HomeMy WebLinkAboutFire Alarm System Report - FIR Inspections - 7/14/2011 Equipment Tested
Mason County Fire Marshal Inspection Contract No.
Mason County Bldg. III File No.
426 W. Cedar
P.O. Box 186
Shelton, WA 98584
FIRE ALARM SYSTEM
REPORT OF INSPECTION
Date: 1)4.2 cm
Name of Facility: Valley Feed Store
Occupied as: Vet Clinic
Address: 461 NE Old Belfair Highway
County: Mason Zip: 98528 Telephone: 360.275.5987
Building Designation (if more than one building) •
Inspection By: Title: -{-Gc L
Date of Inspection: Account # PF0674
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: /fo-_on w.
4. Fire Department Official Contacted: L/S
5. Test Received At Alarm Center: (() Yes O No
6. Master Box Reset AM PM
7. All Test Satisfactory Yes ( ) No
8. Comments, explanation of unsatisfactory results, action taken, etc.
Equipment Tested
SATISFACTORY
TYPE OF EQUIPMENT
QU ENT #OF TEST YES NO N/A TYPE&MANAFACTURER
UNITS DATE
A a
9. CONTROL PANEL 2 1 Silent Knight SK-2
10.MANUAL STATION 3 .1 / Edwards
11.HEAT DETECTORS 21 ✓✓ Edwards 281B-PL/284B-PL
12.SMOKE DETECTORS 1 -7-14 B System Sensor ZW
13.AUDIBLE DEVICES 5 1-14 Gentex/Wheelock
14.VISUAL DEVICES
5 Gentex/Wheelock
7•/
15.CODE TRANSMITTERS X
16.AUTOMATIC DOOR RELEASES X
17.TROUBLE INDICATORS 2 1 I4 Panels
18.MASTER ALARM BOX 1 Panels
'7. V/
19.BATTERIES 4 •r Werker
20.CHARGER 2 -7 r / Panel
21.GENERATOR ✓ X
22.VENTILATION CONTROL X
23.FIRE DEPT INTERCONNECTION X
24.CENTRAL STATION INTERCONNECTION 1 1 � Communicator SK 5129
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 of General Alarm Minutes. None Installed .
30. Test of alarm system on emergency power, satisfactory? (v� 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 NFPA fire alarm Maintenance Standards.
A. Signature of Owner or Representative;
B. Signature of Fire Alarm Firm Representative:
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
66 �3 LP4
Equipment Tested
Mason County Fire Marshal Inspection Contract No.
Mason County Bldg. III File No.
426 W. Cedar
P.O. Box 186
Shelton, WA 98584
FIRE ALARM SYSTEM
REPORT OF INSPECTION
Name of Facility: Valley Feed Store Date:
Occupied as: Vet Clinic
Address: 461 NE Old Belfair Highway
County: Mason Zip: 98528 Telephone: 360.275.5987
Building Designation (if more than one building)
Inspection By: Title: Rz�j_
Date of Inspection: Account#: PF0674
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: &N w. D;4, 2
4. Fire Department Official Contacted:
5. Test Received At Alarm Center: (y) Yes ( ) No
6. Master Box Reset AM Lb PM
7. All Test Satisfactory (�) Yes ( ) No
8. Comments, explanation of unsatisfactory results, action taken, etc.
All ��'V� &1y
Equipment Tested
SATISFACTORY
TYPE OF EQUIPMENT #OF TEST YES NO N/A TYPE&MANAFACTURER
UNITS DATE
9. CONTROL PANEL 2 '73 Silent Knight SK-2
i
10.MANUAL STATION 3 -7-3 Edwards
11.HEAT DETECTORS 21 T31
Edwards 281B-PL/284B-PL
12.SMOKE DETECTORS 1 1-3( / System Sensor ZWB
13.AUDIBLE DEVICES 5 .7 3 ✓ Gentex/Wheelock
14.VISUAL DEVICES 5 .1 / Gentex/Wheelock
15.CODE TRANSMITTERS X
16.AUTOMATIC DOOR RELEASES X
17.TROUBLE INDICATORS 2 2 3 / Panels
18.MASTER ALARM BOX 1 7-31 ✓ Panels
19.BATTERIES 4 -7.3 Werker
20.CHARGER 2 -_,I / Panel
21.GENERATOR ✓ X
22.VENTILATION CONTROL X
23.FIRE DEPT INTERCONNECTION X
24.CENTRAL STATION INTERCONNECTION 1 1 3 / Communicator SK 5129
25.EXT.SPRINKLER ELEC ALARM BELL V X
26.SPRINKLER WATER FLOW SWITCH X
27.SPRINKLER GATE VALVE SUPER SWITCH X
28.ANNUNCIATORS X
29. Automatic time of General Alarm Minutes. None Installed CA.
30. Test of alarm system on emergency power, satisfactory? �) 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 NFPA fire alarm Maintenance Standards.
A. Signature of Owner or Representative;
B. Signature of Fire Alarm Firm Representative: w
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
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12 32-cl 12--qWS I
Equipment Tested
Mason County Fire Marshal Inspection Contract No.
Mason County Bldg. III File No.
426 W. Cedar
P.O. Box 186
Shelton, WA 98584
FIRE ALARM SYSTEM
REPORT OF INSPECTION
Date: 1-2-o?& • 13
Name of Facility: Valley Feed Store
Occupied as: Vet Clinic
Address: 461 NE Old Belfair Highway
County: Mason Zip: 98528 Telephone: 360.275.5987
Building Designation (if more than one building)
Inspection By: Title: R ��
Date of Inspection: & /3 Account#: PF0674
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:
4. Fire Department Official Contacted:
5. Test Received At Alarm Center: ( ) Yes ( ) No
6. Master Box Reset /O: 00 AM PM
7. All Test Satisfactory M Yes ( ) No
8. Comments, explanation of unsatisfactory results, action taken, etc.
Equipment Tested
SATISFACTORY
TYPE OF EQUIPMENT #OF TEST YES NO N/A TYPE&MANAFACTURER
UNITS DATE
9. CONTROL PANEL 2 12,.26 Silent Knight SK-2
10.MANUAL STATION 3 ."?( Edwards
11.HEAT DETECTORS 21 .�/ Edwards 281B-PL/284B-PL
12.SMOKE DETECTORS 1 �a.�� �% System Sensor ZWB
13.AUDIBLE DEVICES 5 12 2 /xx Gentex/Wheelock
14.VISUAL DEVICES 5 �a J Gentex/Wheelock
15.CODE TRANSMITTERS X
16.AUTOMATIC DOOR RELEASES X
17.TROUBLE INDICATORS 2 �02 /_ Panels
18.MASTER ALARM BOX 1 a l L� x Panels
19.BATTERIES 4 l Z(� Werker
20.CHARGER 2 �a. Panel
21.GENERATOR X
22.VENTILATION CONTROL X
23.FIRE DEPT INTERCONNECTION X
24.CENTRAL STATION INTERCONNECTION 1 is a �( Communicator SK 5129
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 of General Alarm /V Minutes. None Installed ( ).
30. Test of alarm system on emergency power, satisfactory? k 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 NFPA fire alarm Maintenance Standards.
A. Signature of Owner or Representative; 6
B. Signature of Fire Alarm Firm Representative:
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
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1232a
Equipment Tested
Mason County Fire Marshal Inspection Contract No.
Mason County Bldg. III File No.
426 W. Cedar
P.O. Box 186
Shelton, WA 98584
FIRE ALARM SYSTEM
REPORT OF INSPECTION
Date: 12- 19- `?-yi'%
Name of Facility: Valley Feed Store (PF674)
Occupied as: Vet Clinic
Address: 461 NE Old Belfair Highway
County: Mason Zip: 98528 Telephone: 360.275.5987
Building Designation (if more than one building)
Inspection By: v- � �AI1 C, Title:
Date of Inspection: Account#: PF0674
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:
4. Fire Department Official Contacted:
5. Test Received At Alarm Center: N Yes ( ) No
6. Master Box Reset AM PM
7. All Test Satisfactory ( ) Yes ( ) No
8. Comments, explanation of unsatisfactory results, action taken, etc.
fan+I)
t.
Equipment Tested
SATISFACTORY
TYPE OF EQUIPMENT #OF TEST 7NO N/A TYPE&MANAFACTURER
UNITS DATE
9. CONTROL PANEL 2 _ � ,� '�a Silent Knight SK-2
10.MANUAL STATION 3 ,Z Edwards
11.HEAT DETECTORS 21 �-� I C� ` Edwards 281B-PL/28413-PL
12.SMOKE DETECTORS 1 1 L. I System Sensor ZWB
13.AUDIBLE DEVICES 5 1 l Gentex/Wheelock
14.VISUAL DEVICES 5 q� `I fi Gentex/Wheelock
15.CODE TRANSMITTERS , X
16.AUTOMATIC DOOR RELEASES X
17.TROUBLE INDICATORS 2 t2 O Panels
18.MASTER ALARM BOX I `g 9 Panels
19.BATTERIES 4 1�_ Werker
20.CHARGER 2 'IL, "9 Panel
21.GENERATOR X
22.VENTILATION CONTROL X
23.FIRE DEPT INTERCONNECTION X
24.CENTRAL STATION INTERCONNECTION I i? ,j V Communicator SK 5129
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 of General Alarm Minutes. None Installed ( ).
30. Test of alarm system on emergency power, satisfactory? ( ) 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 NFPA fire alarm Maintenance Standards.
A. Signature of Owner or Representative;
B. Signature of Fire Alarm Firm Representative: /
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
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