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5.Alarm-Initiating Devices end Clrcuits � � 7.Annunciator(s)
<br /> Quantity and c+lass of initiating device circuits(see NFPA 72,�izble 6.5): Numbei•:_ � �M �
<br /> la
<br /> �` � Type:���.�_� Location: ��7°i �F�� '`�
<br /> Quantity:� Style: Claes: n�[� � �', •
<br /> � �:
<br /> �U� � � � ._ ! 8.Alarm Notification Appliances and Cfrcuits
<br /> (a)Manual stations Noncoded -.� �anemittera Coded Addr'.e s s able NFPA 72,Chapter 6—Emergency Voice/Alarm Service
<br /> (b)Combination manual fire alarm and guard's tour coded stationa � Quantity of voice/alarm channels: Single: Multiple:
<br /> i � Quantity of'speakers installed:_- Quantity of'speakei•zones:
<br /> AUTOMATIC , > Quantity of telephones or telephone jacks included in system:
<br /> Coverage: Complete Partial �
<br /> �''" uantit and the class of'notitication a liance circuita connected to s stem(see NFPA 72,Table 6.71:
<br /> Selective Nonrequired @ Y PP � Y'
<br /> �'
<br /> (a)Smoke detectors Ion Photo � Addreasable `' Quantity:_ Style: Class:
<br /> (b)Duct detectora Ion Photo Addressable i Types and quantities of notification appliances installed:
<br /> (c)Heat detectora FI' RR FT/R.R RC Addreaeable { �a) Bells_ _ With Visible____ _
<br /> (d)Sprinkler waterflow indicatora: Tranamittera Noncoded Coded Addreseable ' I b) Speakers _ With Visible �
<br /> (e)The alarm verification feature is disabled or enabled ,changed from aeconda to aeconds. i (c) Hoi•ns_ �. With Visible�_
<br /> (�Other(list): � ; (d) Chimes
<br /> _ With Visible_
<br /> '.� _�' (el Other: ��'��i-,.� �, _. With Visible �► •
<br /> � ',;' Ifl Visible appliances without audible:
<br /> 6.Supervisory Signal-Initieting Devices and Clrcufts(use blanks to Indicate quantity,of devices) ,
<br /> ' 9 S stem Power Su lies
<br /> GUARD'S TOUB ` t '- , ,� ,: i ` ( , Y PP �
<br /> (a) Coded stations � -' �� "' (a) Fire Alarm Control Panel: Nominal voltage:__ , '`��� Current rating: -�
<br /> ,�4'.'. ;l. , ' �.�,i�.'.Y..'t3s`1: �`��> 4�.
<br /> (b) Noncoded stations � , � �, �t� Overcurrent protection: 'Pype: � . Current rating: :u�
<br /> (c) Compulsory guard's tour syatem comprised of >�{ ttranemitter etations�'and�intermediate stationa i Location: �� �L7.c's�. -�;d �.',°,�.
<br /> Note:Combination devices are recorded under 5(b),Manual,and 6(a),Guard's Tour.' 7, ) (b) Seconda�y(standby):
<br /> ' t "�, j�:y =:� Storage battery: � �"��� Amp-hour rating:�i�`�1�t�
<br /> SPRINKLER SYSTEM ,�'�, � Calculated capacity to di•ive system,in hours: i.��=1
<br /> Check if rovided �'�J � _- �;�"
<br /> P , � - � ,, Engine-driven generatoi•dedicated to fire alarm system;
<br /> (a) Valve super'vieory swi�ches� . , ',
<br /> - Location of fuel storage:
<br /> (b) Building temperature�points � � /-. ` `� (c) Emergency system used as backup to primary power supply:
<br /> (c) Site water temperature"points!� - � �.=/� , _ Emergency system described in NFPA 70;Ai•ticle 700• '
<br /> (d) Site water eupply level points J f'! � , �
<br /> � �' �
<br /> - - ���,�.�=� ' ! 10.Comments . . �; .�. � �: �����:i;
<br /> Electric fire pump: ` .-- , � #���:.i""` : %,...:,:---__.k.� �.� � .
<br /> (e) Fire pump power , � Frequency of routine tests and inspections,if other than in accordance with the ref'erenced NFPA standard(s):
<br /> (fl F`ire pump running i;
<br /> (g) Phase reversal
<br /> '� System deviations fi•om the ref'erenced NFPA standard(s)are:
<br /> Engine-driven fire pump: I -
<br /> (h) Selector in auto position } f � �" a �
<br /> (i) Engine or control panel trouble � fu�' A�`=�. '�,f_'`,�j'.' :.�j ���4 �
<br /> �- si ned for instal atio cdntractodsu lier
<br /> (j) F�re pump running � ( �9 ) pp' • (title) (d'ate)
<br /> � r
<br /> ENGINE-DRIVENGENERATOR: ' � Y' � - _ "' �y`��i �� i .�� ���{�
<br /> (a) Selector in auto position I (signed)for alarm service"comp`any---�,—�_^,_�' (tit�e) - ' '� ?.`(d"ate)€
<br /> �:
<br /> (b) Control panel trouble _
<br /> (c) 1Yansfer switches i (signed)for central station (title) (date)
<br /> (d) Engine running �'
<br /> Other supervieory function(s)(specify): ' Upon c�pletion o�th�e,,system(sl aatisf'actory test(��)witnessed(if required by the authority having jurisdiction):
<br /> j �� �',.,�,� -��e,.,r,..e. �f,�,.�1 ,��.�1s��c;% ��rf,"� �'�s�f'��
<br /> � (sign�)�epresentative of the authority having jurisdiction (title) ,+' � j (date)
<br /> (NFPA 72,3 of 4) ' � (NFPA 72,4 of 4)
<br /> - -- �' �.;
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