HomeMy WebLinkAbout040-030-073 CF Archiveire Prevention Bureau
76 Nelson Avenue
Iroville, CA 95965
'elephone 530-538-7888
ax 530-538-2105
Address: 1 2 5 <
Manager:
Owner.
AN*.3utte County Fire Rescue
California Department of Forestry
and Fire Protection
Facility Inspection Report
Business Name:
Bus:
Bus:
Bus:
White Copy - Business
Yellow Copy – Occupancy File
Pink Copy – Station File
Occ. Class. -- `—
AN INCPFCTInN nF YnITR FACH.ITV RF,VF.AI,FD TAF FOLLOWING:
1.
Fire Extinguishers: Required, service due
10.
Exit(s) obstructed, inadequate
2.
Extension cords: Excess use, defective
11.
Exit sign(s) required, illumination
3.
Excessive rubbish, trash, debris
12.
Exit sign lights need replacing
4.
Fire alarm system defective
13.
Exit lighting: Required, defective
5.
Sprinkler system: Service required, defective
14.
Smoke detectors: Required, defective
6.
Kitchen hood extinguishing system service due
15.
Wiring: Exposed, damaged connectors, etc.
7.
Fire walls, ceilings, fire doors, draft stops
16.
Heating system: Defective appliance, flue combustibles
8.
Knox Box keys
17.
Address posted and visible from road
9.
Fire Drill Witnessed Yes ❑ No ❑
18.
Other
DETAILED EXPLANATION AND CORRECTIONS: CORRECTED:
Date:
- 2 to
Discussed with:
(Print)
Signed:
Inspe ti Officer:
Battalion 1 2 3 5 6 7
Station:
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE:
BUTTE COUNTY FIRE DEPARTMENT/CDF FIRE
TITLE 19/24
FACILITY INSPECTION
INSPECTION NO.10 2 3
REINSPECT: YES NO
Facility r' = Occupancy
Address <7
-
Phone Station
Contact Station Phone
compttance: res = J
ACCESS --All inspections
Address correct/posted and visible from road (Butte Co. Code 32-9)
✓Access to public street or 20 ft. wide lane (T19-3.05)
�✓ `� Gates wide enough to admit fire apparatus (T19-3.16)
Fire protection equipment visible/accessible (T19-3.14)
PORTABLE FIRE EXTINGUISHERS -- All Inspections
No = u Ivoi appncaDle = NIA
1, Extinguishers have current annual service tag (r19 -575.1A)
Maximum travel 75 ft. (T19-567)
(. Provide clear access to fire extinguisher (T19-563.2)
I- Extinguishers mounted on wall/or in cabinet, visible and signed (T19-563.
EXITS -- All Inspections
Exits not obstructed (r19-3.11)
Exit signs in place (CBC 1003.2.9.1)
—' Doors operate without key or special knowledge (CFC 1207.3)
Rooms with Occupant, oad of 50 Persons or More
Exit illumin�l 'n af.1d signs in place (CBC 1003.2.8.2)
Maximum -occupancy sign in place (r19-3.30)
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)
ovide approved metal container for oily rag storage (T-19-3.190)
�eFlrammable
liquids stored properly (r-19-315)
Corrections and Comments
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))
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)
L= '
FIRE PROTECTION EQUIPMENT --All Inspections
Hood system serviced/tagged every 6 mo. by cerf.'tech. (T19 -9o4)
Clean filters, hood, ahq,Quct area ovleFtooking appliances (CFC 1006.2.8)
8) Maintain extin uis I s slrems (T19-3.24)
Provide sOce/spjlnkler heads (6 min.) and/or sprinkler wrench (T19-904.5)
Replace dajnaged, corroded, or painted sprinkler heads (T19-904.5)
Identify sprinkler valves and secure in open position (T19-904.5)
.- eplace missing caps on fire department connection (19-904.3)
Provide 5 -yr. certification test for sprinkler/standpipe (r19-904)
MECHANIC#L/ 111�PMENT --All Inspections
Ve�jsafid chimneys --No obvious hazards (CMC -Ch. 8)
i
r
SMOKE DEP TT�q�TS -- Day Care Sr. Res., Hospitals, Apts.
Pro erl m`stalled and tested (r19-749, 754)
SCHOOLS, JAILS AND HOSPITALS
Decoraj1o9sand curtains fire retardant (T19-3.08)
LPG°'tahks fenced with locked gates CM -3.22)
FIRE DRILLS -- School and Day Care (Title 19-3.13)
All systems operable/hooked to office
Held monthly (elementary schools)
Held semi-annually (high schools)
Evacuation plans posted in all rooms
N ;".° "l Emergency procedures posted in office
Teachers take roll books
The above deficiencies must be corrected within days. Inspection Date: T— 2 -z55Z_
,wner/Manager AP #
Office of the State Fire Marshal
Fire Safety Correction Notic�-
File No:------__
Nam
Address: / 3'1 a (L4C�)
STATE FIRE MARSHAL
The California Health and Safety Code and the State Fire Marshal's regulations require the following fire safety
deficiencies be corrected.
<' V_ i C , k i 14 ,IL
-.
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 'a RECEIVED BY DATE
EN -11 (Rev. 7/86) 89 88751 DISTRIBUTION: GREEN—Facility WHITE—Region
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BUTTE COUNTY FIRE DEPARTMENT/CDF FIRE
TITLE 19/24
FACILITY INSPECTION
INSPECTION NO.,' 1 .'2 3
REINSPECT: YES L_ NO
Facility Occupancy
Address Inspector -77,<
Phone -< -- - Station a
Contact " % Station Phone S `3
Compliance: Yes ='If
ACCESS --All inspections
Address correct/posted and visible from road (Butte co. Code 32-9)
Access to public street or 20 ft. wide lane (r19-3.05)
Gates wide enough to admit fire apparatus (r19-3.16)
Fire protection equipment visible/accessible (r19-3.14)
PORTABLE FIRE EXTINGUISHERS -- All Inspections
No = 0 Not applicable = N/A
Extinguishers have current annual service tag (T19 -575.1A)
Maximum travel 75 ft. (T19-567)
✓( Provide clear access to fire extinguisher (T19-563.2)
v' Extinguishers mounted on wall/or in cabinet, visible and signed (r19-563.8)
EXITS -- All Inspections
Exits not obstructed (r19-3.11)
Exit 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)
" =>r Maximum occupancy sign in place (r19-3.30)
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 (T19-3.14)
Remove combus. storage from heater, mech., elect. room (r19 -3.19f)
Provide approved metal container for oily rag storage (T -19-3.19c)
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))
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)
i Maintain extinguishing systems (r19-3.24)
Provide spare sprinkler heads (6 min.) and/or sprinkler wrench (r19-904.5)
'i Replace damaged, corroded, or painted sprinkler heads (r19-904.5)
TIdentify sprinkler valves and secure in open position (T19-904.5)
TReplace missing caps on fire department connection (r19-904.3)
Provide 5 -yr. certification test for sprinkler/standpipe (r19-904)
MECHANICAL EQUIPMENT -- All Inspections
Vents and chimneys -- No obvious hazards (CMC -Ch. 8)
SMOKE DETECTORS -- Day Care Sr. Res., Hospitals, Apts.
Properly installed and tested (T19-749,754)
SCHOOLS, JAILS AND HOSPITALS
L Decorations and curtains fire retardant (T19-3.08)
LPG tanks fenced with locked gates (r19-3.22)
FIRE DRILLS -- School and Day Care (Title 193.13)
4_AII 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
Corrections and Comments
The above deficiencies must be corrected within T- days. Inspection Date:' 3' U
Owner/Manager -. AP #
Office of the State Fire Marshal
Fire Safety Correction Notice
File No: — — -
Name:
Address:
SF
I I
CALIFORNIA STATE FIRE MARSHAL
The California Heath and Safety Code and
deficiencies be corrected.
the State Fire Marshal's regulations require The following fire safety
1.
�-
The above deficiencies are to be corrected within 7 D 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 arsha )RECEIVED BY DATE
1P
14-11 (Rev. 7/86) 89 88751 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field
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
Office of the State Fire Marshal
Fire Safety Correction Notice
File No:
Name:
Address: °' rr`
SF
CALIFORNIA STATE FIRE MARSHAL
The California Health and Safety Code and the
deficiencies be corrected.
State Fire Marshal's regulations require the following fire safety
r
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 +141 CCEIVED/BBYY DATE / �7
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