HomeMy WebLinkAboutFAI17-0001 Fire Annual Inspection 2004 to 2015 Fire Prevention Bureau 3utte County Fire Rescue White Copy-Business
176 Nelson Avenue California Department of Forestry Yellow Copy—Occupancy File
Oroville, CA 95965 and Fire Protection Pink Copy— Station File
Telephone 530-538-7888 Facility Inspection Report Occ. Class.
--fax 530-538-2105
Address: :59Sr pa/ ...,. 1;;,Ky .; I Business Name: I
Owner/Manager: I Rvk)i 4 S ry vi+S I Bus: I Hm: I Fax:
Assistant Manager: I I Bus: I Hm: f
Building Owner. I I Bus: I Hm: I
Address: I
AN INSPECTION OF YOUR FACILITY REVEALED '1'HE 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:
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Date: Discussed with: Signed:
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Inspecting Officer:
Battalion 1 2 3 4 5 6 7 Station: FPB
FIRE PREVENTION SAVES LIVES, PROPERTY,AND BUSINESS. YOUR COOPERATION WITH
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE-INSPECTION DATE:
'esutte County Fire Department
Coo California Department of Forestry and Fire Protection
AA Fire Prevention Bureau c
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176 Nelson Avenue, Oroville, CA 95965
�-- FIRE 530-538-7888/530-538-2105(fax)
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Fire Safety Inspection
Business Address: Business Name: Yv1 UALLE y t301P-r tST Ct-tutx t-1
Owner/Manager: ' 3p J\ 5 t,,)-s pS Bus: CSI- 111. 'c.. Other:
Other Contact: E i )y KN 0 Le S Bus: " Other:
Building Owner: Ch a 3 UrA LLe y g AP'11S"- Bus: Other:
Address: Occ. Class: r - 5
AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING:
1. Fire extinguishers: required, service due 10. Exit(s): obstructed, inadequate
2. Extension cords: Excessive use, defective 11. Exit sign(s): required, illumination, photo luminescent
3. Excessive rubbish, trash, debris 12. Exit sign lights: obstructed, defective
4. Fire alarm system defective 13. Exit lighting: required, defective
5. Sprinkler system: service required, defective 14. Heating system: defective appliance, flue combustibles
6. Kitchen hood ext. system: service due 15. Wiring: exposed, damaged connectors, etc.
7. Fire walls, ceilings, fire doors, draft stops 16. Address posted and visible from road
8. Smoke detectors: required, defective 17. Other
9. Fire drill log checked Yes ❑ No ❑ 18. Other type of inspection—State below
DETAILED EXPLANATION AND CORRECTIONS: CORRECTED:
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Date: Discussed with: Signed: rtr vtgc
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Battalion 1 2 3 4 5 6 7 Station: �/ FPB -` ` SL 677 Ev14 �
By order of the Fire Chief: You are hereby notified to correct all violations immediately or show cause why you should not be
required to do so. A re-inspection will be conducted on . Willful failure to comply with this notice is a
misdemeanor. Violations that are not corrected immediately and/or remain after the re-inspection may be processed as a criminal
offense. Thank you for your assistance and cooperation in minimizing the fire and life loss in our community. (H &S sec. 13112)
White Copy—Station File Yellow Copy—Re-inspect/business Pink Copy—Business 0 Check when sent to prevention
`-ftutte County Fire Department
icf• COA. California Department of Forestry and Fire Protection
Fire Prevention Bureau co,4.
176 Nelson Avenue, Oroville, CA 95965 r
FIRE 530-538-7888/530-538-2105(fax)
FIRE
Fire Safety Inspection
Business Address:% y %2.0,, .,., 1 4,1 4,1 Business Name: Act WIN &pf,S �hief:j
Owner/Manager: a;, / Bus: 2 "/- J/6, ' ther:
Other Contact: F Bus: ,S z l 22_ 3 3 Other:
Building Owner: My? 4✓ /3, , - Bus: I Other:
Address: I / Occ. Class: /- s
AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING:
X( 1. Fire extinguishers: required, service due ) 10. Exit(s): obstructed, inadequate
X 2. Extension cords: Excessive use, defective )( 11. Exit sign(s): required, illumination, photo luminescent
3. Excessive rubbish, trash, debris 12. Exit sign lights: obstructed, defective
4. Fire alarm system defective 13. Exit lighting: required, defective
5. Sprinkler system: service required, defective 14. Heating system: defective appliance, flue combustibles
6. Kitchen hood ext. system: service due 15. Wiring: exposed, damaged connectors, etc.
7. Fire walls, ceilings, fire doors, draft stops 16. Address posted and visible from road
8. Smoke detectors: required, defective 17. Other
9. Fire drill log checked Yes ❑ No ❑ 18. Other type of inspection-State below
DETAILED EXPLANATION AND CORRECTIONS: CORRECTED:
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Date: '7 Discussed with: Signed'~}�/
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p� Inspecting OlTicer:
'attalion 1 2(3) 4 5 6 7 Station: 7�c— FPB riv,kZ\ Se-AB
By order of the Fire Chief: You are hereby notified to correct all violations immediately or show cause why you should not be
required to do so. A re-inspection will be conducted on �j 2,/- li4 . Willful failure to comply with this notice is a
misdemeanor. Violations that are not corrected immediately and/or remain after the re-inspection may be processed as a criminal
offense. Thank you for your assistance and cooperation in minimizing the fire and life loss in our community. (H &S sec. 13112)
White Copy—Station File Yellow Copy—Re-inspect/business Pink Copy—Business 0 Check when sent to prevention
Fire Prevention Bureau Butte County Fire Rescue White Copy-Business
176 Nelson Avenue California Department of Forestry Yellow Copy—Occupancy File
Oroville, CA 95965 and Fire Protection Pink Copy— Station File
Telephone 530-538-7888 Facility Inspection Report Occ. Class.
Fax 530-538-2105
Address: Business Name:
Owner/Manager: Bus: Hm: Fax:
Assistant Manager: Bus: Hm:
Building Owner. Bus: Hm:
Address:
AN INSPECTION OF YOUR FACILITY REVEALED THE 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: Discussed with: Signed:
(Print)
Inspecting Officer:
`.- Battalion 1 2 3 4 5 6 7 Station: FPB
FIRE PREVENTION SAVES LIVES, PROPERTY,AND BUSINESS. YOUR COOPERATION WITH
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE-INSPECTION DATE: