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Fire Alarm System
Record of Completion
Name of protected property: HOAG MEMORIAL HOSPITAL PRESBERTERIAN
Address: ONE HOAG DRIVE NEWPORT BEACH, CA. 92663
Representative of protected property (name/phone): ERIC LIDECIS
Authority having jurisdiction: NEWPORT BEACH FIRE DEPARTMENT FIRE PREVENTION DIVISION
Address/telephone number:
OSHPD # : 11 HOAG LEADERSHIP CENTER
4. Type(s) of System or Service
NFPA 72, Chapter 3 - Local
tf alarm is transmitted to tocation(s) off premises, list where received:
NFPA 72, Chapter 3 - Emergency Voice/Alarm Service
Quantity of voice/alarm channels: na Single: Multiple:
Quantity of speakers installed: na Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system:
0
NFPA 72, Chapter 5 - Auxiliary
Indicate type of connection:
N/A Local energy N/A Shunt N/A Parallel telephone
Location of telephone number for receipt of signals: N/A
NFPA 72, Chapter 5 - Remote Station
Alarm: Via Telephone
Supervisory: Via Telephone
NFPA 72, Chapter 5 - Proprietary
If alarms are retransmitted to public fire service communications centers or others, indicate
location and telephone numbers of the organization receiving alarm:
Indicate how alarm is retransmitted: Via Telephone
X NFPA 72, Chapter 5 - Central Station
Prime contractor: TRL SYSTEMS INC.
Central station location: 400 East Ricon Rd. Ste. 300 CORONA Ca. 92789
Means of transmission of signals from the protected premises to the central station:
McCulloh Multiplex
x Digital alarm communicator Two-way radio
Means of transmission of alarms to the public fire service communications center.
(a) Via Telephone
One-way radio
Others
(b) Via Telephone
System Location:
Organization name/phone
Installer TRL SYSTEMS
Supplier TRL SYSTEMS
Service organization TRL SYSTEMS
Location of record (as -built) drawings:
Location of owners manuals:
Location of test reports:
909-390-8392
909390-8392
909-3904392
Engineering Office
Representative name/phone
Wayne Morris / 909-208-4424
Wayne Morris / 909-208-4424
Wayne Morris / 909-208-4424
Engineering Office
IOR
A contract, dated , for test and inspection in accordance with NFPA
standard(s) No(s). , dated ,is in effect.
2. Record of System Installation
(Fill out after installation is complete and wiring checked for opens, shorts, ground faults, and
improper branching, but prior to conducting operational acceptance tests.)
This system has been installed in accordance with the NFPA standards as shown below, was
inspected by Alex Cauiola on 3/27/2023 , includes the devices
shown below, and has been in service since 3/27/2023
X NFPA 72, Chapters 1 2 3 4 5 6 7 (clmla all that apply)
NFPA 70, National Electrical Code , Article 760
Manufacturer's instructions
.fY
Signed: Date: 3/27/2023
Organization: 3&L Systems
3. Record of System Operation
All operational features and functions of this system were tested by Alex Cauiola
on 3/27/2023 and found to be operating properly in accordance
with the requirements of:
X NFPA 72, Chapters
IsiFPA 70, National Electri
Manufacturer's instructiQ
Other
Signed:
Organization: TRL Systems
1 2 3 4 5 6 7 (circle all that apply)
1 Code , Articie 760
4. Alarm - initiating Devices and Circuits
Quantity and class of initiating device circuits (see NFPA 72, Table 3-5) Quantity:
Style: Z Class:
MANUAL 1
(a) 0 Manual stations Nocoded, activating Transmitters
0 Coded
(b) 0 Combination manual fire alarm and guard's tour coded stations
AUTOMATIC
Coverage: Complete: Partial:
(a) 1 Smoke detectors Ion 1 Photo
(b) 0 Duct detectors on Photo
(c) 0 Heat detectors FT
FT/RR
(d) 0 Sprinkler waterflow switches: Transmitters
Noncoded, activating
Coded
(e) N/A Other (list):
5. Supervisory Signal -initiating Devices and Circuits (use Wanks to indicate quantity of devices)
GUARD'S TOUR
(a) N/A Coded stations
(b) N/A Noncoded statens, activating transmitters
(c) N/A Compulsory guard tour system comprised of
stations and intermediate stations
Note: Combination devices are recorded under 4(b) and 5(a)
SPRINKLER SYSTEM
(a) N/A Coded valve supervisory signaling attachments
Valve supervisory switches, activating transmitters
(b) N/A Building temperature points
(c) N/A Site water temperature points
(d) N/A Site water supply level points
Electric fire pump:
(e) N/A Fire pump power
(f) N/A Fire pump running
(g) N/A Phase reversal
Engine -driven fire pump:
(h) N/A Selector in auto position
(I) N/A Engine or control panel trouble
(j) N/A Fire pump running
Engine -driven generator:
(k) N/A Selector in auto position
(I) N/A Control panel trouble
(m) N/A Transfer switches
(n) N/A Engine running
Other supervisory function(s) (specify):
transmitter
6. Alarm Notification Appliances and Circuits
Quantity and class (see NFPA 72, Table 3-7) of notification appliance circuits connected to
the system:
Types and quantities of notification appliances installed: Quantity: 1
Style: Z Class: B
(a) 0 Bells Inch
(b) 0 Speakers
(c) 1 Homs
(d) 0 Chimes
(e) 0 Other:
(f) 1 Visual signals Type:
1 with audible 0 w/o audible
0 relocated
(g) N/A Local annunciator
7.
naling Line Circuits
Quantity and class (see NFPA 72, Table 3-6) of signaling line circuits connected to system:
Quantity: Existing Style: Z Class: B
8. System Power Supplies
(a) Primary (main): Existing Nominal vottage: 24 VDC Current Rating: 8 amps
Overcurrent protection: Type:
Location:
Slow Blow - Fold Back Current Rating: 8.0 amps
(b) Secondary (standby):
X Storage battery: Amp -hour rating: 24
Calculated capacity to drive system, in hours X 24
so
Engine -driven generator dedicated to fire alarm system:
Location of fuel storage:
(c) Emergency or standby system used as backup to primary power supply, instead of using
a secondary power supply:
Emergency system described in NFPA 72, Article 700
Legally required standby system described in NFPA 70, Article 701
Optional standby system described in NFPA 70, Article 702, which also meets the
performance requirements of Article 700 or 701
9. System Software
(a) Operating system software revision level(s):
(b) Application software revision levei(s): 5.12
(c) Revision completed by:
10. Comments
EST 3
ALEX CAUIOLA TRL SYSTEMS INC.
(name) (firm)
Fe; r
(signed) for central station or germ service company or installation contractor/suppler (tide)
Frequency of routine tests and inspections, if other than in accordance with the referenced
NFPA standard(s):
32743
(ate)
System deviations for the referenced NFPA standard(s) are:
N/A
(signed) for central station or alarm service company or Instigation contractor/supplier (title)
Upon completion of the systern(s) satisfactory test(s) witnessed (if required by the seiThor*y having
jurisdIction):
(date)
(signed) representative of the authority having jurtscktion
(title)
(date)