HomeMy WebLinkAboutPC-Contractors_MaterialContractors Material and Test Certificate
Fire Alarm and Fire Detection Systems
? Yes ? No - Fire Alarm System is ready for Fire Department acceptance testing. Failure of test will result in
termination of the testina and additional fees will be assessed.
Date: Permit #
Installing Company:
Installing Contractor's Address:
City: Phone #:
Installers Name (PRINT): License and/or Certificate:
Name of Facility: Address:
City: Zip: Phone:
Occupied As: Owner or Rep:
Authority Having Jurisdiction: - Auburn Fire Department Phone: _253-931-3060
General Contractor: Contact Name:
Electrical Contractor: Contact Name:
FACP Equipment Manufacturer: Model #:
This system has been installed, PRE-TESTED and operates in accordance with the standards listed below. This
system was inspected and PRE-TESTED by: on and includes the devices
listed below.
NFPA 72, Chapter 1,3,4,5,6,7 (circle all that apply)
NFPA 70, National Electrical Code. Article 760, Manufacturer's Instructions
Manufacturer's Instructions
Other (Specify)
The above system is monitored by: Proprietary
Phone #:
Siqned:
EQUIPMENT INSTALLED AND TESTED:
Control Panel: of Make / Model:
Manual Station: of Make / Model:
Smoke Detectors: of Make / Model:
Heat Detectors: of Make / Model:
Duct Detectors: of Make / Model:
Remote Central Station. Name of monitoring station is
Contact Name:
Date:
Audio Devices: of Make / Model:
Visual Devices: of Make / Model:
Door Releases: of Make / Model:
Trouble indicators: of
Batteries: of
Generator:
HVAC Controls:
Alarm Dialer:
Annunciator:
Battery Readings:
of
of
of
of
Make / Model:
Make / Model:
Full load Charge
Make / Model:
Make / Model:
Make /Model:
Make / Model:
SPRINKLER SYSTEM: (FIRE ALARM CONNECTIONS ONLY)
Water Flow Sw: of Make / Model:
Tamper Sw: of Make / Model:
PIV: of Make / Model:
Alarm Bell: of Make / Model:
W/P Strobe: of Make / Model:
Automatic Time Delay of General Alarm: minutes: None installed.
Do you meet audible / visible requirements of WAC 51-44 and NFPA 72? Yes No
Test of Alarm System on emergency power, satisfactory? Yes No
Comments:
COMPLETELY FILL OUT THIS TEST CERTIFICATE AND FAX TO:
Auburn Fire Department
Fire Prevention Bureau
253-931-3055