SYSTEM RECORD OF COMPLETION This form isto be completed by the system installation contractor at the time of system acceptance and approval 1 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, o calculations as necessary to provide a complete record. Form Completion Date: _16/1/2017 Supplemental Pages Attached: 1. PROPERTY INFORMATION Name of property: _ALKHOR ACCOMMODATION G+3 floor Bulding 1 ‘Address: _UM BERKA, Doha, Qatar Description of property: _Residentil Building [Name of property representative: _ KHALID CEMENT COMPLEX WLL, Address: _Doha, Qatar Phone: _ 55502441 Fax: Esmail 2. INSTALLATION, SERVICE, TESTING, AND MONITORING INFORMATION Installation contractor: _Al Roda Engineering Co. ‘Adiress:_Room 4, 2nd floor Al Soquery Bldg. Bin Oman, Doha. Qatar Phone: _ 55501162 Fax: E-mail: _slrawde_eng@yahoo.com Service organization: _Al Roda Engineering Co. ‘Address: _Room 4, 2nd floor, Ai Soquery Bldg, Bin Omran, Doha, Qatar Phone: _44510543 Fax: _ 44681731 E-mail ‘Testing organization: _Al Roda Engineering Co. ‘Address: _Room 4, 2nd floor Al Soquery Bldg., Bin Omran, Doha, Qatar Phone: _ 44510543 Fax: _ 44681731 E-mail Effective date for test and inspection contract: _400 days after hand over Monitoring organization: _QEPCO ‘Address: _Doha, Qatar Phone: _68087085 Fax: E-mail: Account number: Phone line 1 Phone line 2 Means of ansmission: Entity to which alarms are retransmitted: Phone: 3. DOCUMENTATION On-site location ofthe required record documents and site-specific software: available 4. DESCRIPTION OF SYSTEM OR SERVICE This isa: Newsystem _[] Modification to existing system Permit number: NFPA 72 edition: _yes. 4.1 Control Unit Manufacturer: _ZENER SECURITY Model number: _ZAP 150-2 4.2 Software and Firmware Fimware revision number: 43 Alarm Verification 1B This system does not incorporate alarm verifiation, NIA ‘Alarm verification set for _N/A seconds‘SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit Sd Primary Power Input voltage of control panel: _L-N 240Vols, Soha Control panel amps: _13 amps Overcurrent protection: Type: _fuse Amps: 10 Branch circuit disconnecting means location: _cicut breaker st DB-GF Number: _13 5.1.2 Secondary Power Type of secondary power: _2 nos sealed type 12VDC Location, ifremote from the plant: N/A EN cae aE BSE END aca a ee Calculated capacity of secondary pouer to drive the system: In standby mode (hours): _24 hours In alarm mode (minutes: 8.2 Control Unit 1B This system does not have power extender panels G1 Power extender panels are listed on supplementary sheet A CIRCUITS AND PATHWAYS. Pathway Type Dual Media Pathway Class: ‘Survivability Level ‘Signaling Line Device Power Initiating Deviee ‘Notification Appliance Other (specif 7. REMOTE ANNUNCIATORS Type Location 8. INITIATING DEVICES ‘Addressable or Type Quantity Conventional __|_Alarm or Supervisory | Sensing Technology ‘Manual Pull Stations 10 ‘Addressable ‘Alarm ‘Smoke Detectors 24 ‘Addressable ‘Alarm Duct Smoke Detectors NA. ‘Addressable NA Heat Detectors 5 ‘Addressable ‘Alarm Gas Detectors NIA NIA NIA Waterflow Switches @ ‘Addressable ‘Alarm “Tamper SwitchesSYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type Quantity Description Audible Visible Combination Audible and Visible | 14 HORN STROBE 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices NIA HVAC Shutdown NIA FireSmoke Dampers NA Door Unlocking NIA Elevator Recall NIA Elevator Shunt Trip 2 11. INTERCONNECTED SYSTEMS C1 This system does not have interconnected systems, 1B Imerconnected systems are listed on supplementary sheet fre pump, . levator 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor ‘This system as specified herein has been installed according to all NFPA standards cited herein. Signed: Printed name: _Eowin Talape: Date: Organization: _Al Roda Engineering Co. Title: _Fire Alarm Engineer Phone: _ 70490501 12.2 System Operational Test ing to all NEPA standards cited herein, Printed name: _Edwin Talape Date: ng Co. Title; _Fite Alarm Engineer Phone: _70490801 Signed: Organization: _Al 123 Acceptance Test Date and time of acceptance test: _15/01/207 at 10:00 am. AED 0 PT Installing contractor representative: _ Engr. Edwin Talape Testing contractor representative: _Engr. Edwin Talape Property representative: _ENG: RIFA AH representative: