HomeMy WebLinkAboutFire Alarm System Inspection - Inspection - 111 PHILLIPS BROOKS ROAD 12/27/2018 ilferd,Lancaster,Nashua,Hudson& T I STATE FIRE PROTECTION, LLC FIDE ALARM SYSTEM INSPECTION
Newington,NH Remit it to: Comm.of Mass.[faster Electrician#20423A
Te.lep one:(66 3-76 1 26 Hampshire Drive Page� f
Fax: 6 3)589-2051 Hudson, NH 03051 Inspected '�to the state ado ted version l of NFP72
w w. tfirepret tion.co
1 DE DATE:12/27 2018 12.00pm EST CUSTOMER ID:
BILL TO: SHIP TO:
NORTH ANDOVER PUBLIC SCHOOLS EARLY CHILDHOOD CENTER
ATTH:ACCOUNTS PAYABLE,566 MAIN STREET 113 PHILLIPS BROOK RD
NORTH A 1D VEf MA 01845 NORTH ANDOVER MA 01845
Phone: 078 688-9516 C tnt:GARY ROBERTS
TS
Email: Phone: 7 -667
ANNUAL SEMIANNUAL QUARTERLY El SENSITIVITY
ARRIVAL TIME:7.00am DEPARTURE F E TIME:1 :00pm
........... PASS FAIL
A. PAN EL CON F1 G U ATI 0 I I:Fire Lite MS960OUDLS
DETECTION CLASS: CLASS A- CLASS B_.: [:1
SIGNAL CIRCUIT CLASS: CLASS A: CLASS B: N & H 1:1
PANEL LOCATION:Electrical room
BATTERIES: VOLTAGE NO LOAD:
121 --1 I (Install 1 1 %
B. QUANTITY: VOLTAGE LOAD. B. D
2 13.3 V/11 AH
C. ANNUNCIATOR TYPE.N/A C. Li
REMOTE TE PANEL TYPE: /A 0 El
TYPE:Silent I night EVAC below F CP(2)-12V 7AH tested 12i7 V/7AH-1 0% Install 2/2018
D. Dt
T PEa Power Suppler next to FACP 12V 7AH tested 12a82V/8AH-100%
TYPE:Power Suppler nett to F CP 2)-12V 7AH tested 12.81 /8 H-100%
E. PANEL GROUND:D: TERM: TO. READ: E.
F. TYPE OF REMOTE MASTER BOX# 1X RADIO MASTER BOX#1362 F. El
COMMUNICATION El DIGITAL COMMUNICATOR: OTHER:
G. OFF LIME TIME:7:OO m�12:00 m REPORTS TO-NorthAndover PD �t
pEl
ON LIFE TIME: REPORTS T :
DUCT SINGLE C.O.
PULLS ROFR FLED SMOKES DETECTORS STATION
DETECTORS
SMOKE
TEST FAIL. TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
CITY 9 0 3 0 - 76 0 9 0 28 11
MINI Outside
STROBE MIDI HORN Horn/Strobe Seal~er/strebe Visual my Audible Only Beacon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL. TEST FAIL TEST RAIL TEST FAIL
TY .. -� - 0 �- -- 0 2 10
Gil forcl,Lancaster,Nashua, Hudson& TRI STATE FIRE PROTECTION, LLC SIRE'ALARIVI SYSTEM INSPECTION
Newington,NH Remit to: Comm.of Mass.Master Electrician#20423A
Telephone:(603),293-7531 26 Hampshire Drive Page of
Fax:(603)589-2051 Hudson,NH 03051 Inspectedto the state adopted version of NFPA 72,
www.g,:,tf'!'reprote,ct'i'on.com
WORK ORDER 154883161- "DATE: 12/27/20,18 12:00prn,EST' C U STO M E R I D:�
K Explanation of Failed Devi'ces:
11 CO DETECTORS date expired April 2015., Rooms 143,1 RM 109 RNI 1121 RM I 151, RM 118, RM 121 RM 124, RM 135, RM 11 37
RNI 140, RM 1146
ME,NS room 134 and women room 133 STROBE only in both bathrooms not working. 112131/18
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 codeV
NIA
J. Adjustments or corrections made:
N/A
K. Inspection, and suggested improvements were discussed with the undersigne Owner or
Owner's Representative. Yes, No
12/31/18
THIS IS NOT AN INVOICE
C0STo__,N IG&A±6 DXFE PART# DESCRIPTION' PRICE AMOUNT
b,OD uimario
CUSTUNIEWS PRINTED NAA-1E 000e
12/31/18
T TECHi I A
ECHNICIA S.IGNATURE DATE
Sean Belanger, Griffin Gay 10860D
TECHNICIAN PRINTED NAME, LICENSE 4
BILLING ADDRESS CONFIRMED
ilfcrd,Lancaster, Nashua,,hua,,Hudson& T I STATE FIRE PROTECTION, L LC ADDITIONAL AL SERVICE
Newington,NH Remit to: INFO/INSPECTiON COMMENTS
Telephone: 0 9 -7 31 6 Hampshire Drive
�c: 9� } � � Comm. f�v1 Master Eltnir�#� 04A
.gtrrotection. o Hudson, H 3 �
r�-�
Pe of
DEVICEINSPECTION REPORT
WORK ORDER : 15488316 DATE: 12/2 /2013 12:OoI m EST CUSTOMER ID:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
SMOKE Electrical room IFA P room L2DO7
SMOKE Hall 1 L2Do1
SMOKE mall 1 L2D069
SMOKE Hall 1 L2Do63P1 El
SMOKE Room 100 office I LlD023 z
SMOKE Main hall 1 Ll D027
SMOKE Main hall 2 L 1 D02
SMOKE Main hall 2 L 1 D023
SMOKE Room 220 women'women's morn 2 L 1 D021
SMOKE Room 221 break room 2 Ll D022 Q 0
SMOKE Mall 2 LlD030
SMOKE Room 219 mens room 2 Ll Do o El
SMOKE Room 104 conference room L2Do32
SMOKE Room 218 bathroom 2 Ll Do 1
SMOKE Room 201 2 Ll D009
SMOKE Hall 2 Ll D31
SMOKE Room 22 2 Ll D01 1
SMOKE Room 202 bathroom Ll 0012
SMOKE loom 203 bathroom 2 Ll D01 4
SMOKE loom 203 2 LlD01 3
SMOKE Room 204 electric 2 Ll D035 P1 El
SMOKE Room m 205 IT 2 Ll D036 Z El
SMOKE Hall 2 LlD03Z EJ
SMOKE Hall 2 Ll D33P1 EJ
SMOKE Hall 2 LlD03z El
SMOKE Room 206 bathroom 2 Ll D0 7
FIBILLING ADDRESS CONFIRMED 1212 11
CUSTOMER'S SIGNATURE- DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
Gifford,Lancaster,Nashua,Hudson TF I STATE FIRE PROTECTION, LLC ADDITIONAL SERVICE
Newington, H Remit to: INFO/INSPECTION � I � IT�
Telephone:(603) � � �O Hampshire DriveFax: 3 -2 Comm.of Mass.Master Electrician#204
www.getfireprotection.com Hudson,NH 03051
Page of
DEVICE INSPECTION RE
WORK ORDER : 15488316 DATE: 12/2 /201 12:00 m EST CUSTOMER D:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
SMOKE Room 207 bathroom 2 L1 D033
SMOKE Hall 3 L1 D040
SMOKE Room 310 library 3 L1 D066
SMOKE Room 208 2 L1 D001 El
SMOKE Room 208 bathroom 2 L1 D002 Ll
SMOKE Room 210 bathroom 2 L1 D004
SMOKE Room 210 2 L1 D003 El
SMOKE Room 211 2 L1 D00 �..�
SMOKE Room 211 bathroom 2 L1 D00
SMOKE Room 214 bathroom 2 L1D 03
SMOKE Room 214 2 L1 D037
SMOKE Room 201 bathroom 2 L`I D010
SSE RIB 205 IT 2 Ll 003
SMOKE RM 204 ELECTRIC Ll D035 P1 Ll
SMOKE 20 BATHROOM, L1 D07" 2 0
SMOKE MALL 3 L1 D061
SMOKE HALL 3 L1 D04 '
SMOKE HALL 3 L1 D046
SMOKE ROOM 302 3 L1 D044
SMOKE ROOM 302 BATHROOM L1 D04
SMOKE ROOM 301 BATHROOM L1D042
SMOKE E ROOM 301 L1 D041 2 El
SMOKE RM TO ROOF L1 D09 Lj
SMOKE RM 309 BATHROOM L1 D4P1
SMOKE Rif 309 L1 D065 Pi El
..........................
SMOKE RIB 303 L1 D062
_ BILLING ADDRESS CONFIRMED 2/23118
CUSTOMER'S SIGNATURE- DATE TECHNICIAN'S IAA 'S I fAT RE-DATE
CUSTOMER'S PRINTED NAME E
Gil€ord,Lancaster,Nashua,Hudson T I STATE FIRE PROTECTION, LLC ADDITIONAL SERVICE
Newington,NH Renlit to: INF IINSPECTI N COMMENTS
Telephone4 3 293-7531 26 Hampshire Drive Comm.of Mass.Master Elect ian##2 42 A
Fa) 3 6 -2051 Hudson,NH 03051
www.getfreprotection.com
Page of
DEVICEINSPECTION REPORT
WORK DEFT : 1 43 31 DATE: 12/2712018 12:00pm EST CUSTOMER 1D:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
SMOKE RM 308 BATHROOM LlD063
SMOKE RI 1397 Ll D057
SMOKE RBI 397 BATHROOM Ll D056 Z El
SMOKE RM 306 BATHROOM LlD 55 Z
SMOKE RIB 306 Ll D4
SMOKE Rif 305 Ll D53
SMOKE RIVE 305 BATHROOM L I D052
SMOKE RM 304 BATHROOM LlD051 z El
SAKE RM 34 L1 D059
SMOKE RM 303 LlD 49
SMOKE RM 393 BATHROOM Ll D04
SMOKE CUSTODIAN CLOSET Ll D993
SMOKE RNA 215 CAFE Ll D004 L J
SMOKE RM 215 CAFE L I D5
SMOKE HALE. I L2D973
SMOKE HALL TO RIVE 132 L2D074
FULL E EXIT FRONT 1 2MO78 Lj
PULL E EXIT STREET 1 2MO6
PULL MAIN HALL 1 M025
PULL KITCHEN EXIT 1 M0 9
PULL CAFE 2 1 M37
PULL E EXIT STREET 3 1 M058
PULL E EXIT REAR 3 1 I045
PULL. MIDDLE F EXIT 2 1M939
PULL OFFICE 1 1 M029
co RIB 291 2 1 M005 F-1
F] BILLING ADDRESS CONFIRMED 1 / 1/1
CUSTOMER'S SIGNATURE-DATE TECH ICIAN"S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
Gifford, Lancaster, Nashua,ua,Hudson& T I STATE FIRE PROTECTION, LLC ADDITIONAL SERVICE
Newington,NH Rat to:
IIIT ��Il�PECT
Telephone. 3 2 3-7 1 26 Hampshire D I I COMMENTS
MENTS
raxc 3) 8 -2Comm.of Mass,Master Electrician#20423A
www.getfireprotection.com Hudson,NH 03051
Page of
DEVICE INSPECTION REPORT
WORK ORDER : 1 �'� DA#r`Eq � i�7� � � EST CUSTOMER ID;
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
.-
CO 21 BREAK RIB. B 1 M008
co Kitchen 1I1088121 El
co RIVE 214 1 M00121 El
coRM 211 1 M0032 El
co RM 210 1 M002l i
co RM 310 LIBRARY 1 M018
co RM 300 1 MO1 [A 0
co RM 308 1MO16 2 D
co RM 307 1MO15 2 El
co RM 306 3 1 M0142 El
co RM 304 3 1M012
co RM 303 3 1I 01 1 El
CO RM 302 3 i t01 o I f El
co RM 301 3 111000
Co RI 1 203 I M007 2
Ll
co RM 203 1 M0062 E
coRM 143 Date expired
co RIB 10 Date expired El [A
co RIB 112 Date expired El 2
co RM. 115 Date expired
coRIB 118 Date expired
co RM 121 Date expired
co RM 124 Date expired
coRho 135 Date expired0 [A
coRM 137Gate expiredEl W
coRM 140 Date expired El 2
---------------------
,.. ... BILLING ADDRESS CONFIRMED 12/31/1
CUSTOMER S I NATURE-DATE TECHNICIAN'S SIGNATURE- DATE
CUSTOMER'S PRINTED NAME w..�
•d,Lancaster,Nashua,Hudson& TRI f LARM SYSTEM INSPECTION
Ne iingt ,NH n.of Mass.Master Electrician#20423A
4e one:( 93-75 1 x Page 1 Of 3
1=a 03 59- 01 Inspected to the slate adopted version of NFPA 72
www.getfireprotection.com
WORK ORDER #:15488329 DATE:12-28-18 EST 7AM CUSTOMER ID.
BILL T : SHIP T .
NORTH ANDOVER PUBLIC SCHOOLS KITTREDGE ELEMENTARY SCHOOL_
ATTN:ACCOUNTS PAYABLE,566 MAIN STREET 601 MAIN STREET
NORTH ANDOVER MA 01845 NORTH ANDOVER MA 01845
Phone: 97 688-9516 Cont I t:DREG ROBERTS
Email: Phone: 9 994-6 73 -- -----
ANNUAL SEMIANNUAL QUARTERLY SENSITIVITY
ARRIVAL TIME:930am IDEPARTURETIME-.1150 I
PASS FAIL
A. PANEL CONFIGURATION'Silent Knight 5208
DETECTION CLASS. CLASS A: CLASS B;
SIGNAL CIRCUIT CLASS: CLASS A: CLASS B: A.
PANEL LOATIN:Rit side stair b exit
BATTERIES: VOLTAGE NO LOAD:
120h Test annually
B. UANTITY:2
VOLTAGE LOAD.Test annually
B. El
C. ANNUNCIATOR TYPE: C. El _Lj
REMOTE PANEL TYPE:
D. TYPE: D. El................
TYPE, El
TYPE: El .....0
E. PANEL GROUND: TERM: TO: READ: E.
W LG
TYPE OF REMOTE El MASTER BO E] RADIO MASTER BOX##25 F.
COMMUNICATION DIGITALCOMMUNICATOR: ElOTHER:
OFF LINE TIME: REPORTS T RT Andover FD G. �
. ON LINE TIME; 939a # #� OREPORTS TO:
DUCT SINGLE C.O.
PULLS R OF R FIXED SMOKES DETECTORS STATION DETECTORS
SMOKE
TEST FAIL TEST FAIL TEST FAIL, TEST FAIL TEST FAIL TEST FAIL TEST FAIL
CITY 3 1 - 7 1 1 - - - -- - -
f
MINI I e-1 O e Visual Only Audible Orel Outside
. STROBE
MINI HORN Horn/Strobe SBeacon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
CITY -� �- -� -
}
k
}:
`r
f.
r
Gifford,Lancaster,Nashua,Hudson& TRI STATE, FIRE PROTECTION, LLC FIRE ALARM SYSTEM INSPECTION
Newington, NH Remit to- Comm.of Wass.Master Electrician#20423A
Telephon 293-7531 26 Ham psh ire"Drive Page 2 of 2
Fax:(603)689-2051 Hudson,NH 03051 Inspected to the state adopted'version of'NFPA,72
www.getfireprotection.corn
..........
WMER 11):ORK ORDER #* 15488329 DATE- 1.2-28-18 EST 7�AM CUSTO
H. Explanation of Failed Devicess.
1)SMOKE, IN BASEMENT STOCK ROOM FAILED FOR HANGING AND NOT SECURE TO CEILING
2)MANUAL PULL STATION IN BASEMENT CLASS ROOM EXIT NEEDS REMOUNTING.
3)MAGNETIC DOOR RELEASE ON 2ND FLOOR NEEDS REMOUNTING AND NEW SINGLE GANG X.
4)FACP BATTERIES ARE 5,YEARS OLD,AND NEED TO BE REPLACED.
51)REMOTE POWER SUPPLY BATTERIES NEED TO BE REPLACED.
16)BASEMENT CLASS,ROOM COMES UP AS BOILER ROOM AND NEEDS TO BE REPROGRAMMED,,
L The inspector suggests that foltowing, necessary improve tints. However, these suggestions
are not the result of an engineering survey. These are recommendations based on current code.
RECOMMEND REPLACING HEAD"DETECTORS IN BASEMENT WITH SMOKE DETECTORS.
J. Adjustments or corrections made:
IA
K,1 Inspection and suggested improvements were discussed with the undersigned Owner or,
Owner's Representative., E] Yes, X No
12-28-18 THIS IS NOT,ANINVO IC'
,
C-U�NIERIS SIGNATU R E DAT E QTY PART# DESCRIPTION PRICE AMOUNT
CUST01VIER'S�PRI�NTED,NAME
jell 12-28-18
TECIININUADSIGNATUR117 DATmm
Tom I 10383-D .............—
TECHNICIAN PRI NAINIE LICENSE#
BILLING ADDRESS CONFIRMED,