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Home My WebLink AboutB20-3648 CF SOIU tif FIRE; Butte County Fire Department .' A%„ Fire Prevention Bureau Butte County 176 Nelson Avenue Oroville,CA 95965 Office(530)538.7888 Fax(530)538-2105 www.buttecou ntv.netlfire 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 c egree of safety to life and property, specific requirements have been established in the Fire, Building, and Life Safety C ides. To help us determine what particular laws apply to your business, please provide the following information: PART I— Building Information t ,-- Business Name: 7 )CtY5)T + �1P.e 4,AQ Business Address: L\i I q 4, Fes' \1 c 4AC�'( "1 t-/g- Number of Buildings: I 'ype of Construction: \.xx . ,5410N LA-0 'Square footage: / PART II—Questionnaire Yes No 1. Will your store or handle an a 3gregate quantity aerosol products in excess of 500 lbs_? [ ] [,J 2. Will you install or operate a st Itionary l -acld battery system more than 100 gallons? [ ] [ 3. Will you produce dust or loos,-combustible fibers in excess of 100 cubic feet? [ I [ v 4. Will you be storing more than 2500 cubic feet of combustible materials(boxes, rubber)? [ 1 [t� 5. Will you store, handle or use c omoresse l ases?(Table 105.6.8) i ] [i/1 6. Will you produce,store or har ile crvoaens?(Table 105.6.10) [ ] [14 7. Will you engage in the busine,s of dry cleaning? [ ] [ 3. Will you conduct an operation-which produces combustible dusts(i.e.flour,magnesium) I I [V] 9. Will you have any explosives or blasting agents? [ ] [i 10. Will you store, handle, use or lispense flammable or combustible liauids? [ ] [II 11. Will you store, transport on sit:,dispense, use or handle hazardous materials?(Table 105.6.20) [ ] [)I 12. Will you have over 500 square feet of high-ailed combustible storage?(>12 feet) [ ] [ 1 13. Will you store, handle or use li lined petroleum gases?(LPG) [ ] [,VI" 14. Will you melt, cast, heat treat c r grind more than 10 lbs. of magnesium? [ I [V] 15, Will you have a motor vehicle uel^disoensina station? [ ] (v1 l of 3 YES N� 16. Will you manufacture more tan 1 gallon of organic coating per day? [ ] [ ] 17. Will you operate an industrialibakina or drvina oven? L ] [VI 18_ Will you operate a place of alsembly(Drinking, Dining,Gathering)for more than 50 people? [ ] [✓) 19. Will you store or handle radioactive materials? [ ] [ I. 20. Will you have a refrigeration :ystem with>220 lbs.Group Al or>30 pounds of any other refrigerant? [ I [✓] 21. Will you operate a repair gar g for servicing or repairing automobiles? [ 1 ( l. 22. Will you be conducting hot wdrk? (welding, cutting or use flame producing devices or torches) [ ] [y] 23. Will you apply flammable or cbmbu5tible liquids?(Spray booth, Dip tank, Powder Coating,Rolling) [ ] [Vi 24. Will you store over 1000 cubi :feet of tires in an outside area? [ I (% ]/ 25. Will you store. lumber.wood whips. hoaxed material or Plywood in excess of 200 cubic feet? [ ] [ ✓] 26. Is your building equipped witt automatic fire sprinklers?If YES then: ( ] [r4. a) Calculated sprinkler systcn_ GPM/SqFt Design Area(i.e. .3/3000) (Density and certification infdrmation can usually be found labels on the main sprinkler system riser for each system) b) Pipe Schedule(non-calct fated)sprinkler system, Date system installed c) Early Suppression Fast-Response(ESFR)sprinkler system PSI d) Other type Sprinkler Syst•m list type and location: e) Date of last sprinkler syst:m 5 year certification(Title 19 CCR): f) Fire sprinkler alarm moniL ring company: 27. Is your building equipped with automatic fire detection?(smoke detector, heat detector, manual pull) [ I [ a) Date of last alarm system certification: b) Alarm monitoring compan': 28. Number of employees: 29. Hours of operations. /0:04 AM 4 Ir ' _ To 30. In a few brief sentences desc ibe how the building will be used and what processes or operations will take place Inside (i.e. Storage of chemicals witt some filling of containers for use, modem t heavvy� i with a ldssembli g and fabrication of metal parts, pov der coating and painting, etc.) fi1A4fo cQ-{' � 2 of 3 PART III—Fire Extinguis ter Requirements [v{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 tc a fire extinguisher shall not exceed 75 feet from any point. [] Ordinary Hazard occup;incy (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 or every 3000 square feet and the travel distance to a fire extinguisher shall not exceed 75 feet from any point. [] Extra Hazard Occupanc r (Hazardous Materials, flammable liquid, vehicle repair, cooking areas, woodworking uses)Provide a minimui i of(1)2A4OBC rated fire extinguisher mounted in an accessible conspicuous area.One extinguisher is required or every 2000 square feet and the travel distance to a fire extinguisher shall not exceed 50 feet from any point [] Kitchen Hood System—C ne 40B fire extinguisher(no"A or C rating shall be mounted near kitchen hood system) (ABC multi-purpose fire Qctinguishers may compromise the powder in fixed kitchen hood systems) NOTE:These are typical minim im 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 incr rased protection. PART IV—High Piled Col ibustible Storage In Chapter 32 of the California Fiie Code,high piled combustible storage is defined as:Storage of combustible materials [product and/or packaging]in do ely packed piles(floor storage)or combustible materials on pallets,in racks,or on shelves where the top of storages 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 tt ie storage is greater than 6 feet in height. It is very important to contact the=ire Department prior to consideration of storing high-piled combustible storage. Many of the permit requirements must built into your building. If your building is not approved for high-piled combustible storage it may be cost prohibttiv For example if you have a pipe schedule sprinkler system—no high piled storage is permitted until the system is calc lated. Securing a design professional is recommended to assist you with the code requirements [4 THIS BUILDING WILL NO BE USED FOR HIGH-PILED COMBUSTIBLE STORAGE. [ ] THIS BUILDING WILL BE SED FOR HIGH-PILED COMBUSTIBLE STORAGE. [ ] THIS BUILDING IS A SPEdrLATION BUILDING WITHOUT A TENANT AT THIS TIME *TO OBTAIN FIRE DEPA MENT APPROVAL YOU MUST SUBMIT THIS COMPLETED FORM WITH THE BUILDING PE IT APPLICATION Name: I*e — K,Kr g ��r7 1- Signature- h Lri d( r d. k 0,e-e nate: 0 i R.2_721 3 of