5010 VIEW DR 2024-03-05 - Laserfiche WebLink

SYSTEM RECORD OF COMPLETION This form is 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. Insert N/A in all unused lines. Attach additional sheets, data, or calculations as necessary to provide a complete record. Form Completion Date: 10/16/2022 Supplemental Pages Attached: 1. PROPERTY INFORMATION Name of property: Lowell Elementary School Address: 5010 View Drive Description of property: Elementary School Name of property representative: Steven Krause Address: Phone: 425-385-4196 Fax: E-mail: 2. INSTALLATION, SERVICE, TESTING, AND MONITORING INFORMATION Installation contractor: Performance Systems Integration Address: 301 Porter Way Milton We 98354 Phone: 253-896-5117 Fax: E-mail: Service organization: Address: Phone: Fax: Testing organization: Address: Phone: Fax: Effective date for test and inspection contract: Monitoring organization: Sonitrol Address: Phone: 1-800-898-1899 Fax: E-mail: E-mail: E-mail: Account number: 2824 Phone line 1: Phone line 2: Means of transmission: Cell Dialer Entity to which alarms are retransmitted: Phone: 1 DOCUMENTATION On -site location of the required record documents and site -specific software: @ FACP 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: ❑ New system ® Modification to existing system Permit number: FA2206-005 NFPA 72 edition: 2016 4.1 Control Unit Manufacturer: Edwards (EST) Model number: i01000 4.2 Software and Firmware Firmware revision number: 4,40.00 4.3 Alarm Verification Number of devices subject to alarm verification: ® This system does not incorporate alarm verification. N/A Alarm verification set for N/A seconds 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)