HomeMy WebLinkAboutFire Alarm System - FIR Inspections - 12/11/2009 Washington State Patrol
Fire Protection Bureau
General Administration Building
Post Office Box 42600
Olympia,WA 98504-2600
Inspection Contract No.
File Number
Fire Alarm System
Report of Inspection
Date: 12/11/09
Name of Facility: St.Andrews Retreat
Occupied as: Resort Lodge
Address: 7550 Hwy 106 Union
City:
County: Mason Zip: 98592 Telephone: 360 898 2362
Building Designation.(if more than one.building)
Inspected By: Erick&Vince. Title: Tech
Date of Inspection: 12/11/09
1. Type of Test: Monthly Q Quarterly Q Semi-Annual Q Annual�K
2. Type of System: Noncoded 9 Common Coded.Q Selective Coded Q Dual Coded Q
3. Local Fire Department:
4. Fire Department Official Contacted:
5. Test Received at Fire Department: Yes Q No�k
6. Master Box Reset A.M. P.M.
7. Comments,explanation of unsatisfactory results, action taken,etc..
1
Eouinment Tested
Type of Equipment Number of Units Tested Test Date Satisfactory Check Type and Manufacturer
Yes No N/A
8.Control Panel 1 12/11/09 Yes SK 5207
9.Manual Station 13 12/11/09 Yes Fire Lite
10.Heat Detectors 3 12/11/09 Yes Edwards
I Smoke Detectors 22 12/11/09 Yes BRK/ESL
12.Audibie Alarms 12 12/11/09 Yes Wheelock
13.Visual Alarms 1 12/11/09 Yes Wheelock
14.Code Transmitters
15,Auto door releases
16.Trouble indicators
17.Master Alarm Box
18.Batteries 4 12/11/09 Yes 12v 8Ah
60: 1 12/1 9 09 Yee SK 520,
20.Generator
21_Ventilation Control
22.Fire Department
Interconnection
23 Central Station
Interconnection 1 12/11/09 Yes SK 5207
24.Exterior Sprinkler
Electric Alarm Bell
2.5.Sprinkler Water
Flaw Switch
26.Sprinkler Gate
Valve Tamper Switch
11 27.Annunciators
28,Automatic Time Delay of General Alarm Minutes, None installed
29.Test of alarm system on emergency power satisfactory? Yes K No 0
30_This is to certify that this fill alarm system has been properly inspected for m iabilicy covering the times listed in this report and is cottsistenr
with NFPA Fire Alarm Maintenance Standards. ./�
A.Signature of Owner or Representative
B.Signature of Fire Alarm Firth Representativ
C.Name of Firm Alarm Center Inc./Ace Fire& Security
D.Maiiing Address PO BOX 3407 LACEY,WA 98509-3407 Telephone) )1-800-354-1555
E.Electrical Contractors License# ALARMC1055CW
F.Specialty Electricians License# ROMERE962CM
MALNTA N TII.IS REPORT AT THE FACILITY.'
DO NOT MAIL TO FIRE PROTECTION BUREAU
SFM?=-Rev,IV95