HomeMy WebLinkAboutFAI15-0023 Fire Annual Inspection 1987ROUTE TO: (1)
SUPERVISOR
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Q CLERICAL
DEPUTY
initials
STATE FIRE MARSHAL
REGIONAL
FACILITY CHANGE NOTICE
Q
n
ISSU OR CHANGE IN FILE NUMBER
(2) DATE: ? -- 2-6
NAME CORRECTION/CHANGE
ADDRESS CORRECTION/CHANGE
OCCUPANCY CORRECTION/CHANGE
INSPECTION AUTHORITY CORRECTION/CHANGE
FACILITY DISCONTINUED
OTHER
(10)
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NAME:
ADDRESS:
COUNTY:
(No.
N E W
NAME: � "T-`` 5 c9O1- l..4i1/L)/414'
ADDRESS: /2-670y /24 ( 72 ,244L
COUNTY:(No. C tf )
?cerT�
FILE IDENTIFICATION NO.
ODD O Q 0
(11)
FILE IDENTIFICATION NO.
OCCUPANCY CLASS:.
code proc.
(12)
OCCUPANCY CLASS:
INSPECTION AUTHORITY
(13) Q LOC. FACILITY -LOC. INSPECTION (0)
(14) LOC. FACILITY-SFM INSPECTION (1)
(15) [ SFM FACILITY (0)
code pf oo,
INSPECTION AUTHORITY
Q LOC. FACILITY -LOC. INSPECTION (0)
Q LOC. FACILITY-SFM INSPECTION (1)
SFM FACILITY (0)
(26) COMMENTS:
(17) OR I G I NATOR
EN -13(T) (12/80)
FAI15-0023
039-590-019
• FACILITY NAME:
•
' •.ADDRESS:
r.
1
FILE NO.
fiULTIPLE BUILDING Fi' LITY
RECORD
`X40i 7 Y S e-->0>/./.4)i2/Co
2E-eL2
FEHTIOREKIRE10
• SERIAL •
SUFFIX NO.
• BUILDING IDEM i IFICAs ION •.
9D
/17,d rrL/ • •
OCCUPANCY
CLASS NU?3ER
(See. Sec.,/c_3)
Z
FILE
♦J)
1
AL
Name of Facility: G'C D
Address:
Owner:
BUILDING SURVEY REPORT
Date: g - a 7
File No: / e94L_O3-
& ?7 e-4i✓<)/;l/
Wit) -330-
/2 '63, 11l=72-
Name of Building:
Ax,/; / x,02
Telephone No.(
Comm
DESCRIPTION
1. Occupancy
5.--
Class IS -2 Use Capacity
2. Construction
Type'
3
1
-- l� A/01i)-- %'€4r z Year Built /Q Z-
3. Area (Sq. Ft.)
Tota1F0-c Largest Floor Basement /tr/OE
4. Stories
too. / High Rise Yes No A" ---
5a. Exterior Wall
Construction
Wd'i-/ ,s-/43i�/G - 2 K GJ 5 .- z Co c) 8 `- MAI(
b. Opening
Protection
-4-1
_.._
0 e-N)G ► ru t rErAlb
6._ Interior Wall
Construction
k/tA-TZ----/Ai - 7 l,_Ct�CJ - Z)C (.7/ L✓S
7. Floor
Construction
---•
M544) c r L. - W0-0-73
8. Roof
Construction
___
._ . _. . _. _ . _ _
�Q�;D/ J1-.� �"j- j,ulG _ -_
9. Attic
Draft Stops
No.
10a. Occ. Sep. Wall
Construction
- ._..,... ---
c
_- b. Opening - _
Protection
- __
No.
lla. Area Sep. Wall
Construction
b. Opening
Protection
No.
12a. Smoke Barrier
Wall Construction
b. Opening
- Protection
13a. Corridor Wall
Construction
__ b. Opening ...--- _
Protection
__
__. -- ---.-- --- _
14a. Corridor Ceiling
_ Construction
:.b. Opening
Protection
15a. Shafts ... _ ._
Number/fivpe
b. Opening - . ..
Protection
_-.--- --.... .
.._ _ .__ •
-4 (Rev.S/84)
DESCRIPTION
• 16a. Stair
Enclosure
---
-
I b. Opening
Protection
/
i
1 17. Stairs No.
_.
•
18. Ramps No.
19.._ Interior ..
Finish Class
--
... - -. - . -_. .._....._. ,...._ . .. _ _.._
Roam (IL_4QSS Corridor /v Exit Encl.
20. Exits
No. 2, Total Width (o ,
21. Exit Hardware
Type
"DL
22a. Exit Signs/
I l lUmi nati on
-b. Emergency
Lighting
/(JO -71/'&
23. Auto Sprink.
Coverage
/1/ B4✓E .
24: Standpipes
Class/Location
_
A.10-4,---
�'25.
25. Fire Alarm
Type/Coverage
_
// oAi '
26. Heating
Type lOode,6 1'6/T Fuel p k /t Vent
27. Electrical
Installation
/4'74/ -',/ -diEd-u /7-" 15',6---Wil----X-5
...28. Stage/
Platform
•
29. Hazardous
Areas
•
30. Other
COMMENTS:
Inspected By:
-'.viewed By:
Updated:
No. Attachments:
Date:
A.
Al.
•
BUILDING SURVEY REPORT
Name of Facility: gG ;7t y S ,2 coy— 41_,K./041:A;
' Address: ��pc� �/ /�U� J e.ef 95'1 7--6
Owner: Telephone No.( )
Name of Building:
Date: ' 26 -eg7
File No:SY -CN— 03- - 0-0/ -3-3o a
DESCRIPTION
1. Occu ancv
2. Construction
Type
Class 4-3 Use
3. Area ( . Ft.)
. Stories
5a. Exterior Wall
Construction
b. Opening
Protection
._ Interior Wall
Construction
. Floor
Construction
. Roof
Construction
77r3/A= 6) /004/ , P'21 -z)
Total?/Z) Largest Floor' Basement Nom.
Capacity r7 Q
Year Built m87
No.
High Rise Yes No
61)01,-0 .S /,<) — w 5 - %z_ 6-
._
'
. Attic
Draft Stops
11i-'0
S �z 1( Lc1,&
• c -et WO -oxo i�44/r16—
"d5.00/71)0Z1 itiC
10a. Occ. Sep. Wall
Construction
b. Opening _.
Protection
No.
lla. Area Sep. Wall
Construction
b. Opening
Protection
No.
12a. Smoke Barrier
Wall Construction
b. Opening
Protection
No.
13a. Corridor Wall
Construction
__b. Opening
Protection
14a. Corridor Ceiling
Construction
:.b. Opening
Protection
15a. Shafts . _ ._
Number/Type
b. Opening -
Protection
GO -4 (Rev.5/84)
Comm.
16a. Stair
Enclosure
" '-...
b. Opening
Protection
j
17. Stairs No.
18. Ramps No.
19.._ Interior ..
Finish Class
... ___ _ _ _........... .._ _......._. -�
RoomC.L•6Q ; T Corridor A)A .-.. Exit Encl. /4
20. Exits
.
No. 3 Total Width 9
21. Exit Hardware
Type
__________Er-
22a. Exit Signs/
Illumination
b. Emergency
Lighting
23. Auto Spririk.
Coverage
24. Standpipes
Class/Location
25. Fire Alarm
Type/Coverage
iI
26. Heating
Type ��� Fuel /(/,�t%
2.7. Electrical
Installation
-----—
hwcC - 0 -.lb - r -T- 1242- W _rr;
L28. Stage/
{ Platform
-29.
Hazardous(:::
Areas
30. Other
/
COMMENTS:
Inspected By:
-- viewed By:
s
Updated:
No. Attachments:
Date:
0.- -
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Page of
File No.: 3....7"-L- q- 0 3
Office of the State Fire Mar __,..a1
INSPECTION REPORT
_O
Name of Facility- .0 �3Ti �i)
STATE FIRE MA AL
Name of Building.
Address. 1 2(c) 0UL—k-"
0-6--( c)z:
Discussed with:
J 0 L-43 ac-o7T-
T -DATE- --
1::-
Title.
C -J k L--.E-r1"-
1 i" -
Accompanied
Accompanied by:
DATE Of INSPECTION
Title
iti
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FIRE CLEARANCE GRANTED -- - -
T -DATE- --
1::-
STATUS
-TATE IRE
DATE Of INSPECTION
GO - b (Rev 7/814
._,
x
P g of Office of the State Fire MarsT
REINSPECTION REPORT
File No.. -5—z(—
(Lz; -s- t� ���_ 5 J _ /
Name of Facility.
Name of Building.
Address•
(kie,T,-/
AL
/2_&c9/G1c
Discussed with: � %�`iy i � r- - /
Title.
Accompanied by: Title.
Fire Safety Deficiencies Numbered 1 noted on the Letter ❑
Fire Safety Correction Notice (EN -11) Q- dated " - - "E / have been corrected.
Uncorrected Deficiencies Numbered were re -issued as shown
on the Fire Safety Correction. Notice dated , which is attached to and made a part of this Report.
In addition, new deficiencies were identified at the time of this reinspection, and are shown as Items
on the attached Fire Safety Correction Notice.
Fire Clearance Instructions.
77274- s'
FRE
T-DATESTATUS
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DA1E OF REINSPECTION
GO -5 (Rev. 7/86)
FAI15-0023
039-590-019
Pageeof
File No.:_— e
Jffice of the State Fire Marsh.
REINSPECTION REPORT
Name of Facility:
Name of Building
Address-
cl> 77/
STATE FIRE MAIL . AL
z;
Ce)
usi with: Title:
A coat} aniecl by:
Title:
Fire Safety Deficiencies Numbered
Fire Safety Correction Notice (EN -11) IS dated / 2.6 `4'' / have been corrected.
Uncorrected Deficiencies Numbered f
on the Fire Safety Correction. Notice dated '1 - r_ , which is attached to and made a part of this Report.
In addition, new deficiencies were identified at the time of this reinspection, and are shown as Items
on the attached Fire Safety Correction Notice.
��� i..✓t=.Vi=i<. < <t
noted on the Letter ❑
were re -issued as shown
Fire Clearance Instructions-
/
GO - 5 (Rev. 7/86)
-office of the State Fire ['Marshal
Fire Safety Correction Notice
File No: —
- Q- G $5
Name:
Address.
'Z6 e2
OFFICE OF,
STATE FIRE MARSHAL
The California Health and Safety Code and the State Fire Marshal's regulations require the following fire safety
deficiencies be corrected.
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The above deficiencies are to be corrected within days. When ALL deficiencies have been corrected, sign
and return the certification on the opposite side of this form. If you have any questions, contact the Office of the State
Fire Marshal at (
ISSUED BY (Deputy State Fire Marshal
EN -11 (Rev. 7/861 86 96708
DISTRIBUTION: GREEN—Facility
DATE
WHITE—Region YELLOW—Field
Page of
F�eNq..
Name of Facility.
Name of Building-
Address -
'Mice of the State Fire Marsha
REINSPECTION REPORT
v6:-:4577 _5
/2q
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Discussed with: Title-
,,_/_%cAccompanied by Title c.-r1r , ..,vZ/L=.,_
Fire Safety Deficiencies Numbered 1� noted on the Letter ❑
Fire Safety Correction Notice (EN -11) dated 2; - z- �c-, P7 have been corrected.
Uncorrected Deficiencies Numbered // 3 �� were re -issued
as shown
on the Fire Safety Correction. Notice dated lam" 2 '7 which is attached to and made this Report.
, a part of
In addition, new deficiencies were identified at the time
of this reinspection, and are shown as Items
on the attached Fire Safety Correction Notice.
Fire Clearance Instructions. /,i'2-. (:5c--- `- 7--- .--��-77C-n--i) ."-*-7}--- 774:—
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GO - S (Rev. 7/86)
STATUS
DATE Of R)1N I :TION
/ 7 G
t")
—Office of the State Fire Marshal --
Fire Safety Correction Notice
File No: — '/f- 1
-
---- 0
Name —{_ . '7./3/ 5
Address. /260
s
0 FIC[O,,
STATE FIRE MARSHAL
The California Health and Safety Code and the State Fire `Marshal's regulations require the following tire safety
deficiencies be corrected.
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The above deficiencies are to be corrected within days. When ALL deficiencies have been corrected, sign
and return the certification on the opposite side of this form. If you have any questions, contact the Office of the State
Fire Marshal at (
ISSUED BY ;Deputy State FireMarshal
RECEIVED BY
DATE
/Z.
EN -11 (Rev. 7B6e
86 96708
DISTRIBUTION: GREEN—Facility
WHITE—Region
YELLOW—Field
—Office of the State Fire Marshal --
Fire Safety Correction Notice
File No: 5 - 0 q -1 i
$
Name•
Address.
ooFICE
STATE FIRE MARSHAL
CLI#74 (7)
The California Health arid Safety Code and the State Fire Marshal's regulations require the following- fire safety
deficiencies be corrected.
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The above deficiencies are to be corrected within days. When ALL deficiencies have been corrected, sign
and return the certification on the opposite side of this form. If you have any questions, contact the Office of the State
Fire Marshal at (
ISSUED BY (Deputy State Fire Marshal)
EN -11 (Rev. 7/86)
86 96708 DISTRIBUTION: GREEN—Facility
RECEIVED BY
WHITE—Region
DALE
YELLOW—Field
File No:
Name.
Office of the State Fire Marsr-A
Fire Safety Correction Notice
- c9v- 33 e:
OFFICE O,
STATE FIRE MARSHAL
Address.
/ 7 ( 9
A.;
9 7 t:
The California Health arid Safety Code and the State Fire Marshal's regulations require the following tire safety
deficiencies be corrected.
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The above deficiencies are to be corrected within days. When ALL deficiencies have been corrected, sign
and return the certification on the opposite side of this, form. If you have any questions, contact the Office of the State
Fire Marshal at (
ISSUED BY (Deputy State Fire Marshall
FN -11 ( Rev. 7/86)
86 96708 DISTRIBUTION: GREEN—FaciliEt'
RECEIVED BY
DATE
WHITE—Region YELLOW—Field
t t _
File No:_
Name.
Office of the State Fire Marson
Fire Safety Correction Notice
- >D
.' /
OFFICEo�
STATE FIRE MAR HAL
Address:
The California Health and Safety Code and the State Fire Marshal's regulations require the following fire safety
deficiencies be corrected.
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The above deficiencies are to be corrected within days. When ALL deficiencies have been corrected, sign
and return the certification on the opposite side of this form. If you have any questions; contact the Office of the State
Fire' Marshal at (
ISSUED BY (Deputy State Fire Marshal)
EN -11 (Rev. 7/86)
86 96708
DISTRIBUTION: GREEN—Facility
DATE
WHITE—Region
YELLOW—Field
•--11111.0111111y1111,
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