HomeMy WebLinkAboutFire Alarm Inspection - FIR Inspections - 10/22/2009 3 as 3 3 -so - Ono I
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: 10 a a -cx�
Name of Facility: Alderbrook Inn
Occupied as: Hotel/Resort
Address: E. 7101 State Route 106
County: Union Zip: 98592 Telephone: 360-898-2200
Building Designation (if more than one building) Resort & Dock Acct #: 85-4921
Inspection by: .510ck(_1),P_ Title: Tech.
Date of Inspection. tO —aa `d7
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: Mason County 898-4871
4. Fire Department Official Contacted: Rich Hienrich
5. Test Received at Alarm Center: N Yes ( ] No
6. Master Box Reset AM 61, 00 PM
7. All Tests Satisfactory Yes [ ] No / l
8. Comments, explanation of unsatisfactory results, action taken, etc.. /jSct`��l//�,c�
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Original Form to be returned to Fire Marshal
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EQUIPMENT TESTED
# of Units Test Satifactory
Type of Equipment Tested Date Yes No N/A Type and Manufacturer
9. Control Panel '� FCI 7200
10. Manual Station 3 FCI 7200
11. Heat Detectors 3 R ✓o 6(onec
12. Smoke Detectors C�c)
13. Audible Alarm Devices
14. Visual Alarm Devices kGe ��.
15. Code Transmitters X
16. Automatic Door Releases ( C)
17. Trouble Indicators
18. Master Alarm Box X
19. Batteries j 5 ASC 12/7 & 2 12/18
20. Charger
21. Generator X
22. Ventilation Control X
23. Fire Dept Interconnection X
24. Central Station Interconnection i/ H
25. Ext Sprinkler Elec Alarm Bell
26. Sprinkler Water Flow Switch
27. Sprinkler Gate Valve Super Switch po��e
28. Annunciators 2L I FCI
29. Automatic Time Delay of General Alarm Minutes. None Installed �t].
30. Test of alarm system on-emergency power, satisfactory? [( Yes [ ] 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 : r7�56
C. Name of Firm: PIONEER FIRE & SECURITY, INC.
D. Mailing Address: PO Box 597, E. Olympia, WA 98540-0597 Phone No. 360-491-8141
E. Electrical Contractors License #: PIONEFS963LC
Original Form to be returned to Fire Marshal