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Home My WebLink AboutFire Alarm Reports - FIR Inspections - 4/8/2004 Mason County Fire Marshal Inspection Contract No. Mason County Bldg. III File No. 426 W. Cedar PO Box 186 Shelton WA 98584 FIRE ALARM SYSTEM REPORT OF INSPECTION Date: c��0 c� Name of Facility: Church of the Nazarene Occupied as: Church Address: E 1331 Shelton Springs Rd. County: Mason Zip: 98584 Telephone: Building Designation (if more than one building) Inspection by: ID&4&1 Title: Tech. Date of Inspection: ui — 95 01-\ 1 . Type of Test: Monthly [ ] Quarterly [ J Semi-Annual [ ] Annual [X] 2. Type of system: Noncoded [X] Common coded [ ] Selective coded [ J Dual Coded [ ] (as pertaining to Chapter 212-14 WAC) 3. Local Fire Department: 4. Fire Department Official Contacted: 5. Test Received at Alarm Center: 0 Yes [ ] No 6. Master Box Reset AM 1 Z i CMG PM 7. All Tests Satisfactory �C], Yes ( ] No 8. Comments, explanation of unsatisfactory results, action taken, etc. tj 14 Original Form to be returned to Fire Marshal r �pd N �—° 15 2004 i APR EQUIPMENT TESTED SEViVof Units Test Satifactory Type of Equip m Tested Date Yes No N/A Type and Manufacturer 9. Control Panel 1 q 4Oq Silent Knight 5204 10. Manual Station 6 `� ',�,- 11. Heat Detectors & �a�o 12. Smoke Detectors 6 13. Audible Alarm Devices 6 v 14. Visual Alarm Devices 6 /o 15. Code Transmitters X 16. Automatic Door Releases X 17. Trouble Indicators 1 18. Master Alarm Box 19. Batteries 2 9�� 20. Charger 1 �� Y�o rarer 21 . Generator X 22. Ventilation Control X 23. Fire Dept Interconnection 24. Central Station Interconnection 1 -' 25. Ext Sprinkler Elec Alarm Bell X 26. Sprinkler Water Flow Switch X 27. Sprinkler Gate Valve Super Switch X 28. Annunciators X 29. Automatic Time Delay of General Alarm — Minutes. None Installed [ ]. 30. Test of alarm system on emergency power, satisfactory? (kYes [ ] No 31 . This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA fire alarm Maintenance Standards. A. Signature of Owner or Representative : B. Signature of Fire Alarm Firm Repesentative T)a��j C. Name of Firm: PIONEER FIRE & SECURITY D. Mailing Address: PO Box 597, E. Olympia, WA 98540-059 Phone No. 360-491-8141 E. Electrical Contractors License #: PIONEFS088LR Original Form to be returned to Fire Marshal Mason County Fire Marshal Inspection Contract No. Mason County Bldg. III File No. 426 W. Cedar PO Box 186 Shelton WA 98584 FIRE ALARM SYSTEM REPORT OF INSPECTION Date: ly - OF— � Name of Facility: 1G�Z�R Fiy� C�`�f��- Occupied as: C G Address: . / County: M61 Zip: ) p5 Telephone: Building Designation (if more than one building) Inspection by: � ' ` Title: Tech. Date of lnspectio . 10 it -( — y ( 1. Type of Test: Monthly [ ] Quarterly [ ] Semi-Annual [ ] Annual [X] 2. Type of system: Noncoded [X] Common coded [ ] Selective coded [ ] Dual Coded [ ] (as pertaining to Chapter 212-14 WAC) 3. Local Fire Department: 4. Fire Department Official Contacted: 5. Test Received at Alarm Center: [ Yes [ ] No 6. Master Box Reset AM PM 7. All Tests Satisfactory [ Yes [ ] No 8. Comments, explanation of unsatisfactory results, action taken, etc. Original Form to be returned to Fire Marshal EQUIPMENT TESTED # of Units Test Satifactory Type of Equipment Tested Date Yes No N/A Type and Manufacturer 9. Control Panel 10. Manual Station 11 . Heat Detectors 12. Smoke Detectors ° X 13. Audible Alarm Devices 'klo� 14. Visual Alarm Devices �� k 15. Code Transmitters 16. Automatic Door Releases k 17. Trouble Indicators °P / 18. Master Alarm Box 19. Batteries 20. Charger d 21. Generator k 22. Ventilation Control 23. Fire Dept Interconnection x 24. Central Station Interconnection 0 25. Ext Sprinkler Elec Alarm Bell 26. Sprinkler Water Flow Switch 5C 27. Sprinkler Gate Valve Super Switch X 28. Annunciators 29. Automatic Time Delay of General Alarm Minutes. None Installed [ J. 30. Test of alarm systern on emergency power, satisfactory? [X Yes [ ] No 31. This is to certify that this fire alarm system has been prop rly inspected for reliability covering the items listed in this report and is consistent with NFPA fire alarm Maintenance Standards. V 1 A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Repesentative C. Name of Firm: PIONEER FIRE & SECURITY D. Mailing Address: PO Box 597, E. Olympia, WA 985A0-0597 Phone No. 360-491-8141 E. Electrical Contractors License #: PIONEFS088LR Original Form to be returned to Fire Marshal MASON COUNTY FIRE MARSHAL Mason County Bldg. III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (206)427-9670 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION FIRE ALARM SYSTEM REPORT OF INSPECTION Date: Name of Facility: Church of The Nazarene - Shelton Occupied As: A rh„rrh Address: F. 133m Shelton Springs Rd City: _ Shelton WA: 98584 County: Mkacnn Zip: 985,94 Telephone: 1366 426-1298 Building Destination (if more than one building): Inspection By: zs e: 5�, ,� ' Title: Tech Date of Inspection:d��p5�. � -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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: 360-426-4441 4. Fire Department Official Contacted: 5. Test Received at Fire Department?: Yes [ ] No ( ] 6. Marx Reset A.M. `." P.M. 7. Comments, explanation of results, action taken, etc. ALL TESTS SATISFACTORY �C� Yes [ 1 'No MCFMO 03-5/93 EQUIPMENT TESTED NUMBER OF SATISFACTORY CHECK UNITS TEST TYPE AND TYPE OF EQUIPMENT TESTED DATE YES jNO=N/A MANUFACTURER 8. Control Panel 9. Manual Station /y, 0 10. Heat Detectors F� 9 1 1 . Smoke Detectors 12. Audible Alarm Devices 05 13. Visual Alarm Devices 14. Code Transmitters �C 15. Automatic Door Releases 16. Trouble Indicators -0140 17. Mastef-Ahafm Box 18. Batteries 0Z X PA,NFL, 19. Charger 20. Generator 21 . Ventilation Control 22. Fire Department Interconnection 23. Central Station Interconnection 24. Exterior Sprinkler Electric Alarm Bell 25. Sprinkler Water Flow Switch 26. Sprinkler Gate Valve Supervision Switch 27. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed [ J 29. Test of alarm system emergency power, satisfactory? Yes [ No [ J LEL 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative C B. Signature of Fire Alarm Firm Representative C. Name of Firm Pioneer Fire & Securi y D. Mailing Address P 0 Box 597, E Olympia, 98540 Phone No. MASON COUNTY FIRE MARSHAL Mason County Bldg. III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (206)427-9670 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION FIRE ALARM SYSTEM REPORT OF INSPECTION Date: zc— Name of Facility: Church of The Nazarene - Shelton Occupied As: n C`hiirr-h Address: E 1331 Shelton Springs Rd City: Shelton WA: 98584 County:_ M ;Gnn Zip: qq R4 Telephone: ( 36d 426-1 s Building Destination (if more than one building): Inspection By: 6` 'S 2Z1�' Title: Tech Date of Inspection: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 . Type of Test: Monthly [ ] Quarterly [ ] Semi-Annual [ ] Annual 0 2. Type of System: Noncoded&Common coded [ ] Selective coded [ ] Dual coded [ ] (as pertaining to Chapter 212-14 WAC) 3. Local Fire Department: 360-426-4441 4. Fire Department Official Contacted: 5. Test Received at Fire Department?: Yes [ ] No [ ] /y w 6. Master Box Reset l A.M. P.M. 7. Comments, explanation of results, action taken, etc. ALL TESTS SATISFACTORY f � Yes l 1 No MCFMO 03-5/93 EQUIPMENT TESTED NUMBER OF SATISFACTORY CHECK UNITS TEST TYPE AND TYPE OF EQUIPMENT TESTED DATE YES NO N/A MANUFACTURER 8. Control Panel 9. Manual Station _ D 10. Heat Detectors 2 �wW.4P-D 11 . Smoke Detectors 12. Audible Alarm Devices 13. Visual Alarm Devices �(7 14. Code Transmitters 15. Automatic Door Releases 16. Trouble Indicators 42; 1 7. Master Alarm Box 18. Batteries 7-1 19. Charger 1 20. Generator 21 . Ventilation Control 22. Fire Department Interconnection 23. Central Station IPAAIA Interconnection 24. Exterior Sprinkler Electric Alarm Bell 25. Sprinkler Water Flow Switch 26. Sprinkler Gate Valve Supervision Switch 27. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed] 29. Test of alarm system emergency power, satisfactory? Yes j No [ ] 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative C. Name of Firm Pioneer Fire & Security D. Mailing Address P 0 Box 597 , E Olympia, 98540 Phone No. 9 ,, PIONEER FIRE & SECURITY P.O. Box 597 East Olympia, WA 98540-0597 (360)491-8141 Customer The Church of the Nazarene Account 24-3023 Address E 1331 Shelton Springs Rd. Dated 5/11/98 City Shelton State WA Zip 98584 Phone (360) 426-1298 Billing Address Same 1. PIONEER FIRE & SECURITY (7he Company) agrees to provide Annual inspection of the customer's fire alarm system during the time this contract is in effect. Such inspections shall include the following: a) Check and test master control panel operations. b) Activate and check the required equipment each inspection: Manual pull stations, Smoke detectors, Heat detectors, Visual and sounding devices, Emergency power supplies, _Supervisory/detection switches 2. Customers shall pay $60.00. Said fee shall include all labor to perform each inspection as described above. 3. This contract shall not cover the making of any repairs, nor furnish labor or material for said repairs. In the event the inspection indicates the necessity of repairing the system,the customer shall approve all material and labor costs prior to such work being performed. 4. The term of this contract shall be for Three years from the date of initial inspection 5. The Company does not guarantee or warranty that the service supplied will prevent fire or other occurrences, or losses from such occurrences, and the Subscriber acknowledges that they are not entering into this agreement with the expectations that The Company will insure or reimburse the Subscriber or any other person for losses from such occurrences. The Subscriber agrees that 7he Company will have no liability for loss or damage to property or for loss or damage to property or for personal injury or death due to any failure in the fire alarm system or for interruptions of service because of(1) any failure to the Subscriber's alarm (2)any defective or damaged equipment (3) strike of The Company's employees or employees of other, riots, floods, acts of God, or any other causes beyond the control of The Company. If 7he Company should nevertheless be found liable for loss of damage to persons or property irrespective of the cause because of negligent act or negligent failure to act of The Company, its employees or agents, or on some other basis,the Subscriber agrees that such liability is limited to a sum equal to one year's service charge of$250.00,whichever is greater. The Subscriber agrees to and shall indemnity and save harmless The Company, its employees and agents, for and against any claims, suits, losses, demands and expenses arising from any death of, or injury to any person or property or any damage loss, for which The Company is not liable, or to the extent any such claims, suits, losses, demands or expenses exceed the limits or The Company liability. 6. The Subscriber understands that the basic fees to The Company are based upon the service to be provided, with due consideration to the scope, of 1'he Company's liability and are not related to the value of the Subscriber's property or the property of others, in the Subscriber's premises. Pioneer Fire & Security Date Authorized Signature Date