The URL can be used to link to this page

Home My WebLink About010-360-079 CF Archiver.. BUTTE COUNTY FIRE DEPARTMENT/CDF FIRE TITLE 19/24 FACILITY INSPECTION INSPECTION NO. 0 2 3 1 - REINSPECT: I_. J YES Y, NO Facility L� Occupancy Address I //N.,E (/=%/'�hw,y 1 Inspector _TU% da)Vh Phone Station Contact Station Phone Compliance: Yes =r ACCESS -- All inspections JAddress correct/posted and visible from road (Butte co code 32-9) Access to public street or 20 ft. wide lane (T19-3.05) /VA—Gates wide enough to admit fire apparatus (T19-3.16) Fire protection equipment visible/accessible (T19-3.14) No = 0 Not applicable = N/A PORTABLE FIRE EXTINGUISHERS --All Inspections V Extinguishers have current annual service tag (r19-575.1 A) Maximum travel 75 ft. (T19-567) Provide clear access to fire extinguisher (T19-563.2) Extinguishers mounted on wall/or in cabinet, visible anz�— (T19-563.8) 7TS,// --All Inspections Exits not obstructed (r19-3.11) ;EAExit signs in place (CBC 1003.2.9.1) Doors operate without key or special knowledge (CFC 1207.3) Rooms with Occupant Load of 50 Persons or More Exit illumination and signs in place (CBC 1003.2.8.2) P� Maximum occupancy sign in place (T19-3.30) Two exit doors/panic hardware swing in direction of travel (CFC 2501.8.2) HOUSEKEEPING -- All Inspections ,/—No waste or rubbish accumulation inside or outside T19-3.14) / Reduce storage to at least _" below ceiling/ sprinklers (r19-3.14) Remove combus. storage from heater, mech., elect. room (T19 -3.19f) Provide approved metal container for oily rag storage (T -19-3.19c) I✓/1 Flammable liquids stored properly (r-19-3.15) ELECTRICAL --All inspections Extension cords do not replace permanent wiring (CEC-400-8(1)) Extension cords do not pass through doors/walls (CEC-400-8 (2,3)) 7-30 inch clearance around all electrical panels (CEC-110-16A) All panels and breakers are marked (CEC-110-17 C) Repair holes in fire -resistive construction CEC (300-21,22) Multi -plug power strips have circuit breaker (CEC 400-13) FIRE PROTECTION EQUIPMENT --All Inspections Hood system serviced/tagged every 6 mo. by cert. tech. (r19-904) Clean filters, hood, and duct area over cooking appliances (CFC 1006.2.8) Maintain extinguishing systems (r19-3.24) Provide spare sprinkler heads (6 min.) and/or sprinkler wrench J19-9045) Replace damaged, corroded, or painted sprinkler heads (T19-904.5) _Identify sprinkler valves and secure in open position (T19-904.5) Replace missing caps on fire department connection (T19-904.3) ]✓Provide 5 -yr. certification test for sprinkler/standpipe (r19-904) MECHANICAL EQUIPMENT -- All Inspections �ZkVents and chimneys -- No obvious hazards (CMC -Ch. 8) SM9KE DETECTORS -- Day Care Sr. Res., Hospitals, Apts. Properly installed and tested (T19-749,754) SCHOOLS, JAILS AND HOSPITALS Decorations and curtains fire retardant (T19-3.08) NJ� LPG tanks fenced with locked gates (r19-3.22) FIRE DRILLS -- School and Day Care (Title 19-3.13) PLAII systems operable/hooked to office Held monthly (elementary schools) Held semi-annually (high schools) Evacuation plans posted in all rooms Emergency procedures posted in office Teachers take roll books The above deficiencies must be corrected within days. Inspection Date: 7 ��% AZ 1W AP # BUSINESS NAME ADDRESS OCCUPANCY GRIDLEY FIRE DEPARTMENT INSPECTION REPORT iz� 12— m0t — NO. OF BLDGS. DATE PHONE NO. OF STORIES MAN:? ADDu CcR/OWNEt��c� 7 �E-,e&fil_4 �,�.� hy�r4ov 0 1- 1 PHONE '' 3 12 EXITING 1. EXIT 2. EXIT SIGNS 3. EXIT CORRIDORS 4. AISLE/SEATING 5. OCCUPANT LOADS U 6.00CPANT LO APPROVED YES NO ❑ ❑ D ❑ ❑ ❑ ❑ O NA ❑ D ❑ ❑ ❑ FIRE PROTECTION 7. FIRE EXTINGLJESHERS 8. AUTO SPRK. SYSTEM 9. HOOD EXTING. SYSTEM 10. STANDPIPES 11. ALARM SYSTEMS 12. FIRE ASSEMB/WALLS � APPROVED YES NO O O D D ❑ D ❑ D NA D ❑ ❑ ❑ ❑ ❑ BUILDING 13. ELECTRICAL 14. HEATING EQUIP❑ 15. COOKING EQUIP 16. DECORATIONS 17. OPENINGS VERTICAL HORIZONTAL 18. HOUSEKEEPING 19. ADDRESS POSTED APPROVED YES NO ❑ ❑ 0❑ ❑ ❑ D ❑ ❑ ❑ ❑ XO ❑ ❑ ❑ O ❑ ❑ SPECIAL CONDITIONS 20. EMERGENCY LIGHTING 21. GREASE HOODS & DU TS 22. L.P.G. 23. COMPRESSED GAS 24. CHEMICALS 25. SIGNS 26. HAZ MAT INSP. 27. OTHER APP YES ❑ ❑ ❑ ❑ O ❑ OVED NO ❑ ❑ ❑ ❑ ❑ ❑ Q NA ❑ ❑ ❑ ❑ ❑ ❑ ❑ REMARKS G -0017 lel d 1'L-- too, Ivew (zz �)h Vh Lot ALL EXCEPTIONS NOTED ABOVE MUST BE CORRECTED BEFORE CLEARANCE IS GRANTED FIRST INSPECTION ❑ GRANTED ❑ YEARLY FFE $20.00 SECOND INSPECTION CONDITIONAL ❑ FINAL INSPECTION � DENIED ❑ TIME / � L � T INSPECTION � J INSPECTOR REPRESENTATIVE BUSINESS NAME ADDRESS OCCUPANCY GRIDLEY FIRE DEPARTMENT INSPECTION REPORT 40 L� NO. OF BLDG S . Dam 3 -,,/ 3 vo PHONE NO. OF STORIES MANAGER/OWNER ADDRESS ii ra PHONE -0-33t4 EXITING APPROVED FIRE PROTECTION APPROVED YES NO NA YES NO NA 1. EXIT ❑ 0 ❑ 7. FIRE EXTIlVGUESHERS ]a ❑ 2. EXIT SIGNS ❑ ❑ 8. AUTO SPRK. SYSTEM ❑ ❑ 3. EXIT CORRIDORS ❑ ❑ 9. HOOD EXTING. SYSTEM ❑ ❑ 4. AISLE/SEATING ❑ 5. OCCUPANT LOAD SIGN ❑ ❑ ❑ 10. STANDPIPES 11. ALARM SYSTEMS ❑ ❑ ❑ 6. OCCUPANT LOAD ❑ O 12. FIRE ASSEMB/WALLS ❑ ❑ D BUILDING APPROVED SPECIAL CONDITIONS APPROVED YES NO NA YES NO NA 13. ELECTRICAL 20. EMERGENCY LIGHTING ❑ ❑ 14. HEATING EQUIP ❑ D 21. GREASE HOODS &DUCTS ❑ ❑ 15. COOKING EQUIP ❑ ❑ 22. L.P.G. ❑ ❑ 16. DECORATIONS O D 23. COMPRESSED GAS O O 17. OPENINGS 24. CHEMICALS ❑ D VERTICAL ❑ ❑ 25. SIGNS ❑ O HORIZONTAL ❑ ❑ 26. HAZ MAT INSP. ❑ ❑ 18. HOUSEKEEPING z? D ❑ 27. OTHER ❑ ❑ 19. ADDRESS POSTED �, ❑ ❑ REMARKS �2 6LL G �- h— a lonL A�J Ove' /l 10i J w%il/1FGLs� -77wo, L000k, L l�� 0'7 )Oi�'� ✓ C,00V `— .s'7� J 14 6�1?/, 0 A / 12 ALL EXCEPTIONS NOTED ABOVE MUST BE CORRECTED BEFORE CLEARANCE IS GRANTED FIRST INSPECTION y GRANTED O YEARLY FEE $20.00 SECOND INSPECTION FINAL INSPECTION 0. ❑ CONDITIONAL ❑ DENIED ❑ TIME NEXT INS ECTION hv INSPECTOR I— REPRESENTATIVE Office of the State Fire Marshai Fire Safety Correction Notice File No: Name: Address: SF CALIFORNIA STATE FIRE MARSHAL The California Health and Safety Code and the State Fire Marshal's regulations require the following fire safety deficiencies be corrected. k r - ca V SM= TL`i D tom. tJ ,�c T(A 115 t vel I-� i t,�s 6q-- 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 -11 (Rev. 7/86) 89 88751 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field ST TE OF CALIFORNIA FIRE SAFETY INSPECTION REQ1 �_ ►T ST . 850 (REV. 10-94) See instruc,. _as on reverse. VCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM ISS/COMMUNITY CARE LICENSING 30 89-5-5033 11-26-98 _UATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE 205/CALDWELL 045000588 1A CODES 1. ORIGINAL A. FIRE CLEARANCE 'ENSING DEPARTMENT OF SOCIAL SERVICE 2. RENEWAL .LIFECLEAR IGENCY COMMUNITY CARE LICENSING SAFETY kMEAND 520 COHASSET RD., SUITE 6 3. CAPACITY CHANGE DDRESS CHIC 0, CA 95926 4. OWNERSHIP CHANGE 5. ADDRESSCHANGE E 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY ACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 6 6 -ITY NAME ERRY'S GUEST HOME ET ADDRESS (Actual Location) 445 VERMONT STREET RIDLEY, CA 95948 LITY CONTACT PERSON'S NAME AMBLIN, TERRY :IAL CONDITIONS F . FIRE GRIDLEY FD 'HORITY 176 NELSON AVE MEAND OROVILLE, CA 95965 DRESS L CTOR'S NAME (Typed or Printed) ( TELEPHONE NUMBER CTION PATE NSPECTOR'S I ATU E (Typ d r Printed) Z C c A __ __It r ----- --- - IN DENIAL OR LIST SPECIAL CONDI NS CLEARANCE/DET CODE CODES 1. FIRE CLEARANCE GRANTED LICENSE CATEGORY 2. FIRE CLEARANCE DENIED 7 0 RCFE NUMBER OF BUILDINGS 1 B. CONSTRUCTION RESTRAINT NO HOURS 24 D. SPRINKLERS CFIRS NUMBER F . FIRE GRIDLEY FD 'HORITY 176 NELSON AVE MEAND OROVILLE, CA 95965 DRESS L CTOR'S NAME (Typed or Printed) ( TELEPHONE NUMBER CTION PATE NSPECTOR'S I ATU E (Typ d r Printed) Z C c A __ __It r ----- --- - IN DENIAL OR LIST SPECIAL CONDI NS CLEARANCE/DET CODE CODES 1. FIRE CLEARANCE GRANTED . 1'C 3a*�_!— L'.1 -t' 2. FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM D. SPRINKLERS CFIRS NUMBER OCCUPANCY CLASS E. HOUSEKEEPING 3 i S� Z F. SPECIAL HAZARD G. OTHER . 1'C 3a*�_!— L'.1 -t' vmce or the mate ttre marsnai e^N� REGIONAL � FACILITY FILE CHANGE NOTICE El Name Correction/Change ❑Change File Number ❑ Address Collection/Change ❑Facility Discontinued pFFICE� STATE FIRE MA HAL Q Issue file Number ❑ Other t .v' e.'. p � `' ••' ,�. icp��r,�•r.( .f, +F �', .i +t f � i � :i � � +1 1 � .Y �. t��s'�;�F.i ,�i;•�� '�� "�/� 43�• '(' -r � y: j S � �' p�j�` '.� Q !�' Q . 4• t �A�•"•'•j.-1 'Q •'�- � r � -.�. ,!r.K.'Y \.`f' � 1' .�- t -''i � .."I• .i .� i �� X if /' ,.i*. � l � I `t :> '`f�l�!�:T4�'u ti � � � y��•'7�Y��/b�.�..,�:.r?•��`:. r/. t4. �i •aYW' ,�'t '� vr�i� �. ;) � ��'�+ '! rt�. ��,l. -1 t.t �4• �.' :i• � .1.!Q� s, '`t i f"y'<1��'FL:'1. /�;... l _ f is'�o •t �i51' %' '�.'j� •1��.<..,.�� i•e �#: � ��3t-� �� i��?S�t �§r lZ .� 111•sf i1.. �.it%��, i ��.T`•y ! Name: • Address: City: County: y (No. j Name: -- 1 Address: (C� t-<�*j qF� City: - C -L County: _.:____� �-�� (No. j File.No.:..._..� _.._ �. .z —.._ ...._ File No.: L L..L1,t . . Occupancy Class: P y 7-24 SFM FILE -Occupancy C ccu anc lass: Z T-24 SFM FILE Comments: EN -13 (Rev. 7/86)