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Certification of Corrections by towner
I certify that all deficiencies listed on the reverse of this form have been corrected.
SIGNAIURE DACE
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Golden Feather Union School DisttsM f EAT!{[n EN
11679 Nelson Bar Road
11579 NELSON EAR ED
Oroville, Calif. 95966
Q -O`IILLE CA
OFFICE OF STATE FIRE DIARSHALL
CHICO BRANCH OFFICE
4 WILLIAMSBURG LANE, SUITE 3
CHICO CALIFORNIA 95926
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JAN -4'88 " STANV
Office of the State Fire Marsha.
Fire Safety Correction Notice STATEFgIRE MkASHAL.
File No: yz - 2-.L
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Name: 6\o4L--GL �i �vU-idc`rL
Address:
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IS SU Y (Deputy tate F e Mar
RECEIVED BY
DATE
C
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/ EN -11 (Rev. 6) 86 96708 DISTRIBUTION: GREEN—Facility
WHITE—Region
YELLOW—Field
74s=—
Certification of Corrections by Owner
I certify that all deficiencies listed on the reverse of this form have been corrected. -
SIGNATURE DATE
(Fold on this line)
.........................................................................................................................................................................................................................................................................................................................................................
(Fold on this line)
..............................................................................................................................................................................................................................................
PLACE
STAMP
HERE
Page of �—
Office of the State Fire Marst.
F
File No.:. i Z Z /
0 e ZR e,-I&o
Name of Facility:
Name of Building:
Address:
iscussed with. Title:
ecomnaniPr! hv- "
'�'�' S.d c%� L rtfo. %•�'��tl/rt/?� r5'G�rQi
s
GO -6 (Rev. 7186)
All
GO -6 (Rev. 7186)
�� _11181
*FIRE
Office of the State Fire Marshall
Fire Safety Correction Notice HAL
File No: " 2 - `- — - —
Name: "��IU?�L-��-% Q_`- �,� i �L--f
Address:
t 1(✓ L
The California Health and Safety Code and the State Fire Marshal's regulations require the following fire safety
deficiencies be corrected.'`
Q-_
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The above deficiencies are to be corrected within days. When ALL deficiencies have been corrected, sign
and return the certification onthe opposite side of this form. if you have any questions, contact the Office of the State
Fire Marsha[at
ISSUED BY (Deputy State Eire Marshal
RECEIVED BY
DATE
N-11 (Rev. 7/86) 86 96708 DISTRIBUTION:' GREEN—Facility WHITE—Region YELLOW—Field
Office of the State Fire Marshar
Fire Safety Correction Notice
The California Health and
deficiencies be corrected,
Safety Code and the State Fire Marshal's regulations
require the following fire safety
JI
7
J L.
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 - RECEIVED BY DATE
EN -II (Rev. 7/86) 86 96708 DISTRIBUTION: GREEN—Facility WFIITE—Region YELLOW—Field
� REINSPECTION REPORT �
OFFICE OF
STATE FIRE MARSHAL
F EE No.
•3 � � ] Date Reinspected
■ rarw
O
N me of Facility
------------
Address
Conditions Discussed With
Accompanied By Title _ ----------------
I specti on This Date Discloses That Fi re Safety Corrections Number
of Fire Safety Corrections
Dated Have Been Complied With.
Fire Safety Corrections Number
Were Di s c u s s e d
With and Disposition Will Be
A Follows:
i�c cam' 4
f 211- 6�7
Reinspection Indicates That New Fire Safety Corrections Should Be
Issued. See Reverse Side or omments and New' -Fire afety Corrections.
0-5
(3/70) REV 5/81 Deputy
Comments and New Conditions°
r
New Fire Safety Corrections:
r
err+
EN -1 (REQ, 1)81_j YWOW.- REC-10PN
W"IYEr FACILITY GREEN: FIELD 88�0� 3ss�=ea 12MTRIPbSO
STATE FIRE MARSHAL
dKE GF '
k 1P& SAFETY CORRECTION NOTICE
i STATE IRE. -MAR AL
FILE
r _NUMBER
DRESS® ra FoT P-1
®aa ® Ril®KI aQ� El
NAME
A
;In accordance with the minimum standards of Title 19, California Administrative Code., the
following corrections are required: r
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'The above deficiencies are to be corrected within 10 days. Upon completion, please sign and _
return _the certification on the opposite side of this f oras. I f you have any questions, contact the _State
Fire Marshal's Office at ( ) P4*T_ - 41:11 L.
IS$
ED -BY (DEPUTY STATE FIRE MARSHAL)
RECEIVED BY
DATE
EN -1 (REQ, 1)81_j YWOW.- REC-10PN
W"IYEr FACILITY GREEN: FIELD 88�0� 3ss�=ea 12MTRIPbSO
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SEMATE IRE MAR AL
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- ST AIE F=-- l MARSHAL
1 rRE .-"SAFETY- CORRECTION N ,Tl�E
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�.:. E1�-�-a REN. '7 s 1) YELLIQ;VNs `RE�f tO►NI aAt�i1TE-CILITY=. _ GLEN: FIELD e�o1 ass -ea i 2ar��R osP:
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In accordance with the minimum standards of Title 19, California Administrative Code, the
following corrections are required: = -
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The above deficiencies are to be corrected_ within �o days. Upon completion. lease sign anal
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return the certification on the opposite side of this form. I f fou have any questions, contact the Skate
.Fire Marshal's Office at ( I ) Vis- Ll -)1 -
ISSt
ED BY' - (DEPUTY STATE FIRE MARSHAL)
RECEIVED BY
DATE
I - i
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riCE OF THE STATE FIRE MARSHAL
INSPECTION LOG
Title �c'jp-'-V-Nq1'j 00 E10 1110
Fi le
F] El m El 0 El El El ul El 91
Address1. �'� (�. i !� 1. �� �f� k `� V i �(. ( A
. 1`
Owner
All /V Q V
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VVA
GO -6 (Rev. 5/81)
1
AFF 1 CE OF THE STATE FIRE MARSH _ __
INSPECTION LOG
Title VALId"-71'
Address _ i0c a z y - IILJY 70 . Ovcovr L'I f qs� 6r _ Date I— / 6 -Y6
Owner, 0 L 0x'40 V"c t,. -A 1 HCS Kj /0 VJ CcH d L� to/ s 7vt f c
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Com" T�" � cat' .S / j _
F
GO -6 (Rev. 5/81)
Address _ i0c a z y - IILJY 70 . Ovcovr L'I f qs� 6r _ Date I— / 6 -Y6
Owner, 0 L 0x'40 V"c t,. -A 1 HCS Kj /0 VJ CcH d L� to/ s 7vt f c
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Com" T�" � cat' .S / j _
F
GO -6 (Rev. 5/81)
Nz
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kMA
STATE FAL
BUILDING SURVEY REPORT
Date: /b -Yb
File No:
of Facility: VFA L L t Y r t r',041 , 5C14004..
r: G, c` L. = -� �-� ot L v HO L C Telephone No. ( 7 6 r s 3 -- 3 1L/& 7
of Building: Kt kj 1)Xvz G ,--a 11 i C#tj + �t
• DESCRIPTION
Cairn.
le O=pana
Class - / Use S C t 100 Capacity 56
26 Construction
Type
WC �- rUvh.J - y4 A'1 6 Year Built `r< I/
Total :)2,40 Largest Floor Q2qo Basement �e
No. nigh Rise Yes No
3e Area (Sq. Ft.)
4 Stories
5a,. Exterior Wall
Construction
woo 0 10 f. E V.) 6% , fP /6 0,E a v I .-I ( oOA 0
. Opening
Protection
, s PC C, Y C k -A -0 C> o-k� &A t L . i XY
6 ;Interior Wall
Construction
y c w�; �� �t �-t ,} f� � , �� �1 ' �� . ,. r s �� `i �3 v � . 0
'77Floor
Construction
Cta f i`l d'T cD o c e- r '
80 Roof
Construction
('?;tit r 4, T - (A .0 c. w (,Ooo 0 c; to Z .4 0 ��► � '� . s
9 'Attic
Draft S to s
No. �>:� - s 1 r �. r3 �-�.r(. c ,yc� c" ��"��z c,c.cr` c r i
.
10 . Occ. Sep. Wall
Construction
.. opening
Protection
No.
11 . , Area Sep. Wall
Construction
WT C ar
. Opening
Protection
No. vt)A
l2a Smoke Barrier
Wall Construction
K/0 -c 0'-r U k R.�-0
. Opening
.
Protection
ry j4
13 Corridor Wall
Construction
/U0
. Opening
Protection
14 . Corridor Ceiling
Construction:>,
C
. Opening
Protection
VtAA
l5a. Shafts
Number/T
;iJY��lt�
. Opening
Protection
AAA
GO -1 (Rev.5/84)
• nvor lnT nMTnWT
Conn*
1ba. Stair
Enclosures
b. Opening
_
Protection
f
17. Stairs No.
X-0 C-)
18 . Ramps N o .
C x r = s ►'` 14 C i' j �= +Y.
19. Interior
_. �.
Finish Class
Room Corridor Exit Encl. AA
No. Total Width q r ;
20,9 Exits
21. Exit Hardware
Type
22a. Exit -Signs/
. I 1 lumi nat i on
b. Erner gency
Li titin
23. Auto Sprink.
Coverage-
$,4
24. Standpipes
Cla ss/'Locat i on
25. Fire Alarm
ZZLe/coverage
414 V� ell
26. Heating
Type'. jac.tFuel G c f,., c vent
27. Electrical.
Installation��.��--
r s� i r��<< c-� �- ����t� r4.-. s
28. Stage/
' Platform
"29. Hazardous
Areas
30. Other
CONME NITS :
r Y Yw YY rww._r1Y1 wYrw.1� r.r�..r. .w.wr
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Inspected By: ' L •1.�.�<A ri'*"4 rzc ttlm No. Attachments:
T'--lviewed By: Date:
.Y.YYr�•�YY�I_ ��I^!w�_. _ Y��Y� t
Upda ted :
4
l
oa
` Q`
/m* BUILDING SU REPORT
2 Construction.
Date..
STATE FIR MA AL
3m Area- (t . Ft.
'
F_
a Stories
File No:
., erlor-Wa1.L,
Nam
of Faci li ty:
�� .. rLj �r� � c Y c ',��� ,q yr ("tj04
_ g
Ada
ess: p z.
6 ! i neer i o.r Wall--
all.._.Construction
-.6,c) r) rpt-)
�' �.it tai i H f `` � bli . L% i w� 1. l l- -) C. ! rrZ1 C
Telephone. NP.. 9 / � } `� � � 3 - � `� 6 7
-Narm
of Building:..
Construction
CA a V16r 1 C o- E; r
8 Roof
DESCRI ION
Construction
Cam
9 Attic
Occupapa
Class Use o t, Capaci ty 4/ y
_
2 Construction.
v - kA,� r_j -- Al 8 LIT. Year- Built. Uy
3m Area- (t . Ft.
Total- 1'25,0 Lar - ga s -t Floor � , �� Bas��I ,
a
No.- 1 High Rise Yes No �
.
F_
a Stories
., erlor-Wa1.L,
..
C'onstruct1 on
,:
...._.
lt�U�3 f I L .�.� r'/ t,c `f' �=' �`�� ✓� L4Aid,ON
_ g
Protection
f • i Y��t C IL �� IPJ
/ 1
6 ! i neer i o.r Wall--
all.._.Construction
Construction
Tii I L IL o<.
7 Floor
Construction
CA a V16r 1 C o- E; r
8 Roof
Construction
(3 Ll ! L T — Gf eo PL vCQ 0 5 c -4 r -A T r A e-A.r, rT -
9 Attic
Draft S t s
No. f ic, C_; cr c r �_� l4 fir^► -- ��CFA as,&)� -,
F10i I.: oc c. Sep. Wall.
Cmstruct i on
iZ l4 i a E xr)
.. -Opening
Protection
-
No. A -i-4
F1Z .area Sep. Wall
t Construction
����� r`�� ��•t�v�.r
i of Opening
Protection
No.
121a.; Sre Barrier
Wall Construction
GICT ie L aZ�
4a Opening
s
_
Protection
y
v Cov-ridor Wall
Construction
dv(:1h.J
Opening
i Protection
} 14a. Corridor Cei ling
-
Construct ion
.130 Opening
_
Protection
154a Tnafts
Nuzrber/lry22
D. opening
Protection
UU-
DESCRIPTION
CO=t,t
.16a. S ta' i -r
Enclosure
00 PL
b. Opening
� Protection
J
'17 . Stairs No,,
YU0 LA.,)rL
.19.,- Interior
Finish Mass
Room.,,__,j2 Corridor PCNA Exit Encl. ',t4
No. 1 Total -Width.
--
20* Exits
21. Exit Har are
Type
22a. Exit -Signs/_
Illumination
. En-ergency
■+.ra.r�l/r�r.rrlr■r.r■r......r.r+r�■■.rr ri.r.rwr■wr■...n�W.11wcwn rr . �.4.■
Di titin
23. Auto Sprink.
Coverage
240 .. Standp z -Pe '
Class ooation-
25. Fire Alarm
Covera e
_fkAk-AJu0t- s trLL 0CIAAict-� r �
26. Heatin
.a
Type 14 rZA tPo v-1 V) Fuel. cc C t a , C Vent X44
Electrical
Installation
&ri_ r� s
23. Stage/
---
Platform
29. hazardous
.Areas
'
30, other _
-��'" - - - - - -1rrr� llrr rr1 - 'r r�www.�■M�---www: i..}irs■y
Inspected $ f }
� ' 'l.. �, t.t./�.�ZjC'7 !� ����Gr �'�` t - r `" !" / i14F t '� A r� � H4 C NO. A ttaChiie3'3tS
• eviewed By: Date:
J '
Upda ted-:
A
t
1
L
•
s
7•
BUILDING SU REPORT
Class - -.f Use c i-+ �� �. Capaci
r ii u daw vas
Construction...
Date: 16
Type
STATE RRI MA Al
i`(C v - �_,� ��� - � Y ; D Year Built ' 6
'dotal 1 Largest Floor Bas ntWIN _Mw
No. High Rise Yes No x
-
o Area ( Ft.)
File No:
-- - I-�c 2 - c,:. -." - '410
ViaViarre
of Faci li ty v G. k/wi L. 1L. r _
`� t ��- � m0 - V(� 1&-- Q �.
Cons tru ct i on
cSS : �}�~- , �!- -� `�
C� rte �� r L '� C:t1 c - 1-1
. Opening
Cre rj
r a -60-1-06" v il` A T ti 4 b i -d i c ! . JO OL
Telephone No. efJ6 T3 3
N&
of Building: MAIVJ aut G1Q1"KJ
Interior Wali
1
Construction
DESCRI ?M ON
. Floor
Com.
t
3
s
Occu
Class - -.f Use c i-+ �� �. Capaci
r ii u daw vas
Construction...
Type
i`(C v - �_,� ��� - � Y ; D Year Built ' 6
'dotal 1 Largest Floor Bas ntWIN _Mw
No. High Rise Yes No x
-
o Area ( Ft.)
s stories ::- -
#
. _ Fxterlor.. Wa).1.....: _
_
Cons tru ct i on
��c >10 St) , w� G. 2 x <-/ W000 5; ru IPJ � P a v64ea v _
. Opening
Protection.
if Hc
64,
Interior Wali
Construction
T A t : (< 1 4 A V) E. �� �� ' , ,-1 r� i.../ I i f, l �� f , • .= y^ 7 i <. �.'s r=
. Floor
Construction
t4 L "" i t C- s r%vt Cos2prTj e0ocoarux _
's
Roof
Construction
b.-
901
Attic
Draft St s
No, ovj (2k4PJS 1 O ILrO sv(AT 14 i41YJ;#LX V4U1(mV1*-J6
-1Ca.
Occ4 • Sep. Wall
Construction
e:.► : 4 C 0.. :�/� ' '�i 4:,�;�,,�, �:� �� ; �� °' }� �r�t c? }-.;: a
`
bo_ opening
Protection
No.YUA
11a.
Area Sep. Wall
Construction
i2
J
b er Opening
{
Protection
No. A411
I 12a.
Smoke Barrier,
'Fall Construction
1VOT � C.
b o Open in' g
Protection
} j
a e Corridor %fall
Construction
�t.,L tAj - _
i
o 0 Opening
Protection
,
14a.
Corridor Ceiling
Construction
t
b, Opening
Protection
f
F 15a.
Shafts
i
Neer /1
. opening
Protection
Lt 4 ( eVe b/b4)
DESCRI PTIO1.11
Coin..
16a. - Stair
- - Enclosure
b. opening
Protectlon
f-
17. Stairs No.
1848. s No.
I 7' C"IizV4Vrf
19,n Interior
-
Finish Class
Room .g Corgi idor r�ti� Ex*. t �n�Z e ¢�
No. Total Width 12 r; �..�
20o Exits
21 Ext Hardware
A rA C HA 4 t,+ L S (C C f - y �;: : C <<•» � , �i,•► l t=1 3 te. u-, ,-
.rww..ua_.ww 4.w+w�r...rr..•n �rrarrr•.r_rrr._w.l u�nr._• r+1 1n .rw/.�. �.rr�.rr..._wrrr..r�ir
.. -. ...... .. «.._.
�
+�
22a. Exit SigrLs f ..
Illumination
P .s -C ,%.: ,Oc) of
b. Emrgency-
Li�i
if "'v't IC s
23*to' Spzi nk.
-
N
Cove raC e
� ty"' t S T / C t,. �. � P L q C.'' tv #7 ! t �4 rf 10 i�-1 � t f ca rt J �' L o S #
24. Standpipes
Class/location
2� Q Fire Alm
f
TypeZCoverage4�
`t s- t l L�! v'� C rte! 1 L t. % �.�1 1 t� z-� L U C A d k4 L A vi 1l" 1.r 13 !x �
26.*
6. Heating
Type c2 Fuel �.,, vent
___..�....,_...___.__.._ .�
a
i 270 Electrical
Installation
� t� E � �'��► c � � �car��ou �r �3d� � ���e
23a S t a je
'I Platform
i
290 hazardous
Areas
30. other
Inspected By:. (A-.kz/c-4 Ore. 10 L1 /4 1 C F1 O(Zgf 1-4 (L jq;,A L. No. nttachnents
-T24z.vi ewed By: Date
Upda ted : r
Y
-
G of
i"ULTIPLE BUILDING FACIL-ifY
RECORD
FACILITY
NAME
z W6 VA t L* CY FS t T V
.ADDRESS:
Pico z P4 I-'
41.
FILE VOR#
L El [I
1 U-3
now
SEMIAL
BUILDING IDENTIFICA21011.
PAI
occu xy FILE
SUFFIX
NOW
C L A S S N U! , 02, Z
(See Sec,,.Vc.&31
tA
-
96
IL f
F7 I
KITCHEN u70"ev(01 JO/
... _.�.
PANTRY MU L -USE [�
GIRLS BOYS � (FUTURE SSROO�AS) ❑ STORAGE ME �ANICALO J'
JAN. -• -- �f� �ij ��� O�l'�O ,'S/
-NON- BEARING WALL
f0
PORCH .. ' L { i I I L I I I � PORCH
c
CLASSROOM � CLASSROOM
O0� r 94�
Plan
The floor plan is a 60' x 60' open space divided by
nonbearing walls to form two classrooms and one large �.
multipurpose space- served by a workroom, and serving
kitchen. (Prepared food is brought to this kitchen from
another school.) The folding wall that separates the two
classrooms may be folded to make one large area for team
teaching. •
77
Fct>.i +
VA L.L&\/
Lj I I- C) 3-
CL&f2,K--AL LOC)e-L 4e( -::A
pro 91 ps ect
V7A
CQ
CCIA
8.5
Fioyer
A.rnin.N;C, PA L "Sfvf L
C) PF, C -C -
Top.
6 1 pro e-^�i 5 5 8
17)
�Tl
/100
AA M
( .. ✓
Fo-i e R-
c
) N
(j)
Li
Fct>.i +
VA L.L&\/
Lj I I- C) 3-
CL&f2,K--AL LOC)e-L 4e( -::A
pro 91 ps ect
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8.5
Fioyer
A.rnin.N;C, PA L "Sfvf L
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Top.
6 1 pro e-^�i 5 5 8
17)
REINSPECTION REPORT
OFFICE OF
STATE FIRE MARSHAL
TjC go: SC 1g,41Ed C
1 140wl`�
Date Reinspected %1-1- 'ei
me of
Fac i 1 i ty
S t `jA
LLC
dress
'Te(\] i T
ROAD�-t
e
4,W A :.
ndi ti ons Discussed With5 A.0 A
companied e F Title JLS F -M tr
specti on This Date Discloses That Fire Safety Corrections Number I LLQ
Dated ! - 23 - gt Have Been Complied With.
Fire Safety Corrections Number n?a��
of Fire Safety Corrections
Were Discussed
Whth %tS and Disposition Will Be,
Follows:
�-t re< c SQA ra v c -e- i s Pe cd, /\., M e,v o.e d
R inspection Indicates That d New Fire Safety Corrections Should Be
Issued. See Reverse Side
577omments an New re --S Cor ections. �..
G -5
/70) REV 5/81 Deputy
Comments and New Conditio n
r
New Fire Safety Corrections:
.�.�r�����r.r�rr�.r.r� r� ■
� art
r~�r
ICE pF
STATE 110 MAR AL
STATE FIRE MARSHAL
.avE SAFETY CORRECTION NOI aux
NAME
-FILE NUMBER
DRESS ElI l El 11 1:1 El
❑❑❑❑ ❑a❑ ❑a❑' El
Aft
lin accordance with the minimum standards of Title 19., California Administrative Code., the
1 owing corrections are required:
II
The above deficiencies are: to be corrected within,- days. Upon completion., please sign. and
return the certification on the opposite side of this form. If you have any questions., contact the State
:Fire Marshal's Office at ( ) `
ISSUED
BY (DEPUTY STATE- FIRE MARSHAL)
RECEIVED BY
DATE
EN -1 I (REV. 7/81)
YMOW-. REGION WHITE-. IFACIUTY GREEM FIED 84013-355 7-812,500 TRP cw& ow
71�
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Y`a-n da s iL>��F• _ s � tZ' - � .el y_ tip "'�E '+-_.
FICE OF THE STATE FIRE MARSH{
INSPECTION LOG
Title �4Ry',.AlCr��L�i >ci,uo4 10
File
Address aFi�arZ. I�i� BrJ�) i�llf;u�a,nt� 7r� ,,rOv�1«—���iTl,ti Date
Owner
z - <6- 3t2 X !4_ .--
�p > t
GO -6 (Rev. 5/81 )
ff
BICE OF THE STATE FIRE MARSHA
INSPECTiON LOG
Title
El Ej F] [:10
i I1:1 El
-
t
v U 4 3 v u o po
Address date
47C �� � z ko A k) A p �i t �� j ij A � 10 ;� f u V I LL Q w Li ` jo _
Owner q
GO -6 (Rev. 5/S 1) -
EN - 11 (REV. 7/81) YELLOW: REGION WHITE1:FAC,--I' 'Y GREEN: FIELD 84013-355 7-81:2,590 IRW CAM OT OSP
STAW FIRE MARSHAL
�OCE ctp
i
FIS SAFETY CORRECTION NOTICh - '
STATE ME MAR AL
i
I
pp
- FILE NUMBER
R
A.
5 D El F] C7 F1 Ell
F -1 El El 0 EJ DO' El El 0 El
NA;
AIS
in accordance with the minimum standards of Title 19, California Administrative Code, the
following corrections are required,-,
f
I
1
I
I
f
I '
The above deficiencies- are to be corrected within days. Upon completion, please sign and
return the certification on the opposite side of this form. If you have any questions, contact the Mate
d
Fire Marshal's Office at
ISSUED
BY (DEPUTY STATE FIRE MARSHAL)
RECEIVED t
DATE
EN - 11 (REV. 7/81) YELLOW: REGION WHITE1:FAC,--I' 'Y GREEN: FIELD 84013-355 7-81:2,590 IRW CAM OT OSP
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ii j C. r i lWii-�WIAAL
A Z7N W L7DELETJ"
FIRE PANIC cl-ArETY STA,%ilD..RDS INSK—Ullrlmiu- W -PORT
ASN UAL DATE : ��'0L1-.•OW-•UP PREEV. INSP. DATE:
67 2- 0 4 -1- t
`3
F I L, E: INSPECTED BY:
J puty)
V L
FACILIT.Y NA V
A 70 14 1.4v
PACILITY ADDRESS: f�u iv U
(Street)
(City) (z ip)
BUILDING NAME: NOXF BLDGS:
OCCUPANCY
AL (XVABLE
"ST: AREA (sq. f to 0
CAIMCITY: NONN-AMB: TY PE COQ;
Y R B U ILT FLOOR OCCUPIED (P rA)O- NO. STV1' �JES: HIGH RILSE (Y
,N): ,Y
AJ F I R E Endo o Si
Y (Y.,N):
TYPE Rlv D r 0)C0VEPAGL2 .GE x
FI E --A A-l-tAR-N-1 SYSTEM (YeN):
TY.PE(MjAjHrSrCj0): COVEPAGE (C P)
C LIST
CHECK -
C XTEM
ITEM REF* NAic li REP* CN "CF
NA IC
1. A,.-.,tual Capacity V20
2* B.n-. =linent 22
3, Fire Proltection Systems 23X22
4.
Exposurps 24
3
5,a A t i c S
6, -n -I-- e r i o r Con r ur, ion 2 5
-.;z) L
7. E r e As s e m b lie.. S-, 3 0;-'s 1.7 2)
80 Interior Finish 32 P, 12 7 0
9. H IDt z a r do us Areas
40
'*x- n,-, 30,83;2.
0. L �) 9
130
119 Fire Prolk--e%--,-tive Sig SY'S 44
oil
13. Electrical
':-A 40 P320
L4 a De, or a t ive Materials 50 li33*,
N -04
tr
S. C0 a g 51 f134*
169 HOUSE'keeloing 52 135
17, TD-,-e-F4 P 53
SLI2. ,.rvision/Staffing56 f, 37 d . �
19. Portable Fire'Rxte w 57 7 8
A -L T-zP,.t?'ITIO-.4S/ADDITIONez'): L7 B-1.7ilEl"T MADE SINCE SUIRVEY (GO -4) Id liq
DISPOS'ITIONNS: CILE.-JAR
P
C0.'LRPXCTi0iT N.IoTiCE 2PNSPECTION DACE: 30
1- Ilk;S E C 5210 T I t 1 A" E E X C L U D I lNi'(37 T R A Nu 7 E L N e a vi.* e s I in, t h of Hour):
11M F
*NA got Applicable/IC :In Compliance/CN.=6orrection 1,%,Z��ded/CrN=Correction First doted
REF=Re f-er GO -40
-ered on an Inspection* Form GO -6 and
+pa ne-c..essary co=,i..,;,=.Mts or items of correction to be enA;
A-lt,-n,ad to th----- file copy of this repol--t.
(Supervisor)
Or ig final --file 2nd Cops --'DE' 3ra'* Copy -.Field
•
h.
1
UY \A4/ ' `
L---1 P L-4 Fq
F I LE NO*
MP E P1
REINSPECTION REPORT
OFFICE OF
STATE FIRE MARSHAX
of Factlity VALLe'�
-e*"/V '(.f% C5 0
,.Mame
`
A 4
,kildress ! -�P
;' 1 ` iWA o V 1 L L -C
�
Conditions Discussed With ;'VA
Accompanied By
itle
Iispection This Date Discloses That Fire Safety correction I)
Fire Safety Corrections
Dated
Have Been Complied With.
Fire Safety corrections
Were Discussed
�ith ', �' :� � � ti^ �.
and Disposition Will Be
Ps,Fol lows:
1<
e
i% VjY)
reinsplection Indicates That
New Fire Safety corrections Should Be
Issued, See Reverse Side f-o—r-romments an Fir�e7TYfety Corrections*
GO -5
Deputy
(3/70) REV 5/81
Comments and New Condition,.
New Fire Safety Corrections:
rr
v _
YELLOW _ REGION WHITE• FACILITY - GREEN: FIELD - 84413-355 7-812,500 TRIP CAM
EN -1 t (REV. T/81)- ..� _ ; � -' �
STATE FIRE MARSHAL
�tcE of
AiE SAFETY CORRECTION NOTi��
STATE IRE MAR AL =
r--- . " 6 Y _ FILE NUMBER
t JN A/ Y -V
NAME
- --
®® Fq 0 -
ADDRESS®
w
r �V �'
C� C� ❑ Cl C_ �D D alt 0
1 f " p 1
6r 1
l
In accordance with the minimum standards of Title 19, California Administrative Code, the
'
following corrections are required:
ly A?
TA X, Ai
.00%1 ly
Al
The above deficiencies are to be corrected within days.- Upon completion; please sign and
return the certification on the opposite side -of this form.- Tf you have any questions, contact the State
.Dire Marshal's Office at(—""
ISSUED
BY (DEFU -Y INAWEA M ARSHAL)
REaIVED BY
DATE
+
v _
YELLOW _ REGION WHITE• FACILITY - GREEN: FIELD - 84413-355 7-812,500 TRIP CAM
EN -1 t (REV. T/81)- ..� _ ; � -' �
CERTIFICATION OF CORRECTIONS BY OWNER
I certify that all items listed on the reverse of this form have been corrected in accordance
with the requirements of Title 19, California Administrative Code.
SIGNATURE DATE
February 4, 1982
1 4
V
(Fold on this line)
---------------------------------------------
(Fold on this line)
--------------------------------------------
i
PLACE
STAMP
HERE
a � 71
STATE FIRE MARSHAL '
2300 Merced Street FC r
San Leandro, California 94577
SNOfE FIRS f. ,,
R7NKHN REGION
as
•?CC pancy Class.
7�0. Build_--rto %
a --,aa of Facility ----,
File.
Office of d -`
STATE FIFE ?1-MRIS-,'-LA L Date,r=��-
D e a ty�,.r
-/., ,s> " / .'-7 o AV
lisp
=_ _• c o
«!te
c tion RequQs ted by
m -p z-? i o d by_ %i� � ��
ie:aed .�C>
Title
Tit 1 e,�--__.���..�„�°J��.-'``
Title-
:rea
i, Stories
of Buildimc,
ttA
in Height
- Location
Door Hardware
H,�.ds
CHECKLIST Construction Typo
6K SP,
12. Electrical
113. Haatinn
}}
1 1L L P.G. _
15. Interior Finish
NIA OK SR
t/
--�----' --
? Exits
.
Exit
r,
Special
P
Ei
re Alar=
4---'
lb Verticle Sha-ha
17. Corridors
18. Aisles/Seati?g
19. Stora,e -
20. Housekeeping
21. Access Roads'
22. Other -
s/
;. S_ke
Detectors
Fire
Drills/E:12-n
--
Sprinklers/Standpipe
,c
t
De
St
-11-'ire
orative Material
g�/Plano
Ext, Ser. - _
/�'�
--
it
irg (s) in. accordance ` i Lh
survey. report (GO -4) date 1 _
3-SPOSITIONI:
Reco=.- aildations
'Suggested reco,
=,--fire Clear2 ,.ce
issued in field
—Mndation letter,
reco=ended
" DTE RECEIVED BY nA,17
Yo
OFFJ C£ or
DTS OSS T TON - -
dale Rec Is issued in field co a -ached.-�-
eros ec Lion � p ,
p
aL Ler of -Pec i s (use o Lher ' s' de r Clearance recc 1i:.. endeti as f01104s
1Dcpu `�
•
_•
���
_ Amo aF
.
.. a
Aw
b
00,
12:�4000;?
,ccomp2n;ad
_--row"r.r,^
Rcquczzcd. by
`r, d e
CHECK'tIST..
-
.� NA.=dot -A,pplicable 0K=In Csm_ompliance
SP =Sem ar s(use o � r
ate• . • r"-• r •
side)
.
NA
OK
-'-
ER:
• ITA. Olt
A
_
1 .0 ng
s
11.
l e c L 1.ca-1
!/
Fire Asset -blies
12.
Heating
�--'
3.0. lnt er i or Finish
13.
Spr inkl erg
•e s
Exec o sur
�,,�
.
�.. 4
Wet S a p i p e s
..Pardo-�� A.reas
�/`
15.
Fire _`xLingu�shers
�
6 o Fl a tri a bel eLiquids
-
160
Fire Alam ..
�.
7. Storage
17.
Fire Dr3.11s/plan'
8 . stage -or Platform
18.
Housekeeping
-•
940. Projection Booth
CapacIty
.t er ials
3.0 , ecora �3. re a
1.-�
20 .
oLh.er •
` • -ordance with Survey IR eport
acc_
dated .
DTS OSS T TON - -
dale Rec Is issued in field co a -ached.-�-
eros ec Lion � p ,
p
aL Ler of -Pec i s (use o Lher ' s' de r Clearance recc 1i:.. endeti as f01104s
uilding'(s) in- accordance with Survey Report dated
DISPOSITION
IL .. -
.. - A It
NA
OK
SR
NA
OK '
S
Exiting
41
11. Electrical
Fire:Assemblies
12. Heating
V.
Interior Finish
�,�
13. Sprinklers
ASV
Exposures:
14. Wet Standpipes
Hazardous Areas
115. Fire Extinguishers
I
1'
Flammable Liquids
��f
16. Fire Alarm H
�'
Storage,
�� I
fl
fi
17. Fire Drills/Plan`
-
Stage or Platform
18. Housekeeping
. _ Pro j-ection Booth -
:/
Ca -
19. Capacity
/ .
10. . Decorative Materials
20.' Other
uilding'(s) in- accordance with Survey Report dated
DISPOSITION
IL .. -
.. - A It
0
bi
s
—
;,z 4 0 1/ 1 —f le,�z "ur
�,aya,�ys •u�
e,r
.-tr7
.
INSPECTIo�v REPORT,�cJ 9a 7 ,S r
OFFICE OF .. Filc E
-- ST 'I'E FIRE MARSHAL: Date 7r
Deputy
i- L L � �. !-fo oz.
Nsmc of Facility
aJclress
:onclitions Discussed `Vith
Accompanied by Titl
e1,100V A) C/ A
Insp. Rcquested by - t'stle
CHECK LIST
NA=hot -Applicable oK=In Compliance SR=Se6 Remarks (use other. side)
.I NA OK ISR -11- NA I OK. I SR
n. - •
. Exiting
11.
Electrical
. Fire Assemblies
12..
Heating
-
Interior Finish
13,
Sprinklers
;.
Exposures—
14.
Wet Standpipes
. Hazardous Areas
15.
Fire Ext in she. s
FlammabTe Liquids
lb.
Fire Alam
e
. Storage
17 .
Fire Dr- i ll s/Plan
.
or Platform
. Stage -
i.8.
Housekeeping
V/
90
Projection Booth
l9.
Capacity:
V/
100'
Decorative Materials
20w
other
Survey
Report
dated
uildingf s j in. accordance with
.rte .�..�J ..w. . r
� . .. �.. �� _ •- .
DIS
os•ITIor
_
eznsp ction d ta e
eE,7Recls'
issued in fieldQ ( co attached-�
P�'
f7l'i etter of Rec : s (use other, -side) .Fire Clearance recommended- as follows -a,
7
e
7�_ Ic
.0
4 4e��
r
n. - •
INSPECTION REPORT - -
OFFICE OF
STATE FIRE TiARSIiAL
\-.Ime of Facility
File
Dat
Deputy �-
Udress �- -
S-4
.onc3NV i th�iti�ns Discussed -
Ti t l
----------- - -
Accompanied by
I nsp. Requested by----� 904 AY
-r, tle -��-
CHECK LIST
NA='Vnt A-nnl i c_aYhl e OK=Tn Comn1_iance SR=See Remarks (use other side)
Exiting
NA
OK
SR
NA OK
SR
11, Electrical
Fire Assemblies
Interior Finish
Exposures
Hazardous Areas
12. Heating
✓
13. Sprinklers
14. Wet Standpipes
�
15. Fire Extinguishers
�
16. Fire Alarm
Flammable Liquids
Storage
7. Stage or Platform
Projection Booth
17. Fire Drills/Plan
�
18. Housekeeping
19. Capacity
1 Decorative Materials
_
20. Other
Building(s) in accordance with Survey Report dated _
DISPOSITION
ec14174 Rects issued in field(coReins tion date � py attached)
Rec t s(use other side ire Clearance recommended- asfollows:
oLetter f )
-7- A/ L. 1: R, J. (11-7-799
BU 927
STATE QAL f FO RN 1 A FIRE RE SAFETY i NSPE CT 1 RE ST
U
FROK: (Mark one) Dept. Sac. Welfare " County Welfare Dept. Mental Hyg.
DepL* * Pub. Health `._ Youth Authority
I. Name of operator: Address: Date
Rt. 1, Box 219, Oro' 'v lle 95965 1 i 0dm7ww ..1
Name of Facility: .Telephone No. to operation License No.
PIING VALLEY SCHDOLLJ Yes No
Requested by: Title: Address: Phone No.
�
Capacity Requested
New Existing
Increase
Age Range
W
SFM File No.
0
'type of Facility:
Ambulatory
Nenarrtbu-M, - - -lato�y [�
z
NumberNumber
M�
SOSW
-Q
SDMH
SOPH
=
�
Da Nursery
Y rse r Y
Q
1. Treatment Facility
(� 1,
Hospital
Q
2.
Institution Chip
Res. Non res.
Cj 2.
Nursing Home
0
a
3.
Group Home
2. Supportive Care
0 3.
Clinics
[�
m
4.
Residential Care
Cj
3. Developmental Care
4.
Intermediate Care
Facility [�
.o
,5.
Foster Care Hm....��
.%-Res. [] Nonres.
Q 5.
fstab.tishment for
Handicapped.
wi
6.
Other
0
4. Other,
Res. Non res.
Q
W6.
..j
Youth Authority
Other
o
1.
Juvenile Home
�
2.
Group Hayne
�
W
3.
Other
�
�+
Identification of Bbdgs.
and capacity of each:
nate or Last L i earanc.e: 4L46� �__ ;m f a Gapac i ty. 0%; v -u Plans App.
Spec i a 1 instructions to reach facility or person to contact: Space App,
AM 56
24 Fire Safety Report Fire Authority Approval Stamp
Meets Min. Stds. SFM. l"r
Meets Min. Stds. SFM but has not:
14 1. Met Loca li Fire Safety Stds.
.
20 -Met 'Zoning & other local Requirements .
oft
3e Paid local fire inspection fee.
U [� Does NOT meet min. s td s . of SFM
U [� Fac i l i ty c 1 eared for _____ ambulatory
Z _ nonambu 1 a to ry�
Restrictions (Use revers; side)
Date Recvd Date,; tnd 174
ac
S i gnatur of inspecting authority '
A
i#eI
1�hen completed return to: _ '�tL,'5u
ccomenb, CA FSSI
2)
515 Van Ness, Rm. 21 1 . , 107 So. Broadway, Rm. 9035
San Fran -Cisco, CA 94102 Ap los Angeles, CA 90012
To:
. County Welfare
CHT (Add ro: s s)
(Phone)
D i rest to Local F i re - Depa rtmen t o
Use reverse for additional information)
• Thr•' f 1 f�," `
.�� 7 �4
FROM: (Mark one)
,,..,, BU 927 S
STATE 0 ALIFORNIA FIRE SAFETY INSPECTIL REQUEST
Dept. Soc. Welfare County Welfare Dept. Mental Hyg.
Dept. Pub. Health Youth Authority
Name of Operator: Address: Date
Rotate 1, Bax 219, Orovi11e 8/26/73
9Name of Facilityy: (Telephone No. In Operation License No.
SPR:ENG VALLEY SCHOOL Ye s 0 No
Requested by: Title: Address: Phone No.
Capacity Requested New =Existing = Increase Age Range
SFM File No.
Type of Facility: Ambulatory Nonambulatory
Number Number
SOSW
1 . Day Nursery
2. Institution Child (�
3. Group Home �]
4. Residential Care Cj
5. Foster Care Hm.
6. Other
Youth Authority
1. Juvenile Home Q
2. Group Home Q
3. Other F-1
SDMH
1. Treatment Facility
Res. = Nonres.
2. Supportive Care
3. Developmental Care
Res. = Nonres.
4, Other
Identification of Bldgs. and capacity of each:
SDPH
1. Hospital Q
2. Nursing Home [�
3. Clinics
4. Intermediate Care Facility
5. Establishment for Handicapped
Res. = Nonres.
6. Other
nate or Last L i earance: LV/ GV/ i ` Lapac i ty: r>;;n Q -L Plans App.
Special instructions to reach facility or person to contact: Space App.
Ate. «. 55
2 Fire Safety Report
Meets Min. Stds. SFM
® Meets Min. Stds. SFM but has not:
1. Met Local Fire Safety Stds.
2. Met Zoning & other local Requirements.
3. ® Paid local fire inspection fee.
LJ
® Does NOT meet min. stds. of SFM
LJ
® Facility cleared for ambulatory
nonambulatory
�] Restrictions (Use reverse side)
LJ Date Recvd Ret,nd:
e'J1,
Signa a of inspecting authority
Fire Authority Approval Stamp
SVITC 1 I I
3 , When completed return to: Sacremenio, CA 95815
515 Van Ness, Rm. 211 ., 107 So. Broadway, Rm. 9035
San Francisco, CA 94102 ® ;aa -p- - Los Angeles, CA 90012
To:
OROVILLE
GO -25(4/72)
County Welfare
(Address)
(Phone)
Direct to Local Fire Department.
(Use reverse for additional information)
iFF ICE OF STATE FIRE MARSH.
Return Report To
107 S. B roadway , Rm a 9035 714 P S t roe t p Ria o 1540 515 Van Ness Ave.. Rm o 21 1
._/Los Angeles 90012 Zzl Sacramento 95814 L7 Sacs Francisco 9
RE EST FOR FIRE CLEARANCE
S BJECT : SPRING VALLEY SCHOOL CAPACITY,
Rt., Eos �.9 Date: '1072
Oroville, CA 95965
FILE NO: Btu 92 7 S
OROVILLE
Fold Here
The annual survey is due on the above facility for fire and life safety. We
ver uld appreciate receiving your report at your earliest convenience so we may
a vise the licensing agency if fire clearance may be granted.
R quested by: ROBERT Fp ?�7,ON Senior Deputy Phone:
Annual reinspection of the above facility indicates (check one) :
RENEWAL LDENIAL Z..1 WITHHELD pending, as follows:
Previous restrictions still apply: YES,[.-/ NO
C PACITY TYPE OF CARE SPECIAL AREAS - FOR OCCUPANCY
Adults ( Amb . )
Adults (Non -Amb.)
Children (Amb.)
Children (Non -Amb.)
FIRE DEPARTMENT REPORT
Comments and/or Restrictions Date .26, Approval by Fire Authority
r
orovine S i nature :
O -3 7 Rev, 7 71)
OFF I1 OF THE STATE FIRE MARSHAL
r
ANNUAL REQUEST
DATE: 128 FILE: Bid' 927
FACILITY: SPRING VA WY SC OL OCCUPANCY: s
ADDRESS: Rte 9 D Oville 95965
CAPACITY:
TO: CfacwilJle
ADDRESS
CITY
Zip
Fire clearance on above facility was granted Septgoh a 28& 1970 mommmommm—mmom
Date
Clearance subject to restrictions: ( ) YES (X ) NO
Annual renewal is due on or before R 284.97_ Please
inspect and report in the blanks provided.
FRANK J* McCARTHY
Senior Deputy
REPORT
DATE
Annual reinspection of the above facility indicates (check one):.
O RENEWAL ( ) DENIAL ( ) WITHI3ELD pending , as follows
'.Previous restrictions still apply: ( ) YES ( ) NO
Recommendations:," (if any)
REMARKS -- See Reverse
say
Fixe pepartment
Deputy)
, �•".� yam. �
.7J .. - ". r - 1. 1�..� J _ ' ~ •• • •1"_
• 'i y,l� . r - 1"t•.t .try �..! i'- :I.` ..tA! ,.- 0. �' . .
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r 1 _
r
• �I
OFFICE OF STATE FIRE MARSHAL
INSPECTION LOG
s'�aIte S� 3
TilLE s1wing ��" FILE
ADDRESS ��e 0
DATE ��
OWNER.
GO -(A
9.1-sh 14979-855 10-67 2100 OSP
0
OFFICE OF THE STATE FIRE MARSHAL
REQUEST
TO : OROVILIZ F I LE : BU 9 2 7 8 DATE : 8e*17a*69
SUBJECT: Q1%Twr.%ftF_4.yy am s. _ ADDRESS:
CAPACITY: OCCUPANCY:_
Fire Clearance on the above facility was g ranted October 17. 1968,,,,,,,.,_,,,,..
(Date)
Clearance subject to restrictions: ( )YES ( X) NO
Annual renewal is due on or before October 17, 1969 Please inspect and
report in the blanks provided
ELDON H. LANDBACK
Senior Deputy
REPORT
GATE:
Annual reinspection of the above facility indicates (check one):
() Renewal ( ) Denial ( ) Withheld pending, as follows:
Previous restrictions still apply: { ) YES ( ) NO
Recommendations (if any):
Cly
Remarks -- See reverse
Rev 11 /66
At
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e
OFFICE OF THE STATE FIRE MARSHAL
To: oxo
.3.3.e
FILE
BU 927 S
DATE
8/26/68
Non
SUBJECT:
SPRING
VALLEY SCHOOL
ADDRESS
Rt • 1:
Box 219: Orovi lle
CAPACITY: E.choo l
OCCUPANCYS Ch,
:'
Fire Clearance on the above facility was granted October 26, 1967
Date
Clearance subject to restrictions: C ) YES NO
Annual renewal is due on or before October 26, 1968
inspect and report in the blanks provided below:
REPORT
Please
ELMN N ! TANDBhCK
Senior Deputy
DATE:
Annual reinspection of the above facility indicates (check one):
(XX ) Renewal ( ) Denial ( ) Withheld pending, as
follows
Previous restrictions still apply: ( ) YES ( ) NO
Recommendations (if any):
Clear
Remarks -See reverse
Rev 11/66
6? -7
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OFFICE OF THE STATE FIRE MARSHAL
REQUEST
TO: OROVITITZ FILE :BUS- 27 8 —DATE: 8-2 fi 67
SUBJECT: SPRING VALLEY SCHOOL ADDRESS: Rt. 1, Box 219, Oroy-Ue
CAPACITY: school OCCUPANCY: school
Fire clearance on the above facility was granted 10-2
(Date)
License previous year subject to restrictions: ( ) YES (x ) NO
Annual renewal is due on or before 10-26-67 Please
inspect and report in the blanks provided below:
REPORT
ELDON H. LANDBAOK
Senior Deputy
DATE: 10-6-67
Annual reinslection of the above facility indicates (check one):
( M) Renewal ( )Denial ( ) Withhelding pending, as follows:
Previous restrictions still apply: ( ) YES ( ) NO
Additional restrictions (if any) and/or location of population:
Recommendations (if any):
( ) Remarks - See reverse
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s motor is not. intended to Ivor structural sta-
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o iti nal rwa a ti*40 who* altarationst now am#-
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e of Facility,
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'pe Occupancy
pe Const.—Age
:a of Building
u of Basement
ries in Height
erior Walls
Briar Walls
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f Framing
c Separation
tical Shafts
Enclosures
and Loc. Exits
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Doors & Hdwe.
for Finish
in. Sprinklers
klarm
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Aid Fire Equip.
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SURVEY REPORT
OFFICE OF
STATE FIRE MARSHAL
Deputy zq �
Ti
BUILDING REPORT
A B
Common Hazards:
Heating: Type Fuel Vent Auto.
Remarks
Electrical: Type Wiring Circ.
Extension Cords
Remarks:
Housekeeping and Storage:
General Comments: (Number According to Front Page)
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