HomeMy WebLinkAbout3015 wilson alarm report 2018 ANNEXSimplexGrinnell BE SAFE
INSPECTION AND TESTING FORM
SR Number:
42734636
Task Number:
3015 Wilson Rd.
SERVICE ORGANIZATION
Name:
SimplexGrinnell
Address:
2788 N. Larkin
City, St., Zip:
Fresno, CA ,93727
Representative:
Jesus Salgado
License No.:
986047
Telephone:
559 -348 -0614
MONITORING ENTITY
Contact: SimplexGrinnell
Telephone: (888) 746 -7539
Monitoring Account Ref. No.: 203 -7207
TYPE TRANSMISSION
McCulloh
Multiplex
X Digital
Reverse Polarity
RF
Other (Specify) _
DATE: November 21, 2018
TIME:
PROPERTY NAME (USER)
Name:
Kern County Housing 6 Story Annex
Address:
3015 Wilson Rd.
City, St., Zip:
Bakersfield, CA, 93304
Owner Contact: Irving Garcia
Telephone:
661 - 387 -4304
Occupied as:
Kern County Housing Authority
APPROVING
AGENCY
Contact:
N/A
Telephone:
N/A
SERVICE
Weekly
Monthly
Quarterly
Semiannually
X Annually
Other (Specify)
System Type: ( X ) Local; ( ) Auxiliary; ( X ) Remote Station; ( ) Proprietary; ( ) Emergency Voice / Alarm
Control Unit Manufacturer: _ Simplex Model No.: 41000
Circuit Style: A & B
Number of Circuits: Unknown
Software Rev.: 12.08.02 CFIG: 31
Last Date System Had Any Service Performed: January 18, 2018
Last Date That Any Software or Configuration Was Revised: 17- March -2017
Quantity of
Devices Installed
14
0
134
0
13
7
ALARM - INITIATING DEVICES AND CIRCUIT INFORMATION
Circuit Style
A
A
A
A
Alarm verification feature is disabled X
Rev. D
Quantity of
Devices Tested
14
0
134
0
13
7
enabled
Manual Fire Alarm Boxes (PSSA)
Ion Detectors (ISD)
Smoke Sensors (ASD)
Duct Detectors (DSD)
Heat Detectors (HD)
Water Flow Switches (WF)
(Specify)
(Specify)
(Specify)
Page 1 of 9
PRIOR TO ANY TESTING
NOTIFICATIONS ARE MADE Yes No vvno I 1111c
Monitoring Entity X SimplexGrinnell 8:OOAM
Building Occupants X Staff /Residents 8:OOAM
Building Management X M.O.D 8:OOAM
Other (Specify)
AHJ Notified of Any Impairments
SYSTEM TESTS AND INSPECTIONS
TYPE Visual Functional Comments
Control Unit X X Pass
Interface Equipment X X Pass
Lamps/LEDs X X Pass
Fuses X X Pass
Primary Power Supply X X Pass
Trouble Signals X X Pass
Disconnect Switches X X Pass
Ground Fault Monitoring X X Pass
SECONDARY POWER
TYPE Visual Functional Comments
Battery Condition u Good - Batteries Installed August 2016
Load Voltage X Pass- Combined Voltage 26.49VDC
Discharge test X Pass-25.89VDC
Charger test X Pass- 27.44VDC
TRANSIENT SUPPRESSORS N/A
REMOTE ANNUNCIATOR Pass -1S Floor Maintenance Room
NOTIFICATION APPLIANCES
Audible X X Pass
Visible X X Pass
Speakers X X Pass
Voice Clarity N/A
INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS
Device Visual Functional Factory Measured
Location & Serial Number Type Check Test Setting Setting Pass Fail
See attached detailed report.
Date of Last Sensitivity Test: Unknown
EMERGENCY COMMUNICATION EQUIPMENT Visual Functional Comments
Phone Set * Not Installed
Phone Jacks Not Installed
Off -Hook Indicators Not Installed
Amplifier(s) Not Installed
Tone Generator(s) Not Installed
Call -in Signal Not Installed
System Performance Not Installed
Page 3of9
PROPERTY NAME: Kern County Housing Authority 8 Story Annex
DATE:
November 21.2O18
ADDRESS: 3015 Wilson Road Bakersfield,
T�KA�^
'
INITIATING AND SUPERVISORY DEVICE TESTS AND
INSPECTIONS (SUPPLEMENTAL SHEET)
�
Visual
Functional
Measured
Location 3&Serial Number
Device Type
Check
Test
Address
Setting
Pass
Fail
2woFL Storage.
HD
X
X
N2:yN1-074
2
'L Storage
2
'L Storage
2
'L Stair #1
2
'L Corridor 2
2 Nu
FL Elevator Lobby
PSD
X
X.
N2:N11-067
2 Nu
FL Corridor
PSO
X
X
N2:yW1-057
2""
FL Corridor 2
P0D
X
X
N2:M1-054
^
FL Corridor -
---------
2wuFL
Stair #2
PGSA
m��l-u/u
,w
'
FL Annex Pump
--------
16/
FL Electrical Room
P8D
X
X
mu:xxl-uul
'
FL ''--
-------�
'
FL '''~'''--''-''-- ''--m
--------
16'
L Communication Room
--------
'
FL Communication Room
-------
.
FL Corridor 1
16'
FL Laundry Room
HD
X
X
N2:M1-005
'
FL ^~~`'~~'-
-------'
'
FL Stair #1 Vestibule
-------
/
FL Women's '`e""°"'''
HD
X
X
N2:Ml-006
-------
16'
FL Trash Room
HD
X
X
N2:MI-002
.
FL Elevator Lobby
PSD
'
FL Corridor 1
-------'
'
FL Corridor I
-------
'
FL Corridor 1
--------
1 '3'
FL Corridor 1 South Exit
PSSA
X
X
N2: M 1 -039
3";"u
FL Corridor _
3N'j
FL Stair #1
,
FL Elevator ____
~
FL Corridor -
~
FL Corridor -
--------
-T�D
—FL Corridor 3
P8D
X
X
N2:M1-095
~
FL Stair ''-
-------'
Z
' L Stair #1 Vestibule
–�Tff
—FL
-
�___�
�__-_�
_---
_-
Page 5 Of 9
PROPERTY
ADDRESS: 3015 Wilson Road Bakersfield, CA, 93304
INITIATING AND SUPERVISORY DEVICE TESTS
Location & Serial Number Device Type
8/HFL Room OD3A P8O
8''FL Room 6O2A pSD
0"'FL Room 8O1A P8D
5/'FL Room 5D4A P8D
5/'FL Room 5O7A PSO
5/'FL Room 5O0A PSO
nFL Room 5O8/\ P8O
_�n�F�LRoorn�O0A P8[J
PG[)
Room 51OA P8D
Room 515A P8O
-7A P8O
P8D
4"-'FL Room 403A pSD
' '-''--m 404A PSD
4"' FL Room 405A PSD
' '-''--m 407A PSD
4/'FL Room 4O8A P8D
4"' FL Room 409A PSO
' '-R--
4'nFL Room 41OA P8O
4"' FL Room 413A P8D
' FL Room 415A PSD
- '- Room ---'
3NuFL Room 3O1A P8D
3Nu '- "Room ---''
3 FL Room 305
~ '- Room ---'
3nuFL Room 3O8A p8[)
3N" FL Room 309A PSO
3NL' 'L Room 31 '
3 'L Room 312
3'�'u FL Room 315A P8D
u"- FL Room 314* Pou
2 Nu FL Room 201A PSO
2 Nu .L Room 203
2 Nu FL Room 206A PSD
6 Story
Annex
DATE: November 21,
TIME:
(SUPPLEMENTAL SHEET)
pouu,,v Measured
Range Setting
N2:N11-175
N2:N11'177
N2:N11-178
N2:W41-149
N2:yN1-144
N2:W41-150
N2:yW1-151
N2:yW1-148
N2:M1-142
N2:YW1-152
N2:yW1-141
N2:W41'140
N2:yW1-118
N2:M1-117
N2:W41-110
N2:M1-1 19 -------
N2:M1'115
N2:Ml-114--------
N2:N11-121
N2:W41-113
-------
N2:[Nl-122
N2:M1-111
N2:MI-110--------
--------
mu:xxl-uu/
-------`
-------
N2:yNl-0*1 ________
N2:yW1-088
N2:W41-080
.`2.."..-094 ________
N2:W11-072 ______
N2:N11-064
N2:Ml-062 -
2018
AND
Visual
oxocx
Functional
INSPECTIONS
Test
Pass
Fail
x
x
x
x
x
x
x
X,
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
X,
x
x
x
x
x
x
x
x
x
x
�d
I
x
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PROPERTY NAME: Kern County Housinq Authority 6 Story Annex
ADDRESS: 3015 Wilson Road Bakersfield, CA, 93304
INITIATING AND SUPERVISORY DEVICE TESTS
Location & Serial Number Device Type
_3RD FL Hall by Room 315A A/V
2 FL Hall by Room 201A A/V
2 Nu FL Elevator Lobby A/V
2 Nu FL Stair #1 A/V
2 Nu FL Hall by Room 205A A/V
2 Nu FL Hall by Room 209A A/V
2 Nu FL Hall by Room 210A A/V
2 Nu FL Hall by Room 215A A/V
1ST FL Hall by Laundry A/V
1 FL Stair #1 A/V
1 FL Elevator Lobby A/V
15 FL Hall by Room 101A A/V
f5 FL Hall by Room 102A A/V
1 �5' FL Hall by Room 104A A/V
1'5' FL Hall by Room 109A A/V
116' FL Pantry Area VSIG
1 S' FL Activity Room A/V
16T FL Men's Restroom VSIG
1 FL Women's Restroom VSIG
.161 FL Fire Pump Room FPOP
1 S-r FL Fire Pump Room FPOP
1 FL Fire Pump Room FPOP
FL Corridor 2 PSD
Penthouse elevator room PSD
Penthouse elevator room HD
2018
Pass
AND
Visual
Check
Function2
INSPE(
Test
X
X
X
X
X
X
X
X
X
X.
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X.
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X.
X
X
X
X
DATE: November 21,
TIME:
'.TIONS (SUPPLEMENTAL SHEET)
it Factory Measured
Range Setting
N2: M 1 -023
N2: M 1 -024
N2:M1 -025
N2:M1 -065
N2:M1 -202
N2:M1 -203
2018
Pass
Fail
)
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
LjX
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