HomeMy WebLinkAbout022-340-024 CF ArchiveFIRE SAFETY INSPECTION REPORT
Butte County Fire Department
California Department of Forestry and Fire Protection
Orovifle, California 95965 * (530) 538-7888
Business Address. City._ Inspection Date:
Business Name: Business Phone:
Owner/Property Management: AP#:
NO.
CORRECTIONS REQUIRED
NOL
LOCATION REMARKS
CLEAR®
LOCATION
I F7T-Trovide address numbersftking I.D. visible from street
EXITING
2 Remove obstructions at exits, doors, aisles, staff rwdys, etc.
3
Exit door to open without a key or any special kraMed,* effort.
4 Rereir noRperable witd-
5
Remove obstructions. from door mquired to be closed.
61 Remove locle'latches from doors with panic hardware.
7Provide
sign over main wit door - 'This door to remain unlocked during
business hours'-
8
Remove storage from under unprotected stairAW.
9 Providdimaintain exit signiernergency lighting.
FIRE EKTINGUISHERS
10
FIaGe fire wtinguisher(s) serviced and tagged.
RE -INSPECTION DATES
INSPECTOR
11
Providetmount fire extinguisher as indicated.
12
Post a sign indicating fire extinguisher location.
1st
13
Provide dear access to fire actinguisher.
FIRE PROTECTION EQUIPMENT
2nd
14
Maintain, repair, paint inspect, ardor test spiinkler&o*qpe
systemkydranVFDC/PIV.
Refer to FPB
15
Maintain 3 feet minimum clearance for accessluse of fire
appliances/equipment-
District Aftomey
16
Replace damage#aintecl/missing sprinkler heads/FDC caps_
Rrial Clearance
17
Provide 5 -year certification test for sprinWerlslano)ipe s)rstem. I
OccupoicyCiiiiss
❑ Check Pre -Fire Plan for accuracy.
18
1 Provide spare spnnklerheads min- q ardor compatible wrench.
BY ORDER OF THE FIRE CHIEF
19
Hood1duct edinguishing system to be serviced) tagged every 6 mo.
20
Remove grease from hood, duct, and filters. (KEEP CLEAN)
You are hereby notified to correct all violations immediately or show cause
FIRE ALARM SYSTEMS
why you should not be required to do so. A reinspection will be conducted
21
Maintain, repair, inspect, arKVor test fire alarm system.
on Willful failure to comply with this notice is a
misdemeanor. Violations that are not corrected immediately arid/or remain
FIRESEPARATIONS
after the re4nspecfiDn may be processed as a criminal offense. Thank you
22Repair
holes in required fire resistive construction.
for your assistance and cooperation in minimb!hg the fire and fife loss in
23
ProvidPJ it self or automatic closing fire rated assemblies.
�Keep
your community.
24
attic access and scuttle openings closed.
ELECTRICAL
Signature of Recipient
25
Discontinue- use of Wension cords.
26Install
permanent *ring forfxedandstationary appliances.
00wner OManager OEmployee 00the
27
Provide cover plates for all junction boxes.
Inspecting Officer
28
Remove exposed wiring or protect in approved coriduit.
29
Provide a 304nch clear space to and in front of electrical panel.
FPB: Engine Comparry:
30
Maintain wiring in good cordhon and protect from damage.
0, NO VIOLATIONS NOTED THIS DATE
FLAMMABLE LKWIDS - COMPRESSED GASES
THANK YOU FOR BEING ARE SAFE]
31
Provide a flammable liquid storage cabinet or reduce storage to 10 gallons or
Adclitional Comments:
32
less.
Remove all flammable liquids not used for maintenance purposes.
l
33
Store flammable lKpids wrW from exits, stairs, or corridors.
34
Secure compressed gas cylinders.
35
STORAGE * HOUSEKEEFW
storage in an orderly manner to provide accesslegress.
36
Remove combustible storage from water heater and electrical room.
37
Remove storage to 24 inches below ceiling or 18 inches below sprinkler heads.
rlw�l
38
Remove lint/debris from behind washers and dryers.
.
39
40
Remove waste/rubbish mat -rials from the premises.
J(eep 5 feet from
ly
41
clumpsters away combustible walls, eaves, or Wings.
_MWELILANEOUS..
Other wolabons ardor comments,
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77 c/
TATE OF CALIFORNIA
IRE SAFETY INSPECTION REQUEST
TD. 850 (REV. 10-94) See instructions on reverse.
GENCY CONTACT'S NAME TELEPHONE NUMBER REQUEST DATE I PROGRAM
CDSS/COMMUNITY CARE LICENSING 530 895-5033 8/8/08 ;CCL
VALUATORS NAME I REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
0101/MARGIE WHITAKER 1 045405512 1 A
CODES
�- 1. ORIGINAL A. FIRE CLEARANCE
LICENSING f DEPARTMENT OF SOCIAL SERVICES ` 2. RENEWAL B. LIFE SAFETY
AGENCY COMMUNITY CARE LICENSSING
NAME AND 520 COHASSET ROAD, SUITE 170 3. CAPACITY CHANGE
ADDRESS CHICO, CA 95926 4. OWNERSHIP CHANGE
5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY CAPACITY I PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
0
14
CILITY NAME LICENSE CATEGORY �� - � � � - � _____.•....__.. _ _ - _
KHAN/SPRINGER FAMILY CHILD CARE HOME
810
.......... ... _... .... .____.__...... ....... _.._.....
A DRESS (ActualLocation) NUMBER OF BUILDINGS
22 JUSTESON RD.
_....... .
C TY .... _.._......
RESTRAINT
RIDLEY NO
F CILITY CONTACT PERSON'S NAME HOURS
ILL KHAN OR JOANNE SPRINGER (530) 870-7340 DAYS
S ECTAL CONDITIONS
TO BE COMPLETED BY INSPECTING- AUTHORITY
CLEARANCE , DE'N . L CODE
CODES
FIRE BUTTE COUNTY FIRE DEPT.
AUTHORITY
�. IRE CLEARANCE GRANTEDY
176 NELSON AVE.
AME AND OROVILLE, CA 95965-3425
2. FIRE CLEARANCE DENIED
ADDRESS
A. EXITS
B. CONSTRUCTION
C. FIRE ALARM
IN SPECTOR'S NAME (Typed orPrinled)- Y
r--�
TELEPHONE NUMBER
CFIRS NUMBER OCCUPANCY CLASS
D. SPRINKLERS
'
V l� Feu) LkFf,
)%�
E. HOUSEKEEPING
F. SPECIAL HAZARD
INP TION D TE
INSPECTOR'S SIGNATURE(Typ d)
G. OTHER
PLAIN ENTAL 01i LIST SPECIAL
CONDITIONS
-------------------_._...__� .___