HomeMy WebLinkAbout16-17222 CITY OF ZEPHYRHILLS
5335-8TH STREET
(ai3)�so-oozo 17222 '�
FIRE I�LARM SYSTEM PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17222 � Address: 5230 6TH ST
Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL.
Class of Work: FIRE ALARM SYSTEM Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-15400-0190
Improv. Cost: 15,424.10 OWNER INFORMATION
Date Issued: 4/07/2016 Name: WACHOVIA BANK NA C/O REUTERS
Total Fees: 150.00 Address: PO BOX 2609
Amount Paid: 150.00 CARLSBAD CA 92018
Date Paid: 4/07/2016 Phone: (772)778-6189
Work Desc: INSTALLATION FIRE ALARM UPGRADE W/ELEVATOR RECALL
`CONTRACTOR S APPUCATION FEES
ORR PROTECTION S STE S NC FIRE ALARM 50.00 FIRE INSPECTION FEE 50.00
FIRE PLAN REVIEW FEES 50.00
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Ins ections Re uired
FIRE ACCEPTANCE Final
FIRE ELEVATOR RECALL
Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
costs related to the aforementioned.
Complete Plans, Speci�cations and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
- work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMME ENT "
CONTRACTOR SIGN TURE PERMIT OFFIC i
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION I
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED '
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
(�. yC
a�saso-oozo � City of Zephyrhills Permit Applic�tion-�—�S Fax-813-780-0021
Buiiding Department
- - ---�--�,�
Date Received �2 - O Phone Contact for Pertnitting 321 277 -- 5594
Trrr
Owners Name �Nachovia Bank NA C/O Thomson Reuters Owne hone Number 813-7��_048-
Owners Address PO Box 2609 Carlsbad,Ca.92018-2609 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5230 6th Street Zephyrhiils,FI.33541 LOT# 23 8 24
SUBDIVISION PARCEL ID# 11-26-21-0010-15400-0190
� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
r
DESCRIPTION OP WORK Fire Alarm System Upgrade to include elevator recall(primary,alternate&fire hat)"Low Voltage"
BUILDING SIZE SQ FOOTAGE� HEIGHT �
� TTrTTrTTrTI"ITTI"P't�Tl"1"i�T�TTrTTrT ITT}�
�BUILDING. $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $15,424 10 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ^� /
QPLUMBING $ � v/�
� l�Tz
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1
��
QGAS Q ROOFING Q SPECIALTY 0 OTHER \
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUM BER COM PANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY Orr Protection
SIGNATURE Fire Alarm REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1 1 1 1 1 I I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 I t I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
, RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permitfor new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construclion Plans,Slortnwater Plans w!Silt Fence installed, !
Sanitary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects 'i
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construdion. i
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance i
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for ail NEW construction.
�1-.F�1-.�1-.FFI-.FI.-F�1..�1--FF{..1-1--1�1-.f-{-f-.F-{-d�-1-1-1�i�-b-H4-FFI-d-4-FFI--Ff�-FF4-1-1--FF4-F4-HI-1.-�1-.�� ,
Directions:
Fill out application completely
Owner R ConVactor sign back of applicaGon,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades aver$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required) �
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW �
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
, use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
' 90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
� certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
` CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use�of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel,alter,or
, set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM NCEMENT.
, FLOR D JURAT(F.S.117.03) /
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i(dldabe(� affirmed b for me this, Subs b and sworn t irm ef e
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March 2,2016
City of Zephyrhills
Building Division
5335 8th Street
Zephyrhills,FI.33542
. RE:Power of Attorney
To Whom It May Concern:
4
I,Cory W English,the license holder for ORR Protection Systems,do certify and authorize the following
individuals to register my license,acquire permits and/or call for inspections,and sign on my behalf for the
City of Zephyrhills.
Howard Snyder
This repuest is effective throu�h March 2,2017,or until termination of emnlovment.
Please call with any questions,
Orr Pro tion Systems
� License Holder
xxicic�Ficic4c�Y�Ficicicicxxxxak>Fx�cicxicir4c�Y�k�'cicicic�Fxiexicic4cixicic�Yicic�ka4icxicxacxxic�Ficicic:Fxicxicicxka4a4xic�cxixicicicicx�cxxxxaFiexae
STATE: KENTUCKY
COUNTY: JEFFERSON
Subscribed and sealed before me this ���dav of /�l�Ca ! ,2016
�
otary lic
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�" :- _ Y� , ; ORR Protection Systems,Inc.
- '__ . ,_ - 2804 Broadway Center Blvd.
l_,� -� Brandon,Florida 33510
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813-239-3473
, � FAX 813-237-6565
` -.'�, . �- ' 800-711-6002
Tampa•Orlando•Jacksonville•Ft.Lauderdale•Ft.Myers•Tallahassee•Miami•Ft.Walton Beach
FL FM 16058100012009•FL FM 14918900012009•FL EF 20000443
This space for use by Cierk of the Cirq�oart only. �
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zeiseasam�
NUTICE OF COMMENCEMENT
Permit Number, Rcpt:1758263 Ree: 10.00 �M
Tax Folio No. 11-26-29-001p-15400-0190 m3j2gtym16 K. DT�K ,�DplY Clerk
� The ursdersigaed hereby gives notice thai impravQments wilt be made to certain real pmpe�ty,and in accardance with Section 713.13 of tbe
Flurids Statutes,the following information is prov[ded in the NOTICE OF COMhiTNCEMEN'I'.
i Legai Description ofproperty(street address required): 5230 6th Street Zeohvrhills FI 33542
2. General description of impmvements: Reolace faitinq fire alarm panai with intel(iaeM fire alarm pane! new batteries ��� �
surge protectar and devices and connect fire alarm to elevator for primarY altemaie&fire hat controls. ��� ��
3a. Owner Name: Wachovia Bank NA CIO Thomson Reuters ' �—. ��� „� �
� Owner Address: PQ 6ox 2649 Carisbad Ca 92018-2609 � �� �
3b. Owner's interest in site: � � � �
�e. Fee Simple Trtie holdar(of other than awner) R!!A � ���� �
Address: � J
Conuacior Name: Orr Ptofection �� �
Address: 28Q4 eroadwav Center Blvd. Brandon.FI.33510 Phone: 813-239-3473 � �
. Surety Name: N!A Amoupt of bond: �� ���
Address: Phone: � � �
6. Lender Name:�(� Contact: � � '�
Address: Phone: � ��� � �
7. Person within the State o£Florida designated by owner upon whom notices or other documents may be served as provided by C'��j � , � � �
Section 9I3.13(i}(a}7,Florida StaEutes. � ��;� �
��.
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Name: Address: ���� � �
Phone Nurnbar:
8. In addition to himseEf,Owner desig�afes the failowing gerson to receive a copy of the Lienor's Notice as provided in Section ;�, ,�
713.13{1)(b),Florida Statutes. '����
��'� # ,� �a.]� ,w�'l�'
Name: Address: � _ ��
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Phone Nurnber: ,�. � 'q� ��
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4. Expiration date of Notice of Commencement(expiration date is one{I)yesr fram date of recording unless a different date is � � �t,.
specified). �ii � e e
a �` ; �
WARNINCTOOWNER:hiYYPAYhiEPtTSMADEBY'i'[IEOWrtERAFCERTHE�?tPIRATSONpFTHENOTICE4FCOMMENCEMEN'fARE � � • ��'
CONSIDERED lMPROPER PAXMENTS UNDER CEiAPTER 713,PART l,SECTION 713.13,F1.ORIDA STATUTES,AND CAN RESULT IN YOUA
PAYING TW ICE FOR IMPROVEIt�NTS TO YOUR PROPERTY.A NOTICE OF COMMENCEhiEiV7'MUST BE RECORDED AND POSTED OPI TFIE �
JOB S]TE HEFdRE THE FlRST INSPECi'tQN. fF YOU t2VTEND T4 OBTAIN FII+[ANC!lVG,CONStILT WITH YOUR LENDER OR AN ATTORNEY � �� �'
BEFORE COMMENCRVG WORK OR RECORpINC YOUR NpTICE OF COMMENCEMENT. �"
�___ V f
Signa re of Owner or L ssee,or Own 's Lessee's Authorized Officer/Director/Partner/Manager
V T �
Signat 's Title(Office
STATE OF FLORIDA
COUNTY OF HIGLS[tOROUGEi
The foregoing insaument was uc owledge bofore me this�day of b�c1.,d.��---- 20 l i% ,
ey�F�,,��,� I/J �����-,�-�._. .� 11 P r for Q��S �a��
Personat�yKnown_( / _,ORProducedIdentifira�(t�ion ``,��{i11t//��
Type of Identifieation Protiuced ���1�_ �"'�' _ t� �R/�' ����
� �/ �i
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� ?MY 1�h1t,�2c � � — '
Under penal[ics of perjury,l declaze that 1 have read the foregaing and that lhe facts stated itt�are Cue��h�(se3HY�my ifi�I�ge and belief. �
� "
^ ��cS��;•., P U 6�-�✓"�����•
�gnatuc of Nahual Person igning Above �/�/'9�'� O� �``�t�
(p copy ot uny bond must be atinehed et ihe time of ra on of tttis Notice af Commrnamrnt) t r+f��(�`���`' Updated 29NOV20t2
PqULP S Q`NEZ�,Ph 6.PASGO CL£RK &COMPTFOLLEF
03/28/2016 2:05 m 1 ro�f 1
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ��.
Date Received: �J�2-(���K7
Site: ��2 �rj jp �-�`!_
, �`��'
Permit Type: -�� /�- � 1�-���iG�2s � �� (��
Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑
�
This comment sheet shall be kept with the permit and/or plans.
' ;/
" �� .�
Gene Brown-Fire Safety Officer ate Contractor and/or Homeowner
(Required when comments are present)
��PHY�.�PiLL� �l�� ��PA��iVIEi��
6907 Dairy Road, Zephyrhills, FL 33542
E6RE �EI�VOCE USER FEE�
Occup�ncy PBo.:
Pl�n No.: Contractor: d� p2�''��''��"'' , :��f
' 8usiness Name: (�J�.�ug r��-y� Billing Address:��'��l ��a•�,��.a� C�,,..�yc
Business Address: ��-3o c,'" s� `�c�►..�a�..� %.c 33 s�o .- �s�s`
Business Phone No.: f��3 • '7'7 q • d�o i Billing Phone No.: f��3 •02 3� • 3ti�3
Business Fax No.: Billing Fax No.: S'�3 •�3�• �s� s� ,
Contact: Contact: Co.��, c.; c-�r y �.s y
PLAN REVIEW FEES INSPECTIOtd FEES PERMIT FEE FALSE ALARAh FEE
BSite Plan N/C Annual N/C Sprinkler $50 1st Alarm N/C
Idlulti-Family/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C
(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N!C
� Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100
` 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150
SPRIMKLER SYSTEAAS (Business closed until LP Gas $50 6th Alarm $200
0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRIMKLER SYSTEMS Fuel Tanks- Per�aok $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
� Per Riser $50 Hydrostatic Test $65 per system Fire Works $500
FIRE PUNiP Acceptance Test $45 persystem Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Bum $100
FIRE ALARAA SYSTENA Hood/Duct $50
25 Devices $50 FIRE/4LARAA SYSTEfiA Place of Assembly $50 Mnuat
26 plus Devices I $100 System Acceptance $50 ire Protection $25
SUPPRESSIOf�SYSTEMVS �Recall Acceptance $50 Flammable Applicat�on $50 Mnual
Wet $50 OTHER Waste Tire Storage $50 Mnual
Dry , $50 Fire WalUSmoke Wall $15 perwall Generator<KW $100
' CO2 $50 LP Gas $25 per tank Generator>30 KW 150
Other $50 Natural Gas $25 persystem Bio-Hazard Waste $100 nnnuai
lCITCHEN EXHI4UST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10'x10'or greater $15 per tent Torch PoUApplied $50
OTHER Fire Pump $45 Haz.Materials $100 w,nuai
LP Installatlon per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance _
❑ (Per Tank) $50 a Exhaust HoodlDuct $30
Natural Gas InstallaUon $50 Re-inspection DBL
i (Pe�System) (other than annual)
�Spray Booth $50 � Inspection scheduled DBL 8
and cancelled less than
24 hours
� Construction Insp. N/C
Emergency Vehicle Ai $50 FALSE ALARM
PLANS TOTAL� INSPECTION TOTAL� PERMIT TOTAL� TOTAL�
GREUdD TOTAL
Comments:
Date: a /�
Inspector: <%�C-�--- �-��---,
nin
, ;
Protectior� Systems
� � ������ ����� � . ��
WELLS FARGO
5230 6�' Street
��,u�nrr��i
Zephyrhills,FL 33542 ,`�..��.A• Kq/5�,.,
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��'`�`� 03/28/2016
Fire Alarm System Upgrade
Submiital Inf ormation
ORR Protection Systems,Inc.
2804 Broadway Center Blvd.
Brandon,Florida 33510
813-239-3473
FAX 813-237-6565
800-711-6002
Tampa•Orlando•Jacksonville•Ft.Lauderdale•Ft.Myers•Tallahassee•Miami•Ft.Walton Beach
FL FM 16058100012009•FL FM 14918900012009•FL EF 20000443
SILENT � 5860 Remote Annunciator
KNIGHT
m
by Honeywell Bring the power to control an IntelliKnight
fire alarm control panel to every
area within your facility _
Now you can operate and program your IntelliKnight system from up to twelve locations throughout your facility.
The 5860 remote annunciator provides the same advanced, easy-to-use interface found on the IntelliKnight
panel's built-in annunciator.The 80-character display and ergonomically designed keypad allow for simple and
error-free system operation.All operations—including reset, silence, detector status checking,fire drill, and
programming—are identical.
� Access to the system is through a firefighter's key or an access code. For security,a special installation code is
needed for programming functions.The 5860 connects to the IntelliKnight panel via the RS-485 system bus.
Wire runs can be up to 6000 feet from the panel.
For more information about the IntelliKnight system, or to locate your nearest source, please call
1-800-328-0103.
Description • Available in red or light gray
Features include an 80-character • Support for simultaneous use of
backlit LCD providing easy-to- multiple 586as �k:,-,:':�: .;;`"��`�q
h'N rS II
understand system messages.The • RS-485 interface to panel � � '"°
annunciator is er onomicall �'rv� ."^ ^Y'�/`
9 Y • Operation and appearance is '�,��;.
designed with over-sized buttons identical to 5860 built-in �:��_
for the most ftequently used annunciator � ��;
features, like Reset and Silence. • On-board piezo sounder audibly �`�"`
In addition to status messages indicates alarms, troubles, and y�;s~�
supervisories
displayed on the LCD, there are . Five status LEDs for alarm,
�ve LEDs for alarm, supervisory, supervisory, trouble, silence and
trouble, silence, and AC power AC power conditions
status. • Wiring lengths up to 6000 ft.from 5860
The annunciator is available in gray the FACP (depending on wire Environmental
to match virtually any decor and gauge and.number of devices on Operating Temperature: 32°F–
red for applications where the SBUS) 120°F (0°C–49°C)
annunciator must stand out.The ' UL listed, complies with NFPA 72 Humidity: 10%–93% non-
annunciator enclosure can be • CSFM approved condensing
surface or flush mounted.A trim Electrical Specifications Compatibility
ring kit is available for surface Operating Voltage: 24 VDC The 5860 is compatible with the
mounting. Standby Current: 20 mA max following FACP's:
Features Alarm Current: 25 mA • 5820XL Addressable Fire Control
• 80-character backlit LCD display Wiring Distance: 6,000 max.from Panel
(4 lines with 20 characters on FACP (depending on wire gauge • 5820XL-EVS Fire Control Panel
each line) and number of devices on the with Emergency Voice System
• Tactile and audible feedback SBUS) • 5808 Addressable Fire Control
• Accepts user codes or fire Panel
fighter's key Mechanical Specifications
• Larger keypad buttons for system Physical 9.1"W x 7.4" H x 1.5" D • 5700 Addressable Fire Control
reset and silence (23.1 W x 18.8 H x 3.8 D cm) Panel
� • Install up to finrelve 5860s per Shipping Weight:2.8 Ibs (1.3 kg)
5820XUEVS or 5808 system Color
• Install up to eight 5860s per 5700 5860R: Red PN 350224 Rev G
system O 2014 Honeywell Intemational Inc
5860: Gray
•-
5860 Remote Annunciator
� Engineering Specifications
The main control must have a built-in annunciator and must support up to 12 remote annunciators. Remote
annunciators shall have the same control and display layout so as to match the appearance of the built-in
annunciator. Remote annunciators shall be available in two colors, red or light gray.
Remote annunciators shall have identical functionality and operation as the built-in annunciator.All annunciators
must have an 80-character LCD display and must feature five LEDs for: General Alarm, Supervisory, System
Trouble, System Silence, and System Power.
_ All controls and programming keys are silicone mechanical type with tactile and audible feedback. Keys have a
travel of.040 inches. No membrane style buttons will be permissible.
The annunciator must be able to silence and reset alarms through the use of a code entered on the annunciator
� keypad or by using a firefighter's key. The annunciator must have two levels of user codes that will limit the
operating system programming to authorized individuals.The control panel must allow all annunciators to
accommodate multiple user input simultaneously.
Wire Runs Up to 60QQ Feet From FACP
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5860 5860 586D
• Up to 12 586Qs Per IFP-100/ECS or
IFP-1000/ECS System
•Up to EighY5860s.Per 57�0 System
Compatible InfelliKnight FACP
Listings Ordering Information
, NFPA 72; UL Listed; 5860R Remote Annunicator four line LCD �
CSFM 7170-0559: 135; annunciator with 20 characters per line.
MEA 429-92-E Vol. IX; Red
FM Approved
5860 Remote Annunciator four line LCD
� annunciator with 20 characters per line.
Gray
Accessories
� 5860TR Red Trim Ring for surface mounting
5860TG Gray Trim P.ing for surface mounting
SILENT This document is not intended to be used for installation purposes.We try to
KNIGHT keep our product information up-to-date and accurate.We cannot cover all �
specific applications or anticipate all requirements.All specifica6ons are
subject to change without notice.For more information,contact Silent Knight
I by Honeywell �2 Clintonville Road,Northford,CT 06472-1610.Phone:(800)328-0103,
Fax:(203)484-7118.For Technical Support,Please call 800�46-6444.
www.silentknight.com Assembled in America
� i� � .� ■a I
SILENT IntelliKnight° Model 5700
KNIGHT Single Loop Addressable
� Fire Alarm Control System
by Honeywell The affordable addressable fire
alarm control panel solution.
�I
IntelliKnight Model 5700 is a class leading single loop addressable fire alarm control/communicator system.
' 5700 provides you with the revolutionary value and performance of addressable sensing technology combined
with exclusive, built-in digital communication, distributed intelligent power, that includes an easy to use intertace.
, Powerful features such as drift compensation and maintenance alert are delivered in this powerful FACP from
Silent Knight.
For more information about the IntelliKnight system, or to locate your nearest source, please call il
. 1-800-328-0103. I
Description �
The basic IntelliKnight 5700 system can be enhanced by ,,,,n„�,,,,,.
adding modules such as 5860 remote annunciator, 5824 �.:a=;:.�.r,. v
serial/parallel printer interface module (for printing
system reports), and 5496 intelligent power module.
57G0 supports SD or SK devices. 5700 also features a ,
powertul built-in dual line fire communicator that allows
for reporting of all system activity to a remote monitoring
location.
� Features
• Built-in support for up to 50 SK detectors and 50 SK
modules creating a total point capacity of 100 points �
• Built in support for up to 50 SD devices
• Up to 125 zones and 125 output groups
• Uses standard wire—no shielded or twisted pair
required Model 5700
' • Built-in digital communicator • Improvements in SKSS deliver five times faster
� • Central station reporting by point or by zone upload/downloads
i • Supports Class B (Style 4) and Class A(Style 6 or 7) . Built-in RS-232 interface for programming via PC
configuration for SLC • Built-in Form C trouble relay rated at 2.5A at 27.4
• Drift compensation VDC
• 13 pre-programmed output cadences (including ANSI- . Programmable date setfing for Daylight Saving
3.41) and 4 programmable outputs Time
• Notification circuits configurable as 1 Class A(Sryle Z)
or 2 Class B (Style Y), or auxiliary power for resettable, Compatibility
constant, or door holder power The 5700 signal line circuit(SLC) supports multiple
• Built-in synchronization for AMSECO, Gentex�, device types of the same protocol:
I� Faraday, Systern Sensor�and Wheelock�appliances • SK
� • Built-in annunciator with 80-character LCD display • SD
• RS-485 bus provides communication to system You cannot mix SD and SK SLC devices on a FACP.
accessories
• Upload or download programming, event history, or
detector status onsite or from a remote location using
a PC and 5660 Silent Knight Software Suite (SKSS)
• Two built-in Form C programmable relays rated at 2.5A
at 27.4 VDC P/N 350392 Rev M
�O 2014 Honeywell International Inc.
. .• .,
� -•
Model 5700
Fire Alarm Control Panel
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Specifications S-BUS Accessories 5670 Silent Knight Soflware Suite
Electrical 5860/R Remote Fire Annunciator End-user facility management software
allows viewing of detector status and event
Primary AC•120 VAC,60 Hz, 1.5A Features the same 80 character backlit LCD history via modem or direct connection.
Total Accessory Load:2.5A @ 27.4 VDC display keypad and firefighters key switch
Notification Power.2.5A @ 27.4 VDC, as the 5700.The system can be fully RBB
power-limited programmed and operated from any 5860. Remote Battery Box Accessory Cabinet Use
Standby Current:200 mA 5860 is gray and 5860R is red. if backup batteries are too large to fit into
Alartn Current:365 mA FACP cabinet.Dimensions:
NotificatioNAux Power Circuits: 5496 Intelligent Power Module �6"W x 10"H x 6"D
2.5A @ 27.4 VD.0 per circuit, A 6 amp notification power expander that (406 mm W x 254 mm H x 152 mm D
power-limited provides four additional power-limited
Battery Charging Capacity:7.0-35.0 AH notification appliance circuit outputs. SK-SCK
Battery Size:7 AH max.allowed in FACP Seismic Compliance Kit.
cabinet.Larger capacity batteries can be 5880 LED/10 Module
housed in an RBB accessory cabinet Features 40 LED outputs,8 nortnally open SD505-DTS-K
PhysIC81 dry contact inputs and one piezo output. Remote test switch that provides remote key
, Dimensions: 5865-3 and 5865-4 operated test function and annunciation of
12.75"W x 15.2"H x 3.4"D Remote LED Annunciator detector alarm with SD505-DUCTR.
(32.39 W x 38.42 H x 8.57 D cm) Features 30 Programmable LED(15 red and SP-TR
Weight: 11.5 Ibs. (5.2 kg) 15 yellow)outputs and a piezo sounder.The Small panel trim ring.Use to flush mount the
� 5865-4 adds a silence and reset switch to panel.16.975"H x 14.630"W.
I� Color:Red the package.
Telephone Requirements: SD and SK Devices
5883 Relay Board
FCC Part 15 and Part 68 approved See the data sheets listed below for a
Features 10 general purpose Form C relays.
I� Type of Jack:RJ31X(two required) Used with 5880 module. complete listing of the SD and SK devices.
53624 SD Devices data sheet
Listings 5824 Serial/Parallel Printer
NFPA 13,NFPA 15,NFPA 16,NFPA 70,& Interface Module 53623 SK Devices data sheet
i NFPA 72:Central Station;Remote Provides one parallel and one RS-232 serial
Signalling;Local Protective Signalling port for connecting a printer to 5808.Use to
Systems;Auxiliary Protected Premises Unit; Print a real-time log of system events,
II 8 Water Deluge Releasing Service.Suitable detector status reports,and event history.
� for automatic,manual,waterflow,sprinkler Interfaces with building control system.
supervisory(DACT non-coded)signalling
services. Miscellaneous Accessories
OtherApprovals:UL Listed; 5660 Silent Knight Software Suite
' CSFM 7170-0559:144;MEA 429-92-E Vol. User-fiendly Windows software for remote
XVI;OSHPD(CA)OSP-0065-10 programming of 5700s using a PC.Upload
� and view panel account information,event
history,and detector status.
SILENT This document is not intended to be used for installation purposes.We try to
keep our product informatPon up-to-date and accurate.We cannot cover all
KNIGH'I' specific applications or anticipate all requirements.All specifications are subject
' � to change without notice.For more information,contact Silent Knight 12
by Honeywell Clintonville Road,Northford,CT 06472-1610 Phone:(800)328-0103,
� Fax:(203)484-7118.For Technical Support,Please call 800-446-6444.
www.silentknight.com Assembled In America
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Indoor e-Outpu� ���;�m�:Wi F� _ .�;F.�, _
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Horns Strobes an � �`� �°�y�=��;`°�� .
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� S�rabes for Wall � �}�:r�
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SpectrAlert°Advance audi6le visible notification '"�"Y �
products are rich with features guaranteed ro cut SPECT����
installation times and maximize profits.
A o v a ni c E
Fea#ures The SpectsAlert Advance series offers the most versatile and
•Plug-in design with minimal intrusion into the back box easy-to-use line of horns,strobes,and horn strobes in the industry
�Tamper-resistant consiruction With white and red plastic housings,wall and ceiling mounting
options,and plain and FIRE-printed devices,SpectrAlert Advance can
•Automatic selection of 12-or 24-volt operation at 15 and 15/75 meet virtuaily any appiication requireme�t.
candela
•Field-selectable candela settings on wall units:15,15/75,30,75,95, Like the entire SpectrAlert Advance product line,wall-mount horns,
' 11 Q,115,135,150,177,and 185 strobes,and ham strobes include a variety of features that increase
�Horn rated at 88+dBA at 16 volts their application versatility while simplifying installation.All devices
� •Rotary swiTch far horn tone and three volume seiections ��ature plug-in designs with rninimal intrusion into the back box,
� making installations fast and foolproof while virtually eliminating
I •Universal mounting plate for wall units costly and time-consuming graurrd faults.
� •Mounting plate shorting spring chetks wiring continuity before
device installation ' To further simplify installation and protect devices from constructian
•Elecuically Compatib(e with legacy SpectrAlert devices damage,SpectrAlert Advance utilizes a univ�rsal rnounting plate
•Compatible with MDL sync module with an onboard shorting spring,so installers can test wiring
cantinuity befare the device is insta(led.
! Installers can also easily adapt devices to a suit a wide range of
application requirements using field-selectah(e candela settings,
automatic selection of 12-or 24-volt operation,and a rotary switch
far horn tones with three volume selections.
�
�
Agency Listings
SIGHALJHG .j�t
°�'
�� �M MEA �,�,�3,���d�r:e�=�
IJSTED APPpDYEC apprqved ����653:{88Q�omstrolte5,
54051{dume;hwnstro6s.hom<} 3423572 MEA452�95-E cMmesUobr.t}
5551<"(strobsj 713St553.i89�oms,chimes)
SpectrAlert Advance Specifications
General
SpectrAlert Advance horns,strobes,and horn strobes shall mount to a standard 4 x 4 x 1 Y�-inch back box,4-inch octagon back box,or double-gang back
boxTwo-wire products shall also mount to a single-gang 2 x 4 x 1�/e-inch back box A universal mounting plate shall be used for mounting ceiling and
wall products.The notification appiiance circuit wiring shall terminate at the universal mounting plate.Also,SpectrAlert Advance products,when used with
the Sync•Circuit`Module accessory,shall be powered from a non-coded notification appliance circuft output and shall operate on a nominal 12 or 24 volts.
When used with the Sync•Circuit Module,l2-volt-rated notification appliance circuit outputs shall operate between 9 and 175 volts;24volt-rated notification
appliance circuit outputs shall operate between 17 and 33 volts.Indoor SpectrAlerc Advance products shall operate between 32 and 120 degrees Fahrenheit
from a regulated DC or full-wave rectified unfiltered power supply.Strobes and horn strobes shall have field-selectable candela settings including 15,15/75,30,
75,95,110,115,7 35,150,177,and 185.
Strobe
The strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1977 and shall be approved for fire protective service.The strobe shall be
wired as a primary-signaling notification appliance and comply with the Americans with Disabilities Ac[requirements for visible signaling appliances,flashing at
I , 1 Hz over the strobe's entire operating voltage range.The strobe light shail consist of a xenon flash tube and associated lens/reflector system.
Hom Strobe Combination
The horn strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1971 and UL 464 and shall be approved for fire protective service.The
• horn strobe shall be wired as a primary-signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible signaling
appliances,flashing at 1 Hz over the strobe's entire operating voltage range.The strobe light shall consist of a xenon flash tub2 and associated lens/reflector
system.The horn shall have three audibility options and an option to switch between a temporal three pattern and a non-temporal(continuous)pattern.These
options are set by a multiple position switch.On four-wire products,the strobe shall be powered independently of the sounder.The horn on horn strobe models
shall operate on a coded or non-coded power supply. I
Synchronization Module
The module shall be a System Sensor Sync-Circuit model MDL listed to UL 464 and shall be approved for fire protective service.The module shall rynchronize
SpectrAlert strobes at 1 Hz and horns at temporal three.Also,while operating the strobes,the module shall silence the horns on horn strobe models over a
single pair of wires.The module shall mount to a 4��/,e x 4��/,c x 2�/e-inch back boxThe module shall also control two Style Y(ciass B)circuits or one Style Z
(class A)circuit.The module shall synchronize multiple zones.Daisy chaining two or more rynchronization modules together will synchronize all the zones they
control.The module shall not operate on a coded power supply.
Standard Operating Temperature 32°F to 120°F(0°C to 49°C)
Humidity Range 10 to 9396 non-condensing
Strobe Flash Rate 1 Flash per second
Nominai Voltage Regulated 12 DC/FWR or regulated 24 DC/FWR'
Operating Voltage Rangez 8 to 17S V(12 V nominal)or 16 to 33 V(24V nominal)
InputTerminal Wire Gauge 12 to 18 AWG
Wall-Mount Dimensions(including lens) 5.6"L x 4.7"W x 25"D(142 mm L x 119 mm W x 64 mm D)
Hom Dimensions 5.6"L x 4.7"W x 13"D(142 mm L x 119 mm W x 33 mm D)
Wall-Mount Back Box Skirt Dimensions(BBS-2,BBSW-2) 5.9"L x 5.0"W x 2.2"D(151 mm L x 128 mm W x 56 mm D)
Wall-MountTrim Ring Dimensions(sold as a 5 pack)(TR-HS,TRW-HS) 5.7"L x 4.8"W x 035'D(145 mm L x 122 mm W x 9 mm D)
Notes:
1.Full Wave Rectified(FWR)voltage is a non-regulated,time-varying power source that is used on some power supply and panel outpuu.
2.P,S,PC,and SC products will operate at 12 V nominal only for 15 and 15/75 cd.
AVDSDOb00
UL Current Draw Data
... . .
5-17.5 Volts 16-33 Volts 8-175 Volts 16-33 Volts
Candela DC FWR DC. FWR Sound Pattern d6 DC FWR DC FWR
Standard 15 123 128 66 71 Temporai High 57 55 69 75
Candela Range 15/75 142 748 77 81 Temporal Medium 44 49 58 69
30 NA NA 94 96 Temporal Low 38 44 44 48
75 NA NA 158 153 Non-temporal High 57 56 69 75
95 NA NA 181 176 Non-temporal Medium 42 50 60 69
110 NA NA 202 195 Non-temporal Low 41 44 50 SO
115 NA NA � 210 205 Coded High 57 55 69 75
, High 135 NA NA 228 207 Coded Medium 44 51 56 69
Candela Range 150 NA NA 246 220 Coded Low 40 46 52 50
• 177 NA NA 281 251
185 NA NA 286 258
�
• 8-17.5 Volts 16-33 Volts
DClnput 15 15/75 15 15/75 30 75 95 110 115
Temporal High 137 147 79 90 107 176 194 212 218
Temporal Medium 132 144 69 80 97 157 182 201 210
Temporal Low 132 143 66 77 93 154 179 198 207
Non Temporal High 141 152 91 100 116 176 201 221 229
Non Temporal Medium 133 145 75 85 102 163 187 207 216
Non Temporal Low 131 144 68 79 96 156 182 201 210 il
FWR Input
Temporal High 136 155 88 97 112 168 190 210 218
Temporal Medium 129 152 78 88 103 160 184 202 206
Temporal Low 129 151 76 86 101 160 184 194 201
Non Temporal High 142 161 103 112 126 181 203 221 229
Non Temporal Medium 134 155 85 95 110 166 189 208 216
Non Temporal Low 132 154 80 90 105 161 184 202 211
r
16-33 Volts 16-33 Volts
DClnput 135 150 177 185 FWRlnput 135 150 177 185
Temporal High 245 259 290 297 Temporal High 215 231 258 265
Temporal Medium 235 253 288 297 Temporal Medium 209 224 250 258
Temporal Low 232 251 282 292 Temporal Low 207 221 248 256
Non Temporal High 255 270 303 309 Non Temporal High 233 248 275 281
Non Temporal Medium 242 259 293 299 Non Temporal Medium 219 232 262 267
Non Temporal Low 238 254 291 295 Non Temporal Low 214 229 256 262
Horn Tones and Sound Output Data
_ .
8-17.5 16-33 Z4Volt Nominal
Switch Volts Volts Reverberant Anechoic
Position Sound Pattern d6 DC FWR DC FWR DC FWR DC FWR
1 Temporal High 78 78 84 84 88 88 99 98
2 Temporal Medium 74 74 80 80 86 86 96 96
3 Temporal Low 71 73 76 76 83 80 94 89
4 Non Temporal High 82 8� 88 88 93 92 100 100
5 Non Temporal Medium 78 78 SS 85 90 90 98 98
6 Non Temporal Low 75 75 81 81 88 84 96 92 ,
7i Coded High 82 82 88 68 93 92 101 101
8t Coded Medium 78 78 85 85 90 90 97 98
9t Coded Low 75 75 81 81 88 85 96 92
tSettings 7,8,and 9 are not available on 2-wire horn strobes.
AVDSIXK00
SpectrAlert Advance Dimensions
4.7" 2.5'" 5.05" �2.23=�►�
���
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5.6" 5.98'
0 0
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Wall-mount horn strobes Wali back box skirt
SpectrAlert Advance Ordering Information
�� �-
Wall Horn Strobes Horns
�.�_. .. ._.,_,,__._.._.._..._. .2.. .
sP2R",�,� �2-�re Ham�Strobe,Star�tiard'id$;Rec7: HR Horn,Red
P2RH' 2-Wire Horn Strobe,High cd,Red HW Horn,White
P2W 2-Wire Hom Strobe,Staodard cd,White Accessories
P2WH' 2-Wire Horn Strobe,High cd,White BBS-2 Back Box Skirt,Wall,Red
P4R' 4-Wire Horn Strobe,Standard cd,Red BBSW-2 Back Box Skirt,Wall,White
P4RH 4-Wire Horn Strobe,High cd,Red � 1R-HS Trim Ring,Wall,Red
P4W 4-Wire Horn Strobe,Standard cd,White TRW-HS Trim Ring,Wall White
Wall Strobes
,..,... �.,.. ... .,.. ..
�SR'� Sxiqb,e;5tandarif,�c1;,12ed'
SRH`f Strobe,High cd,Red
SW` Strobe,Standard cd,White
SWH" Strobe,High cd,White
Notes:
'Add'-P'to model number for piain housing(no'FIRE'marking on cover),e.g,P2R-P.
t Add'-SP'to model number for'FUEGO°marking on cover,e.g.,P2R-SP
#'Standard cd°refers to strobes that indude 75,15/75,30,75,95,110,and 175 candela settings.'High cd'refers to strobes that include 135,150,177,and 185 candela settings.
� "�+J��,r, 3825 Ohio Avenue•St.Chafles,IL 60174 ���R, m�oit sy:cems��sa�.
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�yy Phone:S00-SENSOR2•Fax:630-377-6495
nwsooboo.�i i•�zeo�
DTK-120HW/240HW/120/240HW
Equipment Panel / Dedicated Circuit
SURGE PROTECTION
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DITEK's "HW' series of surge protectors are engineered and manufactured to the
exacting standards of the life safety industry. More fire alarm panels worldwide
are protected by the 120 HW than any other protector. The "HIM' series has a 15
year reputation for performance, reliability and quality. These units are the only
real choice, for sensitive electronics on a dedicated circuit.
FEATURES BENEFITS
Diagnostic LED indicates ground presence, unitfunction and
power on
Small footprint Can be used in wide array of applications
Parallsl connection Maintains power to system
Three voltage configurations Works on all single phase applications
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1-800-753-2345 f' �- ..�',;� „�r; �
1720 Starkey Road, www.ditekcorp.com "� ��-�:=�x�;�-�
Largo,FL 33771 -_ :��,�� �
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General Specifications - HW Series
Continuous Current: Unlimited (parallel connection)
Protection Modes: L- N, L-G, N -G
Warranty: Ten Year Limited Warranty
Dimension: 2.90"x 1.62"x 2.05" Weight: 0.18 Ibs Housing: ABS
Other Specifications
� 120HW❑ ❑ 120/240HW❑ ❑ 240HW
� Agency Approvals:❑ ❑ ❑ UL1449/cULm N/A❑ ❑ N/A
Connection:� ❑ � ❑ 110-120VACC�] 120/240VAC� 220-240VAC
MCOV:❑ ❑ ❑ ❑ ❑ 130VAC❑ ❑ 130/260VAC� 250VAC
Max Surge Current:❑ ❑ ❑ 22,500A� ❑ 27,OOOA� ❑ 13,500A
UL Suppr�ssed Voltage Rating:� 500V�❑ ❑ N/A� ❑ ❑ N/A
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� ORR PROTECTION SYSTEMS, INC.
� • - � • • - •
Protected.Prope� Wells Fargo Bank - Date 5/23/16
' Address 5230 6 Street Contact Karen Martinez
Ci , State,Zip Zephyrhills, FI. 33637 Telephone 813-526-0223
AHJ Name AHJ Phone
AHJ Address Zip
Installation Compan ORR Protection Systems Telephone, 813-239-3473
Address 2804 Broadway Center Blvd. Brandon, FL Zip 33510
� Service Compan Telephone
Address Zip
Contract Dates Contract#
Monitorin Compan Send Signal Telephone 800-432-4911
- Address Zip �
System Records Location Of Record (As-Built) Drawings: On Site
Location Of Owner's Manual: On Site
Location Of Test Reports: On Site
Location of Site Specific Software Orr Protection Systems �I
Executive Software Version �
� A contract dated for test and inspection in accordance with NFPA
standard(s) No.(s) dated is in effect. �
1. Type(s Of Systems or Service
System Type Remote Station Pro rieta Central Station Local
Contact Information Telephone numbers of the organizations receiving:
Alarm Send Signal
Superviso Send Signal
Trouble Send Signal
Retransmission If alarms are retransmitted to the public fire service list their address&phone number:
Phone Number
Address
NFPA 72, Chapter 9 Indicate type of connection: �Local Energy ❑ Shunt ❑ Parallel Telephone �
Auxiliary Location of telephone number for receipt of signals: I
FORM 710104 REV.7-30-2009
Page 1 of 4
L-
2. Record of System Installation
(Fill out after installation is complete and wiring checked for opens, shorts, ground faults, and improper branching, but
prior to conducting operational acceptance tests.)
This system has been installed in accordance with the NFPA standards listed below,was inspected by
Orr Protection Systems on 5/23/16 , includes the devices listed below and has been in service
since New .
Record Of System Installation (Continued)
NFPA 72 Cha ters �1❑3�4❑5�6�7(Check all that apply) �NFPA 70 (National Electric Code)Article 760
Manufacturer's Instructions: Silent Kni ht Other speci :
Signed: Date: 5/23/16
Organization: O� Protection�
3. Certification Of System Operation
All operational features and functions of this system were tested by Orr Protection Systems on
and found to be o eratin ro erl in accordance with the re uirements of:
NFPA 72 Chapters�1❑3❑4�5❑607(Check all that apply) �NFPA 70 (National Electric Code)Article 760
Manufacturer's Instructions: Silent Kni ht Other s eci ):
Signed: Date: 5/23/16
Organization: ORR otection S te
4.Signaling Line Circuits
Quantity and Class of Signaling Line Circuits: Quantity: 1 Class:B Style:Y
5. Alarm Initiating Devices And Circuits
Quantity and Class of Initiating Device Circuits: Quantity:5 Class:B Style:6
MANUAL
A. 5 Manual Stations Noncoded, Activating Transmitters Coded
B. Combination Manual Fire Alarm And Guard's Tour Coded Stations
AUTOMATIC Covera e: Com lete � Partial ❑ Selective ❑
A. 21 Smoke Detectors lonization 21 Photoelectric
B 4 Duct Detectors lonization 4 Photoelectric
C. 3 Heat Detectors FT RR 3 FT/RR RC
D. Sprinkler Water Flow Switches Noncoded, activating Transmitters Coded
E. 5 Other(list): Rela s
6. Supervisory Signal Initiating Devices And Circuits (Use blanks to indicate quantity of devices)
GUARD'S TOUR
A. Coded Stations
B. Noncoded Stations, Activating Transmitters
C. Compulsory Guard Tour System Comprised Of Transmitter Stations And Inter. Stations
Note: Combination devices recorded under 4(b)and 5(a)
SPRINKLER SYSTEM Check if provided)
A Valve su erviso switches
B Building Temperature Points
FORM 710104 REV.7-30-2009
Page 2 of 4
� C. Site Water Tem erature Points
D. Site Water Su I Level Points
Electric Fire Pump:
E. Fire Pum Power
F. Fire Pum Runnin
G. Phase Reversal
En ine Driven �
H. Selector In Auto Position
I. En ine Or Control Panel Trouble
J. Fire Pum Runnin
K. Control Panel Trouble
L. Transfer Switches
M. Engine Runnin
Other Supervisory Function(s) (specify): Duct Detectors
7. Annunciator(s)
Number: 1 Type: 5860 Location: Front Entrance
8. Alarm Notification Appliances and Circuits
Quantity of indicating appliance circuits connected to the system:3
T pes and uantities of alarm indicatin a pliances installed: Quantity: Style:Y Class:B
A. Bells Inch
Speakers
B. Horns
C. Chimes
D. Other:
E. 15 Visual Signals Type: 11 With Audible 4 Without Audible
F. 1 Local Annunciator
9. System Power Supplies
A. Prima Main 120vac Nominal Volta e: 120vac Current Ratin : 20
Over current Protection T pe: Breaker Current Ratin : 20a
Location: Panel
B. Secondary
(Standby)
� Storage Battery Amp-Hour Rating:7
� Calculated to drive s stem in hours: �24 ❑60
❑ Engine driven generator dedicated to fire alarm system
Location Of fuel stora e:
C. Emergency or Standby System used as backup to Primary Power Supply, instead of using a
Seconda Power Suppl
❑ Emer enc System described in NFPA 70,Article 700
❑ Le all Re uired Standb S stem described in NFPA 70, Article 701
❑ Optional Standby System described in NFPA 70, Article 702 which also meets the performance
re uirements of Article 700 or 701.
10. Comments:
FORM 710104 REV 7-30-2009
Page 3 of 4
�
Signature-for Central Station or Alarm Service Company Title Date
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standards.
None
System deviations from the referenced NFPA Standards are: None
Signatures
�e ��.��T � � �7z-- �
Si nat -for Insta tion c ractor Title ate
Signature-for Alarm Service Company Title Date
Signature-for Central Station Title Date
Upon completion the s stem(s) satisfactory test(s)witnessed (if required by the authority having jurisdiction):
' / �"Z���
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Signature-re rese e of the authority having jurisdiction Title Date
FORM 710104 REV.7-30-2009
Page 4 of 4 'I