HomeMy WebLinkAboutFire Alarm System - FIR Inspections - 8/30/2012 Equipment Tested
Mason County Fire Marshal Inspection Contract No.
Mason County Bldg. III No.
426 W. Cedar V
P.O. Box 186
Shelton, WA 98584
FI LAR S
REPOR INS CTION
Date: a-_zv�)'2rdZ
Name of Facility: Lady of the Lakes
Occupied as: Retail
Address: 1085 E Pickering Road Shelton
County: Mason Zip: 98584 Telephone: 360-426-8632
Building Designation (if more than one building)
Inspection By: &Lcc Title: Tech
Date of Inspection: 30, i 2-
1. Type of Test: Monthly ( Quarterly ( ) Semi-Annual ( ) Annual (X)
2. Type of System: Noncoded( ) Common Coded ( ) Selective Coded( ) Dual Coded ( )
(As pertaining to Chapter 212-14 WAC)
3. Local Fire Department: Mason County
4. Fire Department Official Contacted: CA
5. Test Received At Alarm Center: ()o Yes ( ) No
6. Master Box Reset AM 2-co PM
7. All Test Satisfactory Q0 Yes ( ) No
8. Comments, explanation of unsatisfactory results, action taken, etc.
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Equipment Tested
SATISFACTORY
TYPE OF EQUIPMENT #OF TEST YES NO N/A TYPE&MANAFACTURER
UNITS DATE
9. CONTROL PANEL 1 �3d Silent Knight 5700
10.MANUAL STATION 3 Silent Knight SD500-PS
11.HEAT DETECTORS 12 ✓ Silent Knight SD505-AHS
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12.SMOKE DETECTORS 15 �, Silent Knight SD505-APS
13.AUDIBLE DEVICES 5 c� p Gentex Various
14.VISUAL DEVICES 7 EU7 / Gentex Various
15.CODE TRANSMITTERS ✓
16.AUTOMATIC DOOR RELEASES
17.TROUBLE INDICATORS 1 X'.3O / Panel
18.MASTER ALARM BOX 7� v
19. BATTERIES 2 Werker WKA 12v 7.5ah
20.CHARGER 1 _ Panel
21.GENERATOR
22,VENTILATION CONTROL
23.FIRE DEPT INTERCONNECTION
24.CENTRAL STATION INTERCONNECTION I3D Panel
25.EXT.SPRINKLER ELEC ALARM BELL
26. SPRINKLER WATER FLOW SWITCH
27.SPRINKLER GATE VALVE SUPER SWITCH
28.ANNUNCIATORS
29. Automatic time of General Alarm Minutes. None Installed ( y.
30. Test of alarm system on emergency power, satisfactory? (90) Yes ( ) No
31. This is to certify that this fire alarm system has bee properly inspected for reliability covering
the items listed in this report and is consistent with NFP fire alarm Maintenance Standards.
A. Signature of Owner or Representative; ��v/���/ oo t
B. Signature of Fire Alarm Firm Representative: fX 1i'l, ( �,
C. Name of Firm: PIONEER FIRE & SECURITY INC.
D. Mailing Address: P O Box 597, E. Olympia, WA 98540-0597 Phone No. 360-491-8141
E. Electrical Contractors License #: PIONEFS963LC