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Form Completion Date: 7/21/22 Supplemental Pages Attached: 2 1. PROPERTY INFORMATION Name of property: Studio W Architects Address: 424 32"a Street Newport Beach Suite D, California 92660 Description of property: Commercial Office Name of property representative: Daniel Crisantos Address: Phone: 714-747-7468 Fax: E-mail: dcrisantos@servcobuilders.com 2. INSTALLATION, SERVICE, TESTING, AND MONITORING INFORMATION Installation contractor: Sonitrol Orange County, LLC Address: 23 Mauchly #100 Irvine, California 92618 Phone: 800-749-2939 Fax: 949-297-4390 E-mail: central@sonitroloc.com Service organization: Sonitrol Orange County, LLC Address: 23 Mauchly #100 Irvine, California 92618 Phone: 800-749-2939 Fax: 949-297-4390 E-mail: central@sonitroloc.com Testing organization: Sonitrol Orange County, LLC Address: 23 Mauchly #100 Irvine, California 92618 Phone: 800-749-2939 Fax: 949-297-4390 E-mail: central@sonitroloc.com Effective date for test and inspection contract: 9,11.17 Monitoring organization: Rapid Response Monitoring Services Address: 400 E Rincon Corona, California 92879 Phone: 800-749-2702 Fax: E-mail: central@sonitroloc.com Account number: Phone line 1: Phone line 2: Means of transmission: Cellular Entity to which alarms are retransmitted: Phone: 3. DOCUMENTATION On -site location of the required record documents and site -specific FACP Location software: 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: ® New system ❑ Modification to existing system Permit number: F2022-0381 NFPA 72 edition: 2016 4.1 Control Unit Manufacturer: Silent Knight Model number: IFP-100 4.2 Software and Firmware Firmware revision number: 4.3 Alarm Verification Number of devices subject to alarm verification: ❑ This system does not incorporate alarm verification. 5 Alarm verification set for 10 seconds a Copyright © 2012 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. (p. 1 of 3) r SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 24VDC Control panel amps: 12Ah Overcurrent protection: Type: 20% Amps: 2AAh Branch circuit disconnecting means location: FACP Location Number: 5.1.2 Secondary Power Type of secondary power: Batteries Location, if remote from the plant: N/A Calculated capacity of secondary power to drive the system: In standby mode (hours): 24 5.2 Control Unit ® This system does not have power extender panels ❑ Power extender panels are listed on supplementary sheet A R CIRCIIITS ANr1 PATHWAYS In alarm mode (minutes): Pathway Type Dual Media Pathway Separate Pathway Class Survivability Level Signaling Line 2 N/A 2 2 Device Power N/A N/A 3 3 Initiating Device 2 N/A 2 2 Notification Appliance N/A N/A N/A N/A Other (specify): Location ON -BOARD FACP Remote MAIN ENTRANCE R IMITIATIMr- nF:X/Ir:FC Type Quantity Addressable or Conventional Alarm or Supervisory Sensing Technology Manual Pull Stations 0 Smoke Detectors 22 ADDRESSABLE ALARM PHOTOELECTRIC Duct Smoke Detectors 6 ADDRESSABLE SUPERVISORY PHOTOELECTRIC Heat Detectors 2 ADDRESSABLE ALARM FIXED TEMPERATURE Gas Detectors 0 Watertlow Switches 1 ADDRESSABLE ALARM MANUAL Tamper Switches 1 ADDRESSABLE SUPERVISORY MANUAL Copyright 02012 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. (p, 2 of 3) SYSTEM RECORD OF COMPLETION (continued) Audible 0 Visible i 5 Ceiling -Mounted Strobe Combination Audible and Visible 1 4 1 Ceiling -Mounted Horn/Strobe 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold -Open Door Releasing Devices 0 HVAC Shutdown 1 Fire/Smoke Dampers 1 Door Unlocking 0 Elevator Recall 1 Elevator Shunt Trip 1 11. INTERCONNECTED SYSTEMS ® This system does not have interconnected systems. ❑ Interconnected systems are listed on supplementary sheet 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system as specified herein has been installed according to all NITA standards cited herein. Signed: Printed time: Date: Organization: Title: Phone: 12.2 System Operational Test This system as specified herein has tested according to all NITA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 12.3 Acceptance Test Date and time of acceptance test: Installing contractor representative: Testing contractor representative: Property representative: AHD representative: copyright © 2012 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. (p. 3 of 3)