HomeMy WebLinkAboutFire Alarm System Record of Completion 2026(tors)
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FIRE ALARf, SYSTEI RECORD OF CO PLETIOI{
fo be completed by the syste,n installdtiorl contractor aa lhe time olsystefi acceptance ond Wrovol
t. Protocted Propedy lnform.tor
Name ofpropeny: Mt.l Meson
Addresst 36 Rorrt6 64. Ylrmrdrport M.ss
Descriptionof propcny: Ra.iLllLl R3
Occupancy typc: R3
Name ofpropqty r.prcsentative: Ma Philb
Addrcss: 36 Routc 6A Ya{trpudrport. Msss
phonc: 5o&rrE56E7 Fax: lt-mailr Mal*.PhirCcoriclr6.com
Authority havingjurisdiction ovcr this prop€nyi Y.rrrElllll Firg & Bldg Oop{.
Phonc: (508) 39&2212 Fax: E-mail:
2. Firu Alarm SFtsm ln3t ll.tion, Se]Ylce, .nd Tortlng lntofmltion
lnstallalion contractor for liis cquipment: Cape Cod Alarm Co lnc
Addrcss: 2Oa Old Tounhousa Road, trrG€t Y.moulh. M.ss. 02673
Phonc: 5O&S63to Fax: 50&39&5666 E-mail: BxectP.cod.lrrm.com
Scrvicc organizition for lhis equipmcnt: C.pc Cod Ahnn Co. lnc.
Address: 2Oa Old Townhousr Rosd, liJcst Yrfioutr, Mass. 02673
Phone : 5G$a{ll6 Fax: 50G396-5666 E-mail: Eloc.p.cod.hrm.com
Localion ofas-built drawinSs: Location ofHisto.ical Test Rcpons:
Location ofslstcm opcration and maintrna[ce manuals:
A contract for tcst and inspcction in accordarcc with NFPA standards is in effect as of
Cootracted lesting company: Crpa Cod Ararrn Co. lnc.
Add.ess: 2oa Old ffldross. Ro.d, li,!6t Yfmouth, t acs 0i673
Phonc: 50&3e8€316 Fax: 50S39S5686 E-mail: Slloc$cod.Lrm.cqn
Contract cxpires: Contnct numbcr: F-requency ofrouline inspcctions:
3. Type ot Flrc Ahm Sy3Lm or SorYlco
,\'FP..l Zr, Chapler Rcfcrcncc ofSystem Type:
Namc of organ ization receiviog alarm signals with phonc nwnb.rs (ifapplicable)l
Alarm: Cap! Cod Ahrm Co. lnc Phonc: lt(f,r!0G6ii16
Sup€rvisory: CapcfuALmco lnc Phonc: 50&39G63'16
Trouble: capc Cod Alarm Co. lnc Phone: 50&30&63'16
EntiD to *hich .lalms arc rctnnsmifted: C.pe Cod Alatm Co. lnc Phone: 5OG30a4Ol6
Mcthod of rdransmission of alams to that organizilioo o. location:
If Chapter 8, notc the means oftransoission from $c prorccted prcmiscs to the crnt al station:
D Digiral alam communicator E Mccrlloh Cl Multiplcx Q 2-way radio B l-wayradio EN/A
Ifchapter 9. not. thc type ofconncction: D Local cnc.Si D Shunt ON/A
3.1 Sylacn Softtvrrc
Opcrating rystem (cxccutiv.) software.evision lcvcl: OSC lls2ll4
Site-sp€cilic softw.re rcvision datc: Rcvision complctcd by:
a. Slgn.llng Lln Clrcultr
Choracteristics oftignaling lin circuits connected tothis tys|r'rn (tee NFP/I72r. Table 6.6 l):
Quarti$-: 0 Style: Class:
5. Al.rm{nid.ting O.ylc.3 and Circultl
Chorocteristics of inilioling device circuits connected to th,l slttem (see NFPA 72'. Toble 6 5)
Qualrity : (8) WTAa !mol(93 Style: B Class: Ha.duttd lov, voltaga
5.1 M.ru.l hitirtiDg lrcvic6
5.1.1 Mrtrurl Pull St tiont Numb€r ofmanual pull stations: tt/A
Typ€ ofdcviccs: E Addr.ssable E convcnrional E coaca E transmitt.r EN/A
5.2 Auaom.ti. Iliti.tilt Dcvic6
5.2. I Arc. Srolc lhtcto.t Numbcr of smokc dctcclors: !Bs:]t* "t ", * smol(e Dd&.l wilhin limits. <<
(03). Kil&. XX{,oA{)P2. Carbon lloiodllb t !Ee.!
<< PASSED >>
Typeofcoverager [! Complctc arca E Partialarea O Non.equircd panial atea ON/A
Typeofdevic.s: E Addrcssable El Conventiona! E Coded 0 Transmittcr EN/A
Iype ofsmokc detector s€nsing technology: E loniuation El Photoclectric
5,2,2 Duct Smok. Ir.t..torJ Number ofducl smoke detectors: 0
T1'pe of covcrage:
Typeofdevices: E Addrcssable E conventional E codcd E Transmincr DN/A
Type ofsmoke detecror sensing technology: E lonization E Photoclcctric
5.2J HGtt Daa.ctor! Number ofheal dctcctors: 01 Syslom Sensor 560,1 194 fix€d
Type ofcovcrage: I Complcte area [t Panialarea E Nonrequircd panialarca !Nle
Type ofdevices: E Addrcssable I Conventional E Coaca E lransmitter EN/A
5.2.4 Sprinkl.r Wrlcrllow I)GtGcloB Numbcr of waterllow detcctors: 0
Type ofdeviccs: E Addressablc E Conventional I Coded f]transmincr ON/A
5.2,5 AhrD Vcrific.tiorr Nunber ofdevices subjdt to alatm verification:
Alam verification on this system is: E Ensbled E Disabled E Set for scconds
Copynght C 2OO9 it.to6at Fr. p.ot.chorr Ato.dro.i Ih6 r.rn mry b. codd tr rxlrdu.r u!. olrs lh'l rd o..r. ll m.y.ol b. clpxd ld ofrhr{l gr.(r (*x')
6. Sup.rybory Signal.lniu.dng D.vlces rnd Clrcults
6.1 SprinUcr Syttatr Number of valvc suparvisor) swirches: 0
Type ofdevices: O Addrcssablc E Conventional D Cod.d E Transmitter EN/A
6.2 Firc Punp
Typc of fire pump: O Eleclric E Dicsel
Typc offirepump supervisory dcviccs: E Addressablc E convcnlional EI Codcd E lransminet EN/A
Fire Pump Functions Supcr'- iscd
I Fire pump power E Firc pump .unning E Fire pump phas. rcvcrsal O Sclccto. switch oot in auto
O Engioc or conEol pancl troublc E Low fuel
Other: NiA
6J ErSinGDriv G..cntot
Type of gcncrator supcrvisory devices: E Addressablc D Conventional E Coded E Tnnsminer 8N/A
! Engine or controlpanel trcuble E Gencrator running E Selector switch not in auto D Low fuel
Other:
7. Annunclrtora
7.1 Annurciraor I E Local E Remotc
Type: o Addressable El Directory E Craphic I N/A Locatioo:
7.2 Annunci.lor 2 E t,ocal O Remote
Typc: E! Addr€ssable I Dircctory E GBphic B N/A Locationi
?.3 Alt[unchtor f, E Local E Remote
'l ypc: o Addressablc E Directory E Graphic EN/A Location:
t. Al.rm llo0fc.tion o.vk !.nd citcuit!
8.1 E.!rcr8c[cy Voic. Alrrn Sarvicc
Number of singlc voice dam channels: 0 Number ofmultiPl€ voice alam channels;
Numbcr of spealcrs: Number ofspealcr zoncs:
8.2 T.l.phorc J.ck!
Numbcr of tclephonc jacks installcd: 0 Numbct oftelephone handxls storcd on site:
Typc of tclcphonc systcm installcd: E Electrically powered E Sound pow€red E N/A
ti Nolvoic. Audibl. SytL6
Choracteristics of notilcotion device circlits co4nected to this wstem (see NFPA 72r ' Toble 6.5)
Quanrity: 0 Style: Class:
(soes)
catflr o 2oo9 il.ls|.l ar. PEr.d..r A.!.o.t6. Th! rbrn nry D. c4..d 16 rdvdvl u.. oor.. tlll ld i..* li 6, rEl !. c!9l.d ld comtod..a 6 d!nt'.t..b.
t.il Typ6 .nd Qurrtiti6 of Nonvoi.. Nolifi.rabn Appliricc.! hst llcd
Bells: With visualdcvice: Homs: With visuald.vice:
Chimcs: With visualdevice: Bclls: With visualdcvice:
Visual devicrs lvithout audiblc dcviccs: orhcr (describc): NA
9. Emargancy Confol Funcuoru Aclivabd
E Hold-opcn door rclcasing devices ! Smokc managcrncnt o. smokc conrol
E Door unlocking E Elcvator rccall E Ottro
,0. Sylt m Powtr Supply
l0.l Prinrry Powcr
Nominal vollage: 16 5VAC Amps: ilovA
Overcurrcnt protection: Typc: Amps:
l.ocation (of primary supply parclboard):
Disconnccting means locatio'l:
10.2 S.cond.ry Powtr
Locarion: Main Pmd Typc: Nominal voltage: Currcnt tatinS:
Numbcr ofstandby banrrics: I Amp hour rating: 7AH
Localioo of emcrgcocy Scnerator:
Location of fu cl storagc:
Calculat€d capacity of s€condary powcr to drive lhe system
ln standby modc: [o slarm mode:
11. Rccord of Sy3tom lmt ll.don
Fill out alter all insrdllation is complete dtd \|,ring hos been chec*ed for opens. shorls. gound laults, and inproper
brunching. bul beloru conducting operational accepaance aesls
Thc systcm has b€€n installcd in accordancc with 0rc folloiling NFPA slandardst (Notc any or all thal rpply.)
EtiFPA 72' O tiFPA 7o'. A^icte 1fi
E Ma[ufrturcr's publishcd inssuctions E Othcr (ple&!e speciS):
Syslem dcviations ftom rcfclenc€d NFPA standards:
sie rd,A)!lihl&.) Printcd namc: wlhm Falbo Darc: 5{1-i6
OrEanization: C.p€ Cod Alarm. Co. Titlet sshs / lnltall tlgr Phone: 1'50&3$4:]16
lnc
u.Fl
coc'n,tc2oosil.r.rlFi.P'ol.d..^tlcdiIrh.bn6ryltcoP..dlo.dM,ud0.qr,!i'!.|o.(.&tm.ymt!.co,fi,lrcdnnGdd.((k!.I,D
12. R.cord ot Sy3tom Oper.tlon
Allopcrational fcaturcs and functions ofthis systcm wc.e lesled by or in the prcsencc ofthe sitner shown bclow, on thc date
shou_n below. and lvere found to b€ operati[g p]oFrly in accordancc with th€ raquircments ot
EltFPA7t, ONFPA 70.. Anict 160
! Manufacturer's publishcd instructions E Othcr (plea-s. specify):
E Documcnlation in accordance with lnsp€ction and Tcsling i'orm (Figu.. 10.6.2.3 ol NFPA 7?') is attached
Sig,ned:
Organizarion Cap€ Cod Al.m, Co
lnc
Printed name: Tom L€geyt
Tirle: Technician
Datc: 0+2,,26
Phone: l5o&3$6ai!6
13. Certifications and Approvals
lJ.l Syct m lnrt lhtion Contrrclor
This system as specified herein has been inslalled and tested according to allNFPA standards cited hercin
,,r ,0l)illta.{&a-Datc: 05-01'26
Phone: 50&3964316OrBan r zation caps Cod Alarn Co
lnc
Printed namc: Wlliam Fallon
Title: Sales / lnstallMgr
lJ.2 Syrt.n Srrvicc Coltrrctor
This s\slem as s9ecificd herein has b€en installed and tested accordint to all NFPA slandards cil.d hcrcin
s;sna, lt)ilra% Prinred name: william Fallon Dare: 0!0 t-206
Organizationi Capo Cod Alam co. Title: s.bs / lnst.llMgr Phone: 5o&39E{316
lnc
IJJ C.otr.l St.tion
Ihis sr-srcm as sxcificd hcrcin nill be monilorcd according to all NtPA standards citcd herein.
s,z.cd, h);lit- {db" Printed name: wll,m Fallon Dare
organizalion: Cape cod Alatm co Tiller Sales / lnstallMgr Phone:
lnc
05{1-26
50&39&6it16
It.4 Prop.rty Rcpr6r.artivc
I accept this sysrern as having b€€-n installed and tcsted to its spccifications and all NFPA staoda.ds citrd hcrrin.
Siglcd: Printed narnei Ma Philie Datc: 0Sl-26
Organization: Co.tpl3l Rcalty Title: Re.ltor Phone: 50&7/E566?
IJ.5 Authority H.ving Juridictior
I have wihcssed a satisfactor,v acceptancc test ofthis system and hnd it lo be installed and operating properly in accordance
with its approved plans and spcciricarions. its app.ovcd sequenc€ ofopcrations. and lvitfi all NFPA standards citcd herein.
Signed: Printed name: Datc:
organization: Tille: Phone:
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