
DEVICE INSPECTION REPORT MA-20423A; N[-f- 13917 M
Page '► of 6
WORK ORDER#: 18104729 DA7E: 04/98/2019 07:00am EDT CUSTOMER Id:
DEVICE MODAL LOCATION ZONE NOTES/COMMENTS: RAGS FAIL
TYPE
PULL 2FL BY CLASSROOM 20 2M010
PULL 2FL BY CLASSROOM 16 2M049 a
HEAT ROR 2FL WOMENS RESTROQM 2D097 ❑✓
HEAT ROR 2FL STORAGE ROOM 2➢096 ✓�
HEAT RJR 2FL CUSTODIAL.CLOSET 21709521 El
HEAT ROR 2FL MENS RES7ROOM 2D094 Q
HEAT 200 FT BASEMENT BOILER ROAM VISUAL 21 El
HEAT 200 FT BASEMENT BOILER ROOM VISUAL E
El
MEAT 200 F7 BASEMENT BOILER ROOM VISUAL ✓�
HEAT 200 FT BASEMENT BOILER ROOM VISUALZ El ,
HEAT FT/ROR BASEMENT CRAWL SPACE 1D084 ✓�
HEAT FT/ROR BASEMENT CRAWL SPACE 1D0$5 Li
HEAT FT/ROR BASEMENT CRAW.SPACE 1 n086
HEAT FT/ROR BASEMENT CRAWI.SPACE 1b087 ❑✓
HEAT FT/ROR BASEMENT STORAGE AREA 1 D092 �J
HEAT FT/ROR BASEMENT STORAGE AREA 1Dfl13 Q11
HEAT FT/ROR BASEMENT MAINTENANCE AREA 1p008 Q
HEAT FT/ROR BASEMENT MAINTENANCE AREA 1D008 Q
HEAT FT/ROR BASEMENT MAINTENANCE AREA 1 p007 ✓�
HEAT FT/ROR BASEMENT MAINTENANCE AREA 1b006 Q
NEAT FTlROR BASEMENT MAINTENANCE AREA 1D002 Q
HEAT FT/ROR BASEMENT MAINTENANCE AREA 1D003 21
HEAT FT/ROR BASEMENT MAINTENANCE AREA 1D004 ✓�
NEAT FT/ROR BASEMENT MAINTENANCE AREA 'f D005 a
Fl BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE- DATE
CUSTOMER'S PRINTED NAME