HomeMy WebLinkAboutFAI15-0090 Fire Annual Inspection 2021 Palermo Church tte County Fire Department
��1✓ Co) California�epartment of Forestry and Fire Protection ,t1L co,,
z Fire Prevention Bureau �� ��
, 176 Nelson Avenue, Oroville, CA 95965 �,
tFIRE 530-538-7888/530-538-2105(fax) FIRE
Fire Safety Inspection
Business Address: 1615 M e.Awna A.,/ I Business Name: Chris--,'an rcu-frk (Pn-P-r 1
Owner/Manager: c*,Ir'47 1�rr,r-4c-n I Bus: 530- 99O-,S 1' I Other:
Other Contact: I Bus: I Other:
Building Owner: I Bus: I Other: 1
Address: I Occ. Class:
AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING:
1. Fire extinguishers: required, service due 10. Exit(s): obstructed, inadequate 1
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 I
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 I
8. Smoke detectors: required, defective 17. Other
9. Fire drill log checked Yes No __. 18. Other type of inspection-State below
DETAILED EXPLANATION AND CORRECT ONS: / CORRECTED:
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Date: Discussed with: Signed^:,/
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r� • 11 Inspeating Officer`-
Battalion 1 2 3 4 5 ( /7 Station: 7 7 _ FPB / C1 Ait,iv,0-0 h cte
By order of the Fire Chief: ` You are hereby notified 3o correct all violations immediately or show cause why you should%iot be
required to do so. A re-inspection will be conducted on ✓1 /A . Willful failure to comply with this notice is a
misdemeanor. Violations that are not corrected immediately and/odremain 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