Professional Documents
Culture Documents
Property Information
Building Name:
Address:
Contact Person (Owner/developer):
Address:
Phone: Fax: E-mail:
General
1
Building Use and Occupancy Classification
2
Alarm System Type
Manual system
Automatic smoke and fire detection
Manual and automatic detection
Addressable system
Point addressable system
Analog addressable system
Conventional zone system
Wireless system
Initiating device circuit: Class Style
Signaling line circuit: Class Style
Notification appliance circuit: Class Style
Other
Alarm Signal
3
Fire Alarm Equipment Description, Product Literature and Specifications
4
Fire Protection and Life Safety Systems Integration with Fire Alarm System
Legend Yes No
Rooms, spaces and hazards Yes No
Building elevation and floors Yes No
Circuits Yes No
System riser diagram Yes No
Fire alarm communication center Yes No
Manual boxes Yes No
Smoke detection devices Yes No
Heat detection devices Yes No
HVAC duct smoke detection Yes No
Notification audible devices Yes No
Notification visual devices Yes No
Fire alarm control panel Yes No
Remote annunciation Yes No
Exterior audible/visual devices Yes No
System integration features Yes No
Fire department communication Yes No
5
Fire Department Communication System
Dedicated telephone
Dedicated phone jacks and portable handsets
Bi-directional antenna (repeater) system, fire department (portable) radios
Other
System Operation
Emergency Response
Fire alarm control panel and annunciators located and accessible to emergency
response personnel Building entry Rear entry Other
Exterior notification devices located and visible to emergency
response personnel
Building access devices (keys/lock-box) provided, located and accessible to
emergency response personnel
Approval Authority
Name of Jurisdiction
Address
Plan Examiner
If no, reason(s):
Date