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F2021-0473 - Permits
T A m D v v 0 O r V D 2 A z m O 0 v r 0 V O m O � N 3 C < z 'a m 7 0 3 m O F m m m W TZZ DDO-io a o o ..... 00. 00.o mm W T T W W W W C7 0 omm� .o N C ( a a m - m > >. o.m m . o a V < m O 0 o c < < O J . n � m f: N 0 ,m r. m' N G)W 0 m N O . m T n m 0 m T O T m W< o� a 0 o to m W� � 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 s a s s a 0 o ¢ v o ¢ 3 y J y N m m 0 0 J o V a o' J 0 ¢ y O • 1D& fp coo o > e • N e o n e m N •of om m O o o O 0U OeU f 6 O e • C B e • f f 6 • m p • O G[ Op0 • : O 6 p 6• OB z N r mNz OA0m �Gp m 0 m Aid' =ma Dpo b z m O a D w m m c a a A N 0 N m w 0 m 0 z co A z N m W 0 0 o z O z O MG) m nN y H Wo OD ZDo i m m x x =mto 0 0 r Dc= g 3 w ( m T A N m Z 0 .0 p z r m A 9 O z D m T D D O ¢ J 0 ¢ J Z y m y p y N m m 3 0 m N Ul o m r p' & u 0, o FIRE ALARM AND EMERGENCY COMMUNICATION SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time ofsystem acceptance and approval. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Inert N/A in all unused lines. Attach additional sheets, data, or calculations as necessary to provide a complete record. 1. PROPERTY INFORMATION Name of property: FRIENDS OF NEWPORT BEACH ANIMAL SHELTER Address: 20282 RIVERSIDE DRIVE, NEWPORT BEACH, CA 92660 Description of property: BUSINESS Occupancy type: B _. _.. _.._..... Name of property representative: SLATER BUILDERS Address: 3100 PULLMAN STREET SUITE B, COSTA MESA, CA 92626 Phone: 714-434-4884 Fax: E-mail Authority having jurisdiction over this property: NEWPORT BEACH FIRE Phone: 949-644-3355 Fax: E-mail: 2. INSTALLATION, SERVICE, AND TESTING CONTRACTOR INFORMATION Installation contractor for this equipment: INTEC NETWORK SOLUTIONS, INC. Address: 15131 TRITON LANE SUITE 111 HUNTINGTON BEACH, CA 92649 License or certification number: 916986 C-10/C-7 Phone: 714-475-6675 Fax: E-mail: ALARMS@INTECSOCALCOM Service organization for this equipment: INTEC NETWORK SOLUTIONS, INC. Address: 15131 TRITON LANE SUITE 111 HUNTINGTON BEACH, CA 92649 License or certification number: 916986 C-10/C-7 Phone: 714 475-6675 Fax: E-mail: ALARMS@INTECSOCAL.COM A contract for test and inspection in accordance with NFPA standards is in effect as of: 3/1/2018 Contracted testing company: INTEC NETWORK SOLUTIONS, INC. Address: 15131 TRITON LANE SUITE 111 HUNTINGTON BEACH, CA 92649 Phone: 714-475-6675 Fax: E-mail: ALARMS@INTECSOCALCOM Contract expires: 3/31/224 Contract number: 92332 Frequency of routine inspections: BIANNUAL 3. DESCRIPTION OF SYSTEM OR SERVICE ® Fire alarm system (nonvoice) ❑ Fire alarm with in -building fire emergency voice alarm communication system (EVACS) ❑ Mass notification system (MNS) ❑ Combination system, with the following components: ❑ Fire alarm ❑ EVACS ❑ MNS ❑ Two-way, in -building, emergency communication system ❑ Other (specify): NFPA 72, Fig. 10.18.2.1.1 (p. 'I of '12) Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 3. DESCRIPTION OF SYSTEM OR SERVICE (continued) NFPA 72 edition: 2019 Additional description of system(s): 3.1 Control Unit Manufacturer: SILENT KNIGHT Model number: 6700 3.2 Mass Notification System ® This system does not incorporate an MNS 3.2.1 System Type: ❑ In -building MNScombination ❑ In -building MNS—stand-alone ❑ Wide -area MNS ❑ Distributed recipient MNS ❑ Other (specify): 3.2.2 System Features: ❑ Combination fire alarm/MNS ❑ MNS autonomous control unit ❑ Wide -area MNS to regional national alerting interface ❑ Local operating console (LOC) ❑ Direct recipient MNS (DAMNS) ❑ Wide -area MNS to DRMNS interface ❑ Wide -area MNS to high -power speaker array (HPSA) interface ❑ In -building MNS to wide -area MNS interface ❑ Other (specify): 3.3 System Documentation ® An owner's manual, a copy of the manufacturer's instructions, a written sequence of operation, and a copy of the numbered record drawings are stored on site. Location: IN DOCUMENT BOX NEXT TO FACP 3.4 System Software ® This system does not have alterable site -specific software. Operating system (executive) software revision level: Site -specific software revision date: Revision completed by: ❑ A copy of the site -specific software is stored on site. Location: 3.5 Off -Premises Signal Transmission ❑ This system does not have off -premises transmission. Name of organization receiving alarm signals with phone numbers: Alarm: CRITICOM MONITORING SERVICES Phone: 800-331-5165 Supervisory: CRITICOM MONITORING SERVICES Phone: 800-331-5165 Trouble: CRITICOM MONITORING SERVICES Phone: 800-331-5165 Entity to which alarms are retransmitted: NEWPORT BEACH FIRE Phone: 9496443611 Method of retransmission: CELLULAR If Chapter 26, specify the means of transmission from the protected premises to the supervising station: If Chapter 27, specify the type of auxiliary alarm system: ❑ Local energy ❑ Shunt ❑ Wired ❑ Wireless NFFA 72, Fig. 10.18.2.1.1 (p. 2 of 12) Copyright 0 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 4. CIRCUITS AND PATHWAYS 4.1 Signaling Line Pathways 4.1.1 Pathways Class Designations and Survivability Pathways class: Class B Survivability level: 0 Quantity:1 (See NFPA 72, Sections 12.3 and 12.4) 4.1.2 Pathways Utilizing Two or More Media Quantity: Description: 4.1.3 Device Power Pathways ❑ No separate power pathways from the signaling line pathway ❑ Power pathways are separate but of the same pathway classification as the signaling line pathway ❑ Power pathways are separate and different classification from the signaling line pathway 4.1.4 Isolation Modules Quantity: 4.2 Alarm Initiating Device Pathways 4.2.1 Pathways Class Designations and Survivability Pathways class: Survivability level: _. Quantity: (See NFPA 72, Sections 12.3 and 12.4) 4.2.2 Pathways Utilizing Two or More Media Quantity: _. Description: 4.2.3 Device Power Pathways ® No separate power pathways from the initiating device pathway ❑ Power pathways are separate but of the same pathway classification as the initiating device pathway ❑ Power pathways are separate and different classification from the initiating device pathway 4.3 Non -Voice Audible System Pathways 4.3.1 Pathways Class Designations and Survivability Pathways class: Class B Survivability level: 0 _ Quantity: 1 (See NFPA 72, Sections 12.3 and 12.4) 4.3.2 Pathways Utilizing Two or More Media Quantity: Description: 4.3.3 Appliance Power Pathways ® No separate power pathways from the notification appliance pathway ❑ Power pathways are separate but of the same pathway classification as the notification appliance pathway ❑ Power pathways are separate and different classification from the notification appliance pathway NFPA 72, Fig. 10.18.2.1.1 (p. 3 of 12) Copyright 0 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. S. ALARM INITIATING DEVICES 5.1 Manual Initiating Devices 5.1.1 Manual Fire Alarm Boxes ❑ This system does not have manual fire alarm boxes. Type and number of devices: Addressable: 1 Conventional: Coded: Transmitter: Other (specify): 5.1.2 Other Alarm Boxes ® This system does not have other alarm boxes. Description: Type and number of devices: Addressable: Conventional: Coded: Transmitter: Other (specify): 5.2 Automatic Initiating Devices 5.2.1 Smoke Detectors ❑ This system does not have smoke detectors. Type and number of devices: Addressable: 1 Conventional: Other (specify): Type of coverage: ❑ Complete area E Partial area ❑ Nonrequired partial area Other (specify): Type of smoke detector sensing technology: ❑ Ionization E Photoelectric ❑ Multicriteria ❑ Aspirating ❑ Beam Other (specify): 5.2.2 Duct Smoke Detectors E This system does not have alarm -causing duct smoke detectors. Type and number of devices: Addressable: Conventional: Other (specify): Type of coverage: Type of smoke detector sensing technology: ❑ Ionization E Photoelectric ❑ Aspirating ❑ Beam 5.2.3 Radiant Energy (Flame) Detectors E This system does not have radiant energy detectors. Type and number of devices: Addressable: Conventional: Other (specify): Type of coverage: 5.2.4 Gas Detectors E This system does not have gas detectors. Type of detector(s): Number of devices: Addressable: Conventional: Type of coverage: 5.2.5 Heat Detectors E This system does not have heat detectors. Type and number of devices: Addressable: Conventional: Type of coverage: ❑ Complete area ❑ Partial area ❑ Nonrequired partial area ❑ Linear ❑ Spot Type of heat detector sensing technology: ❑ Fixed temperature E Rate -of -rise ❑ Rate compensated NFPA 72, Fig. 10.18.2.1.1 (p. 4 of 12) Copyright 02009 National Fire Protection Association, This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 5. ALARM INITIATING DEVICES (continued) 5.2.6 Addressable Monitoring Modules Number of devices: 2 5.2.7 Waterflow Alarm Devices Type and number of devices: Addressable: 5.2.8 Alarm Verification Number of devices subject to alarm verification: 5.2.9 Presignal Number of devices subject to presignah Describe presignal functions: 5.2.10 Positive Alarm Sequence (PAS) Describe PAS: 5.2.11 Other Initiating Devices Describe: ❑ This system does not have monitoring modules. ❑ This system does not have waterflow alarm devices. Conventional: 2 Coded: Transmitter: ® This system does not incorporate alarm verification. Alarm verification set for seconds E This system does not incorporate pre -signal. E This system does not incorporate PAS. E This system does not have other initiating devices. 6. SUPERVISORY SIGNAL -INITIATING DEVICES 6.1 Sprinkler System Supervisory Devices ❑ This system does not have sprinkler supervisory devices. Type and number of devices: Addressable: Conventional: 3 _ Coded: Transmitter: _ Other (specify): 6.2 Fire Pump Description and Supervisory Devices E This system does not have a fire pump. Type fife pump: ❑ Electric pump ❑ Engine Type and number of devices: Addressable: Conventional: Coded: Transmitter: Other (specify): 6.2.1 Fire Pump Functions Supervised ❑ Power ❑ Running ❑ Phase reversal ❑ Selector switch not in auto ❑ Engine or control panel trouble ❑ Low fuel Other (specify): 6.3 Duct Smoke Detectors (DSDs) E This system does not have DSDs causing supervisory signals. Type and number of devices: Addressable: Conventional: Other (specify): Type of coverage: Type of smoke detector sensing technology: ❑ Ionization E Photoelectric ❑ Aspirating ❑ Beam 6.4 Other Supervisory Devices ❑ This system does not have other supervisory devices. Describe: NFPA 72, Fig. 10.18.2.1.1 (p. 5 of 12) Copyright 0 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution, 7. MONITORED SYSTEMS 7.1 Engine -Driven Generator 7.1.1 Generator Functions Supervised ❑ Engine or control panel trouble ❑ Generator running ❑ Other (specify): 7.2 Special Hazard Suppression Systems Description of special hazard systerl 7.3 Other Monitoring Systems Description of special hazard systerl 8. ANNUNCIATORS 8.1 Location and Description of Annunciators Location l: ON FACP Location 2: Location 3: ® This system does not have a generator. ❑ Selector switch not in auto ❑ Low fuel ® This system does not monitor special hazard systems. ® This system does not monitor other systems. ❑ This system does not have annunciators. 9. ALARM NOTIFICATION APPLIANCES 9.1 In -Building Fire Emergency Voice Alarm Communication System ® This system does not have an EVACS. Number of single voice alarm channels: Number of multiple voice alarm channels: Number of speakers: Number of speaker circuits: Location of amplification and sound -processing equipment: Location of paging microphone stations: Location 1: Location 2: Location 3: ._ 9.2 Nonvoice Notification Appliances ❑ This system does not have nonvoice notification appliances. Horns: 1 With visible: 1 Bells: With visible: Chimes: With visible: Visible only: Other (describe): 9.3 Notification Appliance Power Extender Panels ® This system does not have power extender panels. Quantity: Locations: NFPA 72, Fig. 10.18.2A.1 (p. 6 of 12) Copyright 0 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 10. MASS NOTIFICATION CONTROLS, APPLIANCES, AND CIRCUITS ® This system does not have an MNS. 10.1 MNS Local Operating Consoles Location 1: Location 2: _.. _.. _.. Location 3: _. 10.2 High -Power Speaker Arrays Number of HPSA speaker initiation zones: Location 1: Location 2: Location 3: _. 10.3 Mass Notification Devices Combination fire alarm/MNS visible appliances: _ MNS-only visible appliances: Textual signs: Other (describe): Supervision class: 10.3.1 Special Hazard Notification ❑ This system does not have special suppression predischarge notification. ❑ MNS systems DO NOT override notification appliances required to provide special suppression predischarge notification. 11. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS 11.1 Telephone System ® This system does not have a two-way telephone system. Number of telephone jacks installed: Number of warden stations installed: Number of telephone handsets stored on site: Type of telephone system installed: ❑ Electrically powered ❑ Sound powered 11.2 Two -Way Radio Communications Enhancement System ® This system does not have a two-way radio communications enhancement system. Percentage of area covered by two-way radio service: Critical areas: % General building areas: % Amplification component locations: Inbound signal strength: _. dBm Outbound signal strength: dBm Donor antenna isolation is: _ dB above the signal booster gain Radio frequencies covered: Radio system monitor panel location: NFPA 72, Fig. 10,18.2.1.1 (p. 7 of '12) Copyright 0 2009 Nat anal Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 11. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS (continued) 11.3 Area of Refuge (Area of Rescue Assistance) Emergency Communications Systems ® This system does not have an area of refuge (area of rescue assistance) emergency communications system. Number of stations: Location of central control point: Days and hours when central control point is attended: Location of alternate control point: Days and hours when alternate control point is attended: 11.4 Elevator Emergency Communications Systems ® This system does not have an elevator emergency communications system. Number of elevators with stations: Location of central control point: Days and hours when central control point is attended: Location of alternate control point: Days and hours when alternate control point is attended: 11.5 Other Two -Way Communication Systems Describe: 12. CONTROL FUNCTIONS This system activates the following control factions: ❑ Hold -open door releasing devices ❑ Smoke management ❑ HVAC shutdown ❑ F/S dampers ❑ Door unlocking ❑ Elevator recall ❑ Fuel source shutdown ❑ Extinguishing agent release ❑ Elevator shunt trip ❑ Mass notification system override of fire alarm notification appliances Other (specify): 12.1 Addressable Control Modules ® This system does not have control modules. Number of devices: Other (specify): 13. SYSTEM POWER 13.1 Control Unit 13.1.1 Primary Power Input voltage of control panel: 120VAC Overcurrent protection: Type: BREAKER Location (of primary supply panel board): PANEL: Disconnecting means location: BREAKER: 13.1.2 Engine -Driven Generator Location of generator: Location of fuel storage: Control panel amps: 6 Amps: 20 ® This system does not have a generator. Type of fuel: NFPA 72, Fig. 10.18.2.1.1 (p. 8 of 12) Copyright© 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 13. SYSTEM POWER (continued) 13.1.3 Uninterruptible Power System ® This system does not have a UPS. Equipment powered by a UPS system: Location of UPS system: Calculated capacity of UPS batteries to drive the system components connected to it: In standby mode (hours): In alarm mode (minutes): 13.1.4 Batteries Location: In Panel Type: Gell Cell Nominal voltage: 12VDC Amp/hour rating: 7 Calculated capacity of batteries to drive the system: In standby mode (hours): 24 In alarm mode (minutes): 5 ® Batteries are marked with date of manufacture ® Battery calculations are attached 13.2 In -Building Fire Emergency Voice Alarm Communication System or Mass Notification System ® This system does not have an EVACS or MNS system. 13.2.1 Primary Power Input voltage of EVACS or MNS panel: EVACS or MNS panel amps: Overcurrent protection: Type: _. Amps: Location (of primary supply panel board): Disconnecting means location: 13.2.2 Engine -Driven Generator ❑ This system does not have a generator. Location of generator: Location of fuel storage: Type of fuel: 13.2.3 Uninterruptible Power System ❑ This system does not have a UPS. Equipment powered by a UPS system: Location of UPS system: Calculated capacity of UPS batteries to drive the system components connected to it: In standby mode (hours): In alarm mode (minutes): 13.2.4 Batteries Location: Type: Nominal voltage: Amp/hour rating: Calculated capacity of batteries to drive the system: In standby mode (hours): In alarm mode (minutes): ❑ Batteries are marked with date of manufacture ❑ Battery calculations are attached NFPA 72, Fig. 10.18.2.1.1 (p. 9 of 12) Copyright ©2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 13. SYSTEM POWER (continued) 13.3 Notification Appliance Power Extender Panels ® This system does not have power extender panels. 13.3.1 Primary Power Input voltage of power extender panel(s): Power extender panel amps: Overcurrent protection: Type: Amps: Location (of primary supply panel board): Disconnecting means location: 13.3.2 Engine -Driven Generator ® This system does not have a generator. Location of generator: Location of fuel storage: Type of fuel: 13.3.3 Uninterruptible Power System ® This system does not have a UPS. Equipment powered by a UPS system: Location of UPS system: Calculated capacity of UPS batteries to drive the system components connected to it: In standby mode (hours): In alarm mode (minutes): 13.3.4 Batteries Location: Type: Nominal voltage: Amp/hour rating: Calculated capacity of batteries to drive the system: In standby mode (hours): In alarm mode (minutes): ❑ Batteries are marked with date of manufacture ❑ Battery calculations are attached 14. RECORD OF SYSTEM INSTALLATION Fill out after all installation is complete and wiring has been checkedfor opens, shorts, ground faults, and improper branching, but before conducting operational acceptance tests. This is a: ® New system ❑ Modification to an existing system Permit number: The system has been installed in accordance with the following requirements: (Note any or all that apply.) ® NFPA 72, Edition: 2019 ® NFPA 70, National Electrical Code, Article 760, Edition: 2019 ® Manufacturer's published instructions Other (specify): System deviations from referenced NFPA standards: / J Signed: -'`— Printed name: ERIK PETERSON. Date: �` �r. Organization: Intec Network Solutions Title: President Phone: 714-580-6980 NFPA 72, Fig. 10,18.2.1.1 (p. 10 of 12) Copyright 0 2009 National Fire Protection Association. This farm may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 15. RECORD OF SYSTEM OPERATIONAL ACCEPTANCE TEST ® New system All operational features and functions of this system were tested by, or in the presence of, the signer shown below, on the date shown below, and were found to be operating property in accordance with the requirements for the following: ❑ Modifications to an existing system All newly modified operational features and functions ofthe system were tested by, or in the presence of, the signer shown below, on the date shown below, and were found to be operating properly in accordance with the requirements ofthe following: ® NFPA 72, Edition: 2019 ID NFPA 70, National Electrical Code, Article 760, Edition: 2019 [D Manufacturer's published instructions Other (specify): ® Individual device testing documentation [Inspection and Testing Form (Figure 14.6.2.4) is attached] Signed: Printed name: ERIK PETERSON Date: •tlp '2� Organization: INTEC NETWORK Title: PRESIDENT Phone: 714-580-6980 SOLUITIONS, INC_ 16. CERTIFICATIONS AND APPROVALS 16.1 System Installation Contractor: This system, as specified herein, has been installed and tested according to all NFPA standards cited herein. k1�9z3 Signed,��> Printed name: ERIK PETERSON Date: Organization: INTEC NETWORK Title: PRESIDENT Phone: 714-580-6980 SOLUTIONS, INC 16.2 System Service Contractor: The undersigned has a service contract for this system in effect as of the date shown below. / Signed: Printed name: ERIK PETERSON Date: Organization: INTEC NETWORK Title: PRESIDENT Phone: 714-580-6980 SOLUTIONS, INC. 16.3 Supervising Station:. This system, as specified herein, will be monitored according to all NFPA standards cited herein. Signed: N/A Printed name: N/A Date: Organization: CritiLink Title: N/A Phone: 800-331-5165 NFPA 72, Fig. 10,18.2.1.1 (p. 11 of 12) Copyright 02009 National Fire Protection Association. This form maybe copied for individual use other than for resale. It may not be copied for commercial sale or distribution. 16. CERTIFICATIONS AND APPROVALS (continued) 16.4 Property or Owner Representative: I accept this system as having been installed and tested to its specifications and all NFPA standards cited herein. Signed: kc� � Printed name: � � � (/ Date: Organization: SLATER BUILDERS Title: Phone: 16.5 Authority Having Jurisdiction: I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance with its approved plans and specifications, with its approved sequence of operations, and with all NFPA standards cited herein. Signed:N. M&,4-/L. J Organization: NEWPORT BEACH FIRE Printed name: Npot 10E ko(/u/j,� Title: lYirSreDIC_ Date: Lf 6103. Phone: q4q ( t4q( 315 NFPA 72, Fig. 10.18.2.1A (p. 12 of 12) Copyright 0 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. Report of Inspection / Test Annual NFPA 72 If 2023-04-06 Conducted by: Erik Peterson Property TIME-M,r Friends of Newport Beach Animal Shelter Intec Networks Solutions 20282 Riverside Dr 916986 Newport Beach CA 92660-5674 15131 Triton Lane Print Date:2023-04-06 Huntington Beach CA 92649 714-475-6675 alarms@intecsocal.com Inspection and Testing Form - FIRE ALARM - Pass Devices Total Pass Fail-' Not Tested Manual Pull Station 1 1 0 0 Photo Detector 1 1 0 0 Water Flow Alarm 2 2 0 0 Tamper Switch 3 3 0 0 Horn Strobe 1 1 0 0 Copyright 2023 Inspect Point Page 1 of 9 Report of Inspection / Test Annual NFPA 72 2023-04-06 Conducted by: Erik PetersonProperfyFriends 01'Tw_�, of Newport Beach Animal Shelter Intec Networks Solutions 20282 Riverside Dr 916986 Newport Beach CA 92660-5674 15131 Triton Lane Print Date: 2023-04-06 Huntington Beach CA 92649 714-475-6675 alarms@intecsocal.com Monitoring Entity Contact Name CMS Telephone 8665746795 Reference Number 8815 9034 Type Transmission CELLULAR Approving Agency Contact Name NADINE MORRIS Telephone (949) 644-3105 Email NMORRIS@NBFD.NET Service Type NEWPORT BEACH FIRE DEPARTMENT System Type Control Unit Manufacturer SILENT KNIGHT Model Number SK-6700 Circuit Styles B Software Revision N/A Date Last Serviced 2023-03-30 Last Date and Software or Configuration was 2023-03-30 Revised Number of Circuits 3 Power Supply Main Nominal Voltage 120VAC Main Nominal Amps 1.4 Overcurrent Protection BRAKER Panel Board Location Panel A Disconnecting Means Location Breaker 9 Secondary Standby BATTERY Storage Battery: Amp Hour Rating 7 Calculated Capacity to operate system 24 (Hours) Engine -driven generator dedicated to fire N/A Location of fuel storage N/A alarm system Has Emergency System described in NFPA NO Has Legally required standby described in YES 70, Article 700 NFPA 70, Article 701 Has Optional standby system described in NO NFPA 70, Article 702, which also meets the performance requirements of Article 700 or 701 Copyright 2023 Inspect Point Page 2 of 9 Report of Inspection / Test Annual NFPA 72 2023-04-06 Conducted by: Erik Peterson Property Friends of Newport Beach Animal Shelter Intec Networks Solutions nM°A 20282 Riverside Dr 916986 Newport Beach CA 92660-5674 15131 Triton Lane Print Date: 2023-04-06 Huntington Beach CA 92649 714475-6675 alarms@intecsocal.com NOTIFICATIONS MADE PRIOR TO ANY TESTING Yes No N/A Who Time Monitoring Entity 121 ❑ ❑ CMS 0730 Building Occupants ❑ ❑ p Building Management 121 ❑ ❑ Slater 0845 Other (Specify) ❑ ❑ ❑ AHJ Notified of Any Impairments O ❑ ❑ Nadine 0900 SYSTEM TESTS AND INSPECTIONS Visual Functional 1 Pass/Fail Comments Control Unit Yes Yes Pass Interface Equipment N/A N/A N/A Lamps/LEDS Yes Yes Pass Fuses Yes Yes Pass Primary Power Supply Yes Yes Pass Trouble Signals Yes Yes Pass Disconnect Switches Yes Yes Pass Ground -Fault Monitoring Yes Yes Pass Supervision Yes Yes Pass Local Annunciator Yes Yes Pass Remote Annunciator N/A N/A N/A Power Extender Panels N/A N/A N/A Isolation Modules N/A N/A N/A Sound Pressure Level -Ambient N/A N/A N/A Sound Pressure Level- Alarm N/A N/A N/A System Intelligibility- CSI N/A N/A N/A System Intelligibility -STI N/A N/A N/A Functional Test N/A N/A N/A Reset/Power down Test Yes Yes Pass UPS Power Test N/A N/A N/A CCU Security Mechanism N/A N/A N/A Prerecorded Message Content N/A N/A N/A Copyright 2023 Inspect Point Page 3 of 9 Report of Inspection / Test Annual NFPA 72 2023-04-06 Conducted by: Erik Peterson Property eQ FIT", ,Ao Friends of Newport Beach Animal Shelter Intec Networks Solutions 20282 Riverside Dr 916986 Newport Beach CA 92660-5674 15131 Triton Lane Print Date: 2023-04-06 Huntington Beach CA 92649 714-475-6675 alarms@intecsocal.com Prerecorded Message Activation N/A N/A N/A Software Backup Performed N/A N/A N/A Test Backup Software N/A N/A N/A Fire Alarm to MNS Interface N/A N/A N/A MNS to Fire Alarm Interface N/A N/A N/A In -building MNS to wide area MNS N/A N/A N/A MNS to direct recipient MNS N/A N/A N/A Other (Specify) N/A N/A N/A SECONDARY POWER Visual Functional Pass/Fail Comments Battery Condition Yes No Pass Load Voltage Yes No Pass Discharge Test Yes No Pass Charger Test Yes No Pass Specific Gravity N/A N/A N/A Remote Annunciators N/A N/A N/A NOTIFICATION APPLIANCES Visual Functional Pass/Fail Comments Audible Yes Yes Pass Visual Yes Yes Pass Speakers N/A N/A N/A Voice Clarity N/A N/A N/A EMERGENCY COMMUNICATION EQUIPMENT Visual Functional Pass/Fail Comments Phone Set N/A N/A N/A Phone Jacks N/A N/A N/A Off -Hook indicator N/A N/A N/A Amplifier(s) N/A N/A N/A Tone Generator(s) N/A N/A N/A Call -in Signal N/A N/A N/A System Performance N/A N/A N/A Copyright 2023 Inspect Point Page 4 of 9 Report of Inspection / Test Annual NFPA 72 2023-04-06 Property Friends of Newport Beach Animal Shelter 20282 Riverside Dr Newport Beach CA 92660-5674 Print Date: 2023-04-06 Conducted by: Erik Peterson Intec Networks Solutions 916986 15131 Triton Lane Huntington Beach CA 92649 714-475-6675 alarms@intecsocal.com System Audibility N/A System Intelligibility N/A Radio Communication Enhancement System N/A Area of Refuge Communication System N/A Elevator Emergency Communication System N/A Other (Specify) N/A AUXILIARY FUNCTIONS/INTERFACE ` EQUIPMENT/SPECIAL HAZARDS Visual Door -Releasing Devices N/A Fan Shutdown N/A Smoke ManagementlSmoke Control N/A Smoke Damper Operation N/A Smoke Shutter Release N/A Door Unlocking N/A Elevator Recall N/A Elevator Shunt -Trip N/A MNS Override of FA signals N/A Other (Specify) N/A SUPERVISING STATION MONITORING Alarm Signal Alarm Restoration Supervisory Signal Supervisory Restoration Trouble Signals Trouble Restoral NOTIFICATIONS THAT TESTING IS COMPLETE Monitoring Agency Building Occupants Building Management N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Functional Pass/Fail Comments N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Yes No - NIA Who Time 2 ❑ ❑ O ❑ ❑ O ❑ ❑ O ❑ ❑ Yes No N/A Who Time ❑ ❑ CMS 0951 ❑ ❑ o O ❑ ❑ SLATER 0951 Copyright 2023 Inspect Point Page 5 of 9 Report of Inspection / Test Annual NFPA 72 * m 2023-04-06 Conducted by: Erik Peterson Property ga° :xioai Friends of Newport Beach Animal Shelter Intec Networks Solutions 20282 Riverside Dr 916986 Newport Beach CA 92660-5674 15131 Triton Lane Print Date: 2023-04-06 Huntington Beach CA 92649 714475-6675 alarms@intecsocal.com AHJ Notified of Any Impairments 10 1130 Other (Specify) ALARM INITIATING DEVICES AND CIRCUIT INFORMATION Qty Installed Qty Tested Manual Stations Ion Detectors Photo Detectors 1 1 Duct Detectors Heat Detectors Waterflow Switches 2 2 Supervisory Switches 3 3 Other (Specify) ALARM INDICATING DEVICE INFORMATION Qty Installed Qty Tested Bells Horns Chimes Strobes Horn Strobes 1 1 Speakers Speaker Strobes Other (Specify) Copyright 2023 Inspect Point Page 6 of 9 Report of Inspection / Test Annual NFPA 72 2023-04-06 Property Friends of Newport Beach Animal Shelter 20282 Riverside Dr Newport Beach CA 92660-5674 Print Date: 2023-04-06 Conducted by: Erik Peterson Intec Networks Solutions 916986 15131 Triton Lane Huntington Beach CA 92649 714-475-6675 alarms@intecsocal.com sm INITIATING, SUPERVISORY, AND NOTIFICATION DEVICE TESTS AND INSPECTIONS Address Location ' Device Type Factory Setting Measured Setting Visual Functional Pass/Fail D001 ABOVE FACP Photo Detector Yes Yes Pass M201 MAIN LOBBY Manual Pull Station Yes Yes Pass M202 OS&Y Tamper Switch Yes Yes Pass M204 FRONT RISER FLOW Water Flow Alarm Yes Yes Pass M203 FRONT RISER TAMPER Tamper Switch Yes Yes Pass M206 BACK RISER FLOW Water Flow Alarm Yes Yes Pass M205 BACK RISER TAMPER Tamper Switch Yes Yes Pass LOBBY Horn Strobe Yes Yes Pass Copyright 2023 Inspect Point Page 7 of 9 Report of Inspection / Test Annual NFPA 72 2023-04-06 Property Friends of Newport Beach Animal Shelter 20282 Riverside Dr Newport Beach CA 92660-5674 Print Date: 2023-04-06 I Deficiencies - FIRE ALARM None Conducted by: Erik Peterson Intec Networks Solutions 916986 15131 Triton Lane Huntington Beach CA 92649 714-475-6675 alarms@intecsocal.com im Copyright 2023 Inspect Point Page 8 of 9 Report of Inspection / Test Annual NFPA 72 2023-04-06 Conducted by: Erik Peterson Property a aE a Friends of Newport Beach Animal Shelter Intec Networks Solutions h•- 20282 Riverside Dr 916986 Newport Beach CA 92660-5674 15131 Triton Lane Print Date: 2023-04-06 Huntington Beach CA 92649 714-475-6675 alarms@intecsocal.com Client Signature I state that the information on this form is correct at the time and place of my inspection, and all equipment tested at this time was left in operational condition upon completion of this inspection except as noted. Client Name Signature Date Completed Richard Littleton 2023-04-06 Copyright 2023 Inspect Point Page 9 of 9 RECEIVED BY City of Newport Beach COMMUNITY COMMUNITY DEVELOPMENT DEPARTMENT DEVELOPMENT BUILDING DIVISION MAR 3 0 2023 q100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8915 ARM �2023 " I www.newportbeachca.gov 1 (949) 644-3200 CITY OF NEWPORT BEACH Application for Report of Residential Building Records Application Fee:-$202.00 '. - Notice: (For All Residential Buildings) Applications with insufficient fee payment ReinspectionFee .$134.00 orincomplete will 'bereturned Please type or print and complete all information # of Units: �', Address: 22 Deep Sea City: Newport Beach State: [CA 92657 Property Owner: Palm Springs Investments LLC _.. zip code: FE657 Owner Address: 13334E Coast Highway, Ste 517 1 city: I Corona Del Mar State: cA Zip Code: F926257 Home Phone: 248-568-3077 Owner's Authorized Agent: I Nancy Perez work Phone: 714-250-3000 Agent Address: 1 4 First American Way city: I Santa Ana State: FqA Zip code: 92707 Agent Email Address: teamnancy@firstam.com escrow company: First American Title Company i Escrow #: 1 OSA-6949055 Escrow address: 4 First American Way city: Santa Ana — — —. State: FcA Zip Code: 92707 Escrow Phone: 1 714-250-3000 Email Report to: teamnancy@firstam.com For Inspection call (Name): Nancy Perez I Direct Phone: 1 714-250-4004 CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW) l authorize inspections and re -inspections of the property listed above. I understand that if Building or Zoning violations are discovered l will be responsible to correct said violations. Owner/Agent's signature to authorize inspection: Date: OR Owner/Agent's signature to decline Date: 3/27/2023 Account # 01050504-521040 .................Make checks payable to: CITYOF NEWPORT BEACH Building DMW.o \F.,mARBR 615-22 COAST GEOTECHNICAL, INC. 1200 W. Commonwealth Avenue, Fullerton, CA 92833 * Ph: (714) 870-1211 * Fax: (714) 870-1222 * E-mail: coastgeotec@sbcglobal.net April 12, 2021 Mr. and Mrs. Robert Painter 710 Avocado Avenue Newport Beach, CA 92625 Reference: W. O. 571219-02 Subject: Rough Grade Compaction Report for Proposed New Residence at 710 Avocado Avenue, Newport Beach, California 1. Geotechnical Engineering Investigation of Proposed New Residence at 710 Avocado Avenue, Newport Beach, California; by COAST GEOTECFINICAL, Inc., W. O. 571219-01, dated May 8, 2019. Dear Mr. and Mrs. Painter: Forwarded herewith is the rough grade compaction report for the subject site. Our observations and testing were performed periodically, as requested. The grading operation for the residential development consisted of grading the residential pad area to provide uniformly compacted fill soils for support of the residence. The grading operation was conducted from March 30, 2021 through April 2, 2021. PLACEMENT OF FILL Compacted fill material was placed to provide adequate support for the proposed structure. The over -excavation of the building pad area extended into competent native material. The depth of over -excavation was about three to four feet below existing grade. The exposed surface was scarified, moisture conditioned and compacted to a minimum of 90% relative compaction. Subsequent fills were placed in six to eight inch loose lifts, moisture conditioned as needed, and compacted to a minimum of 90% relative compaction by track rolling. Finish grades are near original grade to approximately six inches below existing grade. Limits of grading are shown on the attached Plate 1. Equipment used for the compaction of fill soils consisted of a Bobcat T300 track loader and Cat 305E Mini Excavator. Soils were moisture conditioned by a water hose, when needed. Earthwork was by S Jade Construction. TESTING Maximum density optimum moisture relationship determinations were performed for each soil type encountered during grading operations. Test results were as follows: COAST GEOTECHNICAL, INC. Mr. and Mrs. Painter 3 W. 0. 571219-02 Routh Grade Compaction Report April 12 n021 LATERAL DESIGN Lateral restraint at the base of footings and on slabs may be assumed to be the product of the dead load and a coefficient of friction of 0.30. Passive pressure on the face of footings may also be used to resist lateral forces. A passive pressure of zero at the surface of finished grade, increasing at the rate of 300 pounds per square foot of depth to a maximum value of 3,000 pounds per square foot, may be used for compacted fill at this site. If passive pressure and friction are combined when evaluating the lateral resistance, then the value of the passive pressure should be limited to 2/3 of the values given above. SEISMIC DESIGN Based on the 2016 CBC the following seismic design parameters are provided. These seismic design values were determined utilizing latitude 33.6049461 and longitude-117.8759331 and calculations from the SEAOC and OSHPD seismic tool application. A conservative site class D was assigned to site earth materials. • Site Class = D • Mapped 0.2 Second Spectral Response Acceleration, Ss = 1.694g • Mapped One Second Spectral Response Acceleration S, = 0.620g • Site Coefficient from Table 1613A.3.3(1), Fa = 1.0 • Site Coefficient from Table 1613A.3.3(2), Fv = 1.5 • Maximum Design Spectral Response Acceleration for short period, SMs = 1.694g • Maximum Design Spectral Response Acceleration for one -second period, SM, = 0.930g • 5% Design Spectral Response Acceleration for short period, Sos = 1.129g • 5% Design Spectral Response Acceleration for one -second period, SDI = 0.620g SETTLEMENT The maximum total post -construction settlement is anticipated to be on the order of one-half inch. Differential settlements are expected to be less than 1/2 inch, measured between adjacent structural elements over a distance of forty feet. EXPANSIVE SOILS Results of expansion tests indicate that the near surface soils have a high expansion potential. The high recommendations shall be utilized in the design of the foundations and concrete slabs. FLOOR SLABS Where conventional foundation and slab on grade is utilized, the slab shall be supported on engineered fill compacted to a minimum of 90% relative compaction. For design of slab on grade a computed effective plasticity index of 40 may be utilized. COAST GEOTECHNICAL, INC. Mr. and Mrs. Painter 5 W. 0. 571219-02 Rough Grade Compaction Report A-i'12 2021 followings recommendations will minimize cracking, heaving and offsets, but will not eliminate them. Exterior hardscape slabs will be subject to volume changes in subgrade soils, which may lead to cracking. Movement of slabs adjacent to structures can be mitigated by doweling slabs to perimeter footings. Doweling should consist of No. 4 bars bent around exterior slabs. Doweling should be spaced no farther than 36 inches on centers. As an option to doweling, an architectural separation could be provided between the main structure and abutting appurtenance improvements. Presaturation of exterior slab areas is also desirable. At exterior edges of patios and other flatwork, a thickened edge containing reinforcement is highly recommended. If no significant load is associated with the edge of the slab, the depth and width of the thickened edge may be limited to eight inches. Reinforcement adopted for the main structure may be applied to the appurtenances. As an alternative to rigid hardscape or brickwork, flexible pavers may be utilized. DRAINAGE Positive drainage should be planned for the site. Drainage should be directed away from structures via non -erodible conduits to suitable disposal areas. The structure should utilize roof gutters and down spouts tied directly to yard drainage. Pipes used for storm/site water drainage should be strong enough to withstand the force of compaction of the soils above. This force can be considerable, causing some weaker pipes to collapse. Drainage pipes shall have a smooth interior. Pipes with a corrugated interior can cause the buildup of deleterious matter, which can impede or block the flow of site waters and, as such, are not recommended. All storm/site water drainage pipes should be in conformance with the requirements of Table 1102.5 of the California Plumbing Code. Unlined flowerbeds, planters, and lawns should not be constructed against the perimeter of the structure. If such landscaping (against the perimeter of a structure) is planned, it should be properly drained and lined or provided with an underground moisture barrier. Irrigation should be kept to a minimum. The current CBC recommends five percent slope away from structures for landscape areas within ten feet of the residence. Hardscape areas shall be sloped a minimum of two percent where within ten feet of the residence unless allowed otherwise by the building official. Minimum drainage shall be one percent for hardscape areas and two percent for all other areas. We do not recommend the use of infiltration best management practice (BMP) such as bottomless trench drains, infiltration trenches, infiltration basins, dry wells, permeable pavements or similar systems designed primarily to percolate water into the subsurface soils within five feet of foundations. Due to the physical characteristics of the site earth materials, infiltration of waters into the subsurface earth materials has a risk of adversely affecting below grade structures, building COAST GEOTECHNICAL, INC. Mr. and Mrs. Painter 7 W. 0.571219-02 Roueh Grade Compaction Report April 12 2021 COMPACTION TEST RESULTS TABLE 1 Test No. Location Below Proposed Grade (ft) Moisture Content % Dry Umt Weight (lbs/ft3) Soft T e Type Relative Compaction ° /u Date 1 Pad Area 3.0-3.5 16.8 110.2 I 91.8 3/30/21 2 Pad Area 3.0-3.5 16.4 109.8 I 91.5 3/30/21 3 Pad Area 1.5-2.0 15.8 110.4 I 92.0 3/30/21 4 Pad Area 1.5-2.0 17.0 110.9 I 92.4 3/30/21 5 Pad Area 0.5-1.0 16.9 110.3 I 91.9 3/31/21 6 Pad Area 3.0-3.5 22.5 108.6 I 90.5 4/1/21 7 Pad Area 3.0-3.5 22.7 108.2 I 90.2 4/1/21 8 Pad Area 1.5-2.0 18.7 108.4 I 90.3 4/1/21 9 Pad Area 1.5-2.0 18.1 108.6 I 90.5 411/21 10 Pad Area F.G. 16.5 110.2 I 91.8 4/2/21 11 Pad Area F.G. 17.1 109.2 I 91.0 4/2/21 F.G.: Finish Grade