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Home My WebLink AboutB20-2309 CF SOIU �aL Butte CountyFire Department — } IRF-, ,.Ii p `mac r iia7. 10-' - =„ Fire Prevention Bureau - - - 176 Nelson Avenue Oroville, CA 95965 -} -'r`' -ounr y Office(530)538-7888 Fax(530)538-2105 'cAmRo#iiIA• www.buttecountv.net/fire STATEMENT OF INTENDED USE Various process and situations in commercial and industrial establishments can create fire and life safety hazards. In order to provide a reasonable degree of safety to life and property, specific requirements have been established in the Fire, Building, and Life Safety Codes. To help us determine what particular laws apply to your business, please provide the following information: PART I- Building Information Business Name: S.A.h S e -1— 1/`4 o !C)ve.-Lc J Business Address: 1 1( 6'6 S-'k'/s './ . C. al lCp, C 6 - 7,�Qj Z� i , rr77.. Number of Buildings: . Type of Construction: ifri £ / 1 VG Square footage: —7 13 Z PART II-Questionnaire Yes No 1. Will your store or handle an aggregate quantity aerosol products in excess of 500 lbs.? I ] [ /] 2. Will you install or operate a stationary lead-acid battery system more than 100 gallons? I I [ 3. Will you produce dust or loose combustible fibers in excess of 100 cubic feet? [ I [ X 4. Will you be storing more than 2500 cubic feet of combustible materials(boxes,rubber)? [ ] DO 5. Will you store,handle or use compressed oases?(Table 105.6.8) [ ] [/r 6. Will you produce,store or handle crvoaens?(Table 105.6.10) [ ] [Zr 7. Will you engage in the business of dry cleaning? [ ] [4 8. Will you conduct an operation which produces combustible dusts(i.e.flour,magnesium) [ ] [ ] 9. Will you have any explosives or blastina aaents? [ ] [--r- 10. Will you store,handle,use or dispense flammable or combustible liauids? I I [ 11. Will you store,transport on site,dispense, use or handle hazardous materials?(Table 105.6.20) [ ] [f4 12. Will you have over 500 square feet of hiah-oiled combustible storage?(>12 feet) [ ] [ fi 13. Will you store,handle or use liauefied petroleum oases?(LPG) [ ] [ 14. Will you melt,cast,heat treat or grind more than 10 lbs. of maanesium? [ I [ -( 15. Will you have a motor vehicle fuel-disoensina station? [ ] [ 1 g F 3 YES NO 16. Will you manufacture more than 1 gallon of organic coating per day? [ ] [- 17. Will you operate an industrial baking or drvino oven? I ] [ 18. Will you operate a place of assembly(Drinking,Dining,Gathering)for more than 50 people? [ ] [---r 19. Will you store or handle radioactive materials? [ ] [- 20. Will you have a refriaeration system with>220 lbs.Group Al or>30 pounds of any other refrigerant? [ ] [—) 21. Will you operate a reaair aaraae for servicing or repairing automobiles? [ ] [ - 22. Will you be conducting hot work? (welding,cutting or use flame producing devices or torches) [ ] [ 23. Will you apply flammable or combustible liquids?(Spray booth,Dip tank,Powder Coating,Rolling) [ ] [- 24. Will you store over 1000 cubic feet of tires in an outside area? [ ] [ 25. Will you store.lumber.wood chins.hoaaed material or olvwood in excess of 200 cubic feet? [%j- [ ] 26. Is your building equipped with automatic fire sprinklers?If YES then: [ ] [ a) Calculated sprinkler system GPM/SqFt Design Area(i.e..313000) (Density and certification information can usually be found labels on the main sprinkler system riser for each system) b) Pipe Schedule(non-calculated)sprinkler system, Date system installed c) Early Suppression Fast-Response(ESFR)sprinkler system PSI d) Other type Sprinkler System—list type and location: e) Date of last sprinkler system 5 year certification(Title 19 CCR): f) Fire sprinkler alarm monitoring company: 27. Is your building equipped with automatic fire detection?(smoke detector,heat detector,manual pull) [ ] [ 4-1 a) Date of last alarm system certification: b) Alarm monitoring company: 28. Number of employees: 29. Hours of operations: To 30. In a few brief sentences describe how the building will be used and what processes or operations will take place inside (i.e. Storage of chemicals with some filling of containers for use moderate to a vy welding wi assembling and fabrication of metal parts, powder coating and painting,etc.)_ lik e• 4,�. )t bed (Algal 'for 6.-1I 4_ .‘cer Q ieN/ Cif AAA" 2ar3 PART III — Fire Extinguisher Requirements [] Light Hazard occupancy (office, classrooms, medical offices, etc.) Provide a minimum of (1) 2A1OBC rated fire extinguisher mounted in an accessible conspicuous area. One extinguisher is required for every 6000 square feet and the travel distance to a fire extinguisher shall not exceed 75 feet from any point. VI Ordinary Hazard occupancy (mercantile storage, dining areas, and display, warehouses, light manufacturing) Provide a minimum of (1) 2A2OBC rated fire extinguisher mounted in an accessible conspicuous area. One extinguisher is required for every 3000 square feet and the travel distance to a fire extinguisher shall not exceed 75 feet from any point. [ ] Extra Hazard Occupancy (Hazardous Materials, flammable liquid, vehicle repair, cooking areas, woodworking uses) Provide a minimum of(1) 2A4OBC rated fire extinguisher mounted in an accessible conspicuous area. One extinguisher is required for every 2000 square feet and the travel distance to a fire extinguisher shall not exceed 50 feet from any point. [] Kitchen Hood System —One 40B fire extinguisher (no "A or C" rating shall be mounted near kitchen hood system) (ABC multi-purpose fire extinguishers may compromise the powder in fixed kitchen hood systems) NOTE: These are typical minimum requirements. More fire extinguishers may be required due to special operations or processes being used. For example: spray booths, special electrical hazards, exotic metals, and other situations will require increased protection. PART IV— High Piled Combustible Storage In Chapter 32 of the California Fire Code,high piled combustible storage is defined as:Storage of combustible materials [product and/or packaging]in closely packed piles(floor storage)or combustible materials on pallets, in racks,or on shelves where the top of storage is greater than 12 feet in height. High piled combustible storage also includes certain high hazard commodities,such as rubber tires,group A plastics,flammable liquids,idle pallets,and similar commodities, where the top of the storage is greater than 6 feet in height. It is very important to contact the Fire Department prior to consideration of storing high-piled combustible storage. Many of the permit requirements must be built into your building. If your building is not approved for high-piled combustible storage it may be cost prohibitive. For example if you have a pipe schedule sprinkler system—no high piled storage is permitted until the system is calculated. Securing a design professional is recommended to assist you with the code requirements f/ . THIS BUILDING WILL NOT BE USED FOR HIGH-PILED COMBUSTIBLE STORAGE. [ ] THIS BUILDING WILL BE USED FOR HIGH-PILED COMBUSTIBLE STORAGE. [ ] THIS BUILDING IS A SPECULATION BUILDING WITHOUT ATENANT AT THIS TIME. *TO OBTAIN FIRE DEPARTMENT APPROVAL YOU MUST SUBMIT THIS COMPLETED FORM WITH THE BUILDING PERMIT APPLICATION Name: Signature: / // / /7 natp: I- ig-ev• 941 v 3.r3