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HomeMy WebLinkAbout028-240-005 CF Archive (2),O Office of the State Fire Marshal Fire Safety Correction Notice c� — o✓ 1 — �',X File No: — — — — — _ 0001- Name: �CQfC (JV 01V eLAI IOVT_�k Address: SF -4� I 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. CCK' I—Iq 9./4 �4/9g-,P,4/6 /nf Cc c_O-s-S H00 -s _ /C� // . ��� T=�� J, `c� r_�. 5 ! �.� ►TI �'1 FJ ! N l�G �� f,/ S — OC C c.4 C.�t�->5�..tJ � (_�►,J �� I �� 'ti - /�I � U/C.. �,���. ��1�.uG`� I Cc hC WIT -4 °{° LG- The above deficiencies are to be corrected withindays. When ALL deficiencies have been corrected, sign and return the cer dation on thv opposite side of this form. If you have any questions, contact the Office of the State Fire Marshal at( "�) ISSUED 'BBYY((D.eputy State Fire Marshal) RECEIVED �tBY DATE EN -11 (Rev. 7/86) 89 88751 DISTRIBUTION: GREEN—Facility % — eRion YELLOW—Field k), look Office of the State Fire Marshal Fire Safety Correction Notice File No: — — - — — C'51 ` Name: Address: C SF I I CALIFORNIA STATE FIRE MARSHAL The California Health and Safety Code and the State Fire Marshal's regulations require the following firesafety deficiencies be corrected. } I� i ti) !c soCCu!% wtF P.In VIA S / �? t1 r= (.J �cJ t ` CT�� ©i�-=-7' JS Ut!J� �X E`r) p _ ./4 'r C) Pt�r.j 10 ! �- E 7 =--moi I CAC 106 - The above deficiencies are to be correctedwithin " 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 e , ISSUED BY (Deputy State Fire M,*Shal) RECEIVED BY % - DATE ot EN -11 (Rev. 7/86) / 89 88751 DISTRIBUTION: GREEN—Facility _. 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TO: FROM: SUBJECT :� `" Y L• -r , NO. 695 P.1/1 pele Wdeon, (iowunor fgEn INNyr4 rAI4 . AePMo MTE M9*W onjd.AWn qa 1 IMCT. WM 7K W -o", u "1" lHOo[ 11/1J.041.1T c W 111113-4511 Total pages, including the transmittal Please notify ! �' immgdiately if any pages are at m:i. s s ing . l Lt of die- :Y& ` - a'" FOR yOUR RECORDS, THE OFFICE OF REGULATION SERVICES TELEFAX NUMBER IS (916) 323-5589 ATSS 8-473-5589 THOMSON'& HENDRICKS ARCHITECTS AND PLANNERS PAUL M. HENDRICKS, ARCHITECT 60 DECLARATION DRIVE, SUITE A • CHICO, CALIFORNIA 95973 • (916) 342-5669 •FAX (916) 342-7582 • E-MAIL tandh@maxinet.com October 16, 1997 Mr. Jonathan Dowell Division of the State Architect Office. of Regulation Services Fire and Life Safety 1300 "I" Street; Suite 700 Sacramento, CA 95814 RE: Code Analysis of the Bangor Elementary School for the Bangor Union Elementary School District Bangor, Butte County, California . Project No. 9776 No DSA Number Dear Jon, One of DSA's field engineers visited Bangor Elementary School and observed a possible code conflict with regard to the location of the storage building and relocatable classrooms shown clouded. It is our understanding that old furniture is stored there. Because its area at + 500 s.f is less than 25% of the total area of the buildings, can we consider it "E" occupancy? The total area would be within the basic allowable 9,100 s. f., not counting any permissible area increases. Because this is an existing situation, we hope for a workable interpretation of the Code. Please call me as soon as you can to discuss the District's options. Sincerely, ZeTag,AIA hite Thomson and Hendricks, Inc. Architects and Planners JT/rlt octl6jtr.doc Enc: 0 °SEAQ 24x40, �� P5 '00�r q44+ (E)2E�0 PG M�.#5�►444 (Fa 4TO;z• $LLYii. (�R�w PPS 49 Loll (Nowok AFTER) woa�.'h auh 1�A�21[dh1G �'C> A 517 (3 WN -L;4 aPpD. APFL A %-1 9D is I NILI Ilk I OIL it e� L veor. ZA ArL. "&Z& (e.) Fzew - F1 AProl., - # 5 7M 14 W �.� fit.• ��t � � C�) Gove�P wA.ucwAY AMA VMCop t„ � �tE) ►,nn�u tet• 5 W �TGN �dA�O OR oft one mgm I% Tti (eP A=e.4&. /0'� Office of the State Fire Marshal Fire Safety Correction Notice File No: -IJ Name: 0C, Address: C, 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. 6A c5lij -� L Sit �a-I t-3 S 10�= v -VI\ o -I-( us 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 Mjr,hal) RECEIVED B I Y DATE EN -11 (Rev. 7/86) 89 887 �1 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field STkTE OF CALIFORNIA -RESOURCES AGENCY C LIFORNIA DEPARTMENT OF .75 F RESTRY AND FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL INSPECTION REPORT F le No. 52-04-21-0001-000-555-9 Name of Facility: Bangor Elementary School Name of Building: Address: P.O. Box 340 Bangor, California 95914 scussed with: Title: �companied by: Title: An inspection was conducted at the above facility on this date. Deficiencies noted were addressed on an EN 11. F re Clearance Granted Yes No X Deputy State Fire Marshal Jack Pirisky_ FA X (916) 262-1962 1C iiefs Network - SFMCA PETE WILSON, Governor caUfORN/q EN Of Fon p�aneF RE PROT Chi �Ay (916) 262-1963 CALNET 8-469-1963 C ' D ii F Staff T -Date 10197 Date of Inspection W -JA : • . C ce of the State Fire Marshal INSPECTION REPORT of facility: of Building: 0 (2:)o1�-4- iscussed with 1 itle. ccompanied by. T itle: (Z le -1 1 tin` 1 G -6 (Rev, 7/06) FIRE CLEARANCE GRAN EO '_, . ;1. T -DATE STATUS J STATE FIE IAL DATE OF INS ECTION 1 G -6 (Rev, 7/06) PaAe of File No.: . 9 2----04 =._21— /11�-' /0"'N" C..ice of the State Fire Marshal INSPECTION REPORT 0001 _ 000. _555 a _ Name of Facility: BANGOR ELEMENTARY SCHOOL Name of Building: ress: p0 Rnx 340- pfFKf STATE FIRE MAR Ilnl ,' f.'s').+ -'f j,1 i:,.4 V' .i`rcA l) .t .•�. ;'j♦;'��L.!%1} ,.� )•.r r).:tw�..I =.r<.'\!cr�t/� f 1l'i.'t< <� r ).i .. �<. .r +; i• -.__ •- ..J' �, i+r �-7 { ,'4 :•i51^ :•l i.T. L.•, ..�',� :1.. •� r, t':`� • .. :.' •.r ,o': (. . - .. t<y ... •./L .tr.;s :i" t � tt.t•r:t..F; �'7 '�•a ry <«t''t`� J .L.. t'-`Cj. . �.�'• r'�' �% C r,j+ J. t -i `'';. .,. ... r , 1 .t,.)_i�1 <. �' � lt.,.�. �i:i •'i•♦ t. ij17 �r ! .Yi 3.. 1" •.� 1'�,'J",• t(gy � ,t, r, t 7. Y�: .: >t rl'r .��: � s•r:. 1N �, �aL�.r •3' ,�, rI) r♦. t:, ,..t: f ,r• t .�,. �. .� �.' • - .'r, `l. t .�' .i .rL•.:i S' .4. ! 'r •_ •.k. l ,. �' a% ill. �•1 .� �r 1 • 'f� tt t•��. .y.% 't:� yl ::y •:�+ .�k*, '3. ii'�. •-•4 •t }{ f + '� 'F t". � C } 7. , j• ,, :�i. r') ,1411. .� �.i .I. ��•'•'�•�• .�k %}• 1.••, r.. •♦ �.�):5.. l )' .t 1� - � .J.. ;L I �. t 7 +' <<,,,..�i 4�•('/ It. 4 J• <•v �i1 a � 1 �j t t iscussed with y '• r s , r. , •. t' , . f ,�.. ' P 1 T '+{.. yr •,' .; .fit.;. ..;i 1. :r°; ,:'. V. �,' •'•. „'t 1:( �'J', '!.• +,7A :.1' ., .:s. .. i', f1, ::-• �{'•j 6k t ,;� f:. i' •iw. %•�3 . 'w <:+7 • i • i•. 7-:� < �. f :Y.' r .'..i , i'� * . 's.:'.. :4. i <• j �� ..tt, .. 1 �^r .a..i +L%' :iG. .,Y., .i <, •pt •r ...t ,Y .. ,r ��'., a ;l. �•y •f. A Vii' •i 4• ! :t' t71. �•�r;... ., •t•y. c . j t • !•i Il )1 1� ,i :f..'�tt �l ei '14 'l�;-_ �j�gF•{,• •L.. }:",t' ?' .� ',. �' � • ,'. .) .,:J r7• r �i I: :1.a.1.. i t'• •:ityy �� •:.., t'••• ':13S+,t.., j91_tY :s,% .-t .�,rf:i"..,' r' 1 :�t:p. • �• t`i.� n, .et rK.,.L t j.•� l'„1. S �Yal •,�•• '•</i.. •(••+%.iN r -�t�'I •••• ''�.. w.; `•'•s. i.Y` JS.t' Y?''' •.)•••-S r` '•>•i'i :f... .. t' :,•.�t:•;( iR. i< ,f�lp st-�t:�.•.; •f,; .�,:3 � ;Y. ccom anrned by. �.•: ;: ,.: Ti QA�r... 1 '.r J•1y )) t' ♦)• r:. •• tlib- + :i 7 J�, •,, r -a. �:'# ...r �!fj • yY. j.. •,'-:'S�4' tt'� •L• .r f: t "1•t� .5.�• :L :ti• .a„ .• 1 ,.1 'r: � {'. t.... ';:�' r r .? 'j.,I. •1 i,,�e:L- Y l4�' w':�' •r.q•s :#, .l•^ 7'.,�`•t.:.� � � �'l C •'! �S 1• -ti. �1 • 'l. •. . .. �,: � •-r -• ' �:<-. at it ..i t ,1 _ / ,,. '♦: : :, .... facility. A single deficiency was corrected during the inspection. The facility maintains a reasonable degree of fire and life -safety. Fire clearance is granted for one Year. ME CLEARANCE GRANTED T -DATE I IC i yyg1� ,1 Y ♦ A VJ ,• ~ 1 k, t y YJ.'?t'� Si. t•.J .ST/1T Y '. ,': . � �1•i +j'Z L •i� f . i Wi :if' 'i. �l i•.-. 1 't,� st't y ` "4 •�t •�. �'''4 • • r! wJ"' { `) i . , - .. YES,.; .P {�.'_' ;t�< a- 950 �' • .; �s, ; .. f- . �•`.' •� '.� .,`_I�., „, ti♦,'! . = ' :1') '. d.r7 : � yi' t.-< f� iQt. �� `:�•) .�(v',�� z ���fff_•),,.Y. :<�h,-:i:., :y+,♦'u +•i t+ ' < i:.?aj�2 :_e.r•. �» 7 (',1aYi. ,j'��..,1 . . ••�y•�ii,}d.:�:tiPPjyr'.:;�...t•sy:• : tir�,(;. r: r L • .li; r �,,; •.� :L:.�� ' .:aZ` ti J v.:(••,i.', ;:, o..� •1.�,:.:-+. ��.:•,.. ♦ �..�F;T.• r . r':e•(i:^`'� DATE'�o (f'� INSPECTION STATE f RE MARSlAVfi 1Nx0.0TER - 6 (Rev. 7/86) Mice of the State Fire Marsha. INSPECTION REPORT ne of Facility: of Building: a Cl s-,�-i ( Discussed with: Title: Accompanied by: Title: L% "t'( C K) C- CS FIRE CLEARANCE GRANTED T -BATE STATUS DERr STATE FIRE RSHAL DATE OF INSPE TION r . GO -6 (Rev. 7/86) bye of - . �;' :.�:. �ti'Y" - ' �r..`�,... . „ S y. .�, �I.i'r:-� . .. -y ��I...�'.1T�'�%V�„-y,..rit��'fk3??�.�id=YA`..Q{'�YFYi�'!,'.i�ikQW'• �"�' �y "Tb.'ir[i�"Fx r' -`p_ Uince of the State Fire Marshal INSPECTION REPORT FilP No.:..t5 4 Name of Facility: �� •� N me of Building: Address:��- ,- .. - .. ;t: .''...o —S, ,fir �� -:N •� .r':s' ,.; H. ,K•• �7 .t, � rt/ ie:•.1. `' i!"0- •�� �C: t•. '+S. >>i'. 3� t.�?�;';,',,,-' �. -t ij.'r� +..i'. �.�� •� +. ..t .12`t.. +,� `:,� � iY'�• ..+.<.i�•`� _.�-«::.r�k. .J�. };7'•�.A..•% .A• !•. .0."'.'• iti�. �e�',=�;rf �j..L,�%f. +. .w• ',,.. 1 �.. 'rA,t 1' a r, r '.f •..♦ �'e^� }����. , ,■r1vr �t•-.� .iy'� "•Nr�t. i:��r � ' j-•1�� ,�.. .� �,Z ��' -.1 ..��!����•{y �I"•Jt ��`SM' r �'.�'. ;e �' Nsrti,. �t :�,•' is ,fS. •,� o�i,�. . t�T }��' ' � i� s• � .� r '�`A � •�i ( � :�•• S .).. 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'' :T•0�1TE `` r.;�� ;. ' i ��•': r�'� v. !�� 1ii �).. :I ,..2%. �f .,Ry A?t }i •l LS. �� Ft'•, is ,i' - • :�{'�' �♦.,'�. i •*: � '(: �; :tA. �'1'� .s t .< � 5,� ••,:•., 'f� T'� ��Y:' STATUS w t ,' . y• �_l ..tt ,�. .1t Er .t _� �' � iii, � �l•- f :'rr't;�.'��`'D,- i .t✓•• �:. �• 4 L i .. —. H ��� t� ...1. �. w•"'��: (, ?. ,.• :C`t. �.:0..- y'. • f. �%.�.y- ..(� �T.+-fr•(.V .�4Y,•'' r+`, ♦ .. - . STATE FitE ',^r .., ;t,;. ±.f #�'� :, ' .:,1y� :: - �t %::,� ; '�, •.�__DATE • • " � ,•c � ` *j,_r •'. ' ` �. � � = i"i.=. � ?%•,.? :kl� � �' i ii•�jT+r•,f ^ v`f. :�� i; �. ..-.7t- . L: � � "' �. 'i qF �- �. � - • �,,.. .�• .�: - �� { �.> " "r �` tq. t!:':T` -tK..� 1� y ;:.tib.. `S r .�+ t; a „ i= •<f w . �� ., .. •. !•-. t•.aay • ;r '+w�el `l.r. 'r DA • r- � r'. .. 1, -•, a t .fs.: � i t x'E, � - `i�, v t. 7 .'tt ��l � . : � iiy.. J r 'a -•S a1� � r' t. '�::" �- :i vi +f ,, )' :f r '. 6 (Rev. 7/86) ZD A•1'; UV UAL I FORN IA alifornia State Fire Marsha orthern_Region _ 4433 Florin Road, Suite 40L Sacramento, CA 95823 ( 916) 262_1963 OFFICE OF THE STATE ARCHITECT lxoq�_ _400 P Street, 5th Floor Sacramento, CA 95814 (916) 445- 0598 ATE MEMO TO REGIONAL SUPERVISORS 3 713 (41'Northern ( ) Coastal ( ) Southern CHOOL DISTRICT COUNTY SCHOOL FILE OCATION APPLICATION NO qrq iq " L/(4 q AMIE AND ADDRESS OF ARCHITECT PHONE NO. �i! b 3qZ- Tt 6 W k-0 ?� is is to advise that plans and specifications have been reviewed by the Sacramento Office of the State Architect, Structural Safety Section. The c 0 n s t r u c t i o n proposed consists of O 99COG4TA A" /.&N,-ot,J 960 So JrT- IF fid# v� cDV� s 1.E-1C� GC.4c.i�' (aLl6i's-f� L S C.q jL Regional Supervisor to transmit above information to the respective local jurisdiction and field personnel. S PLAN CHECKER FIRE DEPARTMENT: P.)CttTlE C _ r-RANcolTl0H 0 i DIS N E �� �/�'I i��.'� � Jolf w ELOCTABL. E I W& TYR Atk Nip LANG= FUT. L 4E) FAC.P. (E) CLOCK & BELL M. 6 3' �. -..� I i 1Z. �-- -.-- --_ ____ p Kj .SA APPL NMO D DRAWING NO. L- -LJ FUT. L 4E) FAC.P. (E) CLOCK & BELL M. 6 3' �. -..� I i 1Z. �-- -.-- --_ ____ 0-M - S--. -.0 N & R H'K- Etf S INC. ARCH ITECTS AN D PLAN N ERS Chl&, tillifomis 95926 • (916) 342-5669 DRAWNSY CHECKED BY WA- E) RELO (E) RELO (E) .SA APPL NMO D DRAWING NO. 57713 -LJ 'OF Jeni 0, -NO-� DATE log 0-M - S--. -.0 N & R H'K- Etf S INC. ARCH ITECTS AN D PLAN N ERS Chl&, tillifomis 95926 • (916) 342-5669 DRAWNSY CHECKED BY WA- E) RELO (E) RELO (E) .SA APPL NMO OSA &OPL. s.a 57713 -LJ 0-M - S--. -.0 N & R H'K- Etf S INC. ARCH ITECTS AN D PLAN N ERS Chl&, tillifomis 95926 • (916) 342-5669 DRAWNSY CHECKED BY WA- • , , ,v. S ' ���:r, •• � If'r . Y - ... f .f •..<< • •/Y�S•. •'?�.�1'��.� x+ -`f 1••M ISI•�rr•�'1{. .,.. �71 �'1..^fTr'•.��'�.'•T•,RiV��.�!F�".w"'A..Hj'�••��.••.��•••C1'•I•,Y \.T1`7rw.. l+•+. +1- -�. r_rs- e of p Utfice of the State Fire Marshal INSPECTION REPORT o ►:!!,' R FuWAW si.;1.11 me of Building: ess: P.O. Box 340 Ben or, CA 95914 •. - '!ti ' 1;, t; A'r '. .•� � :�� j I .•ar e+ '+ .• /... >'- j•tr+ ,t... I• ► ' t •ri l' %.r . 1 .r�.ya .: f ••r ;{,, • ••t'' v�.tt ... �:. e f +✓l� •�.. t• y;r'li� .,*F•s��. •%, ;• �, I _'•��1=1:r •�.�h7't •tL .��, . 1 �,;[�•.•j•:r.�' �'�1' .i i ►: �1 y'.J. ,�•r`.. I`� •r .1�♦•,`y� •�� •r��'{L�t+. }_ rt .f+•. �ir`Y' ,}, •. �.•li r�r ���li �t1 I:.1•n ',••t•Z••� '� .T'� 1�1 ••�Ir` ti�•� t + [ ►� '!'rifle: 4 •1 /' $ fir. t .. t' �1; t. i• �. .: . Oiscussed with. '�iEt _ �. I r ! �; �'�,�'�•'f: :i rt• 1 *jjjs.. r *1.r00", old !F .fit I�rrttti t tV' t :�,� r•�i: I . I' ,il , �� r • ti �• r t. •) "� ���'•:..��7•,� �•. t if ^.��•• tty,', `�Y�/�, .,�,`.Srt,fCrt" r•1.' ti .��l.j�'...gt..•�•tri•.1.•i ..� ,.1�.' ��. �• t�• j�. 't•�• �/ K , .•,{.l 1 + }x•.1 i.� \' J,- •�'�i ! ' �•'� l' ri �y}�)•t� ,ti%. 1�•1'•• � �. . + ��• • � � .. �, '!yrlr �r� 1 .,t-.. � Y::�°�' K. �:r. Lj.� i•.+�, '•rte'``. Y.-•,. +r: .. •�: .. •� + .i �'..i .r�l•!��`.���,`1 "♦r��r'i rRr 7. �r•.� Accompanied by: -L-aM j � }• , r ;t1• •-.� r•,w :•^,�'-. 1 }'r� �.. ' i.l •, •r,.; '1• f�7 'c� .i�1;.1 .,1 ,.1 .'•4 -• •. • � I•. An annual -inspmtion and fire &-!U was conducted at the above f ' ty. No deficiencies were noted. the' ' t maintains a reasonable Oegree of fire and i fe safety. Fire clearance is granted Ey- for one vmro FK GRANTED CLEARANCE GRANT� :' .' � •r •1.' �• �... f •'r r.�r: .. ' MATE z' _ , 1 . • .;, # t 1: STATUSYES ! . ' ' r •. Ir � t � /� M. i• Y �- lT r�/• ,+ •I •'r H, � J r�•''r••�1r �/, .�• %MM r�y' �- •�r• '• j• .•Ir! ��• r \ •..; '.• 1 • • � � � � t . ••� �L'i2y. � j T t';•� �� t ,;,* w, �.. '!�.'C• i +r f: t �!". =.1 !t '• t•'•.i• �s l •'�Y�; • t% :rr� . � •�j . � �. 1-9-909.. tM� i STA„ FRE MAWW ..r r r .�, i I.ii I�wi .� N .. �1•t • ...t.•• .i' Wv ,. . ' .. 1• ••1 1 1 r +ti r "�•••9.;}1., �♦ K�r• �'l+•• IS`♦rr • •,��.►•' •f� e�.\. .r t.• •\'_1 tt�• �. 1• 4y�t .i.♦ •r .. ��. .fir• n DA12 OF r r f • •. / • •r •,, �,.• 1�' •iY.'I"; :1 N, '��!i �1�" .{''�5�.. ':1 f,'{:. t'�t�'i�+�5.�•"L „Xr►.. w.i'1 .•.:,�. �'•.311�•i' �.����Q!': j rt'}t' (. r /it. �I h �i:••�•j��` :r. �.. .•r•r •, . aAM : A ' . ., r 3 Sent:. 92 r { GO -6 fRev. 7/%) Page—of— File age of File No.:. -52_-1 --7--2-1 0001 -000 Name of Facility: BANGOR UN] Name of Building: ,-A Office of the State Fire Marshal INSPECTION REPORT -035 - 1 ELEMENTARY SCHOOL Address: P.O. Box 340 Bangor. CA 95914 Discussed with: Accompanied by: Larry M .Wi 11; am, Title: -Er-incipal Darrel Garriott Title: Maintenance AN ANNUAL INSPECTION AND FIRE DRILL WAS CONDUCTED AT THE ABOVE FACILITY. ALL NEW PORTABLE CLASSROOMS ARE INTERCONNECTED TO THE MAIN FIRE ALARM SYSTEM. NO DEFICIENICES WERE NOTED. FIRE CLEARANCE IS GRANTED FOR ONE YEAR. FRE CLEARANCE GRANTED T -DATE STATUS YES I-9110 DEPUTY STATE FRE MARSHAL. DATE OF INSPECTION 12 Oct 90 GO -6 (Rev. 7/86) Office of the State Fire Mar. :I Fire Safety Correction Notice File No: — - - — Name: Address: The California" Health and Safety Code and the State Fire Marshal's regulations require the following fire safety deficiencies be corrected. 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 -71 (Rev. 7/86) 86 96708 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field �� /-. t i ' r' t � ! _.,.Y:_ 1 �� i -- � -- — -- — — � —\l ., -.--— _. 9 `, age -of office of the State Fire Marsh w,' REINSPECTION REPORT File No.: 0001 _ 000 _ 035 _ 1 Name of Facility: Bangor TTni ou F1 araentary School Name of Building: Address: P.O. Box 340 Bangor, Ca. 95914 , r- 74, . ,fr5Sednh : Title :+, • hi/- • Tttl. <, .. n. 4 -:4 .a 5 .' ... .c.. ........ n. t, ,.. ,.. .:. ..... !�t r. ... .... - . . .. ... ..7\ L.. '..<. < ... v... :}... R. .. .. ..: :: ....... ,. .. .. �, �' Yr.. C N. ,(( < a .).: >Y t 4♦ . < > •tu . R > , . - ��Slt M��:,��a: .. ��1ti - a .v .. _�. . .. .. - :. -. .. ... ... .. :.. Y. ... w t. . .. .. .. ... .., .u,y -. > .... ...5- .. .> .♦ -. -:!' .. .�.':,I.,., v}YJ..•. ...raxl.l ,_ -. 1. ..1�.. :f.0 .<>.,.•.�.. ... e........�. Fire Safety Deficiencies Numbered 1, 2, and 3 Fire Safety Correction Notice (EN -11) 1"U" dated 30 Sept. fib have been corrected. noted on the Letter 1:1 Uncorrected Deficiencies Numbered 0 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: A rE - !ction was conducted at the- aholza fnri1jtY7 140- -M-03.4 deficiencies were noted. The facility maintains a reasonable degree of fire and life safety. , c• !K 'I"} S I �r �, GO �. 1. •< 1 .C, > , .._ r._. ,.. .. ra �: •r T .s t. t:. S SY A. ^T T 71,fS-v 1 .e . E c R' e• 7. ^R• .c' • r t, r �t S S` F•. t �Yx > c > , .y : ei F is .<f �I 14: KV- GO - 5 (Rev. 7/86) N QQ II IICI F 1 LE N0* nonB c�o� nn� II REINSPECTION REPORT OFFICE OF STATE FIRE MARSHAL ime of Facility ugjejovt uiotoAj d d re s s po, aow 3 �LO M06,09-- f ondi ti ons Discussed With cl 6,grL u Title P�.� �C _ &0A� SU �' � � �-- ccompan�• ed By ����� nspe cti on This Date Discloses That Fire Safety Correction ated ,� w �1 -- Have Been Complied With. � �� Fire Safety Corrections Fire Safety Corrections Were Discussed With and Disposition Will Be As Follows: F1 jC �.� c r6 144 s--� 42 Reinspection Indicates That Issued. See Reverse Side for GO -5 (3/70) REV 5/81 New Fire Safety Corrections Should Be omments an New Fire safety Corrections. vepury Comments and New Conditions: New Fire Safety Corrections: STATE FIRE MARSHAL AIRE SAFETY CORRECTION N0TitE NAW ADN -In accordance with the _ minis .num standards --off Witte l9= Ca�iornia Adrninistratve 'ode, the - f ollown correetons ons. - are required; _ -AV - = re ic _ 'k titJoAge 1aAsr iff v � kS te�6 0' 6 M40S T /rt E P 11 6A 1, Ac m- ju.) co &L j 3.3 0 1 C) Tj rl 9 19 CAAVJ, A OM 10 Cto The .aboue deficiencies are to be corrected �.witb .n - � da s. Upon com le ori lease sign and p t g return, the certification on the: o�pos ate side of this_ f o._r . I f you ha�� ani q:�estzans, co�ttaEt the State Fire _ tVlarslial's f f ice --at (- ) �- , 156VED - BY (DEPU- TY STATE--- FIRE MARSHAL) - _ - _ .. - - - RECEIVED BY _ t: F `-�' a e• a / - d' s~Y� - R � i � ��� - DATE VAe 4 Ola' 7 4! - - - Til to f .t) :.RSC t HOT Es='FACILITY .- _ - - _ - C 9 ��lVv- -R - - - _ - _ -. .. - e8►'7+D'1 X58.3-.904_ a" x - � STs-av-..X � ..' ..r''3' Cr '� �-•.; 'S ...--'i'• _.J-. 1 .. `,M �_ t _ �� _ `+ - _ _ - _ fir_ ' _ - _-�-�"�-�{{��-- ..,,•-.aero - �"y--•e....;:°y�'rCSS�na�S�,�S ' ? Tai •„71 • �s � S� ik jib 6R' `N 4. _ k - T.. �, ..y ♦ ,ate '.fir g hkL� T� x `may 4ir Ml * ��'St :" r.."' � � - r• _ r,.t -sem ti`. #.s � ' • � _ a ..f'¢ � �„� +� ?�_''r = �.aE.- 7� - "`"F -�'a �y�. ch.- y - _ �=. _ vs .TTr 1 :✓`� r i - _ s.;t • '•y< f ..."�L - AA "_�' r ►L� _ �,,, x + {' .fir'" -�.-_ Y'� ,vim � _ -i _ x : r�': `�` �. t it ati�� - _ - •"�`' 7" `4' �: �` ,_, - '� K �' - _ r� •�' Act "�'� �� '� - 7 7v =iw 04- io"Lc �.�...w:.5.�.�-_ � _ �..� _ �-.,_.v ' a .tea -••.w S All 41. Sir - I W45 } �-'� _ MTM. -� .1 ,�` L- } ^-� �' -1 g;r-{. •.� � �a'• __ - .: ;. '- '.� � � ' �•� �.� + .��• . �,�e--� �,: � �_.ti" - '�',Sf - y ��.�.r �-�,�. ,._ � ?�,� s5ra`�:9e''Rrv' .: .t•- ,Eu �a ` - 1, 9' cos' .L NIR -�J. ,j�r�•,y. �j.. ,; � � _':y�j`�.. _ -.Y K ��, � e1, —.a.-.-_ s_.__. .= ys.'V .�•.''t-� s----".---� a �;�.�"f•- - - ice. t - r r:.-- ''c„ s„-wv: ,� - ��+ �_ :fit '��` �- yo -',i ,�,� �p£.�C•--f �_.. _ � �~ '�-i •�� •�"� tet'.. ;. - -. N °crL s '-:' y z- 'tel _a �•4s:'o 'czt -c. _ ;,>.c �.�4a;�. '''�.as�.b: r_�^`;�r"' t�'�#��x �, _ 1 G�P,R pax � r ROUTE TO: (1) SUPERVISOR RECORDS CONTROL CLERICAL DEPUTY initials 0 L D STATE FIRE MARSHAL REGIONAL FACILITY CHANGE NOTICE (2) DATE: /£) -J / -F (3) NAME CORRECTION/CHANGE (4)( ADDRESS CORRECTION CHANGE (5) 1~i OCCUPANCY CORRECTION/CHANGE (6) El INSPECTION AUTHORITY CORRECTION/CHANGE (7) FACILITY DISCONTINUED (d) ISSUE OR CHANGE IN FILE NUMBER (9) OTHER____ _ (10) NAME: iSAA)60v, KVvfwrex..r•a-y 5 c r -w> '- A-�,FRESS: PC, oo)e 12 (",#gv60ve � 9sy/y COUNTY: (3ufi (No. C� ) Fil-E IDENTIFICATION NO. 2Q 0 0 51Q Q�9El [IaCE aaa a N E W NAME: ADDRESS: IA,(), i;Dar 3qD COUNTY: ;,4r" FILE IDENTIFICATION NO. -Ell] 011 011 5,4a4F 0000 000 01111 11 ---- (12) OCCUPANCY CLASS: - 4E /-2/_ OCCUPANCY CLASS: code proc. I code proc. INSPECTION AUTHORITY .3i LOC. FACILITY -LOC. INSPECTION (0)' i14 LOC. FAC I L I TY-SFM INSPECTION (1 ) (15) SFM FACILITY (0) INSPECTION AUTHORITY LOC. FACILITY -LOC. INSPECTION (0) LOC. FACILITY-SFM INSPECTION (1) y SFM FACILITY (0) (16) COINVENTS: Ch4ar crib' DST occ,cd. a(-N,c <v��w,n,/✓t e�,�cy (1 7) OP. I r I NATO! r.—a3(T) (12/80) .. OFFICE OF THE STATE FIRE MARSHAL INSPECTION LOG Title f-1 I -'t t -t C-1 �-1 El . F ! i e LJ -FLI El El 110 0 D Address d n o 1 Dates a o 3 3 vga o Owner 4' 12 v� nI "-T 14 4- 94 py"did"is 'C `� Jiv S dc � T `Y .... cl(�J� ociAC AURSH44 Gun Co, Ft" O*Tpr 1p - �� � a� � ?-- � pan � � l ���"' � • GO -6 (Rove a 5181) _ • `-Fr BUILDMG SURVEY REPORT Date: � �rX11 �Milli+..1^II II �1► STAn AL File No: cf Faci 1 i ty : G o rz �v . ewo �$' Mote. r,-nYr; Telephone X40. t 9/6 �...��� .... ' t' of Building CA oc lF DESCRTPT*"OjNj Clan. occupancy Class L-1Use ��L G� ,� Capaci t , " s Construction T%yer V- tvo - TWO Year- Buiat y dotal fc,/�to Largest F loot /yam Basnt 1`Io• Higb Rise Yes 110 X 3 j•• v Area s F 1. • S r • Stories _:. _.. _ . _ _ja,. Exterior Wali , Constructionz zi 44 S71447.r . On ening Protection S 6. Interior Mall Ccns truct i on ( YP 0(3saoe to Z6 y ,& Ma 7. Floor - = ---- Construction )-tomkv ~L4c t r? r - 89 Roof Construction A-A t d +. 9 • _�.tic { Draft S tis � o. +d �l., r � s �`- s i�r. ~ 10 a Dcc. Sep. Wall Construct ion CMZ`' u si coo - s b. Lei en1ng j - PLotect i on No. 11a. yea Sep. V all ' Construction u . •r:aninC} P r o t e c _ion - No,, 1 �=':O: e Barr ier -_ Construct ion s A-E L41 _. O ;Den dng Pro teL - -- - - - ._or TV all "0 w./'� P • VY.An C.;orr i dor Cei 1; ng Cons �zuct? o, Protect ion AAA 153-. SeLfts T,=oer/i` �. i a 0j )=._ ing - Protection PA t 1. G -a Gsue b. Cil` n i F Sa NT r t .wSzp n Rar'nS i.<G. DRIPIT 1G.I , . _, f F T ^lass iCc-,-ridoA-Exit Encl' &A rnr w ,.r..w�rws..rw ■nrn�r ,rnAgw wwb�w.,�rr■a.AA, n■q,�.w• US To 7 • J 4 � Fr ��� I 1 � \�r■�i/ ■rr�� rr1 wr■�■ r� rrrAr.�.•.�rr�,..r.„�. -,;t Hardaare t S i gns/ .on. b E��rgency ! M t nq �o Sprink� Co Fera+ r. A t p , PeS C]A ass/r o a i io :3 s ire- Ala -::_ .... _ o M ung TypeI -el Vent s Z79 El ectricai- _ 'r-l-stallation • T 2 -7 ' i. J 7 ► ;L...%rL+.iir1 _ -eas XAUAC � n ! rI ..� A �.r .�► i v. L f _ L i 90 rA •� • y --.�M r • Da te s -- 0 BUILDING SURVEY REPORT - Date: .. STA F31 AL File No. .. ..• - ":-Tame of Face, l i ty : 3 Yo 51Telephone '1 o. 9j of Building:- nffAZ DESCRIPTION Carm 1M Gcz cm pansy Class Use � �, Capacity 2. Construction _ I _ _ Year- Built. 3. t krea (Sq. Ft-- 4,w 4. Stories 5 . Exterior Wall. Construction = . Opening :x rotection Protection- 6. . Inferior Wall Construction . Floor Construction Roof Construction- Cl o Attic Draft Stcps �j L a a Oicc •�Wall Sep all Construction } b. 0,pening Protection Fl-'- a. A. Sep. TV;all Construction h o G=psn .ng Protection 12a. Seo --e 'Barrzer re all Constriction bo Opening Pi tecticn I? o C'- L r i �.�.� •gal 1 s_rs :c pion P�o-`�ection 4a Co ridor Cei ling. Ccnstru-c, mon s �- i •...1 i ^ y ^^ i�}} ..1.n g \.% y P.r. o t e 4 of n __- 15a. S llafts } i +b. C en i n g t Protection G 4 (env, 5/84) Total Largest Floor Basemnt X 17o S. High Rise Yes No � No s ,y u L No. D *RIDTTCN ESC. Carm.n. J -6a. Stair Enclosu,...'-p ba nin 9 Prat-ection &A 7 St-airSl No. Finish Class P, 0 c,.,- n Corrid-O Exit Encl NO, To -t -al Wid-tLSI. F -d is 21, Exit Harddare k1go.�O-a cc AvTJ x i ift S i C. 3 T IJU-)—i nation - b Et ar gtaincy L igh It i nq-T 23. Au to S pi i-,Lik Coli = Z-= OL tandr.) :Lpas Class/Location- 2-, 5 -,F i,., e- Ala=.-. n ov eraje jOu C T tel 0-14 ype �Zca Etu A Ve- n 2 --6 ..-.-at*Ig -'%.' 1 27o Electrical. --l. I n s t a la pion 6(djecg tzrza S- si age/ P..J6,al t f 0 -r M -L C:44:z a r d cou:- L 7,7! C! &!2Oe-TW r Da t -- e: . ` 1, occupan • 1R BU I LD I NG SURVEY P �o RT . V_ Year Built. Total 6o Laz st Floor 2660 Basement.- No. High Rise Yes No. )<10 . Ft. 3, Area (S ) Stories - .5a. Exterior 'Tall Construction Date: v r �� x Stu AL Protection.,. File N o : .. ,I.nterior Vla1? of Facility: 6,4v4 OOL U 10 c c, - 04 s (Ao0� AMx roc pea 00 4j = ---- _ 14'T-� Telegnone N"; o. 9/6 6711—,2YJ ,.4a_a.1 of Building: CLASS 9.0004 Aldi 1 *4 C. ftOV K)4 W000 M 41 j*06/WV04 IZA (C( C4as - �..tt3C Draft Sto""40S DESCRIPTION 14 1 Fri M 4 3 1 .a. occ. Sep. Wall Com. ` 1, occupan Class -- Use, � wy sic- x - Ca��aci vS� t 2 O Construction V_ Year Built. Total 6o Laz st Floor 2660 Basement.- No. High Rise Yes No. )<10 . Ft. 3, Area (S ) Stories - .5a. Exterior 'Tall Construction v r �� x Stu b. Opening Protection.,. r) f it4em9tr LL C A AEP—o-2 A. SI My .. ,I.nterior Vla1? i tzuct i on AMx roc -1oo = ---- "-Construction 14'T-� Roof Const%uCtion Aldi 1 *4 C. ftOV K)4 W000 M 41 j*06/WV04 IZA (C( C4as - �..tt3C Draft Sto""40S 14 1 Fri M 4 3 1 .a. occ. Sep. Wall Construction 4K5Y4, a 04>0im 1 S AY --Pit Lc1.4C t i E bo Opening _ Pr otoct i on No. ` 1 a. A -L -ea Sever YYall• ' Construct -ion a0". tddffia be O aning Protection - No.a. ST.cke Barrier T1 a1l Construction _. /UO1 itf z Pr^te, Son 7 G.n PA - 4%= -1. Coiridor Ceiling C�n�=,trj�c �.an �,,.... o 0O.M in g' 5t..t. Shaf Lt N=, ber/i`i b. opening -Protection K4A G 4 (Rev. 5/8 4 ) DSS('_'R P`C'� . Cc. mm. i6a. S T+ r Enc c23U. adz b. O io-ection AAAi 17 • S Lairs, I.Yom . 1 v Ra�'.°,Js 1i or llaZ.• 1 .r asscc C;/�.:.�. tq o Exit Enol,, i t l � � CC 1,70 To �� ; _� � t_h l (Y uT .�{fir ? 1�.. -� Z..� L • Fii a- d i a i e ' •�~ +r~� ��� w/ •tir' �r � I'�"`�1r � �i�' � • � � ` � � V � � � i� �i �fi+ � � � I � .fr/P - E Xi t Si gAr%LS/ s l til n_ . tat'" -ion •Aoovef b o�u'Iterg ncy _ L h - ip: /tio6t%® i 23.. Ato. i�p.r i nk • C ai�sii ocati:an rU�w n2w` t� i 3 ` $44 A,'U O ( (A C L 15M T?c.VJ C.t, l TI -t S GA WXve V t St v f 26,m >• Hea L jg "')?Pe Si�tlr"i � �rr....�r.� �. �...�. � �... Fuel eoc,4+ Vent - - �....r..rr..� i _���r...rrr�r�.••.wrrr � .�_�Mrw..�n�...rr..r nl rr. �.�y� - 27, Electrical :. ,.._...:.. i.5 t 11 a on--yL17 C Ic a 1.�r.4 Tti4,�tr4 dS C 4r I'l i2o e �28 0 s P. afor C. P. eas �iL� a:a�•.!. �._��'• `�s: �'�-�,� a � f � ���. ��i� �Jtw�2 S d��w� rr w� � °�'� � •���' �vw1 w S �`� d9wa 6 �" �� �s N AV4 jQ A;/Cc s*T- L 4T GH or BUILDING SURVEY P.rEPORT �� -- Date : STATIC 99Ri ' Al F i le No: _ v �. .. =aw_4242 y= --O ':.:. of Facility: e S S • . ZJ3 h4 &I ;.-, Y • Teleg'none Leo. 916 of Building: N Or MW DESCRIPTION Corm • s J l O u.gan Class g.��r Use _ Cagaci y :..y.E 2 Construction tYear - Total - Largest Floor �� how High Rise Buy t . Bent- Yes No 3 Area . Ft.) r•� i Stories : �.. _ . _ Exterior Wali.. Constructi on- - .- Opening Protect i ren - - t ax SCtaWAd 43240-1 42&1 gag-t- :�.JAAPf Interior Wall Construction -70 Floor += ---- y Construction01EMAL- 8.Roof Construction "-C-M-44f- 9. _attic Draft S too No. ►�.,����'42 14 vr"g S caiLAgimji -Tda4a Occ a Sen. Wall t Construction w - f i - 1A \.Ill e i inn Protection No. _l Area Seg. Wall• Cons tract i on b. 0p, 2n 1 n g Protection - No. m- . i2a . S^;fi l,--e BarA- TKall Cons traction - fl 01 riing Protection prig t LI L- i � - Protect ion _ Corr i do-r_ Ce? ? ing Pjr- ot cLio:.L 1_ �; • Shafts YPI b. Onnning Protection G'' ; (Rev _ 5/841) -. _ - - --.-_-_.._- -_......... .. ... -. _�. •. ___._�......a -.�._ -��_a .•. M.•__w w•w r-i. .w._rr_..�..Yt�wwwar••�wgew4� Cep o Mair r* re b e n -T g • 7 AA4 n, 17. Sr -airs ZIoo t 13. 3.'.L: mp s1.,K,00 z Cl 1 ?iti7ROO_ i Co t i'. o Els� � LJ�1..� � - ;og 't71 -al piTidth # 2-L,& arc-h4a, e ! p. v m Z..t..1. L i../ gns/ s } b o L gen y Auto S iii 1c. Aw t ' � r.. r Class/ ocat oi' - - � +�Q . i li A L 1 it .�i. �. - .. 2-115). .J ���j�/,�� 1 (,/[! - #0 Fuel I (//fie L (�f f�� `^- i. � rc Y �i i � ��`//ra�■r Type��j� /fir. (/�/� ,yel�� �+�`��) %� Vent ,_ .r.. ri .w rr�. �r�r. .r..r� "'.iri�iA•w.+ r..� rr f...�wi rrwAir r.�rr�►r� �rr'��ir��rrrr+M.�.-w. Installation �. S %-a e/ w . .. A reds ;� '•J fiULTIPLE $UFCDI\G FACILITY RECORD FAC I LITY NAPIEW: B AA -)6 oK un)rva t�'c ' �v . - T SGT -cam tr ADDRESS.&.. • w Flo alp 0 , F A= #at ,� ...{�° . Jz d- --s- 14 Tye ,,� ✓�, L,U - i • • r 1 . -d- • J r.rrw. �osa.e�y.s.e+re•w+.a: 1, 1 S 1 i r -d- • J r.rrw. �osa.e�y.s.e+re•w+.a: 1, 1 S 1 NCE C' STATE IRE MAR AL STATE FIRE MARSHAL I-iff SAFETY COliRECTION 1lTOTIUJE NAME FILE NUMBER ®Q F ol Fi-/] I a] F I P.®, 00 3YO Rd [319 !Fo�Fol'no F31- M 9 R] ADDRESS In accordance with the minimum standards of Title 19, California Administrative Code, the following corrections are required: l� ACt*tovC ruz szziolwil.,oL1-s4rcoircs Fmom r oe X t .. l4 z x s r go C -A s r asc t rtf xod04 w Pt -1 64t, ) w soDI-330-1 L ri v? &oeiio -!57cn p n oir t tv L ^J s ! vL Svu,71OaDy2, ©r,+r- ,L T The above deficiencies are to be corrected within + - days. Upon completion, lease sign and � g return the certification on the opposite side of this f ohm. I f y `:�ia,ve any questions, contact the State Fire Marshal's Office at( IS UED BY (DEPUTY STATE FIRE MARSHAL) RECEIVED BY DATE EN -11 (REV. 7/81) YELL®W: REGION WHITE: FACILITY GREEN: FIELD 88701-388 3-84 12M TRIP OSP 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 13, California Administrative Code. SIGNATURE - ---- DACE _ ze (Fold ora-. this -Ime) (Fold on this line) PLACE STAMP HERE STATE FIRE MARSHAL 4 WILLIAMSBURG LANE, SUITE 3 CHICO, CA 95926 PaOe of -v�rice of the State fire Marshal INSPECTION REPORT File Name of Facility: - � 4) /-L--- (A Na e of Building: Address: 13 v• 1. ia�i� f :i. l:�, t.a.'.;(lf.. tj!' 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'il--.- l:. yl: �. tic tt.J :•t.s,a'>ty-:4�j�'�.: ••'t :�•�k [;1--' �,-.• j' 'j.., A -Al -�Aj"4a-( pt F---1 -AJ b 4o) �IW MA /V O'A J I -C '- � Y�•l,> �� `cam > ` � .5�v 5 �- •�. �ti dt�- 77ro;--/A--7-"' AX ' !A--� :ZDHLA,e� T!/f .000�� .G1 %l -e.. /i-P.� Ae4rztjA,*-.1'At W402 �� ����—AM �Aw11r m-,rA - --- -6 (Rev. 7AS) . + ��,.� •K. f'-!�' •'r ..s�.• ,.- �. j: •..;•. ..�! ••l f5 �• ; '� +. �>, 1.3t �� •-y`.►c��e T tc4� i ,i �,;' �, •'i ;�5, •�; � s f .,.t. . t..� � ' ANUV LAWW , �; •'~'� J •ii:. #-`�: .1 :If-Ile rI•.: �.1%. • ,Y! •ftA V. . • y,. vv� r:I`-••f ,: .i' t V .� '✓ %. !• `�:• • C .,;' l�:i ,ter• r •: . iF ._ �' .�..� 4• �, .•< kx . � i • :� 1 } .. , s� :i •+ � • i �.,, •-h• � t •ie-' i s: i f. ..f,.... .l w••►'i.., ` yE: ,4•• f ,: s: 1-0.li� -i `i� - ,,: ,: :=-�i•G•i• -!:i , �.,:.: yy,�, t�, tt i •J• ii V '•1 :T• iso-'ftt li •,• ': :►"�F_ •,; '• :•` :i ;f; : .�+< ; :E.,r >c yi: r:3 :* ; '': jt .3 yy��t11' ^tt� ��Y• t• ;F . •' .��; . � .i' •, i• � � l }, ( �7' •�. . 1 , '�. • ..' 'i..�. i.(:!'.,i,•.. i, � .�jgL�7,• i�c t�.j .)�•. •si.r tl rr it;, !'•'. .••i,��y'•. •�'• �• ♦ �,1 '. L j1f.� .>;.\. JI+�`'• , 1,. � 1.-L, !11. .• •: ,I �.• ..l •.�: �1 't fl !�,• ` T .iA .•tf ,,, ' .t� .�� r ,►..sil: •♦,� •r . 1 `,i•, ��{�,:� t •1, 1 f'i' •I ., Dewy MA" StA.` "M '► 7, , .;�• ` ,i�. i • I •,.,'. .'i .;'.�. ,��.w,� t .• •yri- d , .. � • f _ ` i E' �'.�•• E �'�>, .* . .f• "i-_':'; f.'>M;S :. } %}i; Vii;!/!` ''sem:.^'•'' • !'.i 3 i f . .►• Kai r .� t% ,•r L . i1 �J .., ., �: f Iy t. s♦ �.( `r ,e.. •�- 7s,: fs.• ti. �.:'f` r,•t ir.. lL .ir •j�•��JI• �i.e1R' : 91•.i f. s , y, '`� .s (; .jQji., f..•�:'f- VI .7 t1 .'f:E .t,•71►- �f ,,� •t, .... (�: �. , - �.. S•' j)'_'.t/ _'i •i 1-f .•t� , '4' •. t tj ! ►►77 2. •f� I .. j f � • , *e` t` ti• f • �,� • Hyl VI�tt or rm t!. •... f!i .:r i= •i r�. ''. . .�'� i � f•• .t •• , -6 (Rev. 7AS) OFFICE OF STATE FIRE MARSHAL ror VTTlce use -un iy ... FIRE- & -PANIC SAFETY STA., DARDS - INSPECT IO .-. NREPORT - f- NEW DELETLE AN*MAL FILE I . D. OCC.CLASS N0..8LDGS. FILE I.D.NO.DGS. OCC.CLASS re Protection Sys tees FOLLOW-UP PREY. INSP. DATE :5 - 2 FM:3,J0 000 30 0 ACILITY NAME.ICA! EL.0 AM I r 5 LaooL. �lC� � G �� _ � , 34 PHONE: FACILITY ADDRESS: P . (0 /QCor r,o JF I NTERVIEWED � � (Street) � ; L ��..���-�(ZiP 1 � .�y ACCOMPANIED BY ---- ' ... INSPECTION OF INDIVIDUAL BUILDING - OCCUPANCY CLASSIFICATION (T-24) NIGH RISE ; 2. INSPECTION OF ENTIRE FACILITY CONSISTING OF THE FOLLOWING BUILDINGS: . sement FILE I.D. OCC.CLASS, NO.BLDGS, .-...�._._ FILE I . D. OCC.CLASS N0..8LDGS. FILE I.D.NO.DGS. OCC.CLASS re Protection Sys tees FILE I.D. LnGS. OCC -CLASS. N0.BLDGS. FILE I.D. OCC.CLASS. NO. B LDGS. . FILE I.D.NO. OCC. CLASS. posures .CHERN LIST ... AMBULATORY CAPAC IT AGE RANGE(YLEAR-5)____CAPAC zua i Gapaci ty - �_1.9s-5-8 2. sement 22 3. 0 1 re Protection Sys tees 23 70EE To 1 posures 24 tics 28 6. I teri or Constructi on 29 , 3Q 31 7.T resse tibI i es0 3i ,3,j 8. ILeri or i ni sh .32 �. H zardous Areas 40 141 t in . g 3 0 , 43 �.. F re Protective S1 g. Sys. 44 r) 4 5 .:. E l ect ri ca - 46 . D co rat i- ve Materials 5 0 ..' S ora4e 51 . 4 PDATE ON BLDGS N0. OMME TS: DISPOSITION: , GO --6. Attached ib. Housekeeping - 52 17. Pre-- ire T7an 53 18s, Supervision/Staffing 56 19. Portable F3, re Ext.. 57 20. _ 21. 24. 25! 26, 2718 .- 2. 3O. LEAR-RE INSPECTION DATE CORRECTION NOTICE EN -,11 -Attached AMBULATORY CAPAC IT AGE RANGE(YLEAR-5)____CAPAC NONAMBu A L TORY I T AGE RANGE(YEARS)PRE TOTAL CAPACITY IOUSO'' 0 1 1.8. to 6 65 & Ove To 1 18 to 6 65 & Ove, Cr , PA ITY f J1 r CLF; D- ED' .A,PA .:PA ITS' r) r1 u Applicable -IC In Compliance CN Correctio Needed - _ll Corra�.ctLosFirst Noted -- G4-4 Item No. : . w � BY�• o'-wIIISPECT^ �E 'SPEC ION TIME: REVIEWED 8 Y - DATE . tea^ t`'�' 10th of Hour}(Supervisor-)---- I NSTI T UT -I ONS Item 23 - Nonflammable gas systems (REF* 54 (04) PUBLIC ASSEMBLIES - Surgery Item 20 - Stage./Platform area (REF* 42 ) Item 2Z - Stage./Platform, vents (REF* 42) _ Item 22 - Stage/Platform sprinklers (REF* 42). Item 23 - Stage/Platform access rooms (REF* 42 ) . Item 24 - Stage/Platform curtains (REF* 50) Item 25 - Seating/Aisles (REF* 43) I NSTI T UT -I ONS Item 23 - Nonflammable gas systems (REF* 54 Item 24 - Surgery floor (REF* 40) Item 25. - Surgery air change (REF* 40) Item 25 - Surgery equipment/Furnishings (REF* 40 ) Item 27 - Surgery electrical system (REF* 45 Item 28 - Restraint (REF* 9 ) CAMPS I%em 26 - Tent fabric Item 27 - Tent heating Item 2� - Tent el ectri-cal Item 2� - Tent location/separation Item -30 - Tent ground clearance OFFICE OF THE STATE FIRE MARSHAL INSPECTION l_OC � Tit Ie t�lb'iDfV ((�Mp6TgrY SC i3OOL � � EoJ A Eil [a Fiie�(�-�{—fir � � E5- E 14 D'NE- i_Ji3iEol Address �/n 13b 12 ANP,Da e Owner A pp - r v4A" CSARPI S on1 A 6LL e. N STATE FIRE, MA-RSH,%L .. Original -- Facili ty • 1st Copy -- Region FRE SAFETY CCRPXCTICN VICE 2nd CQ -- Field • - pY EI(Rear. 5/79) FILE NUM TR 00 off- i N b1 ter•, 'b Plg VM 0 A e.A� - r S 1 A DRESS C/X AJ Or Ic OCCUPANCY CLfASSIFICATIOM �.. CAPACITY (INDICATE IP Abi3 OR NO:+I-AMH) 13 A M 61 C NSTRiJCT10N TYPE HEIGHT AGE •J� . 1.. uccwraarace wlcfz me minimum standards of Title 19, California .,administrative Code, the following corrections are required prior to approval o use o the building .. t .. .� s • f f ng for the Proposed classiftcct6�n �nd capat.ity shown above. 47"' C� �S a C o e r t,}t�I_ v e *'T1 6 i..Le. 'c a,. .• FA ' el L U i'- id f /V.5` RL- E D W Ce c of L L C c/ r A)SC �'L � fit'.. -- '� vk� �ir (A -L ---!Zle e-b1A�,/V L . AV!U , G; 12-ev J�-r t Al ,oq, &Jecri�'(A L ..M���11r • �.b n.....•.V rl.r Mr. �ri.'My�..A��.•w ATM., or op ( • E s 1 ISSUED �} .ftV"if er you have corrected the above items, Zease s*gn the certification on the opposite side of this fog and refzLrn. BY (DEPUTY STATE FIRE MARSHAL) RECEIYg,D BY � DATE eOft6 V\A/3 I certify1requirements that all items listed on the reverse of this form haue been corrected in accordance with the of Mle 19, California Administrative Code G N AT LAw LON,s (.Fotd on this Ziac} lummum -@Woo _....,......,... _.......,.,......r _.....�..._..,.....�...,.................�...... .._ _. , _....._ .,......,� � "MGM ._ ._ _. _. ,........,. WAIVAP ." (FoZd on this Zine) .�� ..r �.� �� ..i. .��r �.� �w �� �w� .r... �.� �. • r w �� .�.. ...�. �.� �.rr .�.i.. w.�. �.w. �.ir. •�� �.� �� •rte rr "MOM one* IMO.. .r womm i.r ��. .mow .DrU -AM.W. w.. tero rr.m rr. .rrM +"m am PLACE STAB? STATE FIRE MARSHAL 7309 Lincolnshire Dawe Sacramento, California 958423 -1- NT 71 71. -rim Oc Ca. No Name Adcress 27 anc y Class. ? 11VJi t:,%, L-la1V 1\i_,rVRl achy_ T�_ - - Off ice ofr STATE FIRE l�' Buildings of Facility &��f=`/,G►m s, / / Date .rr� "ia •w - j!p Deputy Inspection- Ac In Requested by o mp ar? i e d by erviewed �'.�,. Title /,I s&V ^Title~-�-- Title Are 1. 2. of Building to tories in Heightl2. zits - Location CHECK LIST Construction Typ6 Ou SR NA OK SR Electrical 13. Heating 3. xit Door Hardware 14. L.P.G. 4. pecial HazArds 15. Interior Finish 5_ ire Alarm 16. Verticle Shafts -- 6. Omokle Detectors 17. Corridors 71-ier Drills/Kan Urinklers/Stand iae ✓' 18. Aisles/Seating 19. Storage 9. ecorative Material le 20. Housekeeping 10. 11. Stage/Platform . ire Ext. � Ser. _:7; 21. Access Roads 22. Other Bu'ldin--(s) DI in accordance with survey report (GO -4) dated: POSITION: Recommendations issued in field Suggested recommendation letter ire Clearance recommended 'f' DATE RECEIVED BY DATE !TATE RIBA MARSHAL. FIRE SAFETY CbRRECT10N'...1.,.,)T ICE Original - Facility Ist Copy- Region 2nd COPY - Field t z4- jL.L tRev, /v) I L 9:) 1VU N -A IR N A N1 E 1P I D 13 R z S _S OCCUPANCY CL ASSIVIcATIOPI CAPACITY (INVICAT9 IF AM13 OR NON-AIAE3) CONST'RUCTION TYPZ HEIGHY AGE `j In accordance with the minimum standards of Title 19, California Administrative Code, the following correction's are required pfior to approval of use of the building for the proposed classifica-ti,-)n and capacity shown above. t C j J J. 44-- *1 rr After you. have corrected the above items, please sign the certification on the opposite side of this form and ret rn. ISSU&:D BY (DE:PUTY STATE: FIRE: MARSHAL) 1 RF_Cr=.1Vr=,b BY DATE ZI • 1 C+.. � --_ 1C,. TION OF CORRECTIONS B Y O i z ER -I certify that all items listed on the reverse of this form have been corrected in accordance with the requirements of Mle 19, California Administrative Code. si�Na►r��� VAT Z (Fold on this Zine) (Fo Zd on this line) rr+w U.rM w� =no* A- wr M� �W wow* -M� W� M", +� r a -am - ----..._ PLACE STAMP STATE FIRE MARSHAL 7300 Lincolnshire Drive Sacramento, California 95823 JISS10J�i0:`I reinspection date etter of Rec's (use other side) z�7Rec's issued in field(copy attached; ZLA�re Clearance reco=ended as folloWs: OFF10E OF STATE, FJRE .MAliSJiAL • Faci?ii} &2 � 2Z A Mme of c?0ress C onditiuns D scussed With ccomp=nied by r.sp• Rcqucsted by c1e CHECK LIST NA=Not Applicable OK=In Cor,pliance SR=See Rer�ar1�s (use other side) _ NA 0K SR� NA OK S 1 Exiting 11. I Electrical 2 Fire Assemblies 12. Heating 3 Interior Finish 13. Sprinklers Z} Exposures L/ 14. 11 Tet Standpipes d!" 5 Hazardous Areas i,/ 15. i Fire Extinguishers 6 F1am—,naby-e Liquids Storage 16. Fire Alarm Li T. 17. Fire Drills/Plan 8 Stage or Platform 1 la. Housekeeping 9 Projection Booth 19• Capacity ' — 10 3 _ Decorative Materials L' 20. Other 3 _ B i ldi.ng(s) in accordance with Survey Report dated - - — JISS10J�i0:`I reinspection date etter of Rec's (use other side) z�7Rec's issued in field(copy attached; ZLA�re Clearance reco=ended as folloWs: OPWI, A-.< SURVEY REPORT OFFICE OF STA'T'E FIRE MARSHAL ame of Facility - 7111; 1 i' ��rPCC �l a.•)03 YI �i� Ji%� C./GiO � Date,, — Z Deputy Management ecom. and Copies to Insp. Requested by Title— Accompanied by Title BUILDING REPORT A B C 1. Name of Bldg. 2. Type Occupancy 3. Type Const.—Age 4. Area of Building 5. Area of Basement 6. Stories in Height'' 7. Exterior Walls 8. Interior Walls 9. Floors U. Roof Framing1 1. Attic Separation 2. Vertical Shafts 3. Stair Enclosures 4. No. and Loc. Exits S. Corridors 6. Exit Doors & Hdwe. 7. Interior Finish 8. Autom. Sprinklers 9. Fire Alarm U. Stage or Platform i. Projection Booth 2. First -Aid Fire Equip. 23. Exposures 4. Norm. and Actual Cap. S. Ambulatory 6. Restraint 27. Surgery Z , Y__ nA %l _ GO -4 (9.70)